CNL Healthcare Properties (CHTH) 10-K 15 Mar 21 2020 FY Annual report Financial data

Document and Entity Information

Document and Entity Information - USD ($) $ in Billions	12 Months Ended
	Dec. 31, 2020	Mar. 15, 2021	Jun. 30, 2020
Cover [Abstract]
Document Type	10-K
Amendment Flag	false
Document Period End Date	Dec. 31, 2020
Document Fiscal Year Focus	2020
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 Public Float			$ 1.4
Entity Interactive Data Current	Yes
Entity Incorporation, State or Country Code	MD
Document Annual Report	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
Documents Incorporated by Reference	DOCUMENTS INCORPORATED BY REFERENCE None

CONSOLIDATED BALANCE SHEETS

CONSOLIDATED BALANCE SHEETS - USD ($) $ in Thousands	Dec. 31, 2020	Dec. 31, 2019
ASSETS
Real estate investment properties, net (including VIEs $43,890 and $45,329, respectively)	$ 1,392,860	$ 1,432,655
Assets held for sale, net	7,421	88,804
Cash (including VIEs $505 and $1,024, respectively)	61,475	42,350
Restricted cash (including VIEs $102 and $76, respectively)	4,536	6,021
Other assets (including VIEs $524 and $577, respectively)	23,341	28,242
Deferred rent and lease incentives	13,582	17,144
Intangibles, net	826	1,220
Total assets	1,504,041	1,616,436
Liabilities:
Mortgages and other notes payable, net (including VIEs $29,158 and $29,148, respectively)	336,685	375,928
Credit facilities	263,423	302,950
Accounts payable and accrued liabilities (including VIEs $490 and $1,286, respectively)	24,519	24,560
Other liabilities (including VIEs $242 and $219, respectively)	8,255	9,001
Due to related parties	1,780	2,275
Liabilities associated with assets held for sale	10	691
Total liabilities	634,672	715,405
Commitments and contingencies (Note 14)
Redeemable noncontrolling interest	572	558
Stockholders' equity:
Preferred stock, $0.01 par value per share, 200,000 shares authorized; none issued or outstanding
Common stock, $0.01 par value per share, 1,120,000 shares authorized, 186,626 shares issued and 173,960 shares outstanding, respectively	1,740	1,740
Capital in excess of par value	1,516,926	1,516,926
Accumulated income	124,743	120,831
Accumulated distributions	(775,866)	(740,239)
Accumulated other comprehensive loss	(35)	(36)
Total stockholders' equity	867,508	899,222
Noncontrolling interest	1,289	1,251
Total equity	869,369	901,031
Total liabilities and equity	$ 1,504,041	$ 1,616,436

CONSOLIDATED BALANCE SHEETS (Pa

CONSOLIDATED BALANCE SHEETS (Parenthetical) - USD ($) $ in Thousands	Dec. 31, 2020	Dec. 31, 2019
Real estate investment properties, net	$ 1,392,860	$ 1,432,655
Cash	61,475	42,350
Other assets	23,341	28,242
Restricted cash	4,536	6,021
Mortgages and other notes payable, net	336,685	375,928
Accounts payable and accrued liabilities	24,519	24,560
Other liabilities	$ 8,255	$ 9,001
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	$ 43,890	$ 45,329
Cash	505	1,024
Other assets	524	577
Restricted cash	102	76
Mortgages and other notes payable, net	29,158	29,148
Accounts payable and accrued liabilities	490	1,286
Other liabilities	$ 242	$ 219

CONSOLIDATED STATEMENTS OF OPER

CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Revenues:
Rental income and related revenues	$ 26,287	$ 37,786	$ 37,449
Resident fees and services	$ 280,854	$ 288,344	$ 276,623
Type of revenue [extensible list]	us-gaap:HealthCareResidentServiceMember	us-gaap:HealthCareResidentServiceMember	us-gaap:HealthCareResidentServiceMember
Total revenues	$ 307,141	$ 326,130	$ 314,072
Operating expenses:
Property operating expenses	193,427	188,578	182,663
General and administrative expenses	9,413	13,217	12,877
Financing coordination fees		1,878
Depreciation and amortization	51,817	49,823	54,673
Impairment provision	0	0	12,314
Total operating expenses	286,480	284,929	295,286
Gain on sale of real estate	1,074	432	1,049
Operating income	21,735	41,633	19,835
Other income (expense):
Interest and other income	5,655	1,531	335
Interest expense and loan cost amortization	(24,285)	(39,618)	(42,806)
Equity in earnings of unconsolidated entity	1,050	731	489
Total other expense	(17,580)	(37,356)	(41,982)
Income (loss) before income tax	4,155	4,277	(22,147)
Income tax expense	(1,098)	(2,211)	(3,644)
Income (loss) from continuing operations	3,057	2,066	(25,791)
Income from discontinued operations	954	349,730	640
Net income (loss)	4,011	351,796	(25,151)
Less: Amounts attributable to noncontrolling interest
Net income (loss) from continuing operations	99	35	(85)
Net income from discontinued operations		265	6
Net income (loss) attributable to common stockholders	$ 3,912	$ 351,496	$ (25,072)
Net income (loss) per share of common stock (basic and diluted)
Continuing operations	$ 0.01	$ 0.01	$ (0.15)
Discontinued operations	$ 0.01	$ 2.01	$ 0
Weighted average number of shares of common stock outstanding (basic and diluted)	173,960	173,963	174,247
Asset Management Fees
Operating expenses:
Asset /Property management fees	$ 18,051	$ 18,593	$ 18,684
Property Management Fees
Operating expenses:
Asset /Property management fees	$ 13,772	$ 12,840	$ 14,075

CONSOLIDATED STATEMENTS OF COMP

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Statement Of Income And Comprehensive Income [Abstract]
Net income (loss)	$ 4,011	$ 351,796	$ (25,151)
Other comprehensive income (loss):
Unrealized gain (loss) on derivative financial instruments, net	11	(980)	1,909
Reclassification of interest rate swaps upon derecognition		(509)	253
Reclassification of interest rate caps upon derecognition	2	265
Unrealized (loss) gain on derivative financial instruments of equity method investments	(12)	11
Total other comprehensive income (loss)	1	(1,213)	2,162
Comprehensive income (loss)	4,012	350,583	(22,989)
Less: Comprehensive income (loss) attributable to noncontrolling interest	99	300	(79)
Comprehensive income (loss) attributable to common stockholders	$ 3,913	$ 350,283	$ (22,910)

CONSOLIDATED STATEMENTS OF STOC

CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY AND REDEEMABLE NONCONTROLLING INTEREST - USD ($) $ in Thousands	Total	Adoption of ASC 848	Redeemable Noncontrolling Interest	Common Stock	Capital in Excess of Par Value	Accumulated (Loss) Income	Accumulated (Loss) IncomeAdoption of ASC 848	Accumulated Distributions	Accumulated Other Comprehensive Income (Loss)	Total Stockholders' Equity	Total Stockholders' EquityAdoption of ASC 848	Non- controlling Interest
Beginning balance at Dec. 31, 2017	$ 1,052,660		$ 425	$ 1,747	$ 1,523,372	$ (208,775)		$ (264,283)	$ (985)	$ 1,051,076		$ 1,159
Beginning Balance (in shares) at Dec. 31, 2017				174,634
Subscriptions received for common stock through reinvestment plan	22,013			$ 21	21,992					22,013
Subscriptions received for common stock through reinvestment plan (in shares)				2,133
Redemptions of common stock	(28,443)			$ (28)	(28,415)					(28,443)
Redemptions of common stock, shares				(2,804)
Net (loss) income	(25,151)		(16)			(25,072)				(25,072)		(63)
Other comprehensive income (loss)	2,162								2,162	2,162
Distribution to noncontrolling interest	(30)		(15)									(15)
Distributions to holders of promoted interest	(406)				(406)					(406)
Cash distributions declared	(81,064)							(81,064)		(81,064)
Contribution from noncontrolling interests	185		185
Ending Balance at Dec. 31, 2018	941,926		579	$ 1,740	1,516,543	(233,847)		(345,347)	1,177	940,266		1,081
Ending Balance (in shares) at Dec. 31, 2018				173,963
Redemptions of common stock	(23)				(23)					(23)
Redemptions of common stock, shares				(3)
Net (loss) income	351,796		25			351,496				351,496		275
Other comprehensive income (loss)	(1,213)								(1,213)	(1,213)
Distribution to noncontrolling interest	(682)		(46)									(636)
Distributions to holders of promoted interest	406				406					406
Cash distributions declared	(394,892)							(394,892)		(394,892)
Contribution from noncontrolling interests	531											531
Ending Balance at Dec. 31, 2019	$ 901,031		558	$ 1,740	1,516,926	120,831		(740,239)	(36)	899,222		1,251
Ending Balance (in shares) at Dec. 31, 2019	173,960,000			173,960
Adoption of lease accounting standard | 2020-04		$ 3,182					$ 3,182				$ 3,182
Net (loss) income	$ 4,011		44			3,912				3,912		55
Other comprehensive income (loss)	1								1	1
Distribution to noncontrolling interest	(122)		(30)									(92)
Cash distributions declared	(35,627)							(35,627)		(35,627)
Contribution from noncontrolling interests	75											75
Ending Balance at Dec. 31, 2020	$ 869,369		$ 572	$ 1,740	$ 1,516,926	$ 124,743		$ (775,866)	$ (35)	$ 867,508		$ 1,289
Ending Balance (in shares) at Dec. 31, 2020	173,960,000			173,960

CONSOLIDATED STATEMENTS OF ST_2

CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY AND REDEEMABLE NONCONTROLLING INTEREST (Parenthetical) - $ / shares	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Statement Of Stockholders Equity [Abstract]
Cash distributions, declared per share	$ 0.20480	$ 2.26999	$ 0.46556

CONSOLIDATED STATEMENTS OF CASH

CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Operating activities:
Net income (loss)	$ 4,011	$ 351,796	$ (25,151)
Income from discontinued operations	954	349,730	640
Net income (loss) from continuing operations	3,057	2,066	(25,791)
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Depreciation and amortization	51,817	49,823	54,673
Amortization of loan costs	2,041	2,509	2,330
Amortization of premium for debt investments	(42)	(42)	(41)
Straight-line rent adjustments	1,697	733	(2,329)
Deferred income tax benefit	553	1,682	3,267
Loss on extinguishment of debt	35	804	96
Write-off of deferred rent and lease related costs	2,468
Impairment provision			12,314
Gain on sale of real estate	(1,074)	(432)	(1,049)
Other non-cash operating activities	1,212	2,189	1,819
Changes in operating assets and liabilities:
Other assets	1,299	(5,789)	(2,619)
Deferred rent and lease incentives			(12)
Accounts payable and accrued liabilities	505	2,198	(3,739)
Other liabilities	(1,003)	42	459
Due to related parties	(495)	(977)	(688)
Net cash flows provided by operating activities - continuing operations	62,070	54,806	38,690
Depreciation and amortization			31,418
Amortization of premium for debt investments			431
Straight-line rent adjustments		(1,242)	199
Loss on extinguishment of debt		2,547
Write-off of deferred rent and lease related intangibles	103	67
Gain on sale of real estate		(336,074)
Accounts payable and accrued liabilities	3	(6,265)	345
Other liabilities	1	(4,203)	(167)
Other operating activities	(12)	584	(4,296)
Net cash flows provided by operating activities – discontinued operations	1,049	5,144	28,570
Net cash flows provided by operating activities	63,119	59,950	67,260
Investing activities:
Development of properties			(1,658)
Proceeds from sale of real estate	53,712	5,989	5,761
Capital expenditures	(12,231)	(6,409)	(10,106)
Other investing activities	41	1,676	173
Net cash provided by (used in) investing activities – continuing operations	41,522	1,256	(5,830)
Proceeds from sale of real estate	28,398	1,354,461
Capital expenditures		(1,466)	(2,472)
Development properties			(3,487)
Other investing activities		(723)	(2,593)
Net cash provided by (used in) investing activities – discontinued operations	28,398	1,352,272	(8,552)
Net cash provided by (used in) investing activities	69,920	1,353,528	(14,382)
Financing activities:
Distributions to stockholders, net of distribution reinvestments	(35,627)	(394,892)	(59,051)
Redemptions of common stock		(23)	(40,153)
Distribution to holder of promoted interest			(955)
Draws under credit facilities	40,000	95,000	102,000
Repayments on credit facilities	(80,000)	(464,125)	(59,875)
Proceeds from mortgage and other notes payable		21,452	65,878
Principal payments on mortgage and other notes payable	(39,737)	(680,864)	(67,979)
Payment of loan costs	(122)	(6,413)	(1,590)
Other financing activities	(79)	(577)	(343)
Net cash flows used in financing activities	(115,565)	(1,430,442)	(62,068)
Net increase (decrease) in cash and restricted cash	17,474	(16,964)	(9,190)
Cash and restricted cash at beginning of period, including assets held for sale	48,537	65,501	74,691
Cash and restricted cash at end of period, including assets held for sale	66,011	48,537	65,501
Supplemental disclosure of cash flow information (continuing operations):
Cash paid for interest, net of capitalized interest of approximately $0.0 million, $0.0 million and $1.9 million, respectively	23,181	39,250	48,589
Cash paid for income taxes, net	$ 737	$ 641	807
Amounts incurred but not paid:
Distribution to holder of promoted interest			$ 406

CONSOLIDATED STATEMENTS OF CA_2

CONSOLIDATED STATEMENTS OF CASH FLOWS (Parenthetical) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Statement Of Cash Flows [Abstract]
Interest paid, capitalized	$ 0	$ 0	$ 1.9

Organization

Organization	12 Months Ended
	Dec. 31, 2020
Organization Consolidation And Presentation Of Financial Statements [Abstract]
Organization	1. Organization CNL Healthcare Properties, Inc. (the “Company”) is a Maryland corporation that incorporated on June 8, 2010 and elected to be taxed as a real estate investment trust (“REIT”) for United States (“U.S.”) federal income tax purposes beginning with the year ended December 31, 2012. 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. On September 30, 2015, the Company completed its public offerings (“Offerings”) having received aggregate subscription proceeds of approximately $1.7 billion. In October 2015, the Company deregistered the unsold shares of its common stock under its previous registration statement on Form S-11, except for 20 million shares that it registered on Form S-3 under the Securities Exchange Act of 1933 with the Securities and Exchange Commission (“SEC”) for the sale of additional shares of common stock through its distribution reinvestment plan (“Reinvestment Plan”). Effective July 11, 2018, the Company suspended both its Reinvestment Plan and its stock redemption plan (“Redemption Plan”). 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 of December 2018, 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. During the year ended December 31, 2019, the Company sold 61 of the properties and during the year ended December 31, 2020, the Company sold seven additional 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. As a result of discontinued marketing efforts, the Hurst Specialty Hospital no longer met the assets held for sale criteria. As of December 31, 2020, the Company had entered into a purchase and sale agreement with the existing tenant of this acute care property. The expected net sales proceeds approximated the net carrying value of the property. In January 1. Organization (continued) As of December 31, 2020, the Company’s investment portfolio was geographically diversified with properties in 27 states and consisted of interests in 74 properties, comprising 71 senior housing communities, one acute care hospital, one vacant land parcel and one acute care facility classified as held for sale (which was sold in January 2021). 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. The Company has and continues to invest in properties that have not reached full stabilization.

Summary of Significant Accounti

Summary of Significant Accounting Policies	12 Months Ended
	Dec. 31, 2020
Accounting Policies [Abstract]
Summary of Significant Accounting Policies	1. 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. Risks and Uncertainties — The outbreak of the novel coronavirus (“COVID-19”) pandemic around the globe continues to adversely impact commercial activity and has contributed to significant volatility in financial markets. Various states in which the Company owns properties have reacted by, among other things, instituting quarantines and move-in restrictions that have negatively impacted occupancy at seniors housing communities. While some of these restrictions have been relaxed, many of these restrictions remain in place. The pandemic has also resulted in the incurrence of costs related to disease control and containment. Such actions have and continue to create significant business disruption and have and continue to adversely impact the senior housing sector. COVID-19 has had a continued and prolonged adverse impact on economic and market conditions and has triggered a period of economic slowdown which could have a material adverse effect on the Company’s results and financial condition. The full impact of COVID-19 on the Company’s financial condition and results of operations is uncertain and cannot be predicted at the current time as it depends on several factors beyond the control of the Company including, but not limited to (i) the uncertainty around the severity and duration of the outbreak, (ii) the effectiveness of the United States public health response, (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, including the availability of a treatment or vaccination for COVID-19. 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”). In September 2020, HHS announced that it expanded the eligibility to the Provider Relief Fund to include assisted living facilities as part of Phase 2 of the Provider Relief Fund. In October 2020, HHS announced that additional funds were made available for healthcare providers under Phase 3 of the Provider Relief Fund. 2. Summary of Significant Accounting Policies (continued) Grant income is recognized upon receipt of grant income and when all the conditions of the grant have been met. During the year ended December 31, 2020, the Company received and recorded $5.3 million in Provider Relief Funds as other income in the accompanying consolidated statements of operations as all conditions of the grant had been met. During the year ended December 31, 2020, the Company received $0.4 million under the Medicare Accelerated and Advance Payment Program and recorded the million advance in other liabilities in the accompanying consolidated balance sheet as of December 31, 2020. 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 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. 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. 2 . Summary of Significant Accounting Policies (continued) 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. Capitalized Interest — Interest and loan cost amortization attributable to funds used to finance real estate under development is capitalized as additional costs of development. The Company capitalizes interest at the weighted average interest rate of the Company’s outstanding indebtedness and based on its weighted average expenditures for the period. Capitalization of interest on a specific project ceases when the project is substantially complete and ready for occupancy. During the years ended December 31, 2020, 2019 and 2018, the Company incurred interest expense and loan cost amortization of approximately $24.3 million, $54.3 million and $75.0 million, respectively, of which approximately $0.0 million, $0.03 million and $0.06 million, respectively, was capitalized according to this policy. 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, 2020, 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, 2020 and 2019, the accumulated amortization of loan costs was approximately $8.3 million and $8.1 million, respectively. 2. Summary of Significant Accounting Policies (continued) 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. 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. 2. Summary of Significant Accounting Policies (continued) 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. 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, 2020 and 2019 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. 2. Summary of Significant Accounting Policies (continued) Redemptions — Under the Company’s Redemption Plan, a stockholder’s shares were deemed to have been redeemed as of the date that the Company accepted the stockholder’s request for redemption. From and after such date, the stockholder by virtue of such redemption was no longer entitled to any rights as a stockholder in the Company. Shares redeemed were retired and not available for reissue. 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 shareholders 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. 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. 2. Summary of Significant Accounting Policies (continued) 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. 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. 2. Summary of Significant Accounting Policies (continued) Adopted Accounting Pronouncements — In June 2016, the FASB issued ASU No. 2016-13, “Measurement of Credit Losses on Financial Instruments (Topic 326),” which requires a new forward-looking expected loss model to be used for receivables, held-to-maturity debt, loans and other financial instruments. Previously, when credit losses were measured under current GAAP, an entity generally only considered past events and current conditions in measuring the incurred loss. The amendments eliminate the probable initial threshold for recognition of credit losses in current GAAP and, instead, reflect an entity’s current estimate of all expected credit losses over the life of the financial instrument. The ASU was effective for annual reporting periods, and interim periods within those annual periods, beginning after December 15, 2019. The Company adopted this ASU on January 1, 2020, the adoption of which did not have a material impact on the Company’s consolidated results of operations or cash flows. Impact of Recent Accounting Pronouncements ― 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 ass

