Global Medical REIT (GMRE) 10-Q 8 May 20 2020 Q1 Quarterly report Financial data

Document and Entity Information

Document and Entity Information - shares	3 Months Ended
	Mar. 31, 2020	May 01, 2020
Document and Entity Information [Abstract]
Document Type	10-Q
Document Period End Date	Mar. 31, 2020
Entity Registrant Name	Global Medical REIT Inc.
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Accelerated Filer
Entity Small Business	true
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		45,012,749
Entity Central Index Key	0001533615
Current Fiscal Year End Date	--12-31
Document Fiscal Year Focus	2020
Document Fiscal Period Focus	Q1
Amendment Flag	false
Trading Symbol	GMRE

Condensed Consolidated Balance

Condensed Consolidated Balance Sheets - USD ($) $ in Thousands	Mar. 31, 2020	Dec. 31, 2019
Investment in real estate:
Land	$ 101,715	$ 95,381
Building	745,649	693,533
Site improvements	11,303	9,912
Tenant improvements	37,044	33,909
Acquired lease intangible assets	78,977	72,794
Investment in real estate, Total	974,688	905,529
Less: accumulated depreciation and amortization	(64,635)	(56,503)
Investment in real estate, net	910,053	849,026
Cash and cash equivalents	11,340	2,765
Restricted cash	5,536	4,420
Tenant receivables	5,708	4,957
Investment in real estate:	70	50
Escrow deposits	3,589	3,417
Deferred assets	16,141	14,512
Derivative asset		2,194
Other assets	3,731	3,593
Total assets	956,168	884,934
Liabilities:
Credit Facility, net of unamortized debt issuance costs of $3,607 and $3,832 at March 31,2020 and December 31, 2019, respectively	425,843	347,518
Notes payable, net of unamortized debt issuance costs of $634 and $667 at March 31,2020 and December 31, 2019, respectively	38,648	38,650
Accounts payable and accrued expenses	7,144	5,069
Dividends payable	10,949	11,091
Security deposits and other	6,546	6,351
Due to related party	1,948	1,648
Derivative liability	20,461	8,685
Other liability	2,414	2,405
Acquired lease intangible liability, net	3,425	3,164
Total liabilities	517,378	424,581
Commitments and Contingencies
Equity:
Preferred stock, $0.001 par value, 10,000 shares authorized; 3,105 issued and outstanding at March 31, 2020 and December 31, 2019, respectively (liquidation preference of $77,625 at March 31, 2020 and December 31, 2019, respectively)	74,959	74,959
Common stock, $0.001 par value, 500,000 shares authorized; 44,278 shares and 43,806 shares issued and outstanding at March 31, 2020 and December 31, 2019, respectively	44	44
Additional paid-in capital	440,220	433,330
Accumulated deficit	(78,990)	(71,389)
Accumulated other comprehensive loss	(20,632)	(6,674)
Total Global Medical REIT Inc. stockholders' equity	415,601	430,270
Noncontrolling interest	23,189	30,083
Total equity	438,790	460,353
Total liabilities and equity	$ 956,168	$ 884,934

Condensed Consolidated Balanc_2

Condensed Consolidated Balance Sheets (Parenthetical) - USD ($) shares in Thousands, $ in Thousands	Mar. 31, 2020	Dec. 31, 2019
Net of unamortized debt	$ 634	$ 667
Preferred stock, par value (in dollars per share)	$ 0.001	$ 0.001
Preferred stock, shares authorized	10,000	10,000
Preferred stock, shares issued	3,105	3,105
Preferred stock, shares outstanding	3,105	3,105
Preferred Stock, Liquidation Preference, Value	$ 77,625	$ 77,625
Common stock, par value (in dollars per share)	$ 0.001	$ 0.001
Common stock, shares authorized	500,000	500,000
Common stock, shares issued	44,278	43,806
Common stock, shares outstanding	44,278	43,806
Credit facility [Member]
Net of unamortized debt	$ 3,607	$ 3,832
Notes Payable [Member]
Net of unamortized debt	$ 634	$ 667

Condensed Consolidated Statemen

Condensed Consolidated Statements of Operations - USD ($) shares in Thousands, $ in Thousands	3 Months Ended
	Mar. 31, 2020	Mar. 31, 2019
Revenue
Rental revenue	$ 21,533	$ 15,141
Other income	116	59
Total revenue	21,649	15,200
Expenses
General and administrative	1,839	1,606
Operating expenses	2,303	1,323
Management fees - related party	2,002	1,334
Depreciation expense	5,836	3,867
Amortization expense	1,921	1,002
Interest expense	4,378	4,025
Management internalization expense	504
Preacquisition fees	49
Total expenses	18,832	13,157
Net income	2,817	2,043
Less: Preferred stock dividends	(1,455)	(1,455)
Less: Net income attributable to noncontrolling interest	(107)	(60)
Net income attributable to common stockholders	$ 1,255	$ 528
Net income attributable to common stockholders per share - basic and diluted	$ 0.03	$ 0.02
Weighted average shares outstanding - basic and diluted	44,182	27,380

Condensed Consolidated Statem_2

Condensed Consolidated Statements of Comprehensive (Loss) Income - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2020	Mar. 31, 2019
Condensed Consolidated Statements of Comprehensive (Loss) Income
Net income	$ 2,817	$ 2,043
Other comprehensive loss:
Decrease in fair value of interest rate swap agreements	(13,958)	(2,022)
Total other comprehensive loss	(13,958)	(2,022)
Comprehensive (loss) income	(11,141)	21
Less: Preferred stock dividends	(1,455)	(1,455)
Less: Comprehensive loss attributable to noncontrolling interest	986	142
Comprehensive loss attributable to common stockholders	$ (11,610)	$ (1,292)

Condensed Consolidated Statem_3

Condensed Consolidated Statements of Equity - USD ($) shares in Thousands, $ in Thousands	Common Stock [Member]	Preferred Stock [Member]	Additional Paid-in Capital [Member]	Accumulated Deficit [Member]	Accumulated Other Comprehensive Loss [Member]	Global Medial REIT Inc. Stockholders' Equity [Member]	Noncontrolling Interest [Member]	Total
Balances at Dec. 31, 2018	$ 26	$ 74,959	$ 243,038	$ (45,007)	$ (3,721)	$ 269,295	$ 30,455	$ 299,750
Balance (in shares) at Dec. 31, 2018	25,944	3,105
Net income	$ 0	$ 0	0	1,983	0	1,983	60	2,043
Issuance of shares of common stock, net	$ 9	0	78,745	0	0	78,754	0	78,754
Issuance of shares of common stock, net (in shares)	8,554
LTIP Units and OP Units redeemed for common stock	$ 0	0	576	0	0	576	(576)	0
LTIP Units and OP Units redeemed for common stock (in shares)	57
Stock-based compensation expense	$ 0	0	0	0	0	0	771	771
Change in fair value of interest rate swap agreements	0	0	0	0	(2,022)	(2,022)	0	(2,022)
Dividends to common stockholders ($0.20 per share)	0	0	0	(6,911)	0	(6,911)	0	(6,911)
Dividends to preferred stockholders ($0.46875 per share)	0	0	0	(1,455)	0	(1,455)	0	(1,455)
Dividends to noncontrolling interest	0	0	0	0	0	0	(874)	(874)
OP Units issued to third parties	0	0	0	0	0	0	506	506
Balances at Mar. 31, 2019	$ 35	$ 74,959	322,359	(51,390)	(5,743)	340,220	30,342	370,562
Balances (in shares) at Mar. 31, 2019	34,555	3,105
Balances at Dec. 31, 2018	$ 26	$ 74,959	243,038	(45,007)	(3,721)	269,295	30,455	299,750
Balance (in shares) at Dec. 31, 2018	25,944	3,105
Balances at Dec. 31, 2019	$ 44	$ 74,959	433,330	(71,389)	(6,674)	430,270	30,083	460,353
Balances (in shares) at Dec. 31, 2019	43,806	3,105
Net income	$ 0	$ 0	0	2,710	0	2,710	107	2,817
LTIP Units and OP Units redeemed for common stock	$ 0	$ 0	6,890	0	0	6,890	(6,890)	0
LTIP Units and OP Units redeemed for common stock (in shares)	472	0
Stock-based compensation expense	$ 0	$ 0	0	0	0	0	922	922
Change in fair value of interest rate swap agreements	0	0	0	0	(13,958)	(13,958)	0	(13,958)
Dividends to common stockholders ($0.20 per share)	0	0	0	(8,856)	0	(8,856)	0	(8,856)
Dividends to preferred stockholders ($0.46875 per share)	0	0	0	(1,455)	0	(1,455)	0	(1,455)
Dividends to noncontrolling interest	0	0	0	0	0	0	(1,033)	(1,033)
Balances at Mar. 31, 2020	$ 44	$ 74,959	$ 440,220	$ (78,990)	$ (20,632)	$ 415,601	$ 23,189	$ 438,790
Balances (in shares) at Mar. 31, 2020	44,278	3,105

Condensed Consolidated Statem_4

Condensed Consolidated Statements of Equity (Parentheticals) - $ / shares	3 Months Ended
	Mar. 31, 2020	Mar. 31, 2019
Condensed Consolidated Statements of Equity
Dividends to common stockholders	$ 0.20	$ 0.20
Dividends to preferred stockholders	$ 0.46875	$ 0.46875

Condensed Consolidated Statem_5

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2020	Mar. 31, 2019
Operating activities
Net income	$ 2,817	$ 2,043
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation expense	5,836	3,867
Amortization of acquired lease intangible assets	1,921	1,002
Amortization of above market leases, net	247	219
Amortization of debt issuance costs and other	315	313
Stock-based compensation expense	922	771
Capitalized preacquisition costs charged to expense	7
Other	26	33
Changes in operating assets and liabilities:
Tenant receivables	(751)	(654)
Deferred assets	(1,629)	(1,006)
Other assets	28	32
Accounts payable and accrued expenses	2,051	(634)
Security deposits and other	195	(30)
Accrued management fees due to related party	275	192
Net cash provided by operating activities	12,260	6,148
Investing activities
Purchase of land, buildings, and other tangible and intangible assets and liabilities	(68,457)	(20,841)
Escrow deposits for purchase of properties	(100)	(1,472)
Loan repayments received from (made to) related party	5	(122)
Capital expenditures on existing real estate investments	(211)	(9)
Preacquisition costs		(211)
Net cash used in investing activities	(68,763)	(22,655)
Financing activities
Net proceeds received from common equity offerings		78,944
Payment of accrued common stock offerin'g costs	(269)
Escrow deposits required by third party lenders	(72)	(72)
Repayment of note payable	(35)	(35)
Proceeds from Credit Facility	81,700	6,200
Repayment of Credit Facility	(3,600)	(62,800)
Payment of debt issuance costs	(44)	(29)
Dividends paid to common stockholders, and OP Unit and LTIP Unit holders	(10,031)	(5,781)
Dividends paid to preferred stockholders	(1,455)	(1,455)
Net cash provided by financing activities	66,194	14,972
Net increase (decrease) in cash and cash equivalents and restricted cash	9,691	(1,535)
Cash and cash equivalents and restricted cash-beginning of period		7,185
Cash and cash equivalents and restricted cash-end of period	16,876	3,308
Supplemental cash flow information:
Cash payments for interest	3,823	3,714
Noncash financing and investing activities:
Accrued dividends payable	10,949	8,985
Initial recognition of lease liability related to right of use asset		2,346
OP Units issued for property acquisition		506
Accrued common stock offering costs		190
LTIP Units and OP Units redeemed for common stock	6,890	576
Interest Rate Swap [Member]
Noncash financing and investing activities:
Interest rate swap agreements fair value change recognized in other comprehensive loss	$ 13,958	$ 2,022

Organization

Organization	3 Months Ended
	Mar. 31, 2020
Organization
Organization	Note 1 – Organization Global Medical REIT Inc. (the “Company”) is a Maryland corporation engaged primarily in the acquisition of purpose-built healthcare facilities and the leasing of those facilities to strong healthcare systems and physician groups with leading market share. The Company is externally managed and advised by Inter-American Management LLC (the “Advisor”), a Delaware limited liability company and affiliate of the Company. The Company holds its facilities and conducts its operations through a Delaware limited partnership subsidiary named Global Medical REIT L.P. (the “Operating Partnership”). The Company serves as the sole general partner of the Operating Partnership through a wholly-owned subsidiary of the Company named Global Medical REIT GP LLC, a Delaware limited liability company. As of March 31, 2020, the Company was the 92.15% limited partner of the Operating Partnership, with an aggregate of 7.85% of the Operating Partnership owned by holders of long-term incentive plan units (“LTIP Units”) and third-party limited partners who contributed properties or services to the Operating Partnership in exchange for common limited partnership units (“OP Units”).

Summary of Significant Accounti

Summary of Significant Accounting Policies	3 Months Ended
	Mar. 31, 2020
Summary of Significant Accounting Policies
Summary of Significant Accounting Policies	Note 2 – Summary of Significant Accounting Policies Basis of presentation The accompanying condensed consolidated financial statements are unaudited and include the accounts of the Company, including the Operating Partnership and its wholly owned subsidiaries. The accompanying condensed consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) and the rules and regulations of the U.S. Securities and Exchange Commission (“SEC”). Certain information and footnote disclosures required for annual consolidated financial statements have been condensed or excluded pursuant to SEC rules and regulations. Accordingly, the accompanying condensed consolidated financial statements do not include all the information and footnotes required by GAAP for complete consolidated financial statements and should be read in conjunction with the audited consolidated financial statements and notes thereto for the fiscal year ended December 31, 2019. In the opinion of management, all adjustments of a normal and recurring nature necessary for a fair presentation of the condensed consolidated financial statements for the interim periods have been made. Principles of Consolidation The accompanying condensed consolidated financial statements include the accounts of the Company, including the Operating Partnership and its wholly owned subsidiaries. The Company presents the portion of any equity it does not own but controls (and thus consolidates) as noncontrolling interest. Noncontrolling interest in the Company includes the LTIP Units that have been granted to directors, officers and affiliates of the Company and the OP Units held by third parties. Refer to Note 5 – “Equity” and Note 7 – “Stock-Based Compensation” for additional information regarding the OP Units and LTIP Units. The Company classifies noncontrolling interest as a component of consolidated equity on its Condensed Consolidated Balance Sheets, separate from the Company’s total equity. The Company’s net income or loss is allocated to noncontrolling interests based on the respective ownership or voting percentage in the Operating Partnership associated with such noncontrolling interests and is removed from consolidated income or loss on the Condensed Consolidated Statements of Operations in order to derive net income or loss attributable to common stockholders. The noncontrolling ownership percentage is calculated by dividing the aggregate number of LTIP Units and OP Units by the total number of units and shares outstanding. Any future issuances of additional LTIP Units or OP Units would change the noncontrolling ownership interest. Use of Estimates The preparation of the condensed consolidated financial statements in conformity with GAAP requires the Company to make estimates and assumptions that affect the amounts reported in the condensed consolidated financial statements and footnotes. Actual results could differ from those estimates. Investment in Real Estate The Company determines when an acquisition meets the definition of a business or alternatively should be accounted for as an asset acquisition in accordance with Accounting Standard Codification (“ASC”) Topic 805 “Business Combinations” (“ASC Topic 805”), which requires that, when substantially all of the fair value of an acquisition is concentrated in a single identifiable asset or a group of similar identifiable assets, the asset or group of similar identifiable assets does not meet the definition of a business and therefore is required to be accounted for as an asset acquisition. Transaction costs continue to be capitalized for asset acquisitions and expensed as incurred for business combinations. ASC Topic 805 resulted in all of our post-January 1, 2018 acquisitions being accounted for as asset acquisitions because substantially all of the fair value of the gross assets the Company acquires are concentrated in a single asset or group of similar identifiable assets. For asset acquisitions that are “owner occupied” (meaning that the seller either is the tenant or controls the tenant), the purchase price, including capitalized acquisition costs, will be allocated to land and building based on their relative fair values with no value allocated to intangible assets or liabilities. For asset acquisitions where there is a lease in place but not “owner occupied,” the Company will allocate the purchase price to tangible assets and any intangible assets acquired or liabilities assumed based on their relative fair values. Fair value is determined based upon the guidance of ASC Topic 820, “Fair Value Measurements and Disclosures,” and generally are determined using Level 2 inputs, such as rent comparables, sales comparables, and broker indications. Although Level 3 Inputs are utilized, they are minor in comparison to the Level 2 data used for the primary assumptions. The determination of fair value involves the use of significant judgment and estimates. We make estimates to determine the fair value of the tangible and intangible assets acquired and liabilities assumed using information obtained from multiple sources, including preacquisition due diligence, and we routinely utilize the assistance of a third-party appraiser. Revenue Recognition The Company’s operations primarily consist of rental revenue earned from tenants under leasing arrangements which provide for minimum rent and escalations. The leases have been accounted for as operating leases. For operating leases with contingent rental escalators, revenue is recorded based on the contractual cash rental payments due during the period. Revenue from leases with fixed annual rental escalators are recognized on a straight-line basis over the initial lease term, subject to a collectability assessment, with the difference between the contractual rental receipts and the straight-line amounts recorded as a “deferred rent receivable.” Additionally, the Company recognizes “expense recoveries” revenue, which represents revenue recognized related to tenant reimbursement of real estate taxes, insurance, and certain other operating expenses. The Company recognizes these reimbursements and related expenses on a gross basis in its Condensed Consolidated Statements of Operations, i.e.,the Company recognizes an equivalent increase in revenue (“expense recoveries”) and expense (“operating expenses”). Cash and Cash Equivalents and Restricted Cash The Company considers all demand deposits, cashier’s checks, money market accounts, and certificates of deposit with a maturity of three months or less to be cash equivalents. Amounts included in restricted cash represent (1) certain security deposits received from tenants at the inception of their leases; (2) cash required to be held by a third-party lender as a reserve for debt service; and (3) funds held by the Company that were received from certain tenants that the Company collected to pay specific tenant expenses, such as real estate taxes and insurance, on the tenant’s behalf (“tenant reimbursements”). The following table provides a reconciliation of the Company’s cash and cash equivalents and restricted cash that sums to the total of those amounts at the end of the periods presented on the Company’s accompanying Condensed Consolidated Statements of Cash Flows: As of March 31, 2020 2019 Cash and cash equivalents $ 11,340 $ 1,844 Restricted cash 5,536 1,464 Total cash and cash equivalents and restricted cash $ 16,876 $ 3,308 Tenant Receivables The tenant receivable balance as of March 31, 2020 and December 31, 2019 was $5,708 and $4,957, respectively. The balance as of March 31, 2020 consisted of $1,375 in funds owed from the Company’s tenants for rent that the Company had earned but had not yet received, $1,231 of loans that were made to two of the Company’s tenants, $2,423 of tenant reimbursements, as well as $679 in miscellaneous receivables. The balance as of December 31, 2019 consisted of $1,428 in funds owed from the Company’s tenants for rent that the Company had earned but had not yet received, $1,062 of loans that were made to two of the Company’s tenants, $2,342 of tenant reimbursements, as well as $125 in miscellaneous receivables. The Company adopted the provisions of ASU 2016-13, “Financial Instruments - Credit Losses” (“ASU 2016-03”) effective January 1, 2020. Receivables arising from operating leases are not within the scope of Subtopic 326-20. Instead, impairment of these receivables should be accounted for in accordance with ASC Topic 842 “Leases” (“ASC Topic 842”). The adoption of ASU 2016-03 did not have a material impact on the Company’s condensed consolidated financial statements or related disclosures. The Company assesses the likelihood of losses resulting from tenant defaults, or the inability of tenants to make contractual rent and tenant recovery payments at each reporting date. The Company also monitors the liquidity and creditworthiness of its tenants and operators on a continuous basis. Based on its consideration of these factors, the Company concluded that collection of its receivables was probable as of March 31, 2020. If the likelihood of a tenant paying its lease payments is determined to no longer be probable all tenant receivables including deferred rent would need to be written off against revenue and any future revenue for that tenant would be recognized only upon receipt of cash. In addition, a portfolio level reserve may need to be established in the future on those leases that are probable of collection to ensure that the tenant lease receivables are not overstated. Escrow Deposits The escrow balance as of March 31, 2020 and December 31, 2019 was $3,589 and $3,417, respectively. Escrow deposits include funds held in escrow to be used for the acquisition of properties in the future and for the payment of taxes, insurance, and other amounts as stipulated by the Company’s Cantor Loan, as hereinafter defined. Deferred Assets The deferred assets balance as of March 31, 2020 and December 31, 2019 was $16,141 and $14,512, respectively. The balance as of March 31, 2020 consisted of $16,069 in deferred rent receivables resulting from the recognition of revenue from leases with fixed annual rental escalations on a straight-line basis and $72 of other deferred costs. The balance as of December 31, 2019 consisted of $14,204 in deferred rent receivables resulting from the recognition of revenue from leases with fixed annual rental escalations on a straight-line basis and $308 of other deferred costs. Other Assets The other assets balance as of March 31, 2020 and December 31, 2019 was $3,731 and $3,593, respectively. The balance as of March 31, 2020 consisted of $3,060 for a right of use asset (refer to Note 8 – “Leases” for additional details), $404 in capitalized preacquisition costs, and $267 in a prepaid asset. The balance as of December 31, 2019 consisted of $3,077 for a right of use asset, $223 in capitalized preacquisition costs, and $293 in a prepaid asset. Security Deposits and Other The security deposits and other liability balance as of March 31, 2020 and December 31, 2019 was $6,546 and $6,351, respectively. The balance as of March 31, 2020 consisted of security deposits of $5,011 and a tenant impound liability of $1,535 related to amounts owed for specific tenant expenses, such as real estate taxes and insurance. The balance as of December 31, 2019 consisted of security deposits of $4,968 and a tenant impound liability of $1,383 related to amounts owed for specific tenant expenses, such as real estate taxes and insurance. Derivative Instruments - Interest Rate Swaps As of March 31, 2020 and December 31, 2019, the Company’s net liability balance related to interest rate swap derivative instruments that were designated as cash flow hedges of interest rate risk was $20,461 and $6,491, respectively. In accordance with the Company’s risk management strategy, the purpose of the interest rate swaps is to manage interest rate risk for certain of the Company’s variable-rate debt. The interest rate swaps involve the Company’s receipt of variable-rate amounts from three counterparties in exchange for the Company making fixed-rate payments over the life of the agreement. The Company accounts for derivative instruments in accordance with the provisions of ASC Topic 815, “Derivatives and Hedging.” Refer to Note 4 – “Credit Facility, Notes Payable and Derivative Instruments” for additional details. Recent Accounting Pronouncements Lease Modifications Due to the business disruptions and challenges severely affecting the global economy caused by the COVID-19 pandemic, many lessors may be required to provide rent deferrals and other lease concessions to lessees. While the lease modification guidance in ASC Topic 842 (“ASC Topic 842”) addresses routine changes to lease terms resulting from negotiations between the lessee and the lessor, this guidance did not contemplate concessions being so rapidly executed to address the sudden liquidity constraints of some lessees arising from the COVID-19 pandemic. In April 2020, the Financial Accounting Standards Board (“FASB”) staff issued a question and answer document (the “Lease Modification Q&A”) focused on the application of lease accounting guidance to lease concessions provided as a result of the COVID-19 pandemic. Under existing lease guidance, the Company 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 (treated within the lease modification accounting framework) or if a lease concession was under the enforceable rights and obligations within the existing lease agreement (precluded from applying the lease modification accounting framework). The Lease Modification Q&A allows the Company, if certain criteria have been met, to bypass the lease-by-lease analysis, and instead elect to either apply the lease modification accounting framework or not, with such election applied consistently to leases with similar characteristics and similar circumstances. The Company has elected to apply such relief and will avail itself of the election to avoid performing a lease-by-lease analysis for the lease concessions that were (1) granted as relief due to the COVID-19 pandemic and (2) result in the cash flows remaining substantially the same or less. The Lease Modification Q&A has no material impact on the Company’s condensed consolidated financial statements as of and for the three months ended March 31, 2020. However, its future impact on the Company is dependent upon the extent of lease concessions granted to tenants as a result of the COVID-19 pandemic in future periods and the elections made by the Company at the time of entering such concessions. Reference Rate Reform During the three months ended March 31, 2020, the FASB issued Accounting Standards Update (“ASU”) 2020-04, Reference Rate Reform (Topic 848) (“ASU 2020-04”). 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 three months ended March 31, 2020, the Company has 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.

