HEALTHCARE TRUST OF AMERICA, INC., 10-K filed on 3/1/2022
Annual Report
v3.22.0.1
Cover Page - USD ($)
 12 Months Ended
Dec. 31, 2021
Feb. 22, 2022
Jun. 30, 2021
Entity Information [Line Items]      
Document Type 10-K    
Document Annual Report true    
Document Period End Date Dec. 31, 2021    
Current Fiscal Year End Date --12-31    
Document Transition Report false    
Entity File Number 001-35568    
Entity Registrant Name HEALTHCARE TRUST OF AMERICA, INC.    
Entity Tax Identification Number 20-4738467    
Entity Incorporation, State or Country Code MD    
Entity Address, Address Line One 16435 N. Scottsdale Road, Suite 320,    
Entity Address, City or Town Scottsdale,    
Entity Address, State or Province AZ    
Entity Address, Postal Zip Code 85254    
City Area Code (480)    
Local Phone Number 998-3478    
Title of 12(b) Security Common stock, $0.01 par value    
Trading Symbol HTA    
Security Exchange Name NYSE    
Entity Well-known Seasoned Issuer Yes    
Entity Voluntary Filers No    
Entity Current Reporting Status Yes    
Entity Interactive Data Current Yes    
Entity Filer Category Large Accelerated Filer    
Entity Small business false    
Entity Emerging Growth Company false    
ICFR Auditor Attestation Flag true    
Entity Shell Company false    
Entity Public Float     $ 5,816,445,106
Entity Common Stock, Shares Outstanding   229,026,869  
Entity Central Index Key 0001360604    
Amendment Flag false    
Document Fiscal Year Focus 2021    
Document Fiscal Period Focus FY    
Documents Incorporated by Reference Portions of the Registrant’s definitive Proxy statement for the Annual Meeting of Stockholders are incorporated by reference into Part III, Items 10-14 of this Annual Report on Form 10-K.    
Healthcare Trust of America Holdings, LP (HTALP)      
Entity Information [Line Items]      
Current Fiscal Year End Date --12-31    
Document Transition Report false    
Entity File Number 333-190916    
Entity Registrant Name HEALTHCARE TRUST OF AMERICA HOLDINGS, LP    
Entity Tax Identification Number 20-4738347    
Entity Incorporation, State or Country Code DE    
Entity Well-known Seasoned Issuer Yes    
Entity Voluntary Filers No    
Entity Current Reporting Status Yes    
Entity Interactive Data Current Yes    
Entity Filer Category Non-accelerated Filer    
Entity Small business false    
Entity Emerging Growth Company false    
ICFR Auditor Attestation Flag true    
Entity Shell Company false    
Entity Central Index Key 0001495491    
Amendment Flag false    
Document Fiscal Year Focus 2021    
Document Fiscal Period Focus FY    
v3.22.0.1
Audit Information
 12 Months Ended
Dec. 31, 2021
Auditor [Abstract]  
Auditor Name DELOITTE & TOUCHE LLP
Auditor Location Phoenix, Arizona
Auditor Firm ID 34
v3.22.0.1
CONSOLIDATED BALANCE SHEETS - USD ($)
$ in Thousands
Dec. 31, 2021
Dec. 31, 2020
Real estate investments:    
Land $ 640,382 $ 596,269
Building and improvements 6,688,516 6,507,816
Lease intangibles 404,714 628,621
Construction in progress 32,685 80,178
Real estate investments, gross 7,766,297 7,812,884
Accumulated depreciation and amortization (1,598,468) (1,702,719)
Real estate investments, net 6,167,829 6,110,165
Assets held for sale, net 27,070 0
Investment in unconsolidated joint venture 62,834 64,360
Cash and cash equivalents 52,353 115,407
Restricted cash 4,716 3,358
Receivables and other assets, net 334,941 251,728
Right-of-use assets - operating leases, net 229,226 235,223
Other intangibles, net 10,720 10,451
Total assets 6,889,689 6,790,692
Liabilities:    
Debt 3,028,122 3,026,999
Accounts payable and accrued liabilities 198,078 200,358
Liabilities of assets held for sale 262 0
Derivative financial instruments - interest rate swaps 5,069 14,957
Security deposits, prepaid rent and other liabilities 86,225 82,553
Lease liabilities - operating leases 196,286 198,367
Intangible liabilities, net 31,331 32,539
Total liabilities 3,545,373 3,555,773
Commitments and contingencies
Redeemable non-controlling interests 0 0
Equity:    
Preferred stock, $0.01 par value; 200,000,000 shares authorized; none issued and outstanding 0 0
Common stock, $0.01 par value; 1,000,000,000 shares authorized; 228,879,846 and 218,578,012 shares issued and outstanding as of December 31, 2021 and 2020, respectively 2,289 2,186
Additional paid-in capital 5,178,132 4,916,784
Accumulated other comprehensive loss (7,041) (16,979)
Cumulative dividends in excess of earnings (1,915,776) (1,727,752)
Total stockholders’ equity 3,257,604 3,174,239
Non-controlling interests 86,712 60,680
Total equity 3,344,316 3,234,919
Partners’ Capital:    
Total liabilities and equity/partners’ capital 6,889,689 6,790,692
Healthcare Trust of America Holdings, LP (HTALP)    
Real estate investments:    
Land 640,382 596,269
Building and improvements 6,688,516 6,507,816
Lease intangibles 404,714 628,621
Construction in progress 32,685 80,178
Real estate investments, gross 7,766,297 7,812,884
Accumulated depreciation and amortization (1,598,468) (1,702,719)
Real estate investments, net 6,167,829 6,110,165
Assets held for sale, net 27,070 0
Investment in unconsolidated joint venture 62,834 64,360
Cash and cash equivalents 52,353 115,407
Restricted cash 4,716 3,358
Receivables and other assets, net 334,941 251,728
Right-of-use assets - operating leases, net 229,226 235,223
Other intangibles, net 10,720 10,451
Total assets 6,889,689 6,790,692
Liabilities:    
Debt 3,028,122 3,026,999
Accounts payable and accrued liabilities 198,078 200,358
Liabilities of assets held for sale 262 0
Derivative financial instruments - interest rate swaps 5,069 14,957
Security deposits, prepaid rent and other liabilities 86,225 82,553
Lease liabilities - operating leases 196,286 198,367
Intangible liabilities, net 31,331 32,539
Total liabilities 3,545,373 3,555,773
Commitments and contingencies
Redeemable non-controlling interests 0 0
Partners’ Capital:    
Limited partners’ capital, 4,142,408 and 3,519,545 OP Units issued and outstanding as of December 31, 2021 and 2020, respectively 86,442 60,410
General partners’ capital, 228,879,846 and 218,578,012 OP Units issued and outstanding as of December 31, 2021 and 2020, respectively 3,257,874 3,174,509
Total partners’ capital 3,344,316 3,234,919
Total liabilities and equity/partners’ capital $ 6,889,689 $ 6,790,692
v3.22.0.1
CONSOLIDATED BALANCE SHEETS (Parenthetical) - $ / shares
Dec. 31, 2021
Dec. 31, 2020
Equity:    
Preferred stock, par value (in dollars per share) $ 0.01 $ 0.01
Preferred stock, shares authorized (in shares) 200,000,000 200,000,000
Preferred stock, shares issued (in shares) 0 0
Preferred stock, shares outstanding (in shares) 0 0
Common stock, par value (in dollars per share) $ 0.01 $ 0.01
Common stock, shares authorized (in shares) 1,000,000,000 1,000,000,000
Common stock, shares issued (in shares) 228,879,846 218,578,012
Common stock, shares outstanding (in shares) 228,879,846 218,578,012
Healthcare Trust of America Holdings, LP (HTALP)    
Partners’ Capital:    
Limited partner's capital, units issued (in shares) 4,142,408 3,519,545
Limited partner's capital, units outstanding (in shares) 4,142,408 3,519,545
General partner's capital, units issued (in shares) 228,879,846 218,578,012
General partner's capital, units outstanding (in shares) 228,879,846 218,578,012
v3.22.0.1
CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($)
shares in Thousands
 12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Revenues:      
Rental income $ 763,923,000 $ 738,414,000 $ 691,527,000
Interest and other operating income 3,150,000 551,000 513,000
Total revenues 767,073,000 738,965,000 692,040,000
Expenses:      
Rental 236,850,000 226,859,000 211,479,000
General and administrative 49,744,000 42,969,000 41,360,000
Transaction 372,000 965,000 2,350,000
Depreciation and amortization 303,834,000 303,828,000 290,384,000
Interest expense 92,762,000 94,613,000 96,632,000
Impairment 22,938,000 0 0
Total expenses 706,500,000 669,234,000 642,205,000
Gain (loss) on sale of real estate, net 39,228,000 9,590,000 (154,000)
Loss on sale of corporate asset, net (2,106,000) 0 0
Loss on extinguishment of debt, net 0 (27,726,000) (21,646,000)
Income from unconsolidated joint venture 1,604,000 1,612,000 1,882,000
Other income 485,000 301,000 841,000
Net income 99,784,000 53,508,000 30,758,000
Net income attributable to non-controlling interests [1] (1,768,000) (890,000) (604,000)
Net income (loss) attributable to common stockholders/unitholders $ 98,016,000 $ 52,618,000 $ 30,154,000
Earnings per common share/unit - basic:      
Net income attributable to common stockholders/unitholders (in dollars per share) $ 0.45 $ 0.24 $ 0.15
Earnings per common share/unit - diluted:      
Net income attributable to common stockholders/unitholders (in dollars per share) $ 0.44 $ 0.24 $ 0.14
Weighted average common shares/units outstanding:      
Basic (in shares/units) 219,439 218,078 205,720
Diluted (in shares/units) 224,215 221,666 209,605
Healthcare Trust of America Holdings, LP (HTALP)      
Revenues:      
Rental income $ 763,923,000 $ 738,414,000 $ 691,527,000
Interest and other operating income 3,150,000 551,000 513,000
Total revenues 767,073,000 738,965,000 692,040,000
Expenses:      
Rental 236,850,000 226,859,000 211,479,000
General and administrative 49,744,000 42,969,000 41,360,000
Transaction 372,000 965,000 2,350,000
Depreciation and amortization 303,834,000 303,828,000 290,384,000
Interest expense 92,762,000 94,613,000 96,632,000
Impairment 22,938,000 0 0
Total expenses 706,500,000 669,234,000 642,205,000
Gain (loss) on sale of real estate, net 39,228,000 9,590,000 (154,000)
Loss on sale of corporate asset, net (2,106,000) 0 0
Loss on extinguishment of debt, net 0 (27,726,000) (21,646,000)
Income from unconsolidated joint venture 1,604,000 1,612,000 1,882,000
Other income 485,000 301,000 841,000
Net income 99,784,000 53,508,000 30,758,000
Net income attributable to non-controlling interests 0 0 (66,000)
Net income (loss) attributable to common stockholders/unitholders $ 99,784,000 $ 53,508,000 $ 30,692,000
Earnings per common share/unit - basic:      
Net income attributable to common stockholders/unitholders (in dollars per share) $ 0.45 $ 0.24 $ 0.15
Earnings per common share/unit - diluted:      
Net income attributable to common stockholders/unitholders (in dollars per share) $ 0.45 $ 0.24 $ 0.15
Weighted average common shares/units outstanding:      
Basic (in shares/units) 223,299 221,666 209,605
Diluted (in shares/units) 224,215 221,666 209,605
[1] Includes amounts attributable to redeemable non-controlling interests.
v3.22.0.1
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Net income $ 99,784 $ 53,508 $ 30,758
Other comprehensive income (loss)      
Change in unrealized gains (losses) on cash flow hedges 10,114 (21,876) 4,316
Total other comprehensive (loss) income 10,114 (21,876) 4,316
Total comprehensive income 109,898 31,632 35,074
Comprehensive income attributable to non-controlling interests (1,944) (539) (615)
Total comprehensive income attributable to common stockholders 107,954 31,093 34,459
Healthcare Trust of America Holdings, LP (HTALP)      
Net income 99,784 53,508 30,758
Other comprehensive income (loss)      
Change in unrealized gains (losses) on cash flow hedges 10,114 (21,876) 4,316
Total other comprehensive (loss) income 10,114 (21,876) 4,316
Total comprehensive income 109,898 31,632 35,074
Comprehensive income attributable to non-controlling interests 0 0 (66)
Total comprehensive income attributable to common stockholders $ 109,898 $ 31,632 $ 35,008
v3.22.0.1
CONSOLIDATED STATEMENTS OF EQUITY - USD ($)
$ in Thousands
Total
Total Stockholders’ Equity
Common Stock
Additional Paid-In Capital
Accumulated Other Comprehensive Income (Loss)
Cumulative Dividends in Excess of Earnings
Non-controlling Interests
Beginning balance (in shares) at Dec. 31, 2018     205,267,000        
Beginning balance at Dec. 31, 2018 $ 3,334,914 $ 3,256,024 $ 2,053 $ 4,525,969 $ 307 $ (1,272,305) $ 78,890
Increase (Decrease) in Stockholders' Equity [Roll Forward]              
Issuance of common stock in HTA (in shares)     11,096,000        
Issuance of common stock, net 322,218 322,218 $ 112 322,106      
Issuance of OP Units in HTALP 2,603           2,603
Issuance of limited partner OP Units in connection with acquisitions 2,000           2,000
Share-based award transactions, net (in shares)     319,000        
Share-based award transactions, net 10,127 10,127 $ 3 10,124      
Repurchase and cancellation of common stock (in shares)     (487,000)        
Repurchase and cancellation of common stock (12,178) (12,178) $ (5) (12,173)      
Redemption of non-controlling interest and other (in shares)     258,000        
Redemption of non-controlling interest and other 1,725 8,018 $ 2 8,016     (6,293)
Dividends declared (265,773) (260,593)       (260,593)  
Dividends declared             (5,180)
Net income 30,692 30,154       30,154 538
Other comprehensive income 4,316 4,239     4,239   77
Ending balance (in shares) at Dec. 31, 2019     216,453,000        
Ending balance at Dec. 31, 2019 3,430,644 3,358,009 $ 2,165 4,854,042 4,546 (1,502,744) 72,635
Increase (Decrease) in Stockholders' Equity [Roll Forward]              
Issuance of common stock in HTA (in shares)     1,675,000        
Issuance of common stock, net 50,020 50,020 $ 17 50,003      
Issuance of OP Units in HTALP 1,378           1,378
Share-based award transactions, net (in shares)     263,000        
Share-based award transactions, net 8,916 8,916 $ 3 8,913      
Repurchase and cancellation of common stock (in shares)     (174,000)        
Repurchase and cancellation of common stock (5,192) (5,192) $ (2) (5,190)      
Redemption of non-controlling interest and other (in shares)     361,000        
Redemption of non-controlling interest and other 0 9,019 $ 3 9,016     (9,019)
Dividends declared (282,479) (277,626)       (277,626)  
Dividends declared             (4,853)
Net income 53,508 52,618       52,618 890
Other comprehensive income $ (21,876) (21,525)     (21,525)   (351)
Ending balance (in shares) at Dec. 31, 2020 218,578,012   218,578,000        
Ending balance at Dec. 31, 2020 $ 3,234,919 3,174,239 $ 2,186 4,916,784 (16,979) (1,727,752) 60,680
Increase (Decrease) in Stockholders' Equity [Roll Forward]              
Issuance of common stock in HTA (in shares)     9,419,000        
Issuance of common stock, net 251,250 251,250 $ 94 251,156      
Issuance of OP Units in HTALP 35,785           35,785
Share-based award transactions, net (in shares)     391,000        
Share-based award transactions, net 7,262 7,262 $ 4 7,258      
Repurchase and cancellation of common stock (in shares)     (125,000)        
Repurchase and cancellation of common stock (3,414) (3,414) $ (1) (3,413)      
Redemption of non-controlling interest and other (in shares)     617,000        
Redemption of non-controlling interest and other 0 6,353 $ 6 6,347     (6,353)
Dividends declared (291,384) (286,040)       (286,040)  
Dividends declared             (5,344)
Net income 99,784 98,016       98,016 1,768
Other comprehensive income $ 10,114 9,938     9,938   176
Ending balance (in shares) at Dec. 31, 2021 228,879,846   228,880,000        
Ending balance at Dec. 31, 2021 $ 3,344,316 $ 3,257,604 $ 2,289 $ 5,178,132 $ (7,041) $ (1,915,776) $ 86,712
v3.22.0.1
CONSOLIDATED STATEMENTS OF EQUITY (Parenthetical) - $ / shares
 12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Statement of Stockholders' Equity [Abstract]      
Dividends declared (in dollars per share) $ 1.290 $ 1.270 $ 1.250
v3.22.0.1
CONSOLIDATED STATEMENTS OF CHANGES IN PARTNERS' CAPITAL - USD ($)
shares in Thousands, $ in Thousands
Total
Healthcare Trust of America Holdings, LP (HTALP)
Healthcare Trust of America Holdings, LP (HTALP)
General Partners’ Capital
Healthcare Trust of America Holdings, LP (HTALP)
Limited Partners’ Capital
Balance as of beginning of period (in units) at Dec. 31, 2018     205,267 3,929
Balance as of beginning of period at Dec. 31, 2018   $ 3,334,914 $ 3,256,294 $ 78,620
Increase (Decrease) in Partners' Capital [Roll Forward]        
Issuance of partner units, net (in units)     11,096  
Issuance of general partner OP Units, net $ 2,603   $ 322,218 $ 2,603
Issuance of limited partner OP Units in connection with acquisitions (in units)       163
Issuance of limited partner OP Units in connection with acquisitions   2,000   $ 2,000
Share-based award transactions, net (in units)     319  
Share-based award transactions, net   10,127 $ 10,127  
Redemption and cancellation of general partner units (in units)     (487)  
Redemption and cancellation of general partner OP Units   (12,178) $ (12,178)  
Redemption of limited partner units and other (in units)     258 258
Redemption of limited partner OP Units and other   1,725 $ 8,018 $ (6,293)
Distributions declared   (265,773) (260,593) (5,180)
Net income 30,154 30,692 30,154 538
Other comprehensive income 4,316 4,316 $ 4,239 $ 77
Balance as of end of period (in units) at Dec. 31, 2019     216,453 3,834
Balance as of end of period at Dec. 31, 2019   3,430,644 $ 3,358,279 $ 72,365
Increase (Decrease) in Partners' Capital [Roll Forward]        
Issuance of partner units, net (in units)     1,675 47
Issuance of general partner OP Units, net 0 1,378 $ 50,020 $ 1,378
Share-based award transactions, net (in units)     263  
Share-based award transactions, net   8,916 $ 8,916  
Redemption and cancellation of general partner units (in units)     (174)  
Redemption and cancellation of general partner OP Units   (5,192) $ (5,192)  
Redemption of limited partner units and other (in units)     361 361
Redemption of limited partner OP Units and other   0 $ 9,019 $ (9,019)
Distributions declared   (282,479) (277,626) (4,853)
Net income 52,618 53,508 52,618 890
Other comprehensive income (21,876) (21,876) $ (21,525) $ (351)
Balance as of end of period (in units) at Dec. 31, 2020     218,578 3,520
Balance as of end of period at Dec. 31, 2020   3,234,919 $ 3,174,509 $ 60,410
Increase (Decrease) in Partners' Capital [Roll Forward]        
Issuance of partner units, net (in units)     9,419  
Issuance of general partner OP Units, net 0   $ 251,250  
Issuance of limited partner OP Units in connection with acquisitions (in units)       1,239
Issuance of limited partner OP Units in connection with acquisitions   35,785   $ 35,785
Share-based award transactions, net (in units)     391  
Share-based award transactions, net   7,262 $ 7,262  
Redemption and cancellation of general partner units (in units)     (125)  
Redemption and cancellation of general partner OP Units   (3,414) $ (3,414)  
Redemption of limited partner units and other (in units)     617 617
Redemption of limited partner OP Units and other   0 $ 6,353 $ (6,353)
Distributions declared   (291,384) (286,040) (5,344)
Net income 98,016 99,784 98,016 1,768
Other comprehensive income $ 10,114 10,114 $ 9,938 $ 176
Balance as of end of period (in units) at Dec. 31, 2021     228,880 4,142
Balance as of end of period at Dec. 31, 2021   $ 3,344,316 $ 3,257,874 $ 86,442
v3.22.0.1
CONSOLIDATED STATEMENTS OF CHANGES IN PARTNERS' CAPITAL (Parenthetical) - $ / shares
 12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Dividends declared (in dollars per unit) $ 1.290 $ 1.270 $ 1.250
Healthcare Trust of America Holdings, LP (HTALP)      
Dividends declared (in dollars per unit) $ 1.290 $ 1.270 $ 1.250
v3.22.0.1
CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
 12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Cash flows from operating activities:      
Net income $ 99,784,000 $ 53,508,000 $ 30,758,000
Adjustments to reconcile net income to net cash provided by operating activities:      
Depreciation and amortization 283,300,000 283,039,000 280,969,000
Share-based compensation expense 7,262,000 8,916,000 10,127,000
Impairment 22,938,000 0 0
Income from unconsolidated joint venture (1,604,000) (1,612,000) (1,882,000)
Distributions from unconsolidated joint venture 3,130,000 3,240,000 3,030,000
(Gain) loss on sale of real estate, net (39,228,000) (9,590,000) 154,000
Loss on sale of corporate asset, net 2,106,000 0 0
Loss on extinguishment of debt, net 0 27,726,000 21,646,000
Changes in operating assets and liabilities:      
Receivables and other assets, net (4,699,000) (11,042,000) (12,857,000)
Accounts payable and accrued liabilities 9,430,000 2,066,000 (128,000)
Prepaid rent and other liabilities 3,197,000 31,711,000 8,577,000
Net cash provided by operating activities 385,616,000 387,962,000 340,394,000
Cash flows from investing activities:      
Investments in real estate (264,340,000) (185,286,000) (553,298,000)
Development of real estate (63,306,000) (77,077,000) (28,066,000)
Proceeds from the sale of real estate 87,628,000 22,939,000 4,880,000
Proceeds from the sale of corporate assets 10,127,000 0 0
Capital expenditures (97,155,000) (74,743,000) (91,544,000)
Other investment (6,000,000) 0 0
Collection of real estate notes receivable 15,405,000 907,000 739,000
Advances on real estate notes receivable (82,214,000) (6,000,000) 0
Net cash used in investing activities (399,855,000) (319,260,000) (667,289,000)
Cash flows from financing activities:      
Borrowings on unsecured revolving credit facility 310,000,000 1,329,862,000 610,000,000
Payments on unsecured revolving credit facility (310,000,000) (1,429,862,000) (510,000,000)
Proceeds from unsecured senior notes 0 793,568,000 906,927,000
Payments on unsecured senior notes 0 (300,000,000) (700,000,000)
Payments on secured mortgage loans 0 (114,060,000) (97,361,000)
Deferred financing costs (8,053,000) (6,800,000) (7,776,000)
Debt extinguishment costs 0 (25,939,000) (18,383,000)
Proceeds from issuance of common stock 251,250,000 50,020,000 323,393,000
Issuance of OP Units 0 1,378,000 0
Repurchase and cancellation of common stock (3,414,000) (5,192,000) (12,178,000)
Dividends paid (281,820,000) (275,816,000) (256,117,000)
Distributions paid to non-controlling interest of limited partners (5,420,000) (4,712,000) (8,758,000)
Sale of non-controlling interest 0 0 1,234,000
Net cash (used in) provided by financing activities (47,457,000) 12,447,000 230,981,000
Net change in cash, cash equivalents and restricted cash (61,696,000) 81,149,000 (95,914,000)
Cash, cash equivalents and restricted cash - beginning of year 118,765,000 37,616,000 133,530,000
Cash, cash equivalents and restricted cash - end of year 57,069,000 118,765,000 37,616,000
Healthcare Trust of America Holdings, LP (HTALP)      
Cash flows from operating activities:      
Net income 99,784,000 53,508,000 30,758,000
Adjustments to reconcile net income to net cash provided by operating activities:      
Depreciation and amortization 283,300,000 283,039,000 280,969,000
Share-based compensation expense 7,262,000 8,916,000 10,127,000
Impairment 22,938,000 0 0
Income from unconsolidated joint venture (1,604,000) (1,612,000) (1,882,000)
Distributions from unconsolidated joint venture 3,130,000 3,240,000 3,030,000
(Gain) loss on sale of real estate, net (39,228,000) (9,590,000) 154,000
Loss on sale of corporate asset, net 2,106,000 0 0
Loss on extinguishment of debt, net 0 27,726,000 21,646,000
Changes in operating assets and liabilities:      
Receivables and other assets, net (4,699,000) (11,042,000) (12,857,000)
Accounts payable and accrued liabilities 9,430,000 2,066,000 (128,000)
Prepaid rent and other liabilities 3,197,000 31,711,000 8,577,000
Net cash provided by operating activities 385,616,000 387,962,000 340,394,000
Cash flows from investing activities:      
Investments in real estate (264,340,000) (185,286,000) (553,298,000)
Development of real estate (63,306,000) (77,077,000) (28,066,000)
Proceeds from the sale of real estate 87,628,000 22,939,000 4,880,000
Proceeds from the sale of corporate assets 10,127,000 0 0
Capital expenditures (97,155,000) (74,743,000) (91,544,000)
Other investment (6,000,000) 0 0
Collection of real estate notes receivable 15,405,000 907,000 739,000
Advances on real estate notes receivable (82,214,000) (6,000,000) 0
Net cash used in investing activities (399,855,000) (319,260,000) (667,289,000)
Cash flows from financing activities:      
Borrowings on unsecured revolving credit facility 310,000,000 1,329,862,000 610,000,000
Payments on unsecured revolving credit facility (310,000,000) (1,429,862,000) (510,000,000)
Proceeds from unsecured senior notes 0 793,568,000 906,927,000
Payments on unsecured senior notes 0 (300,000,000) (700,000,000)
Payments on secured mortgage loans 0 (114,060,000) (97,361,000)
Deferred financing costs (8,053,000) (6,800,000) (7,776,000)
Debt extinguishment costs 0 (25,939,000) (18,383,000)
Proceeds from issuance of general partner OP units 251,250,000 50,020,000 323,393,000
Issuance of OP Units 0 1,378,000 0
Repurchase and cancellation of general partner OP units (3,414,000) (5,192,000) (12,178,000)
Distributions paid to general partner (281,820,000) (275,816,000) (256,117,000)
Distributions paid to limited partners and redeemable non-controlling interests (5,420,000) (4,712,000) (8,758,000)
Sale of non-controlling interest 0 0 1,234,000
Net cash (used in) provided by financing activities (47,457,000) 12,447,000 230,981,000
Net change in cash, cash equivalents and restricted cash (61,696,000) 81,149,000 (95,914,000)
Cash, cash equivalents and restricted cash - beginning of year 118,765,000 37,616,000 133,530,000
Cash, cash equivalents and restricted cash - end of year $ 57,069,000 $ 118,765,000 $ 37,616,000
v3.22.0.1
Organization and Description of Business
 12 Months Ended
Dec. 31, 2021
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Organization and Description of Business Organization and Description of Business
HTA, a Maryland corporation, and HTALP, a Delaware limited partnership, were incorporated or formed, as applicable, on April 20, 2006. HTA operates as a REIT and is the general partner of HTALP, which is the operating partnership, in an umbrella partnership, or “UPREIT” structure. HTA has qualified and intends to continue to be taxed as a REIT for federal income tax purposes under the applicable sections of the Internal Revenue Code.
We own real estate primarily consisting of MOBs located on or adjacent to hospital campuses or in off-campus, community core outpatient locations across 32 states within the U.S., and we lease space to tenants primarily consisting of health systems, research and academic institutions, and various sized physician practices.  We generate substantially all of our revenues from rents and rental-related activities, such as property and facilities management and other incidental revenues related to the operation of real estate. 
Our primary objective is to maximize stockholder value with growth through strategic investments that provide an attractive risk-adjusted return for our stockholders by consistently increasing our cash flow. In pursuing this objective, we: (i) seek internal growth through proactive asset management, leasing, building services and property management oversight; (ii) target accretive acquisitions and developments of MOBs in markets with attractive demographics that complement our existing portfolio; and (iii) actively manage our balance sheet to maintain flexibility with conservative leverage. Additionally, from time to time we consider, on an opportunistic basis, significant portfolio acquisitions that we believe fit our core business and we expect to enhance our existing portfolio.
COVID-19 Pandemic
On March 11, 2020 the novel coronavirus disease (“COVID-19”) was declared a pandemic by the World Health Organization. As the virus continued to spread throughout the United States and other countries across the world, Federal, state and local governments took various actions including the issuance of “stay-at-home” orders, social distancing guidelines and ordering the temporary closure of non-essential businesses to limit the spread of COVID-19. While many businesses have reopened and vaccinations are becoming more widely available to the general population, the economic uncertainty created by the COVID-19 pandemic continue to present risks to the Company and the future results of our operations. Although we did not experience significant disruptions from the COVID-19 pandemic during the year ended December 31, 2021, should current and planned measures, including further development and delivery of vaccines and other measures intended to reduce or eliminate the spread of COVID-19, past and/or proposed economic stimulus, and other laws, acts and orders proposed or enacted by these various governmental agencies ultimately not be successful or limited in their efficacy, our business and the broader real estate industry may experience significant adverse consequences. These consequences include loss of revenues, increased expenses, increased costs of materials, difficulty in maintaining an active workforce, and constraints on our ability to secure capital or financing, among other factors.
v3.22.0.1
Summary of Significant Accounting Policies
 12 Months Ended
Dec. 31, 2021
Accounting Policies [Abstract]  
Summary of Significant Accounting Policies Summary of Significant Accounting Policies
The summary of significant accounting policies presented below is designed to assist in understanding our consolidated financial statements. Such consolidated financial statements and the accompanying notes are the representations of our management, who are responsible for their integrity and objectivity. These accounting policies conform to GAAP in all material respects and have been consistently applied in preparing our accompanying consolidated financial statements.
Basis of Presentation
Our accompanying consolidated financial statements include our accounts and those of our subsidiaries and any consolidated VIEs. All inter-company balances and transactions have been eliminated in the accompanying consolidated financial statements.
Principles of Consolidation
The consolidated financial statements include the accounts of our subsidiaries and consolidated joint venture arrangements. The portions of the HTALP operating partnership not owned by us are presented as non-controlling interests in our consolidated balance sheets and statements of operations, consolidated statements of comprehensive income or loss, consolidated statements of equity, and consolidated statements of changes in partners’ capital. The portions of other joint venture arrangements not owned by us are presented as redeemable non-controlling interests on the accompanying consolidated balance sheets. Holders of OP Units are considered to be non-controlling interest holders in HTALP and their ownership interests are reflected as equity on the accompanying consolidated balance sheets. Further, a portion of the earnings and losses of HTALP are allocated to non-controlling interest holders based on their respective ownership percentages. Upon conversion
of OP Units to common stock, any difference between the fair value of the common stock issued and the carrying value of the OP Units converted to common stock is recorded as a component of equity. As of December 31, 2021, 2020 and 2019, there were approximately 4.1 million, 3.5 million and 3.8 million, respectively, of OP Units issued and outstanding.
VIEs are entities where investors lack sufficient equity at risk for the entity to finance its activities without additional subordinated financial support or where equity investors, as a group, lack one of the following: (i) the power to direct the activities that most significantly impact the entity’s economic performance; (ii) the obligation to absorb the expected losses of the entity; and (iii) the right to receive the expected returns of the entity. We consolidate our investment in VIEs when we determine that we are the primary beneficiary. A primary beneficiary is one that has both: (i) the power to direct the activities of the VIE that most significantly impacts the entity’s economic performance; and (ii) the obligation to absorb losses or the right to receive benefits of the VIE that could be significant to the entity. The HTALP operating partnership and our other joint venture arrangements are VIEs because the limited partners in those partnerships, although entitled to vote on certain matters, do not possess kick-out rights or substantive participating rights. Additionally, we determined that we are the primary beneficiary of our VIEs. Accordingly, we consolidate our interests in the HTALP operating partnership and in our other joint venture arrangements. However, because we hold what is deemed a majority voting interest in the HTALP operating partnership and our other joint venture arrangements, it qualifies for the exemption from providing certain disclosure requirements associated with investments in VIEs. We will evaluate on an ongoing basis the need to consolidate entities based on the standards set forth in GAAP as described above.
Use of Estimates
The preparation of our consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets, liabilities, revenues and expenses, and related disclosure of contingent assets and liabilities. These estimates are made and evaluated on an ongoing basis using information that is currently available as well as various other assumptions believed to be reasonable under the circumstances. Actual results could differ from those estimates, perhaps in adverse ways, and those estimates could be different under different assumptions or conditions.
Cash, Cash Equivalents and Restricted Cash
Cash and cash equivalents consist of all highly liquid investments with a maturity of three months or less when purchased. Restricted cash is comprised of (i) reserve accounts for property taxes, insurance, capital improvements and tenant improvements; (ii) collateral accounts for debt and interest rate swaps; and (iii) deposits for future investments.
The following table provides a reconciliation of cash, cash equivalents and restricted cash reported within the accompanying consolidated balance sheets to the combined amounts shown on the accompanying consolidated statements of cash flows (in thousands):
December 31,
202120202019
Cash and cash equivalents$52,353 $115,407 $32,713 
Restricted cash4,716 3,358 4,903 
Total cash, cash equivalents and restricted cash$57,069 $118,765 $37,616 
Revenue Recognition
Minimum annual rental revenue is recognized on a straight-line basis over the term of the related lease (including rent holidays). Differences between rental income recognized and amounts contractually due under the lease agreements are recorded as straight-line rent receivables. If we determine that collectability of future minimum lease payments is not probable, the straight-line rent receivable balance is written off and recognized as a decrease in revenue in that period. Tenant reimbursement revenue, which is comprised of additional amounts recoverable from tenants for real estate taxes, common area maintenance and other certain operating expenses are recognized as revenue on a gross basis in the period in which the related recoverable expenses are incurred.  We accrue revenue corresponding to these expenses on a quarterly basis to adjust recorded amounts to our best estimate of the final annual amounts to be billed. Subsequent to year-end, on a calendar year basis, we perform reconciliations on a lease-by-lease basis and bill or credit each tenant for any differences between the estimated expenses we billed and the actual expenses that were incurred. We recognize lease termination fees when there is a signed termination letter agreement, all of the conditions of the agreement have been met, and the tenant is no longer occupying the property. Rental income is reported net of amortization of inducements.
Effective January 1, 2018, with the adoption of Topic 606 - Revenue from Contracts with Customers and corresponding amendments, the revenue recognition process is now based on a five-step model to account for revenue arising from contracts with customers and supersedes most of the existing revenue recognition guidance. Topic 606 requires an entity to recognize
revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. We have identified all of our revenue streams and we have concluded that rental income from leasing arrangements represents a substantial portion of our revenue and, therefore, is specifically excluded from Topic 606 and will be governed under Topic 842 - Leases. The other revenue stream identified as impacting Topic 606 is concentrated in the recognition of real estate sales.
Investments in Real Estate
The majority of our investments in real estate are accounted for as asset acquisitions and the purchase price of tangible and intangible assets and liabilities are recorded based on their respective fair values. Tangible assets primarily consist of land and buildings and improvements. Additionally, the purchase price includes acquisition related expenses, above or below market leases, above or below market interests, in place leases, tenant relationships, above or below market debt assumed, interest rate swaps assumed and any contingent consideration recorded when the contingency is resolved. The determination of the fair value requires us to make certain estimates and assumptions.
With the assistance of independent valuation specialists, we record the purchase price of completed investments in real estate associated with tangible and intangible assets and liabilities based on their fair values. The tangible assets (land and building and improvements) are determined based upon the value of the property as if it were to be replaced or as if it were vacant using discounted cash flow models similar to those used by market participants. Factors considered by us include an estimate of carrying costs during the expected lease-up periods considering current market conditions and costs to execute similar leases. Additionally, the purchase price of the applicable completed acquisition property is inclusive of above or below market leases, above or below market leasehold interests, in place leases, tenant relationships, above or below market debt assumed, interest rate swaps assumed, any contingent consideration and acquisition related expenses.
The value of above or below market leases is determined based upon the present value (using a discount rate which reflects the risks associated with the acquired leases) of the difference between (i) the contractual amounts to be received pursuant to the lease over its remaining term and (ii) our estimate of the amounts that would be received using fair market rates over the remaining term of the lease including any bargain renewal periods.  Under Topic 840, the amounts associated with above market leases are included in other intangibles, net in our accompanying consolidated balance sheets and amortized to rental income over the remaining lease term.  The amounts allocated to below market leases are included in intangible liabilities, net in our accompanying consolidated balance sheets and amortized to rental income over the remaining lease term. Upon adoption of Topic 842 on January 1, 2019, the amounts associated with above market leases are included in right-of-use assets - operating leases, net in our accompanying consolidated balance sheets and amortized to rental income over the remaining lease term.  The amounts allocated to below market leases are included in lease liabilities - operating leases in our accompanying consolidated balance sheets and amortized to rental income over the remaining lease term.
The value associated with above or below market leasehold interests is determined based upon the present value (using a discount rate which reflects the risks associated with the acquired leases) of the difference between: (i) the contractual amounts to be paid pursuant to the lease over its remaining term; and (ii) our estimate of the amounts that would be paid using fair market rates over the remaining term of the lease including any bargain renewal periods. Under Topic 840, the amounts recorded for above market leasehold interests are included in intangible liabilities, net in our accompanying consolidated balance sheets and amortized to rental expense over the remaining lease term. The amounts allocated to below market leasehold interests are included in other intangibles, net in our accompanying consolidated balance sheets and amortized to rental expense over the remaining lease term. Upon adoption of Topic 842 on January 1, 2019, the amounts recorded for above market leasehold interests are included in lease liabilities - operating leases in our accompanying consolidated balance sheets and amortized to rental expense over the remaining lease term. The amounts allocated to below market leasehold interests are included in right-of-use assets - operating leases, net in our accompanying consolidated balance sheets and amortized to rental expense over the remaining lease term.
The total amount of other intangible assets includes in place leases and tenant relationships based on our evaluation of the specific characteristics of each tenant’s lease and our overall relationship with that respective tenant. Characteristics considered by us in allocating these values include the nature and extent of the credit quality and expectations of lease renewals, among other factors. The amounts recorded for in place leases and tenant relationships are included in lease intangibles in our accompanying consolidated balance sheets and will be amortized to amortization expense over the remaining lease term.
The value recorded for above or below market debt is determined based upon the present value of the difference between the cash flow stream of the assumed mortgage and the cash flow stream of a market rate mortgage. The amounts recorded for above or below market debt are included in debt in our accompanying consolidated balance sheets and are amortized to interest expense over the remaining term of the assumed debt.
The value recorded for interest rate swaps is based upon a discounted cash flow analysis on the expected cash flows, taking into account interest rate curves and the remaining term. See derivative financial instruments below for further discussion.
The cost of operating properties includes the cost of land and buildings and related improvements. Expenditures that increase the service life of properties are capitalized and the cost of maintenance and repairs is charged to expense as incurred. The cost of buildings is depreciated on a straight-line basis over the estimated useful lives of the buildings up to 39 years and for tenant improvements, the shorter of the lease term or useful life, typically ranging from one to 10 years. Furniture, fixtures and equipment is depreciated over 5 years. Depreciation expense of buildings and improvements for the years ended December 31, 2021, 2020 and 2019, was $246.3 million, $235.8 million and $219.2 million, respectively.
Leases
As a lessor, we lease space in our MOBs primarily to medical enterprises for terms ranging from three to seven years in length. The assets underlying these leases consist of buildings and associated land which are included as real estate investments on our accompanying consolidated balance sheets. All of our leases for which we are the lessor are classified as operating leases under Topic 842.
Leases, for which we are the lessee, are classified as separate components on our accompanying consolidated balance sheets. Operating leases are included as right-of-use (“ROU”) assets - operating leases, net, with a corresponding lease liability. Financing lease assets are included in receivables and other assets, net, with a corresponding lease liability in security deposits, prepaid rent and other liabilities. A lease liability is recognized for our obligation related to the lease and an ROU asset represents our right to use the underlying asset over the lease term. Refer to Note 7 - Leases in the accompanying notes to the consolidated financial statements for more detail relating to our leases.
Through the duration of the COVID-19 pandemic, changes to our leases as a result of COVID-19 have been in two categories. Leases are categorized based upon the impact of the modification on its cash flows. One category is rent deferrals for which the guidance above was utilized, which provided relief from requiring a lease by lease analysis pursuant to Topic 842. These deferrals are generally for up to three months of rent with a payback period from three to twelve months once the deferral period has ended. Deferrals do not have an impact on cash flows over the lease term, rather, payments are made in different periods while the cash flows for the entirety of the lease term are the same. However, we have continued to recognize revenue and straight line revenue for amounts subject to deferral agreements in accordance with Topic 842. In 2020, which is the period that we believe constituted the majority of our COVID-19-related deferral request, we approved deferral plans totaling approximately $11.1 million, of which approximately $10.8 million have been repaid through December 31, 2021.
The second category is early renewals, where the Company renewed lease arrangements prior to their contractual expirations, providing concession at the commencement of the lease in exchange for additional term, on average approximately three years. This category is treated as a modification under Topic 842, with the existing balance of cumulative difference between rental income and payment amounts (existing straight line rent receivable) being recast over the new term, factoring in any changes attributable to the new lease arrangement and for which we performed a lease by lease analysis. Cash flows are impacted over the long term as customary free rent, at an average of three months in conjunction with these agreements, and is offset by substantively more term and/or increased rental rates. During the year ended December 31, 2021, the Company has entered into minimal new deferral arrangements or early renewal leases with substantive amounts of free rent or other forms of concession at the onset of the lease.
The Lease Modification Q&A had no material impact on our condensed consolidated financial statements as of and for the year ended December 31, 2021, however, its future impact to us is dependent upon the extent of lease concessions granted to tenants as a result of the COVID-19 pandemic in future periods and the elections made by us at the time of entering into any such concessions.
Development
We capitalize interest, direct and indirect project costs associated with the initial construction up to the time the property is substantially complete and ready for its intended use. In addition, we capitalize costs, including real estate taxes, insurance and utilities, that have been allocated to vacant space based on the square footage of the portion of the building not held available for immediate occupancy during the extended lease-up periods after construction of the building shell has been completed if costs are being incurred to ready the vacant space for its intended use. If costs and activities incurred to ready the vacant space cease, then cost capitalization is also discontinued until such activities are resumed. Once necessary work has been completed on a vacant space, project costs are no longer capitalized. We cease capitalization of all project costs on extended lease-up periods when significant activities have ceased, which does not exceed the shorter of a one-year period after the completion of the building shell or when the property attains 90% occupancy.
Real Estate Held for Sale
We consider properties held for sale once management commits to a plan to sell the property and has determined that the sale is probable and expected to occur within one year. Upon classification as held for sale, we record the property at the lower of its carrying amount or fair value, less costs to sell, and cease depreciation and amortization. The fair value is generally based on discounted cash flow analyses, which involve management’s best estimate of market participants’ holding period, market comparables, future occupancy levels, rental rates, capitalization rates, lease-up periods and capital requirements. As of December 31, 2021, we classified a single-tenant MOB located in the greater Atlanta, Georgia market as real estate held for sale on the accompanying consolidated balance sheets. As of December 31, 2020, the Company had no properties classified as held for sale. The following table represents the major classes of assets and liabilities, and the balance sheet classification as of December 31, 2021 (in thousands):
December 31, 2021
Land$2,401 
Buildings and Improvements27,408 
Lease intangibles4,769 
34,578 
Accumulated depreciation and amortization(8,148)
Real estate assets held for sale, net26,430 
Receivables and other assets, net640 
Assets held for sale, net$27,070 
Intangible liabilities, net$262 
Liabilities of assets held for sale$262 
Recoverability of Real Estate Investments
Real estate investments are evaluated for potential impairment whenever events or changes in circumstances indicate that its carrying amount may not be recoverable. Impairment indicators are assessed separately for each property and include, but are not limited to, significant decreases in real estate property net income, significant decreases in occupancy percentage, changes in management’s intent with respect to the properties and prevailing market conditions. Impairment losses are recorded when indicators of impairment are present and the carrying amount of the asset is greater than the sum of future undiscounted cash flows expected to be generated by that asset over the remaining expected holding period. We would recognize an impairment loss when the carrying amount is not recoverable to the extent the carrying amount exceeds the fair value of the property. The fair value is generally based on discounted cash flow analyses. In performing the analyses we consider executed sales agreements or management’s best estimate of market comparables, future occupancy levels, rental rates, capitalization rates, lease-up periods and capital requirements. For the year ended December 31, 2021, we recorded impairment charges of $22.9 million. During each of the years ended December 31, 2019 and 2020, we recorded no impairment charges.
Real Estate Notes Receivable
Real estate notes receivable consist of mezzanine and other real estate loans, which are generally collateralized by a pledge of the borrower’s ownership interest in the respective real estate owner and/or corporate guarantees. Real estate notes receivable are intended to be held-to-maturity and are recorded at amortized cost, net of unamortized loan origination costs and fees and allowance for credit losses. During the year ended December 31, 2021, we originated three mezzanine loans with commitments totaling $60.1 million, at an annual interest rate of 8%, maturing in 2024. Unpaid interest is capitalized, with principal and any unpaid interest due on the maturity date. As of December 31, 2021, mezzanine loans outstanding, including accrued interest totaled $54.8 million, net of unamortized loan fees. Additionally, during the year ended December 31, 2021, we originated a mortgage loan of $15.0 million, at an annual interest rate of 10%, maturing in 2022. Interest on the mortgage loan was prefunded through an interest reserve and will be recognized as interest income through maturity, with principal and any unpaid interest due on the maturity date. As of December 31, 2021, real estate notes receivable, net totaled $69.1 million. During the year ended December 31, 2021, we recognized interest income of $2.8 million related to real estate notes receivable.
The following table summarizes real estate notes receivable as of December 31, 2021 (in thousands):
Stated Interest RateMaximum Loan CommitmentOutstanding Loan Amount
Origination DateMaturity DateDecember 31, 2021
Mezzanine Loans - Texas (1)
6/24/20216/24/20248 %$54,119 $49,319 
Mezzanine Loan - North Carolina12/22/202112/22/20248 %6,000 6,000 
Mortgage Loan - Texas6/30/20217/1/202210 %15,000 15,000 
70,319 
Accrued interest receivable54 
Unamortized fees and costs(526)
Unearned revenue(733)
$69,114 
(1) Interest on these mezzanine loans is accrued and funded utilizing interest reserves, which is included in the maximum loan commitment, and such accrued interest is added to the note receivable balance.
Pursuant to Topic 326 - Financial Instruments - Credit Losses, we adopted a policy to evaluate current expected credit losses at the inception of loans qualifying for treatment under Topic 326. We utilize a probability of default method approach for estimating current expected credit losses and have determined that the current risk of credit loss is remote. Accordingly, we have recorded no reserve for credit loss as of December 31, 2021.
Unconsolidated Joint Ventures
We account for our investments in unconsolidated joint ventures using the equity method of accounting because we have the ability to exercise significant influence, but not control, over the financial and operational policy decisions of the investments. Using the equity method of accounting, the initial investment is recognized at cost and subsequently adjusted for our share of the net income and any distributions from the joint venture. As of December 31, 2021 and 2020, we had a 50% interest in one such investment with a carrying value and maximum exposure to risk of $62.8 million and $64.4 million, respectively, which is recorded in investment in unconsolidated joint venture in the accompanying consolidated balance sheets. We record our share of net income in income from unconsolidated joint venture in the accompanying consolidated statements of operations. For the years ended December 31, 2021, 2020, and 2019, we recognized income from unconsolidated joint venture of $1.6 million, $1.6 million, and $1.9 million, respectively.
Derivative Financial Instruments
We are exposed to the effect of interest rate changes in the normal course of business. We seek to mitigate these risks by following established risk management policies and procedures which include the occasional use of derivatives. Our primary strategy in entering into derivative contracts is to add stability to interest expense and to manage our exposure to interest rate movements. We utilize derivative instruments, including interest rate swaps, to effectively convert a portion of our variable rate debt to fixed rate debt. We do not enter into derivative instruments for speculative purposes. To qualify for hedge accounting, derivative financial instruments used for risk management purposes must effectively reduce the risk exposure that they are designed to hedge. In addition, at inception of a qualifying cash flow hedging relationship, the underlying transaction or transactions, must be, and are expected to remain, probable of occurring in accordance with our related assertions.
Derivatives are recognized as either assets or liabilities in our accompanying consolidated balance sheets and are measured at fair value. Changes in fair value of derivative financial instruments that are not designated in hedging relationships or that do not meet the criteria of hedge accounting are included as a component of interest expense in our accompanying consolidated statements of operations. As a result of our adoption of ASU 2017-12 as of January 1, 2018, the entire change in the fair value of derivatives designated and qualify as cash flow hedges are recorded in accumulated other comprehensive income (loss) in the accompanying consolidated balance sheets and are subsequently reclassified into earnings in the period in which the hedged forecasted transaction affects earnings. Since we solely use derivatives to hedge interest rate risk, amounts paid or received pursuant to our derivative agreements are included in interest expense on the consolidated statements of operations which then flows through to operating activities on the consolidated statements of cash flows. Additionally, as a result of the adoption of ASU 2017-12, we no longer disclose the ineffective portion of the change in fair value of our derivatives financial instruments designated as hedges.
The valuation of our derivative financial instruments is determined with the assistance of an independent valuation specialist using a proprietary model that utilizes widely accepted valuation techniques, including discounted cash flow analysis on the expected cash flows of each derivative and observable inputs. The proprietary model reflects the contractual terms of the derivatives, including the period to maturity, and uses observable market-based inputs, including interest rate curves, foreign exchange rates and implied volatilities. The fair values of interest rate swaps are determined using the market standard
methodology of netting the discounted future fixed cash payments and the discounted expected variable cash receipts. The variable cash receipts are based on an expectation of future interest rates (forward curves) derived from observable market interest rate curves.
We incorporate credit valuation adjustments to appropriately reflect both our own nonperformance risk and the respective counterparty’s nonperformance risk in the fair value measurements. In adjusting the fair value of our derivative contracts for the effect of nonperformance risk, we have considered the impact of netting and any applicable credit enhancements, such as collateral postings, thresholds, mutual puts and guarantees.
Fair Value Measurements
Fair value is a market-based measurement and is the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. Depending on the nature of the asset or liability, various techniques and assumptions can be used to estimate the fair value. Financial assets and liabilities are measured using inputs from three levels of the fair value hierarchy, as follows:
Level 1 — Inputs are quoted prices (unadjusted) in active markets for identical assets or liabilities that we have the ability to access at the measurement date. An active market is defined as a market in which transactions for the assets or liabilities occur with sufficient frequency and volume to provide pricing information on an ongoing basis.
Level 2 — Inputs include quoted prices for similar assets and liabilities in active markets, quoted prices for identical or similar assets or liabilities in markets that are not active (markets with few transactions), inputs other than quoted prices that are observable for the asset or liability (i.e., interest rates, yield curves, etc.) and inputs that are derived principally from or corroborated by observable market data correlation or other means (market corroborated inputs).
Level 3 — Unobservable inputs, only used to the extent that observable inputs are not available, reflect our assumptions about the pricing of an asset or liability.
We use fair value measurements to record fair value of certain assets and to estimate fair value of financial instruments not recorded at fair value but required to be disclosed at fair value.
Receivables and Other Assets
Deferred financing costs include amounts paid to lenders and others to obtain financing and are amortized to interest expense on a straight-line basis over the term of the unsecured revolving credit facility which approximates the effective interest method. Deferred leasing costs are amounts incurred in executing a lease, both for external broker and marketing costs, plus a portion of internal leasing related costs. Deferred leasing costs are amortized on a straight-line basis method over the term of the applicable lease. Deferred leasing costs are included in operating activities in our accompanying consolidated statements of cash flows.
Share-Based Compensation
We calculate the fair value of share-based awards on the date of grant. Restricted common stock is valued based on the closing price of our common stock on the NYSE. We amortize the share-based compensation expense over the period that the awards are expected to vest, net of estimated forfeitures. See Note 11 - Stockholders’ Equity and Partners’ Capital for further discussion.
Non-controlling Interests
HTA’s net income attributable to non-controlling interests in the accompanying consolidated statements of operations relate to non-controlling interest reflected within equity. OP Units, including LTIP awards, are accounted for as partners’ capital in HTALP’s accompanying consolidated balance sheets and as non-controlling interest reflected within equity in HTA’s accompanying consolidated balance sheets.
Income Taxes
HTA believes that it has qualified to be taxed as a REIT under the provisions of the Code, beginning with the taxable year ending December 31, 2007 and it intends to continue to qualify to be taxed as a REIT. To continue to qualify as a REIT for federal income tax purposes, HTA must meet certain organizational and operational requirements, including a requirement to pay dividend distributions to its stockholders of at least 90% of its annual taxable income. As a REIT, HTA is generally not subject to federal income tax on net income that it distributes to its stockholders, but it may be subject to certain state or local taxes and fees.
If HTA fails to qualify as a REIT in any taxable year, it will then be subject to U.S. federal income taxes on our taxable income and will not be permitted to qualify for treatment as a REIT for U.S. federal income tax purposes for four years following the year during which qualification is lost unless the IRS grants it relief under certain statutory provisions. Such an event could have a material adverse effect on its business, financial condition, results of operations and net cash available for dividend distributions to its stockholders.
HTA conducts substantially all of its operations through HTALP. As a partnership, HTALP generally is not liable for federal income taxes. The income and loss from the operations of HTALP is included in the tax returns of its partners, including HTA, who are responsible for reporting their allocable share of the partnership income and loss. Accordingly, no provision for income taxes has been made on the accompanying consolidated financial statements.
We do not have any liability for uncertain tax positions that we believe should be recognized in our accompanying consolidated financial statements. The tax basis exceeded the carrying amount of the net real estate assets reported in our accompanying consolidated balance sheet by approximately $766.9 million as of December 31, 2021, primarily due to the differences in depreciation and amortization.
Concentration of Credit Risk
We maintain the majority of our cash and cash equivalents at major financial institutions in the U.S. and deposits with these financial institutions may exceed the amount of insurance provided on such deposits; however, we regularly monitor the financial stability of these financial institutions and believe we are not currently exposed to any significant default risk with respect to these deposits. As of December 31, 2021, we had cash balances at financial institutions of $62.5 million in excess of Federal Deposit Insurance Corporation insured limits.
Segment Disclosure
We have determined that we have one reportable segment, with activities related to investing in healthcare real estate assets. Our investments in healthcare real estate assets are geographically diversified and our chief operating decision maker evaluates operating performance on an individual asset level. As each of our assets has similar economic characteristics, long-term financial performance, tenants, and products and services, our assets have been aggregated into one reportable segment.
Related Party Aircraft Use
HTA owns an airplane that is used for business purposes. The Chief Executive Officer of the Company is permitted to use the aircraft for personal travel and, pursuant to a policy adopted by HTA relating to such personal use, the Company is reimbursed by the executive for the incremental costs of using the aircraft for personal travel.
Recently Issued or Adopted Accounting Pronouncements
Recently Adopted Accounting Pronouncements
S-X Rule 13-01
In March 2020, the SEC adopted amendments to Rule 3-10 of Regulation S-X and created Rule 13-01 to simplify disclosure requirements related to certain registered securities. The rule became effective on January 4, 2021, at which time we adopted S-X Rule 13-01. The adoption did not have a material effect on our financial statements and related footnotes.
Recently Issued Accounting Pronouncements
ASU 2021-01, Reference Rate Reform (Topic 848)
In January 2021, the FASB issued ASU 2021-01, which amends the scope of ASU 2020-04. The amendments of ASU 2021-01 clarify that certain optional expedients and exceptions to Topic 848 for contract modification and hedge accounting apply to derivatives that are affected by the discounting transition. For information related to the Company's current cash flow hedges, refer to Note 9 - Derivative Financial Instruments and Hedging Activities. The amendments are elective and effective immediately for contract modifications made through December 31, 2022. The Company is evaluating how the transition away from LIBOR will effect the Company and if the guidance with respect to this standard will be adopted, however, if adopted, we do not expect that this ASU will have a material impact on our financial statements.
ASU 2021-05, Leases (Topic 842): Lessors - Certain Leases with Variable Lease Payments
In July 2021, the FASB issued ASU 2021-05, which amends the lease classification requirements for lessors when classifying and accounting for a lease with variable lease payments that do not depend on a reference index or a rate. The update provides criteria, that if met, the lease would be classified and accounted for as an operating lease. The update is effective for reporting periods beginning after December 15, 2021, with early adoption permitted. At this time, the Company does not expect that the adoption of this standard will have a material impact on our financial statements.
v3.22.0.1
Investments in Real Estate
 12 Months Ended
Dec. 31, 2021
Investments [Abstract]  
Investments in Real Estate Investments in Real Estate    
For the year ended December 31, 2021, our investments had an aggregate purchase price of $308.8 million. As part of these investments, we incurred approximately $2.1 million of capitalized costs. The allocations for these investments, in which we own a controlling financial interest, are set forth below in the aggregate for the years ended December 31, 2021, 2020 and 2019, respectively (in thousands):
Year Ended December 31,
202120202019
Land$44,905 $15,242 $108,709 
Building and improvements233,219 156,486 396,660 
In place leases23,056 17,948 51,629 
Below market leases(4,592)(1,132)(5,187)
Above market leases3,283 1,215 3,487 
ROU assets300 1,527 — 
Net assets acquired300,171 191,286 555,298 
Other, net (1)
8,593 432 5,158 
Aggregate purchase price$308,764 $191,718 $560,456 
(1) Other, net, consisted primarily of tenant improvements and capital expenditures received as credits at the time of acquisition.
Subsequent to December 31, 2021, we completed an investment with a purchase price of $19.0 million. The
purchase price of this investment was subject to certain post-closing adjustments. Due to the recent timing of the
acquisition of this investment, we have not completed our purchase price allocation with respect to this investment and,
therefore, cannot provide disclosures at this time similar to those contained above in Note 3 - Investments in Real Estate to our
consolidated financial statements.
The acquired intangible assets and liabilities referenced above had weighted average lives of the following terms for the years ended December 31, 2021, 2020 and 2019, respectively (in years):
Year Ended December 31,
202120202019
Acquired intangible assets6.510.25.7
Acquired intangible liabilities8.07.17.0
v3.22.0.1
Dispositions and Impairment
 12 Months Ended
Dec. 31, 2021
Disposal Group, Not Discontinued Operation, Disposal Disclosures [Abstract]  
Dispositions and Impairment Dispositions and Impairment
Dispositions
During the year ended December 31, 2021, we completed the disposition of fifteen MOBs, located in Tennessee, Virginia, Minnesota and Ohio for an aggregate gross sales price of $88.3 million, representing approximately 599,000 square feet of GLA, in addition to the sale of our interest in a land parcel in Connecticut on which the ground lessee exercised its purchase option for a gross sales price of $1.8 million, resulting in a net gain to us of approximately $39.2 million.
During the year ended December 31, 2020, we completed the disposition of one MOB, located in Kansas City for an aggregate gross sales price of $24.3 million, representing approximately 69,000 square feet of GLA, and generating net gains of approximately $7.6 million. Additionally, during the year ended December 31, 2020, we sold part of our interest in undeveloped land in Miami, Florida for a gross sales price of $7.6 million which resulted in a net gain of approximately $2.0 million.
During the year ended December 31, 2019, we completed the disposition of four MOBs, located in South Carolina and New Mexico for an aggregate gross sales price of $4.9 million, representing approximately 51,000 square feet of GLA, and generating net losses of $0.2 million.
Subsequent to December 31, 2021, we closed a tenant purchase option transaction on a property located in Georgia for a gross sales price of $26.8 million. This property is properly classified as held for sale as of December 31, 2021. For more details, see Note 2 - Summary of Significant Accounting Policies in the “Real Estate Held for Sale” section.
ImpairmentDuring the year ended December 31, 2021, we recorded impairment charges of $22.9 million on four properties, one of which was sold as of December 31, 2021. The other three properties are located in Georgia, Texas and New Mexico. During each of the years ended December 31, 2020 and 2019, we recorded no impairment charges. For more details, see Note 2 - Summary of Significant Accounting Policies in the “Recoverability of Real Estate Investments” section.
v3.22.0.1
Intangible Assets and Liabilities
 12 Months Ended
Dec. 31, 2021
Identified Intangibles, Net [Abstract]  
Intangible Assets and Liabilities Intangible Assets and Liabilities
Intangible assets and liabilities consisted of the following as of December 31, 2021 and 2020, respectively (in thousands, except weighted average remaining amortization terms):
December 31, 2021December 31, 2020
BalanceWeighted Average Remaining
Amortization in Years		BalanceWeighted Average Remaining
Amortization in Years
Assets:
In place leases
$349,863 9.3$483,779 9.7
Tenant relationships
54,851 10.8144,842 10.0
Above market leases
21,537 6.937,876 5.8
426,251 666,497 
Accumulated amortization(213,801)(427,937)
Total$212,450 9.3$238,560 9.6
Liabilities:
Below market leases$55,073 14.3$61,896 14.6
Accumulated amortization(23,742)(29,357)
Total$31,331 14.3$32,539 14.6
The following is a summary of the net intangible amortization for the years ended December 31, 2021, 2020 and 2019, respectively (in thousands):
Year Ended December 31,
202120202019
Amortization recorded against rental income related to above and (below) market leases
$(2,638)$(4,056)$(4,422)
Amortization expense related to in place leases and tenant relationships
45,447 55,138 60,363 
As of December 31, 2021, the expected future amortization of intangible assets and liabilities is as follows (in thousands):
YearAssetsLiabilities
2022$40,676 $5,254 
202333,161 4,408 
202427,345 3,798 
202523,136 3,161 
202619,437 2,686 
Thereafter68,695 12,024 
Total$212,450 $31,331 
v3.22.0.1
Receivables and Other Assets
 12 Months Ended
Dec. 31, 2021
Receivables and Other Assets [Abstract]  
Receivables and Other Assets Receivables and Other Assets
Receivables and other assets consisted of the following as of December 31, 2021 and 2020, respectively (in thousands):
December 31,
20212020
Tenant receivables, net
$10,477 $17,717 
Other receivables, net
6,098 6,243 
Deferred financing costs, net
7,055 2,586 
Deferred leasing costs, net
45,008 43,234 
Straight-line rent receivables, net142,604 128,070 
Prepaid expenses, deposits, equipment and other, net38,301 46,114 
Real estate notes receivable, net69,114 — 
Finance ROU asset, net16,284 7,764 
Total$334,941 $251,728 
The following is a summary of the amortization of deferred leasing costs and financing costs for the years ended December 31, 2021, 2020 and 2019, respectively (in thousands):
Year Ended December 31, 2021
202120202019
Amortization expense related to deferred leasing costs
$8,831 $8,755 $7,976 
Interest expense related to amortization of deferred financing costs1,753 1,724 1,724 
As of December 31, 2021, the expected future amortization of deferred leasing costs and financing costs is as follows (in thousands):
YearAmount
2022$10,287 
20239,263 
20248,203 
20256,939 
20264,560 
Thereafter12,811 
Total$52,063 
v3.22.0.1
Leases
 12 Months Ended
Dec. 31, 2021
Leases [Abstract]  
Leases Leases
The majority of our lease expenses are derived from our ground leases and a few corporate leases, which are primarily for office space. We recognize lease expense for these leases on a straight-line basis over the lease term. Many of our leases contain renewal options that can extend the lease term from one to ten years, or in certain cases, longer durations. The exercise of lease renewal options is at our sole discretion. Certain of our ground leases have the option to purchase the land at the end of the initial term. Our leases have one of the following payment options: (i) fixed payment throughout the term; (ii) fixed payments with periodic escalations; (iii) variable lease payments based on the Consumer Price Index (“CPI”) or another similar index; and (iv) a combination of the aforementioned. Our leases do not contain any material residual value guarantees or material restrictive covenants other than certain prohibitions as to the nature of business that can be conducted within the buildings which we own in order to limit activities that may be deemed competitive in nature to the ground lessor’s activities. As of December 31, 2021, we have no new ground leases or corporate leases that have not yet commenced.
During the year ended December 31, 2021, we assumed five new ground leases as part of building acquisitions made during the year. The new ground leases were analyzed and three were classified as finance leases and two were classified as operating leases. Additionally, during the year ended December 31, 2021, nine of our in-place operating ground leases were removed as a result of property dispositions. For more details on the dispositions, refer to Note 4 - Dispositions and Impairment.
Lessee - Lease Term and Discount Rates
The following is the weighted average remaining lease term and the weighted average discount rate for our operating and finance leases as of December 31, 2021 (weighted average remaining lease term in years):
December 31, 2021
Operating leases:
Weighted-average remaining lease term
46.5
Weighted-average discount rate
5.3 %
Finance leases:
Weighted-average remaining lease term
48.1
Weighted-average discount rate
3.8 %
Lessee - Maturity of Lease Liabilities
We have ground leases and other operating leases with landlords that generally require fixed annual rental payments and may also include escalation clauses and renewal options. These leases generally have terms up to 99 years, excluding extension options. The following table summarizes the future minimum lease obligations of our operating and finance leases as of December 31, 2021 under Topic 842 (in thousands):
YearOperating leasesFinance leases
2022$10,568 $630 
202310,758 635 
202410,370 640 
20259,857 645 
20269,869 656 
Thereafter599,954 37,524 
Total undiscounted lease payments$651,376 $40,730 
Less: Interest(455,090)(23,826)
Present value of lease liabilities$196,286 $16,904 

