CNL Healthcare Properties (CHTH) 10-K 23 Mar 22 2021 FY Annual report Financial data

Document and Entity Information

Document and Entity Information - USD ($) $ in Billions	12 Months Ended
	Dec. 31, 2021	Mar. 21, 2022	Jun. 30, 2021
Cover [Abstract]
Document Type	10-K
Amendment Flag	false
Document Period End Date	Dec. 31, 2021
Document Fiscal Year Focus	2021
Document Fiscal Period Focus	FY
Entity Registrant Name	CNL Healthcare Properties, Inc.
Entity Central Index Key	0001496454
Entity Current Reporting Status	Yes
Entity Well-known Seasoned Issuer	No
Entity Voluntary Filers	No
Current Fiscal Year End Date	--12-31
Entity Filer Category	Non-accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity File Number	000-54685
Entity Tax Identification Number	27-2876363
Entity Address, Address Line One	CNL Center at City Commons
Entity Address, Address Line Two	450 South Orange Avenue
Entity Address, City or Town	Orlando
Entity Address, State or Province	FL
Entity Address, Postal Zip Code	32801
City Area Code	407
Local Phone Number	650-1000
Entity Common Stock, Shares Outstanding		173,960,540
Entity Interactive Data Current	Yes
Entity Incorporation, State or Country Code	MD
DocumentAnnualReport	true
Document Transition Report	false
Title of 12(g) Security	Common Stock, $0.01 par value per share
No Trading Symbol Flag	true
ICFR Auditor Attestation Flag	false
Entity Public Float			$ 1.3
Auditor Name	PricewaterhouseCoopers LLP
Auditor Location	Tampa, Florida
Auditor Firm ID	238
Documents Incorporated by Reference	DOCUMENTS INCORPORATED BY REFERENCE None

CONSOLIDATED BALANCE SHEETS

CONSOLIDATED BALANCE SHEETS - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
ASSETS
Real estate investment properties, net (including VIEs $42,846 and $43,890, respectively)	$ 1,347,229	$ 1,392,860
Assets held for sale, net	0	7,421
Cash	53,161	61,475
Restricted cash	4,520	4,536
Other assets	18,700	23,341
Deferred rent, lease incentives and intangibles, net	12,970	14,408
Total assets	1,436,580	1,504,041
Liabilities:
Mortgages and other notes payable, net	89,400	336,685
Credit facilities	499,728	263,423
Accounts payable and accrued liabilities	29,170	24,519
Other liabilities	6,115	8,255
Due to related parties	1,406	1,780
Liabilities associated with assets held for sale	0	10
Total liabilities	625,819	634,672
Commitments and contingencies (Note 10)
Redeemable noncontrolling interest	520	572
Stockholders' equity:
Preferred stock, $0.01 par value per share, 200,000 shares authorized; none issued or outstanding	0	0
Excess shares, $0.01 par value per share, 300,000 shares authorized; none issued or outstanding	0	0
Common stock, $0.01 par value per share, 1,120,000 shares authorized, 186,626 shares issued and 173,960 shares outstanding	1,740	1,740
Capital in excess of par value	1,516,926	1,516,926
Accumulated income	101,861	124,743
Accumulated distributions	(811,493)	(775,866)
Accumulated other comprehensive loss	(10)	(35)
Total stockholders' equity	809,044	867,508
Noncontrolling interest	1,197	1,289
Total equity	810,761	869,369
Total liabilities and equity	$ 1,436,580	$ 1,504,041

CONSOLIDATED BALANCE SHEETS (Pa

CONSOLIDATED BALANCE SHEETS (Parenthetical) - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
Real estate investment properties, net	$ 1,347,229	$ 1,392,860
Cash	53,161	61,475
Other assets	18,700	23,341
Restricted cash	4,520	4,536
Mortgages and other notes payable, net	89,400	336,685
Accounts payable and accrued liabilities	29,170	24,519
Other liabilities	$ 6,115	$ 8,255
Preferred stock, par value	$ 0.01	$ 0.01
Preferred stock, shares authorized	200,000,000	200,000,000
Preferred stock, shares issued	0	0
Preferred stock, shares outstanding	0	0
Excess shares, par value	$ 0.01	$ 0.01
Excess shares, shares authorized	300,000,000	300,000,000
Excess shares, shares issued	0	0
Excess shares, shares outstanding	0	0
Common stock, par value	$ 0.01	$ 0.01
Common stock, shares authorized	1,120,000,000	1,120,000,000
Common stock, shares issued	186,626,000	186,626,000
Common stock, shares outstanding	173,960,000	173,960,000
Variable Interest Entity, Primary Beneficiary
Real estate investment properties, net	$ 42,612	$ 43,890
Cash	1,597	505
Other assets	544	524
Restricted cash	59	102
Mortgages and other notes payable, net	28,855	29,158
Accounts payable and accrued liabilities	1,489	490
Other liabilities	$ 299	$ 242

CONSOLIDATED STATEMENTS OF OPER

CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($) shares in Thousands, $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Revenues:
Rental income and related revenues	$ 30,101	$ 26,287	$ 37,786
Resident fees and services	$ 265,321	$ 280,854	$ 288,344
Type of revenue [extensible list]	us-gaap:HealthCareResidentServiceMember	us-gaap:HealthCareResidentServiceMember	us-gaap:HealthCareResidentServiceMember
Total revenues	$ 295,422	$ 307,141	$ 326,130
Operating expenses:
Property operating expenses	197,562	193,427	188,578
General and administrative expenses	9,116	9,413	13,217
Financing Coordination Fees	0	0	1,878
Impairment provision	9,790	0	0
Depreciation and amortization	50,417	51,817	49,823
Total operating expenses	295,599	286,480	284,929
Gain on sale of real estate	0	1,074	432
Operating (loss) income	(177)	21,735	41,633
Other income (expense):
Interest and other income	720	5,655	1,531
Interest expense and loan cost amortization	(19,696)	(24,285)	(39,618)
Equity in earnings of unconsolidated entity	471	1,050	731
Total other expense	(18,505)	(17,580)	(37,356)
(Loss) income before income taxes	(18,682)	4,155	4,277
Income tax expense	(4,174)	(1,098)	(2,211)
(Loss) income from continuing operations	(22,856)	3,057	2,066
(Loss) income from discontinued operations	(10)	954	349,730
Net (loss) income	(22,866)	4,011	351,796
Less: Amounts attributable to noncontrolling interests
Net income from continuing operations	16	99	35
Net income from discontinued operations	0	0	265
Net (loss) income attributable to common stockholders	$ (22,882)	$ 3,912	$ 351,496
Net (loss) income per share of common stock (basic and diluted)
Continuing operations	$ (0.13)	$ 0.01	$ 0.01
Discontinued operations		$ 0.01	$ 2.01
Weighted average number of shares of common stock outstanding (basic and diluted)	173,960	173,960	173,963
Asset Management Fees
Operating expenses:
Asset management fees	$ 15,733	$ 18,051	$ 18,593
Property Management Fees
Operating expenses:
Asset management fees	$ 12,981	$ 13,772	$ 12,840

CONSOLIDATED STATEMENTS OF COMP

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Statement of Comprehensive Income [Abstract]
Net (loss) income	$ (22,866)	$ 4,011	$ 351,796
Other comprehensive income (loss):
Unrealized gain (loss) on derivative financial instruments, net	40	11	(980)
Reclassification of interest rate swaps upon derecognition	0	0	(509)
Reclassification of interest rate caps upon derecognition	0	2	265
Unrealized gain (loss) on derivative financial instruments of equity method investments	5	(12)	11
Total other comprehensive income (loss)	45	1	(1,213)
Comprehensive (loss) income	(22,821)	4,012	350,583
Less: Comprehensive income (loss) attributable to noncontrolling interest	16	99	300
Comprehensive (loss) income attributable to common stockholders	$ (22,837)	$ 3,913	$ 350,283

CONSOLIDATED STATEMENTS OF STOC

CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY AND REDEEMABLE NONCONTROLLING INTEREST - USD ($)	Total	Redeemable Noncontrolling Interest	Common Stock	Capital in Excess of Par Value	Accumulated Income (Loss)	Accumulated Distributions	Accumulated Other Comprehensive (Loss) Income	Total Stockholders' Equity	Non- controlling Interest
Beginning balance at Dec. 31, 2018	$ 941,926,000	$ 579,000	$ 1,740,000	$ 1,516,543,000	$ (233,847,000)	$ (345,347,000)	$ 1,177,000	$ 940,266,000	$ 1,081,000
Beginning Balance (in shares) at Dec. 31, 2018			173,963,000
Redemptions of common stock	(23,000)			(23,000)				(23,000)
Redemptions of common stock, shares			(3,000)
Net income (loss)	351,796,000	25,000			351,496,000			351,496,000	275,000
Other comprehensive income (loss)	(1,213,000)						(1,213,000)	(1,213,000)
Distributions to noncontrolling interests	(682,000)	46,000							636,000
Distributions to holders of promoted interest	406,000			406,000				406,000
Cash distributions declared	(394,892,000)					394,892,000		394,892,000
Contributions from noncontrolling interests	531,000								531,000
Ending Balance at Dec. 31, 2019	901,031,000	558,000	$ 1,740,000	1,516,926,000	120,831,000	(740,239,000)	(36,000)	899,222,000	1,251,000
Ending Balance (in shares) at Dec. 31, 2019			173,960,000
Adoption of lease accounting standard | Accounting Standards Update 2016-02 [Member]	3,182,000				3,182,000			3,182,000
Net income (loss)	4,011,000	44,000			3,912,000			3,912,000	55,000
Other comprehensive income (loss)	1,000						1,000	1,000
Distributions to noncontrolling interests	(122,000)	30,000							92,000
Distributions to holders of promoted interest	0
Cash distributions declared	(35,627,000)					35,627,000		35,627,000
Contributions from noncontrolling interests	75,000								75,000
Ending Balance at Dec. 31, 2020	$ 869,369,000	572,000	$ 1,740,000	1,516,926,000	124,743,000	(775,866,000)	(35,000)	867,508,000	1,289,000
Ending Balance (in shares) at Dec. 31, 2020	173,960,000		173,960,000
Net income (loss)	$ (22,866,000)	60,000			(22,882,000)			(22,882,000)	(44,000)
Other comprehensive income (loss)	45,000						45,000	45,000
Distributions to noncontrolling interests	(160,000)	112,000							48,000
Distributions to holders of promoted interest	0
Cash distributions declared	(35,627,000)					35,627,000		35,627,000
Ending Balance at Dec. 31, 2021	$ 810,761,000	$ 520,000	$ 1,740,000	$ 1,516,926,000	$ 101,861,000	$ (811,493,000)	$ 10,000	$ 809,044,000	$ 1,197,000
Ending Balance (in shares) at Dec. 31, 2021	173,960,000		173,960,000

CONSOLIDATED STATEMENTS OF ST_2

CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY AND REDEEMABLE NONCONTROLLING INTEREST(Parenthetical) - $ / shares	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Statement of Stockholders' Equity [Abstract]
Cash distributions, declared per share	$ 0.20480	$ 0.20480	$ 2.26999

CONSOLIDATED STATEMENTS OF CASH

CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Operating activities:
Net (loss) income	$ (22,866)	$ 4,011	$ 351,796
(Loss) income from discontinued operations	(10)	954	349,730
(Loss) income from continuing operations	(22,856)	3,057	2,066
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Depreciation and amortization	50,417	51,817	49,823
Amortization of loan costs	2,193	2,041	2,509
Amortization of premium for debt investments	(42)	(42)	(42)
Straight-line rent adjustments	1,231	1,697	733
Deferred income tax benefit	3,632	553	1,682
Loss on extinguishment of debt	43	35	804
Impairment provision	9,790	0	0
Write-off of deferred rent and lease related costs	0	2,468	0
Gain on sale of real estate	0	(1,074)	(432)
Other non-cash operating activities	1,304	1,212	2,189
Other assets	(1,326)	1,299	(5,789)
Deferred rent and lease incentives	(250)	0	0
Accounts payable and accrued liabilities	4,718	505	2,198
Other liabilities	(2,108)	(1,003)	42
Due to related parties	(374)	(495)	(977)
Net cash flows provided by operating activities - continuing operations	46,372	62,070	54,806
Straight-line rent adjustments	0	0	(1,242)
Loss on extinguishment of debt	0	0	2,547
Write-off of deferred rent and lease related costs	0	103	67
Gain on sale of real estate	0	0	(336,074)
Other assets	14	0	0
Accounts payable and accrued liabilities	(8)	3	(6,265)
Other liabilities	(3)	1	(4,203)
Other operating activities	(3)	(12)	584
Net cash flows (used in) provided by operating activities - discontinued operations	(10)	1,049	5,144
Net cash flows provided by operating activities	46,362	63,119	59,950
Investing activities:
Proceeds from sale of real estate	0	53,712	5,989
Capital expenditures	(14,186)	(12,231)	(6,409)
Other investing activities	35	41	1,676
Net cash (used in) provided by investing activities - continuing operations	(14,151)	41,522	1,256
Proceeds from sale of real estate	7,402	28,398	1,354,461
Capital expenditures	0	0	(1,466)
Other investing activities	0	0	(723)
Net cash provided by investing activities - discontinued operations	7,402	28,398	1,352,272
Net cash (used in) provided by investing activities	(6,749)	69,920	1,353,528
Financing activities:
Distributions to stockholders, net of distribution reinvestments	(35,627)	(35,627)	(394,892)
Redemptions of common stock	0	0	(23)
Draws under credit facilities	238,000	40,000	95,000
Proceeds from mortgage and other notes payable	0	0	21,452
Payment of loan costs	(2,404)	(122)	(6,413)
Principal payments on mortgages and other notes payable	(247,753)	(39,737)	(680,864)
Repayments on credit facilities	0	(80,000)	(464,125)
Other financing activities	(159)	(79)	(577)
Net cash flows used in financing activities	(47,943)	(115,565)	(1,430,442)
Net (decrease) increase in cash and restricted cash	(8,330)	17,474	(16,964)
Cash and restricted cash at beginning of period, including assets held for sale	66,011	48,537	65,501
Cash and restricted cash at end of period, including assets held for sale	57,681	66,011	48,537
Supplemental disclosure of cash flow information (continuing operations):
Cash paid for interest	17,615	23,181	39,250
Cash paid for taxes, net	$ 690	$ 737	$ 641

Organization

Organization	12 Months Ended
	Dec. 31, 2021
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Organization	1. Org anization CNL Healthcare Properties, Inc. (the “Company”) is a Maryland corporation that has elected to be taxed as a real estate investment trust (“REIT”) for United States (“U.S.”) federal income tax purposes. The Company has been and intends to continue to be organized and operate in a manner that allows it to remain qualified as a REIT for U.S. federal income tax purposes. The Company conducts substantially all of its operations either directly or indirectly through: (1) an operating partnership, CHP Partners, LP (“Operating Partnership”), in which the Company is the sole limited partner and its wholly-owned subsidiary, CHP GP, LLC, is the sole general partner; (2) a wholly-owned taxable REIT subsidiary (“TRS”), CHP TRS Holding, Inc.; (3) property owner and lender subsidiaries, which are single purpose entities; and (4) investments in joint ventures. The Company is externally managed and advised by CNL Healthcare Corp. (“Advisor”), which is an affiliate of CNL Financial Group, LLC (“Sponsor”). The Sponsor is an affiliate of CNL Financial Group, Inc. (“CNL”). The Advisor is responsible for managing the Company’s day-to-day operations, serving as a consultant in connection with policy decisions to be made by the board of directors, and for identifying, recommending and executing on possible strategic alternatives and dispositions on the Company’s behalf pursuant to an advisory agreement among the Company, the Operating Partnership and the Advisor. Substantially all of the Company’s operating, administrative and certain property management services are provided by affiliates of the Advisor. In addition, certain property management services are provided by third-party property managers. In 2017, the Company began evaluating possible strategic alternatives to provide liquidity to the Company’s stockholders. In April 2018, the Company’s board of directors formed a special committee consisting solely of its independent directors (“Special Committee”) to consider possible strategic alternatives, including, but not limited to (i) the listing of the Company’s or one of its subsidiaries’ common stock on a national securities exchange, (ii) an orderly disposition of the Company’s assets or one or more of the Company’s asset classes and the distribution of the net sale proceeds thereof to the stockholders of the Company and (iii) a potential business combination or other transaction with a third party or parties that provides the stockholders of the Company with cash and/or securities of a publicly traded company (collectively, among other options, “Possible Strategic Alternatives”). Since 2018, the Special Committee has engaged KeyBanc Capital Markets Inc. to act as a financial advisor to the aforementioned Special Committee. As part of executing on Possible Strategic Alternatives, the Company committed to a plan to sell 70 properties which included the sale of its 63 property MOB/Healthcare Portfolio (consisting of 53 medical office buildings (“MOBs”), five post-acute care facilities and five acute care hospitals across the US) plus seven skilled nursing facilities. As of December 31, 2021, the Company had sold 69 of these properties. In September 2020, the Company decided to discontinue marketing for sale its Hurst Specialty Hospital due to financial difficulties experienced by the tenant of this property and in March 2022, entered into a purchase and sale agreement to sell this last property it had previously planned to sell. Refer to Note 16. “Subsequent Events” for additional information. As of December 31, 2021 , the Company’s healthcare investment portfolio was geographically diversified with properties in 26 states and consisted of interests in 73 properties, including 71 senior housing communities, the Hurst Specialty Hospital and one vacant land parcel. The Company has primarily leased its seniors housing properties to wholly-owned TRS entities and engaged independent third-party managers under management agreements to operate the properties under the RIDEA structures; however, the Company has also leased some of its properties to third-party tenants under triple-net or similar lease structures, where the tenant bears all or substantially all of the costs (including cost increases, for real estate taxes, utilities, insurance and ordinary repairs). In addition, most of the Company’s investments have been wholly owned, although, it has, to a lesser extent, invested through partnerships with other entities where it was believed to be appropriate and beneficial.

