Global Medical REIT (GMRE) 10-K 11 Mar 19 2018 FY Annual report Financial data

Document And Entity Information

Document And Entity Information - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2018	Mar. 01, 2019	Jun. 30, 2018
Document and Entity Information [Abstract]
Document Type	10-K
Amendment Flag	false
Document Period End Date	Dec. 31, 2018
Document Fiscal Year Focus	2018
Document Fiscal Period Focus	FY
Entity Registrant Name	Global Medical REIT Inc.
Entity Central Index Key	0001533615
Current Fiscal Year End Date	--12-31
Entity Well-known Seasoned Issuer	No
Entity Voluntary Filers	No
Entity Current Reporting Status	Yes
Entity Filer Category	Accelerated Filer
Entity Public Float			$ 168.3
Trading Symbol	GMRE
Entity Common Stock, Shares Outstanding		26,304,740
Entity Shell Company	false
Entity Emerging Growth Company	false
Entity Small Business	false

Consolidated Balance Sheets

Consolidated Balance Sheets - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017
Investment in real estate:
Land	$ 63,710	$ 42,701
Building	518,451	384,338
Site improvements	6,880	4,808
Tenant improvements	15,357	8,010
Acquired lease intangible assets	43,152	31,650
Real Estate Investment Property, at Cost, Total	647,550	471,507
Less: accumulated depreciation and amortization	(30,625)	(13,594)
Investment in real estate, net	616,925	457,913
Cash and cash equivalents	3,631	5,109
Restricted cash	1,212	2,005
Tenant receivables	2,905	704
Escrow deposits	1,752	1,638
Deferred assets	9,352	3,993
Other assets	322	459
Total assets	636,099	471,821
Liabilities:
Revolving credit facility, net of unamortized discount of $3,922 and $2,750 at December 31, 2018 and 2017, respectively	276,353	162,150
Notes payable, net of unamortized discount of $799 and $930 at December 31, 2018 and 2017, respectively	38,654	38,545
Accounts payable and accrued expenses	3,664	2,020
Dividends payable	6,981	5,638
Security deposits and other	4,152	2,128
Due to related parties, net	1,030	1,036
Derivative liability	3,487	0
Acquired lease intangible liability, net	2,028	1,291
Total liabilities	336,349	212,808
Stockholders' equity:
Preferred stock, $0.001 par value, 10,000 shares authorized; 3,105 issued and outstanding at December 31, 2018 and 2017, respectively (liquidation preference of $77,625 at December 31, 2018 and 2017, respectively)	74,959	74,959
Common stock, $0.001 par value, 500,000 shares authorized; 25,944 shares and 21,631 shares issued and outstanding at December 31, 2018 and 2017, respectively	26	22
Additional paid-in capital	243,038	205,788
Accumulated deficit	(45,007)	(34,434)
Accumulated other comprehensive loss	(3,721)	0
Total Global Medical REIT Inc. stockholders' equity	269,295	246,335
Noncontrolling interest	30,455	12,678
Total stockholders' equity	299,750	259,013
Total liabilities and stockholders' equity	$ 636,099	$ 471,821

Consolidated Balance Sheets _Pa

Consolidated Balance Sheets [Parenthetical] - USD ($) shares in Thousands, $ in Thousands	Dec. 31, 2018	Dec. 31, 2017
Debt Instrument, Unamortized Discount	$ 799	$ 930
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	25,944	21,631
Common stock, shares outstanding	25,944	21,631
Revolving credit facility [Member]
Debt Instrument, Unamortized Discount	$ 3,922	$ 2,750
Notes Payable [Member]
Debt Instrument, Unamortized Discount	$ 799	$ 930

Consolidated Statements of Oper

Consolidated Statements of Operations - USD ($) shares in Thousands, $ in Thousands	12 Months Ended
	Dec. 31, 2018		Dec. 31, 2017		Dec. 31, 2016
Revenue
Rental revenue	$ 49,565		$ 28,511		$ 8,080
Expense recoveries	3,573		1,712		0
Other income	54		121		131
Total revenue	53,192		30,344		8,211
Expenses
General and administrative	5,537		5,489		4,219
Operating expenses	3,720		1,860		73
Management fees - related party	4,422	[1]	3,123	[2]	1,434
Depreciation expense	13,644		7,929		2,335
Amortization expense	3,625		2,072		42
Interest expense	14,975		7,435		4,139
Acquisition fees	383		2,523		1,568
Acquisition fees – related party	0		0		754
Total expenses	46,306		30,431		14,564
Income (Loss) before Gain (Loss) on Sale of Properties	6,886		(87)		(6,353)
Gain on sale of investment property	7,675		0		0
Net income (loss)	14,561		(87)		(6,353)
Less: Preferred stock dividends	(5,822)		(1,714)		0
Less: Net (income) loss attributable to noncontrolling interest	(1,071)		49		0
Net income (loss) attributable to common stockholders	$ 7,668		$ (1,752)		$ (6,353)
Net income (loss) attributable to common stockholders per share – basic and diluted	$ 0.35		$ (0.09)		$ (0.68)
Weighted average shares outstanding – basic and diluted	21,971		19,617		9,302
[1]	Net amount accrued of $79 consists of $4,422 in management fee expense incurred, net of $4,343 of accrued management fees that were paid to the Advisor. This represents a cash flow operating activity.
[2]	Net amount accrued of $443 consists of $3,123 in management fee expense incurred, net of $2,680 of accrued management fees that were paid to the Advisor. This represents a cash flow operating activity.

Consolidated Statements of Comp

Consolidated Statements of Comprehensive Income (Loss) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Net income (loss)	$ 14,561	$ (87)	$ (6,353)
Other comprehensive income (loss):
Decrease in fair value of interest rate swap agreement	(3,721)	0	0
Total other comprehensive loss	(3,721)	0	0
Comprehensive income (loss)	10,840	(87)	(6,353)
Less: Preferred stock dividends	(5,822)	(1,714)	0
Less: Comprehensive (income) loss attributable to noncontrolling interest	(625)	49	0
Comprehensive income (loss) attributable to common stockholders	$ 4,393	$ (1,752)	$ (6,353)

Consolidated Statement of Stock

Consolidated Statement of Stockholders' Equity - USD ($) shares in Thousands, $ in Thousands	Total	Common Stock [Member]	Preferred Stock [Member]	Additional Paid-in Capital [Member]	Accumulated Deficit [Member]	Accumulated Other Comprehensive Loss [Member]	GMR Equity [Member]	Noncontrolling Interest [Member]
Balances at Dec. 31, 2015	$ (139)	$ 0	$ 0	$ 3,012	$ (3,151)	$ 0	$ (139)	$ 0
Balance (Shares) at Dec. 31, 2015		250
Net income (loss)	(6,353)	$ 0	0	0	(6,353)		(6,353)	0
Issuance of initial public offering shares of common stock	138,969	$ 15	0	138,954	0	0	138,969	0
Issuance of initial public offering shares of common stock (in shares)		15,000
Reclassification of deferred initial public offering costs	(1,681)	$ 0	0	(1,681)	0	0	(1,681)	0
Conversion of convertible debenture due to related party to shares of common stock	30,030	$ 3	0	30,027	0	0	30,030	0
Conversion of convertible debenture due to related party to shares of common stock (in shares)		2,356
Stock-based compensation expense	1,685	$ 0	0	1,685	0	0	1,685	0
Dividends to stockholders	(7,483)	0	0	0	(7,483)	0	(7,483)	0
Balances at Dec. 31, 2016	155,028	$ 18	0	171,997	(16,987)	0	155,028	0
Balances (Shares) at Dec. 31, 2016		17,606
Net income (loss)	(87)	$ 0	0	0	(38)	0	(38)	(49)
Issuance of shares of common stock	34,238	$ 4	0	34,234	0	0	34,238	0
Issuance of shares of common stock (in shares)		4,025
Issuance of shares of preferred stock	75,180	$ 0	$ 75,180	0	0	0	75,180	0
Issuance of shares of preferred stock (in shares)			3,105
Stock-based compensation expense	1,796	0	$ 0	0	0	0	0	1,796
Reclassification of deferred common stock offering costs	(443)	0	0	(443)	0	0	(443)	0
Reclassification of deferred preferred stock offering costs	(221)	0	(221)	0	0	0	(221)	0
Dividends to common stockholders	(15,695)	0	0	0	(15,695)	0	(15,695)	0
Dividends to preferred stockholders	(1,714)	0	0	0	(1,714)	0	(1,714)	0
Dividends to noncontrolling interest	(601)	0	0	0	0	0	0	(601)
OP Units issued to third parties	11,532	0	0	0	0	0	0	11,532
Balances at Dec. 31, 2017	259,013	$ 22	$ 74,959	205,788	(34,434)	0	246,335	12,678
Balances (Shares) at Dec. 31, 2017		21,631	3,105
Net income (loss)	14,561	$ 0	$ 0	0	13,490	0	13,490	1,071
Issuance of shares of common stock	37,827	$ 4	0	37,823	0	0	37,827	0
Issuance of shares of common stock (in shares)		4,313
Change in fair value of interest rate swap agreements	(3,721)		0	0	0	(3,721)	(3,721)	0
Stock-based compensation expense	2,671		0	0				2,671
Reclassification of deferred common stock offering costs	(573)	0	0	(573)	0	0	(573)	0
Dividends to common stockholders	(18,241)		0	0	(18,241)	0	(18,241)	0
Dividends to preferred stockholders	(5,822)		0	0	(5,822)	0	(5,822)	0
Dividends to noncontrolling interest	(2,065)	0	0	0	0	0	0	(2,065)
OP Units issued to third parties	16,363		0	0	0	0	0	16,363
LTIP Units redeemed in cash	(263)	0	0	0	0	0	0	(263)
Balances at Dec. 31, 2018	$ 299,750	$ 26	$ 74,959	$ 243,038	$ (45,007)	$ (3,721)	$ 269,295	$ 30,455
Balances (Shares) at Dec. 31, 2018		25,944	3,105

Consolidated Statements of Cash

Consolidated Statements of Cash Flows - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Operating activities
Net income (loss)	$ 14,561	$ (87)	$ (6,353)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Depreciation expense	13,644	7,929	2,335
Amortization of acquired lease intangible assets	3,625	2,072	42
Amortization of above (below) market leases, net	688	129	(1)
Amortization of deferred financing costs and other	1,640	1,224	350
Stock-based compensation expense	2,671	1,796	1,685
Capitalized acquisition costs charged to expense	110	19	0
Advisory expense settled in OP Units	0	232	0
Gain on sale of investment property	(7,675)	0	0
Changes in operating assets and liabilities:
Tenant receivables	(2,201)	(492)	(212)
Deferred assets	(5,811)	(3,288)	(681)
Other assets	(40)	(144)	0
Accounts payable and accrued expenses	1,519	1,355	(41)
Security deposits and other	2,024	1,408	719
Accrued management fees due to related party	79	443	(9)
Net cash provided by (used in) operating activities	24,834	12,596	(2,166)
Investing activities
Purchase of land, buildings, and other tangible and intangible assets and liabilities	(180,837)	(252,220)	(150,459)
Net proceeds from sale of investment property	31,629	0	0
Escrow deposits for purchase of properties	174	(352)	104
Loans repayments (made to) from related party	(85)	21	138
Payments for tenant improvements	(2,535)	0	0
Pre-acquisition costs for purchase of properties, net	36	(102)	(141)
Net cash used in investing activities	(151,618)	(252,653)	(150,358)
Financing activities
Net proceeds received from preferred stock offering	0	74,959	0
Net proceeds received from common equity offerings	37,307	33,795	137,288
Escrow deposits required by third party lenders	(288)	(74)	(862)
Loans repaid to related party	0	(9)	(395)
Repayment of convertible debenture, due to related party	0	0	(10,000)
Proceeds received from notes payable from acquisitions	0	0	41,321
Repayment of notes payable from acquisitions	(22)	0	(25,634)
Proceeds received from note payable from related party	0	0	1,950
Repayment of note payable from related party	0	(421)	(1,950)
Proceeds from revolving credit facility	186,100	244,200	27,700
Repayment of revolving credit facility borrowings	(70,725)	(107,000)	0
Payments of debt issuance costs	(2,811)	(2,915)	(2,036)
Redemption of LTIP Units	(263)	0	0
Dividends paid to common stockholders, and OP Unit and LTIP Unit holders	(18,964)	(15,231)	(3,878)
Dividends paid to preferred stockholders	(5,821)	(745)	0
Net cash provided by financing activities	124,513	226,559	163,504
Net (decrease) increase in cash and cash equivalents and restricted cash	(2,271)	(13,498)	10,980
Cash and cash equivalents and restricted cash—beginning of period	7,114	20,612	9,632
Cash and cash equivalents and restricted cash—end of period	4,843	7,114	20,612
Supplemental cash flow information:
Cash payments for interest	13,077	5,746	4,099
Noncash financing and investing activities:
Accrued dividends payable	6,981	5,638	3,604
Conversion of convertible debenture due to majority stockholder to common stock	0	0	30,030
Reclassification of common stock offering costs to additional paid-in capital	573	443	1,681
Reclassification of preferred stock offering costs to preferred stock balance	0	221	0
OP Units issued primarily for property acquisitions	16,362	11,300	0
Tenant improvements completed and transferred to real estate investments	2,535	0	0
Interest Rate Swap [Member]
Noncash financing and investing activities:
Interest rate swap agreements fair value change recognized in other comprehensive loss	$ 3,721	$ 0	$ 0

Organization

Organization	12 Months Ended
	Dec. 31, 2018
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block]	Note 1 – Organization Background Global Medical REIT Inc. (the “Company”) is a Maryland corporation engaged primarily in the acquisition of purpose-built healthcare facilities and leasing of those properties 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. ZH International Holdings Limited (formerly known as Heng Fai Enterprises, Ltd.) a Hong Kong limited liability company that is engaged in real estate development, investments, hospitality management and investments, and REIT management, is an 85% owner of the Advisor and the Company’s Chief Executive Officer owns the remaining 15% interest. 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 (the “GP”), a Delaware limited liability company. As of December 31, 2018, the Company was the 87.41% limited partner of the Operating Partnership, with an aggregate of 12.58% 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 limited partnership units (“OP Units”). The Company’s common stock is listed on the New York Stock Exchange under the ticker symbol “GMRE.” The Company elected to be taxed as a REIT for U.S. federal income tax purposes commencing with its taxable year ended December 31, 2016.

Summary of Significant Accounti

Summary of Significant Accounting Policies	12 Months Ended
	Dec. 31, 2018
Accounting Policies [Abstract]
Significant Accounting Policies [Text Block]	Note 2 – Summary of Significant Accounting Policies Principles of Consolidation The accompanying 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 – “Stockholders’ 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 Consolidated Balance Sheets, separate from the Company’s total stockholders’ 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 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 held 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 consolidated financial statements in conformity with accounting principles generally accepted in the United States of America (“GAAP”) requires the Company to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and footnotes. Actual results could differ from those estimates. Revenue Recognition On January 1, 2018, the Company adopted the provisions of Accounting Standards Update (“ASU”) 2014-09 “Revenue from Contracts with Customers (Topic 606)” (“ASU 2014-09”). The update’s core principle is that an entity should recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. ASU 2014-09 was permitted to be applied retrospectively to each prior period presented or prospectively with the cumulative effect, if any, recognized as of the date of adoption. The Company selected the modified retrospective transition method as of the date of adoption and concluded that all of the Company’s material revenue streams fell outside of the scope of the guidance. Rental income from leasing arrangements is specifically excluded from the standard. The Company analyzed its remaining revenue streams and concluded there were no changes in revenue recognition with the adoption of the new standard. As such, adoption of ASU 2014-09 did not result in a cumulative adjustment recognized as of January 1, 2018, and the standard did not have a material impact on the Company’s consolidated financial statements or disclosures. 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 Consolidated Statements of Operations, i.e., the Company recognizes an equivalent increase in revenue (“expense recoveries”) and expense (“operating expenses”). The Company assesses the need for an allowance for doubtful accounts, including an allowance for operating lease straight-line rent receivables, for estimated 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. This evaluation considers industry and economic conditions, property performance, credit enhancements and other factors. For operating lease straight-line rent amounts, the Company's assessment is based on amounts estimated to be recoverable over the term of the lease. As of December 31, 2018 and 2017 no allowance was recorded as one was not deemed necessary. Purchase of Real Estate On January 1, 2018, the Company adopted the provisions of ASU 2017-01 – “Business Combinations (Topic 805): Clarifying the Definition of a Business” (“ASU 2017-01”). ASU 2017-01 provides revised guidance to determine when an acquisition meets the definition of a business or alternatively should be accounted for as an asset acquisition. ASU 2017-01 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 are capitalized for asset acquisitions and expensed as incurred for business combinations. ASU 2017-01 will result in most, if not all, of the Company’s 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 also 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 Accounting Standards Codification (“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. The Company makes estimates to determine the fair value of the tangible and intangible assets acquired and liabilities assumed using information obtained from multiple sources, including pre-acquisition due diligence, and the Company routinely utilizes the assistance of a third-party appraiser. Initial valuations are subject to change until the information is finalized, no later than 12 months from the acquisition date. The Company expenses transaction costs associated with acquisitions accounted for as business combinations in the period incurred. Valuation of tangible assets: The fair value of land is determined using the sales comparison approach whereby recent comparable land sales and listings are gathered and summarized. The available market data is analyzed and compared to the land being valued and adjustments are made for dissimilar characteristics such as market conditions, size, and location. The Company estimates the fair value of buildings acquired on an as-if-vacant basis and depreciates the building value over its estimated remaining life. The Company determines the fair value of site improvements (non-building improvements that include paving and other) using the cost approach, with a deduction for depreciation, and depreciates the site improvements over their estimated remaining useful lives. Tenant improvements represent fixed improvements to tenant spaces, the fair value of which is estimated using prevailing market tenant improvement allowances that would be given to attract a new tenant, estimated based on the assumption that it is a necessary cost of leasing up a vacant building. Tenant improvements are amortized over the remaining term of the lease. Valuation of intangible assets: In determining the fair value of in-place leases (the avoided cost associated with existing in-place leases) management considers current market conditions and costs to execute similar leases in arriving at an estimate of the carrying costs during the expected lease-up period from vacant to existing occupancy. In estimating carrying costs, management includes reimbursable (based on market lease terms) real estate taxes, insurance, other operating expenses, as well as estimates of lost market rental revenue during the expected lease-up periods. The values assigned to in-place leases are amortized over the remaining term of the lease. The fair value of above-or-below market leases is estimated based on the present value (using an interest rate which reflected the risks associated with the leases acquired) of the difference between contractual amounts to be received pursuant to the leases and management’s estimate of market lease rates measured over a period equal to the estimated remaining term of the lease. An above market lease is classified as an intangible asset and a below market lease is classified as an intangible liability. The capitalized above-market or below-market lease intangibles are amortized as a reduction of, or an addition to, rental income over the estimated remaining term of the respective leases. Intangible assets related to leasing costs consist of leasing commissions and legal fees. Leasing commissions are estimated by multiplying the remaining contract rent associated with each lease by a market leasing commission. Legal fees represent legal costs associated with writing, reviewing, and sometimes negotiating various lease terms. Leasing costs are amortized over the remaining useful life of the respective leases. Assets Held for Sale and Discontinued Operations The Company may sell properties from time to time for various reasons, including favorable market conditions. The Company classifies certain long-lived assets as held for sale once the criteria, as defined by GAAP, have been met. Long-lived assets to be disposed of are reported at the lower of their carrying amount or fair value minus cost to sell and are no longer depreciated. No properties were classified as held for sale as of December 31, 2018 or 2017 and the Company’s one disposition during the year ended December 31, 2018 did not qualify as discontinued operations. Impairment of Long-Lived Assets The Company evaluates its real estate assets for impairment at each reporting date or whenever events or circumstances indicate that its carrying amount may not be recoverable. If an impairment indicator exists, the Company compares the expected future undiscounted cash flows against the carrying amount of the asset. If the sum of the estimated undiscounted cash flows is less than the carrying amount of the asset, the Company would record an impairment loss for the difference between the estimated fair value and the carrying amount of the asset. Cash and Cash Equivalents and Restricted Cash On January 1, 2018 the Company adopted the provisions of ASU 2016-18, “Statement of Cash Flows (Topic 230) Restricted Cash” (“ASU 2016-18”) , which requires that the statement of cash flows explain the change during the period in the total of cash and cash equivalents and amounts generally described as restricted cash. In accordance with the requirements of ASU 2016-18, 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 Consolidated Statements of Cash Flows for the years ended December 31, 2018 and 2017: 2018 2017 Cash and cash equivalents $ 3,631 $ 5,109 Restricted cash 1,212 2,005 Total cash and cash equivalents and restricted cash $ 4,843 $ 7,114 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 Receivables The tenant receivable balance as of December 31, 2018 and 2017 was $2,905 and $704, respectively. The balance as of December 31, 2018 consisted of $783 in funds owed from the Company’s tenants for rent that the Company had earned but had not yet received, and $1,062 in funds owed by certain of the Company’s tenants for amounts the Company collects to pay specific tenant expenses, such as real estate taxes and insurance, on the tenants’ behalf. Additionally, the balance as of December 31, 2018 included a $1,000 $60 $125 in funds owed from the Company’s tenants for rent that the Company had earned but had not yet received, and $579 in funds owed by certain of the Company’s tenants for amounts the Company collects to pay specific tenant expenses, such as real estate taxes and insurance, on the tenants’ behalf. Escrow Deposits 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. The escrow balance as of December 31, 2018 and 2017 was $1,752 and $1,638, respectively. Deferred Assets The deferred assets balance as of December 31, 2018 and 2017 was $9,352 and $3,993, respectively. The balance as of December 31, 2018 consisted of $8,706 in deferred rent receivables resulting from the recognition of revenue from leases with fixed annual rental escalations on a straight-line basis and the balance of $646 represented other deferred costs. The balance as of December 31, 2017 consisted of $3,842 in deferred rent receivables resulting from the recognition of revenue from leases with fixed annual rental escalations on a straight-line basis and the balance of $151 represented other deferred costs. Other Assets Other assets consists primarily of capitalized costs related to the Company’s property acquisitions. Costs that are incurred prior to the completion of the acquisition of a property are capitalized if all of the following conditions are met: (a) the costs are directly identifiable with the specific property, (b) the costs would be capitalized if the property were already acquired, and (c) acquisition of the property is probable. These costs are included with the value of the acquired property upon completion of the acquisition. The costs are charged to expense when it is probable that the acquisition will not be completed. The other assets balance was $322 as of December 31, 2018, which consisted of $139 in capitalized costs related to property acquisitions and $183 in a prepaid asset. The other assets balance was $459 as of December 31, 2017, which consisted of $316 in capitalized costs related to property acquisitions and $143 in a prepaid asset. Security Deposits and Other The security deposits and other liability balance as of December 31, 2018 and 2017 was $4,152 and $2,128, respectively. The balance as of December 31, 2018 consisted of security deposits of $3,272 and a tenant impound liability of $880 related to amounts owed for specific tenant expenses, such as real estate taxes and insurance. The balance as of December 31, 2017 consisted of security deposits of $1,620 and a tenant impound liability of $508 related to amounts owed for specific tenant expenses, such as real estate taxes and insurance. Derivative Instruments - Interest Rate Swap Agreements As of December 31, 2018, the Company had three interest rate swap derivative instruments that were designated as cash flow hedges of interest rate risk. 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.” Additionally, effective July 1, 2018, the Company adopted the provisions of ASU No. 2017-12, “Derivatives and Hedging: Targeted Improvements to Accounting for Hedging Activities” (“ASU 2017-12”). The purpose of ASU 2017-12 is to better align a company’s financial reporting for hedging activities with the economic objectives of those activities. The adoption of ASU 2017-12 did not have a material impact on the Company’s consolidated financial statements or disclosures. As of December 31, 2018 and 2017, the Company’s liability balance related to these swaps was $3,487 and zero, respectively. Refer to Note 4 – “Notes Payable and Revolving Credit Facility” for additional details. Net Loss Attributable to Common Stockholders Per Share The Company uses the treasury stock method to compute diluted net income or loss attributable to common stockholders per share. Basic net income or loss per share of common stock is computed by dividing net income or loss attributable to common stockholders by the weighted average number of shares of common stock outstanding for the period. Diluted net income or loss per share of common stock is computed by dividing net income or loss attributable to common stockholders by the sum of the weighted average number of shares of common stock outstanding plus any potential dilutive shares for the period. As of December 31, 2018, 353 LTIP Units had vested, none of which were converted into OP Units, and there were 3,145 outstanding OP Units held by third parties. As of December 31, 2017, 267 LTIP Units had vested, none of which were converted into OP Units, and there were 1,246 outstanding OP Units held by third parties. The OP Units and LTIP Units are not reflected in the diluted per share calculation because the exchange of OP Units and LTIP Units into common stock is on a one-for-one basis, and both are allocated net income on a per share basis equal to the common stock. Accordingly, any exchange would not have any effect on diluted net income (loss) available to common stockholders per share. The Company considered the requirements of the two-class method when computing earnings per share and determined that there would be no difference in its reported results if that method was utilized. Debt Issuance Costs Debt issuance costs include amounts paid to lenders and other third parties to obtain both fixed term and revolving debt and are amortized to interest expense on a straight-line basis over the term of the related debt. Refer to Note 4 – “Notes Payable and Revolving Credit Facility” for additional details. Related Party Disclosures The Company enters into transactions with affiliated entities, or “related parties,” which are recorded net as “Due to Related Parties” in the accompanying Consolidated Balance Sheets. Related party disclosures are governed by ASC Topic 850, Related Party Disclosures. Refer to Note 6 – “Related Party Transactions” for additional information regarding the Company’s related party transactions. Stock-Based Compensation On July 1, 2018, the Company adopted the provisions of ASU 2018-07, “Improvements to Nonemployee Share-Based Payment Accounting” (“ASU 2018-07”). The Company grants LTIP Unit awards, including awards that vest over time and awards that vest based on specified performance criteria, to employees of its Advisor (deemed to be non-employees of the Company), and to the Company’s independent directors (deemed to be employees of the Company). ASU 2018-07 simplifies several aspects of the accounting for non-employee transactions by stipulating that the existing accounting guidance for share-based payments to employees, accounted for under ASC Topic 718, “Compensation-Stock Compensation,” will also apply to non-employee share-based transactions, accounted for under ASC Topic 505, “Equity.” The adoption of ASU 2018-07 did not have a material impact on the Company’s consolidated financial statements or disclosures. Refer to Note 7 – “Stock Based Compensation” for additional details. Depreciation Expense Depreciation expense is computed using the straight-line method over the estimated remaining useful lives of the buildings, which are generally between 23 and 50 years, tenant improvements, which are generally between 1 and 19 3 14 years . Income Taxes The Company elected to be taxed as a REIT for U.S. federal income tax purposes commencing with its taxable year ended December 31, 2016. REITs are generally not subject to federal income taxes if the Company can meet many specific requirements. If the Company fails to qualify as a REIT in any taxable year, the Company will be subject to federal and state income tax (including for 2017 and prior taxable years only, any applicable alternative minimum tax) on its taxable income at regular corporate tax rates, and the Company could not re-elect REIT status until the fifth calendar year after the year in which the failure occurred. Although the Company qualifies as a REIT, it may be subject to certain state or local income taxes, and if the Company creates a TRS, the TRS will be subject to federal, state and local taxes on its income at regular corporate rates. The Company recognizes the tax effects of uncertain tax positions only if the position is more likely than not to be sustained upon audit, based on the technical merits of the position. The Company has not identified any material uncertain tax positions and recognizes interest and penalties in income tax expense, if applicable. The Company is currently not under examination by any income tax jurisdiction. Fair Value of Financial Instruments Fair value is a market-based measurement and should be determined based on the assumptions that market participants would use in pricing an asset or liability. In accordance with ASC Topic 820, the valuation hierarchy is based upon the transparency of inputs to the valuation of an asset or liability as of the measurement date. A financial instrument’s categorization within the valuation hierarchy is based upon the lowest level of input that is significant to the fair value measurement. The three levels are defined as follows: • Level 1-Inputs to the valuation methodology are quoted prices for identical assets or liabilities in active markets; • Level 2-Inputs to the valuation methodology include quoted prices for similar assets and liabilities in active markets, and inputs that are observable for the asset or liability, either directly or indirectly, for substantially the full term of the financial instrument; and • Level 3-Inputs to the valuation methodology are unobservable and significant to the fair value measurement. The Company considers the carrying values of cash and cash equivalents, escrow deposits, accounts and other receivables, and accounts payable and accrued expenses to approximate the fair value for these financial instruments because of the short period of time since origination or the short period of time between origination of the instruments and their expected realization. Due to the short-term nature of these instruments, Level 1 and Level 2 inputs are utilized to estimate the fair value of these financial instruments. The fair values determined related to the Company’s interest rate swap transactions utilize Level 2 inputs, since there is heavy reliance on a variety of inputs including contractual terms, interest rate curves, yield curves, measure of volatility, and correlations of such inputs. The fair values determined related to the Company’s acquisitions of real estate where the identification and recording of intangible assets and liabilities is required primarily utilize Level 2 inputs since there is heavy reliance on market observable data such as rent comparables, sales comparables, and broker indications. Although some Level 3 inputs are utilized they are minor in comparison to the Level 2 date used for the primary assumptions as it relates to acquisitions of real estate. Segment Reporting ASC Topic 280, Segment Reporting, establishes standards for reporting financial and descriptive information about a public entity's reportable segments. The Company has determined that it has one reportable segment, with activities related to investing in medical properties. The Company evaluates the operating performance of its investments on an individual asset level basis. Recent Accounting Pronouncements In February 2016, the Financial Accounting Standards Board (FASB) issued ASU No. 2016-02 “Leases” (“ASU 2016-02”). This standard created Topic 842, “Leases,” and superseded FASB ASC Topic 840, “Leases.” ASU 2016-02 requires a lessee to recognize right of use assets and related lease liabilities from leases (both operating and finance leases). However, for leases with a term of 12 months or less, a lessee is permitted to make an accounting policy election not to recognize lease assets and lease liabilities. The new standard requires lessors to account for operating leases using an approach that is substantially equivalent to existing guidance for operating leases. ASU 2016-02 is effective for annual reporting periods (including interim periods within those periods) beginning after December 15, 2018. The new standard was adopted using a modified retrospective method. Based on the election of the package of practical expedients, the Company has determined that its leases where it is the lessor and several ground leases where the Company is the lessee will continue to be accounted for as operating leases under the new standard. Further, the Company has elected the practical expedient to not separate non-lease components from lease components. Therefore, as of January 1, 2019, for the Company’s leases where it is the lessor, the Company does not anticipate changes in the accounting for its lease revenues and expenses. For the Company’s ground leases where it is the lessee, the Company will be required to recognize right of use assets and related lease liabilities on its consolidated balance sheets upon adoption. As of January 1, 2019, the Company anticipates recognizing right of use assets and related lease liabilities of approximately $2,250. Reclassification The Company reclassified the line item “Deferred financing costs, net” on its Consolidated Balance Sheet as of December 31, 2017 to present this amount as a reduction of the Company’s “Revolving Credit Facility” liability balance. The deferred financing cost, net balance consists of costs incurred related to securing and amending the Company’s revolving credit facility (net of accumulated amortization). The reclassification was made to conform to the Company’s presentation of this line item in the Company’s Consolidated Balance Sheet as of December 31, 2018, which treats all unamortized deferred financing costs as a reduction of the related debt balance.