Revenue

Revenue	12 Months Ended
	Dec. 31, 2020
Revenue From Contract With Customer [Abstract]
Revenue	3. Revenue The following tables represent the disaggregated revenue for resident fees and services during the years ended December 31, 2020, 2019 and 2018: Years Ended December 31, Number of Units Revenue (in millions) Percentage of Revenues Resident fees and services: 2020 2019 2018 2020 2019 2018 2020 2019 2018 Independent living 2,261 2,261 2,261 $ 72.6 $ 74.3 $ 71.7 25.9 % 25.8 % 25.9 % Assisted living 2,966 2,966 2,966 138.1 140.5 137.6 49.2 % 48.7 % 49.7 % Memory care 853 853 853 57.7 59.4 54.4 20.5 % 20.6 % 19.7 % Other revenues ― ― ― 12.5 14.1 12.9 4.4 % 4.9 % 4.7 % 6,080 6,080 6,080 $ 280.9 $ 288.3 $ 276.6 100.0 % 100.0 % 100.0 %

Real Estate Assets, net

Real Estate Assets, net	12 Months Ended
	Dec. 31, 2020
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, 2020 and 2019 are as follows, excluding assets held for sale (in thousands): As of December 31, 2020 2019 Land and land improvements $ 132,663 $ 132,453 Building and building improvements 1,501,107 1,498,297 Furniture, fixtures and equipment 94,141 86,543 Less: accumulated depreciation (335,051 ) (284,638 ) Real estate investment properties, net $ 1,392,860 $ 1,432,655 As described in Note 1. “Organization,” as part of exploring Possible Strategic Alternatives, during the year ended December 31, 2018, the Company committed to a plan to sell 70 properties, which included seven skilled nursing facilities comprised of six properties (the “Perennial Communities”) and the Welbrook Grand Junction property. Management of the Company determined that the sale of these seven skilled nursing facilities would not cause a strategic shift in the Company’s operations and that the sale of these seven properties were not considered individually significant; therefore, these properties did not qualify as discontinued operations. Refer to Note 6. “Assets and Associated Liabilities Held For Sale and Discontinued Operations” for additional information on the remaining properties that qualified as discontinued operations. During the year ended December 31, 2019, the Company sold the Welbrook Grand Junction property and recorded no gain or loss from continuing operations for financial statement purposes related to the sale of this property. 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. 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 been continuously classified as held and used. In addition, the Company . The estimated fair value was higher than the adjusted carrying value of the property. The Company reclassified the 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. 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, . 4. Real Estate Assets, net (continued) During the year ended December 31, 2018, as part of committing to a plan to sell 70 properties, the Company evaluated each of the properties classified as held for sale to determine whether it was likely that the carrying value of the Company’s properties would be recoverable. The Level 3 unobservable inputs used in determining the fair value of the real estate properties included, but were not limited to, appraisal information from an independent third-party valuation firm engaged as a valuation advisor, comparable sales transactions and other information from financial advisors of the Company and/or potential brokers/buyers, as applicable. As a result of this analysis, the Company recorded impairment provisions during the year ended December 31, 2018 related to its Hurst Specialty Hospital and its Welbrook Grand Junction property of approximately $4.4 million and $7.9 million, respectively. These impairment provisions from continuing operations were recorded to write-off the associated assets in excess of the estimated net sales proceeds, as it was determined that the carrying value of these properties would not be recoverable. The Company did not record impairment provisions from continuing operations during the years ended December 31, 2020 and 2019. Depreciation expense on the Company’s real estate investment properties, net was approximately $51.4 million, $49.4 million and $51.6 million for the years ended December 31, 2020, 2019 and 2018, respectively. 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, 2020
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, 2020 and 2019 are as follows (in thousands): As of December 31, 2020 2019 In-place lease intangibles $ 3,944 $ 83,275 Less: accumulated depreciation (3,118) (82,055) Intangible assets, net $ 826 $ 1,220 For the years ended December 31, 2020, 2019 and 2018, amortization on the Company’s intangible assets was approximately $0.4 million, $0.4 million and $2.5 million, respectively, all of which were included in depreciation and amortization. The weighted average remaining useful life of the Company’s intangibles as of December 31, 2020 is 2.1 years. 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, 2020 is as follows (in thousands): 2021 $ 394 2022 253 2023 74 2024 74 2025 31 Thereafter ― $ 826

Assets and Associated Liabiliti

Assets and Associated Liabilities Held For Sale and Discontinued Operations	12 Months Ended
	Dec. 31, 2020
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, during 2018, the Company committed to a plan to sell a total of 70 properties, including: (1) the 63 property MOB/Healthcare Portfolio, (2) the six properties comprising the Perennial Communities and (3) Welbrook Grand Junction. As of December 31, 2020, the Company had one acute care property classified as held for sale and had entered into a purchase and sale agreement for the sale of this property for a gross sales price of $7.75 million. The Company sold this property in January 2021. See Note 16 “Subsequent Events” for additional information. 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 Other Total Real estate held for sale, net $ 5,922 $ — $ 5,922 Intangibles, net 1,481 — 1,481 Other assets 18 — 18 Assets held for sale, net $ 7,421 $ — $ 7,421 Accounts payable and accrued liabilities $ 8 $ — $ 8 Other liabilities 2 — 2 Liabilities associated with assets held for sale $ 10 $ — $ 10 As of December 31, 2019, the eight properties classified as assets held for sale and liabilities associated with those assets held for sale consisted of the following (in thousands): As of December 31, 2019 MOB/Healthcare Portfolio Other Total Real estate held for sale, net $ 28,307 $ 46,908 $ 75,215 Intangibles, net 6,252 800 7,052 Deferred rent and lease incentives 1,345 4,952 6,297 Other assets 6 68 74 Restricted cash 94 72 166 Assets held for sale, net $ 36,004 $ 52,800 $ 88,804 Accounts payable and accrued liabilities $ 4 $ 3 $ 7 Other liabilities — 684 684 Liabilities associated with assets held for sale $ 4 $ 687 $ 691 6. Assets and Associated Liabilities Held For Sale and Discontinued Operations (continued) 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 Company sold one property and 60 properties during the years ended December 31, 2020 and 2019, respectively. The following table is a summary of income from discontinued operations for the years ended December 31, 2020, 2019 and 2018 (in thousands): Years Ended December 31, 2020 2019 2018 Revenues: Rental income and related revenues $ 1,266 $ 46,073 $ 112,241 Operating expenses: Property operating expenses 7 11,333 29,174 General and administrative 138 411 1,253 Asset management fees 139 4,689 11,689 Property management fees 28 1,257 3,679 Financing coordination fees — — 2,326 Depreciation and amortization — — 31,418 Total operating expenses 312 17,690 79,539 Gain on sale of real estate ― 336,074 — Operating income 954 364,457 32,702 Other income (expense): Interest and other income (expense) — 56 109 Interest expense and loan cost amortization — (14,618 ) (32,178 ) Total other income (expense) — (14,562 ) (32,069 ) Income before income taxes 954 349,895 633 Income tax (expense) benefit — (165 ) 7 Income from discontinued operations $ 954 $ 349,730 $ 640

Operating Leases

Operating Leases	12 Months Ended
	Dec. 31, 2020
Leases [Abstract]
Operating Leases	7 . Operating Leases As of December 31, 2020, excluding the one remaining property classified as held for sale, the Company owned 15 seniors housing properties 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 would be liable for such amounts. As of December 31, 2020, the total annualized property tax assessed on these properties is approximately $3.2 million. As of December 31, 2020, excluding the one remaining property classified as held for sale, the Company’s triple-net operating leases had a weighted average remaining lease term of 4.5 years based on annualized base rents expiring between 2022 and 2031, 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. 7 . Operating Leases (continued) The following are future minimum lease payments for the Company’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, 2020, and excludes the one remaining property classified as held for sale (in thousands): 2021 $ 31,346 2022 23,804 2023 23,073 2024 23,445 2025 20,371 Thereafter 25,168 $ 147,207 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, 2020
Organization Consolidation And Presentation Of Financial Statements [Abstract]
Variable Interest Entities	8. Variable Interest Entities As of December 31, 2020 and 2019, the Company had two subsidiaries classified as VIEs. These subsidiaries 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. 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, 2020 and 2019 are as follows (in thousands): As of December 31, 2020 2019 Assets: Real estate investment properties, net $ 43,890 $ 45,329 Cash $ 505 $ 1,024 Other assets $ 524 $ 577 Restricted cash $ 102 $ 76 Liabilities: Mortgages and other notes payable, net $ 29,158 $ 29,148 Accounts payable and accrued liabilities $ 490 $ 1,286 Other liabilities $ 242 $ 219 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 $13.3 million as of December 31, 2020. 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, 2020
Debt Disclosure [Abstract]
Indebtedness	9 . Indebtedness The following table provides details of the Company’s indebtedness as of December 31, 2020 and 2019, (in thousands): As of December 31, 2020 2019 Mortgages payable and other notes payable: Fixed rate debt $ 337,519 $ 368,974 Variable rate debt (1) ― 8,282 Mortgages and other notes payable (2) 337,519 377,256 Premium (3) 101 142 Loan costs, net (935 ) (1,470 ) Total mortgages and other notes payable, net 336,685 375,928 Credit facilities: Revolving Credit Facility (1)(4) ― 40,000 Term Loan Facility (1) 265,000 265,000 Loan costs, net related to Term Loan Facilities (1,577 ) (2,050 ) Total credit facilities, net 263,423 302,950 Total indebtedness, net $ 600,108 $ 678,878 FOOTNOTES: (1) As of December 31, 2020 and 2019, the Company had entered into interest rate caps with notional amounts of approximately $225.0 million and $281.0 million, respectively. Refer to Note 11. “Derivative Financial Instruments” for additional information. (2) As of December 31, 2020 and 2019, the Company’s mortgages and other notes payable are collateralized by 29 and 32 properties, respectively, with total carrying value of approximately $497.4 million and $567.8 million, respectively. (3) Premium is reflective of the Company recording mortgage note payables assumed at fair value on the respective acquisition dates. (4) As of December 31, 2020 and 2019, the Company had undrawn availability under the applicable revolving credit facility of approximately $150.2 million and $181.7 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. In May 2019, the Company completed the sale of the 55 properties (the “MOB Sale”) and used a portion of the net cash proceeds from the MOB Sale to repay the Company’s unsecured credit facilities which, including indebtedness allocated to certain of the 55 properties comprising the MOB Sale, resulted in total repayments on the Company’s unsecured credit facilities as follows: (1) approximately $229.1 million on the Company’s 2014 Revolving Credit Facility; (2) $175 million on the Company’s First Term Loan Facility; and (3) $275 million on the Company’s Second Term Loan Facility. Concurrently, in May 2019, the Company entered into new unsecured credit facilities, which included: (1) a $250 million senior unsecured revolving credit facility (“Revolving Credit Facility”) and (2) a $265 million senior unsecured term loan facility (“Term Loan Facility” and together with the Revolving Credit Facility, “Credit Facilities”). The Revolving Credit Facility has an initial four-year term through May 2023, plus one 12-month extension option, and the Term Loan Facility has an initial five-year term through May 2024. The Credit Facilities bear interest based on 30-day LIBOR plus a spread that varies with the Company’s leverage ratio. In connection with the refinancing of the 2014 Credit Facilities, the Company paid financing coordination fees to the Advisor of approximately $5.2 million; refer to Note 10. “Related Party Arrangements” for additional information. 9. Indebtedness (continued) During the year ended December 31, 2019, the Company repaid approximately $95.4 million in mortgage and construction loans related to several properties. In connection therewith, the Company wrote-off approximately $0.2 million in unamortized loan costs and paid exit fees of approximately $0.4 million, which are included in interest expense and loan cost amortization in the accompanying consolidated statements of operations for the year ended December 31, 2019. These loans were scheduled to mature during 2019 and 2020. In November 2019, the Company refinanced the construction loan related to Watercrest at Katy of approximately $21.3 million which was scheduled to mature in December 2019. The new mortgage loan matures in November 2024 with an interest rate of 3.25% per annum. 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. 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, 2020 (in thousands): 2021 $ 11,315 2022 282,121 2023 23,417 2024 285,666 2025 ― Thereafter ― $ 602,519 The Company had liquidity of $211.7 million as of December 31, 2020 (consisting of $61.5 million in cash and $150.2 million of availability under its Revolving Credit Facility) and is well positioned to manage its near-term debt maturities. The Company has $11.3 million of scheduled payments coming due during the year ended December 31, 2021 and has a material maturity in January of $236.4 million, consisting of debt collateralized by 22 properties. The Company has had early discussions with its lenders about repayment or refinancing options upon maturity. The Company has several other options, including but not limited to, refinancing the facility with the existing lender or another lending institution as a secured loan facility, liquidating all or a portion of the 22 properties to satisfy the obligation, or adding all or a portion of the 22 properties to the existing 2019 Credit Facilities and repaying the balance with a draw on the 2019 Revolving Credit Facility. The addition of all 22 properties to the borrowing base of the 2019 Credit Facilities would result in $100 million of additional availability under the 2019 Revolving Credit Facility. The Company could also use the accordion feature of its 2019 Credit Facilities to increase the current $515 million commitment to a higher amount. 9. Indebtedness (continued) The following table details the Company’s mortgages and other notes payable as of December 31, 2020 and 2019, (in thousands): Interest Rate at December 31, December 31, Property and Loan Type 2020 (1) Payment Terms Maturity Date (2) 2020 2019 Primrose II Communities; Mortgage Loan 3.81% per annum Monthly principal and interest payments based on a 30-year amortization schedule 6/1/20 $ — $ 20,533 Pacific Northwest Communities; Mortgage Loans 4.30% per annum Monthly principal and interest payments based on a 25-year amortization schedule 1/5/22 189,938 196,598 Capital Health Communities; Mortgage Loans (3) (3) Monthly principal and interest payments based on a 25-year amortization schedule 1/5/22 55,925 58,387 Primrose I Communities; Mortgage Loan (4) 4.11% per annum Monthly principal and interest payments based on a 30-year amortization schedule 9/1/22 46,317 47,557 Watercrest at Mansfield; Mortgage Loan (5) 4.68% per annum Monthly principal and interest payments based on a total payment of $143,330 6/1/23 24,065 24,625 Watercrest at Katy; Mortgage Loan 3.25% per annum Monthly interest only payments through November 2022; principal and interest payments thereafter based on a 25-year amortization schedule 11/15/24 21,274 21,274 Total fixed rate debt 337,519 368,974 Fieldstone at Pear Orchard; Construction Loan 30-day LIBOR plus 2.9% per annum Monthly interest only payments through September 2018; principal payments thereafter based on a 25-year amortization schedule 10/15/20 — 8,282 Total variable rate debt — 8,282 Total mortgages and other notes payable, net $ 337,519 $ 377,256 FOOTNOTES: (1) The 30-day was approximately 0.14% and 1.764%, respectively, as of December 31, 2020 and 2019. (2) Represents the initial maturity date (or, as applicable, the maturity date as extended). (3) Consists of a mortgage loan and a supplemental loan. The mortgage loan accrues interest at a fixed rate equal to 4.25% per annum. The supplemental loan accrues interest at a fixed rate equal to 4.3% per annum. (4) If prepaid prior to March 1, 2022, the Primrose I Communities Mortgage Loan is subject to a prepayment penalty in an amount equal to the greater of (i) 1% of the principal being repaid, or (ii) an amount calculated on the principal being repaid, multiplied by the difference between the Primrose I Communities Mortgage Loan interest rate, and a calculated yield rate tied to the rates on applicable U.S. Treasuries. If prepayment is made between March 1, 2022, and 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. (5) 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, 2020 and 2019 (in millions): December 31, 2020 December 31, 2019 Fair Value Carrying Value Fair Value Carrying Value Mortgages and other notes payable, net $ 339.4 $ 336.7 $ 381.2 $ 375.9 Credit facilities $ 265.0 $ 263.4 $ 305.0 $ 303.0 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 December 31, 2020, the Company’s 22 properties that are cross collateralized in a secured debt transaction did not achieve a minimum debt service coverage covenant. The missed covenant requires that the annual taxes and insurance premiums for each of the 22 properties (estimated at approximately $6.0 million in the aggregate for all 22 properties) be escrowed monthly, until such time that the covenant is achieved. In accordance with the cure provision under its loan agreement, the Company is working with its lender to establish the cash escrow accounts and anticipates escrowing the approximate $6.0 million over the next twelve months with its lender. 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, 2020, 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, 2020
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, the 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 of 0.08334% of the average real estate asset value (as defined in the advisory agreement) of the Company’s properties, including its proportionate share of properties owned through joint ventures. 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 an 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 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, 2020, 2019 and 2018. Property Manager — Through June 2018, pursuant to a property management agreement, as amended, with the Property Manager which was not renewed and expired on June 28, 2018, the Property Manager received property management fees of (a) 2% of annual gross rental revenues from single tenant properties, and (b) 4% of annual gross rental revenues from multi-tenant properties. In the event that the Company contracted directly with a third-party property manager, the Company paid the Property Manager an oversight fee of up to 1% of annual gross revenues of the property managed; however, in no event would the Company have paid both a property management fee and an oversight fee with respect to the same property. The Company paid to the Property Manager a construction management fee equal to 5% of hard and soft costs associated with the initial construction or renovation of a property, or with the management and oversight of expansion projects and other capital improvements, in those cases in which the value of the construction, renovation, expansion or improvements exceeded (i) 10% of the initial purchase price of the property, and (ii) $1.0 million, which the fee was due and payable upon completion of such projects. 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 shareholders 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, 2020, 2019 and 2018, the Company incurred approximately $0.9 million in such 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 the loss from discontinued operations for the years ended December 31, 2020, 2019 and 2018, and related amounts unpaid as of December 31, 2020 and 2019 are as follows (in thousands): Unpaid amounts (1) Years Ended December 31, as of December 31, 2020 2019 2018 2020 2019 Reimbursable expenses: Operating expenses (2) $ 3,517 $ 5,066 $ 6,203 $ 275 $ 698 3,517 5,066 6,203 275 698 Investment services fees (3) — — 60 — ― Disposition fee (4) 143 3,031 58 — ― Financing coordination fees (5) 61 5,553 2,326 — ― Property management fees (6) — — 2,323 — — Asset management fees (7) 18,190 23,281 30,385 1,505 1,577 $ 21,911 $ 36,931 $ 41,355 $ 1,780 $ 2,275 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) For the year ended December 31, 2018, the Company incurred approximately $0.1 million in investment services fees of which approximately $0.1 million was capitalized and included in real estate assets, net in the accompanying consolidated balance sheets. There were no investment service fees incurred for the years ended December 31, 2020 and 2019. Investment service fees, that are not capitalized, are recorded as acquisition fees and expenses in the accompanying consolidated statements of operations. (4) Amounts are recorded as a reduction to gain on sale of real estate in the accompanying consolidated statements of operations. (5) 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. For the years ended December 31, 2020 and 2018, the Company incurred approximately $0.1 million and $2.3 million, respectively, in financing coordination fees related to the refinancing of the loans associated with certain operating properties, all of which were capitalized as loan costs and reduced mortgages and other notes payable, net in the accompanying consolidated balance sheets. (6) For the year ended December 31, 2018, the Company incurred approximately $2.3 million in property and construction management fees payable to the Property Manager of which approximately $5,000 in construction management fees were capitalized and included in real estate under development in the accompanying consolidated balance sheets. The Property Management Agreement was not renewed beyond its expiration date of June 2018. (7) For the years ended December 31, 2020, 2019 and 2018, the Company incurred approximately $18.2 million, $23.3 million and $30.4 million, respectively, in asset management fees payable to the Advisor. No expense support was received for the years ended December 31, 2020, 2019 and 2018. There was approximately $11,000 in asset management fees that were capitalized and included in real estate under development in the accompanying consolidated balance sheets for the year ended December 31, 2018. There were no asset management fees capitalized for the years ended December 31, 2020 and 2019 10. Related Party Arrangements (continued) 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, 2020, 2019 and 2018. As of December 31, 2020, $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, 2020. Cash distributions paid on Restricted Stock shares for the years ended December 31, 2020, 2019 and 2018 were $0.273 million, $3.027 million and $0.630 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, 2020
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, derivative financial instruments and the corresponding asset (liability) as of December 31, 2020 and 2019 (in thousands): Fair value asset (liability) as of Notional Amount Strike (1) Credit Spread (1) Trade date Forward date Maturity date December 31, 2020 December 31, 2019 $ 10,500 (2) 3.3 % ― % 2/28/2019 3/1/2019 9/1/2021 $ ― $ ― $ 231,000 (2) 2.0 % ― % 12/12/2019 12/20/2019 12/31/2020 $ ― $ 2 $ 225,000 (2) 0.8 % ― % 8/12/2020 12/31/2020 12/31/2021 $ 2 $ ― FOOTNOTES: (1) The all-in rates are equal to the sum of the Strike and Credit Spread detailed above. (2) 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 derivative financial instruments fall within Level 2 of the fair value hierarchy, the credit valuation adjustments associated with its derivatives 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 derivative financial instruments and has determined that the credit valuation adjustments on the overall valuation adjustments are not significant to the overall valuation of its derivative financial instruments. As a result, the Company determined that its derivative financial instruments 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, 2020
Equity [Abstract]
Equity	1 2 . Redeemable Noncontrolling Interest: In connection with the Watercrest at Katy joint venture, the Company’s joint venture partner acquired a 5% noncontrolling interest that includes a put option of its membership to the Company commencing in May 2016, when the Watercrest at Katy development opened to residents, and concluding in May 2021 when NOI is: (a) equal to or greater than the NOI threshold established in the joint venture agreement, and (b) has been equal to or greater than the NOI threshold established in the joint venture agreement for the three calendar months immediately preceding the calendar month during which the joint venture partner exercises the put option. The put option is redeemable for cash at a price equal to the appraised market value (less certain transaction-related costs) at the time the put option is exercised (“Put Price”). The Company’s maximum redemption exposure, as a result of these redeemable equity securities, is limited to the Put Price multiplied by the joint venture partner’s 5% membership interest. Stockholders’ Equity: Distribution Reinvestment Plan — In July 2018, as part of the Company’s decision to proceed with the exploration of Possible Strategic Alternatives, the Company suspended the Reinvestment Plan and the Redemption Plan. As a result of the suspension of the Reinvestment Plan in July 2018, the Company did not receive any proceeds through its Reinvestment Plan subsequent to June 2018. For the year ended December 31, 2018, the Company received proceeds through its Reinvestment Plan of approximately $22.0 million. 12 . Equity (continued) Distributions — For the years ended December 31, 2020, 2019 and 2018, the Company declared cash distributions of $35.6 million, $394.9 million and $81.1, 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. The tax composition of the Company’s distributions declared for the years ended December 31, 2020, 2019 and 2018 were as follows: Years Ended December 31, 2020 2019 2018 Ordinary income 21.88% 0.0% 0.0% Capital gain 0.62% 42.85% 0.0% Unrecaptured Sec. 1250 gain 11.15% 20.10% 0.0% Return of capital 66.35% 37.05% 100.0% Redemptions — In July 2018, as part of the Company’s decision to proceed with the exploration of Possible Strategic Alternatives, the Company suspended the Redemption Plan. No requests for redemptions have been accepted subsequent to suspension of the Redemption Plan. As such, there were no requests for the redemption of common stock during the years ended December 31, 2020 and 2019. For the year ended December 31, 2018, the Company received requests for the redemption of common stock under its Redemption Plan of approximately 4.4 million shares, of which 2.8 million were approved for redemption at an average price of $10.14, for a total of approximately $28.4 million. During the year ended December 31, 2018, as a result of the Redemption Plan being suspended, approximately $16.4 million in unsatisfied redemption requests were placed in a redemption queue and will remain there until such time, if at all, that the Company’s board of directors reinstates the Redemption Plan. Unless the Redemption Plan is reinstated by the Company’s board of directors, the Company will not as a general matter, accept or otherwise process any additional redemption requests received after July 11, 2018. There can be no guarantee that the Redemption Plan will be reinstated by the Company’s board of directors. 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, 2020, 2019 and 2018, the Company accrued, as a (reduction)/reversal to capital in excess of par value, the following distributions to holders of promoted interest (in thousands): Years Ended December 31, 2020 2019 2018 Dogwood Forest of Grayson ― 406 (406) $ ― $ 406 $ (406) 12. Equity (continued) 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, 2020, 2019 and 2018 (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 Years Ended December 31, December 31, 2020 2019 2018 2020 2019 2018 Interest rate swaps $ — $ (846) $ 1,219 Interest expense and loan cost amortization $ — $ 921 $ 2,457 Interest rate caps 11 (134) 690 Interest expense and loan cost amortization (44) (361) (1,957) Reclassification of interest rate swaps upon derecognition — (509) 253 Interest expense and loan cost amortization — 509 (253) 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 (12) 11 — Not applicable (3) (11) — Total $ 1 $ (1,213) $ 2,162 $ (49) $ 793 $ 247

