SCHEDULE III - REAL ESTATE INVESTMENTS AND ACCUMULATED DEPRECIATION

12 Months Ended

Dec. 31, 2015

SEC Schedule III, Real Estate and Accumulated Depreciation Disclosure [Abstract]

SCHEDULE III - REAL ESTATE INVESTMENTS AND ACCUMULATED DEPRECIATION

SCHEDULE III — REAL ESTATE INVESTMENTS AND ACCUMULATED DEPRECIATION

December 31, 2015

		Initial Costs				Additions Subsequent to Acquisition						Cost at December 31, 2015						Accumulated Depreciation				Date of Construction	Date Acquired		Life on which depreciation in latest income statements is computed (Years)
Location	Type of Property	Land		Buildings		Improvements			Carrying Costs			Land		Buildings		Total				Encumbrances
(Amounts in thousands)
Baden-Wurttemburg, Germany	Rehabilitation hospital		—		9,459		—			—			—		9,459		9,459		493		—	1994		November 30, 2013		40
Saxony, Germany	Rehabilitation hospital		372		20,515		—			—			372		20,515		20,887		1,068		—	1996		November 30, 2013		40
Rhineland-Pflaz, Germany	Rehabilitation hospital		3,175		15,008		—			—			3,175		15,008		18,183		782		—	1960		November 30, 2013		40
Brandenburg, Germany	Rehabilitation hospital		346		17,874		—			—			346		17,874		18,220		931		—	1994		November 30, 2013		40
Hesse, Germany	Rehabilitation hospital		92		5,236		—			—			92		5,236		5,328		273		—	1981		November 30, 2013		40
Hesse, Germany	Rehabilitation hospital		3,078		14,804		—			—			3,078		14,804		17,882		771		—	1977		November 30, 2013		40
Rhineland-Pflaz, Germany	Rehabilitation hospital		—		29,701		—			—			—		29,701		29,701		1,547		—	1992		November 30, 2013		40
Saxony, Germany	Rehabilitation hospital		539		14,943		—			—			539		14,943		15,482		778		—	1904, 1995		November 30, 2013		40
Rhineland-Pflaz, Germany	Rehabilitation hospital		728		6,545		—			—			728		6,545		7,273		341		—	1980		November 30, 2013		40
Rhineland-Pflaz, Germany	Rehabilitation hospital		5,834		16,109		—			—			5,834		16,109		21,943		839		—	1930		November 30, 2013		40
Baden-Wurttemburg, Germany	Rehabilitation hospital		3,420		5,827		—			—			3,420		5,827		9,247		303		—	1986		November 30, 2013		40
Bavaria, Germany	Rehabilitation hospital		2,204		9,294		194			—			2,204		9,488		11,692		257		—	1974		November 19, 2014		40
Thuringia, Germany	Rehabilitation hospital		1,605		33,913		—			—			1,605		33,913		35,518		989		—	1954, 1992		November 5, 2014		40
Baden-Wurttemburg, Germany	Rehabilitation hospital		—		11,249		—			—			—		11,249		11,249		305		—	1988, 1995		December 11, 2014		40
Bath, UK	Acute care general hospital		1,747		36,203		—			—			1,747		36,203		37,950		1,358		—	2008, 2009		July 1, 2014		40
Ottenhöfen, Germany	Rehabilitation hospital		2,254		12,681		108			—			2,362		12,681		15,043		162		—	1956/1957		July 3, 2015		40
Bad Berka, Germany	Rehabilitation hospital		3,226		15,046		168			—			3,394		15,046		18,440		161		—	1997		July 22, 2015		40
Wiesbaden, Germany	Rehabilitation hospital		1,608		7,457		38			—			1,646		7,457		9,103		94		—	1974		June 30, 2015		40
Bad Lausick, Germany	Rehabilitation hospital		1,733		15,674		152			—			1,885		15,674		17,559		201		—	1993		June 30, 2015		40
Bad Sülze, Germany	Rehabilitation hospital		2,297		19,814		196			—			2,493		19,814		22,307		254		—	1993		June 30, 2015		40
