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Schedule III: Real Estate and Accumulated Depreciation
 12 Months Ended
Dec. 31, 2021
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation Disclosure [Abstract]  
SCHEDULE III REAL ESTATE AND ACCUMULATED DEPRECIATION
SCHEDULE III
REAL ESTATE AND ACCUMULATED DEPRECIATION
(Dollars in thousands)

 For the Years Ended December 31,
 202120202019
Reconciliation of real estate:   
Carrying cost:   
Balance at beginning of period$26,850,442 $27,133,514 $24,973,983 
Additions during period:
Acquisitions2,413,570 249,290 1,941,018 
Capital expenditures423,752 485,479 575,624 
Deductions during period:
Foreign currency translation17,030 80,302 107,508 
Other (1)
(1,224,924)(1,098,143)(464,619)
Balance at end of period$28,479,870 $26,850,442 $27,133,514 
Accumulated depreciation:   
Balance at beginning of period$6,967,413 $6,200,230 $5,492,310 
Additions during period:
Depreciation expense865,627 809,067 811,936 
Dispositions:
Sales and/or transfers to assets held for sale(401,208)(82,559)(116,771)
Foreign currency translation1,648 40,675 12,755 
Balance at end of period$7,433,480 $6,967,413 $6,200,230 

(1)Other may include sales, transfers to assets held for sale and impairments.
SCHEDULE III
REAL ESTATE AND ACCUMULATED DEPRECIATION
December 31, 2021
(Dollars in thousands)