Income Taxes

Income Taxes	12 Months Ended
	Dec. 31, 2020
Income Tax Disclosure [Abstract]
Income Taxes	1 3 . Income Taxes For the years ended December 31, 2020, 2019 and 2018, 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, 2020, 2019 and 2018, excluding amounts related to discontinued operations, were as follows (in thousands): Years Ended December 31, 2020 2019 2018 Current: Federal $ 51 $ 51 $ 113 State (596) (580) (490) Total current expense (545) (529) (377) Deferred: Federal (552) (1,562) (3,333) State (1) (120) 66 Total deferred expense (553) (1,682) (3,267) Income tax expense $ (1,098) $ (2,211) $ (3,644) 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, 2020 and 2019 are as follows: 2020 2019 Carryforwards of net operating loss $ 4,068 $ 3,653 Minimum tax credit carryforward ― 59 Prepaid rent 1,026 1,648 Valuation allowance (1,464) (1,096) Deferred tax assets, net $ 3,630 $ 4,264 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, 2020 2019 2018 Tax (expense) benefit computed at federal statutory rate $ (873) (21.00) % $ (898) (21.00) % $ 4,651 21.00 % Impact of REIT election 303 7.28 % (675) (15.78) % (7,980) (36.03) % State income tax expense net of federal benefit (160) (3.84) % (488) (11.41) % (412) (1.86) % Effect of change in valuation allowance (368) (8.86) % (150) (3.51) % 97 0.44 % Income tax expense $ (1,098) (26.42) % $ (2,211) (51.70) % $ (3,644) (16.45) % 13. Income Taxes (continued) The Company’s TRS entities had net operating loss carryforwards for federal and state purposes of approximately $12.4 million and $12.3 million as of December 31, 2020 and 2019, 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 2021. The Company has $0.4 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 2016 and forward remain subject to examination by taxing authorities. On March 27, 2020, the Coronavirus Aid, Relief, and Economic Security Act (the “CARES Act”) was enacted into law. Although the CARES Act contains many income tax relief provisions, they are not estimated to have a material impact on the Company. As required under U.S. GAAP, the effects of tax law changes are recognized in the period of enactment.

Commitments and Contingencies

Commitments and Contingencies	12 Months Ended
	Dec. 31, 2020
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 six 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, 2020. 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 related to these Restricted Stock shares.

Concentration of Credit Risk

Concentration of Credit Risk	12 Months Ended
	Dec. 31, 2020
Risks And Uncertainties [Abstract]
Concentration of Credit Risk	15. Concentration of Credit Risk For the years ended December 31, 2020, 2019 and 2018, 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 2020 2019 2018 State of Texas (1) Geographical 21.0 % 20.5 % 20.4 % 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, 2020
Subsequent Events [Abstract]
Subsequent Events	16. Subsequent Events In January 2021, the Company sold the acute care property it had classified as held for sale as of December 31, 2020. The Company received net sales proceeds of $7.4 million and did not record any gain or loss on sale of this property in January 2021.

SCHEDULE II-Valuation and Quali

SCHEDULE II-Valuation and Qualifying Accounts	12 Months Ended
	Dec. 31, 2020
Valuation And Qualifying Accounts [Abstract]
SCHEDULE II-Valuation and Qualifying Accounts	CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES YEARS ENDED DECEMBER 31, 2020, 2019 AND 2018 (in thousands) Year Description Balance at Beginning of Year Charged to Costs and Expenses Charged to Other Accounts Balance at End of Year 2018 Deferred tax asset valuation allowance $ (1,087) $ (829) $ ― $ (1,916) Allowance for doubtful accounts (2,350) (1,489) ― (3,839) $ (3,437) $ (2,318) $ ― $ (5,755) 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) $ ― $ (357) $ (1,465) Allowance for doubtful account (1,927) (2,252) 1,156 (3,023) $ (3,035) $ (2,252) $ 799 $ (4,488)