Property Portfolio

Property Portfolio	12 Months Ended
	Dec. 31, 2018
Property, Plant and Equipment [Abstract]
Property, Plant and Equipment Disclosure [Text Block]	Note 3 – Property Portfolio Summary of Properties Acquired During the Year Ended December 31, 2018 During the year ended December 31, 2018, the Company completed 14 acquisitions. Substantially all of the fair value of the acquisitions was concentrated in a single identifiable asset or group of similar identifiable assets and, therefore, all of the acquisitions represent asset acquisitions under the guidance provided by ASU 2017-01. Accordingly, transaction costs for these acquisitions were capitalized. A rollforward of the gross investment in land, building and improvements as of December 31, 2018, resulting from these acquisitions is as follows: Land Building Site & Tenant Acquired Lease Gross Investment in Balances as of January 1, 2018 $ 42,701 $ 384,338 $ 12,818 $ 31,650 $ 471,507 Facility Acquired – Date Acquired: Moline / Silvis – 1/24/18 - 4,895 1,216 989 7,100 Freemont – 2/9/18 162 8,335 - - 8,497 Gainesville – 2/23/18 625 9,885 - - 10,510 Dallas – 3/1/18 6,272 17,012 - - 23,284 Orlando – 3/22/18 2,543 11,720 756 1,395 16,414 Belpre – 4/19/18 3,025 50,526 3,966 7,166 64,683 McAllen – 7/3/18 1,099 4,296 - - 5,395 Derby – 8/3/18 412 2,496 243 453 3,604 Bountiful – 10/12/18 720 4,185 - - 4,905 Cincinnati – 10/30/18 1,745 1,336 553 492 4,126 Melbourne – 11/16/18 645 5,950 117 1,007 7,719 Southern IL – 11/30/18 1,830 12,660 - - 14,490 Vernon – 12/19/18 1,166 9,929 - - 11,095 Corona – 12/31/18 1,601 14,689 - - 16,290 Tenant improvements (1) - - 2,568 - 2,568 Total Additions (2) 21,845 157,914 9,419 11,502 200,680 Disposition of Great Bend – 12/20/18 (836 ) (23,801 ) - - (24,637 ) Balances as of December 31, 2018 $ 63,710 $ 518,451 $ 22,237 $ 43,152 $ 647,550 (1) Represents tenant improvements that were completed and placed in service during the year ended December 31, 2018 related to the Silvis and Sherman facilities that were acquired in January 2018 and June 2017, respectively. Of the $2,568, there were $2,535 of costs recorded as construction-in-process within the “Other Assets” line item in the Company’s Consolidated Balance Sheet when incurred and reclassified to investment in real estate once completed, and $33 of costs that were incurred and paid in cash and recorded directly as tenant improvements. (2) The Belpre, Southern IL, and Corona acquisitions included an aggregate of $16,362 of OP Units issued as part of the total consideration for those transactions. As indicated in footnote (1) above, $2,535 of completed construction-in-process costs were reclassified to investment in real estate during the year ended December 31, 2018. Additionally, an aggregate of $946 of intangible liabilities were acquired from the acquisitions that occurred during the year ended December 31, 2018. Accordingly, the total addition to gross investment in real estate funded with cash was $180,837. Depreciation expense was $13,644, $7,929, and $2,335 for the years ended December 31, 2018, 2017, and 2016, respectively. As of December 31, 2018, the Company had aggregate capital improvement commitments to improve or expand existing tenant space of $17 million. Many of these allowances are subject to contingencies that make it difficult to predict when such allowances will be utilized, if at all. In accordance with the terms of a number of the Company’s leases, tenant improvement obligations in 2019 could total approximately $9 million. The following is a summary of the 14 acquisitions completed during the year ended December 31, 2018. Moline / Silvis Facilities Moline Facility - Silvis Facility - The aggregate purchase price for the Moline/Silvis facilities was $6.9 million. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed for this acquisition: Site improvements $ 249 Building and tenant improvements 5,862 In-place leases 343 Above market ground lease intangibles 219 Leasing costs 427 Below market lease intangibles (229 ) Total purchase price $ 6,871 Fremont Facility Gainesville Facility Dallas Facility Orlando Facilities : Land and site improvements $ 3,075 Building and tenant improvements 11,944 In-place leases 808 Above market lease intangibles 229 Leasing costs 358 Below market lease intangibles (10 ) Total purchase price $ 16,404 Belpre Portfolio Land and site improvements $ 3,997 Building and tenant improvements 53,520 In-place leases 2,660 Above market lease intangibles 2,527 Leasing costs 1,979 Below market lease intangibles (632 ) Total purchase price $ 64,051 McAllen Facility Derby Facility Land and site improvements $ 566 Building and tenant improvements 2,585 In-place leases 299 Leasing costs 154 Below market lease intangibles (23 ) Total purchase price $ 3,581 Bountiful Facility Cincinnati Facility Land and site improvements $ 1,824 Building and tenant improvements 1,810 In-place leases 236 Above market lease intangibles 131 Leasing costs 125 Below market lease intangibles (52 ) Total purchase price $ 4,074 Melbourne Facility Land and site improvements $ 732 Building and tenant improvements 5,980 In-place leases 346 Above market lease intangibles 504 Leasing costs 157 Total purchase price $ 7,719 Southern IL Facilities Two of the six buildings are medical office buildings located in Shiloh, Illinois. Upon the closing of the acquisition, the Company assumed two leases at one of the buildings located in Shiloh as follows: (i) a lease of Suite 1 with SSM Health Care St. Louis with approximately seven years remaining in the initial term and two consecutive five year renewal options; and (ii) a lease of Suite 2 with Metro East Dermatology and Skin Cancer Center, LLC with approximately one year remaining in the initial term and consecutive one year renewal options unless the Company or the tenant terminates the lease in writing prior to the expiration of the term. Upon the closing of the acquisition of the second building located in Shiloh, the Company assumed a lease of Suite 2 with Quest Diagnostics Clinical Laboratories, Inc. with approximately nine months remaining in the initial term and two consecutive five year renewal options. The Company entered into a new lease of Suite 1 with Heartland Women’s Healthcare IL, P.C. having an initial term of 12 years and two consecutive five year renewal options. The tenant’s obligations under this lease are guaranteed by USA OBGYN Management, LLC. One of the six buildings is a mixed-use, commercial building located in Carbondale, Illinois. At the time of the closing of the acquisition, portions of the building were leased to six different tenants for medical, general office and restaurant uses. Simultaneously with the closing, the Company entered into a lease with Seller’s affiliate, Heartland Women’s Healthcare, Ltd. (the “Master Tenant”) having an initial term of 12 years and two consecutive five year renewal options. For the first five years of the initial term, the Master Tenant master leases the entire building (with the leases existing at the time of closing being converted to subleases between the Master Tenant and such tenants). For the last seven years of the initial term and any renewal terms, the premises is reduced to 6,592 rentable square feet, and any other leases then in effect are assigned to the Company and become direct leases between the Company and the tenants under those leases. The Master Tenant’s obligations under this lease are guaranteed by USA OBGYN Management, LLC. One of the six buildings is a medical office building located in Marion, Illinois. Upon the closing of the acquisition, the Company entered into a lease with Heartland Women’s Healthcare, Ltd. for the entire building, having an initial term of 12 years and two consecutive five year renewal options. The tenant’s obligations under this lease are guaranteed by USA OBGYN Management, LLC. Two of the six buildings are medical office buildings located in Mount Vernon, Illinois. Upon the closing of the acquisition, the Company entered into a lease with Heartland Women’s Healthcare, Ltd. for both buildings, having an initial term of 12 years and two consecutive five year renewal options. The tenant’s obligations under this lease are guaranteed by USA OBGYN Management, LLC. Vernon Facilities Corona Facility Disposition On December 20, 2018, the Company disposed of the Great Bend Regional Hospital receiving gross proceeds of $32.5 million, resulting in a gain of approximately $7.7 million. After commissions and expenses paid, net proceeds received were $31.6 million. Summary of Properties Acquired During the Year Ended December 31, 2017 During the year ended December 31, 2017, the Company completed 23 acquisitions. A rollforward of the gross investment in land, building and improvements as of December 31, 2017, resulting from these acquisitions is as follows: Land Building Site & Tenant Improvements Acquired Lease Intangibles Gross Investment in Real Estate Balances as of January 1, 2017 $ 17,786 $ 179,253 $ 2,651 $ 7,187 $ 206,877 Facility Acquired – Date Acquired: Cape Coral – 1/10/17 352 7,017 - - 7,369 Lewisburg – 1/12/17 471 5,819 505 505 7,300 Las Cruces – 2/1/17 396 4,618 - - 5,014 Prescott – 2/9/17 791 3,821 - - 4,612 Clermont – 3/1/17 - 4,361 206 868 5,435 Sandusky – 3/10/17 409 3,998 - - 4,407 Great Bend – 3/31/17 837 23,801 - - 24,638 Oklahoma City – 3/31/17 2,087 37,714 1,876 7,823 49,500 Sandusky – 4/21/17 98 978 - - 1,076 Brockport – 6/27/17 413 6,885 492 1,295 9,085 Flower Mound – 6/27/17 581 2,922 382 407 4,292 Sherman facility – 6/30/17 1,601 25,011 - - 26,612 Sandusky facility – 8/15/17 56 1,215 - - 1,271 Lubbock facility – 8/18/17 1,303 5,042 947 908 8,200 Germantown – 8/30/17 2,700 8,078 657 4,505 15,940 Austin – 9/25/17 6,958 28,508 1,373 3,811 40,650 Fort Worth – 11/10/17 1,487 3,334 643 786 6,250 Albertville – 11/10/17 866 3,486 1,246 1,202 6,800 Moline – 11/10/17 722 8,175 1,194 1,916 12,007 Lee’s Summit – 12/18/17 428 2,426 646 437 3,937 Amarillo – 12/20/17 1,437 7,254 - - 8,691 Wyomissing – 12/21/17 487 5,250 - - 5,737 Saint George – 12/22/17 435 5,372 - - 5,807 Total Additions (1) 24,915 205,085 10,167 24,463 264,630 Balances as of December 31, 2017 $ 42,701 $ 384,338 $ 12,818 $ 31,650 $ 471,507 (1) The Lubbock and Moline facility acquisitions included an aggregate of approximately $11,300 of OP Units issued as part of the total consideration. Additionally, an aggregate of $1,110 of intangible liabilities were acquired from the acquisitions that occurred during the year ended December 31, 2017, resulting in total gross investments funded using cash of $252,220 As of December 31, 2017, the Company had tenant improvement allowances of approximately $10 million. These tenant improvement allowances are subject to contingencies that make it difficult to predict when such allowances will be utilized, if at all. The following acquisitions completed during the year ended December 31, 2017 were accounted for as business combinations under ASC Topic 805. Lewisburg Facility - : Land and site improvements $ 681 Building and tenant improvements 6,114 In place leases 373 Leasing costs 132 Total purchase price $ 7,300 Clermont Facility - Site improvements $ 145 Building and tenant improvements 4,422 In place leases 255 Above market lease intangibles 488 Leasing costs 125 Below market lease intangibles (210 ) Total purchase price $ 5,225 Oklahoma City Facilities - Upon closing of the acquisition of OCOM South, the Company entered into a new lease (the “Master Lease”) with the seller that expires in 2022 and assumed, as a sublease to the Master Lease, the existing absolute triple-net lease (the “OCOM South Lease”) with Oklahoma Center for Orthopedic & Multi-Specialty Surgery, LLC (“OCOM”) with a remaining term expiring in 2034, subject to three consecutive five-year tenant renewal options. Upon the expiration of the Master Lease, the OCOM South Lease will become a direct lease with the Company. A portion of the rent under the OCOM South sublease is guaranteed by United Surgical Partners International, Inc. and INTEGRIS Health, Inc. Upon closing of the acquisition of OCOM North, the Company assumed the existing lease. The lease has a remaining term expiring in 2022, with two consecutive five-year tenant renewal options. The following table presents the preliminary purchase price allocation: Land and site improvements $ 2,953 Building and tenant improvements 38,724 Above market lease intangibles 759 In place leases 4,392 Leasing costs 2,672 Total purchase price $ 49,500 Brockport Facility - Land and site improvements $ 693 Building and tenant improvements 7,097 In place leases 841 Leasing costs 454 Below market lease intangible (415 ) Total purchase price $ 8,670 Flower Mound Facility - Land and site improvements $ 730 Building and tenant improvements 3,155 In place leases 222 Leasing costs 185 Below market lease intangible (242 ) Total purchase price $ 4,050 Lubbock Facility - Land and site improvements $ 1,567 Building and tenant improvements 5,725 In-place leases 414 Leasing costs 494 Total purchase price $ 8,200 Germantown Facility - Land and site improvements $ 3,050 Building and tenant improvements 8,385 Above market lease intangible 3,284 In-place leases 587 Leasing costs 634 Total purchase price $ 15,940 Austin Facility - Land and site improvements $ 7,223 Building and tenant improvements 29,616 Above market lease intangible 246 In-place leases 1,680 Leasing costs 1,885 Total purchase price $ 40,650 Fort Worth Facility - Land and site improvements $ 1,738 Building and tenant improvements 3,726 Above market lease intangible 126 In-place leases 314 Leasing costs 346 Total purchase price $ 6,250 Albertville Facility - Land and site improvements $ 1,154 Building and tenant improvements 4,444 Above market lease intangible 103 In-place leases 802 Leasing costs 297 Total purchase price $ 6,800 Moline Facility - Land and site improvements $ 854 Building and tenant improvements 9,237 Above market lease intangible 33 In-place leases 1,050 Leasing costs 833 Below market lease intangible (107 ) Total purchase price $ 11,900 Lee’s Summit Facility - Land and site improvements $ 571 Building and tenant improvements 2,929 In-place leases 303 Leasing costs 134 Below market lease intangible (137 ) Total purchase price $ 3,800 The following acquisitions completed during the year ended December 31, 2017 were accounted for as asset acquisitions: Cape Coral Facility - Las Cruces Facility - Prescott Facility - Sandusky Facility - Great Bend Facility - Sandusky Facility - Sherman Facility - Sandusky Facility (Ballville Facility) - Amarillo Facility - Wyomissing Facility - Saint George Facility - Intangible Assets and Liabilities The following is a summary of the carrying amount of intangible assets and liabilities as of December 31, 2018 and 2017: As of December 31, 2018 Cost Accumulated Amortization Net Assets In-place leases $ 21,753 $ (4,037 ) $ 17,716 Above market ground lease 707 (28 ) 679 Above market leases 8,009 (1,096 ) 6,913 Leasing costs 12,683 (1,703 ) 10,980 $ 43,152 $ (6,864 ) $ 36,288 Liability Below market leases $ 2,336 $ (308 ) $ 2,028 As of December 31, 2017 Cost Accumulated Amortization Net Assets In-place leases $ 17,061 $ (1,577 ) $ 15,484 Above market ground lease 488 (6 ) 482 Above market leases 4,625 (220 ) 4,405 Leasing costs 9,476 (538 ) 8,938 $ 31,650 $ (2,341 ) $ 29,309 Liability Below market leases $ 1,389 $ (98 ) $ 1,291 The following is a summary of the acquired lease intangible amortization: Year Ended December 31, 2018 2017 2016 Amortization expense related to in-place leases $ 2,460 $ 1,542 $ 35 Amortization expense related to leasing costs $ 1,165 $ 530 $ 7 Decrease in rental revenue related to above market ground lease $ 22 $ 6 $ - Decrease in rental revenue related to above market leases $ 876 $ 220 $ - Increase in rental revenue related to below market leases $ (210 ) $ (97 ) $ (1 ) Future aggregate net amortization of the acquired lease intangible assets and liabilities as of December 31, 2018, is as follows: Net Decrease Increase in 2019 $ (772 ) $ 3,885 2020 (721 ) 3,831 2021 (724 ) 3,217 2022 (725 ) 2,908 2023 (703 ) 2,626 Thereafter (1,919 ) 12,229 Total $ (5,564 ) $ 28,696 For the year ended December 31, 2018, the weighted average amortization period for asset lease intangibles and liability lease intangibles are 7.11 years and 8.70 years, respectively. Unaudited Pro Forma Financial Information No acquisitions that occurred during 2018 qualified for treatment as a business combination and therefore pro forma information is not provided for acquisitions that occurred during the year ended December 31, 2018. The businesses acquired in 2017 and 2016 that were accounted for as business combinations were included in our results of operations from the dates of acquisition. The following table provides summary unaudited pro forma information as if the Company’s acquisitions during the years ended December 31, 2017 and 2016 that were accounted for as business combinations had occurred as of January 1, 2016: Year Ended December 31, 2017 2016 (unaudited) Revenue $ 38,140 $ 28,559 Net income (loss) $ 1,828 $ (1,191 ) Net income (loss) attributable to common stockholders $ 41 $ (1,191 ) Income (loss) attributable to common stockholders per share – basic and diluted $ - $ (0.13 ) Weighted average shares outstanding – basic and diluted $ 19,617 $ 9,302

Notes Payable and Revolving Cre

Notes Payable and Revolving Credit Facility	12 Months Ended
	Dec. 31, 2018
Debt Disclosure [Abstract]
Debt Disclosure [Text Block]	Note 4 – Notes Payable and Revolving Credit Facility Summary of Notes Payable, Net of Discount 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 December 31, 2018 and 2017. December 31, 2018 December 31, 2017 Notes payable, gross $ 39,475 $ 39,475 Less: Unamortized debt discount (799 ) (930 ) Principal repayment (22 ) - Notes payable, net $ 38,654 $ 38,545 Costs incurred related to securing the Company’s fixed-rate debt instruments have been capitalized as a debt discount, net of accumulated amortization, and are netted against the Company’s Notes Payable balance in the accompanying Consolidated Balance Sheets. During the year ended December 31, 2018, the Company repaid $22 in principal related to the West Mifflin note. Amortization expense incurred related to the debt discount was $131, $132, and $331 for the years ended December 31, 2018, 2017, and 2016, respectively, and is included in the “Interest Expense” line item in the accompanying 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 after the earlier of (a) two years after the loan is placed in a securitized mortgage pool, or (b) May 6, 2020, the Cantor Loan can be fully and partially defeased upon payment of amounts due under the Cantor Loan and payment of a defeasance amount that is sufficient to purchase U.S. government securities equal to the scheduled payments of principal, interest, fees, and any other amounts due related to a full or partial defeasance under the Cantor Loan. 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 December 31, 2018 and 2017 was $32,097. I nterest expense incurred on this note was for the years ended December 31, 2018, 2017, and 2016, was $1,699, $1,699, and $1,280, respectively. As of December 31, 2018, scheduled principal payments due for each fiscal year ended December 31 are listed below as follows: 2019 $ - 2020 - 2021 282 2022 447 2023 471 Thereafter 30,897 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 is paid in arrears and interest payments began on November 1, 2015 and have continued on the first day of each calendar month thereafter. Principal payments began on November 1, 2018 and have continued on the first day of each calendar month thereafter based on an amortization schedule with the remaining principal balance due on 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. Interest expense incurred on this note was $280, $278, and $279 for the years ended December 31, 2018, 2017, and 2016, respectively. As of December 31, 2018, scheduled principal payments due for each fiscal year ended December 31 are listed below as follows: 2019 $ 136 2020 7,220 Total $ 7,356 Asheville Note Payable In order to finance a portion of the purchase price of the Asheville facility, on September 15, 2014 the Company entered into a Promissory Note with the Bank of North Carolina to borrow $1,700 with interest on the outstanding principal balance at a fixed interest rate of 4.75% per annum. This note was paid in full on December 2, 2016 using proceeds from the Company’s senior revolving credit facility. In accordance with the terms of the note there was no prepayment penalty for the payoff of the note. Interest expense incurred on the note was $76 for the year ended December 31, 2016. Omaha Note Payable In order to finance a portion of the purchase price for the Omaha facility, on June 5, 2014 the Company entered into a Term Loan and Security Agreement with Capital One to borrow $15,060 with interest at 4.91% per annum. The note was paid in full on July 11, 2016 using the proceeds from the Company’s initial public offering. In accordance with the terms of the note the prepayment resulted in the Company being required to pay an early termination fee in the amount of $301 because the note was paid in full prior to its maturity date. This fee was also paid on July 11, 2016 and is recorded as “Interest Expense” in the accompanying Consolidated Statements of Operations for the year ended December 31, 2016. Interest expense incurred on the note was $488 for the year ended December 31, 2016. Credit Facility The Company, the Operating Partnership, as borrower, and certain of its subsidiaries (such subsidiaries, the “Subsidiary Guarantors”) are parties to a syndicated revolving credit facility with BMO Harris Bank N.A. (“BMO”), as Administrative Agent (the “Credit Facility). On August 7, 2018, the Company amended and restated the Credit Facility to (i) increase the overall capacity of the facility from $340 million to $350 million, consisting of a $250 million revolving credit facility (the “Revolver”) and a $100 million, five-year term loan (the “Term Loan”), (ii) extend the term of the Revolver to August 2022, with a one-year extension option, and (iii) implement a new reduced interest rate pricing matrix. The Credit Facility includes an accordion feature to increase the capacity to an aggregate of $500 million. Additionally, the Company hedged its interest rate risk on the Term Loan by entering into an interest rate swap agreement, with a notional amount of $100 million and a term of five years, which effectively fixed the LIBOR component on the Term Loan at 2.88%. Subsequently, on November 16, 2018, the Company entered into two additional interest rate swap agreements with separate counterparties for an aggregate notional amount of $70 million of the outstanding borrowing on the facility which effectively fixed the LIBOR component of the $70 million at 2.93%. For additional information related to the interest rate swap agreements see the “Derivative Instruments - Interest Rate Swap Agreements” section herein. The following table presents the pricing matrix for the Revolver and the Term Loan: Total Leverage Ratio Revolver LIBOR Margin Revolver Base Rate Margin Term Loan LIBOR Margin Term Loan Base Rate Margin ≤ 45% 1.40 % 0.40 % 1.35 % 0.35 % › 45% and ≤50% 1.65 % 0.65 % 1.60 % 0.60 % › 50% and ≤55% 1.90 % 0.90 % 1.85 % 0.85 % › 55% 2.15 % 1.15 % 2.10 % 1.10 % 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 ongoing compliance with a number of customary affirmative and negative covenants, including limitations with respect to liens, indebtedness, distributions, mergers, consolidations, investments, restricted payments and asset sales. The Operating Partnership must also maintain (i) a maximum consolidated leverage ratio as of the end of each fiscal quarter of less than (y) 0.65:1.00 for each fiscal quarter ending prior to October 1, 2019 and (z) thereafter, 0.60:1.00, (ii) a minimum fixed charge coverage ratio of 1.50:1.00, (iii) a minimum net worth of $203,795 plus 75% of all net proceeds raised through subsequent equity offerings and (iv) a ratio of total secured recourse debt to total asset value of not greater than 0.10:1.00. During the year ended December 31, 2018, the Company borrowed $186,100 under the Credit Facility and repaid $70,725 for a net amount borrowed of $115,375. During the year ended December 31, 2017 the Company borrowed $244,200 under the Credit Facility and repaid $107,000 for a net amount borrowed of $137,200. I nterest expense incurred on the Credit Facility was $11,371, $4,234, and $46 for the years ended December 31, 2018, 2017, and 2016, respectively. As of December 31, 2018 and 2017, the Company had the following outstanding borrowings under the Credit Facility: December 31, 2018 December 31, 2017 Revolver $ 180,275 $ 164,900 Term Loan 100,000 - Less: Unamortized deferred financing costs (3,922 ) (2,750 ) Credit Facility, net $ 276,353 $ 162,150 Costs incurred related to the Credit Facility, net of accumulated amortization, are netted against the Company’s “Revolving credit facility, net of unamortized discount” balance in the accompanying Consolidated Balance Sheets. The Company paid $2,811 and $2,915, related to modifications to the Credit Facility as well as fees related to adding properties to the borrowing base during the years ended December 31, 2018 and 2017, respectively. Amortization expense incurred was $1,639 and $1,092, and $19 for the years ended December 31, 2018, 2017, and 2016, respectively, and is included in the “Interest Expense” line item in the accompanying Consolidated Statements of Operations. In July 2017, the Financial Conduct Authority (the authority that regulates LIBOR) announced that it intends to stop compelling banks to submit rates for the calculation of LIBOR after 2021. The Alternative Reference Rates Committee ("ARRC") has proposed that the Secured Overnight Financing Rate ("SOFR") is the rate that represents best practice as the alternative to USD-LIBOR for use in derivatives and other financial contracts that are currently indexed to USD-LIBOR. ARRC has proposed a paced market transition plan to SOFR from USD-LIBOR and organizations are currently working on industry wide and company specific transition plans as it relates to derivatives and cash markets exposed to USD-LIBOR. The Company has material contracts that are indexed to USD-LIBOR and is monitoring this activity and evaluating the related risks. Derivative Instruments - Interest Rate Swap Agreements As of December 31, 2018, the Company had three interest rate swaps that are used to manage the interest rate risk and fix the LIBOR component of certain of its floating rate debt. On August 7, 2018 the Company executed an interest rate swap with BMO that was designated as a cash flow hedge on the Term Loan, with a notional amount of $100 million, a fixed interest rate of 2.88%, and a maturity date of August 8, 2023. Additionally, on November 16, 2018 the Company executed interest rate swaps with SunTrust Bank (“SunTrust”) and Citizens Bank of Pennsylvania (“Citizens”) that were each designated as cash flow hedges. The swap with SunTrust has a notional amount of $40 million and the swap with Citizens has a notional amount of $30 million and both have a fixed interest rate of 2.93%, and a maturity date of August 7, 2024. 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 income (loss) in the equity section of the Company’s 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 (loss). The Company’s interest rate swaps are not traded on an exchange. The Company’s interest rate swap agreements 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 swap agreements was a liability of $3,487 as of December 31, 2018. This amount is included in “Derivative Liability” line item on the Company’s Consolidated Balance Sheet as of December 31, 2018. The table below details the components of the loss presented on the accompanying Consolidated Statements of Comprehensive Income (Loss) recognized on the Company’s interest rate swap agreements designated as cash flow hedges for the years ended December 31, 2018, 2017, and 2016. Years Ended December 31, 2018 2017 2016 Amount of loss recognized in other comprehensive loss $ 3,919 $ - $ - Amount of loss reclassified from accumulated other comprehensive loss into interest expense (198 ) - - Total change in accumulated other comprehensive loss $ 3,721 $ - $ - During 2019, the Company estimates that an additional $667 will be reclassified as an increase to interest expense. Additionally, during the year ended December 31, 2018, the Company recorded total interest expense in its Statements of Operations of $14,975. Weighted-Average Interest Rate and Term The weighted average interest rate and term of the Company’s debt was 4.64% and 4.24 years, respectively, at December 31, 2018, compared to 3.72% and 2.94 years, respectively, as of December 31, 2017.

