SCHEDULE III - REAL ESTATE INVESTMENTS AND ACCUMULATED DEPRECIATION

12 Months Ended

Dec. 31, 2018

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, 2018

		Initial Costs				Additions Subsequent to Acquisition				Cost at December 31, 2018(1)						Accumulated						Life on which depreciation in latest income statements is
Location	Type of Property	Land		Buildings		Improve- ments		Carrying Costs		Land		Buildings		Total		Depreciation		Encum- brances		Date of Construction	Date Acquired	computed (Years)
	(Dollar amounts in thousands)
Bath, UK	Acute care general hospital	$	1,512	$	31,334	$	—	$	—	$	1,512	$	31,334	$	32,846	$	3,526	$	—	2008, 2009	July 1, 2014		40
Braunfels, Germany	Acute care general hospital		2,202		14,073		57		—		2,259		14,073		16,332		1,245		—	1977	June 30, 2015		40
Heidelberg, Germany	Rehabilitation hospital		6,404		37,006		75		—		6,479		37,006		43,485		2,325		—	1885, 1991	June 22, 2016		40
Cologne, Germany	Acute care general hospital		4,494		15,545		104		—		4,598		15,545		20,143		593		—	2011	June 23, 2017		40
Bad Salzuflen, Germany	Rehabilitation hospital		9,972		27,611		939		—		10,911		27,611		38,522		816		—	1974, 2016	November 30, 2017		40
Bad Salzuflen, Germany	Rehabilitation hospital		7,062		24,283		353		—		7,415		24,283		31,698		683		—	1989, 2016	November 30, 2017		40
Bad Oeynhausen, Germany	Rehabilitation hospital		1,042		2,859		127		—		1,169		2,859		4,028		87		—	1973, 2010	November 30, 2017		40
Dormagen, Germany	Rehabilitation hospital		1,843		5,848		140		—		1,983		5,848		7,831		52		—	1993, 2006	August 28, 2018		40
Grefath, Germany	Rehabilitation hospital		1,145		3,127		102		—		1,247		3,127		4,374		28		—	1886, 1983	August 28, 2018		40
Remscheid, Germany	Rehabilitation hospital		1,029		2,614		60		—		1,089		2,614		3,703		23		—	1951, 1983	August 28, 2018		40
Houston, TX	Acute care general hospital		3,501		34,530		8,477		16,589		3,274		59,823		63,097		12,943		—	1960	August 10, 2007		40
Allen, TX	Freestanding ER		1,550		866		—		—		1,550		866		2,416		441		—	2014	July 14, 2014		40
San Diego, CA	Acute care general hospital		12,663		52,431		—		—		12,663		52,431		65,094		10,377		—	1973	February 9, 2011		40
Alvin, TX	Freestanding ER		105		4,087		—		—		105		4,087		4,192		462		—	2014	March 19, 2014		40
Houston, TX	Freestanding ER		950		3,996		—		—		950		3,996		4,946		225		—	2016	September 26, 2016		40
Aurora, CO	Freestanding ER		—		4,812		—		—		—		4,812		4,812		391		—	2015	September 17, 2015		40
Ft. Worth, TX	Freestanding ER		—		4,392		—		—		—		4,392		4,392		412		—	2015	March 27, 2015		40
Ayer, MA	Acute care general hospital		9,048		77,913		1,603		—		9,048		79,516		88,564		911		—	1970-2013	June 27, 2018		47
Bayonne, NJ	Acute care general hospital		2,003		51,495		—		—		2,003		51,495		53,498		20,383		—	1918	February 4, 2011		20
Bennettsville, SC	Acute care general hospital		794		15,772		—		—		794		15,772		16,566		4,157		—	1984	April 1, 2008		42
Blue Springs, MO	Acute care general hospital		4,347		23,494		—		—		4,347		23,494		27,841		2,417		—	1980	February 13, 2015		40
Boise, ID	Long term acute care hospital		1,558		11,027		—		—		1,558		11,027		12,585		173		—	2008	February 29, 2012		50
Bossier City, LA	Long term acute care hospital		900		17,818		628		—		900		18,446		19,346		4,786		—	1982	April 1, 2008		40
Brighton, MA	Acute care general hospital		18,540		146,490		11,176		—		18,540		157,666		176,206		8,304		—	1917-2009	October 3, 2016		41
Brockton, MA	Acute care general hospital		18,328		67,248		4,296		—		18,328		71,544		89,872		4,798		—	1965-2010	October 3, 2016		41
Austin, TX	Freestanding ER		1,140		1,777		—		—		1,140		1,777		2,917		441		—	2014	May 29, 2014		40
Broomfield, CO	Freestanding ER		825		3,895		—		—		825		3,895		4,720		438		—	2014	July 3, 2014		40
Glendale, AZ	Freestanding ER		1,144		6,087		—		—		1,144		6,087		7,231		330		—	2016	October 21, 2016		40
New Orleans, LA	Freestanding ER		2,850		6,125		—		—		2,850		6,125		8,975		346		—	2016	September 23, 2016		40
Carrollton, TX	Acute care general hospital		729		34,342		—		—		729		34,342		35,071		2,933		—	2015	July 17, 2015		40
Cedar Hill. TX	Freestanding ER		1,122		3,644		—		—		1,122		3,644		4,766		410		—	2014	June 23, 2014		40
Spring, TX	Freestanding ER		1,310		3,639		—		—		1,310		3,639		4,949		409		—	2014	July 15, 2014		40

