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Real Property Acquisitions and Development (Tables)
6 Months Ended
Jun. 30, 2015
Real property acquisitions and development [Line Items]  
Estimated Fair Value of Allocated Purchase Price of Asset and Liabilities

Triple-net Activity

Six Months Ended
(In thousands)June 30, 2015(1)June 30, 2014
Land and land improvements$92,287$18,530
Buildings and improvements744,515230,126
Acquired lease intangibles 2,817-
Restricted cash 6-
Receivables and other assets 60-
Total assets acquired839,685248,656
Accrued expenses and other liabilities (1,845)-
Total liabilities assumed(1,845)-
Non-cash acquisition related activity(936)(1,839)
Cash disbursed for acquisitions836,904246,817
Construction in progress additions74,69455,535
Less:Capitalized interest(3,303)(2,332)
Foreign currency translation240(116)
Cash disbursed for construction in progress71,631 53,087
Capital improvements to existing properties19,02910,381
Total cash invested in real property, net of cash acquired$927,564$310,285
(1) Includes acquisitions with an aggregate purchase price of $688,288,000 for which the allocation of the purchase price consideration is preliminary and subject to change.

Seniors Housing Operating Activity

Six Months Ended
(In thousands)June 30, 2015(1)June 30, 2014
Land and land improvements$94,294$3,546
Building and improvements1,174,46537,274
Acquired lease intangibles71,0895,569
Restricted cash5,425-
Receivables and other assets23,64533
Total assets acquired(2)1,368,91846,422
Secured debt(208,960)(12,846)
Accrued expenses and other liabilities (19,011)(853)
Total liabilities assumed(227,971)(13,699)
Noncontrolling interests(86,842)-
Cash disbursed for acquisitions1,054,10532,723
Construction in progress additions19,9262,348
Less:Capitalized interest(715)(75)
Foreign currency translation(40)-
Cash disbursed for construction in progress19,171 2,273
Capital improvements to existing properties32,76632,171
Total cash invested in real property, net of cash acquired$1,106,042$67,167
(1) Includes acquisitions with an aggregate purchase price of $1,344,831,000 for which the allocation of the purchase price consideration is preliminary and subject to change.
(2) Excludes $3,390,000 and $245,000 of cash acquired during the six months ended June 30, 2015 and 2014, respectively.

Outpatient Medical Activity

Six Months Ended
(In thousands)June 30, 2015 (1)June 30, 2014
Land and land improvements$737$1,655
Buildings and improvements426,130212,572
Acquired lease intangibles19,3711,525
Cash and cash equivalents4,373-
Receivables and other assets-249
Total assets acquired450,611 216,001
Secured debt(112,000)-
Accrued expenses and other liabilities(2,743)(7,475)
Total liabilities assumed (114,743) (7,475)
Noncontrolling interests(68,535)-
Cash disbursed for acquisitions267,333208,526
Construction in progress additions26,02549,805
Less:Capitalized interest(428)(898)
Accruals(2)(1,921)(9,584)
Cash disbursed for construction in progress23,676 39,323
Capital improvements to existing properties15,29112,654
Total cash invested in real property$301,927$260,503
(1) Includes acquisitions with an aggregate purchase price of $440,220,000 for which the allocation of the purchase price consideration is preliminary and subject to change.
(2) Represents non-cash consideration accruals for amounts to be paid in future periods relating to properties that converted in the periods noted above.
Summary of construction projects placed into service and generating revenues
Six Months Ended
June 30, 2015June 30, 2014
Development projects:
Triple-net $72,775$71,570
Senior housing - operating19,869-
Outpatient medical16,59242,799
Total development projects109,236114,369
Expansion projects38,80810,849
Total construction in progress conversions $148,044$125,218