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Real Property Acquisitions and Development (Tables)
3 Months Ended
Mar. 31, 2022
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):
 Three Months Ended
 March 31, 2022March 31, 2021
Seniors Housing OperatingTriple-netOutpatient
Medical
TotalsSeniors Housing OperatingTriple-netOutpatient
Medical
Totals
Land and land improvements$43,897 $— $240 $44,137 $1,240 $24,154 $2,273 $27,667 
Buildings and improvements402,342 171 131,412 533,925 3,491 170,362 10,570 184,423 
Acquired lease intangibles31,366 — 16,978 48,344 339 — 1,439 1,778 
Right of use assets, net— — 3,852 3,852 — — — — 
Total net real estate assets477,605 171 152,482 630,258 5,070 194,516 14,282 213,868 
Receivables and other assets1,630 — — 1,630 34 — — 34 
Total assets acquired479,235 171 152,482 631,888 5,104 194,516 14,282 213,902 
Lease liabilities— — (3,852)(3,852)— — — — 
Accrued expenses and other liabilities(4,154)— — (4,154)— (8,703)(36)(8,739)
Total liabilities acquired(4,154)— (3,852)(8,006)— (8,703)(36)(8,739)
Noncontrolling interests (1)
(20,348)(4)— (20,352)— (2,056)— (2,056)
Non-cash acquisition related activity(2)
(2,120)— — (2,120)— — — — 
Cash disbursed for acquisitions452,613 167 148,630 601,410 5,104 183,757 14,246 203,107 
Construction in progress additions113,407 20,756 9,642 143,805 38,373 31,809 7,601 77,783 
Less: Capitalized interest(4,179)(1,089)(211)(5,479)(2,980)(524)(992)(4,496)
Accruals (3)
(1,963)— 1,778 (185)— 311 318 
Cash disbursed for construction in progress107,265 19,667 11,209 138,141 35,400 31,285 6,920 73,605 
Capital improvements to existing properties68,612 8,294 13,323 90,229 (3,159)25,295 6,644 28,780 
Total cash invested in real property, net of cash acquired$628,490 $28,128 $173,162 $829,780 $37,345 $240,337 $27,810 $305,492 
(1) Includes amounts attributable to both redeemable noncontrolling interests and noncontrolling interests.
(2) Relates to the acquisition of assets previously recognized as investments in unconsolidated entities.
(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):
 Three Months Ended
 March 31, 2022March 31, 2021
Development projects:
Seniors Housing Operating
$73,458 $— 
Triple-net
— 22,990 
Total construction in progress conversions$73,458 $22,990