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Real Estate and Accumulated Depreciation - Schedule III
12 Months Ended
Dec. 31, 2021
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation Disclosure [Abstract]  
Real Estate and Accumulated Depreciation, Schedule III
   Initial CostsSubsequent to Acquisition  
Property StateAcquisition
Date
Encumbrances at 
December 31, 2021
LandBuilding and
Improvements
LandBuilding and
Improvements
Gross Amount at
December 31, 2021(1) (2)
Accumulated
Depreciation(3) (4)
Fresenius Medical Care - Winfield, AL(5)AL5/10/2013$— $152 $1,568 $— $— $1,720 $399 
Adena Health Center - Jackson, OH(5)OH6/28/2013— 242 4,494 — — 4,736 990 
Ouachita Community Hospital - West Monroe, LA(5)LA7/12/2013— 633 5,304 — — 5,937 1,189 
CareMeridian - Littleton, CO(5)CO8/8/2013— 976 8,900 — 111 9,987 2,798 
Oak Lawn Medical Center - Oak Lawn, ILIL8/21/20135,343 835 7,217 — 25 8,077 1,806 
Surgery Center of Temple - Temple, TX(5)TX8/30/2013— 225 5,208 — 432 5,865 1,185 
Greenville Health System - Greenville, SC(5), (9)SC10/10/2013— 720 3,045 — 194 3,959 657 
Stockbridge Family Medical - Stockbridge, GAGA2/21/20141,781 823 1,799 — 165 2,787 460 
Arrowhead Medical Plaza II - Glendale, AZAZ2/21/20147,540 — 9,758 — 2,011 11,769 2,854 
Village Center Parkway - Stockbridge, GAGA2/21/20142,434 1,135 2,299 — 156 3,590 709 
Creekside MOB - Douglasville, GAGA4/30/20148,814 2,709 5,320 — 637 8,666 1,660 
Bowie Gateway Medical Center - Bowie, MDMD5/7/20149,153 983 10,321 — 252 11,556 2,181 
Campus at Crooks & Auburn Building D - Rochester Mills, MIMI5/19/20143,627 640 4,166 — 131 4,937 975 
Berwyn Medical Center - Berwyn, IL(5)IL5/29/2014— 1,305 7,559 — — 8,864 1,495 
Countryside Medical Arts - Safety Harbor, FLFL5/30/20146,983 915 7,663 — 60 8,638 1,645 
St. Andrews Medical Park - Venice, FLFL5/30/201411,119 1,666 10,005 935 12,608 2,689 
Campus at Crooks & Auburn Building C - Rochester Mills, MIMI6/3/20143,831 609 3,893 — 166 4,668 945 
Laguna Professional Center - Elk Grove, CACA7/15/20148,887 1,811 14,598 — 311 16,720 3,214 
UC Davis MOB - Elk Grove, CACA7/15/20148,136 1,138 7,242 — 285 8,665 1,703 
Estate at Hyde Park - Tampa, FL(7)FL7/31/201420,116 1,777 20,308 — 1,005 23,090 4,531 
Autumn Ridge of Clarkston - Clarkston, MI(7)MI8/12/201419,245 655 19,967 — 65 20,687 4,325 
Sunnybrook of Burlington - Burlington, IA(6)IA8/26/201412,783 518 16,739 — 254 17,511 3,924 
Sunnybrook of Carroll - Carroll, IA(6)IA8/26/20146,144 473 11,263 — 36 11,772 2,385 
Prairie Hills at Cedar Rapids - Cedar Rapids, IA(7)IA8/26/20148,014 195 8,595 — 158 8,948 1,861 
Prairie Hills at Clinton - Clinton, IA(6)IA8/26/201410,759 890 18,882 — 120 19,892 4,213 
Prairie Hills at Des Moines - Des Moines, IA(6)IA8/26/20145,418 647 13,745 — 57 14,449 3,210 
Sunnybrook of Fairfield - Fairfield, IA(5)IA8/26/2014— 340 14,115 — 269 14,724 3,253 
Sunnybrook of Ft. Madison - Ft. Madison, IA(5)IA8/26/2014— 263 3,931 — 223 4,417 601 
Prairie Hills at Independence - Independence, IA(5)IA8/26/2014— 473 10,600 — 176 11,249 2,234 
Sunnybrook of Mt. Pleasant - Mt. Pleasant, IA(5)IA8/26/2014— 205 10,935 — 326 11,466 2,257 
Sunnybrook of Muscatine - Muscatine, IA(6)IA8/26/201411,989 302 13,840 — 151 14,293 2,989 
