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Real Property Acquisitions and Development
9 Months Ended
Sep. 30, 2022
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, 2022September 30, 2021
Seniors Housing OperatingTriple-netOutpatient
Medical
TotalsSeniors Housing OperatingTriple-netOutpatient
Medical
Totals
Land and land improvements$199,892 $— $65,688 $265,580 $264,706 $48,099 $45,350 $358,155 
Buildings and improvements1,988,999 172 249,660 2,238,831 1,655,067 436,828 227,390 2,319,285 
Acquired lease intangibles109,049 — 33,978 143,027 142,439 — 17,333 159,772 
Construction in progress108,141 — — 108,141 — — — — 
Right of use assets, net169 — 3,852 4,021 77,455 — — 77,455 
Total net real estate assets2,406,250 172 353,178 2,759,600 2,139,667 484,927 290,073 2,914,667 
Receivables and other assets10,410 — 460 10,870 6,041 — 3,534 9,575 
Total assets acquired (1)
2,416,660 172 353,638 2,770,470 2,145,708 484,927 293,607 2,924,242 
Secured debt(219,067)— — (219,067)— — — — 
Lease liabilities— — (3,852)(3,852)(138,126)— — (138,126)
Accrued expenses and other liabilities(111,373)— (1,294)(112,667)(20,748)(8,703)(266)(29,717)
Total liabilities acquired(330,440)— (5,146)(335,586)(158,874)(8,703)(266)(167,843)
Noncontrolling interests (2)
(115,112)(4)(975)(116,091)(2,597)(2,056)(16,540)(21,193)
Non-cash acquisition related activity(3)
(25,795)— — (25,795)— — — — 
Cash disbursed for acquisitions1,945,313 168 347,517 2,292,998 1,984,237 474,168 276,801 2,735,206 
Construction in progress additions343,000 64,091 75,460 482,551 190,672 60,251 29,448 280,371 
Less: Capitalized interest(16,464)(3,088)(1,177)(20,729)(9,658)(2,092)(2,277)(14,027)
Accruals (4)
(2,809)— 4,452 1,643 38 — (3,057)(3,019)
Cash disbursed for construction in progress323,727 61,003 78,735 463,465 181,052 58,159 24,114 263,325 
Capital improvements to existing properties232,618 39,526 43,691 315,835 115,115 26,496 24,080 165,691 
Total cash invested in real property, net of cash acquired$2,501,658 $100,697 $469,943 $3,072,298 $2,280,404 $558,823 $324,995 $3,164,222 
(1) Excludes $6,431,000 and $301,000 of unrestricted and restricted cash acquired during the nine months ended September 30, 2022 and September 30, 2021, respectively.
(2) Includes amounts attributable to both redeemable noncontrolling interests and noncontrolling interests. For the nine months ended September 30, 2022, 1,227,000 Welltower OP units were issued as a component of funding for certain transactions.
(3) Relates to the acquisition of assets recognized as investments in unconsolidated entities.
(4) Represents non-cash accruals for amounts to be paid in future periods for properties that converted, offset by amounts paid in the current period.
Effective on April 1, 2022, our leasehold interest relating to the master lease with National Health Investors, Inc. ("NHI") for 17 properties assumed in conjunction with the Holiday Retirement acquisition was terminated as a result of the transition or sale of the properties by NHI. The lease termination was part of an agreement to resolve outstanding litigation with NHI. In conjunction with the agreement, a wholly owned subsidiary and the lessee on the master lease agreed to release $6,883,000 of cash to the landlord, which represents the net cash flow generated from the properties since we assumed the leasehold interest. Additionally, in conjunction with the lease termination, during the three months ended June 30, 2022 we recognized $58,621,000 in other income on our Consolidated Statements of Comprehensive Income, from the derecognition of the right of use asset and related lease liability.
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, 2022September 30, 2021
Development projects:
Seniors Housing Operating
$182,421 $58,844 
Triple-net
— 22,990 
Outpatient Medical
— 116,612 
Total construction in progress conversions$182,421 $198,446