Annual report pursuant to Section 13 and 15(d)

Property Portfolio

v3.22.0.1
Property Portfolio
12 Months Ended
Dec. 31, 2021
Property Portfolio  
Property Portfolio

Note 3 – Property Portfolio

Summary of Properties Acquired During the Year Ended December 31, 2021

During the year ended December 31, 2021 the Company completed 20 acquisitions. For each acquisition, substantially all of the fair value was concentrated in a single identifiable asset or group of similar identifiable assets and, therefore, each acquisition represents an asset acquisition. Accordingly, transaction costs for these acquisitions were capitalized.

A rollforward of the gross investment in land, building, improvements, and acquired lease intangible assets as of December 31, 2021 resulting from these acquisitions is as follows:

    

    

Site

    

Tenant

    

Acquired Lease

    

Gross Investment in

    

Land

    

Building

    

Improvements

    

Improvements

    

Intangible Assets

    

Real Estate

Balances as of December 31, 2020

$

128,857

$

851,427

$

15,183

$

49,204

$

98,234

$

1,142,905

Facility Acquired – Date Acquired:

 

  

 

  

 

  

 

  

 

  

 

  

El Paso – 1/12/21

899

7,549

71

160

1,338

10,017

Syracuse – 1/15/21

616

4,745

128

136

772

6,397

West El Paso – 1/15/21

851

7,160

144

567

856

9,578

Fort Worth – 3/9/21

1,817

13,020

143

395

2,069

17,444

Port St. Lucie – 4/6/21

590

3,583

70

185

359

4,787

Cape Coral and Fort Myers – 4/13/21

5,623

20,155

480

1,132

4,311

31,701

Dallas – 4/16/21

3,101

2,593

63

469

493

6,719

East Grand Forks – 4/19/21

845

6,248

278

815

2,092

10,278

Coos Bay – 4/21/21

861

5,095

56

50

410

6,472

Caledonia – 6/2/21

582

2,669

66

96

497

3,910

Tallahassee – 6/2/21

782

6,720

137

387

1,218

9,244

Forsyth – 7/28/21

1,554

9,627

348

456

7,439

19,424

North Charleston – 7/29/21

927

4,248

106

801

1,098

7,180

Munster – 9/15/21

780

4,451

161

391

953

6,736

Hialeah – 9/30/21

9,633

264

716

1,231

11,844

Athens – 9/30/21

564

4,106

58

63

548

5,339

Lemoyne – 12/3/21

299

3,661

113

359

904

5,336

Athens 200 – 12/13/21

327

1,336

42

134

204

2,043

Mentor – 12/16/21

2,249

6,291

354

253

1,322

10,469

Oklahoma City – 12/20/21

727

5,839

261

495

1,583

8,905

Capitalized costs(1)

8,756

(2)

495

1,636

10,887

Total Additions:

 

23,994

 

137,485

 

3,838

 

9,696

 

29,697

 

204,710

Disposition of Prescott – 10/13/21

(791)

(3,821)

(4,612)

Balances as of December 31, 2021

$

152,060

$

985,091

$

19,021

$

58,900

$

127,931

$

1,343,003

(1) Represents capital projects that were completed and placed in service during the year ended December 31, 2021 related to the Company’s existing facilities.
(2) During the year ended December 31, 2021, the Company completed and funded a $6,814 expansion at its Oklahoma City facility that was acquired in April 2019 with Mercy Rehabilitation Hospital as the tenant.

Depreciation expense was $33,825, $26,747, and $19,066 for the years ended December 31, 2021, 2020, and 2019, respectively.

As of December 31, 2021, the Company had aggregate capital improvement commitments and obligations to improve, expand, and maintain the Company’s existing facilities of approximately $27,760. Many of these amounts are subject to contingencies that make it difficult to predict when they will be utilized, if at all. In accordance with the terms of the Company’s leases, capital improvement obligations in the next twelve months could total up to approximately $23,980.

The following is a summary of the acquisitions completed during the year ended December 31, 2021.