SCHEDULE III-Real Estate and Ac

SCHEDULE III-Real Estate and Accumulated Depreciation	12 Months Ended
	Dec. 31, 2020
Real Estate And Accumulated Depreciation Disclosure [Abstract]
SCHEDULE III-Real Estate and Accumulated Depreciation	CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES AS OF DECEMBER 31, 2020 (in thousands) Initial Costs Costs Capitalized Subsequent to Acquisition Gross Amounts at which Carried at Close of Period (2) Property/Location Encum- brances Land & Land Improve- ments Building and Building Improve- ments Land & Land Improve- ments Building and Building Improve- ments Construc- tion in Process Land & Land Improve- ments Building and Building Improve- ments Construc- tion in Process Total Accumu-lated Depreci-ation Date of Construction Date Acquired Life on which depreciation in latest income statement is computed Primrose Retirement Community of Casper Casper, Wyoming $ 10,707 $ 1,910 $ 16,310 $ 30 $ 296 $ ― $ 1,940 $ 16,606 $ ― $ 18,546 $ (3,910) 2004 2/16/2012 (1) Primrose Retirement Community of Grand Island Grand Island, Nebraska $ 7,553 $ 719 $ 12,140 $ 56 $ — $ ― $ 775 $ 12,140 $ ― $ 12,915 $ (2,972) 2005 2/16/2012 (1) Primrose Retirement Community of Mansfield Mansfield, Ohio $ 10,276 $ 650 $ 16,720 $ 229 $ 71 $ ― $ 879 $ 16,791 $ ― $ 17,670 $ (4,133) 2007 2/16/2012 (1) Primrose Retirement Community of Marion Marion, Ohio $ 8,524 $ 889 $ 16,305 $ — $ — $ ― $ 889 $ 16,305 $ ― $ 17,194 $ (3,929) 2006 2/16/2012 (1) Sweetwater Retirement Community Billings, Montana $ 9,257 $ 1,578 $ 14,205 $ 19 $ — $ ― $ 1,597 $ 14,205 $ ― $ 15,802 $ (3,339) 2006 2/16/2012 (1) HarborChase of Villages Crossing Lady Lake, Florida ("The Villages") $ — $ 2,165 $ — $ 996 $ 15,452 $ ― $ 3,161 $ 15,452 $ ― $ 18,613 $ (2,952) 2013 8/29/2012 (1) Primrose Retirement Community Cottages Aberdeen, South Dakota $ — $ 311 $ 3,794 $ — $ — $ ― $ 311 $ 3,794 $ ― $ 4,105 $ (842) 2005 12/19/2012 (1) Primrose Retirement Community of Council Bluffs Council Bluffs, Iowa (“Omaha”) $ — $ 1,144 $ 11,117 $ 5 $ 3 $ ― $ 1,149 $ 11,120 $ ― $ 12,269 $ (2,537) 2008 12/19/2012 (1) Primrose Retirement Community of Decantur Decatur, Illinois $ — $ 513 $ 16,706 $ — $ 154 $ ― $ 513 $ 16,860 $ ― $ 17,373 $ (3,678) 2009 12/19/2012 (1) Primrose Retirement Community of Lima Lima, Ohio $ — $ 944 $ 17,115 $ 8 $ 4 $ ― $ 952 $ 17,119 $ ― $ 18,071 $ (3,728) 2006 12/19/2012 (1) Primrose Retirement Community of Zanesville Zanesville, Ohio $ — $ 1,184 $ 17,292 $ — $ 67 $ ― $ 1,184 $ 17,359 $ ― $ 18,543 $ (3,787) 2008 12/19/2012 (1) Capital Health of Symphony Manor Baltimore, Maryland $ 12,995 $ 2,319 $ 19,444 $ — $ 259 $ ― $ 2,319 $ 19,703 $ ― $ 22,022 $ (4,202) 2011 12/21/2012 (1) Curry House Assisted Living & Memory Care Cadillac, Michigan $ 6,498 $ 995 $ 11,072 $ 15 $ 2 $ ― $ 1,010 $ 11,074 $ ― $ 12,084 $ (2,407) 1966 12/21/2012 (1) Tranquillity at Fredericktowne Frederick, Maryland $ 19,150 $ 808 $ 14,291 $ — $ 6,110 $ ― $ 808 $ 20,401 $ ― $ 21,209 $ (4,272) 2000 12/21/2012 (1) Brookridge Heights Assisted Living & Memory Care Marquette, Michigan $ 11,464 $ 595 $ 11,339 $ (17) $ 4,766 $ ― $ 578 $ 16,105 $ ― $ 16,683 $ (3,525) 1998 12/21/2012 (1) Woodholme Gardens Assisted Living & Memory Care Pikesville, Maryland (“Baltimore”) $ 5,819 $ 1,603 $ 13,472 $ 54 $ 8 $ ― $ 1,657 $ 13,480 $ ― $ 15,137 $ (2,931) 2010 12/21/2012 (1) CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION AS OF DECEMBER 31, 2020 (in thousands) Initial Costs Costs Capitalized Subsequent to Acquisition Gross Amounts at which Carried at Close of Period (2) Property/Location Encum- brances Land & Land Improve- ments Building and Building Improve- ments Land & Land Improve- ments Building and Building Improve- ments Construc- tion in Process Land & Land Improve- ments Building and Building Improve- ments Construc- tion in Process Total Accumu-lated Depreci-ation Date of Construction Date Acquired Life on which depreciation in latest income statement is computed HarborChase of Jasper Jasper, Alabama $ — $ 355 $ 6,358 $ 7 $ 56 $ ― $ 362 $ 6,414 $ ― $ 6,776 $ (1,262) 1998 7/31/2013 (1) Doctor's Specialty Hospital Leawood, Kansas (“Kansas City”) $ — $ 924 $ 5,771 $ 69 $ — $ ― $ 993 $ 5,771 $ ― $ 6,764 $ (842) 2001 8/16/2013 (1) Raider Ranch Lubbock, Texas $ — $ 4,992 $ 48,818 $ 501 $ 12,655 $ ― $ 5,493 $ 61,473 $ ― $ 66,966 $ (11,232) 2009 8/29/2013 (1) Town Village Oklahoma City, Oklahoma $ ― $ 1,020 $ 19,847 $ 88 $ 1,616 $ ― $ 1,108 $ 21,463 $ ― $ 22,571 $ (4,199) 2004 8/29/2013 (1) Prestige Senior Living Beaverton Hills Beaverton, Oregon $ 8,178 $ 1,387 $ 10,324 $ 13 $ — $ ― $ 1,400 $ 10,324 $ ― $ 11,724 $ (1,970) 2000 12/2/2013 (1) Prestige Senior Living High Desert Bend, Oregon $ 7,164 $ 835 $ 11,252 $ 17 $ 53 $ ― $ 852 $ 11,305 $ ― $ 12,157 $ (2,240) 2003 12/2/2013 (1) MorningStar of Billings Billings, Montana $ 17,938 $ 4,067 $ 41,373 $ 54 $ 325 $ ― $ 4,121 $ 41,698 $ ― $ 45,819 $ (8,354) 2009 12/2/2013 (1) MorningStar of Boise Boise, Idaho $ 19,224 $ 1,663 $ 35,752 $ 18 $ 251 $ ― $ 1,681 $ 36,003 $ ― $ 37,684 $ (6,812) 2007 12/2/2013 (1) Prestige Senior Living Huntington Terrace Gresham, Oregon (“Portland”) $ 9,181 $ 1,236 $ 12,083 $ 2 $ 64 $ — $ 1,238 $ 12,147 $ — $ 13,385 $ (2,353) 2000 12/2/2013 (1) MorningStar of Idaho Falls Idaho Falls, Idaho $ 15,995 $ 2,006 $ 40,397 $ 64 $ 346 $ ― $ 2,070 $ 40,743 $ ― $ 42,813 $ (7,857) 2009 12/2/2013 (1) Prestige Senor Living Arbor Place Medford, Oregon $ 7,553 $ 355 $ 14,083 $ 11 $ 46 $ — $ 366 $ 14,129 $ — $ 14,495 $ (2,665) 2003 12/2/2013 (1) Prestige Senior Living Orchard Hills Salem, Oregon $ 11,006 $ 545 $ 15,544 $ 10 $ 187 $ ― $ 555 $ 15,731 $ ― $ 16,286 $ (2,945) 2002 12/2/2013 (1) Prestige Senior Living Southern Hills Salem, Oregon $ 6,874 $ 653 $ 10,753 $ 43 $ 8 $ ― $ 696 $ 10,761 $ ― $ 11,457 $ (2,069) 2001 12/2/2013 (1) MorningStar of Sparks Sparks, Nevada $ 21,282 $ 3,986 $ 47,968 $ 16 $ 86 $ ― $ 4,002 $ 48,054 $ ― $ 52,056 $ (9,363) 2009 12/2/2013 (1) Prestige Senior Living Five Rivers Tillamook, Oregon $ 7,047 $ 1,298 $ 14,064 $ 18 $ 251 $ ― $ 1,316 $ 14,315 $ ― $ 15,631 $ (2,866) 2002 12/2/2013 (1) Prestige Senior Living Riverwood Tualatin, Oregon (“Portland”) $ 4,163 $ 1,028 $ 7,429 $ 12 $ 87 $ ― $ 1,040 $ 7,516 $ ― $ 8,556 $ (1,489) 1999 12/2/2013 (1) Prestige Senior Living Auburn Meadows Auburn, Washington ("Seattle") $ 9,610 $ 2,537 $ 17,261 $ — $ 186 $ ― $ 2,537 $ 17,447 $ ― $ 19,984 $ (3,306) 2003/2010 2/3/2014 (1) Prestige Senior Living Bridgewood Vancouver, Washington ("Portland") $ 12,100 $ 1,603 $ 18,172 $ 10 $ 40 $ ― $ 1,613 $ 18,212 $ ― $ 19,825 $ (3,415) 2001 2/3/2014 (1) CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION AS OF DECEMBER 31, 2020 (in thousands) Initial Costs Costs Capitalized Subsequent to Acquisition Gross Amounts at which Carried at Close of Period (2) Property/Location Encum- brances Land & Land Improve- ments Building and Building Improve- ments Land & Land Improve- ments Building and Building Improve- ments Construc- tion in Process Land & Land Improve- ments Building and Building Improve- ments Construc- tion in Process Total Accumu-lated Depreciation Date of Construction Date Acquired Life on which depreciation in latest income statement is computed Prestige Senior Living Monticello Park Longview, Washington $ 16,121 $ 1,981 $ 23,056 $ 1 $ 46 $ ― $ 1,982 $ 23,102 $ ― $ 25,084 $ (4,274) 2001/2010 2/3/2014 (1) Prestige Senior Living Rosemont Yelm, Washington $ 8,482 $ 668 $ 14,564 $ — $ 70 $ ― $ 668 $ 14,634 $ ― $ 15,302 $ (2,674) 2004 2/3/2014 (1) Wellmore of Tega Cay Tega Cay, South Carolina ("Charlotte") $ — $ 2,445 $ — $ 2,743 $ 23,451 $ ― $ 5,188 $ 23,451 $ ― $ 28,639 $ (4,313) 2015 2/7/2014 (1) Isle at Cedar Ridge Cedar Park, Texas ("Austin") $ — $ 1,525 $ 16,277 $ — $ 199 $ ― $ 1,525 $ 16,476 $ ― $ 18,001 $ (3,161) 2011 2/28/2014 (1) Prestige Senior Living West Hills Corvallis, Oregon $ 8,020 $ 842 $ 12,603 $ 11 $ 19 $ ― $ 853 $ 12,622 $ ― $ 13,475 $ (2,404) 2002 3/3/2014 (1) HarborChase of Plainfield Plainfield, Illinois $ — $ 1,596 $ 21,832 $ 9 $ 29 $ ― $ 1,605 $ 21,861 $ ― $ 23,466 $ (3,996) 2010 3/28/2014 (1) Legacy Ranch Alzheimer's Special Care Center Midland, Texas $ — $ 917 $ 9,982 $ — $ 10 $ ― $ 917 $ 9,992 $ ― $ 10,909 $ (1,863) 2012 3/28/2014 (1) The Springs Alzheimer's Special Care Center San Angelo, Texas $ — $ 595 $ 9,658 $ 9 $ 187 $ ― $ 604 $ 9,845 $ ― $ 10,449 $ (1,808) 2012 3/28/2014 (1) Isle at Watercrest - Bryan Bryan, Texas $ — $ 3,223 $ 40,581 $ 36 $ 987 $ ― $ 3,259 $ 41,568 $ ― $ 44,827 $ (7,803) 2011 4/21/2014 (1) Isle at Watercrest - Mansfield Mansfield, Texas ("Dallas/Fort Worth") $ — $ 997 $ 24,635 $ — $ 51 $ ― $ 997 $ 24,686 $ ― $ 25,683 $ (4,369) 2011 5/5/2014 (1) Watercrest at Katy Katy, Texas ("Houston") $ 21,274 $ 4,000 $ — $ 123 $ 32,375 $ ― $ 4,123 $ 32,375 $ ― $ 36,498 $ (3,838) 2016 6/27/2014 (1) Watercrest at Mansfield Mansfield, Texas ("Dallas/Fort Worth") $ 24,064 $ 2,191 $ 42,740 $ 16 $ 954 $ ― $ 2,207 $ 43,694 $ ― $ 45,901 $ (7,581) 2010 6/30/2014 (1) HarborChase of Shorewood Shorewood, Wisconsin ("Milwaukee") $ — $ 2,200 $ — $ 301 $ 19,862 $ ― $ 2,501 $ 19,862 $ ― $ 22,363 $ (2,689) 2015 7/8/2014 (1) Hurst Specialty Hospital Hurst, Texas ("Dallas/Fort Worth") $ — $ 2,082 $ 20,186 $ — $ — $ ― $ 2,082 $ 20,186 $ ― $ 22,268 $ (4,019) 2004/2012 8/15/2014 (1) Fairfield Village of Layton Layton, Utah ("Salt Lake City") $ — $ 5,217 $ 54,167 $ 66 $ 55 $ ― $ 5,283 $ 54,222 $ ― $ 59,505 $ (9,382) 2010 11/20/2014 (1) Fieldstone Memory Care Yakima, Washington $ — $ 1,297 $ 9,965 $ — $ 6 $ ― $ 1,297 $ 9,971 $ ― $ 11,268 $ (1,626) 2014 3/31/2015 (1) Primrose Retirement Center of Anderson Anderson, Indiana ("Muncie") $ — $ 1,342 $ 19,083 $ — $ 33 $ ― $ 1,342 $ 19,116 $ ― $ 20,458 $ (3,013) 2008 5/29/2015 (1) Primrose Retirement Center of Lancaster — Lancaster, Ohio ("Columbus") $ $ 2,840 $ 21,884 $ — $ — $ ― $ 2,840 $ 21,884 $ ― $ 24,724 $ (3,797) 2007 5/29/2015 (1) CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES SCHEDULE III - REAL ESTATE AND ACCUMULATED DEPRECIATION AS OF DECEMBER 31, 2020 (in thousands) Initial Costs Costs Capitalized Subsequent to Acquisition Gross Amounts at which Carried at Close of Period (2) Property/Location Encum- brances Land & Land Improve- ments Building and Building Improve- ments Land & Land Improve- ments Building and Building Improve- ments Construc- tion in Process Land & Land Improve- ments Building and Building Improve- ments Construc- tion in Process Total Accumu-lated Depreci-ation Date of Construction Date Acquired Life on which depreciation in latest income statement is computed Primrose Retirement Center of Wausau Wausau, Wisconsin ("Green Bay") $ — $ 1,089 $ 18,653 $ — $ — $ ― $ 1,089 $ 18,653 $ ― $ 19,742 $ (2,824) 2008 5/29/2015 (1) Superior Residences of Panama City Panama City Beach, Florida $ — $ 2,099 $ 19,367 $ 14 27 $ ― $ 2,113 $ 19,394 $ ― $ 21,507 $ (3,003) 2015 7/15/2015 (1) The Hampton at Meadows Place Fort Bend, Texas ("Houston") $ — $ 715 $ 24,281 $ — $ 320 $ ― $ 715 $ 24,601 $ ― $ 25,316 $ (3,475) 2007/2013/2014 7/31/2015 (1) The Pavilion at Great Hills Austin, Texas $ — $ 1,783 $ 29,318 $ 43 $ 240 $ ― $ 1,826 $ 29,558 $ ― $ 31,384 $ (4,222) 2010 7/31/2015 (1) The Beacon at Gulf Breeze Gulf Breeze, Florida ("Pensacola") $ — $ 824 $ 24,106 $ 84 $ 192 $ ― $ 908 $ 24,298 $ ― $ 25,206 $ (3,582) 2008 7/31/2015 (1) Parc at Piedmont Marietta, Georgia ("Atlanta") $ — $ 3,529 $ 43,080 $ 31 $ 483 $ ― $ 3,560 $ 43,563 $ ― $ 47,123 $ (6,404) 2001/2011 7/31/2015 (1) Parc at Duluth Duluth, Georgia ("Atlanta") $ — $ 5,951 $ 42,458 $ 67 $ 2,020 $ ― $ 6,018 $ 44,478 $ ― $ 50,496 $ (6,215) 2003/2012 7/31/2015 (1) Waterstone on Augusta Greenville, South Carolina $ — $ 2,253 $ — $ 2,116 $ 20,833 $ ― $ 4,369 $ 20,833 $ ― $ 25,202 $ (2,520) 2017 8/31/2015 (1) Wellmore of Lexington Lexington, South Carolina ("Columbia") $ — $ 2,300 $ — $ 3,168 $ 43,085 $ ― $ 5,468 $ 43,085 $ ― $ 48,553 $ (4,602) 2017 9/14/2015 (1) Palmilla Senior Living Albuquerque, New Mexico $ — $ 4,701 $ 38,321 $ 10 $ 113 $ ― $ 4,711 $ 38,434 $ ― $ 43,145 $ (5,524) 2013 9/30/2015 (1) Cedar Lake Assisted Living and Memory Care Lake Zurich, Illinois ("Chicago") $ — $ 2,412 $ 25,126 $ 16 $ 59 $ ― $ 2,428 $ 25,185 $ ― $ 27,613 $ (3,611) 2014 9/30/2015 (1) Fieldstone at Pear Orchard Yakima Washington $ — $ 1,035 $ — $ 102 $ 13,499 $ ― $ 1,137 $ 13,499 $ ― $ 14,636 $ (1,440) 2016 10/12/2015 (1) The Shores of Lake Phalen Maplewood, Minnesota ("St. Paul") $ — $ 2,724 $ 25,093 $ 10 $ 94 $ ― $ 2,734 $ 25,187 $ ― $ 27,921 $ (3,532) 2012 11/10/2015 (1) Dogwood Forrest of Grayson Grayson, Georgia $ — $ 1,788 $ — $ 109 $ 22,068 $ ― $ 1,897 $ 22,068 $ ― $ 23,965 $ (2,040) 2017 11/24/2015 (1) Park Place Senior Living at WingHaven O'Fallon, Missouri ("St. Louis") $ — $ 1,283 $ 48,221 $ 134 $ 847 $ ― $ 1,417 $ 49,068 $ ― $ 50,485 $ (6,533) 2006/2014 12/17/2015 (1) Hearthside Senior Living of Collierville Collierville, Tennessee ("Memphis") $ — $ 1,756 $ 13,379 $ 16 $ 28 $ ― $ 1,772 $ 13,407 $ ― $ 15,179 $ (1,874) 2014 12/29/2015 (1) Albuquerque, New Mexico – Unimproved Land Albuquerque, New Mexico $ — $ 1,056 $ — $ — $ — $ ― $ 1,056 $ — $ ― $ 1,056 $ — — 9/7/2017 (1) $ 337,519 $ 122,073 $ 1,281,187 $ 11,583 $ 225,691 $ ― $ 133,656 $ 1,506,878 $ ― $ 1,640,534 $ (262,394) CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES SCHEDULE III – REAL ESTATE AND ACCUMULATED DEPRECIATION AS OF DECEMBER 31, 2020 (in thousands) Transactions in real estate and accumulated depreciation as of December 31, 2020 are as follows: Balance December 31, 2017 $ 2,721,805 Balance December 31, 2017 $ (219,457) 2018 Improvements 9,052 2018 Depreciation (60,821) 2018 Dispositions (5,359) 2018 Accumulated depreciation on dispositions 633 2018 Impairments (11,818) Balance December 31, 2018 (279,645) Balance December 31, 2018 2,713,680 2019 Depreciation (41,737) 2019 Improvements 4,039 2019 Accumulated depreciation on dispositions 94,853 2019 Impairments (1,004,892) Balance December 31, 2019 (226,529) Balance December 31, 2019 1,712,827 2020 Depreciation (42,430) 2020 Improvements 3,020 2020 Accumulated depreciation on dispositions 6,565 2020 Dispositions (75,313) Balance December 31, 2020 $ (262,394) Balance December 31, 2020 $ 1,640,534 _____________ 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 approximately $1.8 billion .

SCHEDULE IV-Mortgage Loans on R

SCHEDULE IV-Mortgage Loans on Real Estate	12 Months Ended
	Dec. 31, 2020
Mortgage Loans On Real Estate [Abstract]
SCHEDULE IV-Mortgage Loans on Real Estate	CNL HEALTHCARE PROPERTIES, INC. AND SUBSIDIARIES YEARS ENDED DECEMBER 31, 2020, 2019 AND 2018 (in thousands) The following is a reconciliation of mortgages and other notes receivable on real estate for the years ended December 31, 2020, 2019 and 2018 (in thousands): 2020 2019 2018 Balance at beginning of year $ 482 $ 1,688 $ 1,179 Additions during period: New mortgage loans and additional advances — 531 432 Accrued and deferred interest 6 9 77 Deductions during period: Collection of principal (40) (1,746) ― Balance at end of year $ 448 $ 482 $ 1,688

Summary of Significant Accoun_2

Summary of Significant Accounting Policies (Policies)	12 Months Ended
	Dec. 31, 2020
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.
Risks And Uncertainties	Risks and Uncertainties — The outbreak of the novel coronavirus (“COVID-19”) pandemic around the globe continues to adversely impact commercial activity and has contributed to significant volatility in financial markets. Various states in which the Company owns properties have reacted by, among other things, instituting quarantines and move-in restrictions that have negatively impacted occupancy at seniors housing communities. While some of these restrictions have been relaxed, many of these restrictions remain in place. The pandemic has also resulted in the incurrence of costs related to disease control and containment. Such actions have and continue to create significant business disruption and have and continue to adversely impact the senior housing sector. COVID-19 has had a continued and prolonged adverse impact on economic and market conditions and has triggered a period of economic slowdown which could have a material adverse effect on the Company’s results and financial condition. The full impact of COVID-19 on the Company’s financial condition and results of operations is uncertain and cannot be predicted at the current time as it depends on several factors beyond the control of the Company including, but not limited to (i) the uncertainty around the severity and duration of the outbreak, (ii) the effectiveness of the United States public health response, (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, including the availability of a treatment or vaccination for COVID-19.
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”). In September 2020, HHS announced that it expanded the eligibility to the Provider Relief Fund to include assisted living facilities as part of Phase 2 of the Provider Relief Fund. In October 2020, HHS announced that additional funds were made available for healthcare providers under Phase 3 of the Provider Relief Fund. 2. Summary of Significant Accounting Policies (continued) Grant income is recognized upon receipt of grant income and when all the conditions of the grant have been met. During the year ended December 31, 2020, the Company received and recorded $5.3 million in Provider Relief Funds as other income in the accompanying consolidated statements of operations as all conditions of the grant had been met. During the year ended December 31, 2020, the Company received $0.4 million under the Medicare Accelerated and Advance Payment Program and recorded the million advance in other liabilities in the accompanying consolidated balance sheet as of December 31, 2020.
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 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. 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.
Capitalized Interest	Capitalized Interest — Interest and loan cost amortization attributable to funds used to finance real estate under development is capitalized as additional costs of development. The Company capitalizes interest at the weighted average interest rate of the Company’s outstanding indebtedness and based on its weighted average expenditures for the period. Capitalization of interest on a specific project ceases when the project is substantially complete and ready for occupancy. During the years ended December 31, 2020, 2019 and 2018, the Company incurred interest expense and loan cost amortization of approximately $24.3 million, $54.3 million and $75.0 million, respectively, of which approximately $0.0 million, $0.03 million and $0.06 million, respectively, was capitalized according to this policy.
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, 2020, 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, 2020 and 2019, the accumulated amortization of loan costs was approximately $8.3 million and $8.1 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. 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. 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, 2020 and 2019 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.
Redemptions	Redemptions — Under the Company’s Redemption Plan, a stockholder’s shares were deemed to have been redeemed as of the date that the Company accepted the stockholder’s request for redemption. From and after such date, the stockholder by virtue of such redemption was no longer entitled to any rights as a stockholder in the Company. Shares redeemed were retired and not available for reissue.
Net 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 shareholders 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.
Investments in Unconsolidated Entities	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.
Adopted Accounting Pronouncements	Adopted Accounting Pronouncements — In June 2016, the FASB issued ASU No. 2016-13, “Measurement of Credit Losses on Financial Instruments (Topic 326),” which requires a new forward-looking expected loss model to be used for receivables, held-to-maturity debt, loans and other financial instruments. Previously, when credit losses were measured under current GAAP, an entity generally only considered past events and current conditions in measuring the incurred loss. The amendments eliminate the probable initial threshold for recognition of credit losses in current GAAP and, instead, reflect an entity’s current estimate of all expected credit losses over the life of the financial instrument. The ASU was effective for annual reporting periods, and interim periods within those annual periods, beginning after December 15, 2019. The Company adopted this ASU on January 1, 2020, the adoption of which did not have a material impact on the Company’s consolidated results of operations or cash flows.
Impact of Recent Accounting Pronouncements	Impact of Recent Accounting Pronouncements ― 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. The Company continues to evaluate the impact of the guidance and may apply other elections as applicable as additional changes in the market occur. In April 2020, the FASB issued a Staff Question-and-Answer (“Q&A”) to clarify whether lease concessions related to the effects of COVID-19 require the application of the lease modification guidance under the new lease standard, which the Company adopted on January 1, 2019. Under the new leasing standard, an entity would have to determine, on a lease by lease basis, if a lease concession was the result of a new arrangement reached with the tenant, which would be accounted for under the lease modification framework, or if the lease concession was under the enforceable rights and obligations that existed in the original lease, which would be accounted for outside the lease modification framework. The Q&A provides entities with the option to elect to account for lease concessions as though the enforceable rights and obligations existed in the original lease as long as the total cash flows from the modified lease are substantially similar to the cash flows in the original lease. The Company elected this option and therefore, to the extent that a rent concession is granted as a deferral of payments, but total payments are substantially the same, the Company will account for the concession as if no change has been made to the original lease.