Prairie Hills at Ottumwa - Ottumwa, IA(5)IA8/26/2014— 538 9,186 — 178 9,902 2,109 
Prairie Hills at Tipton - Tipton, IA(5)IA8/26/2014— 306 10,409 — 80 10,795 2,110 
   Initial CostsSubsequent to Acquisition  
Property StateAcquisition
Date
Encumbrances at 
December 31, 2021
LandBuilding and
Improvements
LandBuilding and
Improvements
Gross Amount at
December 31, 2021(1) (2)
Accumulated
Depreciation(3) (4)
Liberty Court - Dixon, IL(5)IL8/29/2014— 119 1,998 — 59 2,176 482 
Lakeside Vista - Holland, MI(6)MI8/29/20146,128 378 12,196 — 632 13,206 2,675 
The Atrium - Rockford, IL(5)IL8/29/2014— 164 1,746 — 267 2,177 290 
Arrowhead Medical Plaza I - Glendale, AZAZ9/10/20144,571 — 6,447 — 1,309 7,756 1,610 
Sunnybrook of Burlington - Land - Burlington, IAMO9/23/2014— 620 — — — 620 — 
Community Health MOB - Harrisburg, PA(10)PA9/26/20145,424 — 6,170 — — 6,170 1,156 
Brady MOB - Harrisburg, PA(10)PA9/26/201419,661 — 22,485 — — 22,485 4,113 
Landis Memorial - Harrisburg, PA(5), (10)PA9/26/2014— — 32,484 — — 32,484 5,960 
FOC II - Mechanicsburg, PA(10)PA9/26/201416,136 — 16,473 — 142 16,615 3,471 
FOC Clinical - Mechanicsburg, PA(10)PA9/26/201417,695 — 19,634 — — 19,634 4,057 
FOC I - Mechanicsburg, PA(10)PA9/26/20148,204 — 8,923 — 277 9,200 2,002 
Copper Springs Senior Living - Meridian, ID(5)ID9/29/2014— 498 7,130 — 207 7,835 1,965 
Addington Place of Brunswick - Brunswick, GA(5)GA9/30/2014— 1,509 14,402 — 463 16,374 3,328 
Addington Place of Dublin - Dublin, GA(5)GA9/30/2014— 403 9,281 — 160 9,844 2,289 
Allegro at Elizabethtown - Elizabethtown, KY(5)KY9/30/2014— 317 7,290 — 255 7,862 1,926 
Addington Place of Johns Creek - Johns Creek, GA(7)GA9/30/201410,139 997 11,943 — 477 13,417 2,837 
Allegro at Jupiter - Jupiter, FL(6)FL9/30/201434,370 3,741 49,534 — 422 53,697 10,712 
Addington Place of Lee's Summit - Lee's Summit, MO(7)MO9/30/201417,187 2,734 25,008 — 384 28,126 5,461 
Addington Place at Mills - Roswell, GA(5)GA9/30/2014— 1,000 8,611 — 2,621 12,232 2,723 
Addington Place of College Harbour - St Petersburg, FL(5)FL9/30/2014— 3,791 8,684 — 1,817 14,292 3,008 
Allegro at Stuart - Stuart, FL(6)FL9/30/201449,069 5,018 60,575 — 715 66,308 13,410 
Allegro at Tarpon - Tarpon Springs, FL(7)FL9/30/20147,350 2,360 13,728 — 579 16,667 3,826 
Addington Place of Titusville - Titusville, FL(6)FL9/30/201412,423 1,379 13,976 — 655 16,010 3,570 
Allegro at St. Petersburg - Land - St. Petersburg, FLFL9/30/2014— 3,045 — — — 3,045 — 
Gateway MOB - Clarksville, TN(9)TN10/3/201417,560 — 16,367 — 1,011 17,378 3,649 
Dyer Building - Dyer, IN(5)IN10/17/20146,143 601 8,992 — 64 9,657 1,722 
757 Building - Munster, IN(5)IN10/17/2014— 645 7,885 — — 8,530 1,478 
761 Building - Munster, ININ10/17/20146,797 1,436 8,616 — 59 10,111 1,732 
759 Building - Munster, ININ10/17/20148,271 1,101 8,899 — — 10,000 1,715 
Schererville Building - Schererville, ININ10/17/2014— 1,260 935 — 79 2,274 329 
Meadowbrook Senior Living - Agoura Hills, CA(7)CA11/25/201419,167 8,821 48,682 — 2,115 59,618 10,168 
Mount Vernon Medical Office Building - Mount Vernon, WA(9)WA11/25/201415,797 — 18,519 — 18,522 3,561 
   Initial CostsSubsequent to Acquisition  
Property StateAcquisition