Stockholders' Equity

Stockholders' Equity	12 Months Ended
	Dec. 31, 2018
Stockholders' Equity Note [Abstract]
Stockholders' Equity Note Disclosure [Text Block]	Note 5 – Stockholders’ Equity Preferred Stock General The Company’s charter authorizes the issuance of 10,000 shares of preferred stock, par value $0.001 per share. As of December 31, 2018 and 2017, there were 3,105 shares issued and outstanding. On September 15, 2017, the Company closed on the issuance of 3,105 shares of its Series A Cumulative Redeemable Preferred Stock, $0.001 par value per share, with an initial liquidation preference of $25 per share (“Series A Preferred Stock”), inclusive of 405 shares issued in connection with the underwriters’ exercise of their over-allotment option. The Company may, at its option, redeem the Series A Preferred Stock for cash in whole or in part, from time to time, at any time on or after September 15, 2022, at a cash redemption price of $25 per share. The Series A Preferred Stock has no voting rights, except for limited voting rights if the Company fails to pay dividends for six quarterly periods. The issuance resulted in aggregate gross proceeds of $77,625. After deducting underwriting discounts and advisory fees of $2,445, and expenses paid by the Company that were directly attributable to the offering of $221 (which are both treated as a reduction of the “Preferred Stock” balance on the accompanying Consolidated Balance Sheets), the Company’s preferred stock balance as of December 31, 2018 and 2017 was $74,959. The net proceeds received from the transaction were primarily used to repay borrowings on the Company’s Revolving Credit Facility. The Company assessed the characteristics of the Series A Preferred Stock in accordance with the provisions of ASC Topic 480 – “Distinguishing Liabilities from Equity,” and concluded that the Series A Preferred Stock be classified as permanent equity. Preferred Stock Dividends Dividend activity on our preferred stock during the years ended December 31, 2018 and 2017 is summarized in the following table: Date Announced Record Date Applicable Quarter Payment Date Quarterly Dividend Dividends per Share September 29, 2017 October 15, 2017 Q3 2017 October 31, 2017 $ 745 $ 0.23960 December 15, 2017 January 15, 2018 Q4 2017 January 31, 2018 $ 1,455 $ 0.46875 March 7, 2018 April 15, 2018 Q1 2018 April 30, 2018 $ 1,456 $ 0.46875 June 15, 2018 July 15, 2018 Q2 2018 July 31, 2018 $ 1,455 $ 0.46875 September 10, 2018 October 15, 2018 Q3 2018 October 31, 2018 $ 1,455 $ 0.46875 December 13, 2018 January 15, 2019 Q4 2018 January 31, 2019 $ 1,455 (1) $ 0.46875 (1) Two months of this amount, equal to $970, was accrued at December 31, 2018. The holders of the Series A Preferred Stock are entitled to receive dividend payments only when, as and if declared by 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 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, which commenced on October 31, 2017. During the years ended December 31, 2018 and 2017, the Company paid preferred dividends of $5,821 and $745, respectively. Common Stock General The Company has 500,000 of authorized shares of common stock, $0.001 par value. As of December 31, 2018 and 2017, there were 25,944 and 21,631 outstanding shares of common stock, respectively. The Company is authorized to issue 1,000 shares of common stock to stockholders under its Dividend Reinvestment and Stock Purchase Plan. As of December 31, 2018, the Company had not issued any shares under the plan. Common Stock Dividends Since January 1, 2017, our Board has declared cash dividends on our common stock as summarized in the following table: Date Announced Record Date Applicable Quarter Payment Date Dividend Amount (1) Dividends per Share December 14, 2016 December 27, 2016 Q4 2016 January 10, 2017 $ 3,604 $ 0.20 March 20, 2017 March 27, 2017 Q1 2017 April 10, 2017 $ 3,603 $ 0.20 June 16, 2017 June 27, 2017 Q2 2017 July 10, 2017 $ 3,608 $ 0.20 September 8, 2017 September 26, 2017 Q3 2017 October 9, 2017 $ 4,416 $ 0.20 December 15, 2017 December 26, 2017 Q4 2017 January 10, 2018 $ 4,552 $ 0.20 March 7, 2018 March 22, 2018 Q1 2018 April 10, 2018 $ 4,691 $ 0.20 June 15, 2018 June 26, 2018 Q2 2018 July 11, 2018 $ 4,786 $ 0.20 September 10, 2018 September 20, 2018 Q3 2018 October 10, 2018 $ 4,889 $ 0.20 December 13, 2018 December 26, 2018 Q4 2018 January 10, 2019 $ 5,695 $ 0.20 (1) Includes dividends on granted LTIP Units and OP Units issued to third parties. During the year ended December 31, 2018, the Company paid total dividends on its common stock, LTIP Units and OP Units in the amount of $18,918, consisting of the dividends declared for the fourth quarter of 2017 through the third quarter of 2018. Additionally, during the year ended December 31, 2017, the Company paid total dividends on its common stock, LTIP Units and OP Units in the amount of $15,231, consisting of the dividends declared for the fourth quarter of 2016 through the third quarter of 2017. As of December 31, 2018 and 2017, the Company had an accrued dividend balance of $316 and $117 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 year ended December 31, 2018, $245 of dividends were accrued and $46 of dividends were paid related to these units. During the year ended December 31, 2017, $117 of dividends were accrued and no dividends related to these units were paid. The amount of the dividends paid to the Company’s stockholders is determined by the Company’s 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. Other Common Stock Activity On December 14, 2018, the Company closed an underwritten public offering of its common stock and on December 26, 2018 the Company closed on part of the over-allotment option granted to the underwriters. These transactions resulted in an aggregate of 3,651 shares of the Company’s common stock being issued at a public offering price of $9.00 per share, resulting in aggregate gross proceeds of $32,863. After deducting underwriting discounts and advisory fees of $1,149, and expenses paid by the Company that were directly attributable to the offering of $174 (both of which are treated as a reduction of the Company’s additional paid-in capital balance), the Company received net proceeds from the transactions of $31,540. The Company incurred an additional $53 of costs that were netted against additional paid-in capital that was unpaid and accrued at December 31, 2018. On August 17, 2018, the Company, its Advisor, and the Operating Partnership entered into a Sales Agreement with a number of financial institutions, pursuant to which the Company may offer and sell, from time to time, up to $50 million of its common stock (the “ATM Program”), inclusive of any amounts sold under its prior sales agreement. During the year ended December 31, 2018, pursuant to the ATM Program, the Company sold and issued 662 shares of its common stock at an average share price of $9.41 receiving net proceeds of $5,767, which represented gross proceeds of $6,235 net of commissions of $122 and $346 in costs that the Company paid that were directly attributable to the offering under the ATM Program. On June 30, 2017, the Company closed an underwritten public offering of its common stock and on July 20, 2017 the Company closed on the over-allotment option granted to the underwriters. These transactions resulted in an aggregate of 4,025 shares of its common stock being issued at a public offering price of $9.00 per share, resulting in aggregate gross proceeds of $36,225. After deducting underwriting discounts and advisory fees of $1,987, and expenses paid by the Company that were directly attributable to the offering of $443 (both of which are treated as a reduction of the Company’s additional paid-in capital balance), the Company received net proceeds from the transactions of $33,795. On July 1, 2016, the Company closed its initial public offering and issued 13,043 shares of its common stock at a price of $10.00 per share resulting in gross proceeds of $130,435. After deducting underwriting discounts and commissions, advisory fees, and other offering expenses, the Company received net proceeds from the offering of $120,774. Additionally, on July 11, 2016, the underwriters exercised their over-allotment option in full, resulting in the issuance by the Company of an additional 1,957 shares of the Company’s common stock at a price of $10.00 per share for gross proceeds of $19,565. After deducting underwriting discounts and expenses, advisory fees, and other offering expenses, the Company received net proceeds from the over-allotment option shares of $18,195. Total shares issued by the Company in the initial public offering, including over-allotment option shares, were 15,000 shares and the total net proceeds received were $137,288, which represented gross proceeds received of $138,969 net of $1,681 in costs directly attributable to the initial public offering that were deferred and paid. In order to help the Company qualify as a REIT, among other purposes, the Company’s charter, subject to certain exceptions, restricts the number of shares of the Company’s common stock that a person may beneficially or constructively own. The Company’s charter provides that, subject to certain exceptions, no person may beneficially or constructively own more than 9.8%, in value or in number of shares, whichever is more restrictive, of the outstanding shares of any class or series of the Company’s capital stock. On June 27, 2016, the Board approved a waiver of the 9.8% ownership limit in the Company’s charter allowing ZH USA, LLC to own up to 16.9% of the Company’s outstanding shares of common stock. OP Units During the year ended December 31, 2018, the Company issued an aggregate of 1,899 OP Units with a value of $16,363 in connection with three facility acquisitions. During the year ended December 31, 2017, the Company issued an aggregate of 1,246 OP Units with a value of $11,532 primarily in connection with two facility acquisitions. As of December 31, 2018 and 2017, there were 3,145 and 1,246 OP Units issued, respectively, with an aggregate value of $27,894 and $11,532, respectively. The OP Unit value 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 Consolidated Balance Sheets as of December 31, 2018 and 2017.

Related Party Transactions

Related Party Transactions	12 Months Ended
	Dec. 31, 2018
Related Party Transactions [Abstract]
Related Party Transactions Disclosure [Text Block]	Note 6 – Related Party Transactions Initial Management Agreement On November 10, 2014, the Company entered into a management agreement, with an effective date of April 1, 2014, with t he Advisor. Under the terms of this initial management agreement, the Advisor was responsible for designing and implementing the Company’s business strategy and administering its business activities and day-to-day operations. For performing these services, the Company was obligated to pay the Advisor a base management fee equal to the greater of (a) 2.0% per annum of the Company’s net asset value (the value of the Company’s assets less the value of the Company’s liabilities), or (b) $30 per calendar month. In addition, pursuant to the initial management agreement the Company owed the Advisor an acquisition fee computed at a rate of 2% of the purchase price of an acquired facility. Amended 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 “Amended Management Agreement”). Certain material terms of the Amended Management Agreement are summarized below: Term and Termination The Amended Management Agreement has an initial term of three years expiring on the third anniversary of the closing date of the initial public offering but will automatically renew for an unlimited number of successive one-year periods thereafter, unless the agreement is not renewed or is terminated in accordance with its terms. If the Board decides to terminate or not renew the Amended Management Agreement, the Company will generally be required to pay the Advisor a termination fee equal to three times the sum of the average annual base management fee and the average annual incentive compensation with respect to the previous eight fiscal quarters ending on the last day of the fiscal quarter prior to termination. Base Management Fee The Company pays its Advisor a base management fee in an amount equal to 1.5% of its stockholders’ equity per annum, calculated quarterly for the most recently completed fiscal quarter and payable in quarterly installments in arrears in cash. For purposes of calculating the base management fee, the Company’s stockholders’ equity means: (a) the sum of (1) the Company stockholders’ equity as of March 31, 2016, (2) the aggregate amount of the conversion price (including interest) for the conversion of the Company’s outstanding convertible debentures into common stock and OP Units upon completion of the initial public offering, and (3) the net proceeds from (or equity value assigned to) all issuances of equity and equity equivalent securities (including common stock, common stock equivalents, preferred stock, LTIP Units and OP Units issued by the Company or the Operating Partnership) in the initial public offering, or in any subsequent offering (allocated on a pro rata daily basis for such issuances during the fiscal quarter of any such issuance), less (b) any amount that the Company pays to repurchase shares of its common stock or equity securities of the Operating Partnership. Stockholders’ equity also excludes (1) any unrealized gains and losses and other non-cash items (including depreciation and amortization) that have impacted stockholders’ equity as reported in the Company’s financial statements prepared in accordance with GAAP, and (2) one-time events pursuant to changes in GAAP, and certain non-cash items not otherwise described above, in each case after discussions between the Advisor and its independent directors and approval by a majority of the Company’s independent directors. As a result, the Company’s stockholders’ equity, for purposes of calculating the base management fee, could be greater or less than the amount of stockholders’ equity shown on its financial statements. The base management fee of the Advisor shall be calculated within 45 days after the end of each quarter and such calculation shall be promptly delivered to the Company. The Company is obligated to pay the quarterly installment of the base management fee calculated for that quarter in cash within 15 business days after delivery to the Company of the written statement of the Advisor setting forth the computation of the base management fee for such quarter. Incentive Fee The Company pays its Advisor an incentive fee with respect to each calendar quarter (or part thereof that the management agreement is in effect) in arrears. The incentive fee is an amount, not less than zero, equal to the difference between (1) the product of (x) 20% and (y) the difference between (i) the Company’s AFFO (as defined below) for the previous 12-month period, and (ii) the product of (A) the weighted average of the issue price of equity securities issued in the initial public offering and in future offerings and transactions, multiplied by the weighted average number of all shares of common stock outstanding on a fully-diluted basis (including any restricted stock units, any restricted shares of common stock, OP Units, LTIP Units, and shares of common stock underlying awards granted under the 2016 Equity Incentive Plan (the “2016 Equity Plan”) or any future plan in the previous 12-month period, and (B) 8%, and (2) the sum of any incentive fee paid to the Advisor with respect to the first three calendar quarters of such previous 12-month period; provided, however, that no incentive fee is payable with respect to any calendar quarter unless AFFO is greater than zero for the four most recently completed calendar quarters. Per the terms of the Amended Management Agreement, AFFO is calculated by adjusting the Company’s funds from operations, or FFO, by adding back acquisition and disposition costs, stock-based compensation expenses, amortization of deferred financing costs and any other non-recurring or non-cash expenses, which are costs that do not relate to the operating performance of the Company’s properties, and subtracting loss on extinguishment of debt, straight line rent adjustment, recurring tenant improvements, recurring leasing commissions and recurring capital expenditures. To date the Company has not incurred or paid an incentive fee. Management Fees, Acquisition Fees, and Accrued Management Fees For the years ended December 31, 2018, 2017, and 2016, management fees of $4,422, $3,123 and $1,434, respectively, were incurred and expensed by the Company. During the years ended December 31, 2018 and 2017 management fees of $4,343 and $2,680, respectively, were paid to the Advisor, resulting in accrued management fees due to the Advisor of $1,143 and $1,064, as of December 31, 2018 and 2017, respectively. During the year ended December 31, 2016 acquisition fees of $754 were expensed by the Company and paid to the Advisor. Allocated General and Administrative Expenses Effective May 8, 2017, the Company and the Advisor entered into an agreement pursuant to which, for a period of one year commencing on May 8, 2017, the Company agreed to reimburse the Advisor for $125 of the annual salary of the General Counsel and Secretary of the Company for so long as he continues to be primarily dedicated to the Company in his capacity as its General Counsel and Secretary. This agreement expired in May 2018 and was not renewed. In the future, the Company may receive additional 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. Other than via the terms of the reimbursement agreement, there were no allocated general and administrative expenses from the Advisor for the years ended December 31, 2018, 2017, and 2016. Due to Related Parties, Net A rollforward of the due (to) from related parties balance, net, as of December 31, 2018, is as follows: Due to Advisor – Mgmt. Fees Due (to) from Advisor – Other Funds Due (to) from Other Related Party Total Due (To) From Related Parties, Net Balance as of January 1, 2018 $ (1,064 ) 9 19 $ (1,036 ) Management fee expense incurred (1) (4,422 ) - - (4,422 ) Management fees paid to Advisor (1) 4,343 - - 4,343 Loans to Advisor (2) - 43 - 43 Loans to other related parties (2) - - 42 42 Balance as of December 31, 2018 $ (1,143 ) 52 61 $ (1,030 ) (1) (2) A rollforward of the due (to) from related parties balance, net, as of December 31, 2017, is as follows: Due to Advisor – Mgmt. Fees Due (to) from Advisor – Other Funds Due (to) from Other Related Party Total Due (To) From Related Parties, Net Balance as of January 1, 2017 $ (621 ) - 40 $ (581 ) Management fee expense incurred (1) (3,123 ) - - (3,123 ) Management fees paid to Advisor (1) 2,680 - - 2,680 Loan repaid to Advisor (2) - 9 - 9 Loan repaid by other related party (3) - - (21 ) (21 ) Balance as of December 31, 2017 $ (1,064 ) 9 19 $ (1,036 ) (1) accrued of $443 consists of $3,123 in management fee expense incurred, net of $2,680 of accrued management fees that were paid to the Advisor. This represents a cash flow operating activity. (2) represents the overpayment of expenses that were previously paid by the Advisor on the Company’s behalf. This represents a cash flow financing activity. (3) represents the net receipt by the Company of previous loans made by the Company to those related parties. This represents a cash flow investing activity. Convertible Debenture, due to Related Party Prior to 2016, the Company received funds from its prior majority stockholder, ZH USA, LLC, in the form of a convertible interest-bearing note (8% per annum, payable in arrears) which was due on demand unsecured debt. The Company had the option to prepay the note at any time, in whole or in part, and ZH USA, LLC had the ability to convert all or a portion of the outstanding principal amount of the note into shares of common stock in an amount equal to the principal amount of the note, together with accrued but unpaid interest, divided by $12.748. The outstanding balance on the convertible debenture was zero as of December 31, 2018 and 2017. A rollforward of the funding from ZH USA, LLC classified as convertible debenture, due to related party as of December 31, 2016 is as follows: Balance as of January 1, 2016 $ 40,030 Conversion of convertible debenture to common shares (March 2, 2016) 1 (15,000 ) Conversion of convertible debenture to common shares (July 1, 2016) 1 (15,030 ) Pay-off of remaining principal balance (10,000 ) Balance as of December 31, 2016 $ - 1 On March 2, 2016, ZH USA, LLC converted $15,000 of principal under the Convertible Debenture into 1,177 shares of the Company’s then unregistered common stock based on a conversion rate of $12.748 per share . On June 15, 2016, in anticipation of its initial public offering, the Company entered into a Pay-Off Letter and Conversion Agreement (the “Pay-Off Letter and Conversion Agreement”) with ZH USA, LLC with regard to the Convertible Debentures loaned to the Company. Under the terms of the Pay-Off Letter and Conversion Agreement, upon the closing date of the initial public offering on July 1, 2016, ZH USA, LLC converted $15,030 of the principal under the Convertible Debenture into 1,179 shares of the Company’s registered common stock based on a conversion rate of $12.748 per share. Additionally, in accordance with the Pay-Off Letter and Conversion Agreement, on July 8, 2016 the Company paid off the remaining principal amount of $10,000 outstanding under the Convertible Debentures. On July 8, 2016, also in accordance with the Pay-Off Letter and Conversion Agreement, the Company paid all accrued interest owed and outstanding on the Convertible Debentures in the amount of $1,717. Interest expense on the Convertible Debentures was $1,243 for the year ended December 31, 2016. Notes Payable to Related Parties During the year ended December 31, 2016, the Company received $450 in the form of an interest bearing note payable from a related party. The note incurred interest at 4% per annum and was due on demand. This note was paid in full during the year ended December 31, 2016. Interest expense incurred on this note was $10 for the year ended December 31, 2016. Prior to 2016 the Company received $421 in the form of a non-interest bearing, due on demand note payable from ZH USA, LLC . The Company repaid this loan in full during 2017. ZH USA, LLC Intercompany Loan On June 7, 2016, the Company received an interest free intercompany loan from ZH USA, LLC in the principal amount of $1.5 million, which was repaid in full on July 8, 2016, using a portion of the proceeds from the initial public offering.

Stock-Based Compensation

Stock-Based Compensation	12 Months Ended
	Dec. 31, 2018
Disclosure of Compensation Related Costs, Share-based Payments [Abstract]
Disclosure of Compensation Related Costs, Share-based Payments [Text Block]	Note 7 – Stock-Based Compensation 2016 Equity Incentive Plan The 2016 Equity Incentive Plan (the “Plan”) is intended to assist the Company and its affiliates in recruiting and retaining employees of the Manager, 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 1,232 shares of common stock, subject to increase under certain provisions of the Plan. Based on the grants outstanding as of December 31, 2018, there are 277 LTIP Units that remain available to be granted under the Plan. LTIP 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 The time-based vesting LTIP Unit activity under the Plan during the year ended December 31, 2018 was as follows: LTIP Units outstanding as of December 31, 2017 436 LTIP Units granted (1) 57 LTIP Units earned and granted via the 2017 Program – Annual Awards (2) 57 LTIP Units granted as 2018 time-based awards (3) 73 LTIP Units redeemed in cash or forfeited (4) (35 ) LTIP Units outstanding as of December 31, 2018 588 (1) The 57 LTIP Units are comprised of the following: on March 5, 2018, the Board approved grants of an aggregate of 36 LTIP Units to employees of the Advisor, which vest 50% on March 5, 2020 and 50% on March 5, 2021; on May 30, 2018 and June 14, 2018 the Board approved grants of an aggregate of 21 LTIP Units to independent directors of the Board, which vest on May 30, 2019 and June 14, 2019. (2) The 57 LTIP Units represents earned and granted units from the previously disclosed 2017 annual awards (the “Annual Awards”). On March 5, 2018 the Compensation Committee of the Board (the “Compensation Committee”) determined the extent to which the Company achieved the performance goals related to the 2017 Annual Awards and determined the number of LTIP Units that each grantee was entitled to receive. These grants vested 50% on March 5, 2018, the determination date, and 50% vested on December 31, 2018. (3) The 73 LTIP Units represent grants approved by the Board on March 5, 2018 and are subject to the terms and conditions of the 2018 LTIP Unit Award Agreements between the Company and each grantee. These grants vest in equal one-third increments on each of March 5, 2019, March 5, 2020, and March 5, 2021. (4) The 35 LTIP Units is comprised of 34 vested units that the Company elected to redeem in cash for $263 and the remaining unvested unit was forfeited. A detail of the vested and unvested LTIP Units outstanding as of December 31, 2018 is as follows: Total vested LTIP Units 353 Unvested LTIP Units: Granted to employees of the Advisor 214 Granted to the Company’s independent directors 21 Total unvested LTIP Units 235 LTIP Units outstanding as of December 31, 2018 588 Performance Based Awards During 2017, the Board approved the 2017 annual performance-based equity incentive awards in the form of LTIP Units and long-term performance-based LTIP awards to the executive officers of the Company and other employees of the Advisor who perform services for the Company (the “2017 Program”). During 2018, the Board approved the 2018 annual performance-based equity incentive awards in the form of LTIP Units and long-term performance-based LTIP awards to the executive officers of the Company and other employees of the Advisor who perform services for the Company (the “2018 Program”). None of the long-term LTIP Unit awards under the 2017 Program and none of the annual or long-term LTIP Unit awards under the 2018 Program had been earned by the participants as of December 31, 2018. A detail of the Annual Awards and the long-term awards (the “Long-Term Awards”) under the 2017 Program and the 2018 Program as of December 31, 2018 is as follows: 2017 Program 2018 Program Annual Long-Term Annual Long-Term Total Net 2017 Program LTIP awards as of December 31, 2017 84 98 - - 182 LTIP Unit target grants via the 2018 Performance Program – Long-Term Awards (1) - - - 110 110 LTIP Unit target grants via the 2018 Performance Program – Annual Awards (2) - - 163 - 163 LTIP Units granted via the 2017 Performance Program – Annual Awards (3) (57 ) - - - (57 ) LTIP Units not earned under the 2017 Performance Program – Annual Awards (4) (27 ) - - - (27 ) LTIP Unit forfeitures (5) (2 ) (2 ) (4 ) Net annual and long-term LTIP awards as of December 31, 2018 - 96 161 110 367 (1) These target Long-Term Awards were approved by the Board on March 5, 2018 and are subject to the terms and conditions of the 2018 LTIP Unit Award Agreements between the Company and each grantee. (2) These target Annual Awards were approved by the Board on April 9, 2018 and are subject to the terms and conditions of the 2018 LTIP Unit Award Agreements between the Company and each grantee. (3) This amount represents grants from the 2017 Program Annual Awards. Refer to the “Time-Based Grants” table above which presents these grants as earned and time-based. (4) On March 5, 2018 the Compensation Committee determined the extent to which the Company achieved the performance goals and concluded that these target awards were not earned. (5) Represents LTIP Units forfeited by grantee. The number of target LTIP Units comprising each 2018 Program Annual Award target grant was based on the closing price of the Company’s common stock reported on the New York Stock Exchange (“NYSE”) on the dates of grant. The number of target LTIP Units comprising each Long-Term Award target grant was based on the fair value of the Long-Term Awards as determined by an independent valuation consultant, in each case rounded to the next whole LTIP Unit in order to eliminate fractional units. 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 calendar year 2018, as set forth in Exhibit A to the 2018 LTIP Annual Award Agreements (the “Performance Goals”) that will be used to determine the number of LTIP Units earned by each grantee. As of December 31, 2018, management estimated that the Performance Goals would be met at a 75% level, and accordingly, applied 75% to the net target 2018 Program Annual Awards to estimate the 2018 Program Annual Awards expected to be earned at the end of the performance period. Cumulative stock-based compensation expense during the year ended December 31, 2018 reflects management’s estimate that 75% of these awards will vest. As soon as reasonably practicable following the last day of the 2018 fiscal year, 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 2018 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 as follows: 50% of the earned LTIP Units will become vested as of the date in 2019 that the Board approves the number of LTIP Units to be awarded pursuant to the performance components set forth in the 2018 LTIP Annual Award Agreements and 50% 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 and 2018 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 three-year performance period (2020 or 2021 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 performance period will be subject to vesting as follows; for the 2017 Program units: 50% of the earned LTIP Units will vest upon being earned as of February 27, 2020 and the remaining 50% will vest on February 27, 2021; for the 2018 Program units: 50% of the earned LTIP Units will vest upon being earned as of March 4, 2021 and the remaining 50% 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 In June 2018, the FASB issued ASU 2018-07 which simplifies several aspects of the accounting for non-employee transactions by stipulating that the existing accounting guidance for share-based payments to employees (accounted for under ASC Topic 718, “Compensation-Stock Compensation”) will also apply to non-employee share-based transactions (accounted for under ASC Topic 505, “Equity”). ASU 2018-07 is effective for fiscal years, and interim periods within those fiscal years, beginning after December 15, 2018. The Company early adopted ASU 2018-07 on July 1, 2018 and the adoption did not have a material impact on its consolidated financial statements or disclosures. Under the provisions of ASU 2018-07 the Company’s prospective compensation expense for all unvested LTIP Units, Annual Awards, and Long-Term Awards will be 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 will be based on the grant date fair value of the units / awards, with no subsequent remeasurement required. As the Long-Term Awards were granted to non-employees and involved market-based performance conditions, in accordance with the provisions of ASC Topic 505, the Long-Term Awards utilize 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. ASC Topic 505 does not provide guidance on how to derive a fair value, so the valuation defaults to that described in 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 5 trading days leading up to the Long-Term Award. The valuation date stock price is the closing stock price of the Company and each of the peer companies in the Index on the dates of the Long-Term Award for the grant date fair value. 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 2018 and 2017 based on the July 1, 2018 adoption date: 2018 Long-Term Awards 2017 Long-Term Awards Adoption date price $ 8.86 $ 8.86 Target awards 110 96 Volatility 33.8 % 33.8 35.4 % Risk-free rate 2.6 % 2.4 2.6 % Dividend assumption reinvested reinvested Expected term in years 2.7 1.7 2.7 The Company incurred stock compensation expense of $2,671, $1,796 and $1,685 for the years ended December 31, 2018, 2017 and 2016, respectively, related to the grants awarded under the Plan. Compensation expense is included within “General and administrative” expense in the Company’s Consolidated Statements of Operations. As of December 31, 2018, total unamortized compensation expense related to these awards of approximately $2.9 million is expected to be recognized over a weighted average remaining period of 1.72 years.