Kurort Berggießhübel, Germany	Rehabilitation hospital		3,199		15,452		—			—			3,199		15,452		18,651		165		—	1993		July 21, 2015		40
Braunfels, Germany	Acute care general hospital		2,086		13,331		54			—			2,140		13,331		15,471		168		—	1977		June 30, 2015		40
Bernkastel-Kues, Germany	Rehabilitation hospital		3,498		15,191		43			—			3,541		15,191		18,732		159		—	1982		July 15, 2015		40
Flechtingen, Germany	Rehabilitation hospital		2,781		14,036		146			—			2,927		14,036		16,963		180		—	1993		June 30, 2015		40
Flechtingen, Germany	Rehabilitation hospital		2,781		21,989		217			—			2,998		21,989		24,987		282		—	1993-1995		June 30, 2015		40
Nordrach, Germany	Rehabilitation hospital		304		2,910		82			—			386		2,910		3,296		39		—	1960		July 7, 2015		40
Bad Gottleuba, Germany	Rehabilitation hospital		3,259		14,937		863			—			4,122		14,937		19,059		—		—	1913		December 16, 2015		40
Grünheide, Germany	Rehabilitation hospital		8,369		40,596		331			—			8,700		40,596		49,296		432		—	1994/2014		July 31, 2015		40
Baden-Baden, Germany	Rehabilitation hospital		1,271		8,936		125			—			1,396		8,936		10,332		116		—	1900/2002-2003		June 30, 2015		40
Gyhum, Germany	Rehabilitation hospital		3,878		22,165		341			—			4,219		22,165		26,384		288		—	1994		June 30, 2015		40
Hannover, Germany	Rehabilitation hospital		4,073		16,293		—			—			4,073		16,293		20,366		34		—	1900 (renovations in 1997, 2000, 2009)		December 1, 2015		40
Heiligendamm, Germany	Rehabilitation hospital		4,182		26,063		206			—			4,388		26,063		30,451		333		—	1995		June 30, 2015		40
Bad Camberg, Germany	Rehabilitation hospital		2,026		15,447		260			—			2,286		15,447		17,733		202		—	1973		June 30, 2015		40
Hoppegarten, Germany	Rehabilitation hospital		3,894		24,117		239			—			4,133		24,117		28,250		258		—	1994		July 27, 2015		40
Ban Nauheim, Germany	Rehabilitation hospital		3,074		15,529		141			—			3,215		15,529		18,744		199		—	1977		June 30, 2015		40
Kalbe, Germany	Rehabilitation hospital		3,400		22,716		163			—			3,563		22,716		26,279		289		—	1995		July 6, 2015		40
Bad Soden-Salmunster, Germany	Rehabilitation hospital		934		6,482		120			—			1,054		6,482		7,536		85		—	1974		June 30, 2015		40
Berlin, Germany	Rehabilitation hospital		1,157		20,767		184			—			1,341		20,767		22,108		221		—	1998		July 16, 2015		40
Bad Lobenstein, Germany	Rehabilitation hospital		3,541		20,079		179			—			3,720		20,079		23,799		257		—	1994		June 30, 2015		40
Bernkastel-Kues, Germany	Rehabilitation hospital		782		11,284		130			—			912		11,284		12,196		145		—	1993		July 14, 2015		40
Magdeburg, Germany	Rehabilitation hospital		14,387		53,369		250			—			14,637		53,369		68,006		563		—	1999/2014		July 22, 2015		40
Schlangenbad, Germany	Rehabilitation hospital		1,048		3,411		266			—			1,314		3,411		4,725		52		—	1973		June 30, 2015		40
Bad Dürrheim, Germany	Rehabilitation hospital		1,390		11,400		228			—			1,618		11,400		13,018		125		—	1960-1970		July 24, 2015		40
Bad Krozingen, Germany	Rehabilitation hospital		1,472		10,733		114			—			1,586		10,733		12,319		115		—	2008		July 24, 2015		40
Bad Nauheim, Germany	Rehabilitation hospital		1,760		9,198		54			—			1,814		9,198		11,012		117		—	1972-1973		June 30, 2015		40