		Initial Costs				Additions Subsequent to Acquisition					Cost at December 31, 2018(1)						Accumulated						Life on which depreciation in latest income statements is
Location	Type of Property	Land		Buildings		Improve- ments		Carrying Costs			Land		Buildings		Total		Depreciation		Encum- brances		Date of Construction	Date Acquired	computed (Years)
	(Dollar amounts in thousands)
Chandler, AZ	Freestanding ER		—		4,783		—		—			—		4,783		4,783		438		—	2015	April 24, 2015		40
Chandler, AZ	Freestanding ER		750		3,852		0		—			750		3,852		4,602		313		—	2015	October 7, 2015		40
Cheraw, SC	Acute care general hospital		657		19,576		—		—			657		19,576		20,233		5,158		—	1982	April 1, 2008		42
Katy, TX	Freestanding ER		—		3,873		—		—			—		3,873		3,873		307		—	2015	October 21, 2015		40
Webster, TX	Long term acute care hospital		663		33,751		—		—			663		33,751		34,414		6,750		—	2004	December 21, 2010		40
Commerce City, TX	Freestanding ER		707		4,248		—		—			707		4,248		4,955		434		—	2014	December 11, 2014		40
Conroe, TX	Freestanding ER		1,338		3,712		—		—			1,338		3,712		5,050		317		—	2015	July 29, 2015		40
Converse, TX	Freestanding ER		750		4,423		—		—			750		4,423		5,173		415		—	2015	April 10, 2015		40
The Woodlands, TX	Freestanding ER		—		4,524		—		—			—		4,524		4,524		311		—	2016	March 28, 2016		40
Houston, TX	Freestanding ER		—		4,267		—		—			—		4,267		4,267		203		—	2017	May 8, 2017		35
Dallas, TX	Long term acute care hospital		1,000		13,589		—		368			1,421		13,536		14,957		4,173		—	2006	September 5, 2006		40
Denver, CO	Freestanding ER		—		4,276		—		—			—		4,276		4,276		383		—	2015	June 8, 2015		40
DeSoto, TX	Freestanding ER		750		4,234		—		—			750		4,234		4,984		273		—	2016	May 23, 2016		40
Detroit, MI	Long term acute care hospital		1,220		8,687		—		(365	)		1,220		8,322		9,542		2,274		—	1956	May 22, 2008		40
San Antonio, TX	Freestanding ER		—		4,801		—		—			—		4,801		4,801		250		—	2016	December 9, 2016		40
Dorchester, MA	Acute care general hospital		14,428		219,575		5,394		—			14,428		224,969		239,397		1,371		—	1953-2015	October 15, 2018		42
Dulles, TX	Freestanding ER		1,076		3,784		—		—			1,076		3,784		4,860		410		—	2014	September 12, 2014		40
Easton, PA	Acute care general hospital		13,898		40,245		2,921		—			13,898		43,166		57,064		1,786		—	1930-2005	May 1, 2017		41
Houston, TX	Freestanding ER		1,345		3,678		—		—			1,345		3,678		5,023		414		—	2014	June 20, 2014		40
Fairmont, CA	Acute care general hospital		1,000		6,072		5,278		—			1,277		11,073		12,350		1,798		—	1939, 1972, 1985	September 19, 2014		40
Fall River, MA	Acute care general hospital		3,526		82,358		22,205		—			3,525		104,564		108,089		4,977		—	1950-2012	October 3, 2016		41
Firestone, TX	Freestanding ER		495		3,963		—		—			495		3,963		4,458		454		—	2014	June 6, 2014		40
Flagstaff, AZ	Rehabilitation hospital		3,049		22,464		—		—			3,049		22,464		25,513		468		—	2016	August 23, 2016		40
Florence, AZ	Acute care general hospital		900		28,462		105		—			900		28,567		29,467		4,817		—	2012	February 7, 2012		40
Fort Lauderdale, FL	Rehabilitation hospital		3,499		21,939		—		1			3,499		21,940		25,439		5,862		—	1985	April 22, 2008		40
Fountain, CO	Freestanding ER		1,508		4,131		—		—			1,508		4,131		5,639		456		—	2014	July 31, 2014		40
Frisco, TX	Freestanding ER		—		1,806		—		—			—		1,806		1,806		336		—	2016	March 4, 2016		40
Frisco, TX	Freestanding ER		2,441		185		—		—			2,441		185		2,626		354		—	2015	November 13, 2015		40
Frisco, TX	Freestanding ER		1,500		3,863		27		(89	)		1,411		3,890		5,301		446		—	2014	June 13, 2014		40
Garden Grove, CA	Acute care general hospital		5,502		10,748		—		51			5,502		10,799		16,301		2,736		—	1982	November 25, 2008		40
Garland, TX	Freestanding ER		—		4,647		—		—			—		4,647		4,647		252		—	2016	November 15, 2016		40
Garden Grove, CA	Medical Office Building		862		7,888		—		28			862		7,916		8,778		1,999		—	1982	November 25, 2008		40
Gilbert, AZ	Acute care general hospital		150		15,553		—		—			150		15,553		15,703		3,111		—	2005	January 4, 2011		40
Gilbert, AZ	Freestanding ER		1,517		4,660		—		—			1,517		4,660		6,177		398		—	2015	July 22, 2015		40
Glendale, AZ	Freestanding ER		—		4,046		—		—			—		4,046		4,046		362		—	2015	June 5, 2015		40
Goodyear, AZ	Freestanding ER		1,800		4,713		—		—			1,800		4,713		6,513		324		—	2016	April 4, 2016		40
Hartsville, SC	Acute care general hospital		2,050		43,970		—		—			2,050		43,970		46,020		3,827		—	1999	August 31, 2015		34
Hausman, TX	Acute care general hospital		1,500		8,957		—		—			1,500		8,957		10,457		1,284		—	2013	March 1, 2013		40
Haverhill, MA	Acute care general hospital		5,651		105,848		1,888		—			5,651		107,736		113,387		936		—	1982-2005	August 31, 2018		40
Helotes, TX	Freestanding ER		1,900		5,115		—		—			1,900		5,115		7,015		362		—	2016	March 10, 2016		40