Date
Encumbrances at 
December 31, 2021
LandBuilding and
Improvements
LandBuilding and
Improvements
Gross Amount at
December 31, 2021(1) (2)
Accumulated
Depreciation(3) (4)
Wellington at Hershey's Mill - West Chester, PA(5)PA12/3/2014— 8,531 80,734 — 3,654 92,919 16,328 
Eye Specialty Group Medical Building - Memphis, TNTN12/5/20148,475 775 7,223 — — 7,998 1,343 
Addington Place of Alpharetta - Alpharetta, GAGA12/10/2014— 1,604 26,069 — 597 28,270 5,597 
Addington Place of Prairie Village - Prairie Village, KS(7)KS12/10/201414,812 1,782 21,869 — 413 24,064 4,846 
Bloom MOB - Harrisburg, PA(10)PA12/15/201415,322 — 15,928 — 517 16,445 3,066 
Medical Sciences Pavilion - Harrisburg, PA(10)PA12/15/201418,272 — 22,309 — — 22,309 4,004 
Wood Glen Nursing and Rehab Center - West Chicago, IL(5)IL12/16/2014— 1,896 16,107 — — 18,003 4,023 
Pinnacle Center - Southaven, MSMS12/16/20147,085 1,378 6,547 — 663 8,588 1,641 
Paradise Valley Medical Plaza - Phoenix, AZAZ12/29/201413,085 — 25,194 — 1,244 26,438 5,212 
Victory Medical Center at Craig Ranch - McKinney, TXTX12/30/2014— 1,596 40,475 — 1,164 43,235 7,644 
Rivershores Healthcare & Rehab Centre - Marseilles, IL(5)IL12/31/2014— 1,276 6,868 — — 8,144 1,826 
Morton Terrace Healthcare & Rehab Centre - Morton, IL(5)IL12/31/2014— 709 5,649 — — 6,358 1,738 
Morton Villa Healthcare & Rehab Centre - Morton, IL(5)IL12/31/2014— 645 3,687 — 87 4,419 1,095 
The Heights Healthcare & Rehab Centre - Peoria Heights, IL(5)IL12/31/2014— 214 7,952 — — 8,166 2,218 
Colonial Healthcare & Rehab Centre - Princeton, IL(5)IL12/31/2014— 173 5,871 — — 6,044 1,806 
Capitol Healthcare & Rehab Centre - Springfield, IL(5)IL12/31/2014— 603 21,699 — 26 22,328 5,307 
Acuity Specialty Hospital - Mesa, AZ(5)AZ1/14/2015— 1,977 16,203 — 543 18,723 3,187 
Acuity Specialty Hospital - Sun City, AZ(11)AZ1/14/2015— 2,329 15,795 (909)(7,715)9,500 219 
Addington Place of Shoal Creek - Kansas City, MO(7)MO2/2/201513,391 3,723 22,259 — 440 26,422 4,782 
Aurora Healthcare Center - Green Bay, WI(5)WI3/18/2015— 1,130 1,678 — — 2,808 365 
Aurora Healthcare Center - Greenville, WI(5)WI3/18/2015— 259 958 — — 1,217 221 
Aurora Healthcare Center - Kiel, WI(5)WI3/18/2015— 676 2,214 — — 2,890 430 
Aurora Healthcare Center - Plymouth, WIWI3/18/201517,038 2,891 24,224 — — 27,115 4,729 
Aurora Healthcare Center - Waterford, WI(5)WI3/18/2015— 590 6,452 — — 7,042 1,215 
Aurora Healthcare Center - Wautoma, WI(5)WI3/18/2015— 1,955 4,361 — — 6,316 856 
Arbor View Assisted Living and Memory Care - Burlington, WI(5)WI3/31/2015— 367 7,815 — 66 8,248 1,866 
Advanced Orthopedic Medical Center - Richmond, VAVA4/7/201515,390 1,523 19,229 — — 20,752 3,445 
Palm Valley Medical Plaza - Goodyear, AZAZ4/7/20152,879 1,890 4,940 — 317 7,147 1,087 
Physicians Plaza of Roane County - Harriman, TNTN4/27/20156,293 1,746 7,842 — 113 9,701 1,503 
Adventist Health Lacey Medical Plaza - Hanford, CACA4/29/201511,526 328 13,302 — 98 13,728 2,271 
Medical Center I - Peoria, AZAZ5/15/20153,085 807 1,115 — 1,306 3,228 927 
Medical Center II - Peoria, AZAZ5/15/2015— 945 1,330 — 5,036 7,311 1,490 
Commercial Center - Peoria, AZAZ5/15/20153,254 959 1,110 — 656 2,725 470 