Summary of Significant Accounti

Summary of Significant Accounting Policies	12 Months Ended
	Dec. 31, 2021
Accounting Policies [Abstract]
Summary of Significant Accounting Policies	2. Summary of Significant Accounting Policies Basis of Presentation and Consolidation — The accompanying consolidated financial statements include the Company’s accounts, the accounts of wholly owned subsidiaries or subsidiaries for which the Company has a controlling interest, the accounts of VIEs in which the Company is the primary beneficiary, and the accounts of other subsidiaries over which the Company has a controlling financial interest. All material intercompany accounts and transactions have been eliminated in consolidation. In accordance with the guidance for the consolidation of a VIE, the Company is required to identify entities for which control is achieved through means other than voting rights and to determine the primary beneficiary of its VIEs. The Company qualitatively assesses whether it is the primary beneficiary of a VIE and considers various factors including, but not limited to, the design of the entity, its organizational structure including decision-making ability and financial agreements, its ability and the rights of others to participate in policy making decisions, as well as its ability to replace the VIE manager and/or liquidate the entity. Government Grant Income — On March 27, 2020, the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”) was signed into law which provided, among other things, for the establishment of a Provider Relief Fund under the direction of the Department of Health and Human Services (“HHS”). Grant income is recognized upon receipt of grant income and when all the conditions of the grant have been met. During the years ended December 31, 2021 and 2020, the Company received provider relief funds ( “ PRFs”) and recorded approximately $0.5 million and $5.3 million, respectively, as other income in the accompanying consolidated statements of operations as all conditions of the grant had been met. In September 2021, HHS announced that additional funds were made available for healthcare providers under Phase 4 of the Provider Relief Fund. The Company submitted an application under Phase 4 in September 2021 and is awaiting specific guidance from HHS on how Phase 4 relief will be distributed. Risks and Uncertainties — In March 2020, the World Health Organization declared the outbreak of the novel coronavirus (“COVID-19”) as a pandemic around the globe. Since the onset of the pandemic, we have operated and continue to operate our communities through the disruptions and uncertainties of the pandemic, including disruptions from new variants of the virus during 2021. The COVID-19 pandemic has had and may continue to have a material and adverse impact on our financial condition, results of operations and cash flows. The extent of the continued impact of COVID-19 on our financial condition results of operations and cash flows is uncertain and cannot be predicted at the current time as it depends on several factors beyond our control including, but not limited to (i) the severity and duration of the outbreak caused by new variants of the virus, (ii) the effectiveness and acceptance of vaccines, (iii) the pandemic’s impact on the U.S. and global economies, (iv) the timing, scope and effectiveness of additional governmental responses to the pandemic and (v) the timing and speed of economic recovery. Use of Estimates — The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities as of the date of the consolidated financial statements, the reported amounts of revenues and expenses during the reporting periods and the disclosure of contingent liabilities. For example, significant assumptions are made in the analysis of real estate impairments, the valuation of contingent assets and liabilities, and the valuation of restricted common stock (“Restricted Stock”) shares issued to the Advisor. Accordingly, actual results could differ from those estimates. Depreciation and Amortization — Real estate costs related to the acquisition and improvement of properties are capitalized. Repair and maintenance costs are charged to expense as incurred and significant replacements and improvements are capitalized. Repair and maintenance costs include all costs that do not extend the useful life of the real estate asset. The Company considers the period of future benefit of an asset to determine its appropriate useful life. Real estate assets are stated at cost less accumulated depreciation, which is computed using the straight-line method of accounting over the estimated useful lives of the related assets. Buildings and improvements are depreciated on the straight-line method over their estimated useful lives, which generally are the lesser of 39 and 15 years, respectively. 2. Summary of Significant Accounting Policies (Continued) Amortization of intangible assets is computed using the straight-line method of accounting over the shorter of the respective lease term or estimated useful life. If a lease is terminated or modified prior to its scheduled expiration, the Company recognizes a loss on lease termination related to the unamortized lease-related costs not deemed to be recoverable. Impairment of Real Estate Assets — Real estate assets are reviewed on an ongoing basis to determine whether there are any impairment indicators. Management considers potential impairment indicators to primarily include (i) changes in a real estate asset’s operating performance, such as a current period net operating loss combined with a history of net operating losses, or changes in a lease which demonstrate potential future losses associated with the use of a real estate asset or (ii) a current expectation that, more likely than not, a real estate asset will be sold or otherwise disposed of significantly before the end of its previously estimated holding period. To assess if an asset group is potentially impaired, management compares the estimated current and projected undiscounted cash flows, including estimated net sales proceeds, of the asset group over its remaining useful life to the net carrying value of the asset group. Such cash flow projections consider factors such as expected future operating income, trends and prospects, as well as the effects of demand, competition and other factors. In the event that the carrying value exceeds the undiscounted operating cash flows, the Company would recognize an impairment provision to adjust the carrying value of the asset group to the estimated fair value. When impairment indicators are present for real estate indirectly owned, through an investment in a joint venture or other similar investment structure accounted for under the equity method, the Company compares the estimated fair value of its investment to the carrying value. An impairment charge will be recorded to the extent fair value of the investment is less than the carrying value and the decline in value is determined to be other than a temporary decline. Assets Held For Sale, net and Discontinued Operations — The Company determines to classify a property as held for sale once management has the authority to approve and commits to a plan to sell the property, the property is available for immediate sale, there is an active program to locate a buyer, the sale of the property is probable and the transfer of the property is expected to occur within one year. Upon the determination to classify a property as held for sale, the Company ceases recording further depreciation and amortization relating to the associated assets and those assets are measured at the lower of its carrying amount or fair value less disposition costs and are presented separately in the consolidated balance sheets for all periods presented. In addition, the Company classifies assets held for sale as discontinued operations if the disposal represents a strategic shift that has (or will have) a major effect on the Company’s operations and financial results. For any disposal(s) qualifying as discontinued operations, the Company allocates interest expense and loan cost amortization that directly relates to either: (1) expense on mortgages and other notes payable collateralized by properties classified as discontinued operations; or (2) expense on the Company’s Credit Facilities, which is allocated based on the value of the properties that are classified as discontinued operations since these properties are included in the Credit Facilities’ unencumbered pool of assets and the related indebtedness is required to be repaid upon sale of the properties. Assets Reclassified from Held for Sale to Held and Used — Upon management’s determination to discontinue marketing properties for sale, the properties will no longer meet the held for sale criteria and are required to be reclassified as held and used at the lower of adjusted carrying value (carrying value of the properties prior to being classified as held for sale adjusted for any depreciation and/or amortization expense that would have been recognized had the properties been continuously classified as held and used) or its fair value at the date of the subsequent decision not to sell. If adjusted carrying value is determined to be lower, a catch-up depreciation and/or amortization adjustment will be recorded. The depreciation and/or amortization expenses that would have been recognized had the properties been continuously classified as held and used will be included as a component of depreciation and amortization expense in the accompanying consolidated statements of operations. If fair value is determined to be lower, the Company will record a loss on reclassification which will be included in income or loss from continuing operations in the accompanying consolidated statements of operations. 2. Summary of Significant Accounting Policies (Continued) Cash — Cash consists of demand deposits at commercial banks. The Company also invests in cash equivalents consisting of highly liquid investments in money market funds with original maturities of three months or less. As of December 31, 2021 , certain of the Company’s cash deposits exceeded federally insured amounts. However, the Company continues to monitor the third-party depository institutions that hold the Company’s cash, primarily with the goal of safeguarding principal. The Company attempts to limit cash investments to financial institutions with high credit standing; therefore, the Company believes it is not exposed to any significant credit risk on cash. Restricted Cash — Certain amounts of cash are escrowed to fund capital expenditures, property taxes and/or insurance as required by loan or lease terms, and certain security deposits represent restricted use funds. Loan Costs — Financing costs paid in connection with obtaining debt are deferred and amortized over the estimated life of the debt using the effective interest method. As of December 31, 2021 and 2020 , the accumulated amortization of loan costs was approximately $ 9.5 million and $ 8.3 million, respectively. Deferred Lease-Related Costs — The Company deferred lease-related costs that it incurred to obtain new or extend existing leases. The Company amortizes these costs using the straight-line method of accounting over the shorter of the respective lease term or estimated useful life. If a lease is terminated or modified prior to its scheduled expiration, the Company recognizes a loss on lease termination related to any unamortized deferred lease-related costs not deemed to be recoverable. Revenue Recognition — Rental income and related revenues for operating leases are recognized based on the assessment of collectability of lease payments. When collectability is probable at commencement of the lease, lease income is recognized on an accrual basis and includes rental income that is recorded on the straight-line basis over the term of the lease. Collectability is reassessed during the lease term. When collectability of lease payments is no longer probable, lease income is recorded on a cash basis and limited to the amount of lease payments collected. In addition, lease related costs (the deferred rent from prior GAAP straight-line adjustments, unamortized lease costs and other lease related intangibles) are written-off when the Company determines that these assets are no longer realizable. Rental income and related revenues recorded on an accrual basis include rental income that is recorded on the straight-line basis over the terms of the leases. The straight-line method records the periodic average amount of base rent earned over the term of a lease, taking into account contractual rent increases over the lease term. The Company records the difference between base rent revenues earned and amounts due per the respective lease agreements, as applicable, as an increase or decrease to deferred rent and lease incentives in the accompanying consolidated balance sheets. Rental income and related revenues also include amounts for which tenants are required to reimburse the Company related to expenses incurred on behalf of the tenants, in accordance with the terms of the leases. Tenant reimbursements are recognized in the period in which the related reimbursable expenses are incurred, such as real estate taxes, common area maintenance, and similar items. Some of the Company’s leases require the tenants to pay certain additional contractual amounts that are set aside by the Company for replacements of fixed assets and other improvements to the properties. These amounts are and will remain the property of the Company during and after the term of the lease. The amounts are recorded as capital improvement reserve income at the time such amounts are earned and are included in rental income and related revenues in the accompanying consolidated statements of operations. Additional percentage rent that is due contingent upon tenant performance thresholds, such as gross revenues, is deferred until the underlying performance thresholds have been achieved. Resident fees and services are operating revenues relating to the Company’s managed seniors housing properties, which are operated under RIDEA structures. Resident fees and services directly relate to the provision of monthly goods and services that are generally bundled together under a single resident agreement. 2. Summary of Significant Accounting Policies (Continued) The Company accounts for its resident agreements as a single performance obligation under ASC 606 given the Company’s overall promise to provide a series of stand-ready goods and services to its residents each month. Resident fees and services are recorded in the period in which the goods are provided and the services are performed and generally consist of (1) monthly rent, which covers occupancy of the residents’ unit as well as basic services, such as utilities, meals and certain housekeeping services, and (2) service level charges, such as assisted living care, memory care and ancillary services. Resident agreements are generally short-term in nature, billed monthly in advance and cancelable by the residents with a 30-day notice. Resident agreements may require the payment of upfront fees prior to moving into the community with any non-refundable portion of such fees being recorded as deferred revenue and amortized over the estimated resident stay. Reclassifications — Certain amounts in the prior years’ consolidated balance sheet, statements of operations and statements of cash flows have been reclassified to conform to the current year’s presentation, primarily related to classification of certain properties as held for sale and/or discontinued operations, with no effect on the other previously reported consolidated financial statements. Derivative Financial Instruments — The Company and an unconsolidated equity method investment held by the Company use or have used derivative financial instruments to partially offset the effect of fluctuating interest rates on the cash flows associated with its variable-rate debt. Upon entry into a derivative, the Company or its unconsolidated equity method investment formally designates and documents the financial instrument as a hedge of a specific underlying exposure, as well as the risk management objectives and strategies for undertaking the hedge transaction. The Company or its unconsolidated equity method investment accounts for derivatives through the use of a fair value concept whereby the derivative positions are stated at fair value in the accompanying consolidated balance sheets. The fair value of derivatives used to hedge or modify risk fluctuates over time. As such, the fair value amounts should not be viewed in isolation, but rather in relation to the cash flows or fair value of the underlying hedged transaction and to the overall reduction in the exposure relating to adverse fluctuations in interest rates on the Company’s or its unconsolidated equity method investment’s variable-rate debt. Realized and unrealized gain (loss) on derivative financial instruments designated by either the Company or its unconsolidated equity method investment as cash flow hedges are reported as a component of other comprehensive income (loss), a component of stockholders’ equity, in the accompanying consolidated statements of comprehensive income (loss) to the extent they are effective; reclassified into earnings on the same line item associated with the hedged transaction and in the same period the hedged transaction affects earnings. Realized and unrealized gain (loss) on derivative financial instruments designated as cash flow hedges that are entered into by the Company’s equity method investment are reported as a component of the Company’s other comprehensive income (loss) in proportion to the Company’s ownership percentage in the investment, with reclassifications being included in equity in earnings (loss) of unconsolidated entity in the accompanying consolidated statements of operations. Fair Value Measurements — Fair value assumptions are based on the framework established in the fair value accounting guidance under GAAP. The framework specifies a hierarchy of valuation inputs which was established to increase consistency, clarity and comparability in fair value measurements and related disclosures. The guidance describes the following fair value hierarchy based upon three levels of inputs that may be used to measure fair value, two of which are considered observable and one that is considered unobservable: • Level 1 — Quoted prices (unadjusted) in active markets for identical assets or liabilities that the Company has the ability to access. • Level 2 — Inputs, other than quoted prices included in Level 1, that are observable for the asset or liability either directly or indirectly; such as, quoted prices for similar assets or liabilities or other inputs that can be corroborated by observable market data. • Level 3 — Unobservable inputs for the asset or liability, which are typically based on the Company’s own assumptions, as there is little, if any, related market activity. 2. Summary of Significant Accounting Policies (Continued) When market data inputs are unobservable, the Company utilizes inputs that it believes reflects the Company’s best estimate of the assumptions market participants would use in pricing the asset or liability. When inputs used to measure fair value fall within different levels of the hierarchy, the level within which the fair value measurement is categorized is based on the lowest level input that is significant to the fair value measurement. The estimated fair value of accounts payable and accrued liabilities approximates the carrying value as of December 31, 2021 and 2020 because of the relatively short maturities of the obligations. Mortgages and Other Notes Payable — Mortgages and other notes payable are recorded at the stated principal amount and are generally collateralized by the Company’s properties. Mortgages and other notes payable assumed in connection with an acquisition are recorded at fair market value as of the date of the acquisition. Net Income (Loss) per Share — Net income (loss) per share is calculated based upon the weighted average number of shares of common stock outstanding during the period in which the Company was operational. Share-Based Payments to Non-Employees — In connection with the expense support agreement described in Note 10. “Related Party Arrangements,” the Company may issue Restricted Stock to the Advisor on an annual basis in exchange for providing expense support in the event that cash distributions declared exceed MFFO as defined by the expense support agreement. The Restricted Stock is forfeited if stockholders do not ultimately receive their original invested capital back with at least a 6 % annualized return of investment upon a future liquidity or disposition event of the Company. Upon issuance of Restricted Stock, the Company measures the fair value at its then-current lowest aggregate fair value pursuant to ASC 505-50. On the date in which the Advisor satisfies the vesting criteria, the Company remeasures the fair value of the Restricted Stock pursuant to ASC 505-50 and records expense equal to the difference between the original fair value and that of the remeasurement date. In addition, given that performance is outside the control of the Advisor and involves both market conditions and counterparty performance conditions, the shares are treated as unissued for accounting purposes and the Company only includes the Restricted Stock in the calculation of diluted earnings per share to the extent their effect is dilutive and the vesting conditions have been satisfied as of the reporting date. Pursuant to the expense support agreement, the Advisor shall be the record owner of the Restricted Stock until the shares of common stock are sold or otherwise disposed of, and shall be entitled to all of the rights of a stockholder of the Company including, without limitation, the right to vote such shares (to the extent permitted by the Company’s articles of incorporation) and receive all distributions paid with respect to such shares. All distributions actually paid to the Advisor in connection with the Restricted Stock shall vest immediately and will not be subject to forfeiture. The Company recognizes expense related to the distributions on the Restricted Stock shares as declared. Segment Information — Operating segments are components of an enterprise for which separate financial information is available and is evaluated regularly by the chief operating decision maker in deciding how to allocate resources and assess performance. The Company has determined that it operates in one operating segment, real estate ownership. The Company’s chief operating decision maker evaluates the Company’s operations from a number of different operational perspectives including, but not limited to, a property-by-property basis, by tenant or by operator. The Company derives all significant revenues from a single reportable operating segment of business, healthcare real estate, regardless of the type (seniors housing, medical office, etc.) or ownership structure (leased or managed). Accordingly, the Company does not report segment information; nevertheless, management periodically evaluates whether the Company continues to have one single reportable segment of business. 2. Summary of Significant Accounting Policies (Continued) Redeemable Noncontrolling Interest — The Company classifies redeemable equity securities in accordance with Accounting Standard Update (“ASU”) No. 2009-04, “Liabilities (Topic 480): Accounting for Redeemable Equity Instruments,” which requires that equity securities redeemable at the option of the holder be classified outside of permanent stockholders’ equity. The Company classifies redeemable equity securities as redeemable noncontrolling interest within the accompanying consolidated balance sheets and consolidated statements of stockholders’ equity and redeemable noncontrolling interest. The Company evaluates the probability that these equity securities will become redeemable at each reporting period and, if determined probable, the Company measures the redemption value and records an adjustment to the carrying value of the equity securities as a component of redeemable noncontrolling interest. Promoted Interest — The Company accounts for promoted interests with third-party developers in a manner similar to redeemable noncontrolling interests discussed above. The Company records the initial carrying value of the promoted interest at its issuance date fair value. Subsequently, as the completed developments stabilize and it becomes probable that the promoted interest thresholds will be met, the Company records a liability equal to the estimated redemption value at the end of each reporting period based on the conditions that exist as of the balance sheet date. In connection with the measurement of this liability, the Company records, as a reduction to capital in excess of par value, an amount equal to the difference between the promoted interests’ carrying value and the consideration paid or payable. Income Taxes — The Company has elected to be taxed as a REIT under Sections 856 through 860 of the Internal Revenue Code of 1986, as amended and related regulations beginning with the year ended December 31, 2012. In order to be taxed as a REIT, the Company is subject to certain organizational and operational requirements, including the requirement to make distributions to its stockholders each year of at least 90% of its annual REIT taxable income (which is computed without regard to the dividends-paid deduction or net capital gain and which does not necessarily equal net income as calculated in accordance with GAAP). If the Company qualifies for taxation as a REIT, the Company generally will not be subject to U.S. federal income tax on income that the Company distributes as dividends. If the Company fails to qualify as a REIT in any taxable year, the Company will be subject to U.S. federal income tax on its taxable income at regular corporate income tax rates and generally will not be permitted to qualify for treatment as a REIT for federal income tax purposes for the four taxable years following the year during which qualification is lost, unless the IRS grants the Company relief under certain statutory provisions. Even if the Company qualifies for taxation as a REIT, it may be subject to certain state and local taxes on its income and property, and U.S. federal income and excise taxes on its undistributed income. The Company has formed subsidiaries which elected to be taxed as a TRS for U.S. federal income tax purposes. Under the provisions of the Internal Revenue Code and applicable state laws, a TRS will be subject to tax on its taxable income from its operations. The Company will account for federal and state income taxes with respect to a TRS using the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the consolidated financial statement carrying amounts of existing assets and liabilities, the respective tax bases, operating losses and/or tax-credit carryforwards. A valuation allowance is provided if we believe it is more likely than not that all or some portion of the deferred tax asset will not be realized. Any increase or decrease in the valuation allowance that results from a change in circumstances, and that causes us to change our judgment about the realizability of the related deferred tax asset, is included in the tax provision when such changes occur. 2. Summary of Significant Accounting Policies (Continued) Investment in Unconsolidated Entity — The Company accounts for its investment in an unconsolidated joint venture under the equity method of accounting as the Company exercises significant influence, but does not maintain a controlling financial interest over these entities. The investment is recorded initially at cost and subsequently adjusted for cash contributions, distributions and equity in earnings (loss) of the unconsolidated entity. Based on the joint venture’s structure and any preference the Company receives on distributions and liquidation, the Company records its equity in earnings (loss) of the unconsolidated entity under the hypothetical liquidation at book value (“HLBV”) method of accounting. Under this method, the Company recognizes income or loss in each period as if the net book value of the assets in the venture were hypothetically liquidated at the end of each reporting period pursuant to the provisions of the joint venture agreement. In any given period, the Company could be recording more or less equity in earnings (loss) than actual cash distributions received or an investment balance that is more or less than what the Company may receive in the event of an actual liquidation. The Company determines whether distributions are classified as returns on investment or returns of investment based on the nature of the distribution. Recently Adopted Accounting Pronouncements — In December 2019, the FASB issued ASU No. 2019-12, “ Income Taxes (Topic 740): Simplifying the Accounting for Income Taxes” ( “ ASU 2019-12”), which is intended to simplify various aspects related to accounting for income taxes. ASU 2019-12 removes certain exceptions to the general principles in Topic 740 and also clarifies and amends existing guidance to improve consistent application. This new guidance was effective for the Company beginning on January 1, 2021 and did not have a material impact on the Company’s financial statements. In Q1 2020, the FASB issued ASU 2020-04, Reference Rate Reform (Topic 848). ASU 2020-04 contains practical expedients for reference rate reform related activities that impact debt, leases, derivatives and other contracts. The guidance in ASU 2020-04 is optional and may be elected over time as reference rate reform activities occur. During the year ended December 31, 2020, the Company elected to apply the hedge accounting expedients related to probability and the assessments of effectiveness for future LIBOR-indexed cash flows to assume that the index upon which future hedged transactions will be based matches the index on the corresponding derivatives. Application of these expedients preserves the presentation of derivatives consistent with past presentation. As of December 31, 2021, the Company does not anticipate that this guidance will have a material impact on its consolidated financial statements; however, the Company will continue to assess the potential impact on its variable rate debt contracts and future hedging relationships, as applicable.

Revenue

Revenue	12 Months Ended
	Dec. 31, 2021
Revenue from Contract with Customer [Abstract]
Revenue	3. Revenue The following table presents disaggregated revenue related to the Company’s resident fees and services during the years ended December 31, 2021, 2020 and 2019: Years Ended December 31, Number of Revenues Percentage 2021 2020 2019 2021 2020 2019 2021 2020 2019 Resident fees and services: Independent living 2,243 2,256 2,261 $ 69.6 $ 72.6 $ 74.3 26.2 % 25.9 % 25.8 % Assisted living 2,960 2,947 2,966 128.9 138.1 140.5 48.6 % 49.2 % 48.7 % Memory care 904 904 853 53.2 57.7 59.4 20.1 % 20.5 % 20.6 % Other revenues — — — 13.6 12.5 14.1 5.1 % 4.4 % 4.9 % 6,107 6,107 6,080 $ 265.3 $ 280.9 $ 288.3 100.0 % 100.0 % 100.0 %

Real Estate Assets, net

Real Estate Assets, net	12 Months Ended
	Dec. 31, 2021
Real Estate [Abstract]
Real Estate Assets, net	4. Real Estate Assets, net The gross carrying amount and accumulated depreciation of the Company’s real estate assets as of December 31, 2021 and 2020 are as follows, excluding assets held for sale (in thousands): December 31, December 31, 2021 2020 Land and land improvements $ 133,339 $ 132,663 Building and building improvements 1,497,143 1,501,107 Furniture, fixtures and equipment 101,602 94,141 Less: accumulated depreciation ( 384,855 ) ( 335,051 ) Real estate investment properties, net $ 1,347,229 $ 1,392,860 During the year ended December 31, 2020, the Company sold the six properties comprising the Perennial Communities and recorded a gain on sale from continuing operations of approximately $ 1.1 million for financial reporting purposes. As described in Note 1. “ Organization”, in September 2020, the Company discontinued marketing efforts related to the sale of the Hurst Specialty Hospital, an acute care property that the Company had previously classified as assets held for sale, due to financial difficulties of the tenant and their inability to remain current under the terms of their triple net lease. As a result of discontinuing marketing efforts, the Hurst Specialty Hospital no longer met the assets held for sale criteria and the Company recorded an adjustment of $ 1.5 million in September 2020 , representing the catch up in depreciation expense that would have been recognized had the Hurst Specialty Hospital been continuously classified as held and used. In addition, the Company determined an estimate of fair value of the Hurst Specialty Hospital in order to reclassify the property as held and used at the lower of adjusted carrying value or fair value. The Company discounted the net expected cash flows from the property, plus an estimate of sales proceeds from the ultimate disposition of this property, to estimate the fair value of the Hurst Specialty Hospital. The Company used Level 3 unobservable inputs that included estimates of expected cash flows and a capitalization rate based on appraisal information from an independent third-party valuation firm engaged as a valuation advisor and comparable sales/broker transactions . The estimated fair value was higher than the adjusted carrying value of the property. The Company reclassified the Hurst Specialty Hospital as held and used at the adjusted carrying value, which was lower than its fair value, resulting in no loss on reclassification of this property. The Company recorded all operating results from the Hurst Specialty Hospital as income or loss from continuing operations for all periods presented. 4. Real Estate Assets, net (Continued) During the year ended December 31, 2020, the tenant of the Hurst Specialty Hospital was unable to remain current under its lease obligation and the Company established rent reserves of $ 0.8 million for uncollected rents as of December 31, 2020. The Company assessed that collectability of lease payments was not probable and recorded rental income on a cash basis. The Company also recorded a write-off of $ 2.5 million, representing the deferred rent from prior GAAP straight-line adjustments and unamortized lease costs, because the Company determined that these assets were not realizable due to continued financial difficulties of the tenant. In March 2022, the Company entered into a purchase and sale agreement for the Hurst Specialty Hospital with an unrelated third party for a gross sales price of $ 8.5 million. In conjunction therewith, the Company determined that the carrying value of this property was not recoverable and during the year ended December 31, 2021, recorded an impairment provision of approximately $ 9.8 million to write-down the carrying value of its Hurst Specialty Hospital to its estimated sales proceeds expected from the sale of the Hurst Specialty Hospital. As a result, the Hurst Specialty Hospital was carried at fair value as of December 31, 2021. The Level 3 unobservable inputs used in determining the fair value were based on estimated sales proceeds. The Company did not record impairment provisions from continuing operations during the years ended December 31, 2020 and 2019, or have any investment properties carried at fair value as of December 31, 2020. Depreciation expense on the Company’s real estate investment pro perties, net was approximately $ 50.0 million , $ 51.4 million and $ 49.4 million for the years ended December 31, 2021, 2020 and 2019, respectivel y. Depreciation expense for the year ended December 31, 2020 includes the $ 1.5 million depreciation catch up adjustment described above and depreciation through the determination date on the assets held for sale.

Intangibles, net

Intangibles, net	12 Months Ended
	Dec. 31, 2021
Goodwill and Intangible Assets Disclosure [Abstract]
Intangibles, net	5. Intangibles, net The gross carrying amount and accumulated amortization of the Company’s intangible assets as of December 31, 2021 and 2020 are as follows (in thousands): As of December 31, 2021 2020 In-place lease intangibles $ 3,944 $ 3,944 Less: accumulated depreciation ( 3,512 ) ( 3,118 ) Intangible assets, net $ 432 $ 826 For each of the years ended December 31, 2021, 2020 and 2019, amortization on the Company’s intangible assets was approximately $ 0.4 million , all of which was included in depreciation and amortization in the Company's consolidated statements of operations. The estimated future amortization on the Company’s intangibles for each of the next five years and thereafter, in the aggregate, as of December 31, 2021 is as follows (in thousands): 2022 $ 253 2023 74 2024 74 2025 31 2026 ― Thereafter ― $ 432

Assets and Associated Liabiliti

Assets and Associated Liabilities Held For Sale and Discontinued Operations	12 Months Ended
	Dec. 31, 2021
Real Estate Liabilities Associated with Assets Held for Development and Sale [Abstract]
Assets and Associated Liabilities Held For Sale and Discontinued Operations	6. Assets and Associated Liabilities Held For Sale and Discontinued Operations As described in Note 1. “Organization,” as part of executing on Possible Strategic Alternatives, and excluding the Hurst Specialty Hospital, which the Company ceased marketing for sale as described above in Note 4. “Real Estate Assets, net,” the Company’s board of directors agreed to a plan to sell 69 properties, 62 of which met the criteria for classification as discontinued operations as further described below. During the years ended December 31, 2021, 2020 and 2019, the Company sold one acute care property, one property and 60 properties, respectively. As of December 31, 2021, the Company did not have any properties classified as held for sale. As of December 31, 2020, the one acute care property classified as assets held for sale and liabilities associated with those assets held for sale (which was sold in January 2021) consisted of the following (in thousands): As of December 31, 2020 MOB/Healthcare Portfolio Real estate held for sale, net $ 5,922 Intangibles, net 1,481 Other assets 18 Assets held for sale, net $ 7,421 Accounts payable and accrued liabilities $ 8 Other liabilities 2 Liabilities associated with assets held for sale $ 10 The Company classified the revenues and expenses related to the Company’s MOB/Healthcare Portfolio, which consisted of 62 properties, as discontinued operations in the accompanying consolidated statements of operations, as management believed the sale of these properties represented a strategic shift in the Company’s operations. The following table is a summary of income from discontinued operations for the years ended December 31, 2021, 2020 and 2019 (in thousands): Years Ended December 31, 2021 2020 2019 Revenues: Rental income and related revenues $ 6 $ 1,266 $ 46,073 Operating expenses: Property operating expenses 3 7 11,333 General and administrative 3 138 411 Asset management fees 8 139 4,689 Property management fees 5 28 1,257 Total operating expenses 19 312 17,690 Gain on sale of real estate — — 336,074 Operating (loss) income ( 13 ) 954 364,457 Other income (expense): Interest and other income — — 56 Interest expense and loan cost amortization — — ( 14,618 ) Total other income (expense) — — ( 14,562 ) (Loss) income before income taxes ( 13 ) 954 349,895 Income tax benefit (expense) 3 — ( 165 ) (Loss) income from discontinued operations $ ( 10 ) $ 954 $ 349,730

Operating Leases

Operating Leases	12 Months Ended
	Dec. 31, 2021
Leases [Abstract]
Operating Leases	7. Operating Leases As of December 31, 2021, the Company own ed 15 seni ors housing properties and the Hurst Specialty Hospital that have been leased to tenants under triple-net operating leases. Under the terms of the Company’s triple-net lease agreements, each tenant is responsible for the payment of property taxes, general liability insurance, utilities, repairs and maintenance, including structural and roof maintenance expenses. Each tenant is expected to pay real estate taxes directly to the taxing authorities and, therefore, such amounts are not included in the Company’s consolidated financial statements. However, if the tenant does not pay the real estate taxes, the Company will be liable for such amounts. As of December 31, 2021 , the total annualized property tax assessed on these properties was approximately $ 3.2 million. As of December 31, 2021, the Company’s triple-net operating leases had a weighted average remaining lease term of 5.7 years based on annualized base rents expiring betw een 2025 and 2032 , subject to the tenants’ options to extend the lease terms by an additional five years . In addition, certain tenants hold options to extend the lease terms for multiple five-year periods, which are generally subject to similar terms and conditions provided under the initial lease term, including rent increases. The Company’s lease term is determined based on the non-cancellable lease term unless economic incentives make it reasonably certain that an extension option will be exercised, in which case the Company includes the extended lease term. The following are future minimum lease payments for the Com pany’s 15 senior housing properties and the Hurst Specialty Hospital to be received under non-cancellable operating leases for the five years and thereafter, in the aggregate, as of December 31, 2021 (in thousands): 2022 $ 28,754 2023 29,013 2024 29,508 2025 22,926 2026 11,737 Thereafter 64,451 $ 186,389 The above future minimum lease payments to be received exclude straight-line rent adjustments and base rent attributable to any renewal options exercised by the tenants in the future. Several of our operating leases include options to extend the lease term. For purposes of determining the lease term, we exclude these extension periods unless it is reasonably certain at lease commencement that the extension options will be exercised.

Variable Interest Entities

Variable Interest Entities	12 Months Ended
	Dec. 31, 2021
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Variable Interest Entities	. Variable Interest Entities As of December 31, 2021 and 2020 , the Company had two subsidiaries classified as VIEs. These s ubsidiaries are joint ventures with completed real estate under development in which their equity interest consists of non-substantive protective voting rights. Additionally, one of the subsidiaries has insufficient equity at risk due to the development nature of the joint venture. The Company determined it is the primary beneficiary and holds a controlling financial interest in each of these subsidiaries due to its power to direct the activities that most significantly impact the economic performance of the entities, as well as its obligation to absorb the losses and its right to receive benefits from these entities that could potentially be significant to these entities. As such, the transactions and accounts of these VIEs are included in the accompanying consolidated financial statements. 8. Variable Interest Entities (Continued) The aggregate carrying amount and major classifications of the consolidated assets that can be used to settle obligations of the VIEs and liabilities of the consolidated VIEs that are non-recourse to the Company as of December 31, 2021 and 2020 are as follows (in thousands): As of December 31, 2021 2020 Assets: Real estate investment properties, net $ 42,612 $ 43,890 Cash $ 1,597 $ 505 Restricted cash $ 59 $ 102 Other assets $ 544 $ 524 Liabilities: Mortgages and other notes payable, net $ 28,855 $ 29,158 Accounts payable and accrued liabilities $ 1,489 $ 490 Other liabilities $ 299 $ 242 The Company’s maximum exposure to loss as a result of its involvement with these VIEs is limited to its net investment in these entities which totaled approximately $ 12.8 million as of December 31, 2021 . The Company’s exposure is limited because of the non-recourse nature of the borrowings of the VIEs.