		Initial Costs				Additions Subsequent to Acquisition						Cost at December 31, 2018(1)						Accumulated						Life on which depreciation in latest income statements is
Location	Type of Property	Land		Buildings		Improve- ments			Carrying Costs			Land		Buildings		Total		Depreciation		Encum- brances		Date of Construction	Date Acquired	computed (Years)
	(Dollar amounts in thousands)
Highland Village, TX	Freestanding ER		—		1,551		—			—			—		1,551		1,551		326		—	2015	September 22, 2015		40
Hill County, TX	Acute care general hospital		1,120		17,882		—			—			1,120		17,882		19,002		9,890		—	1980	September 17, 2010		15
Warren, OH	Rehabilitation hospital		2,417		15,857		35			—			2,417		15,892		18,309		891		—	1922-2000	May 1, 2017		46
Hoboken, NJ	Acute care general hospital		1,387		44,351		—			—			1,387		44,351		45,738		15,838		—	1863	November 4, 2011		20
Hoover, AL	Freestanding ER		—		7,581		—			—			—		7,581		7,581		812		—	2015	May 1, 2015		34
Hoover, AL	Medical Office Building		—		1,034		—			—			—		1,034		1,034		111		—	2015	May 1, 2015		34
Hope, AR	Acute care general hospital		1,651		3,359		373			—			1,651		3,732		5,383		223		—	1984-2001	September 29, 2017		41
Hot Springs, AR	Acute care general hospital		7,100		59,432		21,221			—			7,100		80,653		87,753		6,795		—	1985	August 31, 2015		40
Houston, TX	Acute care general hospital		28,687		104,028		5,999			—			28,687		110,027		138,714		878		—	1940-1950	September 29, 2017		41
Highlands Ranch, CO	Freestanding ER		4,200		4,779		—			—			4,200		4,779		8,979		289		—	2016	July 25, 2016		40
Idaho Falls, ID	Acute care general hospital		1,822		37,467		441			4,665			1,822		42,573		44,395		11,201		—	2002	April 1, 2008		40
Kansas City, MO	Acute care general hospital		10,497		64,419		—			—			10,497		64,419		74,916		6,429		—	1978	February 13, 2015		40
Katy, TX	Freestanding ER		—		4,174		—			—			—		4,174		4,174		235		—	2016	October 10, 2016		40
Camden, SC	Acute care general hospital		—		22,739		—			—			—		22,739		22,739		1,555		—	1954-2004	October 30, 2015		39
Lafayette, IN	Rehabilitation hospital		800		14,968		(25	)		—			800		14,943		15,743		2,198		—	2013	February 1, 2013		40
Lehi, UT	Acute care general hospital		13,403		29,950		156			(35	)		13,368		30,106		43,474		1,108		—	2015	September 29, 2017		45
Lewiston, ID	Acute care general hospital		5,389		75,435		—			—			5,389		75,435		80,824		4,251		—	1922	May 1, 2017		40
Little Elm, TX	Freestanding ER		1,241		3,491		—			—			1,241		3,491		4,732		441		—	2013	December 1, 2013		40
Longmont, CO	Freestanding ER		—		4,181		—			—			—		4,181		4,181		305		—	2016	February 10, 2016		40
Lubbock, TX	Rehabilitation hospital		1,376		28,292		3,648			—			1,376		31,940		33,316		2,657		—	2008	June 16, 2015		40
Mandeville, LA	Freestanding ER		2,800		5,370		—			—			2,800		5,370		8,170		291		—	2016	October 28, 2016		40
Marrero, LA	Freestanding ER		—		5,801		—			—			—		5,801		5,801		364		—	2016	July 15, 2016		40
McKinney, TX	Freestanding ER		—		4,060		—			—			—		4,060		4,060		466		—	2015	July 31, 2015		30
McMinnville, OR	Acute care general hospital		5,000		97,900		—			—			5,000		97,900		102,900		6,652		—	1996	August 31, 2015		41
Melbourne, FL	Acute care general hospital		5,642		17,087		2,282			—			5,642		19,369		25,011		922		—	2002	May 1, 2017		42
Mesa, AZ	Acute care general hospital		6,534		100,042		289			—			6,533		100,332		106,865		13,819		—	2007	September 26, 2013		40
Phoenix, AZ	Acute care general hospital		5,576		45,782		—			—			5,576		45,782		51,358		2,194		—	2017	February 10, 2017		40
Methuen, MA	Acute care general hospital		23,809		89,505		5,698			—			23,809		95,203		119,012		5,766		—	1950-2011	October 3, 2016		41
Bloomington, IN	Acute care general hospital		2,392		28,212		5,000			408			2,392		33,620		36,012		10,377		—	2006	August 8, 2006		40
Montclair, NJ	Acute care general hospital		7,900		99,640		577			—			8,477		99,640		108,117		12,211		—	1920-2000	April 1, 2014		40
San Antonio, TX	Freestanding ER		351		3,952		—			—			351		3,952		4,303		468		—	2014	January 1, 2014		40
Colorado Springs, CO	Freestanding ER		600		4,231		—			—			600		4,231		4,831		485		—	2014	June 5, 2014		40
Northland, MO	Long term acute care hospital		834		17,182		—			—			834		17,182		18,016		3,401		—	2007	February 14, 2011		40
Norwood, MA	Acute care general hospital		7,073		154,496		7,745			—			7,073		162,241		169,314		1,781		—	1926-2001	June 27, 2018		46
Altoona, WI	Acute care general hospital		—		29,062		—			—			—		29,062		29,062		3,148		—	2014	August 31, 2014		40
Odessa, TX	Acute care general hospital		6,535		123,518		254			—			6,535		123,772		130,307		3,950		—	1973-2004	September 29, 2017		41
Ogden, UT	Rehabilitation hospital		1,759		16,414		—			—			1,759		16,414		18,173		1,971		—	2014	March 1, 2014		40
Olympia, WA	Acute care general hospital		7,220		89,348		15,930			—			7,220		105,278		112,498		6,138		—	1984	July 22, 2016		40
Overlook, TX	Acute care general hospital		2,452		9,666		7			—			2,452		9,673		12,125		1,411		—	2012	February 1, 2013		40
San Diego, CA	Acute care general hospital		6,550		15,653		—			77			6,550		15,730		22,280		4,586		—	1964	May 9, 2007		40