Property Portfolio

Property Portfolio	3 Months Ended
	Mar. 31, 2020
Property Portfolio
Property Portfolio	Note 3 – Property Portfolio Summary of Properties Acquired During the Three Months Ended March 31, 2020 During the three months ended March 31, 2020 the Company completed four acquisitions. For each acquisition, substantially all of the fair value was concentrated in a single identifiable asset or group of similar identifiable assets and, therefore, each acquisition represents an asset acquisition. Accordingly, transaction costs for these acquisitions were capitalized. A rollforward of the gross investment in land, building, improvements, and acquired lease intangible assets as of March 31, 2020 resulting from these acquisitions is as follows: Site Tenant Acquired Lease Gross Investment in Land Building Improvements Improvements Intangibles Assets Real Estate Balances as of December 31, 2019 $ 95,381 $ 693,533 $ 9,912 $ 33,909 $ 72,794 $ 905,529 Facility Acquired – Date Acquired: High Point – 2/13/20 1,749 20,367 440 869 1,656 25,081 Clinton – 2/27/20 664 6,551 342 1,578 2,484 11,619 West Allis – 3/4/20 974 7,687 137 98 461 9,357 Grand Rapids – 3/20/20 2,947 17,341 470 450 1,582 22,790 Capitalized costs (1) — 170 2 140 — 312 Total Additions : 6,334 52,116 1,391 3,135 6,183 69,159 Balances as of March 31, 2020 $ 101,715 $ 745,649 $ 11,303 $ 37,044 $ 78,977 $ 974,688 (1) Represents capital projects that were completed and placed in service during the three months ended March 31, 2020 related to the Company’s existing facilities. Depreciation expense was $5,836 and $3,867 for the three months ended March 31, 2020 and 2019, respectively. As of March 31, 2020, the Company had aggregate capital improvement commitments and obligations to improve, expand, and maintain the Company’s existing facilities of approximately $18 million. Many of these amounts are subject to contingencies that make it difficult to predict when they will be utilized, if at all. In accordance with the terms of the Company’s leases, capital improvement obligations in the next twelve months could total up to approximately $11 million. The following is a summary of the acquisitions completed during the three months ended March 31, 2020. High Point Facility On February 13, 2020, the Company purchased a medical office building located in High Point, North Carolina (the “High Point Facility”) for a purchase price of approximately $25.1 million. Upon closing, the Company assumed the existing lease of the High Point Facility with Wake Forest Health Network, LLC, as tenant. The lease has approximately three years remaining in the current term, exclusive of a tenant renewal option. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 2,189 Building and tenant improvements 21,236 In-place leases 1,207 Leasing costs 449 Total purchase price $ 25,081 Clinton Facility On February 27, 2020, the Company purchased a medical office building located in Clinton, Iowa (the “Clinton Facility”) for a purchase price of approximately $11.6 million. Upon closing, the Company assumed the existing lease of the Clinton Facility with Mercy Medical Center – Clinton, Inc. d/b/a MercyOne Clinton Medical Center, as tenant. The lease has approximately four years remaining in the initial term, exclusive of a tenant renewal option. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 1,006 Building and tenant improvements 8,129 In-place leases 2,115 Leasing costs 369 Total purchase price $ 11,619 West Allis Facility On March 4, 2020, the Company purchased a medical office building located in West Allis, Wisconsin (the “West Allis Facility”) for a purchase price of approximately $9.1 million. Upon closing, the Company assumed the existing lease of the West Allis Facility with Columbia St. Mary’s Hospital Milwaukee, Inc., d/b/a Ascension Columbia St. Mary’s Hospital Milwaukee, as tenant. The lease has approximately four years remaining in the initial term, exclusive of renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 1,111 Building and tenant improvements 7,785 In-place leases 263 Leasing costs 198 Below-market lease intangibles (264) Total purchase price $ 9,093 Grand Rapids Facilities On March 20, 2020, the Company purchased a four-building medical office building portfolio located in the greater Grand Rapids, Michigan area (the “Grand Rapids Facilities”) for a total purchase price of approximately $22.7 million. Upon closing, the Company assumed 11 existing leases at the Grand Rapids Facilities (the “Grand Rapids Leases”). The Grand Rapids Leases have a weighted-average remaining term of five years, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 3,417 Building and tenant improvements 17,791 In-place leases 761 Above-market lease intangibles 685 Leasing costs 136 Below-market lease intangibles (125) Total purchase price $ 22,665 Summary of Properties Acquired During the Year Ended December 31, 2019 During the year ended December 31, 2019 the Company completed 18 acquisitions. For each acquisition, substantially all of the fair value was concentrated in a single identifiable asset or group of similar identifiable assets and, therefore, each acquisition represents an asset acquisition. Accordingly, transaction costs for these acquisitions were capitalized. A rollforward of the gross investment in land, building, improvements, and acquired lease intangible assets as of December 31, 2019 resulting from these acquisitions is as follows: Site Tenant Acquired Lease Gross Investment in Land Building Improvements Improvements Intangible Assets Real Estate Balances as of December 31, 2018 $ 63,710 $ 518,451 $ 6,880 $ 15,357 $ 43,152 $ 647,550 Facility Acquired – Date Acquired: Zachary – 2/28/19 — 3,336 103 409 835 4,683 Gilbert and Chandler – 3/19/19 4,616 11,643 — — — 16,259 Las Vegas – 4/15/19 2,479 15,277 244 2,205 2,297 22,502 Oklahoma Northwest – 4/15/19 2,364 19,501 143 3,044 3,155 28,207 Mishawaka – 4/15/19 1,924 10,084 74 1,798 2,223 16,103 Surprise – 4/15/19 1,738 18,737 228 4,119 3,860 28,682 San Marcos – 7/12/19 2,322 6,934 126 404 2,188 11,974 Lansing – 8/1/19 1,202 7,681 185 667 1,633 11,368 Bannockburn – 8/5/19 763 3,566 132 1,134 1,382 6,977 Aurora – 8/6/19 1,521 7,446 308 603 2,679 12,557 Livonia – 8/14/19 980 7,629 201 442 1,340 10,592 Gilbert – 8/23/19 2,408 2,027 62 362 733 5,592 Morgantown – 9/26/19 883 5,286 373 506 902 7,950 Beaumont – 10/1/19 3,022 24,836 399 1,036 4,446 33,739 Bastrop – 10/25/19 1,975 8,436 64 276 1,314 12,065 Panama City – 10/31/19 1,559 8,682 220 1,036 1,479 12,976 Jacksonville – 11/15/19 1,023 7,846 — — — 8,869 Greenwood – 12/17/19 892 4,956 — — — 5,848 ASC Topic 842 Reclassification — — — — (824) (824) Capitalized costs (1) — 1,179 170 511 — 1,860 Total Additions: 31,671 175,082 3,032 18,552 29,642 257,979 Balances as of December 31, 2019 $ 95,381 $ 693,533 $ 9,912 $ 33,909 $ 72,794 $ 905,529 (1) Represents capital projects that were completed and placed in service during the year ended December 31, 2019 related to the Company’s existing facilities. The following is a summary of the acquisitions completed during the year ended December 31, 2019. Zachary Facility On February 28, 2019, the Company assumed the following leasehold interests in the real property located in Zachary, Louisiana for a purchase price of approximately $4.6 million: (i) the interest, as ground lessee, in an existing ground lease of the facility, with approximately 46 years remaining in the initial term with no extension options; and (ii) the interest, as landlord, in an existing lease of the facility with LTAC Hospital of Feliciana, LLC, as tenant, with approximately 16 years remaining in the initial term, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 103 Building and tenant improvements 3,745 In-place leases 305 Above-market lease intangibles 117 Leasing costs 413 Below-market lease intangibles (34) Total purchase price $ 4,649 Gilbert and Chandler Facilities On March 19, 2019, the Company purchased the following facilities located in Gilbert, Arizona and Chandler, Arizona for a total purchase price of approximately $16.3 million: (i) two medical office buildings located in Gilbert, Arizona; (ii) two medical office suites located in Chandler, Arizona; (collectively, the “Gilbert and Chandler Facilities”). Upon the closing of the acquisition, the Company assumed the seller’s interest, as lessor, in two existing leases and entered into three new leases, as lessor, at the Gilbert and Chandler Facilities. The Gilbert and Chandler leases have a weighted average remaining lease term of 10.5 years, exclusive of tenant renewal options. IRF Portfolio On April 15, 2019, the Company purchased four in-patient rehabilitation facilities located in Las Vegas, Nevada; Surprise, Arizona; Oklahoma City, Oklahoma and Mishawaka, Indiana (collectively, the “IRF Portfolio”) for a total purchase price of approximately $94.6 million. Upon the closing of the acquisition, the Company assumed the sellers’ interest, as lessor, in four existing leases at the properties (collectively, the “IRF Portfolio Leases”) with (i) Encompass Health (Las Vegas, Nevada facility); (ii) a joint venture between Cobalt Rehabilitation and Tenet Healthcare (the Surprise, Arizona facility); (iii) a joint venture between Mercy Health and Kindred Healthcare (the Oklahoma City, Oklahoma facility); and (iv) St. Joseph’s Health System (the Mishawaka, Indiana facility). The IRF Portfolio leases have a weighted average remaining lease term of approximately 8.3 years, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Oklahoma Las Vegas Surprise City Mishawaka Land and site improvements $ 2,723 $ 1,966 $ 2,507 $ 1,998 Building and tenant improvements 17,482 22,856 22,545 11,882 In-place leases 1,778 1,845 1,890 1,465 Above-market lease intangibles — 938 367 236 Leasing costs 519 1,077 898 522 Below-market lease intangibles (863) — — — Total purchase price $ 21,639 $ 28,682 $ 28,207 $ 16,103 San Marcos Facility On July 12, 2019, the Company purchased a medical office building located in San Marcos, California (the “San Marcos Facility”), for a purchase price of approximately $12.0 million. Upon closing, the Company assumed the existing lease of the San Marcos Facility with California Cancer Associates for Research and Excellence, Inc., as tenant. The lease has eight years remaining in the initial term, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 2,448 Building and tenant improvements 7,338 In-place leases 698 Above-market lease intangibles 1,101 Leasing costs 389 Total purchase price $ 11,974 Lansing Facilities On August 1, 2019, the Company purchased the following real property and buildings thereon located in Lansing, Michigan for a total purchase price of approximately $11.1 million: (i) 3390 East Jolly Road; (ii) 3955 Patient Care Drive; and (iii) 3400 East Jolly Road (“collectively, the “Lansing Facilities”). Upon closing, the Company assumed sellers’ interest, as lessor, in four existing leases and entered into two new leases at the Lansing Facilities (the “Lansing Leases”). The Lansing Leases have a weighted-average remaining term of 8.5 years, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 1,387 Building and tenant improvements 8,348 In-place leases 953 Above-market lease intangibles 130 Leasing costs 550 Below-market lease intangibles (248) Total purchase price $ 11,120 Bannockburn Facility On August 5, 2019, the Company purchased an office building located in Bannockburn, Illinois (the “Bannockburn Facility”), for a purchase price of approximately $6.8 million. Upon closing, the Company assumed seller’s interest, as lessor, in 14 existing leases at the Bannockburn Facility (the “Bannockburn Leases”). The Bannockburn Leases have a weighted-average remaining term of 6.3 years, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 895 Building and tenant improvements 4,700 In-place leases 796 Above-market lease intangibles 250 Leasing costs 336 Below-market lease intangibles (144) Total purchase price $ 6,833 Aurora Facility On August 6, 2019, the Company purchased a medical office building located in Aurora, Illinois (the “Aurora Facility”), for a purchase price of approximately $12.6 million. Upon closing, the Company assumed the existing lease of the Aurora Facility with Dreyer Clinic Inc., as tenant (the “Dreyer Lease”). The Dreyer Lease has approximately six years remaining in the initial term, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 1,829 Building and tenant improvements 8,049 In-place leases 1,417 Above-market lease intangibles 861 Leasing costs 401 Total purchase price $ 12,557 Livonia Facility On August 14, 2019, the Company purchased a medical office building located in Livonia, Michigan (the “Livonia Facility”) for a purchase price of approximately $10.4 million. Upon closing, the Company assumed 10 existing leases at the Livonia Facility (the “Livonia Leases”). The Livonia Leases have a weighted-average remaining term of 3.2 years, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 1,181 Building and tenant improvements 8,071 In-place leases 1,252 Above-market lease intangibles 53 Leasing costs 35 Below-market lease intangibles (236) Total purchase price $ 10,356 Gilbert Facility On August 23, 2019, the Company purchased certain condominium units within two medical office buildings located in Gilbert, Arizona (the “Gilbert Facility”) for a total purchase price of approximately $5.6 million. Upon closing, the Company leased the Gilbert Facility to Covenant Surgical Partners, Inc., a Delaware corporation (the “Covenant Lease”). The Covenant Lease has approximately 10 years remaining in the initial term, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 2,470 Building and tenant improvements 2,389 In-place leases 121 Above-market lease intangibles 300 Leasing costs 312 Total purchase price $ 5,592 Morgantown Facility On September 26, 2019, the Company purchased a parcel of land and an office building that is being constructed thereon, located in Morgantown, West Virginia (the “Morgantown Facility”) for a total purchase price of approximately $8.0 million. Upon closing, the Company assumed the existing lease of the Morgantown Facility with Urgent Care MSO, LLC, as tenant (the “Urgent Care Lease”). The Urgent Care Lease has approximately ten years remaining in the initial term, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 1,256 Building and tenant improvements 5,792 In-place leases 457 Leasing costs 445 Total purchase price $ 7,950 Beaumont Facility On October 1, 2019, the Company purchased a medical office building located in Beaumont, Texas (the “Beaumont Facility”) for a total purchase price of approximately $33.7 million. Upon closing, the Company assumed the existing lease of the Beaumont Facility with The Medical Center of Southeast Texas, LP, as tenant (the “Medical Center Lease”). The Medical Center Lease has 10 years remaining in the initial term, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 3,421 Building and tenant improvements 25,872 In-place leases 3,304 Leasing costs 1,142 Total purchase price $ 33,739 Bastrop Facility On October 25, 2019, the Company purchased a medical emergency center located in Bastrop, Texas (the “Bastrop Facility”) for a total purchase price of approximately $12.1 million. Upon closing, the Company assumed the existing lease of the Bastrop Facility with St. David’s Healthcare Partnership, L.P., LLP, as tenant (the “St. David’s Lease”). The St. David’s Lease has approximately five years remaining in the initial term, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 2,039 Building and tenant improvements 8,712 In-place leases 990 Leasing costs 324 Total purchase price $ 12,065 Panama City Facilities On October 31, 2019, the Company purchased: (i) a medical office building located in Panama City, Florida (the “Panama City Facility”); (ii) a medical office building located in Panama City Beach, Florida (the “PCB Facility”); and (iii) a medical office building located in Chipley, Florida (the “Chipley Facility”) for a total purchase price of approximately $13.0 million. Upon closing, the Company assumed the existing leases with SCP Eye Care Services, LLC, as tenant (the “SCP Leases”), at the Panama City Facility, the PCB Facility and the Chipley Facility. The SCP Leases have approximately 15 years remaining in the initial term, exclusive of tenant renewal options. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 1,779 Building and tenant improvements 9,718 In-place leases 405 Leasing costs 1,074 Total purchase price $ 12,976 Jacksonville Facilities On November 15, 2019, the Company purchased a condominium unit located in Ponte Vedra, Florida (the “Ponte Vedra Facility”) and a medical office building located in Jacksonville, Florida (the “Riverside Facility”), for a total purchase price of approximately $8.9 million. Upon closing, the Company entered into new leases of the Ponte Vedra Facility and the Riverside Facility to Southeast Orthopedic Specialists, Inc., as tenant, with each lease having an initial term of 15 years, exclusive of tenant renewal options. The following table presents the details of the tangible assets acquired: Land and site improvements $ 1,023 Building and tenant improvements 7,846 Total purchase price $ 8,869 Greenwood Facility On December 17, 2019, the Company purchased a medical office building located in Greenwood, Indiana (the “Greenwood Facility”), for a purchase price of approximately $5.8 million. Upon closing, the Company assumed the existing leases of the Greenwood Facility with (i) Indiana Eye Clinic, LLC, as tenant, (ii) Glasshouse Optical, Inc., as tenant, and (iii) The Ambulatory Surgery Center at the Indiana Eye Clinic, LLC, as tenant. Each lease has approximately 13 years remaining in the initial terms, exclusive of tenant renewal options. The following table presents the details of the tangible assets acquired: Land and site improvements $ 892 Building and tenant improvements 4,956 Total purchase price $ 5,848 Intangible Assets and Liabilities The following is a summary of the carrying amount of intangible assets and liabilities as of the dates presented: As of March 31, 2020 Accumulated Cost Amortization Net Assets In-place leases $ 43,776 $ (9,184) $ 34,592 Above market leases 12,931 (2,741) 10,190 Leasing costs 22,270 (4,046) 18,224 $ 78,977 $ (15,971) $ 63,006 Liability Below market leases $ 4,250 $ (825) $ 3,425 As of December 31, 2019 Accumulated Cost Amortization Net Assets In-place leases $ 39,429 $ (7,851) $ 31,578 Above market leases 12,246 (2,366) 9,880 Leasing costs 21,119 (3,458) 17,661 $ 72,794 $ (13,675) $ 59,119 Liability Below market leases $ 3,861 $ (697) $ 3,164 The following is a summary of the acquired lease intangible amortization: Three Months Ended March 31, 2020 2019 Amortization expense related to in-place leases $ 1,333 $ 677 Amortization expense related to leasing costs $ 588 $ 325 Decrease in rental revenue related to above market ground lease $ — $ 5 Decrease in rental revenue related to above market leases $ 375 $ 272 Increase in rental revenue related to below market leases $ 128 $ 58 As of March 31, 2020, scheduled future aggregate net amortization of the acquired lease intangible assets and liabilities for each fiscal year ended December 31 is listed below: Net Decrease Net Increase in Revenue in Expenses 2020 (nine months remaining) $ (749) $ 6,531 2021 (1,002) 8,089 2022 (1,020) 7,661 2023 (1,054) 6,750 2024 (674) 5,785 Thereafter (2,266) 18,000 Total $ (6,765) $ 52,816 As of March 31, 2020 the weighted average amortization periods for asset lease intangibles and liability lease intangibles were 6.10 years and 5.57 years, respectively.

