CNL Healthcare Properties (CHTH) 10-Q 11 May 23 2023 Q1 Quarterly report Financial data

Cover

Cover - shares	3 Months Ended
	Mar. 31, 2023	May 10, 2023
Cover [Abstract]
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Mar. 31, 2023
Document Transition Report	false
Entity File Number	000-54685
Entity Registrant Name	CNL Healthcare Properties, Inc.
Entity Incorporation, State or Country Code	MD
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 Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Non-accelerated Filer
Entity Emerging Growth Company	false
Entity Small Business	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		173,960,540
Amendment Flag	false
Document Fiscal Year Focus	2023
Document Fiscal Period Focus	Q1
Entity Central Index Key	0001496454
Current Fiscal Year End Date	--12-31

CONDENSED CONSOLIDATED BALANCE

CONDENSED CONSOLIDATED BALANCE SHEETS (UNAUDITED) - USD ($) $ in Thousands	Mar. 31, 2023	Dec. 31, 2022
ASSETS
Real estate investment properties, net (including VIEs $30,711 and $30,906, respectively)	$ 1,302,979	$ 1,313,438
Cash (including VIEs $488 and $646, respectively)	43,986	69,504
Restricted cash (including VIEs $11 and $9, respectively)	3,192	4,070
Other assets (including VIEs $170 and $554, respectively)	38,439	36,868
Deferred rent, lease incentives and intangibles, net	12,466	13,423
Total assets	1,401,062	1,437,303
Liabilities:
Mortgages and other notes payable, net (including VIEs $21,015 and $21,142, respectively)	37,230	61,773
Credit facilities	546,442	546,100
Accounts payable and accrued liabilities (including VIEs $589 and $533, respectively)	28,127	30,270
Other liabilities (including VIEs $202 and $91, respectively)	8,200	7,469
Due to related parties	1,444	1,397
Total liabilities	621,443	647,009
Commitments and contingencies (Note 7)
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	94,557	100,408
Accumulated distributions	(833,760)	(829,307)
Accumulated other comprehensive income	(344)	(16)
Total stockholders' equity	779,119	789,751
Noncontrolling interest	500	543
Total equity	779,619	790,294
Total liabilities and equity	$ 1,401,062	$ 1,437,303

CONDENSED CONSOLIDATED BALANC_2

CONDENSED CONSOLIDATED BALANCE SHEETS (UNAUDITED) (Parenthetical) - USD ($) $ in Thousands	Mar. 31, 2023	Dec. 31, 2022
Real estate investment properties	$ 1,302,979	$ 1,313,438
Cash	43,986	69,504
Restricted cash	3,192	4,070
Other assets	38,439	36,868
Mortgages and other notes payable, net	37,230	61,773
Accounts payable and accrued liabilities	28,127	30,270
Other liabilities	$ 8,200	$ 7,469
Preferred stock, par value (in dollars per share)	$ 0.01	$ 0.01
Preferred stock, shares authorized (in shares)	200,000,000	200,000,000
Preferred stock, shares issued (in shares)	0	0
Preferred stock, shares outstanding (in shares)	0	0
Excess shares, par value (in dollars per share)	$ 0.01	$ 0.01
Excess shares, shares authorized (in shares)	300,000,000	300,000,000
Excess shares, shares issued (in shares)	0	0
Excess shares, shares outstanding (in shares)	0	0
Common stock, par value (in dollars per share)	$ 0.01	$ 0.01
Common stock, shares authorized (in shares)	1,120,000,000	1,120,000,000
Common stock, shares issued (in shares)	186,626,000	186,626,000
Common stock, shares outstanding (in shares)	173,960,000	173,960,000
Variable Interest Entity, Primary Beneficiary
Real estate investment properties	$ 30,711	$ 30,906
Cash	488	646
Restricted cash	11	9
Other assets	170	554
Mortgages and other notes payable, net	21,015	21,142
Accounts payable and accrued liabilities	589	533
Other liabilities	$ 202	$ 91