		Initial Costs				Additions Subsequent to Acquisition					Cost at December 31, 2018(1)						Accumulated						Life on which depreciation in latest income statements is
Location	Type of Property	Land		Buildings		Improve- ments		Carrying Costs			Land		Buildings		Total		Depreciation		Encum- brances		Date of Construction	Date Acquired	computed (Years)
	(Dollar amounts in thousands)
Parker, CO	Freestanding ER		1,300		4,448		—		—			1,300		4,448		5,748		352		—	2015	November 6, 2015		40
Pasco, WA	Acute care general hospital		2,594		13,195		—		—			2,594		13,195		15,789		150		—	1920	August 31, 2018		30
Pearland, TX	Freestanding ER		1,075		3,577		—		—			1,075		3,577		4,652		388		—	2014	September 8, 2014		40
Petersburg, VA	Rehabilitation hospital		1,302		9,121		—		—			1,302		9,121		10,423		2,394		—	2006	July 1, 2008		40
Phoenix, AZ	Acute care general hospital		2,396		26,521		2,931		—			2,396		29,452		31,848		817		—	1979	September 29, 2017		42
Phoenix, AZ	Acute care general hospital		12,695		73,774		2,432		—			12,695		76,206		88,901		2,502		—	1968-1976	September 29, 2017		43
Plano, TX	Freestanding ER		—		2,492		—		—			—		2,492		2,492		272		—	2016	September 30, 2016		40
Poplar Bluff, MO	Acute care general hospital		2,660		38,693		—		1			2,660		38,694		41,354		10,339		—	1980	April 22, 2008		40
Port Arthur, TX	Acute care general hospital		12,972		78,051		859		—			12,972		78,910		91,882		10,155		—	2005	September 26, 2013		40
Port Huron, MI	Acute care general hospital		3,029		14,622		—		—			3,029		14,622		17,651		1,498		—	1953, 1973-1983	December 31, 2015		30
Post Falls, ID	Rehabilitation hospital		417		12,175		1,905		—			767		13,730		14,497		1,725		—	2013	December 31, 2013		40
San Antonio, TX	Freestanding ER		—		4,253		—		—			—		4,253		4,253		230		—	2016	October 27, 2016		40
Redding, CA	Acute care general hospital		1,555		53,863		—		13			1,555		53,876		55,431		15,387		—	1974	August 10, 2007		40
Austin, TX	Freestanding ER		—		4,200		—		—			—		4,200		4,200		231		—	2017	March 2, 2017		40
Rockledge, FL	Acute care general hospital		13,919		23,282		1,831		—			13,919		25,113		39,032		1,460		—	1950, 1970	May 1, 2017		42
Rosenberg, TX	Freestanding ER		—		4,505		—		—			—		4,505		4,505		338		—	2016	January 15, 2016		40
Columbus, OH	Freestanding ER		1,726		—		—		—			1,726		—		1,726		—		—	2016	August 30, 2016	-
Salt Lake City, UT	Acute care general hospital		13,590		101,915		726		—			13,590		102,641		116,231		3,178		—	1906-1987	September 29, 2017		41
San Antonio, TX	Acute care general hospital		8,053		29,333		675		—			8,053		30,008		38,061		1,024		—	1978-2002	September 29, 2017		41
San Dimas, CA	Acute care general hospital		6,160		6,839		—		34			6,160		6,873		13,033		1,735		—	1972	November 25, 2008		40