Credit Facility, Notes Payable

Credit Facility, Notes Payable and Derivative Instruments	3 Months Ended
	Mar. 31, 2020
Credit Facility, Notes Payable and Derivative Instruments
Credit Facility, Notes Payable and Derivative Instruments	Note 4 –Credit Facility, Notes Payable and Derivative Instruments Credit Facility The Company, the Operating Partnership, as borrower, and certain of its subsidiaries (such subsidiaries, the “Subsidiary Guarantors”) are parties to a $500 million syndicated credit facility with BMO Harris Bank N.A. (“BMO”), as administrative agent (the “Credit Facility”). The Credit Facility consists of a $300 million term-loan component (the “Term Loan”) and a $200 million revolver component (the “Revolver”). The Credit Facility also contains a $150 million accordion. The term of the Company’s Credit Facility expires in August 2022, subject to a one-year extension option. Amounts outstanding under the Credit Facility bear interest at a floating rate that is based on LIBOR, plus a specified margin based on the Company’s leverage. The Subsidiary Guarantors and the Company are guarantors of the obligations under the Credit Facility. The amount available to borrow from time to time under the Credit Facility is limited according to a quarterly borrowing base valuation of certain properties owned by the Subsidiary Guarantors. The Operating Partnership is subject to a number of financial covenants under its Credit Facility, including, among other things, (i) a maximum consolidated leverage ratio as of the end of each fiscal quarter of less than 0.60:1.00, (ii) a minimum fixed charge coverage ratio of 1.50:1.00, (iii) a minimum net worth of $203.8 million plus 75% of all net proceeds raised through equity offerings subsequent to March 31, 2018 (which,as of March 31, 2020, equaled $247.6 million) and (iv) a ratio of total secured recourse debt to total asset value of not greater than 0.10:1.00. Additionally, beginning at the end of fourth quarter of 2020, the Company’s distributions to common stockholders will be limited to an amount equal to 95% of its AFFO. As of March 31, 2020, the Company was in compliance with all of the financial and non-financial covenants contained in the Credit Facility. The Company has entered into interest rate swaps to hedge its interest rate risk on the Term Loan. For additional information related to the interest rate swaps, see the “Derivative Instruments - Interest Rate Swaps” section herein. During the three months ended March 31, 2020, the Company borrowed $81,700 under the Credit Facility and repaid $3,600, for a net amount borrowed of $78,100. During the three months ended March 31, 2019, the Company borrowed $6,200 under the Credit Facility and repaid $62,800 for a net amount repaid of $56,600. Interest expense incurred on the Credit Facility was $3,585 and $3,238, for the three months ended March 31, 2020 and 2019, respectively. As of March 31, 2020 and December 31, 2019, the Company had the following outstanding borrowings under the Credit Facility: March 31, 2020 December 31, 2019 Revolver $ 129,450 $ 51,350 Term Loan 300,000 300,000 Less: Unamortized debt issuance costs (3,607) (3,832) Credit Facility, net $ 425,843 $ 347,518 Costs incurred related to the Credit Facility, net of accumulated amortization, are netted against the Company’s “Credit Facility, net of unamortized debt issuance costs” balance in the accompanying Condensed Consolidated Balance Sheets. The Company paid $44 and $29 related to modifications to the Credit Facility as well as fees related to adding properties to the borrowing base during the three months ended March 31, 2020 and 2019, respectively. Amortization expense incurred was $269 for both the three months ended March 31, 2020 and 2019, respectively, and is included in the “Interest Expense” line item in the accompanying Condensed Consolidated Statements of Operations. In July 2017, the Financial Conduct Authority (the “FCA”), which regulates LIBOR, announced its intention to stop compelling banks to submit rates for the calculation of LIBOR after 2021. As a result, the Federal Reserve Board and the Federal Reserve Bank of New York organized the Alternative Reference Rates Committee (the “ARRC”), which identified the Secured Overnight Financing Rate (the “SOFR”) as its preferred alternative to USD-LIBOR in derivatives and other financial contracts. The Credit Facility provides that, on or about the LIBOR cessation date (subject to an early opt-in election), LIBOR shall be replaced as a benchmark rate in the Credit Facility with a new benchmark rate to be agreed upon by the Company and BMO, with such adjustments to cause the new benchmark rate to be economically equivalent to LIBOR. The Company is not able to predict when LIBOR will cease to be available or when there will be sufficient liquidity in the SOFR markets. The Company has interest rate swap agreements that are indexed to LIBOR and is monitoring and evaluating the related risks. These risks arise in connection with transitioning contracts to a new alternative rate, including any resulting value transfer that may occur. The value of loans, securities, or derivative instruments tied to LIBOR could also be impacted if LIBOR is limited or discontinued. For some instruments, the method of transitioning to an alternative rate may be challenging, as they may require negotiation with the respective counterparty. If a contract is not transitioned to an alternative rate and LIBOR is discontinued, the impact on our interest rate swap agreements is likely to vary by agreement. If LIBOR is discontinued or if the methods of calculating LIBOR change from their current form, interest rates on our current or future indebtedness may be adversely affected. While the Company expects LIBOR to be available in substantially its current form until the end of 2021, it is possible that LIBOR will become unavailable prior to that point. This could result, for example, if sufficient banks decline to make submissions to the LIBOR administrator. In that case, the risks associated with the transition to an alternative reference rate will be accelerated and potentially magnified. Notes Payable, Net of Debt Issuance Costs The Company’s notes payable, net, includes two loans: (1) the Cantor Loan and (2) the West Mifflin Note, described in detail below. The following table sets forth the aggregate balances of these loans as of March 31, 2020 and December 31, 2019. March 31, 2020 December 31, 2019 Notes payable, gross $ 39,475 $ 39,475 Less: Unamortized debt issuance costs (634) (667) Cumulative principal repayments (193) (158) Notes payable, net $ 38,648 $ 38,650 Amortization expense incurred related to the debt issuance costs was $33 for both the three months ended March 31, 2020 and 2019, respectively, and is included in the “Interest Expense” line item in the accompanying Condensed Consolidated Statements of Operations. Cantor Loan On March 31, 2016, through certain of its wholly owned subsidiaries, the Company entered into a $32,097 portfolio commercial mortgage-backed securities loan (the “Cantor Loan”) with Cantor Commercial Real Estate Lending, LP (“CCRE”). The subsidiaries are GMR Melbourne, LLC, GMR Westland, LLC, GMR Memphis, LLC, and GMR Plano, LLC (the “GMR Loan Subsidiaries”). The Cantor Loan has cross-default and cross-collateral terms. The Cantor Loan has a maturity date of April 6, 2026 and accrues annual interest at 5.22%. The first five years of the term require interest-only payments and thereafter payments will include interest and principal, amortized over a 30‑year schedule. Prepayment can only occur within four months prior to the maturity date, except that the Cantor Loan can be fully and partially defeased upon payment of amounts due under the Cantor Loan and payment of a defeasance amount. The Company secured the payment of the Cantor Loan with the assets, including property, facilities, and rents, held by the GMR Loan Subsidiaries and has agreed to guarantee certain customary recourse obligations, including findings of fraud, gross negligence, or breach of environmental covenants by the GMR Loan Subsidiaries. The GMR Loan Subsidiaries will be required to maintain a monthly debt service coverage ratio of 1.35:1.00 for all of the collateral properties in the aggregate. The note balance as of March 31, 2020 and December 31, 2019 was $32,097. Interest expense incurred on this note was $423 and $419 for the three months ended March 31, 2020 and 2019, respectively. As of March 31, 2020, scheduled principal payments due for each fiscal year ended December 31 are as follows: 2020 (nine months remaining) $ — 2021 282 2022 447 2023 471 2024 492 Thereafter 30,405 Total $ 32,097 West Mifflin Note On September 25, 2015, the Company, through its wholly-owned subsidiary GMR Pittsburgh LLC, as borrower, entered into a Term Loan and Security Agreement with Capital One to borrow $7,378. The note bears interest at 3.72% per annum and all unpaid interest and principal is due on September 25, 2020. Interest and principal are paid on the first day of each calendar month thereafter based on an amortization schedule that began on November 1, 2018 and extends through the maturity date. The Company, at its option, may prepay the note at any time in whole (but not in part) with advanced written notice. The West Mifflin facility serves as collateral for the note. The note requires a quarterly fixed charge coverage ratio of at least 1:1, a quarterly minimum debt yield of 0.09:1.00, and annualized Operator EBITDAR (as defined in the note) measured on a quarterly basis of not less than $6,000. The Operator is Associates in Ophthalmology, Ltd. and Associates Surgery Centers, LLC. The Company made principal payments of $35 during both of the three months ended March 31, 2020 and 2019. The note balance as of March 31, 2020 and December 31, 2019 was $7,185 and $7,220, respectively. Interest expense incurred on this note was $68 and $66 for the three months ended March 31, 2020 and 2019, respectively. Derivative Instruments - Interest Rate Swaps As of March 31, 2020, the Company had the following five interest rate swaps that are used to manage the interest rate risk and fix the LIBOR component of certain of its floating rate debt as follows: Counterparty Notional Amount Fixed Interest Rate Maturity BMO $ 100 million 2.88 % August 2023 BMO $ 90 million 1.21 % August 2024 Truist Bank $ 40 million 1.21 % August 2024 Truist Bank $ 40 million 2.93 % August 2024 Citizens Bank, National Association $ 30 million 2.93 % August 2024 Total/Weighted Average $ 300 million 2.17 % In accordance with the provisions of ASC Topic 815, the Company records the swaps either as an asset or a liability measured at its fair value at each reporting period. When hedge accounting is applied, the change in the fair value of derivatives designated and that qualify as cash flow hedges is (i) recorded in accumulated other comprehensive loss in the equity section of the Company’s Condensed Consolidated Balance Sheets and (ii) subsequently reclassified into earnings as interest expense for the period that the hedged forecasted transactions affect earnings. If specific hedge accounting criteria are not met, changes in the Company’s derivative instruments’ fair value are recognized currently as an adjustment to net income. The Company’s interest rate swaps are not traded on an exchange. The Company’s interest rate swaps are recorded at fair value based on a variety of observable inputs including contractual terms, interest rate curves, yield curves, measure of volatility, and correlations of such inputs. The Company measures its derivatives at fair value on a recurring basis based on the expected size of future cash flows on a discounted basis and incorporating a measure of non-performance risk. The fair values are based on Level 2 inputs within the framework of ASC Topic 820, “Fair Value Measurement.” The Company considers its own credit risk, as well as the credit risk of its counterparty, when evaluating the fair value of its derivative instruments. The fair value of the Company’s interest rate swaps was a net liability of $20,461 and $6,491 as of March 31, 2020 and December 31, 2019, respectively. The gross balances are included in the “Derivative Asset’ and “Derivative Liability” line items on the Company’s Condensed Consolidated Balance Sheets as of March 31, 2020 and December 31, 2019, respectively. The table below details the components of the loss presented on the accompanying Condensed Consolidated Statements of Comprehensive (Loss) Income recognized on the Company’s interest rate swaps designated as cash flow hedges for the three months ended March 31, 2020 and 2019: Three Months Ended March 31, 2020 2019 Amount of loss recognized in other comprehensive loss $ 14,466 $ 2,204 Amount of loss reclassified from accumulated other comprehensive loss into interest expense (508) (182) Total change in accumulated other comprehensive loss $ 13,958 $ 2,022 During the next twelve months, the Company estimates that an additional $5,568 will be reclassified as an increase to interest expense. Additionally, during the three months ended March 31, 2020, the Company recorded total interest expense in its Condensed Consolidated Statements of Operations of $4,378. Weighted-Average Interest Rate and Term The weighted average interest rate and term of the Company’s debt was 3.63% and 3.49 years at March 31, 2020, compared to 3.90% and 3.76 years as of December 31, 2019.

Equity

Equity	3 Months Ended
	Mar. 31, 2020
Equity
Equity	Note 5 – Equity Preferred Stock The Company’s charter authorizes the issuance of 10,000 shares of preferred stock, par value $0.001 per share. As of March 31, 2020 and December 31, 2019, there were 3,105 shares of Series A Cumulative Redeemable Preferred Stock (“Series A Preferred Stock”), issued and outstanding. The Series A Preferred Stock has a liquidation preference of $25 per share. Preferred stock dividend activity for the three months ended March 31, 2020 is summarized in the following table: Applicable Quarterly Dividends Date Announced Record Date Quarter Payment Date Dividend per Share December 13, 2019 January 15, 2020 Q4 2019 January 31, 2020 $ 1,455 $ 0.46875 March 4, 2020 April 15, 2020 Q1 2020 April 30, 2020 $ 1,455 (1) $ 0.46875 (1) Two months of this amount, equal to $970, was accrued at March 31, 2020. The holders of the Series A Preferred Stock are entitled to receive dividend payments only when, as and if declared by the Company’s board of directors (the “Board”) (or a duly authorized committee of the Board). Dividends will accrue or be payable in cash from the original issue date, on a cumulative basis, quarterly in arrears on each dividend payment date at a fixed rate per annum equal to 7.50% of the liquidation preference of $25.00 per share (equivalent to $1.875 per share on an annual basis). Dividends on the Series A Preferred Stock will be cumulative and will accrue whether or not (i) funds are legally available for the payment of those dividends, (ii) the Company has earnings or (iii) those dividends are declared by the Board. The quarterly dividend payment dates on the Series A Preferred Stock are January 31, April 30, July 31 and October 31 of each year. During each of the three month periods ended March 31, 2020 and 2019, the Company paid preferred dividends of $1,455 Common Stock The Company has 500,000 authorized shares of common stock, $0.001 par value. As of March 31, 2020 and December 31, 2019, there were 44,278 and 43,806 outstanding shares of common stock, respectively. Common stock dividend activity for the three months ended March 31, 2020 is summarized in the following table: Applicable Dividend Dividends Date Announced Record Date Quarter Payment Date Amount (1) per Share December 13, 2019 December 26, 2019 Q4 2019 January 9, 2020 $ 9,541 $ 0.20 March 4, 2020 March 25, 2020 Q1 2020 April 9, 2020 $ 9,610 $ 0.20 (1) Includes distributions on granted LTIP Units and OP Units. During the three months ended March 31, 2020 and 2019, the Company paid total dividends on its common stock, LTIP Units and OP Units in the aggregate amount of $10,031 and $5,781, respectively. As of March 31, 2020 and December 31, 2019, the Company had an accrued dividend balance of $369 and $580 for dividends payable on the aggregate annual and long-term LTIP Units that are subject to retroactive receipt of dividends on the amount of LTIP Units ultimately earned. During the three months ended March 31, 2020, $279 of dividends were accrued and $490 of dividends were paid related to these units. During the three months ended March 31, 2019, $97 of dividends were accrued and $86 of dividends were paid related to these units. The amount of the dividends paid to the Company’s stockholders is determined by the Board and is dependent on a number of factors, including funds available for payment of dividends, the Company’s financial condition and capital expenditure requirements except that, in accordance with the Company’s organizational documents and Maryland law, the Company may not make dividend distributions that would: (i) cause it to be unable to pay its debts as they become due in the usual course of business; (ii) cause its total assets to be less than the sum of its total liabilities plus senior liquidation preferences; or (iii) jeopardize its ability to maintain its qualification as a REIT. OP Units During the three months ended March 31, 2020, three OP Unit holders redeemed an aggregate of 450 OP Units for shares of the Company’s common stock with an aggregate redemption value of $6,660. During the year ended December 31, 2019, the Company issued an aggregate of 49 OP Units with a value of $506 in connection with a facility acquisition. Additionally, during the year ended December 31, 2019, two OP Unit holders redeemed an aggregate of 51 OP Units for shares of the Company’s common stock with an aggregate redemption value of $519. As of March 31, 2020 and December 31, 2019, there were 2,693 and 3,143 OP Units issued and outstanding, respectively, with an aggregate value of $21,221 and $27,881, respectively. The OP Unit value at issuance and redemption is based on the Company’s closing share price on the date of the respective transaction and is included as a component of noncontrolling interest equity in the Company’s Condensed Consolidated Balance Sheets as of March 31, 2020 and December 31, 2019. The Company has sufficient shares of common stock authorized pursuant to its charter to cover the redemption of outstanding OP Units.