CONDENSED CONSOLIDATED STATEMEN

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED) - USD ($) shares in Thousands, $ in Thousands	3 Months Ended
	Mar. 31, 2023	Mar. 31, 2022
Revenues:
Rental income and related revenues	$ 6,714	$ 6,865
Resident fees and services	76,945	71,732
Total revenues	83,659	78,597
Operating expenses:
Property operating expenses	57,867	55,333
General and administrative expenses	2,244	2,631
Depreciation and amortization	13,410	13,642
Total operating expenses	80,813	78,702
Operating income (loss)	2,846	(105)
Other income (expense):
Interest and other income	1,066	5
Interest expense and loan cost amortization	(9,654)	(3,863)
Gain on change of control of a joint venture	0	8,376
Total other (expense) income	(8,588)	4,518
(Loss) income before income taxes	(5,742)	4,413
Income tax expense	(111)	(85)
Net (loss) income	(5,853)	4,328
Less: Amounts attributable to noncontrolling interests	(2)	25
Net (loss) income attributable to common stockholders	$ (5,851)	$ 4,303
Net income (loss) per share of common stock (basic and diluted)
Net (loss) income per share of common stock, basic (in dollars per share)	$ (0.03)	$ 0.02
Net (loss) income per share of common stock, diluted (in dollars per share)	$ (0.03)	$ 0.02
Weighted average number of shares outstanding, basic (in shares)	173,960	173,960
Weighted average number of shares outstanding, diluted (in shares)	173,960	173,960
Asset management fees
Operating expenses:
Cost of Goods and Services Sold	$ 3,476	$ 3,579
Property management fees
Operating expenses:
Cost of Goods and Services Sold	$ 3,816	$ 3,517

CONDENSED CONSOLIDATED STATEM_2

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS) (UNAUDITED) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2023	Mar. 31, 2022
Statement of Comprehensive Income [Abstract]
Net (loss) income	$ (5,853)	$ 4,328
Other comprehensive (loss) income:
Unrealized (loss) gain on derivative financial instruments, net	(328)	876
Total other comprehensive (loss) income	(328)	876
Comprehensive (loss) income	(6,181)	5,204
Less: Comprehensive (loss) income attributable to noncontrolling interest	(2)	25
Comprehensive (loss) income attributable to common stockholders	$ (6,179)	$ 5,179

CONDENSED CONSOLIDATED STATEM_3

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY - USD ($) $ in Thousands	Total	Total Stockholders' Equity	Common Stock	Capital in Excess of Par Value	Accumulated Income	Accumulated Distributions	Accumulated Other Comprehensive (Loss) Income	Non- controlling Interest
Beginning Balance (in shares) at Dec. 31, 2021			173,960,000
Beginning Balance at Dec. 31, 2021	$ 810,761	$ 809,044	$ 1,740	$ 1,516,926	$ 101,861	$ (811,493)	$ 10	$ 1,717
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net (loss) income	4,328	4,303			4,303			25
Other comprehensive loss	876	876					876
Cash distributions declared ($0.0256 per share)	(4,453)	(4,453)				(4,453)
Ending Balance (in shares) at Mar. 31, 2022			173,960,000
Ending Balance at Mar. 31, 2022	$ 811,512	809,770	$ 1,740	1,516,926	106,164	(815,946)	886	1,742
Beginning Balance (in shares) at Dec. 31, 2022	173,960,000		173,960,000
Beginning Balance at Dec. 31, 2022	$ 790,294	789,751	$ 1,740	1,516,926	100,408	(829,307)	(16)	543
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net (loss) income	(5,853)	(5,851)			(5,851)			(2)
Other comprehensive loss	(328)	(328)					(328)
Distributions to noncontrolling interests	(41)							(41)
Cash distributions declared ($0.0256 per share)	$ (4,453)	(4,453)				(4,453)
Ending Balance (in shares) at Mar. 31, 2023	173,960,000		173,960,000
Ending Balance at Mar. 31, 2023	$ 779,619	$ 779,119	$ 1,740	$ 1,516,926	$ 94,557	$ (833,760)	$ (344)	$ 500

CONDENSED CONSOLIDATED STATEM_4

CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY (Parenthetical) - $ / shares	3 Months Ended
	Mar. 31, 2023	Mar. 31, 2022
Statement of Stockholders' Equity [Abstract]
Cash distributions declared (in dollars per share)	$ 0.0256	$ 0.0256

