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Real Property Acquisitions and Development (Tables)
6 Months Ended
Jun. 30, 2024
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, 2024June 30, 2023
Seniors Housing OperatingTriple-netOutpatient
Medical
TotalsSeniors Housing OperatingTriple-netOutpatient
Medical
Totals
Land and land improvements$68,662 $14,193 $10,160 $93,015 $4,426 $7,370 $60,527 $72,323 
Buildings and improvements422,488 61,914 33,064 517,466 50,172 74,289 256,190 380,651 
Acquired lease intangibles34,827 — 2,193 37,020 970 — 39,090 40,060 
Construction in progress19,397 — — 19,397 — — — — 
Right of use assets, net— — — — — — 927 927 
Total net real estate assets545,374 76,107 45,417 666,898 55,568 81,659 356,734 493,961 
Receivables and other assets1,403 34 112 1,549 2,089 — 358 2,447 
Total assets acquired546,777 76,141 45,529 668,447 57,657 81,659 357,092 496,408 
Secured debt— — — — (21,767)— (40,953)(62,720)
Lease liabilities— — — — — — (953)(953)
Accrued expenses and other liabilities(11,905)— (182)(12,087)(570)— (8,071)(8,641)
Total liabilities acquired(11,905)— (182)(12,087)(22,337)— (49,977)(72,314)
Noncontrolling interests(1,149)— — (1,149)— — — — 
Non-cash acquisition related activity(1)
(46,974)(710)— (47,684)— — — — 
Cash disbursed for acquisitions486,749 75,431 45,347 607,527 35,320 81,659 307,115 424,094 
Construction in progress additions317,468 28 182,290 499,786 295,120 25,646 190,164 510,930 
Less: Capitalized interest(23,712)— (4,575)(28,287)(16,761)(2,416)(3,028)(22,205)
Accruals (2)
474 126 (12,977)(12,377)746 (9,384)(5,972)(14,610)
Cash disbursed for construction in progress294,230 154 164,738 459,122 279,105 13,846 181,164 474,115 
Capital improvements to existing properties239,484 11,706 46,412 297,602 165,187 11,784 28,007 204,978 
Total cash invested in real property, net of cash acquired$1,020,463 $87,291 $256,497 $1,364,251 $479,612 $107,289 $516,286 $1,103,187 
(1) Primarily relates to the acquisition of assets previously financed as real estate loans receivable and the acquisition of assets previously recognized as investments in unconsolidated entities.
(2) 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, 2024June 30, 2023
Development projects:
Seniors Housing Operating
$194,012 $140,865 
Triple-net
— 141,142 
Outpatient Medical
106,596 21,173 
Total development projects
300,608 303,180 
Expansion projects
20,229 26,125 
Total construction in progress conversions$320,837 $329,305