Related Party Transactions

Related Party Transactions	3 Months Ended
	Mar. 31, 2020
Related Party Transactions
Related Party Transactions	Note 6 – Related Party Transactions Management Agreement Upon completion of the Company’s initial public offering on July 1, 2016, the Company and the Advisor entered into an amended and restated management agreement (the “Management Agreement”). Certain material terms of the Management Agreement are summarized in the section titled “ Business — Our Advisor and our Management Agreement ,” contained in the Company’s Annual Report on Form 10‑K for the year ended December 31, 2019 filed with the SEC on March 9, 2020. Management Fees and Accrued Management Fees The Company’s management fee to the Advisor is calculated in accordance with the terms of the Management Agreement which requires an annual base management fee equal to 1.5% of our stockholders’ equity (as defined in the Management Agreement). For the three months ended March 31, 2020 and 2019, management fees of $2,002 and $1,334, respectively, were incurred and expensed by the Company. Accrued management fees due to the Advisor were $2,002 and $1,727 as of March 31, 2020 and December 31, 2019, respectively. No incentive management fee was incurred by the Company during the three months ended March 31, 2020 or 2019. Allocated General and Administrative Expenses In the future, the Company may receive allocations of general and administrative expenses from the Advisor that are either clearly applicable to or were reasonably allocated to the operations of the Company. Related Party Balances A rollforward of the due from related parties and due to related party balance, net, as of March 31, 2020 is as follows: Due From Related Parties Due to Related Party,Net Other Funds for Mgmt.Fees Funds due Due to Various due to from Related Purposes Advisor Advisor Party, net Balance as of January 1, 2020 $ 50 $ (1,727) 79 $ (1,648) Management fee expense incurred — (2,002) — (2,002) Management fees paid to Advisor — 1,727 — 1,727 Loans to Advisor — — (25) (25) Loan to related parties 20 — — — Balance as of March 31, 2020 $ 70 $ (2,002) 54 $ (1,948)

Stock-Based Compensation

Stock-Based Compensation	3 Months Ended
	Mar. 31, 2020
Stock-Based Compensation
Stock-Based Compensation	Note 7 – Stock-Based Compensation 2016 Equity Incentive Plan The 2016 Equity Incentive Plan, as amended (the “Plan”), is intended to assist the Company and its affiliates in recruiting and retaining employees of the Advisor, members of the Board, executive officers of the Company, and individuals who provide services to those entities or affiliates of those entities. The Plan is intended to permit the grant of both qualifying and non-qualified options and the grant of stock appreciation rights, restricted stock, unrestricted stock, awards of restricted stock units, performance awards and other equity-based awards (including LTIP Units) for up to an aggregate of 1,763 shares of common stock, subject to increase under certain provisions of the Plan. Based on the grants outstanding as of March 31, 2020, there are 1,084 shares of common stock that remain available to be granted under the Plan. Units subject to awards under the Plan that are forfeited, cancelled, lapsed, settled in cash or otherwise expired (excluding shares withheld to satisfy exercise prices or tax withholding obligations) are available for grant. Time-Based Grants On March 3, 3020, pursuant to the recommendation of the Compensation Committee of the Board (the “Compensation Committee”), the Board approved the following LTIP Unit grants: · 154,903 LTIP Units that were determined to be earned in accordance with the terms of the previously disclosed 2017 long-term performance award agreements. These grants vested 50% on March 3, 2020, the determination date, and 50% vest on March 3, 2021. · 146,938 LTIP Units that were determined to be earned in accordance with the terms of the previously disclosed 2019 annual award agreements. These grants vested 50% on March 3, 2020, the determination date, and 50% vest on March 3, 2021. · 42,726 LTIP Units in connection with the 2020 Long-Term Incentive Plan. These grants were valued based on the Company’s closing common stock price on the March 3, 2020 date of grant of $14.34 and vest in equal one-third increments on each of March 3, 2021, March 3, 2022, and March 3, 2023. A detail of the Company’s outstanding time based LTIP Units as of March 31, 2020 is as follows: Vested units 773 Unvested units 308 LTIP Units outstanding as of March 31, 2020 1,081 Performance Based Awards For each of the previous four years the Board has approved annual performance-based LTIP awards (“Annual Awards”) and long-term performance-based LTIP awards (“Long-Term Awards”) to the executive officers of the Company and other employees of the Advisor who perform services for the Company. As described below, the Annual Awards have one-year performance periods and the Long-Term Awards have three-year performance periods. In addition to meeting specified performance metrics, vesting in both the Annual Awards and the Long-Term Awards is subject to service requirements. A detail of the Company’s Annual Awards and Long-Term Awards under the 2017, 2018, 2019, and 2020 programs as of March 31, 2020 is as follows: 2017 Long-Term Awards (1) 18 2018 Long-Term Awards 110 2019 Long-Term Awards 82 2020 Annual Awards (2) 196 2020 Long-Term Awards (3) 70 Total target performance awards as of March 31, 2020 476 (1) Represents awards that were not vested as of March 31, 2020. (2) Approved by the Board on March 17, 2020. The number of target LTIP Units was based on the closing price of the Company’s common stock reported on the New York Stock Exchange (“NYSE”) on that date. (3) Approved by the Board on March 3, 2020. The number of target LTIP Units was based on the fair value of the Long-Term Awards as determined by an independent valuation consultant. Annual Awards . The Annual Awards are subject to the terms and conditions of LTIP Annual Award Agreements (“LTIP Annual Award Agreements”) between the Company and each grantee. The Compensation Committee and Board established performance goals for fiscal year 2020, as set forth in Exhibit A to the 2020 LTIP Annual Award Agreements (the “Performance Goals”) that will be used to determine the number of LTIP Units earned by each grantee. As of March 31, 2020, management estimated that the Performance Goals would be met at a 100% level, and accordingly, applied 100% to the net target 2020 program Annual Awards to estimate the 2020 program Annual Awards expected to be earned at the end of the performance period. Cumulative stock-based compensation expense during the three months ended March 31, 2020 reflects management’s estimate that 100% of these awards will be earned. As soon as reasonably practicable following the first anniversary of the Annual Awards grant date, the Compensation Committee and Board will determine the extent to which the Company has achieved each of the Performance Goals (expressed as a percentage) and, based on such determination, will calculate the number of LTIP Units that each grantee is entitled to receive. Each grantee may earn up to 150% of the number of his/her target LTIP Units. Any 2020 Annual Award LTIP Units that are not earned will be forfeited and cancelled. Vesting. LTIP Units that are earned as of the end of the applicable performance period will be subject to vesting, subject to continued employment through each vesting date, in two installments as follows: 50% of the earned LTIP Units will become vested on the date in 2021 that the Board approves the number of LTIP Units to be awarded pursuant to the performance components set forth in the 2020 LTIP Annual Award Agreements and 50% of the earned LTIP Units become vested on the one year anniversary of the initial vesting date. Vesting may be accelerated under certain circumstances such as a “change-in-control” transaction or a “qualified termination” event. Distributions. Distributions equal to the dividends declared and paid by the Company will accrue during the applicable performance period on the maximum number of LTIP Units that the grantee could earn and will be paid with respect to all of the earned LTIP Units at the conclusion of the applicable performance period, in cash or by the issuance of additional LTIP Units at the discretion of the Compensation Committee. Long-Term Awards. The Long-Term Awards are subject to the terms and conditions of 2017, 2018, 2019, and 2020 LTIP Long-Term Award Agreements (collectively the “LTIP Long-Term Award Agreements”) between the Company and each grantee. The number of LTIP Units that each grantee is entitled to earn under the LTIP Long-Term Award Agreements will be determined following the conclusion of a three-year performance period based on the Company’s total stockholder return (“TSR”), which is determined based on a combination of appreciation in stock price and dividends paid during the performance period. Each grantee may earn up to 200% of the number of target LTIP Units covered by the grantee’s Long-Term Award. Any target LTIP Units that are not earned will be forfeited and cancelled. The number of LTIP Units earned under the Long-Term Awards will be determined as soon as reasonably practicable following the end of the applicable three-year performance period (2020, 2021, 2022, or 2023 depending on the program) based on the Company’s TSR on an absolute basis (as to 75% of the Long-Term Award) and relative to the SNL Healthcare REIT Index (as to 25% of the Long-Term Award). Vesting. LTIP Units that are earned as of the end of the applicable three-year performance period will be subject to forfeiture restrictions that will lapse (“vesting”), subject to continued employment through each vesting date as follows; 50% of the earned LTIP Units will vest upon the third anniversary of the respective grant dates and the remaining 50% will vest on the fourth anniversary of the respective grant dates. Vesting may be accelerated under certain circumstances such as a “change-in-control” transaction or a “qualified termination” event. Distributions. Pursuant to the LTIP Long-Term Award Agreements, distributions equal to the dividends declared and paid by the Company will accrue during the applicable performance period on the maximum number of LTIP Units that the grantee could earn and will be paid with respect to all of the earned LTIP Units at the conclusion of the applicable performance period, in cash or by the issuance of additional LTIP Units at the discretion of the Compensation Committee. Stock-Based Compensation Expense Under the provisions of ASU 2018‑07, the Company’s prospective compensation expense for all unvested LTIP Units, Annual Awards, and Long-Term Awards is recognized using the adoption date fair value of the awards, with no remeasurement required. Compensation expense for future LTIP Unit grants, Annual Awards, and Long-Term Awards is based on the grant date fair value of the units/awards, with no subsequent remeasurement required. As the Long-Term Awards involve market-based performance conditions, the Company utilizes a Monte Carlo simulation to provide a grant date fair value for expense recognition. The Monte Carlo simulation is a generally accepted statistical technique used, in this instance, to simulate a range of possible future stock prices for the Company and the members of the SNL Healthcare REIT Index (the “Index”) over the Performance Periods. The purpose of this modeling is to use a probabilistic approach for estimating the fair value of the performance share award for purposes of accounting under ASC Topic 718. The assumptions used in the Monte Carlo simulation include beginning average stock price, valuation date stock price, expected volatilities, correlation coefficients, risk-free rate of interest, and expected dividend yield. The beginning average stock price is the beginning average stock price for the Company and each member of the Index for the five trading days leading up to the grant date of the Long-Term Award. The valuation date stock price is the average closing stock price for the Company and each member of the Index for the 15 trading days leading up to the valuation date. The expected volatilities are modeled using the historical volatilities for the Company and the members of the Index. The correlation coefficients are calculated using the same data as the historical volatilities. The risk-free rate of interest is taken from the U.S. Treasury website and relates to the expected life of the remaining performance period on valuation or revaluation. Lastly, the dividend yield assumption is 0.0%, which is mathematically equivalent to reinvesting dividends in the issuing entity, which is part of the Company’s award agreement assumptions. Below are details regarding certain of the assumptions for the Long-Term Awards using Monte Carlo simulations: 2020 Long-Term 2019 Long-Term 2018 Long-Term 2017 Long-Term Awards Awards Awards Awards Fair value $ 13.47 $ 10.07 $ 8.86 $ 8.86 Target awards 70 82 110 96 Volatility 28.75 % 31.7 % 33.8 % 33.8% - 35.4% Risk-free rate 0.72 % 2.5 % 2.6 % 2.4% - 2.6% Dividend assumption reinvested reinvested reinvested reinvested Expected term in years 1.7 – 2.7 The Company incurred stock compensation expense of $922 and $771 for the three months ended March 31, 2020 and 2019, respectively, related to the grants awarded under the Plan. Compensation expense is included within “General and Administrative” expense in the Company’s Condensed Consolidated Statements of Operations. As of March 31, 2020, total unamortized compensation expense related to these awards of approximately $5.2 million is expected to be recognized over a weighted average remaining period of 1.6 years.

Leases

Leases	3 Months Ended
	Mar. 31, 2020
Leases
Leases	Note 8 – Leases The Company operates as both a lessor and a lessee. As a lessor, the Company is required under ASC Topic 842 to account for leases using an approach that is substantially similar to ASC Topic 840’s guidance for operating leases and other leases such as sales-type leases and direct financing leases. In addition, ASC Topic 842 requires lessors to capitalize and amortize only incremental direct leasing costs. As a lessee, the Company is required under the new standard to apply a dual approach, classifying leases, such as ground leases, as either finance or operating leases based on the principle of whether or not the lease is effectively a financed purchase. This classification determines whether lease expense is recognized based on an effective interest method or on a straight-line basis over the term of the lease. ASC Topic 842 also requires lessees to record a right of use asset and a lease liability for all leases with an initial term of greater than a year regardless of their classification. The Company has also elected the practical expedient not to recognize right of use assets and lease liabilities for leases with a term of a year or less. Information as Lessor Under ASC Topic 842 To generate positive cash flow, as a lessor, the Company leases its facilities to tenants in exchange for fixed monthly payments that cover rent, property taxes, insurance and certain cost recoveries, primarily common area maintenance (“CAM”). The Company’s leases were determined to be operating leases and have a portfolio average lease years remaining of approximately 10 years. Payments from the Company’s tenants for CAM are considered nonlease components that are separated from lease components and are generally accounted for in accordance with the revenue recognition standard. However, the Company qualified for and elected the practical expedient related to combining the components because the lease component is classified as an operating lease and the timing and pattern of transfer of CAM income, which is not the predominant component, is the same as the lease component, for all asset classes. As such, consideration for CAM is accounted for as part of the overall consideration in the lease. Payments from customers for property taxes and insurance are considered non-components of the lease and therefore no consideration is allocated to them because they do not transfer a good or service to the customer. Fixed contractual payments from the Company’s leases are recognized on a straight-line basis over the terms of the respective leases. This means that, with respect to a particular lease, actual amounts billed in accordance with the lease during any given period may be higher or lower than the amount of rental revenue recognized for the period. Straight-line rental revenue is commenced when the tenant assumes control of the leased premises. Accrued straight-line rents receivable represents the amount by which straight-line rental revenue exceeds rents currently billed in accordance with lease agreements. Rental revenue for the three months ended March 31, 2020 included variable revenues of $1,484. Some of the Company’s leases are subject to annual changes in the Consumer Price Index (“CPI”). Although increases in CPI are not estimated as part of the Company’s measurement of straight-line rental revenue, for leases with base rent increases based on CPI, the amount of rent revenue recognized is adjusted in the period the changes in CPI are measured and effective. Additionally, some of the Company’s leases have extension options. Initial direct costs, primarily commissions, related to the leasing of our facilities are capitalized when material as incurred. Capitalized leasing costs are amortized on a straight-line basis over the remaining useful life of the respective leases. All other costs to negotiate or arrange a lease are expensed as incurred. Lease-related receivables, which include accounts receivable and accrued straight-line rents receivable, are reduced for credit losses, if applicable. To date the Company’s receivables have not had any credit losses. Such amounts would be recognized as a reduction to rental and other revenues. The Company regularly evaluates the collectability of its lease-related receivables. The Company’s evaluation of collectability primarily consists of reviewing past due account balances and considering such factors as the credit quality of our tenant, historical trends of the tenant and changes in tenant payment terms. If the Company’s assumptions regarding the collectability of lease-related receivables prove incorrect, the Company could experience credit losses in excess of what was recognized in rental and other revenues. The Company recognized $21,533 of rental and other revenues related to operating lease payments for the three months ended March 31, 2020. The aggregate annual cash to be received by the Company on the noncancelable operating leases related to its portfolio as of March 31, 2020 is as follows for the subsequent years ended December 31: 2020 (nine months remaining) $ 58,269 2021 76,191 2022 74,498 2023 71,822 2024 65,662 Thereafter 370,621 Total $ 717,063 Information as Lessee Under ASC Topic 842 The Company has six buildings located on land that is subject to operating ground leases with a weighted average remaining term of approximately 24 years. Rental payments on these leases are adjusted periodically based on either the CPI or on a pre-determined schedule. The monthly payments on a pre-determined schedule are recognized on a straight-line basis over the terms of the respective leases. Changes in the CPI are not estimated as part of our measurement of straight-line rental expense. The Company used a weighted average discount rate of approximately 4.4%, which was derived, using a portfolio approach, from our assessment of the credit quality of the Company and adjusted to reflect secured borrowing, estimated yield curves and long-term spread adjustments over appropriate tenors. Some of the Company’s ground leases contain extension options and, where we determined it was reasonably certain that an extension would occur, they were included in our calculation of the right of use asset and liability. The Company recognized approximately $42 of ground lease expense, of which $16 was paid in cash, during the three months ended March 31, 2020. The following table sets forth the undiscounted cash flows of our scheduled obligations for future lease payments on operating ground leases at March 31, 2020, and a reconciliation of those cash flows to the operating lease liability at March 31, 2020: 2020 (nine months remaining) $ 87 2021 116 2022 116 2023 120 2024 125 Thereafter 4,351 Total 4,915 Discount (2,501) Lease liability $ 2,414

Rent Concentration

Rent Concentration	3 Months Ended
	Mar. 31, 2020
Rent Concentration
Rent Concentration	Note 9 – Rent Concentration The Company’s facilities with a concentration of rental revenue of 5% or greater for either period presented is as follows: Three Months Ended March 31, Facility 2020 2019 Encompass 8 % 10 % Belpre 7 10 OCOM 5 8 Sherman 4 6 Austin 4 6 East Dallas 3 5 Aggregate of all other facilities 69 55 Total 100 % 100 %

Commitments and Contingencies

Commitments and Contingencies	3 Months Ended
	Mar. 31, 2020
Commitments and Contingencies
Commitments and Contingencies	Note 10 – Commitments and Contingencies Litigation The Company is not presently subject to any material litigation nor, to its knowledge, is any material litigation threatened against the Company, which if determined unfavorably to the Company, would have a material adverse effect on the Company’s financial position, results of operations, or cash flows. Environmental Matters The Company follows a policy of monitoring its properties for the presence of hazardous or toxic substances. While there can be no assurance that a material environmental liability does not exist at its properties, the Company is not currently aware of any environmental liability with respect to its properties that would have a material effect on its financial position, results of operations, or cash flows. Additionally, the Company is not aware of any material environmental liability or any unasserted claim or assessment with respect to an environmental liability that management believes would require additional disclosure or the recording of a loss contingency.

