American Healthcare REIT (AHR) 10-K 18 Mar 19 2018 FY Annual report Financial data

Document and Entity Information

Document and Entity Information - USD ($)	12 Months Ended
	Dec. 31, 2018	Mar. 15, 2019	Jun. 30, 2018
Entity Information [Line Items]
Document Type	10-K
Amendment Flag	false
Document Period End Date	Dec. 31, 2018
Document Fiscal Year Focus	2018
Document Fiscal Period Focus	FY
Trading Symbol	gahr4
Entity Registrant Name	Griffin-American Healthcare REIT IV, Inc.
Entity Central Index Key	0001632970
Current Fiscal Year End Date	--12-31
Entity Filer Category	Non-accelerated Filer
Entity Public Float			$ 542,106,000
Entity Well-known Seasoned Issuer	No
Entity Voluntary Filers	No
Entity Current Reporting Status	Yes
Entity Emerging Growth Company	true
Entity Ex Transition Period	true
Entity Small Business	false
Entity Shell Company	false
Common Class T [Member]
Entity Information [Line Items]
Entity Common Stock, Shares Outstanding		73,119,913
Entity Public Float			512,837,000
Common Class I [Member]
Entity Information [Line Items]
Entity Common Stock, Shares Outstanding		5,613,347
Entity Public Float			$ 29,269,000

CONSOLIDATED BALANCE SHEETS

CONSOLIDATED BALANCE SHEETS - USD ($)		Dec. 31, 2018	Dec. 31, 2017
ASSETS
Real estate investments, net		$ 731,676,000	$ 419,665,000
Cash and cash equivalents		14,388,000	7,087,000
Accounts and other receivables, net		11,249,000	2,838,000
Restricted cash		202,000	16,000
Real estate deposits		3,900,000	500,000
Identified intangible assets, net		74,723,000	44,821,000
Other assets, net		60,234,000	5,226,000
Total assets		896,372,000	480,153,000
Liabilities:
Mortgage loans payable, net(1)	[1]	16,892,000	11,567,000
Line of credit and term loan(1)	[1]	275,000,000	84,100,000
Accounts payable and accrued liabilities(1)	[1]	32,395,000	19,428,000
Accounts payable due to affiliates(1)	[1]	8,588,000	8,118,000
Identified intangible liabilities, net		1,627,000	1,737,000
Security deposits, prepaid rent and other liabilities(1)	[1]	2,827,000	977,000
Total liabilities		337,329,000	125,927,000
Commitments and contingencies (Note 9)
Redeemable noncontrolling interests (Note 10)		1,371,000	1,002,000
Stockholders’ equity:
Preferred stock, $0.01 par value per share; 200,000,000 shares authorized; none issued and outstanding		0	0
Additional paid-in capital		621,759,000	376,284,000
Accumulated deficit		(64,779,000)	(23,482,000)
Total stockholders’ equity		557,672,000	353,224,000
Total liabilities, redeemable noncontrolling interests and stockholders’ equity		896,372,000	480,153,000
Common Class I [Member]
Stockholders’ equity:
Common stock, $0.01 par value per share		42,000	22,000
Common Class T [Member]
Stockholders’ equity:
Common stock, $0.01 par value per share		$ 650,000	$ 400,000
[1]	Such liabilities of Griffin-American Healthcare REIT IV, Inc. as of December 31, 2018 and 2017 represented liabilities of Griffin-American Healthcare REIT IV Holdings, LP or its consolidated subsidiaries. Griffin-American Healthcare REIT IV Holdings, LP is a variable interest entity and a consolidated subsidiary of Griffin-American Healthcare REIT IV, Inc. The creditors of Griffin-American Healthcare REIT IV Holdings, LP or its consolidated subsidiaries do not have recourse against Griffin-American Healthcare REIT IV, Inc., except for the 2018 Credit Facility and 2017 Credit Facility, as defined in Note 7, held by Griffin-American Healthcare REIT IV Holdings, LP in the amount of $275,000,000 and $84,100,000 as of December 31, 2018 and 2017, respectively, which is guaranteed by Griffin-American Healthcare REIT IV, Inc.

CONSOLIDATED BALANCE SHEETS (Pa

CONSOLIDATED BALANCE SHEETS (Parenthetical) - USD ($)		Dec. 31, 2018	Dec. 31, 2017
Line of credit and term loan(1)	[1]	$ 275,000,000	$ 84,100,000
Preferred stock, par value (usd per share)		$ 0.01	$ 0.01
Preferred stock, shares authorized		200,000,000	200,000,000
Preferred stock, shares issued		0	0
Preferred stock, shares outstanding		0	0
Common stock, par value (usd per share)		$ 0.01	$ 0.01
Common stock, shares authorized		1,000,000,000	1,000,000,000
Common Class T [Member]
Common stock, par value (usd per share)		$ 0	$ 0
Common stock, shares authorized		900,000,000	900,000,000
Common stock, shares, issued		64,996,843	39,972,049
Common stock, shares outstanding		64,996,843	39,972,049
Common Class I [Member]
Common stock, par value (usd per share)		$ 0	$ 0
Common stock, shares authorized		100,000,000	100,000,000
Common stock, shares, issued		4,258,128	2,235,111
Common stock, shares outstanding		4,258,128	2,235,111
[1]	Such liabilities of Griffin-American Healthcare REIT IV, Inc. as of December 31, 2018 and 2017 represented liabilities of Griffin-American Healthcare REIT IV Holdings, LP or its consolidated subsidiaries. Griffin-American Healthcare REIT IV Holdings, LP is a variable interest entity and a consolidated subsidiary of Griffin-American Healthcare REIT IV, Inc. The creditors of Griffin-American Healthcare REIT IV Holdings, LP or its consolidated subsidiaries do not have recourse against Griffin-American Healthcare REIT IV, Inc., except for the 2018 Credit Facility and 2017 Credit Facility, as defined in Note 7, held by Griffin-American Healthcare REIT IV Holdings, LP in the amount of $275,000,000 and $84,100,000 as of December 31, 2018 and 2017, respectively, which is guaranteed by Griffin-American Healthcare REIT IV, Inc.

CONSOLIDATED STATEMENTS OF OPER

CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($)	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	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Revenues:
Real estate revenue									$ 47,599,000	$ 27,770,000	$ 3,156,000
Resident fees and services									36,857,000	5,563,000	0
Total revenues	$ 25,323,000	$ 22,281,000	$ 19,010,000	$ 17,842,000	$ 14,595,000	$ 8,488,000	$ 6,198,000	$ 4,052,000	84,456,000	33,333,000	3,156,000
Expenses:
Rental expenses									11,499,000	7,292,000	898,000
Property operating expenses									30,023,000	4,203,000	0
General and administrative									9,172,000	4,338,000	1,221,000
Acquisition related expenses									2,795,000	655,000	4,745,000
Depreciation and amortization									32,658,000	13,639,000	1,252,000
Total expenses	25,961,000	22,384,000	18,808,000	18,994,000	14,285,000	6,954,000	5,169,000	3,719,000	86,147,000	30,127,000	8,116,000
Other income (expense):
Interest expense (including amortization of deferred financing costs and debt discount/premium)									(6,788,000)	(2,699,000)	(514,000)
Loss from unconsolidated entity									(110,000)	0	0
Other income									11,000	1,000	0
(Loss) income before income taxes									(8,578,000)	508,000	(5,474,000)
Income tax expense	(4,000)	(4,000)	0	0					(8,000)	0	0
Net (loss) income	(3,689,000)	(1,703,000)	(958,000)	(2,236,000)	(782,000)	754,000	621,000	(85,000)	(8,586,000)	508,000	(5,474,000)
Less: net loss attributable to redeemable noncontrolling interests									232,000	33,000	0
Net (loss) income attributable to controlling interest	$ (3,654,000)	$ (1,631,000)	$ (900,000)	$ (2,169,000)	$ (749,000)	$ 754,000	$ 621,000	$ (85,000)	$ (8,354,000)	$ 541,000	$ (5,474,000)
Net (loss) income per Class T and Class I common share attributable to controlling interest — basic and diluted	$ (0.06)	$ (0.03)	$ (0.02)	$ (0.05)	$ (0.02)	$ 0.02	$ 0.03	$ (0.01)	$ (0.15)	$ 0.02	$ (1.75)
Weighted average number of Class T and Class I common shares outstanding — basic and diluted	64,954,525	57,769,964	51,277,753	45,136,647	39,409,207	32,593,321	24,035,973	14,655,107	54,847,197	27,754,701	3,131,466

CONSOLIDATED STATEMENTS OF EQUI

CONSOLIDATED STATEMENTS OF EQUITY - USD ($)	Total	Total Stockholders’ Equity	Class T and Class I Common Stock	Additional Paid-In Capital	Accumulated Deficit	Noncontrolling Interests
Beginning balance, shares at Dec. 31, 2015			20,833
Beginning Balance Stockholder's Equity, Including Portion Attributable to Noncontrolling Interest at Dec. 31, 2015	$ 202,000	$ 200,000	$ 0	$ 200,000	$ 0	$ 2,000
Issuance of common stock, number of shares			11,257,889		0
Issuance of common stock	112,148,000	112,148,000	$ 113,000	112,035,000
Offering costs- common stock	(13,618,000)	(13,618,000)		(13,618,000)
Issuance of vested and nonvested restricted common stock			15,000
Issuance of vested and nonvested restricted common stock	30,000	30,000		30,000
Issuance of common stock under the DRIP, shares			83,717
Issuance of common stock under the DRIP	796,000	796,000	$ 1,000	795,000
Amortization of nonvested common stock compensation	50,000	50,000		50,000
Reclassification of noncontrolling interest to mezzanine equity	(2,000)					(2,000)
Distributions declared	(1,877,000)	(1,877,000)			$ (1,877,000)
Net Income (Loss) Attributable to Parent	(5,474,000)	(5,474,000)			(5,474,000)
Ending balance, shares at Dec. 31, 2016			11,377,439
Ending Balance Stockholder's Equity, Including Portion Attributable to Noncontrolling Interest at Dec. 31, 2016	92,255,000	92,255,000	$ 114,000	99,492,000	$ (7,351,000)	$ 0
Issuance of common stock, number of shares			29,960,609		0	0
Issuance of common stock	298,076,000	298,076,000	$ 300,000	297,776,000
Offering costs- common stock	(29,028,000)	(29,028,000)		(29,028,000)
Issuance of vested and nonvested restricted common stock			22,500
Issuance of vested and nonvested restricted common stock	45,000	45,000		45,000
Issuance of common stock under the DRIP, shares			924,358
Issuance of common stock under the DRIP	8,689,000	8,689,000	$ 9,000	8,680,000
Amortization of nonvested common stock compensation	86,000	86,000		86,000
Stock Repurchased During Period, Shares			(77,746)
Stock Repurchased During Period, Value	(735,000)	(735,000)	$ (1,000)	(734,000)
Adjustments to Additional Paid in Capital, Fair Value Adjustment to Redeemable Noncontrolling Interests	(33,000)	(33,000)		(33,000)
Distributions declared	(16,672,000)	(16,672,000)			$ (16,672,000)
Net Income (Loss) Attributable to Parent	541,000	541,000			541,000
Ending balance, shares at Dec. 31, 2017			42,207,160
Ending Balance Stockholder's Equity, Including Portion Attributable to Noncontrolling Interest at Dec. 31, 2017	353,224,000	353,224,000	$ 422,000	376,284,000	$ (23,482,000)	$ 0
Issuance of common stock, number of shares			25,537,018		0	0
Issuance of common stock	255,252,000	255,252,000	$ 256,000	254,996,000
Offering costs- common stock	(23,760,000)	(23,760,000)		(23,760,000)
Issuance of vested and nonvested restricted common stock			22,500
Issuance of vested and nonvested restricted common stock	45,000	45,000		45,000
Issuance of common stock under the DRIP, shares			1,838,711
Issuance of common stock under the DRIP	17,612,000	17,612,000	$ 18,000	17,594,000
Amortization of nonvested common stock compensation	140,000	140,000		140,000
Stock Repurchased During Period, Shares			(350,418)
Stock Repurchased During Period, Value	(3,312,000)	(3,312,000)	$ (4,000)	(3,308,000)
Adjustments to Additional Paid in Capital, Fair Value Adjustment to Redeemable Noncontrolling Interests	(232,000)	(232,000)		(232,000)
Distributions declared	(32,943,000)	(32,943,000)			$ (32,943,000)
Net Income (Loss) Attributable to Parent	(8,354,000)	(8,354,000)			(8,354,000)
Ending balance, shares at Dec. 31, 2018			69,254,971
Ending Balance Stockholder's Equity, Including Portion Attributable to Noncontrolling Interest at Dec. 31, 2018	$ 557,672,000	$ 557,672,000	$ 692,000	$ 621,759,000	$ (64,779,000)	$ 0

CONSOLIDATED STATEMENTS OF EQ_2

CONSOLIDATED STATEMENTS OF EQUITY (Parenthetical) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Common Stock Dividends Per Share Declared [Abstract]
Common Stock, Dividends, Per Share, Declared	$ 0.60	$ 0.60	$ 0.40
Less: net loss attributable to redeemable noncontrolling interests	$ (232,000)	$ (33,000)	$ 0

CONSOLIDATED STATEMENTS OF CASH

CONSOLIDATED STATEMENTS OF CASH FLOWS	12 Months Ended
	Dec. 31, 2018USD ($)	Dec. 31, 2017USD ($)	Dec. 31, 2016USD ($)
Net (loss) income	$ (8,586,000)	$ 508,000	$ (5,474,000)
Adjustments to reconcile net (loss) income to net cash provided by (used in) operating activities:
Loss from unconsolidated entity	110,000	0	0
Depreciation and amortization	32,658,000	13,639,000	1,252,000
Other amortization (including deferred financing costs, above/below-market leases, leasehold interests, above-market leasehold interests and debt discount/premium)	1,015,000	415,000	104,000
Deferred rent	(3,029,000)	(1,705,000)	(207,000)
Stock based compensation	185,000	131,000	80,000
Share discounts	0	3,000	59,000
Bad debt expense	1,274,000	83,000	0
Changes in operating assets and liabilities:
Accounts and other receivables	(7,413,000)	(2,166,000)	(284,000)
Other assets	(336,000)	(905,000)	(17,000)
Accounts payable and accrued liabilities	232,000	2,436,000	770,000
Accounts payable due to affiliates	338,000	239,000	127,000
Security deposits, prepaid rent and other liabilities	(1,025,000)	(274,000)	(31,000)
Net cash provided by (used in) operating activities	15,423,000	12,404,000	(3,621,000)
CASH FLOWS FROM INVESTING ACTIVITIES
Acquisitions of real estate investments	(355,070,000)	(328,933,000)	(133,099,000)
Investment in unconsolidated entity	(48,000,000)	0	0
Distributions in excess of loss from unconsolidated entity	290,000	0	0
Capital expenditures	(4,257,000)	(1,121,000)	(23,000)
Real estate deposits	(3,400,000)	(300,000)	(200,000)
Pre-acquisition expenses	(1,117,000)	(334,000)	0
Net cash used in investing activities	(411,554,000)	(330,688,000)	(133,322,000)
CASH FLOWS FROM FINANCING ACTIVITIES
Payments on mortgage loans payable	(449,000)	(273,000)	(60,000)
Borrowings under the line of credit and term loan	771,200,000	308,600,000	90,700,000
Payments on the line of credit and term loan	(580,300,000)	(258,400,000)	(56,800,000)
Proceeds from issuance of common stock	254,017,000	298,639,000	111,024,000
Contribution from noncontrolling interests	369,000	1,000,000	0
Deferred financing costs	(4,092,000)	(1,115,000)	(1,146,000)
Repurchase of common stock	(3,312,000)	(735,000)	0
Payment of offering costs	(19,817,000)	(18,072,000)	(4,191,000)
Security deposits	(9,000)	(96,000)	0
Distributions paid	(13,989,000)	(6,398,000)	(549,000)
Net cash provided by financing activities	403,618,000	323,150,000	138,978,000
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Period Increase (Decrease), Excluding Exchange Rate Effect	7,487,000	4,866,000	2,035,000
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents	7,103,000	2,237,000	202,000
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents	14,590,000	7,103,000	2,237,000
Cash and cash equivalents	7,087,000	2,237,000	202,000
Cash and cash equivalents	14,388,000	7,087,000	2,237,000
Restricted Cash	16,000	0	0
Restricted Cash	202,000	16,000	0
Cash paid for:
Interest	5,194,000	2,052,000	203,000
Income taxes	14,000	7,000	0
Investing Activities:
Accrued capital expenditures	5,391,000	1,355,000	0
Accrued pre-acquisition expenses	154,000	75,000	0
Tenant improvement overage	692,000	0	0
The following represents the increase in certain assets and liabilities in connection with our acquisitions of real estate investments:
Other assets	225,000	236,000	239,000
Mortgage loans payable	5,808,000	8,000,000	4,129,000
Accounts payable and accrued liabilities	3,415,000	1,731,000	212,000
Security deposits and prepaid rent	2,193,000	728,000	648,000
Financing Activities:
Issuance of common stock under the DRIP	17,612,000	8,689,000	796,000
Distributions declared but not paid	3,459,000	2,117,000	532,000
Accrued Contingent Advisor Payment	7,866,000	7,744,000	5,404,000
Accrued stockholder servicing fee	16,395,000	12,611,000	3,973,000
Reclassification of noncontrolling interest to mezzanine equity	0	0	2,000
Accrued deferred financing costs	24,000	2,000	14,000
Receivable from transfer agent	$ 1,670,000	$ 471,000	$ 1,015,000