CONDENSED CONSOLIDATED STATEM_5

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2023	Mar. 31, 2022
Operating activities:
Net cash flows provided by operating activities	$ 5,328	$ 8,236
Investing activities:
Acquisition of joint venture interest, net of cash acquired	0	(1,134)
Capital expenditures	(2,028)	(3,579)
Proceeds from maturity of short-term securities	2,500	0
Net cash provided by (used in) investing activities	472	(4,713)
Financing activities:
Distributions to stockholders	(4,453)	(4,453)
Purchase of interest rate cap	(3,128)	0
Principal payments on mortgages and other notes payable	(24,552)	(642)
Distributions to noncontrolling interests	(41)	0
Other financing activities	(22)	5
Net cash flows used in financing activities	(32,196)	(5,090)
Net decrease in cash and restricted cash	(26,396)	(1,567)
Cash and restricted cash at beginning of period	73,574	57,681
Cash and restricted cash at end of period	47,178	56,114
Supplemental disclosure of non-cash investing and financing activities:
Real estate investment properties	0	29,384
Intangibles	0	4,281
Mortgages and notes payable	0	(18,468)
Net assets recognized upon the change in control of the Windsor Manor Joint Venture	$ 0	$ 15,197

Organization

Organization	3 Months Ended
	Mar. 31, 2023
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Organization	Organization CNL Healthcare Properties, Inc. (the “Company”) is a Maryland corporation that 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. As part of executing under possible strategic alternatives, the Company’s board of directors committed to a plan to sell 70 properties, which included medical office buildings, post-acute care facilities and acute care hospitals across the U.S., collectively (the “MOB/Healthcare Portfolio”), plus several skilled nursing facilities. The Company completed the sale of the last of the 70 properties in 2022.

Summary of Significant Accounti

Summary of Significant Accounting Policies	3 Months Ended
	Mar. 31, 2023
Accounting Policies [Abstract]
Summary of Significant Accounting Policies	Summary of Significant Accounting Policies Basis of Presentation and Consolidation — The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with the instructions to Form 10-Q and do not include all of the information and note disclosures required by generally accepted accounting principles in the U.S. (“GAAP”). The unaudited condensed consolidated financial statements reflect all normal recurring adjustments, which, in the opinion of management, are necessary for the fair statement of the Company’s results for the interim period presented. Operating results for the three months ended March 31, 2023 may not be indicative of the results that may be expected for the year ending December 31, 2023. Amounts as of December 31, 2022 included in the unaudited condensed consolidated financial statements have been derived from audited consolidated financial statements as of that date but do not include all disclosures required by GAAP. These unaudited condensed consolidated financial statements should be read in conjunction with the audited consolidated financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022. The accompanying unaudited condensed 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 account s of v ariable interest entities (“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. 2. Summary of Significant Accounting Policies (continued) Grant Income — In response to the coronavirus pandemic, the federal government and some states provided funds to providers of seniors housing communities. These funds were deemed federal/state governmental grants and provided that the recipients attest to and comply with certain terms and conditions. Grant income is recognized upon receipt of the funds and when all the conditions of the grant have been met. During the three months ended March 31, 2023, the Company recorded approximately $0.6 million as other income in the accompanying condensed consolidated statements of operations as all conditions of the grant had been met. There was no grant income recorded during the three months ended March 31, 2022. 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. Variable Interest Entities — As of March 31, 2023 and December 31, 2022, the Company had net assets in one and two subsidiaries, respectively, classified as VIEs. These s

Revenue

Revenue	3 Months Ended
	Mar. 31, 2023
Revenue from Contract with Customer [Abstract]
Revenue	Revenue The following table presents disaggregated revenue related to the Company’s resident fees and services during the three months ended March 31, 2023 and 2022: Three Months Ended March 31, Number of Units Revenues (in millions) Percentage of Revenues Resident fees and services: 2023 2022 2023 2022 2023 2022 Independent living 2,222 2,243 $ 19.6 $ 18.0 25.5 % 25.1 % Assisted living 3,039 3,096 38.4 35.5 49.9 49.5 Memory care 932 972 15.2 14.8 19.8 20.6 Other revenues — — 3.7 3.4 4.8 4.8 6,193 6,311 $ 76.9 $ 71.7 100.0 % 100.0 %

