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Real Property Acquisitions and Development
3 Months Ended
Mar. 31, 2020
Real Estate [Abstract]  
Real Property Acquisitions and Development Real Property Acquisitions and Development 
The total purchase price for all properties acquired has been allocated to the tangible and identifiable intangible assets and liabilities at cost on a relative fair value basis. Liabilities assumed and any associated noncontrolling interests are reflected at fair value. The results of operations for these acquisitions have been included in our consolidated results of operations since the date of acquisition and are a component of the appropriate segments. Transaction costs primarily represent costs incurred with acquisitions, including due diligence costs, fees for legal and valuation services, termination of pre-existing relationships computed based on the fair value of the assets acquired, lease termination fees and other acquisition-related costs. Transaction costs related to asset acquisitions are capitalized as a component of purchase price and all other non-capitalizable costs are reflected in other expenses on our Consolidated Statements of Comprehensive Income.
The following is a summary of our real property investment activity by segment for the periods presented (in thousands):
 
Three Months Ended
 
March 31, 2020
 
March 31, 2019
 
Seniors Housing Operating
 
Triple-net
 
Outpatient
Medical
 
Totals
 
Seniors Housing Operating
 
Triple-net
 
Outpatient
Medical
 
Totals
Land and land improvements
$
15,758

 
$

 
$
40,847

 
$
56,605

 
$
6,831

 
$
7,427

 
$
29,304

 
$
43,562

Buildings and improvements
132,480

 
765

 
171,457

 
304,702

 
97,759

 
74,116

 
60,671

 
232,546

Acquired lease intangibles
10,810

 

 
23,823

 
34,633

 
4,945

 

 
10,202

 
15,147

Right of use assets, net

 

 

 

 

 

 
2,012

 
2,012

Receivables and other assets
257

 

 
139

 
396

 
264

 

 

 
264

Total assets acquired (1)
159,305

 
765

 
236,266

 
396,336

 
109,799

 
81,543

 
102,189

 
293,531

Secured debt

 

 

 

 
(43,209
)
 

 

 
(43,209
)
Lease liabilities

 

 

 

 

 

 
(961
)
 
(961
)
Accrued expenses and other liabilities  
(671
)
 

 
(2,036
)
 
(2,707
)
 
(848
)
 

 
(1,952
)
 
(2,800
)
Total liabilities acquired
(671
)
 

 
(2,036
)
 
(2,707
)
 
(44,057
)
 

 
(2,913
)
 
(46,970
)
Noncontrolling interests (2)
(2,827
)
 

 

 
(2,827
)
 
(7,895
)
 
(1,056
)
 

 
(8,951
)
Cash disbursed for acquisitions
155,807

 
765

 
234,230

 
390,802

 
57,847

 
80,487

 
99,276

 
237,610

Construction in progress additions
29,841

 
13,929

 
13,645

 
57,415

 
35,756

 
7,442

 
14,475

 
57,673

Less: Capitalized interest
(2,812
)
 
(941
)
 
(993
)
 
(4,746
)
 
(1,136
)
 
(390
)
 
(801
)
 
(2,327
)
Accruals (3)
(2,600
)
 

 
(1,294
)
 
(3,894
)
 

 

 
45

 
45

Cash disbursed for construction in progress
24,429

 
12,988

 
11,358

 
48,775

 
34,620

 
7,052

 
13,719

 
55,391

Capital improvements to existing properties
52,503

 
3,248

 
13,631

 
69,382

 
43,300

 
3,768

 
9,867

 
56,935

Total cash invested in real property, net of cash acquired
$
232,739

 
$
17,001

 
$
259,219

 
$
508,959

 
$
135,767

 
$
91,307

 
$
122,862

 
$
349,936

(1) Excludes $580,000 and $517,000 of unrestricted and restricted cash acquired during the three months ended March 31, 2020 and 2019, respectively.
(2) Includes amounts attributable to both redeemable noncontrolling interests and noncontrolling interests.
(3) Represents non-cash accruals for amounts to be paid in future periods for properties that converted, off-set by amounts paid in the current period.
Construction Activity 
The following is a summary of the construction projects that were placed into service and began generating revenues during the periods presented (in thousands):
 
 
Three Months Ended
 
 
March 31, 2020
 
March 31, 2019
Development projects:
 
 
 
 
Seniors Housing Operating
 
$
93,188

 
$

Outpatient Medical
 
19,369

 

Total construction in progress conversions
 
$
112,557

 
$