Organization and Description of

Organization and Description of Business	12 Months Ended
	Dec. 31, 2018
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Organization and Description of Business	1. Organization and Description of Business Griffin-American Healthcare REIT IV, Inc., a Maryland corporation, was incorporated on January 23, 2015 and therefore we consider that our date of inception. We were initially capitalized on February 6, 2015 . We invest in a diversified portfolio of real estate properties, focusing primarily on medical office buildings, hospitals, skilled nursing facilities, senior housing and other healthcare-related facilities. We also operate healthcare-related facilities utilizing the structure permitted by the REIT Investment Diversification and Empowerment Act of 2007, which is commonly referred to as a “RIDEA” structure (the provisions of the Internal Revenue Code of 1986, as amended, or the Code, authorizing the RIDEA structure were enacted as part of the Housing and Economic Recovery Act of 2008). We may also originate and acquire secured loans and real estate-related investments on an infrequent and opportunistic basis. We generally seek investments that produce current income. We qualified to be taxed as a real estate investment trust, or REIT, under the Code for federal income tax purposes beginning with our taxable year ended December 31, 2016, and we intend to continue to qualify to be taxed as a REIT. On February 16, 2016, we commenced our initial public offering, or our offering, in which we were initially offering to the public up to $3,150,000,000 in shares of our Class T common stock, consisting of up to $3,000,000,000 in shares of our Class T common stock at a price of $10.00 per share in our primary offering and up to $150,000,000 in shares of our Class T common stock for $9.50 per share pursuant to our distribution reinvestment plan, as amended, or the DRIP. Effective June 17, 2016, we reallocated certain of the unsold shares of Class T common stock being offered and began offering shares of Class I common stock, such that were offering up to approximately $2,800,000,000 in shares of Class T common stock and $200,000,000 in shares of Class I common stock in our primary offering, and up to an aggregate of $150,000,000 in shares of our Class T and Class I common stock pursuant to the DRIP, aggregating up to $3,150,000,000 , or the maximum offering amount. The shares of our Class T common stock in our primary offering were being offered at a price of $10.00 per share prior to April 11, 2018. The shares of our Class I common stock in our primary offering were being offered at a price of $9.30 per share prior to March 1, 2017 and $9.21 per share from March 1, 2017 to April 10, 2018. The shares of our Class T and Class I common stock issued pursuant to the DRIP were sold at a price of $9.50 per share prior to January 1, 2017 and $9.40 per share from January 1, 2017 to April 10, 2018. On April 6, 2018, our board of directors, at the recommendation of the audit committee of our board of directors, comprised solely of independent directors, unanimously approved and established an estimated per share net asset value, or NAV, of our common stock of $9.65 . As a result, on April 6, 2018, our board of directors unanimously approved revised offering prices for each class of shares of our common stock to be sold in the primary portion of our initial public offering based on the estimated per share NAV of our Class T and Class I common stock of $9.65 plus any applicable per share up-front selling commissions and dealer manager fees funded by us, effective April 11, 2018. Accordingly, the revised offering price for shares of our Class T common stock and Class I common stock sold pursuant to our primary offering on or after April 11, 2018 was $10.05 per share and $9.65 per share, respectively. Effective April 11, 2018, the shares of our Class T and Class I common stock issued pursuant to the DRIP were sold at a price of $9.65 per share, the most recent estimated per share NAV approved and established by our board of directors. As of December 31, 2018, we had received and accepted subscriptions in our offering for 66,755,516 aggregate shares of our Class T and Class I common stock, or approximately $665,403,000 , and a total of $27,097,000 in distributions were reinvested that resulted in 2,846,786 shares of our common stock being issued pursuant to the DRIP. On February 15, 2019, we terminated our offering. As of February 15, 2019, we had received and accepted subscriptions in our offering for 75,625,285 aggregate shares of our Class T and Class I common stock, or approximately $753,975,000 , and a total of $31,021,000 in distributions were reinvested that resulted in 3,253,543 shares of our common stock being issued pursuant to the DRIP. On January 18, 2019, we filed a Registration Statement on Form S-3 under the Securities Act of 1933, or the Securities Act, to register a maximum of $100,000,000 of additional shares of our common stock to be issued pursuant to the DRIP, or the 2019 DRIP Offering. The shares of our Class T and Class I common stock issued pursuant to the 2019 DRIP Offering are sold at a price of $9.65 per share, the most recent estimated per share NAV approved and established by our board of directors. The Registration Statement on Form S-3 was automatically effective with the United States Securities and Exchange Commission, or the SEC, upon its filing; we commenced offering shares pursuant to the 2019 DRIP Offering on March 1, 2019. We conduct substantially all of our operations through Griffin-American Healthcare REIT IV Holdings, LP, or our operating partnership. We are externally advised by Griffin-American Healthcare REIT IV Advisor, LLC, or our advisor, pursuant to an advisory agreement, or the Advisory Agreement, between us and our advisor. The Advisory Agreement was effective as of February 16, 2016 and had a one -year term, subject to successive one -year renewals upon the mutual consent of the parties. The Advisory Agreement was last renewed pursuant to the mutual consent of the parties on February 12, 2019 and expires on February 16, 2020. Our advisor uses its best efforts, subject to the oversight and review of our board of directors, to, among other things, research, identify, review and make investments in and dispositions of properties and securities on our behalf consistent with our investment policies and objectives. Our advisor performs its duties and responsibilities under the Advisory Agreement as our fiduciary. Our advisor is 75.0% owned and managed by American Healthcare Investors, LLC, or American Healthcare Investors, and 25.0% owned by a wholly owned subsidiary of Griffin Capital Company, LLC, or Griffin Capital, or collectively, our co-sponsors. American Healthcare Investors is 47.1% owned by AHI Group Holdings, LLC, or AHI Group Holdings, 45.1% indirectly owned by Colony Capital, Inc. (NYSE: CLNY), or Colony Capital, and 7.8% owned by James F. Flaherty III, a former partner of Colony Capital. We are not affiliated with Griffin Capital, Griffin Capital Securities, LLC, or our dealer manager, Colony Capital or Mr. Flaherty; however, we are affiliated with Griffin-American Healthcare REIT IV Advisor, LLC, American Healthcare Investors and AHI Group Holdings. We currently operate through four reportable business segments — medical office buildings, senior housing, senior housing — RIDEA and skilled nursing facilities. As of December 31, 2018 , we had completed 33 property acquisitions whereby we owned 66 properties, comprising 69 buildings, or approximately 3,835,000 square feet of gross leasable area, or GLA, for an aggregate contract purchase price of $821,689,000 . As of December 31, 2018, we also own an interest in a joint venture which owns and operates a portfolio of integrated senior health campuses and ancillary businesses.