Indebtedness

Indebtedness	12 Months Ended
	Dec. 31, 2021
Debt Disclosure [Abstract]
Indebtedness	9. Indebtedness The following table provides details of the Company’s indebtedness as of December 31, 2021 and 2020, (in thousands): As of December 31, 2021 2020 Mortgages payable and other notes payable: Fixed rate debt (1) $ 89,766 $ 337,519 Premium (2) 59 101 Loan costs, net ( 425 ) ( 935 ) Total mortgages and other notes payable, net 89,400 336,685 Credit facilities: Revolving Credit Facility (3)(4)(5) 88,000 ― Term Loan Facility (3)(5) 265,000 265,000 2021 Term Loan Facility (3)(5) 150,000 ― Loan costs, net related to Term Loan Facilities ( 3,272 ) ( 1,577 ) Total credit facilities, net 499,728 263,423 Total indebtedness, net $ 589,128 $ 600,108 9. Indebtedness (Continued) _____________ FOOTNOTES: (1) As of December 31, 2021 and 2020 , the Company’s mortgages and other notes payable are collateralized by seven and 29 properties, respectively, with total carrying value of approximately $ 135.4 million and $ 497.4 million, respectively. (2) Premium is reflective of the Company recording mortgage note payables assumed at fair value on the respective acquisition dates. (3) As of December 31, 2021 and 2020, the Company had entered into interest rate caps with notional amounts of approximately $ 355.0 million and $ 225.0 million , respectively. Refer to Note 11. “Derivative Financial Instruments” for additional information. (4) As of December 31, 2021 and 2020 , the Company had undrawn availability under the applicable revolving credit facility of approximately $ 14.1 mill ion and $ 150.2 million, respectively, based on the value of the properties in the unencumbered pool of assets supporting the loan, which includes certain assets held for sale. (5) The 30-day LIBOR was approximately 0.10 % and 0.14 %, respectively, as of December 31, 2021 and 2020. During the year ended December 31, 2020, the Company repaid $ 39.7 million of indebtedness, which included the Primrose II Communities and the Fieldstone at Pear Orchard property, both of which matured during 2020 . In April 2020, the Company borrowed $ 40 million under its Revolving Credit Facility as a precautionary measure to increase liquidity and preserve financial flexibility in light of COVID-19 and in September 2020 repaid $ 80 million under its Revolving Credit Facility. In September 2021, the Company entered into a new term loan agreement (the “Term Loan Agreement”), which provided for an additional $ 150 million senior unsecured term loan facility (the “2021 Term Loan Facility”) to complement and become part of the Company's existing Credit Facilities. The 2021 Term Loan Facility has an initial term that is co-terminus with the Credit Facilities, maturing May 15, 2024 , subject to one 12-month extension, and bears interest based on 30-day LIBOR plus a spread that varies with the Company's leverage ratio . The 2021 Term Loan Facility is pre-payable at any time in whole or part without fees or penalties, has a borrowing availability calculation that is subject to a similar borrowing base calculation as the Credit Facilities and contains similar affirmative, negative and financial covenants as the covenants in the Credit Facilities. Upon the execution of the Term Loan Agreement, the Company paid fees totaling approximately $ 0.9 million to unrelated third parties and a refinancing coordination fee to the Advisor of approximately $ 1.5 million. See Note 10. “Related Party Arrangements” for additional information regarding the financing coordination fee. In October 2021, the Company refinanced secured indebtedness of approximately $ 238.0 million , consisting of debt collateralized by 22 properties, in advance of its scheduled maturity of January 2022 using proceeds from the unsecured 2021 Term L oan Facility and available borrowings under its Revolving Credit Facility. The following is a schedule of future principal payments and maturity for the Company’s total indebtedness for the next five years and thereafter, in the aggregate, as of December 31, 2021 (in thousands): 2022 $ 45,684 2023 111,407 2024 435,675 2025 — 2026 — Thereafter — $ 592,766 9. Indebtedness (Continued) The Company had liquidity of approximately $ 67.3 million as of December 31, 2021 (consisting of $ 53.2 million in cash on hand and $ 14.1 million of availability under its Revolving Credit Facility) a nd was well positioned to manage its near-term debt maturities. The Company has $ 45.7 million of scheduled principal payments coming due during the year ending December 31, 2022, which includes $ 45.0 million relating to secured debt collateralized by five properties that matures in September 2022. Management has begun exploring several repayment or refinancing options, including using availability from its unsecured Revolving Credit Facility or refinancing the facility with another lending institution as a secured debt facility. The following table details the Company’s mortgages and other notes payable, all of which were fixed rate debt, as of December 31, 2021 and 2020, (in thousands): Property and Loan Interest Rate at December Maturity December 31, Type 31, 2021 Payment Terms Date (1) 2021 2020 Pacific Northwest Communities; 4.30 % Monthly principal and interest payments based on a 25-year amortization schedule 1/5/2022 $ ― $ 189,938 Capital Health Communities; (2) (3) Monthly principal and interest payments based on a 25-year amortization schedule 1/5/2022 ― 55,925 Primrose I Communities; (3) 4.11 % Monthly principal and interest payments based on a 30-year amortization schedule 9/1/2022 45,019 46,317 Watercrest at Mansfield; (4) 4.68 % Monthly principal and interest payments based on a total payment of $143,330 6/1/2023 23,473 24,065 Watercrest at Katy; 3.25 % Monthly interest only payments through November 2022; principal and interest payments thereafter based on a 25-year amortization schedule 11/15/2024 21,274 21,274 Total mortgages and other notes payable, net $ 89,766 $ 337,519 _____________ FOOTNOTES: (1) Represents the initial maturity date (or, as applicable, the maturity date as extended). (2) Consisted of a mortgage loan and a supplemental loan. The mortgage loan accrued interest at a fixed rate equal to 4.25 % per annum. The supplemental loan accrued interest at a fixed rate equal to 4.3 % per annum. (3) If prepaid prior to May 30, 2022, the prepayment penalty will be 1 % of the outstanding principal balance of the Primrose I Communities Mortgage Loan. No prepayment fee is required if the Primrose I Communities Mortgage Loan is prepaid between May 31, 2022 and maturity. Partial prepayment of a loan is not permitted. The loan is transferable upon sale of the assets subject to lender approval. (4) The balance for this loan excludes a remaining premium of $ 0.1 million related to the mortgage note payable assumed being recorded at fair value on the acquisition date. 9. Indebtedness (Continued) The following table provides the details of the fair market value and carrying value of the Company’s indebtedness as of December 31, 2021 and 2020 (in millions): December 31, December 31, 2021 2020 Fair Carrying Fair Carrying Mortgages and other notes payable, net $ 90.4 $ 89.4 $ 339.4 $ 336.7 Credit facilities, net $ 503.0 $ 499.7 $ 265.0 $ 263.4 These fair market values are based on current rates and spreads the Company would expect to obtain for similar borrowings. Since this methodology includes inputs that are less observable by the public and are not necessarily reflected in active markets, the measurement of the estimated fair values related to the Company’s mortgage notes payable is categorized as Level 3 on the three-level valuation hierarchy. Generally, the loan agreements for the Company’s mortgage loans contain customary financial covenants and ratios; including (but not limited to) the following: debt service coverage ratio, minimum occupancy levels, limitations on incurrence of additional indebtedness, etc. The loan agreements also contain customary events of default and remedies for the lenders. The credit facilities contain affirmative, negative, and financial covenants which are customary for loans of this type, including (but not limited to): (i) maximum leverage, (ii) minimum fixed charge coverage ratio, (iii) minimum consolidated net worth, (iv) restrictions on payments of cash distributions except if required by REIT requirements, (v) maximum secured indebtedness, (vi) maximum secured recourse debt, (vii) minimum unsecured interest coverage, (viii) maximum unsecured indebtedness ratio, and (ix) limitations on certain types of investments and with respect to the pool of properties supporting borrowings under the credit facilities, minimum weighted average occupancy, and remaining lease terms, as well as property type, MSA, operator, and asset value concentration limits. The limitations on distributions generally include a limitation on the extent of allowable distributions, which are not to exceed the greater of 95 % of adjusted FFO (as defined per the credit facilities) and the minimum amount of distributions required to maintain the Company’s REIT status. As of December 31, 2021 the Company was in compliance with all financial covenants related to its Credit Facilities.

Related Party Arrangements

Related Party Arrangements	12 Months Ended
	Dec. 31, 2021
Related Party Transactions [Abstract]
Related Party Arrangements	10. Related Party Arrangements The Company is externally advised and has no direct employees. Certain of the Company’s executive officers are executive officers of, or are on the board of managers of the Advisor. In connection with services provided to the Company, affiliates are entitled to the following fees: Advisor — The Advisor and certain affiliates are entitled to receive fees and compensation in connection with the acquisition, management and sale of the Company’s assets, as well as the refinancing of debt obligations of the Company or its subsidiaries. In addition, the Advisor and its affiliates are entitled to reimbursement of actual costs incurred on behalf of the Company in connection with the Company’s organizational, offering, acquisition and operating activities. Pursuant to the advisory agreement, as amended, t he Advisor receives investment services fees equal to 1.85 % of the purchase price of properties (including its proportionate share of properties acquired through joint ventures) for services rendered in connection with the selection, evaluation, structure and purchase of assets. In addition, the Advisor is entitled to receive a monthly asset management fee based on the average real estate asset value (as defined in the advisory agreement) of the Company’s pro perties, including its proportionate share of properties owned through joint ventures. In May 2021, the Company extended its advisory agreement with the Advisor through June 2022 and, effective with the renewal, reduced the asset management fee from 1.0 % per annum to 0.8 % per annum of average invested assets. The Advisor will also receive a financing coordination fee for services rendered with respect to refinancing of any debt obligations of the Company or its subsidiaries equal to 1.0 % of the gross amount of the refinancing. The Company will pay the Advisor, if a substantial amount of services are provided as determined by the Company’s independent directors, a disposition fee in an amount equal to (a) 1 % of the gross market capitalization of the Company upon the occurrence of a listing on a national securities exchange, or 1 % of the gross consideration paid upon the occurrence of a liquidity event as a result of a merger, share exchange or acquisition or similar transaction pursuant to which the stockholders receive cash and/or listed or non-listed securities, or (b) 1 % of the gross sales price upon the sale or transfer of one or more assets (including a sale of all the Company’s assets). The Company will not pay its Advisor a disposition fee in connection with the sale of investments that are securities. A disposition fee in the form of a usual and customary brokerage fee may be paid to an affiliate or related party of the Advisor, provided that when added to the sum of all brokerage and real estate fees and commissions paid to unaffiliated parties, the disposition fee to the Advisor may not exceed the lesser of (i) a competitive real estate or brokerage commission or (ii) an amount equal to 6 % of the gross sales price. Under the advisory agreement and the Company’s articles of incorporation, the Advisor will be entitled to receive certain subordinated incentive fees upon (a) sales of assets and/or (b) a listing (which would also include the receipt by the Company’s stockholders of securities that are approved for trading on a national securities exchange in exchange for shares of the Company’s common stock as a result of a merger, share acquisition or similar transaction). However, once a listing occurs, the Advisor will not be entitled to receive an incentive fee on subsequent sales of assets. The incentive fees are calculated pursuant to formulas set forth in the expense support agreement, the advisory agreement and the Company’s articles of incorporation. All incentive fees payable to the Advisor are subordinated to the return to investors of their invested capital plus a 6 % cumulative, non-compounded annual return on their invested capital. Upon termination or non-renewal of the advisory agreement by the Advisor for good reason (as defined in the advisory agreement) or by the Company other than for cause (as defined in the advisory agreement), a listing or sale of assets after such termination or non-renewal will entitle the Advisor to receive a pro-rated portion of the applicable subordinated incentive fee. In addition, the Advisor or its affiliates may be entitled to receive fees that are usual and customary for comparable services in connection with the financing, development, construction or renovation of a property, subject to approval of the Company’s board of directors, including a majority of its independent directors. 10. Related Party Arrangements (Continued) Pursuant to the advisory agreement, the Advisor shall reimburse the Company the amount by which the total operating expenses paid or incurred by the Company exceed, in any four consecutive fiscal quarters commencing with the Expense Year ending June 30, 2013, the greater of 2 % of average invested assets or 25 % of net income (as defined in the advisory agreement) (“Limitation”), unless a majority of the Company’s independent directors determines that such excess expenses are justified based on unusual and non-recurring factors (“Expense Cap Test”). In performing the Expense Cap Test, the Company uses operating expenses on a GAAP basis after making adjustments for the benefit of expense support under the Expense Support Agreement. The Company did not incur operating expenses in excess of the Limitation during the Expense Years ended December 31, 2021, 2020 and 2019. Amended and Restated Expense Support Agreement — Pursuant to the Amended and Restated Expense Support Agreement, the Company’s Advisor agreed to forgo the payment of fees in cash and accept Restricted Stock for services in an amount equal to the positive excess, if any, of (a) Aggregate Stockholder Cash Distributions declared for the applicable year, over (b) aggregate MFFO, each as defined in the Amended and Restated Expense Support Agreement. The Restricted Stock is subordinated and forfeited to the extent that stockholders do not receive their invested capital plus a 6 % cumulative non-compounded annual return upon ultimate liquidity of the Company. Any amounts settled, and for which restricted stock shares were issued pursuant to the Amended and Restated Expense Support Agreement, have been permanently settled and the Company has no further obligation to pay such amounts. Under the terms of the Amended and Restated Expense Support Agreement, for each quarter within a calendar expense support year, the Company will record a proportional estimate of the cumulative year-to-date period based on an estimate of expense support amounts for the calendar expense support year. Moreover, in exchange for services rendered and in consideration of the expense support provided under the expense support agreement, the Company will issue, within 90 days following the determination date, a number of shares of Restricted Stock equal to the quotient of the expense support amounts provided by the Advisor for the preceding calendar year divided by the Company’s then-current estimated NAV per share of common stock. The terms of the Amended and Restated Expense Support Agreement automatically renew for consecutive one-year periods, subject to the right of the Advisor to terminate their respective agreements upon 30 days’ written notice to the Company. CNL Capital Markets LLC — CNL Capital Markets LLC, an affiliate of CNL, receives a sliding flat annual rate (payable monthly) based on the average number of investor accounts that will be open over the term of the agreement. For each of the years ended December 31, 2021, 2020 and 2019, the Company incurred approximately $ 0.9 million in suc h fees. These amounts are included in general and administrative expenses in the accompanying consolidated statements of operations. Co-Venture Partners —The Company incurs operating expenses which, in general, relate to administration of the Company and its subsidiaries on an ongoing basis. 10. Related Party Arrangements (Continued) The expenses and fees incurred by and reimbursable to the Company’s related parties, including amounts included in income from discontinued operations, for the years ended December 31, 2021, 2020 and 2019, and related amounts unpaid as of December 31, 2021 and 2020 are as follows (in thousands): Years Ended Unpaid amounts as of (1) December 31, December 31, December 31, 2021 2020 2019 2021 2020 Reimbursable expenses: Operating expenses (2) $ 2,972 $ 3,517 $ 5,066 $ 214 $ 275 2,972 3,517 5,066 214 275 Disposition fee (3) — 143 3,031 — ― Financing coordination fees (4) 1,500 61 5,553 — — Asset management fees (5) 15,740 18,190 23,281 1,192 1,505 $ 20,212 $ 21,911 $ 36,931 $ 1,406 $ 1,780 _______________ FOOTNOTES: (1) Amounts are recorded as due to related parties in the accompanying consolidated balance sheets. (2) Amounts are recorded as general and administrative expenses in the accompanying consolidated statements of operations unless such amounts represent prepaid expenses, which are capitalized in the accompanying consolidated balance sheets. (3) Amounts are recorded as a reduction to gain on sale of real estate in the accompanying consolidated statements of operations. (4) For the years ended December 31, 2021 and 2020 , the Company incurred financing coordination fees of approximately $ 1.5 million and $ 0.1 million, respectively, all of which were capitalized as loan costs and reflected in mortgages and other notes payable, net in the accompanying consolidated balance sheets. For the year ended December 31, 2019, the Company incurred approximately $ 5.6 million in financing coordination fees related to the refinancing of the loans associated with certain operating properties of which approximately $ 3.7 million were capitalized as loan costs and reduced mortgages and other notes payable, net in the accompanying consolidated balance sheets. (5) Effective May 26, 2021, the asset management fee was reduced from 1.0 % per annum to 0.80 % per annum of average invested assets. For the years ended December 31, 2021, 2020 and 2019 , the Company incurred approximately $ 15.7 million, $ 18.2 million and $ 23.3 million, respectively, in asset management fees payable to the Advisor. No expense support was received for the years ended December 31, 2021, 2020 and 2019 . There were no asset management fees capitalized for the years ended December 31, 2021, 2020 and 2019. No amounts were settled or paid in the form of Restricted Stock in accordance with the expense support agreements for the years ended December 31, 2021, 2020 and 2019. As of December 31, 2021 , $ 13.57 million of asset management fees had been settled in exchange for 1.332 million shares of Restricted Stock. The number of Restricted Stock shares granted to the Advisor in lieu of payment in cash was determined by dividing the expense support amount for the respective determination date by the then-current NAV per share. At grant date, no fair value was assigned to the Restricted Stock shares as the shares were valued at zero, which represented the lowest possible value estimated at vesting. In addition, the Restricted Stock shares were treated as unissued for financial reporting purposes because the vesting criteria had not been met as of December 31, 2021. Cash distributions paid on Restricted Stock shares for the years ended December 31, 2021, 2020 and 2019 were $ 0.273 million, $ 0.273 million and $ 3.027 million, respectively. The cash distributions on Restricted Stock shares were recognized as compensation expense as declared and included in general and administrative expense in the accompanying consolidated statements of operations.

Derivative Financial Instrument

Derivative Financial Instruments	12 Months Ended
	Dec. 31, 2021
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Derivative Financial Instruments	11. Derivative Financial Instruments The following summarizes the terms of the Company's, or its equity method investment's, interest rate caps and the corresponding asset as of December 31, 2021 and 2020 (in thousands): Notional Maturity Fair Value Asset as of December 31, Amount (1) Strike Trade Forward Date 2021 2020 $ 10,500 3.3 % 2/28/2019 3/1/2019 9/1/2021 $ — $ — $ 231,000 2.0 % 12/12/2019 12/20/2019 12/31/2020 $ — $ — $ 225,000 0.8 % 8/12/2020 12/31/2020 12/31/2021 $ — $ 2 $ 130,000 1.0 % 10/7/2021 10/7/2021 12/31/2022 $ 63 $ — $ 225,000 2.0 % 12/22/2021 12/31/2021 12/31/2022 $ 28 $ — _____________ FOOTNOTE: (1) Amounts related to the interest rate caps held by the Company, or its equity method investment, which are recorded at fair value and included in other assets in the accompanying consolidated balance sheets. Although the Company has determined that the majority of the inputs used to value its interest rate caps fall within Level 2 of the fair value hierarchy, the credit valuation adjustments associated with its interest rate caps utilize Level 3 inputs, such as estimates of current credit spreads, to evaluate the likelihood of default by the Company and its counterparties. The Company has assessed the significance of the impact of the credit valuation adjustments on the overall valuation of its interest rate cap positions and has determined that the credit valuation adjustments on the overall valuation adjustments are not significant to the overall valuation of its interest rate caps. As a result, the Company determined that its interest rate cap valuation in its entirety is classified in Level 2 of the fair value hierarchy. Determining fair value requires management to make certain estimates and judgments. Changes in assumptions could have a positive or negative impact on the estimated fair values of such instruments which could, in turn, impact the Company’s or its joint venture’s results of operations.

Equity

Equity	12 Months Ended
	Dec. 31, 2021
Equity [Abstract]
Equity	12. Equity Stockholders’ Equity: Distributions — For the years ended December 31, 2021, 2020 and 2019 , the Company declared cash distributions of $ 35.6 million, $ 35.6 million and $ 394.9 million, respectively, which included a special cash distribution of $ 347.9 million funded in May 2019 with proceeds from the sale of real estate and all of which were paid in cash to stockholders. Refer to Note 16. “Subsequent Events” for additional information. 12. Equity (Continued) The tax composition of the Company’s distributions declared for the years ended December 31, 2021, 2020 and 2019 were as follows: Years Ended December 31, 2021 2020 2019 Ordinary income 43.82 % 21.88 % 0.00 % Capital gain 0.00 % 0.62 % 42.85 % Unrecaptured Sec. 1250 gain 0.00 % 11.15 % 20.10 % Return of capital 56.18 % 66.35 % 37.05 % Promoted Interest — In connection with the Company’s promoted interest agreements, certain operating targets have been established which, upon meeting such targets, result in the developer being entitled to additional payments based on enumerated percentages of the assumed net proceeds of a deemed sale, subject to achievement of an established internal rate of return on the Company’s investment in the development. For the years ended December 31, 2021, 2020 and 2019, the Company accrued, as a reversal to capital in excess of par value, the following distributions to holders of promoted interest (in thousands): Years Ended December 31, 2021 2020 2019 Dogwood Forest of Grayson $ — $ — $ 406 $ — $ — $ 406 Other comprehensive income (loss) — The following table reflects the effect of derivative financial instruments held by the Company, or its equity method investment, and included in the consolidated statements of comprehensive income (loss) for the years ended December 31, 2021, 2020 and 2019 (in thousands): Derivative financial instruments Gain (loss) recognized in other comprehensive loss on derivative financial instruments Location of gain (loss) reclassified into earnings Gain (loss) reclassified from accumulated other comprehensive income (loss) into earnings Years Ended December 31, Years Ended December 31, 2021 2020 2019 2021 2020 2019 Interest rate swaps $ — $ — $ ( 846 ) Interest expense and loan cost amortization $ — $ — $ 921 Interest rate caps 40 11 ( 134 ) Interest expense and loan cost amortization ( 32 ) ( 44 ) ( 361 ) Reclassification of interest rate swaps upon derecognition ― ― ( 509 ) Interest expense and loan cost amortization ― ― 509 Reclassification of interest rate caps upon derecognition ― 2 265 Interest expense and loan cost amortization ― ( 2 ) ( 265 ) Interest rate cap held by unconsolidated joint venture 5 ( 12 ) 11 Equity in earnings of unconsolidated entity ( 5 ) ( 3 ) ( 11 ) Total $ 45 $ 1 $ ( 1,213 ) $ ( 37 ) $ ( 49 ) $ 793

Income Taxes

Income Taxes	12 Months Ended
	Dec. 31, 2021
Income Tax Disclosure [Abstract]
Income Taxes	13. Income Taxes For the years ended December 31, 2021, 2020 and 2019 , the Company recorded net current tax expense and deferred tax assets related to deferred income at its TRS entities. The components of the income tax expense for the years ended December 31, 2021, 2020 and 2019, excluding amounts related to discontinued operations, were as follows (in thousands): Years Ended December 31, 2021 2020 2019 Current: Federal $ ( 10 ) $ 51 $ 51 State ( 532 ) ( 596 ) ( 580 ) Total current expense ( 542 ) ( 545 ) ( 529 ) Deferred: Federal ( 3,379 ) ( 552 ) ( 1,562 ) State ( 253 ) ( 1 ) ( 120 ) Total deferred expense ( 3,632 ) ( 553 ) ( 1,682 ) Income tax expense $ ( 4,174 ) $ ( 1,098 ) $ ( 2,211 ) Deferred income taxes reflect the tax effects of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for income tax purposes. Significant components of the Company’s deferred tax assets as of December 31, 2021 and 2020 are as follows: 2021 2020 Carryforwards of net operating loss $ 10,847 $ 4,068 Minimum tax credit carryforward — ― Prepaid rent 985 1,026 Valuation allowance ( 11,832 ) ( 1,464 ) Deferred tax assets, net $ — $ 3,630 A reconciliation of the income tax expense computed at the statutory federal tax rate on income before income taxes is as follows (in thousands): Years Ended December 31, 2021 2020 2019 Tax (expense) benefit computed at federal statutory rate $ 3,923 21.00 % $ ( 873 ) ( 21.00 )% $ ( 898 ) ( 21.00 )% Impact of REIT election 1,575 8.43 % 303 7.28 % ( 675 ) ( 15.78 )% State income tax expense net of federal benefit 706 3.78 % ( 160 ) ( 3.84 )% ( 488 ) ( 11.41 )% Effect of change in valuation allowance ( 10,378 ) ( 55.55 )% ( 368 ) ( 8.86 )% ( 150 ) ( 3.51 )% Income tax expense $ ( 4,174 ) ( 22.34 )% $ ( 1,098 ) ( 26.42 )% $ ( 2,211 ) ( 51.70 )% The Company’s TRS entities had net operating loss carryforwards for federal and state purposes of approximately $ 39.5 million and $ 12.4 million as of December 31, 2021 and 2020 , respectively, to offset future taxable income. If not utilized, the federal net operating loss carryforwards will begin to expire in 2036 , and the state net operating loss carryforwards will begin to expire in 2029 . The Company has $ 27.5 million net operating loss carry-forwards with an indefinite carryforward period. The Company analyzed its material tax positions and determined that it has not taken any uncertain tax positions. The tax years 2018 and forward remain subject to examination by taxing authorities.