Lessor - Lease Revenues and Maturity of Future Minimum Rents
We have operating leases with tenants that expire at various dates through 2043 which generally include fixed increases or adjustment based on the consumer price index. Leases also provide for additional rents based on certain operating expenses.
For the years ended December 31, 2021, 2020 and 2019, we recognized $761.7 million, $732.5 million and $686.2 million, respectively, of rental and other lease-related income related to our operating leases, of which $175.7 million, $169.1 million and $154.3 million, respectively, were variable lease payments.
The following table summarizes the future minimum rent contractually due under operating leases, excluding tenant reimbursements of certain costs, as of December 31, 2021 under Topic 842 (in thousands):
YearAmount
2022$569,363 
2023524,166 
2024466,821 
2025407,880 
2026360,766 
Thereafter1,322,375 
Total$3,651,371 
Leases Leases
The majority of our lease expenses are derived from our ground leases and a few corporate leases, which are primarily for office space. We recognize lease expense for these leases on a straight-line basis over the lease term. Many of our leases contain renewal options that can extend the lease term from one to ten years, or in certain cases, longer durations. The exercise of lease renewal options is at our sole discretion. Certain of our ground leases have the option to purchase the land at the end of the initial term. Our leases have one of the following payment options: (i) fixed payment throughout the term; (ii) fixed payments with periodic escalations; (iii) variable lease payments based on the Consumer Price Index (“CPI”) or another similar index; and (iv) a combination of the aforementioned. Our leases do not contain any material residual value guarantees or material restrictive covenants other than certain prohibitions as to the nature of business that can be conducted within the buildings which we own in order to limit activities that may be deemed competitive in nature to the ground lessor’s activities. As of December 31, 2021, we have no new ground leases or corporate leases that have not yet commenced.
During the year ended December 31, 2021, we assumed five new ground leases as part of building acquisitions made during the year. The new ground leases were analyzed and three were classified as finance leases and two were classified as operating leases. Additionally, during the year ended December 31, 2021, nine of our in-place operating ground leases were removed as a result of property dispositions. For more details on the dispositions, refer to Note 4 - Dispositions and Impairment.
Lessee - Lease Term and Discount Rates
The following is the weighted average remaining lease term and the weighted average discount rate for our operating and finance leases as of December 31, 2021 (weighted average remaining lease term in years):
December 31, 2021
Operating leases:
Weighted-average remaining lease term
46.5
Weighted-average discount rate
5.3 %
Finance leases:
Weighted-average remaining lease term
48.1
Weighted-average discount rate
3.8 %
Lessee - Maturity of Lease Liabilities
We have ground leases and other operating leases with landlords that generally require fixed annual rental payments and may also include escalation clauses and renewal options. These leases generally have terms up to 99 years, excluding extension options. The following table summarizes the future minimum lease obligations of our operating and finance leases as of December 31, 2021 under Topic 842 (in thousands):
YearOperating leasesFinance leases
2022$10,568 $630 
202310,758 635 
202410,370 640 
20259,857 645 
20269,869 656 
Thereafter599,954 37,524 
Total undiscounted lease payments$651,376 $40,730 
Less: Interest(455,090)(23,826)
Present value of lease liabilities$196,286 $16,904 

Lessor - Lease Revenues and Maturity of Future Minimum Rents
We have operating leases with tenants that expire at various dates through 2043 which generally include fixed increases or adjustment based on the consumer price index. Leases also provide for additional rents based on certain operating expenses.
For the years ended December 31, 2021, 2020 and 2019, we recognized $761.7 million, $732.5 million and $686.2 million, respectively, of rental and other lease-related income related to our operating leases, of which $175.7 million, $169.1 million and $154.3 million, respectively, were variable lease payments.
The following table summarizes the future minimum rent contractually due under operating leases, excluding tenant reimbursements of certain costs, as of December 31, 2021 under Topic 842 (in thousands):
YearAmount
2022$569,363 
2023524,166 
2024466,821 
2025407,880 
2026360,766 
Thereafter1,322,375 
Total$3,651,371 
Leases Leases
The majority of our lease expenses are derived from our ground leases and a few corporate leases, which are primarily for office space. We recognize lease expense for these leases on a straight-line basis over the lease term. Many of our leases contain renewal options that can extend the lease term from one to ten years, or in certain cases, longer durations. The exercise of lease renewal options is at our sole discretion. Certain of our ground leases have the option to purchase the land at the end of the initial term. Our leases have one of the following payment options: (i) fixed payment throughout the term; (ii) fixed payments with periodic escalations; (iii) variable lease payments based on the Consumer Price Index (“CPI”) or another similar index; and (iv) a combination of the aforementioned. Our leases do not contain any material residual value guarantees or material restrictive covenants other than certain prohibitions as to the nature of business that can be conducted within the buildings which we own in order to limit activities that may be deemed competitive in nature to the ground lessor’s activities. As of December 31, 2021, we have no new ground leases or corporate leases that have not yet commenced.
During the year ended December 31, 2021, we assumed five new ground leases as part of building acquisitions made during the year. The new ground leases were analyzed and three were classified as finance leases and two were classified as operating leases. Additionally, during the year ended December 31, 2021, nine of our in-place operating ground leases were removed as a result of property dispositions. For more details on the dispositions, refer to Note 4 - Dispositions and Impairment.
Lessee - Lease Term and Discount Rates
The following is the weighted average remaining lease term and the weighted average discount rate for our operating and finance leases as of December 31, 2021 (weighted average remaining lease term in years):
December 31, 2021
Operating leases:
Weighted-average remaining lease term
46.5
Weighted-average discount rate
5.3 %
Finance leases:
Weighted-average remaining lease term
48.1
Weighted-average discount rate
3.8 %
Lessee - Maturity of Lease Liabilities
We have ground leases and other operating leases with landlords that generally require fixed annual rental payments and may also include escalation clauses and renewal options. These leases generally have terms up to 99 years, excluding extension options. The following table summarizes the future minimum lease obligations of our operating and finance leases as of December 31, 2021 under Topic 842 (in thousands):
YearOperating leasesFinance leases
2022$10,568 $630 
202310,758 635 
202410,370 640 
20259,857 645 
20269,869 656 
Thereafter599,954 37,524 
Total undiscounted lease payments$651,376 $40,730 
Less: Interest(455,090)(23,826)
Present value of lease liabilities$196,286 $16,904 