El Paso Facility

On January 12, 2021, the Company purchased a medical office building located in El Paso, Texas (the “El Paso Facility”) for a purchase price of approximately $10.0 million.  Upon closing the Company assumed three existing leases at the El Paso Facility (the “El Paso Leases”). At acquisition, the El Paso Leases had a weighted-average remaining term of approximately four years, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

970

Building and tenant improvements

 

7,709

In-place leases

 

750

Above-market lease intangibles

383

Leasing costs

 

205

Total purchase price

$

10,017

Syracuse Facility

On January 15, 2021, the Company purchased a medical office building located in Syracuse, New York (the “Syracuse Facility”) for a purchase price of approximately $6.2 million.  Upon closing the Company assumed two existing leases at the Syracuse Facility (the “Syracuse Leases”). At acquisition, the Syracuse Leases had a weighted-average remaining term of approximately eight years, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

744

Building and tenant improvements

 

4,881

In-place leases

 

434

Leasing costs

 

338

Below-market lease intangibles

(207)

Total purchase price

$

6,190

West El Paso Facilities

On January 15, 2021, the Company purchased two medical office buildings and an ambulatory surgical center located in El Paso, Texas (the “West El Paso Facilities”) for a total purchase price of approximately $9.6 million. Upon closing the Company entered into two new leases at the medical office buildings with 12-year terms and assumed the existing lease at the ambulatory surgery center, which, at acquisition, had a remaining term of seven years. All three leases have tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

995

Building and tenant improvements

 

7,727

In-place leases

 

432

Leasing costs

 

424

Total purchase price

$

9,578

Fort Worth Facility

On March 9, 2021, the Company purchased an inpatient psychiatric hospital located in Fort Worth, Texas (the “Fort Worth Facility”) for a purchase price of approximately $17.4 million. Upon closing the Company assumed the existing lease at the Fort Worth Facility (the “Fort Worth Lease”). At acquisition, the Fort Worth Lease had a remaining term of approximately eight years, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

1,960

Building and tenant improvements

 

13,415

In-place leases

 

1,339

Leasing costs

 

730

Total purchase price

$

17,444

Port St. Lucie Facility

On April 6, 2021, the Company purchased a medical office building with an ambulatory surgical center located in Port St. Lucie, Florida (the “Port St. Lucie Facility”) for a purchase price of approximately $4.8 million. Upon closing the Company assumed

two existing leases at the Port St. Lucie Facility (the “Port St. Lucie Leases”). At acquisition, the Port St. Lucie Leases had a weighted-average remaining term of approximately six years, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

660

Building and tenant improvements

 

3,768

In-place leases

 

245

Leasing costs

114

Total purchase price

$

4,787

Cape Coral and Fort Myers Facilities

On April 13, 2021, the Company purchased a six-property medical office portfolio located in Cape Coral, Florida and Fort Myers, Florida (the “Cape Coral and Fort Myers Facilities”) for a total purchase price of approximately $31.7 million. Upon closing the Company assumed six existing leases at the Cape Coral and Fort Myers Facilities (the “Cape Coral and Fort Myers Leases”). At acquisition, the Cape Coral and Fort Myers Leases had a weighted-average remaining term of approximately five years, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

6,103

Building and tenant improvements

 

21,287

In-place leases

 

2,112

Above-market lease intangibles

1,418

Leasing costs

781

Total purchase price

$

31,701

Dallas Facility

On April 16, 2021, the Company purchased a medical office building with a surgery center located in Dallas, Texas (the “Dallas Facility”) for a purchase price of approximately $6.4 million. Upon closing the Company assumed two existing leases at the Dallas Facility (the “Dallas Leases”). At acquisition, the Dallas Leases had a weighted-average remaining term of approximately seven years, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

3,164

Building and tenant improvements

 

3,062

In-place leases

 

275

Leasing costs

218

Below-market lease intangibles

 

(295)

