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Real Property Acquisitions and Development (Tables)
9 Months Ended
Sep. 30, 2017
Real property acquisitions and development [Line Items]  
Estimated Fair Value of Allocated Purchase Price of Asset and Liabilities

Triple-net Activity

Nine Months Ended
(In thousands)September 30, 2017September 30, 2016
Land and land improvements$31,948$21,713
Buildings and improvements206,910220,274
Acquired lease intangibles -2,876
Total assets acquired238,858244,863
Accrued expenses and other liabilities (21,236)(2,145)
Total liabilities assumed(21,236)(2,145)
Noncontrolling interests(7,275)(3,162)
Non-cash acquisition related activity(1)(54,901)(51,733)
Cash disbursed for acquisitions155,446187,823
Construction in progress additions106,186133,611
Less:Capitalized interest(3,886)(6,263)
Foreign currency translation(656)(3,179)
Cash disbursed for construction in progress101,644 124,169
Capital improvements to existing properties17,87321,447
Total cash invested in real property, net of cash acquired$274,963$333,439
(1) For the nine months ended September 30, 2017, $54,901,000 is related to the acquisition of assets previously financed as real estate loans receivable. For the nine months ended September 30, 2016, $45,044,000 is related to the acquisition of assets previously financed as real estate loans receivable and $6,689,000 is related to the acquisition of assets previously financed as an investment in an unconsolidated entity.

Seniors Housing Operating Activity

Nine Months Ended
(In thousands)September 30, 2017September 30, 2016
Land and land improvements$31,006$122,649
Building and improvements384,5221,108,195
Acquired lease intangibles48,19790,771
Restricted cash1,692137
Receivables and other assets3,1642,179
Total assets acquired(1)468,5811,323,931
Secured debt-(49,381)
Accrued expenses and other liabilities (43,364)(12,328)
Total liabilities assumed(43,364)(61,709)
Noncontrolling interests(4,701)(1,089)
Non-cash acquisition related activity(2)(59,065)(17,477)
Cash disbursed for acquisitions361,4511,243,656
Construction in progress additions65,282139,160
Less:Capitalized interest(5,996)(3,923)
Foreign currency translation(6,218)(5,953)
Cash disbursed for construction in progress53,068 129,284
Capital improvements to existing properties110,37284,444
Total cash invested in real property, net of cash acquired$524,891$1,457,384
(1) Excludes $4,581,000 and $135,000 of cash acquired during the nine months ended September 30, 2017 and 2016, respectively.
(2) Includes $6,349,000 related to the acquisition of assets previously financed as real estate loans receivable during the nine months ended September 30, 2017. Includes $51,097,000 and $17,477,000 for the nine months ended September 30, 2017 and 2016, respectively, related to the acquisition of assets previously financed as an investments in an unconsolidated entity.

Outpatient Medical Activity

Nine Months Ended
(In thousands)September 30, 2017September 30, 2016
Land and land improvements$25,060$1,466
Buildings and improvements62,33627,272
Acquired lease intangibles8,3974,592
Receivables and other assets3-
Total assets acquired95,796 33,330
Secured debt(25,709)-
Accrued expenses and other liabilities(2,210)(1,670)
Total liabilities assumed (27,919) (1,670)
Noncontrolling interests(9,080)-
Non-cash acquisition activity(1)-(15,013)
Cash disbursed for acquisitions58,79716,647
Construction in progress additions33,49581,843
Less:Capitalized interest(1,847)(2,588)
Accruals(2)11,708(7,336)
Cash disbursed for construction in progress43,356 71,919
Capital improvements to existing properties30,89735,309
Total cash invested in real property$133,050$123,875
(1) Represents the acquisition of assets previously financed as real estate loans receivable.
(2) Represents the change in non-cash consideration accruals for amounts to be paid in periods other than the period in which the construction projects converted to operations.

Construction Activity

Nine Months Ended
September 30, 2017September 30, 2016
Development projects:
Triple-net $283,472$24,535
Seniors housing operating3,634-
Outpatient medical63,03644,113
Total development projects350,14268,648
Expansion projects10,3362,879
Total construction in progress conversions $360,478$71,527