   Initial CostsSubsequent to Acquisition  
Property StateAcquisition
Date
Encumbrances at 
December 31, 2021
LandBuilding and
Improvements
LandBuilding and
Improvements
Gross Amount at
December 31, 2021(1) (2)
Accumulated
Depreciation(3) (4)
Medical Center III - Peoria, AZAZ5/15/20152,137 673 1,651 — 947 3,271 801 
Morrow Medical Center - Morrow, GAGA6/24/20154,334 1,155 5,674 — 438 7,267 1,176 
Belmar Medical Building -Lakewood, COCO6/29/20153,770 819 4,287 — 465 5,571 884 
Addington Place - Northville, MI(7)MI6/30/201513,287 440 14,975 — 345 15,760 2,981 
Conroe Medical Arts and Surgery Center - Conroe, TXTX7/10/201513,221 1,965 12,198 — 573 14,736 2,454 
Medical Center V - Peoria, AZAZ7/10/20152,684 1,089 3,200 — 389 4,678 673 
Legacy Medical Village - Plano, TXTX7/10/201523,662 3,755 31,097 — 704 35,556 5,708 
Scripps Cedar Medical Center - Vista, CACA8/6/201514,983 1,213 14,596 — 861 16,670 2,454 
Ramsey Woods Memory Care - Cudahy, WI(5)WI10/2/2015— 930 4,990 — 49 5,969 1,054 
East Coast Square West - Cedar Point, NCNC10/15/20155,254 1,535 4,803 — 6,344 829 
East Coast Square North - Morehead City, NCNC10/15/20153,933 899 4,761 — 5,666 809 
Eastside Cancer Institute - Greenville, SC(5)SC10/22/2015— 1,498 6,637 — 181 8,316 1,157 
Sassafras Medical Building - Erie, PAPA10/22/20152,315 928 4,629 — 5,560 734 
Sky Lakes Klamath Medical Clinic - Klamath Falls, OR(5)OR10/22/2015— 433 2,623 — — 3,056 437 
Courtyard Fountains - Gresham, OR(5)OR12/1/2015— 2,476 50,601 — 1,136 54,213 9,361 
Presence Healing Arts Pavilion - New Lenox, IL(9)IL12/4/20155,966 — 6,768 — 76 6,844 1,184 
Mainland Medical Arts Pavilion - Texas City, TXTX12/4/20156,174 320 7,923 — 305 8,548 1,511 
Renaissance on Peachtree - Atlanta, GA(6)GA12/15/201550,821 4,535 68,895 — 2,360 75,790 11,942 
Fox Ridge Senior Living at Bryant - Bryant, ARAR12/29/20156,977 1,687 12,936 — 607 15,230 3,229 
Fox Ridge Senior Living at Chenal - Little Rock, ARAR12/29/201516,024 6,896 20,579 — 209 27,684 4,320 
Fox Ridge North Little Rock - North Little Rock, AR(9)AR12/29/20159,943 — 19,265 — 268 19,533 3,708 
Autumn Leaves of Cy-Fair - Houston, TX(11)TX12/31/2015— 1,225 11,335 (895)(8,940)2,725 — 
Autumn Leaves of Meyerland - Houston, TX(11)TX12/31/2015— 2,033 13,411 (1,486)(10,559)3,399 — 
Autumn Leaves of Clear Lake, Houston, TX(11)TX12/31/2015— 1,599 13,194 (1,169)(10,388)3,236 — 
Autumn Leaves of The Woodlands - The Woodlands, TX(11)TX12/31/2015— 2,413 9,141 (1,763)(7,252)2,539 — 
High Desert Medical Group Medical Office Building - Lancaster, CACA4/7/20177,480 1,459 9,300 — — 10,759 1,445 
Northside Hospital - Canton, GAGA7/13/20178,014 3,408 8,191 — 42 11,641 1,010 
West Michigan Surgery Center - Big Rapids, MI(5)MI8/18/2017— 258 5,677 — — 5,935 653 
Camellia Walk Assisted Living and Memory Care - Evans, GA(6)GA9/28/201712,476 1,854 17,372 — 1,285 20,511 2,731 
Cedarhurst of Collinsville - Collinsville, IL(5), (8)IL12/22/2017— 1,228 8,652 — 228 10,108 1,102 
Arcadian Cove Assisted Living - Richmond, KY(5), (8)KY12/22/2017— 481 3,923 — 73 4,477 567 
Beaumont Medical Center - Warren, MI(5), (8)MI12/22/2017— 1,078 9,525 — 19 10,622 1,062 
   Initial CostsSubsequent to Acquisition  
Property StateAcquisition
Date