Total purchase price

$

6,424

East Grand Forks Facilities

On April 19, 2021, the Company purchased two medical office buildings located in East Grand Forks, Minnesota (the “East Grand Forks Facilities”) for a total purchase price of approximately $9.7 million. Upon closing the Company assumed two existing leases at the East Grand Forks Facilities (the “East Grand Forks Leases”). At acquisition, the East Grand Forks Leases had a weighted-

average remaining term of approximately four years, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

1,123

Building and tenant improvements

 

7,063

In-place leases

 

1,839

Leasing costs

253

Below-market lease intangibles

 

(554)

Total purchase price

$

9,724

Coos Bay Facility

On April 21, 2021, the Company purchased a medical office building in Coos Bay, Oregon (the “Coos Bay Facility”) for a purchase price of approximately $6.5 million. Upon closing the Company assumed the existing lease at the Coos Bay Facility (the “Coos Bay Lease”). At acquisition, the Coos Bay Lease had a remaining lease term of approximately three years, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

917

Building and tenant improvements

 

5,145

In-place leases

 

316

Leasing costs

94

Total purchase price

$

6,472

Caledonia Facility

On June 2, 2021, the Company purchased a medical office building in Caledonia, Michigan (the “Caledonia Facility”) for a purchase price of approximately $3.9 million. Upon closing the Company assumed four existing leases at the Caledonia Facility (the “Caledonia Leases”). At acquisition, the Caledonia Leases had a remaining lease term of approximately four years, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

648

Building and tenant improvements

 

2,765

In-place leases

 

410

Leasing costs

87

Below-market lease intangibles

 

(47)

Total purchase price

$

3,863

Tallahassee Facility

On June 2, 2021, the Company purchased a medical office building in Tallahassee, Florida (the “Tallahassee Facility”) for a purchase price of approximately $9.2 million. Upon closing the Company assumed two existing leases at the Tallahassee Facility (the “Tallahassee Leases”). At acquisition, the Tallahassee Leases had a remaining lease term of approximately nine years, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

919

Building and tenant improvements

 

7,107

In-place leases

 

708

Leasing costs

510

Total purchase price

$

9,244

Forsyth Facilities

On July 28, 2021, the Company purchased two medical office buildings located in Forsyth, Illinois (the “Forsyth Facilities”) for a total purchase price of approximately $19.3 million. Upon closing the Company assumed six existing leases at the Forsyth Facilities (the “Forsyth Leases”). At acquisition, the Forsyth Leases had a weighted-average remaining term of approximately 10 years, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

1,902

Building and tenant improvements

 

10,083

In-place leases

 

1,456

Above-market lease intangibles

4,946

Leasing costs

1,037

Below-market lease intangibles

(164)

Total purchase price

$

19,260

North Charleston Facility

On July 29, 2021, the Company purchased a medical office building in North Charleston, South Carolina (the “North Charleston Facility”) for a purchase price of approximately $7.2 million. Upon closing the Company entered into a new lease with the existing tenant at the North Charleston Facility (the “North Charleston Lease”). The North Charleston Lease has a term of 15 years, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

1,033

Building and tenant improvements

 

5,049

In-place leases

 

534

Leasing costs

564

Total purchase price

$

7,180

Munster Facility

On September 15, 2021, the Company purchased certain condominium units within a medical office building in Munster, Indiana (the “Munster Facility”) for a purchase price of approximately $6.7 million. Upon closing the Company assumed five existing leases with five tenants and entered into three new leases with three existing tenants at the Munster Facility (the “Munster Leases”). At acquisition, the Munster Leases had a weighted-average remaining lease term of approximately seven years, exclusive of tenant renewal options.  The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

941

Building and tenant improvements

 

4,842

In-place leases

 

385

Above-market lease intangibles

292

Leasing costs

276

Below-market lease intangibles

(57)

Total purchase price

$

6,679

Hialeah Facility

On September 30, 2021, the Company purchased a medical office building located in Hialeah, Florida (the “Hialeah Facility”) and the seller’s interest, as ground lessee, in an existing ground lease, for a total purchase price of approximately $11.7 million. At acquisition, the ground lease had a remaining term of approximately 39 years. Upon closing the Company assumed 42 existing leases at the Hialeah Facility (the “Hialeah Leases”). At acquisition, the Hialeah Leases had a weighted-average remaining term of approximately 2 years, exclusive of tenant renewal options; however, due to the number of leases at the Hialeah Facility, the weighted-average remaining lease term is not comparative to the weighted-average remaining lease terms of the Company’s single-tenant properties. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