Rental Revenue

Rental Revenue	12 Months Ended
	Dec. 31, 2018
Leases [Abstract]
Operating Leases of Lessor Disclosure [Text Block]	Note 8 – Rental Revenue The aggregate annual minimum cash to be received by the Company on its noncancelable operating leases as of December 31, 2018 are as follows: 2019 $ 50,527 2020 51,450 2021 49,926 2022 48,862 2023 47,743 Thereafter 330,180 Total $ 578,688 The Company’s facilities with a concentration of rental revenue of 5% or greater is as follows for the years ended below: Year Ended December 31, 2018 Year Ended December 31, 2017 Year Ended December 31, 2016 Facility % Facility % Facility % Encompass % 11 Encompass % 20 Omaha % 21 OCOM 9 OCOM 12 Plano 18 Belpre 8 Great Bend 7 Tennessee 17 Austin 7 Omaha 6 Melbourne 11 Sherman 6 Plano 6 West Mifflin 11 Dallas 5 Sherman 5 All other facilities 22 Great Bend 5 Tennessee 5 Total % 100 All other facilities 49 All other facilities 39 Total % 100 Total % 100

Land Leases

Land Leases	12 Months Ended
	Dec. 31, 2018
Leases [Abstract]
Leases of Lessee Disclosure [Text Block]	Note 9 – Land Leases The Company acquired an interest, as ground lessee, in the ground lease related to the Omaha and Clermont facilities at their dates of acquisition. In connection with the acquisitions of the Moline facility the Company acquired the seller’s interest, as ground lessee, in an existing ground lease that has approximately 10 years remaining in the initial term, with 12 consecutive five-year renewal options. In connection with the acquisition of the Silvis facility the Company acquired the seller’s interest, as ground lessee, in an existing ground lease that has approximately 67 years remaining in the initial term, with no renewal options. The aggregate minimum cash payments to be made by the Company on these land leases as of December 31, 2018, are as follows: 2019 $ 109 2020 109 2021 109 2022 109 2023 113 Thereafter 2,121 Total $ 2,670

Commitments and Contingencies

Commitments and Contingencies	12 Months Ended
	Dec. 31, 2018
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies Disclosure [Text Block]	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.

Income Taxes

Income Taxes	12 Months Ended
	Dec. 31, 2018
Income Tax Disclosure [Abstract]
Income Tax Disclosure [Text Block]	Note 11 – Income Taxes Beginning with the 2016 tax year, the Company has qualified as a REIT under the Code. To qualify as a REIT, the Company must meet a number of organizational and operational requirements, including a requirement that the Company distribute at least 90% of its adjusted taxable income to its stockholders. It is management’s current intention to adhere to these requirements and be eligible to be a REIT for the year ended December 31, 2018. As a REIT, the Company generally will not be subject to corporate level federal income tax on taxable income currently distributed to stockholders. If the Company fails to qualify as a REIT for the 2018 tax year, it will be subject to federal and state income taxes at corporate tax rates. Even if the Company qualifies to be taxed as a REIT for 2018, it may be subject to federal and state taxes on any undistributed taxable income. On December 22, 2017, the TCJA was enacted. The TCJA reduces the statutory federal tax rate from 35.0% to 21.0% effective for tax year 2018 in addition to various other tax law changes that affect the Company. Significant components of the deferred tax assets and liabilities as of December 31, 2018 and 2017, after applying enacted corporate income tax rates, are as follows: December 31, 2018 2017 Deferred income tax asset: Net operating loss carry forward $ 778 $ 778 Valuation allowance (778 ) (778 ) Net deferred tax asset $ - $ - Potential benefits of income tax losses are not recognized in the accounts until realization is more likely than not. The Company has federal and state net operating loss carryforwards of approximately $3,706 which begin expiring in 2033. The Company periodically assesses the likelihood that it will be able to recover its deferred tax assets. The Company considers all available evidence, both positive and negative, including expectations and risks associated with estimates of future taxable income and ongoing prudent and feasible profits. As a result of this analysis of all available evidence, both positive and negative, the Company concluded that it is not likely that its net deferred tax assets will ultimately be recovered; as such, it recorded a valuation allowance for the net operating losses for calendar year 2018. The Company recognizes in its consolidated financial statements unrecognized tax benefits for uncertain tax positions it has taken or expects to take on a tax return. As of December 31, 2018 and 2017, the Company did not report any unrecognized tax benefits. The Company is no longer subject to U.S. federal, state or local income tax examinations by tax authorities for the tax years 2015 and earlier. The Company is not currently under examination by any taxing jurisdiction.

Subsequent Events

Subsequent Events	12 Months Ended
	Dec. 31, 2018
Subsequent Events [Abstract]
Subsequent Events [Text Block]	Note 12 – Subsequent Events Dividends On March 6, 2019, the Company announced the declaration of a cash dividend for the first quarter of 2019 of $0.20 per share of common stock to stockholders of record as of March 26, 2019, to be paid on April 10, 2019. On March 6, 2019, the Company announced the declaration of a cash dividend of $0.46875 per share to holders of its Series A Cumulative Redeemable Preferred Stock, $0.001 par value per share (the “Series A Preferred Stock”), of record as of April 15, 2019, to be paid on April 30, 2019. This dividend represents the Company’s quarterly dividend on its Series A Preferred Stock for the period from January 31, 2019 through April 29, 2019.

Selected Quarterly Financial Da

Selected Quarterly Financial Data	12 Months Ended
	Dec. 31, 2018
Quarterly Financial Information Disclosure [Abstract]
Quarterly Financial Information [Text Block]	Note 13 – Selected Quarterly Financial Data (Unaudited) The following unaudited quarterly data has been prepared on the basis of a December 31 year-end. As a result of acquisition activity and equity offerings throughout 2018 and 2017, the quarterly periods presented are not comparable quarter over quarter. The amounts below represent the Company’s actual quarterly results. Additionally, the total for the year may differ from the sum of the quarters due to rounding. Year Ended December 31, 2018 First Quarter Second Quarter Third Quarter Fourth Quarter Total revenue $ 11,564 $ 13,249 $ 14,003 $ 14,376 Total expenses 9,663 11,865 12,230 12,547 Income before gain on sale of investment property 1,901 1,384 1,773 1,829 Gain on sale of investment property - - - 7,675 Net income 1,901 1,384 1,773 9,504 Less: Preferred stock dividends (1,455 ) (1,455 ) (1,455 ) (1,455 ) Less: Net (income) loss attributable to noncontrolling interest (35 ) 7 (32 ) (1,013 ) Net income (loss) attributable to common stockholders $ 411 $ (64 ) $ 286 $ 7,036 Net income (loss) attributable to common stockholders per share – basic and diluted $ 0.02 $ (0.00 ) $ 0.01 $ 0.31 Weighted average shares outstanding – basic and diluted 21,631 21,631 21,797 22,815 Year Ended December 31, 2017 First Quarter Second Quarter Third Quarter Fourth Quarter Total revenue $ 4,659 $ 7,423 $ 8,389 $ 9,874 Total expenses 5,9771 8,046 7,783 8,625 (Loss) income before gain on sale of investment property (1,318 ) (623 ) 606 1,249 Gain on sale of investment property - - - - Net (loss) income (1,318 ) 1 (623 ) 606 1,249 Less: Preferred stock dividends - - (259 ) (1,456 ) Less: Net loss attributable to noncontrolling interest - - 34 14 Net (loss) income attributable to common stockholders $ (1,318 ) $ (623 ) $ 381 $ (193 ) Net (loss) income attributable to common stockholders per share – basic and diluted $ (0.07 ) $ (0.04 ) $ 0.02 $ (0.01 ) Weighted average shares outstanding – basic and diluted 17,606 17,644 21,523 21,631 1

Summary of Significant Accoun_2

Summary of Significant Accounting Policies (Policies)	12 Months Ended
	Dec. 31, 2018
Accounting Policies [Abstract]
Consolidation, Policy [Policy Text Block]	Principles of Consolidation The accompanying 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 – “Stockholders’ 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 Consolidated Balance Sheets, separate from the Company’s total stockholders’ 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 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 held 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, Policy [Policy Text Block]	Use of Estimates The preparation of the consolidated financial statements in conformity with accounting principles generally accepted in the United States of America (“GAAP”) requires the Company to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and footnotes. Actual results could differ from those estimates.
Revenue Recognition, Policy [Policy Text Block]	Revenue Recognition On January 1, 2018, the Company adopted the provisions of Accounting Standards Update (“ASU”) 2014-09 “Revenue from Contracts with Customers (Topic 606)” (“ASU 2014-09”). The update’s core principle is that an entity should recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the entity expects to be entitled in exchange for those goods or services. ASU 2014-09 was permitted to be applied retrospectively to each prior period presented or prospectively with the cumulative effect, if any, recognized as of the date of adoption. The Company selected the modified retrospective transition method as of the date of adoption and concluded that all of the Company’s material revenue streams fell outside of the scope of the guidance. Rental income from leasing arrangements is specifically excluded from the standard. The Company analyzed its remaining revenue streams and concluded there were no changes in revenue recognition with the adoption of the new standard. As such, adoption of ASU 2014-09 did not result in a cumulative adjustment recognized as of January 1, 2018, and the standard did not have a material impact on the Company’s consolidated financial statements or disclosures. 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 Consolidated Statements of Operations, i.e., the Company recognizes an equivalent increase in revenue (“expense recoveries”) and expense (“operating expenses”). The Company assesses the need for an allowance for doubtful accounts, including an allowance for operating lease straight-line rent receivables, for estimated 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. This evaluation considers industry and economic conditions, property performance, credit enhancements and other factors. For operating lease straight-line rent amounts, the Company's assessment is based on amounts estimated to be recoverable over the term of the lease. As of December 31, 2018 and 2017 no allowance was recorded as one was not deemed necessary.
Real Estate, Policy [Policy Text Block]	Purchase of Real Estate On January 1, 2018, the Company adopted the provisions of ASU 2017-01 – “Business Combinations (Topic 805): Clarifying the Definition of a Business” (“ASU 2017-01”). ASU 2017-01 provides revised guidance to determine when an acquisition meets the definition of a business or alternatively should be accounted for as an asset acquisition. ASU 2017-01 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 are capitalized for asset acquisitions and expensed as incurred for business combinations. ASU 2017-01 will result in most, if not all, of the Company’s 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 also 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 Accounting Standards Codification (“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. The Company makes estimates to determine the fair value of the tangible and intangible assets acquired and liabilities assumed using information obtained from multiple sources, including pre-acquisition due diligence, and the Company routinely utilizes the assistance of a third-party appraiser. Initial valuations are subject to change until the information is finalized, no later than 12 months from the acquisition date. The Company expenses transaction costs associated with acquisitions accounted for as business combinations in the period incurred. Valuation of tangible assets: The fair value of land is determined using the sales comparison approach whereby recent comparable land sales and listings are gathered and summarized. The available market data is analyzed and compared to the land being valued and adjustments are made for dissimilar characteristics such as market conditions, size, and location. The Company estimates the fair value of buildings acquired on an as-if-vacant basis and depreciates the building value over its estimated remaining life. The Company determines the fair value of site improvements (non-building improvements that include paving and other) using the cost approach, with a deduction for depreciation, and depreciates the site improvements over their estimated remaining useful lives. Tenant improvements represent fixed improvements to tenant spaces, the fair value of which is estimated using prevailing market tenant improvement allowances that would be given to attract a new tenant, estimated based on the assumption that it is a necessary cost of leasing up a vacant building. Tenant improvements are amortized over the remaining term of the lease. Valuation of intangible assets: In determining the fair value of in-place leases (the avoided cost associated with existing in-place leases) management considers current market conditions and costs to execute similar leases in arriving at an estimate of the carrying costs during the expected lease-up period from vacant to existing occupancy. In estimating carrying costs, management includes reimbursable (based on market lease terms) real estate taxes, insurance, other operating expenses, as well as estimates of lost market rental revenue during the expected lease-up periods. The values assigned to in-place leases are amortized over the remaining term of the lease. The fair value of above-or-below market leases is estimated based on the present value (using an interest rate which reflected the risks associated with the leases acquired) of the difference between contractual amounts to be received pursuant to the leases and management’s estimate of market lease rates measured over a period equal to the estimated remaining term of the lease. An above market lease is classified as an intangible asset and a below market lease is classified as an intangible liability. The capitalized above-market or below-market lease intangibles are amortized as a reduction of, or an addition to, rental income over the estimated remaining term of the respective leases. Intangible assets related to leasing costs consist of leasing commissions and legal fees. Leasing commissions are estimated by multiplying the remaining contract rent associated with each lease by a market leasing commission. Legal fees represent legal costs associated with writing, reviewing, and sometimes negotiating various lease terms. Leasing costs are amortized over the remaining useful life of the respective leases.
Assets Held for Sale and Discontinued Operations Policy [Policy Text Block]	Assets Held for Sale and Discontinued Operations The Company may sell properties from time to time for various reasons, including favorable market conditions. The Company classifies certain long-lived assets as held for sale once the criteria, as defined by GAAP, have been met. Long-lived assets to be disposed of are reported at the lower of their carrying amount or fair value minus cost to sell and are no longer depreciated. No properties were classified as held for sale as of December 31, 2018 or 2017 and the Company’s one disposition during the year ended December 31, 2018 did not qualify as discontinued operations.
Impairment or Disposal of Long-Lived Assets, Policy [Policy Text Block]	Impairment of Long-Lived Assets The Company evaluates its real estate assets for impairment at each reporting date or whenever events or circumstances indicate that its carrying amount may not be recoverable. If an impairment indicator exists, the Company compares the expected future undiscounted cash flows against the carrying amount of the asset. If the sum of the estimated undiscounted cash flows is less than the carrying amount of the asset, the Company would record an impairment loss for the difference between the estimated fair value and the carrying amount of the asset.
Cash and Cash Equivalents, Restricted Cash and Cash Equivalents, Policy [Policy Text Block]	Cash and Cash Equivalents and Restricted Cash On January 1, 2018 the Company adopted the provisions of ASU 2016-18, “Statement of Cash Flows (Topic 230) Restricted Cash” (“ASU 2016-18”) , which requires that the statement of cash flows explain the change during the period in the total of cash and cash equivalents and amounts generally described as restricted cash. In accordance with the requirements of ASU 2016-18, 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 Consolidated Statements of Cash Flows for the years ended December 31, 2018 and 2017: 2018 2017 Cash and cash equivalents $ 3,631 $ 5,109 Restricted cash 1,212 2,005 Total cash and cash equivalents and restricted cash $ 4,843 $ 7,114 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.
Receivables, Policy [Policy Text Block]	Tenant Receivables The tenant receivable balance as of December 31, 2018 and 2017 was $2,905 and $704, respectively. The balance as of December 31, 2018 consisted of $783 in funds owed from the Company’s tenants for rent that the Company had earned but had not yet received, and $1,062 in funds owed by certain of the Company’s tenants for amounts the Company collects to pay specific tenant expenses, such as real estate taxes and insurance, on the tenants’ behalf. Additionally, the balance as of December 31, 2018 included a $1,000 $60 $125 in funds owed from the Company’s tenants for rent that the Company had earned but had not yet received, and $579 in funds owed by certain of the Company’s tenants for amounts the Company collects to pay specific tenant expenses, such as real estate taxes and insurance, on the tenants’ behalf.
Escrow Deposits [Policy Text Block]	Escrow Deposits 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. The escrow balance as of December 31, 2018 and 2017 was $1,752 and $1,638, respectively.
Deferred Assets [Policy Text Block]	Deferred Assets The deferred assets balance as of December 31, 2018 and 2017 was $9,352 and $3,993, respectively. The balance as of December 31, 2018 consisted of $8,706 in deferred rent receivables resulting from the recognition of revenue from leases with fixed annual rental escalations on a straight-line basis and the balance of $646 represented other deferred costs. The balance as of December 31, 2017 consisted of $3,842 in deferred rent receivables resulting from the recognition of revenue from leases with fixed annual rental escalations on a straight-line basis and the balance of $151 represented other deferred costs.
Other Assets [Policy Text Block]	Other Assets Other assets consists primarily of capitalized costs related to the Company’s property acquisitions. Costs that are incurred prior to the completion of the acquisition of a property are capitalized if all of the following conditions are met: (a) the costs are directly identifiable with the specific property, (b) the costs would be capitalized if the property were already acquired, and (c) acquisition of the property is probable. These costs are included with the value of the acquired property upon completion of the acquisition. The costs are charged to expense when it is probable that the acquisition will not be completed. The other assets balance was $322 as of December 31, 2018, which consisted of $139 in capitalized costs related to property acquisitions and $183 in a prepaid asset. The other assets balance was $459 as of December 31, 2017, which consisted of $316 in capitalized costs related to property acquisitions and $143 in a prepaid asset.
Security Deposit Liability [Policy Text Block]	Security Deposits and Other The security deposits and other liability balance as of December 31, 2018 and 2017 was $4,152 and $2,128, respectively. The balance as of December 31, 2018 consisted of security deposits of $3,272 and a tenant impound liability of $880 related to amounts owed for specific tenant expenses, such as real estate taxes and insurance. The balance as of December 31, 2017 consisted of security deposits of $1,620 and a tenant impound liability of $508 related to amounts owed for specific tenant expenses, such as real estate taxes and insurance.
Derivatives, Policy [Policy Text Block]	Derivative Instruments - Interest Rate Swap Agreements As of December 31, 2018, the Company had three interest rate swap derivative instruments that were designated as cash flow hedges of interest rate risk. 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.” Additionally, effective July 1, 2018, the Company adopted the provisions of ASU No. 2017-12, “Derivatives and Hedging: Targeted Improvements to Accounting for Hedging Activities” (“ASU 2017-12”). The purpose of ASU 2017-12 is to better align a company’s financial reporting for hedging activities with the economic objectives of those activities. The adoption of ASU 2017-12 did not have a material impact on the Company’s consolidated financial statements or disclosures. As of December 31, 2018 and 2017, the Company’s liability balance related to these swaps was $3,487 and zero, respectively. Refer to Note 4 – “Notes Payable and Revolving Credit Facility” for additional details.
Earnings Per Share, Policy [Policy Text Block]	Net Loss Attributable to Common Stockholders Per Share The Company uses the treasury stock method to compute diluted net income or loss attributable to common stockholders per share. Basic net income or loss per share of common stock is computed by dividing net income or loss attributable to common stockholders by the weighted average number of shares of common stock outstanding for the period. Diluted net income or loss per share of common stock is computed by dividing net income or loss attributable to common stockholders by the sum of the weighted average number of shares of common stock outstanding plus any potential dilutive shares for the period. As of December 31, 2018, 353 LTIP Units had vested, none of which were converted into OP Units, and there were 3,145 outstanding OP Units held by third parties. As of December 31, 2017, 267 LTIP Units had vested, none of which were converted into OP Units, and there were 1,246 outstanding OP Units held by third parties. The OP Units and LTIP Units are not reflected in the diluted per share calculation because the exchange of OP Units and LTIP Units into common stock is on a one-for-one basis, and both are allocated net income on a per share basis equal to the common stock. Accordingly, any exchange would not have any effect on diluted net income (loss) available to common stockholders per share. The Company considered the requirements of the two-class method when computing earnings per share and determined that there would be no difference in its reported results if that method was utilized.
Debt, Policy [Policy Text Block]	Debt Issuance Costs Debt issuance costs include amounts paid to lenders and other third parties to obtain both fixed term and revolving debt and are amortized to interest expense on a straight-line basis over the term of the related debt. Refer to Note 4 – “Notes Payable and Revolving Credit Facility” for additional details.
Related Party Disclosures [Policy Text Block]	Related Party Disclosures The Company enters into transactions with affiliated entities, or “related parties,” which are recorded net as “Due to Related Parties” in the accompanying Consolidated Balance Sheets. Related party disclosures are governed by ASC Topic 850, Related Party Disclosures. Refer to Note 6 – “Related Party Transactions” for additional information regarding the Company’s related party transactions.
Share-based Compensation, Option and Incentive Plans Policy [Policy Text Block]	Stock-Based Compensation On July 1, 2018, the Company adopted the provisions of ASU 2018-07, “Improvements to Nonemployee Share-Based Payment Accounting” (“ASU 2018-07”). The Company grants LTIP Unit awards, including awards that vest over time and awards that vest based on specified performance criteria, to employees of its Advisor (deemed to be non-employees of the Company), and to the Company’s independent directors (deemed to be employees of the Company). ASU 2018-07 simplifies several aspects of the accounting for non-employee transactions by stipulating that the existing accounting guidance for share-based payments to employees, accounted for under ASC Topic 718, “Compensation-Stock Compensation,” will also apply to non-employee share-based transactions, accounted for under ASC Topic 505, “Equity.” The adoption of ASU 2018-07 did not have a material impact on the Company’s consolidated financial statements or disclosures. Refer to Note 7 – “Stock Based Compensation” for additional details.
Depreciation, Depletion, and Amortization [Policy Text Block]	Depreciation Expense Depreciation expense is computed using the straight-line method over the estimated remaining useful lives of the buildings, which are generally between 23 and 50 years, tenant improvements, which are generally between 1 and 19 3 14 years .
Income Tax, Policy [Policy Text Block]	Income Taxes The Company elected to be taxed as a REIT for U.S. federal income tax purposes commencing with its taxable year ended December 31, 2016. REITs are generally not subject to federal income taxes if the Company can meet many specific requirements. If the Company fails to qualify as a REIT in any taxable year, the Company will be subject to federal and state income tax (including for 2017 and prior taxable years only, any applicable alternative minimum tax) on its taxable income at regular corporate tax rates, and the Company could not re-elect REIT status until the fifth calendar year after the year in which the failure occurred. Although the Company qualifies as a REIT, it may be subject to certain state or local income taxes, and if the Company creates a TRS, the TRS will be subject to federal, state and local taxes on its income at regular corporate rates. The Company recognizes the tax effects of uncertain tax positions only if the position is more likely than not to be sustained upon audit, based on the technical merits of the position. The Company has not identified any material uncertain tax positions and recognizes interest and penalties in income tax expense, if applicable. The Company is currently not under examination by any income tax jurisdiction.
Fair Value of Financial Instruments, Policy [Policy Text Block]	Fair Value of Financial Instruments Fair value is a market-based measurement and should be determined based on the assumptions that market participants would use in pricing an asset or liability. In accordance with ASC Topic 820, the valuation hierarchy is based upon the transparency of inputs to the valuation of an asset or liability as of the measurement date. A financial instrument’s categorization within the valuation hierarchy is based upon the lowest level of input that is significant to the fair value measurement. The three levels are defined as follows: • Level 1-Inputs to the valuation methodology are quoted prices for identical assets or liabilities in active markets; • Level 2-Inputs to the valuation methodology include quoted prices for similar assets and liabilities in active markets, and inputs that are observable for the asset or liability, either directly or indirectly, for substantially the full term of the financial instrument; and • Level 3-Inputs to the valuation methodology are unobservable and significant to the fair value measurement. The Company considers the carrying values of cash and cash equivalents, escrow deposits, accounts and other receivables, and accounts payable and accrued expenses to approximate the fair value for these financial instruments because of the short period of time since origination or the short period of time between origination of the instruments and their expected realization. Due to the short-term nature of these instruments, Level 1 and Level 2 inputs are utilized to estimate the fair value of these financial instruments. The fair values determined related to the Company’s interest rate swap transactions utilize Level 2 inputs, since there is heavy reliance on a variety of inputs including contractual terms, interest rate curves, yield curves, measure of volatility, and correlations of such inputs. The fair values determined related to the Company’s acquisitions of real estate where the identification and recording of intangible assets and liabilities is required primarily utilize Level 2 inputs since there is heavy reliance on market observable data such as rent comparables, sales comparables, and broker indications. Although some Level 3 inputs are utilized they are minor in comparison to the Level 2 date used for the primary assumptions as it relates to acquisitions of real estate.
Segment Reporting, Policy [Policy Text Block]	Segment Reporting ASC Topic 280, Segment Reporting, establishes standards for reporting financial and descriptive information about a public entity's reportable segments. The Company has determined that it has one reportable segment, with activities related to investing in medical properties. The Company evaluates the operating performance of its investments on an individual asset level basis.
New Accounting Pronouncements, Policy [Policy Text Block]	Recent Accounting Pronouncements In February 2016, the Financial Accounting Standards Board (FASB) issued ASU No. 2016-02 “Leases” (“ASU 2016-02”). This standard created Topic 842, “Leases,” and superseded FASB ASC Topic 840, “Leases.” ASU 2016-02 requires a lessee to recognize right of use assets and related lease liabilities from leases (both operating and finance leases). However, for leases with a term of 12 months or less, a lessee is permitted to make an accounting policy election not to recognize lease assets and lease liabilities. The new standard requires lessors to account for operating leases using an approach that is substantially equivalent to existing guidance for operating leases. ASU 2016-02 is effective for annual reporting periods (including interim periods within those periods) beginning after December 15, 2018. The new standard was adopted using a modified retrospective method. Based on the election of the package of practical expedients, the Company has determined that its leases where it is the lessor and several ground leases where the Company is the lessee will continue to be accounted for as operating leases under the new standard. Further, the Company has elected the practical expedient to not separate non-lease components from lease components. Therefore, as of January 1, 2019, for the Company’s leases where it is the lessor, the Company does not anticipate changes in the accounting for its lease revenues and expenses. For the Company’s ground leases where it is the lessee, the Company will be required to recognize right of use assets and related lease liabilities on its consolidated balance sheets upon adoption. As of January 1, 2019, the Company anticipates recognizing right of use assets and related lease liabilities of approximately $2,250.
Reclassification, Policy [Policy Text Block]	Reclassification The Company reclassified the line item “Deferred financing costs, net” on its Consolidated Balance Sheet as of December 31, 2017 to present this amount as a reduction of the Company’s “Revolving Credit Facility” liability balance. The deferred financing cost, net balance consists of costs incurred related to securing and amending the Company’s revolving credit facility (net of accumulated amortization). The reclassification was made to conform to the Company’s presentation of this line item in the Company’s Consolidated Balance Sheet as of December 31, 2018, which treats all unamortized deferred financing costs as a reduction of the related debt balance.