Summary of Significant Accounti

Summary of Significant Accounting Policies	12 Months Ended
	Dec. 31, 2018
Accounting Policies [Abstract]
Summary of Significant Accounting Policies	2. Summary of Significant Accounting Policies The summary of significant accounting policies presented below is designed to assist in understanding our consolidated financial statements. Such consolidated financial statements and the accompanying notes thereto are the representations of our management, who are responsible for their integrity and objectivity. These accounting policies conform to accounting principles generally accepted in the United States of America, or GAAP, in all material respects, and have been consistently applied in preparing our accompanying consolidated financial statements. Basis of Presentation Our accompanying consolidated financial statements include our accounts and those of our operating partnership and the wholly owned subsidiaries of our operating partnership, as well as any variable interest entities, or VIEs, in which we are the primary beneficiary. We evaluate our ability to control an entity, and whether the entity is a VIE and of which we are the primary beneficiary, by considering substantive terms of the arrangement and identifying which enterprise has the power to direct the activities of the entity that most significantly impacts the entity’s economic performance. We operate and intend to continue to operate in an umbrella partnership REIT structure in which our operating partnership, or wholly owned subsidiaries of our operating partnership, will own substantially all of the interests in properties acquired on our behalf. We are the sole general partner of o ur operating partnership, and as of December 31, 2018 and 2017, we owned greater than a 99.99% general partnership interest, therein. Our advisor is a limited partner, and as of December 31, 2018 and 2017, owned less than than a 0.01% noncontrolling limited partnership interest, in our operating partnership. Because we are the sole general partner of our operating partnership and have unilateral control over its management and major operating decisions (even if additional limited partners are admitted to our operating partnership), the accounts of our operating partnership are consolidated in our consolidated financial statements. All intercompany accounts and transactions are eliminated in consolidation. Use of Estimates The preparation of our accompanying consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, as well as the disclosure of contingent assets and liabilities, at the date of our consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Significant items subject to such estimates and assumptions include, but are not limited to, the initial and recurring valuation of certain assets acquired and liabilities assumed through property acquisitions, allowance for uncollectible accounts, impairment of long-lived assets and contingencies. These estimates are made and evaluated on an on-going basis using information that is currently available as well as various other assumptions believed to be reasonable under the circumstances. Actual results could differ from those estimates, perhaps in material adverse ways, and those estimates could be different under different assumptions or conditions. Cash, Cash Equivalents and Restricted Cash Cash and cash equivalents consist of all highly liquid investments with a maturity of three months or less when purchased. Restricted cash primarily comprises lender required accounts for property taxes, tenant improvements, capital improvements and insurance which are restricted as to use or withdrawal. Revenue Recognition In May 2014, the Financial Accounting Standards Board, or FASB, issued Accounting Standards Update, or ASU, 2014-09, Revenue from Contracts with Customers , which has been codified to Accounting Standards Codification, or ASC, Topic 606. We evaluate all of our revenue streams to identify whether each revenue stream would be subject to the provisions of ASC Topic 606 and whether there are any differences in the timing, measurement or presentation of revenue recognition. Based on a review of our various revenue streams, certain components of resident fees and services, such as revenues that are ancillary to the contractual rights of residents within our senior housing facilities operated utilizing a RIDEA structure, are subject to ASC Topic 606. While these revenue streams are subject to the provisions of ASC Topic 606, we believe that the pattern and timing of recognition of income are consistent with the previous accounting model. Virtually all resident fees and services are earned over a period of time and the majority of these revenues are paid by private payor types with the residual being paid by Medicaid. We adopted ASC Topic 606 on January 1, 2018 using the modified retrospective adoption method and the adoption did not have a material impact on our consolidated financial statements. Included within resident fees and services for the year ended December 31, 2018 was $847,000 of ancillary service revenue. Real Estate Revenue In accordance with ASC Topic 840, Leases, minimum annual rental revenue is recognized on a straight-line basis over the term of the related lease (including rent holidays). Differences between real estate revenue recognized and cash amounts contractually due from tenants under the lease agreements are recorded to deferred rent receivable or deferred rent liability, as applicable. Tenant reimbursement revenue, which comprises additional amounts recoverable from tenants for common area maintenance expenses and certain other recoverable expenses, was recognized as revenue in the period in which the related expenses were incurred. Tenant reimbursements were recognized and presented in accordance with ASC Subtopic 606-10-55-36, Revenue Recognition — Principal Versus Agent Consideration, or ASC Subtopic 606. ASC Subtopic 606 requires that these reimbursements be recorded on a gross basis as we are generally primarily responsible to fulfill the promise to provide specified goods and services. We recognized lease termination fees at such time when there was a signed termination letter agreement, all of the conditions of such agreement have been met and the tenant is no longer occupying the property. On January 1, 2019, we adopted ASU 2016-02, Leases, or ASU 2016-02, and its amendments. For a further discussion of ASU 2016-02 and its amendments, see “Recently Issued or Adopted Accounting Pronouncements” below. Resident Fees and Services Revenue A significant portion of resident fees and services revenue represents healthcare service revenue that is reported at the amount that we expect to be entitled to in exchange for providing patient care. These amounts are due from patients, third-party payors (including health insurers and government programs), other healthcare facilities, and others and includes variable consideration for retroactive revenue adjustments due to settlement of audits, reviews, and investigations. Generally, we bill the patients, third-party payors and other healthcare facilities several days after the services are performed. Revenue is recognized as performance obligations are satisfied. Performance obligations are determined based on the nature of the services provided by us. Revenue for performance obligations satisfied over time is recognized based on actual charges incurred in relation to total expected (or actual) charges. This method provides a depiction of the transfer of services over the term of the performance obligation based on the inputs needed to satisfy the obligation. Generally, performance obligations satisfied over time relate to patients receiving long-term healthcare services, including rehabilitation services. We measure the performance obligation from admission into the facility to the point when we are no longer required to provide services to that patient. Revenue for performance obligations satisfied at a point in time is recognized when goods or services are provided and we do not believe we are required to provide additional goods or services to the patient. Because all of its performance obligations relate to contracts with a duration of less than one year, we have elected to apply the optional exemption provided in FASB ASC 606-10-50-14(a) and, therefore, are not required to disclose the aggregate amount of the transaction price allocated to performance obligations that are unsatisfied or partially unsatisfied at the end of the reporting period. The performance obligations for these contracts are generally completed within months of the end of the reporting period. Disaggregation of Resident Fees and Services Revenue We disaggregate revenue from contracts with customers according to lines of business and payor classes. The transfer of goods and services may occur at a point in time or over time; in other words, revenue may be recognized over the course of the underlying contract, or may occur at a single point in time based upon a single transfer of control. This distinction is discussed in further detail below. We determine that disaggregating revenue into these categories achieves the disclosure objective to depict how the nature, amount, timing and uncertainty of revenue and cash flows are affected by economic factors. The following table disaggregates our resident fees and services revenue by line of business, according to whether such revenue is recognized at a point in time or over time: Year Ended December 31, 2018 Point in Time Over Time Total Senior housing — RIDEA(1) $ 847,000 $ 36,010,000 $ 36,857,000 The following table disaggregates our resident fees and services revenue by payor class: Year Ended December 31, 2018 Medicaid $ 6,082,000 Private and other payors 30,775,000 Total resident fees and services(1) $ 36,857,000 ___________ (1) This includes fees for basic housing and assisted living care. We record revenue when services are rendered on the date services are provided at amounts billable to individual residents. Residency agreements are generally for a term of 30 days, with resident fees billed monthly in advance. For patients under reimbursement arrangements with Medicaid, revenue is recorded based on contractually agreed-upon amounts or rates on a per resident, daily basis or as services are rendered. Accounts Receivable, Net — Resident Fees and Services The beginning and ending balances of accounts receivable, net — resident fees and services are as follows: Medicaid Private and Other Payors Total Beginning balance — January 1, 2018 $ 827,000 $ 338,000 $ 1,165,000 Ending balance — December 31, 2018 6,098,000 644,000 6,742,000 Increase $ 5,271,000 $ 306,000 $ 5,577,000 Tenant and Resident Receivables and Allowance for Uncollectible Accounts Tenant and resident receivables and unbilled deferred rent receivables are carried net of an allowance for uncollectible amounts. An allowance is maintained for estimated losses resulting from the inability of certain tenants, residents and payors to meet the contractual obligations under their lease or service agreements. We also maintain an allowance for deferred rent receivables arising from the straight line recognition of rents. Such allowances are charged to bad debt expense, which is included in general and administrative in our accompanying consolidated statements of operations. Our determination of the adequacy of these allowances is based primarily upon evaluations of historical loss experience, the tenant’s or resident’s financial condition, security deposits, letters of credit, lease guarantees, cash collection patterns by payor and by state, current economic conditions and other relevant factors. As of December 31, 2018 and 2017, we had $1,321,000 and $83,000 , respectively, in allowance for uncollectible accounts, which was determined necessary to reduce receivables to our estimate of the amount recoverable. For the years ended December 31, 2018, 2017 and 2016, we did not write off any of our receivables directly to bad debt expense. For the years ended December 31, 2018, 2017 and 2016, $21,000 , $0 and $0 , respectively, of our receivables were written off against the allowance for uncollectible accounts. As of December 31, 2018 and 2017, we did not have any allowance for uncollectible accounts for deferred rent receivables. For the years ended December 31, 2018 and 2017, $0 and $2,000 , respectively, of our deferred rent receivables were directly written off to bad debt expense. For the year ended December 31, 2016, we did not write off any of our deferred rent receivables directly to bad debt expense. Property Acquisitions In accordance with ASC Topic 805, Business Combinations , or ASC Topic 805, and ASU 2017-01, Clarifying the Definition of a Business , or ASU 2017-01, we determine whether a transaction is a business combination, which requires that the assets acquired and liabilities assumed constitute a business. If the assets acquired and liabilities assumed are not a business, we account for the transaction as an asset acquisition. Under both methods, we recognize the identifiable assets acquired and liabilities assumed; however, for a transaction accounted for as an asset acquisition, we allocate the purchase price to the identifiable assets acquired and liabilities assumed based on their relative fair values. We immediately expense acquisition related expenses associated with a business combination and capitalize acquisition related expenses directly associated with an asset acquisition. As a result of our early adoption of ASU 2017-01 on January 1, 2017, we accounted for the 15 and nine property acquisitions we completed for the years ended December 31, 2018 and 2017, respectively, as asset acquisitions rather than business combinations. See Note 3, Real Estate Investments, Net, for a further discussion. For year ended December 31, 2016, we completed nine property acquisitions, which we accounted for as business combinations. See Note 16, Business Combinations, for a further discussion. We, with assistance from independent valuation specialists, measure the fair value of tangible and identified intangible assets and liabilities, as applicable, based on their respective fair values for acquired properties. Our method for allocating the purchase price to acquired investments in real estate requires us to make subjective assessments for determining fair value of the assets acquired and liabilities assumed. This includes determining the value of the buildings, land, leasehold interests, furniture, fixtures and equipment, above- or below-market rent, in-place leases, master leases, above- or below-market debt assumed and derivative financial instruments assumed. These estimates require significant judgment and in some cases involve complex calculations. These allocation assessments directly impact our results of operations, as amounts allocated to certain assets and liabilities have different depreciation or amortization lives. In addition, we amortize the value assigned to above- or below-market rent as a component of revenue, unlike in-place leases and other intangibles, which we include in depreciation and amortization in our accompanying consolidated statements of operations. The determination of the fair value of land is based upon comparable sales data. In cases where a leasehold interest in the land is acquired, only the above/below market consideration is necessary where this value is determined by discounting the difference between the contract ground lease payments and a market ground lease payment back to a present value as of the acquisition date. The fair value of buildings is based upon our determination of the value under two methods: one, as if it were to be replaced and vacant using cost data and, two, also using a residual technique based on discounted cash flow models, as vacant. Factors considered by us include an estimate of carrying costs during the expected lease-up periods considering current market conditions and costs to execute similar leases. We also recognize the fair value of furniture, fixtures and equipment on the premises, as well as the above- or below-market rent, the value of in-place leases, master leases, above- or below-market debt and derivative financial instruments assumed. The value of the above- or below-market component of the acquired in-place leases is determined based upon the present value (using a discount rate that reflects the risks associated with the acquired leases) of the difference between: (i) the level payment equivalent of the contract rent paid pursuant to the lease; and (ii) our estimate of market rent payments taking into account rent steps throughout the lease. In the case of leases with options, a case-by-case analysis is performed based on all facts and circumstances of the specific lease to determine whether the option will be assumed to be exercised. The amounts related to above-market leases are included in identified intangible assets, net in our accompanying consolidated balance sheets and are amortized against real estate revenue over the remaining non-cancelable lease term of the acquired leases with each property. The amounts related to below-market leases are included in identified intangible liabilities, net in our accompanying consolidated balance sheets and are amortized to real estate revenue over the remaining non-cancelable lease term plus any below-market renewal options of the acquired leases with each property. The value of in-place lease costs are based on management’s evaluation of the specific characteristics of the tenant’s lease and our overall relationship with the tenants. Characteristics considered by us in allocating these values include the nature and extent of the credit quality and expectations of lease renewals, among other factors. The in-place lease intangible represents the value related to the economic benefit for acquiring a property with in-place leases as opposed to a vacant property, which is evaluated based on a review of comparable leases for a similar property, terms and conditions for marketing and executing new leases, and implied in the difference between the value of the whole property “as is” and “as vacant.” The net amounts related to in-place lease costs are included in identified intangible assets, net in our accompanying consolidated balance sheets and are amortized to depreciation and amortization expense over the average downtime of the acquired leases with each property. The net amounts related to the value of tenant relationships, if any, are included in identified intangible assets, net in our accompanying consolidated balance sheets and are amortized to depreciation and amortization expense over the average remaining non-cancelable lease term of the acquired leases plus the market renewal lease term. The value of a master lease, if any, in which a previous owner or a tenant is relieved of specific rental obligations as additional space is leased, is determined by discounting the expected real estate revenue associated with the master lease space over the assumed lease-up period. The value of above- or below-market debt is determined based upon the present value of the difference between the cash flow stream of the assumed mortgage and the cash flow stream of a market rate mortgage at the time of assumption. The net value of above- or below-market debt is included in mortgage loans payable, net in our accompanying consolidated balance sheets and is amortized to interest expense over the remaining term of the assumed mortgage. The value of derivative financial instruments, if any, is determined in accordance with ASC Topic 820, Fair Value Measurements and Disclosures , or ASC Topic 820, and is included in other assets or other liabilities in our accompanying consolidated balance sheets. The values of contingent consideration assets and liabilities, if any, are analyzed at the time of acquisition. For contingent purchase options, the fair market value of the acquired asset is compared to the specified option price at the exercise date. If the option price is below market, it is assumed to be exercised and the difference between the fair market value and the option price is discounted to the present value at the time of acquisition. Real Estate Investments, Net We carry our operating properties at our historical cost less accumulated depreciation. The cost of operating properties includes the cost of land and completed buildings and related improvements. Expenditures that increase the service life of properties are capitalized and the cost of maintenance and repairs is charged to expense as incurred. The cost of buildings and capital improvements is depreciated on a straight-line basis over the estimated useful lives of the buildings and capital improvements, up to 39 years , and the cost for tenant improvements is depreciated over the shorter of the lease term or useful life, up to 14 years . The cost of furniture, fixtures and equipment is depreciated over the estimated useful life, up to 10 years . When depreciable property is retired, replaced or disposed of, the related cost and accumulated depreciation is removed from the accounts and any gain or loss is reflected in earnings. As part of the leasing process, we may provide the lessee with an allowance for the construction of leasehold improvements. These leasehold improvements are capitalized and recorded as tenant improvements and depreciated over the shorter of the useful life of the improvements or the lease term. If the allowance represents a payment for a purpose other than funding leasehold improvements, or in the event we are not considered the owner of the improvements, the allowance is considered to be a lease inducement and is recognized over the lease term as a reduction of rental revenue on a straight-line basis. Factors considered during this evaluation include, among other things, who holds legal title to the improvements as well as other controlling rights provided by the lease agreement and provisions for substantiation of such costs, e.g ., unilateral control of the tenant space during the build-out process. Determination of the appropriate accounting for the payment of a tenant allowance is made on a lease-by-lease basis, considering the facts and circumstances of the individual tenant lease. Recognition of lease revenue commences when the lessee is given possession of the leased space upon completion of tenant improvements when we are the owner of the leasehold improvements. However, when the leasehold improvements are owned by the tenant, the lease inception date (and the date on which recognition of lease revenue commences) is the date the tenant obtains possession of the leased space for purposes of constructing its leasehold improvements. Properties Held for Sale We will account for our properties held for sale in accordance with ASC Topic 360, Property, Plant, and Equipment , or ASC Topic 360, which addresses financial accounting and reporting for the impairment or disposal of long-lived assets. ASC Topic 360 requires that a property or a group of properties is required to be reported in discontinued operations in the statements of operations for current and prior periods if the disposal represents a strategic shift that has (or will have) a major effect on an entity’s operations and financial results when either (i) the component has been disposed of; or (ii) is classified as held for sale. In accordance with ASC Topic 360, at such time as a property is held for sale, such property is carried at the lower of (i) its carrying amount or (ii) fair value less costs to sell. In addition, a property being held for sale ceases to be depreciated. We will classify operating properties as property held for sale in the period in which all of the following criteria are met: • management, having the authority to approve the action, commits to a plan to sell the asset; • the asset is available for immediate sale in its present condition subject only to terms that are usual and customary for sales of such assets; • an active program to locate a buyer or buyers and other actions required to complete the plan to sell the asset has been initiated; • the sale of the asset is probable and the transfer of the asset is expected to qualify for recognition as a completed sale within one year; • the asset is being actively marketed for sale at a price that is reasonable in relation to its current fair value; and • given the actions required to complete the plan to sell the asset, it is unlikely that significant changes to the plan would be made or that the plan would be withdrawn. Impairment of Long-Lived and Intangible Assets We periodically evaluate our long-lived assets, primarily consisting of investments in real estate that we carry at our historical cost less accumulated depreciation, for impairment when events or changes in circumstances indicate that its carrying value may not be recoverable. Indicators we consider important and that we believe could trigger an impairment review include, among others, the following: • significant negative industry or economic trends; • a significant underperformance relative to historical or projected future operating results; and • a significant change in the extent or manner in which the asset is used or significant physical change in the asset. If indicators of impairment of our long-lived assets are present, we evaluate the carrying value of the related real estate investments in relation to the future undiscounted cash flows of the underlying operations. In performing this evaluation, we consider market conditions and our current intentions with respect to holding or disposing of the asset. We adjust the net book value of leased properties and other long-lived assets to fair value if the sum of the expected future undiscounted cash flows, including sales proceeds, is less than book value. We recognize an impairment loss at the time we make any such determination. If impairment indicators arise with respect to intangible assets with finite useful lives, we evaluate impairment by comparing the carrying amount of the asset to the estimated future undiscounted net cash flows expected to be generated by the asset. If the estimated future undiscounted net cash flows are less than the carrying amount of the asset, then we estimate the fair value of the asset and compare the estimated fair value to the intangible asset’s carrying value. For all of our reporting units, we recognize any shortfall from carrying value as an impairment loss in the current period. For the years ended December 31, 2018, 2017 and 2016, we did not incur any impairment losses. Fair Value Measurements We follow ASC Topic 820 to account for the fair value of certain assets and liabilities. ASC Topic 820 defines fair value, establishes a framework for measuring fair value and expands disclosures about fair value measurements. ASC Topic 820 emphasizes that fair value is a market-based measurement, not an entity-specific measurement. Therefore, a fair value measurement should be determined based on the assumptions that market participants would use in pricing the asset or liability. As a basis for considering market participant assumptions in fair value measurements, ASC Topic 820 establishes a fair value hierarchy that distinguishes between market participant assumptions based on market data obtained from sources independent of the reporting entity (observable inputs that are classified within Levels 1 and 2 of the hierarchy) and the reporting entity’s own assumptions about market participant assumptions (unobservable inputs classified within Level 3 of the hierarchy). Level 1 inputs are quoted prices (unadjusted) in active markets for identical assets or liabilities that we have the ability to access. An active market is defined as a market in which transactions for the assets or liabilities occur with sufficient frequency and volume to provide pricing information on an ongoing basis. Level 2 inputs are inputs other than quoted prices included in Level 1 that are observable for the asset or liability, either directly or indirectly. Level 2 inputs may include quoted prices for similar assets and liabilities in active markets, as well as inputs that are observable for the asset or liability (other than quoted prices), such as interest rates, foreign exchange rates and yield curves that are observable at commonly quoted intervals. Level 3 inputs are unobservable inputs for the asset or liability, which are typically based on an entity’s own assumptions, as there is little, if any, related market activity. In instances where the determination of the fair value measurement is based on inputs from different levels of the fair value hierarchy, the level in the fair value hierarchy within which the entire fair value measurement falls is based on the lowest level input that is significant to the fair value measurement in its entirety. Our assessment of the significance of a particular input to the fair value measurement in its entirety requires judgment and considers factors specific to the asset or liability. See Note 13, Fair Value Measurements , for a further discussion. Real Estate Deposits Real estate deposits may include refundable and non-refundable funds held by escrow agents and others to be applied towards the acquisition of real estate investments, and such future investments are subject to substantial conditions to closing. Other Assets, Net Other assets, net consist of our investment in an unconsolidated entity, deferred financing costs on the 2017 Credit Facility or 2018 Credit Facility, as defined in Note 7, Line of Credit and Term Loan , prepaid expenses and deposits, lease commissions and deferred rent receivables. Deferred financing costs on the 2017 Credit Facility or 2018 Credit Facility include amounts paid to lenders and others to obtain financing. Such costs are amortized using the straight-line method over the term of the 2017 Credit Facility or 2018 Credit Facility, which approximates the effective interest rate method. Amortization of deferred financing costs on the 2017 Credit Facility or 2018 Credit Facility is included in interest expense in our accompanying consolidated statements of operations. Prepaid expenses are amortized over the related contract periods. We report investments in unconsolidated entities using the equity method of accounting when we have the ability to exercise significant influence over the operating and financial policies. Under the equity method, our share of the investee’s earnings or losses is included in our accompanying consolidated statements of operations. To the extent that our cost basis is different from the basis reflected at the entity level, the basis difference is generally amortized over the lives of the related assets and liabilities, and such amortization is included in our share of equity in earnings of the entity. The initial carrying value of investments in unconsolidated entities is based on the amount paid to purchase the entity interest or the estimated fair value of the assets prior to the sale of interests in the entity. We have elected to follow the cumulative earnings approach when classifying distributions received from equity method investments in our consolidated statements of cash flows, whereby any distributions received up to the amount of cumulative equity earnings would be considered a return on investment and classified in operating activities and any excess distributions would be considered a return of investment and classified in investing activities. We evaluate our equity method investments for impairment based upon a comparison of the estimated fair value of the equity method investment to its carrying value. When we determine a decline in the estimated fair value of such an investment below its carrying value is other-than-temporary, an impairment is recorded. For the years ended December 31, 2018, 2017 and 2016, we did not incur any impairment losses from unconsolidated entities. See Note 5, Other Assets, Net , for a further discussion. Stock Compensation We follow ASC Topic 718, Compensation — Stock Compensation , or ASC Topic 718, to account for our stock compensation pursuant to the 2015 Incentive Plan, or our incentive plan. See Note 11, Equity — 2015 Incentive Plan, for a further discussion of grants under such plans. Income Taxes We qualified, and elected to be taxed, as a REIT under the Code for federal income tax purposes beginning with our taxable year ended December 31, 2016, and we intend to

