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Real Property Acquisitions and Development (Tables)
12 Months Ended
Dec. 31, 2017
Real Property Acquisitions and Development (Tables) [Abstract]  
Summary of real property investment activity
Year Ended December 31,
201720162015
Land and land improvements $ 33,416 $104,754$95,835
Buildings and improvements 248,459 418,6331,061,431
Acquired lease intangibles - 2,8764,408
Receivables and other assets - 551194
Total assets acquired(1) 281,875 526,8141,161,868
Secured debt --(47,741)
Accrued expenses and other liabilities(21,236)(3,384)(2,905)
Total liabilities assumed(21,236)(3,384)(50,646)
Noncontrolling interests(7,275)(26,771)(13,465)
Non-cash acquisition related activity(2)(54,901)(51,733)(38,355)
Cash disbursed for acquisitions198,463444,9261,059,402
Construction in progress additions120,797181,084143,140
Less: Capitalized interest(4,713)(8,729)(5,699)
Accruals Foreign currency translation(610)(3,665)(167)
Cash disbursed for construction in progress115,474168,690137,274
Capital improvements to existing properties19,98932,60345,293
Total cash invested in real property, net of cash acquired $ 333,926 $646,219$1,241,969
(1) Excludes $318,000, $682,000 and $16,578,000 of cash and restricted cash acquired during the years ended December 31, 2017, 2016 and 2015, respectively.
(2) For the year ended December 31, 2017, $54,901,000 is related to the acquisition of assets previously financed as real estate loans receivable. For the year ended December 31, 2016, primarily relates to $45,044,000 for the acquisition of assets previously financed as real estate loans receivable and $6,630,000 previously financed as an equity investment. For the year ended December 31, 2015, primarily relates to $23,288,000 for the acquisition of assets previously financed as real estate loans receivable and $6,743,000 previously financed as equity investments.

Year Ended December 31,
201720162015
Land and land improvements $ 42,525 $164,653$218,581
Buildings and improvements 428,777 1,518,4722,367,486
Acquired lease intangibles 63,912 115,643187,512
Receivables and other assets 3,959 2,46229,501
Total assets acquired(1) 539,173 1,801,2302,803,080
Secured debt -(63,732)(871,471)
Senior unsecured notes--(24,621)
Accrued expenses and other liabilities(46,301)(23,681)(81,778)
Total liabilities assumed(46,301)(87,413)(977,870)
Noncontrolling interests(4,701)(6,007)(183,854)
Non-cash acquisition related activity (67,633)(2) (47,065)(3)-
Cash disbursed for acquisitions420,5381,660,7451,641,356
Construction in progress additions84,874157,84544,173
Less: Capitalized interest(9,106)(5,793)(1,740)
Less: Foreign currency translation(6,830)(8,500)(2,499)
Cash disbursed for construction in progress68,938143,55239,934
Capital improvements to existing properties185,473138,673104,308
Total cash invested in real property, net of cash acquired $ 674,949 $1,942,970$1,785,598
(1) Excludes $6,273,000, $351,000 and $42,728,000 of cash and restricted cash acquired during the years ended December 31, 2017, 2016 and 2015, respectively.
(2) Includes $59,665,000 related to the acquisition of assets previously financed as investments in unconsolidated entities, and $6,349,000 related to the acquisition of assets previously financed as real estate loans receivable.
(3) Includes $43,372,000 related to the acquisition of assets previously financed as investments in unconsolidated entities.

Year Ended December 31,
201720162015
Land and land improvements $ 40,565 $5,738$223,708
Buildings and improvements 159,643 46,056614,770
Acquired lease intangibles 24,014 4,59245,226
Receivables and other assets 10 -939
Total assets acquired 224,232 56,386884,643
Secured debt (25,708)-(120,977)
Accrued expenses and other liabilities(3,181)(1,670)(7,777)
Total liabilities assumed(28,889)(1,670)(128,754)
Noncontrolling interests(9,080)-(76,535)
Non-cash acquisition related activity - (15,013)(2) (27,025)(3)
Cash disbursed for acquisitions(1)186,26339,703652,329
Construction in progress additions37,094113,93370,560
Less: Capitalized interest(2,406)(3,723)(1,286)
Accruals(4)13,615(19,321)(1,921)
Cash disbursed for construction in progress48,30390,88967,353
Capital improvements to existing properties44,81447,87038,151
Total cash invested in real property, net of cash acquired $ 279,380 $178,462$757,833
(1) Excludes $5,522,000 of cash acquired during the year ended December 31, 2015.
(2) The non-cash activity relates to the acquisition of assets previously financed as real estate loans. Please refer to Note 6 for additional information.
(3) The non-cash activity relates to the acquisition of a controlling interest in a portfolio of properties that was historically reported as an unconsolidated property investment.
(4) Represents non-cash consideration accruals for amounts to be paid in future periods for properties that converted, off-set by amounts paid in the current period.
Summary of construction projects placed into service and generating revenues
Year Ended
December 31, 2017December 31, 2016December 31, 2015
Development projects:
Triple-net$283,472$46,094$104,844
Seniors housing operating3,63418,97919,869
Outpatient medical63,036108,00116,592
Total development projects350,142173,074141,305
Expansion projects10,33611,36338,808
Total construction in progress conversions$360,478$184,437$180,113
Future minimum lease payments receivable under operating leases
2018$1,098,987
20191,056,731
20201,034,583
2021980,716
2022944,028
Thereafter7,771,145
Totals$12,886,190