Lessor - Lease Revenues and Maturity of Future Minimum Rents
We have operating leases with tenants that expire at various dates through 2043 which generally include fixed increases or adjustment based on the consumer price index. Leases also provide for additional rents based on certain operating expenses.
For the years ended December 31, 2021, 2020 and 2019, we recognized $761.7 million, $732.5 million and $686.2 million, respectively, of rental and other lease-related income related to our operating leases, of which $175.7 million, $169.1 million and $154.3 million, respectively, were variable lease payments.
The following table summarizes the future minimum rent contractually due under operating leases, excluding tenant reimbursements of certain costs, as of December 31, 2021 under Topic 842 (in thousands):
YearAmount
2022$569,363 
2023524,166 
2024466,821 
2025407,880 
2026360,766 
Thereafter1,322,375 
Total$3,651,371 
v3.22.0.1
Debt
 12 Months Ended
Dec. 31, 2021
Debt Disclosure [Abstract]  
Debt Debt
Debt consisted of the following as of December 31, 2021 and 2020, respectively (in thousands):
December 31,
20212020
Unsecured revolving credit facility$— $— 
Unsecured term loans500,000 500,000 
Unsecured senior notes2,550,000 2,550,000 
Fixed rate mortgages — — 
3,050,000 3,050,000 
Deferred financing costs, net(17,975)(19,157)
Net premium (discount)(3,903)(3,844)
Total $3,028,122 $3,026,999 
Unsecured Credit Agreement
Unsecured Revolving Credit Facility due 2025
On October 6, 2021, we entered into a third amended and restated revolving credit and term loan agreement (the “Credit Agreement”), which includes an unsecured revolving credit facility in an aggregate maximum principal amount of $1.0 billion (the “Revolver”) and a term loan facility in an aggregate maximum principal amount of $300.0 million (the “Term Loan”). The Credit Agreement extended the maturities of the unsecured revolving credit facility and the unsecured term loan to October 31, 2025. The maximum principal amount of the Unsecured Credit Agreement may be increased by up to $750.0 million, subject to certain conditions, for a total principal amount of $2.05 billion. Borrowings under the Revolver bears interest at a per annum rate equal to LIBOR plus a margin ranging from 0.725% to 1.40% based on our credit rating. We are also required to pay a facility fee on the aggregate commitments under the Revolver at a per annum rate ranging from 0.125% to 0.30% based on our credit rating. We incurred financing costs of $6.2 million in relation to the credit facility, which are being amortized through the maturity date. As of December 31, 2021, we had no outstanding balance under this unsecured revolving credit facility. The margin associated with our borrowings was 0.85% per annum and the facility fee was 0.20% per annum.
Accrued interest under the Credit Agreement is payable quarterly and at maturity. The Credit Agreement includes customary LIBOR replacement terms and contains a sustainability-linked feature, which allows for a reduction in pricing upon our realization of certain sustainability ratings. The other terms of the Credit Agreement prior to the amendment thereof remain substantially unchanged.
$300.0 Million Unsecured Term Loan due 2025
Under the Unsecured Credit Agreement as noted above, we have a $300.0 million unsecured term loan, guaranteed by HTA, with a maturity date of October 31, 2025. Borrowings under this unsecured term loan bear interest at a per annum rate equal to LIBOR, plus a margin ranging from 0.80% to 1.60% per annum based on our credit rating. The margin associated with our borrowings as of December 31, 2021 was 0.95% per annum. We incurred financing costs of $1.8 million in relation to the unsecured term loan, which are being amortized through the maturity date. We have interest rate swaps hedging the floating interest rate, which resulted in a fixed rate of 2.37% per annum, based on our current credit rating. The current hedging arrangement matures on February 1, 2023. As of December 31, 2021, we had $300.0 million under this unsecured term loan outstanding.
$200.0 Million Unsecured Term Loan due 2024
In 2018, HTALP entered into a modification of our $200.0 million unsecured term loan previously due in 2023. The modification decreased pricing at our current credit rating by 65 basis points and extended the maturity date to January 15, 2024. The other material terms of the unsecured term loan prior to the modification remained substantially unchanged. Borrowings under the unsecured term loan accrue interest at a rate equal to LIBOR, plus a margin ranging from 0.75% to 1.65% per annum based on our credit rating. The margin associated with our borrowings as of December 31, 2021 was 1.00% per annum. HTALP had interest rate swaps on the balance, which resulted in a fixed interest rate at 2.32% per annum. As of December 31, 2021, HTALP had $200.0 million under this unsecured term loan outstanding.
$600.0 Million Unsecured Senior Notes due 2026
In September 2019, in connection with the $650.0 million unsecured senior notes due 2030 referenced below, HTALP issued $250.0 million as additional unsecured senior notes to the $350.0 million aggregate principal of senior notes issued on July 12, 2016, all of which are guaranteed by HTA. These unsecured senior notes are registered under the Securities Act, bear interest at 3.50% per annum and are payable semi-annually. Additionally, these unsecured senior notes were offered at 103.66% and 99.72%, respectively, of the principal amount thereof, with an effective yield to maturity of 2.89% and 3.53%, respectively, per annum. As of December 31, 2021, HTALP had $600.0 million of these unsecured senior notes outstanding that mature on August 1, 2026.
$500.0 Million Unsecured Senior Notes due 2027
In 2017, HTALP issued $500.0 million of unsecured senior notes that are guaranteed by HTA. These unsecured senior notes are registered under the Securities Act, bear interest at 3.75% per annum and are payable semi-annually. Additionally, these unsecured senior notes were offered at 99.49% of the principal amount thereof, with an effective yield to maturity of 3.81% per annum. As of December 31, 2021, HTALP had $500.0 million of these unsecured senior notes outstanding that mature on July 1, 2027.
$650.0 Million Unsecured Senior Notes due 2030
In September 2019, in connection with the $250.0 million additional unsecured senior notes due 2026 referenced above, HTALP issued $650.0 million of unsecured senior notes that are guaranteed by HTA. These unsecured senior notes are registered under the Securities Act, bear interest at 3.10% per annum and are payable semi-annually. Additionally, these unsecured senior notes were offered at 99.66% of the principal amount thereof, with an effective yield to maturity of 3.14% per annum. As of December 31, 2021, HTALP had $650.0 million of these unsecured senior notes outstanding that mature on February 15, 2030. Proceeds from the issuance of $900.0 million of these notes were used, in part, to redeem a total of $700.0 million of unsecured senior notes. During the year ended December 31, 2019, the make-whole fees required per the terms of the indenture agreements upon our calling the notes totaling $18.3 million was recorded in loss on extinguishment of debt in the accompanying consolidated statements of operations.
$800.0 Million Unsecured Senior Notes due 2031
In September 2020, HTALP issued $800.0 million of unsecured senior notes that are guaranteed by HTA. These unsecured senior notes are registered under the Securities Act, bear interest at 2.00% per annum and are payable semi-annually. Additionally, these unsecured notes were offered at 99.20% of the principal amount thereof, with an effective yield to maturity of 2.09% per annum. We incurred financing costs of $6.8 million in relation to this transaction, which are being amortized through the maturity date. As of December 31, 2021, HTALP had $800.0 million of these unsecured senior notes outstanding that mature on March 15, 2031. Proceeds from the issuance of these unsecured notes were used, in part, to redeem $300.0 million of unsecured senior notes. During the year ended December 31, 2020, the make-whole fee that was required per the terms of the indenture agreement upon our calling the notes of $24.7 million was recorded in loss on extinguishment of debt in the accompanying consolidated statements of operations.
Future Debt Maturities
The following table summarizes the debt maturities and scheduled principal repayments of our indebtedness as of December 31, 2021 (in thousands):
YearAmount
2022$— 
2023— 
2024200,000 
2025300,000 
2026600,000 
Thereafter1,950,000 
Total$3,050,000 
Deferred Financing Costs
As of December 31, 2021, the expected future amortization of our deferred financing costs is as follows (in thousands):
YearAmount
2022$3,106 
20233,106 
20242,724 
20252,603 
20261,839 
Thereafter4,597 
Total$17,975 
Debt Covenants
We are required by the terms of our applicable loan agreements to meet various affirmative and negative covenants that we believe are customary for these types of facilities, such as limitations on the incurrence of debt by us and our subsidiaries that own unencumbered assets, limitations on the nature of HTALP’s business, and limitations on distributions by HTALP and its subsidiaries that own unencumbered assets. Our loan agreements also impose various financial covenants on us, such as a maximum ratio of total indebtedness to total asset value, a minimum ratio of EBITDA to fixed charges, a minimum tangible net worth covenant, a maximum ratio of unsecured indebtedness to unencumbered asset value, rent coverage ratios and a minimum ratio of unencumbered NOI to unsecured interest expense. As of December 31, 2021, we believe that we were in compliance with all such financial covenants and reporting requirements. In addition, certain of our loan agreements include events of default provisions that we believe are customary for these types of facilities, including restricting us from making dividend distributions to our stockholders in the event we are in default thereunder, except to the extent necessary for us to maintain our REIT status.
v3.22.0.1
Derivative Financial Instruments and Hedging Activities
 12 Months Ended
Dec. 31, 2021
Derivative Instruments and Hedging Activities Disclosure [Abstract]  
Derivative Financial Instruments and Hedging Activities Derivative Financial Instruments and Hedging Activities
Risk Management Objective of Using Derivative Financial Instruments
We may use derivative financial instruments, including interest rate swaps, caps, options, floors and other interest rate derivative contracts, to hedge all or a portion of the interest rate risk associated with our borrowings. The principal objective of such arrangements is to minimize the risks and/or costs associated with our operating and financial structure as well as to hedge specific anticipated transactions. We do not intend to utilize derivatives for speculative or other purposes other than interest rate risk management. The use of derivative financial instruments carries certain risks, including the risk that the counterparties to these contractual arrangements are not able to perform under the agreements. To mitigate this risk, we only enter into derivative financial instruments with counterparties with high credit ratings and with major financial institutions with which we and our affiliates may also have other financial relationships. We do not anticipate that any of the counterparties will fail to meet their obligations. We record counterparty credit risk valuation adjustments on interest rate swap derivative assets in order to properly reflect the credit quality of the counterparty. In addition, our fair value of interest rate swap derivative liabilities is adjusted to reflect the impact of our credit quality.
Cash Flow Hedges of Interest Rate Risk
Our objectives in using interest rate derivatives are to add stability to interest expense and to manage our exposure to interest rate movements. To accomplish this objective, we primarily use interest rate swaps and treasury locks as part of our interest rate risk management strategy. Interest rate swaps designated as cash flow hedges involve the receipt of variable rate amounts from a counterparty in exchange for us making fixed rate payments over the life of the agreements without exchange of the underlying notional amount. A treasury lock is a synthetic forward sale of a U.S. treasury note, which is settled in cash based upon the difference between an agreed upon treasury rate and the prevailing treasury rate at settlement. Such treasury locks are entered into to effectively fix the treasury component of an upcoming debt issuance.
Amounts reported in accumulated other comprehensive income (loss) in the accompanying consolidated balance sheets related to derivatives will be reclassified to interest expense as interest payments are made on our variable rate debt. During the next twelve months, we estimate that an additional $4.9 million will be reclassified from other comprehensive income (loss) in the accompanying consolidated balance sheets as an increase to interest related to derivative financial instruments in the accompanying consolidated statements of operations.
As of December 31, 2021, we had the following outstanding interest rate derivatives that were designated as cash flow hedges of interest rate risk (in thousands, except number of instruments):
Cash Flow HedgesDecember 31, 2021
Number of instruments7 
Notional amount$500,000 
The table below presents the fair value of our derivative financial instruments designated as a hedge as well as our classification in the accompanying consolidated balance sheets as of December 31, 2021 and 2020, respectively (in thousands). We had no offsetting derivatives as of December 31, 2021.
 Asset DerivativesLiability Derivatives
  Fair Value at:Fair Value at:
Derivatives Designated as Hedging Instruments:Balance Sheet
Location		December 31, 2021December 31, 2020Balance Sheet
Location		December 31, 2021December 31, 2020
Interest rate swapsReceivables and other assets$— $— Derivative financial instruments$5,069 $14,957 
The table below presents the gain or loss recognized on our derivative financial instruments designated as hedges as well as our classification in the accompanying consolidated statements of operations for the years ended December 31, 2021, 2020 and 2019, respectively (in thousands).
Year Ended December 31,
Effect of Derivative InstrumentsOperations and Comprehensive (Loss) Income202120202019
(Loss) gain recognized in OCIChange in unrealized losses on cash flow hedges$3,393 $(25,773)$5,910 
(Loss) gain reclassified from accumulated OCI into incomeInterest expense(6,721)(3,897)1,594 
Non-Designated Hedges
Derivatives not designated as hedges are not speculative and are used to manage our exposure to interest rate movements and other identified risks, but do not meet the strict hedge accounting requirements of ASC 815 - Derivatives and Hedging. Changes in the fair value of derivatives not designated in hedging relationships are recorded directly in earnings. Changes in the fair value of derivatives not designated in hedging relationships are recorded directly to gain or loss on change in fair value of derivative financial instruments in the accompanying consolidated statements of operations. There were no non-designated hedges as of December 31, 2021, 2020 and 2019, respectively.
Credit Risk Related Contingent Features
We have agreements with each of our derivative counterparties that contain a provision that if we default on any of our indebtedness, including a default where repayment of the indebtedness has not been accelerated by the lender, then we could also be declared in default on our derivative obligations.
We also have agreements with each of our derivative counterparties that incorporate provisions from our indebtedness with a lender affiliate of the derivative counterparty requiring it to maintain certain minimum financial covenant ratios on our indebtedness. Failure to comply with the covenant provisions would result in us being in default on any derivative instrument obligations covered by these agreements.
As of December 31, 2021, the fair value of derivatives in a net liability position, including accrued interest, but excluding any adjustment for nonperformance risk related to these agreements, was $5.2 million. As of December 31, 2021, we have not posted any collateral related to these agreements and we were not in breach of any of the provisions of these agreements. If we had breached any of the provisions of these agreements, we could have been required to settle our obligations under these agreements.
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Commitments and Contingencies
 12 Months Ended
Dec. 31, 2021
Commitments and Contingencies Disclosure [Abstract]  
Commitments and Contingencies Commitments and Contingencies
Litigation
We engage in litigation from time to time with various parties as a routine part of our business, including tenant defaults and threatened or asserted labor matters. However, we are not presently subject to any material litigation nor, to our knowledge, is any material litigation threatened against us, which if determined unfavorably to us, would have a material effect on our consolidated financial position, results of operations or cash flows. 
Environmental Matters
We follow the policy of monitoring our properties for the presence of hazardous or toxic substances. While there can be no assurance that a material environmental liability does not exist at our properties, we are not currently aware of any environmental liability with respect to our properties that would have a material effect on our consolidated financial position, results of operations or cash flows. Further, we are not aware of any material environmental liability or any unasserted claim or assessment with respect to an environmental liability at our properties that we believe would require additional disclosure or the recording of a loss contingency.
Other
Our other commitments and contingencies include the usual obligations of real estate owners and operators in the normal course of business. In our opinion, these matters are not expected to have a material effect on our consolidated financial position, results of operations or cash flows.
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Stockholders' Equity and Partners' Capital
 12 Months Ended
Dec. 31, 2021
Equity [Abstract]  
Stockholders' Equity and Partners' Capital Stockholders’ Equity and Partners’ Capital
HTALP’s operating partnership agreement provides that it will distribute cash flow from operations and net sale proceeds to its partners in accordance with their overall ownership interests at such times and in such amounts as the general partner determines. Dividend distributions are made such that a holder of one OP Unit in HTALP will receive distributions from HTALP in an amount equal to the dividend distributions paid to the holder of one share of our common stock. In addition, for each share of common stock issued or redeemed by us, HTALP issues or redeems a corresponding number of OP Units.
Common Stock Offerings
In March 2021, we entered into equity distribution agreements with various sales agents with respect to our at-the-market ("ATM") offering program of common stock with an aggregate sales amount of up to $750.0 million, which replaced our prior ATM offering program that expired in February 2021. As of December 31, 2021, $750.0 million remained available for issuance by us under our current ATM.
During the year ended December 31, 2021, we issued approximately 9.4 million shares of our common stock under our ATM for net proceeds of approximately $251.3 million, adjusted for costs to borrow equating to a net price to us of $26.68 per share of common stock. Refer to Note 13 - Per Share Data of HTA to these consolidated financial statements for a more detailed discussion related to our forward equity agreements.
Stock Repurchase Plan
In September 2020, our Board of Directors approved a stock repurchase plan authorizing us to purchase up to $300.0 million of our common stock from time to time prior to the expiration thereof on September 22, 2023. As of December 31, 2021, the remaining amount of common stock available for repurchase under the stock repurchase plan was $300.0 million.
Common Stock Dividends
See our accompanying consolidated statements of equity and changes in partners’ capital for the dividends declared during the years ended December 31, 2021, 2020 and 2019. As of December 31, 2021 and 2020, declared but unpaid dividends totaling $75.7 million and $71.4 million, respectively, were included in accounts payable and accrued liabilities. On February 28, 2022, our Board of Directors announced a quarterly cash dividend of $0.325 per share of common stock and per OP Unit to be paid on April 11, 2022 to stockholders and unitholders of record on April 4, 2022.
Incentive Plan
Our Incentive Plan permits the grant of incentive awards to our employees, officers, non-employee directors and consultants as selected by our Board of Directors. This Plan authorizes us to grant awards in any of the following forms: options; stock appreciation rights; restricted stock; restricted or deferred stock units; performance awards; dividend equivalents; other stock-based awards, including units in HTALP; and cash-based awards. Subject to adjustment as provided in the Plan, the aggregate number of awards reserved and available for issuance under the Plan is 10,000,000 shares. As of December 31, 2021, there were 9,804,333 awards available for grant under the Plan.
Restricted Common Stock
The weighted average fair value of restricted common stock granted during the years ended December 31, 2021, 2020 and 2019, were $28.14, $29.83 and $26.08, respectively. The fair value of restricted common stock for which the restriction lapsed during the years ended December 31, 2021, 2020 and 2019 were $8.2 million, $12.6 million and $8.9 million, respectively.
We recognized compensation expense, equal to the fair market value of HTA’s stock on the grant date, over the service period which is generally three to four years. For the years ended December 31, 2021, 2020 and 2019, we recognized compensation expense of $7.3 million, $8.9 million and $10.1 million respectively. Substantially all compensation expense was recorded in general and administrative expenses in the accompanying consolidated statements of operations.
As of December 31, 2021, we had $6.9 million of unrecognized compensation expense, net of estimated forfeitures, which we will recognize over a remaining weighted average period of 1.6 years.
The following is a summary of our restricted common stock activity as of December 31, 2021 and 2020, respectively:
December 31, 2021December 31, 2020
Restricted Common StockWeighted
Average Grant
Date Fair Value		Restricted Common StockWeighted
Average Grant
Date Fair Value
Beginning balance436,399 $28.27 600,987 $28.04 
Granted552,989 28.14 273,503 29.83 
Vested(297,555)27.47 (426,693)28.93 
Forfeited(161,971)27.47 (11,398)28.88 
Ending balance529,862 $28.83 436,399 $28.27 
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Fair Value of Financial Instruments
 12 Months Ended
Dec. 31, 2021
Fair Value Disclosures [Abstract]  
Fair Value of Financial Instruments Fair Value of Financial Instruments
Financial Instruments Reported at Fair Value - Recurring
The table below presents the carrying amounts and fair values of our financial instruments on a recurring basis as of December 31, 2021 and 2020 (in thousands):
December 31, 2021December 31, 2020
Carrying AmountFair ValueCarrying AmountFair Value
Level 2 - Assets:
Real estate notes receivable, net$69,114 $68,476 $— $— 
Level 2 - Liabilities:
Derivative financial instruments$5,069 $5,069 $14,957 $14,957 
Debt 3,028,122 3,117,602 3,026,999 3,258,573 
The carrying amounts of cash and cash equivalents, tenant and other receivables, restricted cash, accounts payable, and accrued liabilities approximate fair value. There have been no transfers of assets or liabilities between levels. We will record any such transfers at the end of the reporting period in which a change of event occurs that results in a transfer. Although we have determined that the majority of the inputs used to value our cash flow hedges fall within Level 2 of the fair value hierarchy, the credit valuation adjustments associated with these instruments utilize Level 3 inputs, such as estimates of current credit spreads to evaluate the likelihood of default by us and our counterparties. However, we have assessed the significance of the impact of the credit valuation adjustments on the overall valuation of our cash flow hedge positions and have determined that the credit valuation adjustments are not significant to their overall valuation. As a result, we have determined that our cash flow hedge valuations in their entirety are classified in Level 2 of the fair value hierarchy.  For further discussion of the assumptions considered, refer to Note 2 - Summary of Significant Accounting Policies.
Financial Instruments Reported at Fair Value - Non-Recurring
We also have assets that under certain conditions are subject to measurement at fair value on a non-recurring basis. This generally includes assets subject to impairment. We estimate fair value relating to impairment assessments based upon discounted cash flow and direct capitalization models that include all projected cash inflows and outflows over a specific holding period, or the contractual sales price, if applicable. Such projected cash flows are comprised of contractual rental revenues and forecasted rental revenues and expenses based on market conditions and expectations for growth. Capitalization rates and discount rates utilized in these models are based on a reasonable range of current market rates for each property analyzed. Based on these inputs, we determined that our valuation of properties using a discounted cash flow or a direct capitalization model were classified within Level 3 of the fair value hierarchy. For assets for which the estimated fair value was based on contractual sales prices, we determined that our valuation was classified within Level 2 of the fair value hierarchy. As of December 31, 2021, the estimated fair value for one real estate investment within Level 2 of the fair value hierarchy was based on the purchase price set forth in an executed purchase option, less estimated closing costs. The estimated fair value for two real estate investments within Level 3 of the fair value hierarchy was based on income capitalization models utilizing a capitalization rate of 7.00%.
The table below presents our assets measured at fair value on a non-recurring basis as of December 31, 2021 and 2020 (in thousands):
December 31, 2021December 31, 2020
Fair ValueFair Value
Level 2 - Assets:
Real estate investment$26,768 $— 
Level 3 - Assets:
Real estate investments$4,970 $— 
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Per Share Data of HTA
 12 Months Ended
Dec. 31, 2021
Earnings Per Share [Abstract]  
Per Share Data of HTA Per Share Data of HTA
During the year ended December 31, 2021, we issued approximately 9.4 million shares of our common stock under our ATM for net proceeds of approximately $251.3 million, adjusted for costs to borrow equating to a net price to us of $26.68 per share of common stock.
To account for the forward equity agreement, we considered the accounting guidance governing financial instruments and derivatives and concluded that our forward equity agreement was not a liability as it did not embody obligations to repurchase our shares of common stock nor did it embody obligations to issue a variable number of shares for which the monetary value was predominately fixed, varying with something other than the fair value of the shares, or varying inversely in relation to our shares. We also evaluated whether the agreement met the derivatives and hedging guidance scope exception to be accounted for as an equity instrument and concluded that the agreement can be classified as an equity contract based on the following assessment: (i) the agreement did not exercise contingencies were based on observable markets or indices besides those related to the market for our own stock price and operations; and (ii) none of the settlement provisions precluded the agreement from being indexed to our own common stock.
In addition, we considered the potential dilution resulting from the forward equity agreement(s) on our earnings per common share calculations. We used the treasury method to determine the dilution resulting from the forward equity agreement(s) during the period of time prior to settlement. The number of weighted-average shares outstanding used in the computation of earnings per common share for the year ended December 31, 2021, included the effect from the assumed issuance of 9.4 million shares issued during 2019 and 2020, respectively, pursuant to the settlement(s) of the forward equity agreement(s) at the contractual price(s), less the assumed repurchase of our common stock at the average market price using the proceeds of approximately $251.3 million, adjusted for costs to borrow. For the year ended December 31, 2021, the impact to our weighted-average shares-diluted was approximately 916,000 weighted-average incremental shares. For the year ended December 31, 2020, 819,000 weighted-average incremental shares of our common stock were excluded from the computation of our weighted-average shares - diluted, as the impact was anti-dilutive.
We include unvested share-based payment awards that contain non-forfeitable rights to dividends or dividend equivalents as “participating securities” pursuant to the two-class method. The resulting classes are our common stock and restricted stock. Our forward equity agreement is not considered a participating security and, therefore, is not included in the computation of earnings per share using the two-class method. For the years ended December 31, 2021, 2020 and 2019, all of our earnings were distributed and the calculated earnings per share amount would be the same for all classes.
The following is the reconciliation of the numerator and denominator used in basic and diluted earnings per share of HTA for the years ended December 31, 2021, 2020 and 2019, respectively (in thousands, except per share data):
 Year Ended December 31,
 202120202019
Numerator:
Net income
$99,784 $53,508 $30,758 
Net income attributable to non-controlling interests(1,768)(890)(604)
Net income attributable to common stockholders$98,016 $52,618 $30,154 
Denominator:
Weighted average shares outstanding - basic219,439 218,078 205,720 
Dilutive shares - OP Units convertible into common stock 3,860 3,588 3,885 
Dilutive effect of forward equity sales agreement916 — — 
Adjusted weighted average shares outstanding - diluted224,215 221,666 209,605 
Earnings per common share - basic
Net income attributable to common stockholders
$0.45 $0.24 $0.15 
Earnings per common share - diluted
Net income attributable to common stockholders
$0.44 $0.24 $0.14 
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Per Unit Data of HTALP
 12 Months Ended
Dec. 31, 2021
Earnings Per Share  
Per Unit Data of HTALP Per Share Data of HTA
During the year ended December 31, 2021, we issued approximately 9.4 million shares of our common stock under our ATM for net proceeds of approximately $251.3 million, adjusted for costs to borrow equating to a net price to us of $26.68 per share of common stock.
To account for the forward equity agreement, we considered the accounting guidance governing financial instruments and derivatives and concluded that our forward equity agreement was not a liability as it did not embody obligations to repurchase our shares of common stock nor did it embody obligations to issue a variable number of shares for which the monetary value was predominately fixed, varying with something other than the fair value of the shares, or varying inversely in relation to our shares. We also evaluated whether the agreement met the derivatives and hedging guidance scope exception to be accounted for as an equity instrument and concluded that the agreement can be classified as an equity contract based on the following assessment: (i) the agreement did not exercise contingencies were based on observable markets or indices besides those related to the market for our own stock price and operations; and (ii) none of the settlement provisions precluded the agreement from being indexed to our own common stock.
In addition, we considered the potential dilution resulting from the forward equity agreement(s) on our earnings per common share calculations. We used the treasury method to determine the dilution resulting from the forward equity agreement(s) during the period of time prior to settlement. The number of weighted-average shares outstanding used in the computation of earnings per common share for the year ended December 31, 2021, included the effect from the assumed issuance of 9.4 million shares issued during 2019 and 2020, respectively, pursuant to the settlement(s) of the forward equity agreement(s) at the contractual price(s), less the assumed repurchase of our common stock at the average market price using the proceeds of approximately $251.3 million, adjusted for costs to borrow. For the year ended December 31, 2021, the impact to our weighted-average shares-diluted was approximately 916,000 weighted-average incremental shares. For the year ended December 31, 2020, 819,000 weighted-average incremental shares of our common stock were excluded from the computation of our weighted-average shares - diluted, as the impact was anti-dilutive.
We include unvested share-based payment awards that contain non-forfeitable rights to dividends or dividend equivalents as “participating securities” pursuant to the two-class method. The resulting classes are our common stock and restricted stock. Our forward equity agreement is not considered a participating security and, therefore, is not included in the computation of earnings per share using the two-class method. For the years ended December 31, 2021, 2020 and 2019, all of our earnings were distributed and the calculated earnings per share amount would be the same for all classes.
The following is the reconciliation of the numerator and denominator used in basic and diluted earnings per share of HTA for the years ended December 31, 2021, 2020 and 2019, respectively (in thousands, except per share data):
 Year Ended December 31,
 202120202019
Numerator:
Net income
$99,784 $53,508 $30,758 
Net income attributable to non-controlling interests(1,768)(890)(604)
Net income attributable to common stockholders$98,016 $52,618 $30,154 
Denominator:
Weighted average shares outstanding - basic219,439 218,078 205,720 
Dilutive shares - OP Units convertible into common stock 3,860 3,588 3,885 
Dilutive effect of forward equity sales agreement916 — — 
Adjusted weighted average shares outstanding - diluted224,215 221,666 209,605 
Earnings per common share - basic
Net income attributable to common stockholders
$0.45 $0.24 $0.15 
Earnings per common share - diluted
Net income attributable to common stockholders
$0.44 $0.24 $0.14 
Healthcare Trust of America Holdings, LP (HTALP)  
Earnings Per Share  
Per Unit Data of HTALP Per Unit Data of HTALP
During the year ended December 31, 2021, we issued approximately 9.4 million shares of our common stock under our ATM for net proceeds of approximately $251.3 million, adjusted for costs to borrow equating to a net price to us of $26.68 per share of common stock. Refer to Note 13 - Per Share Data of HTA to our consolidated financial statements for a more detailed discussion related to our forward equity agreements.
The following is the reconciliation of the numerator and denominator used in basic and diluted earnings per unit of HTALP for the years ended December 31, 2021, 2020 and 2019, respectively (in thousands, except per unit data):
 Year Ended December 31,
 202120202019
Numerator:
Net income
$99,784 $53,508 $30,758 
Net income attributable to non-controlling interests— — (66)
Net income attributable to common OP unitholders$99,784 $53,508 $30,692 
Denominator:
Weighted average units outstanding - basic223,299 221,666 209,605 
Dilutive units - OP Units convertible into common units— — — 
Dilutive effect of forward equity sales agreement916 — — 
Adjusted weighted average OP units outstanding - diluted224,215 221,666 209,605 
Earnings per common unit - basic:
Net income attributable to common OP unitholders$0.45 $0.24 $0.15 
Earnings per common unit - diluted:
Net income attributable to common OP unitholders$0.45 $0.24 $0.15 
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Supplemental Cash Flow Information
 12 Months Ended
Dec. 31, 2021
Supplemental Cash Flow Elements [Abstract]  
Supplemental Cash Flow Information Supplemental Cash Flow InformationThe following is the supplemental cash flow information for the years ended December 31, 2021, 2020 and 2019, respectively (in thousands):
Year Ended December 31,
202120202019
Supplemental Disclosure of Cash Flow Information:
Interest paid, net of capitalized interest$80,367 $83,375 $94,668 
Cash paid for operating leases15,108 12,465 11,842 
Supplemental Disclosure of Noncash Investing and Financing Activities:
Accrued capital and development expenditures$12,696 $31,807 $6,381 
Conversion of notes receivable to investments in real estate1,142 — — 
Extinguishment of finance ground lease from land acquisition— 1,710 — 
Dividend distributions declared, but not paid
75,723 71,423 69,468 
Issuance of OP Units in HTALP
— — 2,603 
Issuance of OP Units in HTALP in connection with an acquisition
35,785 — 2,000 
Note receivable retired in connection with an acquisition
— 6,000 — 
Redemption of non-controlling interest 6,354 9,019 7,527 
ROU assets obtained in exchange for lease obligations
8,798 4,373 200,879 
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Tax Treatment of Dividends of HTA
 12 Months Ended
Dec. 31, 2021
Income Tax Disclosure [Abstract]  
Tax Treatment of Dividends of HTA Treatment of Dividends of HTAThe following is the income tax treatment of dividend distributions for the years ended December 31, 2021, 2020 and 2019 (in per share):
 Year Ended December 31,
 202120202019
Ordinary income$0.7920 $0.6976 $0.6405 
Return of capital0.4930 0.5582 0.6045 
Capital gain0.0000 0.0092 0.0000 
Total$1.2850 $1.2650 $1.2450 
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Selected Quarterly Financial Data of HTA (Unaudited)
 12 Months Ended
Dec. 31, 2021
Quarterly Financial Information Disclosure [Abstract]  
Selected Quarterly Financial Data of HTA (Unaudited) Selected Quarterly Financial Data of HTA (Unaudited)The following is the selected quarterly financial data of HTA for 2021 and 2020. We believe that all necessary adjustments, consisting of only normal recurring adjustments, have been included (in thousands, except per share data).
 
Quarter Ended (1)
2021March 31June 30September 30December 31
Revenues$191,493 $188,615 $191,262 $195,703 
Net income 22,393 38,739 22,042 16,610 
Net income attributable to common stockholders22,030 38,011 21,672 16,303 
Earnings per common share - basic:
Net income attributable to common stockholders$0.10 $0.17 $0.10 $0.07 
Earnings per common share - diluted:
Net income attributable to common stockholders$0.10 $0.17 $0.10 $0.07 
(1) The sum of the individual quarterly amounts may not agree to the annual amounts included in the accompanying consolidated statements of operations due to rounding.
 
Quarter Ended (1)
2020March 31June 30September 30December 31
Revenues$185,776 $178,845 $187,326 $187,018 
Net income (loss)18,208 13,725 (6,932)28,507 
Net income (loss) attributable to common stockholders17,901 13,489 (6,827)28,055 
Earnings per common share - basic:
Net income (loss) attributable to common stockholders$0.08 $0.06 $(0.03)$0.13 
Earnings per common share - diluted:
Net income (loss) attributable to common stockholders$0.08 $0.06 $(0.03)$0.13 
(1) The sum of the individual quarterly amounts may not agree to the annual amounts included in the accompanying consolidated statements of operations due to rounding.
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Selected Quarterly Financial Data of HTALP (Unaudited)
 12 Months Ended
Dec. 31, 2021
Selected Quarterly Financial Data [Line Items]  
Selected Quarterly Financial Data of HTALP (Unaudited) Selected Quarterly Financial Data of HTA (Unaudited)The following is the selected quarterly financial data of HTA for 2021 and 2020. We believe that all necessary adjustments, consisting of only normal recurring adjustments, have been included (in thousands, except per share data).
 
Quarter Ended (1)
2021March 31June 30September 30December 31
Revenues$191,493 $188,615 $191,262 $195,703 
Net income 22,393 38,739 22,042 16,610 
Net income attributable to common stockholders22,030 38,011 21,672 16,303 
Earnings per common share - basic:
Net income attributable to common stockholders$0.10 $0.17 $0.10 $0.07 
Earnings per common share - diluted:
Net income attributable to common stockholders$0.10 $0.17 $0.10 $0.07 
(1) The sum of the individual quarterly amounts may not agree to the annual amounts included in the accompanying consolidated statements of operations due to rounding.
 
Quarter Ended (1)
2020March 31June 30September 30December 31
Revenues$185,776 $178,845 $187,326 $187,018 
Net income (loss)18,208 13,725 (6,932)28,507 
Net income (loss) attributable to common stockholders17,901 13,489 (6,827)28,055 
Earnings per common share - basic:
Net income (loss) attributable to common stockholders$0.08 $0.06 $(0.03)$0.13 
Earnings per common share - diluted:
Net income (loss) attributable to common stockholders$0.08 $0.06 $(0.03)$0.13 
(1) The sum of the individual quarterly amounts may not agree to the annual amounts included in the accompanying consolidated statements of operations due to rounding.
Healthcare Trust of America Holdings, LP (HTALP)  
Selected Quarterly Financial Data [Line Items]  
Selected Quarterly Financial Data of HTALP (Unaudited) Selected Quarterly Financial Data of HTALP (Unaudited)
The following is the selected quarterly financial data of HTALP for 2021 and 2020. We believe that all necessary adjustments, consisting of only normal recurring adjustments, have been included (in thousands, except per unit data).
 
Quarter Ended (1)
2021March 31June 30September 30December 31
Revenues$191,493 $188,615 $191,262 $195,703 
Net income 22,393 38,739 22,042 16,610 
Net income attributable to common OP unitholders22,393 38,739 22,042 16,610 
Earnings per common OP unit - basic:
Net income attributable to common OP unitholders$0.10 $0.17 $0.10 $0.07 
Earnings per common OP unit - diluted:
Net income attributable to common OP unitholders$0.10 $0.17 $0.10 $0.07 
(1) The sum of the individual quarterly amounts may not agree to the annual amounts included in the accompanying consolidated statements of operations due to rounding.
 