264

Building and tenant improvements

 

10,349

In-place leases

 

931

Leasing costs

300

Below-market lease intangibles

(150)

Total purchase price

$

11,694

Athens Facility

On September 30, 2021, the Company purchased certain condominium units within a medical office building in Athens, Georgia (the “Athens Facility”) for a purchase price of approximately $5.3 million. Upon closing the Company assumed the existing lease at the Athens Facility (the “Athens Lease”). At acquisition, the Athens Lease had a remaining lease term of approximately three years, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

622

Building and tenant improvements

 

4,169

In-place leases

 

472

Leasing costs

76

Total purchase price

$

5,339

Lemoyne Facilities

On December 3, 2021, the Company purchased certain condominium units within two medical office buildings located in Lemoyne, Pennsylvania (the “Lemoyne Facilities”) for a total purchase price of approximately $5.2 million. Upon closing the Company assumed an existing lease with one tenant and entered into a new lease with one existing tenant at the Lemoyne Facilities (the “Lemoyne Leases”). At acquisition, the Lemoyne Leases had a weighted-average remaining term of approximately 12 years, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

412

Building and tenant improvements

 

4,020

In-place leases

 

339

Above-market lease intangibles

267

Leasing costs

298

Below-market lease intangibles

(123)

Total purchase price

$

5,213

Athens 200 Facility

On December 13, 2021, the Company purchased certain condominium units within a medical office building in Athens, Georgia (the “Athens 200 Facility”) for a purchase price of approximately $2.0 million. Upon closing the Company assumed the existing lease at the Athens 200 Facility (the “Athens 200 Lease”). At acquisition, the Athens 200 Lease had a remaining lease term of approximately two years, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

369

Building and tenant improvements

 

1,470

In-place leases

 

180

Leasing costs

24

Total purchase price

$

2,043

Mentor Facility

On December 16, 2021, the Company purchased a medical office building located in Mentor, Ohio (the “Mentor Facility”) for a total purchase price of approximately $10.3 million. Upon closing the Company assumed 12 existing leases at the Mentor Facility (the “Mentor Leases”). At acquisition, the Mentor Leases had a weighted-average remaining term of approximately four years, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

2,603

Building and tenant improvements

 

6,544

In-place leases

 

1,140

Leasing costs

182

Below-market lease intangibles

(172)

Total purchase price

$

10,297

Oklahoma City Facility

On December 20, 2021, the Company purchased a medical office building located in Oklahoma City, Oklahoma (the “Oklahoma City Facility”) for a total purchase price of approximately $8.9 million. Upon closing the Company assumed three existing leases with three tenants and entered into a new master lease with one tenant at the Oklahoma City Facility (the “Oklahoma City Leases”). At acquisition, the Oklahoma City Leases had a weighted-average remaining term of approximately six and a half years, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

988

Building and tenant improvements

 

6,334

In-place leases

 

900

Above-market lease intangibles

334

Leasing costs

349

Total purchase price

$

8,905

Property Under Contract for Sale

On October 5, 2021, the Company entered into an agreement to sell a medical office building located in Belpre, Ohio for gross proceeds of approximately $44.6 million. The property had a net book value of approximately $29.5 million as of December 31, 2021.  The transaction is expected to be completed no earlier than June 2022. The buyer is currently in the due diligence period and the transaction is subject to various closing contingencies. Accordingly, the transaction may not close on a timely basis or the buyer may terminate the purchase agreement and not close the transaction. As of December 31, 2021 the transaction did not meet the criteria to be classified as held for sale. The Company acquired the facility as part of a portfolio of four medical office buildings in April 2018.