Bad Tennstedt, Germany	Rehabilitation hospital		3,677		27,261		201			—			3,878		27,261		31,139		347		—	1993		June 30, 2015		40
Wismar, Germany	Rehabilitation hospital		3,465		20,645		195			—			3,660		20,645		24,305		265		—	1996		June 30, 2015		40
Houston, TX	Acute care general hospital		3,501		34,530		8,477			15,993			3,274		59,227		62,501		8,018		—	1960		August 10, 2007		40
Allen, TX	Freestanding ER		1,550		3,921		—			—			1,550		3,921		5,471		147		—	2014		July 14, 2014		40
San Diego, CA	Acute care general hospital		12,663		52,432		—			—			12,663		52,432		65,095		6,445		—	1973		February 9, 2011		40
Alvin, TX	Freestanding ER		105		4,087		—			—			105		4,087		4,192		156		—	2014		March 19, 2014		40
Aurora, CO	Freestanding ER		—		4,860		—			—			—		4,860		4,860		26		—	2015		September 17, 2015		40
Ft. Worth, TX	Freestanding ER		—		3,984		—			—			—		3,984		3,984		75		—	2015		March 27, 2015		40
Bayonne, NJ	Acute care general hospital		2,003		51,495		—			—			2,003		51,495		53,498		12,658		—	1918		February 4, 2011		20
Bennettsville, SC	Acute care general hospital		794		15,772		—			—			794		15,772		16,566		3,050		—	1984		April 1, 2008		40
Blue Springs, MO	Acute care general hospital		4,347		23,494		—			—			4,347		23,494		27,841		566		—	1980		February 13, 2015		40
Bossier City, LA	Long term acute care hospital		900		17,818		—			—			900		17,818		18,718		3,450		—	1982		April 1, 2008		40
Austin, TX	Freestanding ER		1,140		3,853		—			—			1,140		3,853		4,993		161		—	2014		May 29, 2014		40
Broomfield, CO	Freestanding ER		825		3,895		—			—			825		3,895		4,720		146		—	2014		July 3, 2014		40
Carrollton, TX	Acute care general hospital		729		34,289		—			—			729		34,289		35,018		354		—	2015		July 17, 2015		40
Cedar Hill. TX	Freestanding ER		1,122		3,644		—			—			1,122		3,644		4,766		137		—	2014		June 23, 2014		40
Spring, TX	Freestanding ER		1,310		3,543		—			—			1,310		3,543		4,853		133		—	2014		July 15, 2014		40
Chandler, AZ	Freestanding ER		—		4,244		—			—			—		4,244		4,244		71		—	2015		April 24, 2015		40
Chandler, AZ	Freestanding ER		750		3,214		—			—			750		3,214		3,964		19		—	2015		October 7, 2015		40
Cheraw, SC	Acute care general hospital		657		19,576		—			—			657		19,576		20,233		3,785		—	1982		April 1, 2008		40
Katy, TX	Freestanding ER		—		3,248		—			—			—		3,248		3,248		14		—	2015		October 21, 2015		40
Webster, TX	Long term acute care hospital		663		33,751		—			—			663		33,751		34,414		4,219		—	2004		December 21, 2010		40
Commerce City, TX	Freestanding ER		707		4,236		—			—			707		4,236		4,943		115		—	2014		December 11, 2014		40
Conroe, TX	Freestanding ER		1,338		3,436		—			—			1,338		3,436		4,774		35		—	2015		July 29, 2015		40
Converse, TX	Freestanding ER		750		4,405		—			—			750		4,405		5,155		83		—	2015		April 10, 2015		40
Corinth, TX	Long term acute care hospital		1,288		21,175		313			—			1,601		21,175		22,776		2,671		—	2008		January 31, 2011		40
Covington, LA	Long term acute care hospital		821		10,238		—			14			821		10,252		11,073		2,712		—	1984		June 9, 2005		40
Dallas, TX	Long term acute care hospital		1,000		13,589		—			368			1,421		13,536		14,957		3,158		—	2006		September 5, 2006		40
Denver, CO	Freestanding ER		—		4,275		—			—			—		4,275		4,275		56		—	2015		June 8, 2015		40