Quarter Ended (1)
2020March 31June 30September 30December 31
Revenues$185,776 $178,845 $187,326 $187,018 
Net income (loss)18,208 13,725 (6,932)28,507 
Net income (loss) attributable to common OP unitholders18,208 13,725 (6,932)28,507 
Earnings per common OP unit - basic:
Net income (loss) attributable to common OP unitholders$0.08 $0.06 $(0.03)$0.13 
Earnings per common OP unit - diluted:
Net income (loss) attributable to common OP unitholders$0.08 $0.06 $(0.03)$0.13 
(1) The sum of the individual quarterly amounts may not agree to the annual amounts included in the accompanying consolidated statements of operations due to rounding.
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Schedule III- Real Estate and Accumulated Depreciation
 12 Months Ended
Dec. 31, 2021
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation Disclosure [Abstract]  
Schedule III - Real Estate and Accumulated Depreciation The following schedule presents our total real estate investments and accumulated depreciation for our portfolio as of December 31, 2021 (in thousands):
  Initial Cost to CompanyCost
Capitalized
Subsequent
to
Acquisition (a)		Gross Amount at Which
Carried at Close of Period		   
EncumbrancesLandBuildings,
Improvements and
Fixtures		LandBuildings,
Improvements and
Fixtures		Total (c)
Accumulated
Depreciation (f)
Date of ConstructionDate
Acquired		Life on Which Building Depreciation in Income Statement is Computed (h)
Operating Properties:
Shelby MOBsAlabaster, AL$— $— $25,095 $2,686 $— $27,781 $27,781 $(5,390)1995-1998201636
Simon Williamson ClinicBirmingham, AL— — 25,689 (156)— 25,533 25,533 (4,489)2007201636
JasperJasper, AL— — 5,973 325 — 6,298 6,298 (1,563)1979201625
Phoenix Med CenterGlendale, AZ— 453 2,768 841 453 3,609 4,062 (1,311)1989201139
Thunderbird MOPGlendale, AZ— 3,842 19,679 2,198 3,842 21,877 25,719 (9,597)1976-1987200739
Peoria MOBPeoria, AZ— 605 4,394 2,248 605 6,642 7,247 (2,115)2000201039
Baptist MCPhoenix, AZ— — 12,637 3,661 — 16,298 16,298 (6,113)1973200839
Desert Ridge MOBPhoenix, AZ— — 27,738 2,690 — 30,428 30,428 (9,779)2004-2006201139
Dignity Phoenix MOBsPhoenix, AZ— — 66,106 1,342 — 67,448 67,448 (10,483)1984-19972017 20-39
Estrella Med CenterPhoenix, AZ— — 24,703 2,142 — 26,845 26,845 (9,240)2004201039
Sun City Boswell MOBsSun City, AZ— — 12,642 4,464 — 17,106 17,106 (6,672)1971-2001200939
Sun City Boswell WestSun City, AZ— — 6,610 1,913 — 8,523 8,523 (3,354)1992200939
Sun City Webb MPSun City, AZ— — 16,188 4,021 — 20,209 20,209 (7,808)1997-2004200939
Sun City West MOBsSun City, AZ— 744 13,466 4,160 744 17,626 18,370 (6,936)1987-2002200939
Gateway Med PlazaTucson, AZ— — 14,005 565 — 14,570 14,570 (4,629)2008201039
Tucson Academy MOPTucson, AZ— 1,193 6,107 1,396 1,193 7,503 8,696 (3,071)1978200839
Tucson Desert Life MOPTucson, AZ— 1,309 17,572 6,466 1,309 24,038 25,347 (10,468)1980 -1984200739
Bakersfield Medical Office BuildingBakersfield, CA— — — 28,695 — 28,695 28,695 (293)2021202039
Dignity Mercy MOBsBakersfield, CA— — 15,207 (240)— 14,967 14,967 (2,144)1992201735
5995 Plaza DriveCypress, CA— 5,109 17,961 2,703 5,109 20,664 25,773 (7,860)1986200839
Dignity Glendale MOBGlendale, CA— — 7,244 257 — 7,501 7,501 (1,530)1980201730
3rd Street MOBLos Angeles, CA— 10,603 63,419 2,070 10,603 65,489 76,092 (5,750)1990201939
Mission Medical Center MOBsMission Viejo, CA— 21,911 117,672 7,416 21,911 125,088 146,999 (18,184)1972-1985201639
Dignity Northridge MOBsNorthridge, CA— — 21,467 1,250 — 22,717 22,717 (3,657)1979-19942017 30-35
San Luis Obispo MOBSan Luis Obispo, CA— — 11,900 985 — 12,885 12,885 (4,169)2009201039
Facey MOBSanta Clarita, CA— 6,452 5,586 19,641 6,452 25,227 31,679 (3,447)2018201739
Dignity Marian MOBsSanta Maria, CA— — 13,646 726 — 14,372 14,372 (2,940)1994-19952017 17-38
Premier Health PlazaColorado Springs, CO— 1,672 10,954 113 1,668 11,071 12,739 (307)2001202139
Rampart MOBDenver, CO— 3,794 13,077 434 3,794 13,511 17,305 (1,017)1983-1995201939
SCL Health MOBsDenver, CO— 11,652 104,327 10,372 11,652 114,699 126,351 (14,592)2015-2017201739
Hampden Place MOBEnglewood, CO— 3,032 12,553 475 3,032 13,028 16,060 (4,095)2004200939
Highlands Ranch MOPHighlands Ranch, CO— 2,240 10,426 8,385 2,240 18,811 21,051 (8,692)1983-1985200739
Lone Tree Medical Office BuildingsLone Tree, CO— 3,736 29,546 2,313 3,736 31,859 35,595 (7,115)2004-2008201438
Lincoln Medical CenterParker, CO— 5,142 28,638 1,682 5,142 30,320 35,462 (7,894)2008201339
  Initial Cost to CompanyCost
Capitalized
Subsequent
to
Acquisition (a)		Gross Amount at Which
Carried at Close of Period		   
EncumbrancesLandBuildings,
Improvements and
Fixtures		LandBuildings,
Improvements and
Fixtures		Total (c)
Accumulated
Depreciation (f)
Date of ConstructionDate
Acquired		Life on Which Building Depreciation in Income Statement is Computed (h)
80 FisherAvon, CT$— $— $5,094 $1 $— $5,095 $5,095 $(1,414)2008201639
533 Cottage - NorthwesternBloomfield, CT— 726 3,964 (527)726 3,437 4,163 (749)1955201635
Northwestern MOBsBloomfield, CT— 1,369 6,287 732 1,369 7,019 8,388 (1,865)1985201635
406 FarmingtonFarmington, CT— 379 3,509 3 379 3,512 3,891 (692)1988201639
704 HebronGlastonbury, CT— 2,223 6,544 20 2,223 6,564 8,787 (1,575)2001201637
Gateway MOBsGlastonbury, CT— 11,328 41,320 10,291 13,448 49,491 62,939 (10,190)2007-20172016-201739
Hamden MOBHamden, CT— 4,925 36,835 69 4,925 36,904 41,829 (2,356)1970-1972201939
Haynes MOBsManchester, CT— 1,100 14,620 6 1,100 14,626 15,726 (2,681)2007-2010201639
Pomeroy MOBsMeriden, CT— 1,774 10,078 (48)1,774 10,030 11,804 (2,412)2009-2011201639
Saybrook MOBsMiddleton, CT— — 10,314 887 — 11,201 11,201 (2,711)1989201628
Yale Long WharfNew Haven, CT— 9,367 58,691 7,707 7,791 67,974 75,765 (17,824)1977201630
Devine MOBsNorth Haven, CT— 3,606 27,278 1,708 3,606 28,986 32,592 (5,301)2006-20172016-201735
Evergreen MOBsSouth Windsor, CT— 5,565 25,839 (81)5,833 25,490 31,323 (4,845)2006-2011201639
Westport CenterWestport, CT— 3,311 13,296 843 3,311 14,139 17,450 (1,364)1985201939
Day Hill MOBsWindsor, CT— 3,980 7,055 34 3,980 7,089 11,069 (2,166)1990-1999201630
Clint Moore Medical FacilityBoca Raton, FL— 20,051 27,157 64 20,072 27,200 47,272 (384)1996202139
Riverside MOBBradenton, FL— 2,230 7,689 354 2,230 8,043 10,273 (1,886)1980201625
Brandon MOPBrandon, FL— 901 6,946 867 901 7,813 8,714 (2,807)1997200839
McMullen MOBClearwater, FL— 3,470 12,621 (613)3,470 12,008 15,478 (2,907)2009201439
Orlando Rehab HospitalEdgewood, FL— 2,600 20,256 3,000 2,600 23,256 25,856 (8,425)2007201039
Palmetto MOBHialeah, FL— — 15,512 5,487 — 20,999 20,999 (7,775)1980201339
Palmetto IIHialeah, FL— — 51,480 75 — 51,555 51,555 (1,673)1992202039
East FL Senior JacksonvilleJacksonville, FL— 4,291 9,220 (736)4,291 8,484 12,775 (3,647)1985200739
King Street MOBJacksonville, FL— — 7,232 86 — 7,318 7,318 (2,445)2007201039
Jupiter MPJupiter, FL— 1,204 11,778 1,283 1,204 13,061 14,265 (3,336)1996-1997201339
Central FL SCLakeland, FL— 768 3,002 511 768 3,513 4,281 (1,549)1995200839
Vista Pro Center MOPLakeland, FL— 1,082 3,587 569 1,082 4,156 5,238 (1,582)1996-19992007-200839
Largo Medical CenterLargo, FL— — 51,045 660 — 51,705 51,705 (11,897)2009201339
Largo MOPLargo, FL— 729 8,908 1,496 729 10,404 11,133 (4,234)1975-1986200839
FL Family Medical CenterLauderdale Lakes, FL— — 4,257 1,271 — 5,528 5,528 (2,519)1978201339
Northwest Medical ParkMargate, FL— — 9,525 (297)5 9,223 9,228 (2,138)2009201339
Coral Reef Miami, FL— 1,160 — 18,454 1,160 18,454 19,614 (343)2021201739
North Shore MOBMiami, FL— — 4,942 1,592 — 6,534 6,534 (2,889)1978201339
Sunset Professional and Kendall MOBsMiami, FL— 11,855 13,633 6,679 11,855 20,312 32,167 (7,506)1954-2006201427
Commons V MOBNaples, FL— 4,173 9,070 2,788 4,173 11,858 16,031 (4,642)1990200739
Orlando Lake Underhill MOBOrlando, FL— — 8,515 428 — 8,943 8,943 (2,837)2000201039
Florida Hospital MOBsOrlando, Sebring and Tampa, FL— — 151,647 3,185 — 154,832 154,832 (21,818)2006-2012201739
Orlando Oviedo MOBOviedo, FL— — 5,711 926 — 6,637 6,637 (2,364)1998201039
Heart & Family Health MOBPort St. Lucie, FL— 686 8,102 15 686 8,117 8,803 (2,248)2008201339
St. Lucie MCPort St. Lucie, FL— — 6,127 (41)— 6,086 6,086 (1,473)2008201339
East FL Senior SunriseSunrise, FL— 2,947 12,825 (1,006)2,947 11,819 14,766 (4,641)1989200739
Tallahassee Rehab HospitalTallahassee, FL— 7,142 18,691 2,400 7,142 21,091 28,233 (7,903)2007201039
Optimal MOBsTampa, FL— 4,002 69,824 552 4,002 70,376 74,378 (10,921)2005-2015201739
Tampa Medical Village MOBTampa, FL— 3,627 14,806 1,295 3,627 16,101 19,728 (2,906)2003201735
  Initial Cost to CompanyCost
Capitalized
Subsequent
to
Acquisition (a)		Gross Amount at Which
Carried at Close of Period		   
EncumbrancesLandBuildings,
Improvements and
Fixtures		LandBuildings,
Improvements and
Fixtures		Total (c)
Accumulated
Depreciation (f)
Date of ConstructionDate
Acquired		Life on Which Building Depreciation in Income Statement is Computed (h)
VA MOBsTampa, FL$— $17,802 $80,154 $732 $17,802 $80,886 $98,688 $(11,226)2013201739
FL Ortho InstituteTemple Terrace, FL— 2,923 17,647 (1)2,923 17,646 20,569 (6,021)2001-2003201039
Wellington MAP IIIWellington, FL— — 10,511 31 — 10,542 10,542 (3,288)2006201039
Victor Farris MOBWest Palm Beach, FL— — 23,052 11,965 — 35,017 35,017 (9,022)1988201339
East FL Senior Winter ParkWinter Park, FL— 2,840 12,825 (1,023)2,840 11,802 14,642 (4,872)1988200739
Camp Creek Med CenterAtlanta, GA— 2,961 19,688 1,371 2,961 21,059 24,020 (7,593)2006 - 20102010-201239
Camp Creek MOBAtlanta, GA— 328 12,539 — 328 12,539 12,867 (875)2018201939
North Atlanta MOBsAtlanta, GA— — 41,836 1,621 — 43,457 43,457 (6,249)2011-2012201739
Paces PavilionAtlanta, GA— 3,670 16,328 27 3,670 16,355 20,025 — 1996202139
Augusta Rehab HospitalAugusta, GA— 1,059 20,899 — 1,059 20,899 21,958 (6,779)2007201039
Austell Medical ParkAustell, GA— 432 4,057 (160)432 3,897 4,329 (1,113)2007201339
Harbin Clinic MOBsCedartown, Rome and Summerville, GA— 7,097 112,155 (11,230)7,097 100,925 108,022 (17,790)1960-20102017 30-39
Decatur MPDecatur, GA— 3,166 6,862 1,303 3,166 8,165 11,331 (2,954)1976200839
Yorktown MCFayetteville, GA— 2,802 12,502 3,967 2,802 16,469 19,271 (6,766)1987200739
Gwinett MOPLawrenceville, GA— 1,290 7,246 4,525 1,290 11,771 13,061 (5,467)1985200739
Marietta Health ParkMarietta, GA— 1,276 12,197 3,198 1,276 15,395 16,671 (5,436)2000200839
WellStar Tower MOBMarietta, GA— 748 13,528 321 748 13,849 14,597 (2,962)2007201539
Shakerag MCPeachtree City, GA— 743 3,290 1,130 743 4,420 5,163 (2,307)1994200739
Overlook at Eagle's LandingStockbridge, GA— 638 6,685 581 638 7,266 7,904 (2,653)2004201039
SouthCrest MOPStockbridge, GA— 4,260 14,636 2,257 4,260 16,893 21,153 (7,061)2005200839
Cherokee Medical CenterWoodstock, GA— — 16,558 990 — 17,548 17,548 (4,262)2001201535
Honolulu MOBHonolulu, HI— — 27,336 3,132 — 30,468 30,468 (6,595)1997201435
Kapolei Medical ParkKapolei, HI— — 16,253 643 — 16,896 16,896 (4,237)1999201435
North Curtis RoadBoise, ID— 382 5,995 12 382 6,007 6,389 (462)1983202039
Eagle Road MOBMeridian, ID— 666 9,636 (146)666 9,490 10,156 (1,004)2000201939
Chicago MOBsChicago, IL— 7,723 129,520 1,151 7,723 130,671 138,394 (16,824)2006-20172017 38-39
Streeterville Center MOBChicago, IL— 4,223 35,008 139 4,223 35,147 39,370 (2,554)1968201939
Rush Oak Park MOBOak Park, IL— 1,096 38,550 (2,667)1,096 35,883 36,979 (8,975)2000201238
Brownsburg MOBBrownsburg, IN— 431 639 641 431 1,280 1,711 (531)1989200839
Athens SCCrawfordsville, IN— 381 3,575 417 381 3,992 4,373 (1,670)2000200739
Crawfordsville MOBCrawfordsville, IN— 318 1,899 260 318 2,159 2,477 (907)1997200739
Deaconess Clinic DowntownEvansville, IN— 1,748 21,963 77 1,748 22,040 23,788 (8,675)1952-1967201039
Deaconess Clinic WestsideEvansville, IN— 360 3,265 356 360 3,621 3,981 (1,413)2005201039
Dupont MOBFort Wayne, IN— — 8,246 1,412 — 9,658 9,658 (2,209)2004201339
Ft. Wayne MOBFt. Wayne, IN— — 6,579 (243)— 6,336 6,336 (1,940)2008200939
Community MPIndianapolis, IN— 560 3,581 821 560 4,402 4,962 (1,719)1995200839
Eagle Highlands MOPIndianapolis, IN— 2,216 11,154 8,269 2,216 19,423 21,639 (10,226)1988-1989200839
Epler Parke MOPIndianapolis, IN— 1,556 6,928 2,095 1,556 9,023 10,579 (3,807)2002-20032007-200839
Glendale Professional PlazaIndianapolis, IN— 570 2,739 1,697 570 4,436 5,006 (2,332)1993200839
  Initial Cost to CompanyCost
Capitalized
Subsequent
to
Acquisition (a)		Gross Amount at Which
Carried at Close of Period		   
EncumbrancesLandBuildings,
Improvements and
Fixtures		LandBuildings,
Improvements and
Fixtures		Total (c)
Accumulated
Depreciation (f)
Date of ConstructionDate
Acquired		Life on Which Building Depreciation in Income Statement is Computed (h)
MMP Eagle HighlandsIndianapolis, IN$— $1,044 $13,548 $3,914 $1,044 $17,462 $18,506 $(6,969)1993200839
MMP EastIndianapolis, IN— 1,236 9,840 3,374 1,236 13,214 14,450 (6,364)1996200839
MMP NorthIndianapolis, IN— 1,518 15,460 6,210 1,427 21,761 23,188 (9,521)1995200839
MMP SouthIndianapolis, IN— 1,127 10,414 2,333 1,127 12,747 13,874 (5,430)1994200839
Southpointe MOPIndianapolis, IN— 2,190 7,548 1,529 2,190 9,077 11,267 (4,016)1996200739
St. Vincent MOBIndianapolis, IN— 2,964 23,352 49 2,964 23,401 26,365 (3,773)2007201735
Kokomo MOPKokomo, IN— 1,779 9,614 2,450 1,779 12,064 13,843 (5,260)1992-1994200739
Deaconess Clinic GatewayNewburgh, IN— — 10,952 26 — 10,978 10,978 (3,844)2006201039
Community Health PavilionNoblesville, IN— 5,560 28,988 1,658 5,560 30,646 36,206 (8,124)2009201539
Zionsville MCZionsville, IN— 655 2,877 1,152 664 4,020 4,684 (1,825)1992200839
Nashoba Valley Med Center MOBAyer, MA— — 5,529 313 299 5,543 5,842 (1,888)1976-2007201231
670 AlbanyBoston, MA— — 104,365 (1,795)— 102,570 102,570 (17,428)2005201539
Tufts Medical CenterBoston, MA— 32,514 109,180 9,778 32,514 118,958 151,472 (32,158)1924-2015201435
St. Elizabeth's Med CenterBrighton, MA— — 20,929 3,627 1,379 23,177 24,556 (7,529)1965-2013201231
Good Samaritan MOBsBrockton , MA— — 15,887 2,127 144 17,870 18,014 (5,477)1980-2007201231
Pearl Street MOBsBrockton, MA— 4,714 18,193 1,465 4,714 19,658 24,372 (4,266)1966-2004201639
Carney Hospital MOBDorchester, MA— — 7,250 813 530 7,533 8,063 (2,450)1978201231
St. Anne's Hospital MOBFall River, MA— — 9,304 130 40 9,394 9,434 (2,381)2011201231
Norwood Hospital MOBFoxborough, MA— — 9,489 536 2,295 7,730 10,025 (2,751)1930-2000201231
Holy Family Hospital MOBMethuen, MA— — 4,502 304 168 4,638 4,806 (1,872)1988201231
Morton Hospital MOBTaunton, MA— — 15,317 1,910 502 16,725 17,227 (8,222)1988201231
Stetson MOBWeymouth, MA— 3,362 15,555 3,681 3,362 19,236 22,598 (6,409)1900-1986201520
Johnston Professional BuildingBaltimore, MD— — 21,481 423 — 21,904 21,904 (5,208)1993201435
Triad Tech CenterBaltimore, MD— — 26,548 25 — 26,573 26,573 (8,499)1989201039
St. John Providence MOBNovi, MI— — 42,371 (195)— 42,176 42,176 (12,659)2007201239
Fort Road MOBSt. Paul, MN— 1,571 5,786 1,468 1,571 7,254 8,825 (3,319)1981200839
Chesterfield Rehab HospitalChesterfield, MO— 4,213 27,898 774 4,313 28,574 32,887 (11,410)2007200739
BJC West County MOBCreve Coeur, MO— 2,242 13,130 994 2,242 14,124 16,366 (5,494)1978200839
Winghaven MOBO'Fallon, MO— 1,455 9,708 1,645 1,455 11,353 12,808 (4,479)2001200839
BJC MOBSt. Louis, MO— 304 1,554 (891)304 663 967 (512)2001200839
Des Peres MAP IISt. Louis, MO— — 11,386 36 — 11,422 11,422 (3,793)2007201039
Baptist Memorial MOBOxford, MS— — 26,263 7,570 — 33,833 33,833 (3,759)2017201739
Medical Park of CaryCary, NC— 2,931 20,305 38,308 2,931 58,613 61,544 (9,072)1994201039
Rex Cary MOBCary, NC— 1,449 18,226 472 1,449 18,698 20,147 (3,696)2002201539
Tryon Office CenterCary, NC— 2,200 14,956 1,053 2,200 16,009 18,209 (3,659)2002-2006201539
Carolinas Health MOB Charlotte, NC— — 75,198 (1,072)— 74,126 74,126 (8,851)2006201739
Davidson MOBDavidson , NC— 1,188 8,556 98 1,188 8,654 9,842 (685)2001201939
Duke Fertility CenterDurham, NC— 596 3,882 (106)596 3,776 4,372 (569)2006201639
Duke Medical PlazaDurham, NC— 1,093 11,836 1,521 1,093 13,357 14,450 (261)1988202139
Hock Plaza IIDurham, NC— 680 27,044 643 680 27,687 28,367 (4,569)2006201636
  Initial Cost to CompanyCost
Capitalized
Subsequent
to
Acquisition (a)		Gross Amount at Which
Carried at Close of Period		   
EncumbrancesLandBuildings,
Improvements and
Fixtures		LandBuildings,
Improvements and
Fixtures		Total (c)
Accumulated
Depreciation (f)
Date of ConstructionDate
Acquired		Life on Which Building Depreciation in Income Statement is Computed (h)
UNC Rex Holly SpringsHolly Springs, NC$— $— $27,591 $11,082 $— $38,673 $38,673 $(4,347)2011201739
Huntersville Office ParkHuntersville, NC— 5,376 67,125 2,331 5,376 69,456 74,832 (5,614)1990-2001201939
Rosedale MOBHuntersville, NC— 1,281 7,738 58 1,281 7,796 9,077 (698)2005201939
Medical Park MOBsMooresville, NC— 1,771 13,266 9,982 2,141 22,878 25,019 (4,724)2000-2005201723
3100 Blue RidgeRaleigh, NC— 1,732 8,891 714 1,732 9,605 11,337 (3,016)1985201435
Raleigh Medical CenterRaleigh, NC— 2,381 15,630 5,955 2,381 21,585 23,966 (8,311)1989201039
Sandy Forks MOBRaleigh, NC— 652 7,263 15 652 7,278 7,930 (950)2016201839
Sunset Ridge MOBsRaleigh, NC— 811 3,926 710 811 4,636 5,447 (585)1999201839
Piedmont MOBStatesville, NC— 1,024 13,911 41 1,024 13,952 14,976 (1,307)1984202039
NorthPark MOBsWake Forest, NC— 2,098 13,921 2 2,098 13,923 16,021 (57)1996-2008202139
Hackensack MOBNorth Bergen, NJ— — 31,658 608 — 32,266 32,266 (4,003)2014201739
Mountain View MOBLas Cruces, NM— — 41,553 2,802 — 44,355 44,355 (6,064)2003201739
Santa Fe 440 MOBSanta Fe, NM— 842 7,448 (3,205)842 4,243 5,085 (2,267)1978201039
San Martin MAPLas Vegas, NV— — 14,777 4,801 — 19,578 19,578 (7,882)2007201039
Madison Ave MOBAlbany, NY— 83 2,759 151 83 2,910 2,993 (1,097)1964-2008201039
Patroon Creek HQAlbany, NY— 1,870 29,453 4,896 1,870 34,349 36,219 (12,451)2001201039
Patroon Creek MOBAlbany, NY— 1,439 27,639 186 1,439 27,825 29,264 (9,013)2007201039
Washington Ave MOBAlbany, NY— 1,699 18,440 1,023 1,699 19,463 21,162 (6,569)1998-2000201039
Putnam MOBCarmel, NY— — 24,216 326 — 24,542 24,542 (7,482)2000201039
Capital Region Health ParkLatham, NY— 2,305 37,494 3,565 2,305 41,059 43,364 (14,672)2001201039
ACP MOBNew York, NY— 53,265 62,873 505 53,265 63,378 116,643 (4,085)1920-1988201939
210 Westchester MOBWhite Plains, NY— 8,628 18,408 — 8,628 18,408 27,036 (5,225)1981201431
Westchester MOBsWhite Plains, NY— 17,274 41,865 11,930 17,274 53,795 71,069 (15,027)1967-1983201429
Kindred MOBsAvon, OH, Germantown, TN, Indianapolis, IN and Springfield, MO— 4,238 118,778 (101)4,238 118,677 122,915 (16,338)2013-2016201739
Diley Ridge MOBCanal Winchester, OH— — 9,811 67 — 9,878 9,878 (2,128)2010201539
Good Sam MOBCincinnati, OH— 1,825 9,966 (178)1,825 9,788 11,613 (1,372)2011201739
TriHealth Cincinnati, OH— — 34,894 313 — 35,207 35,207 (4,484)2016201739
Market Exchange MOPColumbus, OH— 2,326 17,207 4,011 2,326 21,218 23,544 (8,424)2001-20032007-201039
Mt. Carmel EastColumbus, OH— — 14,983 409 — 15,392 15,392 (570)1991200139
OlentangyColumbus, OH— 1,247 9,830 1,001 1,247 10,831 12,078 (1,425)1985201939
Polaris MOBColumbus, OH— 1,447 12,192 66 1,447 12,258 13,705 (2,315)2012201639
Gahanna MOBGahanna, OH— 1,078 5,674 59 1,078 5,733 6,811 (1,322)1997201630
Hilliard II MOBHilliard, OH— 959 7,260 288 959 7,548 8,507 (1,553)2014201638
Hilliard MOBHilliard, OH— 946 11,174 743 946 11,917 12,863 (2,965)2013201539
Park Place MOPKettering, OH— 1,987 11,341 5,411 1,987 16,752 18,739 (7,385)1998-2002200739
Liberty Falls MPLiberty, OH— 842 5,640 836 842 6,476 7,318 (2,695)2008200839
Parma Ridge MOBParma, OH— 372 3,636 1,006 372 4,642 5,014 (2,005)1977200839
St. Ann's MOBWesterville, OH— — 16,978 8 — 16,986 16,986 (793)2004202039
Deaconess MOPOklahoma City, OK— — 25,975 2,938 — 28,913 28,913 (10,795)1991-1996200839
Silverton Health MOBWoodburn, OR— 953 6,164 (27)953 6,137 7,090 (1,150)2001201635
Monroeville MOBMonroeville, PA— 3,264 7,038 1,453 3,264 8,491 11,755 (2,994)1985-1989201339
  Initial Cost to CompanyCost
Capitalized
Subsequent
to
Acquisition (a)		Gross Amount at Which
Carried at Close of Period		   
EncumbrancesLandBuildings,
Improvements and
Fixtures		LandBuildings,
Improvements and
Fixtures		Total (c)
Accumulated
Depreciation (f)
Date of ConstructionDate
Acquired		Life on Which Building Depreciation in Income Statement is Computed (h)
2750 Monroe MOBNorristown, PA$— $2,323 $22,631 $5,423 $2,323 $28,054 $30,377 $(12,984)1985200739
1740 South MOBPhiladelphia, PA— 1,855 7,735 241 1,855 7,976 9,831 (726)1986201939
Main Line Bryn Mawr MOBPhiladelphia, PA— — 46,967 5,095 — 52,062 52,062 (6,077)2017201739
Phoenixville MOBsPhoenixville, PA— — 60,287 — — 60,287 60,287 (295)1991-2008202139
Federal North MOBPittsburgh, PA— 2,489 30,268 4,463 2,489 34,731 37,220 (10,290)1999201039
Highmark Penn AvePittsburgh, PA— 1,774 38,921 865 1,774 39,786 41,560 (11,141)1907-1998201239
WP Allegheny HQ MOBPittsburgh, PA— 1,514 32,368 3,669 1,514 36,037 37,551 (11,020)2002201039
39 Broad StreetCharleston, SC— 3,180 1,970 3,161 3,480 4,831 8,311 (1,249)1891201539
Cannon Park PlaceCharleston, SC— 425 8,651 942 425 9,593 10,018 (3,284)1998201039
MUSC Elm MOB Charleston, SC— 1,172 4,361 178 1,172 4,539 5,711 (978)2015201639
Tides Medical Arts CenterCharleston, SC— 3,763 19,787 411 3,763 20,198 23,961 (4,347)2007201439
Bowman CenterMt. Pleasant, SC— 3,896 6,874 — 3,896 6,874 10,770 (67)2001202139
East Cooper Medical Arts CenterMt. Pleasant, SC— 2,470 6,289 (290)2,470 5,999 8,469 (1,630)2001201432
East Cooper Medical CenterMt. Pleasant, SC— 2,073 5,939 2,594 2,073 8,533 10,606 (2,904)1992201039
The Mullis BuildingMt. Pleasant, SC— — 18,810 48 — 18,858 18,858 (401)2016202139
MUSC University MOBNorth Charleston, SC— 1,524 9,627 (882)1,524 8,745 10,269 (1,615)2006201536
St. Thomas DePaul MOBMurfreesboro, TN — — 55,040 1,003 — 56,043 56,043 (7,320)2008201739
Amarillo HospitalAmarillo, TX— 1,110 17,688 605 1,110 18,293 19,403 (6,618)2007200839
Austin Heart MOBAustin, TX— — 15,172 612 — 15,784 15,784 (4,138)1999201339
BS&W MOBsAustin, TX— — 300,952 1,657 — 302,609 302,609 (39,353)2009-2016201739
Post Oak North MCAustin, TX— 887 7,011 (221)887 6,790 7,677 (1,585)2007201339
MatureWell MOBBryan, TX— 1,307 11,078 — 1,307 11,078 12,385 (1,858)2016201739
Texas A&M Health Science CenterBryan, TX— — 32,494 (2,009)— 30,485 30,485 (7,374)2011201339
Dallas Rehab HospitalCarrollton, TX— 1,919 16,341 (505)1,919 15,836 17,755 (5,067)2006201039
Cedar Hill MOBCedar Hill, TX— 778 4,830 1,898 778 6,728 7,506 (2,243)2007200839
Cedar Park MOBCedar Park, TX— — 30,338 1,268 — 31,606 31,606 (4,212)2007201739
Corsicana MOBCorsicana, TX— — 6,781 233 — 7,014 7,014 (2,593)2007200939
Dallas LTAC HospitalDallas, TX— 2,301 20,627 — 2,301 20,627 22,928 (6,996)2007200939
Forest Park PavilionDallas, TX— 9,670 11,152 48,094 9,670 59,246 68,916 (3,732)2010-20212012-202139
Forest Park TowerDallas, TX— 3,340 35,071 5,841 3,340 40,912 44,252 (10,289)2011201339
Northpoint MedicalDallas, TX— 2,388 14,621 1,629 2,388 16,250 18,638 (3,496)2017201720
Baylor MOBsDallas/Fort Worth, TX— 9,956 122,852 6,737 9,956 129,589 139,545 (16,761)2013-2017201739
Denton Med Rehab HospitalDenton, TX— 2,000 11,704 — 2,000 11,704 13,704 (4,444)2008200939
Denton MOBDenton, TX— — 7,543 733 — 8,276 8,276 (2,567)2000201039
Cliff Medical Plaza MOBEl Paso, TX— 1,064 1,972 4,157 1,064 6,129 7,193 (3,023)197720168
El Paso MOBEl Paso, TX— 2,075 14,902 (233)2,075 14,669 16,744 (1,207)1994-2008201939
Providence Medical PlazaEl Paso, TX— — 5,396 4,080 — 9,476 9,476 (2,906)1981201620
Sierra MedicalEl Paso, TX— — 2,998 1,011 — 4,009 4,009 (1,616)1972201615
  Initial Cost to CompanyCost
Capitalized
Subsequent
to
Acquisition (a)		Gross Amount at Which
Carried at Close of Period		   
EncumbrancesLandBuildings,
Improvements and
Fixtures		LandBuildings,
Improvements and
Fixtures		Total (c)
Accumulated
Depreciation (f)
Date of ConstructionDate
Acquired		Life on Which Building Depreciation in Income Statement is Computed (h)
Texas Tech MOBEl Paso, TX$— $— $42,419 $2,040 $— $44,459 $44,459 $(1,178)2017202039
Texas Health MOBFort Worth, TX— — 38,429 165 — 38,594 38,594 (5,282)2014201739
Forest Park Frisco MCFrisco, TX— 1,238 19,979 9,038 1,238 29,017 30,255 (9,851)2012201339
T-Mobile BuildingFrisco, TX— 4,807 67,076 (3,139)4,807 63,937 68,744 (7,827)2014201738
Greenville MOBGreenville, TX— 616 10,822 633 616 11,455 12,071 (4,172)2007200839
7900 Fannin MOBHouston, TX— — 34,764 2,767 — 37,531 37,531 (11,942)2005201039
Cypress Medical Building MOBHouston, TX— — 4,678 203 — 4,881 4,881 (1,273)1984201630
Cypress Station MOBHouston, TX— 1,345 8,312 (4,237)1,345 4,075 5,420 (3,644)1981200839
Gemini MOBHouston, TX— 4,619 17,450 153 4,619 17,603 22,222 (1,410)1985-1986201939
Houston Medical PlazaHouston, TX— 4,107 35,560 36 4,110 35,593 39,703 (363)1983202139
Park Plaza MOBHouston, TX— 5,719 50,054 8,389 5,719 58,443 64,162 (15,664)1984201624
T-Mobile TowerHouston, TX— 8,314 15,335 35 8,314 15,370 23,684 (419)1974202139
Triumph Hospital NWHouston, TX— 1,377 14,531 164 1,377 14,695 16,072 (5,819)1986200739
Memorial Hermann MOBsHumble, TX— — 9,479 13,361 — 22,840 22,840 (3,130)19932017 25-39
Jourdanton MOBJourdanton, TX— — 17,804 2 — 17,806 17,806 (2,384)2013201739
Houston Methodist MOBsKaty, TX— — 43,078 7,760 — 50,838 50,838 (5,641)2001-20062017 35-39
Lone Star Endoscopy MOBKeller, TX— 622 3,502 36 622 3,538 4,160 (1,330)2006200839
Seton Medical MOBKyle, TX— — 30,102 2,617 — 32,719 32,719 (4,470)2009201739
Lewisville MOBLewisville, TX— 452 3,841 (133)452 3,708 4,160 (1,219)2000201039
Longview Regional MOBsLongview, TX— — 59,258 — — 59,258 59,258 (8,209)2003-20152017 36-39
Terrace Medical BuildingNacogdoches, TX— — 179 121 — 300 300 (154)197520165
Towers Medical PlazaNacogdoches, TX— — 786 236 — 1,022 1,022 (617)1981201610
North Cypress MOBsNorth Cypress/Houston, TX— 7,841 121,215 1,687 7,841 122,902 130,743 (16,639)2006-20152017 35-39
Pearland MOBPearland, TX— 912 4,628 314 912 4,942 5,854 (1,732)2003-2007201039
Independence Medical VillagePlano, TX— 4,229 17,874 (132)4,229 17,742 21,971 (3,347)2014201639
San Angelo MOBSan Angelo, TX— — 3,907 (237)— 3,670 3,670 (1,331)2007200939
Mtn Plains Pecan ValleySan Antonio, TX— 416 13,690 512 416 14,202 14,618 (5,091)1998200839
Sugar Land II MOBSugar Land, TX— — 9,648 79 — 9,727 9,727 (3,198)1999201039
Triumph Hospital SWSugar Land, TX— 1,670 14,018 (670)1,656 13,362 15,018 (5,625)1989200739
Mtn Plains Clear LakeWebster, TX— 832 21,168 5,761 832 26,929 27,761 (8,382)2006200839
N. Texas Neurology MOBWichita Falls, TX— 736 5,611 (1,957)736 3,654 4,390 (1,838)1957200839
Wylie Medical PlazaWylie, TX— 1,412 15,353 272 1,412 15,625 17,037 (1,205)2013202039
Renaissance MCBountiful, UT— 3,701 24,442 442 3,701 24,884 28,585 (8,850)2004200839
Salt Lake Regional Medical BuildingSalt Lake City, UT— — 10,351 110 — 10,461 10,461 (670)1989202039
Fairfax MOBFairfax, VA— 2,404 14,074 193 2,404 14,267 16,671 (1,379)1959201939
Fair Oaks MOBFairfax, VA— — 47,616 562 — 48,178 48,178 (5,876)2009201739
Aurora - MenomoneeMenomonee Falls, WI— 1,055 14,998 — 1,055 14,998 16,053 (6,816)1964200939
Aurora - MilwaukeeMilwaukee, WI— 350 5,508 — 350 5,508 5,858 (2,508)1983200939
Columbia St. Mary's MOBsMilwaukee, WI— — 87,825 1,144 — 88,969 88,969 (10,921)1994-2007201735-39
$— $612,952 $6,155,907 $566,865 $619,820 $6,715,906 $7,335,726 $(1,401,742)
  Initial Cost to CompanyCost
Capitalized
Subsequent
to
Acquisition (a)		Gross Amount at Which
Carried at Close of Period		   
EncumbrancesLandBuildings,
Improvements and
Fixtures		LandBuildings,
Improvements and
Fixtures		Total (c)
Accumulated
Depreciation (f)
Date of ConstructionDate
Acquired		Life on Which Building Depreciation in Income Statement is Computed (h)
Undeveloped land:
Macon Pond MOBRaleigh, NC$— $5,504 $— $13 $5,504 $13 $5,517 $— N/A2021N/A
Forest Park Pavilion IVDallas, TX— 7,014 — — 7,014 — 7,014 — N/A2019N/A
Houston HeightsHouston, TX— 10,445 — 5 10,445 5 10,450 — N/A2020N/A
$— $22,963 $— $18 $22,963 $18 $22,981 $— 
Real estate held for sale$— $(2,401)$(39,693)$12,285 (2,401)(27,408)(29,809)$6,263 
Total $— $633,514 $6,116,214 $579,168 $640,382 $6,688,516 $7,328,898 $(1,395,479)
(a)The cost capitalized subsequent to acquisition is net of dispositions or other write-downs and impairment.
(b)The above table excludes lease intangibles; see notes (d) and (g).
(c)The changes in total real estate for the years ended December 31, 2021, 2020 and 2019 are as follows (in thousands):
Year Ended December 31,
 202120202019
Balance as of the beginning of the year$7,104,085 $6,837,400 $6,269,023 
Acquisitions278,124 171,728 505,424 
Additions188,592 121,777 90,859 
Dispositions and other(189,156)(26,820)(27,906)
Impairment(22,938)— — 
Held for sale(29,809)— — 
Balance as of the end of the year (d)$7,328,898 $7,104,085 $6,837,400 