Real Estate Assets, net

Real Estate Assets, net	3 Months Ended
	Mar. 31, 2023
Real Estate [Abstract]
Real Estate Assets, net	Real Estate Assets, net The gross carrying amount and accumulated depreciation of the Company’s real estate assets as of March 31, 2023 and December 31, 2022 are as follows (in thousands): March 31, December 31, Land and land improvements $ 136,682 $ 136,416 Building and building improvements 1,496,933 1,495,552 Furniture, fixtures and equipment 105,953 105,784 Less: accumulated depreciation (436,589) (424,314) Real estate investment properties, net $ 1,302,979 $ 1,313,438

Indebtedness

Indebtedness	3 Months Ended
	Mar. 31, 2023
Debt Disclosure [Abstract]
Indebtedness	Indebtedness During the three months ended March 31, 2023, the Company paid approximately $24.6 million in principal payments, which included the repayment of a mortgage loan of approximately $22.8 million collateralized by one property in advance of its scheduled maturity of June 2023, the repayment of $1.4 million of unscheduled principal payments relating to a mortgage loan collateralized by five properties and $0.4 million of scheduled principal payments. During the three months ended March 31, 2023, the Company also exercised its one-year extension option for the $133.0 million outstanding under the Company’s Revolving Credit Facility, which extended the maturity date to May 2024. The Company has $0.9 million of scheduled principal payments coming due during the rest of 2023. During the three months ended March 31, 2023, the Company purchased a short-term interest rate cap for approximately $3.1 million, which has a notional value of $420.0 million and a strike price of 3.5%, to hedge the majority of its Credit Facilities. The interest rate cap matures in August 2023. The value of this cash flow hedge is included in other assets in the accompanying condensed consolidated balance sheets as of March 31, 2023. The following is a schedule of future principal payments for the Company’s total indebtedness for the remainder of 2023, each of the next four years and thereafter, in the aggregate, as of March 31, 2023 (in thousands): 2023 $ 909 2024 584,480 2025 — 2026 — 2027 — Thereafter — $ 585,389 The Company has approximately $548.0 million outstanding under its unsecured Credit Facilities as of the balance sheet date which mature in May 2024. As of the balance sheet date, the Company does not have sufficient cash on hand to satisfy these obligations. Based on management’s historical experience in the debt market, and initial indications from the market and discussions with existing and potential lenders, the Company believes it is probable it will be successful in refinancing the amounts outstanding under the Credit Facilities. The Company’s low leverage profile, along with current and anticipated cash flows, are expected to be sufficient to support a refinancing of the current outstanding indebtedness while maintaining reasonable debt service coverage ratios. There can be no assurance that the refinancing will occur or will occur on the terms currently contemplated. If sufficient refinancing cannot be arranged under an unsecured facility to satisfy the outstanding obligations due in May 2024, it may impact the Company’s ability to continue its operations. The Company believes it has other options to meet its obligation. These other options include, but are not limited to, refinancing with lending institutions as a secured loan facility, issuing mortgages collateralized by unencumbered properties in its portfolio and/or selling all or a portion of the 63 unencumbered properties and using net sales proceeds to satisfy the obligation. The following table provides the details of the fair market value and carrying value of the Company’s indebtedness as of March 31, 2023 and December 31, 2022 (in millions): March 31, 2023 December 31, 2022 Fair Value Carrying Value Fair Value Carrying Value Mortgages and other notes payable, net $ 36.4 $ 37.2 $ 60.8 $ 61.8 Credit facilities, net $ 548.0 $ 546.4 $ 548.0 $ 546.1 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. As of March 31, 2023, the Company was in compliance with all financial covenants related to its mortgage loans. 5. Indebtedness (continued)

Related Party Arrangements

Related Party Arrangements	3 Months Ended
	Mar. 31, 2023
Related Party Transactions [Abstract]
Related Party Arrangements	Related Party Arrangements The Company paid approximately $0.03 million during each of the three months ended March 31, 2023 and 2022, of cash distributions on Restricted Stock issued through March 2017 pursuant to the Advisor expense support agreement. These amounts have been recognized as compensation expense and included in general and administrative expenses in the accompanying condensed consolidated statements of operations. The expenses and fees incurred by and reimbursable to the Company’s related parties for the three months ended March 31, 2023 and 2022, and related amounts unpaid as of March 31, 2023 and December 31, 2022 are as follows (in thousands): Three Months Ended Unpaid amounts as of (1) March 31, March 31, 2023 December 31, 2022 2023 2022 Reimbursable expenses: Operating expenses (2) $ 722 $ 807 $ 285 $ 238 722 807 285 238 Investment services fee (3) — 60 — — Asset management fees 3,476 3,579 1,159 1,159 $ 4,198 $ 4,446 $ 1,444 $ 1,397 ______________________________ FOOTNOTES: (1) Amounts are recorded as due to related parties in the accompanying condensed consolidated balance sheets. (2) Amounts are recorded as general and administrative expenses in the accompanying condensed consolidated statements of operations unless such amounts represent prepaid expenses, which are capitalized in the accompanying condensed consolidated balance sheets.

