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

Triple-net Activity

Nine Months Ended
(In thousands)September 30, 2015(1)September 30, 2014
Land and land improvements$111,674$36,427
Buildings and improvements1,025,232303,273
Acquired lease intangibles 3,888-
Restricted cash 6-
Receivables and other assets 60-
Total assets acquired1,140,860339,700
Accrued expenses and other liabilities (2,447)-
Total liabilities assumed(2,447)-
Non-cash acquisition related activity(2,780)(1,937)
Cash disbursed for acquisitions1,135,633337,763
Construction in progress additions96,40379,668
Less:Capitalized interest(4,453)(3,258)
Foreign currency translation73116
Cash disbursed for construction in progress92,023 76,526
Capital improvements to existing properties35,04214,375
Total cash invested in real property, net of cash acquired$1,262,698$428,664
(1) Includes acquisitions with an aggregate purchase price of $844,298,000 for which the allocation of the purchase price consideration is preliminary and subject to change.

Seniors Housing Operating Activity

Nine Months Ended
(In thousands)September 30, 2015(1)September 30, 2014
Land and land improvements$98,444$40,764
Building and improvements1,229,017224,936
Acquired lease intangibles74,09110,021
Construction in progress-27,957
Restricted cash5,567-
Receivables and other assets23,9285,679
Total assets acquired(2)1,431,047309,357
Secured debt(234,597)(12,846)
Accrued expenses and other liabilities (19,016)(17,011)
Total liabilities assumed(253,613)(29,857)
Noncontrolling interests(86,842)-
Cash disbursed for acquisitions1,090,592279,500
Construction in progress additions39,4936,984
Less:Capitalized interest(1,116)(293)
Foreign currency translation(1,345)(810)
Cash disbursed for construction in progress37,032 5,881
Capital improvements to existing properties61,91152,177
Total cash invested in real property, net of cash acquired$1,189,535$337,558
(1) Includes acquisitions with an aggregate purchase price of $1,268,031,000 for which the allocation of the purchase price consideration is preliminary and subject to change.
(2) Excludes $3,390,000 and $8,476,000 of cash acquired during the nine months ended September 30, 2015 and 2014, respectively.

Outpatient Medical Activity

Nine Months Ended
(In thousands)September 30, 2015 (1)September 30, 2014
Land and land improvements$737$29,588
Buildings and improvements426,288471,410
Acquired lease intangibles19,37317,440
Receivables and other assets-1,245
Total assets acquired(2)446,398 519,683
Secured debt(112,000)(50,500)
Accrued expenses and other liabilities(2,743)(9,308)
Total liabilities assumed (114,743) (59,808)
Noncontrolling interests(68,535)(39,987)
Non-cash acquisition activity(3)-(45,836)
Cash disbursed for acquisitions263,120374,052
Construction in progress additions38,91971,245
Less:Capitalized interest(742)(1,533)
Accruals(4)(1,921)(11,290)
Cash disbursed for construction in progress36,256 58,422
Capital improvements to existing properties25,68719,772
Total cash invested in real property$325,063$452,246
(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) Excludes $4,372,000 and $0 of cash acquired during the nine months ended September 30, 2015 and 2014, respectively.
(3) Relates to an acquisition of assets previously financed as real estate loans. Please refer to Note 6 for additional information.
(4) 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
Nine Months Ended
September 30, 2015September 30, 2014
Development projects:
Triple-net $85,902$71,569
Seniors housing operating19,869-
Outpatient medical16,59256,807
Total development projects122,363128,376
Expansion projects38,80817,586
Total construction in progress conversions $161,171$145,962