Subsequent Events

Subsequent Events	3 Months Ended
	Mar. 31, 2020
Subsequent Events
Subsequent Events	Note 11 – Subsequent Events COVID-19 Related Rent Deferrals Since its discovery in December 2019, a new strain of coronavirus, which causes the viral disease known as COVID-19, has spread to many countries, including the U.S. The outbreak has been declared a pandemic by the World Health Organization, and the Secretary of Health and Human Services has declared a public health emergency in the U.S. in response to the outbreak. In response to the COVID-19 pandemic, local, state and federal agencies have instituted stay-at-home or shelter-in-place orders, which resulted in closure of many businesses deemed to be non-essential, and with respect to many of the Company’s tenants, significantly reduced volumes. The Company has been working with certain of its tenants that are experiencing significant disruptions in their businesses to help them navigate these uncertain times, including assisting the Company’s tenants in applying for government financial relief and, in certain limited circumstances, entering into rent deferral agreements. As of April 30, 2020, the Company estimates that 2 million of rent that ordinarily would have been collected over the months of April through July 2020 will be deferred and is now expected to be collected primarily over the period from July through December 2020. Pursuant to the Lease Modification Q&A, the Company did not analyze each lease to determine if the concession was negotiated outside of the lease agreement and elected to apply the modification guidance under ASC Topic 842. We do not expect the rent payment deferrals to have a significant impact on the Company’s rental revenue amount over time and the Company expects to collect substantially all the payments deferred. The Company has also entered into, or expects to enter into, other agreements with certain tenants whereby the Company has either (i) agreed to short-term rent reductions in exchange for extended lease terms or (ii) agreed to apply certain deposits or committed tenant improvement funds towards rent, the net effect of which is immaterial to the Company’s financial results. Because the extent of the impact of COVID-19 on the Company’s tenants will depend on future developments, there can be no assurance that the Company’s tenants will be able meet the requirements of these agreements, or that these tenants, or other tenants, may not seek additional relief in the future. The extent of the impact of COVID-19 on the Company’s income, expenses and ability to pay distributions will depend on certain developments, including the duration, spread and potential resurgences of the outbreak and its impact on the Company’s tenants, all of which are uncertain and cannot be predicted. At this time, the Company is unable to estimate the impact of this event on its operations. OP Unit Redemptions for Shares of Common Stock On April 9, 2020, the Company issued an aggregate of 735,000 shares of its common stock to two OP Unit holders in connection with their redemption of OP Units issued by the Operating Partnership in connection with their contribution of certain assets to the Operating Partnership.

Summary of Significant Accoun_2

Summary of Significant Accounting Policies (Policies)	3 Months Ended
	Mar. 31, 2020
Summary of Significant Accounting Policies
Basis of presentation	Basis of presentation The accompanying condensed consolidated financial statements are unaudited and include the accounts of the Company, including the Operating Partnership and its wholly owned subsidiaries. The accompanying condensed consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) and the rules and regulations of the U.S. Securities and Exchange Commission (“SEC”). Certain information and footnote disclosures required for annual consolidated financial statements have been condensed or excluded pursuant to SEC rules and regulations. Accordingly, the accompanying condensed consolidated financial statements do not include all the information and footnotes required by GAAP for complete consolidated financial statements and should be read in conjunction with the audited consolidated financial statements and notes thereto for the fiscal year ended December 31, 2019. In the opinion of management, all adjustments of a normal and recurring nature necessary for a fair presentation of the condensed consolidated financial statements for the interim periods have been made.
Principles of Consolidation	Principles of Consolidation The accompanying condensed consolidated financial statements include the accounts of the Company, including the Operating Partnership and its wholly owned subsidiaries. The Company presents the portion of any equity it does not own but controls (and thus consolidates) as noncontrolling interest. Noncontrolling interest in the Company includes the LTIP Units that have been granted to directors, officers and affiliates of the Company and the OP Units held by third parties. Refer to Note 5 – “Equity” and Note 7 – “Stock-Based Compensation” for additional information regarding the OP Units and LTIP Units. The Company classifies noncontrolling interest as a component of consolidated equity on its Condensed Consolidated Balance Sheets, separate from the Company’s total equity. The Company’s net income or loss is allocated to noncontrolling interests based on the respective ownership or voting percentage in the Operating Partnership associated with such noncontrolling interests and is removed from consolidated income or loss on the Condensed Consolidated Statements of Operations in order to derive net income or loss attributable to common stockholders. The noncontrolling ownership percentage is calculated by dividing the aggregate number of LTIP Units and OP Units by the total number of units and shares outstanding. Any future issuances of additional LTIP Units or OP Units would change the noncontrolling ownership interest.
Use of Estimates	Use of Estimates The preparation of the condensed consolidated financial statements in conformity with GAAP requires the Company to make estimates and assumptions that affect the amounts reported in the condensed consolidated financial statements and footnotes. Actual results could differ from those estimates.
Investment in Real Estate	Investment in Real Estate The Company determines when an acquisition meets the definition of a business or alternatively should be accounted for as an asset acquisition in accordance with Accounting Standard Codification (“ASC”) Topic 805 “Business Combinations” (“ASC Topic 805”), which requires that, when substantially all of the fair value of an acquisition is concentrated in a single identifiable asset or a group of similar identifiable assets, the asset or group of similar identifiable assets does not meet the definition of a business and therefore is required to be accounted for as an asset acquisition. Transaction costs continue to be capitalized for asset acquisitions and expensed as incurred for business combinations. ASC Topic 805 resulted in all of our post-January 1, 2018 acquisitions being accounted for as asset acquisitions because substantially all of the fair value of the gross assets the Company acquires are concentrated in a single asset or group of similar identifiable assets. For asset acquisitions that are “owner occupied” (meaning that the seller either is the tenant or controls the tenant), the purchase price, including capitalized acquisition costs, will be allocated to land and building based on their relative fair values with no value allocated to intangible assets or liabilities. For asset acquisitions where there is a lease in place but not “owner occupied,” the Company will allocate the purchase price to tangible assets and any intangible assets acquired or liabilities assumed based on their relative fair values. Fair value is determined based upon the guidance of ASC Topic 820, “Fair Value Measurements and Disclosures,” and generally are determined using Level 2 inputs, such as rent comparables, sales comparables, and broker indications. Although Level 3 Inputs are utilized, they are minor in comparison to the Level 2 data used for the primary assumptions. The determination of fair value involves the use of significant judgment and estimates. We make estimates to determine the fair value of the tangible and intangible assets acquired and liabilities assumed using information obtained from multiple sources, including preacquisition due diligence, and we routinely utilize the assistance of a third-party appraiser.
Revenue Recognition	Revenue Recognition The Company’s operations primarily consist of rental revenue earned from tenants under leasing arrangements which provide for minimum rent and escalations. The leases have been accounted for as operating leases. For operating leases with contingent rental escalators, revenue is recorded based on the contractual cash rental payments due during the period. Revenue from leases with fixed annual rental escalators are recognized on a straight-line basis over the initial lease term, subject to a collectability assessment, with the difference between the contractual rental receipts and the straight-line amounts recorded as a “deferred rent receivable.” Additionally, the Company recognizes “expense recoveries” revenue, which represents revenue recognized related to tenant reimbursement of real estate taxes, insurance, and certain other operating expenses. The Company recognizes these reimbursements and related expenses on a gross basis in its Condensed Consolidated Statements of Operations, i.e.,the Company recognizes an equivalent increase in revenue (“expense recoveries”) and expense (“operating expenses”).
Cash and Cash Equivalents and Restricted Cash	Cash and Cash Equivalents and Restricted Cash The Company considers all demand deposits, cashier’s checks, money market accounts, and certificates of deposit with a maturity of three months or less to be cash equivalents. Amounts included in restricted cash represent (1) certain security deposits received from tenants at the inception of their leases; (2) cash required to be held by a third-party lender as a reserve for debt service; and (3) funds held by the Company that were received from certain tenants that the Company collected to pay specific tenant expenses, such as real estate taxes and insurance, on the tenant’s behalf (“tenant reimbursements”). The following table provides a reconciliation of the Company’s cash and cash equivalents and restricted cash that sums to the total of those amounts at the end of the periods presented on the Company’s accompanying Condensed Consolidated Statements of Cash Flows: As of March 31, 2020 2019 Cash and cash equivalents $ 11,340 $ 1,844 Restricted cash 5,536 1,464 Total cash and cash equivalents and restricted cash $ 16,876 $ 3,308
Tenant Receivables	Tenant Receivables The tenant receivable balance as of March 31, 2020 and December 31, 2019 was $5,708 and $4,957, respectively. The balance as of March 31, 2020 consisted of $1,375 in funds owed from the Company’s tenants for rent that the Company had earned but had not yet received, $1,231 of loans that were made to two of the Company’s tenants, $2,423 of tenant reimbursements, as well as $679 in miscellaneous receivables. The balance as of December 31, 2019 consisted of $1,428 in funds owed from the Company’s tenants for rent that the Company had earned but had not yet received, $1,062 of loans that were made to two of the Company’s tenants, $2,342 of tenant reimbursements, as well as $125 in miscellaneous receivables. The Company adopted the provisions of ASU 2016-13, “Financial Instruments - Credit Losses” (“ASU 2016-03”) effective January 1, 2020. Receivables arising from operating leases are not within the scope of Subtopic 326-20. Instead, impairment of these receivables should be accounted for in accordance with ASC Topic 842 “Leases” (“ASC Topic 842”). The adoption of ASU 2016-03 did not have a material impact on the Company’s condensed consolidated financial statements or related disclosures. The Company assesses the likelihood of losses resulting from tenant defaults, or the inability of tenants to make contractual rent and tenant recovery payments at each reporting date. The Company also monitors the liquidity and creditworthiness of its tenants and operators on a continuous basis. Based on its consideration of these factors, the Company concluded that collection of its receivables was probable as of March 31, 2020. If the likelihood of a tenant paying its lease payments is determined to no longer be probable all tenant receivables including deferred rent would need to be written off against revenue and any future revenue for that tenant would be recognized only upon receipt of cash. In addition, a portfolio level reserve may need to be established in the future on those leases that are probable of collection to ensure that the tenant lease receivables are not overstated.
Escrow Deposits	Escrow Deposits The escrow balance as of March 31, 2020 and December 31, 2019 was $3,589 and $3,417, respectively. Escrow deposits include funds held in escrow to be used for the acquisition of properties in the future and for the payment of taxes, insurance, and other amounts as stipulated by the Company’s Cantor Loan, as hereinafter defined.
Deferred Assets	Deferred Assets The deferred assets balance as of March 31, 2020 and December 31, 2019 was $16,141 and $14,512, respectively. The balance as of March 31, 2020 consisted of $16,069 in deferred rent receivables resulting from the recognition of revenue from leases with fixed annual rental escalations on a straight-line basis and $72 of other deferred costs. The balance as of December 31, 2019 consisted of $14,204 in deferred rent receivables resulting from the recognition of revenue from leases with fixed annual rental escalations on a straight-line basis and $308 of other deferred costs.
Other Assets	Other Assets The other assets balance as of March 31, 2020 and December 31, 2019 was $3,731 and $3,593, respectively. The balance as of March 31, 2020 consisted of $3,060 for a right of use asset (refer to Note 8 – “Leases” for additional details), $404 in capitalized preacquisition costs, and $267 in a prepaid asset. The balance as of December 31, 2019 consisted of $3,077 for a right of use asset, $223 in capitalized preacquisition costs, and $293 in a prepaid asset.
Security Deposits and Other	Security Deposits and Other The security deposits and other liability balance as of March 31, 2020 and December 31, 2019 was $6,546 and $6,351, respectively. The balance as of March 31, 2020 consisted of security deposits of $5,011 and a tenant impound liability of $1,535 related to amounts owed for specific tenant expenses, such as real estate taxes and insurance. The balance as of December 31, 2019 consisted of security deposits of $4,968 and a tenant impound liability of $1,383 related to amounts owed for specific tenant expenses, such as real estate taxes and insurance.
Derivative Instruments - Interest Rate Swaps	Derivative Instruments - Interest Rate Swaps As of March 31, 2020 and December 31, 2019, the Company’s net liability balance related to interest rate swap derivative instruments that were designated as cash flow hedges of interest rate risk was $20,461 and $6,491, respectively. In accordance with the Company’s risk management strategy, the purpose of the interest rate swaps is to manage interest rate risk for certain of the Company’s variable-rate debt. The interest rate swaps involve the Company’s receipt of variable-rate amounts from three counterparties in exchange for the Company making fixed-rate payments over the life of the agreement. The Company accounts for derivative instruments in accordance with the provisions of ASC Topic 815, “Derivatives and Hedging.” Refer to Note 4 – “Credit Facility, Notes Payable and Derivative Instruments” for additional details.
Recent Accounting Pronouncements	Recent Accounting Pronouncements Lease Modifications Due to the business disruptions and challenges severely affecting the global economy caused by the COVID-19 pandemic, many lessors may be required to provide rent deferrals and other lease concessions to lessees. While the lease modification guidance in ASC Topic 842 (“ASC Topic 842”) addresses routine changes to lease terms resulting from negotiations between the lessee and the lessor, this guidance did not contemplate concessions being so rapidly executed to address the sudden liquidity constraints of some lessees arising from the COVID-19 pandemic. In April 2020, the Financial Accounting Standards Board (“FASB”) staff issued a question and answer document (the “Lease Modification Q&A”) focused on the application of lease accounting guidance to lease concessions provided as a result of the COVID-19 pandemic. Under existing lease guidance, the Company 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 (treated within the lease modification accounting framework) or if a lease concession was under the enforceable rights and obligations within the existing lease agreement (precluded from applying the lease modification accounting framework). The Lease Modification Q&A allows the Company, if certain criteria have been met, to bypass the lease-by-lease analysis, and instead elect to either apply the lease modification accounting framework or not, with such election applied consistently to leases with similar characteristics and similar circumstances. The Company has elected to apply such relief and will avail itself of the election to avoid performing a lease-by-lease analysis for the lease concessions that were (1) granted as relief due to the COVID-19 pandemic and (2) result in the cash flows remaining substantially the same or less. The Lease Modification Q&A has no material impact on the Company’s condensed consolidated financial statements as of and for the three months ended March 31, 2020. However, its future impact on the Company is dependent upon the extent of lease concessions granted to tenants as a result of the COVID-19 pandemic in future periods and the elections made by the Company at the time of entering such concessions. Reference Rate Reform During the three months ended March 31, 2020, the FASB issued Accounting Standards Update (“ASU”) 2020-04, Reference Rate Reform (Topic 848) (“ASU 2020-04”). 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 three months ended March 31, 2020, the Company has 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.

Summary of Significant Accoun_3

Summary of Significant Accounting Policies (Tables)	3 Months Ended
	Mar. 31, 2020
Summary of Significant Accounting Policies
Schedule of Cash and Cash Equivalents and Restricted Cash	The following table provides a reconciliation of the Company’s cash and cash equivalents and restricted cash that sums to the total of those amounts at the end of the periods presented on the Company’s accompanying Condensed Consolidated Statements of Cash Flows: As of March 31, 2020 2019 Cash and cash equivalents $ 11,340 $ 1,844 Restricted cash 5,536 1,464 Total cash and cash equivalents and restricted cash $ 16,876 $ 3,308

Property Portfolio (Tables)