San Dimas, CA	Medical Office Building		1,915		5,085		—		18			1,915		5,103		7,018		1,289		—	1979	November 25, 2008		40
Phoenix, AZ	Freestanding ER		1,132		5,052		—		—			1,132		5,052		6,184		221		—	2017	April 13, 2017		40
Sebastian, FL	Acute care general hospital		5,733		49,136		16,829		—			5,733		65,965		71,698		2,288		—	1974	May 1, 2017		41
Sharon, PA	Acute care general hospital		6,179		9,066		1,808		—			6,179		10,874		17,053		1,096		—	1950-1980	May 1, 2017		41
Sherman, TX	Acute care general hospital		4,493		11,081		—		—			4,493		11,081		15,574		2,703		—	1913, 1960-2010	October 31, 2014		40
Sienna, TX	Freestanding ER		1,000		3,591		—		—			1,000		3,591		4,591		389		—	2014	August 20, 2014		40
Spartanburg, SC	Rehabilitation hospital		1,135		15,717		—		—			1,135		15,717		16,852		2,112		—	2013	August 1, 2013		40
Houston, TX	Freestanding ER		1,423		3,772		—		—			1,423		3,772		5,195		361		—	2015	February 18, 2015		40
Taunton, MA	Acute care general hospital		4,428		73,228		2,951		—			4,428		76,179		80,607		4,400		—	1940-2015	October 3, 2016		41
Tempe, AZ	Acute care general hospital		6,050		10,986		871		—			6,050		11,857		17,907		476		—	1940	September 29, 2017		41
Texarkana, TX	Acute care general hospital		14,562		—		—		—			14,562		—		14,562		—		—	2017	September 29, 2017	-
Thornton, CO	Freestanding ER		1,350		4,259		—		—			1,350		4,259		5,609		461		—	2014	August 29, 2014		40
Toledo, OH	Rehabilitation hospital		—		17,740		—		—			—		17,740		17,740		1,220		—	2016	April 1, 2016		40
Tomball, TX	Long term acute care hospital		1,299		23,982		—		—			1,299		23,982		25,281		4,796		—	2005	December 21, 2010		40
Houston, TX	Acute care general hospital		4,047		36,862		—		—			4,047		36,862		40,909		2,304		—	2016	July 7, 2016		40
League City, TX	Freestanding ER		—		3,901		—		—			—		3,901		3,901		341		—	2015	June 19, 2015		40
Anaheim, CA	Acute care general hospital		1,875		21,813		—		10			1,875		21,823		23,698		6,638		—	1964	November 8, 2006		40
Warren, OH	Acute care general hospital		5,385		47,588		5,142		—			5,385		52,730		58,115		2,509		—	1982	May 1, 2017		41
West Monroe, LA	Acute care general hospital		12,000		69,433		11,013		—			12,552		79,894		92,446		9,746		—	1962	September 26, 2013		40
San Antonio, TX	Acute care general hospital		2,248		5,880		—		—			2,248		5,880		8,128		904		—	2012	October 2, 2012		40
West Valley City, UT	Acute care general hospital		5,516		58,314		2,478		(114	)		5,402		60,792		66,194		15,762		—	1980	April 22, 2008		40
Wichita, KS	Rehabilitation hospital		1,019		18,373		—		1			1,019		18,374		19,393		4,937		—	1992	April 4, 2008		40
Youngstown, OH	Acute care general hospital		4,335		3,565		604		—			4,334		4,170		8,504		965		—	1929-2003	May 1, 2017		41
		$	544,228	$	4,026,620	$	188,640	$	21,661		$	547,894	$	4,233,255	$	4,781,149	$	414,331	$	—