Real Estate Investments, Net

Real Estate Investments, Net	12 Months Ended
	Dec. 31, 2018
Real Estate [Abstract]
Real Estate Investments, Net	3. Real Estate Investments, Net Our real estate investments, net consisted of the following as of December 31, 2018 and 2017 : December 31, 2018 2017 Building and improvements $ 668,814,000 $ 371,890,000 Land 83,084,000 52,202,000 Furniture, fixtures and equipment 5,090,000 4,458,000 756,988,000 428,550,000 Less: accumulated depreciation (25,312,000 ) (8,885,000 ) Total $ 731,676,000 $ 419,665,000 Depreciation expense for the years ended December 31, 2018 , 2017 and 2016 was $16,723,000 , $8,137,000 and $822,000 , respectively. In addition to the acquisitions discussed below, for the years ended December 31, 2018 , 2017 and 2016, we incurred capital expenditures of $3,643,000 , $1,649,000 and $23,000 , respectively, on our medical office buildings, $0 , $822,000 and $0 , respectively, on our senior housing facilities and $5,342,000 , $5,000 and $0 , respectively, on our senior housing — RIDEA facilities. We did no t incur any capital expenditures on our skilled nursing facilities for the years ended December 31, 2018, 2017 and 2016. Acquisitions in 2018 For the year ended December 31, 2018, using net proceeds from our offering and debt financing, we completed 15 property acquisitions comprising 29 buildings from unaffiliated third parties. The following is a summary of our property acquisitions for the year ended December 31, 2018: Acquisition(1) Location Type Date Acquired Contract Purchase Price Mortgage Loan Payable(2) Line of Credit(3) Total Acquisition Fee(4) Central Wisconsin Senior Care Portfolio Sun Prairie and Waunakee, WI Skilled Nursing 03/01/18 $ 22,600,000 $ — $ 22,600,000 $ 1,018,000 Sauk Prairie MOB Prairie du Sac, WI Medical Office 04/09/18 19,500,000 — 19,500,000 878,000 Surprise MOB Surprise, AZ Medical Office 04/27/18 11,650,000 — 8,000,000 524,000 Southfield MOB Southfield, MI Medical Office 05/11/18 16,200,000 6,071,000 10,000,000 728,000 Pinnacle Beaumont ALF(5) Beaumont, TX Senior Housing — RIDEA 07/01/18 19,500,000 — 19,400,000 868,000 Grand Junction MOB Grand Junction, CO Medical Office 07/06/18 31,500,000 — 31,400,000 1,418,000 Edmonds MOB Edmonds, WA Medical Office 07/30/18 23,500,000 — 22,000,000 1,058,000 Pinnacle Warrenton ALF(5) Warrenton, MO Senior Housing — RIDEA 08/01/18 8,100,000 — 8,100,000 360,000 Glendale MOB Glendale, WI Medical Office 08/13/18 7,600,000 — 7,000,000 342,000 Missouri SNF Portfolio Florissant, Kansas City, Milan, Moberly, Salisbury, Sedalia, St. Elizabeth and Trenton, MO Skilled Nursing 09/28/18 88,200,000 — 87,000,000 3,970,000 Flemington MOB Portfolio Flemington, NJ Medical Office 11/29/18 16,950,000 — 15,500,000 763,000 Lawrenceville MOB II Lawrenceville, GA Medical Office 12/19/18 9,999,000 — 10,100,000 450,000 Mill Creek MOB Mill Creek, WA Medical Office 12/21/18 8,250,000 — 6,200,000 371,000 Modesto MOB Modesto, CA Medical Office 12/28/18 16,000,000 — 15,400,000 720,000 Michigan ALF Portfolio Grand Rapids, Holland, Howell, Lansing and Wyoming, MI Senior Housing 12/28/18 56,000,000 — 53,400,000 2,520,000 Total $ 355,549,000 $ 6,071,000 $ 335,600,000 $ 15,988,000 ___________ (1) We own 100% of our properties acquired in 2018, with the exception of Pinnacle Beaumont ALF and Pinnacle Warrenton ALF. (2) Represents the principal balance of the mortgage loan payable assumed by us at the time of acquisition. (3) Represents a borrowing under the 2017 Credit Facility or 2018 Credit Facility, as defined in Note 7, Line of Credit and Term Loan , at the time of acquisition. (4) Our advisor was paid, as compensation for services rendered in connection with the investigation, selection and acquisition of our properties, a base acquisition fee of 2.25% of the portion of the aggregate contract purchase price paid by us. In addition, the total acquisition fee includes a Contingent Advisor Payment, as defined in Note 12, Related Party Transactions , in the amount of 2.25% of the portion of the aggregate contract purchase price paid by us. See Note 12, Related Party Transactions — Acquisition and Development Stage — Acquisition Fee, for a further discussion. (5) On July 1, 2018 and August 1, 2018, we completed the acquisitions of Pinnacle Beaumont ALF and Pinnacle Warrenton ALF, respectively, pursuant to a joint venture with an affiliate of Meridian Senior Living, LLC, or Meridian, an unaffiliated third party. Our ownership of the joint venture is approximately 98% . We accounted for the 15 property acquisitions we completed for the year ended December 31, 2018 as asset acquisitions. We incurred and capitalized base acquisition fees and direct acquisition related expenses of $12,989,000 . In addition, we incurred Contingent Advisor Payments of $7,994,000 to our advisor for such property acquisitions. The following table summarizes the purchase price of the assets acquired and liabilities assumed at the time of acquisition from our 15 property acquisitions in 2018 based on their relative fair values: 2018 Acquisitions Building and improvements $ 289,830,000 Land 30,878,000 Furniture, fixtures and equipment 79,000 In-place leases 45,439,000 Certificates of need 348,000 Leasehold interests 93,000 Above-market leases 200,000 Total assets acquired 366,867,000 Mortgage loan payable (including debt discount of $263,000) (5,808,000 ) Below-market leases (269,000 ) Total liabilities assumed (6,077,000 ) Net assets acquired $ 360,790,000 Acquisitions in 2017 For the year ended December 31, 2017, using net proceeds from our offering and debt financing, we completed nine property acquisitions comprising 28 buildings from unaffiliated third parties. The following is a summary of our property acquisitions for the year ended December 31, 2017: Acquisition(1) Location Type Date Acquired Contract Purchase Price Mortgage Loan Payable(2) Line of Credit(3) Total Acquisition Fee(4) Battle Creek MOB Battle Creek, MI Medical Office 03/10/17 $ 7,300,000 $ — $ — $ 328,000 Reno MOB Reno, NV Medical Office 03/13/17 66,250,000 — 60,000,000 2,982,000 Athens MOB Portfolio Athens, GA Medical Office 05/18/17 16,800,000 — 7,800,000 756,000 SW Illinois Senior Housing Portfolio Columbia, Millstadt, Red Bud and Waterloo, IL Senior Housing 05/22/17 31,800,000 — 31,700,000 1,431,000 Lawrenceville MOB Lawrenceville, GA Medical Office 06/12/17 11,275,000 8,000,000 3,000,000 507,000 Northern California Senior Housing Portfolio Belmont, Fairfield, Menlo Park and Sacramento, CA Senior Housing 06/28/17 45,800,000 — 21,600,000 2,061,000 Roseburg MOB Roseburg, OR Medical Office 06/29/17 23,200,000 — 23,000,000 1,044,000 Fairfield County MOB Portfolio Stratford and Trumbull, CT Medical Office 09/29/17 15,395,000 — 15,500,000 693,000 Central Florida Senior Housing Portfolio(5) Bradenton, Brooksville, Lake Placid, Lakeland, Pinellas Park, Sanford, Spring Hill and Winter Haven, FL Senior Housing — RIDEA 11/01/17 109,500,000 — 112,000,000 4,882,000 Total $ 327,320,000 $ 8,000,000 $ 274,600,000 $ 14,684,000 ___________ (1) We own 100% of our properties acquired in 2017, with the exception of Central Florida Senior Housing Portfolio. (2) Represents the principal balance of the mortgage loan payable assumed by us at the time of acquisition. (3) Represents a borrowing under the 2016 Line of Credit or 2017 Credit Facility, as defined in Note 7, Line of Credit and Term Loan , at the time of acquisition. (4) Our advisor was paid, as compensation for services rendered in connection with the investigation, selection and acquisition of our properties, a base acquisition fee of 2.25% of the portion of the aggregate contract purchase price paid by us. In addition, the total acquisition fee includes a Contingent Advisor Payment, as defined in Note 12, Related Party Transactions , in the amount of 2.25% of the portion of the aggregate contract purchase price paid by us. See Note 12, Related Party Transactions — Acquisition and Development Stage — Acquisition Fee, for a further discussion. (5) On November 1, 2017, we completed the acquisition of Central Florida Senior Housing Portfolio pursuant to a joint venture with an affiliate of Meridian. Our ownership of the joint venture is approximately 98% . We accounted for the nine property acquisitions we completed for the year ended December 31, 2017 as asset acquisitions. We incurred base acquisition fees and direct acquisition related expenses of $11,019,000 . In addition, we incurred Contingent Advisor Payments of $7,342,000 to our advisor for such property acquisitions. The following table summarizes the purchase price of the assets acquired and liabilities assumed at the time of acquisition from our nine property acquisitions in 2017 based on their relative fair values: 2017 Acquisitions Building and improvements $ 263,052,000 Land 39,879,000 Furniture, fixtures and equipment 4,453,000 In-place leases 30,754,000 Above-market leases 127,000 Total assets acquired 338,265,000 Mortgage loan payable (8,000,000 ) Below-market leases (571,000 ) Above-market leasehold interests (395,000 ) Total liabilities assumed (8,966,000 ) Net assets acquired $ 329,299,000 Acquisitions in 2016 For the year ended December 31, 2016, we completed nine property acquisitions comprising 12 buildings from unaffiliated third parties. See Note 16, Business Combinations , for a further discussion. The following is a summary of our property acquisitions for the year ended December 31, 2016: Acquisition(1) Location Type Date Acquired Contract Purchase Price Mortgage Loan Payable(2) Line of Credit(3) Total Acquisition Fee(4) Auburn MOB Auburn, CA Medical Office 06/28/16 $ 5,450,000 $ — $ — $ 245,000 Pottsville MOB Pottsville, PA Medical Office 09/16/16 9,150,000 — — 412,000 Charlottesville MOB Charlottesville, VA Medical Office 09/22/16 20,120,000 — — 905,000 Rochester Hills MOB Rochester Hills, MI Medical Office 09/29/16 8,300,000 3,968,000 — 374,000 Cullman MOB III Cullman, AL Medical Office 09/30/16 16,650,000 — 12,000,000 749,000 Iron MOB Portfolio Cullman and Sylacauga, AL Medical Office 10/13/16 31,000,000 — 30,400,000 1,395,000 Mint Hill MOB Mint Hill, NC Medical Office 11/14/16 21,000,000 — 20,400,000 945,000 Lafayette Assisted Living Portfolio Lafayette, LA Senior Housing 12/01/16 16,750,000 — 17,500,000 754,000 Evendale MOB Evendale, OH Medical Office 12/13/16 10,400,000 — 10,400,000 468,000 Total $ 138,820,000 $ 3,968,000 $ 90,700,000 $ 6,247,000 ___________ (1) We own 100% of our properties acquired in 2016. (2) Represents the principal balance of the mortgage loan payable assumed by us at the time of acquisition. (3) Represents a borrowing under the 2016 Line of Credit, as defined in Note 7, Line of Credit and Term Loan , at the time of acquisition. (4) Our advisor was paid, as compensation for services rendered in connection with the investigation, selection and acquisition of our properties, a base acquisition fee of 2.25% of the portion of the aggregate contract purchase price paid by us. In addition, the total acquisition fee includes a Contingent Advisor Payment, as defined in Note 12, Related Party Transactions , in the amount of 2.25% of the portion of the aggregate contract purchase price paid by us. See Note 12, Related Party Transactions — Acquisition and Development Stage — Acquisition Fee, for a further discussion.

Identified Intangible Assets, N

Identified Intangible Assets, Net	12 Months Ended
	Dec. 31, 2018
Finite-Lived Intangible Assets, Net [Abstract]
Identified Intangible Assets, Net	4. Identified Intangible Assets, Net Identified intangible assets, net consisted of the following as of December 31, 2018 and 2017: December 31, 2018 2017 Amortized intangible assets: In-place leases, net of accumulated amortization of $11,299,000 and $5,832,000 as of December 31, 2018 and 2017, respectively (with a weighted average remaining life of 10.3 years and 7.3 years as of December 31, 2018 and 2017, respectively) $ 67,332,000 $ 37,766,000 Leasehold interests, net of accumulated amortization of $217,000 and $119,000 as of December 31, 2018 and 2017, respectively (with a weighted average remaining life of 69.1 years and 70.6 years as of December 31, 2018 and 2017, respectively) 6,288,000 6,292,000 Above-market leases, net of accumulated amortization of $323,000 and $173,000 as of December 31, 2018 and 2017, respectively (with a weighted average remaining life of 4.5 years and 5.6 years as of December 31, 2018 and 2017, respectively) 755,000 763,000 Unamortized intangible assets: Certificates of need 348,000 — Total $ 74,723,000 $ 44,821,000 Amortization expense on identified intangible assets for the years ended December 31, 2018, 2017 and 2016 was $16,180,000 , $5,732,000 and $483,000 , respectively, which included $208,000 , $142,000 and $31,000 , respectively, of amortization recorded against real estate revenue for above-market leases and $98,000 , $97,000 and $22,000 , respectively, of amortization recorded to rental expenses for leasehold interests in our accompanying consolidated statements of operations. The aggregate weighted average remaining life of the identified intangible assets was 15.3 years and 16.2 years as of December 31, 2018 and 2017, respectively. As of December 31, 2018 , estimated amortization expense on the identified intangible assets for each of the next five years ending December 31 and thereafter was as follows: Year Amount 2019 $ 10,464,000 2020 8,549,000 2021 7,680,000 2022 6,708,000 2023 5,716,000 Thereafter 35,258,000 Total $ 74,375,000

Other Assets, Net

Other Assets, Net	12 Months Ended
	Dec. 31, 2018
Other Assets [Abstract]
Other Assets	5. Other Assets, Net Other assets, net consisted of the following as of December 31, 2018 and 2017: December 31, 2018 2017 Investment in unconsolidated entity $ 47,600,000 $ — Deferred rent receivables 4,941,000 1,912,000 Deferred financing costs, net of accumulated amortization of $1,554,000 and $554,000 as of December 31, 2018 and 2017, respectively(1) 4,447,000 1,456,000 Prepaid expenses and deposits 2,682,000 1,532,000 Lease commissions, net of accumulated amortization of $64,000 and $9,000 as of December 31, 2018 and 2017, respectively 564,000 326,000 Total $ 60,234,000 $ 5,226,000 ___________ (1) Deferred financing costs, net only include costs related to our line of credit and term loan. See Note 7, Line of Credit and Term Loan , for a further discussion. Amortization expense on deferred financing costs of our line of credit and term loan for the years ended December 31, 2018, 2017 and 2016 was $1,000,000 , $442,000 and $112,000 , respectively. Amortization expense on deferred financing costs of our line of credit and term loan is recorded to interest expense in our accompanying consolidated statements of operations. Amortization expense on lease commissions for the year ended December 31, 2018 and 2017 was $61,000 and $9,000 . We did no t incur any amortization expense on lease commissions for the year ended December 31, 2016. Effective October 1, 2018, we, through GAHC4 Trilogy JV, LLC, a wholly-owned subsidiary of our operating partnership, purchased 6.0% of the total membership interests in Trilogy REIT Holdings, LLC, or the Trilogy Joint Venture, for $48,000,000 in cash, based on an estimated gross enterprise value of $93,154,000 consisting of our equity investment and a calculated pro rata share of the debt of the Trilogy Joint Venture based on our ownership interest. We acquired these membership interests from Trilogy Holdings NT-HCI, LLC, a wholly-owned subsidiary of NorthStar Healthcare Income Operating Partnership, LP, the operating partnership of NorthStar Healthcare Income, Inc., or collectively NHI, unaffiliated third parties. The Trilogy Joint Venture, through a 96.7% owned subsidiary, owns and operates purpose-built integrated senior health campuses, including skilled nursing facilities and assisted living facilities, located across several states, as well as certain ancillary businesses, which we believe complement our existing real estate portfolio. In addition to our membership interests, the Trilogy Joint Venture is 70.0% indirectly owned by Griffin-American Healthcare REIT III, Inc., or GAHR III, and the remaining 24.0% continues to be owned by NHI. GAHR III, through a wholly-owned subsidiary, serves as the manager of the Trilogy Joint Venture and both GAHR III and us are sponsored by American Healthcare Investors. In connection with the purchase of the Trilogy Joint Venture membership interests, we paid to our advisor a base acquisition fee of approximately $2,096,000 , or 2.25% of the estimated gross enterprise value of the Trilogy Joint Venture membership interests acquired by us. Additionally, as of December 31, 2018, we accrued for a Contingent Advisor Payment of approximately $2,096,000 , or 2.25% of the estimated gross enterprise value of the Trilogy Joint Venture membership interests acquired by us. At December 31, 2018, the unamortized basis difference of our joint venture investment of $17,704,000 is primarily attributable to the difference between the amount for which we purchased our interest in the entity, including transaction costs, and the historical carrying value of the net assets of the entity. This difference is being amortized over the remaining useful life of the related assets and included in loss from unconsolidated entity in our accompanying consolidated statements of operations.

Mortgage Loans Payable, Net

Mortgage Loans Payable, Net	12 Months Ended
	Dec. 31, 2018
Mortgage Loans Payable, Net [Abstract]
Mortgage Loans Payable, Net	6. Mortgage Loans Payable, Net As of December 31, 2018 and 2017, mortgage loans payable were $17,256,000 ( $16,892,000 , including discount/premium and deferred financing costs, net) and $11,634,000 ( $11,567,000 , including premium and deferred financing costs, net), respectively. As of December 31, 2018 , we had three fixed-rate mortgage loans with interest rates ranging from 3.75% to 5.25% per annum, maturity dates ranging from April 1, 2020 to August 1, 2029 and a weighted average effective interest rate of 4.51% . As of December 31, 2017, we had two fixed-rate mortgage loan with interest rates ranging from 4.77% to 5.25% per annum, maturity dates ranging from April 1, 2020 to August 1, 2029 and a weighted average effective interest rate of 4.92% . The changes in the carrying amount of mortgage loans payable consisted of the following for the years ended December 31, 2018 and 2017: Amount Mortgage loan payable, net — December 31, 2016 $ 3,965,000 Additions: Assumption of mortgage loan payable, net 8,000,000 Amortization of deferred financing costs(1) 38,000 Deductions: Deferred financing costs(1) (150,000 ) Scheduled principal payments on mortgage loans payable (273,000 ) Amortization of premium on mortgage loan payable (13,000 ) Mortgage loans payable, net — December 31, 2017 $ 11,567,000 Additions: Assumption of mortgage loan payable, net $ 5,808,000 Amortization of deferred financing costs(1) 76,000 Deductions: Deferred financing costs(1) (123,000 ) Scheduled principal payments on mortgage loans payable (449,000 ) Amortization of discount/premium on mortgage loans payable 13,000 Mortgage loans payable, net — December 31, 2018 $ 16,892,000 ___________ (1) Deferred financing costs only include costs related to our mortgage loans payable. As of December 31, 2018 , the principal payments due on our mortgage loans payable for each of the next five years ending December 31 and thereafter were as follows: Year Amount 2019 $ 518,000 2020 8,151,000 2021 434,000 2022 455,000 2023 478,000 Thereafter 7,220,000 Total $ 17,256,000