(d)The balances as of December 31, 2021, 2020 and 2019 exclude gross lease intangibles of $404.7 million, $628.6 million and $628.1 million, respectively.
(e)The aggregate cost of our real estate for federal income tax purposes was $6.9 billion.
(f)The changes in accumulated depreciation for the years ended December 31, 2021, 2020 and 2019 are as follows (in thousands):
Year Ended December 31,
 202120202019
Balance as of the beginning of the year$1,302,204 $1,085,048 $882,488 
Additions246,417 236,271 217,566 
Dispositions and other(146,879)(19,115)(15,006)
Held for sale(6,263)— — 
Balance as of the end of the year (g)$1,395,479 $1,302,204 $1,085,048 
(g)The balances as of December 31, 2021, 2020 and 2019 exclude accumulated amortization of lease intangibles of $203.0 million, $400.5 million and $362.8 million, respectively.
(h)Tenant improvements are depreciated over the shorter of the lease term or useful life, ranging from one to 10 years, respectively. Furniture, fixtures and equipment are depreciated over five years.
v3.22.0.1
Schedule IV - Mortgage Loans on Real Estate Assets
 12 Months Ended
Dec. 31, 2021
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Abstract]  
Schedule IV - Mortgage Loans on Real Estate Assets
HEALTHCARE TRUST OF AMERICA, INC. AND HEALTHCARE TRUST OF AMERICA HOLDINGS, LP
SCHEDULE IV - MORTGAGE LOANS ON REAL ESTATE ASSETS
In Thousands
Interest RateFinal Maturity DatePayment TermsPrior LiensFace Amount Carrying AmountPrincipal Amount of Loans Subject to Delinquent Principal or Interest
Mortgage loan on real estate located in:
Texas10.00 %7/1/2022(1)$— $15,000 $14,267 $— 
Mezzanine loans on real estate located in:
Texas8.00 %6/24/2024(2)— 49,319 48,793 — 
North Carolina8.00 %12/22/2024(3)— 6,000 6,012 — 
Total real estate notes receivable$— $70,319 $69,072 $— 
Accrued interest receivable— — 42 — 
Total real estate notes receivable, net$— $70,319 $69,114 $— 
(1) Twelve-month prefunded interest reserve, with principal sum and interest on unpaid principal due on the maturity date.
(2) Interest is accrued and funded utilizing interest reserves, funded through payment-in-kind interest, until such time the interest reserve is fully funded. Thereafter, interest only payments due with principal and any unpaid interest due on the maturity date.
(2) Capitalized interest through maturity, with outstanding principal and accrued interest due on the maturity date.
The following shows changes in the carrying amounts of mortgage loans on real estate assets during the years ended December 31, 2021, 2020 and 2019 (in thousands):
Year Ended December 31,
202120202019
Balance as of the beginning of the year$555 $1,332 $2,070 
Additions:
New real estate notes67,032 6,000 — 
Capitalized interest1,841 — — 
Accretion of fees and other items932 — — 
Deductions:
Mortgage loan retired in connection with an acquisition— (6,000)— 
Collection of real estate loans(555)(777)(738)
Deferred fees and other items(691)— — 
Balance as of the end of the year$69,114 $555 $1,332 
v3.22.0.1
Subsequent Events
 12 Months Ended
Dec. 31, 2021
Subsequent Events [Abstract]  
Subsequent Events Subsequent Events
Merger with Healthcare Realty Trust Incorporated
On February 28, 2022, Healthcare Trust of America, Inc. (the “Company”), a Maryland corporation, Healthcare Trust of America Holdings, LP, a Delaware limited partnership (the “Company OP”) of which the Company is the sole general partner, HR Acquisition 2, LLC, a Maryland limited liability company and a direct, wholly owned subsidiary of the Company (“Merger Sub”), and Healthcare Realty Trust Incorporated, a Maryland corporation (“HR”), entered into a definitive Agreement and Plan of Merger (the “Merger Agreement”). Upon the terms and subject to the conditions set forth in the Merger Agreement, Merger Sub will merge with and into HR, with HR surviving the merger (the “Merger”).
Prior to the effective time of the Merger (the “Effective Time”), the Company and the Company OP will take all requisite action so that, as of immediately after the Effective Time, the existing amended and restated agreement of limited partnership of the Company OP will be amended and restated to update the redemption provisions therein to account for the Merger Consideration described below.
The board of directors of the Company (the “Company Board”) has unanimously approved the Merger Agreement, the Merger and the other transactions contemplated by the Merger Agreement. The Merger is intended to qualify as a “reorganization” within the meaning of Section 368(a) of the Internal Revenue Code of 1986, as amended.
Pursuant to the terms and subject to the conditions set forth in the Merger Agreement, at the Effective Time, each outstanding share of Common Stock, $0.01 par value per share, of HR (“HR Common Stock”) will be converted into the right to receive 1.0 (the “Exchange Ratio”) share of Class A Common Stock, $0.01 par value per share, of the Company (“Company Common Stock” and, such consideration, the “Merger Consideration”). Subject to the closing of the Merger and the other transactions contemplated therein, the holders of shares of Company Common Stock issued and outstanding on the last business day prior to the closing date of the Merger will receive a special distribution in the amount of $4.82 in cash per share of Company Common Stock held on such date (the “Special Distribution Payment”).
Once the conditions to close the Merger have been satisfied or waived, the Merger Agreement requires HR and the Company to exchange irrevocable certifications that all such closing conditions have been satisfied or waived. At such time, the Company OP will transfer or cause the transfer, on the business day before the Effective Time, to HR or its designees certain of the Company OP’s assets
as specified by HR for a cash purchase price equal to the reasonably equivalent fair market value of the assets transferred. To the extent the net proceeds to the Company of the asset transfer or joint venture transactions relating to such assets are insufficient to pay the full amount of the Special Distribution Payment, the Merger Agreement requires the Company to utilize new financing to fund the balance of the Special Distribution Payment. The Company has obtained a commitment letter from JPMorgan Chase Bank, N.A. for a $1.7 billion bridge financing facility.
Each option to acquire HR Common Stock that is outstanding immediately prior to the Effective Time will by virtue of the Merger be assumed by the Company with the same terms and conditions of such options immediately prior to the Effective Time, except that each HR stock option will be exercisable (or will become exercisable in accordance with its terms) for the same number of shares of Company Common Stock. Each share of restricted HR common stock and each right of any kind, contingent or accrued, to receive shares of HR Common Stock or benefits measured in whole or in part by the value of a number of shares of HR Common Stock granted by HR outstanding immediately prior to the Effective Time will become an award, on the same terms and conditions as applied to each such HR stock-based award immediately prior to the Effective Time, with respect to the number of shares of Company Common Stock that is equal to the number of shares of HR Common Stock subject to the HR stock-based award immediately prior to the Effective Time multiplied by the Exchange Ratio and rounded down to the nearest full shares.
Each share of Company Common Stock subject to forfeiture conditions outstanding immediately prior to the Effective Time will vest in full as of immediately prior to the Effective Time with any Company restricted shares that were granted subject to performance-based vesting conditions treated assuming attainment of the target level of performance. Each such Company restricted share will be entitled to receive $4.82 in cash and any accrued but unpaid dividends with respect to such Company restricted share.
Pursuant to the Merger Agreement, the parties have agreed that following the closing of the Merger, the Company Board will consist of 14 members, nine of whom will be the directors of HR immediately prior to the Effective Time and four of whom will be individuals designated by the Company, consisting of W. Bradley Blair II, Vicki U. Booth, Jay P. Leupp and Constance Moore. John Knox Singleton, currently Chairman of the HR board of directors, will be Chairman of the Company Board and W. Bradley Blair, II, currently Chairman of the Company Board, will be appointed Vice Chairman.
Each of the Company and HR have made certain customary representations and warranties in the Merger Agreement and have agreed to customary covenants, including covenants that each party conduct its business in the ordinary course of business during the period between execution of the Merger Agreement and the Effective Time and covenants prohibiting each party from engaging in certain kinds of activities during such period without the consent of the other party.
The Merger Agreement provides that, during the period from the date of the Merger Agreement until the Effective Time, subject to customary exceptions, the Company and HR will be subject to certain restrictions on (a) soliciting proposals relating to certain alternative transactions, (b) entering into discussions or negotiating or providing non-public information in connection with any proposal for an alternative transaction from a third party, (c) approving or entering into any agreements providing for any such alternative transaction, or (d) agreeing to or proposing publicly to do any of the foregoing. Notwithstanding these “no-shop” restrictions, prior to obtaining the approval of HR stockholders and approval of the Company stockholders, under specified circumstances, the Company Board and the board of directors of HR, respectively, may change their recommendations with respect to the Merger, and the Company and HR may each also terminate the Merger Agreement to accept a superior proposal upon payment of the termination fees described below.
In accordance with the Merger Agreement, the Company will prepare and file with the U.S. Securities and Exchange Commission (the “SEC”) a Form S-4 registering shares of Company Common Stock issuable in the Merger, and the parties will prepare a joint proxy statement with respect to the special meeting of the Company’s stockholders to be convened for purposes of approving the issuance of shares of Company Common Shares in the Merger and the special meeting of HR’s stockholders to be convened for purposes of approving the Merger Agreement and the Merger. The joint proxy statement will be included in the Form S-4 and will contain, subject to certain exceptions, the recommendation of the Company Board that the Company’s stockholders vote in favor of the issuance of shares of Company Common Shares in the Merger and the recommendation of the HR board of directors that HR’s stockholders vote in favor of approval of the Merger Agreement and the Merger.
The completion of the Merger is subject to customary conditions, including, among others: (i) approval by the Company’s stockholders and approval by HR’s stockholders, (ii) the effectiveness of the Form S-4, (iii) the absence of injunctions, restraints or government restrictions, (iv) approval by the New York Stock Exchange for listing of the shares of Company Common Stock issuable in the Merger, (v) the absence of a material adverse effect on either the Company or HR, (vi) the accuracy of each party’s representations and warranties and performance in all material respects of each party’s covenants and agreements in the Merger Agreement, (vii) the receipt of tax opinions relating to the status as a real estate investment trust (“REIT”) of each company and the tax-free nature of the transaction, and (viii) other customary conditions specified in the Merger Agreement.
The Merger Agreement may be terminated under certain circumstances, including by either party (i) if the Merger has not been consummated on or before August 28, 2022, (ii) if a final and non-appealable order is entered, or other action is taken permanently restraining or prohibiting the transaction, (iii) upon a failure of either party to obtain approval of its stockholders, (iv) upon a material, uncured breach by the other party that would cause the closing conditions not to be satisfied, subject to a 30-day cure period, (v) if the other party’s board makes an adverse recommendation change with respect to the transaction, or (vi) prior to obtaining approval of its
stockholders, and upon payment of the applicable termination fee, in order to enter into a definitive agreement with a third party with respect to a superior acquisition proposal.
If the Merger Agreement is terminated because (i) a party’s board changes its recommendation in favor of the transactions contemplated by the Merger Agreement, (ii) a party terminates the Merger Agreement to enter into a definitive agreement with a third party with respect to a superior acquisition proposal, or (iii) a party consummates or enters into an agreement for an alternative transaction within 12 months following termination under certain circumstances, such party must pay a termination fee to the other party; provided, further, that HR must also pay the Company a termination fee (plus reimburse the Company for its actual transaction expenses up to $5,000,000) if, on the business day immediately prior to the Outside Date, the proceeds of the asset transfer, any immediate asset transfer and the financing available to the Company pursuant to the Commitment Letter or if applicable any alternative financing are insufficient to pay the aggregate Special Distribution and any unpaid cash payment obligations of HR under the Merger Agreement (so long as such termination is not in material breach of the financing, financing cooperation and sale activity provisions of the Merger Agreement). The termination fee payable by HR to the Company in such circumstances is $163 million. The termination fee payable by the Company to HR in such circumstances is $291 million. The actual amount of each termination fee described above is subject to an escrow and adjustment mechanism for REIT compliance purposes to provide for a lesser amount if necessary to be paid to the receiving party without causing such party to fail to meet its REIT requirements for such year.
The Merger Agreement also provides that if the Company’s stockholders have approved the transactions contemplated by the Merger Agreement, but the Merger Agreement is terminated by the Company because HR’s stockholders vote against the transactions contemplated by the Merger Agreement, HR must pay the Company a fixed expense reimbursement base amount of $25,000,000, plus reimburse the Company for its actual transaction expenses up to $5,000,000. The Merger Agreement also provides that if HR’s stockholders have approved the transactions contemplated by the Merger Agreement, but the Merger Agreement is terminated by HR because the Company’s stockholders vote against the transactions contemplated by the Merger Agreement, the Company must pay HR a fixed expense reimbursement base amount of $25,000,000, plus reimburse the Company for its actual transaction expenses up to $5,000,000).
The Merger Agreement contains customary representations, warranties and covenants by each party. The Merger is subject to certain conditions which are set forth in the Merger Agreement, including the approval of both companies’ stockholders. The boards of directors of the Company and HR have unanimously approved the Merger Agreement. The Merger is expected to close mid-2022.
v3.22.0.1
Summary of Significant Accounting Policies (Policies)
 12 Months Ended
Dec. 31, 2021
Accounting Policies [Abstract]  
Basis of Presentation Our accompanying consolidated financial statements include our accounts and those of our subsidiaries and any consolidated VIEs. All inter-company balances and transactions have been eliminated in the accompanying consolidated financial statements
Principles of Consolidation The consolidated financial statements include the accounts of our subsidiaries and consolidated joint venture arrangements. The portions of the HTALP operating partnership not owned by us are presented as non-controlling interests in our consolidated balance sheets and statements of operations, consolidated statements of comprehensive income or loss, consolidated statements of equity, and consolidated statements of changes in partners’ capital. The portions of other joint venture arrangements not owned by us are presented as redeemable non-controlling interests on the accompanying consolidated balance sheets. Holders of OP Units are considered to be non-controlling interest holders in HTALP and their ownership interests are reflected as equity on the accompanying consolidated balance sheets. Further, a portion of the earnings and losses of HTALP are allocated to non-controlling interest holders based on their respective ownership percentages. Upon conversion
of OP Units to common stock, any difference between the fair value of the common stock issued and the carrying value of the OP Units converted to common stock is recorded as a component of equity. As of December 31, 2021, 2020 and 2019, there were approximately 4.1 million, 3.5 million and 3.8 million, respectively, of OP Units issued and outstanding.
VIEs are entities where investors lack sufficient equity at risk for the entity to finance its activities without additional subordinated financial support or where equity investors, as a group, lack one of the following: (i) the power to direct the activities that most significantly impact the entity’s economic performance; (ii) the obligation to absorb the expected losses of the entity; and (iii) the right to receive the expected returns of the entity. We consolidate our investment in VIEs when we determine that we are the primary beneficiary. A primary beneficiary is one that has both: (i) the power to direct the activities of the VIE that most significantly impacts the entity’s economic performance; and (ii) the obligation to absorb losses or the right to receive benefits of the VIE that could be significant to the entity. The HTALP operating partnership and our other joint venture arrangements are VIEs because the limited partners in those partnerships, although entitled to vote on certain matters, do not possess kick-out rights or substantive participating rights. Additionally, we determined that we are the primary beneficiary of our VIEs. Accordingly, we consolidate our interests in the HTALP operating partnership and in our other joint venture arrangements. However, because we hold what is deemed a majority voting interest in the HTALP operating partnership and our other joint venture arrangements, it qualifies for the exemption from providing certain disclosure requirements associated with investments in VIEs. We will evaluate on an ongoing basis the need to consolidate entities based on the standards set forth in GAAP as described above.
Use of Estimates The preparation of our consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets, liabilities, revenues and expenses, and related disclosure of contingent assets and liabilities. These estimates are made and evaluated on an ongoing basis using information that is currently available as well as various other assumptions believed to be reasonable under the circumstances. Actual results could differ from those estimates, perhaps in adverse ways, and those estimates could be different under different assumptions or conditions.
Cash, Cash Equivalents and Restricted Cash Cash and cash equivalents consist of all highly liquid investments with a maturity of three months or less when purchased. Restricted cash is comprised of (i) reserve accounts for property taxes, insurance, capital improvements and tenant improvements; (ii) collateral accounts for debt and interest rate swaps; and (iii) deposits for future investments.
Revenue Recognition
Minimum annual rental revenue is recognized on a straight-line basis over the term of the related lease (including rent holidays). Differences between rental income recognized and amounts contractually due under the lease agreements are recorded as straight-line rent receivables. If we determine that collectability of future minimum lease payments is not probable, the straight-line rent receivable balance is written off and recognized as a decrease in revenue in that period. Tenant reimbursement revenue, which is comprised of additional amounts recoverable from tenants for real estate taxes, common area maintenance and other certain operating expenses are recognized as revenue on a gross basis in the period in which the related recoverable expenses are incurred.  We accrue revenue corresponding to these expenses on a quarterly basis to adjust recorded amounts to our best estimate of the final annual amounts to be billed. Subsequent to year-end, on a calendar year basis, we perform reconciliations on a lease-by-lease basis and bill or credit each tenant for any differences between the estimated expenses we billed and the actual expenses that were incurred. We recognize lease termination fees when there is a signed termination letter agreement, all of the conditions of the agreement have been met, and the tenant is no longer occupying the property. Rental income is reported net of amortization of inducements.
Effective January 1, 2018, with the adoption of Topic 606 - Revenue from Contracts with Customers and corresponding amendments, the revenue recognition process is now based on a five-step model to account for revenue arising from contracts with customers and supersedes most of the existing revenue recognition guidance. Topic 606 requires an entity to recognize
revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. We have identified all of our revenue streams and we have concluded that rental income from leasing arrangements represents a substantial portion of our revenue and, therefore, is specifically excluded from Topic 606 and will be governed under Topic 842 - Leases. The other revenue stream identified as impacting Topic 606 is concentrated in the recognition of real estate sales.
Investments in Real Estate
The majority of our investments in real estate are accounted for as asset acquisitions and the purchase price of tangible and intangible assets and liabilities are recorded based on their respective fair values. Tangible assets primarily consist of land and buildings and improvements. Additionally, the purchase price includes acquisition related expenses, above or below market leases, above or below market interests, in place leases, tenant relationships, above or below market debt assumed, interest rate swaps assumed and any contingent consideration recorded when the contingency is resolved. The determination of the fair value requires us to make certain estimates and assumptions.
With the assistance of independent valuation specialists, we record the purchase price of completed investments in real estate associated with tangible and intangible assets and liabilities based on their fair values. The tangible assets (land and building and improvements) are determined based upon the value of the property as if it were to be replaced or as if it were vacant using discounted cash flow models similar to those used by market participants. Factors considered by us include an estimate of carrying costs during the expected lease-up periods considering current market conditions and costs to execute similar leases. Additionally, the purchase price of the applicable completed acquisition property is inclusive of above or below market leases, above or below market leasehold interests, in place leases, tenant relationships, above or below market debt assumed, interest rate swaps assumed, any contingent consideration and acquisition related expenses.
The value of above or below market leases is determined based upon the present value (using a discount rate which reflects the risks associated with the acquired leases) of the difference between (i) the contractual amounts to be received pursuant to the lease over its remaining term and (ii) our estimate of the amounts that would be received using fair market rates over the remaining term of the lease including any bargain renewal periods.  Under Topic 840, the amounts associated with above market leases are included in other intangibles, net in our accompanying consolidated balance sheets and amortized to rental income over the remaining lease term.  The amounts allocated to below market leases are included in intangible liabilities, net in our accompanying consolidated balance sheets and amortized to rental income over the remaining lease term. Upon adoption of Topic 842 on January 1, 2019, the amounts associated with above market leases are included in right-of-use assets - operating leases, net in our accompanying consolidated balance sheets and amortized to rental income over the remaining lease term.  The amounts allocated to below market leases are included in lease liabilities - operating leases in our accompanying consolidated balance sheets and amortized to rental income over the remaining lease term.
The value associated with above or below market leasehold interests is determined based upon the present value (using a discount rate which reflects the risks associated with the acquired leases) of the difference between: (i) the contractual amounts to be paid pursuant to the lease over its remaining term; and (ii) our estimate of the amounts that would be paid using fair market rates over the remaining term of the lease including any bargain renewal periods. Under Topic 840, the amounts recorded for above market leasehold interests are included in intangible liabilities, net in our accompanying consolidated balance sheets and amortized to rental expense over the remaining lease term. The amounts allocated to below market leasehold interests are included in other intangibles, net in our accompanying consolidated balance sheets and amortized to rental expense over the remaining lease term. Upon adoption of Topic 842 on January 1, 2019, the amounts recorded for above market leasehold interests are included in lease liabilities - operating leases in our accompanying consolidated balance sheets and amortized to rental expense over the remaining lease term. The amounts allocated to below market leasehold interests are included in right-of-use assets - operating leases, net in our accompanying consolidated balance sheets and amortized to rental expense over the remaining lease term.
The total amount of other intangible assets includes in place leases and tenant relationships based on our evaluation of the specific characteristics of each tenant’s lease and our overall relationship with that respective tenant. Characteristics considered by us in allocating these values include the nature and extent of the credit quality and expectations of lease renewals, among other factors. The amounts recorded for in place leases and tenant relationships are included in lease intangibles in our accompanying consolidated balance sheets and will be amortized to amortization expense over the remaining lease term.
The value recorded for above or below market debt is determined based upon the present value of the difference between the cash flow stream of the assumed mortgage and the cash flow stream of a market rate mortgage. The amounts recorded for above or below market debt are included in debt in our accompanying consolidated balance sheets and are amortized to interest expense over the remaining term of the assumed debt.
The value recorded for interest rate swaps is based upon a discounted cash flow analysis on the expected cash flows, taking into account interest rate curves and the remaining term. See derivative financial instruments below for further discussion.The cost of operating properties includes the cost of land and buildings and related improvements. Expenditures that increase the service life of properties are capitalized and the cost of maintenance and repairs is charged to expense as incurred. The cost of buildings is depreciated on a straight-line basis over the estimated useful lives of the buildings up to 39 years and for tenant improvements, the shorter of the lease term or useful life, typically ranging from one to 10 years. Furniture, fixtures and equipment is depreciated over 5 years.
Leases As a lessor, we lease space in our MOBs primarily to medical enterprises for terms ranging from three to seven years in length. The assets underlying these leases consist of buildings and associated land which are included as real estate investments on our accompanying consolidated balance sheets. All of our leases for which we are the lessor are classified as operating leases under Topic 842.
Leases
Leases, for which we are the lessee, are classified as separate components on our accompanying consolidated balance sheets. Operating leases are included as right-of-use (“ROU”) assets - operating leases, net, with a corresponding lease liability. Financing lease assets are included in receivables and other assets, net, with a corresponding lease liability in security deposits, prepaid rent and other liabilities. A lease liability is recognized for our obligation related to the lease and an ROU asset represents our right to use the underlying asset over the lease term. Refer to Note 7 - Leases in the accompanying notes to the consolidated financial statements for more detail relating to our leases.
Through the duration of the COVID-19 pandemic, changes to our leases as a result of COVID-19 have been in two categories. Leases are categorized based upon the impact of the modification on its cash flows. One category is rent deferrals for which the guidance above was utilized, which provided relief from requiring a lease by lease analysis pursuant to Topic 842. These deferrals are generally for up to three months of rent with a payback period from three to twelve months once the deferral period has ended. Deferrals do not have an impact on cash flows over the lease term, rather, payments are made in different periods while the cash flows for the entirety of the lease term are the same. However, we have continued to recognize revenue and straight line revenue for amounts subject to deferral agreements in accordance with Topic 842. In 2020, which is the period that we believe constituted the majority of our COVID-19-related deferral request, we approved deferral plans totaling approximately $11.1 million, of which approximately $10.8 million have been repaid through December 31, 2021.
The second category is early renewals, where the Company renewed lease arrangements prior to their contractual expirations, providing concession at the commencement of the lease in exchange for additional term, on average approximately three years. This category is treated as a modification under Topic 842, with the existing balance of cumulative difference between rental income and payment amounts (existing straight line rent receivable) being recast over the new term, factoring in any changes attributable to the new lease arrangement and for which we performed a lease by lease analysis. Cash flows are impacted over the long term as customary free rent, at an average of three months in conjunction with these agreements, and is offset by substantively more term and/or increased rental rates. During the year ended December 31, 2021, the Company has entered into minimal new deferral arrangements or early renewal leases with substantive amounts of free rent or other forms of concession at the onset of the lease.
The Lease Modification Q&A had no material impact on our condensed consolidated financial statements as of and for the year ended December 31, 2021, however, its future impact to us is dependent upon the extent of lease concessions granted to tenants as a result of the COVID-19 pandemic in future periods and the elections made by us at the time of entering into any such concessions.
Development and Real Estate Held for Sale We capitalize interest, direct and indirect project costs associated with the initial construction up to the time the property is substantially complete and ready for its intended use. In addition, we capitalize costs, including real estate taxes, insurance and utilities, that have been allocated to vacant space based on the square footage of the portion of the building not held available for immediate occupancy during the extended lease-up periods after construction of the building shell has been completed if costs are being incurred to ready the vacant space for its intended use. If costs and activities incurred to ready the vacant space cease, then cost capitalization is also discontinued until such activities are resumed. Once necessary work has been completed on a vacant space, project costs are no longer capitalized. We cease capitalization of all project costs on extended lease-up periods when significant activities have ceased, which does not exceed the shorter of a one-year period after the completion of the building shell or when the property attains 90% occupancy.We consider properties held for sale once management commits to a plan to sell the property and has determined that the sale is probable and expected to occur within one year. Upon classification as held for sale, we record the property at the lower of its carrying amount or fair value, less costs to sell, and cease depreciation and amortization. The fair value is generally based on discounted cash flow analyses, which involve management’s best estimate of market participants’ holding period, market comparables, future occupancy levels, rental rates, capitalization rates, lease-up periods and capital requirements.
Recoverability of Real Estate Investments Real estate investments are evaluated for potential impairment whenever events or changes in circumstances indicate that its carrying amount may not be recoverable. Impairment indicators are assessed separately for each property and include, but are not limited to, significant decreases in real estate property net income, significant decreases in occupancy percentage, changes in management’s intent with respect to the properties and prevailing market conditions. Impairment losses are recorded when indicators of impairment are present and the carrying amount of the asset is greater than the sum of future undiscounted cash flows expected to be generated by that asset over the remaining expected holding period. We would recognize an impairment loss when the carrying amount is not recoverable to the extent the carrying amount exceeds the fair value of the property. The fair value is generally based on discounted cash flow analyses. In performing the analyses we consider executed sales agreements or management’s best estimate of market comparables, future occupancy levels, rental rates, capitalization rates, lease-up periods and capital requirements.
Unconsolidated Joint Ventures We account for our investments in unconsolidated joint ventures using the equity method of accounting because we have the ability to exercise significant influence, but not control, over the financial and operational policy decisions of the investments. Using the equity method of accounting, the initial investment is recognized at cost and subsequently adjusted for our share of the net income and any distributions from the joint venture. As of December 31, 2021 and 2020, we had a 50% interest in one such investment with a carrying value and maximum exposure to risk of $62.8 million and $64.4 million, respectively, which is recorded in investment in unconsolidated joint venture in the accompanying consolidated balance sheets. We record our share of net income in income from unconsolidated joint venture in the accompanying consolidated statements of operations.
Derivative Financial Instruments
We are exposed to the effect of interest rate changes in the normal course of business. We seek to mitigate these risks by following established risk management policies and procedures which include the occasional use of derivatives. Our primary strategy in entering into derivative contracts is to add stability to interest expense and to manage our exposure to interest rate movements. We utilize derivative instruments, including interest rate swaps, to effectively convert a portion of our variable rate debt to fixed rate debt. We do not enter into derivative instruments for speculative purposes. To qualify for hedge accounting, derivative financial instruments used for risk management purposes must effectively reduce the risk exposure that they are designed to hedge. In addition, at inception of a qualifying cash flow hedging relationship, the underlying transaction or transactions, must be, and are expected to remain, probable of occurring in accordance with our related assertions.
Derivatives are recognized as either assets or liabilities in our accompanying consolidated balance sheets and are measured at fair value. Changes in fair value of derivative financial instruments that are not designated in hedging relationships or that do not meet the criteria of hedge accounting are included as a component of interest expense in our accompanying consolidated statements of operations. As a result of our adoption of ASU 2017-12 as of January 1, 2018, the entire change in the fair value of derivatives designated and qualify as cash flow hedges are recorded in accumulated other comprehensive income (loss) in the accompanying consolidated balance sheets and are subsequently reclassified into earnings in the period in which the hedged forecasted transaction affects earnings. Since we solely use derivatives to hedge interest rate risk, amounts paid or received pursuant to our derivative agreements are included in interest expense on the consolidated statements of operations which then flows through to operating activities on the consolidated statements of cash flows. Additionally, as a result of the adoption of ASU 2017-12, we no longer disclose the ineffective portion of the change in fair value of our derivatives financial instruments designated as hedges.
The valuation of our derivative financial instruments is determined with the assistance of an independent valuation specialist using a proprietary model that utilizes widely accepted valuation techniques, including discounted cash flow analysis on the expected cash flows of each derivative and observable inputs. The proprietary model reflects the contractual terms of the derivatives, including the period to maturity, and uses observable market-based inputs, including interest rate curves, foreign exchange rates and implied volatilities. The fair values of interest rate swaps are determined using the market standard
methodology of netting the discounted future fixed cash payments and the discounted expected variable cash receipts. The variable cash receipts are based on an expectation of future interest rates (forward curves) derived from observable market interest rate curves.
We incorporate credit valuation adjustments to appropriately reflect both our own nonperformance risk and the respective counterparty’s nonperformance risk in the fair value measurements. In adjusting the fair value of our derivative contracts for the effect of nonperformance risk, we have considered the impact of netting and any applicable credit enhancements, such as collateral postings, thresholds, mutual puts and guarantees.
Fair Value Measurements
Fair value is a market-based measurement and is the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. Depending on the nature of the asset or liability, various techniques and assumptions can be used to estimate the fair value. Financial assets and liabilities are measured using inputs from three levels of the fair value hierarchy, as follows:
Level 1 — Inputs are quoted prices (unadjusted) in active markets for identical assets or liabilities that we have the ability to access at the measurement date. An active market is defined as a market in which transactions for the assets or liabilities occur with sufficient frequency and volume to provide pricing information on an ongoing basis.
Level 2 — Inputs include quoted prices for similar assets and liabilities in active markets, quoted prices for identical or similar assets or liabilities in markets that are not active (markets with few transactions), inputs other than quoted prices that are observable for the asset or liability (i.e., interest rates, yield curves, etc.) and inputs that are derived principally from or corroborated by observable market data correlation or other means (market corroborated inputs).
Level 3 — Unobservable inputs, only used to the extent that observable inputs are not available, reflect our assumptions about the pricing of an asset or liability.
We use fair value measurements to record fair value of certain assets and to estimate fair value of financial instruments not recorded at fair value but required to be disclosed at fair value.
Receivables and Other Assets Deferred financing costs include amounts paid to lenders and others to obtain financing and are amortized to interest expense on a straight-line basis over the term of the unsecured revolving credit facility which approximates the effective interest method. Deferred leasing costs are amounts incurred in executing a lease, both for external broker and marketing costs, plus a portion of internal leasing related costs. Deferred leasing costs are amortized on a straight-line basis method over the term of the applicable lease. Deferred leasing costs are included in operating activities in our accompanying consolidated statements of cash flows.
Share-Based Compensation We calculate the fair value of share-based awards on the date of grant. Restricted common stock is valued based on the closing price of our common stock on the NYSE. We amortize the share-based compensation expense over the period that the awards are expected to vest, net of estimated forfeitures.
Noncontrolling Interests HTA’s net income attributable to non-controlling interests in the accompanying consolidated statements of operations relate to non-controlling interest reflected within equity. OP Units, including LTIP awards, are accounted for as partners’ capital in HTALP’s accompanying consolidated balance sheets and as non-controlling interest reflected within equity in HTA’s accompanying consolidated balance sheets.
Income Taxes HTA believes that it has qualified to be taxed as a REIT under the provisions of the Code, beginning with the taxable year ending December 31, 2007 and it intends to continue to qualify to be taxed as a REIT. To continue to qualify as a REIT for federal income tax purposes, HTA must meet certain organizational and operational requirements, including a requirement to pay dividend distributions to its stockholders of at least 90% of its annual taxable income. As a REIT, HTA is generally not subject to federal income tax on net income that it distributes to its stockholders, but it may be subject to certain state or local taxes and fees.
If HTA fails to qualify as a REIT in any taxable year, it will then be subject to U.S. federal income taxes on our taxable income and will not be permitted to qualify for treatment as a REIT for U.S. federal income tax purposes for four years following the year during which qualification is lost unless the IRS grants it relief under certain statutory provisions. Such an event could have a material adverse effect on its business, financial condition, results of operations and net cash available for dividend distributions to its stockholders.
HTA conducts substantially all of its operations through HTALP. As a partnership, HTALP generally is not liable for federal income taxes. The income and loss from the operations of HTALP is included in the tax returns of its partners, including HTA, who are responsible for reporting their allocable share of the partnership income and loss. Accordingly, no provision for income taxes has been made on the accompanying consolidated financial statements.
We do not have any liability for uncertain tax positions that we believe should be recognized in our accompanying consolidated financial statements.
Concentration of Credit Risk We maintain the majority of our cash and cash equivalents at major financial institutions in the U.S. and deposits with these financial institutions may exceed the amount of insurance provided on such deposits; however, we regularly monitor the financial stability of these financial institutions and believe we are not currently exposed to any significant default risk with respect to these deposits.
Segment Disclosure We have determined that we have one reportable segment, with activities related to investing in healthcare real estate assets. Our investments in healthcare real estate assets are geographically diversified and our chief operating decision maker evaluates operating performance on an individual asset level. As each of our assets has similar economic characteristics, long-term financial performance, tenants, and products and services, our assets have been aggregated into one reportable segment.
Related Party Aircraft Use HTA owns an airplane that is used for business purposes. The Chief Executive Officer of the Company is permitted to use the aircraft for personal travel and, pursuant to a policy adopted by HTA relating to such personal use, the Company is reimbursed by the executive for the incremental costs of using the aircraft for personal travel.
Recently Issued or Adopted Accounting Pronouncements
Recently Adopted Accounting Pronouncements
S-X Rule 13-01
In March 2020, the SEC adopted amendments to Rule 3-10 of Regulation S-X and created Rule 13-01 to simplify disclosure requirements related to certain registered securities. The rule became effective on January 4, 2021, at which time we adopted S-X Rule 13-01. The adoption did not have a material effect on our financial statements and related footnotes.
Recently Issued Accounting Pronouncements
ASU 2021-01, Reference Rate Reform (Topic 848)
In January 2021, the FASB issued ASU 2021-01, which amends the scope of ASU 2020-04. The amendments of ASU 2021-01 clarify that certain optional expedients and exceptions to Topic 848 for contract modification and hedge accounting apply to derivatives that are affected by the discounting transition. For information related to the Company's current cash flow hedges, refer to Note 9 - Derivative Financial Instruments and Hedging Activities. The amendments are elective and effective immediately for contract modifications made through December 31, 2022. The Company is evaluating how the transition away from LIBOR will effect the Company and if the guidance with respect to this standard will be adopted, however, if adopted, we do not expect that this ASU will have a material impact on our financial statements.
ASU 2021-05, Leases (Topic 842): Lessors - Certain Leases with Variable Lease Payments
In July 2021, the FASB issued ASU 2021-05, which amends the lease classification requirements for lessors when classifying and accounting for a lease with variable lease payments that do not depend on a reference index or a rate. The update provides criteria, that if met, the lease would be classified and accounted for as an operating lease. The update is effective for reporting periods beginning after December 15, 2021, with early adoption permitted. At this time, the Company does not expect that the adoption of this standard will have a material impact on our financial statements.
v3.22.0.1
Summary of Significant Accounting Policies (Tables)
 12 Months Ended
Dec. 31, 2021
Accounting Policies [Abstract]  
Schedule of Cash and Cash Equivalents The following table provides a reconciliation of cash, cash equivalents and restricted cash reported within the accompanying consolidated balance sheets to the combined amounts shown on the accompanying consolidated statements of cash flows (in thousands):
December 31,
202120202019
Cash and cash equivalents$52,353 $115,407 $32,713 
Restricted cash4,716 3,358 4,903 
Total cash, cash equivalents and restricted cash$57,069 $118,765 $37,616 
Schedule of Restricted Cash The following table provides a reconciliation of cash, cash equivalents and restricted cash reported within the accompanying consolidated balance sheets to the combined amounts shown on the accompanying consolidated statements of cash flows (in thousands):
December 31,
202120202019
Cash and cash equivalents$52,353 $115,407 $32,713 
Restricted cash4,716 3,358 4,903 
Total cash, cash equivalents and restricted cash$57,069 $118,765 $37,616 
Schedule of Real Estate Held For Sale The following table represents the major classes of assets and liabilities, and the balance sheet classification as of December 31, 2021 (in thousands):
December 31, 2021
Land$2,401 
Buildings and Improvements27,408 
Lease intangibles4,769 
34,578 
Accumulated depreciation and amortization(8,148)
Real estate assets held for sale, net26,430 
Receivables and other assets, net640 
Assets held for sale, net$27,070 
Intangible liabilities, net$262 
Liabilities of assets held for sale$262 
Schedule of Notes Receivable The following table summarizes real estate notes receivable as of December 31, 2021 (in thousands):
Stated Interest RateMaximum Loan CommitmentOutstanding Loan Amount
Origination DateMaturity DateDecember 31, 2021
Mezzanine Loans - Texas (1)
6/24/20216/24/20248 %$54,119 $49,319 
Mezzanine Loan - North Carolina12/22/202112/22/20248 %6,000 6,000 
Mortgage Loan - Texas6/30/20217/1/202210 %15,000 15,000 
70,319 
Accrued interest receivable54 
Unamortized fees and costs(526)
Unearned revenue(733)
$69,114 
(1) Interest on these mezzanine loans is accrued and funded utilizing interest reserves, which is included in the maximum loan commitment, and such accrued interest is added to the note receivable balance.
v3.22.0.1
Investments in Real Estate (Tables)
 12 Months Ended
Dec. 31, 2021
Investments [Abstract]  
Schedule of Purchase Price Allocation The allocations for these investments, in which we own a controlling financial interest, are set forth below in the aggregate for the years ended December 31, 2021, 2020 and 2019, respectively (in thousands):
Year Ended December 31,
202120202019
Land$44,905 $15,242 $108,709 
Building and improvements233,219 156,486 396,660 
In place leases23,056 17,948 51,629 
Below market leases(4,592)(1,132)(5,187)
Above market leases3,283 1,215 3,487 
ROU assets300 1,527 — 
Net assets acquired300,171 191,286 555,298 
Other, net (1)
8,593 432 5,158 
Aggregate purchase price$308,764 $191,718 $560,456 
(1) Other, net, consisted primarily of tenant improvements and capital expenditures received as credits at the time of acquisition.
Schedule of Weighted Average Lives of Acquired Intangible Assets and Liabilities The acquired intangible assets and liabilities referenced above had weighted average lives of the following terms for the years ended December 31, 2021, 2020 and 2019, respectively (in years):
Year Ended December 31,
202120202019
Acquired intangible assets6.510.25.7
Acquired intangible liabilities8.07.17.0
v3.22.0.1
Intangible Assets and Liabilities (Tables)
 12 Months Ended
Dec. 31, 2021
Identified Intangibles, Net [Abstract]  
Schedule of Intangible Assets and Liabilities Intangible assets and liabilities consisted of the following as of December 31, 2021 and 2020, respectively (in thousands, except weighted average remaining amortization terms):
December 31, 2021December 31, 2020
BalanceWeighted Average Remaining
Amortization in Years		BalanceWeighted Average Remaining
Amortization in Years
Assets:
In place leases
$349,863 9.3$483,779 9.7
Tenant relationships
54,851 10.8144,842 10.0
Above market leases
21,537 6.937,876 5.8
426,251 666,497 
Accumulated amortization(213,801)(427,937)
Total$212,450 9.3$238,560 9.6
Liabilities:
Below market leases$55,073 14.3$61,896 14.6
Accumulated amortization(23,742)(29,357)
Total$31,331 14.3$32,539 14.6
Summary of Net Intangible Amortization The following is a summary of the net intangible amortization for the years ended December 31, 2021, 2020 and 2019, respectively (in thousands):
Year Ended December 31,
202120202019
Amortization recorded against rental income related to above and (below) market leases
$(2,638)$(4,056)$(4,422)
Amortization expense related to in place leases and tenant relationships
45,447 55,138 60,363 
Schedule of Amortization of Intangible Assets and Liabilities As of December 31, 2021, the expected future amortization of intangible assets and liabilities is as follows (in thousands):
YearAssetsLiabilities
2022$40,676 $5,254 
202333,161 4,408 
202427,345 3,798 
202523,136 3,161 
202619,437 2,686 
Thereafter68,695 12,024 
Total$212,450 $31,331 
v3.22.0.1
Receivables and Other Assets (Tables)
 12 Months Ended
Dec. 31, 2021
Receivables and Other Assets [Abstract]  
Schedule of Receivables and Other Assets Receivables and other assets consisted of the following as of December 31, 2021 and 2020, respectively (in thousands):
December 31,
20212020
Tenant receivables, net
$10,477 $17,717 
Other receivables, net
6,098 6,243 
Deferred financing costs, net
7,055 2,586 
Deferred leasing costs, net
45,008 43,234 
Straight-line rent receivables, net142,604 128,070 
Prepaid expenses, deposits, equipment and other, net38,301 46,114 
Real estate notes receivable, net69,114 — 
Finance ROU asset, net16,284 7,764 
Total$334,941 $251,728 
Summary of Amortization of Deferred Leasing Costs and Deferred Financing Costs The following is a summary of the amortization of deferred leasing costs and financing costs for the years ended December 31, 2021, 2020 and 2019, respectively (in thousands):
Year Ended December 31, 2021
202120202019
Amortization expense related to deferred leasing costs
$8,831 $8,755 $7,976 
Interest expense related to amortization of deferred financing costs1,753 1,724 1,724 
Schedule of Amortization of Deferred Leasing and Financing Costs As of December 31, 2021, the expected future amortization of deferred leasing costs and financing costs is as follows (in thousands):
YearAmount
2022$10,287 
20239,263 
20248,203 
20256,939 
20264,560 
Thereafter12,811 
Total$52,063 
v3.22.0.1
Leases (Tables)
 12 Months Ended
Dec. 31, 2021
Leases [Abstract]  
Lease Costs The following is the weighted average remaining lease term and the weighted average discount rate for our operating and finance leases as of December 31, 2021 (weighted average remaining lease term in years):
December 31, 2021
Operating leases:
Weighted-average remaining lease term
46.5
Weighted-average discount rate
5.3 %
Finance leases:
Weighted-average remaining lease term
48.1
Weighted-average discount rate
3.8 %
Summary of Lease Repayments of Operating Lease Liabilities The following table summarizes the future minimum lease obligations of our operating and finance leases as of December 31, 2021 under Topic 842 (in thousands):
YearOperating leasesFinance leases
2022$10,568 $630 
202310,758 635 
202410,370 640 
20259,857 645 
20269,869 656 
Thereafter599,954 37,524 
Total undiscounted lease payments$651,376 $40,730 
Less: Interest(455,090)(23,826)
Present value of lease liabilities$196,286 $16,904 
Summary of Lease Repayments of Finance Lease Liabilities The following table summarizes the future minimum lease obligations of our operating and finance leases as of December 31, 2021 under Topic 842 (in thousands):
YearOperating leasesFinance leases
2022$10,568 $630 
202310,758 635 
202410,370 640 
20259,857 645 
20269,869 656 
Thereafter599,954 37,524 
Total undiscounted lease payments$651,376 $40,730 
Less: Interest(455,090)(23,826)
Present value of lease liabilities$196,286 $16,904 
Schedule of Future Minimum Rental Payments for Operating Leases The following table summarizes the future minimum rent contractually due under operating leases, excluding tenant reimbursements of certain costs, as of December 31, 2021 under Topic 842 (in thousands):
YearAmount
2022$569,363 
2023524,166 
2024466,821 
2025407,880 
2026360,766 
Thereafter1,322,375 
Total$3,651,371 
v3.22.0.1
Debt (Tables)
 12 Months Ended
Dec. 31, 2021
Debt Disclosure [Abstract]  
Schedule of Debt Debt consisted of the following as of December 31, 2021 and 2020, respectively (in thousands):
December 31,
20212020
Unsecured revolving credit facility$— $— 
Unsecured term loans500,000 500,000 
Unsecured senior notes2,550,000 2,550,000 
Fixed rate mortgages — — 
3,050,000 3,050,000 
Deferred financing costs, net(17,975)(19,157)
Net premium (discount)(3,903)(3,844)
Total $3,028,122 $3,026,999 
Summary of Debt Maturities and Scheduled Principal Debt Repayments The following table summarizes the debt maturities and scheduled principal repayments of our indebtedness as of December 31, 2021 (in thousands):
YearAmount
2022$— 
2023— 
2024200,000 
2025300,000 
2026600,000 
Thereafter1,950,000 
Total$3,050,000 
Schedule of Amortization of Deferred Financing Costs As of December 31, 2021, the expected future amortization of our deferred financing costs is as follows (in thousands):
YearAmount
2022$3,106 
20233,106 
20242,724 
20252,603 
20261,839 
Thereafter4,597 
Total$17,975 
v3.22.0.1
Derivative Financial Instruments and Hedging Activities (Tables)
 12 Months Ended
Dec. 31, 2021
Derivative Instruments and Hedging Activities Disclosure [Abstract]  
Schedule of Interest Rate Derivatives
As of December 31, 2021, we had the following outstanding interest rate derivatives that were designated as cash flow hedges of interest rate risk (in thousands, except number of instruments):
Cash Flow HedgesDecember 31, 2021
Number of instruments7 
Notional amount$500,000 
The table below presents the fair value of our derivative financial instruments designated as a hedge as well as our classification in the accompanying consolidated balance sheets as of December 31, 2021 and 2020, respectively (in thousands). We had no offsetting derivatives as of December 31, 2021.
 Asset DerivativesLiability Derivatives
  Fair Value at:Fair Value at:
Derivatives Designated as Hedging Instruments:Balance Sheet
Location		December 31, 2021December 31, 2020Balance Sheet
Location		December 31, 2021December 31, 2020
Interest rate swapsReceivables and other assets$— $— Derivative financial instruments$5,069 $14,957 
The table below presents the gain or loss recognized on our derivative financial instruments designated as hedges as well as our classification in the accompanying consolidated statements of operations for the years ended December 31, 2021, 2020 and 2019, respectively (in thousands).
Year Ended December 31,
Effect of Derivative InstrumentsOperations and Comprehensive (Loss) Income202120202019
(Loss) gain recognized in OCIChange in unrealized losses on cash flow hedges$3,393 $(25,773)$5,910 
(Loss) gain reclassified from accumulated OCI into incomeInterest expense(6,721)(3,897)1,594 
v3.22.0.1
Stockholders' Equity and Partners' Capital (Tables)
 12 Months Ended
Dec. 31, 2021
Equity [Abstract]  
Schedule of Restricted Common Stock Activity The following is a summary of our restricted common stock activity as of December 31, 2021 and 2020, respectively:
December 31, 2021December 31, 2020
Restricted Common StockWeighted
Average Grant
Date Fair Value		Restricted Common StockWeighted
Average Grant
Date Fair Value
Beginning balance436,399 $28.27 600,987 $28.04 
Granted552,989 28.14 273,503 29.83 
Vested(297,555)27.47 (426,693)28.93 
Forfeited(161,971)27.47 (11,398)28.88 
Ending balance529,862 $28.83 436,399 $28.27 
v3.22.0.1
Fair Value of Financial Instruments (Tables)
 12 Months Ended
Dec. 31, 2021
Fair Value Disclosures [Abstract]  
Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis The table below presents the carrying amounts and fair values of our financial instruments on a recurring basis as of December 31, 2021 and 2020 (in thousands):
December 31, 2021December 31, 2020
Carrying AmountFair ValueCarrying AmountFair Value
Level 2 - Assets:
Real estate notes receivable, net$69,114 $68,476 $— $— 
Level 2 - Liabilities:
Derivative financial instruments$5,069 $5,069 $14,957 $14,957 
Debt 3,028,122 3,117,602 3,026,999 3,258,573 
Fair Value Measurements, Nonrecurring
The table below presents our assets measured at fair value on a non-recurring basis as of December 31, 2021 and 2020 (in thousands):
December 31, 2021December 31, 2020
Fair ValueFair Value
Level 2 - Assets:
Real estate investment$26,768 $— 
Level 3 - Assets:
Real estate investments$4,970 $— 
v3.22.0.1
Per Share Data of HTA (Tables)
 12 Months Ended
Dec. 31, 2021
Earnings Per Share [Abstract]  
Schedule of Earnings Per Share, Basic and Diluted The following is the reconciliation of the numerator and denominator used in basic and diluted earnings per share of HTA for the years ended December 31, 2021, 2020 and 2019, respectively (in thousands, except per share data):
 Year Ended December 31,
 202120202019
Numerator:
Net income
$99,784 $53,508 $30,758 
Net income attributable to non-controlling interests(1,768)(890)(604)
Net income attributable to common stockholders$98,016 $52,618 $30,154 
Denominator:
Weighted average shares outstanding - basic219,439 218,078 205,720 
Dilutive shares - OP Units convertible into common stock 3,860 3,588 3,885 
Dilutive effect of forward equity sales agreement916 — — 
Adjusted weighted average shares outstanding - diluted224,215 221,666 209,605 
Earnings per common share - basic
Net income attributable to common stockholders
$0.45 $0.24 $0.15 
Earnings per common share - diluted
Net income attributable to common stockholders
$0.44 $0.24 $0.14 
v3.22.0.1
Per Unit Data of HTALP (Tables)
 12 Months Ended
Dec. 31, 2021
Earnings Per Share  
Schedule of Earnings Per Unit, Basic and Diluted The following is the reconciliation of the numerator and denominator used in basic and diluted earnings per share of HTA for the years ended December 31, 2021, 2020 and 2019, respectively (in thousands, except per share data):
 Year Ended December 31,
 202120202019
Numerator:
Net income
$99,784 $53,508 $30,758 
Net income attributable to non-controlling interests(1,768)(890)(604)
Net income attributable to common stockholders$98,016 $52,618 $30,154 
Denominator:
Weighted average shares outstanding - basic219,439 218,078 205,720 
Dilutive shares - OP Units convertible into common stock 3,860 3,588 3,885 
Dilutive effect of forward equity sales agreement916 — — 
Adjusted weighted average shares outstanding - diluted224,215 221,666 209,605 
Earnings per common share - basic
Net income attributable to common stockholders
$0.45 $0.24 $0.15 
Earnings per common share - diluted
Net income attributable to common stockholders
$0.44 $0.24 $0.14 
Healthcare Trust of America Holdings, LP (HTALP)  
Earnings Per Share  
Schedule of Earnings Per Unit, Basic and Diluted The following is the reconciliation of the numerator and denominator used in basic and diluted earnings per unit of HTALP for the years ended December 31, 2021, 2020 and 2019, respectively (in thousands, except per unit data):
 Year Ended December 31,
 202120202019
Numerator:
Net income
$99,784 $53,508 $30,758 
Net income attributable to non-controlling interests— — (66)
Net income attributable to common OP unitholders$99,784 $53,508 $30,692 
Denominator:
Weighted average units outstanding - basic223,299 221,666 209,605 
Dilutive units - OP Units convertible into common units— — — 
Dilutive effect of forward equity sales agreement916 — — 
Adjusted weighted average OP units outstanding - diluted224,215 221,666 209,605 
Earnings per common unit - basic:
Net income attributable to common OP unitholders$0.45 $0.24 $0.15 
Earnings per common unit - diluted:
Net income attributable to common OP unitholders$0.45 $0.24 $0.15 
v3.22.0.1
Supplemental Cash Flow Information (Tables)
 12 Months Ended
Dec. 31, 2021
Supplemental Cash Flow Elements [Abstract]  
Schedule of Supplemental Cash Flow Information The following is the supplemental cash flow information for the years ended December 31, 2021, 2020 and 2019, respectively (in thousands):
Year Ended December 31,
202120202019
Supplemental Disclosure of Cash Flow Information:
Interest paid, net of capitalized interest$80,367 $83,375 $94,668 
Cash paid for operating leases15,108 12,465 11,842 
Supplemental Disclosure of Noncash Investing and Financing Activities:
Accrued capital and development expenditures$12,696 $31,807 $6,381 
Conversion of notes receivable to investments in real estate1,142 — — 
Extinguishment of finance ground lease from land acquisition— 1,710 — 
Dividend distributions declared, but not paid
75,723 71,423 69,468 
Issuance of OP Units in HTALP
— — 2,603 
Issuance of OP Units in HTALP in connection with an acquisition
35,785 — 2,000 
Note receivable retired in connection with an acquisition
— 6,000 — 
Redemption of non-controlling interest 6,354 9,019 7,527 
ROU assets obtained in exchange for lease obligations
8,798 4,373 200,879 
v3.22.0.1
Tax Treatment of Dividends of HTA (Tables)
 12 Months Ended
Dec. 31, 2021
Income Tax Disclosure [Abstract]  
Summary of Tax Treatment of Distributions The following is the income tax treatment of dividend distributions for the years ended December 31, 2021, 2020 and 2019 (in per share):
 Year Ended December 31,
 202120202019
Ordinary income$0.7920 $0.6976 $0.6405 
Return of capital0.4930 0.5582 0.6045 
Capital gain0.0000 0.0092 0.0000 
Total$1.2850 $1.2650 $1.2450 
v3.22.0.1
Selected Quarterly Financial Data of HTA (Unaudited) (Tables)
 12 Months Ended
Dec. 31, 2021
Quarterly Financial Information Disclosure [Abstract]  
Quarterly Financial Information The following is the selected quarterly financial data of HTA for 2021 and 2020. We believe that all necessary adjustments, consisting of only normal recurring adjustments, have been included (in thousands, except per share data).
 
Quarter Ended (1)
2021March 31June 30September 30December 31
Revenues$191,493 $188,615 $191,262 $195,703 
Net income 22,393 38,739 22,042 16,610 
Net income attributable to common stockholders22,030 38,011 21,672 16,303 
Earnings per common share - basic:
Net income attributable to common stockholders$0.10 $0.17 $0.10 $0.07 
Earnings per common share - diluted:
Net income attributable to common stockholders$0.10 $0.17 $0.10 $0.07 
(1) The sum of the individual quarterly amounts may not agree to the annual amounts included in the accompanying consolidated statements of operations due to rounding.
 
Quarter Ended (1)
2020March 31June 30September 30December 31
Revenues$185,776 $178,845 $187,326 $187,018 
Net income (loss)18,208 13,725 (6,932)28,507 
Net income (loss) attributable to common stockholders17,901 13,489 (6,827)28,055 
Earnings per common share - basic:
Net income (loss) attributable to common stockholders$0.08 $0.06 $(0.03)$0.13 
Earnings per common share - diluted:
Net income (loss) attributable to common stockholders$0.08 $0.06 $(0.03)$0.13 
(1) The sum of the individual quarterly amounts may not agree to the annual amounts included in the accompanying consolidated statements of operations due to rounding.
v3.22.0.1
Selected Quarterly Financial Data of HTALP (Unaudited) (Tables)
 12 Months Ended
Dec. 31, 2021
Selected Quarterly Financial Data [Line Items]  
Quarterly Financial Information The following is the selected quarterly financial data of HTA for 2021 and 2020. We believe that all necessary adjustments, consisting of only normal recurring adjustments, have been included (in thousands, except per share data).
 
Quarter Ended (1)
2021March 31June 30September 30December 31
Revenues$191,493 $188,615 $191,262 $195,703 
Net income 22,393 38,739 22,042 16,610 
Net income attributable to common stockholders22,030 38,011 21,672 16,303 
Earnings per common share - basic:
Net income attributable to common stockholders$0.10 $0.17 $0.10 $0.07 
Earnings per common share - diluted:
Net income attributable to common stockholders$0.10 $0.17 $0.10 $0.07 
(1) The sum of the individual quarterly amounts may not agree to the annual amounts included in the accompanying consolidated statements of operations due to rounding.
 
Quarter Ended (1)
2020March 31June 30September 30December 31
Revenues$185,776 $178,845 $187,326 $187,018 
Net income (loss)18,208 13,725 (6,932)28,507 
Net income (loss) attributable to common stockholders17,901 13,489 (6,827)28,055 
Earnings per common share - basic:
Net income (loss) attributable to common stockholders$0.08 $0.06 $(0.03)$0.13 
Earnings per common share - diluted:
Net income (loss) attributable to common stockholders$0.08 $0.06 $(0.03)$0.13 
(1) The sum of the individual quarterly amounts may not agree to the annual amounts included in the accompanying consolidated statements of operations due to rounding.
Healthcare Trust of America Holdings, LP (HTALP)  
Selected Quarterly Financial Data [Line Items]  
Quarterly Financial Information
The following is the selected quarterly financial data of HTALP for 2021 and 2020. We believe that all necessary adjustments, consisting of only normal recurring adjustments, have been included (in thousands, except per unit data).
 
Quarter Ended (1)
2021March 31June 30September 30December 31
Revenues$191,493 $188,615 $191,262 $195,703 
Net income 22,393 38,739 22,042 16,610 
Net income attributable to common OP unitholders22,393 38,739 22,042 16,610 
Earnings per common OP unit - basic:
Net income attributable to common OP unitholders$0.10 $0.17 $0.10 $0.07 
Earnings per common OP unit - diluted:
Net income attributable to common OP unitholders$0.10 $0.17 $0.10 $0.07 
(1) The sum of the individual quarterly amounts may not agree to the annual amounts included in the accompanying consolidated statements of operations due to rounding.
 