Summary of Properties Acquired During the Year Ended December 31, 2020

During the year ended December 31, 2020 the Company completed 18 acquisitions. For each acquisition, substantially all of the fair value was concentrated in a single identifiable asset or group of similar identifiable assets and, therefore, each acquisition represents an asset acquisition. Accordingly, transaction costs for these acquisitions were capitalized.

A rollforward of the gross investment in land, building, improvements, and acquired lease intangible assets as of December 31, 2020 resulting from these acquisitions is as follows:

    

    

Site

    

Tenant

    

Acquired Lease

    

Gross Investment in

    

Land

    

Building

    

Improvements

    

Improvements

    

Intangible Assets

    

Real Estate

Balances as of December 31, 2019

$

95,381

$

693,533

$

9,912

$

33,909

$

72,794

$

905,529

Facility Acquired – Date Acquired:

 

  

 

  

 

  

 

  

 

  

 

  

High Point – 2/13/20

 

1,749

 

20,367

 

440

 

869

 

1,656

 

25,081

Clinton – 2/27/20

 

664

 

6,551

 

342

 

1,578

 

2,484

 

11,619

West Allis – 3/4/20

 

974

 

7,687

 

137

 

98

 

461

 

9,357

Grand Rapids – 3/20/20

 

2,951

 

17,341

 

470

 

450

 

1,582

 

22,794

Dumfries – 4/27/20

2,597

10,047

289

4,815

4,292

22,040

Centerville – 7/16/20

4,202

160

208

501

5,071

Fairfax – 7/17/20

6,731

6,642

381

2,979

3,012

19,745

Rosedale – 7/31/20

2,856

16,204

567

1,443

2,821

23,891

Lancaster – 9/18/20

696

4,269

110

116

1,114

6,305

Winston-Salem – 9/30/20

1,524

6,407

254

307

748

9,240

Decatur and Jackson – 10/20/20

2,237

7,140

284

296

955

10,912

Sheboygan and Plymouth – 10/27/20

1,088

11,212

253

225

1,046

13,824

Spring Hill and Hudson – 11/18/20

3,473

12,520

420

435

1,370

18,218

Cape Girardeau – 11/23/20

1,150

4,601

73

264

1,262

7,350

Yuma – 12/1/20

1,041

4,715

309

274

640

6,979

Las Vegas – 12/14/20

311

6,813

7,124

Pensacola – 12/29/20

1,786

5,742

332

411

781

9,052

Venice – 12/30/20

1,648

4,204

247

333

543

6,975

Capitalized costs(1)

1,230

203

194

172

1,799

Total Additions:

 

33,476

 

157,894

 

5,271

 

15,295

 

25,440

 

237,376

Balances as of December 31, 2020

$

128,857

$

851,427

$

15,183

$

49,204

$

98,234

$

1,142,905

(3) Represents capital projects that were completed and placed in service during the year ended December 31, 2020 related to the Company’s existing facilities.

The following is a summary of the acquisitions completed during the year ended December 31, 2020.

High Point Facility

On February 13, 2020, the Company purchased a medical office building located in High Point, North Carolina (the “High Point Facility”) for a purchase price of approximately $25.1 million.  Upon closing, the Company assumed the existing lease of the High Point Facility with Wake Forest Health Network, LLC, as tenant. At acquisition, the lease had approximately three years remaining in the current term, exclusive of a tenant renewal option. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

2,189

Building and tenant improvements

 

21,236

In-place leases

 

1,207

Leasing costs

 

449

Total purchase price

$

25,081

Clinton Facility

On February 27, 2020, the Company purchased a medical office building located in Clinton, Iowa (the “Clinton Facility”) for a purchase price of approximately $11.6 million. Upon closing, the Company assumed the existing lease of the Clinton Facility with MercyOne Clinton Medical Center, as tenant. At acquisition, the lease had approximately four years remaining in the initial term, exclusive of a tenant renewal option. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

1,006

Building and tenant improvements

 

8,129

In-place leases

 

2,115

Leasing costs

 

