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defaults on or non-renewal of leases by tenants;
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our ability to collect rental revenue, expected rent deferral amounts and expected repayment periods;
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our ability to satisfy the covenants in our existing and any future debt agreements, including our credit facility;
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decreased rental rates or increased vacancy rates, including expected rent levels on acquired properties;
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difficulties in identifying healthcare facilities to acquire and completing such acquisitions;
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adverse economic or real estate conditions or developments, either nationally or in the markets in which our facilities are located;
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our failure to generate sufficient cash flows to service our outstanding obligations;
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fluctuations in interest rates and increased operating costs;
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our failure to effectively hedge our interest rate risk;
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our ability to satisfy our short and long-term liquidity requirements;
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our ability to deploy the debt and equity capital we raise;
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our ability to raise additional equity and debt capital on terms that are attractive or at all;
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our ability to make distributions on shares of our common and preferred stock;
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expectations regarding the timing and/or completion of any acquisition;
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general volatility of the market price of our common and preferred stock;
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changes in our business or our investment or financing strategy;
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changes in our management internalization plans;
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our dependence upon key personnel whose continued service is not guaranteed;
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the ability of our external manager, Inter-American Management, LLC (the “Advisor”), to identify, hire and retain highly qualified personnel in the future;
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the degree and nature of our competition;
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changes in healthcare laws, governmental regulations, tax rates and similar matters;
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changes in current healthcare and healthcare real estate trends;
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changes in expected trends in Medicare, Medicaid and commercial insurance reimbursement trends;
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competition for investment opportunities;
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our failure to successfully integrate acquired healthcare facilities;
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our expected tenant improvement expenditures;
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changes in accounting policies generally accepted in the United States of America (“GAAP”);
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lack of or insufficient amounts of insurance;
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other factors affecting the real estate industry generally;
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changes in the tax treatment of our distributions;
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our failure to qualify and maintain our qualification as a REIT for U.S. federal income tax purposes;
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our ability to qualify for the safe harbors from the 100% prohibited transactions tax under the REIT rules with respect to our property dispositions; and
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limitations imposed on our business and our ability to satisfy complex rules relating to REIT qualification for U.S. federal income tax purposes.
See Item 1A. Risk Factors in our Annual Report on Form 10-K for the year ended December 31, 2019 for further discussion of these and other risks, as well as the risks, uncertainties and other factors discussed