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Real Property Acquisitions and Development (Tables) | 3 Months Ended
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Mar. 31, 2022
Real Estate [Abstract] |
Estimated Fair Value of Allocated Purchase Price of Asset and Liabilities | The following is a summary of our real property investment activity by segment for the periods presented (in thousands):
| Three Months Ended
| March 31, 2022 |  | March 31, 2021
| Seniors Housing Operating |  | Triple-net |  | Outpatient Medical |  | Totals |  | Seniors Housing Operating |  | Triple-net |  | Outpatient Medical |  | Totals
Land and land improvements | $ | 43,897 |  |  | $ | — |  |  | $ | 240 |  |  | $ | 44,137 |  |  | $ | 1,240 |  |  | $ | 24,154 |  |  | $ | 2,273 |  |  | $ | 27,667 |
Buildings and improvements | 402,342 |  |  | 171 |  |  | 131,412 |  |  | 533,925 |  |  | 3,491 |  |  | 170,362 |  |  | 10,570 |  |  | 184,423 |
Acquired lease intangibles | 31,366 |  |  | — |  |  | 16,978 |  |  | 48,344 |  |  | 339 |  |  | — |  |  | 1,439 |  |  | 1,778 |
Right of use assets, net | — |  |  | — |  |  | 3,852 |  |  | 3,852 |  |  | — |  |  | — |  |  | — |  |  | — |
Total net real estate assets | 477,605 |  |  | 171 |  |  | 152,482 |  |  | 630,258 |  |  | 5,070 |  |  | 194,516 |  |  | 14,282 |  |  | 213,868 |
Receivables and other assets | 1,630 |  |  | — |  |  | — |  |  | 1,630 |  |  | 34 |  |  | — |  |  | — |  |  | 34 |
Total assets acquired | 479,235 |  |  | 171 |  |  | 152,482 |  |  | 631,888 |  |  | 5,104 |  |  | 194,516 |  |  | 14,282 |  |  | 213,902 |
Lease liabilities | — |  |  | — |  |  | (3,852) |  |  | (3,852) |  |  | — |  |  | — |  |  | — |  |  | — |
Accrued expenses and other liabilities | (4,154) |  |  | — |  |  | — |  |  | (4,154) |  |  | — |  |  | (8,703) |  |  | (36) |  |  | (8,739) |
Total liabilities acquired | (4,154) |  |  | — |  |  | (3,852) |  |  | (8,006) |  |  | — |  |  | (8,703) |  |  | (36) |  |  | (8,739) |
Noncontrolling interests (1) | (20,348) |  |  | (4) |  |  | — |  |  | (20,352) |  |  | — |  |  | (2,056) |  |  | — |  |  | (2,056) |
Non-cash acquisition related activity(2) | (2,120) |  |  | — |  |  | — |  |  | (2,120) |  |  | — |  |  | — |  |  | — |  |  | — |
Cash disbursed for acquisitions | 452,613 |  |  | 167 |  |  | 148,630 |  |  | 601,410 |  |  | 5,104 |  |  | 183,757 |  |  | 14,246 |  |  | 203,107 |
Construction in progress additions | 113,407 |  |  | 20,756 |  |  | 9,642 |  |  | 143,805 |  |  | 38,373 |  |  | 31,809 |  |  | 7,601 |  |  | 77,783 |
Less: Capitalized interest | (4,179) |  |  | (1,089) |  |  | (211) |  |  | (5,479) |  |  | (2,980) |  |  | (524) |  |  | (992) |  |  | (4,496) |
Accruals (3) | (1,963) |  |  | — |  |  | 1,778 |  |  | (185) |  |  | 7 |  |  | — |  |  | 311 |  |  | 318 |
Cash disbursed for construction in progress | 107,265 |  |  | 19,667 |  |  | 11,209 |  |  | 138,141 |  |  | 35,400 |  |  | 31,285 |  |  | 6,920 |  |  | 73,605 |
Capital improvements to existing properties | 68,612 |  |  | 8,294 |  |  | 13,323 |  |  | 90,229 |  |  | (3,159) |  |  | 25,295 |  |  | 6,644 |  |  | 28,780 |
Total cash invested in real property, net of cash acquired | $ | 628,490 |  |  | $ | 28,128 |  |  | $ | 173,162 |  |  | $ | 829,780 |  |  | $ | 37,345 |  |  | $ | 240,337 |  |  | $ | 27,810 |  |  | $ | 305,492 |
(1) Includes amounts attributable to both redeemable noncontrolling interests and noncontrolling interests. (2) Relates to the acquisition of assets previously recognized as investments in unconsolidated entities. (3) Represents non-cash accruals for amounts to be paid in future periods for properties that converted, off-set 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):
|  | Three Months Ended
|  | March 31, 2022 |  | March 31, 2021
Development projects: |  |  |  |
Seniors Housing Operating |  | $ | 73,458 |  |  | $ | — |
Triple-net |  | — |  |  | 22,990 |
Total construction in progress conversions |  | $ | 73,458 |  |  | $ | 22,990 |

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