Property Portfolio (Tables)	3 Months Ended
	Mar. 31, 2020
Schedule of Properties Acquired	A rollforward of the gross investment in land, building, improvements, and acquired lease intangible assets as of March 31, 2020 resulting from these acquisitions is as follows: Site Tenant Acquired Lease Gross Investment in Land Building Improvements Improvements Intangibles Assets Real Estate Balances as of December 31, 2019 $ 95,381 $ 693,533 $ 9,912 $ 33,909 $ 72,794 $ 905,529 Facility Acquired – Date Acquired: High Point – 2/13/20 1,749 20,367 440 869 1,656 25,081 Clinton – 2/27/20 664 6,551 342 1,578 2,484 11,619 West Allis – 3/4/20 974 7,687 137 98 461 9,357 Grand Rapids – 3/20/20 2,947 17,341 470 450 1,582 22,790 Capitalized costs (1) — 170 2 140 — 312 Total Additions : 6,334 52,116 1,391 3,135 6,183 69,159 Balances as of March 31, 2020 $ 101,715 $ 745,649 $ 11,303 $ 37,044 $ 78,977 $ 974,688 (1) Represents capital projects that were completed and placed in service during the three months ended March 31, 2020 related to the Company’s existing facilities. A rollforward of the gross investment in land, building, improvements, and acquired lease intangible assets as of December 31, 2019 resulting from these acquisitions is as follows: Site Tenant Acquired Lease Gross Investment in Land Building Improvements Improvements Intangible Assets Real Estate Balances as of December 31, 2018 $ 63,710 $ 518,451 $ 6,880 $ 15,357 $ 43,152 $ 647,550 Facility Acquired – Date Acquired: Zachary – 2/28/19 — 3,336 103 409 835 4,683 Gilbert and Chandler – 3/19/19 4,616 11,643 — — — 16,259 Las Vegas – 4/15/19 2,479 15,277 244 2,205 2,297 22,502 Oklahoma Northwest – 4/15/19 2,364 19,501 143 3,044 3,155 28,207 Mishawaka – 4/15/19 1,924 10,084 74 1,798 2,223 16,103 Surprise – 4/15/19 1,738 18,737 228 4,119 3,860 28,682 San Marcos – 7/12/19 2,322 6,934 126 404 2,188 11,974 Lansing – 8/1/19 1,202 7,681 185 667 1,633 11,368 Bannockburn – 8/5/19 763 3,566 132 1,134 1,382 6,977 Aurora – 8/6/19 1,521 7,446 308 603 2,679 12,557 Livonia – 8/14/19 980 7,629 201 442 1,340 10,592 Gilbert – 8/23/19 2,408 2,027 62 362 733 5,592 Morgantown – 9/26/19 883 5,286 373 506 902 7,950 Beaumont – 10/1/19 3,022 24,836 399 1,036 4,446 33,739 Bastrop – 10/25/19 1,975 8,436 64 276 1,314 12,065 Panama City – 10/31/19 1,559 8,682 220 1,036 1,479 12,976 Jacksonville – 11/15/19 1,023 7,846 — — — 8,869 Greenwood – 12/17/19 892 4,956 — — — 5,848 ASC Topic 842 Reclassification — — — — (824) (824) Capitalized costs (1) — 1,179 170 511 — 1,860 Total Additions: 31,671 175,082 3,032 18,552 29,642 257,979 Balances as of December 31, 2019 $ 95,381 $ 693,533 $ 9,912 $ 33,909 $ 72,794 $ 905,529 (1) Represents capital projects that were completed and placed in service during the year ended December 31, 2019 related to the Company’s existing facilities.
Summary of Carrying amount of intangible assets and liabilities	The following is a summary of the carrying amount of intangible assets and liabilities as of the dates presented: As of March 31, 2020 Accumulated Cost Amortization Net Assets In-place leases $ 43,776 $ (9,184) $ 34,592 Above market leases 12,931 (2,741) 10,190 Leasing costs 22,270 (4,046) 18,224 $ 78,977 $ (15,971) $ 63,006 Liability Below market leases $ 4,250 $ (825) $ 3,425 As of December 31, 2019 Accumulated Cost Amortization Net Assets In-place leases $ 39,429 $ (7,851) $ 31,578 Above market leases 12,246 (2,366) 9,880 Leasing costs 21,119 (3,458) 17,661 $ 72,794 $ (13,675) $ 59,119 Liability Below market leases $ 3,861 $ (697) $ 3,164
Summary of the acquired lease intangible amortization	Three Months Ended March 31, 2020 2019 Amortization expense related to in-place leases $ 1,333 $ 677 Amortization expense related to leasing costs $ 588 $ 325 Decrease in rental revenue related to above market ground lease $ — $ 5 Decrease in rental revenue related to above market leases $ 375 $ 272 Increase in rental revenue related to below market leases $ 128 $ 58
Schedule of net amortization acquired lease intangible assets and liabilities	As of March 31, 2020, scheduled future aggregate net amortization of the acquired lease intangible assets and liabilities for each fiscal year ended December 31 is listed below: Net Decrease Net Increase in Revenue in Expenses 2020 (nine months remaining) $ (749) $ 6,531 2021 (1,002) 8,089 2022 (1,020) 7,661 2023 (1,054) 6,750 2024 (674) 5,785 Thereafter (2,266) 18,000 Total $ (6,765) $ 52,816
Zachary Facility [Member]
Schedule of tangible and intangible assets	The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 103 Building and tenant improvements 3,745 In-place leases 305 Above-market lease intangibles 117 Leasing costs 413 Below-market lease intangibles (34) Total purchase price $ 4,649
IRF Portfolio [Member]
Schedule of tangible and intangible assets	The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Oklahoma Las Vegas Surprise City Mishawaka Land and site improvements $ 2,723 $ 1,966 $ 2,507 $ 1,998 Building and tenant improvements 17,482 22,856 22,545 11,882 In-place leases 1,778 1,845 1,890 1,465 Above-market lease intangibles — 938 367 236 Leasing costs 519 1,077 898 522 Below-market lease intangibles (863) — — — Total purchase price $ 21,639 $ 28,682 $ 28,207 $ 16,103
San Marcos [Member]
Schedule of tangible and intangible assets	The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 2,448 Building and tenant improvements 7,338 In-place leases 698 Above-market lease intangibles 1,101 Leasing costs 389 Total purchase price $ 11,974
Lansing [Member]
Schedule of tangible and intangible assets	The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 1,387 Building and tenant improvements 8,348 In-place leases 953 Above-market lease intangibles 130 Leasing costs 550 Below-market lease intangibles (248) Total purchase price $ 11,120
Bannockburn [Member]
Schedule of tangible and intangible assets	The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 895 Building and tenant improvements 4,700 In-place leases 796 Above-market lease intangibles 250 Leasing costs 336 Below-market lease intangibles (144) Total purchase price $ 6,833
Aurora [Member]
Schedule of tangible and intangible assets	The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 1,829 Building and tenant improvements 8,049 In-place leases 1,417 Above-market lease intangibles 861 Leasing costs 401 Total purchase price $ 12,557
Livonia [Member]
Schedule of tangible and intangible assets	The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 1,181 Building and tenant improvements 8,071 In-place leases 1,252 Above-market lease intangibles 53 Leasing costs 35 Below-market lease intangibles (236) Total purchase price $ 10,356
Gilbert [Member]
Schedule of tangible and intangible assets	. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 2,470 Building and tenant improvements 2,389 In-place leases 121 Above-market lease intangibles 300 Leasing costs 312 Total purchase price $ 5,592
Morgantown [Member]
Schedule of tangible and intangible assets	The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 1,256 Building and tenant improvements 5,792 In-place leases 457 Leasing costs 445 Total purchase price $ 7,950
Beaumont [Member]
Schedule of tangible and intangible assets	The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 3,421 Building and tenant improvements 25,872 In-place leases 3,304 Leasing costs 1,142 Total purchase price $ 33,739
Bastrop [Member]
Schedule of tangible and intangible assets	The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 2,039 Building and tenant improvements 8,712 In-place leases 990 Leasing costs 324 Total purchase price $ 12,065
Panama City [Member]
Schedule of tangible and intangible assets	The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 1,779 Building and tenant improvements 9,718 In-place leases 405 Leasing costs 1,074 Total purchase price $ 12,976
Jacksonville [Member]
Schedule of tangible and intangible assets	The following table presents the details of the tangible assets acquired: Land and site improvements $ 1,023 Building and tenant improvements 7,846 Total purchase price $ 8,869
Greenwood [Member]
Schedule of tangible and intangible assets	The following table presents the details of the tangible assets acquired: Land and site improvements $ 892 Building and tenant improvements 4,956 Total purchase price $ 5,848
High Point Facility [Member]
Schedule of tangible and intangible assets	The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 2,189 Building and tenant improvements 21,236 In-place leases 1,207 Leasing costs 449 Total purchase price $ 25,081
Clinton Facility [Member]
Schedule of tangible and intangible assets	The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 1,006 Building and tenant improvements 8,129 In-place leases 2,115 Leasing costs 369 Total purchase price $ 11,619
West Allis Facility [Member]
Schedule of tangible and intangible assets	The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 1,111 Building and tenant improvements 7,785 In-place leases 263 Leasing costs 198 Below-market lease intangibles (264) Total purchase price $ 9,093
Grand Rapids Facility [Member]
Schedule of tangible and intangible assets	The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 3,417 Building and tenant improvements 17,791 In-place leases 761 Above-market lease intangibles 685 Leasing costs 136 Below-market lease intangibles (125) Total purchase price $ 22,665

Credit Facility, Notes Payabl_2

Credit Facility, Notes Payable and Derivative Instruments (Tables)	3 Months Ended
	Mar. 31, 2020
Notes Payable and Revolving Credit Facility
Schedule of Outstanding borrowings	As of March 31, 2020 and December 31, 2019, the Company had the following outstanding borrowings under the Credit Facility: March 31, 2020 December 31, 2019 Revolver $ 129,450 $ 51,350 Term Loan 300,000 300,000 Less: Unamortized debt issuance costs (3,607) (3,832) Credit Facility, net $ 425,843 $ 347,518
Schedule of Aggregate balances of loans payable	The Company’s notes payable, net, includes two loans: (1) the Cantor Loan and (2) the West Mifflin Note, described in detail below. The following table sets forth the aggregate balances of these loans as of March 31, 2020 and December 31, 2019. March 31, 2020 December 31, 2019 Notes payable, gross $ 39,475 $ 39,475 Less: Unamortized debt issuance costs (634) (667) Cumulative principal repayments (193) (158) Notes payable, net $ 38,648 $ 38,650
Schedule of Interest Rate Derivatives [Table Text Block]	As of March 31, 2020, the Company had the following five interest rate swaps that are used to manage the interest rate risk and fix the LIBOR component of certain of its floating rate debt as follows: Counterparty Notional Amount Fixed Interest Rate Maturity BMO $ 100 million 2.88 % August 2023 BMO $ 90 million 1.21 % August 2024 Truist Bank $ 40 million 1.21 % August 2024 Truist Bank $ 40 million 2.93 % August 2024 Citizens Bank, National Association $ 30 million 2.93 % August 2024 Total/Weighted Average $ 300 million 2.17 %
Schedule of Comprehensive Income (Loss)	The table below details the components of the loss presented on the accompanying Condensed Consolidated Statements of Comprehensive (Loss) Income recognized on the Company’s interest rate swaps designated as cash flow hedges for the three months ended March 31, 2020 and 2019: Three Months Ended March 31, 2020 2019 Amount of loss recognized in other comprehensive loss $ 14,466 $ 2,204 Amount of loss reclassified from accumulated other comprehensive loss into interest expense (508) (182) Total change in accumulated other comprehensive loss $ 13,958 $ 2,022
Cantor Loan [Member]
Notes Payable and Revolving Credit Facility
Schedule of Maturities of Long-term Debt	As of March 31, 2020, scheduled principal payments due for each fiscal year ended December 31 are as follows: 2020 (nine months remaining) $ — 2021 282 2022 447 2023 471 2024 492 Thereafter 30,405 Total $ 32,097

Equity (Tables)

Equity (Tables)	3 Months Ended
	Mar. 31, 2020
Preferred Stock [Member]
Schedule of Dividends Payable	Preferred stock dividend activity for the three months ended March 31, 2020 is summarized in the following table: Applicable Quarterly Dividends Date Announced Record Date Quarter Payment Date Dividend per Share December 13, 2019 January 15, 2020 Q4 2019 January 31, 2020 $ 1,455 $ 0.46875 March 4, 2020 April 15, 2020 Q1 2020 April 30, 2020 $ 1,455 (1) $ 0.46875 (1) Two months of this amount, equal to $970, was accrued at March 31, 2020.
Common Stock [Member]
Schedule of Dividends Payable	Common stock dividend activity for the three months ended March 31, 2020 is summarized in the following table: Applicable Dividend Dividends Date Announced Record Date Quarter Payment Date Amount (1) per Share December 13, 2019 December 26, 2019 Q4 2019 January 9, 2020 $ 9,541 $ 0.20 March 4, 2020 March 25, 2020 Q1 2020 April 9, 2020 $ 9,610 $ 0.20 (1) Includes distributions on granted LTIP Units and OP Units.

Related Party Transactions (Tab

Related Party Transactions (Tables)	3 Months Ended
	Mar. 31, 2020
Related Party Transactions
Schedule of due to related party, net	A rollforward of the due from related parties and due to related party balance, net, as of March 31, 2020 is as follows: Due From Related Parties Due to Related Party,Net Other Funds for Mgmt.Fees Funds due Due to Various due to from Related Purposes Advisor Advisor Party, net Balance as of January 1, 2020 $ 50 $ (1,727) 79 $ (1,648) Management fee expense incurred — (2,002) — (2,002) Management fees paid to Advisor — 1,727 — 1,727 Loans to Advisor — — (25) (25) Loan to related parties 20 — — — Balance as of March 31, 2020 $ 70 $ (2,002) 54 $ (1,948)

Stock-Based Compensation (Table

Stock-Based Compensation (Tables)	3 Months Ended
	Mar. 31, 2020
Stock-Based Compensation
Schedule of time-based vesting LTIP unit activity	A detail of the Company’s outstanding time based LTIP Units as of March 31, 2020 is as follows: Vested units 773 Unvested units 308 LTIP Units outstanding as of March 31, 2020 1,081
Schedule of of the Annual Awards and Long-Term Awards	A detail of the Company’s Annual Awards and Long-Term Awards under the 2017, 2018, 2019, and 2020 programs as of March 31, 2020 is as follows: 2017 Long-Term Awards (1) 18 2018 Long-Term Awards 110 2019 Long-Term Awards 82 2020 Annual Awards (2) 196 2020 Long-Term Awards (3) 70 Total target performance awards as of March 31, 2020 476 (1) Represents awards that were not vested as of March 31, 2020. (2) Approved by the Board on March 17, 2020. The number of target LTIP Units was based on the closing price of the Company’s common stock reported on the New York Stock Exchange (“NYSE”) on that date. (3) Approved by the Board on March 3, 2020. The number of target LTIP Units was based on the fair value of the Long-Term Awards as determined by an independent valuation consultant.
Schedule of of the assumptions for the Long-Term Awards using Monte Carlo simulations	Below are details regarding certain of the assumptions for the Long-Term Awards using Monte Carlo simulations: 2020 Long-Term 2019 Long-Term 2018 Long-Term 2017 Long-Term Awards Awards Awards Awards Fair value $ 13.47 $ 10.07 $ 8.86 $ 8.86 Target awards 70 82 110 96 Volatility 28.75 % 31.7 % 33.8 % 33.8% - 35.4% Risk-free rate 0.72 % 2.5 % 2.6 % 2.4% - 2.6% Dividend assumption reinvested reinvested reinvested reinvested Expected term in years 1.7 – 2.7

Leases (Tables)

Leases (Tables)	3 Months Ended
	Mar. 31, 2020
Leases
Schedule of aggregate annual cash to be received by the Company	The aggregate annual cash to be received by the Company on the noncancelable operating leases related to its portfolio as of March 31, 2020 is as follows for the subsequent years ended December 31: 2020 (nine months remaining) $ 58,269 2021 76,191 2022 74,498 2023 71,822 2024 65,662 Thereafter 370,621 Total $ 717,063
Schedule of aggregate cash payments to be made by the Company	The following table sets forth the undiscounted cash flows of our scheduled obligations for future lease payments on operating ground leases at March 31, 2020, and a reconciliation of those cash flows to the operating lease liability at March 31, 2020: 2020 (nine months remaining) $ 87 2021 116 2022 116 2023 120 2024 125 Thereafter 4,351 Total 4,915 Discount (2,501) Lease liability $ 2,414

Rent Concentration (Tables)

Rent Concentration (Tables)	3 Months Ended
	Mar. 31, 2020
Rent Concentration
Schedule of concentration of rental revenue	The Company’s facilities with a concentration of rental revenue of 5% or greater for either period presented is as follows: Three Months Ended March 31, Facility 2020 2019 Encompass 8 % 10 % Belpre 7 10 OCOM 5 8 Sherman 4 6 Austin 4 6 East Dallas 3 5 Aggregate of all other facilities 69 55 Total 100 % 100 %

Organization (Details)

Organization (Details)	3 Months Ended
	Mar. 31, 2020
long-term incentive plan LTIP [Member]
Limited Liability Company (LLC) or Limited Partnership (LP), Members or Limited Partners, Ownership Interest	7.85%
Global Medical REIT GP LLC [Member]
Operating Partnership	92.15%

Summary of Significant Accoun_4

Summary of Significant Accounting Policies - Cash and Cash Equivalents (Details) - USD ($) $ in Thousands	Mar. 31, 2020	Dec. 31, 2019	Mar. 31, 2019	Dec. 31, 2018	Sep. 30, 2018	Dec. 31, 2017
Cash and Cash Equivalents [Abstract]
Cash and cash equivalents	$ 11,340	$ 2,765			$ 1,844
Restricted cash	5,536	$ 4,420			1,464
Total cash and cash equivalents and restricted cash	$ 16,876		$ 3,308	$ 7,185	$ 3,308	$ 4,843

Summary of Significant Accoun_5

Summary of Significant Accounting Policies - Additional Information (Details) - USD ($) $ in Thousands	3 Months Ended	12 Months Ended
	Mar. 31, 2020	Dec. 31, 2019
Tenant Receivables	$ 5,708	$ 4,957
Tenant reimbursements	2,423	2,342
Escrow Deposit	3,589	3,417
Deferred Costs and Other Assets	16,141	14,512
Deferred Rent Receivables, Net	16,069	14,204
Security Deposit Liability	6,546	6,351
Receivables Earned But Not Paid Relating To Tenant Rent	1,375	1,428
Other Assets	3,731	3,593
Other Deferred Costs, Net	72	308
Lease Deposit Liability	1,535	1,383
Other Assets, Miscellaneous, Current	679	125
Operating Lease, Right-of-Use Asset	3,060	3,077
Capitalized preacquisition costs	404	223
Prepaid Expense and Other Assets	267	293
Derivative Liabilities	20,461	8,685
Loan Receivable Member [Member]
Tenant Receivables	1,231	1,062
Interest Rate Swap [Member]
Derivative Liabilities	20,461	6,491
Plano Lease [Member]
Security Deposit Liability	$ 5,011	$ 4,968

Property Portfolio - Gross Inve

Property Portfolio - Gross Investment (Details) - USD ($) $ in Thousands

Mar. 20, 2020

Mar. 04, 2020

Feb. 27, 2020

Feb. 13, 2020

Dec. 17, 2019

Nov. 15, 2019

Oct. 31, 2019

Oct. 25, 2019

Oct. 01, 2019

Sep. 26, 2019

Aug. 23, 2019

Aug. 14, 2019

Aug. 06, 2019

Aug. 05, 2019

Aug. 01, 2019

Jul. 12, 2019

Mar. 31, 2020

Dec. 31, 2019

Property, Plant and Equipment [Line Items]

Beginning Balance

$ 905,529

$ 647,550

Acquisitions

69,159

257,979

Capitalized costs

312

1,860

Ending Balance

974,688

905,529

Zachary [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

4,683

Gilbert and Chandler [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

16,259

Las Vegas [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

22,502

Oklahoma Northwest [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

28,207

Mishawaka [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

16,103

Surprise [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

28,682

San Marcos [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

$ 12,000

11,974

Lansing [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

$ 11,100

11,368

Bannockburn [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

$ 6,800

6,977

Aurora [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

$ 12,600

12,557

Livonia [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

$ 10,400

10,592

Gilbert [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

$ 5,600

5,592

Morgantown [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

$ 8,000

7,950

Beaumont [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

$ 33,700

33,739

Bastrop [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

$ 12,100

12,065

Panama City [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

$ 13,000

12,976

Jacksonville [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

$ 8,900

8,869

Greenwood [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

$ 5,800

5,848

Asc 842 Reclassification [Member]

Property, Plant and Equipment [Line Items]

ASC Topic 842 Reclassification

(824)

High Point Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

$ 25,100

25,081

Clinton Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

$ 11,600

11,619

West Allis Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

$ 9,100

9,357

Grand Rapids Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

$ 22,700

22,790

Land [Member]

Property, Plant and Equipment [Line Items]

Beginning Balance

95,381

63,710

Acquisitions

6,334

31,671

Capitalized costs

0

0

Ending Balance

101,715

95,381

Land [Member] | Zachary [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Land [Member] | Gilbert and Chandler [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

4,616

Land [Member] | Las Vegas [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

2,479

Land [Member] | Oklahoma Northwest [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

2,364

Land [Member] | Mishawaka [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,924

Land [Member] | Surprise [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,738

Land [Member] | San Marcos [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

2,322

Land [Member] | Lansing [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,202

Land [Member] | Bannockburn [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

763

Land [Member] | Aurora [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,521

Land [Member] | Livonia [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

980

Land [Member] | Gilbert [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

2,408

Land [Member] | Morgantown [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