Line of Credit

Line of Credit	12 Months Ended
	Dec. 31, 2018
Line of Credit Facility [Abstract]
Line of Credit and Term Loan	7. Line of Credit and Term Loan On August 25, 2016, we, through our operating partnership, as borrower, and certain of our subsidiaries, or the subsidiary guarantors, and us, collectively as guarantors, entered into a credit agreement, or the 2016 Credit Agreement, with Bank of America, N.A., or Bank of America, as administrative agent, swing line lender and letters of credit issuer; and KeyBank, National Association, or KeyBank, as syndication agent and letters of credit issuer, to obtain a revolving line of credit with an aggregate maximum principal amount of $100,000,000 , or the 2016 Line of Credit, subject to certain terms and conditions. On August 25, 2016, we also entered into separate revolving notes, or the Revolving Notes, with each of Bank of America and KeyBank, whereby we promised to pay the principal amount of each revolving loan and accrued interest to the respective lender or its registered assigns, in accordance with the terms and conditions of the 2016 Credit Agreement. On October 31, 2017, we entered into an amendment to the 2016 Credit Agreement, or the Amendment, with Bank of America, as administrative agent, and the subsidiary guarantors and lenders named therein. The material terms of the Amendment provided for: (i) a $50,000,000 increase in the revolving line of credit from an aggregate principal amount of $100,000,000 to $150,000,000 , (ii) a term loan with an aggregate maximum principal amount of $50,000,000 , that would have matured on August 25, 2019, and may have been extended for one 12 -month period during the term of the 2016 Credit Agreement subject to satisfaction of certain conditions, including payment of an extension fee; (iii) our right, upon at least five business days’ prior written notice to Bank of America, to increase the 2016 Line of Credit or term loan provided that the aggregate principal amount of all such increases and additions would not have exceeded $300,000,000 ; (iv) a revision to the definition of Threshold Amount, as defined in the 2016 Credit Agreement, to reflect an increase in such amount for any Recourse Indebtedness, as defined in the 2016 Credit Agreement, to $20,000,000 , and an increase in such amount for any Non-Recourse Indebtedness, as defined in the 2016 Credit Agreement, to $50,000,000 ; (v) the revision of certain Unencumbered Property Pool Criteria, as defined and set forth in the 2016 Credit Agreement; and (vi) an increase in the maximum Consolidated Secured Leverage Ratio, as defined in the 2016 Credit Agreement, to be equal to or less than 40.0% . As a result of the Amendment, our aggregate borrowing capacity under the 2016 Line of Credit and the term loan, or collectively, the 2017 Credit Facility, was $200,000,000 . On September 28, 2018, we entered into a second amendment to 2016 Credit Agreement, or the Second Amendment, with Bank of America, as administrative agent, and the subsidiary guarantors and lenders named therein. The material terms of the Second Amendment provided for an increase in the term loan commitment by an aggregate amount equal to $150,000,000 . As a result of the Second Amendment, the aggregate borrowing capacity under the 2017 Credit Facility was $350,000,000 . Except as modified by the Second Amendment, the material terms of the 2016 Credit Agreement, as amended, remained in full force and effect. On November 20, 2018, we, through our operating partnership, terminated the 2016 Credit Agreement, as amended, and related separate revolving notes with each of Bank of America and KeyBank and entered into the 2018 Credit Agreement as described below. We currently do not have any obligations under the 2016 Credit Agreement, as amended, and related separate revolving notes. On November 20, 2018, we, through our operating partnership as borrower, and certain of our subsidiaries, or the subsidiary guarantors, and us, collectively as guarantors, entered into a credit agreement, or the 2018 Credit Agreement, with Bank of America, as administrative agent, swing line lender and letters of credit issuer; KeyBank, as syndication agent and letters of credit issuer; Citizens Bank, National Association, or Citizens Bank, as syndication agent; Merrill Lynch, Pierce, Fenner & Smith Incorporated, as joint lead arranger and joint bookrunner; KeyBanc Capital Markets, as joint lead arranger and joint bookrunner; Citizens Bank as joint lead arranger and joint bookrunner; and the lenders named therein, to obtain a credit facility with an aggregate maximum principal amount of $400,000,000 , or the 2018 Credit Facility. The 2018 Credit Facility consists of a senior unsecured revolving credit facility in the initial aggregate amount of $150,000,000 and a senior unsecured term loan facility in the initial aggregate amount of $250,000,000 , consisting of (i) a $200,000,000 term loan made on November 20, 2018 and (ii) an up to $50,000,000 delayed-draw term loan to be made one additional time during the Term Loan Delayed Draw Commitment Period (as defined in the 2018 Credit Agreement). Such delayed draw was made on January 18, 2019. The proceeds of loans made under the 2018 Credit Facility may be used for refinancing existing indebtedness and for general corporate purposes including for working capital, capital expenditures and other corporate purposes not inconsistent with obligations under the 2018 Credit Agreement. We may obtain up to $20,000,000 in the form of standby letters of credit and up to $50,000,000 in the form of swing line loans. The 2018 Credit Facility matures on November 19, 2021 and may be extended for one 12-month period during the term of the 2018 Credit Agreement subject to satisfaction of certain conditions, including payment of an extension fee. The maximum principal amount of the 2018 Credit Facility may be increased by up to $250,000,000 , for a total principal amount of $650,000,000 , subject to: (i) the terms of the 2018 Credit Agreement; and (ii) at least five business days’ prior written notice to Bank of America. At our option, the 2018 Credit Facility bears interest at per annum rates equal to (a)(i) the Eurodollar Rate (as defined in the 2018 Credit Agreement) plus (ii) a margin ranging from 1.75% to 2.25% based on our Consolidated Leverage Ratio (as defined in the 2018 Credit Agreement), or (b) (i) the greater of: (1) the prime rate publicly announced by Bank of America, (2) the Federal Funds Rate (as defined in the 2018 Credit Agreement) plus 0.50% , (3) the one-month Eurodollar Rate plus 1.00% , and (4) 0.00% , plus (ii) a margin ranging from 0.55% to 1.05% based on our Consolidated Leverage Ratio. Accrued interest on the 2018 Credit Facility is payable monthly. The loans may be repaid in whole or in part without prepayment premium or penalty, subject to certain conditions. We are required to pay a fee on the unused portion of the lenders’ commitments under the 2018 Credit Agreement at a per annum rate equal to 0.20% if the average daily used amount is greater than 50.0% of the commitments and 0.25% if the average daily used amount is less than or equal to 50.0% of the commitments, which fee shall be measured and payable on a quarterly basis. The 2018 Credit Agreement contains various affirmative and negative covenants that are customary for credit facilities and transactions of this type, including limitations on the incurrence of debt by our operating partnership and its subsidiaries and limitations on secured recourse indebtedness. The 2018 Credit Agreement also imposes certain financial covenants based on the following criteria, which are specifically defined in the 2018 Credit Agreement: (a) Consolidated Leverage Ratio; (b) Consolidated Secured Leverage Ratio; (c) Consolidated Tangible Net Worth; (d) Consolidated Fixed Charge Coverage Ratio; (e) Secured Recourse Indebtedness; (f) Consolidated Unencumbered Leverage Ratio; (g) Consolidated Unencumbered Interest Coverage Ratio; and (h) Unencumbered Indebtedness Yield. The 2018 Credit Agreement requires us to add additional subsidiaries as guarantors in the event the value of the assets owned by the subsidiary guarantors falls below a certain threshold as set forth in the 2018 Credit Agreement. In the event of default, Bank of America has the right to terminate the commitment of each Lender (as defined in the 2018 Credit Agreement) to make Loans (as defined in the 2018 Credit Agreement) and any obligation of the L/C Issuer (as defined in the 2018 Credit Agreement) to make L/C Credit Extensions (as defined in the 2018 Credit Agreement) under the 2018 Credit Agreement, and to accelerate the payment on any unpaid principal amount of all outstanding loans and interest thereon. As of December 31, 2018 , our aggregate borrowing capacity under the 2018 Credit Facility was $400,000,000 . As of December 31, 2018 , borrowings outstanding totaled $275,000,000 and the weighted average interest rate on such borrowings outstanding was 4.25% per annum. As of December 31, 2017, our aggregate borrowing capacity under the 2017 Credit Facility was $200,000,000 . As of December 31, 2017, borrowings outstanding totaled $84,100,000 and the weighted average interest rate on such borrowings outstanding was 3.45% per annum.

Identified Intangible Liabiliti

Identified Intangible Liabilities, Net	12 Months Ended
	Dec. 31, 2018
Identified Intangible Liabilities [Abstract]
Identified Intangible Liabilities, Net	8. Identified Intangible Liabilities, Net Identified intangible liabilities, net consisted of the following as of December 31, 2018 and 2017: December 31, 2018 2017 Below-market leases, net of accumulated amortization of $678,000 and $345,000 as of December 31, 2018 and 2017, respectively (with a weighted average remaining life of 5.7 years and 6.4 years as of December 31, 2018 and 2017, respectively) $ 1,245,000 $ 1,349,000 Above-market leasehold interests, net of accumulated amortization of $13,000 and $6,000 as of December 31, 2018 and 2017, respectively (with a weighted average remaining life of 51.2 and 52.2 years as of December 31, 2018 and 2017, respectively) 382,000 388,000 Total $ 1,627,000 $ 1,737,000 Amortization expense on identified intangible liabilities for the years ended December 31, 2018 , 2017 and 2016 was $380,000 , $291,000 and $60,000 , respectively, which included $373,000 , $285,000 and $60,000 , respectively, of amortization recorded to real estate revenue for below-market leases and $7,000 , $6,000 and $0 , respectively, of amortization recorded against rental expenses for above-market leasehold interests in our accompanying consolidated statements of operations. The aggregate weighted average remaining life of the identified intangible liabilities was 16.4 years and 16.7 years as of December 31, 2018 and 2017, respectively. As of December 31, 2018 , estimated amortization expense on the identified intangible liabilities for each of the next five years ending December 31 and thereafter was as follows: Year Amount 2019 $ 387,000 2020 223,000 2021 168,000 2022 143,000 2023 132,000 Thereafter 574,000 Total $ 1,627,000

Commitments and Contingencies

Commitments and Contingencies	12 Months Ended
	Dec. 31, 2018
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies	9. Commitments and Contingencies Litigation We are not presently subject to any material litigation nor, to our knowledge, is any material litigation threatened against us, which if determined unfavorably to us, would have a material adverse effect on our consolidated financial position, results of operations or cash flows. Environmental Matters We follow a policy of monitoring our properties for the presence of hazardous or toxic substances. While there can be no assurance that a material environmental liability does not exist at our properties, we are not currently aware of any environmental liability with respect to our properties that would have a material effect on our consolidated financial position, results of operations or cash flows. Further, we are not aware of any material environmental liability or any unasserted claim or assessment with respect to an environmental liability that we believe would require additional disclosure or the recording of a loss contingency. Other Our other commitments and contingencies include the usual obligations of real estate owners and operators in the normal course of business, which include calls/puts to sell/acquire properties. In our view, these matters are not expected to have a material adverse effect on our consolidated financial position, results of operations or cash flows.

Redeemable Noncontrolling Inter

Redeemable Noncontrolling Interest	12 Months Ended
	Dec. 31, 2018
Redeemable Noncontrolling Interest [Line Items]
Redeemable Noncontrolling Interests	10. Redeemable Noncontrolling Interests As of December 31, 2018 and 2017, we owned greater than a 99.99% general partnership interest in our operating partnership, and our advisor owned less than a 0.01% limited partnership interest in our operating partnership. The noncontrolling interest of our advisor in our operating partnership, which has redemption features outside of our control, is accounted for as a redeemable noncontrolling interest and is presented outside of permanent equity in our accompanying consolidated balance sheets. See Note 12, Related Party Transactions — Liquidity Stage — Subordinated Participation Interest — Subordinated Distribution Upon Listing, and Note 12, Related Party Transactions — Subordinated Distribution Upon Termination, for a further discussion of the redemption features of the limited partnership units. On November 1, 2017, we completed the acquisition of Central Florida Senior Housing Portfolio pursuant to a joint venture with an affiliate of Meridian. Our ownership of the joint venture is approximately 98% . On July 1, 2018 and August 1, 2018, we completed the acquisitions of Pinnacle Beaumont ALF and Pinnacle Warrenton ALF, respectively, pursuant to a joint venture with an affiliate of Meridian. Our ownership of the joint ventures is approximately 98% . The noncontrolling interests held by Meridian have redemption features outside of our control and are accounted for as redeemable noncontrolling interests in our accompanying consolidated balance sheets. We record the carrying amount of redeemable noncontrolling interests at the greater of: (i) the initial carrying amount, increased or decreased for the noncontrolling interests’ share of net income or loss and distributions; or (ii) the redemption value. The changes in the carrying amount of redeemable noncontrolling interests consisted of the following for the years ended December 31, 2018 and 2017: December 31, 2018 2017 Beginning balance $ 1,002,000 $ 2,000 Additions 369,000 1,000,000 Net loss attributable to redeemable noncontrolling interests (232,000 ) (33,000 ) Fair value adjustment to redemption value 232,000 33,000 Ending balance $ 1,371,000 $ 1,002,000