Commitments and Contingencies

Commitments and Contingencies	12 Months Ended
	Dec. 31, 2021
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies	14. Commitments and Contingencies From time to time, the Company may be a party to legal proceedings in the ordinary course of, or incidental to the normal course of, its business, including proceedings to enforce its contractual or statutory rights. While the Company cannot predict the outcome of these legal proceedings with certainty, based upon currently available information, the Company does not believe the final outcome of any pending or threatened legal proceeding will have a material adverse effect on its results of operations or financial condition. As a result of the Company’s completed seniors housing developments continuing to move towards or achieving stabilization, the Company monitors the lease-up of these properties to determine whether the established performance metrics have been met as of each reporting period. The Company has two remaining promoted interest agreements with third-party developers pursuant to which certain operating targets have been established that, upon meeting such targets, result in the developer being entitled to additional payments based on enumerated percentages of the assumed net proceeds of a deemed sale, subject to achievement of an established internal rate of return on the Company’s investment in the development. None of the established performance metrics were met or probable of being met as of December 31, 2021. The Company’s Advisor has approximately 1.3 million contingently issuable Restricted Stock shares for financial reporting purposes that were issued pursuant to the Advisor expense support agreement. Refer to Note 10. “Related Party Arrangements” for information on distributions declared relate21.3d to these Restricted Stock shares.

Concentration of Credit Risk

Concentration of Credit Risk	12 Months Ended
	Dec. 31, 2021
Risks and Uncertainties [Abstract]
Concentration of Credit Risk	15. Concentration of Credit Risk For the years ended December 31, 2021, 2020 and 2019 , the Company had a geographical concentration accounting for 10 % or more of its total revenues, excluding the properties classified as discontinued operations, as follows: Type of Years Ended December 31, Concentration 2021 2020 2019 State of Texas (1) Geographical 21.3 % 21.0 % 20.5 % _____________ FOOTNOTE: (1) Includes rental income and related revenues and resident fees and services. Adverse economic developments in this geographical area could significantly impact the Company’s results of operations and cash flows from operations, which in turn would impact its ability to pay debt service and make distributions to stockholders.

Subsequent Events

Subsequent Events	12 Months Ended
	Dec. 31, 2021
Subsequent Events [Abstract]
Subsequent Events	16. Subsequent Events Effective January 1, 2022, the Company acquired the remaining 25 % interest in the Windsor Manor Joint Venture from the Company's joint venture partner for approximately $ 3.3 million and currently owns a 100 % interest in the Windsor Manor Joint Venture. In March 2022, the Company entered into a purchase and sale agreement for the Hurst Specialty Hospital with an unrelated third party for a gross sales price of $ 8.5 million and does no t anticipate recording any gain or loss on the sale of the property for financial reporting purposes. On March 21, 2022, the Board approved $ 0.0256 per share as the first quarter 2022 distribution (the “First Quarter Distribution”).

SCHEDULE II-Valuation and Quali

SCHEDULE II-Valuation and Qualifying Accounts	12 Months Ended
	Dec. 31, 2021
SEC Schedule, 12-09, Valuation and Qualifying Accounts [Abstract]
SCEDULE II-Valuation and Qualifying Accounts	CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES SCHEDULE II – VALUATION AND QUALIFYING ACCOUNTS YEARS ENDED DECEMBER 31, 2021, 2020 AND 2019 (in thousands) Year Description Balance at Charged to Charged to Balance at 2019 Deferred tax asset valuation allowance $ ( 1,916 ) $ — $ 808 $ ( 1,108 ) Allowance for doubtful accounts ( 3,839 ) ― 1,912 ( 1,927 ) $ ( 5,755 ) $ — $ 2,720 $ ( 3,035 ) 2020 Deferred tax asset valuation allowance $ ( 1,108 ) $ — $ ( 356 ) $ ( 1,464 ) Allowance for doubtful accounts ( 1,927 ) ( 2,252 ) 1,156 ( 3,023 ) $ ( 3,035 ) $ ( 2,252 ) $ 800 $ ( 4,487 ) 2021 Deferred tax asset valuation allowance $ ( 1,464 ) $ ( 3,632 ) $ ( 6,736 ) $ ( 11,832 ) Allowance for doubtful account ( 3,023 ) ( 1,278 ) 1,161 ( 3,140 ) $ ( 4,487 ) $ ( 4,910 ) $ ( 5,575 ) $ ( 14,972 )

SCHEDULE III - Real Estate and

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	CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES SCHEDULE III – REAL ESTATE AND ACCUMULATED DEPRECIATION AS OF DECEMBER 31, 2021 (in thousands) Initial Costs Costs Capitalized Subsequent to Acquisition Gross Amounts at which Carried at Close of Period (2) Property/Location Encumbrances Land & Land Improvements Building and Building Improvements Land & Land Improvements Building and Building Improvements Construction in Process Land & Land Improvements Building and Building Improvements Construction in Process Total Accumulated Depreciation Date of Construction Date Acquired Life on which depreciation in latest income statement is computed Primrose Retirement Community of Casper $ 10,406 $ 1,910 $ 16,310 $ 30 $ 296 $ — $ 1,940 $ 16,606 $ — $ 18,546 $ ( 4,362 ) 2004 2/16/2012 (1 ) Primrose Retirement Community of Grand Island 7,341 719 12,140 82 — — 801 12,140 — 12,941 ( 3,313 ) 2005 2/16/2012 (1 ) Primrose Retirement Community of Mansfield 9,988 650 16,720 229 71 — 879 16,791 — 17,670 ( 4,608 ) 2007 2/16/2012 (1 ) Primrose Retirement Community of Marion 8,285 889 16,305 13 7 — 902 16,312 — 17,214 ( 4,376 ) 2006 2/16/2012 (1 ) Sweetwater Retirement Community 8,998 1,578 14,205 19 30 — 1,597 14,235 — 15,832 ( 3,719 ) 2006 2/16/2012 (1 ) HarborChase of Villages Crossing — 2,165 — 996 15,541 — 3,161 15,541 — 18,702 ( 3,382 ) 2013 8/29/2012 (1 ) Primrose Retirement Community Cottages — 311 3,794 — — — 311 3,794 — 4,105 ( 947 ) 2005 12/19/2012 (1 ) Primrose Retirement Community of Council Bluffs — 1,144 11,117 5 3 — 1,149 11,120 — 12,269 ( 2,855 ) 2008 12/19/2012 (1 ) Primrose Retirement Community of Decantur — 513 16,706 — 154 — 513 16,860 — 17,373 ( 4,141 ) 2009 12/19/2012 (1 ) Primrose Retirement Community of Lima — 944 17,115 8 15 — 952 17,130 — 18,082 ( 4,195 ) 2006 12/19/2012 (1 ) Primrose Retirement Community of Zanesville — 1,184 17,292 — 67 — 1,184 17,359 — 18,543 ( 4,262 ) 2008 12/19/2012 (1 ) Capital Health of Symphony Manor — 2,319 19,444 — 284 — 2,319 19,728 — 22,047 ( 4,741 ) 2011 12/21/2012 (1 ) Curry House Assisted Living & Memory Care — 995 11,072 15 ( 106 ) — 1,010 10,966 — 11,976 ( 2,684 ) 1966 12/21/2012 (1 ) Tranquillity at Fredericktowne — 808 14,291 25 6,398 — 833 20,689 — 21,522 ( 5,072 ) 2000 12/21/2012 (1 ) Brookridge Heights Assisted Living & Memory Care — 595 11,339 ( 17 ) 4,784 — 578 16,123 — 16,701 ( 4,147 ) 1998 12/21/2012 (1 ) CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES SCHEDULE III – REAL ESTATE AND ACCUMULATED DEPRECIATION (CONTINUED) AS OF DECEMBER 31, 2021 (in thousands) Initial Costs Costs Capitalized Subsequent to Acquisition Gross Amounts at which Carried at Close of Period (2) Property/Location Encumbrances Land & Land Improvements Building and Building Improvements Land & Land Improvements Building and Building Improvements Construction in Process Land & Land Improvements Building and Building Improvements Construction in Process Total Accumulated Depreciation Date of Construction Date Acquired Life on which depreciation in latest income statement is computed Woodholme Gardens Assisted Living & Memory Care $ — $ 1,603 $ 13,472 $ 54 $ 43 $ — $ 1,657 $ 13,515 $ — $ 15,172 $ ( 3,302 ) 2010 12/21/2012 (1 ) HarborChase of Jasper — 355 6,358 23 56 — 378 6,414 — 6,792 ( 1,436 ) 1998 7/31/2013 (1 ) Raider Ranch — 4,992 48,818 580 12,901 — 5,572 61,719 — 67,291 ( 12,918 ) 2009 8/29/2013 (1 ) Town Village — 1,020 19,847 103 1,655 — 1,123 21,502 — 22,625 ( 4,831 ) 2004 8/29/2013 (1 ) Prestige Senior Living Beaverton Hills — 1,387 10,324 13 80 — 1,400 10,404 — 11,804 ( 2,250 ) 2000 12/2/2013 (1 ) Prestige Senior Living High Desert — 835 11,252 17 56 — 852 11,308 — 12,160 ( 2,560 ) 2003 12/2/2013 (1 ) MorningStar of Billings — 4,067 41,373 54 533 — 4,121 41,906 — 46,027 ( 9,564 ) 2009 12/2/2013 (1 ) MorningStar of Boise — 1,663 35,752 276 251 — 1,939 36,003 — 37,942 ( 7,794 ) 2007 12/2/2013 (1 ) Prestige Senior Living Huntington Terrace — 1,236 12,083 2 127 — 1,238 12,210 — 13,448 ( 2,689 ) 2000 12/2/2013 (1 ) MorningStar of Idaho Falls — 2,006 40,397 64 413 — 2,070 40,810 — 42,880 ( 8,991 ) 2009 12/2/2013 (1 ) Prestige Senior Living Arbor Place — 355 14,083 11 361 — 366 14,444 — 14,810 ( 3,050 ) 2003 12/2/2013 (1 ) Prestige Senior Living Orchard Hills — 545 15,544 10 199 — 555 15,743 — 16,298 ( 3,368 ) 2002 12/2/2013 (1 ) Prestige Senior Living Southern Hills — 653 10,753 43 26 — 696 10,779 — 11,475 ( 2,364 ) 2001 12/2/2013 (1 ) MorningStar of Sparks — 3,986 47,968 16 259 — 4,002 48,227 — 52,229 ( 10,700 ) 2009 12/2/2013 (1 ) Prestige Senior Living Five Rivers — 1,298 14,064 18 323 — 1,316 14,387 — 15,703 ( 3,286 ) 2002 12/2/2013 (1 ) CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES SCHEDULE III – REAL ESTATE AND ACCUMULATED DEPRECIATION (CONTINUED) AS OF DECEMBER 31, 2021 (in thousands) Initial Costs Costs Capitalized Subsequent to Acquisition Gross Amounts at which Carried at Close of Period (2) Property/Location Encumbrances Land & Land Improvements Building and Building Improvements Land & Land Improvements Building and Building Improvements Construction in Process Land & Land Improvements Building and Building Improvements Construction in Process Total Accumulated Depreciation Date of Construction Date Acquired Life on which depreciation in latest income statement is computed Prestige Senior Living Riverwood $ — $ 1,028 $ 7,429 12 $ 87 $ — $ 1,040 $ 7,516 $ — $ 8,556 $ ( 1,702 ) 1999 12/2/2013 (1 ) Prestige Senior Living Auburn Meadows — 2,537 17,261 — 688 — 2,537 17,949 — 20,486 ( 3,807 ) 2003 / 2010 2/3/2014 (1 ) Prestige Senior Living Bridgewood — 1,603 18,172 10 49 — 1,613 18,221 — 19,834 ( 3,912 ) 2001 2/3/2014 (1 ) Prestige Senior Living Monticello Park — 1,981 23,056 1 46 — 1,982 23,102 — 25,084 ( 4,894 ) 2001 / 2010 2/3/2014 (1 ) Prestige Senior Living Rosemont — 668 14,564 — 103 — 668 14,667 — 15,335 ( 3,066 ) 2004 2/3/2014 (1 ) Wellmore of Tega Cay — 2,445 — 2,743 23,452 — 5,188 23,452 — 28,640 ( 5,097 ) 2015 2/7/2014 (1 ) Isle at Cedar Ridge — 1,525 16,277 — 658 — 1,525 16,935 — 18,460 ( 3,657 ) 2011 2/28/2014 (1 ) Prestige Senior Living West Hills — 842 12,603 11 286 — 853 12,889 — 13,742 ( 2,761 ) 2002 3/3/2014 (1 ) HarborChase of Plainfield — 1,596 21,832 9 351 — 1,605 22,183 — 23,788 ( 4,598 ) 2010 3/28/2014 (1 ) Legacy Ranch Alzheimer's Special Care Center — 917 9,982 34 15 — 951 9,997 — 10,948 ( 2,142 ) 2012 3/28/2014 (1 ) The Springs Alzheimer's Special Care Center — 595 9,658 9 195 — 604 9,853 — 10,457 ( 2,088 ) 2012 3/28/2014 (1 ) Isle at Watercrest - Bryan — 3,223 40,581 40 1,976 — 3,263 42,557 — 45,820 ( 9,070 ) 2011 4/21/2014 (1 ) Isle at Watercrest - Mansfield — 997 24,635 — 256 — 997 24,891 — 25,888 ( 5,038 ) 2011 5/5/2014 (1 ) Watercrest at Katy 21,274 4,000 — 127 32,376 — 4,127 32,376 — 36,503 ( 4,676 ) 2016 6/27/2014 (1 ) Watercrest at Mansfield 23,474 2,191 42,740 24 985 — 2,215 43,725 — 45,940 ( 8,791 ) 2010 6/30/2014 (1 ) CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES SCHEDULE III – REAL ESTATE AND ACCUMULATED DEPRECIATION (CONTINUED) AS OF DECEMBER 31, 2021 (in thousands) Initial Costs Costs Capitalized Subsequent to Acquisition Gross Amounts at which Carried at Close of Period (2) Property/Location Encumbrances Land & Land Improvements Building and Building Improvements Land & Land Improvements Building and Building Improvements Construction in Process Land & Land Improvements Building and Building Improvements Construction in Process Total Accumulated Depreciation Date of Construction Date Acquired Life on which depreciation in latest income statement is computed HarborChase of Shorewood $ — $ 2,200 $ — $ 304 $ 19,868 $ — $ 2,504 $ 19,868 $ — $ 22,372 $ ( 3,218 ) 2015 7/8/2014 (1 ) Hurst Specialty Hospital — 2,082 10,513 — — — 2,082 10,513 — 12,595 ( 4,298 ) 2004 / 2012 8/15/2014 (1 ) Fairfield Village of Layton — 5,217 54,167 85 219 — 5,302 54,386 — 59,688 ( 10,943 ) 2010 11/20/2014 (1 ) Fieldstone Memory Care — 1,297 9,965 — 6 — 1,297 9,971 — 11,268 ( 1,909 ) 2014 3/31/2015 (1 ) Primrose Retirement Center of Anderson — 1,342 19,083 — 33 — 1,342 19,116 — 20,458 ( 3,554 ) 2008 5/29/2015 (1 ) Primrose Retirement Center of Lancaster — 2,840 21,884 51 — — 2,891 21,884 — 24,775 ( 4,483 ) 2007 5/29/2015 (1 ) Primrose Retirement Center of Wausau — 1,089 18,653 — — — 1,089 18,653 — 19,742 ( 3,330 ) 2008 5/29/2015 (1 ) Superior Residences of Panama City — 2,099 19,367 14 37 — 2,113 19,404 — 21,517 ( 3,552 ) 2015 7/15/2015 (1 ) The Hampton at Meadows Place — 715 24,281 11 330 — 726 24,611 — 25,337 ( 4,132 ) 2007 / 2013 / 2014 7/31/2015 (1 ) The Pavilion at Great Hills — 1,783 29,318 53 270 — 1,836 29,588 — 31,424 ( 5,015 ) 2010 7/31/2015 (1 ) The Beacon at Gulf Breeze — 824 24,106 89 254 — 913 24,360 — 25,273 ( 4,257 ) 2008 7/31/2015 (1 ) Parc at Piedmont — 3,529 43,080 31 881 — 3,560 43,961 — 47,521 ( 7,631 ) 2001 / 2011 7/31/2015 (1 ) Parc at Duluth — 5,951 42,458 70 2,365 — 6,021 44,823 — 50,844 ( 7,476 ) 2003 / 2012 7/31/2015 (1 ) Waterstone on Augusta — 2,253 — 2,116 20,849 — 4,369 20,849 — 25,218 ( 3,198 ) 2017 8/31/2015 (1 ) Wellmore of Lexington — 2,300 — 3,186 43,097 — 5,486 43,097 — 48,583 ( 5,920 ) 2017 9/14/2015 (1 ) CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES SCHEDULE III – REAL ESTATE AND ACCUMULATED DEPRECIATION (CONTINUED) AS OF DECEMBER 31, 2021 (in thousands) Initial Costs Costs Capitalized Subsequent to Acquisition Gross Amounts at which Carried at Close of Period (2) Property/Location Encumbrances Land & Land Improvements Building and Building Improvements Land & Land Improvements Building and Building Improvements Construction in Process Land & Land Improvements Building and Building Improvements Construction in Process Total Accumulated Depreciation Date of Construction Date Acquired Life on which depreciation in latest income statement is computed Palmilla Senior Living $ — $ 4,701 $ 38,321 $ 10 $ 195 $ — $ 4,711 $ 38,516 $ — $ 43,227 $ ( 6,583 ) 2013 9/30/2015 (1 ) Cedar Lake Assisted Living and Memory Care — 2,412 25,126 38 71 — 2,450 25,197 — 27,647 ( 4,304 ) 2014 9/30/2015 (1 ) Fieldstone at Pear Orchard — 1,035 — 102 13,506 — 1,137 13,506 — 14,643 ( 1,793 ) 2016 10/12/2015 (1 ) The Shores of Lake Phalen — 2,724 25,093 10 105 — 2,734 25,198 — 27,932 ( 4,219 ) 2012 11/10/2015 (1 ) Dogwood Forest of Grayson — 1,788 — 112 22,072 — 1,900 22,072 — 23,972 ( 2,611 ) 2017 11/24/2015 (1 ) Park Place Senior Living at WingHaven — 1,283 48,221 142 863 — 1,425 49,084 — 50,509 ( 7,884 ) 2006 / 2014 12/17/2015 (1 ) Hearthside Senior Living of Collierville — 1,756 13,379 57 29 — 1,813 13,408 — 15,221 ( 2,251 ) 2014 12/29/2015 (1 ) Albuquerque, New Mexico – Unimproved Land — 1,056 — — — — 1,056 — — 1,056 — — 9/7/2017 (1 ) $ 89,766 $ 121,149 $ 1,265,743 $ 12,190 $ 231,400 $ — $ 133,339 $ 1,497,143 $ — $ 1,630,482 $ ( 303,767 ) Transactions in real estate and accumulated depreciation as of December 31, 2021 are as follows: Balance December 31, 2018 $ 2,713,680 Balance December 31, 2018 $ ( 279,645 ) 2019 Improvements 4,039 2019 Depreciation ( 41,737 ) 2019 Impairments ( 1,004,892 ) 2019 Accumulated depreciation on dispositions 94,853 Balance December 31, 2019 1,712,827 Balance December 31, 2019 ( 226,529 ) 2020 Improvements 3,020 2020 Depreciation ( 42,430 ) 2020 Dispositions ( 75,313 ) 2020 Accumulated depreciation on dispositions 6,565 Balance December 31, 2020 1,640,534 Balance December 31, 2020 ( 262,394 ) 2021 Improvements 6,385 2021 Depreciation ( 42,215 ) 2021 Dispositions ( 6,764 ) 2021 Accumulated depreciation on dispositions 842 2021 Impairments ( 9,673 ) Balance December 31, 2021 $ ( 303,767 ) Balance December 31, 2021 $ 1,630,482 _____________ FOOTNOTES: (1) Buildings and building improvements are depreciated over 39 and 15 years, respectively. Tenant improvements are depreciated over the terms of their respective leases. (2) The aggregate cost for federal income tax purposes is approximatel y $ 1.8 billion.

SCHEDULE IV - Mortgage Loans on

SCHEDULE IV - Mortgage Loans on Real Estate	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	CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES SCHEDULE IV - MORTGAGE LOANS ON REAL ESTATE YEARS ENDED DECEMBER 31, 2021, 2020 AND 2019 (in thousands) 2021 2020 2019 Balance at beginning of year $ 448 $ 482 $ 1,688 Additions during period: New mortgage loans and additional advances — — 531 Accrued and deferred interest 39 6 9 Deductions during period: Collection of principal ( 35 ) ( 40 ) ( 1,746 ) Balance at end of year $ 452 $ 448 $ 482

