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Real Property Acquisitions and Development (Tables)
6 Months Ended
Jun. 30, 2021
Real Estate [Abstract]  
Estimated Fair Value of Allocated Purchase Price of Asset and Liabilities The following is a summary of our real property investment activity by segment for the periods presented (in thousands):
 Six Months Ended
 June 30, 2021June 30, 2020
Seniors Housing OperatingTriple-netOutpatient
Medical
TotalsSeniors Housing OperatingTriple-netOutpatient
Medical
Totals
Land and land improvements$25,636 $30,849 $29,735 $86,220 $15,758 $— $40,847 $56,605 
Buildings and improvements167,791 268,210 152,737 588,738 132,480 765 171,457 304,702 
Acquired lease intangibles10,679 — 6,274 16,953 10,810 — 23,823 34,633 
Receivables and other assets634 — 642 257 — 139 396 
Total assets acquired (1)
204,740 299,059 188,754 692,553 159,305 765 236,266 396,336 
Accrued expenses and other liabilities(2,923)(8,703)(266)(11,892)(671)— (2,036)(2,707)
Total liabilities acquired(2,923)(8,703)(266)(11,892)(671)— (2,036)(2,707)
Noncontrolling interests (2)
(2,597)(2,056)(14,723)(19,376)(2,827)— — (2,827)
Cash disbursed for acquisitions199,220 288,300 173,765 661,285 155,807 765 234,230 390,802 
Construction in progress additions93,108 46,904 13,371 153,383 53,705 26,262 26,677 106,644 
Less: Capitalized interest(6,014)(1,238)(2,106)(9,358)(5,470)(1,826)(1,991)(9,287)
Accruals (3)
— 311 319 (1,343)— (2,983)(4,326)
Cash disbursed for construction in progress87,102 45,666 11,576 144,344 46,892 24,436 21,703 93,031 
Capital improvements to existing properties64,438 15,568 14,477 94,483 87,002 4,700 30,401 122,103 
Total cash invested in real property, net of cash acquired$350,760 $349,534 $199,818 $900,112 $289,701 $29,901 $286,334 $605,936 
(1) Excludes $301,000 and $580,000 of unrestricted and restricted cash acquired during the six months ended June 30, 2021 and June 30, 2020, 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.
The following is a summary of the construction projects that were placed into service and began generating revenues during the periods presented (in thousands):
 Six Months Ended
 June 30, 2021June 30, 2020
Development projects:
Seniors Housing Operating
$58,844 $93,188 
Triple-net
22,990 33,627 
Outpatient Medical
101,867 43,493 
Total development projects
183,701 170,308 
Expansion projects
— 35,637 
Total construction in progress conversions$183,701 $205,945