Equity

Equity	12 Months Ended
	Dec. 31, 2018
Equity [Abstract]
Equity	11. Equity Preferred Stock Our charter authorizes us to issue 200,000,000 shares of our preferred stock, par value $0.01 per share. As of December 31, 2018 and 2017, no shares of our preferred stock were issued and outstanding. Common Stock Our charter authorizes us to issue 1,000,000,000 shares of our common stock, par value $0.01 per share. We commenced our initial public offering of shares of our common stock on February 16, 2016, and as of such date we were initially offering to the public up to $3,150,000,000 in shares of our Class T common stock, consisting of up to $3,000,000,000 in shares of our Class T common stock in our primary offering and up to $150,000,000 in shares of our Class T common stock pursuant to the DRIP. Effective June 17, 2016, we reallocated certain of the unsold shares of our Class T common stock being offered and began offering shares of our Class I common stock, such that we were offering up to approximately $2,800,000,000 in shares of Class T common stock and $200,000,000 in shares of Class I common stock in our primary offering, and up to an aggregate of $150,000,000 in shares of our Class T and Class I common stock pursuant to the DRIP. Subsequent to the reallocation, of the 1,000,000,000 shares of common stock authorized, 900,000,000 shares are classified as Class T common stock and 100,000,000 shares are classified as Class I common stock. Each share of our common stock, regardless of class, will be entitled to one vote per share on matters presented to the common stockholders for approval; provided, however, that stockholders of one share class shall have exclusive voting rights on any amendment to our charter that would alter only the contract rights of that share class, and no stockholders of another share class shall be entitled to vote thereon. On February 6, 2015, our advisor acquired shares of our Class T common stock for total cash consideration of $200,000 and was admitted as our initial stockholder. We used the proceeds from the sale of shares of our Class T common stock to our advisor to make an initial capital contribution to our operating partnership. As of December 31, 2018 and 2017, our advisor owned 20,833 shares of our Class T common stock. Through December 31, 2018, we had issued 66,755,516 aggregate shares of our Class T and Class I common stock in connection with the primary portion of our offering and 2,846,786 aggregate shares of our Class T and Class I common stock pursuant to the DRIP. We also granted an aggregate of 60,000 shares of our restricted Class T common stock to our independent directors and repurchased 428,164 shares of our common stock under our share repurchase plan through December 31, 2018. As of December 31, 2018 and 2017, we had 69,254,971 and 42,207,160 aggregate shares of our Class T and Class I common stock, respectively, issued and outstanding. As of December 31, 2018 , we had a receivable of $1,670,000 for offering proceeds, net of selling commissions and dealer manager fees, from our transfer agent, which was received in January 2019. Distribution Reinvestment Plan We had registered and reserved $150,000,000 in shares of our common stock for sale pursuant to the DRIP in our offering. The DRIP allows stockholders to purchase additional Class T shares and Class I shares of our common stock through the reinvestment of distributions during our offering. Pursuant to the DRIP, distributions with respect to Class T shares are reinvested in Class T shares and distributions with respect to Class I shares are reinvested in Class I shares. On February 15, 2019, we terminated our offering. We continue to offer up to $100,000,000 in shares of our common stock pursuant to the 2019 DRIP Offering. For the years ended December 31, 2018, 2017 and 2016 $17,612,000 , $8,689,000 and $796,000 , respectively, in distributions were reinvested and 1,838,711 , 924,358 and 83,717 shares of our common stock, respectively, were issued pursuant to the DRIP. As of December 31, 2018 and 2017, a total of $27,097,000 and $9,485,000 , respectively, in distributions were reinvested that resulted in 2,846,786 and 1,008,075 shares of our common stock, respectively, being issued pursuant to the DRIP. Share Repurchase Plan In February 2016, our board of directors approved a share repurchase plan. The share repurchase plan allows for repurchases of shares of our common stock by us when certain criteria are met. Share repurchases will be made at the sole discretion of our board of directors. Subject to the availability of the funds for share repurchases, we will limit the number of shares of our common stock repurchased during any calendar year to 5.0% of the weighted average number of shares of our common stock outstanding during the prior calendar year; provided, however, that shares subject to a repurchase requested upon the death of a stockholder will not be subject to this cap. Funds for the repurchase of shares of our common stock will come exclusively from the cumulative proceeds we receive from the sale of shares of our common stock pursuant to the DRIP. All repurchases of our shares of common stock are subject to a one -year holding period, except for repurchases made in connection with a stockholder’s death or “qualifying disability,” as defined in our share repurchase plan. Further, all share repurchases are repurchased following a one -year holding period at a price between 92.5% to 100% of each stockholder’s repurchase amount depending on the period of time their shares have been held. During our offering and with respect to shares repurchased for the quarter ending March 31, 2019, the repurchase amount for shares repurchased under our share repurchase plan was equal to the lesser of (i) the amount per share that a stockholder paid for their shares of our common stock, or (ii) the per share offering price in our offering. Commencing with shares repurchased for the quarter ending June 30, 2019, the repurchase amount for shares repurchased under our share repurchase plan will be the lesser of the amount per share the stockholder paid for their shares of our common stock or the most recent estimated value of one share of the applicable class of common stock as determined by our board of directors. However, if shares of our common stock are repurchased in connection with a stockholder’s death or qualifying disability, the repurchase price will be no less than 100% of the price paid to acquire the shares of our common stock from us. Furthermore, our share repurchase plan provides that if there are insufficient funds to honor all repurchase requests, pending requests will be honored among all requests for repurchase in any given repurchase period, as follows: first, pro rata as to repurchases sought upon a stockholder’s death; next, pro rata as to repurchases sought by stockholders with a qualifying disability; and, finally, pro rata as to other repurchase requests. For the years ended December 31, 2018 and 2017, we received share repurchase requests and repurchased 350,418 and 77,746 shares of our common stock, respectively, for an aggregate of $3,312,000 and $735,000 at an average repurchase price of $9.45 per share. As of December 31, 2018 and 2017, we received cumulative share repurchase requests and repurchased 428,164 and 77,746 shares of our common stock, respectively, for an aggregate of $4,047,000 and $735,000 , respectively, at an average repurchase price of $9.45 per share. All shares were repurchased using proceeds we received from the sale of shares of our common stock pursuant to the DRIP. 2015 Incentive Plan In February 2016, we adopted our incentive plan, pursuant to which our board of directors or a committee of our independent directors may make grants of options, restricted shares of common stock, stock purchase rights, stock appreciation rights or other awards to our independent directors, employees and consultants. The maximum number of shares of our common stock that may be issued pursuant to our incentive plan is 4,000,000 shares. For the years ended December 31, 2018 and 2017, we granted 22,500 shares of our restricted Class T common stock at a weighted average grant date fair value of $9.65 and $10.00 per share, respectively, to our independent directors in connection with their election or re-election to our board of directors, or in consideration for their past services rendered. Such shares vested 20.0% immediately on the grant date and 20.0% will vest on each of the first four anniversaries of the grant date. For the years ended December 31, 2018, 2017 and 2016, we recognized stock compensation expense of $185,000 , $131,000 and $80,000 , respectively, which is included in general and administrative in our accompanying consolidated statements of operations. Offering Costs Selling Commissions We generally paid our dealer manager selling commissions of up to 3.0% of the gross offering proceeds from the sale of Class T shares of our common stock pursuant to our primary offering. To the extent that selling commissions were less than 3.0% of the gross offering proceeds for any Class T shares sold, such reduction in selling commissions was accompanied by a corresponding reduction in the applicable per share purchase price for purchases of such shares. No selling commissions were payable on Class I shares or shares of our common stock sold pursuant to the DRIP. Our dealer manager may have re-allowed all or a portion of these fees to participating broker-dealers. For the years ended December 31, 2018, 2017 and 2016, we incurred $6,983,000 , $8,329,000 and $3,045,000 , respectively, in selling commissions to our dealer manager. Such commissions were charged to stockholders’ equity as such amounts were paid to our dealer manager from the gross proceeds of our offering. Dealer Manager Fee With respect to shares of our Class T common stock, our dealer manager generally received a dealer manager fee of up to 3.0% of the gross offering proceeds from the sale of Class T shares of our common stock pursuant to our primary offering, of which 1.0% of the gross offering proceeds was funded by us and up to an amount equal to 2.0% of the gross offering proceeds was funded by our advisor. With respect to shares of our Class I common stock, prior to March 1, 2017, our dealer manager generally received a dealer manager fee up to 3.0% of the gross offering proceeds from the sale of Class I shares of our common stock pursuant to our primary offering, of which 1.0% of the gross offering proceeds was funded by us and an amount equal to 2.0% of the gross offering proceeds was funded by our advisor. Effective March 1, 2017, our dealer manager generally received a dealer manager fee up to an amount equal to 1.5% of the gross offering proceeds from the sale of Class I shares pursuant to our primary offering, all of which was funded by our advisor. Our dealer manager may have entered into participating dealer agreements with participating dealers that provided for a reduction or waiver of dealer manager fees. To the extent that the dealer manager fee was less than 3.0% of the gross offering proceeds for any Class T shares sold and less than 1.5% of the gross offering proceeds for any Class I shares sold, such reduction was applied first to the portion of the dealer manager fee funded by our advisor. To the extent that any reduction in dealer manager fee exceeded the portion of the dealer manager fee funded by our advisor, such excess reduction was accompanied by a corresponding reduction in the applicable per share purchase price for purchases of such shares. No dealer manager fee was payable on shares of our common stock sold pursuant to the DRIP. Our dealer manager may have re-allowed all or a portion of these fees to participating broker-dealers. For the years ended December 31, 2018, 2017 and 2016, we incurred $2,364,000 , $2,844,000 and $1,106,000 , respectively, in dealer manager fees to our dealer manager. Such fees were charged to stockholders’ equity as such amounts were paid to our dealer manager or its affiliates from the gross proceeds of our offering. See Note 12, Related Party Transactions — Offering Stage — Dealer Manager Fee, for a further discussion of the dealer manager fee funded by our advisor. Stockholder Servicing Fee We pay our dealer manager a quarterly stockholder servicing fee with respect to our Class T shares sold as additional compensation to the dealer manager and participating broker-dealers. No stockholder servicing fee is paid with respect to Class I shares or shares of our common stock sold pursuant to the DRIP. The stockholder servicing fee accrues daily in an amount equal to 1/365th of 1.0% of the purchase price per share of our Class T shares sold in our primary offering and, in the aggregate will not exceed an amount equal to 4.0% of the gross proceeds from the sale of Class T shares in our primary offering. We will cease paying the stockholder servicing fee with respect to our Class T shares sold in our offering upon the occurrence of certain defined events. Our dealer manager may re-allow to participating broker-dealers all or a portion of the stockholder servicing fee for services that such participating broker-dealers perform in connection with the shares of our Class T common stock. By agreement with participating broker-dealers, such stockholder servicing fee may be reduced or limited. For the years ended December 31, 2018, 2017 and 2016, we incurred $8,069,000 , $10,421,000 and $4,052,000 , respectively, in stockholder servicing fees to our dealer manager. As of December 31, 2018 and 2017, we accrued $16,395,000 and $12,611,000 , respectively, in connection with the stockholder servicing fee payable, which is included in accounts payable and accrued liabilities with a corresponding offset to stockholders’ equity in our accompanying consolidated balance sheets.