Summary of Significant Accoun_3

Summary of Significant Accounting Policies (Tables)	12 Months Ended
	Dec. 31, 2018
Accounting Policies [Abstract]
Restrictions on Cash and Cash Equivalents [Table Text Block]	2018 2017 Cash and cash equivalents $ 3,631 $ 5,109 Restricted cash 1,212 2,005 Total cash and cash equivalents and restricted cash $ 4,843 $ 7,114

Property Portfolio (Tables)

Property Portfolio (Tables)	12 Months Ended
	Dec. 31, 2018
Property, Plant and Equipment [Table Text Block]	A rollforward of the gross investment in land, building and improvements as of December 31, 2018, resulting from these acquisitions is as follows: Land Building Site & Tenant Acquired Lease Gross Investment in Balances as of January 1, 2018 $ 42,701 $ 384,338 $ 12,818 $ 31,650 $ 471,507 Facility Acquired – Date Acquired: Moline / Silvis – 1/24/18 - 4,895 1,216 989 7,100 Freemont – 2/9/18 162 8,335 - - 8,497 Gainesville – 2/23/18 625 9,885 - - 10,510 Dallas – 3/1/18 6,272 17,012 - - 23,284 Orlando – 3/22/18 2,543 11,720 756 1,395 16,414 Belpre – 4/19/18 3,025 50,526 3,966 7,166 64,683 McAllen – 7/3/18 1,099 4,296 - - 5,395 Derby – 8/3/18 412 2,496 243 453 3,604 Bountiful – 10/12/18 720 4,185 - - 4,905 Cincinnati – 10/30/18 1,745 1,336 553 492 4,126 Melbourne – 11/16/18 645 5,950 117 1,007 7,719 Southern IL – 11/30/18 1,830 12,660 - - 14,490 Vernon – 12/19/18 1,166 9,929 - - 11,095 Corona – 12/31/18 1,601 14,689 - - 16,290 Tenant improvements (1) - - 2,568 - 2,568 Total Additions (2) 21,845 157,914 9,419 11,502 200,680 Disposition of Great Bend – 12/20/18 (836 ) (23,801 ) - - (24,637 ) Balances as of December 31, 2018 $ 63,710 $ 518,451 $ 22,237 $ 43,152 $ 647,550 (1) Represents tenant improvements that were completed and placed in service during the year ended December 31, 2018 related to the Silvis and Sherman facilities that were acquired in January 2018 and June 2017, respectively. Of the $2,568, there were $2,535 of costs recorded as construction-in-process within the “Other Assets” line item in the Company’s Consolidated Balance Sheet when incurred and reclassified to investment in real estate once completed, and $33 of costs that were incurred and paid in cash and recorded directly as tenant improvements. (2) The Belpre, Southern IL, and Corona acquisitions included an aggregate of $16,362 of OP Units issued as part of the total consideration for those transactions. As indicated in footnote (1) above, $2,535 of completed construction-in-process costs were reclassified to investment in real estate during the year ended December 31, 2018. Additionally, an aggregate of $946 of intangible liabilities were acquired from the acquisitions that occurred during the year ended December 31, 2018. Accordingly, the total addition to gross investment in real estate funded with cash was $180,837. Land Building Site & Tenant Improvements Acquired Lease Intangibles Gross Investment in Real Estate Balances as of January 1, 2017 $ 17,786 $ 179,253 $ 2,651 $ 7,187 $ 206,877 Facility Acquired – Date Acquired: Cape Coral – 1/10/17 352 7,017 - - 7,369 Lewisburg – 1/12/17 471 5,819 505 505 7,300 Las Cruces – 2/1/17 396 4,618 - - 5,014 Prescott – 2/9/17 791 3,821 - - 4,612 Clermont – 3/1/17 - 4,361 206 868 5,435 Sandusky – 3/10/17 409 3,998 - - 4,407 Great Bend – 3/31/17 837 23,801 - - 24,638 Oklahoma City – 3/31/17 2,087 37,714 1,876 7,823 49,500 Sandusky – 4/21/17 98 978 - - 1,076 Brockport – 6/27/17 413 6,885 492 1,295 9,085 Flower Mound – 6/27/17 581 2,922 382 407 4,292 Sherman facility – 6/30/17 1,601 25,011 - - 26,612 Sandusky facility – 8/15/17 56 1,215 - - 1,271 Lubbock facility – 8/18/17 1,303 5,042 947 908 8,200 Germantown – 8/30/17 2,700 8,078 657 4,505 15,940 Austin – 9/25/17 6,958 28,508 1,373 3,811 40,650 Fort Worth – 11/10/17 1,487 3,334 643 786 6,250 Albertville – 11/10/17 866 3,486 1,246 1,202 6,800 Moline – 11/10/17 722 8,175 1,194 1,916 12,007 Lee’s Summit – 12/18/17 428 2,426 646 437 3,937 Amarillo – 12/20/17 1,437 7,254 - - 8,691 Wyomissing – 12/21/17 487 5,250 - - 5,737 Saint George – 12/22/17 435 5,372 - - 5,807 Total Additions (1) 24,915 205,085 10,167 24,463 264,630 Balances as of December 31, 2017 $ 42,701 $ 384,338 $ 12,818 $ 31,650 $ 471,507 (1) The Lubbock and Moline facility acquisitions included an aggregate of approximately $11,300 of OP Units issued as part of the total consideration. Additionally, an aggregate of $1,110 of intangible liabilities were acquired from the acquisitions that occurred during the year ended December 31, 2017, resulting in total gross investments funded using cash of $252,220
Schedule of Acquired Finite-Lived Intangible Assets by Major Class [Table Text Block]	The following is a summary of the carrying amount of intangible assets and liabilities as of December 31, 2018 and 2017: As of December 31, 2018 Cost Accumulated Amortization Net Assets In-place leases $ 21,753 $ (4,037 ) $ 17,716 Above market ground lease 707 (28 ) 679 Above market leases 8,009 (1,096 ) 6,913 Leasing costs 12,683 (1,703 ) 10,980 $ 43,152 $ (6,864 ) $ 36,288 Liability Below market leases $ 2,336 $ (308 ) $ 2,028 As of December 31, 2017 Cost Accumulated Amortization Net Assets In-place leases $ 17,061 $ (1,577 ) $ 15,484 Above market ground lease 488 (6 ) 482 Above market leases 4,625 (220 ) 4,405 Leasing costs 9,476 (538 ) 8,938 $ 31,650 $ (2,341 ) $ 29,309 Liability Below market leases $ 1,389 $ (98 ) $ 1,291
Finite-lived Intangible Assets Amortization Expense [Table Text Block]	The following is a summary of the acquired lease intangible amortization: Year Ended December 31, 2018 2017 2016 Amortization expense related to in-place leases $ 2,460 $ 1,542 $ 35 Amortization expense related to leasing costs $ 1,165 $ 530 $ 7 Decrease in rental revenue related to above market ground lease $ 22 $ 6 $ - Decrease in rental revenue related to above market leases $ 876 $ 220 $ - Increase in rental revenue related to below market leases $ (210 ) $ (97 ) $ (1 )
Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block]	Future aggregate net amortization of the acquired lease intangible assets and liabilities as of December 31, 2018, is as follows: Net Decrease Increase in 2019 $ (772 ) $ 3,885 2020 (721 ) 3,831 2021 (724 ) 3,217 2022 (725 ) 2,908 2023 (703 ) 2,626 Thereafter (1,919 ) 12,229 Total $ (5,564 ) $ 28,696
Business Acquisition, Pro Forma Information [Table Text Block]	The businesses acquired in 2017 and 2016 that were accounted for as business combinations were included in our results of operations from the dates of acquisition. The following table provides summary unaudited pro forma information as if the Company’s acquisitions during the years ended December 31, 2017 and 2016 that were accounted for as business combinations had occurred as of January 1, 2016: Year Ended December 31, 2017 2016 (unaudited) Revenue $ 38,140 $ 28,559 Net income (loss) $ 1,828 $ (1,191 ) Net income (loss) attributable to common stockholders $ 41 $ (1,191 ) Income (loss) attributable to common stockholders per share – basic and diluted $ - $ (0.13 ) Weighted average shares outstanding – basic and diluted $ 19,617 $ 9,302
Silvis Facilities [Member]
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]	The aggregate purchase price for the Moline/Silvis facilities was $6.9 million. The following table presents the details of the tangible and intangible assets acquired and liabilities assumed for this acquisition: Site improvements $ 249 Building and tenant improvements 5,862 In-place leases 343 Above market ground lease intangibles 219 Leasing costs 427 Below market lease intangibles (229 ) Total purchase price $ 6,871
Orlando Facilities [Member]
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]	The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 3,075 Building and tenant improvements 11,944 In-place leases 808 Above market lease intangibles 229 Leasing costs 358 Below market lease intangibles (10 ) Total purchase price $ 16,404
Belpre Portfolio [Member]
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]	The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 3,997 Building and tenant improvements 53,520 In-place leases 2,660 Above market lease intangibles 2,527 Leasing costs 1,979 Below market lease intangibles (632 ) Total purchase price $ 64,051
Derby Facility [Member]
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]	The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 566 Building and tenant improvements 2,585 In-place leases 299 Leasing costs 154 Below market lease intangibles (23 ) Total purchase price $ 3,581
Cincinnati Facility [Member]
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]	The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 1,824 Building and tenant improvements 1,810 In-place leases 236 Above market lease intangibles 131 Leasing costs 125 Below market lease intangibles (52 ) Total purchase price $ 4,074
Lewisburg facility [Member]
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]	The following table presents the preliminary purchase price allocation: Land and site improvements $ 681 Building and tenant improvements 6,114 In place leases 373 Leasing costs 132 Total purchase price $ 7,300
Clermont Facility [Member]
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]	The following table presents the preliminary purchase price allocation: Site improvements $ 145 Building and tenant improvements 4,422 In place leases 255 Above market lease intangibles 488 Leasing costs 125 Below market lease intangibles (210 ) Total purchase price $ 5,225
Oklahoma City Facilities [Member]
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]	The following table presents the preliminary purchase price allocation: Land and site improvements $ 2,953 Building and tenant improvements 38,724 Above market lease intangibles 759 In place leases 4,392 Leasing costs 2,672 Total purchase price $ 49,500
Brockport Facility [Member]
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]	The following table presents the preliminary purchase price allocation: Land and site improvements $ 693 Building and tenant improvements 7,097 In place leases 841 Leasing costs 454 Below market lease intangible (415 ) Total purchase price $ 8,670
Flower Mound Facility [Member]
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]	The following table presents the preliminary purchase price allocation: Land and site improvements $ 730 Building and tenant improvements 3,155 In place leases 222 Leasing costs 185 Below market lease intangible (242 ) Total purchase price $ 4,050
Lubbock Facility [Member]
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]	The following table presents the preliminary purchase price allocation: Land and site improvements $ 1,567 Building and tenant improvements 5,725 In-place leases 414 Leasing costs 494 Total purchase price $ 8,200
Germantown Facility [Member]
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]	The following table presents the preliminary purchase price allocation: Land and site improvements $ 3,050 Building and tenant improvements 8,385 Above market lease intangible 3,284 In-place leases 587 Leasing costs 634 Total purchase price $ 15,940
Austin Facility [Member]
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]	The following table presents the preliminary purchase price allocation: Land and site improvements $ 7,223 Building and tenant improvements 29,616 Above market lease intangible 246 In-place leases 1,680 Leasing costs 1,885 Total purchase price $ 40,650
Fort Worth Facility [Member]
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]	The following table presents the preliminary purchase price allocation: Land and site improvements $ 1,738 Building and tenant improvements 3,726 Above market lease intangible 126 In-place leases 314 Leasing costs 346 Total purchase price $ 6,250
Albertville Facility [Member]
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]	The following table presents the preliminary purchase price allocation: Land and site improvements $ 1,154 Building and tenant improvements 4,444 Above market lease intangible 103 In-place leases 802 Leasing costs 297 Total purchase price $ 6,800
Moline Facility [Member]
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]	The following table presents the preliminary purchase price allocation: Land and site improvements $ 854 Building and tenant improvements 9,237 Above market lease intangible 33 In-place leases 1,050 Leasing costs 833 Below market lease intangible (107 ) Total purchase price $ 11,900
Lees Summit Facility [Member]
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]	The following table presents the preliminary purchase price allocation: Land and site improvements $ 571 Building and tenant improvements 2,929 In-place leases 303 Leasing costs 134 Below market lease intangible (137 ) Total purchase price $ 3,800
Melbourne Facility [Member]
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]	The following table presents the details of the tangible and intangible assets acquired and liabilities assumed: Land and site improvements $ 732 Building and tenant improvements 5,980 In-place leases 346 Above market lease intangibles 504 Leasing costs 157 Total purchase price $ 7,719

Notes Payable and Revolving C_2

Notes Payable and Revolving Credit Facility (Tables)	12 Months Ended
	Dec. 31, 2018
Debt Instrument [Line Items]
Schedule of New Accounting Pronouncements and Changes in Accounting Principles [Table Text Block]	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 December 31, 2018 and 2017. December 31, 2018 December 31, 2017 Notes payable, gross $ 39,475 $ 39,475 Less: Unamortized debt discount (799 ) (930 ) Principal repayment (22 ) - Notes payable, net $ 38,654 $ 38,545
Schedule Of Pricing Matrix For Revolver And Term Loan [Table Text Block]	The following table presents the pricing matrix for the Revolver and the Term Loan: Total Leverage Ratio Revolver LIBOR Margin Revolver Base Rate Margin Term Loan LIBOR Margin Term Loan Base Rate Margin ≤ 45% 1.40 % 0.40 % 1.35 % 0.35 % › 45% and ≤50% 1.65 % 0.65 % 1.60 % 0.60 % › 50% and ≤55% 1.90 % 0.90 % 1.85 % 0.85 % › 55% 2.15 % 1.15 % 2.10 % 1.10 %
Schedule of Line of Credit Facilities [Table Text Block]	As of December 31, 2018 and 2017, the Company had the following outstanding borrowings under the Credit Facility: December 31, 2018 December 31, 2017 Revolver $ 180,275 $ 164,900 Term Loan 100,000 - Less: Unamortized deferred financing costs (3,922 ) (2,750 ) Credit Facility, net $ 276,353 $ 162,150
Schedule of Derivative Instruments, Effect on Other Comprehensive Income (Loss) [Table Text Block]	The table below details the components of the loss presented on the accompanying Consolidated Statements of Comprehensive Income (Loss) recognized on the Company’s interest rate swap agreements designated as cash flow hedges for the years ended December 31, 2018, 2017, and 2016. Years Ended December 31, 2018 2017 2016 Amount of loss recognized in other comprehensive loss $ 3,919 $ - $ - Amount of loss reclassified from accumulated other comprehensive loss into interest expense (198 ) - - Total change in accumulated other comprehensive loss $ 3,721 $ - $ -
Cantor Loan [Member]
Debt Instrument [Line Items]
Schedule of Maturities of Long-term Debt [Table Text Block]	As of December 31, 2018, scheduled principal payments due for each fiscal year ended December 31 are listed below as follows: 2019 $ - 2020 - 2021 282 2022 447 2023 471 Thereafter 30,897 Total $ 32,097
West Mifflin Note Payable [Member]
Debt Instrument [Line Items]
Schedule of Maturities of Long-term Debt [Table Text Block]	As of December 31, 2018, scheduled principal payments due for each fiscal year ended December 31 are listed below as follows: 2019 $ 136 2020 7,220 Total $ 7,356

Stockholders' Equity (Tables)

Stockholders' Equity (Tables)	12 Months Ended
	Dec. 31, 2018
Preferred Stock [Member]
Schedule of Dividends Payable [Table Text Block]	Dividend activity on our preferred stock during the years ended December 31, 2018 and 2017 is summarized in the following table: Date Announced Record Date Applicable Quarter Payment Date Quarterly Dividend Dividends per Share September 29, 2017 October 15, 2017 Q3 2017 October 31, 2017 $ 745 $ 0.23960 December 15, 2017 January 15, 2018 Q4 2017 January 31, 2018 $ 1,455 $ 0.46875 March 7, 2018 April 15, 2018 Q1 2018 April 30, 2018 $ 1,456 $ 0.46875 June 15, 2018 July 15, 2018 Q2 2018 July 31, 2018 $ 1,455 $ 0.46875 September 10, 2018 October 15, 2018 Q3 2018 October 31, 2018 $ 1,455 $ 0.46875 December 13, 2018 January 15, 2019 Q4 2018 January 31, 2019 $ 1,455 (1) $ 0.46875 (1) Two months of this amount, equal to $970, was accrued at December 31, 2018.
Common Stock [Member]
Schedule of Dividends Payable [Table Text Block]	Since January 1, 2017, our Board has declared cash dividends on our common stock as summarized in the following table: Date Announced Record Date Applicable Quarter Payment Date Dividend Amount (1) Dividends per Share December 14, 2016 December 27, 2016 Q4 2016 January 10, 2017 $ 3,604 $ 0.20 March 20, 2017 March 27, 2017 Q1 2017 April 10, 2017 $ 3,603 $ 0.20 June 16, 2017 June 27, 2017 Q2 2017 July 10, 2017 $ 3,608 $ 0.20 September 8, 2017 September 26, 2017 Q3 2017 October 9, 2017 $ 4,416 $ 0.20 December 15, 2017 December 26, 2017 Q4 2017 January 10, 2018 $ 4,552 $ 0.20 March 7, 2018 March 22, 2018 Q1 2018 April 10, 2018 $ 4,691 $ 0.20 June 15, 2018 June 26, 2018 Q2 2018 July 11, 2018 $ 4,786 $ 0.20 September 10, 2018 September 20, 2018 Q3 2018 October 10, 2018 $ 4,889 $ 0.20 December 13, 2018 December 26, 2018 Q4 2018 January 10, 2019 $ 5,695 $ 0.20 (1) Includes dividends on granted LTIP Units and OP Units issued to third parties.

Related Party Transactions (Tab

Related Party Transactions (Tables)	12 Months Ended
	Dec. 31, 2018
Related Party Transactions [Abstract]
Schedule of Related Party Transactions [Table Text Block]	A rollforward of the due (to) from related parties balance, net, as of December 31, 2018, is as follows: Due to Advisor – Mgmt. Fees Due (to) from Advisor – Other Funds Due (to) from Other Related Party Total Due (To) From Related Parties, Net Balance as of January 1, 2018 $ (1,064 ) 9 19 $ (1,036 ) Management fee expense incurred (1) (4,422 ) - - (4,422 ) Management fees paid to Advisor (1) 4,343 - - 4,343 Loans to Advisor (2) - 43 - 43 Loans to other related parties (2) - - 42 42 Balance as of December 31, 2018 $ (1,143 ) 52 61 $ (1,030 ) (1) (2) A rollforward of the due (to) from related parties balance, net, as of December 31, 2017, is as follows: Due to Advisor – Mgmt. Fees Due (to) from Advisor – Other Funds Due (to) from Other Related Party Total Due (To) From Related Parties, Net Balance as of January 1, 2017 $ (621 ) - 40 $ (581 ) Management fee expense incurred (1) (3,123 ) - - (3,123 ) Management fees paid to Advisor (1) 2,680 - - 2,680 Loan repaid to Advisor (2) - 9 - 9 Loan repaid by other related party (3) - - (21 ) (21 ) Balance as of December 31, 2017 $ (1,064 ) 9 19 $ (1,036 ) (1) accrued of $443 consists of $3,123 in management fee expense incurred, net of $2,680 of accrued management fees that were paid to the Advisor. This represents a cash flow operating activity. (2) represents the overpayment of expenses that were previously paid by the Advisor on the Company’s behalf. This represents a cash flow financing activity. (3) represents the net receipt by the Company of previous loans made by the Company to those related parties. This represents a cash flow investing activity.
Convertible Debt [Table Text Block]	A rollforward of the funding from ZH USA, LLC classified as convertible debenture, due to related party as of December 31, 2016 is as follows: Balance as of January 1, 2016 $ 40,030 Conversion of convertible debenture to common shares (March 2, 2016) 1 (15,000 ) Conversion of convertible debenture to common shares (July 1, 2016) 1 (15,030 ) Pay-off of remaining principal balance (10,000 ) Balance as of December 31, 2016 $ - 1

Stock-Based Compensation (Table

Stock-Based Compensation (Tables)	12 Months Ended
	Dec. 31, 2018
Schedule of Share-based Compensation, Activity [Table Text Block]	The time-based vesting LTIP Unit activity under the Plan during the year ended December 31, 2018 was as follows: LTIP Units outstanding as of December 31, 2017 436 LTIP Units granted (1) 57 LTIP Units earned and granted via the 2017 Program – Annual Awards (2) 57 LTIP Units granted as 2018 time-based awards (3) 73 LTIP Units redeemed in cash or forfeited (4) (35 ) LTIP Units outstanding as of December 31, 2018 588 (1) The 57 LTIP Units are comprised of the following: on March 5, 2018, the Board approved grants of an aggregate of 36 LTIP Units to employees of the Advisor, which vest 50% on March 5, 2020 and 50% on March 5, 2021; on May 30, 2018 and June 14, 2018 the Board approved grants of an aggregate of 21 LTIP Units to independent directors of the Board, which vest on May 30, 2019 and June 14, 2019. (2) The 57 LTIP Units represents earned and granted units from the previously disclosed 2017 annual awards (the “Annual Awards”). On March 5, 2018 the Compensation Committee of the Board (the “Compensation Committee”) determined the extent to which the Company achieved the performance goals related to the 2017 Annual Awards and determined the number of LTIP Units that each grantee was entitled to receive. These grants vested 50% on March 5, 2018, the determination date, and 50% vested on December 31, 2018. (3) The 73 LTIP Units represent grants approved by the Board on March 5, 2018 and are subject to the terms and conditions of the 2018 LTIP Unit Award Agreements between the Company and each grantee. These grants vest in equal one-third increments on each of March 5, 2019, March 5, 2020, and March 5, 2021. (4) The 35 LTIP Units is comprised of 34 vested units that the Company elected to redeem in cash for $263 and the remaining unvested unit was forfeited. A detail of the vested and unvested LTIP Units outstanding as of December 31, 2018 is as follows: Total vested LTIP Units 353 Unvested LTIP Units: Granted to employees of the Advisor 214 Granted to the Company’s independent directors 21 Total unvested LTIP Units 235 LTIP Units outstanding as of December 31, 2018 588
Schedule of Stock Options Roll Forward [Table Text Block]	A detail of the Annual Awards and the long-term awards (the “Long-Term Awards”) under the 2017 Program and the 2018 Program as of December 31, 2018 is as follows: 2017 Program 2018 Program Annual Long-Term Annual Long-Term Total Net 2017 Program LTIP awards as of December 31, 2017 84 98 - - 182 LTIP Unit target grants via the 2018 Performance Program – Long-Term Awards (1) - - - 110 110 LTIP Unit target grants via the 2018 Performance Program – Annual Awards (2) - - 163 - 163 LTIP Units granted via the 2017 Performance Program – Annual Awards (3) (57 ) - - - (57 ) LTIP Units not earned under the 2017 Performance Program – Annual Awards (4) (27 ) - - - (27 ) LTIP Unit forfeitures (5) (2 ) (2 ) (4 ) Net annual and long-term LTIP awards as of December 31, 2018 - 96 161 110 367 (1) These target Long-Term Awards were approved by the Board on March 5, 2018 and are subject to the terms and conditions of the 2018 LTIP Unit Award Agreements between the Company and each grantee. (2) These target Annual Awards were approved by the Board on April 9, 2018 and are subject to the terms and conditions of the 2018 LTIP Unit Award Agreements between the Company and each grantee. (3) This amount represents grants from the 2017 Program Annual Awards. Refer to the “Time-Based Grants” table above which presents these grants as earned and time-based. (4) On March 5, 2018 the Compensation Committee determined the extent to which the Company achieved the performance goals and concluded that these target awards were not earned. (5) Represents LTIP Units forfeited by grantee.
Disclosure of Share-based Compensation Arrangements by Share-based Payment Award [Table Text Block]	Below are details regarding certain of the assumptions for 2018 and 2017 based on the July 1, 2018 adoption date: 2018 Long-Term Awards 2017 Long-Term Awards Adoption date price $ 8.86 $ 8.86 Target awards 110 96 Volatility 33.8 % 33.8 35.4 % Risk-free rate 2.6 % 2.4 2.6 % Dividend assumption reinvested reinvested Expected term in years 2.7 1.7 2.7

Rental Revenue (Tables)

Rental Revenue (Tables)	12 Months Ended
	Dec. 31, 2018
Leases [Abstract]
Schedule of Future Lease Payments Receivables [Table Text Block]	The aggregate annual minimum cash to be received by the Company on its noncancelable operating leases as of December 31, 2018 are as follows: 2019 $ 50,527 2020 51,450 2021 49,926 2022 48,862 2023 47,743 Thereafter 330,180 Total $ 578,688
Schedule Of Concentration Of Rental Revenue [Table Text Block]	The Company’s facilities with a concentration of rental revenue of 5% or greater is as follows for the years ended below: Year Ended December 31, 2018 Year Ended December 31, 2017 Year Ended December 31, 2016 Facility % Facility % Facility % Encompass % 11 Encompass % 20 Omaha % 21 OCOM 9 OCOM 12 Plano 18 Belpre 8 Great Bend 7 Tennessee 17 Austin 7 Omaha 6 Melbourne 11 Sherman 6 Plano 6 West Mifflin 11 Dallas 5 Sherman 5 All other facilities 22 Great Bend 5 Tennessee 5 Total % 100 All other facilities 49 All other facilities 39 Total % 100 Total % 100

Land Leases (Tables)

Land Leases (Tables)	12 Months Ended
	Dec. 31, 2018
Leases [Abstract]
Schedule of Future Minimum Rental Payments for Operating Leases [Table Text Block]	The aggregate minimum cash payments to be made by the Company on these land leases as of December 31, 2018, are as follows: 2019 $ 109 2020 109 2021 109 2022 109 2023 113 Thereafter 2,121 Total $ 2,670

Income Taxes (Tables)

