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Real Property Acquisitions and Development
6 Months Ended
Jun. 30, 2023
Real Estate [Abstract]  
Real Property Acquisitions and Development Real Property Acquisitions and Development The total purchase price for all properties acquired has been allocated to the tangible and identifiable intangible assets and liabilities at cost on a relative fair value basis. Liabilities assumed and any associated noncontrolling interests are reflected at fair value. The results of operations for these acquisitions have been included in our consolidated results of operations since the date of acquisition and are a component of the appropriate segments. Transaction costs primarily represent costs incurred with acquisitions, including due diligence costs, fees for legal and valuation services, termination of pre-existing relationships computed based on the fair value of the assets acquired, lease termination fees and other acquisition-related costs. Transaction costs related to asset acquisitions are capitalized as a component of purchase price and all other non-capitalizable costs are reflected in other expenses on our Consolidated Statements of Comprehensive Income.
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.
Effective on April 1, 2022, our leasehold interest relating to the master lease with National Health Investors, Inc. ("NHI") for 17 properties assumed in conjunction with the Holiday Retirement acquisition was terminated as a result of the transition or sale of the properties by NHI. The lease termination was part of an agreement to resolve outstanding litigation with NHI. In conjunction with the agreement, a wholly owned subsidiary and the lessee on the master lease agreed to release $6,883,000 of cash to the landlord, which represents the net cash flow generated from the properties since we assumed the leasehold interest. Additionally, in connection with the lease termination, during the three months ended June 30, 2022, we recognized $58,621,000 in other income on our Consolidated Statements of Comprehensive Income from the derecognition of the right of use asset and related lease liability.
Construction Activity 
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