Quarter Ended (1)
2020March 31June 30September 30December 31
Revenues$185,776 $178,845 $187,326 $187,018 
Net income (loss)18,208 13,725 (6,932)28,507 
Net income (loss) attributable to common OP unitholders18,208 13,725 (6,932)28,507 
Earnings per common OP unit - basic:
Net income (loss) attributable to common OP unitholders$0.08 $0.06 $(0.03)$0.13 
Earnings per common OP unit - diluted:
Net income (loss) attributable to common OP unitholders$0.08 $0.06 $(0.03)$0.13 
(1) The sum of the individual quarterly amounts may not agree to the annual amounts included in the accompanying consolidated statements of operations due to rounding.
v3.22.0.1
Organization and Description of Business (Details)
Dec. 31, 2021
state
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Number of states in which the company operates 32
v3.22.0.1
Summary of Significant Accounting Policies - Narrative (Details)
 12 Months Ended
Dec. 31, 2021
USD ($)
segment
shares
Dec. 31, 2020
USD ($)
property
shares
Dec. 31, 2019
USD ($)
shares
Dec. 31, 2018
USD ($)
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents [Abstract]        
Cash and cash equivalents $ 52,353,000 $ 115,407,000    
Restricted cash 4,716,000 3,358,000    
Total cash, cash equivalents and restricted cash $ 57,069,000 118,765,000 $ 37,616,000 $ 133,530,000
Leases [Abstract]        
Deferred rent period 3 months      
Amount of rent deferrals $ 11,100,000      
Amount of repayment of rent deferrals $ 10,800,000      
Assets Held-for-sale [Abstract]        
Assets held-for-sale, period of sale 1 year      
Real estate investments:        
Impairment $ 22,938,000 $ 0 0  
Investment in unconsolidated joint ventures, ownership percentage 50.00% 50.00%    
Investment in unconsolidated joint venture $ 62,834,000 $ 64,360,000    
Income (loss) from unconsolidated joint venture 1,604,000 $ 1,612,000 1,882,000  
Income Taxes [Abstract]        
Tax basis in excess of carrying amount on real estate assets 766,900,000      
Concentration of Credit Risk [Abstract]        
Cash balances in excess of FDIC insured limits $ 62,500,000      
Segment Reporting [Abstract]        
Number of reportable segments | segment 1      
Disposal Group, Held-for-sale, Not Discontinued Operations        
Assets Held-for-sale [Abstract]        
Number of real estate properties | property   0    
Maximum        
Leases [Abstract]        
Lessor, term of contract 7 years      
Deferred rent payback period 3 months      
Minimum        
Leases [Abstract]        
Lessor, term of contract 3 years      
Deferred rent payback period 12 months      
Buildings | Maximum        
Property, Plant and Equipment [Abstract]        
Property, plant and equipment, useful life 39 years      
Tenant Improvements | Maximum        
Property, Plant and Equipment [Abstract]        
Life on which building depreciation in income statement is computed 10 years      
Tenant Improvements | Minimum        
Property, Plant and Equipment [Abstract]        
Life on which building depreciation in income statement is computed 1 year      
Furniture, fixtures and equipment        
Property, Plant and Equipment [Abstract]        
Life on which building depreciation in income statement is computed 5 years      
Building and Building Improvements        
Property, Plant and Equipment [Abstract]        
Depreciation expense $ 246,300,000 $ 235,800,000 $ 219,200,000  
Healthcare Trust of America Holdings, LP (HTALP)        
Partners' Capital Notes [Abstract]        
Limited partner's capital, units issued (in shares) | shares 4,142,408 3,519,545 3,800,000  
Limited partner's capital, units outstanding (in shares) | shares 4,142,408 3,519,545 3,800,000  
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents [Abstract]        
Cash and cash equivalents $ 52,353,000 $ 115,407,000 $ 32,713,000  
Restricted cash 4,716,000 3,358,000 4,903,000  
Total cash, cash equivalents and restricted cash 57,069,000 118,765,000 37,616,000 $ 133,530,000
Real estate investments:        
Impairment 22,938,000 0 0  
Investment in unconsolidated joint venture 62,834,000 64,360,000    
Income (loss) from unconsolidated joint venture $ 1,604,000 $ 1,612,000 $ 1,882,000  
v3.22.0.1
Summary of Significant Accounting Policies - Assets Held For Sale (Details) - USD ($)
$ in Thousands
Dec. 31, 2021
Dec. 31, 2020
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]    
Assets held for sale, net $ 27,070 $ 0
Liabilities of assets held for sale 262 $ 0
Disposal Group, Held-for-sale, Not Discontinued Operations    
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]    
Land 2,401  
Buildings and Improvements 27,408  
Lease intangibles 4,769  
Property, plant and equipment 34,578  
Accumulated depreciation and amortization (8,148)  
Real estate assets held for sale, net 26,430  
Receivables and other assets, net 640  
Assets held for sale, net 27,070  
Intangible liabilities, net 262  
Liabilities of assets held for sale $ 262  
v3.22.0.1
Summary of Significant Accounting Policies - Notes Receivable, Narrative (Details)
 12 Months Ended
Dec. 31, 2021
USD ($)
lease
Dec. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
Accounts, Notes, Loans and Financing Receivable [Line Items]      
Number Of Mezzanine Loans Originated | lease 3    
Maximum Loan Commitment $ 60,100,000    
Stated Interest Rate 8.00%    
Accrued interest receivable $ 54,800,000    
Real estate notes receivable, net 69,114,000 $ 0  
Interest income 3,150,000 $ 551,000 $ 513,000
Reserve for credit loss 0    
Mortgage Loan - Texas      
Accounts, Notes, Loans and Financing Receivable [Line Items]      
Maximum Loan Commitment $ 15,000,000    
Stated Interest Rate 10.00%    
Notes Receivable      
Accounts, Notes, Loans and Financing Receivable [Line Items]      
Interest income $ 2,800,000    
v3.22.0.1
Summary of Significant Accounting Policies - Schedule of Notes Receivable (Details) - USD ($)
Dec. 31, 2021
Dec. 31, 2020
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Stated Interest Rate 8.00%  
Maximum Loan Commitment $ 60,100,000  
Accrued interest receivable 54,800,000  
Real estate notes receivable, net 69,114,000 $ 0
Mezzanine Loans and Mortgage Loan Texas    
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Real estate notes receivable, gross 70,319,000  
Accrued interest receivable 54,000  
Unamortized fees and costs (526,000)  
Unearned revenue (733,000)  
Real estate notes receivable, net $ 69,114,000  
Mezzanine Loans - Texas    
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Stated Interest Rate 8.00%  
Maximum Loan Commitment $ 54,119,000  
Real estate notes receivable, gross $ 49,319,000  
Mezzanine Loan - North Carolina    
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Stated Interest Rate 8.00%  
Maximum Loan Commitment $ 6,000,000  
Real estate notes receivable, gross $ 6,000,000  
Mortgage Loan - Texas    
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Stated Interest Rate 10.00%  
Maximum Loan Commitment $ 15,000,000  
Real estate notes receivable, gross $ 15,000,000  
v3.22.0.1
Investments in Real Estate - Acquisitions (Details) - USD ($)
$ in Thousands
 2 Months Ended 12 Months Ended
Feb. 28, 2022
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Investments [Abstract]        
Aggregate purchase price   $ 308,764 $ 191,718 $ 560,456
Closing costs   $ 2,100    
Subsequent Event        
Subsequent Event [Line Items]        
Purchase price $ 19,000      
v3.22.0.1
Investments in Real Estate - Purchase Price Allocation (Details) - USD ($)
$ in Thousands
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Asset Acquisition      
Land $ 44,905 $ 15,242 $ 108,709
Building and improvements 233,219 156,486 396,660
In place leases 23,056 17,948 51,629
Below market leases (4,592) (1,132) (5,187)
Above market leases 3,283 1,215 3,487
ROU assets 300 1,527 0
Net assets acquired 300,171 191,286 555,298
Other, net 8,593 432 5,158
Aggregate purchase price $ 308,764 $ 191,718 $ 560,456
v3.22.0.1
Investments in Real Estate - Weighted Average Lives (Details)
 12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Investments [Abstract]      
Acquired intangible assets 6 years 6 months 10 years 2 months 12 days 5 years 8 months 12 days
Acquired intangible liabilities 8 years 7 years 1 month 6 days 7 years
v3.22.0.1
Dispositions and Impairment (Details)
ft² in Thousands
 12 Months Ended
Dec. 31, 2021
USD ($)
ft²
property
building
Dec. 31, 2020
USD ($)
ft²
building
Dec. 31, 2019
USD ($)
ft²
building
Feb. 24, 2022
USD ($)
Real Estate [Line Items]        
Number of assets disposed | building 15      
Gain (loss) on sale of real estate, net $ 39,228,000 $ 9,590,000 $ (154,000)  
Impairment $ 22,938,000 $ 0 $ 0  
Number of impaired assets | property 4      
GEORGIA | Subsequent Event        
Real Estate [Line Items]        
Disposal consideration       $ 26,800,000
Property Portfolio in Tennessee, Virginia, Minnesota and Ohio        
Real Estate [Line Items]        
Proceeds from the sale of real estate $ 88,300,000      
Gross leasable area of real estate disposed (in square feet) | ft² 599      
Gain (loss) on sale of real estate, net $ 39,200,000      
Medical Office Building In Kansas City        
Real Estate [Line Items]        
Number of assets disposed | building   1    
Proceeds from the sale of real estate   $ 24,300,000    
Gross leasable area of real estate disposed (in square feet) | ft²   69    
Gain (loss) on sale of real estate, net   $ 7,600,000    
Land in Miami, FL        
Real Estate [Line Items]        
Proceeds from the sale of real estate   7,600,000    
Gain (loss) on sale of real estate, net   $ 2,000,000    
Medical Office Building In South Carolina and New Mexico        
Real Estate [Line Items]        
Number of assets disposed | building     4  
Proceeds from the sale of real estate     $ 4,900,000  
Gross leasable area of real estate disposed (in square feet) | ft²     51  
Gain (loss) on sale of real estate, net     $ (200,000)  
Land in Tennessee, Virginia and Minnesota        
Real Estate [Line Items]        
Proceeds from the sale of real estate $ 1,800,000      
v3.22.0.1
Intangible Assets and Liabilities - Summary of Intangible Assets and Liabilities (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Assets:    
Gross $ 426,251 $ 666,497
Accumulated amortization (213,801) (427,937)
Total $ 212,450 $ 238,560
Weighted Average Remaining Amortization in Years 9 years 3 months 18 days 9 years 7 months 6 days
Liabilities:    
Accumulated amortization $ (23,742) $ (29,357)
Total $ 31,331 $ 32,539
Weighted Average Remaining Amortization in Years 14 years 3 months 18 days 14 years 7 months 6 days
Below market leases    
Liabilities:    
Gross $ 55,073 $ 61,896
Weighted Average Remaining Amortization in Years 14 years 3 months 18 days 14 years 7 months 6 days
In place leases    
Assets:    
Gross $ 349,863 $ 483,779
Weighted Average Remaining Amortization in Years 9 years 3 months 18 days 9 years 8 months 12 days
Tenant relationships    
Assets:    
Gross $ 54,851 $ 144,842
Weighted Average Remaining Amortization in Years 10 years 9 months 18 days 10 years
Above market leases    
Assets:    
Gross $ 21,537 $ 37,876
Weighted Average Remaining Amortization in Years 6 years 10 months 24 days 5 years 9 months 18 days
v3.22.0.1
Intangible Assets and Liabilities - Summary of Intangible Amortization (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Amortization recorded against rental income related to above and (below) market leases      
Schedule of Finite-Lived Intangible Assets and Liabilities [Line Items]      
Amortization of intangible assets and liabilities $ (2,638) $ (4,056) $ (4,422)
Amortization expense related to in place leases and tenant relationships      
Schedule of Finite-Lived Intangible Assets and Liabilities [Line Items]      
Amortization of intangible assets and liabilities $ 45,447 $ 55,138 $ 60,363
v3.22.0.1
Intangible Assets and Liabilities - Future Amortization of Intangibles (Details) - USD ($)
$ in Thousands
Dec. 31, 2021
Dec. 31, 2020
Assets    
2022 $ 40,676  
2023 33,161  
2024 27,345  
2025 23,136  
2026 19,437  
Thereafter 68,695  
Total 212,450 $ 238,560
Liabilities    
2022 5,254  
2023 4,408  
2024 3,798  
2025 3,161  
2026 2,686  
Thereafter 12,024  
Total $ 31,331 $ 32,539
v3.22.0.1
Receivables and Other Assets - Schedule of Receivables and Other Assets (Details) - USD ($)
$ in Thousands
Dec. 31, 2021
Dec. 31, 2020
Receivables and Other Assets [Abstract]    
Tenant receivables, net $ 10,477 $ 17,717
Other receivables, net 6,098 6,243
Deferred financing costs, net 7,055 2,586
Deferred leasing costs, net 45,008 43,234
Straight-line rent receivables, net 142,604 128,070
Prepaid expenses, deposits, equipment and other, net 38,301 46,114
Real estate notes receivable, net 69,114 0
Finance ROU asset, net 16,284 7,764
Total $ 334,941 $ 251,728
Finance Lease, Right-of-Use Asset, Statement of Financial Position [Extensible Enumeration] Total Total
v3.22.0.1
Receivables and Other Assets - Amortization (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Receivables and Other Assets [Abstract]      
Amortization expense related to deferred leasing costs $ 8,831 $ 8,755 $ 7,976
Interest expense related to amortization of deferred financing costs $ 1,753 $ 1,724 $ 1,724
v3.22.0.1
Receivables and Other Assets - Amortization of Deferred Leasing and Financing Costs (Details) (Details)
$ in Thousands
Dec. 31, 2021
USD ($)
Receivables and Other Assets [Abstract]  
2022 $ 10,287
2023 9,263
2024 8,203
2025 6,939
2026 4,560
Thereafter 12,811
Total $ 52,063
v3.22.0.1
Leases - Narrative (Details)
$ in Millions
 12 Months Ended
Dec. 31, 2021
USD ($)
lease
Dec. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
Lessee, Lease, Description [Line Items]      
Number of ground leases commenced 5    
Number of ground leases commenced classified as finance leases 9    
Rental and other revenues from operating lease payments | $ $ 761.7 $ 732.5 $ 686.2
Variable lease payments | $ $ 175.7 $ 169.1 $ 154.3
Finance Lease      
Lessee, Lease, Description [Line Items]      
Number of ground leases commenced 3    
Operating Lease      
Lessee, Lease, Description [Line Items]      
Number of ground leases commenced 2    
Minimum      
Lessee, Lease, Description [Line Items]      
Extended lease term 1 year    
Maximum      
Lessee, Lease, Description [Line Items]      
Extended lease term 10 years    
Term of lease contracts 99 years    
v3.22.0.1
Leases - Lease Costs (Details)
Dec. 31, 2021
Operating leases:  
Weighted-average remaining lease term 46 years 6 months
Weighted-average discount rate 5.30%
Finance leases:  
Weighted-average remaining lease term 48 years 1 month 6 days
Weighted-average discount rate 3.80%
v3.22.0.1
Leases - Maturity of Lease Liabilities (Details) - USD ($)
$ in Thousands
Dec. 31, 2021
Dec. 31, 2020
Operating leases    
2022 $ 10,568  
2023 10,758  
2024 10,370  
2025 9,857  
2026 9,869  
Thereafter 599,954  
Total 651,376  
Less: Interest (455,090)  
Present value of lease liabilities 196,286 $ 198,367
Finance leases    
2022 630  
2023 635  
2024 640  
2025 645  
2026 656  
Thereafter 37,524  
Total undiscounted lease payments 40,730  
Less: Interest (23,826)  
Present value of lease liabilities $ 16,904  
Finance Lease, Liability, Statement of Financial Position [Extensible Enumeration] Security deposits, prepaid rent and other liabilities Security deposits, prepaid rent and other liabilities
v3.22.0.1
Leases - Lease Revenues and Maturity of Future Minimum Rents (Details)
$ in Thousands
Dec. 31, 2021
USD ($)
Lessor, Operating Lease, Payments, Fiscal Year Maturity [Abstract]  
2022 $ 569,363
2023 524,166
2024 466,821
2025 407,880
2026 360,766
Thereafter 1,322,375
Total $ 3,651,371
v3.22.0.1
Debt - Schedule of Debt (Details) - USD ($)
$ in Thousands
Dec. 31, 2021
Dec. 31, 2020
Debt Instrument    
Total debt, gross $ 3,050,000 $ 3,050,000
Deferred financing costs, net (17,975) (19,157)
Net premium (discount) (3,903) (3,844)
Total 3,028,122 3,026,999
Unsecured term loans    
Debt Instrument    
Total debt, gross 500,000 500,000
Unsecured senior notes    
Debt Instrument    
Total debt, gross 2,550,000 2,550,000
Fixed rate mortgages    
Debt Instrument    
Total debt, gross 0 0
Unsecured revolving credit facility    
Debt Instrument    
Unsecured revolving credit facility $ 0 $ 0
v3.22.0.1
Debt - Narrative (Details) - USD ($)
 1 Months Ended 12 Months Ended
Oct. 06, 2021
Sep. 30, 2020
Sep. 30, 2019
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Jul. 12, 2016
Debt Instrument                  
Outstanding amount       $ 3,050,000,000 $ 3,050,000,000        
Loss on extinguishment of debt, net       0 27,726,000 $ 21,646,000      
Payments of financing costs       8,053,000 6,800,000 7,776,000      
Healthcare Trust of America Holdings, LP (HTALP)                  
Debt Instrument                  
Loss on extinguishment of debt, net       0 27,726,000 21,646,000      
Payments of financing costs       8,053,000 6,800,000 7,776,000      
Unsecured term loans                  
Debt Instrument                  
Line of credit facility, borrowing capacity $ 300,000,000                
Outstanding amount       $ 500,000,000 500,000,000        
Unsecured term loans | $300.0 Million Unsecured Term Loan due 2022 and 2023                  
Debt Instrument                  
Basis spread on variable rate (as a percent)       0.95%          
Financing costs       $ 1,800,000          
Outstanding amount       $ 300,000,000       $ 300,000,000.0  
Weighted average interest rate with interest rate swap impact       2.37%          
Unsecured term loans | $300.0 Million Unsecured Term Loan due 2022 and 2023 | Healthcare Trust of America Holdings, LP (HTALP)                  
Debt Instrument                  
Outstanding amount       $ 300,000,000          
Unsecured term loans | $300.0 Million Unsecured Term Loan due 2022 and 2023 | LIBOR | Minimum                  
Debt Instrument                  
Basis spread on variable rate (as a percent)       0.80%          
Unsecured term loans | $300.0 Million Unsecured Term Loan due 2022 and 2023 | LIBOR | Maximum                  
Debt Instrument                  
Basis spread on variable rate (as a percent)       1.60%          
Unsecured term loans | $200.0 Million Unsecured Term Loan due 2024 | Healthcare Trust of America Holdings, LP (HTALP)                  
Debt Instrument                  
Basis spread on variable rate (as a percent)       1.00%     65.00%    
Outstanding amount       $ 200,000,000          
Weighted average interest rate with interest rate swap impact       2.32%          
Debt instrument, face amount       $ 200,000,000.0     $ 200,000,000    
Unsecured term loans | $200.0 Million Unsecured Term Loan due 2024 | LIBOR | Minimum | Healthcare Trust of America Holdings, LP (HTALP)                  
Debt Instrument                  
Basis spread on variable rate (as a percent)       0.75%          
Unsecured term loans | $200.0 Million Unsecured Term Loan due 2024 | LIBOR | Maximum | Healthcare Trust of America Holdings, LP (HTALP)                  
Debt Instrument                  
Basis spread on variable rate (as a percent)       1.65%          
Unsecured senior notes                  
Debt Instrument                  
Outstanding amount       $ 2,550,000,000 2,550,000,000        
Loss on extinguishment of debt, net           $ 18,300,000      
Extinguishment of debt       700,000,000          
Unsecured senior notes | $600.0 Million Unsecured Senior Notes due 2026 | Healthcare Trust of America Holdings, LP (HTALP)                  
Debt Instrument                  
Outstanding amount       600,000,000          
Debt instrument, face amount   $ 600,000,000.0              
Debt instrument, stated interest rate   3.50%              
Debt instrument, percentage of principal amount received   103.66%              
Debt instrument, effective interest rate   2.89%              
Unsecured senior notes | Unsecured Senior Notes, $650.0 Million | Healthcare Trust of America Holdings, LP (HTALP)                  
Debt Instrument                  
Outstanding amount       650,000,000          
Debt instrument, face amount     $ 650,000,000            
Debt instrument, stated interest rate     3.10%            
Debt instrument, percentage of principal amount received     99.66%            
Debt instrument, effective interest rate     3.14%            
Proceeds from issuance of debt       900,000,000          
Unsecured senior notes | Unsecured Senior Notes $250.0 Million | Healthcare Trust of America Holdings, LP (HTALP)                  
Debt Instrument                  
Debt instrument, percentage of principal amount received   99.72%              
Debt instrument, effective interest rate   3.53%              
Payments on unsecured senior notes     $ 250,000,000            
Unsecured senior notes | Unsecured Senior Notes $350.0 Million | Healthcare Trust of America Holdings, LP (HTALP)                  
Debt Instrument                  
Debt instrument, face amount                 $ 350,000,000
Unsecured senior notes | Unsecured Senior Notes $500.0 Million | Healthcare Trust of America Holdings, LP (HTALP)                  
Debt Instrument                  
Outstanding amount       500,000,000          
Debt instrument, face amount               $ 500,000,000.0  
Debt instrument, stated interest rate               3.75%  
Debt instrument, percentage of principal amount received               99.49%  
Debt instrument, effective interest rate               3.81%  
Unsecured senior notes | Unsecured Senior Notes, $800.0 Million | Healthcare Trust of America Holdings, LP (HTALP)                  
Debt Instrument                  
Debt instrument, face amount       800,000,000.0          
Loss on extinguishment of debt, net       24,700,000          
Debt instrument, stated interest rate   2.00%              
Debt instrument, percentage of principal amount received   99.20%              
Debt instrument, effective interest rate   2.09%              
Payments on unsecured senior notes   $ 800,000,000              
Payments of financing costs   $ 6,800,000              
Extinguishment of debt       300,000,000          
Fixed rate mortgages                  
Debt Instrument                  
Outstanding amount       0 0        
Unsecured revolving credit facility                  
Debt Instrument                  
Unsecured revolving credit facility       0 $ 0        
Unsecured revolving credit facility | Healthcare Trust of America Holdings, LP (HTALP)                  
Debt Instrument                  
Maximum borrowing capacity, conditional increase       750,000,000          
Conditional maximum borrowing capacity       $ 2,050,000,000.00          
Basis spread on variable rate (as a percent)       0.85%          
Line of credit facility, commitment fee (as a percent)       0.20%          
Financing costs       $ 6,200,000          
Unsecured revolving credit facility       $ 0          
Unsecured revolving credit facility | Line of Credit                  
Debt Instrument                  
Line of credit facility, borrowing capacity $ 1,000,000,000                
Unsecured revolving credit facility | Line of Credit | Minimum                  
Debt Instrument                  
Line of credit facility, commitment fee (as a percent) 0.125%                
Unsecured revolving credit facility | Line of Credit | Maximum                  
Debt Instrument                  
Line of credit facility, commitment fee (as a percent) 0.30%                
Unsecured revolving credit facility | Line of Credit | LIBOR | Minimum                  
Debt Instrument                  
Basis spread on variable rate (as a percent) 0.725%                
Unsecured revolving credit facility | Line of Credit | LIBOR | Maximum                  
Debt Instrument                  
Basis spread on variable rate (as a percent) 1.40%                
v3.22.0.1
Debt - Principal Maturity Schedule (Details) - USD ($)
$ in Thousands
Dec. 31, 2021
Dec. 31, 2020
Debt Disclosure [Abstract]    
2022 $ 0  
2023 0  
2024 200,000  
2025 300,000  
2026 600,000  
Thereafter 1,950,000  
Total $ 3,050,000 $ 3,050,000
v3.22.0.1
Debt - Amortization of Deferred Financing Costs (Details) - USD ($)
$ in Thousands
Dec. 31, 2021
Dec. 31, 2020
Debt Disclosure [Abstract]    
2022 $ 3,106  
2023 3,106  
2024 2,724  
2025 2,603  
2026 1,839  
Thereafter 4,597  
Total $ 17,975 $ 19,157
v3.22.0.1
Derivative Financial Instruments and Hedging Activities - Table of Derivative Financial Instruments (Details)
 12 Months Ended
Dec. 31, 2021
USD ($)
derivative
Dec. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
Derivative Instruments and Hedging Activities Disclosure [Abstract]      
Derivatives expected to be reclassified in the next 12 months $ 4,900,000    
Derivative      
Gain on change in fair value of derivative financial instruments, net $ 0 $ 0 $ 0
Cash Flow Hedging | Designated as Hedging Instrument | Interest rate swaps      
Derivative      
Number of instruments | derivative 7    
Notional amount $ 500,000,000    
v3.22.0.1
Derivative Financial Instruments and Hedging Activities - Derivative Instruments Fair Value Table (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Derivatives, Fair Value      
Liability Derivatives $ 5,069 $ 14,957  
Designated as Hedging Instrument | Cash Flow Hedging | Interest rate swaps      
Derivatives, Fair Value      
(Loss) gain recognized in OCI 3,393 (25,773) $ 5,910
(Loss) gain reclassified from accumulated OCI into income (6,721) (3,897) $ 1,594
Designated as Hedging Instrument | Cash Flow Hedging | Interest rate swaps | Receivables and other assets      
Derivatives, Fair Value      
Asset Derivatives 0 0  
Designated as Hedging Instrument | Cash Flow Hedging | Interest rate swaps | Derivative financial instruments      
Derivatives, Fair Value      
Liability Derivatives $ 5,069 $ 14,957  
v3.22.0.1
Derivative Financial Instruments and Hedging Activities - Narrative (Details) - USD ($)
 12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Derivative Instruments and Hedging Activities Disclosure [Abstract]      
Derivatives expected to be reclassified in the next 12 months $ 4,900,000    
Gain on change in fair value of derivative financial instruments, net 0 $ 0 $ 0
Fair value of derivatives in net liability position, including accrued interest, excluding nonperformance risk adjustment $ 5,200,000    
v3.22.0.1
Stockholders' Equity and Partners' Capital - Narrative (Details)
 12 Months Ended
Feb. 28, 2022
$ / shares
Dec. 31, 2021
USD ($)
$ / shares
shares
Dec. 31, 2020
USD ($)
$ / shares
shares
Dec. 31, 2019
USD ($)
$ / shares
shares
Jun. 30, 2021
USD ($)
Sep. 30, 2020
USD ($)
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
ATM, authorized amount           $ 300,000,000
Remaining amount of common stock available for repurchase   $ 300,000,000        
Common Stock Dividends            
Dividend distributions declared, but not paid   $ 75,723,000 $ 71,423,000 $ 69,468,000    
Subsequent Event            
Incentive Plan            
Common Stock, Dividends, Per Share, Declared | $ / shares $ 0.325          
Common Stock            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Amount remaining available for issuance under the ATM         $ 750,000,000  
Issuance of common stock in HTA (in shares) | shares   9,419,000 1,675,000 11,096,000    
Restricted Common Stock            
Incentive Plan            
Granted (in dollars per share) | $ / shares   $ 28.14 $ 29.83 $ 26.08    
Fair value of restriction lapsed common stock   $ 8,200,000 $ 12,600,000 $ 8,900,000    
Nonvested awards, total compensation cost not yet recognized   $ 6,900,000        
Period for recognition (in years)   1 year 7 months 6 days        
Restricted Common Stock | General and Administrative Expense            
Incentive Plan            
Compensation expense   $ 7,300,000 $ 8,900,000 $ 10,100,000    
Restricted Common Stock | Minimum            
Incentive Plan            
Award vesting period (in years)   3 years        
Restricted Common Stock | Maximum            
Incentive Plan            
Award vesting period (in years)   4 years        
ATM Offering Program            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Amount remaining available for issuance under the ATM   $ 750,000,000        
Issuance of common stock in HTA (in shares) | shares   9,400,000        
Stock issued, value, issued on a forward basis   $ 251,300,000        
Shares issued (in dollars per share) | $ / shares   $ 26.68        
2006 Incentive Plan            
Incentive Plan            
Number of shares authorized (in shares) | shares   10,000,000        
Number of shares available for grant (in shares) | shares   9,804,333        
Healthcare Trust of America Holdings, LP (HTALP)            
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]            
Dividend distribution ratio   1        
Healthcare Trust of America Holdings, LP (HTALP) | Subsequent Event            
Incentive Plan            
Common Stock, Dividends, Per Share, Declared | $ / shares $ 0.325          
v3.22.0.1
Stockholders' Equity and Partners' Capital - Restricted Common Stock Activity (Details) - Restricted Common Stock - $ / shares
 12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Restricted Common Stock      
Balance as of beginning of period (in shares) 436,399 600,987  
Granted (in shares) 552,989 273,503  
Vested (in shares) (297,555) (426,693)  
Forfeited (in shares) (161,971) (11,398)  
Balance as of end of period (in shares) 529,862 436,399 600,987
Weighted Average Grant Date Fair Value      
Balance as of beginning of period (in dollars per share) $ 28.27 $ 28.04  
Granted (in dollars per share) 28.14 29.83 $ 26.08
Vested (in dollars per share) 27.47 28.93  
Forfeited (in dollars per share) 27.47 28.88  
Balance as of end of period (in dollars per share) $ 28.83 $ 28.27 $ 28.04
v3.22.0.1
Fair Value of Financial Instruments - Assets and Liabilities at Fair Value on Recurring Basis (Details) - USD ($)
$ in Thousands
Dec. 31, 2021
Dec. 31, 2020
Liabilities:    
Debt $ 3,028,122 $ 3,026,999
Fair Value, Measurements, Recurring | Carrying Amount | Fair Value, Inputs, Level 2    
Assets:    
Real estate notes receivable, net 69,114 0
Liabilities:    
Derivative financial instrument, liability 5,069 14,957
Debt 3,028,122 3,026,999
Fair Value, Measurements, Recurring | Fair Value | Fair Value, Inputs, Level 2    
Assets:    
Real estate notes receivable, net 68,476 0
Liabilities:    
Derivative financial instrument, liability 5,069 14,957
Debt $ 3,117,602 $ 3,258,573
v3.22.0.1
Fair Value of Financial Instruments - Assets Measured on Non-Recurring Basis (Details)
$ in Thousands
Dec. 31, 2021
USD ($)
property
Dec. 31, 2020
USD ($)
Fair Value, Inputs, Level 2    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Number of real estate properties | property 1  
Fair Value, Inputs, Level 3    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Number of real estate properties | property 2  
Fair Value, Inputs, Level 3 | Measurement Input, Cap Rate    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Real estate measurement input 0.0700  
Fair Value, Nonrecurring | Fair Value, Inputs, Level 2 | Fair Value    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Real estate investments | $ $ 26,768 $ 0
Fair Value, Nonrecurring | Fair Value, Inputs, Level 3 | Fair Value    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Real estate investments | $ $ 4,970 $ 0
v3.22.0.1
Per Share Data of HTA (Details) - USD ($)
$ / shares in Units, shares in Thousands, $ in Thousands
 12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Earnings Per Share      
Antidilutive effect of forward equity sales agreement (in shares) 916 819  
Numerator:      
Net income $ 99,784 $ 53,508 $ 30,758
Net income attributable to non-controlling interests [1] (1,768) (890) (604)
Net income (loss) attributable to common stockholders/unitholders $ 98,016 $ 52,618 $ 30,154
Denominator:      
Weighted average shares/units outstanding - basic (in shares) 219,439 218,078 205,720
Dilutive shares - OP Unit convertible into common stock (in shares) 3,860 3,588 3,885
Dilutive effect of forward equity sales agreement (in shares) 916 0 0
Adjusted weighted average number of shares/units outstanding — diluted (in shares) 224,215 221,666 209,605
Earnings per common share - basic      
Net income attributable to common stockholders/unitholders (in dollars per share) $ 0.45 $ 0.24 $ 0.15
Earnings per common share - diluted      
Net income attributable to common stockholders/unitholders (in dollars per share) $ 0.44 $ 0.24 $ 0.14
ATM Offering Program      
Earnings Per Share      
Issuance of common stock in HTA (in shares) 9,400    
Stock issued, value, issued on a forward basis $ 251,300    
Shares issued (in dollars per share) $ 26.68    
[1] Includes amounts attributable to redeemable non-controlling interests.
v3.22.0.1
Per Unit Data of HTALP (Details) - USD ($)
$ / shares in Units, shares in Thousands, $ in Thousands
 3 Months Ended 12 Months Ended
Dec. 31, 2021
Sep. 30, 2021
Jun. 30, 2021
Mar. 31, 2021
Dec. 31, 2020
Sep. 30, 2020
Jun. 30, 2020
Mar. 31, 2020
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Numerator:                      
Net income                 $ 99,784 $ 53,508 $ 30,758
Net income attributable to non-controlling interests [1]                 (1,768) (890) (604)
Net income (loss) attributable to common stockholders/unitholders                 $ 98,016 $ 52,618 $ 30,154
Denominator:                      
Weighted average shares/units outstanding - basic (in shares)                 219,439 218,078 205,720
Dilutive shares - OP Unit convertible into common stock (in shares)                 3,860 3,588 3,885
Dilutive effect of forward equity sales agreement (in shares)                 916 0 0
Adjusted weighted average number of shares/units outstanding — diluted (in shares)                 224,215 221,666 209,605
Earnings per common unit - basic:                      
Net income attributable to common stockholders/unitholders (in dollars per share)                 $ 0.45 $ 0.24 $ 0.15
Earnings per common unit - diluted:                      
Net income (loss) attributable to common stockholders/unitholders (in dollars per share)                 $ 0.44 $ 0.24 $ 0.14
Healthcare Trust of America Holdings, LP (HTALP)                      
Numerator:                      
Net income $ 16,610 $ 22,042 $ 38,739 $ 22,393 $ 28,507 $ (6,932) $ 13,725 $ 18,208 $ 99,784 $ 53,508 $ 30,758
Net income attributable to non-controlling interests                 0 0 (66)
Net income (loss) attributable to common stockholders/unitholders $ 16,610 $ 22,042 $ 38,739 $ 22,393 $ 28,507 $ (6,932) $ 13,725 $ 18,208 $ 99,784 $ 53,508 $ 30,692
Denominator:                      
Weighted average shares/units outstanding - basic (in shares)                 223,299 221,666 209,605
Dilutive shares - OP Unit convertible into common stock (in shares)                 0 0 0
Dilutive effect of forward equity sales agreement (in shares)                 916 0 0
Adjusted weighted average number of shares/units outstanding — diluted (in shares)                 224,215 221,666 209,605
Earnings per common unit - basic:                      
Net income attributable to common stockholders/unitholders (in dollars per share) $ 0.07 $ 0.10 $ 0.17 $ 0.10 $ 0.13 $ (0.03) $ 0.06 $ 0.08 $ 0.45 $ 0.24 $ 0.15
Earnings per common unit - diluted:                      
Net income (loss) attributable to common stockholders/unitholders (in dollars per share) 0.07 $ 0.10 $ 0.17 $ 0.10 $ 0.13 $ (0.03) $ 0.06 $ 0.08 $ 0.45 $ 0.24 $ 0.15
ATM Offering Program                      
Subsidiary of Limited Liability Company or Limited Partnership [Line Items]                      
Issuance of common stock (in shares)                 9,400    
Stock issued, value, issued on a forward basis                 $ 251,300    
Shares issued (in dollars per share) $ 26.68               $ 26.68    
[1] Includes amounts attributable to redeemable non-controlling interests.
v3.22.0.1
Supplemental Cash Flow Information (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Supplemental Disclosure of Cash Flow Information:      
Interest paid, net of capitalized interest $ 80,367 $ 83,375 $ 94,668
Cash paid for operating leases 15,108 12,465 11,842
Supplemental Disclosure of Noncash Investing and Financing Activities:      
Accrued capital and development expenditures 12,696 31,807 6,381
Conversion of notes receivable to investments in real estate 1,142 0 0
Extinguishment of finance ground lease from land acquisition 0 1,710 0
Dividend distributions declared, but not paid 75,723 71,423 69,468
Issuance of OP Units in HTALP 0 0 2,603
Issuance of OP Units in HTALP in connection with an acquisition 35,785 0 2,000
Note receivable retired in connection with an acquisition 0 6,000 0
Redemption of non-controlling interest 6,354 9,019 7,527
ROU assets obtained in exchange for lease obligations $ 8,798 $ 4,373 $ 200,879
v3.22.0.1
Tax Treatment of Dividends of HTA (Details) - $ / shares
 12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Income Tax Disclosure [Abstract]      
Ordinary income $ 0.7920 $ 0.6976 $ 0.6405
Return of capital 0.4930 0.5582 0.6045
Capital gain 0.0000 0.0092 0.0000
Total $ 1.2850 $ 1.2650 $ 1.2450
v3.22.0.1
Selected Quarterly Financial Data of HTA (Unaudited) (Details) - USD ($)
$ / shares in Units, $ in Thousands
 3 Months Ended 12 Months Ended
Dec. 31, 2021
Sep. 30, 2021
Jun. 30, 2021
Mar. 31, 2021
Dec. 31, 2020
Sep. 30, 2020
Jun. 30, 2020
Mar. 31, 2020
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Selected Quarterly Financial Data [Line Items]                      
Revenues                 $ 767,073 $ 738,965 $ 692,040
Net income (loss)                 99,784 53,508 30,758
Net income (loss) attributable to common stockholders                 $ 98,016 $ 52,618 $ 30,154
Earnings per common share - basic                      
Net income (loss) attributable to common stockholders/unitholders (in dollars per share)                 $ 0.45 $ 0.24 $ 0.15
Earnings per common share - diluted                      
Net income (loss) attributable to common stockholders/unitholders (in dollars per share)                 $ 0.44 $ 0.24 $ 0.14
HTA, Inc.                      
Selected Quarterly Financial Data [Line Items]                      
Revenues $ 195,703 $ 191,262 $ 188,615 $ 191,493 $ 187,018 $ 187,326 $ 178,845 $ 185,776      
Net income (loss) 16,610 22,042 38,739 22,393 28,507 (6,932) 13,725 18,208      
Net income (loss) attributable to common stockholders $ 16,303 $ 21,672 $ 38,011 $ 22,030 $ 28,055 $ (6,827) $ 13,489 $ 17,901      
Earnings per common share - basic                      
Net income (loss) attributable to common stockholders/unitholders (in dollars per share) $ 0.07 $ 0.10 $ 0.17 $ 0.10 $ 0.13 $ (0.03) $ 0.06 $ 0.08      
Earnings per common share - diluted                      
Net income (loss) attributable to common stockholders/unitholders (in dollars per share) $ 0.07 $ 0.10 $ 0.17 $ 0.10 $ 0.13 $ (0.03) $ 0.06 $ 0.08      
v3.22.0.1
Selected Quarterly Financial Data of HTALP (Unaudited) (Details) - USD ($)
$ / shares in Units, $ in Thousands
 3 Months Ended 12 Months Ended
Dec. 31, 2021
Sep. 30, 2021
Jun. 30, 2021
Mar. 31, 2021
Dec. 31, 2020
Sep. 30, 2020
Jun. 30, 2020
Mar. 31, 2020
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Selected Quarterly Financial Data [Line Items]                      
Revenues                 $ 767,073 $ 738,965 $ 692,040
Net income (loss)                 99,784 53,508 30,758
Net income (loss) attributable to common stockholders                 $ 98,016 $ 52,618 $ 30,154
Earnings per common share/unit - basic:                      
Net income (loss) attributable to common stockholders/unitholders (in dollars per share)                 $ 0.45 $ 0.24 $ 0.15
Earnings per common share/unit - diluted:                      
Net income (loss) attributable to common stockholders/unitholders (in dollars per share)                 $ 0.44 $ 0.24 $ 0.14
Healthcare Trust of America Holdings, LP (HTALP)                      
Selected Quarterly Financial Data [Line Items]                      
Revenues $ 195,703 $ 191,262 $ 188,615 $ 191,493 $ 187,018 $ 187,326 $ 178,845 $ 185,776 $ 767,073 $ 738,965 $ 692,040
Net income (loss) 16,610 22,042 38,739 22,393 28,507 (6,932) 13,725 18,208 99,784 53,508 30,758
Net income (loss) attributable to common stockholders $ 16,610 $ 22,042 $ 38,739 $ 22,393 $ 28,507 $ (6,932) $ 13,725 $ 18,208 $ 99,784 $ 53,508 $ 30,692
Earnings per common share/unit - basic:                      
Net income (loss) attributable to common stockholders/unitholders (in dollars per share) $ 0.07 $ 0.10 $ 0.17 $ 0.10 $ 0.13 $ (0.03) $ 0.06 $ 0.08 $ 0.45 $ 0.24 $ 0.15
Earnings per common share/unit - diluted:                      
Net income (loss) attributable to common stockholders/unitholders (in dollars per share) $ 0.07 $ 0.10 $ 0.17 $ 0.10 $ 0.13 $ (0.03) $ 0.06 $ 0.08 $ 0.45 $ 0.24 $ 0.15
v3.22.0.1
Schedule III- Real Estate and Accumulated Depreciation Schedule III - Real Estate and Accumulated Depreciation - Real Estate Investments and Accumulated Depreciation (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 633,514      
Buildings, Improvements and Fixtures 6,116,214      
Cost Capitalized Subsequent to Acquisition 579,168      
Gross Amount at Which Carried at Close of Period        
Land 640,382      
Buildings, Improvements and Fixtures 6,688,516      
Total 7,328,898 $ 7,104,085 $ 6,837,400 $ 6,269,023
Accumulated Depreciation (1,395,479) $ (1,302,204) $ (1,085,048) $ (882,488)
Disposal Group, Held-for-sale, Not Discontinued Operations        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial Cost to Company        
Land 2,401      
Buildings, Improvements and Fixtures 39,693      
Cost Capitalized Subsequent to Acquisition (12,285)      
Gross Amount at Which Carried at Close of Period        
Land 2,401      
Buildings, Improvements and Fixtures 27,408      
Total 29,809      
Accumulated Depreciation $ (6,263)      
Dignity Phoenix MOBs | Minimum        
Gross Amount at Which Carried at Close of Period        
Life on which building depreciation in income statement is computed 20 years      
Dignity Phoenix MOBs | Maximum        
Gross Amount at Which Carried at Close of Period        
Life on which building depreciation in income statement is computed 39 years      
Dignity Northridge MOBs | Minimum        
Gross Amount at Which Carried at Close of Period        
Life on which building depreciation in income statement is computed 30 years      
Dignity Northridge MOBs | Maximum        
Gross Amount at Which Carried at Close of Period        
Life on which building depreciation in income statement is computed 35 years      
Dignity Marian MOBs | Minimum        
Gross Amount at Which Carried at Close of Period        
Life on which building depreciation in income statement is computed 17 years      
Dignity Marian MOBs | Maximum        
Gross Amount at Which Carried at Close of Period        
Life on which building depreciation in income statement is computed 38 years      
Harbin Clinic MOBs | Minimum        
Gross Amount at Which Carried at Close of Period        
Life on which building depreciation in income statement is computed 30 years      
Harbin Clinic MOBs | Maximum        
Gross Amount at Which Carried at Close of Period        
Life on which building depreciation in income statement is computed 39 years      
Chicago MOBs | Minimum        
Gross Amount at Which Carried at Close of Period        
Life on which building depreciation in income statement is computed 38 years      
Chicago MOBs | Maximum        
Gross Amount at Which Carried at Close of Period        
Life on which building depreciation in income statement is computed 39 years      
Memorial Hermann MOBs | Minimum        
Gross Amount at Which Carried at Close of Period        
Life on which building depreciation in income statement is computed 25 years      
Memorial Hermann MOBs | Maximum        
Gross Amount at Which Carried at Close of Period        
Life on which building depreciation in income statement is computed 39 years      
Houston Methodist MOBs | Minimum        
Gross Amount at Which Carried at Close of Period        
Life on which building depreciation in income statement is computed 35 years      
Houston Methodist MOBs | Maximum        
Gross Amount at Which Carried at Close of Period        
Life on which building depreciation in income statement is computed 39 years      
Longview Regional MOBs | Minimum        
Gross Amount at Which Carried at Close of Period        
Life on which building depreciation in income statement is computed 36 years      
Longview Regional MOBs | Maximum        
Gross Amount at Which Carried at Close of Period        
Life on which building depreciation in income statement is computed 39 years      
North Cypress MOBs | Minimum        
Gross Amount at Which Carried at Close of Period        
Life on which building depreciation in income statement is computed 35 years      
North Cypress MOBs | Maximum        
Gross Amount at Which Carried at Close of Period        
Life on which building depreciation in income statement is computed 39 years      
Columbia St. Mary's MOBs | Minimum        
Gross Amount at Which Carried at Close of Period        
Life on which building depreciation in income statement is computed 35 years      
Columbia St. Mary's MOBs | Maximum        
Gross Amount at Which Carried at Close of Period        
Life on which building depreciation in income statement is computed 39 years      
Operating Properties        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 612,952      
Buildings, Improvements and Fixtures 6,155,907      
Cost Capitalized Subsequent to Acquisition 566,865      
Gross Amount at Which Carried at Close of Period        
Land 619,820      
Buildings, Improvements and Fixtures 6,715,906      
Total 7,335,726      
Accumulated Depreciation (1,401,742)      
Operating Properties | Shelby MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 25,095      
Cost Capitalized Subsequent to Acquisition 2,686      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 27,781      
Total 27,781      
Accumulated Depreciation $ (5,390)      
Life on which building depreciation in income statement is computed 36 years      
Operating Properties | Simon Williamson Clinic        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 25,689      
Cost Capitalized Subsequent to Acquisition (156)      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 25,533      
Total 25,533      
Accumulated Depreciation $ (4,489)      
Life on which building depreciation in income statement is computed 36 years      
Operating Properties | Jasper        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 5,973      
Cost Capitalized Subsequent to Acquisition 325      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 6,298      
Total 6,298      
Accumulated Depreciation $ (1,563)      
Life on which building depreciation in income statement is computed 25 years      
Operating Properties | Phoenix Med Center        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 453      
Buildings, Improvements and Fixtures 2,768      
Cost Capitalized Subsequent to Acquisition 841      
Gross Amount at Which Carried at Close of Period        
Land 453      
Buildings, Improvements and Fixtures 3,609      
Total 4,062      
Accumulated Depreciation $ (1,311)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Thunderbird MOP        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 3,842      
Buildings, Improvements and Fixtures 19,679      
Cost Capitalized Subsequent to Acquisition 2,198      
Gross Amount at Which Carried at Close of Period        
Land 3,842      
Buildings, Improvements and Fixtures 21,877      
Total 25,719      
Accumulated Depreciation $ (9,597)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Peoria MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 605      
Buildings, Improvements and Fixtures 4,394      
Cost Capitalized Subsequent to Acquisition 2,248      
Gross Amount at Which Carried at Close of Period        
Land 605      
Buildings, Improvements and Fixtures 6,642      
Total 7,247      
Accumulated Depreciation $ (2,115)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Baptist MC        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 12,637      
Cost Capitalized Subsequent to Acquisition 3,661      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 16,298      
Total 16,298      
Accumulated Depreciation $ (6,113)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Desert Ridge MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 27,738      
Cost Capitalized Subsequent to Acquisition 2,690      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 30,428      
Total 30,428      
Accumulated Depreciation $ (9,779)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Dignity Phoenix MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 66,106      
Cost Capitalized Subsequent to Acquisition 1,342      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 67,448      
Total 67,448      
Accumulated Depreciation (10,483)      
Operating Properties | Estrella Med Center        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 24,703      
Cost Capitalized Subsequent to Acquisition 2,142      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 26,845      
Total 26,845      
Accumulated Depreciation $ (9,240)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Sun City Boswell MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 12,642      
Cost Capitalized Subsequent to Acquisition 4,464      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 17,106      
Total 17,106      
Accumulated Depreciation $ (6,672)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Sun City Boswell West        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 6,610      
Cost Capitalized Subsequent to Acquisition 1,913      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 8,523      
Total 8,523      
Accumulated Depreciation $ (3,354)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Sun City Webb MP        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 16,188      
Cost Capitalized Subsequent to Acquisition 4,021      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 20,209      
Total 20,209      
Accumulated Depreciation $ (7,808)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Sun City West MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 744      
Buildings, Improvements and Fixtures 13,466      
Cost Capitalized Subsequent to Acquisition 4,160      
Gross Amount at Which Carried at Close of Period        
Land 744      
Buildings, Improvements and Fixtures 17,626      
Total 18,370      
Accumulated Depreciation $ (6,936)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Gateway Med Plaza        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 14,005      
Cost Capitalized Subsequent to Acquisition 565      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 14,570      
Total 14,570      
Accumulated Depreciation $ (4,629)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Tucson Academy MOP        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,193      
Buildings, Improvements and Fixtures 6,107      
Cost Capitalized Subsequent to Acquisition 1,396      
Gross Amount at Which Carried at Close of Period        
Land 1,193      
Buildings, Improvements and Fixtures 7,503      
Total 8,696      
Accumulated Depreciation $ (3,071)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Tucson Desert Life MOP        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,309      
Buildings, Improvements and Fixtures 17,572      
Cost Capitalized Subsequent to Acquisition 6,466      
Gross Amount at Which Carried at Close of Period        
Land 1,309      
Buildings, Improvements and Fixtures 24,038      
Total 25,347      
Accumulated Depreciation $ (10,468)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Bakersfield Medical Office Building        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 0      
Cost Capitalized Subsequent to Acquisition 28,695      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 28,695      
Total 28,695      
Accumulated Depreciation $ (293)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Dignity Mercy MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 15,207      
Cost Capitalized Subsequent to Acquisition (240)      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 14,967      
Total 14,967      
Accumulated Depreciation $ (2,144)      
Life on which building depreciation in income statement is computed 35 years      
Operating Properties | 5995 Plaza Drive        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 5,109      
Buildings, Improvements and Fixtures 17,961      
Cost Capitalized Subsequent to Acquisition 2,703      
Gross Amount at Which Carried at Close of Period        
Land 5,109      
Buildings, Improvements and Fixtures 20,664      
Total 25,773      
Accumulated Depreciation $ (7,860)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Dignity Glendale MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 7,244      