Commitments and Contingencies

Commitments and Contingencies	3 Months Ended
	Mar. 31, 2023
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies	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. As of March 31, 2023, the Company ha d one remaining promoted interest agreement with third-party developers pursuant to which certain operating targets have been established that, upon meeting such targets, the developer will be 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. The established performance metrics were not met or probable of being met as of March 31, 2023. 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 6. “Related Party Arrangements”

Summary of Significant Accoun_2

Summary of Significant Accounting Policies (Policies)	3 Months Ended
	Mar. 31, 2023
Accounting Policies [Abstract]
Basis of Presentation and Consolidation	Basis of Presentation and Consolidation — The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with the instructions to Form 10-Q and do not include all of the information and note disclosures required by generally accepted accounting principles in the U.S. (“GAAP”). The unaudited condensed consolidated financial statements reflect all normal recurring adjustments, which, in the opinion of management, are necessary for the fair statement of the Company’s results for the interim period presented. Operating results for the three months ended March 31, 2023 may not be indicative of the results that may be expected for the year ending December 31, 2023. Amounts as of December 31, 2022 included in the unaudited condensed consolidated financial statements have been derived from audited consolidated financial statements as of that date but do not include all disclosures required by GAAP. These unaudited condensed consolidated financial statements should be read in conjunction with the audited consolidated financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2022. The accompanying unaudited condensed 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 account s of v ariable interest entities (“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.
Grant Income	Grant Income — In response to the coronavirus pandemic, the federal government and some states provided funds to providers of seniors housing communities. These funds were deemed federal/state governmental grants and provided that the recipients attest to and comply with certain terms and conditions. Grant income is recognized upon receipt of the funds and when all the conditions of the grant have been met. During the three months ended March 31, 2023, the Company recorded approximately $0.6 million as other income in the accompanying condensed consolidated statements of operations as all conditions of the grant had been met. There was no grant income recorded during the three months ended March 31, 2022.
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.
Variable Interests	Variable Interest Entities — As of March 31, 2023 and December 31, 2022, the Company had net assets in one and two subsidiaries, respectively, classified as VIEs. These s

Revenue (Tables)

Revenue (Tables)	3 Months Ended
	Mar. 31, 2023
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 three months ended March 31, 2023 and 2022: Three Months Ended March 31, Number of Units Revenues (in millions) Percentage of Revenues Resident fees and services: 2023 2022 2023 2022 2023 2022 Independent living 2,222 2,243 $ 19.6 $ 18.0 25.5 % 25.1 % Assisted living 3,039 3,096 38.4 35.5 49.9 49.5 Memory care 932 972 15.2 14.8 19.8 20.6 Other revenues — — 3.7 3.4 4.8 4.8 6,193 6,311 $ 76.9 $ 71.7 100.0 % 100.0 %

Real Estate Assets, net (Tables

Real Estate Assets, net (Tables)	3 Months Ended
	Mar. 31, 2023
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 March 31, 2023 and December 31, 2022 are as follows (in thousands): March 31, December 31, Land and land improvements $ 136,682 $ 136,416 Building and building improvements 1,496,933 1,495,552 Furniture, fixtures and equipment 105,953 105,784 Less: accumulated depreciation (436,589) (424,314) Real estate investment properties, net $ 1,302,979 $ 1,313,438

Indebtedness (Tables)