DeSoto, TX	Long term acute care hospital		1,067		10,701		86			8			1,161		10,701		11,862		1,202		—	2008		July 18, 2011		40
Detroit, MI	Long term acute care hospital		1,220		8,687		—			(365	)		1,220		8,322		9,542		1,656		—	1956		May 22, 2008		40
Dulles, TX	Freestanding ER		1,076		3,784		—			—			1,076		3,784		4,860		125		—	2014		September 12, 2014		40
Houston, TX	Freestanding ER		1,345		3,678		—			—			1,345		3,678		5,023		138		—	2014		June 20, 2014		40
Fairmont, CA	Acute care general hospital		1,000		12,301		1,386			—			1,277		13,410		14,687		443		—	1939, 1972, 1985		September 19, 2014		40
Firestone, TX	Freestanding ER		495		3,963		—			—			495		3,963		4,458		157		—	2014		June 6, 2014		40
Florence, AZ	Acute care general hospital		900		28,462		—			—			900		28,462		29,362		2,659		—	2012		November 4, 2010		40
Fort Lauderdale, FL	Rehabilitation hospital		3,499		21,939		—			1			3,499		21,940		25,439		4,214		—	1985		April 22, 2008		40
Fountain, CO	Freestanding ER		1,508		4,131		—			—			1,508		4,131		5,639		146		—	2014		July 31, 2014		40
Frisco, TX	Freestanding ER		—		3,769		—			—			—		3,769		3,769		15		—	2015		November 13, 2015		40
Frisco, TX	Freestanding ER		1,500		3,863		27			—			1,500		3,890		5,390		154		—	2014		June 13, 2014		40
Garden Grove, CA	Acute care general hospital		5,502		10,748		—			51			5,502		10,799		16,301		1,925		—	1982		November 25, 2008		40
Garden Grove, CA	Medical Office Building		862		7,888		—			28			862		7,916		8,778		1,404		—	1982		November 25, 2008		40
Gilbert, AZ	Acute care general hospital		150		15,553		—			—			150		15,553		15,703		1,944		—	2005		January 4, 2011		40
Gilbert, AZ	Freestanding ER		1,518		4,112		—			—			1,518		4,112		5,630		39		—	2015		July 22, 2015		40
Glendale, AZ	Freestanding ER		—		3,886		—			—			—		3,886		3,886		50		—	2015		June 5, 2015		40
Hammond, LA	Long term acute care hospital		519		8,941		—			—			519		8,941		9,460		689		—	2003		December 14, 2012		40
Hausman, TX	Acute care general hospital		1,500		8,958		—			—			1,500		8,958		10,458		611		—	2013		March 1, 2013		40
Highland Village, TX	Freestanding ER		—		3,673		—			—			—		3,673		3,673		21		—	2015		September 22, 2015		40
Hill County, TX	Acute care general hospital		1,120		17,882		—			—			1,120		17,882		19,002		6,294		—	1980		September 17, 2010		40
Hoboken, NJ	Acute care general hospital		1,387		44,351		—			—			1,387		44,351		45,738		9,173		—	1863		November 4, 2011		20
Hoover, AL	Freestanding ER		—		7,581		—			—			—		7,581		7,581		126		—	2015		May 1, 2015		34
Hoover, AL	Medical Office Building		—		1,034		—			—			—		1,034		1,034		17		—	2015		May 1, 2015		34
Hot Springs, AR	Acute care general hospital		4,300		66,922		—			—			4,300		66,922		71,222		548		—	1985		August 31, 2015		40
Idaho Falls, ID	Acute care general hospital		1,822		37,467		—			4,665			1,822		42,132		43,954		8,028		—	2002		April 1, 2008		40
Kansas City, MO	Acute care general hospital		10,497		64,419		—			—			10,497		64,419		74,916		1,505		—	1978		February 13, 2015		40
Lafayette, IN	Rehabilitation hospital		800		14,968		(25	)		—			800		14,943		15,743		1,076		—	2013		February 1, 2013		40
Little Elm, TX	Freestanding ER		1,241		3,491		—			—			1,241		3,491		4,732		179		—	2013		December 1, 2013		40