369

Total purchase price

$

11,619

West Allis Facility

On March 4, 2020, the Company purchased a medical office building located in West Allis, Wisconsin (the “West Allis Facility”) for a purchase price of approximately $9.1 million. Upon closing, the Company assumed the existing lease of the West Allis Facility with Ascension Columbia St. Mary’s Hospital Milwaukee, as tenant. At acquisition, the lease had approximately four years remaining in the initial term, exclusive of renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

1,111

Building and tenant improvements

 

7,785

In-place leases

 

263

Leasing costs

 

198

Below-market lease intangibles

 

(264)

Total purchase price

$

9,093

Grand Rapids Facilities

On March 20, 2020, the Company purchased a four-building medical office portfolio located in the greater Grand Rapids, Michigan area (the “Grand Rapids Facilities”) for a total purchase price of approximately $22.7 million.  Upon closing, the Company assumed 11 existing leases at the Grand Rapids Facilities (the “Grand Rapids Leases”). At acquisition, the Grand Rapids Leases had a weighted-average remaining term of five years, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

3,417

Building and tenant improvements

 

17,791

In-place leases

 

761

Above-market lease intangibles

 

685

Leasing costs

 

136

Below-market lease intangibles

 

(125)

Total purchase price

$

22,665

Dumfries Facility

On April 27, 2020, the Company purchased a medical office building located in Dumfries, Virginia (the “Dumfries Facility”) for a purchase price of approximately $19.6 million. Upon closing, the Company assumed the existing lease of the Dumfries Facility with Spectrum Healthcare Resources, Inc., as tenant. At acquisition, the lease had approximately nine and a half years left in the initial term, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

2,886

Building and tenant improvements

 

14,862

In-place leases

 

3,255

Leasing costs

 

1,037

Below-market lease intangibles

 

(2,419)

Total purchase price

$

19,621

In connection with this acquisition, the Company assumed an existing $12.1 million commercial mortgage-backed securities (“CMBS”) loan with an interest rate of 4.68% and a term of four years.

Centerville Facility

On July 16, 2020, the Company purchased a medical office building located in Centerville, Iowa (the “Centerville Facility”) and the seller’s interest, as ground lessee, in an existing ground lease, for a purchase price of approximately $5.1 million. At acquisition, the ground lease had a remaining term of approximately 49 years. Upon closing, the Company assumed the existing lease of the Centerville Facility with Mercy Medical Center-Centerville One St. Joseph Drive, as tenant. At acquisition, the lease had approximately 10.5 years remaining in the initial term, exclusive of renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

160

Building and tenant improvements

 

4,410

In-place leases

 

216

Leasing costs

 

285

Total purchase price

$

5,071

Fairfax Facility

On July 17, 2020, the Company purchased a medical office building located in Fairfax, Virginia (the “Fairfax Facility”) for a purchase price of approximately $17.9 million. Upon closing, the Company assumed the existing lease of the Fairfax Facility with Spectrum Healthcare Resources, Inc., as tenant. At acquisition, the lease had approximately 9.1 years remaining in the initial term, exclusive of renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

7,112

Building and tenant improvements

 

9,621

In-place leases

 

2,314

Leasing costs

 

698

Below-market lease intangibles

 

(1,866)

Total purchase price

$

17,879

Rosedale Facilities

On July 31, 2020, the Company purchased certain condominium units within a medical office building and a medical office building, both located in Rosedale, Maryland (the “Rosedale Facilities”) for a total purchase price of approximately $23.1 million.  Upon closing, the Company assumed eight leases with six tenants at the Rosedale Facilities (the “Rosedale Leases”).  At acquisition, the Rosedale Leases had a weighted-average remaining lease term of approximately 6.6 years,  exclusive of renewal options.  The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

3,423

Building and tenant improvements

 

17,647

In-place leases

 

1,063

Leasing costs

 

892

Above-market lease intangibles

866

Below-market lease intangibles

 

(785)

Total purchase price

$

23,106

In connection with this acquisition, the Company entered into a loan with FVCbank in the amount of $14.8 million with an annual interest rate of 3.85% and a term of five years.