Income Taxes (Tables)	12 Months Ended
	Dec. 31, 2018
Income Tax Disclosure [Abstract]
Schedule of Deferred Tax Assets and Liabilities [Table Text Block]	Significant components of the deferred tax assets and liabilities as of December 31, 2018 and 2017, after applying enacted corporate income tax rates, are as follows: December 31, 2018 2017 Deferred income tax asset: Net operating loss carry forward $ 778 $ 778 Valuation allowance (778 ) (778 ) Net deferred tax asset $ - $ -

Selected Quarterly Financial _2

Selected Quarterly Financial Data (Tables)	12 Months Ended
	Dec. 31, 2018
Quarterly Financial Information Disclosure [Abstract]
Quarterly Financial Information [Table Text Block]	Year Ended December 31, 2018 First Quarter Second Quarter Third Quarter Fourth Quarter Total revenue $ 11,564 $ 13,249 $ 14,003 $ 14,376 Total expenses 9,663 11,865 12,230 12,547 Income before gain on sale of investment property 1,901 1,384 1,773 1,829 Gain on sale of investment property - - - 7,675 Net income 1,901 1,384 1,773 9,504 Less: Preferred stock dividends (1,455 ) (1,455 ) (1,455 ) (1,455 ) Less: Net (income) loss attributable to noncontrolling interest (35 ) 7 (32 ) (1,013 ) Net income (loss) attributable to common stockholders $ 411 $ (64 ) $ 286 $ 7,036 Net income (loss) attributable to common stockholders per share – basic and diluted $ 0.02 $ (0.00 ) $ 0.01 $ 0.31 Weighted average shares outstanding – basic and diluted 21,631 21,631 21,797 22,815 Year Ended December 31, 2017 First Quarter Second Quarter Third Quarter Fourth Quarter Total revenue $ 4,659 $ 7,423 $ 8,389 $ 9,874 Total expenses 5,9771 8,046 7,783 8,625 (Loss) income before gain on sale of investment property (1,318 ) (623 ) 606 1,249 Gain on sale of investment property - - - - Net (loss) income (1,318 ) 1 (623 ) 606 1,249 Less: Preferred stock dividends - - (259 ) (1,456 ) Less: Net loss attributable to noncontrolling interest - - 34 14 Net (loss) income attributable to common stockholders $ (1,318 ) $ (623 ) $ 381 $ (193 ) Net (loss) income attributable to common stockholders per share – basic and diluted $ (0.07 ) $ (0.04 ) $ 0.02 $ (0.01 ) Weighted average shares outstanding – basic and diluted 17,606 17,644 21,523 21,631 1

Organization (Details)

Organization (Details)	12 Months Ended
	Dec. 31, 2018
long-term incentive plan LTIP [Member]
Limited Liability Company (LLC) or Limited Partnership (LP), Members or Limited Partners, Ownership Interest	12.58%
Inter american Management Llc [Member] | Chief Executive Officer [Member]
Noncontrolling Interest, Ownership Percentage by Noncontrolling Owners	15.00%
Global Medical REIT GP LLC [Member]
Operating Partnership	87.41%
ZH International Holdings Limited [Member] | Inter american Management Llc [Member]
Equity Method Investment, Ownership Percentage	85.00%

Summary of Significant Accoun_4

Summary of Significant Accounting Policies (Cash and Cash Equivalents) (Details) - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
Cash and cash equivalents	$ 3,631	$ 5,109
Restricted cash	1,212	2,005
Total cash and cash equivalents and restricted cash	$ 4,843	$ 7,114	$ 20,612	$ 9,632

Summary of Significant Accoun_5

Summary of Significant Accounting Policies (Details) - USD ($) shares in Thousands, $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Jan. 01, 2019
Tenant Receivables	$ 2,905	$ 704
Escrow Deposit	1,752	1,638
Deferred Costs and Other Assets	9,352	3,993
Deferred Rent Receivables, Net	8,706	3,842
Security Deposit Liability	4,152	2,128
Receivables Earned But Not Paid Relating To Tenant Rent	783	125
Receivables To Be Collected To Pay Specific Tenant Expenses	1,062	579
Other Assets	322	459
Other Deferred Costs, Net	646	151
Capitalized Costs, Acquisitions Of Property	139
Lease Deposit Liability	880	508
Other Assets, Miscellaneous, Current	60
Accumulated Capitalized Interest Costs		316
Prepaid Expense and Other Assets	183	143
Derivative Liabilities	$ 3,487	$ 0
Long-term Debt, Percentage Bearing Fixed Interest, Percentage Rate	12.00%
Debt Instrument, Maturity Date	Oct. 31, 2019
Subsequent Event [Member] | Accounting Standards Update 2016-02 [Member]
Operating Lease, Right-of-Use Asset			$ 2,250
Loan Receivable Member [Member]
Tenant Receivables	$ 1,000
OP [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period	3,145	1,246
Interest Rate Swap [Member]
Derivative Liabilities	$ 3,487	$ 0
Building and Building Improvements [Member] | Maximum [Member]
Property, Plant and Equipment, Useful Life	50 years
Building and Building Improvements [Member] | Minimum [Member]
Property, Plant and Equipment, Useful Life	23 years
Tenant improvements [Member] | Maximum [Member]
Property, Plant and Equipment, Useful Life	19 years
Tenant improvements [Member] | Minimum [Member]
Property, Plant and Equipment, Useful Life	1 year
Site Improvements [Member] | Maximum [Member]
Property, Plant and Equipment, Useful Life	14 years
Site Improvements [Member] | Minimum [Member]
Property, Plant and Equipment, Useful Life	3 years
Plano Lease [Member]
Security Deposit Liability	$ 3,272	$ 1,620

Property Portfolio (Gross Inves

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

Nov. 16, 2018

Oct. 12, 2018

Aug. 03, 2018

Jul. 03, 2018

Mar. 02, 2018

Dec. 19, 2018

Oct. 30, 2018

Feb. 23, 2018

Dec. 31, 2018

Dec. 31, 2017

Dec. 31, 2016

Property, Plant and Equipment [Line Items]

Beginning Balance

$ 471,507

$ 206,877

Tenant improvements

2,535

0

$ 0

Acquisitions

200,680

[1]

264,630

[2]

Disposition of Great Bend

(24,637)

Ending Balance

647,550

471,507

206,877

Cape Coral Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

7,369

Lewisburg facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

7,300

Las Cruces Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

5,014

Prescott Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

4,612

Clermont Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

5,435

Moline / Silvis Facility [Member]

Property, Plant and Equipment [Line Items]

Tenant improvements

[3]

2,568

Acquisitions

7,100

Freemont Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

8,497

Gainesville Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

$ 10,500

10,510

Dallas Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

$ 23,300

23,284

Orlando Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

16,414

Belpre Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

64,683

McAllen Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

$ 5,400

5,395

Derby Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

$ 3,600

3,604

Bountiful Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

$ 4,900

4,905

Cincinnati Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

$ 4,000

4,126

Melbourne Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

$ 7,700

7,719

Southern IL Facilities [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

14,490

Vernon Facilities [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

$ 10,900

11,095

Corona Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

16,290

Sandusky Facility Acquisition One [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

4,407

Great Bend Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

24,638

Oklahoma City Facilities [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

49,500

Sandusky Facility Acquisition Two [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,076

Brockport Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

9,085

Flower Mound Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

4,292

Sherman facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

26,612

Sandusky Facility Acquisition Three [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,271

Lubbock Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

8,200

Germantown Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

15,940

Austin Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

40,650

Fort Worth Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

6,250

Albertville Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

6,800

Moline Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

12,007

Lees Summit Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

3,937

Amarillo [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

8,691

Wyomissing [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

5,737

Saint George [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

5,807

Land [Member]

Property, Plant and Equipment [Line Items]

Beginning Balance

42,701

17,786

Acquisitions

21,845

[1]

24,915

[2]

Disposition of Great Bend

(836)

Ending Balance

63,710

42,701

17,786

Land [Member] | Cape Coral Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

352

Land [Member] | Lewisburg facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

471

Land [Member] | Las Cruces Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

396

Land [Member] | Prescott Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

791

Land [Member] | Clermont Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Land [Member] | Moline / Silvis Facility [Member]

Property, Plant and Equipment [Line Items]

Tenant improvements

[3]

0

Acquisitions

0

Land [Member] | Freemont Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

162

Land [Member] | Gainesville Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

625

Land [Member] | Dallas Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

6,272

Land [Member] | Orlando Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

2,543

Land [Member] | Belpre Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

3,025

Land [Member] | McAllen Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,099

Land [Member] | Derby Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

412

Land [Member] | Bountiful Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

720

Land [Member] | Cincinnati Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,745

Land [Member] | Melbourne Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

645

Land [Member] | Southern IL Facilities [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,830

Land [Member] | Vernon Facilities [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,166

Land [Member] | Corona Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,601

Land [Member] | Sandusky Facility Acquisition One [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

409

Land [Member] | Great Bend Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

837

Land [Member] | Oklahoma City Facilities [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

2,087

Land [Member] | Sandusky Facility Acquisition Two [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

98

Land [Member] | Brockport Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

413

Land [Member] | Flower Mound Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

581

Land [Member] | Sherman facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,601

Land [Member] | Sandusky Facility Acquisition Three [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

56

Land [Member] | Lubbock Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,303

Land [Member] | Germantown Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

2,700

Land [Member] | Austin Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

6,958

Land [Member] | Fort Worth Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,487

Land [Member] | Albertville Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

866

Land [Member] | Moline Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

722

Land [Member] | Lees Summit Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

428

Land [Member] | Amarillo [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,437

Land [Member] | Wyomissing [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

487

Land [Member] | Saint George [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

435

Building [Member]

Property, Plant and Equipment [Line Items]

Beginning Balance

384,338

179,253

Acquisitions

157,914

[1]

205,085

[2]

Disposition of Great Bend

(23,801)

Ending Balance

518,451

384,338

179,253

Building [Member] | Cape Coral Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

7,017

Building [Member] | Lewisburg facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

5,819

Building [Member] | Las Cruces Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

4,618

Building [Member] | Prescott Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

3,821

Building [Member] | Clermont Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

4,361

Building [Member] | Moline / Silvis Facility [Member]

Property, Plant and Equipment [Line Items]

Tenant improvements

[3]

0

Acquisitions

4,895

Building [Member] | Freemont Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

8,335

Building [Member] | Gainesville Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

9,885

Building [Member] | Dallas Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

17,012

Building [Member] | Orlando Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

11,720

Building [Member] | Belpre Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

50,526

Building [Member] | McAllen Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

4,296

Building [Member] | Derby Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

2,496

Building [Member] | Bountiful Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

4,185

Building [Member] | Cincinnati Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,336

Building [Member] | Melbourne Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

5,950

Building [Member] | Southern IL Facilities [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

12,660

Building [Member] | Vernon Facilities [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

9,929

Building [Member] | Corona Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

14,689

Building [Member] | Sandusky Facility Acquisition One [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

3,998

Building [Member] | Great Bend Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

23,801

Building [Member] | Oklahoma City Facilities [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

37,714

Building [Member] | Sandusky Facility Acquisition Two [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

978

Building [Member] | Brockport Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

6,885

Building [Member] | Flower Mound Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

2,922

Building [Member] | Sherman facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

25,011

Building [Member] | Sandusky Facility Acquisition Three [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,215

Building [Member] | Lubbock Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

5,042

Building [Member] | Germantown Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

8,078

Building [Member] | Austin Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

28,508

Building [Member] | Fort Worth Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

3,334

Building [Member] | Albertville Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

3,486

Building [Member] | Moline Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

8,175

Building [Member] | Lees Summit Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

2,426

Building [Member] | Amarillo [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

7,254

Building [Member] | Wyomissing [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

5,250

Building [Member] | Saint George [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

5,372

Site And Tenant Improvements [Member]

Property, Plant and Equipment [Line Items]

Beginning Balance

12,818

2,651

Acquisitions

9,419

[1]

10,167

[2]

Disposition of Great Bend

0

Ending Balance

22,237

12,818

2,651

Site And Tenant Improvements [Member] | Cape Coral Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Site And Tenant Improvements [Member] | Lewisburg facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

505

Site And Tenant Improvements [Member] | Las Cruces Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Site And Tenant Improvements [Member] | Prescott Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Site And Tenant Improvements [Member] | Clermont Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

206

Site And Tenant Improvements [Member] | Moline / Silvis Facility [Member]

Property, Plant and Equipment [Line Items]

Tenant improvements

[3]

2,568

Acquisitions

1,216

Site And Tenant Improvements [Member] | Freemont Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Site And Tenant Improvements [Member] | Gainesville Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Site And Tenant Improvements [Member] | Dallas Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Site And Tenant Improvements [Member] | Orlando Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

756

Site And Tenant Improvements [Member] | Belpre Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

3,966

Site And Tenant Improvements [Member] | McAllen Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

Site And Tenant Improvements [Member] | Derby Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

243

Site And Tenant Improvements [Member] | Bountiful Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Site And Tenant Improvements [Member] | Cincinnati Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

553

Site And Tenant Improvements [Member] | Melbourne Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

117

Site And Tenant Improvements [Member] | Southern IL Facilities [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Site And Tenant Improvements [Member] | Vernon Facilities [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Site And Tenant Improvements [Member] | Corona Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Site And Tenant Improvements [Member] | Sandusky Facility Acquisition One [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Site And Tenant Improvements [Member] | Great Bend Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Site And Tenant Improvements [Member] | Oklahoma City Facilities [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,876

Site And Tenant Improvements [Member] | Sandusky Facility Acquisition Two [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Site And Tenant Improvements [Member] | Brockport Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

492

Site And Tenant Improvements [Member] | Flower Mound Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

382

Site And Tenant Improvements [Member] | Sherman facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Site And Tenant Improvements [Member] | Sandusky Facility Acquisition Three [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Site And Tenant Improvements [Member] | Lubbock Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

947

Site And Tenant Improvements [Member] | Germantown Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

657

Site And Tenant Improvements [Member] | Austin Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,373

Site And Tenant Improvements [Member] | Fort Worth Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

643

Site And Tenant Improvements [Member] | Albertville Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,246

Site And Tenant Improvements [Member] | Moline Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,194

Site And Tenant Improvements [Member] | Lees Summit Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

646

Site And Tenant Improvements [Member] | Amarillo [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Site And Tenant Improvements [Member] | Wyomissing [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Site And Tenant Improvements [Member] | Saint George [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Intangibles [Member]

Property, Plant and Equipment [Line Items]

Beginning Balance

31,650

7,187

Acquisitions

11,502

[1]

24,463

[2]

Disposition of Great Bend

0

Ending Balance

43,152

31,650

$ 7,187

Intangibles [Member] | Cape Coral Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Intangibles [Member] | Lewisburg facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

505

Intangibles [Member] | Las Cruces Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Intangibles [Member] | Prescott Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Intangibles [Member] | Clermont Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

868

Intangibles [Member] | Moline / Silvis Facility [Member]

Property, Plant and Equipment [Line Items]

Tenant improvements

[3]

0

Acquisitions

989

Intangibles [Member] | Freemont Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Intangibles [Member] | Gainesville Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Intangibles [Member] | Dallas Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Intangibles [Member] | Orlando Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,395

Intangibles [Member] | Belpre Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

7,166

Intangibles [Member] | McAllen Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

Intangibles [Member] | Derby Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

453

Intangibles [Member] | Bountiful Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Intangibles [Member] | Cincinnati Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

492

Intangibles [Member] | Melbourne Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,007

Intangibles [Member] | Southern IL Facilities [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Intangibles [Member] | Vernon Facilities [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Intangibles [Member] | Corona Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

$ 0

Intangibles [Member] | Sandusky Facility Acquisition One [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Intangibles [Member] | Great Bend Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Intangibles [Member] | Oklahoma City Facilities [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

7,823

Intangibles [Member] | Sandusky Facility Acquisition Two [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Intangibles [Member] | Brockport Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,295

Intangibles [Member] | Flower Mound Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

407

Intangibles [Member] | Sherman facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Intangibles [Member] | Sandusky Facility Acquisition Three [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Intangibles [Member] | Lubbock Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

908

Intangibles [Member] | Germantown Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

4,505

Intangibles [Member] | Austin Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

3,811

Intangibles [Member] | Fort Worth Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

786

Intangibles [Member] | Albertville Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,202

Intangibles [Member] | Moline Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

1,916

Intangibles [Member] | Lees Summit Facility [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

437

Intangibles [Member] | Amarillo [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Intangibles [Member] | Wyomissing [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

0

Intangibles [Member] | Saint George [Member]

Property, Plant and Equipment [Line Items]

Acquisitions

$ 0

[1]

The Belpre, Southern IL, and Corona acquisitions included an aggregate of $16,362 of OP Units issued as part of the total consideration for those transactions. As indicated in footnote (1) above, $2,535 of completed construction-in-process costs were reclassified to investment in real estate during the year ended December 31, 2018. Additionally, an aggregate of $946 of intangible liabilities were acquired from the acquisitions that occurred during the year ended December 31, 2018. Accordingly, the total addition to gross investment in real estate funded with cash was $180,837.

[2]

The Lubbock and Moline facility acquisitions included an aggregate of approximately $11,300 of OP Units issued as part of the total consideration. Additionally, an aggregate of $1,110 of intangible liabilities were acquired from the acquisitions that occurred during the year ended December 31, 2017, resulting in total gross investments funded using cash of $252,220

[3]

Represents tenant improvements that were completed and placed in service during the year ended December 31, 2018 related to the Silvis and Sherman facilities that were acquired in January 2018 and June 2017, respectively. Of the $2,568, there were $2,535 of costs recorded as construction-in-process within the “Other Assets” line item in the Company’s Consolidated Balance Sheet when incurred and reclassified to investment in real estate once completed, and $33 of costs that were incurred and paid in cash and recorded directly as tenant improvements.

Property Portfolio (Schedule of

Property Portfolio (Schedule of Recognized Identified Assets Acquired and Liabilities Assumed) (Details) - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest	$ 64,051	$ 11,300
Land And Site Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	3,997
Leasing costs [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Financial Assets	1,979
Moline / Silvis Facility [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest	6,871
Moline / Silvis Facility [Member] | Building And Tenant Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	5,862
Moline / Silvis Facility [Member] | In Place Leases [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	343
Moline / Silvis Facility [Member] | Above Market Lease Intangibles [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	219
Moline / Silvis Facility [Member] | Leasing costs [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Financial Assets	427
Moline / Silvis Facility [Member] | Below Market Lease Intangible [Member]
Business Acquisition [Line Items]
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed, Below Market Lease Intangibles	(229)
Moline / Silvis Facility [Member] | Site Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	249
Orlando Facility [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest	16,404
Orlando Facility [Member] | Land And Site Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	3,075
Orlando Facility [Member] | Building And Tenant Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	11,944
Orlando Facility [Member] | In Place Leases [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	808
Orlando Facility [Member] | Above Market Lease Intangibles [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	229
Orlando Facility [Member] | Leasing costs [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Financial Assets	358
Orlando Facility [Member] | Below Market Lease Intangible [Member]
Business Acquisition [Line Items]
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed, Below Market Lease Intangibles	(10)
Belpre Portfolio [Member] | Building And Tenant Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	53,520
Belpre Portfolio [Member] | In Place Leases [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	2,660
Belpre Portfolio [Member] | Above Market Lease Intangibles [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	2,527
Belpre Portfolio [Member] | Below Market Lease Intangible [Member]
Business Acquisition [Line Items]
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed, Below Market Lease Intangibles	(632)
Derby Facility [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest	3,581
Derby Facility [Member] | Land And Site Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	566
Derby Facility [Member] | Building And Tenant Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	2,585
Derby Facility [Member] | In Place Leases [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	299
Derby Facility [Member] | Leasing costs [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Financial Assets	154
Derby Facility [Member] | Below Market Lease Intangible [Member]
Business Acquisition [Line Items]
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed, Below Market Lease Intangibles	(23)
Cincinnati Facility [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest	4,074
Cincinnati Facility [Member] | Land And Site Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	1,824
Cincinnati Facility [Member] | Building And Tenant Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	1,810
Cincinnati Facility [Member] | In Place Leases [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	236
Cincinnati Facility [Member] | Above Market Lease Intangibles [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	131
Cincinnati Facility [Member] | Leasing costs [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Financial Assets	125
Cincinnati Facility [Member] | Below Market Lease Intangible [Member]
Business Acquisition [Line Items]
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed, Below Market Lease Intangibles	(52)
Melbourne Facility [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest	7,719
Melbourne Facility [Member] | Land And Site Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	732
Melbourne Facility [Member] | Building And Tenant Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	5,980
Melbourne Facility [Member] | In Place Leases [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	346
Melbourne Facility [Member] | Above Market Lease Intangibles [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Financial Assets	504
Melbourne Facility [Member] | Leasing costs [Member]
Business Acquisition [Line Items]
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed, Below Market Lease Intangibles	157
Lewisburg facility [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest	7,300
Lewisburg facility [Member] | Land And Site Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	681
Lewisburg facility [Member] | Building And Tenant Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	6,114
Lewisburg facility [Member] | In Place Leases [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	373
Lewisburg facility [Member] | Leasing costs [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Financial Assets	132
Clermont Facility [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest	5,225
Clermont Facility [Member] | Land And Site Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	145
Clermont Facility [Member] | Building And Tenant Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	4,422
Clermont Facility [Member] | In Place Leases [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	255
Clermont Facility [Member] | Above Market Lease Intangibles [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	488
Clermont Facility [Member] | Leasing costs [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Financial Assets	125
Clermont Facility [Member] | Below Market Lease Intangible [Member]
Business Acquisition [Line Items]
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed, Below Market Lease Intangibles	(210)
Oklahoma City Facilities [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest	49,500
Oklahoma City Facilities [Member] | Land And Site Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	2,953
Oklahoma City Facilities [Member] | Building And Tenant Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	38,724
Oklahoma City Facilities [Member] | In Place Leases [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	4,392
Oklahoma City Facilities [Member] | Above Market Lease Intangibles [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	759
Oklahoma City Facilities [Member] | Leasing costs [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Financial Assets	2,672
Brockport Facility [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest	8,670
Brockport Facility [Member] | Land And Site Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	693
Brockport Facility [Member] | Building And Tenant Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	7,097
Brockport Facility [Member] | In Place Leases [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	841
Brockport Facility [Member] | Leasing costs [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Financial Assets	454
Brockport Facility [Member] | Below Market Lease Intangible [Member]
Business Acquisition [Line Items]
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed, Below Market Lease Intangibles	(415)
Flower Mound Facility [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest	4,050
Flower Mound Facility [Member] | Land And Site Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	730
Flower Mound Facility [Member] | Building And Tenant Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	3,155
Flower Mound Facility [Member] | In Place Leases [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	222
Flower Mound Facility [Member] | Leasing costs [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Financial Assets	185
Flower Mound Facility [Member] | Below Market Lease Intangible [Member]
Business Acquisition [Line Items]
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed, Below Market Lease Intangibles	(242)
Lubbock Facility [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest	8,200
Lubbock Facility [Member] | Land And Site Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	1,567
Lubbock Facility [Member] | Building And Tenant Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	5,725
Lubbock Facility [Member] | In Place Leases [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	414
Lubbock Facility [Member] | Leasing costs [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Financial Assets	494
Germantown Facility [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest	15,940
Germantown Facility [Member] | Land And Site Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	3,050
Germantown Facility [Member] | Building And Tenant Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	8,385
Germantown Facility [Member] | In Place Leases [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	587
Germantown Facility [Member] | Above Market Lease Intangibles [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	3,284
Germantown Facility [Member] | Leasing costs [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Financial Assets	634
Austin Facility [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest	40,650
Austin Facility [Member] | Land And Site Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	7,223
Austin Facility [Member] | Building And Tenant Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	29,616
Austin Facility [Member] | In Place Leases [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	1,680
Austin Facility [Member] | Above Market Lease Intangibles [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	246
Austin Facility [Member] | Leasing costs [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Financial Assets	1,885
Fort Worth Facility [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest	6,250
Fort Worth Facility [Member] | Land And Site Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	1,738
Fort Worth Facility [Member] | Building And Tenant Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	3,726
Fort Worth Facility [Member] | In Place Leases [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	314
Fort Worth Facility [Member] | Above Market Lease Intangibles [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	126
Fort Worth Facility [Member] | Leasing costs [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Financial Assets	346
Albertville Facility [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest	6,800
Albertville Facility [Member] | Land And Site Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	1,154
Albertville Facility [Member] | Building And Tenant Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	4,444
Albertville Facility [Member] | In Place Leases [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	802
Albertville Facility [Member] | Above Market Lease Intangibles [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	103
Albertville Facility [Member] | Leasing costs [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Financial Assets	297
Moline Facility [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest	11,900
Moline Facility [Member] | Land And Site Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	854
Moline Facility [Member] | Building And Tenant Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	9,237
Moline Facility [Member] | In Place Leases [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	1,050
Moline Facility [Member] | Above Market Lease Intangibles [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	33
Moline Facility [Member] | Leasing costs [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Financial Assets	833
Moline Facility [Member] | Below Market Lease Intangible [Member]
Business Acquisition [Line Items]
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed, Below Market Lease Intangibles	(107)
Lees Summit Facility [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest	3,800
Lees Summit Facility [Member] | Land And Site Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	571
Lees Summit Facility [Member] | Building And Tenant Improvements [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	2,929
Lees Summit Facility [Member] | In Place Leases [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	303
Lees Summit Facility [Member] | Leasing costs [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Financial Assets	134
Lees Summit Facility [Member] | Below Market Lease Intangible [Member]
Business Acquisition [Line Items]
Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed, Below Market Lease Intangibles	$ (137)

Property Portfolio (summary of

Property Portfolio (summary of the carrying amount of intangible assets and liabilities) (Details) - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017
Assets
Cost	$ 43,152	$ 31,650
Accumulated Amortization	(6,864)	(2,341)
Net	36,288	29,309
Liabilities
Cost	2,336	1,389
Accumulated Amortization	(308)	(98)
Net	2,028	1,291
In-place leases [Member]
Assets
Cost	21,753	17,061
Accumulated Amortization	(4,037)	(1,577)
Net	17,716	15,484
Above Market Ground Lease [Member]
Assets
Cost	707	488
Accumulated Amortization	(28)	(6)
Net	679	482
Above Market Leases [Member]
Assets
Cost	8,009	4,625
Accumulated Amortization	(1,096)	(220)
Net	6,913	4,405
Leasing Costs [Member]
Assets
Cost	12,683	9,476
Accumulated Amortization	(1,703)	(538)
Net	$ 10,980	$ 8,938

Property Portfolio (summary o_2

Property Portfolio (summary of the acquired lease intangible amortization) (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Leases, Acquired-in-Place [Member]
Property, Plant and Equipment [Line Items]
Finite-Lived Intangible Assets, Accumulated Amortization	$ 2,460	$ 1,542	$ 35
Lease Costs [Member]
Property, Plant and Equipment [Line Items]
Finite-Lived Intangible Assets, Accumulated Amortization	1,165	530	7
market ground lease [Member]
Property, Plant and Equipment [Line Items]
Finite-Lived Intangible Assets, Accumulated Amortization	22	6	0
Above Market Leases [Member]
Property, Plant and Equipment [Line Items]
Finite-Lived Intangible Assets, Accumulated Amortization	876	220	0
Below Market Lease [Member]
Property, Plant and Equipment [Line Items]
Finite-Lived Intangible Assets, Accumulated Amortization	$ (210)	$ (97)	$ (1)

Property Portfolio (net amortiz

Property Portfolio (net amortization of the acquired lease intangible) (Details) $ in Thousands	Dec. 31, 2018USD ($)
Net Decrease in Revenue
2019	$ (772)
2020	(721)
2021	(724)
2022	(725)
2023	(703)
Thereafter	(1,919)
Total	(5,564)
Net Increase in Expenses
2019	3,885
2020	3,831
2021	3,217
2022	2,908
2023	2,626
Thereafter	12,229
Total	$ 28,696

Property Portfolio (Schedule _2

Property Portfolio (Schedule of pro forma consolidated revenue, net loss, and earnings per share) (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	12 Months Ended
	Dec. 31, 2017	Dec. 31, 2016
Revenue	$ 38,140	$ 28,559
Net income (loss)	1,828	(1,191)
Net income (loss) attributable to common stockholders	$ 41	$ (1,191)
Income (loss) attributable to common stockholders per share – basic and diluted	$ 0	$ (0.13)
Weighted average shares outstanding – basic and diluted	19,617	9,302

Property Portfolio (Details)

Property Portfolio (Details) $ in Thousands

Nov. 16, 2018USD ($)

Oct. 12, 2018USD ($)

Aug. 03, 2018USD ($)

Jul. 03, 2018USD ($)

Mar. 02, 2018USD ($)

Dec. 20, 2018USD ($)

Dec. 19, 2018USD ($)

Oct. 30, 2018USD ($)

Mar. 22, 2018USD ($)

Feb. 23, 2018USD ($)

Feb. 09, 2018USD ($)

Aug. 18, 2017USD ($)

Jun. 27, 2017USD ($)

Dec. 31, 2018USD ($)

Dec. 31, 2017USD ($)

Dec. 31, 2016USD ($)

Nov. 30, 2018

Apr. 19, 2018USD ($)

Jan. 24, 2018

Dec. 22, 2017USD ($)

Dec. 21, 2017USD ($)

Dec. 20, 2017USD ($)

Dec. 18, 2017USD ($)

Nov. 10, 2017USD ($)

Sep. 25, 2017USD ($)a

Aug. 30, 2017USD ($)

Aug. 15, 2017USD ($)

Jun. 30, 2017USD ($)

Apr. 21, 2017USD ($)

Mar. 31, 2017USD ($)

Mar. 10, 2017USD ($)

Mar. 01, 2017USD ($)

Feb. 09, 2017USD ($)

Feb. 01, 2017USD ($)

Jan. 12, 2017USD ($)

Jan. 10, 2017USD ($)

Property, Plant and Equipment [Line Items]

Allowance for Tenant Improvements

$ 2,535

$ 0

$ 0

Depreciation, Total

13,644

7,929

2,335

Property, Plant and Equipment, Additions

200,680

[1]

264,630

[2]

Business Combination, Consideration Transferred, Equity Interests Issued and Issuable

946

Payments for (Proceeds from) Productive Assets

180,837

252,220

150,459

Tenant Improvement Allowances Receivable

17,000

10,000

Lessee, Operating Lease, Description

the Company leased the facilities to Prospect ECHN, Inc. One lease has an initial term of 15 years with two consecutive 10-year extension option, and the other lease has an initial term of 12 years with two consecutive 10-year extension options.

Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest

$ 64,051

11,300

Lessor, Operating Lease, Renewal Term

2 years 6 months

2 years 6 months

5 years

5 years

Lessor, Operating Lease, Term of Contract

7 years

16 years

Number of Acquistion

1

Below Market Lease, Acquired

1,110

Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net

$ 11,900

Payments for Tenant Improvements

$ 2,535

0

$ 0

Great Bend Regional Hospital [Member]

Property, Plant and Equipment [Line Items]

Disposal Group, Including Discontinued Operation, Consideration

$ 32,500

Gain (Loss) on Disposition of Assets

7,700

Proceeds from Divestiture of Businesses

$ 31,600

Lease Intangibles Asset [Member]

Property, Plant and Equipment [Line Items]

Finite-Lived Intangible Asset, Useful Life

7 years 1 month 10 days

Lease Intangibles Liability [Member]

Property, Plant and Equipment [Line Items]

Finite-Lived Intangible Asset, Useful Life

8 years 8 months 12 days

Construction in Progress [Member]

Property, Plant and Equipment [Line Items]

Real Estate Owned, Transfer to Real Estate Owned

$ 2,535

Lubbock Facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

8,200

Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest

8,200

Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net

$ 8,200

Lease Expiration Period

2029

Moline Facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

12,007

Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest

11,900

Lessor, Operating Lease, Term of Contract

10 years

Gainesville Facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 10,500

10,510

Lessor, Operating Lease, Term of Contract

12 years

Dallas Facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 23,300

23,284

Orlando Facilities [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 16,400

Lessor, Operating Lease, Renewal Term

10 years

Belpre Facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

64,683

Business Combination, Consideration Transferred, Equity Interests Issued and Issuable

16,362

Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest

$ 64,100

Operating Lease, Weighted Average Remaining Lease Term

11 years 4 months 6 days

McAllen Facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 5,400

5,395

Lessor, Operating Lease, Renewal Term

11 years

Lessor, Operating Lease, Term of Contract

10 years

Derby Facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 3,600

3,604

Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest

3,581

Corona Facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

16,290

Business Combination, Consideration Transferred, Equity Interests Issued and Issuable

$ 16,362

Lessor, Operating Lease, Term of Contract

12 years

Bountiful Facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 4,900

$ 4,905

Lessor, Operating Lease, Term of Contract

15 years

Cincinnati Facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 4,000

4,126

Lessee, Operating Lease, Description

(i) the lease of Unit A with seven years remaining in the initial term and three consecutive five year renewal options; (ii) the lease of Unit B with eight years remaining in the initial term and three consecutive five year renewal options; and (iii) the lease of Unit C with seven years remaining in the initial term and three consecutive five year renewal options.

Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest

4,074

Melbourne Facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 7,700

7,719

Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest

7,719

Lessor, Operating Lease, Renewal Term

2 years 6 months

Lessor, Operating Lease, Term of Contract

5 years

Southern IL Facilities [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 14,490

Lessor, Operating Lease, Term of Contract

12 years

Southern IL Facilities [Member] | SSM Health Care St Louis [Member]

Property, Plant and Equipment [Line Items]

Lessor, Operating Lease, Renewal Term

2 years 6 months

Southern IL Facilities [Member] | Metro East Dermatology [Member]

Property, Plant and Equipment [Line Items]

Lessor, Operating Lease, Renewal Term

1 year

Lessor, Operating Lease, Term of Contract

1 year

Southern IL Facilities [Member] | Quest Diagnostics Clinical Laboratories [Member]

Property, Plant and Equipment [Line Items]

Lessor, Operating Lease, Term of Contract

9 months

9 months

Southern IL Facilities [Member] | Heartland Womens Healthcare IL PC [Member]

Property, Plant and Equipment [Line Items]

Lessor, Operating Lease, Renewal Term

2 years 6 months

Lessor, Operating Lease, Term of Contract

12 years

Southern IL Facilities [Member] | Heart land Womens Healthcare Ltd [Member]

Property, Plant and Equipment [Line Items]

Lessee, Operating Lease, Description

For the first five years of the initial term, the Master Tenant master leases the entire building (with the leases existing at the time of closing being converted to subleases between the Master Tenant and such tenants). For the last seven years of the initial term and any renewal terms, the premises is reduced to 6,592 rentable square feet

Southern IL Facilities [Member] | Heart land Womens Healthcare Ltd [Member] | Marion [Member]

Property, Plant and Equipment [Line Items]

Lessor, Operating Lease, Renewal Term

2 years 6 months

2 years 6 months

Lessor, Operating Lease, Term of Contract

12 years

Southern IL Facilities [Member] | Heart land Womens Healthcare Ltd [Member] | Mount Vernon [Member]

Property, Plant and Equipment [Line Items]

Lessor, Operating Lease, Renewal Term

2 years 6 months

2 years 6 months

Lessor, Operating Lease, Term of Contract

12 months

Vernon Facilities [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 10,900

$ 11,095

Clermont Facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

5,435

Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest

5,225

Lessor, Operating Lease, Term of Contract

71 years

Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net

$ 5,200

Flower Mound Facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

4,292

Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest

4,050

Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net

$ 4,100

Lease Expiration Period

2026

Brockport Facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

9,085

Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest

8,670

Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net

$ 8,700

Lease Expiration Period

2030

Germantown Facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

15,940

Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest

15,940

Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net

$ 15,900

Austin Facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

40,650

Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest

40,650

Lessor, Operating Lease, Term of Contract

9 years 7 months 6 days

Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net

$ 40,700

Area of Land | a

1.27

Fort Worth Facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

6,250

Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest

6,250

Lessor, Operating Lease, Term of Contract

10 years

Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net

$ 6,300

Albertville Facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

6,800

Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest

6,800

Lessor, Operating Lease, Term of Contract

11 years

Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net

$ 6,800

Lees Summit Facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

3,937

Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest

3,800

Lessor, Operating Lease, Term of Contract

7 years

Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net

$ 3,800

Sandusky Facility Acquisition One [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

4,407

Lessor, Operating Lease, Renewal Term

5 years

Lessor, Operating Lease, Term of Contract

11 years

Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net

$ 4,300

Sandusky Facility Acquisition Two [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

1,076

Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net

$ 1,100

Sandusky Facility Acquisition Three [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

1,271

Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net

$ 1,200

Great Bend Facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

24,638

Lessor, Operating Lease, Renewal Term

10 years

Lessor, Operating Lease, Term of Contract

15 years

Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net

$ 24,500

Sherman facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

26,612

Lessor, Operating Lease, Renewal Term

10 years

Lessor, Operating Lease, Term of Contract

20 years

Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net

$ 26,000

Amarillo [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

8,691

Lessor, Operating Lease, Renewal Term

10 years

Lessor, Operating Lease, Term of Contract

12 years

Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net

$ 8,700

Wyomissing [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

5,737

Lessor, Operating Lease, Term of Contract

10 years

Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net

$ 5,600

Saint George [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

5,807

Lessor, Operating Lease, Term of Contract

12 years

Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net

$ 5,800

Oklahoma City Facilities [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 49,500

Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest

49,500

Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed After Transaction Costs

49,500

OCOM North

Property, Plant and Equipment [Line Items]

Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed After Transaction Costs

5,100

OCOM South

Property, Plant and Equipment [Line Items]

Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed After Transaction Costs

$ 44,400

Moline Silvis Facilities [Member]

Property, Plant and Equipment [Line Items]

Allowance for Tenant Improvements

2,568

Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Less Noncontrolling Interest

6,900

Payments for Tenant Improvements

2,568

Sherman, Silvis, and Gainesville Facilities [Member]

Property, Plant and Equipment [Line Items]

Allowance for Tenant Improvements

9,000

Payments for Tenant Improvements

$ 9,000

Fremont Facility [Member]

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment, Additions

$ 8,500

Lessor, Operating Lease, Term of Contract

12 years

Cape Coral Facility [Member]

Property, Plant and Equipment [Line Items]

Lessor, Operating Lease, Renewal Term

5 years

Lessor, Operating Lease, Term of Contract

10 years

Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed After Transaction Costs

$ 7,300

Las Cruces Facility [Member]

Property, Plant and Equipment [Line Items]

Lessor, Operating Lease, Renewal Term

5 years

Lessor, Operating Lease, Term of Contract

12 years

Business Combination Recognized Identifiable Assets Acquired And Liabilities Assumed After Transaction Costs

$ 5,000

Prescott Facility [Member]

Property, Plant and Equipment [Line Items]

Lessor, Operating Lease, Renewal Term

7 years

Lessor, Operating Lease, Term of Contract

10 years

Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net

$ 4,500

Lewisburg facility [Member]

Property, Plant and Equipment [Line Items]

Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net

$ 7,300

[1]

The Belpre, Southern IL, and Corona acquisitions included an aggregate of $16,362 of OP Units issued as part of the total consideration for those transactions. As indicated in footnote (1) above, $2,535 of completed construction-in-process costs were reclassified to investment in real estate during the year ended December 31, 2018. Additionally, an aggregate of $946 of intangible liabilities were acquired from the acquisitions that occurred during the year ended December 31, 2018. Accordingly, the total addition to gross investment in real estate funded with cash was $180,837.

[2]

The Lubbock and Moline facility acquisitions included an aggregate of approximately $11,300 of OP Units issued as part of the total consideration. Additionally, an aggregate of $1,110 of intangible liabilities were acquired from the acquisitions that occurred during the year ended December 31, 2017, resulting in total gross investments funded using cash of $252,220

Notes Payable and Revolving C_3

Notes Payable and Revolving Credit Facility (Schedule of net of unamortized discount balances) (Details) - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017
Debt Instrument [Line Items]
Notes payable, gross	$ 39,475	$ 39,475
Less: Unamortized debt discount	(799)	(930)
Principal repayment	(22)	0
Notes payable, net	$ 38,654	$ 38,545

Notes Payable and Revolving C_4

Notes Payable and Revolving Credit Facility (Scheduled Principal Payments Due On Cantor Loan Note Payable) (Details) - Cantor Loan [Member] - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017	Mar. 31, 2016
Debt Instrument [Line Items]
2019	$ 0
2020	0
2021	282
2022	447
2023	471
Thereafter	30,897
Total	$ 32,097	$ 32,097	$ 32,097

Notes Payable and Revolving C_5

Notes Payable and Revolving Credit Facility (Scheduled Principal Payments Due On West Mifflin Note Payable) (Details) - West Mifflin Note Payable [Member] - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017	Sep. 25, 2015
Debt Instrument [Line Items]
2018	$ 136
2019	7,220
Total	$ 7,356	$ 7,378	$ 7,378

Notes Payable and Revolving C_6

Notes Payable and Revolving Credit Facility (Schedule of pricing matrix for the Revolver and the Term Loan ) (Details)	Dec. 31, 2018
Less Than 45% [Member]
Leverage Ratio	45.00%
Greater Than 55% [Member]
Leverage Ratio	55.00%
Maximum [Member] | 45% To 50% [Member]
Leverage Ratio	50.00%
Maximum [Member] | 50% To 55% [Member]
Leverage Ratio	55.00%
Minimum [Member] | 45% To 50% [Member]
Leverage Ratio	45.00%
Minimum [Member] | 50% To 55% [Member]
Leverage Ratio	50.00%
Revolving Credit Facility [Member] | London Interbank Offered Rate (LIBOR) [Member] | Less Than 45% [Member]
Debt Instrument, Interest Rate, Stated Percentage	1.40%
Revolving Credit Facility [Member] | London Interbank Offered Rate (LIBOR) [Member] | 45% To 50% [Member]
Debt Instrument, Interest Rate, Stated Percentage	1.65%
Revolving Credit Facility [Member] | London Interbank Offered Rate (LIBOR) [Member] | 50% To 55% [Member]
Debt Instrument, Interest Rate, Stated Percentage	1.90%
Revolving Credit Facility [Member] | London Interbank Offered Rate (LIBOR) [Member] | Greater Than 55% [Member]
Debt Instrument, Interest Rate, Stated Percentage	2.15%
Revolving Credit Facility [Member] | Base Rate [Member] | Less Than 45% [Member]
Debt Instrument, Interest Rate, Stated Percentage	0.40%
Revolving Credit Facility [Member] | Base Rate [Member] | 45% To 50% [Member]
Debt Instrument, Interest Rate, Stated Percentage	0.65%
Revolving Credit Facility [Member] | Base Rate [Member] | 50% To 55% [Member]
Debt Instrument, Interest Rate, Stated Percentage	0.90%
Revolving Credit Facility [Member] | Base Rate [Member] | Greater Than 55% [Member]
Debt Instrument, Interest Rate, Stated Percentage	1.15%
Term Loan [Member] | London Interbank Offered Rate (LIBOR) [Member] | Less Than 45% [Member]
Debt Instrument, Interest Rate, Stated Percentage	1.35%
Term Loan [Member] | London Interbank Offered Rate (LIBOR) [Member] | 45% To 50% [Member]
Debt Instrument, Interest Rate, Stated Percentage	1.60%
Term Loan [Member] | London Interbank Offered Rate (LIBOR) [Member] | 50% To 55% [Member]
Debt Instrument, Interest Rate, Stated Percentage	1.85%
Term Loan [Member] | London Interbank Offered Rate (LIBOR) [Member] | Greater Than 55% [Member]
Debt Instrument, Interest Rate, Stated Percentage	2.10%
Term Loan [Member] | Base Rate [Member] | Less Than 45% [Member]
Debt Instrument, Interest Rate, Stated Percentage	0.35%
Term Loan [Member] | Base Rate [Member] | 45% To 50% [Member]
Debt Instrument, Interest Rate, Stated Percentage	0.60%
Term Loan [Member] | Base Rate [Member] | 50% To 55% [Member]
Debt Instrument, Interest Rate, Stated Percentage	0.85%
Term Loan [Member] | Base Rate [Member] | Greater Than 55% [Member]
Debt Instrument, Interest Rate, Stated Percentage	1.10%

Notes Payable and Revolving C_7

Notes Payable and Revolving Credit Facility (Schedule of outstanding borrowings under the Credit Facility ) (Details) - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017
Long-term Line of Credit	$ 276,353	$ 162,150
Less: Unamortized deferred financing costs	(799)	(930)
Revolving Credit Facility [Member]
Long-term Line of Credit	180,275	164,900
Term Loan [Member]
Long-term Line of Credit	100,000	0
Line of Credit [Member]
Less: Unamortized deferred financing costs	$ (3,922)	$ (2,750)

Notes Payable and Revolving C_8

Notes Payable and Revolving Credit Facility (Schedule of interest rate swap agreement ) (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Amount of loss recognized in other comprehensive loss	$ 3,919	$ 0	$ 0
Amount of loss reclassified from accumulated other comprehensive loss into interest expense	(198)	0	0
Total change in accumulated other comprehensive loss	$ 3,721	$ 0	$ 0

Notes Payable and Revolving C_9

Notes Payable and Revolving Credit Facility (Details) - USD ($) $ in Thousands	Nov. 16, 2018	Aug. 07, 2018	Dec. 02, 2016	Mar. 31, 2016	Sep. 25, 2015	Mar. 31, 2016	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016	Nov. 16, 2016	Jul. 11, 2016	Sep. 15, 2014	Jun. 05, 2014
Debt Instrument [Line Items]
Amortization of Financing Costs							$ 131	$ 132	$ 331
Debt Instrument, Description						Prepayment can only occur within four months prior to the maturity date, except that after the earlier of (a) two years after the loan is placed in a securitized mortgage pool, or (b) May 6, 2020, the Cantor Loan can be fully and partially defeased upon payment of amounts due under the Cantor Loan and payment of a defeasance amount that is sufficient to purchase U.S. government securities equal to the scheduled payments of principal, interest, fees, and any other amounts due related to a full or partial defeasance under the Cantor Loan.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.
Debt Instrument, Maturity Date							Oct. 31, 2019
Other Operating Activities, Cash Flow Statement							$ 186,100	244,200
Increase (Decrease) in Security Deposits							2,024	1,408	719
Repayments of Lines of Credit							$ 70,725	$ 107,000
Debt, Weighted Average Interest Rate							4.64%	3.72%
Debt Instrument, Term							4 years 2 months 26 days	2 years 11 months 8 days
Long-term Debt, Gross							$ 39,475	$ 39,475
Debt Instrument, Covenant Description						maintain a monthly debt service coverage ratio of 1.35:1.00 for all of the collateral properties in the aggregate.
Line Of Credit Cash Paid Other							2,811	2,915
Repayments of Notes Payable							22
Additional Interest Expense							667
Interest Expense, Total							$ 14,975	7,435	4,139
Interest Rate Swap [Member]
Debt Instrument [Line Items]
Derivative, Maturity Date							Aug. 8, 2023
Derivative, Amount of Hedged Item		$ 100,000								$ 70
Debt Instrument, Basis Spread on Variable Rate	2.93%	2.88%
Derivative Instruments in Hedges, Liabilities, at Fair Value							$ 3,487
Interest Rate Swap [Member] | Sun Trust Bank [Member]
Debt Instrument [Line Items]
Derivative, Maturity Date	Aug. 7, 2024
Derivative, Amount of Hedged Item	$ 40,000
Debt Instrument, Basis Spread on Variable Rate	2.93%
Interest Rate Swap [Member] | Citizens Bank of Pennsylvania [Member]
Debt Instrument [Line Items]
Derivative, Maturity Date	Aug. 7, 2024
Derivative, Amount of Hedged Item	$ 30,000
Debt Instrument, Basis Spread on Variable Rate	2.93%
Revolving Credit Facility [Member]
Debt Instrument [Line Items]
Amortization of Financing Costs							1,639	1,092	19
Line of Credit Facility, Covenant Compliance			The Operating Partnership is subject to ongoing compliance with a number of customary affirmative and negative covenants, including limitations with respect to liens, indebtedness, distributions, mergers, consolidations, investments, restricted payments and asset sales. The Operating Partnership must also maintain (i) a maximum consolidated leverage ratio as of the end of each fiscal quarter of less than (y) 0.65:1.00 for each fiscal quarter ending prior to October 1, 2019 and (z) thereafter, 0.60:1.00, (ii) a minimum fixed charge coverage ratio of 1.50:1.00, (iii) a minimum net worth of $203,795 plus 75% of all net proceeds raised through subsequent equity offerings and (iv) a ratio of total secured recourse debt to total asset value of not greater than 0.10:1.00.
Increase (Decrease) in Security Deposits							11,371	4,234	46
Long-term Debt, Gross							115,375	137,200
Revolving Credit Facility [Member] | Interest Rate Swap [Member]
Debt Instrument [Line Items]
Derivative, Amount of Hedged Item		$ 100,000
Debt Instrument, Basis Spread on Variable Rate		2.88%
Revolving Credit Facility [Member] | Minimum [Member]
Debt Instrument [Line Items]
Debt Instrument, Face Amount		$ 340,000
Revolving Credit Facility [Member] | Maximum [Member]
Debt Instrument [Line Items]
Debt Instrument, Face Amount		500,000					350,000
Cantor Loan [Member]
Debt Instrument [Line Items]
Long-term Debt, Total				$ 32,097		$ 32,097	32,097	32,097
Debt Instrument, Interest Rate, Stated Percentage				5.22%		5.22%
Debt Instrument, Maturity Date				Apr. 6, 2026
Interest Expense, Debt							1,699	1,699	1,280
West Mifflin Note Payable [Member]
Debt Instrument [Line Items]
Long-term Debt, Total					$ 7,378		7,356	7,378
Debt Instrument, Interest Rate, Stated Percentage					3.72%
Debt Instrument, Description					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.
Interest Expense, Debt							280	$ 278	279
Repayments of Notes Payable							$ 22
The Revolver [Member] | Revolving Credit Facility [Member]
Debt Instrument [Line Items]
Debt Instrument, Face Amount		250,000
The Term loan [Member] | Revolving Credit Facility [Member]
Debt Instrument [Line Items]
Debt Instrument, Face Amount		$ 100,000
Asheville Note Payable [Member]
Debt Instrument [Line Items]
Long-term Debt, Total												$ 1,700
Debt Instrument, Interest Rate, Stated Percentage												4.75%
Interest Expense, Debt									76
Omaha Note Payable [Member]
Debt Instrument [Line Items]
Long-term Debt, Total													$ 15,060
Debt Instrument, Interest Rate, Stated Percentage													4.91%
Interest Expense, Debt									$ 488
Debt Instrument, early termination fee amount											$ 301

Schedule of Company's Board had

Schedule of Company's Board had declared cash dividends on common stock (Details) - USD ($) $ / shares in Units, $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Dividend Amount	$ 6,981	$ 5,638
DividendDeclaredOn 200317 [Member]
Dividend Amount	$ 3,603
Preferred Stock [Member] | Dividend Declared On 151217 [Member]
Date Announced	Dec. 15, 2017
Record Date	Jan. 15, 2018
Applicable Quarter	Q4 2017
Payment Date	Jan. 31, 2018
Dividend Amount	$ 1,455
Dividends per Share	$ 0.46875
Preferred Stock [Member] | Dividend Declared On 070318 [Member]
Date Announced	Mar. 7, 2018
Record Date	Apr. 15, 2018
Applicable Quarter	Q1 2018
Payment Date	Apr. 30, 2018
Dividend Amount	$ 1,456
Dividends per Share	$ 0.46875
Preferred Stock [Member] | DividendDeclaredOn 150618 [Member]
Date Announced	Jun. 15, 2018
Record Date	Jul. 15, 2018
Applicable Quarter	Q2 2018
Payment Date	Jul. 31, 2018
Dividend Amount	$ 1,455
Dividends per Share	$ 0.46875
Preferred Stock [Member] | Dividend Declared On 100918 [Member]
Date Announced	Sep. 10, 2018
Record Date	Oct. 15, 2018
Applicable Quarter	Q3 2018
Payment Date	Oct. 31, 2018
Dividend Amount	$ 1,455
Dividends per Share	$ 0.46875
Preferred Stock [Member] | Dividend Declared On 290917 [Member]
Date Announced	Sep. 29, 2017
Record Date	Oct. 15, 2017
Applicable Quarter	Q3 2017
Payment Date	Oct. 31, 2017
Dividend Amount	$ 745
Dividends per Share	$ 0.23960
Preferred Stock [Member] | DividendDeclaredOn 131218 [Member]
Date Announced	Dec. 13, 2018
Record Date	Jan. 15, 2019
Applicable Quarter	Q4 2018
Payment Date	Jan. 31, 2019
Dividend Amount	$ 1,455
Dividends per Share	$ 0.46875
Common Stock [Member] | Dividend Declared On 151217 [Member]
Date Announced	Dec. 15, 2017
Record Date	Dec. 26, 2017
Applicable Quarter	Q4 2017
Payment Date	Jan. 10, 2018
Dividend Amount	$ 4,552
Dividends per Share	$ 0.20
Common Stock [Member] | Dividend Declared On 070318 [Member]
Date Announced	Mar. 7, 2018
Record Date	Mar. 22, 2018
Applicable Quarter	Q1 2018
Payment Date	Apr. 10, 2018
Dividend Amount	$ 4,691
Dividends per Share	$ 0.20
Common Stock [Member] | DividendDeclaredOn 150618 [Member]
Date Announced	Jun. 15, 2018
Record Date	Jun. 26, 2018
Applicable Quarter	Q2 2018
Payment Date	Jul. 11, 2018
Dividend Amount	$ 4,786
Dividends per Share	$ 0.20
Common Stock [Member] | Dividend Declared On 100918 [Member]
Date Announced	Sep. 10, 2018
Record Date	Sep. 20, 2018
Applicable Quarter	Q3 2018
Payment Date	Oct. 10, 2018
Dividend Amount	$ 4,889
Dividends per Share	$ 0.20
Common Stock [Member] | DividendDeclaredOn 131218 [Member]
Date Announced	Dec. 13, 2018
Record Date	Dec. 26, 2018
Applicable Quarter	Q4 2018
Payment Date	Jan. 10, 2019
Dividend Amount	$ 5,695
Dividends per Share	$ 0.20
Common Stock [Member] | Dividend Declared On 141216 [Member]
Date Announced	Dec. 14, 2016
Record Date	Dec. 27, 2016
Applicable Quarter	Q4 2016
Payment Date	Jan. 10, 2017
Dividend Amount	$ 3,604
Dividends per Share	$ 0.20
Common Stock [Member] | Dividend Declared On 080917 [Member]
Date Announced	Sep. 8, 2017
Record Date	Sep. 26, 2017
Applicable Quarter	Q3 2017
Payment Date	Oct. 9, 2017
Dividend Amount	$ 4,416
Dividends per Share	$ 0.20
Common Stock [Member] | Dividend Declared On 160617 [Member]
Date Announced	Jun. 16, 2017
Record Date	Jun. 27, 2017
Applicable Quarter	Q2 2017
Payment Date	Jul. 10, 2017
Dividend Amount	$ 3,608
Dividends per Share	$ 0.20
Common Stock [Member] | DividendDeclaredOn 200317 [Member]
Date Announced	Mar. 20, 2017
Record Date	Mar. 27, 2017
Applicable Quarter	Q1 2017
Payment Date	Apr. 10, 2017
Dividends per Share	$ 0.20