Encumbrances at 
December 31, 2021
LandBuilding and
Improvements
LandBuilding and
Improvements
Gross Amount at
December 31, 2021(1) (2)
Accumulated
Depreciation(3) (4)
DaVita Dialysis - Hudson, FL(5), (8)FL12/22/2017— 226 1,979 — 88 2,293 214 
DaVita Bay Breeze Dialysis Center - Largo, FL(5), (8)FL12/22/2017— 399 896 — 48 1,343 117 
Greenfield Medical Plaza - Gilbert, AZ(5), (8)AZ12/22/2017— 1,476 4,144 — 195 5,815 489 
RAI Care Center - Clearwater, FL(5), (8)FL12/22/2017— 624 3,156 — — 3,780 336 
Illinois CancerCare - Galesburg, IL(8)IL12/22/20172,323 290 2,457 — — 2,747 294 
UnityPoint Clinic - Muscatine, IA(5), (8)IA12/22/2017— 570 4,541 — 5,113 519 
Lee Memorial Health System Outpatient Center - Ft. Myers(5), (8)FL12/22/2017— 439 4,374 — 363 5,176 510 
Decatur Medical Office Building - Decatur, GA(5), (8), (9)GA12/22/2017— 695 3,273 — 238 4,206 396 
Madison Medical Plaza - Joliet, IL(8), (9)IL12/22/201712,477 — 16,855 — 37 16,892 1,689 
Woodlake Office Center - Woodbury, MN(8)MN12/22/20178,638 1,017 10,688 — 1,297 13,002 1,263 
Rockwall Medical Plaza - Rockwall, TX(5), (8)MN12/22/2017— 1,097 4,582 — 182 5,861 554 
MetroHealth Buckeye Health Center - Cleveland, OH(5), (8)OH12/22/2017— 389 4,367 — 255 5,011 491 
UnityPoint Clinic - Moline, IL(5), (8)IL12/22/2017— 396 2,880 — 3,281 329 
VA Outpatient Clinic - Galesberg, IL(5), (8)IL12/22/2017— 359 1,852 — — 2,211 242 
Philip Professional Center - Lawrenceville, GAGA12/22/20175,780 1,285 6,714 — 238 8,237 811 
Texas Children’s Hospital - Houston, TX
TX3/5/20184,590 1,368 4,428 — 116 5,912 638 
Florida Medical Heartcare - Tampa, FL
(5)FL3/29/2018— 586 1,902 — — 2,488 268 
Florida Medical Somerset - Tampa, FL
(5)FL3/29/2018— 61 1,366 — — 1,427 169 
Florida Medical Tampa Palms - Tampa, FL
(5)FL3/29/2018— 141 1,402 — — 1,543 179 
Florida Medical Wesley Chapel - Tampa, FL
(5)FL3/29/2018— 485 1,987 — — 2,472 286 
Aurora Health Center - Milwaukee, WI
WI4/17/20183,984 1,014 4,041 — — 5,055 652 
Vascular Surgery Associates - Tallahassee, FL
(5)FL5/11/2018— 902 5,383 — — 6,285 705 
Glendale MOB - Farmington Hills, MI
(5)MI8/28/2018— 504 12,332 — — 12,836 1,223 
Crittenton Washington MOB - Washington Township, MI
(5)MI9/12/2018— 640 4,090 — 78 4,808 469 
Crittenton Sterling Heights MOB - Sterling Heights, MI
(5)MI9/12/2018— 1,398 2,695 — 216 4,309 385 
Advocate Aurora MOB - Elkhorn, WI
WI9/24/20187,184 181 9,452 — — 9,633 1,021 
Pulmonary & Critical Care Med - Lemoyne, PA
PA11/13/20184,271 621 3,805 — — 4,426 551 
Dignity Emerus Blue Diamond - Las Vegas, NV
NV11/15/201813,966 2,182 16,594 — — 18,776 1,417 
Dignity Emerus Craig Rd - North Las Vegas, NV
NV11/15/201818,780 3,807 22,803 — — 26,610 1,964 
Greenfield MOB - Greenfield, WI
WI1/17/20197,526 1,552 8,333 — 225 10,110 978 
Milwaukee MOB - South Milwaukee, WI
WI1/17/20194,136 410 5,041 — — 5,451 411 
St. Francis WI MOB - St. Francis, WI
WI1/17/20199,085 865 11,355 — 159 12,379 1,040 
   Initial CostsSubsequent to Acquisition  
Property StateAcquisition
Date
Encumbrances at 
December 31, 2021
LandBuilding and
Improvements
LandBuilding and
Improvements
Gross Amount at
December 31, 2021(1) (2)
Accumulated
Depreciation(3) (4)
Lancaster Medical Arts MOB - Lancaster, PA