Revenue (Tables)

Revenue (Tables)	12 Months Ended
	Dec. 31, 2020
Revenue From Contract With Customer [Abstract]
Summary of Disaggregation of Revenue	The following tables represent the disaggregated revenue for resident fees and services during the years ended December 31, 2020, 2019 and 2018: Years Ended December 31, Number of Units Revenue (in millions) Percentage of Revenues Resident fees and services: 2020 2019 2018 2020 2019 2018 2020 2019 2018 Independent living 2,261 2,261 2,261 $ 72.6 $ 74.3 $ 71.7 25.9 % 25.8 % 25.9 % Assisted living 2,966 2,966 2,966 138.1 140.5 137.6 49.2 % 48.7 % 49.7 % Memory care 853 853 853 57.7 59.4 54.4 20.5 % 20.6 % 19.7 % Other revenues ― ― ― 12.5 14.1 12.9 4.4 % 4.9 % 4.7 % 6,080 6,080 6,080 $ 280.9 $ 288.3 $ 276.6 100.0 % 100.0 % 100.0 %

Real Estate Assets, net (Tables

Real Estate Assets, net (Tables)	12 Months Ended
	Dec. 31, 2020
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, 2020 and 2019 are as follows, excluding assets held for sale (in thousands): As of December 31, 2020 2019 Land and land improvements $ 132,663 $ 132,453 Building and building improvements 1,501,107 1,498,297 Furniture, fixtures and equipment 94,141 86,543 Less: accumulated depreciation (335,051 ) (284,638 ) Real estate investment properties, net $ 1,392,860 $ 1,432,655

Intangibles, net (Tables)

Intangibles, net (Tables)	12 Months Ended
	Dec. 31, 2020
Goodwill And Intangible Assets Disclosure [Abstract]
Schedule of Net Book Value of Intangibles	The gross carrying amount and accumulated amortization of the Company’s intangible assets as of December 31, 2020 and 2019 are as follows (in thousands): As of December 31, 2020 2019 In-place lease intangibles $ 3,944 $ 83,275 Less: accumulated depreciation (3,118) (82,055) Intangible assets, net $ 826 $ 1,220
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, 2020 is as follows (in thousands): 2021 $ 394 2022 253 2023 74 2024 74 2025 31 Thereafter ― $ 826

Assets and Associated Liabili_2

Assets and Associated Liabilities Held For Sale and Discontinued Operations (Tables)	12 Months Ended
	Dec. 31, 2020
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 Other Total Real estate held for sale, net $ 5,922 $ — $ 5,922 Intangibles, net 1,481 — 1,481 Other assets 18 — 18 Assets held for sale, net $ 7,421 $ — $ 7,421 Accounts payable and accrued liabilities $ 8 $ — $ 8 Other liabilities 2 — 2 Liabilities associated with assets held for sale $ 10 $ — $ 10 As of December 31, 2019, the eight properties classified as assets held for sale and liabilities associated with those assets held for sale consisted of the following (in thousands): As of December 31, 2019 MOB/Healthcare Portfolio Other Total Real estate held for sale, net $ 28,307 $ 46,908 $ 75,215 Intangibles, net 6,252 800 7,052 Deferred rent and lease incentives 1,345 4,952 6,297 Other assets 6 68 74 Restricted cash 94 72 166 Assets held for sale, net $ 36,004 $ 52,800 $ 88,804 Accounts payable and accrued liabilities $ 4 $ 3 $ 7 Other liabilities — 684 684 Liabilities associated with assets held for sale $ 4 $ 687 $ 691
Summary of Income (Loss) from Discontinued Operations	The following table is a summary of income from discontinued operations for the years ended December 31, 2020, 2019 and 2018 (in thousands): Years Ended December 31, 2020 2019 2018 Revenues: Rental income and related revenues $ 1,266 $ 46,073 $ 112,241 Operating expenses: Property operating expenses 7 11,333 29,174 General and administrative 138 411 1,253 Asset management fees 139 4,689 11,689 Property management fees 28 1,257 3,679 Financing coordination fees — — 2,326 Depreciation and amortization — — 31,418 Total operating expenses 312 17,690 79,539 Gain on sale of real estate ― 336,074 — Operating income 954 364,457 32,702 Other income (expense): Interest and other income (expense) — 56 109 Interest expense and loan cost amortization — (14,618 ) (32,178 ) Total other income (expense) — (14,562 ) (32,069 ) Income before income taxes 954 349,895 633 Income tax (expense) benefit — (165 ) 7 Income from discontinued operations $ 954 $ 349,730 $ 640

Operating Leases (Tables)

Operating Leases (Tables)	12 Months Ended
	Dec. 31, 2020
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 Company’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, 2020, and excludes the one remaining property classified as held for sale (in thousands): 2021 $ 31,346 2022 23,804 2023 23,073 2024 23,445 2025 20,371 Thereafter 25,168 $ 147,207

Variable Interest Entities (Tab

Variable Interest Entities (Tables)	12 Months Ended
	Dec. 31, 2020
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, 2020 and 2019 are as follows (in thousands): As of December 31, 2020 2019 Assets: Real estate investment properties, net $ 43,890 $ 45,329 Cash $ 505 $ 1,024 Other assets $ 524 $ 577 Restricted cash $ 102 $ 76 Liabilities: Mortgages and other notes payable, net $ 29,158 $ 29,148 Accounts payable and accrued liabilities $ 490 $ 1,286 Other liabilities $ 242 $ 219

Indebtedness (Tables)

Indebtedness (Tables)	12 Months Ended
	Dec. 31, 2020
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, 2020 and 2019, (in thousands): As of December 31, 2020 2019 Mortgages payable and other notes payable: Fixed rate debt $ 337,519 $ 368,974 Variable rate debt (1) ― 8,282 Mortgages and other notes payable (2) 337,519 377,256 Premium (3) 101 142 Loan costs, net (935 ) (1,470 ) Total mortgages and other notes payable, net 336,685 375,928 Credit facilities: Revolving Credit Facility (1)(4) ― 40,000 Term Loan Facility (1) 265,000 265,000 Loan costs, net related to Term Loan Facilities (1,577 ) (2,050 ) Total credit facilities, net 263,423 302,950 Total indebtedness, net $ 600,108 $ 678,878 FOOTNOTES: (1) As of December 31, 2020 and 2019, the Company had entered into interest rate caps with notional amounts of approximately $225.0 million and $281.0 million, respectively. Refer to Note 11. “Derivative Financial Instruments” for additional information. (2) As of December 31, 2020 and 2019, the Company’s mortgages and other notes payable are collateralized by 29 and 32 properties, respectively, with total carrying value of approximately $497.4 million and $567.8 million, respectively. (3) Premium is reflective of the Company recording mortgage note payables assumed at fair value on the respective acquisition dates. (4) As of December 31, 2020 and 2019, the Company had undrawn availability under the applicable revolving credit facility of approximately $150.2 million and $181.7 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.
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, 2020 (in thousands): 2021 $ 11,315 2022 282,121 2023 23,417 2024 285,666 2025 ― Thereafter ― $ 602,519
Schedule of Indebtedness	The following table details the Company’s mortgages and other notes payable as of December 31, 2020 and 2019, (in thousands): Interest Rate at December 31, December 31, Property and Loan Type 2020 (1) Payment Terms Maturity Date (2) 2020 2019 Primrose II Communities; Mortgage Loan 3.81% per annum Monthly principal and interest payments based on a 30-year amortization schedule 6/1/20 $ — $ 20,533 Pacific Northwest Communities; Mortgage Loans 4.30% per annum Monthly principal and interest payments based on a 25-year amortization schedule 1/5/22 189,938 196,598 Capital Health Communities; Mortgage Loans (3) (3) Monthly principal and interest payments based on a 25-year amortization schedule 1/5/22 55,925 58,387 Primrose I Communities; Mortgage Loan (4) 4.11% per annum Monthly principal and interest payments based on a 30-year amortization schedule 9/1/22 46,317 47,557 Watercrest at Mansfield; Mortgage Loan (5) 4.68% per annum Monthly principal and interest payments based on a total payment of $143,330 6/1/23 24,065 24,625 Watercrest at Katy; Mortgage Loan 3.25% per annum Monthly interest only payments through November 2022; principal and interest payments thereafter based on a 25-year amortization schedule 11/15/24 21,274 21,274 Total fixed rate debt 337,519 368,974 Fieldstone at Pear Orchard; Construction Loan 30-day LIBOR plus 2.9% per annum Monthly interest only payments through September 2018; principal payments thereafter based on a 25-year amortization schedule 10/15/20 — 8,282 Total variable rate debt — 8,282 Total mortgages and other notes payable, net $ 337,519 $ 377,256 FOOTNOTES: (1) The 30-day was approximately 0.14% and 1.764%, respectively, as of December 31, 2020 and 2019. (2) Represents the initial maturity date (or, as applicable, the maturity date as extended). (3) Consists of a mortgage loan and a supplemental loan. The mortgage loan accrues interest at a fixed rate equal to 4.25% per annum. The supplemental loan accrues interest at a fixed rate equal to 4.3% per annum. (4) If prepaid prior to March 1, 2022, the Primrose I Communities Mortgage Loan is subject to a prepayment penalty in an amount equal to the greater of (i) 1% of the principal being repaid, or (ii) an amount calculated on the principal being repaid, multiplied by the difference between the Primrose I Communities Mortgage Loan interest rate, and a calculated yield rate tied to the rates on applicable U.S. Treasuries. If prepayment is made between March 1, 2022, and 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. (5) 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, 2020 and 2019 (in millions): December 31, 2020 December 31, 2019 Fair Value Carrying Value Fair Value Carrying Value Mortgages and other notes payable, net $ 339.4 $ 336.7 $ 381.2 $ 375.9 Credit facilities $ 265.0 $ 263.4 $ 305.0 $ 303.0

Related Party Arrangements (Tab

Related Party Arrangements (Tables)	12 Months Ended
	Dec. 31, 2020
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 the loss from discontinued operations for the years ended December 31, 2020, 2019 and 2018, and related amounts unpaid as of December 31, 2020 and 2019 are as follows (in thousands): Unpaid amounts (1) Years Ended December 31, as of December 31, 2020 2019 2018 2020 2019 Reimbursable expenses: Operating expenses (2) $ 3,517 $ 5,066 $ 6,203 $ 275 $ 698 3,517 5,066 6,203 275 698 Investment services fees (3) — — 60 — ― Disposition fee (4) 143 3,031 58 — ― Financing coordination fees (5) 61 5,553 2,326 — ― Property management fees (6) — — 2,323 — — Asset management fees (7) 18,190 23,281 30,385 1,505 1,577 $ 21,911 $ 36,931 $ 41,355 $ 1,780 $ 2,275 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) For the year ended December 31, 2018, the Company incurred approximately $0.1 million in investment services fees of which approximately $0.1 million was capitalized and included in real estate assets, net in the accompanying consolidated balance sheets. There were no investment service fees incurred for the years ended December 31, 2020 and 2019. Investment service fees, that are not capitalized, are recorded as acquisition fees and expenses in the accompanying consolidated statements of operations. (4) Amounts are recorded as a reduction to gain on sale of real estate in the accompanying consolidated statements of operations. (5) 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. For the years ended December 31, 2020 and 2018, the Company incurred approximately $0.1 million and $2.3 million, respectively, in financing coordination fees related to the refinancing of the loans associated with certain operating properties, all of which were capitalized as loan costs and reduced mortgages and other notes payable, net in the accompanying consolidated balance sheets. (6) For the year ended December 31, 2018, the Company incurred approximately $2.3 million in property and construction management fees payable to the Property Manager of which approximately $5,000 in construction management fees were capitalized and included in real estate under development in the accompanying consolidated balance sheets. The Property Management Agreement was not renewed beyond its expiration date of June 2018. (7) For the years ended December 31, 2020, 2019 and 2018, the Company incurred approximately $18.2 million, $23.3 million and $30.4 million, respectively, in asset management fees payable to the Advisor. No expense support was received for the years ended December 31, 2020, 2019 and 2018. There was approximately $11,000 in asset management fees that were capitalized and included in real estate under development in the accompanying consolidated balance sheets for the year ended December 31, 2018. There were no asset management fees capitalized for the years ended December 31, 2020 and 2019

Derivative Financial Instrume_2

Derivative Financial Instruments (Tables)	12 Months Ended
	Dec. 31, 2020
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, derivative financial instruments and the corresponding asset (liability) as of December 31, 2020 and 2019 (in thousands): Fair value asset (liability) as of Notional Amount Strike (1) Credit Spread (1) Trade date Forward date Maturity date December 31, 2020 December 31, 2019 $ 10,500 (2) 3.3 % ― % 2/28/2019 3/1/2019 9/1/2021 $ ― $ ― $ 231,000 (2) 2.0 % ― % 12/12/2019 12/20/2019 12/31/2020 $ ― $ 2 $ 225,000 (2) 0.8 % ― % 8/12/2020 12/31/2020 12/31/2021 $ 2 $ ― FOOTNOTES: (1) The all-in rates are equal to the sum of the Strike and Credit Spread detailed above. (2) 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, 2020
Equity [Abstract]
Tax Components Of Dividends Declared	The tax composition of the Company’s distributions declared for the years ended December 31, 2020, 2019 and 2018 were as follows: Years Ended December 31, 2020 2019 2018 Ordinary income 21.88% 0.0% 0.0% Capital gain 0.62% 42.85% 0.0% Unrecaptured Sec. 1250 gain 11.15% 20.10% 0.0% Return of capital 66.35% 37.05% 100.0%
Distribution Of Promoted Interest To Holder	For the years ended December 31, 2020, 2019 and 2018, the Company accrued, as a (reduction)/reversal to capital in excess of par value, the following distributions to holders of promoted interest (in thousands): Years Ended December 31, 2020 2019 2018 Dogwood Forest of Grayson ― 406 (406) $ ― $ 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, 2020, 2019 and 2018 (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 Years Ended December 31, December 31, 2020 2019 2018 2020 2019 2018 Interest rate swaps $ — $ (846) $ 1,219 Interest expense and loan cost amortization $ — $ 921 $ 2,457 Interest rate caps 11 (134) 690 Interest expense and loan cost amortization (44) (361) (1,957) Reclassification of interest rate swaps upon derecognition — (509) 253 Interest expense and loan cost amortization — 509 (253) 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 (12) 11 — Not applicable (3) (11) — Total $ 1 $ (1,213) $ 2,162 $ (49) $ 793 $ 247

Income Taxes (Tables)

Income Taxes (Tables)	12 Months Ended
	Dec. 31, 2020
Income Tax Disclosure [Abstract]
Components of Income Tax Expense	The components of the income tax expense for the years ended December 31, 2020, 2019 and 2018, excluding amounts related to discontinued operations, were as follows (in thousands): Years Ended December 31, 2020 2019 2018 Current: Federal $ 51 $ 51 $ 113 State (596) (580) (490) Total current expense (545) (529) (377) Deferred: Federal (552) (1,562) (3,333) State (1) (120) 66 Total deferred expense (553) (1,682) (3,267) Income tax expense $ (1,098) $ (2,211) $ (3,644)
Significant Components of Deferred Tax Assets	Significant components of the Company’s deferred tax assets as of December 31, 2020 and 2019 are as follows: 2020 2019 Carryforwards of net operating loss $ 4,068 $ 3,653 Minimum tax credit carryforward ― 59 Prepaid rent 1,026 1,648 Valuation allowance (1,464) (1,096) Deferred tax assets, net $ 3,630 $ 4,264
Reconciliation of Income Tax (Expense) Benefit	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, 2020 2019 2018 Tax (expense) benefit computed at federal statutory rate $ (873) (21.00) % $ (898) (21.00) % $ 4,651 21.00 % Impact of REIT election 303 7.28 % (675) (15.78) % (7,980) (36.03) % State income tax expense net of federal benefit (160) (3.84) % (488) (11.41) % (412) (1.86) % Effect of change in valuation allowance (368) (8.86) % (150) (3.51) % 97 0.44 % Income tax expense $ (1,098) (26.42) % $ (2,211) (51.70) % $ (3,644) (16.45) %

Concentration of Credit Risk (T

Concentration of Credit Risk (Tables)	12 Months Ended
	Dec. 31, 2020
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, 2020, 2019 and 2018, 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 2020 2019 2018 State of Texas (1) Geographical 21.0 % 20.5 % 20.4 % 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) $ in Thousands	Sep. 30, 2015USD ($)shares	Dec. 31, 2018PropertyFacilityHospital	Dec. 31, 2020PropertyFacilityHospitalState	Dec. 31, 2019Property	Dec. 31, 2018USD ($)Property
Collaborative Arrangements And Noncollaborative Arrangement Transactions [Line Items]
Entity incorporation, date of incorporation			Jun. 8, 2010
Subscriptions received for common stock through reinvestment plan | $	$ 1,700,000				$ 22,013
Sale of additional share of common stock | shares	20,000,000
Number of properties		70		8
Number of properties sold		63	7	61
Number of skilled nursing facilities | Facility		7
MOB/Healthcare Portfolio
Collaborative Arrangements And Noncollaborative Arrangement Transactions [Line Items]
Number of properties comprised in MOB sale					63
Investment Portfolio
Collaborative Arrangements And Noncollaborative Arrangement Transactions [Line Items]
Number of properties			74
Number of post acute care facilities | Facility			1
Number of acute care hospitals | Hospital			1
Number of seniors housing properties			71
Number of states | State			27
Investment Portfolio | Vacant Land Parcel
Collaborative Arrangements And Noncollaborative Arrangement Transactions [Line Items]
Number of properties			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, 2020USD ($)OperatingSegment	Dec. 31, 2019USD ($)	Dec. 31, 2018USD ($)
Summary Of Significant Accounting Policies [Line Items]
Other liabilities (including VIEs $242 and $219, respectively)	$ 8,255	$ 9,001
Interest expense and loan cost amortization	24,300	54,300	$ 75,000
Capitalized amount of interest	0	30	$ 60
Accumulated amortization of loan costs	$ 8,300	$ 8,100
Annualized return of investment	6.00%
Number of segment | OperatingSegment	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
Provider Relief Funds | COVID19
Summary Of Significant Accounting Policies [Line Items]
Grant Income Received From P R F H S S	$ 5,300
Medicare Accelerated and Advance Payment Program | COVID19
Summary Of Significant Accounting Policies [Line Items]
Grant Income Received From P R F H S S	400
Other liabilities (including VIEs $242 and $219, respectively)	$ 400

Revenue - Summary of Disaggrega

Revenue - Summary of Disaggregation of Revenue (Detail) $ in Thousands	12 Months Ended
	Dec. 31, 2020USD ($)Facility	Dec. 31, 2019USD ($)Facility	Dec. 31, 2018USD ($)Facility
Disaggregation Of Revenue [Line Items]
Number of Units | Facility	6,080	6,080	6,080
Resident fees and services	$ 280,854	$ 288,344	$ 276,623
Percentage of Revenues	100.00%	100.00%	100.00%
Independent Living
Disaggregation Of Revenue [Line Items]
Number of Units | Facility	2,261	2,261	2,261
Resident fees and services	$ 72,600	$ 74,300	$ 71,700
Percentage of Revenues	25.90%	25.80%	25.90%
Assisted Living
Disaggregation Of Revenue [Line Items]
Number of Units | Facility	2,966	2,966	2,966
Resident fees and services	$ 138,100	$ 140,500	$ 137,600
Percentage of Revenues	49.20%	48.70%	49.70%
Memory Care
Disaggregation Of Revenue [Line Items]
Number of Units | Facility	853	853	853
Resident fees and services	$ 57,700	$ 59,400	$ 54,400
Percentage of Revenues	20.50%	20.60%	19.70%
Other Revenues
Disaggregation Of Revenue [Line Items]
Resident fees and services	$ 12,500	$ 14,100	$ 12,900
Percentage of Revenues	4.40%	4.90%	4.70%

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, 2020	Dec. 31, 2019
Real Estate [Abstract]
Land and land improvements	$ 132,663	$ 132,453
Building and building improvements	1,501,107	1,498,297
Furniture, fixtures and equipment	94,141	86,543
Less: accumulated depreciation	(335,051)	(284,638)
Real estate investment properties, net	$ 1,392,860	$ 1,432,655

Real Estate Assets, Net - Addit

Real Estate Assets, Net - Additional Information (Detail)	1 Months Ended		12 Months Ended
	Sep. 30, 2020USD ($)	Dec. 31, 2018PropertyFacility	Dec. 31, 2020USD ($)Property	Dec. 31, 2019USD ($)Property	Dec. 31, 2018USD ($)	Dec. 31, 2018Property	Dec. 31, 2018Facility
Real Estate Properties [Line Items]
Number of properties committed for sale | Property						70
Number of skilled nursing facilities | Facility		7
Number of properties sold | Property		63	7	61
Deferred rent write off			$ 2,500,000
Impairment provision			0	$ 0	$ 12,314,000
Real Estate Investment Properties
Real Estate Properties [Line Items]
Depreciation catch up adjustment if the property was held and used	$ 1,500,000		1,500,000
Depreciation expense			51,400,000	49,400,000	51,600,000
Perennial Communities Sale Agreement
Real Estate Properties [Line Items]
Number of skilled nursing facilities						6	6
Aggregate gains on sale of properties			$ 1,100,000
Number of properties sold | Property			6
Welbrook Grand Junction
Real Estate Properties [Line Items]
Number of properties committed for sale | Property						70
Number of skilled nursing facilities | Facility							7
Welbrook Senior Living Grand Junction
Real Estate Properties [Line Items]
Aggregate gains on sale of properties				$ 0
Impairment provision					7,900
Hurst Specialty Hospital
Real Estate Properties [Line Items]
Rent reserves for uncollected rents			$ 800,000
Impairment provision					$ 4,400