Indebtedness (Tables)	3 Months Ended
	Mar. 31, 2023
Debt Disclosure [Abstract]
Schedule of Maturities of Indebtedness	The following is a schedule of future principal payments for the Company’s total indebtedness for the remainder of 2023, each of the next four years and thereafter, in the aggregate, as of March 31, 2023 (in thousands): 2023 $ 909 2024 584,480 2025 — 2026 — 2027 — Thereafter — $ 585,389
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 March 31, 2023 and December 31, 2022 (in millions): March 31, 2023 December 31, 2022 Fair Value Carrying Value Fair Value Carrying Value Mortgages and other notes payable, net $ 36.4 $ 37.2 $ 60.8 $ 61.8 Credit facilities, net $ 548.0 $ 546.4 $ 548.0 $ 546.1

Related Party Arrangements (Tab

Related Party Arrangements (Tables)	3 Months Ended
	Mar. 31, 2023
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 for the three months ended March 31, 2023 and 2022, and related amounts unpaid as of March 31, 2023 and December 31, 2022 are as follows (in thousands): Three Months Ended Unpaid amounts as of (1) March 31, March 31, 2023 December 31, 2022 2023 2022 Reimbursable expenses: Operating expenses (2) $ 722 $ 807 $ 285 $ 238 722 807 285 238 Investment services fee (3) — 60 — — Asset management fees 3,476 3,579 1,159 1,159 $ 4,198 $ 4,446 $ 1,444 $ 1,397 ______________________________ FOOTNOTES: (1) Amounts are recorded as due to related parties in the accompanying condensed consolidated balance sheets. (2) Amounts are recorded as general and administrative expenses in the accompanying condensed consolidated statements of operations unless such amounts represent prepaid expenses, which are capitalized in the accompanying condensed consolidated balance sheets.

Organization (Details)

Organization (Details)	3 Months Ended	12 Months Ended
	Mar. 31, 2023 State Agreement Property	Dec. 31, 2022 Property	Dec. 31, 2017 Property
MOB/Healthcare Portfolio
Collaborative Arrangements And Noncollaborative Arrangement Transactions [Line Items]
Number of properties			70
Number of properties sold		70
Investment Portfolio
Collaborative Arrangements And Noncollaborative Arrangement Transactions [Line Items]
Number of properties	70
Number of states | State	26
Number of seniors housing properties	69
Investment Portfolio | Vacant Land Parcel
Collaborative Arrangements And Noncollaborative Arrangement Transactions [Line Items]
Number of properties | Agreement	1

Summary of Significant Accoun_3

Summary of Significant Accounting Policies (Details) $ in Millions	3 Months Ended		12 Months Ended
	Mar. 31, 2023 USD ($) Subsidiary	Mar. 31, 2022 USD ($)	Dec. 31, 2022 Subsidiary
Summary Of Significant Accounting Policies [Line Items]
Maximum exposure to loss VIEs limits	$ 9.1
Provider Relief Fund | COVID19
Summary Of Significant Accounting Policies [Line Items]
Grant income received	$ 0.6	$ 0
VIEs | Joint Ventures Real Estate Under Development Entities
Summary Of Significant Accounting Policies [Line Items]
Number of subsidiaries | Subsidiary	1		2

Revenue - Summary of Disaggrega

Revenue - Summary of Disaggregation of Revenue (Details) $ in Thousands	3 Months Ended
	Mar. 31, 2023 USD ($) Facility	Mar. 31, 2022 USD ($) Facility
Disaggregation Of Revenue [Line Items]
Number of Units | Facility	6,193	6,311
Revenues | $	$ 76,945	$ 71,732
Percentage of Revenues	100%	100%
Independent living
Disaggregation Of Revenue [Line Items]
Number of Units | Facility	2,222	2,243
Revenues | $	$ 19,600	$ 18,000
Percentage of Revenues	25.50%	25.10%
Assisted living
Disaggregation Of Revenue [Line Items]
Number of Units | Facility	3,039	3,096
Revenues | $	$ 38,400	$ 35,500
Percentage of Revenues	49.90%	49.50%
Memory care
Disaggregation Of Revenue [Line Items]
Number of Units | Facility	932	972
Revenues | $	$ 15,200	$ 14,800
Percentage of Revenues	19.80%	20.60%
Other revenues
Disaggregation Of Revenue [Line Items]
Number of Units | Facility	0	0
Revenues | $	$ 3,700	$ 3,400
Percentage of Revenues	4.80%	4.80%