Summary of Significant Accoun_2

Summary of Significant Accounting Policies (Policies)	12 Months Ended
	Dec. 31, 2021
Accounting Policies [Abstract]
Basis of Presentation and Consolidation	Basis of Presentation and Consolidation — The accompanying consolidated financial statements include the Company’s accounts, the accounts of wholly owned subsidiaries or subsidiaries for which the Company has a controlling interest, the accounts of VIEs in which the Company is the primary beneficiary, and the accounts of other subsidiaries over which the Company has a controlling financial interest. All material intercompany accounts and transactions have been eliminated in consolidation. In accordance with the guidance for the consolidation of a VIE, the Company is required to identify entities for which control is achieved through means other than voting rights and to determine the primary beneficiary of its VIEs. The Company qualitatively assesses whether it is the primary beneficiary of a VIE and considers various factors including, but not limited to, the design of the entity, its organizational structure including decision-making ability and financial agreements, its ability and the rights of others to participate in policy making decisions, as well as its ability to replace the VIE manager and/or liquidate the entity.
Government Grant Income	Government Grant Income — On March 27, 2020, the Coronavirus Aid, Relief, and Economic Security Act (“CARES Act”) was signed into law which provided, among other things, for the establishment of a Provider Relief Fund under the direction of the Department of Health and Human Services (“HHS”). Grant income is recognized upon receipt of grant income and when all the conditions of the grant have been met. During the years ended December 31, 2021 and 2020, the Company received provider relief funds ( “ PRFs”) and recorded approximately $0.5 million and $5.3 million, respectively, as other income in the accompanying consolidated statements of operations as all conditions of the grant had been met. In September 2021, HHS announced that additional funds were made available for healthcare providers under Phase 4 of the Provider Relief Fund. The Company submitted an application under Phase 4 in September 2021 and is awaiting specific guidance from HHS on how Phase 4 relief will be distributed.
Risk and Uncertainties	Risks and Uncertainties — In March 2020, the World Health Organization declared the outbreak of the novel coronavirus (“COVID-19”) as a pandemic around the globe. Since the onset of the pandemic, we have operated and continue to operate our communities through the disruptions and uncertainties of the pandemic, including disruptions from new variants of the virus during 2021. The COVID-19 pandemic has had and may continue to have a material and adverse impact on our financial condition, results of operations and cash flows. The extent of the continued impact of COVID-19 on our financial condition results of operations and cash flows is uncertain and cannot be predicted at the current time as it depends on several factors beyond our control including, but not limited to (i) the severity and duration of the outbreak caused by new variants of the virus, (ii) the effectiveness and acceptance of vaccines, (iii) the pandemic’s impact on the U.S. and global economies, (iv) the timing, scope and effectiveness of additional governmental responses to the pandemic and (v) the timing and speed of economic recovery.
Use of Estimates	Use of Estimates — The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities as of the date of the consolidated financial statements, the reported amounts of revenues and expenses during the reporting periods and the disclosure of contingent liabilities. For example, significant assumptions are made in the analysis of real estate impairments, the valuation of contingent assets and liabilities, and the valuation of restricted common stock (“Restricted Stock”) shares issued to the Advisor. Accordingly, actual results could differ from those estimates.
Depreciation and Amortization	Depreciation and Amortization — Real estate costs related to the acquisition and improvement of properties are capitalized. Repair and maintenance costs are charged to expense as incurred and significant replacements and improvements are capitalized. Repair and maintenance costs include all costs that do not extend the useful life of the real estate asset. The Company considers the period of future benefit of an asset to determine its appropriate useful life. Real estate assets are stated at cost less accumulated depreciation, which is computed using the straight-line method of accounting over the estimated useful lives of the related assets. Buildings and improvements are depreciated on the straight-line method over their estimated useful lives, which generally are the lesser of 39 and 15 years, respectively. 2. Summary of Significant Accounting Policies (Continued) Amortization of intangible assets is computed using the straight-line method of accounting over the shorter of the respective lease term or estimated useful life. If a lease is terminated or modified prior to its scheduled expiration, the Company recognizes a loss on lease termination related to the unamortized lease-related costs not deemed to be recoverable.
Impairment of Real Estate Assets	Impairment of Real Estate Assets — Real estate assets are reviewed on an ongoing basis to determine whether there are any impairment indicators. Management considers potential impairment indicators to primarily include (i) changes in a real estate asset’s operating performance, such as a current period net operating loss combined with a history of net operating losses, or changes in a lease which demonstrate potential future losses associated with the use of a real estate asset or (ii) a current expectation that, more likely than not, a real estate asset will be sold or otherwise disposed of significantly before the end of its previously estimated holding period. To assess if an asset group is potentially impaired, management compares the estimated current and projected undiscounted cash flows, including estimated net sales proceeds, of the asset group over its remaining useful life to the net carrying value of the asset group. Such cash flow projections consider factors such as expected future operating income, trends and prospects, as well as the effects of demand, competition and other factors. In the event that the carrying value exceeds the undiscounted operating cash flows, the Company would recognize an impairment provision to adjust the carrying value of the asset group to the estimated fair value. When impairment indicators are present for real estate indirectly owned, through an investment in a joint venture or other similar investment structure accounted for under the equity method, the Company compares the estimated fair value of its investment to the carrying value. An impairment charge will be recorded to the extent fair value of the investment is less than the carrying value and the decline in value is determined to be other than a temporary decline.
Assets Held For Sale, net and Discontinued Operations	Assets Held For Sale, net and Discontinued Operations — The Company determines to classify a property as held for sale once management has the authority to approve and commits to a plan to sell the property, the property is available for immediate sale, there is an active program to locate a buyer, the sale of the property is probable and the transfer of the property is expected to occur within one year. Upon the determination to classify a property as held for sale, the Company ceases recording further depreciation and amortization relating to the associated assets and those assets are measured at the lower of its carrying amount or fair value less disposition costs and are presented separately in the consolidated balance sheets for all periods presented. In addition, the Company classifies assets held for sale as discontinued operations if the disposal represents a strategic shift that has (or will have) a major effect on the Company’s operations and financial results. For any disposal(s) qualifying as discontinued operations, the Company allocates interest expense and loan cost amortization that directly relates to either: (1) expense on mortgages and other notes payable collateralized by properties classified as discontinued operations; or (2) expense on the Company’s Credit Facilities, which is allocated based on the value of the properties that are classified as discontinued operations since these properties are included in the Credit Facilities’ unencumbered pool of assets and the related indebtedness is required to be repaid upon sale of the properties.
Assets Reclassified from Held for Sale to Held and Used	Assets Reclassified from Held for Sale to Held and Used — Upon management’s determination to discontinue marketing properties for sale, the properties will no longer meet the held for sale criteria and are required to be reclassified as held and used at the lower of adjusted carrying value (carrying value of the properties prior to being classified as held for sale adjusted for any depreciation and/or amortization expense that would have been recognized had the properties been continuously classified as held and used) or its fair value at the date of the subsequent decision not to sell. If adjusted carrying value is determined to be lower, a catch-up depreciation and/or amortization adjustment will be recorded. The depreciation and/or amortization expenses that would have been recognized had the properties been continuously classified as held and used will be included as a component of depreciation and amortization expense in the accompanying consolidated statements of operations. If fair value is determined to be lower, the Company will record a loss on reclassification which will be included in income or loss from continuing operations in the accompanying consolidated statements of operations.
Cash	Cash — Cash consists of demand deposits at commercial banks. The Company also invests in cash equivalents consisting of highly liquid investments in money market funds with original maturities of three months or less. As of December 31, 2021 , certain of the Company’s cash deposits exceeded federally insured amounts. However, the Company continues to monitor the third-party depository institutions that hold the Company’s cash, primarily with the goal of safeguarding principal. The Company attempts to limit cash investments to financial institutions with high credit standing; therefore, the Company believes it is not exposed to any significant credit risk on cash.
Restricted Cash	Restricted Cash — Certain amounts of cash are escrowed to fund capital expenditures, property taxes and/or insurance as required by loan or lease terms, and certain security deposits represent restricted use funds.
Loan Costs	Loan Costs — Financing costs paid in connection with obtaining debt are deferred and amortized over the estimated life of the debt using the effective interest method. As of December 31, 2021 and 2020 , the accumulated amortization of loan costs was approximately $ 9.5 million and $ 8.3 million, respectively.
Deferred Lease-Related Costs	Deferred Lease-Related Costs — The Company deferred lease-related costs that it incurred to obtain new or extend existing leases. The Company amortizes these costs using the straight-line method of accounting over the shorter of the respective lease term or estimated useful life. If a lease is terminated or modified prior to its scheduled expiration, the Company recognizes a loss on lease termination related to any unamortized deferred lease-related costs not deemed to be recoverable.
Revenue Recognition	Revenue Recognition — Rental income and related revenues for operating leases are recognized based on the assessment of collectability of lease payments. When collectability is probable at commencement of the lease, lease income is recognized on an accrual basis and includes rental income that is recorded on the straight-line basis over the term of the lease. Collectability is reassessed during the lease term. When collectability of lease payments is no longer probable, lease income is recorded on a cash basis and limited to the amount of lease payments collected. In addition, lease related costs (the deferred rent from prior GAAP straight-line adjustments, unamortized lease costs and other lease related intangibles) are written-off when the Company determines that these assets are no longer realizable. Rental income and related revenues recorded on an accrual basis include rental income that is recorded on the straight-line basis over the terms of the leases. The straight-line method records the periodic average amount of base rent earned over the term of a lease, taking into account contractual rent increases over the lease term. The Company records the difference between base rent revenues earned and amounts due per the respective lease agreements, as applicable, as an increase or decrease to deferred rent and lease incentives in the accompanying consolidated balance sheets. Rental income and related revenues also include amounts for which tenants are required to reimburse the Company related to expenses incurred on behalf of the tenants, in accordance with the terms of the leases. Tenant reimbursements are recognized in the period in which the related reimbursable expenses are incurred, such as real estate taxes, common area maintenance, and similar items. Some of the Company’s leases require the tenants to pay certain additional contractual amounts that are set aside by the Company for replacements of fixed assets and other improvements to the properties. These amounts are and will remain the property of the Company during and after the term of the lease. The amounts are recorded as capital improvement reserve income at the time such amounts are earned and are included in rental income and related revenues in the accompanying consolidated statements of operations. Additional percentage rent that is due contingent upon tenant performance thresholds, such as gross revenues, is deferred until the underlying performance thresholds have been achieved. Resident fees and services are operating revenues relating to the Company’s managed seniors housing properties, which are operated under RIDEA structures. Resident fees and services directly relate to the provision of monthly goods and services that are generally bundled together under a single resident agreement. 2. Summary of Significant Accounting Policies (Continued) The Company accounts for its resident agreements as a single performance obligation under ASC 606 given the Company’s overall promise to provide a series of stand-ready goods and services to its residents each month. Resident fees and services are recorded in the period in which the goods are provided and the services are performed and generally consist of (1) monthly rent, which covers occupancy of the residents’ unit as well as basic services, such as utilities, meals and certain housekeeping services, and (2) service level charges, such as assisted living care, memory care and ancillary services. Resident agreements are generally short-term in nature, billed monthly in advance and cancelable by the residents with a 30-day notice. Resident agreements may require the payment of upfront fees prior to moving into the community with any non-refundable portion of such fees being recorded as deferred revenue and amortized over the estimated resident stay.
Reclassifications	Reclassifications — Certain amounts in the prior years’ consolidated balance sheet, statements of operations and statements of cash flows have been reclassified to conform to the current year’s presentation, primarily related to classification of certain properties as held for sale and/or discontinued operations, with no effect on the other previously reported consolidated financial statements.
Derivative Financial Instruments	Derivative Financial Instruments — The Company and an unconsolidated equity method investment held by the Company use or have used derivative financial instruments to partially offset the effect of fluctuating interest rates on the cash flows associated with its variable-rate debt. Upon entry into a derivative, the Company or its unconsolidated equity method investment formally designates and documents the financial instrument as a hedge of a specific underlying exposure, as well as the risk management objectives and strategies for undertaking the hedge transaction. The Company or its unconsolidated equity method investment accounts for derivatives through the use of a fair value concept whereby the derivative positions are stated at fair value in the accompanying consolidated balance sheets. The fair value of derivatives used to hedge or modify risk fluctuates over time. As such, the fair value amounts should not be viewed in isolation, but rather in relation to the cash flows or fair value of the underlying hedged transaction and to the overall reduction in the exposure relating to adverse fluctuations in interest rates on the Company’s or its unconsolidated equity method investment’s variable-rate debt. Realized and unrealized gain (loss) on derivative financial instruments designated by either the Company or its unconsolidated equity method investment as cash flow hedges are reported as a component of other comprehensive income (loss), a component of stockholders’ equity, in the accompanying consolidated statements of comprehensive income (loss) to the extent they are effective; reclassified into earnings on the same line item associated with the hedged transaction and in the same period the hedged transaction affects earnings. Realized and unrealized gain (loss) on derivative financial instruments designated as cash flow hedges that are entered into by the Company’s equity method investment are reported as a component of the Company’s other comprehensive income (loss) in proportion to the Company’s ownership percentage in the investment, with reclassifications being included in equity in earnings (loss) of unconsolidated entity in the accompanying consolidated statements of operations.
Fair Value Measurements	Fair Value Measurements — Fair value assumptions are based on the framework established in the fair value accounting guidance under GAAP. The framework specifies a hierarchy of valuation inputs which was established to increase consistency, clarity and comparability in fair value measurements and related disclosures. The guidance describes the following fair value hierarchy based upon three levels of inputs that may be used to measure fair value, two of which are considered observable and one that is considered unobservable: • Level 1 — Quoted prices (unadjusted) in active markets for identical assets or liabilities that the Company has the ability to access. • Level 2 — Inputs, other than quoted prices included in Level 1, that are observable for the asset or liability either directly or indirectly; such as, quoted prices for similar assets or liabilities or other inputs that can be corroborated by observable market data. • Level 3 — Unobservable inputs for the asset or liability, which are typically based on the Company’s own assumptions, as there is little, if any, related market activity. 2. Summary of Significant Accounting Policies (Continued) When market data inputs are unobservable, the Company utilizes inputs that it believes reflects the Company’s best estimate of the assumptions market participants would use in pricing the asset or liability. When inputs used to measure fair value fall within different levels of the hierarchy, the level within which the fair value measurement is categorized is based on the lowest level input that is significant to the fair value measurement. The estimated fair value of accounts payable and accrued liabilities approximates the carrying value as of December 31, 2021 and 2020 because of the relatively short maturities of the obligations.
Mortgages and Other Notes Payable	Mortgages and Other Notes Payable — Mortgages and other notes payable are recorded at the stated principal amount and are generally collateralized by the Company’s properties. Mortgages and other notes payable assumed in connection with an acquisition are recorded at fair market value as of the date of the acquisition.
Net Income (Loss) per Share	Net Income (Loss) per Share — Net income (loss) per share is calculated based upon the weighted average number of shares of common stock outstanding during the period in which the Company was operational.
Share Based Payments to Non-Employees	Share-Based Payments to Non-Employees — In connection with the expense support agreement described in Note 10. “Related Party Arrangements,” the Company may issue Restricted Stock to the Advisor on an annual basis in exchange for providing expense support in the event that cash distributions declared exceed MFFO as defined by the expense support agreement. The Restricted Stock is forfeited if stockholders do not ultimately receive their original invested capital back with at least a 6 % annualized return of investment upon a future liquidity or disposition event of the Company. Upon issuance of Restricted Stock, the Company measures the fair value at its then-current lowest aggregate fair value pursuant to ASC 505-50. On the date in which the Advisor satisfies the vesting criteria, the Company remeasures the fair value of the Restricted Stock pursuant to ASC 505-50 and records expense equal to the difference between the original fair value and that of the remeasurement date. In addition, given that performance is outside the control of the Advisor and involves both market conditions and counterparty performance conditions, the shares are treated as unissued for accounting purposes and the Company only includes the Restricted Stock in the calculation of diluted earnings per share to the extent their effect is dilutive and the vesting conditions have been satisfied as of the reporting date. Pursuant to the expense support agreement, the Advisor shall be the record owner of the Restricted Stock until the shares of common stock are sold or otherwise disposed of, and shall be entitled to all of the rights of a stockholder of the Company including, without limitation, the right to vote such shares (to the extent permitted by the Company’s articles of incorporation) and receive all distributions paid with respect to such shares. All distributions actually paid to the Advisor in connection with the Restricted Stock shall vest immediately and will not be subject to forfeiture. The Company recognizes expense related to the distributions on the Restricted Stock shares as declared.
Segment Information	Segment Information — Operating segments are components of an enterprise for which separate financial information is available and is evaluated regularly by the chief operating decision maker in deciding how to allocate resources and assess performance. The Company has determined that it operates in one operating segment, real estate ownership. The Company’s chief operating decision maker evaluates the Company’s operations from a number of different operational perspectives including, but not limited to, a property-by-property basis, by tenant or by operator. The Company derives all significant revenues from a single reportable operating segment of business, healthcare real estate, regardless of the type (seniors housing, medical office, etc.) or ownership structure (leased or managed). Accordingly, the Company does not report segment information; nevertheless, management periodically evaluates whether the Company continues to have one single reportable segment of business.
Redeemable Noncontrolling Interests	Redeemable Noncontrolling Interest — The Company classifies redeemable equity securities in accordance with Accounting Standard Update (“ASU”) No. 2009-04, “Liabilities (Topic 480): Accounting for Redeemable Equity Instruments,” which requires that equity securities redeemable at the option of the holder be classified outside of permanent stockholders’ equity. The Company classifies redeemable equity securities as redeemable noncontrolling interest within the accompanying consolidated balance sheets and consolidated statements of stockholders’ equity and redeemable noncontrolling interest. The Company evaluates the probability that these equity securities will become redeemable at each reporting period and, if determined probable, the Company measures the redemption value and records an adjustment to the carrying value of the equity securities as a component of redeemable noncontrolling interest.
Promoted Interest	Promoted Interest — The Company accounts for promoted interests with third-party developers in a manner similar to redeemable noncontrolling interests discussed above. The Company records the initial carrying value of the promoted interest at its issuance date fair value. Subsequently, as the completed developments stabilize and it becomes probable that the promoted interest thresholds will be met, the Company records a liability equal to the estimated redemption value at the end of each reporting period based on the conditions that exist as of the balance sheet date. In connection with the measurement of this liability, the Company records, as a reduction to capital in excess of par value, an amount equal to the difference between the promoted interests’ carrying value and the consideration paid or payable.
Income Taxes	Income Taxes — The Company has elected to be taxed as a REIT under Sections 856 through 860 of the Internal Revenue Code of 1986, as amended and related regulations beginning with the year ended December 31, 2012. In order to be taxed as a REIT, the Company is subject to certain organizational and operational requirements, including the requirement to make distributions to its stockholders each year of at least 90% of its annual REIT taxable income (which is computed without regard to the dividends-paid deduction or net capital gain and which does not necessarily equal net income as calculated in accordance with GAAP). If the Company qualifies for taxation as a REIT, the Company generally will not be subject to U.S. federal income tax on income that the Company distributes as dividends. If the Company fails to qualify as a REIT in any taxable year, the Company will be subject to U.S. federal income tax on its taxable income at regular corporate income tax rates and generally will not be permitted to qualify for treatment as a REIT for federal income tax purposes for the four taxable years following the year during which qualification is lost, unless the IRS grants the Company relief under certain statutory provisions. Even if the Company qualifies for taxation as a REIT, it may be subject to certain state and local taxes on its income and property, and U.S. federal income and excise taxes on its undistributed income. The Company has formed subsidiaries which elected to be taxed as a TRS for U.S. federal income tax purposes. Under the provisions of the Internal Revenue Code and applicable state laws, a TRS will be subject to tax on its taxable income from its operations. The Company will account for federal and state income taxes with respect to a TRS using the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the consolidated financial statement carrying amounts of existing assets and liabilities, the respective tax bases, operating losses and/or tax-credit carryforwards. A valuation allowance is provided if we believe it is more likely than not that all or some portion of the deferred tax asset will not be realized. Any increase or decrease in the valuation allowance that results from a change in circumstances, and that causes us to change our judgment about the realizability of the related deferred tax asset, is included in the tax provision when such changes occur.
Recently Adopted Accounting Pronouncements	Investment in Unconsolidated Entity — The Company accounts for its investment in an unconsolidated joint venture under the equity method of accounting as the Company exercises significant influence, but does not maintain a controlling financial interest over these entities. The investment is recorded initially at cost and subsequently adjusted for cash contributions, distributions and equity in earnings (loss) of the unconsolidated entity. Based on the joint venture’s structure and any preference the Company receives on distributions and liquidation, the Company records its equity in earnings (loss) of the unconsolidated entity under the hypothetical liquidation at book value (“HLBV”) method of accounting. Under this method, the Company recognizes income or loss in each period as if the net book value of the assets in the venture were hypothetically liquidated at the end of each reporting period pursuant to the provisions of the joint venture agreement. In any given period, the Company could be recording more or less equity in earnings (loss) than actual cash distributions received or an investment balance that is more or less than what the Company may receive in the event of an actual liquidation. The Company determines whether distributions are classified as returns on investment or returns of investment based on the nature of the distribution. Recently Adopted Accounting Pronouncements — In December 2019, the FASB issued ASU No. 2019-12, “ Income Taxes (Topic 740): Simplifying the Accounting for Income Taxes” ( “ ASU 2019-12”), which is intended to simplify various aspects related to accounting for income taxes. ASU 2019-12 removes certain exceptions to the general principles in Topic 740 and also clarifies and amends existing guidance to improve consistent application. This new guidance was effective for the Company beginning on January 1, 2021 and did not have a material impact on the Company’s financial statements. In Q1 2020, the FASB issued ASU 2020-04, Reference Rate Reform (Topic 848). ASU 2020-04 contains practical expedients for reference rate reform related activities that impact debt, leases, derivatives and other contracts. The guidance in ASU 2020-04 is optional and may be elected over time as reference rate reform activities occur. During the year ended December 31, 2020, the Company elected to apply the hedge accounting expedients related to probability and the assessments of effectiveness for future LIBOR-indexed cash flows to assume that the index upon which future hedged transactions will be based matches the index on the corresponding derivatives. Application of these expedients preserves the presentation of derivatives consistent with past presentation. As of December 31, 2021, the Company does not anticipate that this guidance will have a material impact on its consolidated financial statements; however, the Company will continue to assess the potential impact on its variable rate debt contracts and future hedging relationships, as applicable. In November 2021, the Financial Accounting Standards Board (“FASB”) issued ASU 2021-10, Government Assistance (Topic 832) (“ASU 2021-10”). ASU 2021-10 requires annual disclosures about transactions with a government that are accounted for by applying a grant or contribution model by analogy to other accounting guidance, including information about the nature of the transactions and related accounting policy used to account for the transactions, the financial statement line items affected by the transactions and the applicable amounts, and significant terms and conditions of the transactions. ASU 2021-10 is effective for annual periods beginning after December 15, 2021, with early adoption permitted. The Company early adopted ASU 2021-10, and the adoption of ASU 2021-10 did not have a material impact on the Company’s financial statements.

Revenue (Tables)

Revenue (Tables)	12 Months Ended
	Dec. 31, 2021
Revenue from Contract with Customer [Abstract]
Summary of Disaggregation of Revenue	The following table presents disaggregated revenue related to the Company’s resident fees and services during the years ended December 31, 2021, 2020 and 2019: Years Ended December 31, Number of Revenues Percentage 2021 2020 2019 2021 2020 2019 2021 2020 2019 Resident fees and services: Independent living 2,243 2,256 2,261 $ 69.6 $ 72.6 $ 74.3 26.2 % 25.9 % 25.8 % Assisted living 2,960 2,947 2,966 128.9 138.1 140.5 48.6 % 49.2 % 48.7 % Memory care 904 904 853 53.2 57.7 59.4 20.1 % 20.5 % 20.6 % Other revenues — — — 13.6 12.5 14.1 5.1 % 4.4 % 4.9 % 6,107 6,107 6,080 $ 265.3 $ 280.9 $ 288.3 100.0 % 100.0 % 100.0 %

Real Estate Assets, net (Tables

Real Estate Assets, net (Tables)	12 Months Ended
	Dec. 31, 2021
Real Estate [Abstract]
Schedule of Real Estate Investment Properties Excluding Assets Held For Sale	The gross carrying amount and accumulated depreciation of the Company’s real estate assets as of December 31, 2021 and 2020 are as follows, excluding assets held for sale (in thousands): December 31, December 31, 2021 2020 Land and land improvements $ 133,339 $ 132,663 Building and building improvements 1,497,143 1,501,107 Furniture, fixtures and equipment 101,602 94,141 Less: accumulated depreciation ( 384,855 ) ( 335,051 ) Real estate investment properties, net $ 1,347,229 $ 1,392,860

Intangibles, net (Tables)

Intangibles, net (Tables)	12 Months Ended
	Dec. 31, 2021
Goodwill and Intangible Assets Disclosure [Abstract]
Schedule of Net Book Value of Intangibles Excluding Assets Held for Sale	The gross carrying amount and accumulated amortization of the Company’s intangible assets as of December 31, 2021 and 2020 are as follows (in thousands): As of December 31, 2021 2020 In-place lease intangibles $ 3,944 $ 3,944 Less: accumulated depreciation ( 3,512 ) ( 3,118 ) Intangible assets, net $ 432 $ 826
Schedule of Estimated Future Amortization	The estimated future amortization on the Company’s intangibles for each of the next five years and thereafter, in the aggregate, as of December 31, 2021 is as follows (in thousands): 2022 $ 253 2023 74 2024 74 2025 31 2026 ― Thereafter ― $ 432

Assets and Associated Liabili_2

Assets and Associated Liabilities Held For Sale and Discontinued Operations (Tables)	12 Months Ended
	Dec. 31, 2021
Real Estate Liabilities Associated with Assets Held for Development and Sale [Abstract]
Schedule of Assets Classified as Held for Sale and Liabilities Associated with Those Assets Held for Sale	As of December 31, 2020, the one acute care property classified as assets held for sale and liabilities associated with those assets held for sale (which was sold in January 2021) consisted of the following (in thousands): As of December 31, 2020 MOB/Healthcare Portfolio Real estate held for sale, net $ 5,922 Intangibles, net 1,481 Other assets 18 Assets held for sale, net $ 7,421 Accounts payable and accrued liabilities $ 8 Other liabilities 2 Liabilities associated with assets held for sale $ 10
Summary of Income (Loss) from Discontinued Operations	The following table is a summary of income from discontinued operations for the years ended December 31, 2021, 2020 and 2019 (in thousands): Years Ended December 31, 2021 2020 2019 Revenues: Rental income and related revenues $ 6 $ 1,266 $ 46,073 Operating expenses: Property operating expenses 3 7 11,333 General and administrative 3 138 411 Asset management fees 8 139 4,689 Property management fees 5 28 1,257 Total operating expenses 19 312 17,690 Gain on sale of real estate — — 336,074 Operating (loss) income ( 13 ) 954 364,457 Other income (expense): Interest and other income — — 56 Interest expense and loan cost amortization — — ( 14,618 ) Total other income (expense) — — ( 14,562 ) (Loss) income before income taxes ( 13 ) 954 349,895 Income tax benefit (expense) 3 — ( 165 ) (Loss) income from discontinued operations $ ( 10 ) $ 954 $ 349,730

Operating Leases (Tables)

Operating Leases (Tables)	12 Months Ended
	Dec. 31, 2021
Leases [Abstract]
Schedule of Future Minimum Lease Payments to be Received Under Non-Cancellable Operating Leases Excluding Properties Classified as Discontinued Operations	The following are future minimum lease payments for the Com pany’s 15 senior housing properties and the Hurst Specialty Hospital to be received under non-cancellable operating leases for the five years and thereafter, in the aggregate, as of December 31, 2021 (in thousands): 2022 $ 28,754 2023 29,013 2024 29,508 2025 22,926 2026 11,737 Thereafter 64,451 $ 186,389

Variable Interest Entities (Tab

Variable Interest Entities (Tables)	12 Months Ended
	Dec. 31, 2021
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Aggregate Carrying Amount and Major Classifications of Consolidated Assets and Liabilities	The aggregate carrying amount and major classifications of the consolidated assets that can be used to settle obligations of the VIEs and liabilities of the consolidated VIEs that are non-recourse to the Company as of December 31, 2021 and 2020 are as follows (in thousands): As of December 31, 2021 2020 Assets: Real estate investment properties, net $ 42,612 $ 43,890 Cash $ 1,597 $ 505 Restricted cash $ 59 $ 102 Other assets $ 544 $ 524 Liabilities: Mortgages and other notes payable, net $ 28,855 $ 29,158 Accounts payable and accrued liabilities $ 1,489 $ 490 Other liabilities $ 299 $ 242

Indebtedness (Tables)