Intangibles, net - Schedule of

Intangibles, net - Schedule of Net Book Value of Intangibles Excluding Assets Held for Sale (Detail) - USD ($) $ in Thousands	Dec. 31, 2020	Dec. 31, 2019
Finite Lived Intangible Assets [Line Items]
Less: accumulated depreciation	$ (3,118)	$ (82,055)
Intangible assets, net	826	1,220
In-place lease intangibles
Finite Lived Intangible Assets [Line Items]
Gross carrying amount, assets	$ 3,944	$ 83,275

Intangibles, net - Additional I

Intangibles, net - Additional Information (Detail) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Goodwill And Intangible Assets Disclosure [Abstract]
Amortization expense on intangible assets	$ 0.4	$ 0.4	$ 2.5
Weighted average useful life	2 years 1 month 6 days

Intangible Assets, net - Schedu

Intangible Assets, net - Schedule of Estimated Future Amortization (Detail) - USD ($) $ in Thousands	Dec. 31, 2020	Dec. 31, 2019
Finite-Lived Intangible Assets, Net, Amortization Expense, Fiscal Year Maturity [Abstract]
2021	$ 394
2022	253
2023	74
2024	74
2025	31
Intangible assets, net	$ 826	$ 1,220

Assets and Associated Liabili_3

Assets and Associated Liabilities Held for Sale and Discontinued Operations - Additional Information (Detail) $ in Thousands	1 Months Ended	12 Months Ended
	Dec. 31, 2018PropertyFacility	Dec. 31, 2020USD ($)Property	Dec. 31, 2019Property	Dec. 31, 2018Property	Dec. 31, 2018Facility
Long Lived Assets Held For Sale [Line Items]
Number of properties committed for sale				70
Number of skilled nursing facilities | Facility	7
Number of properties held for sale			61
Number of other properties			9
Number of properties sold	63	7	61
Number of acute care properties		1
Gross sales price of properties | $		$ 7,750
Number of properties	70		8
MOB/Healthcare Portfolio
Long Lived Assets Held For Sale [Line Items]
Number of properties comprised in MOB sale				63
MOB/Healthcare Portfolio
Long Lived Assets Held For Sale [Line Items]
Number of properties sold		1	60
Number of properties owned, discontinued operations		62
Perennial Communities Sale Agreement
Long Lived Assets Held For Sale [Line Items]
Number of skilled nursing facilities				6	6
Number of properties sold		6
Perennial Communities Sale Agreement | MOB/Healthcare Portfolio
Long Lived Assets Held For Sale [Line Items]
Number of post-acute care properties		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, 2020	Dec. 31, 2019
Long Lived Assets Held For Sale [Line Items]
Other assets	$ 23,341	$ 28,242
Assets held for sale, net	7,421	88,804
Liabilities associated with assets held for sale	10	691
Deferred rent and lease incentives	13,582	17,144
MOB/Healthcare Portfolio
Long Lived Assets Held For Sale [Line Items]
Real estate held for sale, net	5,922	28,307
Intangibles, net	1,481	6,252
Other assets	18	6
Assets held for sale, net	7,421	36,004
Accounts payable and accrued liabilities	8	4
Other liabilities	2
Liabilities associated with assets held for sale	10	4
Deferred rent and lease incentives		1,345
Restricted cash		94
Other Disposal Group
Long Lived Assets Held For Sale [Line Items]
Real estate held for sale, net		46,908
Intangibles, net		800
Other assets		68
Assets held for sale, net		52,800
Accounts payable and accrued liabilities		3
Other liabilities		684
Liabilities associated with assets held for sale		687
Deferred rent and lease incentives		4,952
Restricted cash		72
Disposal Groups Held For Sale
Long Lived Assets Held For Sale [Line Items]
Real estate held for sale, net	5,922	75,215
Intangibles, net	1,481	7,052
Other assets	18	74
Assets held for sale, net	7,421	88,804
Accounts payable and accrued liabilities	8	7
Other liabilities	2	684
Liabilities associated with assets held for sale	$ 10	691
Deferred rent and lease incentives		6,297
Restricted cash		$ 166

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, 2020	Dec. 31, 2019	Dec. 31, 2018
Operating expenses:
Depreciation and amortization			$ 31,418
MOB/Healthcare Portfolio
Revenues:
Rental income and related revenues	$ 1,266	$ 46,073	112,241
Operating expenses:
Property operating expenses	7	11,333	29,174
General and administrative	138	411	1,253
Financing coordination fees			2,326
Depreciation and amortization			31,418
Total operating expenses	312	17,690	79,539
Gain on sale of real estate		336,074
Operating income	954	364,457	32,702
Other income (expense):
Interest and other income (expense)		56	109
Interest expense and loan cost amortization		(14,618)	(32,178)
Total other income (expense)		(14,562)	(32,069)
Income before income taxes	954	349,895	633
Income tax (expense) benefit		(165)	7
Income from discontinued operations	954	349,730	640
MOB/Healthcare Portfolio | Asset Management Fees
Operating expenses:
Asset / Property management fees	139	4,689	11,689
MOB/Healthcare Portfolio | Property Management Fees
Operating expenses:
Asset / Property management fees	$ 28	$ 1,257	$ 3,679

Operating Leases - Additional I

Operating Leases - Additional Information (Detail) $ in Millions	12 Months Ended
	Dec. 31, 2020USD ($)Property	Dec. 31, 2019Property
Operating Leased Assets [Line Items]
Number of properties held for sale		61
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
Operating Leased Assets [Line Items]
Number of seniors housing properties	15
Number of properties held for sale	1
Total annualized property tax | $	$ 3.2
Weighted average remaining lease term	4 years 6 months
Extended lease period	5 years
Triple Net Lease Agreements | Maximum
Operating Leased Assets [Line Items]
Lease, expiration year	2031
Triple Net Lease Agreements | Minimum
Operating Leased Assets [Line Items]
Lease, expiration year	2022

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 (Detail) $ in Thousands	Dec. 31, 2020USD ($)
Leases [Abstract]
2021	$ 31,346
2022	23,804
2023	23,073
2024	23,445
2025	20,371
Thereafter	25,168
Operating Leases Future Minimum Payments Receivable	$ 147,207

Variable Interest Entities - Ad

Variable Interest Entities - Additional Information (Detail) $ in Millions	12 Months Ended
	Dec. 31, 2020USD ($)Subsidiary	Dec. 31, 2019Subsidiary
Variable Interest Entity [Line Items]
Maximum exposure to loss VIEs limits | $	$ 13.3
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 (Detail) - USD ($) $ in Thousands	Dec. 31, 2020	Dec. 31, 2019
Variable Interest Entity [Line Items]
Real estate investment properties, net (including VIEs $43,890 and $45,329, respectively)	$ 1,392,860	$ 1,432,655
Cash (including VIEs $505 and $1,024, respectively)	61,475	42,350
Other assets (including VIEs $524 and $577, respectively)	23,341	28,242
Restricted cash (including VIEs $102 and $76, respectively)	4,536	6,021
Mortgages and other notes payable, net (including VIEs $29,158 and $29,148, respectively)	336,685	375,928
Accounts payable and accrued liabilities (including VIEs $490 and $1,286, respectively)	24,519	24,560
Other liabilities (including VIEs $242 and $219, respectively)	8,255	9,001
Variable Interest Entity, Primary Beneficiary
Variable Interest Entity [Line Items]
Real estate investment properties, net (including VIEs $43,890 and $45,329, respectively)	43,890	45,329
Cash (including VIEs $505 and $1,024, respectively)	505	1,024
Other assets (including VIEs $524 and $577, respectively)	524	577
Restricted cash (including VIEs $102 and $76, respectively)	102	76
Mortgages and other notes payable, net (including VIEs $29,158 and $29,148, respectively)	29,158	29,148
Accounts payable and accrued liabilities (including VIEs $490 and $1,286, respectively)	490	1,286
Other liabilities (including VIEs $242 and $219, respectively)	$ 242	$ 219

Indebtedness - Details of Indeb

Indebtedness - Details of Indebtedness, Excluding Indebtedness Associated with Assets Held for Sale (Detail) - USD ($) $ in Thousands		Dec. 31, 2020	Dec. 31, 2019
Debt Instrument [Line Items]
Premium (discount), net	[1]	$ 101	$ 142
Loan costs, net		(935)	(1,470)
Total mortgages and other notes payable, net		336,685	375,928
Credit facilities		263,423	302,950
Total indebtedness, net		600,108	678,878
Revolving Credit Facility
Debt Instrument [Line Items]
Credit facilities	[2],[3]		40,000
Term Loan Facility
Debt Instrument [Line Items]
Loan costs, net		(1,577)	(2,050)
Credit facilities	[2]	265,000	265,000
Mortgages payable and other notes payable
Debt Instrument [Line Items]
Mortgages payable and other notes payable	[4]	337,519	377,256
Fixed rate debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable		$ 337,519	368,974
Variable Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable	[2]		$ 8,282
[1]	Premium is reflective of the Company recording mortgage note payables assumed at fair value on the respective acquisition dates.
[2]	As of December 31, 2020 and 2019, the Company had entered into interest rate caps with notional amounts of approximately $225.0 million and $281.0 million, respectively. Refer to Note 11. “Derivative Financial Instruments” for additional information.
[3]	As of December 31, 2020 and 2019, the Company had undrawn availability under the applicable revolving credit facility of approximately $150.2 million and $181.7 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.
[4]	As of December 31, 2020 and 2019, the Company’s mortgages and other notes payable are collateralized by 29 and 32 properties, respectively, with total carrying value of approximately $497.4 million and $567.8 million, respectively.

Indebtedness - Details of Ind_2

Indebtedness - Details of Indebtedness, Excluding Indebtedness Associated with Assets Held for Sale (Parenthetical) (Detail) $ in Millions	Dec. 31, 2020USD ($)Property	Dec. 31, 2019USD ($)Property
Revolving Credit Facility
Debt Instrument [Line Items]
Debt Instrument, Current borrowing capacity	$ 150.2	$ 181.7
Secured Debt
Debt Instrument [Line Items]
Number of collateralized properties owned | Property	29	32
Mortgages and other notes payable carrying value of collateral	$ 497.4	$ 567.8
Interest Rate Cap
Debt Instrument [Line Items]
Notional amounts of derivative contract	$ 225	$ 281

Indebtedness - Additional Infor

Indebtedness - Additional Information (Detail)		1 Months Ended				12 Months Ended
		Jan. 31, 2021USD ($)	Apr. 30, 2020USD ($)	Nov. 30, 2019USD ($)	May 31, 2019USD ($)PropertyExtension	Dec. 31, 2021USD ($)	Dec. 31, 2020USD ($)Property	Dec. 31, 2019USD ($)	Dec. 31, 2018USD ($)
Debt Instrument [Line Items]
Financing coordination fees							$ 100,000	$ 5,600,000	$ 2,300,000
Repayments of outstanding mortgage or construction loans							95,400,000
Unamortized loan costs written-off							200,000
Payment for exit fees							400,000
Draws under credit facilities							40,000,000	95,000,000	102,000,000
Repayment of loan borrowed							80,000,000	464,125,000	$ 59,875,000
Liquidity							211,700,000
Cash and cash equivalents							$ 61,500,000
Number of Debt Collateralized Properties | Property							22
Annual taxes and insurance premiums							$ 6,000,000
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.
Scenario Forecast
Debt Instrument [Line Items]
Scheduled payments in future period						$ 11,300,000
Material maturity amount		$ 236,400,000
Maximum
Debt Instrument [Line Items]
Construction loans scheduled maturity year							2019
Minimum [Member]
Debt Instrument [Line Items]
Construction loans scheduled maturity year							2020
Construction Loans | Watercrest At Katy
Debt Instrument [Line Items]
Debt, refinanced amount				$ 21,300,000
Construction loans scheduled maturity				2019-12
Mortgages
Debt Instrument [Line Items]
Mortgage loans scheduled maturity				2024-11
Interest rate				3.25%
Mortgages | Watercrest At Katy
Debt Instrument [Line Items]
Interest rate	[1]						3.25%
Mortgages | Primrose Two Communities
Debt Instrument [Line Items]
Interest rate	[1]						3.81%
Mortgages payable and other notes payable							$ 39,700
Maturity date							2020
2014 Revolving Credit Facility
Debt Instrument [Line Items]
Repayments of indebtedness					$ 229,100,000
First Term Loan Facility
Debt Instrument [Line Items]
Repayments of indebtedness					175,000,000
Second Term Loan Facility
Debt Instrument [Line Items]
Repayments of indebtedness					275,000,000
Revolving Credit Facility
Debt Instrument [Line Items]
Aggregate maximum principal amount available for borrowing					$ 250,000,000
Line of credit facility, initial maturity					2023-05
Number of extension options available | Extension					1
Line of credit facility extension period					12 months
Line of credit facility, initial term					4 years
Draws under credit facilities			$ 40,000
Repayment of loan borrowed							$ 80,000
Debt Instrument, Current borrowing capacity							$ 150,200,000	$ 181,700,000
Term Loan Facility
Debt Instrument [Line Items]
Aggregate maximum principal amount available for borrowing					$ 265,000,000
Line of credit facility, initial maturity					2024-05
Line of credit facility, initial term					5 years
Credit facility, interest description							The Credit Facilities bear interest based on 30-day LIBOR plus a spread that varies with the Company’s leverage ratio
2019 Revolving Credit Facility
Debt Instrument [Line Items]
Additional availability							$ 100,000,000
Credit facility commitment amount							$ 515,000
Welltower Inc | MOB Sale Agreement
Debt Instrument [Line Items]
Number of properties comprised in MOB sale | Property					55
Advisor | 2014 Credit Facility
Debt Instrument [Line Items]
Financing coordination fees					$ 5,200,000
[1]	The 30-day was approximately 0.14% and 1.764%, respectively, as of December 31, 2020 and 2019.

Indebtedness - Schedule of Matu

Indebtedness - Schedule of Maturities of Indebtedness (Detail) $ in Thousands	Dec. 31, 2020USD ($)
Debt Disclosure [Abstract]
2021	$ 11,315
2022	282,121
2023	23,417
2024	285,666
Total borrowings	$ 602,519

Indebtedness - Schedule of Inde

Indebtedness - Schedule of Indebtedness (Detail) - USD ($)		12 Months Ended
		Dec. 31, 2020	Dec. 31, 2019	Nov. 30, 2019
Debt Instrument [Line Items]
Carrying Value		$ 602,519,000
Fixed rate debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable		337,519,000	$ 368,974,000
Variable Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable	[1]		8,282,000
Mortgages
Debt Instrument [Line Items]
Interest on Loan accrues - Fixed rate				3.25%
Carrying Value		337,519,000	377,256,000
Mortgages | Fixed rate debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable		$ 337,519,000	368,974,000
Mortgages | Variable Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable			8,282,000
Mortgages | Primrose Two Communities
Debt Instrument [Line Items]
Interest on Loan accrues - Fixed rate	[2]	3.81%
Payment Terms		Monthly principal and interest payments based on a 30-year amortization schedule
Maturity Date	[3]	Jun. 1, 2020
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			20,533,000
Mortgages | Pacific Northwest Communities
Debt Instrument [Line Items]
Interest on Loan accrues - Fixed rate	[2]	4.30%
Payment Terms		Monthly principal and interest payments based on a 25-year amortization schedule
Maturity Date	[3]	Jan. 5, 2022
Mortgages | Pacific Northwest Communities | Fixed rate debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable		$ 189,938,000	196,598,000
Mortgages | Capital Health
Debt Instrument [Line Items]
Interest on Loan accrues - Fixed rate		4.25%
Payment Terms	[4]	Monthly principal and interest payments based on a 25-year amortization schedule
Maturity Date	[3],[4]	Jan. 5, 2022
Mortgages | Capital Health | Fixed rate debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable	[4]	$ 55,925,000	58,387,000
Mortgages | Primrose I Communities
Debt Instrument [Line Items]
Interest on Loan accrues - Fixed rate	[2],[5]	4.11%
Payment Terms	[5]	Monthly principal and interest payments based on a 30-year amortization schedule
Maturity Date	[3],[5]	Sep. 1, 2022
Mortgages | Primrose I Communities | Fixed rate debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable	[5]	$ 46,317,000	47,557,000
Mortgages | Watercrest at Mansfield
Debt Instrument [Line Items]
Interest on Loan accrues - Fixed rate	[2],[6]	4.68%
Payment Terms	[6]	Monthly principal and interest payments based on a total payment of $143,330
Maturity Date	[3],[6]	Jun. 1, 2023
Mortgages | Watercrest at Mansfield | Fixed rate debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable	[6]	$ 24,065,000	24,625,000
Mortgages | Watercrest At Katy
Debt Instrument [Line Items]
Interest on Loan accrues - Fixed rate	[2]	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	[3]	Nov. 15, 2024
Mortgages | Watercrest At Katy | Fixed rate debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable		$ 21,274,000	21,274,000
Construction Loans | Fieldstone at Pear Orchard | Variable Rate Debt
Debt Instrument [Line Items]
Mortgages payable and other notes payable			$ 8,282,000
30-day LIBOR | Construction Loans | Fieldstone at Pear Orchard
Debt Instrument [Line Items]
Interest accrues on loan in addition to LIBOR		2.90%
Payment Terms		Monthly interest only payments through September 2018; principal payments thereafter based on a 25-year amortization schedule
Maturity Date	[3]	Oct. 15, 2020
[1]	As of December 31, 2020 and 2019, the Company had entered into interest rate caps with notional amounts of approximately $225.0 million and $281.0 million, respectively. Refer to Note 11. “Derivative Financial Instruments” for additional information.
[2]	The 30-day was approximately 0.14% and 1.764%, respectively, as of December 31, 2020 and 2019.
[3]	Represents the initial maturity date (or, as applicable, the maturity date as extended).
[4]	Consists of a mortgage loan and a supplemental loan. The mortgage loan accrues interest at a fixed rate equal to 4.25% per annum. The supplemental loan accrues interest at a fixed rate equal to 4.3% per annum.
[5]	If prepaid prior to March 1, 2022, the Primrose I Communities Mortgage Loan is subject to a prepayment penalty in an amount equal to the greater of (i) 1% of the principal being repaid, or (ii) an amount calculated on the principal being repaid, multiplied by the difference between the Primrose I Communities Mortgage Loan interest rate, and a calculated yield rate tied to the rates on applicable U.S. Treasuries. If prepayment is made between March 1, 2022, and 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.
[6]	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.