Lancaster Facility

On September 18, 2020, the Company purchased a medical office building located in Lancaster, Texas (the “Lancaster Facility”) for a purchase price of approximately $6.3 million.  Upon closing, the Company assumed the existing lease at the Lancaster Facility with Biomat USA, Inc., as tenant. At acquisition, the lease had approximately eight and a half years left in the initial term, exclusive of a tenant renewal option.  The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

806

Building and tenant improvements

 

4,385

In-place leases

 

244

Leasing costs

 

283

Above-market lease intangibles

 

587

Total purchase price

$

6,305

Winston-Salem Facility

On September 30, 2020, the Company purchased a medical office building located in Winston-Salem, North Carolina (the “Winston-Salem Facility”) for a total purchase price of approximately $8.5 million.  Upon closing, the Company assumed five existing leases at the Winston-Salem Facility (the “Winston-Salem Leases”). At acquisition, the Winston-Salem Leases had a weighted-average remaining term of approximately four years, exclusive of a tenant renewal option. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

1,778

Building and tenant improvements

 

6,714

In-place leases

 

581

Leasing costs

 

167

Below-market lease intangibles

 

(725)

Total purchase price

$

8,515

Decatur and Jackson Facilities

On October 20, 2020, the Company purchased two medical office buildings, one located in Decatur, Georgia, and one located in Jackson, Tennessee (the “Decatur and Jackson Facilities”) for a total purchase price of approximately $10.9 million. Upon closing, the Company assumed six leases with five tenants at the Decatur and Jackson Facilities (the “Decatur and Jackson Leases”). At acquisition, the Decatur and Jackson Leases had a weighted-average remaining lease term of approximately six years, exclusive of renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

2,521

Building and tenant improvements

 

7,436

In-place leases

 

556

Leasing costs

 

264

Above-market lease intangibles

135

Below-market lease intangibles

 

(27)

Total purchase price

$

10,885

Sheboygan and Plymouth Facilities

On October 27, 2020, the Company purchased two medical office buildings, one located in Sheboygan, Wisconsin, and one located in Plymouth, Wisconsin (the “Sheboygan and Plymouth Facilities”) for a total purchase price of approximately $13.8 million. Upon closing, the Company assumed three leases with two tenants at the Sheboygan and Plymouth Facilities (the “Sheboygan and Plymouth Leases”).  At acquisition, the Sheboygan and Plymouth Leases had a weighted-average remaining lease term of approximately

five years, exclusive of renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

1,341

Building and tenant improvements

 

11,437

In-place leases

 

756

Leasing costs

 

290

Total purchase price

$

13,824

Spring Hill and Hudson Facilities

On November 18, 2020, the Company purchased three medical office buildings, two located in Spring Hill, Florida, and one located in Hudson, Florida (the “Spring Hill and Hudson Facilities”) for a total purchase price of approximately $18.2 million. Upon closing, the Company assumed the three existing leases at the Spring Hill and Hudson Facilities with Florida Cancer Specialists & Research Institute LLC, as tenant.  At acquisition, each lease had approximately eight years left in initial term, exclusive of renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

3,893

Building and tenant improvements

 

12,955

In-place leases

 

831

Leasing costs

 

539

Total purchase price

$

18,218

Cape Girardeau Facility

On November 23, 2020, the Company purchased an ambulatory surgery center located in Cape Girardeau, Missouri (the “Cape Girardeau Facility”) for a total purchase price of approximately $7.4 million. Upon closing, the Company assumed the existing lease at the Cape Girardeau Facility with Physicians Alliance, L.C., as tenant. At acquisition, the lease had a remaining term of approximately six years, exclusive of renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

1,223

Building and tenant improvements

 

4,865

In-place leases

 

687

Leasing costs

 

188

Above-market lease intangibles

 

387

Total purchase price

$

7,350

Yuma Facilities

On December 1, 2020, the Company purchased two medical office buildings located in Yuma, Arizona (the “Yuma Facilities”) for a total purchase price of approximately $7.0 million. Upon closing, the Company assumed the two existing leases at the Yuma Facilities with Yuma Regional Medical Center, as tenant. At acquisition, the leases had a weighted-average remaining term of approximately four years, exclusive of a renewal option. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

