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SCHEDULE III REAL ESTATE AND ACCUMULATED DEPRECIATION
 12 Months Ended
Dec. 31, 2022
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,
 202220212020
Reconciliation of real estate:   
Carrying cost:   
Balance at beginning of period$28,479,870 $26,850,442 $27,133,514 
Additions during period:
Acquisitions460,959 2,413,570 249,290 
Capital expenditures443,710 423,752 485,479 
Deductions during period:
Foreign currency translation(350,188)17,030 80,302 
Other (1)
(265,942)(1,224,924)(1,098,143)
Balance at end of period$28,768,409 $28,479,870 $26,850,442 
Accumulated depreciation:   
Balance at beginning of period$7,433,480 $6,967,413 $6,200,230 
Additions during period:
Depreciation expense907,134 865,627 809,067 
Dispositions:
Sales and/or transfers to assets held for sale(72,047)(401,208)(82,559)
Foreign currency translation(37,407)1,648 40,675 
Balance at end of period$8,231,160 $7,433,480 $6,967,413 
______________________________
(1)Other may include sales, transfers to assets held for sale and impairments.
SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION
December 31, 2022
(Dollars in thousands)

  Initial Cost to CompanyGross Amount Carried
at Close of Period		   
DescriptionCountEncumbrancesLand and
Improvements		Buildings and
Improvements
Costs
Capitalized
Subsequent to 
Acquisition (1)
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 Living213 $519,795 $620,020 $5,562,067 $620,708 $646,063 $6,156,732 $6,802,795 $1,798,095 $5,004,700 1835 - 20132007 - 202113 - 54 years
Brookdale Senior Living129 48,040 191,164 2,026,833 142,934 191,398 2,169,533 2,360,931 955,838 1,405,093 1915 - 20122004 - 202124 - 35 years
Sunrise Senior Living80 — 198,915 2,113,355 213,682 211,200 2,314,752 2,525,952 1,054,266 1,471,686 1987 - 20092007 - 201235 - 35 years
Sinceri Senior Living35 — 57,120 590,981 47,177 56,028 639,250 695,278 242,250 453,028 1974 - 20052006 - 201535 - 35 years
Priority Life Care Properties26 — 25,356 279,159 36,906 26,232 315,189 341,421 124,292 217,129 1920 - 20082006 - 201935 - 35 years
Koelsch Senior Communities19 74,556 27,721 292,414 13,285 28,131 305,289 333,420 65,045 268,375 1972 - 20172011 - 201735 - 35 years
Discovery Senior Living19 — 23,308 268,214 32,331 24,229 299,624 323,853 103,856 219,997 1984 - 20052006 - 201435 - 35 years
Sodalis Senior Living18 — 21,451 208,224 2,518 21,630 210,563 232,193 84,743 147,450 1996 - 20072006 - 201535 - 35 years
Matthews Senior Living14 — 11,470 25,011 (15,253)8,906 12,322 21,228 9,683 11,545 1985 - 20072011 - 201135 - 35 years
American House13 — 6,593 146,157 16,564 7,680 161,634 169,314 61,208 108,106 1998 - 20002006 - 201435 - 35 years
Azura Memory Care13 — 6,361 53,002 10,850 7,200 63,013 70,213 20,726 49,487 1990 - 20192011 - 201935 - 35 years
Milestone Retirement Communities12 — 17,956 188,500 2,832 17,956 191,332 209,288 53,592 155,696 1965 - 20112011 - 201435 - 35 years
Avamere Family of Companies11 — 20,407 113,192 6,609 20,653 119,555 140,208 42,209 97,999 1998 - 20122011 - 201535 - 35 years
Hawthorn Senior Living10 57,383 35,668 220,099 8,126 35,718 228,175 263,893 12,737 251,156 1998 - 20082021 - 202127 - 50 years
Meridian Senior Living10 — 17,977 77,599 1,416 17,977 79,015 96,992 28,491 68,501 1972 - 20122011 - 201535 - 35 years
Ridgeline Management Company10 — 11,405 94,242 3,219 11,405 97,461 108,866 29,630 79,236 1972 - 20072011 - 202111 - 35 years
Sonida Senior Living10 — 14,080 118,512 25,991 14,462 144,121 158,583 59,673 98,910 1977 - 19982005 - 201235 - 35 years
Other Senior Housing Operators67 83,133 115,658 1,030,904 45,210 114,520 1,077,252 1,191,772 303,940 887,832 1979 - 20202004 - 202212 - 39 years
Other Senior Housing CIP1 — — 73 — — 73 73 — 73 CIPCIPCIP
Total Senior Housing710 782,907 1,422,630 13,408,538 1,215,105 1,461,388 14,584,885 16,046,273 5,050,274 10,995,999 