Indebtedness (Tables)	12 Months Ended
	Dec. 31, 2021
Debt Disclosure [Abstract]
Details of Indebtedness, Excluding Indebtedness Associated with Assets Held for Sale	The following table provides details of the Company’s indebtedness as of December 31, 2021 and 2020, (in thousands): As of December 31, 2021 2020 Mortgages payable and other notes payable: Fixed rate debt (1) $ 89,766 $ 337,519 Premium (2) 59 101 Loan costs, net ( 425 ) ( 935 ) Total mortgages and other notes payable, net 89,400 336,685 Credit facilities: Revolving Credit Facility (3)(4)(5) 88,000 ― Term Loan Facility (3)(5) 265,000 265,000 2021 Term Loan Facility (3)(5) 150,000 ― Loan costs, net related to Term Loan Facilities ( 3,272 ) ( 1,577 ) Total credit facilities, net 499,728 263,423 Total indebtedness, net $ 589,128 $ 600,108 9. Indebtedness (Continued) _____________ FOOTNOTES: (1) As of December 31, 2021 and 2020 , the Company’s mortgages and other notes payable are collateralized by seven and 29 properties, respectively, with total carrying value of approximately $ 135.4 million and $ 497.4 million, respectively. (2) Premium is reflective of the Company recording mortgage note payables assumed at fair value on the respective acquisition dates. (3) As of December 31, 2021 and 2020, the Company had entered into interest rate caps with notional amounts of approximately $ 355.0 million and $ 225.0 million , respectively. Refer to Note 11. “Derivative Financial Instruments” for additional information. (4) As of December 31, 2021 and 2020 , the Company had undrawn availability under the applicable revolving credit facility of approximately $ 14.1 mill ion and $ 150.2 million, respectively, based on the value of the properties in the unencumbered pool of assets supporting the loan, which includes certain assets held for sale. (5) The 30-day LIBOR was approximately 0.10 % and 0.14 %, respectively, as of December 31, 2021 and 2020.
Schedule of Maturities of Indebtedness	The following is a schedule of future principal payments and maturity for the Company’s total indebtedness for the next five years and thereafter, in the aggregate, as of December 31, 2021 (in thousands): 2022 $ 45,684 2023 111,407 2024 435,675 2025 — 2026 — Thereafter — $ 592,766
Schedule of Indebtedness	The following table details the Company’s mortgages and other notes payable, all of which were fixed rate debt, as of December 31, 2021 and 2020, (in thousands): Property and Loan Interest Rate at December Maturity December 31, Type 31, 2021 Payment Terms Date (1) 2021 2020 Pacific Northwest Communities; 4.30 % Monthly principal and interest payments based on a 25-year amortization schedule 1/5/2022 $ ― $ 189,938 Capital Health Communities; (2) (3) Monthly principal and interest payments based on a 25-year amortization schedule 1/5/2022 ― 55,925 Primrose I Communities; (3) 4.11 % Monthly principal and interest payments based on a 30-year amortization schedule 9/1/2022 45,019 46,317 Watercrest at Mansfield; (4) 4.68 % Monthly principal and interest payments based on a total payment of $143,330 6/1/2023 23,473 24,065 Watercrest at Katy; 3.25 % Monthly interest only payments through November 2022; principal and interest payments thereafter based on a 25-year amortization schedule 11/15/2024 21,274 21,274 Total mortgages and other notes payable, net $ 89,766 $ 337,519 _____________ FOOTNOTES: (1) Represents the initial maturity date (or, as applicable, the maturity date as extended). (2) Consisted of a mortgage loan and a supplemental loan. The mortgage loan accrued interest at a fixed rate equal to 4.25 % per annum. The supplemental loan accrued interest at a fixed rate equal to 4.3 % per annum. (3) If prepaid prior to May 30, 2022, the prepayment penalty will be 1 % of the outstanding principal balance of the Primrose I Communities Mortgage Loan. No prepayment fee is required if the Primrose I Communities Mortgage Loan is prepaid between May 31, 2022 and maturity. Partial prepayment of a loan is not permitted. The loan is transferable upon sale of the assets subject to lender approval. (4) The balance for this loan excludes a remaining premium of $ 0.1 million related to the mortgage note payable assumed being recorded at fair value on the acquisition date.
Schedule of Fair Market Value and Carrying Value of Indebtedness	The following table provides the details of the fair market value and carrying value of the Company’s indebtedness as of December 31, 2021 and 2020 (in millions): December 31, December 31, 2021 2020 Fair Carrying Fair Carrying Mortgages and other notes payable, net $ 90.4 $ 89.4 $ 339.4 $ 336.7 Credit facilities, net $ 503.0 $ 499.7 $ 265.0 $ 263.4

Related Party Arrangements (Tab

Related Party Arrangements (Tables)	12 Months Ended
	Dec. 31, 2021
Related Party Transactions [Abstract]
Schedule of Fees, Reimbursable Expenses and Related Amounts Unpaid to Related Parties	The expenses and fees incurred by and reimbursable to the Company’s related parties, including amounts included in income from discontinued operations, for the years ended December 31, 2021, 2020 and 2019, and related amounts unpaid as of December 31, 2021 and 2020 are as follows (in thousands): Years Ended Unpaid amounts as of (1) December 31, December 31, December 31, 2021 2020 2019 2021 2020 Reimbursable expenses: Operating expenses (2) $ 2,972 $ 3,517 $ 5,066 $ 214 $ 275 2,972 3,517 5,066 214 275 Disposition fee (3) — 143 3,031 — ― Financing coordination fees (4) 1,500 61 5,553 — — Asset management fees (5) 15,740 18,190 23,281 1,192 1,505 $ 20,212 $ 21,911 $ 36,931 $ 1,406 $ 1,780 FOOTNOTES: (1) Amounts are recorded as due to related parties in the accompanying consolidated balance sheets. (2) Amounts are recorded as general and administrative expenses in the accompanying consolidated statements of operations unless such amounts represent prepaid expenses, which are capitalized in the accompanying consolidated balance sheets. (3) Amounts are recorded as a reduction to gain on sale of real estate in the accompanying consolidated statements of operations. (4) For the years ended December 31, 2021 and 2020 , the Company incurred financing coordination fees of approximately $ 1.5 million and $ 0.1 million, respectively, all of which were capitalized as loan costs and reflected in mortgages and other notes payable, net in the accompanying consolidated balance sheets. For the year ended December 31, 2019, the Company incurred approximately $ 5.6 million in financing coordination fees related to the refinancing of the loans associated with certain operating properties of which approximately $ 3.7 million were capitalized as loan costs and reduced mortgages and other notes payable, net in the accompanying consolidated balance sheets. Effective May 26, 2021, the asset management fee was reduced from 1.0 % per annum to 0.80 % per annum of average invested assets. For the years ended December 31, 2021, 2020 and 2019 , the Company incurred approximately $ 15.7 million, $ 18.2 million and $ 23.3 million, respectively, in asset management fees payable to the Advisor. No expense support was received for the years ended December 31, 2021, 2020 and 2019 . There were no asset management fees capitalized for the years ended December 31, 2021, 2020 and 2019.

Derivative Financial Instrume_2

Derivative Financial Instruments (Tables)	12 Months Ended
	Dec. 31, 2021
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Summary of Derivative Financial Instruments and Corresponding Asset (Liability)	The following summarizes the terms of the Company's, or its equity method investment's, interest rate caps and the corresponding asset as of December 31, 2021 and 2020 (in thousands): Notional Maturity Fair Value Asset as of December 31, Amount (1) Strike Trade Forward Date 2021 2020 $ 10,500 3.3 % 2/28/2019 3/1/2019 9/1/2021 $ — $ — $ 231,000 2.0 % 12/12/2019 12/20/2019 12/31/2020 $ — $ — $ 225,000 0.8 % 8/12/2020 12/31/2020 12/31/2021 $ — $ 2 $ 130,000 1.0 % 10/7/2021 10/7/2021 12/31/2022 $ 63 $ — $ 225,000 2.0 % 12/22/2021 12/31/2021 12/31/2022 $ 28 $ — _____________ FOOTNOTE: (1) Amounts related to the interest rate caps held by the Company, or its equity method investment, which are recorded at fair value and included in other assets in the accompanying consolidated balance sheets.

Equity (Tables)

Equity (Tables)	12 Months Ended
	Dec. 31, 2021
Equity [Abstract]
Tax Components Of Dividends Declared	The tax composition of the Company’s distributions declared for the years ended December 31, 2021, 2020 and 2019 were as follows: Years Ended December 31, 2021 2020 2019 Ordinary income 43.82 % 21.88 % 0.00 % Capital gain 0.00 % 0.62 % 42.85 % Unrecaptured Sec. 1250 gain 0.00 % 11.15 % 20.10 % Return of capital 56.18 % 66.35 % 37.05 %
Distribution Of Promoted Interest To Holder	For the years ended December 31, 2021, 2020 and 2019, the Company accrued, as a reversal to capital in excess of par value, the following distributions to holders of promoted interest (in thousands): Years Ended December 31, 2021 2020 2019 Dogwood Forest of Grayson $ — $ — $ 406 $ — $ — $ 406
Effect of Derivative Financial Instruments	The following table reflects the effect of derivative financial instruments held by the Company, or its equity method investment, and included in the consolidated statements of comprehensive income (loss) for the years ended December 31, 2021, 2020 and 2019 (in thousands): Derivative financial instruments Gain (loss) recognized in other comprehensive loss on derivative financial instruments Location of gain (loss) reclassified into earnings Gain (loss) reclassified from accumulated other comprehensive income (loss) into earnings Years Ended December 31, Years Ended December 31, 2021 2020 2019 2021 2020 2019 Interest rate swaps $ — $ — $ ( 846 ) Interest expense and loan cost amortization $ — $ — $ 921 Interest rate caps 40 11 ( 134 ) Interest expense and loan cost amortization ( 32 ) ( 44 ) ( 361 ) Reclassification of interest rate swaps upon derecognition ― ― ( 509 ) Interest expense and loan cost amortization ― ― 509 Reclassification of interest rate caps upon derecognition ― 2 265 Interest expense and loan cost amortization ― ( 2 ) ( 265 ) Interest rate cap held by unconsolidated joint venture 5 ( 12 ) 11 Equity in earnings of unconsolidated entity ( 5 ) ( 3 ) ( 11 ) Total $ 45 $ 1 $ ( 1,213 ) $ ( 37 ) $ ( 49 ) $ 793

Income Taxes (Table)

Income Taxes (Table)	12 Months Ended
	Dec. 31, 2021
Income Tax Disclosure [Abstract]
Schedule of Components of Income Tax Expense (Benefit) [Table Text Block]	The components of the income tax expense for the years ended December 31, 2021, 2020 and 2019, excluding amounts related to discontinued operations, were as follows (in thousands): Years Ended December 31, 2021 2020 2019 Current: Federal $ ( 10 ) $ 51 $ 51 State ( 532 ) ( 596 ) ( 580 ) Total current expense ( 542 ) ( 545 ) ( 529 ) Deferred: Federal ( 3,379 ) ( 552 ) ( 1,562 ) State ( 253 ) ( 1 ) ( 120 ) Total deferred expense ( 3,632 ) ( 553 ) ( 1,682 ) Income tax expense $ ( 4,174 ) $ ( 1,098 ) $ ( 2,211 )
Schedule of Deferred Tax Assets and Liabilities [Table Text Block]	Significant components of the Company’s deferred tax assets as of December 31, 2021 and 2020 are as follows: 2021 2020 Carryforwards of net operating loss $ 10,847 $ 4,068 Minimum tax credit carryforward — ― Prepaid rent 985 1,026 Valuation allowance ( 11,832 ) ( 1,464 ) Deferred tax assets, net $ — $ 3,630
Schedule of Effective Income Tax Rate Reconciliation [Table Text Block]	A reconciliation of the income tax expense computed at the statutory federal tax rate on income before income taxes is as follows (in thousands): Years Ended December 31, 2021 2020 2019 Tax (expense) benefit computed at federal statutory rate $ 3,923 21.00 % $ ( 873 ) ( 21.00 )% $ ( 898 ) ( 21.00 )% Impact of REIT election 1,575 8.43 % 303 7.28 % ( 675 ) ( 15.78 )% State income tax expense net of federal benefit 706 3.78 % ( 160 ) ( 3.84 )% ( 488 ) ( 11.41 )% Effect of change in valuation allowance ( 10,378 ) ( 55.55 )% ( 368 ) ( 8.86 )% ( 150 ) ( 3.51 )% Income tax expense $ ( 4,174 ) ( 22.34 )% $ ( 1,098 ) ( 26.42 )% $ ( 2,211 ) ( 51.70 )%

Concentration of Credit Risk (T

Concentration of Credit Risk (Tables)	12 Months Ended
	Dec. 31, 2021
Risks and Uncertainties [Abstract]
Geographical Concentrations that Individually Accounted for 10% or More of Total Revenues Excluding Assets Classified as Held for Sale	For the years ended December 31, 2021, 2020 and 2019 , the Company had a geographical concentration accounting for 10 % or more of its total revenues, excluding the properties classified as discontinued operations, as follows: Type of Years Ended December 31, Concentration 2021 2020 2019 State of Texas (1) Geographical 21.3 % 21.0 % 20.5 % _____________ FOOTNOTE: (1) Includes rental income and related revenues and resident fees and services. Adverse economic developments in this geographical area could significantly impact the Company’s results of operations and cash flows from operations, which in turn would impact its ability to pay debt service and make distributions to stockholders.

Organization - Additional Infor

Organization - Additional Information (Detail)	1 Months Ended	12 Months Ended
	Dec. 31, 2018FacilityHospitalProperty	Dec. 31, 2021StateAgreementPropertyProperties	Dec. 31, 2020Property	Dec. 31, 2019Property
Collaborative Arrangements And Noncollaborative Arrangement Transactions [Line Items]
Number of properties	70
Number of properties sold	63	69	1	60
Number of skilled nursing facilities | Facility	7
Investment Portfolio
Collaborative Arrangements And Noncollaborative Arrangement Transactions [Line Items]
Number of properties		73
Number of states | State		26
Number of seniors housing properties		71
Investment Portfolio | Vacant Land Parcel
Collaborative Arrangements And Noncollaborative Arrangement Transactions [Line Items]
Number of properties | Agreement		1
UNITED STATES | MOB/Healthcare Portfolio
Collaborative Arrangements And Noncollaborative Arrangement Transactions [Line Items]
Number of properties comprised in MOB sale	53
Number of post acute care facilities | Facility	5
Number of acute care hospitals | Hospital	5

Summary of Significant Accoun_3

Summary of Significant Accounting Policies - Additional Information (Detail) $ in Thousands	12 Months Ended
	Dec. 31, 2021USD ($)OperatingSegments	Dec. 31, 2020USD ($)
Summary Of Significant Accounting Policies [Line Items]
Other Liabilities	$ 6,115	$ 8,255
Accumulated amortization of loan costs	$ 9,500	8,300
Annualized return of investment	6.00%
Number of segment | OperatingSegments	1
Building [Member] | Maximum
Summary Of Significant Accounting Policies [Line Items]
Real estate assets, estimated useful life	39 years
Improvements [Member] | Maximum
Summary Of Significant Accounting Policies [Line Items]
Real estate assets, estimated useful life	15 years
VIEs
Summary Of Significant Accounting Policies [Line Items]
Other Liabilities	$ 299	$ 242

Revenue - Summary of Disaggrega

Revenue - Summary of Disaggregation of Revenue (Detail) $ in Thousands	12 Months Ended
	Dec. 31, 2021USD ($)Facility	Dec. 31, 2020USD ($)Facility	Dec. 31, 2019USD ($)Facility
Disaggregation Of Revenue [Line Items]
Number of Units | Facility	6,107	6,107	6,080
Resident fees and services | $	$ 265,321	$ 280,854	$ 288,344
Percentage of Revenues	100.00%	100.00%	100.00%
Independent Living
Disaggregation Of Revenue [Line Items]
Number of Units | Facility	2,243	2,256	2,261
Resident fees and services | $	$ 69,600	$ 72,600	$ 74,300
Percentage of Revenues	26.20%	25.90%	25.80%
Assisted Living
Disaggregation Of Revenue [Line Items]
Number of Units | Facility	2,960	2,947	2,966
Resident fees and services | $	$ 128,900	$ 138,100	$ 140,500
Percentage of Revenues	48.60%	49.20%	48.70%
Memory Care
Disaggregation Of Revenue [Line Items]
Number of Units | Facility	904	904	853
Resident fees and services | $	$ 53,200	$ 57,700	$ 59,400
Percentage of Revenues	20.10%	20.50%	20.60%
Other Revenues
Disaggregation Of Revenue [Line Items]
Number of Units | Facility	0	0	0
Resident fees and services | $	$ 13,600	$ 12,500	$ 14,100
Percentage of Revenues	5.10%	4.40%	4.90%

Real Estate Assets, Net - Sched

Real Estate Assets, Net - Schedule of Real Estate Investment Properties Excluding Assets Held For Sale (Detail) - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
Real Estate [Abstract]
Land and land improvements	$ 133,339	$ 132,663
Building and building improvements	1,497,143	1,501,107
Furniture, fixtures and equipment	101,602	94,141
Less: accumulated depreciation	(384,855)	(335,051)
Real estate investment properties, net	$ 1,347,229	$ 1,392,860

Real Estate Assets, Net - Addit

Real Estate Assets, Net - Additional Information (Detail) - USD ($) $ in Thousands	1 Months Ended		12 Months Ended
	Mar. 31, 2022	Sep. 30, 2020	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Real Estate [Line Items]
Real Estate Impairments			$ (9,673)		$ (1,004,892)
Deferred rent write off				$ 2,500
Real Estate Investment Properties
Real Estate [Line Items]
Depreciation catch up adjustment if the property was held and used		$ 1,500		1,500
Depreciation expense			50,000	51,400	$ 49,400
Perennial Communities Sale Agreement
Real Estate [Line Items]
Aggregate gains on sale of properties				1,100
Hurst Specialty Hospital
Real Estate [Line Items]
Aggregate gains on sale of properties	$ 8,500
Real Estate Impairments			$ 9,800
Rent reserves for uncollected rents				$ 800

Intangibles, net - Schedule of

Intangibles, net - Schedule of Net Book Value of Intangibles Excluding Assets Held for Sale (Detail) - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
Finite-Lived Intangible Assets [Line Items]
Less: accumulated depreciation	$ (3,512)	$ (3,118)
Intangible assets, net	432	826
In-place lease intangibles
Finite-Lived Intangible Assets [Line Items]
Gross carrying amount, assets	$ 3,944	$ 3,944

Intangibles, net - Additional I

Intangibles, net - Additional Information (Detail) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Goodwill and Intangible Assets Disclosure [Abstract]
Amortization expense on intangible assets	$ 0.4	$ 0.4	$ 0.4

Intangibles, net - Schedule o_2

Intangibles, net - Schedule of Estimated Future Amortization (Detail) - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
Finite-Lived Intangible Assets, Net, Amortization Expense, Fiscal Year Maturity [Abstract]
2022	$ 253
2023	74
2024	74
2025	31
2026	0
Thereafter	0
Intangible assets, net	$ 432	$ 826

Assets and Associated Liabili_3

Assets and Associated Liabilities Held for Sale and Discontinued Operations - Additional Information (Detail) $ in Millions	1 Months Ended	12 Months Ended
	Dec. 31, 2018FacilityProperty	Dec. 31, 2021PropertyProperties	Dec. 31, 2020USD ($)Property	Dec. 31, 2019Property
Long Lived Assets Held For Sale [Line Items]
Number Of Properties Committed For Sale		69
Number of skilled nursing facilities | Facility	7
Number of properties sold	63	69	1	60
Number of acute care properties		1
Number of properties owned, discontinued operations		62
MOB/Healthcare Portfolio
Long Lived Assets Held For Sale [Line Items]
Number of properties owned, discontinued operations		62
Perennial Communities Sale Agreement
Long Lived Assets Held For Sale [Line Items]
Aggregate gains on sale of properties | $			$ 1.1

Assets and Associated Liabili_4

Assets and Associated Liabilities Held for Sale and Discontinued Operations - Schedule of Assets Classified as Held for Sale and Liabilities Associated with Those Assets Held for Sale (Detail) - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
Long Lived Assets Held-for-sale [Line Items]
Other Assets	$ 18,700	$ 23,341
Assets held for sale, net	0	7,421
Other liabilities	6,115	8,255
Liabilities associated with assets held for sale	$ 0	10
MOB/Healthcare Portfolio
Long Lived Assets Held-for-sale [Line Items]
Real estate held for sale, net		5,922
Intangibles, net		1,481
Other Assets		18
Assets held for sale, net		7,421
Accounts payable and accrued liabilities		8
Other liabilities		2
Liabilities associated with assets held for sale		$ 10

Assets and Associated Liabili_5

Assets and Associated Liabilities Held for Sale and Discontinued Operations - Summary of Income (Loss) from Discontinued Operations (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
MOB/Healthcare Portfolio
Revenues:
Rental income and related revenues	$ 6	$ 1,266	$ 46,073
Operating expenses:
Property operating expenses	3	7	11,333
General and administrative	3	138	411
Asset/ Property management fees	5	28	1,257
Total operating expenses	19	312	17,690
Gain on sale of real estate	0	0	336,074
Operating (loss) income	(13)	954	364,457
Other income (expense):
Interest and other income	0	0	56
Interest expense and loan cost amortization	0		(14,618)
Total other income (expense)	0	0	14,562
(Loss) income before income taxes	(13)	954	349,895
Income tax benefit (expense)	(3)		165
(Loss) income from discontinued operations	(10)	954	349,730
Asset management fees
Operating expenses:
Asset/ Property management fees	$ 8	$ 139	$ 4,689

Operating Leases - Additional I

Operating Leases - Additional Information (Details) $ in Millions	12 Months Ended
	Dec. 31, 2021USD ($)Properties
Operating Leased Assets [Line Items]
Lessor, Operating Lease, Existence of Option to Extend [true false]	true
Lessor, operating lease, option to extend	subject to the tenants’ options to extend the lease terms by an additional five years
Triple Net Lease Agreements Member
Operating Leased Assets [Line Items]
Number of seniors housing properties | Properties	15
Total annualized property tax | $	$ 3.2
Weighted average remaining lease term	5 years 8 months 12 days
Extended lease period	5 years
Triple Net Lease Agreements Member | Maximum [Member]
Operating Leased Assets [Line Items]
Lease, expiration year	2032
Triple Net Lease Agreements Member | Minimum [Member]
Operating Leased Assets [Line Items]
Lease, expiration year	2025

Operating Leases - Schedule of

Operating Leases - Schedule of Future Minimum Lease Payments to be Received Under Non-Cancellable Operating Leases Excluding Properties Classified as Discontinued Operations (Details) $ in Thousands	Dec. 31, 2021USD ($)
Leases [Abstract]
2022	$ 28,754
2023	29,013
2024	29,508
2025	22,926
2026	11,737
Thereafter	64,451
Operating leases future minimum payments receivable	$ 186,389

Variable Interest Entities - Ad

Variable Interest Entities - Additional Information (Detail) $ in Millions	12 Months Ended
	Dec. 31, 2021USD ($)Subsidiary	Dec. 31, 2020Subsidiary
Variable Interest Entity [Line Items]
Maximum exposure to loss VIEs limits | $	$ 12.8
Variable Interest Entity, Primary Beneficiary | Joint Ventures Real Estate Under Development Entities
Variable Interest Entity [Line Items]
Number of subsidiaries	2	2
Variable Interest Entity, Primary Beneficiary | Real Estate Under Development Entities
Variable Interest Entity [Line Items]
Number of subsidiaries	1	1

Variable Interest Entities - Ag

Variable Interest Entities - Aggregate Carrying Amount and Major Classifications of Consolidated Assets and Liabilities (Details) - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
Variable Interest Entity [Line Items]
Real Estate Investment Property, Net	$ 1,347,229	$ 1,392,860
Cash	53,161	61,475
Restricted cash	4,520	4,536
Other assets	18,700	23,341
Mortgages and other notes payable, net	89,400	336,685
Accounts payable and accrued liabilities	29,170	24,519
Other liabilities	6,115	8,255
Variable Interest Entity
Variable Interest Entity [Line Items]
Real Estate Investment Property, Net	42,612	43,890
Cash	1,597	505
Restricted cash	59	102
Other assets	544	524
Mortgages and other notes payable, net	28,855	29,158
Accounts payable and accrued liabilities	1,489	490
Other liabilities	$ 299	$ 242

Indebtedness - Details of Indeb

Indebtedness - Details of Indebtedness, Excluding Indebtedness Associated with Assets Held for Sale (Details) - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
Debt Instrument [Line Items]
Premium	$ 59	$ 101
Total mortgages and other notes payable, net	89,400	336,685
Credit facilities	499,728	263,423
Total credit facilities, net	499,728	263,423
Total indebtedness, net	589,128	600,108
Revolving Credit Facility
Debt Instrument [Line Items]
Credit facilities	88,000	0
Term Loan Facility
Debt Instrument [Line Items]
Loan costs, net	(3,272)	(1,577)
Credit facilities	265,000	265,000
2021 Term Loan Facility
Debt Instrument [Line Items]
Credit facilities	150,000	0
Fixed Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable	89,766	337,519
Mortgages payable and other notes payable
Debt Instrument [Line Items]
Loan costs, net	$ (425)	$ (935)

Indebtedness - Details of Ind_2

Indebtedness - Details of Indebtedness, Excluding Indebtedness Associated with Assets Held for Sale (Parenthetical) (Detail) $ in Millions	12 Months Ended
	Dec. 31, 2021USD ($)	Dec. 31, 2020USD ($)Properties
Debt Instrument [Line Items]
Debt Instrument, Current borrowing capacity	$ 14.1
Notional amounts of derivative contract	355	$ 225
Secured Debt
Debt Instrument [Line Items]
Number of collateralized properties owned | Properties		29
Mortgages and other notes payable carrying value of collateral	$ 135.4	$ 497.4
30-day LIBOR
Debt Instrument [Line Items]
Debt Instrument Interest Rate During Period	0.10%	0.14%
Revolving Credit Facility
Debt Instrument [Line Items]
Debt Instrument, Current borrowing capacity	$ 14.1	$ 150.2