Lubbock, TX	Rehabilitation hospital		—		21,241		—			—			—		21,241		21,241		260		—	2008		June 16, 2015		40
Lubbock, TX	Long term acute care hospital		—		10,725		—			—			—		10,725		10,725		134		—	2008		June 16, 2015		40
McKinney, TX	Freestanding ER		—		3,991		—			—			—		3,991		3,991		40		—	2015		July 31, 2015		30
Mesa, AZ	Acute care general hospital		4,900		97,980		2,242			—			7,142		97,980		105,122		5,977		—	2007		September 26, 2013		40
Bloomington, IN	Acute care general hospital		2,392		28,212		5,000			408			2,392		33,620		36,012		7,544		—	2006		August 8, 2006		40
Montclair, NJ	Acute care general hospital		7,900		99,632		585			—			8,477		99,640		108,117		4,623		—	1920-2000		April 1, 2014		40
San Antonio, TX	Freestanding ER		351		3,952		—			—			351		3,952		4,303		172		—	2014		January 1, 2014		40
Houston, TX	Acute care general hospital		4,757		56,238		(37	)		1,259			5,427		56,790		62,217		12,848		—	2006		December 1, 2006		40
New Braunfels, TX	Long term acute care hospital		1,100		7,883		—			—			1,100		7,883		8,983		838		—	2007		September 30, 2011		40
Shenandoah, TX	Rehabilitation hospital		2,033		21,943		—			—			2,033		21,943		23,976		3,017		—	2008		June 17, 2010		40
Colorado Springs, CO	Freestanding ER		600		4,231		—			—			600		4,231		4,831		168		—	2014		June 5, 2014		40
Northland, MO	Long term acute care hospital		834		17,182		—			—			834		17,182		18,016		2,112		13,400	2007		February 14, 2011		40
Altoona, WI	Acute care general hospital		—		29,048		—			—			—		29,048		29,048		945		—	2014		August 31, 2014		40
Ogden, UT	Rehabilitation hospital		1,759		16,414		—			—			1,759		16,414		18,173		739		—	2014		March 1, 2014		40
Overlook, TX	Acute care general hospital		2,452		9,666		7			—			2,452		9,673		12,125		683		—	2012		February 1, 2013		40
San Diego, CA	Acute care general hospital		6,550		15,653		—			77			6,550		15,730		22,280		3,406		—	1964		May 9, 2007		40
Parker, CO	Freestanding ER		1,301		4,024		—			—			1,301		4,024		5,325		17		—	2015		November 6, 2015		40
Pearland, TX	Freestanding ER		1,075		3,577		—			—			1,075		3,577		4,652		119		—	2014		September 8, 2014		40
Petersburg, VA	Rehabilitation hospital		1,302		9,121		—			—			1,302		9,121		10,423		1,710		—	2006		July 1, 2008		40
Poplar Bluff, MO	Acute care general hospital		2,659		38,694		—			1			2,660		38,694		41,354		7,431		—	1980		April 22, 2008		40
Port Arthur, TX	Acute care general hospital		3,000		72,341		1,062			—			4,062		72,341		76,403		4,246		—	2005		September 26, 2013		40
Port Huron, MI	Acute care general hospital		2,000		18,000		—			—			2,000		18,000		20,000		—		—	1953, 1973-1983		December 31, 2015		40
Portland, OR	Long term acute care hospital		3,085		17,859		—			2,559			3,071		20,432		23,503		4,383		—	1964		April 18, 2007		40
Post Falls, ID	Rehabilitation hospital		417		12,175		1,905			—			767		13,730		14,497		696		—	2013		December 31, 2013		40
Redding, CA	Acute care general hospital		1,555		53,863		—			13			1,555		53,876		55,431		11,346		—	1974		August 10, 2007		40
Redding, CA	Long term acute care hospital		—		19,952		—			4,360			1,629		22,683		24,312		5,757		—	1991		June 30, 2005		40
Richardson, TX	Rehabilitation hospital		2,219		17,419		—			—			2,219		17,419		19,638		2,395		—	2008		June 17, 2010		40