Cost Capitalized Subsequent to Acquisition 257      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 7,501      
Total 7,501      
Accumulated Depreciation $ (1,530)      
Life on which building depreciation in income statement is computed 30 years      
Operating Properties | 3rd Street MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 10,603      
Buildings, Improvements and Fixtures 63,419      
Cost Capitalized Subsequent to Acquisition 2,070      
Gross Amount at Which Carried at Close of Period        
Land 10,603      
Buildings, Improvements and Fixtures 65,489      
Total 76,092      
Accumulated Depreciation $ (5,750)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Mission Medical Center MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 21,911      
Buildings, Improvements and Fixtures 117,672      
Cost Capitalized Subsequent to Acquisition 7,416      
Gross Amount at Which Carried at Close of Period        
Land 21,911      
Buildings, Improvements and Fixtures 125,088      
Total 146,999      
Accumulated Depreciation $ (18,184)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Dignity Northridge MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 21,467      
Cost Capitalized Subsequent to Acquisition 1,250      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 22,717      
Total 22,717      
Accumulated Depreciation (3,657)      
Operating Properties | San Luis Obispo MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 11,900      
Cost Capitalized Subsequent to Acquisition 985      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 12,885      
Total 12,885      
Accumulated Depreciation $ (4,169)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Facey MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 6,452      
Buildings, Improvements and Fixtures 5,586      
Cost Capitalized Subsequent to Acquisition 19,641      
Gross Amount at Which Carried at Close of Period        
Land 6,452      
Buildings, Improvements and Fixtures 25,227      
Total 31,679      
Accumulated Depreciation $ (3,447)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Dignity Marian MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 13,646      
Cost Capitalized Subsequent to Acquisition 726      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 14,372      
Total 14,372      
Accumulated Depreciation (2,940)      
Operating Properties | Premier Health Plaza        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial Cost to Company        
Land 1,672      
Buildings, Improvements and Fixtures 10,954      
Cost Capitalized Subsequent to Acquisition 113      
Gross Amount at Which Carried at Close of Period        
Land 1,668      
Buildings, Improvements and Fixtures 11,071      
Total 12,739      
Accumulated Depreciation $ (307)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Rampart MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 3,794      
Buildings, Improvements and Fixtures 13,077      
Cost Capitalized Subsequent to Acquisition 434      
Gross Amount at Which Carried at Close of Period        
Land 3,794      
Buildings, Improvements and Fixtures 13,511      
Total 17,305      
Accumulated Depreciation $ (1,017)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | SCL Health MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 11,652      
Buildings, Improvements and Fixtures 104,327      
Cost Capitalized Subsequent to Acquisition 10,372      
Gross Amount at Which Carried at Close of Period        
Land 11,652      
Buildings, Improvements and Fixtures 114,699      
Total 126,351      
Accumulated Depreciation $ (14,592)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Hampden Place MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 3,032      
Buildings, Improvements and Fixtures 12,553      
Cost Capitalized Subsequent to Acquisition 475      
Gross Amount at Which Carried at Close of Period        
Land 3,032      
Buildings, Improvements and Fixtures 13,028      
Total 16,060      
Accumulated Depreciation $ (4,095)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Highlands Ranch MOP        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,240      
Buildings, Improvements and Fixtures 10,426      
Cost Capitalized Subsequent to Acquisition 8,385      
Gross Amount at Which Carried at Close of Period        
Land 2,240      
Buildings, Improvements and Fixtures 18,811      
Total 21,051      
Accumulated Depreciation $ (8,692)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Lone Tree Medical Office Buildings        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 3,736      
Buildings, Improvements and Fixtures 29,546      
Cost Capitalized Subsequent to Acquisition 2,313      
Gross Amount at Which Carried at Close of Period        
Land 3,736      
Buildings, Improvements and Fixtures 31,859      
Total 35,595      
Accumulated Depreciation $ (7,115)      
Life on which building depreciation in income statement is computed 38 years      
Operating Properties | Lincoln Medical Center        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 5,142      
Buildings, Improvements and Fixtures 28,638      
Cost Capitalized Subsequent to Acquisition 1,682      
Gross Amount at Which Carried at Close of Period        
Land 5,142      
Buildings, Improvements and Fixtures 30,320      
Total 35,462      
Accumulated Depreciation $ (7,894)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | 80 Fisher        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 5,094      
Cost Capitalized Subsequent to Acquisition 1      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 5,095      
Total 5,095      
Accumulated Depreciation $ (1,414)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | 533 Cottage - Northwestern        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 726      
Buildings, Improvements and Fixtures 3,964      
Cost Capitalized Subsequent to Acquisition (527)      
Gross Amount at Which Carried at Close of Period        
Land 726      
Buildings, Improvements and Fixtures 3,437      
Total 4,163      
Accumulated Depreciation $ (749)      
Life on which building depreciation in income statement is computed 35 years      
Operating Properties | Northwestern MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,369      
Buildings, Improvements and Fixtures 6,287      
Cost Capitalized Subsequent to Acquisition 732      
Gross Amount at Which Carried at Close of Period        
Land 1,369      
Buildings, Improvements and Fixtures 7,019      
Total 8,388      
Accumulated Depreciation $ (1,865)      
Life on which building depreciation in income statement is computed 35 years      
Operating Properties | 406 Farmington        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 379      
Buildings, Improvements and Fixtures 3,509      
Cost Capitalized Subsequent to Acquisition 3      
Gross Amount at Which Carried at Close of Period        
Land 379      
Buildings, Improvements and Fixtures 3,512      
Total 3,891      
Accumulated Depreciation $ (692)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | 704 Hebron        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,223      
Buildings, Improvements and Fixtures 6,544      
Cost Capitalized Subsequent to Acquisition 20      
Gross Amount at Which Carried at Close of Period        
Land 2,223      
Buildings, Improvements and Fixtures 6,564      
Total 8,787      
Accumulated Depreciation $ (1,575)      
Life on which building depreciation in income statement is computed 37 years      
Operating Properties | Gateway MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 11,328      
Buildings, Improvements and Fixtures 41,320      
Cost Capitalized Subsequent to Acquisition 10,291      
Gross Amount at Which Carried at Close of Period        
Land 13,448      
Buildings, Improvements and Fixtures 49,491      
Total 62,939      
Accumulated Depreciation $ (10,190)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Hamden MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 4,925      
Buildings, Improvements and Fixtures 36,835      
Cost Capitalized Subsequent to Acquisition 69      
Gross Amount at Which Carried at Close of Period        
Land 4,925      
Buildings, Improvements and Fixtures 36,904      
Total 41,829      
Accumulated Depreciation $ (2,356)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Haynes MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,100      
Buildings, Improvements and Fixtures 14,620      
Cost Capitalized Subsequent to Acquisition 6      
Gross Amount at Which Carried at Close of Period        
Land 1,100      
Buildings, Improvements and Fixtures 14,626      
Total 15,726      
Accumulated Depreciation $ (2,681)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Pomeroy MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,774      
Buildings, Improvements and Fixtures 10,078      
Cost Capitalized Subsequent to Acquisition (48)      
Gross Amount at Which Carried at Close of Period        
Land 1,774      
Buildings, Improvements and Fixtures 10,030      
Total 11,804      
Accumulated Depreciation $ (2,412)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Saybrook MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 10,314      
Cost Capitalized Subsequent to Acquisition 887      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 11,201      
Total 11,201      
Accumulated Depreciation $ (2,711)      
Life on which building depreciation in income statement is computed 28 years      
Operating Properties | Yale Long Wharf        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 9,367      
Buildings, Improvements and Fixtures 58,691      
Cost Capitalized Subsequent to Acquisition 7,707      
Gross Amount at Which Carried at Close of Period        
Land 7,791      
Buildings, Improvements and Fixtures 67,974      
Total 75,765      
Accumulated Depreciation $ (17,824)      
Life on which building depreciation in income statement is computed 30 years      
Operating Properties | Devine MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 3,606      
Buildings, Improvements and Fixtures 27,278      
Cost Capitalized Subsequent to Acquisition 1,708      
Gross Amount at Which Carried at Close of Period        
Land 3,606      
Buildings, Improvements and Fixtures 28,986      
Total 32,592      
Accumulated Depreciation $ (5,301)      
Life on which building depreciation in income statement is computed 35 years      
Operating Properties | Evergreen MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 5,565      
Buildings, Improvements and Fixtures 25,839      
Cost Capitalized Subsequent to Acquisition (81)      
Gross Amount at Which Carried at Close of Period        
Land 5,833      
Buildings, Improvements and Fixtures 25,490      
Total 31,323      
Accumulated Depreciation $ (4,845)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Westport Center        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 3,311      
Buildings, Improvements and Fixtures 13,296      
Cost Capitalized Subsequent to Acquisition 843      
Gross Amount at Which Carried at Close of Period        
Land 3,311      
Buildings, Improvements and Fixtures 14,139      
Total 17,450      
Accumulated Depreciation $ (1,364)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Day Hill MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 3,980      
Buildings, Improvements and Fixtures 7,055      
Cost Capitalized Subsequent to Acquisition 34      
Gross Amount at Which Carried at Close of Period        
Land 3,980      
Buildings, Improvements and Fixtures 7,089      
Total 11,069      
Accumulated Depreciation $ (2,166)      
Life on which building depreciation in income statement is computed 30 years      
Operating Properties | Clint Moore Medical Facility        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 20,051      
Buildings, Improvements and Fixtures 27,157      
Cost Capitalized Subsequent to Acquisition 64      
Gross Amount at Which Carried at Close of Period        
Land 20,072      
Buildings, Improvements and Fixtures 27,200      
Total 47,272      
Accumulated Depreciation $ (384)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Riverside MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,230      
Buildings, Improvements and Fixtures 7,689      
Cost Capitalized Subsequent to Acquisition 354      
Gross Amount at Which Carried at Close of Period        
Land 2,230      
Buildings, Improvements and Fixtures 8,043      
Total 10,273      
Accumulated Depreciation $ (1,886)      
Life on which building depreciation in income statement is computed 25 years      
Operating Properties | Brandon MOP        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 901      
Buildings, Improvements and Fixtures 6,946      
Cost Capitalized Subsequent to Acquisition 867      
Gross Amount at Which Carried at Close of Period        
Land 901      
Buildings, Improvements and Fixtures 7,813      
Total 8,714      
Accumulated Depreciation $ (2,807)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | McMullen MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 3,470      
Buildings, Improvements and Fixtures 12,621      
Cost Capitalized Subsequent to Acquisition (613)      
Gross Amount at Which Carried at Close of Period        
Land 3,470      
Buildings, Improvements and Fixtures 12,008      
Total 15,478      
Accumulated Depreciation $ (2,907)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Orlando Rehab Hospital        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,600      
Buildings, Improvements and Fixtures 20,256      
Cost Capitalized Subsequent to Acquisition 3,000      
Gross Amount at Which Carried at Close of Period        
Land 2,600      
Buildings, Improvements and Fixtures 23,256      
Total 25,856      
Accumulated Depreciation $ (8,425)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Palmetto MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 15,512      
Cost Capitalized Subsequent to Acquisition 5,487      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 20,999      
Total 20,999      
Accumulated Depreciation $ (7,775)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Palmetto II        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 51,480      
Cost Capitalized Subsequent to Acquisition 75      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 51,555      
Total 51,555      
Accumulated Depreciation $ (1,673)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | East FL Senior Jacksonville        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 4,291      
Buildings, Improvements and Fixtures 9,220      
Cost Capitalized Subsequent to Acquisition (736)      
Gross Amount at Which Carried at Close of Period        
Land 4,291      
Buildings, Improvements and Fixtures 8,484      
Total 12,775      
Accumulated Depreciation $ (3,647)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | King Street MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 7,232      
Cost Capitalized Subsequent to Acquisition 86      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 7,318      
Total 7,318      
Accumulated Depreciation $ (2,445)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Jupiter MP        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,204      
Buildings, Improvements and Fixtures 11,778      
Cost Capitalized Subsequent to Acquisition 1,283      
Gross Amount at Which Carried at Close of Period        
Land 1,204      
Buildings, Improvements and Fixtures 13,061      
Total 14,265      
Accumulated Depreciation $ (3,336)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Central FL SC        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 768      
Buildings, Improvements and Fixtures 3,002      
Cost Capitalized Subsequent to Acquisition 511      
Gross Amount at Which Carried at Close of Period        
Land 768      
Buildings, Improvements and Fixtures 3,513      
Total 4,281      
Accumulated Depreciation $ (1,549)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Vista Pro Center MOP        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,082      
Buildings, Improvements and Fixtures 3,587      
Cost Capitalized Subsequent to Acquisition 569      
Gross Amount at Which Carried at Close of Period        
Land 1,082      
Buildings, Improvements and Fixtures 4,156      
Total 5,238      
Accumulated Depreciation $ (1,582)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Largo Medical Center        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 51,045      
Cost Capitalized Subsequent to Acquisition 660      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 51,705      
Total 51,705      
Accumulated Depreciation $ (11,897)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Largo MOP        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 729      
Buildings, Improvements and Fixtures 8,908      
Cost Capitalized Subsequent to Acquisition 1,496      
Gross Amount at Which Carried at Close of Period        
Land 729      
Buildings, Improvements and Fixtures 10,404      
Total 11,133      
Accumulated Depreciation $ (4,234)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | FL Family Medical Center        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 4,257      
Cost Capitalized Subsequent to Acquisition 1,271      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 5,528      
Total 5,528      
Accumulated Depreciation $ (2,519)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Northwest Medical Park        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 9,525      
Cost Capitalized Subsequent to Acquisition (297)      
Gross Amount at Which Carried at Close of Period        
Land 5      
Buildings, Improvements and Fixtures 9,223      
Total 9,228      
Accumulated Depreciation $ (2,138)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Coral Reef        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,160      
Buildings, Improvements and Fixtures 0      
Cost Capitalized Subsequent to Acquisition 18,454      
Gross Amount at Which Carried at Close of Period        
Land 1,160      
Buildings, Improvements and Fixtures 18,454      
Total 19,614      
Accumulated Depreciation $ (343)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | North Shore MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 4,942      
Cost Capitalized Subsequent to Acquisition 1,592      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 6,534      
Total 6,534      
Accumulated Depreciation $ (2,889)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Sunset Professional and Kendall MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 11,855      
Buildings, Improvements and Fixtures 13,633      
Cost Capitalized Subsequent to Acquisition 6,679      
Gross Amount at Which Carried at Close of Period        
Land 11,855      
Buildings, Improvements and Fixtures 20,312      
Total 32,167      
Accumulated Depreciation $ (7,506)      
Life on which building depreciation in income statement is computed 27 years      
Operating Properties | Commons V MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 4,173      
Buildings, Improvements and Fixtures 9,070      
Cost Capitalized Subsequent to Acquisition 2,788      
Gross Amount at Which Carried at Close of Period        
Land 4,173      
Buildings, Improvements and Fixtures 11,858      
Total 16,031      
Accumulated Depreciation $ (4,642)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Orlando Lake Underhill MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 8,515      
Cost Capitalized Subsequent to Acquisition 428      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 8,943      
Total 8,943      
Accumulated Depreciation $ (2,837)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Florida Hospital MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 151,647      
Cost Capitalized Subsequent to Acquisition 3,185      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 154,832      
Total 154,832      
Accumulated Depreciation $ (21,818)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Orlando Oviedo MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 5,711      
Cost Capitalized Subsequent to Acquisition 926      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 6,637      
Total 6,637      
Accumulated Depreciation $ (2,364)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Heart & Family Health MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 686      
Buildings, Improvements and Fixtures 8,102      
Cost Capitalized Subsequent to Acquisition 15      
Gross Amount at Which Carried at Close of Period        
Land 686      
Buildings, Improvements and Fixtures 8,117      
Total 8,803      
Accumulated Depreciation $ (2,248)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | St. Lucie MC        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 6,127      
Cost Capitalized Subsequent to Acquisition (41)      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 6,086      
Total 6,086      
Accumulated Depreciation $ (1,473)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | East FL Senior Sunrise        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,947      
Buildings, Improvements and Fixtures 12,825      
Cost Capitalized Subsequent to Acquisition (1,006)      
Gross Amount at Which Carried at Close of Period        
Land 2,947      
Buildings, Improvements and Fixtures 11,819      
Total 14,766      
Accumulated Depreciation $ (4,641)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Tallahassee Rehab Hospital        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 7,142      
Buildings, Improvements and Fixtures 18,691      
Cost Capitalized Subsequent to Acquisition 2,400      
Gross Amount at Which Carried at Close of Period        
Land 7,142      
Buildings, Improvements and Fixtures 21,091      
Total 28,233      
Accumulated Depreciation $ (7,903)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Optimal MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 4,002      
Buildings, Improvements and Fixtures 69,824      
Cost Capitalized Subsequent to Acquisition 552      
Gross Amount at Which Carried at Close of Period        
Land 4,002      
Buildings, Improvements and Fixtures 70,376      
Total 74,378      
Accumulated Depreciation $ (10,921)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Tampa Medical Village MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 3,627      
Buildings, Improvements and Fixtures 14,806      
Cost Capitalized Subsequent to Acquisition 1,295      
Gross Amount at Which Carried at Close of Period        
Land 3,627      
Buildings, Improvements and Fixtures 16,101      
Total 19,728      
Accumulated Depreciation $ (2,906)      
Life on which building depreciation in income statement is computed 35 years      
Operating Properties | VA MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 17,802      
Buildings, Improvements and Fixtures 80,154      
Cost Capitalized Subsequent to Acquisition 732      
Gross Amount at Which Carried at Close of Period        
Land 17,802      
Buildings, Improvements and Fixtures 80,886      
Total 98,688      
Accumulated Depreciation $ (11,226)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | FL Ortho Institute        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,923      
Buildings, Improvements and Fixtures 17,647      
Cost Capitalized Subsequent to Acquisition (1)      
Gross Amount at Which Carried at Close of Period        
Land 2,923      
Buildings, Improvements and Fixtures 17,646      
Total 20,569      
Accumulated Depreciation $ (6,021)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Wellington MAP III        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 10,511      
Cost Capitalized Subsequent to Acquisition 31      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 10,542      
Total 10,542      
Accumulated Depreciation $ (3,288)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Victor Farris MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 23,052      
Cost Capitalized Subsequent to Acquisition 11,965      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 35,017      
Total 35,017      
Accumulated Depreciation $ (9,022)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | East FL Senior Winter Park        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,840      
Buildings, Improvements and Fixtures 12,825      
Cost Capitalized Subsequent to Acquisition (1,023)      
Gross Amount at Which Carried at Close of Period        
Land 2,840      
Buildings, Improvements and Fixtures 11,802      
Total 14,642      
Accumulated Depreciation $ (4,872)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Camp Creek Med Center        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,961      
Buildings, Improvements and Fixtures 19,688      
Cost Capitalized Subsequent to Acquisition 1,371      
Gross Amount at Which Carried at Close of Period        
Land 2,961      
Buildings, Improvements and Fixtures 21,059      
Total 24,020      
Accumulated Depreciation $ (7,593)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Camp Creek MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 328      
Buildings, Improvements and Fixtures 12,539      
Cost Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried at Close of Period        
Land 328      
Buildings, Improvements and Fixtures 12,539      
Total 12,867      
Accumulated Depreciation $ (875)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | North Atlanta MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 41,836      
Cost Capitalized Subsequent to Acquisition 1,621      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 43,457      
Total 43,457      
Accumulated Depreciation $ (6,249)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Paces Pavilion        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 3,670      
Buildings, Improvements and Fixtures 16,328      
Cost Capitalized Subsequent to Acquisition 27      
Gross Amount at Which Carried at Close of Period        
Land 3,670      
Buildings, Improvements and Fixtures 16,355      
Total 20,025      
Accumulated Depreciation $ 0      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Augusta Rehab Hospital        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,059      
Buildings, Improvements and Fixtures 20,899      
Cost Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried at Close of Period        
Land 1,059      
Buildings, Improvements and Fixtures 20,899      
Total 21,958      
Accumulated Depreciation $ (6,779)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Austell Medical Park        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 432      
Buildings, Improvements and Fixtures 4,057      
Cost Capitalized Subsequent to Acquisition (160)      
Gross Amount at Which Carried at Close of Period        
Land 432      
Buildings, Improvements and Fixtures 3,897      
Total 4,329      
Accumulated Depreciation $ (1,113)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Harbin Clinic MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 7,097      
Buildings, Improvements and Fixtures 112,155      
Cost Capitalized Subsequent to Acquisition (11,230)      
Gross Amount at Which Carried at Close of Period        
Land 7,097      
Buildings, Improvements and Fixtures 100,925      
Total 108,022      
Accumulated Depreciation (17,790)      
Operating Properties | Decatur MP        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial Cost to Company        
Land 3,166      
Buildings, Improvements and Fixtures 6,862      
Cost Capitalized Subsequent to Acquisition 1,303      
Gross Amount at Which Carried at Close of Period        
Land 3,166      
Buildings, Improvements and Fixtures 8,165      
Total 11,331      
Accumulated Depreciation $ (2,954)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Yorktown MC        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,802      
Buildings, Improvements and Fixtures 12,502      
Cost Capitalized Subsequent to Acquisition 3,967      
Gross Amount at Which Carried at Close of Period        
Land 2,802      
Buildings, Improvements and Fixtures 16,469      
Total 19,271      
Accumulated Depreciation $ (6,766)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Gwinett MOP        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,290      
Buildings, Improvements and Fixtures 7,246      
Cost Capitalized Subsequent to Acquisition 4,525      
Gross Amount at Which Carried at Close of Period        
Land 1,290      
Buildings, Improvements and Fixtures 11,771      
Total 13,061      
Accumulated Depreciation $ (5,467)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Marietta Health Park        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,276      
Buildings, Improvements and Fixtures 12,197      
Cost Capitalized Subsequent to Acquisition 3,198      
Gross Amount at Which Carried at Close of Period        
Land 1,276      
Buildings, Improvements and Fixtures 15,395      
Total 16,671      
Accumulated Depreciation $ (5,436)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | WellStar Tower MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 748      
Buildings, Improvements and Fixtures 13,528      
Cost Capitalized Subsequent to Acquisition 321      
Gross Amount at Which Carried at Close of Period        
Land 748      
Buildings, Improvements and Fixtures 13,849      
Total 14,597      
Accumulated Depreciation $ (2,962)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Shakerag MC        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 743      
Buildings, Improvements and Fixtures 3,290      
Cost Capitalized Subsequent to Acquisition 1,130      
Gross Amount at Which Carried at Close of Period        
Land 743      
Buildings, Improvements and Fixtures 4,420      
Total 5,163      
Accumulated Depreciation $ (2,307)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Overlook at Eagle's Landing        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 638      
Buildings, Improvements and Fixtures 6,685      
Cost Capitalized Subsequent to Acquisition 581      
Gross Amount at Which Carried at Close of Period        
Land 638      
Buildings, Improvements and Fixtures 7,266      
Total 7,904      
Accumulated Depreciation $ (2,653)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | SouthCrest MOP        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 4,260      
Buildings, Improvements and Fixtures 14,636      
Cost Capitalized Subsequent to Acquisition 2,257      
Gross Amount at Which Carried at Close of Period        
Land 4,260      
Buildings, Improvements and Fixtures 16,893      
Total 21,153      
Accumulated Depreciation $ (7,061)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Cherokee Medical Center        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 16,558      
Cost Capitalized Subsequent to Acquisition 990      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 17,548      
Total 17,548      
Accumulated Depreciation $ (4,262)      
Life on which building depreciation in income statement is computed 35 years      
Operating Properties | Honolulu MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 27,336      
Cost Capitalized Subsequent to Acquisition 3,132      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 30,468      
Total 30,468      
Accumulated Depreciation $ (6,595)      
Life on which building depreciation in income statement is computed 35 years      
Operating Properties | Kapolei Medical Park        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 16,253      
Cost Capitalized Subsequent to Acquisition 643      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 16,896      
Total 16,896      
Accumulated Depreciation $ (4,237)      
Life on which building depreciation in income statement is computed 35 years      
Operating Properties | North Curtis Road        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 382      
Buildings, Improvements and Fixtures 5,995      
Cost Capitalized Subsequent to Acquisition 12      
Gross Amount at Which Carried at Close of Period        
Land 382      
Buildings, Improvements and Fixtures 6,007      
Total 6,389      
Accumulated Depreciation $ (462)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Eagle Road MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 666      
Buildings, Improvements and Fixtures 9,636      
Cost Capitalized Subsequent to Acquisition (146)      
Gross Amount at Which Carried at Close of Period        
Land 666      
Buildings, Improvements and Fixtures 9,490      
Total 10,156      
Accumulated Depreciation $ (1,004)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Chicago MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 7,723      
Buildings, Improvements and Fixtures 129,520      
Cost Capitalized Subsequent to Acquisition 1,151      
Gross Amount at Which Carried at Close of Period        
Land 7,723      
Buildings, Improvements and Fixtures 130,671      
Total 138,394      
Accumulated Depreciation (16,824)      
Operating Properties | Streeterville Center MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial Cost to Company        
Land 4,223      
Buildings, Improvements and Fixtures 35,008      
Cost Capitalized Subsequent to Acquisition 139      
Gross Amount at Which Carried at Close of Period        
Land 4,223      
Buildings, Improvements and Fixtures 35,147      
Total 39,370      
Accumulated Depreciation $ (2,554)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Rush Oak Park MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,096      
Buildings, Improvements and Fixtures 38,550      
Cost Capitalized Subsequent to Acquisition (2,667)      
Gross Amount at Which Carried at Close of Period        
Land 1,096      
Buildings, Improvements and Fixtures 35,883      
Total 36,979      
Accumulated Depreciation $ (8,975)      
Life on which building depreciation in income statement is computed 38 years      
Operating Properties | Brownsburg MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 431      
Buildings, Improvements and Fixtures 639      
Cost Capitalized Subsequent to Acquisition 641      
Gross Amount at Which Carried at Close of Period        
Land 431      
Buildings, Improvements and Fixtures 1,280      
Total 1,711      
Accumulated Depreciation $ (531)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Athens SC        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 381      
Buildings, Improvements and Fixtures 3,575      
Cost Capitalized Subsequent to Acquisition 417      
Gross Amount at Which Carried at Close of Period        
Land 381      
Buildings, Improvements and Fixtures 3,992      
Total 4,373      
Accumulated Depreciation $ (1,670)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Crawfordsville MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 318      
Buildings, Improvements and Fixtures 1,899      
Cost Capitalized Subsequent to Acquisition 260      
Gross Amount at Which Carried at Close of Period        
Land 318      
Buildings, Improvements and Fixtures 2,159      
Total 2,477      
Accumulated Depreciation $ (907)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Deaconess Clinic Downtown        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,748      
Buildings, Improvements and Fixtures 21,963      
Cost Capitalized Subsequent to Acquisition 77      
Gross Amount at Which Carried at Close of Period        
Land 1,748      
Buildings, Improvements and Fixtures 22,040      
Total 23,788      
Accumulated Depreciation $ (8,675)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Deaconess Clinic Westside        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 360      
Buildings, Improvements and Fixtures 3,265      
Cost Capitalized Subsequent to Acquisition 356      
Gross Amount at Which Carried at Close of Period        
Land 360      
Buildings, Improvements and Fixtures 3,621      
Total 3,981      
Accumulated Depreciation $ (1,413)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Dupont MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 8,246      
Cost Capitalized Subsequent to Acquisition 1,412      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 9,658      
Total 9,658      
Accumulated Depreciation $ (2,209)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Ft. Wayne MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 6,579      
Cost Capitalized Subsequent to Acquisition (243)      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 6,336      
Total 6,336      
Accumulated Depreciation $ (1,940)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Community MP        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 560      
Buildings, Improvements and Fixtures 3,581      
Cost Capitalized Subsequent to Acquisition 821      
Gross Amount at Which Carried at Close of Period        
Land 560      
Buildings, Improvements and Fixtures 4,402      
Total 4,962      
Accumulated Depreciation $ (1,719)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Eagle Highlands MOP        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,216      
Buildings, Improvements and Fixtures 11,154      
Cost Capitalized Subsequent to Acquisition 8,269      
Gross Amount at Which Carried at Close of Period        
Land 2,216      
Buildings, Improvements and Fixtures 19,423      
Total 21,639      
Accumulated Depreciation $ (10,226)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Epler Parke MOP        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,556      
Buildings, Improvements and Fixtures 6,928      
Cost Capitalized Subsequent to Acquisition 2,095      
Gross Amount at Which Carried at Close of Period        
Land 1,556      
Buildings, Improvements and Fixtures 9,023      
Total 10,579      
Accumulated Depreciation $ (3,807)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Glendale Professional Plaza        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 570      
Buildings, Improvements and Fixtures 2,739      
Cost Capitalized Subsequent to Acquisition 1,697      
Gross Amount at Which Carried at Close of Period        
Land 570      
Buildings, Improvements and Fixtures 4,436      
Total 5,006      
Accumulated Depreciation $ (2,332)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | MMP Eagle Highlands        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,044      
Buildings, Improvements and Fixtures 13,548      
Cost Capitalized Subsequent to Acquisition 3,914      
Gross Amount at Which Carried at Close of Period        
Land 1,044      
Buildings, Improvements and Fixtures 17,462      
Total 18,506      
Accumulated Depreciation $ (6,969)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | MMP East        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,236      
Buildings, Improvements and Fixtures 9,840      
Cost Capitalized Subsequent to Acquisition 3,374      
Gross Amount at Which Carried at Close of Period        
Land 1,236      
Buildings, Improvements and Fixtures 13,214      
Total 14,450      
Accumulated Depreciation $ (6,364)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | MMP North        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,518      
Buildings, Improvements and Fixtures 15,460      
Cost Capitalized Subsequent to Acquisition 6,210      
Gross Amount at Which Carried at Close of Period        
Land 1,427      
Buildings, Improvements and Fixtures 21,761      
Total 23,188      
Accumulated Depreciation $ (9,521)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | MMP South        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,127      
Buildings, Improvements and Fixtures 10,414      
Cost Capitalized Subsequent to Acquisition 2,333      
Gross Amount at Which Carried at Close of Period        
Land 1,127      
Buildings, Improvements and Fixtures 12,747      
Total 13,874      
Accumulated Depreciation $ (5,430)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Southpointe MOP        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,190      
Buildings, Improvements and Fixtures 7,548      
Cost Capitalized Subsequent to Acquisition 1,529      
Gross Amount at Which Carried at Close of Period        
Land 2,190      
Buildings, Improvements and Fixtures 9,077      
Total 11,267      
Accumulated Depreciation $ (4,016)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | St. Vincent MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,964      
Buildings, Improvements and Fixtures 23,352      
Cost Capitalized Subsequent to Acquisition 49      
Gross Amount at Which Carried at Close of Period        
Land 2,964      
Buildings, Improvements and Fixtures 23,401      
Total 26,365      
Accumulated Depreciation $ (3,773)      
Life on which building depreciation in income statement is computed 35 years      
Operating Properties | Kokomo MOP        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,779      
Buildings, Improvements and Fixtures 9,614      
Cost Capitalized Subsequent to Acquisition 2,450      
Gross Amount at Which Carried at Close of Period        
Land 1,779      
Buildings, Improvements and Fixtures 12,064      
Total 13,843      
Accumulated Depreciation $ (5,260)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Deaconess Clinic Gateway        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 10,952      
Cost Capitalized Subsequent to Acquisition 26      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 10,978      
Total 10,978      
Accumulated Depreciation $ (3,844)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Community Health Pavilion        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 5,560      
Buildings, Improvements and Fixtures 28,988      
Cost Capitalized Subsequent to Acquisition 1,658      
Gross Amount at Which Carried at Close of Period        
Land 5,560      
Buildings, Improvements and Fixtures 30,646      
Total 36,206      
Accumulated Depreciation $ (8,124)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Zionsville MC        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 655      
Buildings, Improvements and Fixtures 2,877      
Cost Capitalized Subsequent to Acquisition 1,152      
Gross Amount at Which Carried at Close of Period        
Land 664      
Buildings, Improvements and Fixtures 4,020      
Total 4,684      
Accumulated Depreciation $ (1,825)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Nashoba Valley Med Center MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 5,529      
Cost Capitalized Subsequent to Acquisition 313      
Gross Amount at Which Carried at Close of Period        
Land 299      
Buildings, Improvements and Fixtures 5,543      
Total 5,842      
Accumulated Depreciation $ (1,888)      
Life on which building depreciation in income statement is computed 31 years      
Operating Properties | 670 Albany        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 104,365      
Cost Capitalized Subsequent to Acquisition (1,795)      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 102,570      
Total 102,570      
Accumulated Depreciation $ (17,428)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Tufts Medical Center        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 32,514      
Buildings, Improvements and Fixtures 109,180      
Cost Capitalized Subsequent to Acquisition 9,778      
Gross Amount at Which Carried at Close of Period        
Land 32,514      
Buildings, Improvements and Fixtures 118,958      
Total 151,472      
Accumulated Depreciation $ (32,158)      
Life on which building depreciation in income statement is computed 35 years      
Operating Properties | St. Elizabeth's Med Center        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 20,929      
Cost Capitalized Subsequent to Acquisition 3,627      
Gross Amount at Which Carried at Close of Period        
Land 1,379      
Buildings, Improvements and Fixtures 23,177      
Total 24,556      
Accumulated Depreciation $ (7,529)      
Life on which building depreciation in income statement is computed 31 years      
Operating Properties | Good Samaritan MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 15,887      
Cost Capitalized Subsequent to Acquisition 2,127      
Gross Amount at Which Carried at Close of Period        
Land 144      
Buildings, Improvements and Fixtures 17,870      
Total 18,014      
Accumulated Depreciation $ (5,477)      
Life on which building depreciation in income statement is computed 31 years      
Operating Properties | Pearl Street MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 4,714      
Buildings, Improvements and Fixtures 18,193      
Cost Capitalized Subsequent to Acquisition 1,465      
Gross Amount at Which Carried at Close of Period        
Land 4,714      
Buildings, Improvements and Fixtures 19,658      
Total 24,372      
Accumulated Depreciation $ (4,266)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Carney Hospital MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 7,250      
Cost Capitalized Subsequent to Acquisition 813      
Gross Amount at Which Carried at Close of Period        
Land 530      
Buildings, Improvements and Fixtures 7,533      
Total 8,063      
Accumulated Depreciation $ (2,450)      
Life on which building depreciation in income statement is computed 31 years      
Operating Properties | St. Anne's Hospital MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 9,304      
Cost Capitalized Subsequent to Acquisition 130      
Gross Amount at Which Carried at Close of Period        
Land 40      
Buildings, Improvements and Fixtures 9,394      
Total 9,434      
Accumulated Depreciation $ (2,381)      
Life on which building depreciation in income statement is computed 31 years      
Operating Properties | Norwood Hospital MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 9,489      
Cost Capitalized Subsequent to Acquisition 536      
Gross Amount at Which Carried at Close of Period        
Land 2,295      
Buildings, Improvements and Fixtures 7,730      
Total 10,025      
Accumulated Depreciation $ (2,751)      
Life on which building depreciation in income statement is computed 31 years      
Operating Properties | Holy Family Hospital MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 4,502      
Cost Capitalized Subsequent to Acquisition 304      
Gross Amount at Which Carried at Close of Period        
Land 168      
Buildings, Improvements and Fixtures 4,638      
Total 4,806      
Accumulated Depreciation $ (1,872)      
Life on which building depreciation in income statement is computed 31 years      
Operating Properties | Morton Hospital MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 15,317      
Cost Capitalized Subsequent to Acquisition 1,910      
Gross Amount at Which Carried at Close of Period        
Land 502      
Buildings, Improvements and Fixtures 16,725      
Total 17,227      
Accumulated Depreciation $ (8,222)      
Life on which building depreciation in income statement is computed 31 years      
Operating Properties | Stetson MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 3,362      
Buildings, Improvements and Fixtures 15,555      
Cost Capitalized Subsequent to Acquisition 3,681      
Gross Amount at Which Carried at Close of Period        
Land 3,362      
Buildings, Improvements and Fixtures 19,236      
Total 22,598      
Accumulated Depreciation $ (6,409)      
Life on which building depreciation in income statement is computed 20 years      
Operating Properties | Johnston Professional Building        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 21,481      
Cost Capitalized Subsequent to Acquisition 423      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 21,904      
Total 21,904      
Accumulated Depreciation $ (5,208)      
Life on which building depreciation in income statement is computed 35 years      
Operating Properties | Triad Tech Center        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 26,548      
Cost Capitalized Subsequent to Acquisition 25      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 26,573      
Total 26,573      
Accumulated Depreciation $ (8,499)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | St. John Providence MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 42,371      
Cost Capitalized Subsequent to Acquisition (195)      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 42,176      
Total 42,176      
Accumulated Depreciation $ (12,659)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Fort Road MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,571      
Buildings, Improvements and Fixtures 5,786      
Cost Capitalized Subsequent to Acquisition 1,468      
Gross Amount at Which Carried at Close of Period        
Land 1,571      
Buildings, Improvements and Fixtures 7,254      
Total 8,825      
Accumulated Depreciation $ (3,319)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Chesterfield Rehab Hospital        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 4,213      
Buildings, Improvements and Fixtures 27,898      
Cost Capitalized Subsequent to Acquisition 774      
Gross Amount at Which Carried at Close of Period        
Land 4,313      
Buildings, Improvements and Fixtures 28,574      
Total 32,887      
Accumulated Depreciation $ (11,410)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | BJC West County MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,242      
Buildings, Improvements and Fixtures 13,130      
Cost Capitalized Subsequent to Acquisition 994      
Gross Amount at Which Carried at Close of Period        
Land 2,242      
Buildings, Improvements and Fixtures 14,124      
Total 16,366      
Accumulated Depreciation $ (5,494)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Winghaven MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,455      
Buildings, Improvements and Fixtures 9,708      
Cost Capitalized Subsequent to Acquisition 1,645      
Gross Amount at Which Carried at Close of Period        
Land 1,455      
Buildings, Improvements and Fixtures 11,353      
Total 12,808      
Accumulated Depreciation $ (4,479)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | BJC MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 304      
Buildings, Improvements and Fixtures 1,554      
Cost Capitalized Subsequent to Acquisition (891)      
Gross Amount at Which Carried at Close of Period        
Land 304      
Buildings, Improvements and Fixtures 663      
Total 967      
Accumulated Depreciation $ (512)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Des Peres MAP II        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 11,386      
Cost Capitalized Subsequent to Acquisition 36      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 11,422      
Total 11,422      
Accumulated Depreciation $ (3,793)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Baptist Memorial MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 26,263      
Cost Capitalized Subsequent to Acquisition 7,570      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 33,833      
Total 33,833      
Accumulated Depreciation $ (3,759)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Medical Park of Cary        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,931      
Buildings, Improvements and Fixtures 20,305      
Cost Capitalized Subsequent to Acquisition 38,308      
Gross Amount at Which Carried at Close of Period        
Land 2,931      
Buildings, Improvements and Fixtures 58,613      
Total 61,544      
Accumulated Depreciation $ (9,072)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Rex Cary MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,449      
Buildings, Improvements and Fixtures 18,226      
Cost Capitalized Subsequent to Acquisition 472      
Gross Amount at Which Carried at Close of Period        
Land 1,449      
Buildings, Improvements and Fixtures 18,698      
Total 20,147      
Accumulated Depreciation $ (3,696)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Tryon Office Center        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,200      
Buildings, Improvements and Fixtures 14,956      
Cost Capitalized Subsequent to Acquisition 1,053      
Gross Amount at Which Carried at Close of Period        
Land 2,200      
Buildings, Improvements and Fixtures 16,009      
Total 18,209      
Accumulated Depreciation $ (3,659)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Carolinas Health MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 75,198      
Cost Capitalized Subsequent to Acquisition (1,072)      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 74,126      
Total 74,126      
Accumulated Depreciation $ (8,851)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Davidson MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,188      
Buildings, Improvements and Fixtures 8,556      
Cost Capitalized Subsequent to Acquisition 98      
Gross Amount at Which Carried at Close of Period        
Land 1,188      
Buildings, Improvements and Fixtures 8,654      