883

Land [Member] | Beaumont [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

3,022

Land [Member] | Bastrop [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,975

Land [Member] | Panama City [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,559

Land [Member] | Jacksonville [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,023

Land [Member] | Greenwood [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

892

Land [Member] | Asc 842 Reclassification [Member]

Property, Plant and Equipment [Line Items]

ASC Topic 842 Reclassification

0

Land [Member] | High Point Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,749

Land [Member] | Clinton Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

664

Land [Member] | West Allis Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

974

Land [Member] | Grand Rapids Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

2,947

Building [Member]

Property, Plant and Equipment [Line Items]

Beginning Balance

693,533

518,451

Acquisitions

52,116

175,082

Capitalized costs

170

1,179

Ending Balance

745,649

693,533

Building [Member] | Zachary [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

3,336

Building [Member] | Gilbert and Chandler [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

11,643

Building [Member] | Las Vegas [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

15,277

Building [Member] | Oklahoma Northwest [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

19,501

Building [Member] | Mishawaka [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

10,084

Building [Member] | Surprise [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

18,737

Building [Member] | San Marcos [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

6,934

Building [Member] | Lansing [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

7,681

Building [Member] | Bannockburn [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

3,566

Building [Member] | Aurora [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

7,446

Building [Member] | Livonia [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

7,629

Building [Member] | Gilbert [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

2,027

Building [Member] | Morgantown [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

5,286

Building [Member] | Beaumont [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

24,836

Building [Member] | Bastrop [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

8,436

Building [Member] | Panama City [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

8,682

Building [Member] | Jacksonville [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

7,846

Building [Member] | Greenwood [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

4,956

Building [Member] | Asc 842 Reclassification [Member]

Property, Plant and Equipment [Line Items]

ASC Topic 842 Reclassification

0

Building [Member] | High Point Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

20,367

Building [Member] | Clinton Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

6,551

Building [Member] | West Allis Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

7,687

Building [Member] | Grand Rapids Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

17,341

Site Improvements [Member]

Property, Plant and Equipment [Line Items]

Beginning Balance

9,912

6,880

Acquisitions

1,391

3,032

Capitalized costs

2

170

Ending Balance

11,303

9,912

Site Improvements [Member] | Zachary [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

103

Site Improvements [Member] | Gilbert and Chandler [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Site Improvements [Member] | Las Vegas [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

244

Site Improvements [Member] | Oklahoma Northwest [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

143

Site Improvements [Member] | Mishawaka [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

74

Site Improvements [Member] | Surprise [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

228

Site Improvements [Member] | San Marcos [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

126

Site Improvements [Member] | Lansing [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

185

Site Improvements [Member] | Bannockburn [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

132

Site Improvements [Member] | Aurora [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

308

Site Improvements [Member] | Livonia [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

201

Site Improvements [Member] | Gilbert [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

62

Site Improvements [Member] | Morgantown [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

373

Site Improvements [Member] | Beaumont [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

399

Site Improvements [Member] | Bastrop [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

64

Site Improvements [Member] | Panama City [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

220

Site Improvements [Member] | Jacksonville [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Site Improvements [Member] | Greenwood [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Site Improvements [Member] | Asc 842 Reclassification [Member]

Property, Plant and Equipment [Line Items]

ASC Topic 842 Reclassification

0

Site Improvements [Member] | High Point Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

440

Site Improvements [Member] | Clinton Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

342

Site Improvements [Member] | West Allis Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

137

Site Improvements [Member] | Grand Rapids Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

470

Tenant improvements [Member]

Property, Plant and Equipment [Line Items]

Beginning Balance

33,909

15,357

Acquisitions

3,135

18,552

Capitalized costs

140

511

Ending Balance

37,044

33,909

Tenant improvements [Member] | Zachary [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

409

Tenant improvements [Member] | Las Vegas [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

2,205

Tenant improvements [Member] | Oklahoma Northwest [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

3,044

Tenant improvements [Member] | Mishawaka [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,798

Tenant improvements [Member] | Surprise [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

4,119

Tenant improvements [Member] | San Marcos [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

404

Tenant improvements [Member] | Lansing [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

667

Tenant improvements [Member] | Bannockburn [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,134

Tenant improvements [Member] | Aurora [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

603

Tenant improvements [Member] | Livonia [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

442

Tenant improvements [Member] | Gilbert [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

362

Tenant improvements [Member] | Morgantown [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

506

Tenant improvements [Member] | Beaumont [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,036

Tenant improvements [Member] | Bastrop [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

276

Tenant improvements [Member] | Panama City [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,036

Tenant improvements [Member] | High Point Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

869

Tenant improvements [Member] | Clinton Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,578

Tenant improvements [Member] | West Allis Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

98

Tenant improvements [Member] | Grand Rapids Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

450

Intangibles [Member]

Property, Plant and Equipment [Line Items]

Beginning Balance

72,794

43,152

Acquisitions

6,183

29,642

Capitalized costs

0

0

Ending Balance

78,977

72,794

Intangibles [Member] | Zachary [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

835

Intangibles [Member] | Gilbert and Chandler [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Intangibles [Member] | Las Vegas [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

2,297

Intangibles [Member] | Oklahoma Northwest [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

3,155

Intangibles [Member] | Mishawaka [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

2,223

Intangibles [Member] | Surprise [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

3,860

Intangibles [Member] | San Marcos [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

2,188

Intangibles [Member] | Lansing [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,633

Intangibles [Member] | Bannockburn [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,382

Intangibles [Member] | Aurora [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

2,679

Intangibles [Member] | Livonia [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,340

Intangibles [Member] | Gilbert [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

733

Intangibles [Member] | Morgantown [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

902

Intangibles [Member] | Beaumont [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

4,446

Intangibles [Member] | Bastrop [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,314

Intangibles [Member] | Panama City [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,479

Intangibles [Member] | Jacksonville [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Intangibles [Member] | Greenwood [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Intangibles [Member] | Asc 842 Reclassification [Member]

Property, Plant and Equipment [Line Items]

ASC Topic 842 Reclassification

$ (824)

Intangibles [Member] | High Point Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,656

Intangibles [Member] | Clinton Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

2,484

Intangibles [Member] | West Allis Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

461

Intangibles [Member] | Grand Rapids Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

$ 1,582

Property Portfolio - Schedule o

Property Portfolio - Schedule of Recognized Identified Assets Acquired and Liabilities Assumed (Details) - USD ($) $ in Thousands	Mar. 31, 2020	Sep. 30, 2019
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	$ 12,976
Land and Site Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	1,779
Building And Tenant Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	9,718
In-place leases [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	405
Leasing Costs [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	1,074
Zachary Facility [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment		$ 4,649
Zachary Facility [Member] | Land and Site Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment		103
Zachary Facility [Member] | Building And Tenant Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment		3,745
Zachary Facility [Member] | In-place leases [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment		305
Zachary Facility [Member] | Above Market Lease intangibles [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment		117
Zachary Facility [Member] | Leasing Costs [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment		413
Zachary Facility [Member] | Below Market Lease intangible [Member]
Property, Plant and Equipment [Line Items]
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed, Below Market Lease Intangibles		(34)
Las Vegas [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Financial Assets		21,639
Las Vegas [Member] | Land and Site Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment		2,723
Las Vegas [Member] | Building And Tenant Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment		17,482
Las Vegas [Member] | In-place leases [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment		1,778
Las Vegas [Member] | Above Market Lease intangibles [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment		0
Las Vegas [Member] | Leasing Costs [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment		519
Las Vegas [Member] | Below Market Lease intangible [Member]
Property, Plant and Equipment [Line Items]
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed, Below Market Lease Intangibles		(863)
Surprise [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Financial Assets		28,682
Surprise [Member] | Land and Site Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment		1,966
Surprise [Member] | Building And Tenant Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment		22,856
Surprise [Member] | In-place leases [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment		1,845
Surprise [Member] | Above Market Lease intangibles [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment		938
Surprise [Member] | Leasing Costs [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment		1,077
Surprise [Member] | Below Market Lease intangible [Member]
Property, Plant and Equipment [Line Items]
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed, Below Market Lease Intangibles		0
Oklahoma Northwest [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Financial Assets		28,207
Oklahoma Northwest [Member] | Land and Site Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment		2,507
Oklahoma Northwest [Member] | Building And Tenant Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment		22,545
Oklahoma Northwest [Member] | In-place leases [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment		1,890
Oklahoma Northwest [Member] | Above Market Lease intangibles [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment		367
Oklahoma Northwest [Member] | Leasing Costs [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment		898
Oklahoma Northwest [Member] | Below Market Lease intangible [Member]
Property, Plant and Equipment [Line Items]
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed, Below Market Lease Intangibles		0
Mishawaka [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Financial Assets		16,103
Mishawaka [Member] | Land and Site Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment		1,998
Mishawaka [Member] | Building And Tenant Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment		11,882
Mishawaka [Member] | In-place leases [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment		1,465
Mishawaka [Member] | Above Market Lease intangibles [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment		236
Mishawaka [Member] | Leasing Costs [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment		522
Mishawaka [Member] | Below Market Lease intangible [Member]
Property, Plant and Equipment [Line Items]
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed, Below Market Lease Intangibles		$ 0
San Marcos [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	11,974
San Marcos [Member] | Land and Site Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	2,448
San Marcos [Member] | Building And Tenant Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	7,338
San Marcos [Member] | In-place leases [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	698
San Marcos [Member] | Above Market Lease intangibles [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	1,101
San Marcos [Member] | Leasing Costs [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	389
Lansing [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	11,120
Lansing [Member] | Land and Site Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	1,387
Lansing [Member] | Building And Tenant Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	8,348
Lansing [Member] | In-place leases [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	953
Lansing [Member] | Above Market Lease intangibles [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	130
Lansing [Member] | Leasing Costs [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	550
Lansing [Member] | Below Market Lease intangible [Member]
Property, Plant and Equipment [Line Items]
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed, Below Market Lease Intangibles	(248)
Bannockburn [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	6,833
Bannockburn [Member] | Land and Site Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	895
Bannockburn [Member] | Building And Tenant Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	4,700
Bannockburn [Member] | In-place leases [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	796
Bannockburn [Member] | Above Market Lease intangibles [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	250
Bannockburn [Member] | Leasing Costs [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	336
Bannockburn [Member] | Below Market Lease intangible [Member]
Property, Plant and Equipment [Line Items]
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed, Below Market Lease Intangibles	(144)
Livonia [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	10,356
Livonia [Member] | Land and Site Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	1,181
Livonia [Member] | Building And Tenant Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	8,071
Livonia [Member] | In-place leases [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	1,252
Livonia [Member] | Above Market Lease intangibles [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	53
Livonia [Member] | Leasing Costs [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	35
Livonia [Member] | Below Market Lease intangible [Member]
Property, Plant and Equipment [Line Items]
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed, Below Market Lease Intangibles	(236)
Aurora [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	12,557
Aurora [Member] | Land and Site Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	1,829
Aurora [Member] | Building And Tenant Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	8,049
Aurora [Member] | In-place leases [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	1,417
Aurora [Member] | Above Market Lease intangibles [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	861
Aurora [Member] | Leasing Costs [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	401
Gilbert [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	5,592
Gilbert [Member] | Land and Site Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	2,470
Gilbert [Member] | Building And Tenant Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	2,389
Gilbert [Member] | In-place leases [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	121
Gilbert [Member] | Above Market Lease intangibles [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	300
Gilbert [Member] | Leasing Costs [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	312
Morgantown [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	7,950
Morgantown [Member] | Land and Site Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	1,256
Morgantown [Member] | Building And Tenant Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	5,792
Morgantown [Member] | In-place leases [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	457
Morgantown [Member] | Leasing Costs [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	445
Beaumont [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	33,739
Beaumont [Member] | Land and Site Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	3,421
Beaumont [Member] | Building And Tenant Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	25,872
Beaumont [Member] | In-place leases [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	3,304
Beaumont [Member] | Leasing Costs [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	1,142
Bastrop [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	12,065
Bastrop [Member] | Land and Site Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	2,039
Bastrop [Member] | Building And Tenant Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	8,712
Bastrop [Member] | In-place leases [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	990
Bastrop [Member] | Leasing Costs [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	324
Jacksonville [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	8,869
Jacksonville [Member] | Land and Site Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	1,023
Jacksonville [Member] | Building And Tenant Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	7,846
Greenwood [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	5,848
Greenwood [Member] | Land and Site Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	892
Greenwood [Member] | Building And Tenant Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	4,956
Derby [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	22,665
Derby [Member] | Land and Site Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	3,417
Derby [Member] | Building And Tenant Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	17,791
Derby [Member] | In-place leases [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	761
Derby [Member] | Above Market Lease intangibles [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	685
Derby [Member] | Leasing Costs [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	136
Derby [Member] | Below Market Lease intangible [Member]
Property, Plant and Equipment [Line Items]
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed, Below Market Lease Intangibles	(125)
High Point Facility [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	25,081
High Point Facility [Member] | Land and Site Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	2,189
High Point Facility [Member] | Building And Tenant Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	21,236
High Point Facility [Member] | In-place leases [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	1,207
High Point Facility [Member] | Leasing Costs [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	449
Clinton Facility [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	11,619
Clinton Facility [Member] | Land and Site Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	1,006
Clinton Facility [Member] | Building And Tenant Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	8,129
Clinton Facility [Member] | In-place leases [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	2,115
Clinton Facility [Member] | Leasing Costs [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	369
West Allis Facility [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	9,093
West Allis Facility [Member] | Land and Site Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	1,111
West Allis Facility [Member] | Building And Tenant Improvements [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	7,785
West Allis Facility [Member] | In-place leases [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	263
West Allis Facility [Member] | Leasing Costs [Member]
Property, Plant and Equipment [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	198
West Allis Facility [Member] | Below Market Lease intangible [Member]
Property, Plant and Equipment [Line Items]
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed, Below Market Lease Intangibles	$ (264)

Property Portfolio - Summary of

Property Portfolio - Summary of the carrying amount of intangible assets and liabilities (Details) - USD ($) $ in Thousands	Mar. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Assets
Cost	$ 78,977		$ 72,794
Accumulated Amortization	(15,971)		(13,675)
Net	63,006		59,119
Liabilities
Cost	4,250		3,861
Accumulated Amortization	(825)		(697)
Net	3,425	$ 3,164	3,164
In-place leases [Member]
Assets
Cost	43,776		39,429
Accumulated Amortization	(9,184)		(7,851)
Net	34,592		31,578
Above Market Lease intangibles [Member]
Assets
Cost	12,931		12,246
Accumulated Amortization	(2,741)		(2,366)
Net	10,190		9,880
Leasing Costs [Member]
Assets
Cost	22,270		21,119
Accumulated Amortization	(4,046)		(3,458)
Net	$ 18,224		$ 17,661

Property Portfolio - Summary _2

Property Portfolio - Summary of the acquired lease intangible amortization (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2020	Mar. 31, 2019
In-place leases [Member]
Property, Plant and Equipment [Line Items]
Finite-Lived Intangible Assets, Accumulated Amortization	$ 1,333	$ 677
Leasing Costs [Member]
Property, Plant and Equipment [Line Items]
Finite-Lived Intangible Assets, Accumulated Amortization	588	325
market ground lease [Member]
Property, Plant and Equipment [Line Items]
Finite-Lived Intangible Assets, Accumulated Amortization		5
Above Market Lease intangibles [Member]
Property, Plant and Equipment [Line Items]
Finite-Lived Intangible Assets, Accumulated Amortization	375	272
Below Market Lease intangible [Member]
Property, Plant and Equipment [Line Items]
Finite-Lived Intangible Assets, Accumulated Amortization	$ 128	$ 58

Property Portfolio - Net amorti

Property Portfolio - Net amortization of the acquired lease intangible (Details) $ in Thousands	Mar. 31, 2020USD ($)
Net Decrease in Revenue
2020 (nine months remaining)	$ 749
2021	(1,002)
2022	(1,020)
2023	(1,054)
2024	(674)
Thereafter	(2,266)
Total	(6,765)
Net Increase in Expenses
2020 (nine months remaining)	6,531
2021	8,089
2022	7,661
2023	6,750
2024	5,785
Thereafter	18,000
Total	$ 52,816

Property Portfolio - (Details)

Property Portfolio - (Details) $ in Thousands

Mar. 20, 2020USD ($)

Mar. 04, 2020USD ($)

Feb. 27, 2020USD ($)

Feb. 13, 2020USD ($)

Dec. 17, 2019USD ($)

Nov. 15, 2019USD ($)

Oct. 31, 2019USD ($)

Oct. 25, 2019USD ($)

Oct. 01, 2019USD ($)

Sep. 26, 2019USD ($)

Aug. 23, 2019USD ($)

Aug. 14, 2019USD ($)

Aug. 06, 2019USD ($)

Aug. 05, 2019USD ($)

Aug. 01, 2019USD ($)

Jul. 12, 2019USD ($)

Apr. 15, 2019USD ($)

Mar. 19, 2019USD ($)

Feb. 28, 2018USD ($)

Mar. 31, 2020USD ($)property

Mar. 31, 2019USD ($)

Dec. 31, 2019USD ($)property

Feb. 28, 2019

Property, Plant and Equipment [Line Items]

Number of Properties Acquired | property

4

18

Depreciation, Total

$ 5,836

$ 3,867

Property, Plant and Equipment, Additions

69,159

$ 257,979

Tenant Improvement Allowances Receivable

$ 18,000

Lessor, Operating Lease, Term of Contract

5 years

Operating Lease, Weighted Average Remaining Lease Term

24 years

Capital Lease Obligations, Noncurrent

$ 11,000

Lease Intangibles Asset [Member]

Property, Plant and Equipment [Line Items]

Finite-Lived Intangible Asset, Useful Life

6 years 1 month 6 days

Lease Intangibles Liability [Member]

Property, Plant and Equipment [Line Items]

Finite-Lived Intangible Asset, Useful Life

5 years 6 months 26 days

Zachary Facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 4,600

Lessor, Operating Lease, Term of Contract

46 years

Gilbert And Chandler Facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 16,300

Dobson Facility [Member]

Property, Plant and Equipment [Line Items]

Lessor, Operating Lease, Term of Contract

10 years 6 months

IRF Portfolio [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 94,600

Operating Lease, Weighted Average Remaining Lease Term

8 years 3 months 18 days

San Marcos [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 12,000

11,974

Operating Lease, Weighted Average Remaining Lease Term

8 years

Lansing [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 11,100

11,368

Operating Lease, Weighted Average Remaining Lease Term

8 years 6 months

Bannockburn [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 6,800

6,977

Operating Lease, Weighted Average Remaining Lease Term

6 years 3 months 18 days

Aurora [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 12,600

12,557

Operating Lease, Weighted Average Remaining Lease Term

6 years

Livonia [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 10,400

10,592

Operating Lease, Weighted Average Remaining Lease Term

3 years 2 months 12 days

Gilbert [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 5,600

5,592

Operating Lease, Weighted Average Remaining Lease Term

10 years

Morgantown [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 8,000

7,950

Operating Lease, Weighted Average Remaining Lease Term

10 years

Beaumont [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 33,700

33,739

Finite-Lived Intangible Asset, Useful Life

10 years

Bastrop [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 12,100

12,065

Finite-Lived Intangible Asset, Useful Life

5 years

Panama City [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 13,000

12,976

Finite-Lived Intangible Asset, Useful Life

15 years

Jacksonville [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 8,900

8,869

Finite-Lived Intangible Asset, Useful Life

15 years

Greenwood [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 5,800

$ 5,848

Finite-Lived Intangible Asset, Useful Life

13 years

LTAC Hospital [Member]