Addison, TX	Rehabilitation hospital		2,013		22,531		—			—			2,013		22,531		24,544		3,098		—	2008		June 17, 2010		40
San Dimas, CA	Acute care general hospital		6,160		6,839		—			34			6,160		6,873		13,033		1,218		—	1972		November 25, 2008		40
San Dimas, CA	Medical Office Building		1,915		5,085		—			18			1,915		5,103		7,018		905		—	1979		November 25, 2008		40
Sherman, TX	Acute care general hospital		4,491		24,802		—			—			4,491		24,802		29,293		775		—	1913, 1960-2010		October 31, 2014		40
Sienna, TX	Freestanding ER		999		3,591		—			—			999		3,591		4,590		120		—	2014		August 20, 2014		40
Spartanburg, SC	Rehabilitation hospital		1,135		15,717		—			—			1,135		15,717		16,852		931		—	2013		August 1, 2013		40
Houston, TX	Freestanding ER		1,423		3,770		—			—			1,423		3,770		5,193		79		—	2015		February 18, 2015		40
Thornton, CO	Freestanding ER		1,350		4,227		—			—			1,350		4,227		5,577		141		—	2014		August 29, 2014		40
Tomball, TX	Long term acute care hospital		1,299		23,982		—			—			1,299		23,982		25,281		2,998		—	2005		December 21, 2010		40
Victoria, TX	Long term acute care hospital		625		7,197		—			—			625		7,197		7,822		1,634		—	1998		December 1, 2006		40
Victoria, TX	Rehabilitation hospital		—		10,412		—			—			—		10,412		10,412		515		—	2013		December 31, 2013		40
League City, TX	Freestanding ER		—		3,645		—			—			—		3,645		3,645		46		—	2015		June 19, 2015		40
Anaheim, CA	Acute care general hospital		1,875		21,814		—			10			1,875		21,824		23,699		5,001		—	1964		November 8, 2006		40
West Monroe, LA	Acute care general hospital		12,000		69,433		552			—			12,552		69,433		81,985		4,048		—	1962		September 26, 2013		40
San Antonio, TX	Acute care general hospital		2,248		5,880		—			—			2,248		5,880		8,128		462		—	2012		October 14, 2011		40
West Valley City, UT	Acute care general hospital		5,516		58,314		—			—			5,516		58,314		63,830		11,198		—	1980		April 22, 2008		40
Wichita, KS	Rehabilitation hospital		1,019		18,373		—			1			1,019		18,374		19,393		3,559		—	1992		April 4, 2008		40
		$	302,046	$	2,632,473	$	27,568		$	29,503		$	315,787	$	2,675,803	$	2,991,590	$	232,675	$	13,400

The changes in total real estate assets including real estate held for sale but excluding construction in progress, intangible lease asset, investment in direct financing leases, and mortgage loans for the years ended:

	December 31, 2015			December 31, 2014			December 31, 2013
COST
Balance at beginning of period	$	2,040,727		$	1,733,194		$	1,189,552
Acquisitions		975,239			263,811			480,503
Transfers from construction in progress		23,163			41,772			81,347
Additions		7,376			84,831			7,749
Dispositions		(24,701	)		(56,590	)		(28,616	)
Other		(30,214	)		(26,291	)		2,659
Balance at end of period	$	2,991,590		$	2,040,727		$	1,733,194

The changes in accumulated depreciation including real estate assets held for sale for the years ended:

	December 31, 2015			December 31, 2014			December 31, 2013
ACCUMULATED DEPRECIATION
Balance at beginning of period	$	181,441		$	144,235		$	114,399
Depreciation		60,796			46,935			33,349
Depreciation on disposed property		(8,887	)		(9,213	)		(3,513	)
Other		(675	)		(516	)		—
Balance at end of period	$	232,675		$	181,441		$	144,235