Related Party Transactions

Related Party Transactions	12 Months Ended
	Dec. 31, 2018
Related Party Transactions [Abstract]
Related Party Transactions	12. Related Party Transactions Fees and Expenses Paid to Affiliates All of our executive officers and one of our non-independent directors are also executive officers and employees and/or holders of a direct or indirect interest in our advisor, one of our co-sponsors or other affiliated entities. We are affiliated with our advisor, American Healthcare Investors and AHI Group Holdings; however, we are not affiliated with Griffin Capital, our dealer manager, Colony Capital or Mr. Flaherty. We entered into the Advisory Agreement, which entitles our advisor and its affiliates to specified compensation for certain services, as well as reimbursement of certain expenses. Our board of directors, including a majority of our independent directors, has reviewed the material transactions between our affiliates and us during the year ended December 31, 2018. Set forth below is a description of the transactions with affiliates. We believe that we have executed all of the transactions set forth below on terms that are fair and reasonable to us and on terms no less favorable to us than those available from unaffiliated third parties. For the years ended December 31, 2018, 2017 and 2016, we incurred $22,355,000 , $17,650,000 and $9,112,000 , respectively, in fees and expenses to our affiliates as detailed below. Offering Stage Dealer Manager Fee With respect to shares of our Class T common stock, our dealer manager generally received a dealer manager fee of up to 3.0% of the gross offering proceeds from the sale of Class T shares of our common stock pursuant to our primary offering, of which 1.0% of the gross offering proceeds was funded by us and up to an amount equal to 2.0% of the gross offering proceeds was funded by our advisor. With respect to shares of our Class I common stock, prior to March 1, 2017, our dealer manager generally received a dealer manager fee up to 3.0% of the gross offering proceeds from the sale of Class I shares of our common stock pursuant to our primary offering, of which 1.0% of the gross offering proceeds was funded by us and an amount equal to 2.0% of the gross offering proceeds was funded by our advisor. Effective March 1, 2017, our dealer manager generally received a dealer manager fee up to an amount equal to 1.5% of the gross offering proceeds from the sale of Class I shares pursuant to our primary offering, all of which was funded by our advisor. Our dealer manager may have entered into participating dealer agreements with participating dealers that provided for a reduction or waiver of dealer manager fees. To the extent that the dealer manager fee was less than 3.0% of the gross offering proceeds for any Class T shares sold and less than 1.5% of the gross offering proceeds for any Class I shares sold, such reduction was applied first to the portion of the dealer manager fee funded by our advisor. To the extent that any reduction in dealer manager fee exceeded the portion of the dealer manager fee funded by our advisor, such excess reduction was accompanied by a corresponding reduction in the applicable per share purchase price for purchases of such shares. No dealer manager fee is payable on shares of our common stock sold pursuant to the DRIP. Our advisor intends to recoup the portion of the dealer manager fee it funds through the receipt of the Contingent Advisor Payment from us, as described below, through the payment of acquisition fees. For the years ended December 31, 2018, 2017 and 2016, we incurred $4,878,000 , $5,851,000 and $2,212,000 , respectively, payable to our advisor as part of the Contingent Advisor Payment in connection with the dealer manager fee that our advisor had incurred. Such fee was charged to stockholders’ equity as incurred with a corresponding offset to accounts payable due to affiliates in our accompanying consolidated balance sheets. See Note 11, Equity — Offering Costs — Dealer Manager Fee, for a further discussion of the dealer manager fee funded by us. Other Organizational and Offering Expenses Our other organizational and offering expenses in connection with our offering (other than selling commissions, the dealer manager fee and the stockholder servicing fee) are funded by our advisor. Our advisor intends to recoup such expenses it funds through the receipt of the Contingent Advisor Payment from us, as described below, through the payment of acquisition fees. Our other organizational and offering expenses will not exceed 1.0% of the gross offering proceeds for shares of our common stock sold pursuant to our primary offering. No other organizational and offering expenses will be paid with respect to shares of our common stock sold pursuant to the DRIP. For the years ended December 31, 2018, 2017 and 2016, we incurred $1,465,000 , $1,583,000 and $3,192,000 , respectively, payable to our advisor as part of the Contingent Advisor Payment in connection with the other organizational and offering expenses that our advisor had incurred. Such expenses were charged to stockholders’ equity as incurred with a corresponding offset to accounts payable due to affiliates in our accompanying consolidated balance sheets. Acquisition and Development Stage Acquisition Fee We pay our advisor an acquisition fee of up to 4.50% of the contract purchase price, including any contingent or earn-out payments that may be paid, of each property we acquire or, with respect to any real estate-related investment we originate or acquire, up to 4.25% of the origination or acquisition price, including any contingent or earn-out payments that may be paid. The 4.50% or 4.25% acquisition fees consist of a 2.25% or 2.00% base acquisition fee, or the base acquisition fee, for real estate and real estate-related acquisitions, respectively, and an additional 2.25% contingent advisor payment, or the Contingent Advisor Payment. The Contingent Advisor Payment allows our advisor to recoup the portion of the dealer manager fee and other organizational and offering expenses funded by our advisor. Therefore, the amount of the Contingent Advisor Payment paid upon the closing of an acquisition shall not exceed the then outstanding amounts paid by our advisor for dealer manager fees and other organizational and offering expenses at the time of such closing. For these purposes, the amounts paid by our advisor and considered as “outstanding” were reduced by the amount of the Contingent Advisor Payment previously paid. Notwithstanding the foregoing, the initial $7,500,000 of amounts paid by our advisor to fund the dealer manager fee and other organizational and offering expenses, or the Contingent Advisor Payment Holdback, was retained by us until February 2019, the termination of our last public offering and the third anniversary of the commencement date of our initial public offering, at which time such amount was paid to our advisor. Our advisor or its affiliates is entitled to receive these acquisition fees for properties and real estate-related investments acquired with funds raised in our offering, including acquisitions completed after the termination of the Advisory Agreement (including imputed leverage of 50.0% on funds raised in our offering), or funded with net proceeds from the sale of a property or real estate-related investment, subject to certain conditions. Our advisor may waive or defer all or a portion of the acquisition fee at any time and from time to time, in our advisor’s sole discretion. The base acquisition fee in connection with the acquisition of real estate investments accounted for as business combinations is expensed as incurred and included in acquisition related expenses in our accompanying consolidated statements of operations. The base acquisition fee in connection with the acquisition of properties accounted for as asset acquisitions or the acquisition of real estate-related investments is capitalized as part of the associated investment in our accompanying consolidated balance sheets. For the years ended December 31, 2018, 2017 and 2016, we paid base acquisition fees of $10,096,000 , $7,342,000 and $3,124,000 , respectively, to our advisor. As of December 31, 2018 and 2017, we recorded $7,866,000 and $7,744,000 , respectively, as part of the Contingent Advisor Payment, which is included in accounts payable due to affiliates with a corresponding offset to stockholders’ equity in our accompanying consolidated balance sheets. As of December 31, 2018 and 2017, we have paid $11,316,000 and $5,095,000 , respectively, in Contingent Advisor Payments to our advisor. For a further discussion of amounts paid in connection with the Contingent Advisor Payment, see “Dealer Manager Fee” and “Other Organizational and Offering Expenses,” above. In addition, see Note 3, Real Estate Investments, Net and Note 21, Subsequent Events , for a further discussion. Development Fee In the event our advisor or its affiliates provide development-related services, we pay our advisor or its affiliates a development fee in an amount that is usual and customary for comparable services rendered for similar projects in the geographic market where the services are provided; however, we will not pay a development fee to our advisor or its affiliates if our advisor or its affiliates elect to receive an acquisition fee based on the cost of such development. For the year ended December 31, 2018, we incurred development fees of $6,000 to our advisor. For the years ended December 31, 2017 and 2016, we did no t incur any development fees to our advisor or its affiliates. Reimbursement of Acquisition Expenses We reimburse our advisor or its affiliates for acquisition expenses related to selecting, evaluating and acquiring assets, which are reimbursed regardless of whether an asset is acquired. The reimbursement of acquisition expenses, acquisition fees, total development costs and real estate commissions paid to unaffiliated third parties will not exceed, in the aggregate, 6.0% of the contract purchase price of the property or real estate-related investments, unless fees in excess of such limits are approved by a majority of our directors, including a majority of our independent directors, not otherwise interested in the transaction. For the years ended December 31, 2018, 2017 and 2016, such fees and expenses paid did not exceed 6.0% of the contract purchase price of our property acquisitions, except with respect to our acquisitions of Auburn MOB, Pottsville MOB, Lafayette Assisted Living Portfolio, Athens MOB and Northern California Senior Housing Portfolio, which excess fees were approved by our directors as set forth above. For a further discussion, see Note 3, Real Estate Investments, Net . Reimbursements of acquisition expenses in connection with the acquisition of real estate investments accounted for as business combinations are expensed as incurred and included in acquisition related expenses in our accompanying consolidated statements of operations. Reimbursements of acquisition expenses in connection with the acquisition of properties accounted for as asset acquisitions or the acquisition of real estate-related investments are capitalized as part of the associated investment in our accompanying consolidated balance sheets. For each of the years ended December 31, 2018 and 2017, we incurred $2,000 in acquisition expenses to our advisor or its affiliates. We did no t incur any such acquisition expenses to our advisor or its affiliates for the year ended December 31, 2016. Operational Stage Asset Management Fee We pay our advisor or its affiliates a monthly fee for services rendered in connection with the management of our assets equal to one-twelfth of 0.80% of average invested assets. For such purposes, average invested assets means the average of the aggregate book value of our assets invested in real estate investments and real estate-related investments, before deducting depreciation, amortization, bad debt and other similar non-cash reserves, computed by taking the average of such values at the end of each month during the period of calculation. For the years ended December 31, 2018, 2017 and 2016, we incurred $4,975,000 , $2,344,000 and $151,000 , respectively, in asset management fees to our advisor. Our advisor agreed to waive certain asset management fees that may otherwise have been due to our advisor pursuant to the Advisory Agreement until such time as the amount of such waived asset management fees was equal to the amount of distributions payable to our stockholders for the period beginning on May 1, 2016 and ending on the date of the acquisition of our first property or real estate-related investment, as such terms are defined in the Advisory Agreement. We purchased our first property in June 2016. As such, the asset management fees of $80,000 that would have been incurred through December 2016 were waived by our advisor. Our advisor did not receive any additional securities, shares of our stock, or any other form of consideration or any repayment as a result of the waiver of such asset management fees. Asset management fees are included in general and administrative in our accompanying consolidated statements of operations. Property Management Fee American Healthcare Investors or its designated personnel may provide property management services with respect to our properties or may sub-contract these duties to any third party and provide oversight of such third-party property manager. We pay American Healthcare Investors a monthly management fee equal to a percentage of the gross monthly cash receipts of such property as follows: (i) a property management oversight fee of 1.0% of the gross monthly cash receipts of any stand-alone, single-tenant, net leased property, except for such properties operated utilizing a RIDEA structure, for which we pay a property management oversight fee of 1.5% of the gross monthly cash receipts with respect to such property; (ii) a property management oversight fee of 1.5% of the gross monthly cash receipts of any property that is not a stand-alone, single-tenant, net leased property and for which American Healthcare Investors or its designated personnel provide oversight of a third party that performs the duties of a property manager with respect to such property; or (iii) a fair and reasonable property management fee that is approved by a majority of our directors, including a majority of our independent directors, that is not less favorable to us than terms available from unaffiliated third parties for any property that is not a stand-alone, single-tenant, net leased property and for which American Healthcare Investors or its designated personnel directly serve as the property manager without sub-contracting such duties to a third party. Property management fees are included in property operating expenses and rental expenses in our accompanying consolidated statements of operations. For the years ended December 31, 2018, 2017 and 2016, we incurred property management fees of $ 746,000 , $381,000 and $47,000 , respectively, to American Healthcare Investors. Lease Fees We may pay our advisor or its affiliates a separate fee for any leasing activities in an amount not to exceed the fee customarily charged in arm’s-length transactions by others rendering similar services in the same geographic area for similar properties as determined by a survey of brokers and agents in such area. Such fee is generally expected to range from 3.0% to 6.0% of the gross revenues generated during the initial term of the lease. Lease fees are capitalized as lease commissions, which are included in other assets, net in our accompanying consolidated balance sheets, and amortized over the term of the lease. For the year ended December 31, 2018 and 2017, we incurred lease fees of $94,000 and $64,000 , respectively. For the year ended December 31, 2016, we did no t incur any lease fees to our advisor or its affiliates. Construction Management Fee In the event that our advisor or its affiliates assist with planning and coordinating the construction of any capital or tenant improvements, we pay our advisor or its affiliates a construction management fee of up to 5.0% of the cost of such improvements. Construction management fees are capitalized as part of the associated asset and included in real estate investments, net in our accompanying consolidated balance sheets or are expensed and included in our accompanying consolidated statements of operations, as applicable. For the year ended December 31, 2018 and 2017, we incurred construction management fees of $28,000 and $1,000 , respectively. For the year ended December 31, 2016, we did no t incur any construction management fees to our advisor or its affiliates. Operating Expenses We reimburse our advisor or its affiliates for operating expenses incurred in rendering services to us, subject to certain limitations. However, we cannot reimburse our advisor or its affiliates at the end of any fiscal quarter for total operating expenses that, in the four consecutive fiscal quarters then ended, exceed the greater of: (i) 2.0% of our average invested assets, as defined in the Advisory Agreement; or (ii) 25.0% of our net income, as defined in the Advisory Agreement, unless our independent directors determined that such excess expenses were justified based on unusual and nonrecurring factors which they deem sufficient. Our operating expenses as a percentage of average invested assets and as a percentage of net income were 1.2% and 28.3% , respectively, for the 12 months ended December 31, 2018; however, we did not exceed the aforementioned limitation. Our operating expenses as a percentage of average invested assets and as a percentage of net income were 1.3% and 27.9% , respectively, for the 12 months ended December 31, 2017; however, we did not exceed the aforementioned limitation. Our operating expenses as a percentage of average invested assets and as a percentage of net income were 3.3% and (27.5)% , respectively, for the 12 months ended December 31, 2016 and we exceeded the aforementioned limitation by $437,000 . During the early stages of our operations in 2016, our general and administrative expenses were relatively high compared with our net income and our average invested assets. Our board of directors determined that the relationship of our general and administrative expenses to our funds from operations and our average invested assets was justified for the 12 months ended December 31, 2016 given the costs of operating a public company and the early stages of our operations in 2016. For the years ended December 31, 2018, 2017 and 2016, our advisor incurred operating expenses on our behalf of $65,000 , $82,000 and $386,000 , respectively. Operating expenses are generally included in general and administrative in our accompanying consolidated statements of operations. Compensation for Additional Services We pay our advisor and its affiliates for services performed for us other than those required to be rendered by our advisor or its affiliates under the Advisory Agreement. The rate of compensation for these services has to be approved by a majority of our board of directors, including a majority of our independent directors, and cannot exceed an amount that would be paid to unaffiliated parties for similar services. For the years ended December 31, 2018, 2017 and 2016, our advisor and its affiliates were not compensated for any additional services. Liquidity Stage Disposition Fees For services relating to the sale of one or more properties, we pay our advisor or its affiliates a disposition fee up to the lesser of 2.0% of the contract sales price or 50.0% of a customary competitive real estate commission given the circumstances surrounding the sale, in each case as determined by our board of directors, including a majority of our independent directors, upon the provision of a substantial amount of the services in the sales effort. The amount of disposition fees paid, when added to the real estate commissions paid to unaffiliated parties, will not exceed the lesser of the customary competitive real estate commission or an amount equal to 6.0% of the contract sales price. For the years ended December 31, 2018, 2017 and 2016, we did not incur any disposition fees to our advisor or its affiliates. Subordinated Participation Interest Subordinated Distribution of Net Sales Proceeds In the event of liquidation, we will pay our advisor a subordinated distribution of net sales proceeds. The distribution will be equal to 15.0% of the remaining net proceeds from the sales of properties, after distributions to our stockholders, in the aggregate, of: (i) a full return of capital raised from stockholders (less amounts paid to repurchase shares of our common stock pursuant to our share repurchase plan); plus (ii) an annual 6.0% cumulative, non-compounded return on the gross proceeds from the sale of shares of our common stock, as adjusted for distributions of net sales proceeds. Actual amounts to be received depend on the sale prices of properties upon liquidation. For the years ended December 31, 2018, 2017 and 2016, we did not pay any such distributions to our advisor. Subordinated Distribution Upon Listing Upon the listing of shares of our common stock on a national securities exchange, in redemption of our advisor’s limited partnership units, we will pay our advisor a distribution equal to 15.0% of the amount by which: (i) the market value of our outstanding common stock at listing plus distributions paid prior to listing exceeds (ii) the sum of the total amount of capital raised from stockholders (less amounts paid to repurchase shares of our common stock pursuant to our share repurchase plan) and the amount of cash equal to an annual 6.0% cumulative, non-compounded return on the gross proceeds from the sale of shares of our common stock through the date of listing. Actual amounts to be received depend upon the market value of our outstanding stock at the time of listing, among other factors. For the years ended December 31, 2018, 2017 and 2016, we did not pay any such distributions to our advisor. Subordinated Distribution Upon Termination Pursuant to the Agreement of Limited Partnership, as amended, of our operating partnership upon termination or non-renewal of the Advisory Agreement, our advisor will also be entitled to a subordinated distribution in redemption of its limited partnership units from our operating partnership equal to 15.0% of the amount, if any, by which: (i) the appraised value of our assets on the termination date, less any indebtedness secured by such assets, plus total distributions paid through the termination date, exceeds (ii) the sum of the total amount of capital raised from stockholders (less amounts paid to repurchase shares of our common stock pursuant to our share repurchase plan) an d the total amount of cash equal to an annual 6.0% cumula tive, non-compounded return on the gross proceeds from the sale of shares of our common stock through the termination date. In addition, our advisor may elect to defer its right to receive a subordinated distribution upon termination until either a listing or other liquidity event, including a liquidation, sale of substantially all of our assets or merger in which our stockholders receive in exchange for their shares of our common stock, shares of a company that are traded on a national securities exchange. As of December 31, 2018 and 2017, we did not have any liability related to the subordinated distribution upon termination. Stock Purchase Plans On February 29, 2016, our Chief Executive Officer and Chairman of the Board of Directors, Jeffrey T. Hanson, our President and Chief Operating Officer, Danny Prosky, and our Executive Vice President and General Counsel, Mathieu B. Streiff, each executed stock purchase plans, or the 2016 Stock Purchase Plans, whereby they each irrevocably agreed to invest 100% of their net after-tax base salary and cash bonus compensation earned as employees of American Healthcare Investors directly into our company by purchasing shares of our Class T common stock. In addition, on February 29, 2016, three Executive Vice Presidents of American Healthcare Investors, including our Executive Vice President of Acquisitions, Stefan K.L. Oh, each executed similar 2016 Stock Purchase Plans whereby they each irrevocably agreed to invest a portion of their net after-tax base salary or a portion of their net after-tax base salary and cash bonus compensation, ranging from 10.0% to 15.0% , as employees of American Healthcare Investors directly into our company by purchasing shares of our Class T common stock. The 2016 Stock Purchase Plans terminated on December 31, 2016. Purchases of shares of our Class T common stock pursuant to the 2016 Stock Purchase Plans commenced after the initial release from escrow of the minimum offering amount, beginning with the officers’ regularly scheduled payroll payment on April 13, 2016. The shares of Class T common stock were purchased at a price of $9.60 per share, reflecting the purchase price of the shares in our offering, exclusive of selling commissions and the dealer manager fee. On December 30, 2016, Messrs. Hanson, Prosky and Streiff each executed stock purchase plans for the purchase of shares of our Class I common stock, or the 2017 Stock Purchase Plans, on terms similar to their 2016 Stock Purchase Plans. In addition, on December 30, 2016, Mr. Oh, as well as Wendie Newman and Christopher M. Belford, both of whom were appointed as our Executive Vice Presidents of Asset Management as of June 2017, each executed similar 2017 Stock Purchase Plans whereby they each irrevocably agreed to invest a portion of their net after-tax base salary or a portion of their net after-tax base salary and cash bonus compensation, ranging from 5.0% to 15.0% , earned as employees of American Healthcare Investors directly into our company by purchasing shares of our Class I common stock. The 2017 Stock Purchase Plans terminated on December 31, 2017. Purchases of shares of our Class I common stock pursuant to the 2017 Stock Purchase Plans commenced beginning with the officers’ regularly scheduled payroll payment on January 23, 2017. The shares of Class I common stock were purchased pursuant to the 2017 Stock Purchase Plans at a price of $9.21 per share, reflecting the purchase price of shares of Class I common stock offered to the public reduced by the dealer manager fees funded by us. No selling commissions, dealer manager fees (including the portion of such dealer manager fees funded by our advisor) or stockholder servicing fees were paid with respect to such sales of our Class I common stock pursuant to the 2017 Stock Purchase Plans. On December 31, 2017, Messrs. Hanson, Prosky, and Streiff each executed stock purchase plans for the purchase of shares of our Class I common stock, or the 2018 Stock Purchase Plans, on terms similar to their 2017 Stock Purchase Plans. In addition, on December 31, 2017, four Executive Vice Presidents of American Healthcare Investors, including Messrs. Oh and Belford, Ms. Newman and Brian S. Peay, our Chief Financial Officer, each executed similar 2018 Stock Purchase Plans whereby they each irrevocably agreed to invest a portion of their net after-tax base salary or a portion of their net after-tax base salary and cash bonus compensation, ranging from 5.0% to 15.0% , earned on or after January 1, 2018 as employees of American Healthcare Investors directly into shares of our Class I common stock. The 2018 Stock Purchase Plans terminated on December 31, 2018. Purchases of shares of our Class I common stock pursuant to the 2018 Stock Purchase Plans commenced beginning with the first regularly scheduled payroll payment on January 22, 2018. The shares of Class I common stock were purchased pursuant to the 2018 Stock Purchase Plans at a per share purchase price equal to the per share purchase price of our Class I common stock, which was $9.21 per share prior to April 11, 2018 and $9.65 per share effective as of April 11, 2018. No selling commissions, dealer manager fees (including the portion of such dealer manager fees funded by our advisor) or stockholder servicing fees were paid with respect to such sales of our Class I common stock pursuant to the 2018 Stock Purchase Plans. For the years ended December 31, 2018, 2017 and 2016, our officers invested the following amounts and we issued the following shares of our Class T and Class I common stock pursuant to the applicable stock purchase plan: Years Ended December 31, 2018 2017 2016 Officer’s Name Title Amount Shares Amount Shares Amount Shares Jeffrey T. Hanson Chief Executive Officer and Chairman of the Board of Directors $ 329,000 34,690 $ 263,000 28,464 $ 184,000 19,213 Danny Prosky President and Chief Operating Officer 352,000 37,111 272,000 29,480 204,000 21,265 Mathieu B. Streiff Executive Vice President and General Counsel 324,000 34,262 263,000 28,462 199,000 20,707 Brian S. Peay Chief Financial Officer 30,000 3,143 — — — — Stefan K.L. Oh Executive Vice President of Acquisitions 34,000 3,534 32,000 3,416 23,000 2,447 Christopher M. Belford Executive Vice President of Asset Management 55,000 5,866 65,000 7,014 18,000 1,828 Wendie Newman Executive Vice President of Asset Management 9,000 918 8,000 828 — — Total $ 1,133,000 119,524 $ 903,000 97,664 $ 628,000 65,460 Accounts Payable Due to Affiliates The following amounts were outstanding to our affiliates as of December 31, 2018 and 2017: December 31, Fee 2018 2017 Contingent Advisor Payment $ 7,866,000 $ 7,744,000 Asset management fees 595,000 316,000 Property management fees 97,000 43,000 Construction management fees 18,000 1,000 Operating expenses 6,000 6,000 Development fees 6,000 — Lease commissions — 8,000 Total $ 8,588,000 $ 8,118,000

Fair Value Measurements

Fair Value Measurements	12 Months Ended
	Dec. 31, 2018
Fair Value Disclosures [Abstract]
Fair Value Measurements	13. Fair Value Measurements Financial Instruments Disclosed at Fair Value Our accompanying consolidated balance sheets include the following financial instruments: cash and cash equivalents, accounts and other receivables, restricted cash, real estate deposits, accounts payable and accrued liabilities, accounts payable due to affiliates, mortgage loans payable and borrowings under the 2017 Credit Facility or 2018 Credit Facility. We consider the carrying values of cash and cash equivalents, accounts and other receivables, restricted cash, real estate deposits and accounts payable and accrued liabilities to approximate the fair values for these financial instruments based upon the short period of time between origination of the instruments and their expected realization. The fair value of accounts payable due to affiliates is not determinable due to the related party nature of the accounts payable. These financial assets and liabilities are measured at fair value on a recurring basis based on quoted prices in active markets for identical assets and liabilities, and therefore are classified as Level 1 in the fair value hierarchy. The fair value of our mortgage loans payable and the 2017 Credit Facility or 2018 Credit Facility is estimated using a discounted cash flow analysis using borrowing rates available to us for debt instruments with similar terms and maturities. We have determined that our mortgage loans payable and the 2017 Credit Facility or 2018 Credit Facility are classified in Level 2 within the fair value hierarchy as reliance is placed on inputs other than quoted prices that are observable, such as interest rates and yield curves. The carrying amounts and estimated fair values of such financial instruments as of December 31, 2018 and 2017 were as follows: December 31, 2018 2017 Carrying Fair Carrying Fair Financial Liabilities: Mortgage loans payable $ 16,892,000 $ 16,920,000 $ 11,567,000 $ 11,819,000 Line of credit and term loan $ 270,553,000 $ 275,124,000 $ 82,644,000 $ 84,088,000

Income Taxes and Distributions

Income Taxes and Distributions	12 Months Ended
	Dec. 31, 2018
Income Taxes and Distributions [Abstract]
Income Taxes and Distributions	14. Income Taxes and Distributions As a REIT, we generally will not be subject to federal income tax on taxable income that we distribute to our stockholders. We have elected to treat certain of our consolidated subsidiaries as wholly-owned TRSs pursuant to the Code. TRSs may participate in services that would otherwise be considered impermissible for REITs and are subject to federal and state income tax at regular corporate tax rates. On December 22, 2017, the U.S. government enacted comprehensive tax legislation pursuant to the Tax Act. The Tax Act makes broad and complex changes to the U.S. tax code, including, but not limited to, reducing the U.S. federal corporate tax rate to 21.0%, eliminating the corporate alternative minimum tax, or AMT, and changing rules related to uses and limitations of net operating loss carryforwards created in tax years beginning after December 31, 2017. We adopted ASU 2018-05 which allows us to record provisional amounts during the period of enactment. Any change to the provisional amounts would have been recorded as an adjustment to the provision for income taxes in the period the amounts are determined. The measurement period ends when we have obtained, prepared and analyzed the information necessary to finalize the provision, but cannot extend beyond one year of the enactment date. As of December 31, 2018, the measurement period has closed and there were no material changes to the provision for income taxes. The Tax Act is still unclear in some respects and could be subject to potential amendments and technical corrections. The federal income tax rules dealing with U.S. federal income taxation and REITs are constantly under review by persons involved in the legislative process, the IRS and the U.S. Treasury Department, which results in statutory changes as well as frequent revisions to regulations and interpretations. As a result, the long-term impact of the Tax Act on the overall economy, government revenues, our tenants, us, and the real estate industry cannot be reliably predicted at this time. We continue to work with our tax advisors to determine the full impact that the recent tax legislation as a whole will have on us. We did not incur income taxes for the years ended December 31, 2017 and 2016. The components of income tax expense for the period then ended is as follows: Year Ended December 31, 2018 Federal deferred $ (2,593,000 ) State deferred (675,000 ) State current 8,000 Valuation allowance 3,268,000 Total income tax expense $ 8,000 Current Income Tax Federal and state income taxes are generally a function of the level of income recognized by our TRSs. Deferred Taxes Deferred income tax is generally a function of the period’s temporary differences (primarily basis differences between tax and financial reporting for real estate assets and equity investments) and generation of tax net operating losses that may be realized in future periods depending on sufficient taxable income. We recognize the financial statement effects of an uncertain tax position when it is more likely than not, based on the technical merits of the tax position, that such a position will be sustained upon examination by the relevant tax authorities. If the tax benefit meets the “more likely than not” threshold, the measurement of the tax benefit will be based on our estimate of the ultimate tax benefit to be sustained if audited by the taxing authority. As of December 31, 2018 and 2017, we did not have any tax benefits or liabilities for uncertain tax positions that we believe should be recognized in our accompanying consolidated financial statements. We assess the available positive and negative evidence to estimate if sufficient future taxable income will be generated to use the existing deferred tax assets. A valuation allowance is established if we believe it is more likely than not that all or a portion of the deferred tax assets are not realizable. As of December 31, 2018 , our valuation allowance fully reserves the net deferred tax asset due to inherent uncertainty of future income. We will continue to monitor industry and economic conditions, and our ability to generate taxable income based on our business plan and available tax planning strategies, which would allow us to utilize the tax benefits of the net deferred tax assets and thereby allow us to reverse all, or a portion of, our valuation allowance in the future. Any increases or decreases to the deferred income tax assets or liabilities are reflected in income tax expense (benefit) in our accompanying consolidated statements of operations. We did not have deferred tax assets or liabilities as of December 31, 2016. The components of deferred tax assets as of December 31, 2018 and 2017 was as follows: Years Ended December 31, 2018 2017 Deferred income tax assets: Fixed assets & intangibles $ 2,484,000 $ 388,000 Expense accruals & other 469,000 (41,000 ) Net operating loss 791,000 129,000 Valuation allowances (3,744,000 ) (476,000 ) Total deferred income tax assets $ — $ — At December 31, 2018, we had a net operating loss, or NOL, carryforward of $2,983,000 related to the TRSs. These amounts can be used to offset future taxable income, if any. The NOL carryforwards that were incurred before January 1, 2018 begin to expire in 2037 with respect to the TRSs. The NOL carryforwards incurred after December 31, 2017 will be carried forward indefinitely. Tax Treatment of Distributions For federal income tax purposes, distributions to stockholders are characterized as ordinary income, capital gain distributions or nontaxable distributions. Nontaxable distributions will reduce U.S. stockholders’ basis (but not below zero) in their shares. The income tax treatment for distributions reportable for the years ended December 31, 2018, 2017 and 2016 was as follows: Years Ended December 31, 2018 2017 2016 Ordinary income $ 11,909,000 37.7 % $ 6,021,000 39.9 % $ — — % Capital gain — — — — — — Return of capital 19,673,000 62.3 9,055,000 60.1 1,345,000 100 $ 31,582,000 100 % $ 15,076,000 100 % $ 1,345,000 100 % Amounts listed above do not include distributions paid on nonvested shares of our restricted common stock which have been separately reported.

