Cogdell Spencer Inc. is an integrated, self-administered and self-managed real estate investment trust (REIT) that invests in healthcare facilities, including medical offices and ambulatory surgery and diagnostic centers. The Company focuses on the ownership, delivery, acquisition, and management of healthcare facilities in the United States of America. The Company operates its business, through Cogdell Spencer LP, its operating partnership subsidiary (the Operating Partnership), and its subsidiaries. The Company operates in two segments: Property Operations, and Design-Build and Development. Property Operations owns and manages properties and manages properties for third parties. Design-Build and Development provides strategic planning, design, construction, development, and project management services for properties owned by the Company and for third parties. In July 2010, the Company acquired St. Francis Outpatient Center in Greenville, South Carolina.