Total 9,842      
Accumulated Depreciation $ (685)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Duke Fertility Center        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 596      
Buildings, Improvements and Fixtures 3,882      
Cost Capitalized Subsequent to Acquisition (106)      
Gross Amount at Which Carried at Close of Period        
Land 596      
Buildings, Improvements and Fixtures 3,776      
Total 4,372      
Accumulated Depreciation $ (569)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Duke Medical Plaza        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,093      
Buildings, Improvements and Fixtures 11,836      
Cost Capitalized Subsequent to Acquisition 1,521      
Gross Amount at Which Carried at Close of Period        
Land 1,093      
Buildings, Improvements and Fixtures 13,357      
Total 14,450      
Accumulated Depreciation $ (261)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Hock Plaza II        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 680      
Buildings, Improvements and Fixtures 27,044      
Cost Capitalized Subsequent to Acquisition 643      
Gross Amount at Which Carried at Close of Period        
Land 680      
Buildings, Improvements and Fixtures 27,687      
Total 28,367      
Accumulated Depreciation $ (4,569)      
Life on which building depreciation in income statement is computed 36 years      
Operating Properties | UNC Rex Holly Springs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 27,591      
Cost Capitalized Subsequent to Acquisition 11,082      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 38,673      
Total 38,673      
Accumulated Depreciation $ (4,347)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Huntersville Office Park        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 5,376      
Buildings, Improvements and Fixtures 67,125      
Cost Capitalized Subsequent to Acquisition 2,331      
Gross Amount at Which Carried at Close of Period        
Land 5,376      
Buildings, Improvements and Fixtures 69,456      
Total 74,832      
Accumulated Depreciation $ (5,614)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Rosedale MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,281      
Buildings, Improvements and Fixtures 7,738      
Cost Capitalized Subsequent to Acquisition 58      
Gross Amount at Which Carried at Close of Period        
Land 1,281      
Buildings, Improvements and Fixtures 7,796      
Total 9,077      
Accumulated Depreciation $ (698)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Medical Park MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,771      
Buildings, Improvements and Fixtures 13,266      
Cost Capitalized Subsequent to Acquisition 9,982      
Gross Amount at Which Carried at Close of Period        
Land 2,141      
Buildings, Improvements and Fixtures 22,878      
Total 25,019      
Accumulated Depreciation $ (4,724)      
Life on which building depreciation in income statement is computed 23 years      
Operating Properties | 3100 Blue Ridge        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,732      
Buildings, Improvements and Fixtures 8,891      
Cost Capitalized Subsequent to Acquisition 714      
Gross Amount at Which Carried at Close of Period        
Land 1,732      
Buildings, Improvements and Fixtures 9,605      
Total 11,337      
Accumulated Depreciation $ (3,016)      
Life on which building depreciation in income statement is computed 35 years      
Operating Properties | Raleigh Medical Center        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,381      
Buildings, Improvements and Fixtures 15,630      
Cost Capitalized Subsequent to Acquisition 5,955      
Gross Amount at Which Carried at Close of Period        
Land 2,381      
Buildings, Improvements and Fixtures 21,585      
Total 23,966      
Accumulated Depreciation $ (8,311)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Sandy Forks MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 652      
Buildings, Improvements and Fixtures 7,263      
Cost Capitalized Subsequent to Acquisition 15      
Gross Amount at Which Carried at Close of Period        
Land 652      
Buildings, Improvements and Fixtures 7,278      
Total 7,930      
Accumulated Depreciation $ (950)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Sunset Ridge MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 811      
Buildings, Improvements and Fixtures 3,926      
Cost Capitalized Subsequent to Acquisition 710      
Gross Amount at Which Carried at Close of Period        
Land 811      
Buildings, Improvements and Fixtures 4,636      
Total 5,447      
Accumulated Depreciation $ (585)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Piedmont MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,024      
Buildings, Improvements and Fixtures 13,911      
Cost Capitalized Subsequent to Acquisition 41      
Gross Amount at Which Carried at Close of Period        
Land 1,024      
Buildings, Improvements and Fixtures 13,952      
Total 14,976      
Accumulated Depreciation $ (1,307)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | NorthPark MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,098      
Buildings, Improvements and Fixtures 13,921      
Cost Capitalized Subsequent to Acquisition 2      
Gross Amount at Which Carried at Close of Period        
Land 2,098      
Buildings, Improvements and Fixtures 13,923      
Total 16,021      
Accumulated Depreciation $ (57)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Hackensack MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 31,658      
Cost Capitalized Subsequent to Acquisition 608      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 32,266      
Total 32,266      
Accumulated Depreciation $ (4,003)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Mountain View MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 41,553      
Cost Capitalized Subsequent to Acquisition 2,802      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 44,355      
Total 44,355      
Accumulated Depreciation $ (6,064)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Santa Fe 440 MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 842      
Buildings, Improvements and Fixtures 7,448      
Cost Capitalized Subsequent to Acquisition (3,205)      
Gross Amount at Which Carried at Close of Period        
Land 842      
Buildings, Improvements and Fixtures 4,243      
Total 5,085      
Accumulated Depreciation $ (2,267)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | San Martin MAP        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 14,777      
Cost Capitalized Subsequent to Acquisition 4,801      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 19,578      
Total 19,578      
Accumulated Depreciation $ (7,882)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Madison Ave MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 83      
Buildings, Improvements and Fixtures 2,759      
Cost Capitalized Subsequent to Acquisition 151      
Gross Amount at Which Carried at Close of Period        
Land 83      
Buildings, Improvements and Fixtures 2,910      
Total 2,993      
Accumulated Depreciation $ (1,097)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Patroon Creek HQ        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,870      
Buildings, Improvements and Fixtures 29,453      
Cost Capitalized Subsequent to Acquisition 4,896      
Gross Amount at Which Carried at Close of Period        
Land 1,870      
Buildings, Improvements and Fixtures 34,349      
Total 36,219      
Accumulated Depreciation $ (12,451)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Patroon Creek MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,439      
Buildings, Improvements and Fixtures 27,639      
Cost Capitalized Subsequent to Acquisition 186      
Gross Amount at Which Carried at Close of Period        
Land 1,439      
Buildings, Improvements and Fixtures 27,825      
Total 29,264      
Accumulated Depreciation $ (9,013)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Washington Ave MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,699      
Buildings, Improvements and Fixtures 18,440      
Cost Capitalized Subsequent to Acquisition 1,023      
Gross Amount at Which Carried at Close of Period        
Land 1,699      
Buildings, Improvements and Fixtures 19,463      
Total 21,162      
Accumulated Depreciation $ (6,569)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Putnam MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 24,216      
Cost Capitalized Subsequent to Acquisition 326      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 24,542      
Total 24,542      
Accumulated Depreciation $ (7,482)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Capital Region Health Park        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,305      
Buildings, Improvements and Fixtures 37,494      
Cost Capitalized Subsequent to Acquisition 3,565      
Gross Amount at Which Carried at Close of Period        
Land 2,305      
Buildings, Improvements and Fixtures 41,059      
Total 43,364      
Accumulated Depreciation $ (14,672)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | ACP MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 53,265      
Buildings, Improvements and Fixtures 62,873      
Cost Capitalized Subsequent to Acquisition 505      
Gross Amount at Which Carried at Close of Period        
Land 53,265      
Buildings, Improvements and Fixtures 63,378      
Total 116,643      
Accumulated Depreciation $ (4,085)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | 210 Westchester MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 8,628      
Buildings, Improvements and Fixtures 18,408      
Cost Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried at Close of Period        
Land 8,628      
Buildings, Improvements and Fixtures 18,408      
Total 27,036      
Accumulated Depreciation $ (5,225)      
Life on which building depreciation in income statement is computed 31 years      
Operating Properties | Westchester MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 17,274      
Buildings, Improvements and Fixtures 41,865      
Cost Capitalized Subsequent to Acquisition 11,930      
Gross Amount at Which Carried at Close of Period        
Land 17,274      
Buildings, Improvements and Fixtures 53,795      
Total 71,069      
Accumulated Depreciation $ (15,027)      
Life on which building depreciation in income statement is computed 29 years      
Operating Properties | Kindred MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 4,238      
Buildings, Improvements and Fixtures 118,778      
Cost Capitalized Subsequent to Acquisition (101)      
Gross Amount at Which Carried at Close of Period        
Land 4,238      
Buildings, Improvements and Fixtures 118,677      
Total 122,915      
Accumulated Depreciation $ (16,338)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Diley Ridge MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 9,811      
Cost Capitalized Subsequent to Acquisition 67      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 9,878      
Total 9,878      
Accumulated Depreciation $ (2,128)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Good Sam MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,825      
Buildings, Improvements and Fixtures 9,966      
Cost Capitalized Subsequent to Acquisition (178)      
Gross Amount at Which Carried at Close of Period        
Land 1,825      
Buildings, Improvements and Fixtures 9,788      
Total 11,613      
Accumulated Depreciation $ (1,372)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | TriHealth        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 34,894      
Cost Capitalized Subsequent to Acquisition 313      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 35,207      
Total 35,207      
Accumulated Depreciation $ (4,484)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Market Exchange MOP        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,326      
Buildings, Improvements and Fixtures 17,207      
Cost Capitalized Subsequent to Acquisition 4,011      
Gross Amount at Which Carried at Close of Period        
Land 2,326      
Buildings, Improvements and Fixtures 21,218      
Total 23,544      
Accumulated Depreciation $ (8,424)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Mt. Carmel East        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 14,983      
Cost Capitalized Subsequent to Acquisition 409      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 15,392      
Total 15,392      
Accumulated Depreciation $ (570)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Olentangy        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,247      
Buildings, Improvements and Fixtures 9,830      
Cost Capitalized Subsequent to Acquisition 1,001      
Gross Amount at Which Carried at Close of Period        
Land 1,247      
Buildings, Improvements and Fixtures 10,831      
Total 12,078      
Accumulated Depreciation $ (1,425)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Polaris MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,447      
Buildings, Improvements and Fixtures 12,192      
Cost Capitalized Subsequent to Acquisition 66      
Gross Amount at Which Carried at Close of Period        
Land 1,447      
Buildings, Improvements and Fixtures 12,258      
Total 13,705      
Accumulated Depreciation $ (2,315)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Gahanna MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,078      
Buildings, Improvements and Fixtures 5,674      
Cost Capitalized Subsequent to Acquisition 59      
Gross Amount at Which Carried at Close of Period        
Land 1,078      
Buildings, Improvements and Fixtures 5,733      
Total 6,811      
Accumulated Depreciation $ (1,322)      
Life on which building depreciation in income statement is computed 30 years      
Operating Properties | Hilliard II MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 959      
Buildings, Improvements and Fixtures 7,260      
Cost Capitalized Subsequent to Acquisition 288      
Gross Amount at Which Carried at Close of Period        
Land 959      
Buildings, Improvements and Fixtures 7,548      
Total 8,507      
Accumulated Depreciation $ (1,553)      
Life on which building depreciation in income statement is computed 38 years      
Operating Properties | Hilliard MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 946      
Buildings, Improvements and Fixtures 11,174      
Cost Capitalized Subsequent to Acquisition 743      
Gross Amount at Which Carried at Close of Period        
Land 946      
Buildings, Improvements and Fixtures 11,917      
Total 12,863      
Accumulated Depreciation $ (2,965)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Park Place MOP        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,987      
Buildings, Improvements and Fixtures 11,341      
Cost Capitalized Subsequent to Acquisition 5,411      
Gross Amount at Which Carried at Close of Period        
Land 1,987      
Buildings, Improvements and Fixtures 16,752      
Total 18,739      
Accumulated Depreciation $ (7,385)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Liberty Falls MP        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 842      
Buildings, Improvements and Fixtures 5,640      
Cost Capitalized Subsequent to Acquisition 836      
Gross Amount at Which Carried at Close of Period        
Land 842      
Buildings, Improvements and Fixtures 6,476      
Total 7,318      
Accumulated Depreciation $ (2,695)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Parma Ridge MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 372      
Buildings, Improvements and Fixtures 3,636      
Cost Capitalized Subsequent to Acquisition 1,006      
Gross Amount at Which Carried at Close of Period        
Land 372      
Buildings, Improvements and Fixtures 4,642      
Total 5,014      
Accumulated Depreciation $ (2,005)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | St. Ann's MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 16,978      
Cost Capitalized Subsequent to Acquisition 8      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 16,986      
Total 16,986      
Accumulated Depreciation $ (793)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Deaconess MOP        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 25,975      
Cost Capitalized Subsequent to Acquisition 2,938      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 28,913      
Total 28,913      
Accumulated Depreciation $ (10,795)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Silverton Health MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 953      
Buildings, Improvements and Fixtures 6,164      
Cost Capitalized Subsequent to Acquisition (27)      
Gross Amount at Which Carried at Close of Period        
Land 953      
Buildings, Improvements and Fixtures 6,137      
Total 7,090      
Accumulated Depreciation $ (1,150)      
Life on which building depreciation in income statement is computed 35 years      
Operating Properties | Monroeville MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 3,264      
Buildings, Improvements and Fixtures 7,038      
Cost Capitalized Subsequent to Acquisition 1,453      
Gross Amount at Which Carried at Close of Period        
Land 3,264      
Buildings, Improvements and Fixtures 8,491      
Total 11,755      
Accumulated Depreciation $ (2,994)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | 2750 Monroe MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,323      
Buildings, Improvements and Fixtures 22,631      
Cost Capitalized Subsequent to Acquisition 5,423      
Gross Amount at Which Carried at Close of Period        
Land 2,323      
Buildings, Improvements and Fixtures 28,054      
Total 30,377      
Accumulated Depreciation $ (12,984)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | 1740 South MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,855      
Buildings, Improvements and Fixtures 7,735      
Cost Capitalized Subsequent to Acquisition 241      
Gross Amount at Which Carried at Close of Period        
Land 1,855      
Buildings, Improvements and Fixtures 7,976      
Total 9,831      
Accumulated Depreciation $ (726)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Main Line Bryn Mawr MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 46,967      
Cost Capitalized Subsequent to Acquisition 5,095      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 52,062      
Total 52,062      
Accumulated Depreciation $ (6,077)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Phoenixville MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 60,287      
Cost Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 60,287      
Total 60,287      
Accumulated Depreciation $ (295)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Federal North MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,489      
Buildings, Improvements and Fixtures 30,268      
Cost Capitalized Subsequent to Acquisition 4,463      
Gross Amount at Which Carried at Close of Period        
Land 2,489      
Buildings, Improvements and Fixtures 34,731      
Total 37,220      
Accumulated Depreciation $ (10,290)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Highmark Penn Ave        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,774      
Buildings, Improvements and Fixtures 38,921      
Cost Capitalized Subsequent to Acquisition 865      
Gross Amount at Which Carried at Close of Period        
Land 1,774      
Buildings, Improvements and Fixtures 39,786      
Total 41,560      
Accumulated Depreciation $ (11,141)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | WP Allegheny HQ MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,514      
Buildings, Improvements and Fixtures 32,368      
Cost Capitalized Subsequent to Acquisition 3,669      
Gross Amount at Which Carried at Close of Period        
Land 1,514      
Buildings, Improvements and Fixtures 36,037      
Total 37,551      
Accumulated Depreciation $ (11,020)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | 39 Broad Street        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 3,180      
Buildings, Improvements and Fixtures 1,970      
Cost Capitalized Subsequent to Acquisition 3,161      
Gross Amount at Which Carried at Close of Period        
Land 3,480      
Buildings, Improvements and Fixtures 4,831      
Total 8,311      
Accumulated Depreciation $ (1,249)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Cannon Park Place        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 425      
Buildings, Improvements and Fixtures 8,651      
Cost Capitalized Subsequent to Acquisition 942      
Gross Amount at Which Carried at Close of Period        
Land 425      
Buildings, Improvements and Fixtures 9,593      
Total 10,018      
Accumulated Depreciation $ (3,284)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | MUSC Elm MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,172      
Buildings, Improvements and Fixtures 4,361      
Cost Capitalized Subsequent to Acquisition 178      
Gross Amount at Which Carried at Close of Period        
Land 1,172      
Buildings, Improvements and Fixtures 4,539      
Total 5,711      
Accumulated Depreciation $ (978)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Tides Medical Arts Center        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 3,763      
Buildings, Improvements and Fixtures 19,787      
Cost Capitalized Subsequent to Acquisition 411      
Gross Amount at Which Carried at Close of Period        
Land 3,763      
Buildings, Improvements and Fixtures 20,198      
Total 23,961      
Accumulated Depreciation $ (4,347)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Bowman Center        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 3,896      
Buildings, Improvements and Fixtures 6,874      
Cost Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried at Close of Period        
Land 3,896      
Buildings, Improvements and Fixtures 6,874      
Total 10,770      
Accumulated Depreciation $ (67)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | East Cooper Medical Arts Center        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,470      
Buildings, Improvements and Fixtures 6,289      
Cost Capitalized Subsequent to Acquisition (290)      
Gross Amount at Which Carried at Close of Period        
Land 2,470      
Buildings, Improvements and Fixtures 5,999      
Total 8,469      
Accumulated Depreciation $ (1,630)      
Life on which building depreciation in income statement is computed 32 years      
Operating Properties | East Cooper Medical Center        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,073      
Buildings, Improvements and Fixtures 5,939      
Cost Capitalized Subsequent to Acquisition 2,594      
Gross Amount at Which Carried at Close of Period        
Land 2,073      
Buildings, Improvements and Fixtures 8,533      
Total 10,606      
Accumulated Depreciation $ (2,904)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | The Mullis Building        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 18,810      
Cost Capitalized Subsequent to Acquisition 48      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 18,858      
Total 18,858      
Accumulated Depreciation $ (401)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | MUSC University MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,524      
Buildings, Improvements and Fixtures 9,627      
Cost Capitalized Subsequent to Acquisition (882)      
Gross Amount at Which Carried at Close of Period        
Land 1,524      
Buildings, Improvements and Fixtures 8,745      
Total 10,269      
Accumulated Depreciation $ (1,615)      
Life on which building depreciation in income statement is computed 36 years      
Operating Properties | St. Thomas DePaul MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 55,040      
Cost Capitalized Subsequent to Acquisition 1,003      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 56,043      
Total 56,043      
Accumulated Depreciation $ (7,320)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Amarillo Hospital        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,110      
Buildings, Improvements and Fixtures 17,688      
Cost Capitalized Subsequent to Acquisition 605      
Gross Amount at Which Carried at Close of Period        
Land 1,110      
Buildings, Improvements and Fixtures 18,293      
Total 19,403      
Accumulated Depreciation $ (6,618)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Austin Heart MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 15,172      
Cost Capitalized Subsequent to Acquisition 612      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 15,784      
Total 15,784      
Accumulated Depreciation $ (4,138)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | BS&W MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 300,952      
Cost Capitalized Subsequent to Acquisition 1,657      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 302,609      
Total 302,609      
Accumulated Depreciation $ (39,353)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Post Oak North MC        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 887      
Buildings, Improvements and Fixtures 7,011      
Cost Capitalized Subsequent to Acquisition (221)      
Gross Amount at Which Carried at Close of Period        
Land 887      
Buildings, Improvements and Fixtures 6,790      
Total 7,677      
Accumulated Depreciation $ (1,585)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | MatureWell MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,307      
Buildings, Improvements and Fixtures 11,078      
Cost Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried at Close of Period        
Land 1,307      
Buildings, Improvements and Fixtures 11,078      
Total 12,385      
Accumulated Depreciation $ (1,858)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Texas A&M Health Science Center        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 32,494      
Cost Capitalized Subsequent to Acquisition (2,009)      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 30,485      
Total 30,485      
Accumulated Depreciation $ (7,374)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Dallas Rehab Hospital        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,919      
Buildings, Improvements and Fixtures 16,341      
Cost Capitalized Subsequent to Acquisition (505)      
Gross Amount at Which Carried at Close of Period        
Land 1,919      
Buildings, Improvements and Fixtures 15,836      
Total 17,755      
Accumulated Depreciation $ (5,067)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Cedar Hill MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 778      
Buildings, Improvements and Fixtures 4,830      
Cost Capitalized Subsequent to Acquisition 1,898      
Gross Amount at Which Carried at Close of Period        
Land 778      
Buildings, Improvements and Fixtures 6,728      
Total 7,506      
Accumulated Depreciation $ (2,243)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Cedar Park MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 30,338      
Cost Capitalized Subsequent to Acquisition 1,268      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 31,606      
Total 31,606      
Accumulated Depreciation $ (4,212)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Corsicana MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 6,781      
Cost Capitalized Subsequent to Acquisition 233      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 7,014      
Total 7,014      
Accumulated Depreciation $ (2,593)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Dallas LTAC Hospital        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,301      
Buildings, Improvements and Fixtures 20,627      
Cost Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried at Close of Period        
Land 2,301      
Buildings, Improvements and Fixtures 20,627      
Total 22,928      
Accumulated Depreciation $ (6,996)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Forest Park Pavilion        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 9,670      
Buildings, Improvements and Fixtures 11,152      
Cost Capitalized Subsequent to Acquisition 48,094      
Gross Amount at Which Carried at Close of Period        
Land 9,670      
Buildings, Improvements and Fixtures 59,246      
Total 68,916      
Accumulated Depreciation $ (3,732)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Forest Park Tower        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 3,340      
Buildings, Improvements and Fixtures 35,071      
Cost Capitalized Subsequent to Acquisition 5,841      
Gross Amount at Which Carried at Close of Period        
Land 3,340      
Buildings, Improvements and Fixtures 40,912      
Total 44,252      
Accumulated Depreciation $ (10,289)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Northpoint Medical        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,388      
Buildings, Improvements and Fixtures 14,621      
Cost Capitalized Subsequent to Acquisition 1,629      
Gross Amount at Which Carried at Close of Period        
Land 2,388      
Buildings, Improvements and Fixtures 16,250      
Total 18,638      
Accumulated Depreciation $ (3,496)      
Life on which building depreciation in income statement is computed 20 years      
Operating Properties | Baylor MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 9,956      
Buildings, Improvements and Fixtures 122,852      
Cost Capitalized Subsequent to Acquisition 6,737      
Gross Amount at Which Carried at Close of Period        
Land 9,956      
Buildings, Improvements and Fixtures 129,589      
Total 139,545      
Accumulated Depreciation $ (16,761)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Denton Med Rehab Hospital        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,000      
Buildings, Improvements and Fixtures 11,704      
Cost Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried at Close of Period        
Land 2,000      
Buildings, Improvements and Fixtures 11,704      
Total 13,704      
Accumulated Depreciation $ (4,444)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Denton MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 7,543      
Cost Capitalized Subsequent to Acquisition 733      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 8,276      
Total 8,276      
Accumulated Depreciation $ (2,567)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Cliff Medical Plaza MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,064      
Buildings, Improvements and Fixtures 1,972      
Cost Capitalized Subsequent to Acquisition 4,157      
Gross Amount at Which Carried at Close of Period        
Land 1,064      
Buildings, Improvements and Fixtures 6,129      
Total 7,193      
Accumulated Depreciation $ (3,023)      
Life on which building depreciation in income statement is computed 8 years      
Operating Properties | El Paso MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,075      
Buildings, Improvements and Fixtures 14,902      
Cost Capitalized Subsequent to Acquisition (233)      
Gross Amount at Which Carried at Close of Period        
Land 2,075      
Buildings, Improvements and Fixtures 14,669      
Total 16,744      
Accumulated Depreciation $ (1,207)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Providence Medical Plaza        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 5,396      
Cost Capitalized Subsequent to Acquisition 4,080      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 9,476      
Total 9,476      
Accumulated Depreciation $ (2,906)      
Life on which building depreciation in income statement is computed 20 years      
Operating Properties | Sierra Medical        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 2,998      
Cost Capitalized Subsequent to Acquisition 1,011      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 4,009      
Total 4,009      
Accumulated Depreciation $ (1,616)      
Life on which building depreciation in income statement is computed 15 years      
Operating Properties | Texas Tech MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 42,419      
Cost Capitalized Subsequent to Acquisition 2,040      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 44,459      
Total 44,459      
Accumulated Depreciation $ (1,178)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Texas Health MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 38,429      
Cost Capitalized Subsequent to Acquisition 165      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 38,594      
Total 38,594      
Accumulated Depreciation $ (5,282)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Forest Park Frisco MC        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,238      
Buildings, Improvements and Fixtures 19,979      
Cost Capitalized Subsequent to Acquisition 9,038      
Gross Amount at Which Carried at Close of Period        
Land 1,238      
Buildings, Improvements and Fixtures 29,017      
Total 30,255      
Accumulated Depreciation $ (9,851)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | T-Mobile Building        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 4,807      
Buildings, Improvements and Fixtures 67,076      
Cost Capitalized Subsequent to Acquisition (3,139)      
Gross Amount at Which Carried at Close of Period        
Land 4,807      
Buildings, Improvements and Fixtures 63,937      
Total 68,744      
Accumulated Depreciation $ (7,827)      
Life on which building depreciation in income statement is computed 38 years      
Operating Properties | Greenville MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 616      
Buildings, Improvements and Fixtures 10,822      
Cost Capitalized Subsequent to Acquisition 633      
Gross Amount at Which Carried at Close of Period        
Land 616      
Buildings, Improvements and Fixtures 11,455      
Total 12,071      
Accumulated Depreciation $ (4,172)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | 7900 Fannin MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 34,764      
Cost Capitalized Subsequent to Acquisition 2,767      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 37,531      
Total 37,531      
Accumulated Depreciation $ (11,942)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Cypress Medical Building MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 4,678      
Cost Capitalized Subsequent to Acquisition 203      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 4,881      
Total 4,881      
Accumulated Depreciation $ (1,273)      
Life on which building depreciation in income statement is computed 30 years      
Operating Properties | Cypress Station MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,345      
Buildings, Improvements and Fixtures 8,312      
Cost Capitalized Subsequent to Acquisition (4,237)      
Gross Amount at Which Carried at Close of Period        
Land 1,345      
Buildings, Improvements and Fixtures 4,075      
Total 5,420      
Accumulated Depreciation $ (3,644)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Gemini MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 4,619      
Buildings, Improvements and Fixtures 17,450      
Cost Capitalized Subsequent to Acquisition 153      
Gross Amount at Which Carried at Close of Period        
Land 4,619      
Buildings, Improvements and Fixtures 17,603      
Total 22,222      
Accumulated Depreciation $ (1,410)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Houston Medical Plaza        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 4,107      
Buildings, Improvements and Fixtures 35,560      
Cost Capitalized Subsequent to Acquisition 36      
Gross Amount at Which Carried at Close of Period        
Land 4,110      
Buildings, Improvements and Fixtures 35,593      
Total 39,703      
Accumulated Depreciation $ (363)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Park Plaza MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 5,719      
Buildings, Improvements and Fixtures 50,054      
Cost Capitalized Subsequent to Acquisition 8,389      
Gross Amount at Which Carried at Close of Period        
Land 5,719      
Buildings, Improvements and Fixtures 58,443      
Total 64,162      
Accumulated Depreciation $ (15,664)      
Life on which building depreciation in income statement is computed 24 years      
Operating Properties | T-Mobile Tower        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 8,314      
Buildings, Improvements and Fixtures 15,335      
Cost Capitalized Subsequent to Acquisition 35      
Gross Amount at Which Carried at Close of Period        
Land 8,314      
Buildings, Improvements and Fixtures 15,370      
Total 23,684      
Accumulated Depreciation $ (419)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Triumph Hospital NW        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,377      
Buildings, Improvements and Fixtures 14,531      
Cost Capitalized Subsequent to Acquisition 164      
Gross Amount at Which Carried at Close of Period        
Land 1,377      
Buildings, Improvements and Fixtures 14,695      
Total 16,072      
Accumulated Depreciation $ (5,819)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Memorial Hermann MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 9,479      
Cost Capitalized Subsequent to Acquisition 13,361      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 22,840      
Total 22,840      
Accumulated Depreciation (3,130)      
Operating Properties | Jourdanton MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 17,804      
Cost Capitalized Subsequent to Acquisition 2      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 17,806      
Total 17,806      
Accumulated Depreciation $ (2,384)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Houston Methodist MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 43,078      
Cost Capitalized Subsequent to Acquisition 7,760      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 50,838      
Total 50,838      
Accumulated Depreciation (5,641)      
Operating Properties | Lone Star Endoscopy MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial Cost to Company        
Land 622      
Buildings, Improvements and Fixtures 3,502      
Cost Capitalized Subsequent to Acquisition 36      
Gross Amount at Which Carried at Close of Period        
Land 622      
Buildings, Improvements and Fixtures 3,538      
Total 4,160      
Accumulated Depreciation $ (1,330)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Seton Medical MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 30,102      
Cost Capitalized Subsequent to Acquisition 2,617      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 32,719      
Total 32,719      
Accumulated Depreciation $ (4,470)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Lewisville MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 452      
Buildings, Improvements and Fixtures 3,841      
Cost Capitalized Subsequent to Acquisition (133)      
Gross Amount at Which Carried at Close of Period        
Land 452      
Buildings, Improvements and Fixtures 3,708      
Total 4,160      
Accumulated Depreciation $ (1,219)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Longview Regional MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 59,258      
Cost Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 59,258      
Total 59,258      
Accumulated Depreciation (8,209)      
Operating Properties | Terrace Medical Building        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 179      
Cost Capitalized Subsequent to Acquisition 121      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 300      
Total 300      
Accumulated Depreciation $ (154)      
Life on which building depreciation in income statement is computed 5 years      
Operating Properties | Towers Medical Plaza        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 786      
Cost Capitalized Subsequent to Acquisition 236      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 1,022      
Total 1,022      
Accumulated Depreciation $ (617)      
Life on which building depreciation in income statement is computed 10 years      
Operating Properties | North Cypress MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 7,841      
Buildings, Improvements and Fixtures 121,215      
Cost Capitalized Subsequent to Acquisition 1,687      
Gross Amount at Which Carried at Close of Period        
Land 7,841      
Buildings, Improvements and Fixtures 122,902      
Total 130,743      
Accumulated Depreciation (16,639)      
Operating Properties | Pearland MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial Cost to Company        
Land 912      
Buildings, Improvements and Fixtures 4,628      
Cost Capitalized Subsequent to Acquisition 314      
Gross Amount at Which Carried at Close of Period        
Land 912      
Buildings, Improvements and Fixtures 4,942      
Total 5,854      
Accumulated Depreciation $ (1,732)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Independence Medical Village        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 4,229      
Buildings, Improvements and Fixtures 17,874      
Cost Capitalized Subsequent to Acquisition (132)      
Gross Amount at Which Carried at Close of Period        
Land 4,229      
Buildings, Improvements and Fixtures 17,742      
Total 21,971      
Accumulated Depreciation $ (3,347)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | San Angelo MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 3,907      
Cost Capitalized Subsequent to Acquisition (237)      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 3,670      
Total 3,670      
Accumulated Depreciation $ (1,331)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Mtn Plains Pecan Valley        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 416      
Buildings, Improvements and Fixtures 13,690      
Cost Capitalized Subsequent to Acquisition 512      
Gross Amount at Which Carried at Close of Period        
Land 416      
Buildings, Improvements and Fixtures 14,202      
Total 14,618      
Accumulated Depreciation $ (5,091)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Sugar Land II MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 9,648      
Cost Capitalized Subsequent to Acquisition 79      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 9,727      
Total 9,727      
Accumulated Depreciation $ (3,198)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Triumph Hospital SW        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,670      
Buildings, Improvements and Fixtures 14,018      
Cost Capitalized Subsequent to Acquisition (670)      
Gross Amount at Which Carried at Close of Period        
Land 1,656      
Buildings, Improvements and Fixtures 13,362      
Total 15,018      
Accumulated Depreciation $ (5,625)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Mtn Plains Clear Lake        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 832      
Buildings, Improvements and Fixtures 21,168      
Cost Capitalized Subsequent to Acquisition 5,761      
Gross Amount at Which Carried at Close of Period        
Land 832      
Buildings, Improvements and Fixtures 26,929      
Total 27,761      
Accumulated Depreciation $ (8,382)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | N. Texas Neurology MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 736      
Buildings, Improvements and Fixtures 5,611      
Cost Capitalized Subsequent to Acquisition (1,957)      
Gross Amount at Which Carried at Close of Period        
Land 736      
Buildings, Improvements and Fixtures 3,654      
Total 4,390      
Accumulated Depreciation $ (1,838)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Wylie Medical Plaza        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,412      
Buildings, Improvements and Fixtures 15,353      
Cost Capitalized Subsequent to Acquisition 272      
Gross Amount at Which Carried at Close of Period        
Land 1,412      
Buildings, Improvements and Fixtures 15,625      
Total 17,037      
Accumulated Depreciation $ (1,205)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Renaissance MC        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 3,701      
Buildings, Improvements and Fixtures 24,442      
Cost Capitalized Subsequent to Acquisition 442      
Gross Amount at Which Carried at Close of Period        
Land 3,701      
Buildings, Improvements and Fixtures 24,884      
Total 28,585      
Accumulated Depreciation $ (8,850)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Salt Lake Regional Medical Building        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 10,351      
Cost Capitalized Subsequent to Acquisition 110      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 10,461      
Total 10,461      
Accumulated Depreciation $ (670)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Fairfax MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 2,404      
Buildings, Improvements and Fixtures 14,074      
Cost Capitalized Subsequent to Acquisition 193      
Gross Amount at Which Carried at Close of Period        
Land 2,404      
Buildings, Improvements and Fixtures 14,267      
Total 16,671      
Accumulated Depreciation $ (1,379)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Fair Oaks MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 47,616      
Cost Capitalized Subsequent to Acquisition 562      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 48,178      
Total 48,178      
Accumulated Depreciation $ (5,876)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Aurora - Menomonee        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 1,055      
Buildings, Improvements and Fixtures 14,998      
Cost Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried at Close of Period        
Land 1,055      
Buildings, Improvements and Fixtures 14,998      
Total 16,053      
Accumulated Depreciation $ (6,816)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Aurora - Milwaukee        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 350      
Buildings, Improvements and Fixtures 5,508      
Cost Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried at Close of Period        
Land 350      
Buildings, Improvements and Fixtures 5,508      
Total 5,858      
Accumulated Depreciation $ (2,508)      
Life on which building depreciation in income statement is computed 39 years      
Operating Properties | Columbia St. Mary's MOBs        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 0      
Initial Cost to Company        
Land 0      
Buildings, Improvements and Fixtures 87,825      
Cost Capitalized Subsequent to Acquisition 1,144      
Gross Amount at Which Carried at Close of Period        
Land 0      
Buildings, Improvements and Fixtures 88,969      
Total 88,969      
Accumulated Depreciation (10,921)      
Undeveloped Land        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial Cost to Company        
Land 22,963      
Buildings, Improvements and Fixtures 0      
Cost Capitalized Subsequent to Acquisition 18      
Gross Amount at Which Carried at Close of Period        
Land 22,963      
Buildings, Improvements and Fixtures 18      
Total 22,981      
Accumulated Depreciation 0      
Undeveloped Land | Macon Pond MOB        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial Cost to Company        
Land 5,504      
Buildings, Improvements and Fixtures 0      
Cost Capitalized Subsequent to Acquisition 13      
Gross Amount at Which Carried at Close of Period        
Land 5,504      
Buildings, Improvements and Fixtures 13      
Total 5,517      
Accumulated Depreciation 0      
Undeveloped Land | Forest Park Pavilion IV        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial Cost to Company        
Land 7,014      
Buildings, Improvements and Fixtures 0      
Cost Capitalized Subsequent to Acquisition 0      
Gross Amount at Which Carried at Close of Period        
Land 7,014      
Buildings, Improvements and Fixtures 0      
Total 7,014      
Accumulated Depreciation 0      
Undeveloped Land | Houston Heights        
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances 0      
Initial Cost to Company        
Land 10,445      
Buildings, Improvements and Fixtures 0      
Cost Capitalized Subsequent to Acquisition 5      
Gross Amount at Which Carried at Close of Period        
Land 10,445      
Buildings, Improvements and Fixtures 5      
Total 10,450      
Accumulated Depreciation $ 0      
v3.22.0.1
Schedule III- Real Estate and Accumulated Depreciation Schedule III - Real Estate and Accumulated Depreciation - Rollforward of Carrying Amount of Real Estate Assets (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate [Roll Forward]      
Balance as of the beginning of the year $ 7,104,085 $ 6,837,400 $ 6,269,023
Acquisitions 278,124 171,728 505,424
Additions 188,592 121,777 90,859
Dispositions and other (189,156) (26,820) (27,906)
Impairment (22,938) 0 0
Held for sale (29,809) 0 0
Balance as of the end of the year 7,328,898 7,104,085 6,837,400
Lease intangibles 404,714 $ 628,621 $ 628,100
Federal income tax basis $ 6,900,000    
v3.22.0.1
Schedule III- Real Estate and Accumulated Depreciation Schedule III - Real Estate and Accumulated Depreciation - Rollforward of Accumulated Depreciation (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation [Roll Forward]      
Balance as of the beginning of the year $ 1,302,204 $ 1,085,048 $ 882,488
Additions 246,417 236,271 217,566
Dispositions and other (146,879) (19,115) (15,006)
Held for sale (6,263) 0 0
Balance as of the end of the year 1,395,479 1,302,204 1,085,048
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]      
Accumulated depreciation lease intangibles $ 203,000 $ 400,500 $ 362,800
Tenant Improvements | Minimum      
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]      
Estimated useful life 1 year    
Tenant Improvements | Maximum      
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]      
Estimated useful life 10 years    
Furniture, fixtures and equipment      
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]      
Estimated useful life 5 years    
v3.22.0.1
Schedule IV - Mortgage Loans on Real Estate Assets (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]      
Prior Liens $ 0    
Face Amount 70,319    
Carrying Amount 69,072    
Accrued interest receivable 42    
Carrying Amount, Net 69,114    
Principal Amount of Loans Subject to Delinquent Principal or Interest 0    
SEC Schedule, 12-29, Real Estate Companies, Investment in Movement in Mortgage Loans on Real Estate [Roll Forward]      
Balance as of the beginning of the year 555 $ 1,332 $ 2,070
Additions:      
New real estate notes 67,032 6,000 0
Capitalized interest 1,841 0 0
Accretion of fees and other items 932 0 0
Deductions:      
Mortgage loan retired in connection with an acquisition 0 (6,000) 0
Collection of real estate loans (555) (777) (738)
Deferred fees and other items (691) 0 0
Balance as of the end of the year $ 69,114 $ 555 $ 1,332
TEXAS | Medical Real Estate in Texas Maturing in July 2022      
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]      
Interest Rate 10.00%    
Prior Liens $ 0    
Face Amount 15,000    
Carrying Amount 14,267    
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0    
TEXAS | Property 1      
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]      
Interest Rate 8.00%    
Prior Liens $ 0    
Face Amount 49,319    
Carrying Amount 48,793    
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0    
NORTH CAROLINA | Property 2      
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]      
Interest Rate 8.00%    
Prior Liens $ 0    
Face Amount 6,000    
Carrying Amount 6,012    
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0    
v3.22.0.1
Subsequent Events (Details) - USD ($)
$ / shares in Units, $ in Millions
Feb. 28, 2022
Dec. 31, 2021
Dec. 31, 2020
Subsequent Event [Line Items]      
Common stock, par value (in dollars per share)   $ 0.01 $ 0.01
Subsequent Event | Merger Agreement with Healthcare Realty Trust Incorporated      
Subsequent Event [Line Items]      
Common stock, par value (in dollars per share) $ 0.01    
Special distribution payment (in dollars per share) $ 4.82    
Merger agreement conversion ratio 1.0    
Financing termination fee payable $ 291    
Fixed expense reimbursement amount 25    
Subsequent Event | Merger Agreement with Healthcare Realty Trust Incorporated | Bridge Financing Facility      
Subsequent Event [Line Items]      
Amount of financing facility amount $ 1,700    
Subsequent Event | Healthcare Realty Trust Incorporated | Merger Agreement with Healthcare Realty Trust Incorporated      
Subsequent Event [Line Items]      
Common stock, par value (in dollars per share) $ 0.01    
Merger agreement covenants termination fee $ 5    
Financing termination fee payable 163    
Fixed expense reimbursement amount $ 25