(1) The aggregate cost for federal income tax purposes is $4,873,085.

The changes in total real estate assets (excluding construction in progress, intangible lease assets, investment in direct financing leases, and mortgage loans) are as follows for the years ended (in thousands):

	December 31, 2018				December 31, 2017				December 31, 2016
COST
Balance at beginning of period	$	5,438,148			$	3,968,042			$	2,991,590
Acquisitions		758,619				1,256,245				745,948
Transfers from construction in progress		25,513				74,441				163,080
Additions		96,775				36,828				33,279
Dispositions		(1,318,238	)			(53,372	)			(138,886	)
Other		(219,668	)	(2)		155,964		(2)		173,031
Balance at end of period	$	4,781,149			$	5,438,148		(3)	$	3,968,042

The changes in accumulated depreciation are as follows for the years ended (in thousands):

	December 31, 2018			December 31, 2017				December 31, 2016
ACCUMULATED DEPRECIATION
Balance at beginning of period	$	407,349		$	292,786			$	232,675
Depreciation		115,497			109,307				81,010
Depreciation on disposed property		(101,967	)		(1,438	)			(19,086	)
Other		(6,548	)		6,694				(1,813	)
Balance at end of period	$	414,331		$	407,349		(4)	$	292,786

(2) Represents foreign currency fluctuations and purchase price allocation adjustments.

(3) Includes $131.4 million of land and building cost reflected in real estate held for sale at December 31, 2017. Excludes intangible lease assets that are included in real estate held for sale of $15.8 million at December 31, 2017.

(4) Includes $0.5 million of accumulated depreciation reflected in real estate held for sale at December 31, 2017. Excludes accumulated amortization related to intangible lease assets that are included in real estate held for sale of $0.1 million at December 31, 2017.