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Real Property Acquisitions and Development
9 Months Ended
Sep. 30, 2021
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):
 Nine Months Ended
 September 30, 2021September 30, 2020
Seniors Housing OperatingTriple-netOutpatient
Medical
TotalsSeniors Housing OperatingTriple-netOutpatient
Medical
Totals
Land and land improvements$264,706 $48,099 $45,350 $358,155 $15,758 $— $43,252 $59,010 
Buildings and improvements1,655,067 436,828 227,390 2,319,285 132,481 765 171,630 304,876 
Acquired lease intangibles142,439 — 17,333 159,772 10,810 — 23,823 34,633 
Right of use assets, net77,455 — — 77,455 — — — — 
Total net real estate assets2,139,667 484,927 290,073 2,914,667 159,049 765 238,705 398,519 
Receivables and other assets6,041 — 3,534 9,575 257 — 139 396 
Total assets acquired (1)
2,145,708 484,927 293,607 2,924,242 159,306 765 238,844 398,915 
Lease liabilities(138,126)— — (138,126)— — — — 
Accrued expenses and other liabilities(20,748)(8,703)(266)(29,717)(671)— (2,043)(2,714)
Total liabilities acquired(158,874)(8,703)(266)(167,843)(671)— (2,043)(2,714)
Noncontrolling interests (2)
(2,597)(2,056)(16,540)(21,193)(2,827)— — (2,827)
Cash disbursed for acquisitions1,984,237 474,168 276,801 2,735,206 155,808 765 236,801 393,374 
Construction in progress additions190,672 60,251 29,448 280,371 75,617 33,021 33,593 142,231 
Less: Capitalized interest(9,658)(2,092)(2,277)(14,027)(7,760)(2,569)(2,905)(13,234)
Accruals (3)
38 — (3,057)(3,019)(1,376)— (922)(2,298)
Cash disbursed for construction in progress181,052 58,159 24,114 263,325 66,481 30,452 29,766 126,699 
Capital improvements to existing properties115,115 26,496 24,080 165,691 130,465 5,971 46,888 183,324 
Total cash invested in real property, net of cash acquired$2,280,404 $558,823 $324,995 $3,164,222 $352,754 $37,188 $313,455 $703,397 
(1) Excludes $301,000 and $580,000 of unrestricted and restricted cash acquired during the nine months ended September 30, 2021 and September 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.
On July 30, 2021, we acquired a portfolio of 85 seniors housing properties owned by Holiday Retirement for $1,576,600,000, which are included in our Seniors Housing Operating segment. Atria Senior Living assumed operations of the portfolio following its acquisition of the Holiday Retirement management company pursuant to an incentive-based management agreement. As part of this transaction, a wholly owned subsidiary assumed the leasehold interest in a 26 property portfolio and subsequently purchased eight of the leased properties from the landlord. The lease, identified as an operating lease, expires in 2035 and was recognized as a right of use asset, net of above market lease intangibles, and lease liability. No rent will be paid in excess of net cash flow related to the remaining leasehold properties.
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):
 Nine Months Ended
 September 30, 2021September 30, 2020
Development projects:
Seniors Housing Operating
$58,844 $93,188 
Triple-net
22,990 59,201 
Outpatient Medical
116,612 43,493 
Total development projects
198,446 195,882 
Expansion projects
— 48,600 
Total construction in progress conversions$198,446 $244,482