Indebtedness - Additional Infor

Indebtedness - Additional Information (Detail) $ in Thousands	1 Months Ended			12 Months Ended
	Dec. 31, 2022USD ($)	Oct. 31, 2021USD ($)Properties	Sep. 30, 2021USD ($)Extension	Dec. 31, 2022USD ($)	Dec. 31, 2021USD ($)	Dec. 31, 2020USD ($)	Dec. 31, 2019USD ($)
Debt Instrument [Line Items]
Liquidity					$ 67,300
Financing fees					1,500	$ 100	$ 5,600
Cash and cash equivalents					53,200
Available					$ 14,100
Number of Debt Collateralized Properties | Properties		22
Maximum allowable distributions as a percentage of adjusted FFO					95.00%
Description of covenants					The credit facilities contain affirmative, negative, and financial covenants which are customary for loans of this type, including (but not limited to): (i) maximum leverage, (ii) minimum fixed charge coverage ratio, (iii) minimum consolidated net worth, (iv) restrictions on payments of cash distributions except if required by REIT requirements, (v) maximum secured indebtedness, (vi) maximum secured recourse debt, (vii) minimum unsecured interest coverage, (viii) maximum unsecured indebtedness ratio, and (ix) limitations on certain types of investments and with respect to the pool of properties supporting borrowings under the credit facilities, minimum weighted average occupancy, and remaining lease terms, as well as property type, MSA, operator, and asset value concentration limits. The limitations on distributions generally include a limitation on the extent of allowable distributions, which are not to exceed the greater of 95% of adjusted FFO (as defined per the credit facilities) and the minimum amount of distributions required to maintain the Company’s REIT status. As of December 31, 2021 the Company was in compliance with all financial covenants related to its Credit Facilities.
Loan borrowing					$ 238,000	40,000	95,000
Repayment of loan borrowed					0	80,000	$ 464,125
Notional amounts of derivative contract					355,000	225,000
Mortgages | Primrose Two Communities
Debt Instrument [Line Items]
Mortgages payable and other notes payable						$ 39,700
Maturity date						2020
Scenario Forecast
Debt Instrument [Line Items]
Scheduled payments in future period				$ 45,700
Material maturity amount	$ 45,000
Revolving Credit Facility
Debt Instrument [Line Items]
Available					$ 14,100	$ 150,200
Loan borrowing						40,000
Repayment of loan borrowed						$ 80
2021 Term Loan Facility
Debt Instrument [Line Items]
Aggregate maximum principal amount available for borrowing			$ 150,000
Line of credit facility, initial maturity date			May 15, 2024
Number of extension options available | Extension			1
Line of credit facility extension period			12 months
Credit facility, interest description			bears interest based on 30-day LIBOR plus a spread that varies with the Company's leverage ratio
Financing fees			$ 900
Refinanced secured indebtedness		$ 238,000
Line of credit facility, initial maturity		2022-01
2021 Term Loan Facility | Advisor
Debt Instrument [Line Items]
Financing fees			$ 1,500

Indebtedness - Schedule of Matu

Indebtedness - Schedule of Maturities of Indebtedness (Details) $ in Thousands	Dec. 31, 2021USD ($)
Debt Disclosure [Abstract]
2022	$ 45,684
2023	111,407
2024	435,675
Long-term Debt, Total	$ 592,766

Indebtedness - Schedule of Inde

Indebtedness - Schedule of Indebtedness (Details) - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2021	Dec. 31, 2020
Debt Instrument [Line Items]
Carrying Value		$ 592,766
Fixed Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable		89,766	$ 337,519
Mortgages
Debt Instrument [Line Items]
Carrying Value		89,766	337,519
Mortgages | Primrose Two Communities
Debt Instrument [Line Items]
Mortgages payable and other notes payable			39,700
Mortgages | Primrose Two Communities | Fixed Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable		$ 45,019	46,317
Mortgages | Pacific Northwest Communities
Debt Instrument [Line Items]
Interest on Loan accrues - Fixed rate		4.30%
Payment Terms		Monthly principal and interest payments based on a 25-year amortization schedule
Maturity Date	[1]	Jan. 5, 2022
Mortgages | Pacific Northwest Communities | Fixed Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable		$ 0	189,938
Mortgages | Capital Health
Debt Instrument [Line Items]
Interest on Loan accrues - Fixed rate		4.25%
Payment Terms	[2]	Monthly principal and interest payments based on a 25-year amortization schedule
Maturity Date	[1],[2]	Jan. 5, 2022
Mortgages | Capital Health | Fixed Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable		$ 0	55,925
Mortgages | Primrose I Communities
Debt Instrument [Line Items]
Interest on Loan accrues - Fixed rate	[3]	4.11%
Payment Terms	[3]	Monthly principal and interest payments based on a 30-year amortization schedule
Maturity Date	[1],[3]	Sep. 1, 2022
Mortgages | Watercrest at Mansfield
Debt Instrument [Line Items]
Interest on Loan accrues - Fixed rate	[4]	4.68%
Payment Terms	[4]	Monthly principal and interest payments based on a total payment of $143,330
Maturity Date	[1],[4]	Jun. 1, 2023
Mortgages | Watercrest at Mansfield | Fixed Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable		$ 23,473	24,065
Mortgages | Watercrest At Katy
Debt Instrument [Line Items]
Interest on Loan accrues - Fixed rate		3.25%
Payment Terms		Monthly interest only payments through November 2022; principal and interest payments thereafter based on a 25-year amortization schedule
Maturity Date	[1]	Nov. 15, 2024
Mortgages | Watercrest At Katy | Fixed Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable		$ 21,274	$ 21,274
[1]	Represents the initial maturity date (or, as applicable, the maturity date as extended).
[2]	Consisted of a mortgage loan and a supplemental loan. The mortgage loan accrued interest at a fixed rate equal to 4.25 % per annum. The supplemental loan accrued interest at a fixed rate equal to 4.3 % per annum.
[3]	If prepaid prior to May 30, 2022, the prepayment penalty will be 1 % of the outstanding principal balance of the Primrose I Communities Mortgage Loan. No prepayment fee is required if the Primrose I Communities Mortgage Loan is prepaid between May 31, 2022 and maturity. Partial prepayment of a loan is not permitted. The loan is transferable upon sale of the assets subject to lender approval.
[4]	The balance for this loan excludes a remaining premium of $ 0.1 million related to the mortgage note payable assumed being recorded at fair value on the acquisition date. 9. Indebtedness (Continued)

Indebtedness - Schedule of In_2

Indebtedness - Schedule of Indebtedness (Parenthetical) (Detail) $ in Millions	12 Months Ended
	Dec. 31, 2021USD ($)
Capital Health | Mortgages
Debt Instrument [Line Items]
Interest on Loan accrues - Fixed rate	4.25%
Capital Health | Mortgage, Supplemental Loan
Debt Instrument [Line Items]
Interest on Loan accrues - Fixed rate	4.30%
Primrose I Communities | Mortgages
Debt Instrument [Line Items]
Interest on Loan accrues - Fixed rate	4.11%	[1]
Primrose I Communities | Mortgages | Minimum | Period One
Debt Instrument [Line Items]
Percentage of prepayment penalty on principal repaid	1.00%
Watercrest at Mansfield | Mortgages
Debt Instrument [Line Items]
Interest on Loan accrues - Fixed rate	4.68%	[2]
Watercrest at Mansfield | Mortgages | Fixed Rate Debt
Debt Instrument [Line Items]
Debt Instrument, Unamortized Premium	$ 0.1
[1]	If prepaid prior to May 30, 2022, the prepayment penalty will be 1 % of the outstanding principal balance of the Primrose I Communities Mortgage Loan. No prepayment fee is required if the Primrose I Communities Mortgage Loan is prepaid between May 31, 2022 and maturity. Partial prepayment of a loan is not permitted. The loan is transferable upon sale of the assets subject to lender approval.
[2]	The balance for this loan excludes a remaining premium of $ 0.1 million related to the mortgage note payable assumed being recorded at fair value on the acquisition date. 9. Indebtedness (Continued)

Indebtedness - Schedule of Fair

Indebtedness - Schedule of Fair Market Value and Carrying Value of Indebtedness (Detail) - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
Debt Instrument [Line Items]
Carrying Value	$ 592,766
Mortgages and other notes payable, net
Debt Instrument [Line Items]
Fair Value	90,400	$ 339,400
Carrying Value	89,400	336,700
Credit facilities
Debt Instrument [Line Items]
Fair Value	503,000	265,000
Carrying Value	$ 499,700	$ 263,400

Related Party Arrangements - Ad

Related Party Arrangements - Additional Information (Detail) - USD ($) shares in Thousands, $ in Thousands	May 26, 2021	May 31, 2019	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Related Party Transaction [Line Items]
Property disposition fee payable as percentage of gross consideration paid upon liquidity event			1.00%
Annualized return of investment			6.00%
Cash paid to stockholders		$ 347,900	$ 35,627	$ 35,627	$ 394,892
Investment services fees			0	0	0
Maximum
Related Party Transaction [Line Items]
Percentage of asset management fee	1.00%
Minimum
Related Party Transaction [Line Items]
Percentage of asset management fee	0.80%
Restricted Stock
Related Party Transaction [Line Items]
Cash paid to stockholders			$ 273	273	3,027
Advisor
Related Party Transaction [Line Items]
Investment service fee as percentage of purchase price of properties			1.85%
Financing coordination fee as percentage of gross amount of refinancing			1.00%
Property disposition fee payable as percentage equals to gross market capitalization upon listing on national securities exchange			1.00%
Property disposition fee payable as percentage equals to gross sales price upon sale or transfer of assets			1.00%
Property disposition fee payable as percentage equals to gross sales price			6.00%
Annualized return of investment			6.00%
Operating expenses reimbursement percentage of average investment in assets			2.00%
Operating expenses reimbursement percentage of net income			25.00%
Annualized return of investment			6.00%
Advisor | Maximum
Related Party Transaction [Line Items]
Percentage of asset management fee	0.80%
Advisor | Minimum
Related Party Transaction [Line Items]
Percentage of asset management fee	1.00%
CNL Capital Markets Corp
Related Party Transaction [Line Items]
Investment services fees			$ 900	$ 900	$ 900
Expense Support Agreements | Restricted Stock
Related Party Transaction [Line Items]
Restricted stock fair value			$ 13,570
Restricted Stock shares			1,332

Related Party Arrangements - Sc

Related Party Arrangements - Schedule of Fees, Reimbursable Expenses and Related Amounts Unpaid to Related Parties (Detail) - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Line of Credit Facility [Line Items]
Financing coordination fees		$ 0	$ 0	$ 1,878
Total related amount unpaid		1,406	1,780
Expense Support Agreements
Line of Credit Facility [Line Items]
Operating expenses	[1]	2,972	3,517	5,066
Total reimbursable expenses		2,972	3,517	5,066
Disposition fee	[2]	0	143	3,031
Financing coordination fees	[3]	1,500	61	5,553
Asset management fees	[4]	15,740	18,190	23,281
Total reimbursable expenses, net		20,212	21,911	$ 36,931
Operating expenses, unpaid	[1],[5]	214	275
Total reimbursable expenses	[5]	214	275
Disposition fees, unpaid	[2],[5]	0	0
Financing coordination fees, unpaid	[3],[5]	0	0
Asset management fees, unpaid	[4],[5]	1,192	1,505
Total related amount unpaid	[5]	$ 1,406	$ 1,780
[1]	Amounts are recorded as general and administrative expenses in the accompanying consolidated statements of operations unless such amounts represent prepaid expenses, which are capitalized in the accompanying consolidated balance sheets.
[2]	Amounts are recorded as a reduction to gain on sale of real estate in the accompanying consolidated statements of operations.
[3]	For the years ended December 31, 2021 and 2020 , the Company incurred financing coordination fees of approximately $ 1.5 million and $ 0.1 million, respectively, all of which were capitalized as loan costs and reflected in mortgages and other notes payable, net in the accompanying consolidated balance sheets. For the year ended December 31, 2019, the Company incurred approximately $ 5.6 million in financing coordination fees related to the refinancing of the loans associated with certain operating properties of which approximately $ 3.7 million were capitalized as loan costs and reduced mortgages and other notes payable, net in the accompanying consolidated balance sheets.
[4]	Effective May 26, 2021, the asset management fee was reduced from 1.0 % per annum to 0.80 % per annum of average invested assets. For the years ended December 31, 2021, 2020 and 2019 , the Company incurred approximately $ 15.7 million, $ 18.2 million and $ 23.3 million, respectively, in asset management fees payable to the Advisor. No expense support was received for the years ended December 31, 2021, 2020 and 2019 . There were no asset management fees capitalized for the years ended December 31, 2021, 2020 and 2019.
[5]	Amounts are recorded as due to related parties in the accompanying consolidated balance sheets.

Related Party Arrangements - _2

Related Party Arrangements - Schedule of Fees, Reimbursable Expenses and Related Amounts Unpaid to Related Parties (Parenthetical) (Detail) - USD ($) $ in Thousands	May 26, 2021	Sep. 30, 2021	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Related Party Transaction [Line Items]
Financing coordination fees			$ 1,500	$ 100	$ 5,600
Loan costs capitalized					3,700
Investment services fees			0	0	0
Property Manager
Related Party Transaction [Line Items]
Asset management fees			15,700	18,200	23,300
Capitalized Amount Of Asset Management Fees			$ 0	$ 0	$ 0
2021 Term Loan Facility
Related Party Transaction [Line Items]
Financing coordination fees		$ 900
Maximum
Related Party Transaction [Line Items]
Percentage of asset management fee	1.00%
Minimum
Related Party Transaction [Line Items]
Percentage of asset management fee	0.80%

Derivative Financial Instrume_3

Derivative Financial Instruments - Summary of Derivative Financial Instruments and Corresponding Asset (Liability) (Details) - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2021	Dec. 31, 2020
Derivative [Line Items]
Notional amounts of derivative contract		$ 355,000	$ 225,000
Derivative Financial Instruments One
Derivative [Line Items]
Notional amounts of derivative contract	[1]	$ 10,500
Strike		3.30%
Trade date		Feb. 28, 2019
Forward date		Mar. 1, 2019
Maturity date		Sep. 1, 2021
Derivative Financial Instruments Two
Derivative [Line Items]
Notional amounts of derivative contract	[1]	$ 231,000
Strike		2.00%
Trade date		Dec. 12, 2019
Forward date		Dec. 20, 2019
Maturity date		Dec. 31, 2020
Derivative Financial Instruments Three
Derivative [Line Items]
Notional amounts of derivative contract	[1]	$ 225,000
Strike		0.80%
Trade date		Aug. 12, 2020
Forward date		Dec. 31, 2020
Maturity date		Dec. 31, 2021
Fair value asset (liability)			$ 2
Derivative Financial Instruments Four
Derivative [Line Items]
Notional amounts of derivative contract	[1]	$ 130,000
Strike		1.00%
Trade date		Oct. 7, 2021
Forward date		Oct. 7, 2021
Maturity date		Dec. 31, 2022
Fair value asset (liability)		$ 63
Derivative Financial Instruments Five
Derivative [Line Items]
Notional amounts of derivative contract	[1]	$ 225,000
Strike		2.00%
Trade date		Dec. 22, 2021
Forward date		Dec. 31, 2021
Maturity date		Dec. 31, 2022
Fair value asset (liability)		$ 28
[1]	Amounts related to the interest rate caps held by the Company, or its equity method investment, which are recorded at fair value and included in other assets in the accompanying consolidated balance sheets.

Equity - Additional Information

Equity - Additional Information (Detail) - USD ($) $ in Thousands	1 Months Ended	12 Months Ended
	May 31, 2019	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Class of Stock [Line Items]
Cash distribution declared		$ 35,627	$ 35,627	$ 394,892
Cash paid to stockholders	$ 347,900	$ 35,627	$ 35,627	394,892
Redemptions of common stock				$ (23)

Equity - Tax Composition of Com

Equity - Tax Composition of Company's Distributions Declared (Detail)	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Uncategorized [Abstract]
Ordinary income	43.82%	21.88%	0.00%
Capital gain	0.00%	0.62%	42.85%
Unrecaptured Sec. 1250 gain	0.00%	11.15%	20.10%
Return of capital	56.18%	66.35%	37.05%

Equity - Distributions of promo

Equity - Distributions of promoted interest to share holders (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Class of Stock [Line Items]
Distributions to holders of promoted interest	$ 0	$ 0	$ 406
Dogwood Forest of Grayson
Class of Stock [Line Items]
Distributions to holders of promoted interest	$ 0	$ 0	$ 406

Equity - Effect of Derivative F

Equity - Effect of Derivative Financial Instruments (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Derivative Instruments, Gain (Loss) [Line Items]
Gain (loss) reclassified from accumulated other comprehensive income (loss) into earnings	$ (37)	$ (49)	$ 793
Gain (loss) recognized in other comprehensive loss on derivative financial instruments	45	1	(1,213)
Interest Rate Swap
Derivative Instruments, Gain (Loss) [Line Items]
Gain (loss) recognized in other comprehensive loss on derivative financial instruments	0	0	(846)
Interest Rate Swap | Interest Expense
Derivative Instruments, Gain (Loss) [Line Items]
Gain (loss) reclassified from accumulated other comprehensive income (loss) into earnings	0	0	921
Interest Rate Cap
Derivative Instruments, Gain (Loss) [Line Items]
Gain (loss) recognized in other comprehensive loss on derivative financial instruments	40	11	(134)
Interest Rate Cap | Interest Expense
Derivative Instruments, Gain (Loss) [Line Items]
Gain (loss) reclassified from accumulated other comprehensive income (loss) into earnings	(32)	(44)	(361)
Reclassification of Interest Rate Swaps Upon Derecognition
Derivative Instruments, Gain (Loss) [Line Items]
Gain (loss) recognized in other comprehensive loss on derivative financial instruments	0	0	(509)
Reclassification of Interest Rate Swaps Upon Derecognition | Interest Expense
Derivative Instruments, Gain (Loss) [Line Items]
Gain (loss) reclassified from accumulated other comprehensive income (loss) into earnings	0	0	509
Reclassification of Interest Rate Caps upon Derecognition
Derivative Instruments, Gain (Loss) [Line Items]
Gain (loss) recognized in other comprehensive loss on derivative financial instruments	0	2	265
Reclassification of Interest Rate Caps upon Derecognition | Interest Expense
Derivative Instruments, Gain (Loss) [Line Items]
Gain (loss) reclassified from accumulated other comprehensive income (loss) into earnings	0	(2)	(265)
Interest Rate Cap Held by Unconsolidated Joint Venture
Derivative Instruments, Gain (Loss) [Line Items]
Gain (loss) recognized in other comprehensive loss on derivative financial instruments	5	(12)	11
Interest Rate Cap Held by Unconsolidated Joint Venture | Interest Expense
Derivative Instruments, Gain (Loss) [Line Items]
Gain (loss) reclassified from accumulated other comprehensive income (loss) into earnings	$ (5)	$ (3)	$ (11)

Income Taxes - Additional Infor

Income Taxes - Additional Information (Detail) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020
Income Tax Examination [Line Items]
Net operating loss carryforwards for federal and state	$ 39.5	$ 12.4
Tax year subject to examination	2018
Operating loss carry forwards indefinite carry forward	$ 27.5
Domestic Tax Authority [Member]
Income Tax Examination [Line Items]
Net Operating loss carryforwards, beginning of expiration year	2036
State and Local Jurisdiction [Member]
Income Tax Examination [Line Items]
Net Operating loss carryforwards, beginning of expiration year	2029

Income Taxes - Components of In

Income Taxes - Components of Income Tax Expense (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Current:
Federal	$ (10)	$ 51	$ 51
State	(532)	(596)	(580)
Total Current Expense	(542)	(545)	(529)
Deferred:
Federal	(3,379)	(552)	(1,562)
State	(253)	(1)	(120)
Total deferred expense	(3,632)	(553)	(1,682)
Income tax expense	$ (4,174)	$ (1,098)	$ (2,211)

Income Taxes - Significant Comp

Income Taxes - Significant Components of Deferred Tax Assets (Details) - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
Income Tax Disclosure [Abstract]
Carryforwards of net operating loss	$ 10,847	$ 4,068
Prepaid rent	985	1,026
Valuation allowance	(11,832)	(1,464)
Deferred tax assets, net		$ 3,630

Income Taxes - Reconciliation o

Income Taxes - Reconciliation of Income Tax (Expense) Benefit (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Income Tax Disclosure [Abstract]
Tax (expense) benefit computed at federal staturoty rate	$ 3,923	$ (873)	$ (898)
Impact of REIT election	1,575	303	(675)
State income tax expense net of federal benefit	706	(160)	(488)
Effect of change in valuation allowance	(10,378)	(368)	(150)
Income tax expense	$ (4,174)	$ (1,098)	$ (2,211)
Tax (expense) benefit computed at federal statutory rate	21.00%	21.00%	21.00%
Impact of REIT election	8.43%	7.28%	(15.78%)
State income tax expense net of federal benefit	3.78%	(3.84%)	(11.41%)
Effect of change in valuation allowance	(55.55%)	(8.86%)	(3.51%)
Income tax expense	(22.34%)	(26.42%)	(51.70%)

Commitments and Contingencies -

Commitments and Contingencies - Additional Information (Detail) shares in Millions	12 Months Ended
	Dec. 31, 2021Agreementshares
Commitments And Contingencies [Line Items]
Number of promoted interest agreements	2
Number of promoted interest agreements met established performance metrics	0
Advisor Expense Support Agreement | Restricted Stock
Commitments And Contingencies [Line Items]
Contingently issuable restricted stock shares | shares	1.3

Concentration of Credit Risk -

Concentration of Credit Risk - Additional Information (Details) - Geographical Concentration - Total Revenue		12 Months Ended
		Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Customer Category [Member]
Concentration Risk [Line Items]
Concentration risk percentage		10.00%	10.00%	10.00%
State of Texas
Concentration Risk [Line Items]
Concentration risk percentage	[1]	21.30%	21.00%	20.50%
[1]	Includes rental income and related revenues and resident fees and services. Adverse economic developments in this geographical area could significantly impact the Company’s results of operations and cash flows from operations, which in turn would impact its ability to pay debt service and make distributions to stockholders.

Geographical Concentrations tha

Geographical Concentrations that Individually Accounted for 10% or More of Total Revenues Excluding Assets Classified as Held for Sale (Detail)		12 Months Ended
		Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Geographical | Total Revenue | State of Texas
Concentration Risk [Line Items]
Concentration risk percentage	[1]	21.30%	21.00%	20.50%
[1]	Includes rental income and related revenues and resident fees and services. Adverse economic developments in this geographical area could significantly impact the Company’s results of operations and cash flows from operations, which in turn would impact its ability to pay debt service and make distributions to stockholders.

Subsequent Events - Additional

Subsequent Events - Additional Information (Details) - Subsequent Event [Member] - USD ($) $ / shares in Units, $ in Thousands	Mar. 31, 2022	Jan. 01, 2022	Mar. 21, 2022
Subsequent Event [Line Items]
Ownership Interest percentage		25.00%
Payments to acquire business		$ 3,300
Gross Sale Price	$ 8,500
Gain Loss On Sales Of Assets And Asset Impairment Charges	$ 0
Distribution per share			$ 0.0256
Windsor Manor [member]
Subsequent Event [Line Items]
Percentage of ownership acquired		100.00%

SCHEDUL II - Valuation and Qual

SCHEDUL II - Valuation and Qualifying Accounts (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
Balance at Beginning of Year	$ (4,487)	$ (3,035)	$ (5,755)
Charged to Costs and Expenses	(4,910)	(2,252)
Charged to Other Accounts	(5,575)	800	2,720
Balance at End of Year	(14,972)	(4,487)	(3,035)
Valuation Allowance Of Deferred Tax Assets
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
Balance at Beginning of Year	(1,464)	(1,108)	(1,916)
Charged to Costs and Expenses	(3,632)
Charged to Other Accounts	(6,736)	(356)	808
Balance at End of Year	(11,832)	(1,464)	(1,108)
Allowance For Doubtful Accounts
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
Balance at Beginning of Year	(3,023)	(1,927)	(3,839)
Charged to Costs and Expenses	(1,278)	(2,252)
Charged to Other Accounts	1,161	1,156	1,912
Balance at End of Year	$ (3,140)	$ (3,023)	$ (1,927)