(5)PA6/20/2019— 85 4,417 — — 4,502 458 
Women’s Healthcare Group MOB - York, PA
(5)PA6/21/2019— 624 2,161 — — 2,785 342 
Pioneer Spine Sports - Northampton, MA
(5)MA7/22/2019— 435 1,858 — — 2,293 133 
Pioneer Spine Sport - Springfield, MA
(5)MA7/22/2019— 333 2,530 — — 2,863 178 
Pioneer Spine Sports - West Springfield, MA
(5)MA7/22/2019— 374 4,295 — — 4,669 294 
Felicita Vida - Escondido, CA
(5)CA9/3/2019— 1,677 28,953 — 190 30,820 1,929 
Cedarhurst of Edwardsville - Edwardsville, IL(5)IL1/10/2020— 321 9,032 — 36 9,389 532 
UMPC Sir Thomas Court - Harrisburg, PA(5)PA1/17/2020— 745 6,272 — — 7,017 327 
UMPC Fisher Road - Mechanicsburg, PA(5)PA1/17/2020— 747 3,844 — — 4,591 219 
Swedish American MOB - Roscoe, IL(5)IL1/22/2020— 599 5,862 — — 6,461 386 
Cedarhurst of Sparta - Sparta, IL(5)IL1/31/2020— 381 13,807 — 56 14,244 814 
UMPC Chambers Hill - Harrisburg, PA(5)PA2/3/2020— 498 4,238 — — 4,736 216 
Cedarhurst of Shiloh - Shiloh, ILIL3/13/202013,384 376 28,299 — 40 28,715 1,354 
Bayshore Naples Memory Care - Naples, FL(5)FL3/20/2020— 3,231 17,112 — 15 20,358 830 
Circleville MOB - Circleville, OHOH12/7/20203,556 765 4,011 — 56 4,832 125 
Kingwood Executive Center - Kingwood, TX(5)TX1/6/2021— 1,522 4,166 — — 5,688 122 
OrthoOne Hilliard - Hilliard, OH(5)OH5/28/2021— 760 3,118 — — 3,878 76 
South Douglas MOB - Midwest City, OK(5)OK6/23/2021— 628 3,863 — — 4,491 64 
Fort Wayne Opthomology Engle - Fort Wayne, ININ6/29/20213,923 516 6,124 — — 6,640 87 
Fort Wayne Opthomology Dupont - Fort Wayne, ININ6/29/20211,924 597 2,653 — — 3,250 41 
St. Peters Albany 2 Palisades - Albany, NY(5)NY6/30/2021— 516 4,342 — — 4,858 67 
Hefner Pointe Medical Center - Oklahoma City, OKOK6/30/20213,727 678 4,819 — — 5,497 74 
St. Peters Troy 2 New Hampshire - Troy, NY(5)NY6/30/2021— 330 2,444 — — 2,774 38 
St Peters - Albany, NY - 4 Palisades(5)NY7/30/2021— 542 2,416 — — 2,958 32 
St Peters - Albany, NY - 5 Palisades(5)NY7/30/2021— 593 5,359 — — 5,952 65 
St Lukes Heart Vascular Center - East Stroudsburg(5)PA8/31/2021— 363 3,224 — — 3,587 29 
Metropolitan Eye Lakeshore Surgery - St. Clair, MI(5)MI8/31/2021— 203 4,632 — — 4,835 41 
Naidu Clinic - Odessa, TX(5)TX9/1/2021— 730 2,409 — — 3,139 23 
Belpre V Cancer Center - Belpre, OH(5)OH9/30/2021— 1,153 63,894 — — 65,047 414 
Center for Advanced Dermatology - Lakewood, CO(5)CO12/1/2021— 1,034 1,874 — — 2,908 
Florida Medical Clinic - Tampa, FL(5)FL12/1/2021— 1,104 1,137 — — 2,241 
   Initial CostsSubsequent to Acquisition  
Property StateAcquisition
Date
Encumbrances at 
December 31, 2021
LandBuilding and
Improvements
LandBuilding and
Improvements
Gross Amount at
December 31, 2021(1) (2)
Accumulated
Depreciation(3) (4)
Pensacola Nephrology MOB - Pensacola, FL(5)FL12/29/2021— 1,578 5,123 — — 6,701 — 
Fannie Mae Master Credit Facilities (6)(7)
355,045 
Total
$1,301,869 $212,612 $2,106,359 $(6,220)$11,537 $2,324,288 $367,442 
______________
(1)Acquired intangible lease assets allocated to individual properties in the amount of $288.4 million are not reflected in the table above.
(2)The tax basis of aggregate land, buildings and improvements as of December 31, 2021 is $2.2 billion.