Medical Office
Lillibridge194 37,821 150,207 1,992,555 505,405 149,840 2,498,327 2,648,167 996,900 1,651,267 1960 - 20162004 - 20214 - 39 years
PMB RES38 238,647 73,863 972,701 119,813 75,214 1,091,163 1,166,377 359,768 806,609 1972 - 20192011 - 201919 - 35 years
Ardent Health Services19 — 5,638 214,808 600 5,638 215,408 221,046 7,887 213,159 1974 - 20112018 - 202235 - 35 years
Memorial Health System12 — 2,346 25,031 13,166 2,451 38,092 40,543 20,981 19,562 1976 - 20022010 - 201035 - 35 years
Other MOBs65 479 110,447 887,801 46,901 107,059 938,090 1,045,149 297,571 747,578 1984 - 20192004 - 202225 - 35 years
Other MOBs CIP1 — — — — — — — — — CIPCIPCIP
Total Medical Office329 276,947 342,501 4,092,896 685,885 340,202 4,781,080 5,121,282 1,683,107 3,438,175 
  Initial Cost to CompanyGross Amount Carried
at Close of Period		   
DescriptionCountEncumbrancesLand and
Improvements		Buildings and
Improvements
Costs
Capitalized
Subsequent to 
Acquisition (1)
Land and
Improvements		Buildings and
Improvements		TotalAccumulated
Depreciation		NBVYear of
Construction		Year
Acquired		Life on which
Depreciation
In Income Statement is  Computed
Life Science, Research & Innovation
Wexford32 242,600 92,229 1,582,631 125,979 94,181 1,706,658 1,800,839 309,613 1,491,226 1923 - 20192016 - 202215 - 60 years
Other Life Science2 — 1,194 76,515 68 1,194 76,583 77,777 7,204 70,573 2010 - 20162020 - 202035 - 35 years
Other Life Science CIP10 — 52,956 49,312 — 52,956 49,312 102,268 3,901 98,367 CIPCIPCIP
Total Life Science, R&I44 242,600 146,379 1,708,458 126,047 148,331 1,832,553 1,980,884 320,718 1,660,166 
IRFs & LTACs
Kindred Healthcare29 — 33,385 222,156 (1,000)32,385 222,156 254,541 207,147 47,394 1937 - 19951976 - 202020 - 40 years
Other IRFs & LTACs7 — 11,057 167,682 1,068 11,057 168,750 179,807 44,750 135,057 1989 - 20122011 - 201535 - 36 years
Total IRFs & LTACs36 — 44,442 389,838 68 43,442 390,906 434,348 251,897 182,451 
Health Systems
Ardent Health Services10 — 98,428 1,126,010 78,104 97,416 1,205,126 1,302,542 252,999 1,049,543 1928 - 20202015 - 202020 - 47 years
Skilled Nursing
Genesis Healthcare12 — 11,350 164,745 (5,708)11,350 159,037 170,387 73,087 97,300 1897 - 19952004 - 201130 - 35 years
Other Skilled Nursing4 — 1,636 18,793 1,405 1,816 20,018 21,834 13,500 8,334 1955 - 19901991 - 200929 - 40 years
Total Skilled Nursing16 — 12,986 183,538 (4,303)13,166 179,055 192,221 86,587 105,634 
CANADIAN PROPERTIES
Senior Housing
Le Groupe Maurice35 1,094,556 149,601 1,815,395 (6,378)146,110 1,812,508 1,958,618 144,733 1,813,885 2000 - 20222019 - 202240 - 60 years
Atria Senior Living29 — 75,553 845,363 (72,107)66,479 782,330 848,809 236,902 611,907 1988 - 20082014 - 201435 - 35 years
Sunrise Senior Living12 — 46,600 418,821 (70,388)38,786 356,247 395,033 162,284 232,749 2000 - 20072007 - 200735 - 35 years
Brightwater Senior Living6 — 25,172 146,694 (10,890)23,471 137,505 160,976 5,567 155,409 2006 - 20122021 - 202135 - 35 years
Other Senior Housing CIP2 37,087 14,832 92,133 — 14,832 92,133 106,965 — 106,965 CIPCIPCIP
Total Senior Housing84 1,131,643 311,758 3,318,406 (159,763)289,678 3,180,723 3,470,401 549,486 2,920,915 
UNITED KINGDOM PROPERTIES
Senior Housing
Canford Healthcare Limited12 — 42,445 84,181 (21,537)35,037 70,052 105,089 16,863 88,226 1980 - 20142015 - 201740 - 40 years
International Hospital
Spire Healthcare3 — 11,903 136,628 (33,162)9,245 106,124 115,370 19,229 96,141 1980 - 20102014 - 201450 - 50 years
TOTAL1,244 $2,434,097 $2,433,472 $24,448,493 $1,886,444 $2,437,905 $26,330,504 $28,768,409 $8,231,160 $20,537,249 
______________________________
(1)     Adjustments to basis included provisions for asset impairments, partial dispositions, costs capitalized subsequent to acquisitions and foreign currency translation adjustments.