Indebtedness - Schedule of In_2

Indebtedness - Schedule of Indebtedness (Parenthetical) (Detail) - USD ($) $ in Millions		12 Months Ended
		Dec. 31, 2020	Dec. 31, 2019	Nov. 30, 2019
Mortgages
Debt Instrument [Line Items]
Interest on Loan accrues - Fixed rate				3.25%
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	[1],[2]	4.11%
Primrose I Communities | Mortgages | Minimum [Member] | 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	[2],[3]	4.68%
Watercrest at Mansfield | Mortgages | Fixed rate debt
Debt Instrument [Line Items]
Remaining loan premium		$ 0.1
30-day LIBOR
Debt Instrument [Line Items]
Interest accrues on loan, LIBOR		0.14%	1.764%
[1]	If prepaid prior to March 1, 2022, the Primrose I Communities Mortgage Loan is subject to a prepayment penalty in an amount equal to the greater of (i) 1% of the principal being repaid, or (ii) an amount calculated on the principal being repaid, multiplied by the difference between the Primrose I Communities Mortgage Loan interest rate, and a calculated yield rate tied to the rates on applicable U.S. Treasuries. If prepayment is made between March 1, 2022, and 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 30-day was approximately 0.14% and 1.764%, respectively, as of December 31, 2020 and 2019.
[3]	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.

Indebtedness - Schedule of Fair

Indebtedness - Schedule of Fair Market Value and Carrying Value of Indebtedness (Detail) - USD ($)	Dec. 31, 2020	Dec. 31, 2019
Debt Instrument [Line Items]
Carrying Value	$ 602,519,000
Mortgages and other notes payable, net
Debt Instrument [Line Items]
December 31, 2020	339,400	$ 381,200
Carrying Value	336,700	375,900
Credit facilities
Debt Instrument [Line Items]
December 31, 2020	265,000	305,000
Carrying Value	$ 263,400	$ 303,000

Related Party Arrangements - Ad

Related Party Arrangements - Additional Information (Detail) - USD ($) shares in Thousands	1 Months Ended	12 Months Ended
	May 31, 2019	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Related Party Transaction [Line Items]
Annualized return of investment		6.00%
Oversight fee as percentage of gross revenues from property managed		1.00%
Construction management fee as percentage of hard and soft costs		5.00%
Initial purchase price of property percentage		10.00%
Investment services fees		$ 0	$ 0	$ 100,000
Cash distributions on restricted stock	$ 347,900,000	35,627,000	394,892,000	59,051,000
Expense Support Agreements
Related Party Transaction [Line Items]
Investment services fees				60,000
Restricted stock fair value		0
Restricted Stock
Related Party Transaction [Line Items]
Cash distributions on restricted stock		273,000	3,027,000	630,000
Restricted Stock | Expense Support Agreements
Related Party Transaction [Line Items]
Restricted stock fair value		$ 13,570,000
Restricted Stock shares		1,332
Single Tenant Properties
Related Party Transaction [Line Items]
Property management fees as percentage of annual gross rental revenue		2.00%
Multi Tenant Properties
Related Party Transaction [Line Items]
Property management fees as percentage of annual gross rental revenue		4.00%
Advisor
Related Party Transaction [Line Items]
Investment service fee as percentage of purchase price of properties		1.85%
Monthly asset management fee as Percentage of real estate value		0.08334%
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 of gross consideration paid upon liquidity event		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 as percentage average invested assets		2.00%
Operating expenses reimbursement percentage of net income		25.00%
Annualized return of investment		6.00%
Property Manager
Related Party Transaction [Line Items]
Property management agreement expire stated date		Jun. 28, 2018
Property management fees		$ 1,000,000
CNL Capital Markets Corp
Related Party Transaction [Line Items]
Investment services fees		$ 900,000	$ 900,000	$ 900,000

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, 2020	Dec. 31, 2019	Dec. 31, 2018
Related Party Transaction [Line Items]
Investment services fees		$ 0	$ 0	$ 100
Financing coordination fees		100	5,600	2,300
Total related amount unpaid		1,780	2,275
Expense Support Agreements
Related Party Transaction [Line Items]
Operating expenses		3,517	5,066	6,203
Total reimbursable expenses		3,517	5,066	6,203
Investment services fees				60
Disposition fee	[1]	143	3,031	58
Financing coordination fees	[2]	61	5,553	2,326
Property management fees	[3]			2,323
Asset management fees	[4]	18,190	23,281	30,385
Related Party Transaction Expenses From Transactions With Related Party		21,911	36,931	$ 41,355
Operating expenses, unpaid	[5]	275	698
Total reimbursable expenses due		275	698
Asset management fees, unpaid	[4]	1,505	1,577
Total related amount unpaid		$ 1,780	$ 2,275
[1]	(3)For the year ended December 31, 2018, the Company incurred approximately $0.1 million in investment services fees of which approximately $0.1 million was capitalized and included in real estate assets, net in the accompanying consolidated balance sheets. There were no investment service fees incurred for the years ended December 31, 2020 and 2019. Investment service fees, that are not capitalized, are recorded as acquisition fees and expenses in the accompanying consolidated statements of operations.
[2]	(4)Amounts are recorded as a reduction to gain on sale of real estate in the accompanying consolidated statements of operations.
[3]	(5)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. For the years ended December 31, 2020 and 2018, the Company incurred approximately $0.1 million and $2.3 million, respectively, in financing coordination fees related to the refinancing of the loans associated with certain operating properties, all of which were capitalized as loan costs and reduced mortgages and other notes payable, net in the accompanying consolidated balance sheets.
[4]	(7)For the years ended December 31, 2020, 2019 and 2018, the Company incurred approximately $18.2 million, $23.3 million and $30.4 million, respectively, in asset management fees payable to the Advisor. No expense support was received for the years ended December 31, 2020, 2019 and 2018. There was approximately $11,000 in asset management fees that were capitalized and included in real estate under development in the accompanying consolidated balance sheets for the year ended December 31, 2018. There were no asset management fees capitalized for the years ended December 31, 2020 and 2019
[5]	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.

Related Party Arrangements - _2

Related Party Arrangements - Schedule of Fees, Reimbursable Expenses and Related Amounts Unpaid to Related Parties (Parenthetical) (Detail) - USD ($)	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Related Party Transaction [Line Items]
Investment services fees	$ 0	$ 0	$ 100,000
Investment service fees capitalized			100,000
Financing coordination fees	100,000	5,600,000	2,300,000
Loan costs capitalized		3,700,000
Property Manager
Related Party Transaction [Line Items]
Property Management Fees			2,300,000
Capitalized Amount Of Construction Management Fees			5,000
Asset management fees	18,200,000	23,300,000	30,400,000
Capitalized Amount Of Asset Management Fees	$ 0	$ 0	$ 11,000

Derivative Financial Instrume_3

Derivative Financial Instruments - Summary of Derivative Financial Instruments and Corresponding Asset (Liability) (Detail) - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2020	Dec. 31, 2019
Derivative Financial Instruments One
Derivative [Line Items]
Notional amount of derivative contract	[1]	$ 10,500
Strike	[2]	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 amount of derivative contract	[1]	$ 231,000
Strike	[2]	2.00%
Trade date		Dec. 12, 2019
Forward date		Dec. 20, 2019
Maturity date		Dec. 31, 2020
Fair value asset (liability)			$ 2
Derivative Financial Instruments Three
Derivative [Line Items]
Notional amount of derivative contract	[1]	$ 225,000
Strike	[2]	0.80%
Trade date		Aug. 12, 2020
Forward date		Dec. 31, 2020
Maturity date		Dec. 31, 2021
Fair value asset (liability)		$ 2
[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.
[2]	The all-in rates are equal to the sum of the Strike and Credit Spread detailed above.

Equity - Additional Information

Equity - Additional Information (Detail) - USD ($) $ / shares in Units, $ in Thousands	Sep. 30, 2015	May 31, 2019	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Class Of Stock [Line Items]
Subscriptions received for common stock through reinvestment plan	$ 1,700,000				$ 22,013
Cash distribution declared			$ 35,627	$ 394,892	81,064
Cash paid to stockholders		$ 347,900	35,627	394,892	59,051
Redemptions of common stock			$ 0	0	4,400
Common stock approved for redemption value					$ 2,800
Redemption of common stock, per share					$ 10.14
Redemptions of common stock				$ 23	$ 28,443
Suspended redemption request common stock, value					$ 16,400
Watercrest Katy
Class Of Stock [Line Items]
Redeemable noncontrolling interest in joint venture			5.00%

Equity - Tax Composition of Com

Equity - Tax Composition of Company's Distributions Declared (Detail)	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Uncategorized [Abstract]
Ordinary income	21.88%	0.00%	0.00%
Capital gain	0.62%	42.85%	0.00%
Unrecaptured Sec. 1250 gain	11.15%	20.10%	0.00%
Return of capital	66.35%	37.05%	100.00%

Equity - Distributions of promo

Equity - Distributions of promoted interest to share holders (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2019	Dec. 31, 2018
Class Of Stock [Line Items]
Distributions to holders of promoted interest	$ 406	$ (406)
Dogwood Forest of Grayson
Class Of Stock [Line Items]
Distributions to holders of promoted interest	$ 406	$ (406)

Equity - Effect of Derivative F

Equity - Effect of Derivative Financial Instruments (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Derivative Instruments Gain Loss [Line Items]
Gain (loss) reclassified from accumulated other comprehensive income (loss) into earnings	$ (49)	$ 793	$ 247
Gain (loss) recognized in other comprehensive loss on derivative financial instruments	1	(1,213)	2,162
Interest Rate Swap
Derivative Instruments Gain Loss [Line Items]
Gain (loss) recognized in other comprehensive loss on derivative financial instruments		(846)	1,219
Interest Rate Swap | Interest Expense
Derivative Instruments Gain Loss [Line Items]
Gain (loss) reclassified from accumulated other comprehensive income (loss) into earnings		921	2,457
Interest Rate Cap
Derivative Instruments Gain Loss [Line Items]
Gain (loss) recognized in other comprehensive loss on derivative financial instruments	11	(134)	690
Interest Rate Cap | Interest Expense
Derivative Instruments Gain Loss [Line Items]
Gain (loss) reclassified from accumulated other comprehensive income (loss) into earnings	(44)	(361)	(1,957)
Reclassification of Interest Rate Swaps Upon Derecognition
Derivative Instruments Gain Loss [Line Items]
Gain (loss) recognized in other comprehensive loss on derivative financial instruments		(509)	253
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		509	$ (253)
Reclassification of Interest Rate Caps upon Derecognition
Derivative Instruments Gain Loss [Line Items]
Gain (loss) recognized in other comprehensive loss on derivative financial instruments	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	(2)	(265)
Interest Rate Cap Held by Unconsolidated Joint Venture
Derivative Instruments Gain Loss [Line Items]
Gain (loss) reclassified from accumulated other comprehensive income (loss) into earnings	(3)	(11)
Gain (loss) recognized in other comprehensive loss on derivative financial instruments	$ (12)	$ 11

Components of Income Tax Expens

Components of Income Tax Expense (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Current:
Federal	$ 51	$ 51	$ 113
State	(596)	(580)	(490)
Total current expense	(545)	(529)	(377)
Deferred:
Federal	(552)	(1,562)	(3,333)
State	(1)	(120)	66
Total deferred expense	(553)	(1,682)	(3,267)
Income tax expense	$ (1,098)	$ (2,211)	$ (3,644)

Income Taxes - Significant Comp

Income Taxes - Significant Components of Deferred Tax Assets (Detail) - USD ($) $ in Thousands	Dec. 31, 2020	Dec. 31, 2019
Income Tax Disclosure [Abstract]
Carryforwards of net operating loss	$ 4,068	$ 3,653
Minimum tax credit carryforward		59
Prepaid rent	1,026	1,648
Valuation allowance	(1,464)	(1,096)
Deferred tax assets, net	$ 3,630	$ 4,264

Income Taxes - Reconciliation o

Income Taxes - Reconciliation of Income Tax (Expense) Benefit (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Income Tax Disclosure [Abstract]
Tax (expense) benefit computed at federal statutory rate	$ (873)	$ (898)	$ 4,651
Impact of REIT election	303	(675)	(7,980)
State income tax expense net of federal benefit	(160)	(488)	(412)
Effect of change in valuation allowance	(368)	(150)	97
Income tax expense	$ (1,098)	$ (2,211)	$ (3,644)
Tax (expense) benefit computed at federal statutory rate	21.00%	21.00%	21.00%
Impact of REIT election	7.28%	(15.78%)	(36.03%)
State income tax expense net of federal benefit	(3.84%)	(11.41%)	(1.86%)
Effect of change in valuation allowance	(8.86%)	(3.51%)	0.44%
Income tax expense	(26.42%)	(51.70%)	(16.45%)

Income Taxes - Additional Infor

Income Taxes - Additional Information (Detail) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019
Income Taxes [Line Items]
Net operating loss carryforwards for federal and state	$ 12.4	$ 12.3
Tax year subject to examination	2016
Operating loss carry forwards indefinite carry forward	$ 0.4
Domestic Tax Authority
Income Taxes [Line Items]
Net Operating loss carryforwards, beginning of expiration year	2036
State and Local Jurisdiction
Income Taxes [Line Items]
Net Operating loss carryforwards, beginning of expiration year	2021

Commitments and Contingencies -

Commitments and Contingencies - Additional Information (Detail) shares in Millions	12 Months Ended
	Dec. 31, 2020Agreementshares
Commitments And Contingencies [Line Items]
Number of promoted interest agreements	6
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 (Detail)	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Geographical Concentration
Concentration Risk [Line Items]
Concentration risk percentage	10.00%	10.00%	10.00%

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, 2020	Dec. 31, 2019	Dec. 31, 2018
Geographical | Total Revenue | State of Texas
Concentration Risk [Line Items]
Concentration risk percentage	[1]	21.00%	20.50%	20.40%
[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 (Detail) - USD ($) $ in Thousands	1 Months Ended	12 Months Ended
	Jan. 31, 2021	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Subsequent Event [Line Items]
Gain loss on sale of properties		$ 1,074	$ 432	$ 1,049
Subsequent Event
Subsequent Event [Line Items]
Net sales price of properties	$ 7,400
Gain loss on sale of properties	$ 0

Schedule II-Valuation and Qua_2

Schedule II-Valuation and Qualifying Accounts (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Valuation And Qualifying Accounts Disclosure [Line Items]
Balance at Beginning of Year	$ (3,035)	$ (5,755)	$ (3,437)
Charged to Costs and Expenses	(2,252)		(2,318)
Charged to Other Accounts	799	2,720
Balance at End of Year	(4,488)	(3,035)	(5,755)
Valuation Allowance of Deferred Tax Assets
Valuation And Qualifying Accounts Disclosure [Line Items]
Balance at Beginning of Year	(1,108)	(1,916)	(1,087)
Charged to Costs and Expenses			(829)
Charged to Other Accounts	(357)	808
Balance at End of Year	(1,465)	(1,108)	(1,916)
Allowance for Doubtful Accounts
Valuation And Qualifying Accounts Disclosure [Line Items]
Balance at Beginning of Year	(1,927)	(3,839)	(2,350)
Charged to Costs and Expenses	(2,252)		(1,489)
Charged to Other Accounts	1,156	1,912
Balance at End of Year	$ (3,023)	$ (1,927)	$ (3,839)