1,350

Building and tenant improvements

 

4,989

In-place leases

 

439

Leasing costs

 

136

Above-market lease intangibles

 

65

Total purchase price

$

6,979

Las Vegas Facilities

On December 14, 2020, the Company purchased two medical office buildings located in Las Vegas, Nevada (the “Las Vegas Facilities”) for a total purchase price of approximately $7.1 million. Upon closing, the Company entered into new leases with two existing tenants at the Las Vegas Facilities (the “Las Vegas Leases”). The Las Vegas Leases have a term of 12 years, exclusive of renewal options. The following table presents the details of the tangible assets acquired:

Land and site improvements

    

$

311

Building and tenant improvements

 

6,813

Total purchase price

$

7,124

Pensacola Facilities

On December 29, 2020, the Company purchased three medical office buildings located in Pensacola, Florida (the “Pensacola Facilities”) for a total purchase price of approximately $9.1 million. Upon closing, the Company assumed the three existing leases with two tenants at the Pensacola Facilities (the “Pensacola Leases”).  At acquisition, the Pensacola Leases had a weighted-average remaining lease term of approximately nine years, exclusive of renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

2,118

Building and tenant improvements

 

6,153

In-place leases

 

456

Leasing costs

 

325

Total purchase price

$

9,052

Venice Facilities

On December 30, 2020, the Company purchased two medical office buildings located in Venice, Florida (the “Venice Facilities”) for a total purchase price of approximately $7.0 million. Upon closing, the Company assumed the two existing leases at the Venice Facilities with Gulf Coast HMA Physician Management, LLC, as tenant.  At acquisition, each lease had approximately five and a half years left in initial term, with no renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed:

Land and site improvements

    

$

1,895

Building and tenant improvements

 

4,537

In-place leases

 

387

Leasing costs

 

156

Total purchase price

$

6,975

Lease Intangible Assets and Liabilities

The following is a summary of the carrying amount of lease intangible assets and liabilities as of December 31, 2021 and 2020:

As of December 31, 2021

Accumulated

    

Cost

    

Amortization

    

Net

Assets

In-place leases

$

70,527

$

(23,638)

$

46,889

Above market leases

 

22,615

 

(6,407)

 

16,208

Leasing costs

 

34,789

 

(10,201)

 

24,588

$

127,931

$

(40,246)

$

87,685

Liability

Below market leases

$

11,842

$

(3,714)

$

8,128

As of December 31, 2020

    

    

Accumulated

    

Cost

Amortization

Net

Assets

 

  

 

  

 

  

In-place leases

$

55,561

$

(14,592)

$

40,969

Above market leases

 

14,972

 

(4,023)

 

10,949

Leasing costs

 

27,701

 

(6,284)

 

21,417

$

98,234

$

(24,899)

$

73,335

Liability

 

 

 

Below market leases

$

10,072

$

(1,850)

$

8,222

The following is a summary of the acquired lease intangible amortization:

Year Ended December 31, 

    

2021

    

2020

    

2019

Amortization expense related to in-place leases

$

9,046

$

6,741

$

3,814

Amortization expense related to leasing costs

$

3,917

$

2,826

$

1,755

Decrease in rental revenue related to above market leases

$

2,384

$

1,657

$

1,270

Increase in rental revenue related to below market leases

$

(1,864)

$

(1,153)

$

(389)

Future aggregate net amortization of the acquired lease intangible assets and liabilities as of December 31, 2021, is as follows:

    

    

Net Decrease

Net Increase

in Revenue

in Expenses

2022

$

(847)

$

14,695

2023

 

(887)

 

13,713

2024

 

(726)

 

11,596

2025

 

(1,116)

 

8,082

2026

 

(1,180)

 

6,653

Thereafter

 

(3,324)

 

16,738

Total

$

(8,080)

$

71,477

For the year ended December 31, 2021, the weighted average amortization period for asset lease intangibles and liability lease intangibles are 5.0 years and 4.0 years, respectively.