Real Estate Assets, Net - Sched

Real Estate Assets, Net - Schedule of Real Estate Investment Properties Excluding Assets Held For Sale (Details) - USD ($) $ in Thousands	Mar. 31, 2023	Dec. 31, 2022
Real Estate [Abstract]
Land and land improvements	$ 136,682	$ 136,416
Building and building improvements	1,496,933	1,495,552
Furniture, fixtures and equipment	105,953	105,784
Less: accumulated depreciation	(436,589)	(424,314)
Real estate investment properties, net	$ 1,302,979	$ 1,313,438

Real Estate Assets, Net - Narra

Real Estate Assets, Net - Narrative (Details) - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2023	Mar. 31, 2022
Real Estate [Abstract]
Depreciation expense	$ 12.6	$ 12.8

Indebtedness - Narrative (Detai

Indebtedness - Narrative (Details) $ in Thousands	3 Months Ended
	Mar. 31, 2023 USD ($) Property	Mar. 31, 2022 USD ($)	Dec. 31, 2022 USD ($)
Line of Credit Facility [Line Items]
Repayments of debt	$ 24,600
Number of properties held as collateral | Property	1
Long term line of credit, extension option	1 year
Credit facilities	$ 546,442		$ 546,100
Scheduled payments due	909
Purchase of interest rate cap	3,128	$ 0
Notional amounts of derivative contract	$ 420,000
Strike rate (as a percent)	3.50%
Number of unencumbered properties | Property	63
Maximum allowable distributions as a percentage of adjusted FFO	95%
Unscheduled Principal Payments
Line of Credit Facility [Line Items]
Number of properties held as collateral | Property	5
Scheduled Principal Payments
Line of Credit Facility [Line Items]
Repayments of debt	$ 400
Mortgage Loan
Line of Credit Facility [Line Items]
Repayments of debt	22,800
Mortgage Loan | Unscheduled Principal Payments
Line of Credit Facility [Line Items]
Repayments of debt	1,400
Revolving Credit Facility
Line of Credit Facility [Line Items]
Credit facilities	133,000
Credit facilities
Line of Credit Facility [Line Items]
Debt outstanding under credit facilities	$ 548,000		$ 548,000

Indebtedness - Schedule of Matu

Indebtedness - Schedule of Maturities of Indebtedness (Details) $ in Thousands	Mar. 31, 2023 USD ($)
Debt Disclosure [Abstract]
2023	$ 909
2024	584,480
2025	0
2026	0
2027	0
Thereafter	0
Total	$ 585,389

Indebtedness - Schedule of Fair

Indebtedness - Schedule of Fair Market Value and Carrying Value of Indebtedness (Details) - USD ($) $ in Thousands	Mar. 31, 2023	Dec. 31, 2022
Debt Instrument [Line Items]
Carrying Value	$ 585,389
Mortgages and other notes payable, net
Debt Instrument [Line Items]
Fair Value	36,400	$ 60,800
Carrying Value	37,200	61,800
Credit facilities
Debt Instrument [Line Items]
Fair Value	548,000	548,000
Carrying Value	$ 546,400	$ 546,100

Related Party Arrangements - Na

Related Party Arrangements - Narrative (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2023	Mar. 31, 2022
Related Party Transaction [Line Items]
Cash distributions on restricted stock	$ 4,453	$ 4,453
Expense Support Agreements | Restricted Stock
Related Party Transaction [Line Items]
Cash distributions on restricted stock	$ 30

Related Party Arrangements - Sc

Related Party Arrangements - Schedule of Fees, Reimbursable Expenses and Related Amounts Unpaid to Related Parties (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2023	Mar. 31, 2022	Dec. 31, 2022
Related Party Transactions [Abstract]
Operating expenses	$ 722	$ 807
Total reimbursable expenses	722	807
Investment services fee	0	60
Asset management fees	3,476	3,579
Total reimbursable expenses, net	4,198	4,446
Operating expenses, unpaid	285		$ 238
Total reimbursable expenses, unpaid	285		238
Investment services fees, unpaid	0		0
Asset management fees, unpaid	1,159		1,159
Total related amount, unpaid	1,444		$ 1,397
Investment services fees	$ 0	$ 100

Commitments and Contingencies (

Commitments and Contingencies (Details) shares in Millions	3 Months Ended
	Mar. 31, 2023 Agreement shares
Commitments And Contingencies [Line Items]
Number of promoted interest agreements	1
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