(3)The accumulated depreciation column excludes $195.3 million of accumulated amortization associated with acquired intangible lease assets.
(4)Depreciation is computed using the straight-line method over the estimated useful lives of up to 40 years for buildings, 15 years for land improvements and 5 years for fixtures.
(5)These unencumbered properties were part of the borrowing base of the Credit Facility, which had $150.0 million of outstanding borrowings as of December 31, 2021. The equity interests and related rights in the Company’s wholly owned subsidiaries that directly own or lease the real estate assets comprising the borrowing base have been pledged for the benefit of the lenders thereunder (see Note 5 Credit Facilities, Net for additional details).
(6)These properties collateralize the Capital One Facility, which had $212.4 million of outstanding borrowings as of December 31, 2021.
(7)These properties collateralize the KeyBank Facility, which had $142.6 million of outstanding borrowings as of December 31, 2021.
(8)These properties were acquired from American Realty Capital Healthcare Trust III, Inc. in 2017, which was a related party to the Company’s Advisor.
(9)Some or all of the land underlying this property is subject to an operating land lease. The related right-of-use assets are separately recorded. See Note 16 — Commitments and Contingencies for additional information.
(10)The building amount represents combined direct financing lease for the total asset as the land element was not required to be bifurcated under ASU 840. See Note 16 — Commitments and Contingencies for additional information.
(11)The property has been impaired as of December 31, 2021. See Note 3 — Real Estate Investments, Net “Assets Held for Use and Related Impairments” for additional information.
A summary of activity for real estate and accumulated depreciation for the years ended December 31, 2021, 2020 and 2019:
December 31,
(In thousands)202120202019
Real estate investments, at cost (1):
 
Balance at beginning of year$2,345,708 $2,211,451 $2,296,627 
Additions-Acquisitions147,161 98,364 80,980 
Disposals, impairments and reclasses (2)
(168,581)35,893 (166,156)
Balance at end of the year$2,324,288 $2,345,708 $2,211,451 
  
Accumulated depreciation (1):
 
Balance at beginning of year$328,095 $260,399 $226,167 
Depreciation expense61,388 63,393 64,731 
Disposals, impairments and reclasses (2)
(22,041)4,303 (30,499)
Balance at end of the year$367,442 $328,095 $260,399 
__________
(1)Acquired intangible lease assets and related accumulated depreciation are not reflected in the table above.
(2)Includes amounts relating to dispositions and impairment charges on assets for the years ended December 31, 2021, 2020 and 2019. Amounts for the year ended December 31, 2020 include the reclassification of approximately $49.4 million and $8.7 million of assets and accumulated depreciation, respectively, that were previously classified as held-for-sale as of December 31, 2019 to real estate investments, at cost and accumulated depreciation during the year ended December 31, 2020. For additional information on this reclassification during the year ended December 31, 2020, see Note 3 — Real Estate Investments.