The Board of Trustees and the Physicians Realty Trust (NYSE: DOC) team are very proud to report our results for 2019 and look forward to 2020. Since our inception in 2013, we have grown from $124 million to $4.8 billion in gross real estate investments as of December 31, 2019, representing 76% compound annual growth. We invested $452 million into high-quality medical office facilities in 2019, producing 10% annual growth. We could not have generated this growth without investors like you. Many of you have been with us since our IPO and many have joined along the way. We thank you.
We ended 2019 with a healthy portfolio, a strong balance sheet, and a pipeline poised for 2020 growth. 2019 provided opportunities to showcase the resilience of healthcare real estate, especially outpatient-focused medical office real estate, and we expect continued growth and resiliency for years to come. Download PDF 
The Board of Trustees and the Physicians Realty Trust (NYSE: DOC) team are very proud to report our results for 2019 and look forward to 2020. Since our inception in 2013, we have grown from $124 million to $4.8 billion in gross real estate investments as of December 31, 2019, representing 76% compound annual growth. We invested $452 million into high-quality medical office facilities in 2019, producing 10% annual growth. We could not have generated this growth without investors like you. Many of you have been with us since our IPO and many have joined along the way. We thank you.
Since our founding in July 2013, DOC's incredible growth has been built on strong relationships with physicians and hospital executives across the country and centered on a culture of industry-leading customer service and operational excellence.
Launched the new DOCREIT.com with a section dedicated to our Corporate Responsibility and ESG efforts. The new website also enhances the user navigation experience for investors, healthcare partners, and potential tenants.
Achieved IREM® Certified Sustainable Property (CSP) certification at eight multi-tenant properties. The IREM® CSP is a sustainability certification program
