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Real Property Acquisitions and Development (Tables)
6 Months Ended
Jun. 30, 2023
Real Estate [Abstract]  
Summary of Real Property Investment Activity by Segment
The following is a summary of our real property investment activity by segment for the periods presented (in thousands):
 Six Months Ended
 June 30, 2023June 30, 2022
Seniors Housing OperatingTriple-netOutpatient
Medical
TotalsSeniors Housing OperatingTriple-netOutpatient
Medical
Totals
Land and land improvements$4,426 $7,370 $60,527 $72,323 $130,282 $— $26,714 $156,996 
Buildings and improvements50,172 74,289 256,190 380,651 1,249,982 171 205,161 1,455,314 
Acquired lease intangibles970 — 39,090 40,060 77,705 — 26,836 104,541 
Construction in progress— — — — 108,141 — — 108,141 
Right of use assets, net— — 927 927 169 — 3,852 4,021 
Total net real estate assets55,568 81,659 356,734 493,961 1,566,279 171 262,563 1,829,013 
Receivables and other assets2,089 — 358 2,447 6,091 — 260 6,351 
Total assets acquired(1)
57,657 81,659 357,092 496,408 1,572,370 171 262,823 1,835,364 
Secured debt(21,767)— (40,953)(62,720)(219,067)— — (219,067)
Lease liabilities— — (953)(953)— — (3,852)(3,852)
Accrued expenses and other liabilities(570)— (8,071)(8,641)(11,937)— (393)(12,330)
Total liabilities acquired(22,337)— (49,977)(72,314)(231,004)— (4,245)(235,249)
Noncontrolling interests (2)
— — — — (101,885)(4)(664)(102,553)
Non-cash acquisition related activity(3)
— — — — (25,795)— — (25,795)
Cash disbursed for acquisitions35,320 81,659 307,115 424,094 1,213,686 167 257,914 1,471,767 
Construction in progress additions295,120 25,646 190,164 510,930 229,044 45,939 24,336 299,319 
Less: Capitalized interest(16,761)(2,416)(3,028)(22,205)(9,305)(2,031)(530)(11,866)
Accruals (4)
746 (9,384)(5,972)(14,610)(3,479)— 2,453 (1,026)
Cash disbursed for construction in progress279,105 13,846 181,164 474,115 216,260 43,908 26,259 286,427 
Capital improvements to existing properties165,187 11,784 28,007 204,978 146,052 25,016 29,001 200,069 
Total cash invested in real property, net of cash acquired$479,612 $107,289 $516,286 $1,103,187 $1,575,998 $69,091 $313,174 $1,958,263 
(1) Excludes $5,491,000 of unrestricted and restricted cash acquired during the six months ended June 30, 2022.
(2) Includes amounts attributable to both redeemable noncontrolling interests and noncontrolling interests. For the six months ended June 30, 2022, 1,145,000 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.
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, 2023June 30, 2022
Development projects:
Seniors Housing Operating
$140,865 $134,562 
Triple-net
141,142 — 
Outpatient Medical
21,173 — 
Total development projects
303,180 134,562 
Expansion projects
26,125 — 
Total construction in progress conversions$329,305 $134,562