Property, Plant and Equipment [Line Items]

Lessor, Operating Lease, Term of Contract

16 years

High Point Facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 25,100

$ 25,081

Lessor, Operating Lease, Term of Contract

3 years

Clinton Facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 11,600

11,619

Lessor, Operating Lease, Term of Contract

4 years

West Allis Facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 9,100

9,357

Lessor, Operating Lease, Term of Contract

4 years

Grand Rapids Facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 22,700

$ 22,790

Credit Facility, Notes Payabl_3

Credit Facility, Notes Payable and Derivative Instruments - Schedule of outstanding borrowings under the Credit Facility (Details) - USD ($) $ in Thousands	Mar. 31, 2020	Dec. 31, 2019
Long-term Line of Credit	$ 425,843	$ 347,518
Less: Unamortized deferred financing costs	(634)	(667)
Revolving Credit Facility [Member]
Long-term Line of Credit	129,450	51,350
Term Loan [Member]
Long-term Line of Credit	300,000	300,000
Credit facility [Member]
Less: Unamortized deferred financing costs	$ (3,607)	$ (3,832)

Credit Facility, Notes Payabl_4

Credit Facility, Notes Payable and Derivative Instruments - Schedule of net of unamortized discount balances (Details) - USD ($) $ in Thousands	Mar. 31, 2020	Dec. 31, 2019
Credit Facility, Notes Payable and Derivative Instruments
Notes payable, gross	$ 39,475	$ 39,475
Less: Unamortized debt issuance costs	(634)	(667)
Cumulative principal repayment	(193)	(158)
Notes payable, net	$ 38,648	$ 38,650

Credit Facility, Notes Payabl_5

Credit Facility, Notes Payable and Derivative Instruments - Scheduled Principal Payments Due On Cantor Loan Note Payable (Details) - Cantor Loan [Member] - USD ($) $ in Thousands	Mar. 31, 2020	Dec. 31, 2019	Mar. 31, 2016
Notes Payable and Revolving Credit Facility
2020 (nine months remaining)	$ 0
2021	282
2022	447
2023	471
2024	492
Thereafter	30,405
Total	$ 32,097	$ 32,097	$ 32,097

Credit Facility, Notes Payabl_6

Credit Facility, Notes Payable and Derivative Instruments - Derivative Instruments (Details) $ in Millions	Mar. 31, 2020USD ($)item
Interest Rate Swap [Member]
Debt Instrument [Line Items]
Derivative, Number of Instruments Held | item	5
Derivative, Fixed Interest Rate	2.17%
Derivative, Notional Amount	$ 300
Interest Rate Swap Agreement with Interest Rate 1.21 Percent Maturing August 2024 [Member]
Debt Instrument [Line Items]
Derivative, Fixed Interest Rate	1.21%
Derivative, Notional Amount	$ 90
BMO Harris Bank N.A. [Member] | Interest Rate Swap Agreement with Interest Rate 2.88 Percent Maturing August 2023 [Member]
Debt Instrument [Line Items]
Derivative, Fixed Interest Rate	2.88%
Derivative, Notional Amount	$ 100
Truist Bank [Member] | Interest Rate Swap Agreement with Interest Rate 1.21 Percent Maturing August 2024 [Member]
Debt Instrument [Line Items]
Derivative, Fixed Interest Rate	1.21%
Derivative, Notional Amount	$ 40
Truist Bank [Member] | Interest Rate Swap Agreement with Interest Rate 2.93 Percent Maturing August 2024 [Member]
Debt Instrument [Line Items]
Derivative, Fixed Interest Rate	2.93%
Derivative, Notional Amount	$ 40
Citizens Bank National Association [Member] | Interest Rate Swap Agreement with Interest Rate 2.93 Percent Maturing August 2024 [Member]
Debt Instrument [Line Items]
Derivative, Fixed Interest Rate	2.93%
Derivative, Notional Amount	$ 30

Credit Facility, Notes Payabl_7

Credit Facility, Notes Payable and Derivative Instruments - Schedule of interest rate swap agreement (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2020	Mar. 31, 2019
Credit Facility, Notes Payable and Derivative Instruments
Amount of loss recognized in other comprehensive loss	$ 14,466	$ 2,204
Amount of loss reclassified from accumulated other comprehensive loss into interest expense	(508)	(182)
Total change in accumulated other comprehensive loss	$ 13,958	$ 2,022

Credit Facility, Notes Payabl_8

Credit Facility, Notes Payable and Derivative Instruments (Details) - USD ($) $ in Thousands	3 Months Ended			12 Months Ended
	Mar. 31, 2020	Mar. 31, 2019	Mar. 31, 2018	Dec. 31, 2019	Apr. 15, 2019	Mar. 31, 2016	Sep. 25, 2015
Notes Payable and Revolving Credit Facility
Amortization of Financing Costs	$ 33	$ 33
Other Operating Activities, Cash Flow Statement	81,700	6,200
Increase (Decrease) in Security Deposits	195	(30)
Repayments of Lines of Credit	$ 3,600	62,800
Debt Instrument, Term	3 years 5 months 27 days			3 years 9 months 4 days
Long-term Debt, Gross	$ 39,475			$ 39,475
Line Of Credit Cash Paid Other	44	29
Additional Interest Expense	5,568
Interest Expense, Total	4,378	4,025
Minimum Net Worth Required for Compliance	$ 247,600		$ 203,800
Net Proceeds raised Through Equity Offerings, Percent			75.00%
Extension option (in years)	1 year
Weighted average interest rate basis	3.63%			3.90%
Interest Rate Swap [Member]
Notes Payable and Revolving Credit Facility
Derivative Instruments in Hedges, Liabilities, at Fair Value	$ 20,461			$ 6,491
Revolving Credit Facility [Member]
Notes Payable and Revolving Credit Facility
Amortization of Financing Costs	269	269
Increase (Decrease) in Security Deposits	3,585	3,238
Long-term Debt, Gross	78,100	56,600
Debt Instrument, Face Amount	500,000
Cantor Loan [Member]
Notes Payable and Revolving Credit Facility
Long-term Debt, Total	32,097			32,097		$ 32,097
Debt Instrument, Interest Rate, Stated Percentage						5.22%
Interest Expense, Total	423	419
West Mifflin Note Payable [Member]
Notes Payable and Revolving Credit Facility
Long-term Debt, Total	7,185			$ 7,220			$ 7,378
Debt Instrument, Interest Rate, Stated Percentage							3.72%
Interest Expense, Debt	68	66
Repayments of Notes Payable	35	$ 35
EBITDAR	6,000
The Revolver [Member] | Revolving Credit Facility [Member]
Notes Payable and Revolving Credit Facility
Debt Instrument, Face Amount	200,000
The Term loan [Member] | Revolving Credit Facility [Member]
Notes Payable and Revolving Credit Facility
Debt Instrument, Face Amount	$ 300,000
Accordion [Member] | Revolving Credit Facility [Member]
Notes Payable and Revolving Credit Facility
Debt Instrument, Face Amount					$ 150,000

Equity - Summary of Preferred S

Equity - Summary of Preferred Stock Dividend Activity (Details) - USD ($) $ / shares in Units, $ in Thousands	Mar. 31, 2020	Dec. 31, 2019	Mar. 31, 2019
Dividend Amount	$ 10,949	$ 11,091
Common Stock [Member]
Dividend Amount	279		$ 97
Preferred Stock [Member] | Dividend declared on December 13, 2019
Dividend Amount	$ 1,455
Dividends per Share	$ 0.46875
Preferred Stock [Member] | Dividend declared on March 4, 2020
Dividend Amount	$ 1,455
Dividends per Share	$ 0.46875
Common Stock [Member] | Dividend declared on December 13, 2019
Dividend Amount	$ 9,541
Dividends per Share	$ 0.20
Common Stock [Member] | Dividend declared on March 4, 2020
Dividend Amount	$ 9,610
Dividends per Share	$ 0.20

Equity - Additional Information

Equity - Additional Information (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	3 Months Ended		12 Months Ended
	Mar. 31, 2020	Mar. 31, 2019	Dec. 31, 2019
Preferred Stock, Shares Authorized	10,000		10,000
Preferred Stock, Par or Stated Value Per Share	$ 0.001		$ 0.001
Preferred Stock, Shares Issued	3,105		3,105
Preferred Stock, Shares Outstanding	3,105		3,105
Common Stock, Shares Authorized	500,000		500,000
Common Stock, Par or Stated Value Per Share	$ 0.001		$ 0.001
Payment Of Dividends Common Stock Op And Ltip Units	$ 10,031	$ 5,781	$ 5,781
Common Stock, Shares, Outstanding	44,278		43,806
Dividends Payable	$ 10,949		$ 11,091
Limited Partners' Capital Account, Units Issued			49
Partners' Capital Account, Units, Sale of Units	2,693		3,143
Limited Partners' Capital Account	$ 21,221		$ 27,881
Payments of Dividends, Total	$ 1,455	1,455
Noncontrolling Interest, Increase from Subsidiary Equity Issuance		506
Partners' Capital Account, Units, Treasury Units Purchased	450		51
Partners' Capital Account, Treasury Units, Purchased	$ 6,660		$ 519
Dividend Accrued	970
IPO [Member]
Noncontrolling Interest, Increase from Subsidiary Equity Issuance			506
Common Stock [Member]
Dividends Payable	279	97
Payments of Dividends, Total	$ 490	86
Noncontrolling Interest, Increase from Subsidiary Equity Issuance		$ 0
Series A Preferred Stock [Member]
Preferred Stock, Shares Issued	3,105
Preferred Stock, Shares Outstanding	3,105
Dividends Payable, Amount Per Share	$ 1.875
Preferred Stock, Liquidation Preference Per Share	$ 25
Preferred Stock, Dividend Rate, Percentage	7.50%
Long Term Incentives Plan Units Member
Dividends Payable	$ 369		$ 580

Related Party Transactions - Du

Related Party Transactions - Due to Related Parties, Net (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2020	Mar. 31, 2019
Related Party Transactions
Balance, Beginning	$ (1,648)
Management fee expense incurred	(2,002)
Management fees paid to Advisor	1,727
Loans to Advisor	(25)
Balance, Ending	(1,948)
Funds for Various Purposes [Member]
Related Party Transactions
Balance, Beginning	50
Loan to related parties	20
Balance, Ending	70
Mgmt Fees Due To Advisor [Member]
Related Party Transactions
Balance, Beginning	(1,727)
Management fee expense incurred	(2,002)	$ (1,334)
Management fees paid to Advisor	1,727
Balance, Ending	(2,002)
Funds Due from Advisor [Member]
Related Party Transactions
Balance, Beginning	79
Loans to Advisor	(25)
Balance, Ending	$ 54

Related Party Transactions (Det

Related Party Transactions (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2020	Mar. 31, 2019	Dec. 31, 2019
Related Party Transactions
Management fee expense incurred	$ 2,002
Due to Related Parties	$ 1,948		$ 1,648
Percentage of Management Fees attributable to Shareholders	1.50%
Mgmt Fees Due To Advisor [Member]
Related Party Transactions
Management fee expense incurred	$ 2,002	$ 1,334
Due to Related Parties	$ 2,002		$ 1,727

Stock-Based Compensation - Vest

Stock-Based Compensation - Vested and unvested LTIP units (Details) shares in Thousands	3 Months Ended
	Mar. 31, 2020shares
Stock-Based Compensation
Total vested units	773
Unvested units:
Total unvested units	308
LTIP Units outstanding as of December 31, 2019	1,081

Stock-Based Compensation - Long

Stock-Based Compensation - Long-Term Awards (Details)	3 Months Ended
	Mar. 31, 2020shares
Total target performance awards as of March 31, 2020	476
2017 Program [Member] | Long-Term Awards [Member]
Total target performance awards as of March 31, 2020	18
2018 Program [Member] | Long-Term Awards [Member]
Total target performance awards as of March 31, 2020	110	[1]
2019 Program [Member] | Long-Term Awards [Member]
LTIP Units earned and granted under the 2018 Performance Program - Annual Awards	(82)	[1],[2]
2020 Program [Member] | Annual Awards [Member]
Total target performance awards as of March 31, 2020	196	[2]
2020 Program [Member] | Long-Term Awards [Member]
Total target performance awards as of March 31, 2020	70	[2]
[1]	Represents awards that were not vested as of March 31, 2020.
[2]	Approved by the Board on March 17, 2020. The number of target LTIP Units was based on the closing price of the Company’s common stock reported on the New York Stock Exchange (“NYSE”) on that date.

Stock-Based Compensation - Assu

Stock-Based Compensation - Assumptions Long-Term Awards (Details) - Long-Term Awards [Member] - $ / shares shares in Thousands	3 Months Ended	12 Months Ended
	Mar. 31, 2020	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
2020 Program [Member]
Fair value	$ 13.47
Target awards	70
Volatility	28.75%
Risk-free rate	0.72%
Dividend assumption	reinvested
Expected term in years	3 years
2019 Program [Member]
Fair value		$ 10.07
Target awards		82
Volatility		31.70%
Risk-free rate		2.50%
Dividend assumption		reinvested
Expected term in years		3 years
2018 Program [Member]
Fair value			$ 8.86
Target awards			110
Volatility			33.80%
Risk-free rate			2.60%
Dividend assumption			reinvested
Expected term in years			2 years 8 months 12 days
2017 Program [Member]
Fair value				$ 8.86
Target awards				96
Dividend assumption	reinvested
2017 Program [Member] | Maximum
Volatility				35.40%
Risk-free rate				2.60%
Expected term in years				2 years 8 months 12 days
2017 Program [Member] | Minimum
Volatility				33.80%
Risk-free rate				2.40%
Expected term in years				1 year 8 months 12 days

Stock-Based Compensation (Detai

Stock-Based Compensation (Details) - USD ($)	Mar. 05, 2021	Mar. 05, 2020	Mar. 03, 2020	Mar. 31, 2020	Mar. 31, 2019
Share-based Compensation				$ 922,000	$ 771,000
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Rights, Percentage				100.00%
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized				$ 5,200
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized, Period for Recognition				1 year 7 months 6 days
Performance Goals For Awards				100%
Additional Earn Up Rate For Grantee				150.00%
2017 Program [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Rights, Percentage	50.00%	50.00%
Long-Term Awards [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Dividend Rate				0.00%
Long-Term Awards [Member] | Long Term Incentive Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Maximum Employee Subscription Rate				200.00%
Long Tem Incentives Plan Units [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Rights, Percentage	50.00%	50.00%
Long Tem Incentives Plan Units [Member] | 2016 Equity Incentive Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Available for Grant				1,084,000
Common Stock, Capital Shares Reserved for Future Issuance				1,763,000
Long Tem Incentives Plan Units [Member] | Long Term Performance Award Agreements 2017 [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period			154,903
Long Tem Incentives Plan Units [Member] | Long Term Performance Award Agreements 2017 [Member] | Share-based Compensation Award, Tranche One [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Maximum Employee Subscription Rate			50.00%
Long Tem Incentives Plan Units [Member] | Long Term Performance Award Agreements 2017 [Member] | Share-based Compensation Award, Tranche Two [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Maximum Employee Subscription Rate			50.00%
Long Tem Incentives Plan Units [Member] | Annual Award Agreements 2019 [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period			146,938
Long Tem Incentives Plan Units [Member] | Annual Award Agreements 2019 [Member] | Share-based Compensation Award, Tranche One [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Maximum Employee Subscription Rate			50.00%
Long Tem Incentives Plan Units [Member] | Annual Award Agreements 2019 [Member] | Share-based Compensation Award, Tranche Two [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Maximum Employee Subscription Rate			50.00%
Long Tem Incentives Plan Units [Member] | Long Term Incentive Plan 2020 [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period			42,726
Share Price			$ 14.34
Long Tem Incentives Plan Units [Member] | Long Term Incentive Plan 2020 [Member] | Share-based Compensation Award, Tranche One [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Maximum Employee Subscription Rate			33.33%
Long Tem Incentives Plan Units [Member] | Long Term Incentive Plan 2020 [Member] | Share-based Compensation Award, Tranche Two [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Maximum Employee Subscription Rate			33.33%
Long Tem Incentives Plan Units [Member] | Long Term Incentive Plan 2020 [Member] | Share-based Payment Arrangement, Tranche Three [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Maximum Employee Subscription Rate			33.33%

Leases - Aggregate annual minim

Leases - Aggregate annual minimum cash to be received by the Company on the noncancelable operating leases (Details) $ in Thousands	Mar. 31, 2020USD ($)
Leases
2020 (nine months remaining)	$ 58,269
2021	76,191
2022	74,498
2023	71,822
2024	65,662
Thereafter	370,621
Total	$ 717,063

Leases - Scheduled obligations

Leases - Scheduled obligations for future minimum payments on operating ground leases (Details) $ in Thousands	Mar. 31, 2020USD ($)
Leases
2020 (nine months remaining)	$ 87
2021	116
2022	116
2023	120
2024	125
Thereafter	4,351
Total	4,915
Discount	(2,501)
Lease liability	$ 2,414

Leases - Additional Information

Leases - Additional Information (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2020	Mar. 31, 2019
Leases
Operating Lease Average Remaining Lease Term	10 years
Variable revenue	$ 1,484
Rental revenue	$ 21,533	$ 15,141
Weighted average remaining term	24 years
Weighted average discount rate	4.40%
Lease Expense	$ 42
Paid in cash	$ 16

Rent Concentration (Details)

Rent Concentration (Details)	3 Months Ended
	Mar. 31, 2020	Mar. 31, 2019
Concentration Risk, Percentage	100.00%	100.00%
Rental Revenue [Member]
Concentration Risk, Percentage	5.00%
Encompass [Member]
Concentration Risk, Percentage	8.00%	10.00%
Belpre [Member]
Concentration Risk, Percentage	7.00%	10.00%
OCOM [Member]
Concentration Risk, Percentage	5.00%	8.00%
Austin [Member]
Concentration Risk, Percentage	4.00%	6.00%
Sherman [Member]
Concentration Risk, Percentage	4.00%	6.00%
East Dallas [Member]
Concentration Risk, Percentage	3.00%	5.00%
All Other Facilities [Member]
Concentration Risk, Percentage	69.00%	55.00%

Subsequent Events - Additional

Subsequent Events - Additional Information (Details) - shares	3 Months Ended
	Mar. 31, 2020	Apr. 09, 2020	Dec. 31, 2019
Subsequent Events
Aggregate common stock shares issued	44,278,000		43,806,000
Maximum
Subsequent Events
Deferred rent payment term	2 months
Subsequent Event | Redemption of OP Units
Subsequent Events
Aggregate common stock shares issued		735,000