Schedule III - Real Estate An_2

Schedule III - Real Estate 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		$ 89,766
Initial Costs, Land & Land Improvements		121,149
Initial Costs, Building and Building Improvements		1,265,743
Costs Capitalized Subsequent to Acquisition, Land & Improvements		12,190
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		231,400
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	133,339
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	1,497,143
Total		1,630,482	[1]	$ 1,640,534	$ 1,712,827	$ 2,713,680
Real Estate Accumulated Depreciation		(303,767)		$ (262,394)	$ (226,529)	$ (279,645)
Primrose Retirement Community Casper, Wyoming
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	10,406
Initial Costs, Land & Land Improvements	[2]	1,910
Initial Costs, Building and Building Improvements	[2]	16,310
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	30
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	296
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	1,940
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	16,606
Total	[1],[2]	18,546
Real Estate Accumulated Depreciation	[2]	$ (4,362)
Date of construction	[2]	2004
Date Acquired	[2]	Feb. 16, 2012
Primrose Retirement Community Of Grand Island
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 7,341
Initial Costs, Land & Land Improvements	[2]	719
Initial Costs, Building and Building Improvements	[2]	12,140
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	82
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	801
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	12,140
Total	[1],[2]	12,941
Real Estate Accumulated Depreciation	[2]	$ (3,313)
Date of construction	[2]	2005
Date Acquired	[2]	Feb. 16, 2012
Primrose Retirement Community Mansfield, Ohio
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 9,988
Initial Costs, Land & Land Improvements	[2]	650
Initial Costs, Building and Building Improvements	[2]	16,720
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	229
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	71
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	879
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	16,791
Total	[1],[2]	17,670
Real Estate Accumulated Depreciation	[2]	$ (4,608)
Date of construction	[2]	2007
Date Acquired	[2]	Feb. 16, 2012
Primrose Retirement Community Marion, Ohio
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 8,285
Initial Costs, Land & Land Improvements	[2]	889
Initial Costs, Building and Building Improvements	[2]	16,305
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	13
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	7
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	902
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	16,312
Total	[1],[2]	17,214
Real Estate Accumulated Depreciation	[2]	$ (4,376)
Date of construction	[2]	2006
Date Acquired	[2]	Feb. 16, 2012
Sweetwater Retirement Community Billings, Montana
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 8,998
Initial Costs, Land & Land Improvements	[2]	1,578
Initial Costs, Building and Building Improvements	[2]	14,205
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	19
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	30
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	1,597
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	14,235
Total	[1],[2]	15,832
Real Estate Accumulated Depreciation	[2]	$ (3,719)
Date of construction	[2]	2006
Date Acquired	[2]	Feb. 16, 2012
HarborChase Community Lady Lake, Florida
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 2,165
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	996
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	15,541
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	3,161
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	15,541
Total	[1],[2]	18,702
Real Estate Accumulated Depreciation	[2]	$ (3,382)
Date of construction	[2]	2013
Date Acquired	[2]	Aug. 29, 2012
Primrose Retirement Community Aberdeen, South Dakota
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 311
Initial Costs, Building and Building Improvements	[2]	3,794
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	311
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	3,794
Total	[1],[2]	4,105
Real Estate Accumulated Depreciation	[2]	$ (947)
Date of construction	[2]	2005
Date Acquired	[2]	Dec. 19, 2012
Primrose Retirement Community Council Bluffs, Iowa
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 1,144
Initial Costs, Building and Building Improvements	[2]	11,117
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	5
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	3
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	1,149
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	11,120
Total	[1],[2]	12,269
Real Estate Accumulated Depreciation	[2]	$ (2,855)
Date of construction	[2]	2008
Date Acquired	[2]	Dec. 19, 2012
Primrose Retirement Community Decatur, Illinois
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 513
Initial Costs, Building and Building Improvements	[2]	16,706
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	154
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	513
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	16,860
Total	[1],[2]	17,373
Real Estate Accumulated Depreciation	[2]	$ (4,141)
Date of construction	[2]	2009
Date Acquired	[2]	Dec. 19, 2012
Primrose Retirement Community Lima, Ohio
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 944
Initial Costs, Building and Building Improvements	[2]	17,115
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	8
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	15
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	952
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	17,130
Total	[1],[2]	18,082
Real Estate Accumulated Depreciation	[2]	$ (4,195)
Date of construction	[2]	2006
Date Acquired	[2]	Dec. 19, 2012
Primrose Retirement Community Zanesville, Ohio
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 1,184
Initial Costs, Building and Building Improvements	[2]	17,292
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	67
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	1,184
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	17,359
Total	[1],[2]	18,543
Real Estate Accumulated Depreciation	[2]	$ (4,262)
Date of construction	[2]	2008
Date Acquired	[2]	Dec. 19, 2012
Capital Health of Symphony Manor Baltimore, Maryland
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 2,319
Initial Costs, Building and Building Improvements	[2]	19,444
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	284
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	2,319
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	19,728
Total	[1],[2]	22,047
Real Estate Accumulated Depreciation	[2]	$ (4,741)
Date of construction	[2]	2011
Date Acquired	[2]	Dec. 21, 2012
Curry House Assisted Living & Memory Care Cadillac, Michigan
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 995
Initial Costs, Building and Building Improvements	[2]	11,072
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	15
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	(106)
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	1,010
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	10,966
Total	[1],[2]	11,976
Real Estate Accumulated Depreciation	[2]	$ (2,684)
Date of construction	[2]	1966
Date Acquired	[2]	Dec. 21, 2012
Tranquillity at Fredericktowne, Maryland
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 808
Initial Costs, Building and Building Improvements	[2]	14,291
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	25
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	6,398
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	833
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	20,689
Total	[1],[2]	21,522
Real Estate Accumulated Depreciation	[2]	$ (5,072)
Date of construction	[2]	2000
Date Acquired	[2]	Dec. 21, 2012
Brookridge Heights Assisted Living and Memory Care Marquette, Michigan
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 595
Initial Costs, Building and Building Improvements	[2]	11,339
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	(17)
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	4,784
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	578
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	16,123
Total	[1],[2]	16,701
Real Estate Accumulated Depreciation	[2]	$ (4,147)
Date of construction	[2]	1998
Date Acquired	[2]	Dec. 21, 2012
Woodholme Gardens Assisted Living and Memory Care Pikesville, Maryland
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 1,603
Initial Costs, Building and Building Improvements	[2]	13,472
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	54
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	43
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	1,657
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	13,515
Total	[1],[2]	15,172
Real Estate Accumulated Depreciation	[2]	$ (3,302)
Date of construction	[2]	2010
Date Acquired	[2]	Dec. 21, 2012
HarborChase of Jasper Jasper, Alabama
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 355
Initial Costs, Building and Building Improvements	[2]	6,358
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	23
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	56
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	378
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	6,414
Total	[1],[2]	6,792
Real Estate Accumulated Depreciation	[2]	$ (1,436)
Date of construction	[2]	1998
Date Acquired	[2]	Jul. 31, 2013
Raider Ranch Lubbock, Texas
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 4,992
Initial Costs, Building and Building Improvements	[2]	48,818
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	580
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	12,901
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	5,572
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	61,719
Total	[1],[2]	67,291
Real Estate Accumulated Depreciation	[2]	$ (12,918)
Date of construction	[2]	2009
Date Acquired	[2]	Aug. 29, 2013
Town Village Oklahoma City, Oklahoma
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 1,020
Initial Costs, Building and Building Improvements	[2]	19,847
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	103
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	1,655
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	1,123
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	21,502
Total	[1],[2]	22,625
Real Estate Accumulated Depreciation	[2]	$ (4,831)
Date of construction	[2]	2004
Date Acquired	[2]	Aug. 29, 2013
Prestige Senior Living Beaverton Hills Beaverton, Oregon
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 1,387
Initial Costs, Building and Building Improvements	[2]	10,324
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	13
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	80
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	1,400
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	10,404
Total	[1],[2]	11,804
Real Estate Accumulated Depreciation	[2]	$ (2,250)
Date of construction	[2]	2000
Date Acquired	[2]	Dec. 2, 2013
Prestige Senior Living High Desert Bend, Oregon [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 835
Initial Costs, Building and Building Improvements	[2]	11,252
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	17
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	56
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	852
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	11,308
Total	[1],[2]	12,160
Real Estate Accumulated Depreciation	[2]	$ (2,560)
Date of construction	[2]	2003
Date Acquired	[2]	Dec. 2, 2013
MorningStar of Billings Billings, Montana
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 4,067
Initial Costs, Building and Building Improvements	[2]	41,373
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	54
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	533
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	4,121
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	41,906
Total	[1],[2]	46,027
Real Estate Accumulated Depreciation	[2]	$ (9,564)
Date of construction	[2]	2009
Date Acquired	[2]	Dec. 2, 2013
MorningStar of Boise Boise, Idaho
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 1,663
Initial Costs, Building and Building Improvements	[2]	35,752
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	276
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	251
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	1,939
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	36,003
Total	[1],[2]	37,942
Real Estate Accumulated Depreciation	[2]	$ (7,794)
Date of construction	[2]	2007
Date Acquired	[2]	Dec. 2, 2013
Prestige Senior Living Huntington Terrace Gresham, Oregon
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 1,236
Initial Costs, Building and Building Improvements	[2]	12,083
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	2
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	127
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	1,238
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	12,210
Total	[1],[2]	13,448
Real Estate Accumulated Depreciation	[2]	$ (2,689)
Date of construction	[2]	2000
Date Acquired	[2]	Dec. 2, 2013
MorningStar of Idaho Falls Idaho Falls, Idaho
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 2,006
Initial Costs, Building and Building Improvements	[2]	40,397
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	64
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	413
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	2,070
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	40,810
Total	[1],[2]	42,880
Real Estate Accumulated Depreciation	[2]	$ (8,991)
Date of construction	[2]	2009
Date Acquired	[2]	Dec. 2, 2013
Prestige Senor Living Arbor Place Medford, Oregon
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 355
Initial Costs, Building and Building Improvements	[2]	14,083
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	11
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	361
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	366
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	14,444
Total	[1],[2]	14,810
Real Estate Accumulated Depreciation	[2]	$ (3,050)
Date of construction	[2]	2003
Date Acquired	[2]	Dec. 2, 2013
Prestige Senior Living Orchard Hills Salem, Oregon
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 545
Initial Costs, Building and Building Improvements	[2]	15,544
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	10
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	199
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	555
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	15,743
Total	[1],[2]	16,298
Real Estate Accumulated Depreciation	[2]	$ (3,368)
Date of construction	[2]	2002
Date Acquired	[2]	Dec. 2, 2013
Prestige Senior Living Southern Hills Salem, Oregon
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 653
Initial Costs, Building and Building Improvements	[2]	10,753
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	43
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	26
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	696
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	10,779
Total	[1],[2]	11,475
Real Estate Accumulated Depreciation	[2]	$ (2,364)
Date of construction	[2]	2001
Date Acquired	[2]	Dec. 2, 2013
MorningStar of Sparks Sparks, Nevada
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 3,986
Initial Costs, Building and Building Improvements	[2]	47,968
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	16
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	259
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	4,002
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	48,227
Total	[1],[2]	52,229
Real Estate Accumulated Depreciation	[2]	$ (10,700)
Date of construction	[2]	2009
Date Acquired	[2]	Dec. 2, 2013
Prestige Senior Living Five Rivers Tillamook, Oregon
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 1,298
Initial Costs, Building and Building Improvements	[2]	14,064
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	18
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	323
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	1,316
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	14,387
Total	[1],[2]	15,703
Real Estate Accumulated Depreciation	[2]	$ (3,286)
Date of construction	[2]	2002
Date Acquired	[2]	Dec. 2, 2013
Prestige Senior Living Riverwood Tualatin, Oregon
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 1,028
Initial Costs, Building and Building Improvements	[2]	7,429
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	12
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	87
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	1,040
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	7,516
Total	[1],[2]	8,556
Real Estate Accumulated Depreciation	[2]	$ (1,702)
Date of construction	[2]	1999
Date Acquired	[2]	Dec. 2, 2013
Prestige Senior Living Auburn Meadows Auburn, Washington
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 2,537
Initial Costs, Building and Building Improvements	[2]	17,261
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	688
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	2,537
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	17,949
Total	[1],[2]	20,486
Real Estate Accumulated Depreciation	[2]	$ (3,807)
Date Acquired	[2]	Feb. 3, 2014
Prestige Senior Living Auburn Meadows Auburn, Washington | Minimum [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Date of construction	[2]	2003
Prestige Senior Living Auburn Meadows Auburn, Washington | Maximum [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Date of construction	[2]	2010
Prestige Senior Living Bridgewood Vancouver, Washington
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 1,603
Initial Costs, Building and Building Improvements	[2]	18,172
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	10
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	49
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	1,613
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	18,221
Total	[1],[2]	19,834
Real Estate Accumulated Depreciation	[2]	$ (3,912)
Date of construction	[2]	2001
Date Acquired	[2]	Feb. 3, 2014
Prestige Senior Living Monticello Park Longview, Washington
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 1,981
Initial Costs, Building and Building Improvements	[2]	23,056
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	1
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	46
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	1,982
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	23,102
Total	[1],[2]	25,084
Real Estate Accumulated Depreciation	[2]	$ (4,894)
Date Acquired	[2]	Feb. 3, 2014
Prestige Senior Living Monticello Park Longview, Washington | Minimum [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Date of construction	[2]	2001
Prestige Senior Living Monticello Park Longview, Washington | Maximum [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Date of construction	[2]	2010
Prestige Senior Living Rosemont Yelm, Washington
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 668
Initial Costs, Building and Building Improvements	[2]	14,564
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	103
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	668
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	14,667
Total	[1],[2]	15,335
Real Estate Accumulated Depreciation	[2]	$ (3,066)
Date of construction	[2]	2004
Date Acquired	[2]	Feb. 3, 2014
Wellmore of Tega Cay Tega Cay, South Carolina
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 2,445
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	2,743
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	23,452
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	5,188
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	23,452
Total	[1],[2]	28,640
Real Estate Accumulated Depreciation	[2]	$ (5,097)
Date of construction	[2]	2015
Date Acquired	[2]	Feb. 7, 2014
Isle at Cedar Ridge Cedar Park, Texas [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 1,525
Initial Costs, Building and Building Improvements	[2]	16,277
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	658
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	1,525
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	16,935
Total	[1],[2]	18,460
Real Estate Accumulated Depreciation	[2]	$ (3,657)
Date of construction	[2]	2011
Date Acquired	[2]	Feb. 28, 2014
Prestige Senior Living West Hills Corvallis, Oregon
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 842
Initial Costs, Building and Building Improvements	[2]	12,603
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	11
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	286
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	853
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	12,889
Total	[1],[2]	13,742
Real Estate Accumulated Depreciation	[2]	$ (2,761)
Date of construction	[2]	2002
Date Acquired	[2]	Mar. 3, 2014
HarborChase of Plainfield Plainfield, Illinois
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 1,596
Initial Costs, Building and Building Improvements	[2]	21,832
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	9
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	351
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	1,605
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	22,183
Total	[1],[2]	23,788
Real Estate Accumulated Depreciation	[2]	$ (4,598)
Date of construction	[2]	2010
Date Acquired	[2]	Mar. 28, 2014
Legacy Ranch Alzheimer's Special Care Center Midland, Texas
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 917
Initial Costs, Building and Building Improvements	[2]	9,982
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	34
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	15
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	951
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	9,997
Total	[1],[2]	10,948
Real Estate Accumulated Depreciation	[2]	$ (2,142)
Date of construction	[2]	2012
Date Acquired	[2]	Mar. 28, 2014
The Springs Alzheimer's Special Care Center San Angelo, Texas
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 595
Initial Costs, Building and Building Improvements	[2]	9,658
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	9
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	195
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	604
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	9,853
Total	[1],[2]	10,457
Real Estate Accumulated Depreciation	[2]	$ (2,088)
Date of construction	[2]	2012
Date Acquired	[2]	Mar. 28, 2014
Isle at Watercrest - Bryan Bryan, Texas
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 3,223
Initial Costs, Building and Building Improvements	[2]	40,581
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	40
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	1,976
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	3,263
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	42,557
Total	[1],[2]	45,820
Real Estate Accumulated Depreciation	[2]	$ (9,070)
Date of construction	[2]	2011
Date Acquired	[2]	Apr. 21, 2014
Isle at Watercrest - Mansfield Mansfield, Texas
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 997
Initial Costs, Building and Building Improvements	[2]	24,635
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	256
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	997
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	24,891
Total	[1],[2]	25,888
Real Estate Accumulated Depreciation	[2]	$ (5,038)
Date of construction	[2]	2011
Date Acquired	[2]	May 5, 2014
Watercrest at Katy Katy, Texas
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 21,274
Initial Costs, Land & Land Improvements	[2]	4,000
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	127
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	32,376
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	4,127
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	32,376
Total	[1],[2]	36,503
Real Estate Accumulated Depreciation	[2]	$ (4,676)
Date of construction	[2]	2016
Date Acquired	[2]	Jun. 27, 2014
Watercrest at Mansfield Mansfield, Texas
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 23,474
Initial Costs, Land & Land Improvements	[2]	2,191
Initial Costs, Building and Building Improvements	[2]	42,740
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	24
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	985
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	2,215
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	43,725
Total	[1],[2]	45,940
Real Estate Accumulated Depreciation	[2]	$ (8,791)
Date of construction	[2]	2010
Date Acquired	[2]	Jun. 30, 2014
HarborChase of Shorewood Shorewood, Wisconsin
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 2,200
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	304
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	19,868
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	2,504
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	19,868
Total	[1],[2]	22,372
Real Estate Accumulated Depreciation	[2]	$ (3,218)
Date of construction	[2]	2015
Date Acquired	[2]	Jul. 8, 2014
Hurst Specialty Hospital Hurst, Texas
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 2,082
Initial Costs, Building and Building Improvements	[2]	10,513
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	2,082
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	10,513
Total	[1],[2]	12,595
Real Estate Accumulated Depreciation	[2]	$ (4,298)
Date Acquired	[2]	Aug. 15, 2014
Hurst Specialty Hospital Hurst, Texas | Minimum [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Date of construction	[2]	2004
Hurst Specialty Hospital Hurst, Texas | Maximum [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Date of construction	[2]	2012
Fairfield Village of Layton Layton, Utah
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 5,217
Initial Costs, Building and Building Improvements	[2]	54,167
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	85
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	219
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	5,302
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	54,386
Total	[1],[2]	59,688
Real Estate Accumulated Depreciation	[2]	$ (10,943)
Date of construction	[2]	2010
Date Acquired	[2]	Nov. 20, 2014
Fieldstone Memory Care Yakima, Washington
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 1,297
Initial Costs, Building and Building Improvements	[2]	9,965
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	6
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	1,297
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	9,971
Total	[1],[2]	11,268
Real Estate Accumulated Depreciation	[2]	$ (1,909)
Date of construction	[2]	2014
Date Acquired	[2]	Mar. 31, 2015
Primrose Retirement Center of Anderson Anderson, Indiana
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 1,342
Initial Costs, Building and Building Improvements	[2]	19,083
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	33
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	1,342
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	19,116
Total	[1],[2]	20,458
Real Estate Accumulated Depreciation	[2]	$ (3,554)
Date of construction	[2]	2008
Date Acquired	[2]	May 29, 2015
Primrose Retirement Center of Lancaster Lancaster, Ohio
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 2,840
Initial Costs, Building and Building Improvements	[2]	21,884
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	51
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	2,891
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	21,884
Total	[1],[2]	24,775
Real Estate Accumulated Depreciation	[2]	$ (4,483)
Date of construction	[2]	2007
Date Acquired	[2]	May 29, 2015
Primrose Retirement Center of Wausau Wausau, Wisconsin
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 1,089
Initial Costs, Building and Building Improvements	[2]	18,653
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	1,089
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	18,653
Total	[1],[2]	19,742
Real Estate Accumulated Depreciation	[2]	$ (3,330)
Date of construction	[2]	2008
Date Acquired	[2]	May 29, 2015
Superior Residences of Panama City Panama City Beach, Florida
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 2,099
Initial Costs, Building and Building Improvements	[2]	19,367
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	14
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	37
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	2,113
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	19,404
Total	[1],[2]	21,517
Real Estate Accumulated Depreciation	[2]	$ (3,552)
Date of construction	[2]	2015
Date Acquired	[2]	Jul. 15, 2015
The Hampton at Meadows Place Fort Bend, Texas
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 715
Initial Costs, Building and Building Improvements	[2]	24,281
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	11
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	330
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	726
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	24,611
Total	[1],[2]	25,337
Real Estate Accumulated Depreciation	[2]	$ (4,132)
Date of construction	[2]	2007
Date Acquired	[2]	Jul. 31, 2015
The Hampton at Meadows Place Fort Bend, Texas | Minimum [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Date of construction	[2]	2013
The Hampton at Meadows Place Fort Bend, Texas | Maximum [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Date of construction	[2]	2014
The Pavilion at Great Hills Austin, Texas
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 1,783
Initial Costs, Building and Building Improvements	[2]	29,318
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	53
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	270
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	1,836
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	29,588
Total	[1],[2]	31,424
Real Estate Accumulated Depreciation	[2]	$ (5,015)
Date of construction	[2]	2010
Date Acquired	[2]	Jul. 31, 2015
The Beacon at Gulf Breeze Gulf Breeze, Florida
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 824
Initial Costs, Building and Building Improvements	[2]	24,106
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	89
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	254
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	913
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	24,360
Total	[1],[2]	25,273
Real Estate Accumulated Depreciation	[2]	$ (4,257)
Date of construction	[2]	2008
Date Acquired	[2]	Jul. 31, 2015
Parc at Piedmont Marietta, Georgia
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 3,529
Initial Costs, Building and Building Improvements	[2]	43,080
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	31
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	881
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	3,560
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	43,961
Total	[1],[2]	47,521
Real Estate Accumulated Depreciation	[2]	$ (7,631)
Date Acquired	[2]	Jul. 31, 2015
Parc at Piedmont Marietta, Georgia | Minimum [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Date of construction	[2]	2001
Parc at Piedmont Marietta, Georgia | Maximum [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Date of construction	[2]	2011
Parc at Duluth Duluth, Georgia
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 5,951
Initial Costs, Building and Building Improvements	[2]	42,458
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	70
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	2,365
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	6,021
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	44,823
Total	[1],[2]	50,844
Real Estate Accumulated Depreciation	[2]	$ (7,476)
Date Acquired	[2]	Jul. 31, 2015
Parc at Duluth Duluth, Georgia | Minimum [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Date of construction	[2]	2003
Parc at Duluth Duluth, Georgia | Maximum [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Date of construction	[2]	2012
Waterstone on Augusta Greenville, South Carolina
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 2,253
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	2,116
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	20,849
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	4,369
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	20,849
Total	[1],[2]	25,218
Real Estate Accumulated Depreciation	[2]	$ (3,198)
Date of construction	[2]	2017
Date Acquired	[2]	Aug. 31, 2015
Wellmore of Lexington Lexington, South Carolina
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 2,300
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	3,186
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	43,097
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	5,486
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	43,097
Total	[1],[2]	48,583
Real Estate Accumulated Depreciation	[2]	$ (5,920)
Date of construction	[2]	2017
Date Acquired	[2]	Sep. 14, 2015
Palmilla Senior Living Albuquerque, New Mexico
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 4,701
Initial Costs, Building and Building Improvements	[2]	38,321
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	10
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	195
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[2]	4,711
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[2]	38,516
Total	[2]	43,227
Real Estate Accumulated Depreciation	[2]	$ (6,583)
Date of construction	[2]	2013
Date Acquired	[2]	Sep. 30, 2015
Cedar Lake Assisted Living and Memory Care Lake Zurich, Illinois
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 2,412
Initial Costs, Building and Building Improvements	[2]	25,126
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	38
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	71
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[2]	2,450
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[2]	25,197
Total	[2]	27,647
Real Estate Accumulated Depreciation	[2]	$ (4,304)
Date of construction	[2]	2014
Date Acquired	[2]	Sep. 30, 2015
Fieldstone at Pear Orchard Yakima Washington
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 1,035
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	102
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	13,506
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[2]	1,137
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[2]	13,506
Total	[2]	14,643
Real Estate Accumulated Depreciation	[2]	$ (1,793)
Date of construction	[2]	2016
Date Acquired	[2]	Oct. 12, 2015
The Shores of Lake Phalen Maplewood, Minnesota
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 2,724
Initial Costs, Building and Building Improvements	[2]	25,093
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	10
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	105
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[2]	2,734
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[2]	25,198
Total	[2]	27,932
Real Estate Accumulated Depreciation	[2]	$ (4,219)
Date of construction	[2]	2012
Date Acquired	[2]	Nov. 10, 2015
Dogwood Forrest of Grayson Grayson, Georgia
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 1,788
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	112
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	22,072
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[2]	1,900
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[2]	22,072
Total	[2]	23,972
Real Estate Accumulated Depreciation	[2]	$ (2,611)
Date of construction	[2]	2017
Date Acquired	[2]	Nov. 24, 2015
Park Place Senior Living at WingHaven O'Fallon, Missouri
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 1,283
Initial Costs, Building and Building Improvements	[2]	48,221
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	142
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	863
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[2]	1,425
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[2]	49,084
Total	[2]	50,509
Real Estate Accumulated Depreciation	[2]	$ (7,884)
Date Acquired	[2]	Dec. 17, 2015
Park Place Senior Living at WingHaven O'Fallon, Missouri | Minimum [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Date of construction	[2]	2006
Park Place Senior Living at WingHaven O'Fallon, Missouri | Maximum [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Date of construction	[2]	2014
Hearthside Senior Living of Collierville Collierville, Tennessee
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 1,756
Initial Costs, Building and Building Improvements	[2]	13,379
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	57
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	29
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[2]	1,813
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[2]	13,408
Total	[2]	15,221
Real Estate Accumulated Depreciation	[2]	$ (2,251)
Date of construction	[2]	2014
Date Acquired	[2]	Dec. 29, 2015
Albuquerque, New Mexico - Unimproved Land Albuquerque, New Mexico
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 1,056
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[2]	1,056
Total	[2]	$ 1,056
Date Acquired	[2]	Sep. 7, 2017
[1]	The aggregate cost for federal income tax purposes is approximatel y $ 1.8 billion.
[2]	Buildings and building improvements are depreciated over 39 and 15 years, respectively. Tenant improvements are depreciated over the terms of their respective leases.

Schedule III-Real Estate And Ac

Schedule III-Real Estate And Accumulated Depreciation Transactions in Real Estate and Accumulated Depreciation (Detail) - 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 Disclosure [Abstract]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation, Beginning Balance	$ 262,394		$ 226,529	$ 279,645
Improvements	6,385		3,020	4,039
Impairments	(9,673)			(1,004,892)
Dispositions	(6,764)		(75,313)
Real Estate Accumulated Depreciation	303,767		262,394	226,529	$ 279,645
Depreciation	(42,215)		(42,430)	(41,737)
Accumulated depreciation on dispositions	842		6,565	94,853
Total	1,630,482	[1]	1,640,534	1,712,827	$ 2,713,680
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate, Accumulated Depreciation, Ending Balance	$ 303,767		$ 262,394	$ 226,529
[1]	The aggregate cost for federal income tax purposes is approximatel y $ 1.8 billion.

Schedule III-Real Estate And _2

Schedule III-Real Estate And Accumulated Depreciation (Parenthetical) (Detail) $ in Billions	12 Months Ended
	Dec. 31, 2021USD ($)
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Aggregate cost for federal income tax purpose	$ 1.8
Building [Member]
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Buildings and improvements useful life	39 years
Building Improvements
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation [Line Items]
Buildings and improvements useful life	15 years

Schedule IV - Mortgage Loans _2

Schedule IV - Mortgage Loans On Real Estate (Detail) - 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 [Abstract]
Balance at beginning of year	$ 448	$ 482	$ 1,688
New mortgage loans and additional advances			531
Accrued and deferred interest	39	6	9
Collection of principal	(35)	(40)	(1,746)
Balance at end of year	$ 452	$ 448	$ 482