Schedule III-Real Estate And _2

Schedule III-Real Estate And Accumulated Depreciation (Detail) - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2020		Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances		$ 337,519
Initial Costs, Land & Land Improvements		122,073
Initial Costs, Building and Building Improvements		1,281,187
Costs Capitalized Subsequent to Acquisition, Land & Improvements		11,583
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		225,691
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	133,656
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	1,506,878
Total		1,640,534	[1]	$ 1,712,827	$ 2,713,680	$ 2,721,805
Accumulated Depreciation		(262,394)		$ (226,529)	$ (279,645)	$ (219,457)
Primrose Retirement Community Casper, Wyoming
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	10,707
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
Accumulated Depreciation	[2]	$ (3,910)
Date of construction	[2]	2004
Date Acquired	[2]	Feb. 16, 2012
Primrose Retirement Community Of Grand Island
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 7,553
Initial Costs, Land & Land Improvements	[2]	719
Initial Costs, Building and Building Improvements	[2]	12,140
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	56
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	775
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	12,140
Total	[1],[2]	12,915
Accumulated Depreciation	[2]	$ (2,972)
Date of construction	[2]	2005
Date Acquired	[2]	Feb. 16, 2012
Primrose Retirement Community Mansfield, Ohio
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 10,276
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
Accumulated Depreciation	[2]	$ (4,133)
Date of construction	[2]	2007
Date Acquired	[2]	Feb. 16, 2012
Primrose Retirement Community Marion, Ohio
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 8,524
Initial Costs, Land & Land Improvements	[2]	889
Initial Costs, Building and Building Improvements	[2]	16,305
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	889
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	16,305
Total	[1],[2]	17,194
Accumulated Depreciation	[2]	$ (3,929)
Date of construction	[2]	2006
Date Acquired	[2]	Feb. 16, 2012
Sweetwater Retirement Community Billings, Montana
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 9,257
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
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]	14,205
Total	[1],[2]	15,802
Accumulated Depreciation	[2]	$ (3,339)
Date of construction	[2]	2006
Date Acquired	[2]	Feb. 16, 2012
HarborChase Community Lady Lake, Florida
SEC Schedule III, 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]	15,452
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]	15,452
Total	[1],[2]	18,613
Accumulated Depreciation	[2]	$ (2,952)
Date of construction	[2]	2013
Date Acquired	[2]	Aug. 29, 2012
Primrose Retirement Community Aberdeen, South Dakota
SEC Schedule III, 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
Accumulated Depreciation	[2]	$ (842)
Date of construction	[2]	2005
Date Acquired	[2]	Dec. 19, 2012
Primrose Retirement Community Council Bluffs, Iowa
SEC Schedule III, 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
Accumulated Depreciation	[2]	$ (2,537)
Date of construction	[2]	2008
Date Acquired	[2]	Dec. 19, 2012
Primrose Retirement Community Decatur, Illinois
SEC Schedule III, 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
Accumulated Depreciation	[2]	$ (3,678)
Date of construction	[2]	2009
Date Acquired	[2]	Dec. 19, 2012
Primrose Retirement Community Lima, Ohio
SEC Schedule III, 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]	4
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]	17,119
Total	[1],[2]	18,071
Accumulated Depreciation	[2]	$ (3,728)
Date of construction	[2]	2006
Date Acquired	[2]	Dec. 19, 2012
Primrose Retirement Community Zanesville, Ohio
SEC Schedule III, 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
Accumulated Depreciation	[2]	$ (3,787)
Date of construction	[2]	2008
Date Acquired	[2]	Dec. 19, 2012
Capital Health of Symphony Manor Baltimore, Maryland
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 12,995
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]	259
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]	19,703
Total	[1],[2]	22,022
Accumulated Depreciation	[2]	$ (4,202)
Date of construction	[2]	2011
Date Acquired	[2]	Dec. 21, 2012
Curry House Assisted Living & Memory Care Cadillac, Michigan
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 6,498
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]	2
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]	11,074
Total	[1],[2]	12,084
Accumulated Depreciation	[2]	$ (2,407)
Date of construction	[2]	1966
Date Acquired	[2]	Dec. 21, 2012
Tranquillity at Fredericktowne, Maryland
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 19,150
Initial Costs, Land & Land Improvements	[2]	808
Initial Costs, Building and Building Improvements	[2]	14,291
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	6,110
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	808
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	20,401
Total	[1],[2]	21,209
Accumulated Depreciation	[2]	$ (4,272)
Date of construction	[2]	2000
Date Acquired	[2]	Dec. 21, 2012
Brookridge Heights Assisted Living and Memory Care Marquette, Michigan
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 11,464
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]	4,766
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]	16,105
Total	[1],[2]	16,683
Accumulated Depreciation	[2]	$ (3,525)
Date of construction	[2]	1998
Date Acquired	[2]	Dec. 21, 2012
Woodholme Gardens Assisted Living and Memory Care Pikesville, Maryland
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 5,819
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]	8
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]	13,480
Total	[1],[2]	15,137
Accumulated Depreciation	[2]	$ (2,931)
Date of construction	[2]	2010
Date Acquired	[2]	Dec. 21, 2012
HarborChase of Jasper Jasper, Alabama
SEC Schedule III, 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]	7
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]	362
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	6,414
Total	[1],[2]	6,776
Accumulated Depreciation	[2]	$ (1,262)
Date of construction	[2]	1998
Date Acquired	[2]	Jul. 31, 2013
Doctor's Specialty Hospital Leawood, Kansas
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements	[2]	$ 924
Initial Costs, Building and Building Improvements	[2]	5,771
Costs Capitalized Subsequent to Acquisition, Land & Improvements	[2]	69
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	993
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	5,771
Total	[1],[2]	6,764
Accumulated Depreciation	[2]	$ (842)
Date of construction	[2]	2001
Date Acquired	[2]	Aug. 16, 2013
Raider Ranch Lubbock, Texas
SEC Schedule III, 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]	501
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	12,655
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	5,493
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	61,473
Total	[1],[2]	66,966
Accumulated Depreciation	[2]	$ (11,232)
Date of construction	[2]	2009
Date Acquired	[2]	Aug. 29, 2013
Town Village Oklahoma City, Oklahoma
SEC Schedule III, 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]	88
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements	[2]	1,616
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1],[2]	1,108
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	21,463
Total	[1],[2]	22,571
Accumulated Depreciation	[2]	$ (4,199)
Date of construction	[2]	2004
Date Acquired	[2]	Aug. 29, 2013
Prestige Senior Living Beaverton Hills
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 8,178
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
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]	10,324
Total	[1],[2]	11,724
Accumulated Depreciation	[2]	$ (1,970)
Date of construction	[2]	2000
Date Acquired	[2]	Dec. 2, 2013
MorningStar of Billings
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 17,938
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]	325
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]	41,698
Total	[1],[2]	45,819
Accumulated Depreciation	[2]	$ (8,354)
Date of construction	[2]	2009
Date Acquired	[2]	Dec. 2, 2013
Prestige Senior Living High Desert
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 7,164
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]	53
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]	11,305
Total	[1],[2]	12,157
Accumulated Depreciation	[2]	$ (2,240)
Date of construction	[2]	2003
Date Acquired	[2]	Dec. 2, 2013
MorningStar of Boise
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 19,224
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]	18
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]	1,681
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1],[2]	36,003
Total	[1],[2]	37,684
Accumulated Depreciation	[2]	$ (6,812)
Date of construction	[2]	2007
Date Acquired	[2]	Dec. 2, 2013
Prestige Senior Living Huntington Terrace
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 9,181
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]	64
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]	12,147
Total	[1],[2]	13,385
Accumulated Depreciation	[2]	$ (2,353)
Date of construction	[2]	2000
Date Acquired	[2]	Dec. 2, 2013
MorningStar of Idaho Falls
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 15,995
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]	346
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]	40,743
Total	[1],[2]	42,813
Accumulated Depreciation	[2]	$ (7,857)
Date of construction	[2]	2009
Date Acquired	[2]	Dec. 2, 2013
Prestige Senior Living Arbor Place
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 7,553
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]	46
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]	14,129
Total	[1],[2]	14,495
Accumulated Depreciation	[2]	$ (2,665)
Date of construction	[2]	2003
Date Acquired	[2]	Dec. 2, 2013
Prestige Senior Living Orchard Hills
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 11,006
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]	187
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]	15,731
Total	[1],[2]	16,286
Accumulated Depreciation	[2]	$ (2,945)
Date of construction	[2]	2002
Date Acquired	[2]	Dec. 2, 2013
Prestige Senior Living Southern Hills
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 6,874
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]	8
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]	10,761
Total	[1],[2]	11,457
Accumulated Depreciation	[2]	$ (2,069)
Date of construction	[2]	2001
Date Acquired	[2]	Dec. 2, 2013
MorningStar of Sparks
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 21,282
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]	86
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]	48,054
Total	[1],[2]	52,056
Accumulated Depreciation	[2]	$ (9,363)
Date of construction	[2]	2009
Date Acquired	[2]	Dec. 2, 2013
Prestige Senior Living Five Rivers
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 7,047
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]	251
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]	14,315
Total	[1],[2]	15,631
Accumulated Depreciation	[2]	$ (2,866)
Date of construction	[2]	2002
Date Acquired	[2]	Dec. 2, 2013
Prestige Senior Living Riverwood
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 4,163
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
Accumulated Depreciation	[2]	$ (1,489)
Date of construction	[2]	1999
Date Acquired	[2]	Dec. 2, 2013
Prestige Senior Living Auburn Meadows
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 9,610
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]	186
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]	17,447
Total	[1],[2]	19,984
Accumulated Depreciation	[2]	$ (3,306)
Date Acquired	[2]	Feb. 3, 2014
Prestige Senior Living Auburn Meadows One
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction		2001
Prestige Senior Living Auburn Meadows One | Minimum [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction		2004
Prestige Senior Living Auburn Meadows Two
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction		2010
Prestige Senior Living Auburn Meadows Two | Maximum
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of construction		2012
Prestige Senior Living Bridgewood
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	[2]	$ 12,100
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]	40
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]	18,212
Total	[1],[2]	19,825
Accumulated Depreciation	[2]	$ (3,415)
Date of construction	[2]	2001
Date Acquired	[2]	Feb. 3, 2014
Prestige Senior Living Monticello Park Longview Washington
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances		$ 16,121
Initial Costs, Land & Land Improvements		1,981
Initial Costs, Building and Building Improvements		23,056
Costs Capitalized Subsequent to Acquisition, Land & Improvements		1
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		46
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,982
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	23,102
Total	[1]	25,084
Accumulated Depreciation		$ (4,274)
Date Acquired		Feb. 3, 2014
Prestige Senior Living Rosemont Yelm Washington
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances		$ 8,482
Initial Costs, Land & Land Improvements		668
Initial Costs, Building and Building Improvements		14,564
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		70
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	668
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	14,634
Total	[1]	15,302
Accumulated Depreciation		$ (2,674)
Date of construction		2004
Date Acquired		Feb. 3, 2014
Wellmore Of Tega Cay Tega Cay Charlotte
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 2,445
Costs Capitalized Subsequent to Acquisition, Land & Improvements		2,743
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		23,451
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	5,188
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	23,451
Total	[1]	28,639
Accumulated Depreciation		$ (4,313)
Date of construction		2015
Date Acquired		Feb. 7, 2014
Isle At Cedar Ridge Austin
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 1,525
Initial Costs, Building and Building Improvements		16,277
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		199
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,525
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	16,476
Total	[1]	18,001
Accumulated Depreciation		$ (3,161)
Date of construction		2011
Date Acquired		Feb. 28, 2014
Prestige Senior Living West Hills Oregon
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances		$ 8,020
Initial Costs, Land & Land Improvements		842
Initial Costs, Building and Building Improvements		12,603
Costs Capitalized Subsequent to Acquisition, Land & Improvements		11
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		19
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	853
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	12,622
Total	[1]	13,475
Accumulated Depreciation		$ (2,404)
Date of construction		2002
Date Acquired		Mar. 3, 2014
Harbor Chase Of Plainfield Illinois
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 1,596
Initial Costs, Building and Building Improvements		21,832
Costs Capitalized Subsequent to Acquisition, Land & Improvements		9
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		29
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,605
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	21,861
Total	[1]	23,466
Accumulated Depreciation		$ (3,996)
Date of construction		2010
Date Acquired		Mar. 28, 2014
Legacy Ranch Alzheimer S Special Care Center Texas
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 917
Initial Costs, Building and Building Improvements		9,982
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		10
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	917
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	9,992
Total	[1]	10,909
Accumulated Depreciation		$ (1,863)
Date of construction		2012
Date Acquired		Mar. 28, 2014
The Springs Alzheimer S Special Care Center Texas
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 595
Initial Costs, Building and Building Improvements		9,658
Costs Capitalized Subsequent to Acquisition, Land & Improvements		9
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		187
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	604
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	9,845
Total	[1]	10,449
Accumulated Depreciation		$ (1,808)
Date of construction		2012
Date Acquired		Mar. 28, 2014
Isle At Watercrest Bryan Texas
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 3,223
Initial Costs, Building and Building Improvements		40,581
Costs Capitalized Subsequent to Acquisition, Land & Improvements		36
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		987
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	3,259
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	41,568
Total	[1]	44,827
Accumulated Depreciation		$ (7,803)
Date of construction		2011
Date Acquired		Apr. 21, 2014
Watercrest At Katy Houstan
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances		$ 21,274
Initial Costs, Land & Land Improvements		4,000
Costs Capitalized Subsequent to Acquisition, Land & Improvements		123
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		32,375
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	4,123
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	32,375
Total	[1]	36,498
Accumulated Depreciation		$ (3,838)
Date of construction		2016
Date Acquired		Jun. 27, 2014
Watercrest At Mansfield Dollas
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances		$ 24,064
Initial Costs, Land & Land Improvements		2,191
Initial Costs, Building and Building Improvements		42,740
Costs Capitalized Subsequent to Acquisition, Land & Improvements		16
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		954
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,207
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	43,694
Total	[1]	45,901
Accumulated Depreciation		$ (7,581)
Date of construction		2010
Date Acquired		Jun. 30, 2014
Fieldstone Memory Care Yakima
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 1,297
Initial Costs, Building and Building Improvements		9,965
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		6
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,297
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	9,971
Total	[1]	11,268
Accumulated Depreciation		$ (1,626)
Date of construction		2014
Date Acquired		Mar. 31, 2015
Harbor Chase Of Shorewood Milwaukee
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 2,200
Costs Capitalized Subsequent to Acquisition, Land & Improvements		301
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		19,862
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,501
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	19,862
Total	[1]	22,363
Accumulated Depreciation		$ (2,689)
Date of construction		2015
Date Acquired		Jul. 8, 2014
Hurst Specialty Hospital Dollas
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 2,082
Initial Costs, Building and Building Improvements		20,186
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,082
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	20,186
Total	[1]	22,268
Accumulated Depreciation		$ (4,019)
Date Acquired		Aug. 15, 2014
Fairfield Village Of Layton Lake City
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 5,217
Initial Costs, Building and Building Improvements		54,167
Costs Capitalized Subsequent to Acquisition, Land & Improvements		66
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		55
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	5,283
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	54,222
Total	[1]	59,505
Accumulated Depreciation		$ (9,382)
Date of construction		2010
Date Acquired		Nov. 20, 2014
Isle At Watercrest Mansfield Dollas
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 997
Initial Costs, Building and Building Improvements		24,635
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		51
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	997
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	24,686
Total	[1]	25,683
Accumulated Depreciation		$ (4,369)
Date of construction		2011
Date Acquired		May 5, 2014
Primrose Retirement Center Of Anderson Muncie
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 1,342
Initial Costs, Building and Building Improvements		19,083
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		33
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,342
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	19,116
Total	[1]	20,458
Accumulated Depreciation		$ (3,013)
Date of construction		2008
Date Acquired		May 29, 2015
Primrose Retirement Center Of Lancaster Columbus
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 2,840
Initial Costs, Building and Building Improvements		21,884
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,840
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	21,884
Total	[1]	24,724
Accumulated Depreciation		$ (3,797)
Date of construction		2007
Date Acquired		May 29, 2015
Primrose Retirement Center Of Wausau Green Bay
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 1,089
Initial Costs, Building and Building Improvements		18,653
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,089
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	18,653
Total	[1]	19,742
Accumulated Depreciation		$ (2,824)
Date of construction		2008
Date Acquired		May 29, 2015
Superior Residences Of Panama City Florida
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 2,099
Initial Costs, Building and Building Improvements		19,367
Costs Capitalized Subsequent to Acquisition, Land & Improvements		14
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		27
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,113
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	19,394
Total	[1]	21,507
Accumulated Depreciation		$ (3,003)
Date of construction		2015
Date Acquired		Jul. 15, 2015
The Hampton At Meadows Place Texas
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 715
Initial Costs, Building and Building Improvements		24,281
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		320
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	715
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	24,601
Total	[1]	25,316
Accumulated Depreciation		$ (3,475)
Date Acquired		Jul. 31, 2015
The Pavilion At Great Hills Texas
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 1,783
Initial Costs, Building and Building Improvements		29,318
Costs Capitalized Subsequent to Acquisition, Land & Improvements		43
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		240
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,826
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	29,558
Total	[1]	31,384
Accumulated Depreciation		$ (4,222)
Date of construction		2010
Date Acquired		Jul. 31, 2015
The Beacon At Gulf Breeze Florida
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 824
Initial Costs, Building and Building Improvements		24,106
Costs Capitalized Subsequent to Acquisition, Land & Improvements		84
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		192
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	908
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	24,298
Total	[1]	25,206
Accumulated Depreciation		$ (3,582)
Date of construction		2008
Date Acquired		Jul. 31, 2015
Parc At Piedmont Atlanta
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 3,529
Initial Costs, Building and Building Improvements		43,080
Costs Capitalized Subsequent to Acquisition, Land & Improvements		31
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		483
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	3,560
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	43,563
Total	[1]	47,123
Accumulated Depreciation		$ (6,404)
Date Acquired		Jul. 31, 2015
Parc At Duluth Atlanta
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 5,951
Initial Costs, Building and Building Improvements		42,458
Costs Capitalized Subsequent to Acquisition, Land & Improvements		67
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		2,020
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	6,018
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	44,478
Total	[1]	50,496
Accumulated Depreciation		$ (6,215)
Date Acquired		Jul. 31, 2015
Waterstone On Augusta South Carolina
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 2,253
Costs Capitalized Subsequent to Acquisition, Land & Improvements		2,116
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		20,833
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	4,369
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	20,833
Total	[1]	25,202
Accumulated Depreciation		$ (2,520)
Date of construction		2017
Date Acquired		Aug. 31, 2015
Wellmore Of Lexington Lexington
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 2,300
Costs Capitalized Subsequent to Acquisition, Land & Improvements		3,168
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		43,085
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	5,468
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	43,085
Total	[1]	48,553
Accumulated Depreciation		$ (4,602)
Date of construction		2017
Date Acquired		Sep. 14, 2015
Palmilla Senior Living Albuquerque
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 4,701
Initial Costs, Building and Building Improvements		38,321
Costs Capitalized Subsequent to Acquisition, Land & Improvements		10
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		113
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	4,711
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	38,434
Total	[1]	43,145
Accumulated Depreciation		$ (5,524)
Date of construction		2013
Date Acquired		Sep. 30, 2015
Cedar Lake Assisted Living And Memory Care Chicago
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 2,412
Initial Costs, Building and Building Improvements		25,126
Costs Capitalized Subsequent to Acquisition, Land & Improvements		16
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		59
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,428
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	25,185
Total	[1]	27,613
Accumulated Depreciation		$ (3,611)
Date of construction		2014
Date Acquired		Sep. 30, 2015
Fieldstone At Pear Orchard Yakima Washington
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 1,035
Costs Capitalized Subsequent to Acquisition, Land & Improvements		102
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		13,499
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,137
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	13,499
Total	[1]	14,636
Accumulated Depreciation		$ (1,440)
Date of construction		2016
Date Acquired		Oct. 12, 2015
The Shores Of Lake Phalen St Paul
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 2,724
Initial Costs, Building and Building Improvements		25,093
Costs Capitalized Subsequent to Acquisition, Land & Improvements		10
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		94
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	2,734
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	25,187
Total	[1]	27,921
Accumulated Depreciation		$ (3,532)
Date of construction		2012
Date Acquired		Nov. 10, 2015
Dogwood Forrest Of Grayson Georgia
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 1,788
Costs Capitalized Subsequent to Acquisition, Land & Improvements		109
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		22,068
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,897
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	22,068
Total	[1]	23,965
Accumulated Depreciation		$ (2,040)
Date of construction		2017
Date Acquired		Nov. 24, 2015
Park Place Senior Living At Wing Haven St Louis
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 1,283
Initial Costs, Building and Building Improvements		48,221
Costs Capitalized Subsequent to Acquisition, Land & Improvements		134
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		847
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,417
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	49,068
Total	[1]	50,485
Accumulated Depreciation		$ (6,533)
Date Acquired		Dec. 17, 2015
Hearthside Senior Living Of Collierville Memphis
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 1,756
Initial Costs, Building and Building Improvements		13,379
Costs Capitalized Subsequent to Acquisition, Land & Improvements		16
Costs Capitalized Subsequent to Acquisition, Buildings and Building Improvements		28
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,772
Gross Amounts at which Carried at Close of period, Building & Building Improvements	[1]	13,407
Total	[1]	15,179
Accumulated Depreciation		$ (1,874)
Date of construction		2014
Date Acquired		Dec. 29, 2015
Albuquerque, New Mexico – Unimproved Land, Albuquerque, New Mexico
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial Costs, Land & Land Improvements		$ 1,056
Gross Amounts at which Carried at Close of period, Land & Land Improvements	[1]	1,056
Total	[1]	$ 1,056
Date Acquired		Sep. 7, 2017
[1]	The aggregate cost for federal income tax purposes is approximately $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 _3

Schedule III-Real Estate And Accumulated Depreciation Transactions in Real Estate and Accumulated Depreciation (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2020		Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
Real Estate And Accumulated Depreciation Disclosure [Abstract]
Total	$ 1,640,534	[1]	$ 1,712,827	$ 2,713,680	$ 2,721,805
2018 Improvements	3,020		4,039	9,052
2018 Dispositions	(75,313)			(5,359)
2018 Impairments			(1,004,892)	(11,818)
Balance December 31, 2017	(226,529)		(279,645)	(219,457)
2018 Depreciation	(42,430)		(41,737)	(60,821)
2018 Accumulated depreciation on dispositions	6,565		94,853	633
Balance December 31, 2018	$ (262,394)		$ (226,529)	$ (279,645)
[1]	The aggregate cost for federal income tax purposes is approximately $1.8 billion.

Schedule III-Real Estate And _4

Schedule III-Real Estate And Accumulated Depreciation (Parenthetical) (Detail) $ in Billions	12 Months Ended
	Dec. 31, 2020USD ($)
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Aggregate cost for federal income tax purpose	$ 1.8
Building [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Buildings and improvements useful life	39 years
Building Improvements
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Buildings and improvements useful life	15 years

Schedule IV-Mortgage Loans On_2

Schedule IV-Mortgage Loans On Real Estate (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Mortgage Loans On Real Estate [Abstract]
Balance at beginning of year	$ 482	$ 1,688	$ 1,179
New mortgage loans and additional advances		531	432
Accrued and deferred interest	6	9	77
Collection of principal	(40)	(1,746)
Balance at end of year	$ 448	$ 482	$ 1,688