  Initial Cost to CompanyGross Amount Carried
at Close of Period		   
DescriptionCountEncumbrancesLand and
Improvements		Buildings and
Improvements
Costs
Capitalized
Subsequent
to Acquisition1
Land and
Improvements		Buildings and
Improvements		TotalAccumulated
Depreciation		NBVYear of
Construction		Year
Acquired		Life on which
Depreciation
In income Statement is  Computed
UNITED STATES PROPERTIES
Senior Housing 
Atria Senior Living134 $243,330 $454,983 $3,891,742 $571,695 $479,650 $4,438,770 $4,918,420 $1,445,165 $3,473,255 1835 - 20132007 - 202119 - 52 years
Brookdale Senior Living128 48,040 190,736 2,018,166 135,697 190,786 2,153,813 2,344,599 886,010 1,458,589 1915 - 20122004 - 202035 - 35 years
Holiday Retirement91 284,894 186,176 1,869,082 (734)186,528 1,867,996 2,054,524 193,361 1,861,163 1978 - 20092013 - 202113 - 54 years
Sunrise Senior Living80 — 198,915 2,113,355 209,680 210,789 2,311,161 2,521,950 1,002,870 1,519,080 1987 - 20092007 - 201235 - 35 years
Sinceri Senior Living36 — 59,551 597,082 28,117 58,139 626,611 684,750 222,131 462,619 1974 - 20052006 - 201535 - 35 years
Discovery Senior Living19 — 21,906 251,919 13,347 22,213 264,959 287,172 87,695 199,477 1984 - 20052006 - 201435 - 35 years
Koelsch Senior Communities19 75,179 27,721 292,414 13,578 28,424 305,289 333,713 55,138 278,575 1972 - 20172011 - 201735 - 35 years
Priority Life Care Properties19 — 13,296 147,310 14,854 13,594 161,866 175,460 57,014 118,446 1986 - 20082006 - 201935 - 35 years
Sodalis Senior Living18 — 21,451 208,224 (7,052)21,613 201,010 222,623 76,312 146,311 1996 - 20072006 - 201535 - 35 years
Eclipse Senior Living14 — 15,697 205,506 10,649 15,940 215,912 231,852 82,504 149,348 1964 - 20002006 - 201435 - 35 years
Matthews Senior Living14 — 11,470 25,011 (15,253)8,906 12,322 21,228 9,516 11,712 1985 - 20072011 - 201135 - 35 years
Avamere Family of Companies13 — 24,248 151,017 10,151 24,494 160,922 185,416 48,942 136,474 1972 - 20122011 - 201535 - 35 years
Azura Memory Care13 — 6,361 53,002 10,850 7,200 63,013 70,213 18,470 51,743 1990 - 20192011 - 201935 - 35 years
Milestone Retirement Communities13 — 19,769 197,527 2,434 19,769 199,961 219,730 50,706 169,024 1965 - 20112011 - 201435 - 35 years
Hawthorn Senior Living10 58,406 35,668 220,099 — 35,668 220,099 255,767 2,601 253,166 1998 - 20082021 - 202127 - 50 years
Meridian Senior Living10 — 17,977 77,599 1,416 17,977 79,015 96,992 25,575 71,417 1972 - 20122011 - 201535 - 35 years
Sonida Senior Living10 — 14,080 118,512 21,910 14,735 139,767 154,502 53,137 101,365 1977 - 19982005 - 201235 - 35 years
Other Senior Housing Operators77 85,131 115,316 1,038,608 41,486 114,078 1,081,332 1,195,410 293,406 902,004 1964 - 20102004 - 20218 - 39 years
Other Senior Housing CIP2 — 2,983 150 — 2,983 150 3,133 — 3,133 CIPCIPCIP
Total Senior Housing720 794,980 1,438,304 13,476,325 1,062,825 1,473,486 14,503,968 15,977,454 4,610,553 11,366,901 
Medical Office
Lillibridge207 38,872 153,578 2,047,079 438,907 152,144 2,487,420 2,639,564 914,439 1,725,125 1960 - 20162004 - 20214 - 39 years
PMB RES38 235,418 73,863 972,701 103,220 75,134 1,074,650 1,149,784 316,853 832,931 1972 - 20192011 - 201919 - 35 years
Other MOBs65 1,089 113,350 847,812 45,326 110,122 896,366 1,006,488 261,021 745,467 1984 - 20142004 - 201825 - 35 years
Other MOBs CIP1 — — — — — — — — — CIPCIPCIP
Total Medical Office311 275,379 340,791 3,867,592 587,453 337,400 4,458,436 4,795,836 1,492,313 3,303,523 
Life Science, Research & Innovation
Wexford31 206,799 85,744 1,541,924 125,731 85,705 1,667,694 1,753,399 247,370 1,506,029 1923 - 20192016 - 201915 - 60 years
Other Life Science2 — 1,194 76,515 — 1,194 76,515 77,709 4,655 73,054 2010 - 20162020 - 202035 - 35 years
  Initial Cost to CompanyGross Amount Carried
at Close of Period		   
DescriptionCountEncumbrancesLand and
Improvements		Buildings and
Improvements
Costs
Capitalized
Subsequent
to Acquisition1
Land and
Improvements		Buildings and
Improvements		TotalAccumulated
Depreciation		NBVYear of
Construction		Year
Acquired		Life on which
Depreciation
In income Statement is  Computed
Other Life Science CIP8 — 25,910 37,762 — 25,910 37,762 63,672 2,591 61,081 CIPCIPCIP
Total Life Science, Research & Innovation41 206,799 112,848 1,656,201 125,731 112,809 1,781,971 1,894,780 254,616 1,640,164 
IRFs & LTACs
Kindred Healthcare30 — 35,185 238,600 (1,000)34,185 238,600 272,785 209,361 63,424 1937 - 20131976 - 202020 - 40 years
Other IRFs & LTACs6 — 9,257 151,238 1,068 9,257 152,306 161,563 35,659 125,904 1989 - 20122011 - 201535 - 36 years
Total IRFs & LTACs36 — 44,442 389,838 68 43,442 390,906 434,348 245,020 189,328 
Health Systems
Ardent Health Services10 — 98,428 1,126,010 78,104 97,416 1,205,126 1,302,542 216,935 1,085,607 1928 - 20202015 - 202020 - 47 years
Skilled Nursing
Genesis Healthcare12 — 11,350 164,745 (5,708)11,350 159,037 170,387 68,573 101,814 1897 - 19952004 - 201130 - 35 years
Other Skilled Nursing4 — 1,636 18,793 1,405 1,816 20,018 21,834 12,970 8,864 1955 - 19901991 - 200929 - 40 years
Total Skilled Nursing16 — 12,986 183,538 (4,303)13,166 179,055 192,221 81,543 110,678 
CANADIAN PROPERTIES
Senior Housing
Le Groupe Maurice34 1,097,568 141,123 1,743,734 116,229 147,622 1,853,464 2,001,086 103,029 1,898,057 2000 - 20202019 - 202040 - 60 years
Atria Senior Living29 — 75,553 845,363 (15,001)71,248 834,667 905,915 225,639 680,276 1988 - 20082014 - 201435 - 35 years
Sunrise Senior Living12 — 46,600 418,821 (43,105)40,692 381,624 422,316 167,340 254,976 2000 - 20072007 - 200735 - 35 years
Hawthorn Senior Living6 — 25,172 146,694 — 25,172 146,694 171,866 842 171,024 2006 - 20122021 - 202135 - 35 years
Other Senior Housing CIP2 56,338 20,085 114,855 — 20,085 114,855 134,940 — 134,940 CIPCIPCIP
Total Senior Housing83 1,153,906 308,533 3,269,467 58,123 304,819 3,331,304 3,636,123 496,850 3,139,273 
UNITED KINGDOM PROPERTIES
Senior Housing
Canford Healthcare Limited12 — 42,445 84,181 (9,093)39,186 78,347 117,533 16,602 100,931 1980 - 20142015 - 201740 - 40 years
International Hospital
Spire Healthcare3 — 11,903 136,628 (19,499)10,341 118,692 129,033 19,048 109,985 1980 - 20102014 - 201450 - 50 years
TOTAL1,232 $2,431,064 $2,410,680 $24,189,780 $1,879,409 $2,432,065 $26,047,805 $28,479,870 $7,433,480 $121,046,390