Stockholders' Equity (Details)

Stockholders' Equity (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	Jul. 11, 2016	Dec. 31, 2018	Aug. 17, 2018	Sep. 30, 2017	Jun. 30, 2017	Jul. 31, 2016	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016	Dec. 14, 2018	Sep. 30, 2018	Sep. 15, 2017	Jul. 01, 2016
Preferred Stock, Shares Authorized		10,000					10,000	10,000
Preferred Stock, Par or Stated Value Per Share		$ 0.001					$ 0.001	$ 0.001
Preferred Stock, Shares Issued		3,105					3,105	3,105
Common Stock, Shares Authorized		500,000					500,000	500,000
Common Stock, Par or Stated Value Per Share		$ 0.001					$ 0.001	$ 0.001
Common Stock, Shares, Outstanding		25,944					25,944	21,631
Dividends Payable		$ 6,981					$ 6,981	$ 5,638
Preferred Stock, Liquidation Preference Per Share		$ 25					$ 25
Payments of Ordinary Dividends, Preferred Stock and Preference Stock							$ 5,821	$ 745
Limited Partners' Capital Account, Units Issued		1,899					1,899	1,246
Payments of dividens, Common Stock, OP and LTIP Units							$ (18,964)	$ (15,231)	$ (3,878)
Partners' Capital Account, Units, Sale of Units							3,145	1,246
Limited Partners' Capital Account		$ 27,894					$ 27,894	$ 11,532
Proceeds from Issuance of Common Stock							37,307	33,795	137,288
Stock To Be Issued During Period Value ATM Offering			$ 50,000
Stock Issued During Period, Shares, New Issues	15,000
Stock Issued During Period, Value, New Issues									138,969
Preferred Stock, Value, Issued		74,959					74,959	74,959
Adjustments to Additional Paid in Capital, Stock Issued, Issuance Costs		174			$ 1,987				1,681
Proceeds from Issuance Initial Public Offering	$ 138,969
Reclassification Of Common Stock Offering Cost To Additional Paid In Capital Non Cash Or Partial Non Cash Transaction	1,681						$ 573	443	1,681
BeneficialOwnershipDescription							The Company’s charter provides that, subject to certain exceptions, no person may beneficially or constructively own more than 9.8%, in value or in number of shares, whichever is more restrictive, of the outstanding shares of any class or series of the Company’s capital stock. On June 27, 2016, the Board approved a waiver of the 9.8% ownership limit in the Company’s charter allowing ZH USA, LLC to own up to 16.9% of the Company’s outstanding shares of common stock.
Payments of Dividends, Total							$ 5,821	745	$ 0
Noncontrolling Interest, Increase from Subsidiary Equity Issuance							16,363	11,532
At The Market [Member]
Proceeds from Issuance of Common Stock			$ 5,767
Commission On Sale Of Stock							$ 122
Stock Issued During Period, Shares, New Issues							662
Stock Issued During Period, Value, New Issues							$ 6,235
Payments of Stock Issuance Costs							346
Shares Issued, Price Per Share			$ 9.41
Common Stock [Member]
Dividends Payable		245					245	117
Proceeds from Issuance of Common Stock		$ 31,540			$ 33,795
Stock Issued During Period, Shares, New Issues		3,651			4,025				15,000
Stock Issued During Period, Value, New Issues		$ 32,863			$ 36,225				$ 15
Shares Issued, Price Per Share					$ 9					$ 9
Adjustments to Additional Paid in Capital, Stock Issued, Issuance Costs					$ 443				$ 0
Restructuring and Related Cost, Incurred Cost		53
Payments of Dividends, Total							46
Noncontrolling Interest, Increase from Subsidiary Equity Issuance								0
Common Stock [Member] | Over-Allotment Option [Member]
Proceeds from Issuance of Common Stock	$ 18,195
Stock Issued During Period, Shares, New Issues	1,957
Stock Issued During Period, Value, New Issues	$ 19,565
Shares Issued, Price Per Share	$ 10
Adjustments to Additional Paid in Capital, Stock Issued, Issuance Costs		$ 1,149
Common Stock [Member] | IPO [Member]
Proceeds from Issuance of Common Stock	$ 137,288
Stock Issued During Period, Shares, New Issues						13,043
Stock Issued During Period, Value, New Issues						$ 130,435
Shares Issued, Price Per Share													$ 10
Proceeds from Issuance Initial Public Offering						$ 120,774
Series A Preferred Stock [Member]
Preferred Stock, Par or Stated Value Per Share												$ 0.001
Preferred Stock, Shares Issued		3,105					3,105
Common Stock, Shares, Outstanding		3,105					3,105
Dividends Payable, Amount Per Share											$ 1.875
Preferred Stock, Liquidation Preference Per Share												25
Preferred Stock, Dividend Rate, Percentage							7.50%
Stock Issued During Period, Shares, New Issues				3,105
Stock Issued During Period, Value, New Issues				$ 77,625
Payments of Stock Issuance Costs				$ 221
Preferred Stock, Redemption Price Per Share												$ 25
Series A Preferred Stock [Member] | Over-Allotment Option [Member]
Stock Issued During Period, Shares, New Issues				405
Payments of Stock Issuance Costs				$ 2,445
Long Tem Incentives Plan Units [Member]
Dividends Payable		$ 316					$ 316	$ 117
Dividend Reinvestment and stock Purchase Plan units [Member]
Common Stock, Shares Authorized		1,000					1,000

Related Party Transactions (Due

Related Party Transactions (Due to Related Parties, Net) (Details) - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2018		Dec. 31, 2017		Dec. 31, 2016
Related Party Transaction [Line Items]
Balance, Beginning		$ (1,036)		$ (581)
Management fee expense incurred		(4,422)	[1]	(3,123)	[2]	$ (1,434)
Management fees paid to Advisor	[1]	4,343
Loans to Advisor	[3]			9
(Loans to) repayments from related parties		85		(21)		(138)
Balance, Ending		(1,030)		(1,036)		(581)
Advisor [Member]
Related Party Transaction [Line Items]
Management fees paid to Advisor	[2]			2,680
Loans to Advisor	[4]	43
Other related parties [Member]
Related Party Transaction [Line Items]
(Loans to) repayments from related parties		42		(21)	[5]
Due To Advisor Mgmt Fees [Member]
Related Party Transaction [Line Items]
Balance, Beginning		(1,064)		(621)
Management fee expense incurred		(4,422)	[1]	(3,123)	[2]	(1,434)
Management fees paid to Advisor	[1]	4,343
Loans to Advisor		0	[4]	0	[3]
Balance, Ending		(1,143)		(1,064)		(621)
Due To Advisor Mgmt Fees [Member] | Advisor [Member]
Related Party Transaction [Line Items]
Management fees paid to Advisor	[2]			2,680
Due To Advisor Mgmt Fees [Member] | Other related parties [Member]
Related Party Transaction [Line Items]
(Loans to) repayments from related parties		0	[4]	0	[5]
Due To Advisor Other Funds [Member]
Related Party Transaction [Line Items]
Balance, Beginning		9		0
Management fee expense incurred		0	[1]	0	[2]
Management fees paid to Advisor	[1]	0
Loans to Advisor		43	[4]	9	[3]
Balance, Ending		52		9		0
Due To Advisor Other Funds [Member] | Advisor [Member]
Related Party Transaction [Line Items]
Management fees paid to Advisor	[2]			0
Due To Advisor Other Funds [Member] | Other related parties [Member]
Related Party Transaction [Line Items]
(Loans to) repayments from related parties		0	[4]	0	[5]
Due to from Other Related party [Member]
Related Party Transaction [Line Items]
Balance, Beginning		19		40
Management fee expense incurred		0	[1]	0	[2]
Management fees paid to Advisor	[1]	0
Loans to Advisor		0	[4]	0	[3]
Balance, Ending		61		19		$ 40
Due to from Other Related party [Member] | Advisor [Member]
Related Party Transaction [Line Items]
Management fees paid to Advisor	[2]			0
Due to from Other Related party [Member] | Other related parties [Member]
Related Party Transaction [Line Items]
(Loans to) repayments from related parties		$ 42	[4]	$ (21)	[5]
[1]	Net amount accrued of $79 consists of $4,422 in management fee expense incurred, net of $4,343 of accrued management fees that were paid to the Advisor. This represents a cash flow operating activity.
[2]	Net amount accrued of $443 consists of $3,123 in management fee expense incurred, net of $2,680 of accrued management fees that were paid to the Advisor. This represents a cash flow operating activity.
[3]	Amount represents the overpayment of expenses that were previously paid by the Advisor on the Company’s behalf. This represents a cash flow financing activity.
[4]	Aggregate amount of $85 represents amounts paid by the Company on behalf of several related party entities for miscellaneous purposes. This represents a cash flow investing activity.
[5]	Amount represents the net receipt by the Company of previous loans made by the Company to those related parties. This represents a cash flow investing activity.

Convertible Debenture, due to M

Convertible Debenture, due to Majority Stockholder (Details) - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Related Party Transaction [Line Items]
Balance as of January 1, 2016			$ 0	$ 40,030
Conversion of convertible debenture to common shares		$ (30,030)
Pay-off of remaining principal balance		$ 0	$ 0	41,321
Balance as of December 31, 2016				0
Two Thousand Sixteen March Two [Member]
Related Party Transaction [Line Items]
Conversion of convertible debenture to common shares	[1]			(15,000)
Two Thousand Sixteen July One [Member]
Related Party Transaction [Line Items]
Conversion of convertible debenture to common shares	[1]			$ (15,030)
[1]	Total amount converted to common shares equals $30,030

Related Party Transactions (Det

Related Party Transactions (Details) - USD ($) $ / shares in Units, $ in Thousands	Jul. 08, 2016	Mar. 02, 2016	Nov. 10, 2014	Jul. 31, 2016	Jun. 30, 2016	Dec. 31, 2018		Dec. 31, 2017		Dec. 31, 2016	May 08, 2017
Related Party Transaction [Line Items]
Management Fee Expense						$ 4,422	[1]	$ 3,123	[2]	$ 1,434
Payment for Management Fee						4,343		2,680
(Loans to) repayments from related parties						$ 85		(21)		(138)
Property Management Fee, Percent Fee						1.50%
Due to Related Parties						$ 1,030		1,036		581
Related Party Costs						0		0		754
Debt Conversion, Converted Instrument, Amount						30,030
Notes Payable, Related Parties								421
Due To Advisor Mgmt Fees [Member]
Related Party Transaction [Line Items]
Management Fee Expense						4,422	[1]	3,123	[2]	1,434
Due to Related Parties						1,143		1,064		621
Due to from Other Related party [Member]
Related Party Transaction [Line Items]
Management Fee Expense						0	[1]	0	[2]
Due to Related Parties						(61)		(19)		(40)
Management Fee Payable						$ 79		$ 443
Mr. Jamie Barber [Member]
Related Party Transaction [Line Items]
Accrued Salaries, Current											$ 125
Pay off Letter And Conversion Agreement [Member]
Related Party Transaction [Line Items]
Debt Instrument, Periodic Payment, Interest	$ 1,717
Inter-American Management, LLC [Member]
Related Party Transaction [Line Items]
Property Management Fee, Percent Fee			2.00%
Business Combination, Acquisition Related Costs,Percenatge						2.00%
Convertible Debt [Member]
Related Party Transaction [Line Items]
Interest and Debt Expense, Total										$ 1,243
Interest Bearing Notes Payable [Member]
Related Party Transaction [Line Items]
Debt Instrument, Interest Rate, Stated Percentage										4.00%
Proceeds from Short-term Debt, Total										$ 450
Interest Expense, Subordinated Notes and Debentures										$ 10
ZH USA, LLC [Member]
Related Party Transaction [Line Items]
Debt Instrument, Interest Rate, Stated Percentage										8.00%
Debt Instrument Convertible, Base for Conversion		$ 12.748		$ 12.748		$ 12.748
Debt Conversion, Original Debt, Amount		$ 15,000		$ 15,030
Debt Conversion, Converted Instrument, Shares Issued		1,177		1,179
Proceeds from Debt, Net of Issuance Costs					$ 1,500
ZH USA, LLC [Member] | Pay off Letter And Conversion Agreement [Member]
Related Party Transaction [Line Items]
Debt Instrument, Periodic Payment, Principal				$ 10,000
[1]	Net amount accrued of $79 consists of $4,422 in management fee expense incurred, net of $4,343 of accrued management fees that were paid to the Advisor. This represents a cash flow operating activity.
[2]	Net amount accrued of $443 consists of $3,123 in management fee expense incurred, net of $2,680 of accrued management fees that were paid to the Advisor. This represents a cash flow operating activity.

Stock-Based Compensation Time-b

Stock-Based Compensation Time-based vesting (Details) shares in Thousands	12 Months Ended
	Dec. 31, 2018shares
LTIP units outstanding as of December 31, 2018	588
Long Tem Incentives Plan Units [Member] | 2017 Program [Member]
LTIP units granted	57	[1]
Long Tem Incentives Plan Units [Member] | Equity Incentive Plan 2016 [Member]
LTIP units outstanding as of December 31, 2017	436
LTIP units granted	57	[2]
LTIP units redeemed in cash or forfeited	(35)	[3]
LTIP units outstanding as of December 31, 2018	588
Long Tem Incentives Plan Units [Member] | 2018 Time based [Membe]
LTIP units granted	73	[4]
[1]	The 57 LTIP Units represents earned and granted units from the previously disclosed 2017 annual awards (the “Annual Awards”). On March 5, 2018 the Compensation Committee of the Board (the “Compensation Committee”) determined the extent to which the Company achieved the performance goals related to the 2017 Annual Awards and determined the number of LTIP Units that each grantee was entitled to receive. These grants vested 50% on March 5, 2018, the determination date, and 50% vested on December 31, 2018.
[2]	The 57 LTIP Units are comprised of the following: on March 5, 2018, the Board approved grants of an aggregate of 36 LTIP Units to employees of the Advisor, which vest 50% on March 5, 2020 and 50% on March 5, 2021; on May 30, 2018 and June 14, 2018 the Board approved grants of an aggregate of 21 LTIP Units to independent directors of the Board, which vest on May 30, 2019 and June 14, 2019.
[3]	The 35 LTIP Units is comprised of 34 vested units that the Company elected to redeem in cash for $263 and the remaining unvested unit was forfeited.
[4]	The 73 LTIP Units represent grants approved by the Board on March 5, 2018 and are subject to the terms and conditions of the 2018 LTIP Unit Award Agreements between the Company and each grantee. These grants vest in equal one-third increments on each of March 5, 2019, March 5, 2020, and March 5, 2021.

Stock-Based Compensation Vested

Stock-Based Compensation Vested and unvested LTIP units (Details) shares in Thousands	12 Months Ended
	Dec. 31, 2018shares
Total vested units	353
Unvested units:
Granted	(57)
Total unvested units	235
LTIP units outstanding as of December 31, 2018	588
Advisor [Member]
Unvested units:
Granted	214
Independent directors [Member]
Unvested units:
Granted	21

Stock-Based Compensation Long-T

Stock-Based Compensation Long-Term Awards (Details) - shares shares in Thousands		12 Months Ended
		Dec. 31, 2018		Dec. 31, 2017
LTIP units granted via the Performance Program		(57)
Total Annual Long term Awards [Member]
Net 2017 Program LTIP awards as of December 31, 2017		182
LTIP unit forfeitures	[1]	(4)
Net annual and long-term LTIP awards as of December 31, 2018		367		182
Two Thousand Seventeen Program [Member] | Annual Awards [Member]
Net 2017 Program LTIP awards as of December 31, 2017		84
LTIP units granted via the Performance Program		(57)		0	[2]
LTIP units not earned under the 2017 Performance Program – Annual Awards		(27)
LTIP unit forfeitures
Net annual and long-term LTIP awards as of December 31, 2018		0		84
Two Thousand Seventeen Program [Member] | Annual Awards [Member] | Total Annual Long term Awards [Member]
LTIP units not earned under the 2017 Performance Program – Annual Awards		(27)
Two Thousand Seventeen Program [Member] | Long-Term Awards [Member]
Net 2017 Program LTIP awards as of December 31, 2017		98
LTIP units granted via the Performance Program		0	[2]	0	[3]
LTIP units not earned under the 2017 Performance Program – Annual Awards		0		0
LTIP unit forfeitures	[1]	(2)
Net annual and long-term LTIP awards as of December 31, 2018		96		98
2018 Program [Member] | Annual Awards [Member]
Net 2017 Program LTIP awards as of December 31, 2017		0
LTIP units granted via the Performance Program	[3]	163
LTIP units not earned under the 2017 Performance Program – Annual Awards		0
LTIP unit forfeitures	[1]	(2)
Net annual and long-term LTIP awards as of December 31, 2018		161		0
2018 Program [Member] | Annual Awards [Member] | Total Annual Long term Awards [Member]
LTIP units granted via the Performance Program	[3]	163
2018 Program [Member] | Long-Term Awards [Member]
Net 2017 Program LTIP awards as of December 31, 2017		0
LTIP units granted via the Performance Program	[2]	110
LTIP units not earned under the 2017 Performance Program – Annual Awards		0
LTIP unit forfeitures
Net annual and long-term LTIP awards as of December 31, 2018		110		0
2018 Program [Member] | Long-Term Awards [Member] | Total Annual Long term Awards [Member]
LTIP units granted via the Performance Program	[2]	110
[1]	Represents LTIP Units forfeited by grantee.
[2]	These target Long-Term Awards were approved by the Board on March 5, 2018 and are subject to the terms and conditions of the 2018 LTIP Unit Award Agreements between the Company and each grantee.
[3]	These target Annual Awards were approved by the Board on April 9, 2018 and are subject to the terms and conditions of the 2018 LTIP Unit Award Agreements between the Company and each grantee.

Stock-Based Compensation Assump

Stock-Based Compensation Assumptions Long-Term Awards (Details) - $ / shares shares in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
2018 Long-Term Awards
Adoption date price	$ 8,860
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 Long-Term Awards
Adoption date price	$ 8,860
Target awards	96
Dividend assumption	reinvested
2017 Long-Term Awards | Maximum [Member]
Volatility		35.40%
Risk-free rate		2.60%
Expected term in years		2 years 8 months 12 days
2017 Long-Term Awards | Minimum [Member]
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 ($) shares in Thousands		Mar. 05, 2021	Mar. 05, 2020	Mar. 05, 2019	Mar. 05, 2018	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Share-based Compensation						$ 2,671,000	$ 1,796,000	$ 1,685,000
Share-based Compensation Arrangement by Share-based Payment Award, Employee Subscription Rate After Performance Period						The number of LTIP Units earned under the Long-Term Awards will be determined as soon as reasonably practicable following the end of the three-year performance period (2020 or 2021 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).
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Rights, Percentage						75.00%
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized						$ 2,900
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized, Period for Recognition						1 year 8 months 19 days
Stock Redeemed or Called During Period, Value						$ 263,000
Performance Goals For Awards						As of December 31, 2018, management estimated that the Performance Goals would be met at a 75% level, and accordingly, applied 75% to the net target 2018 Program Annual Awards to estimate the 2018 Program Annual Awards expected to be earned at the end of the performance period.
Additional Earn Up Rate For Grantee						150.00%
2017 Performance Program [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Non-Option Equity Instruments, Granted					36	57
2017 Program [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Rights, Percentage				50.00%	50.00%
Long Term Incentive Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Rights, Percentage		50.00%	50.00%
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						277
Common Stock, Capital Shares Reserved for Future Issuance						1,232
Long Tem Incentives Plan Units [Member] | 2017 Program [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Non-Option Equity Instruments, Granted	[1]					57
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] | Share-based Compensation Award, Tranche Two [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Rights, Percentage						50.00%
Long-Term Awards [Member] | Share-based Compensation Award, Tranche One [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Rights, Percentage						50.00%
Long-Term Awards [Member] | 2017 Program [Member] | Share-based Compensation Award, Tranche Two [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Rights, Percentage				50.00%
Long-Term Awards [Member] | 2017 Program [Member] | Share-based Compensation Award, Tranche One [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Rights, Percentage					50.00%
Long-Term Awards [Member] | Long Term Incentive Plan [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Maximum Employee Subscription Rate						200.00%
[1]	The 57 LTIP Units represents earned and granted units from the previously disclosed 2017 annual awards (the “Annual Awards”). On March 5, 2018 the Compensation Committee of the Board (the “Compensation Committee”) determined the extent to which the Company achieved the performance goals related to the 2017 Annual Awards and determined the number of LTIP Units that each grantee was entitled to receive. These grants vested 50% on March 5, 2018, the determination date, and 50% vested on December 31, 2018.

Rental Revenue (Schedule of Fut

Rental Revenue (Schedule of Future Lease Payments Receivables) (Details) $ in Thousands	Dec. 31, 2018USD ($)
2019	$ 50,527
2020	51,450
2021	49,926
2022	48,862
2023	47,743
Thereafter	330,180
Total	$ 578,688

Rental Revenue (Schedule Of Ren

Rental Revenue (Schedule Of Rental Revenue) (Details) - Rental Revenue [Member]	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Concentration Risk, Percentage	100.00%	100.00%	100.00%
Encompass [Member]
Concentration Risk, Percentage	11.00%	20.00%
Belpre [Member]
Concentration Risk, Percentage	8.00%
OCOM [Member]
Concentration Risk, Percentage	9.00%	12.00%
Sherman [Member]
Concentration Risk, Percentage	6.00%	5.00%
Austin [Member]
Concentration Risk, Percentage	7.00%
East Dallas [Member]
Concentration Risk, Percentage	5.00%
Great Bend [Member]
Concentration Risk, Percentage	5.00%	7.00%
Omaha [Member]
Concentration Risk, Percentage		6.00%	21.00%
Plano [Member]
Concentration Risk, Percentage		6.00%	18.00%
TENNESSEE
Concentration Risk, Percentage		5.00%	17.00%
All Other Facilities [Member]
Concentration Risk, Percentage	49.00%	39.00%	22.00%
Melbourne [Member]
Concentration Risk, Percentage			11.00%
West Mifflin [Member]
Concentration Risk, Percentage			11.00%

Land Leases (Schedule Of Future

Land Leases (Schedule Of Future Minimum Rental Payments) (Details) $ in Thousands	Dec. 31, 2018USD ($)
2019	$ 109
2020	109
2021	109
2022	109
2023	113
Thereafter	2,121
Total	$ 2,670

Land Leases (Details)

Land Leases (Details)	Dec. 31, 2018
Moline Facility [Member]
Lessee, Operating Lease, Renewal Term	10 years
Silvis facility [Member]
Lessee, Operating Lease, Renewal Term	67 years

Schedule of deferred tax assets

Schedule of deferred tax assets and liabilities (Details) - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017
Deferred income tax asset:
Net operating loss carry forward	$ 778	$ 778
Valuation allowance	(778)	(778)
Net deferred tax asset	$ 0	$ 0

Income Taxes (Details)

Income Taxes (Details) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Percentage Of Taxable Income To Distribute For Stockholders For Entity To Qualify As Reit	90.00%
Operating Loss Carry forwards Expiration Year	2033
Deferred Tax Assets, Operating Loss Carryforwards, Not Subject to Expiration	$ 3,706
Effective Income Tax Rate Reconciliation, at Federal Statutory Income Tax Rate, Percent	21.00%	35.00%

Subsequent Events (Details)

Subsequent Events (Details) - $ / shares	Mar. 06, 2019	Apr. 30, 2019	Dec. 31, 2018	Dec. 31, 2017
Subsequent Event [Line Items]
Preferred Stock, Par or Stated Value Per Share			$ 0.001	$ 0.001
Subsequent Event [Member]
Subsequent Event [Line Items]
Preferred Stock, Dividends, Per Share, Cash Paid		$ 0.46875
Subsequent Event [Member] | Common Stock [Member]
Subsequent Event [Line Items]
Common Stock, Dividends, Per Share, Declared	$ 0.20
Dividends Payable, Date of Record	Mar. 26, 2019
Dividends Payable, Date to be Paid	Apr. 10, 2019
Subsequent Event [Member] | Series A Cumulative Redeemable Preferred Stock [Member]
Subsequent Event [Line Items]
Preferred Stock, Dividends Per Share, Declared	$ 0.46875
Preferred Stock, Par or Stated Value Per Share	$ 0.001
Dividends Payable, Date of Record	Apr. 15, 2019
Dividends Payable, Date to be Paid	Apr. 30, 2019

Schedule of Quarterly Financial

Schedule of Quarterly Financial Reports (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	3 Months Ended										12 Months Ended
	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2017	Sep. 30, 2017	Jun. 30, 2017	Mar. 31, 2017		Mar. 31, 2016	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Quarterly Financial Information Disclosure [Abstract]
Total revenue	$ 14,376	$ 14,003	$ 13,249	$ 11,564	$ 9,874	$ 8,389	$ 7,423	$ 4,659			$ 53,192	$ 30,344	$ 8,211
Total expenses	12,547	12,230	11,865	9,663	8,625	7,783	8,046	59,771			46,306	30,431	14,564
Income before gain on sale of investment property	1,829	1,773	1,384	1,901	1,249	606	(623)			$ (1,318)	6,886	(87)	(6,353)
Gain on sale of investment property	7,675	0	0	0	0	0	0	0			7,675	0	0
Net income	9,504	1,773	1,384	1,901	1,249	606	(623)	(1,318)	[1]		14,561	(87)	(6,353)
Less: Preferred stock dividends	(1,455)	(1,455)	(1,455)	(1,455)	(1,456)	(259)	0	0			(5,822)	(1,714)	0
Less: Net (income) loss attributable to noncontrolling interest	(1,013)	(32)	7	(35)	14	34	0	0			1,071	(49)	0
Net income (loss) attributable to common stockholders	$ 7,036	$ 286	$ (64)	$ 411	$ (193)	$ 381	$ (623)	$ (1,318)			$ 7,668	$ (1,752)	$ (6,353)
Net income (loss) attributable to common stockholders per share – basic and diluted	$ 0.31	$ 0.01	$ 0	$ 0.02	$ (0.01)	$ 0.02	$ (0.04)	$ (0.07)			$ 0.35	$ (0.09)	$ (0.68)
Weighted average shares outstanding – basic and diluted	22,815	21,797	21,631	21,631	21,631	21,523	17,644	17,606			21,971	19,617	9,302
[1]	In the Company’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2017 that was filed with the SEC on May 11, 2017, $1.2 million of costs incurred in connection with the Company’s Revolving Credit Facility were erroneously expensed and included in the General and Administrative line item within the Company’s Consolidated Statement of Operations for the three months ended March 31, 2017. The Company corrected this error by removing the approximately $1.2 million from expense and capitalizing it as deferred financing costs on the Company’s Consolidated Balance Sheet as of June 30, 2017, which was included in the Company’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2017 that was filed with the SEC on August 10, 2017. Based upon evaluation and consideration of provisions under ASC Topic 250 – Accounting Changes and Error Corrections, that incorporates SEC Staff Accounting Bulletin (SAB) No. 99 - Materiality, the Company determined that the impact of the error and its subsequent correction as described above, did not have a material impact on previously issued financial statements for the quarter ended March 31, 2017. The total expense and net (loss) income lines in the table above properly reflect the adjusted amounts after correcting this item.

Selected Quarterly Financial _3

Selected Quarterly Financial Data (Details) - USD ($) $ in Millions	3 Months Ended
	Jun. 30, 2017	Mar. 31, 2017
Quantifying Misstatement in Current Year Financial Statements, Amount	$ 1.2
General and Administrative Expense [Member]
Interest Expense, Debt		$ 1.2