Future Minimum Rent

Future Minimum Rent	12 Months Ended
	Dec. 31, 2018
Future Minimum Rent [Abstract]
Future Minimum Rent	15. Future Minimum Rent Rental Income We have operating leases with tenants that expire at various dates through 2099 and in some cases are subject to scheduled fixed increases or adjustments based on a consumer price index. Generally, our leases grant tenants renewal options. Our leases also generally provide for additional rents based on certain operating expenses. Future minimum base rent contractually due under operating leases, excluding tenant reimbursements of certain costs, as of December 31, 2018 for each of the next five years ending December 31 and thereafter was as follows: Year Amount 2019 $ 52,764,000 2020 52,207,000 2021 50,886,000 2022 48,249,000 2023 44,397,000 Thereafter 290,103,000 Total $ 538,606,000 Rental Expense We have ground and other lease obligations that generally require fixed annual rental payments and may also include escalation clauses and renewal options. These leases expire at various dates through 2107, excluding extension options. Future minimum lease obligations under non-cancelable ground and other lease obligations as of December 31, 2018 for each of the next five years ending December 31 and thereafter was as follows: Year Amount 2019 $ 307,000 2020 307,000 2021 307,000 2022 307,000 2023 307,000 Thereafter 11,978,000 Total $ 13,513,000

Business Combinations

Business Combinations	12 Months Ended
	Dec. 31, 2018
Business Combinations [Abstract]
Business Combinations	16. Business Combinations For the years ended December 31, 2018 and 2017, none of our property acquisitions were accounted for as business combinations. See Note 3, Real Estate Investments, Net , for a discussion of our 2018 and 2017 property acquisitions accounted for as asset acquisitions. For the year ended December 31, 2016, using net proceeds from our offering and debt financing, we completed nine property acquisitions comprising 12 buildings, which were accounted for as business combinations. The aggregate contract purchase price for these property acquisitions was $138,820,000 , plus closing costs and base acquisition fees of $4,522,000 , which are included in acquisition related expenses in our accompanying consolidated statements of operations. In addition, we incurred Contingent Advisor Payments of $3,123,000 to our advisor for these property acquisitions. See Note 12, Related Party Transactions , for a further discussion of the Contingent Advisor Payment. Results of operations for our property acquisitions during the year ended December 31, 2016 are reflected in our accompanying consolidated statements of operations for the period from the date of acquisition of each property through December 31, 2016. For the period from the acquisition date through December 31, 2016, we recognized the following amounts of revenue and net income (loss) for the property acquisitions: Acquisition Revenue Net Income (Loss) Auburn MOB $ 432,000 $ 144,000 Pottsville MOB $ 311,000 $ 136,000 Charlottesville MOB $ 555,000 $ 203,000 Rochester Hills MOB $ 288,000 $ 35,000 Cullman MOB III $ 403,000 $ 151,000 Iron MOB Portfolio $ 701,000 $ 147,000 Mint Hill MOB $ 270,000 $ 75,000 Lafayette Assisted Living Portfolio $ 127,000 $ 73,000 Evendale MOB $ 69,000 $ (10,000 ) The following table summarizes the acquisition date fair values of the assets acquired and liabilities assumed of our nine property acquisitions in 2016: Auburn MOB Pottsville MOB Charlottesville Rochester Hills Cullman MOB Building and improvements $ 4,600,000 $ 7,050,000 $ 13,330,000 $ 5,763,000 $ 13,989,000 Land 406,000 1,493,000 4,768,000 1,727,000 — In-place leases 386,000 740,000 2,030,000 1,089,000 1,249,000 Leasehold interests — — — — 1,412,000 Total assets acquired 5,392,000 9,283,000 20,128,000 8,579,000 16,650,000 Mortgage loan payable, net — — — 4,129,000 — Below-market leases — 133,000 — 117,000 — Total liabilities assumed — 133,000 — 4,246,000 — Net assets acquired $ 5,392,000 $ 9,150,000 $ 20,128,000 $ 4,333,000 $ 16,650,000 Iron MOB Portfolio Mint Hill MOB Lafayette Assisted Living Portfolio Evendale MOB Building and improvements $ 25,050,000 $ 16,585,000 $ 12,469,000 $ 7,583,000 Land — — 2,308,000 1,620,000 In-place leases 2,563,000 1,705,000 1,973,000 1,199,000 Above-market leases 790,000 — — 20,000 Leasehold interests 2,953,000 2,047,000 — — Total assets acquired 31,356,000 20,337,000 16,750,000 10,422,000 Below-market leases 646,000 — — 227,000 Total liabilities assumed 646,000 — — 227,000 Net assets acquired $ 30,710,000 $ 20,337,000 $ 16,750,000 $ 10,195,000 Assuming the property acquisitions in 2016 discussed above had occurred on January 23, 2015 (Date of Inception), for the year ended December 31, 2016, unaudited pro forma revenue, net income, net income attributable to controlling interest and net income per Class T and Class I common share attributable to controlling interest — basic and diluted would have been as follows: (Unaudited) December 31, 2016 Revenue $ 14,654,000 Net income $ 207,700 Net income attributable to controlling interest $ 2,077,000 Net income per Class T and Class I common share attributable to controlling interest — basic and diluted $ 0.12 The unaudited pro forma adjustments assume that the offering proceeds, at a price of $10.00 per share, net of offering costs, were raised as of January 23, 2015 (Date of Inception). In addition, acquisition related expenses associated with the acquisitions have been excluded from the pro forma results in 2016. The pro forma results are not necessarily indicative of the operating results that would have been obtained had the acquisitions occurred at the beginning of the periods presented, nor are they necessarily indicative of future operating results.

Segment Reporting

Segment Reporting	12 Months Ended
	Dec. 31, 2018
Segment Reporting [Abstract]
Segment Reporting	17. Segment Reporting As of December 31, 2018 , we evaluated our business and made resource allocations based on four reportable business segments — medical office buildings, senior housing, senior housing — RIDEA and skilled nursing facilities. Our medical office buildings are typically leased to multiple tenants under separate leases in each building, thus requiring active management and responsibility for many of the associated operating expenses (although many of these are, or can effectively be, passed through to the tenants). Our senior housing facilities and skilled nursing facilities are primarily single-tenant properties for which we lease the facilities to unaffiliated tenants under “triple-net” and generally “master” leases that transfer the obligation for all facility operating costs (including maintenance, repairs, taxes, insurance and capital expenditures) to the tenant. Our senior housing — RIDEA properties include senior housing facilities that are owned and operated utilizing a RIDEA structure. We evaluate performance based upon segment net operating income. We define segment net operating income as total revenues, less rental expenses, which excludes depreciation and amortization, general and administrative expenses, acquisition related expenses, interest expense, loss from unconsolidated entity, other income and income tax expense for each segment. We believe that net income (loss), as defined by GAAP, is the most appropriate earnings measurement. However, we believe that segment net operating income serves as an appropriate supplemental performance measure to net income (loss) because it allows investors and our management to measure unlevered property-level operating results and to compare our operating results to the operating results of other real estate companies and between periods on a consistent basis. Interest expense, depreciation and amortization and other expenses not attributable to individual properties are not allocated to individual segments for purposes of assessing segment performance. Non-segment assets primarily consist of corporate assets including cash and cash equivalents, other receivables, real estate deposits and other assets not attributable to individual properties. Summary information for the reportable segments during the years ended December 31, 2018, 2017 and 2016 was as follows: Medical Office Senior Housing Senior Skilled Nursing Facilities Year Ended Revenues: Real estate revenue $ 34,339,000 $ 8,994,000 $ — $ 4,266,000 $ 47,599,000 Resident fees and services — — 36,857,000 — 36,857,000 Total revenues 34,339,000 8,994,000 36,857,000 4,266,000 84,456,000 Expenses: Rental expenses 9,934,000 1,214,000 — 351,000 11,499,000 Property operating expenses — — 30,023,000 — 30,023,000 Segment net operating income $ 24,405,000 $ 7,780,000 $ 6,834,000 $ 3,915,000 $ 42,934,000 Expenses: General and administrative $ 9,172,000 Acquisition related expenses 2,795,000 Depreciation and amortization 32,658,000 Other income (expense): Interest expense (including amortization of deferred financing costs and debt discount/premium) (6,788,000 ) Loss from unconsolidated entity (110,000 ) Other income 11,000 Loss before income taxes (8,578,000 ) Income tax expense (8,000 ) Net loss $ (8,586,000 ) Medical Office Senior Housing Senior Year Ended Revenues: Real estate revenue $ 22,320,000 $ 5,450,000 $ — $ 27,770,000 Resident fees and services — — 5,563,000 5,563,000 Total revenues 22,320,000 5,450,000 5,563,000 33,333,000 Expenses: Rental expenses 6,694,000 598,000 — 7,292,000 Property operating expenses — — 4,203,000 4,203,000 Segment net operating income $ 15,626,000 $ 4,852,000 $ 1,360,000 $ 21,838,000 Expenses: General and administrative $ 4,338,000 Acquisition related expenses 655,000 Depreciation and amortization 13,639,000 Other income (expense): Interest expense (including amortization of deferred financing costs and debt premium) (2,699,000 ) Other income 1,000 Net income $ 508,000 Medical Office Buildings Senior Housing Senior Housing — RIDEA Year Ended December 31, 2016 Revenue: Real estate revenue $ 3,029,000 $ 127,000 $ — $ 3,156,000 Expenses: Rental expenses 887,000 11,000 — 898,000 Segment net operating income $ 2,142,000 $ 116,000 $ — $ 2,258,000 Expenses: General and administrative $ 1,221,000 Acquisition related expenses 4,745,000 Depreciation and amortization 1,252,000 Other income (expense): Interest expense (including amortization of deferred financing costs and debt premium) (514,000 ) Net loss $ (5,474,000 ) Assets by reportable segment as of December 31, 2018 and 2017 were as follows: December 31, 2018 2017 Medical office buildings $ 417,708,000 $ 262,260,000 Senior housing 154,716,000 98,519,000 Senior housing — RIDEA 146,965,000 115,402,000 Skilled nursing 115,657,000 — Other 61,326,000 3,972,000 Total assets $ 896,372,000 $ 480,153,000

Concentration of Credit Risk

Concentration of Credit Risk	12 Months Ended
	Dec. 31, 2018
Concentration of Credit Risk [Abstract]
Concentration of Credit Risk	18. Concentration of Credit Risk Financial instruments that potentially subject us to a concentration of credit risk are primarily cash and cash equivalents, accounts and other receivables, restricted cash and real estate deposits. Cash and cash equivalents are generally invested in investment-grade, short-term instruments with a maturity of three months or less when purchased. We have cash and cash equivalents in financial institutions that are insured by the Federal Deposit Insurance Corporation, or FDIC. As of December 31, 2018 and 2017, we had cash and cash equivalents in excess of FDIC insured limits. We believe this risk is not significant. Concentration of credit risk with respect to accounts receivable from tenants is limited. In general, we perform credit evaluations of prospective tenants and security deposits are obtained at the time of property acquisition and upon lease execution. Based on leases in effect as of December 31, 2018 , three states in the United States accounted for 10.0% or more of our total property portfolio’s annualized base rent or annualized net operating income. Our properties located in Missouri, Michigan and Florida accounted for approximately 14.0% , 10.6% and 10.3% , respectively, of our total property portfolio’s annualized base rent or annualized net operating income. Accordingly, there is a geographic concentration of risk subject to fluctuations in each state’s economy. Based on leases in effect as of December 31, 2018, our four reportable business segments, medical office buildings, senior housing, skilled nursing facilities and senior housing — RIDEA accounted for 53.6% , 17.4% , 15.4% and 13.6% , respectively, of our total property portfolio’s annualized base rent or annualized net operating income. As of December 31, 2018 , we had one tenant that accounted for 10.0% or more of our total property portfolio’s annualized base rent or annualized net operating income, as follows: Tenant Annualized Percentage of Annualized Base Rent Acquisition Reportable Segment GLA Lease Expiration RC Tier Properties, LLC $ 7,629,000 12.5% Missouri SNF Portfolio Skilled Nursing 385,000 09/30/33 ___________ (1) Annualized base rent is based on contractual base rent from leases in effect as of December 31, 2018 . The loss of this tenant or its inability to pay rent could have a material adverse effect on our business and results of operations.

Per Share Data

Per Share Data	12 Months Ended
	Dec. 31, 2018
Per Share Data [Abstract]
Per Share Data	19. Per Share Data Basic earnings (loss) per share for all periods presented are computed by dividing net income (loss) applicable to common stock by the weighted average number of shares of our common stock outstanding during the period. Net income (loss) applicable to common stock is calculated as net income (loss) attributable to controlling interest less distributions allocated to participating securities of $19,000 , $12,000 and $5,000 for the years ended December 31, 2018, 2017 and 2016, respectively. Diluted earnings (loss) per share are computed based on the weighted average number of shares of our common stock and all potentially dilutive securities, if any. Nonvested shares of our restricted common stock and redeemable limited partnership units of our operating partnership are participating securities and give rise to potentially dilutive shares of our common stock. As of December 31, 2018 and 2017 , there were 37,500 and 27,000 nonvested shares, respectively, of our restricted common stock outstanding, but such shares were excluded from the computation of diluted earnings per share because such shares were anti-dilutive during these periods. As of December 31, 2018 and 2017, there were 208 units of redeemable limited partnership units of our operating partnership outstanding, but such units were excluded from the computation of diluted earnings per share because such units were anti-dilutive during these periods.

Selected Quarterly Financial Da

Selected Quarterly Financial Data (Unaudited)	12 Months Ended
	Dec. 31, 2018
Selected Quarterly Financial Data [Abstract]
Selected Quarterly Financial Data	20. Selected Quarterly Financial Data (Unaudited) Set forth below is the unaudited selected quarterly financial data. We believe that all necessary adjustments, consisting only of normal recurring adjustments, have been included in the amounts stated below to present fairly, and in accordance with GAAP, the unaudited selected quarterly financial data when read in conjunction with our consolidated financial statements. Quarters Ended December 31, 2018 September 30, 2018 June 30, 2018 March 31, 2018 Revenues $ 25,323,000 $ 22,281,000 $ 19,010,000 $ 17,842,000 Expenses (25,961,000 ) (22,384,000 ) (18,808,000 ) (18,994,000 ) Other expense (3,047,000 ) (1,596,000 ) (1,160,000 ) (1,084,000 ) Income tax expense (4,000 ) (4,000 ) — — Net loss (3,689,000 ) (1,703,000 ) (958,000 ) (2,236,000 ) Less: net loss attributable to redeemable noncontrolling interests 35,000 72,000 58,000 67,000 Net loss attributable to controlling interest $ (3,654,000 ) $ (1,631,000 ) $ (900,000 ) $ (2,169,000 ) Net loss per Class T and Class I common share attributable to controlling interest — basic and diluted $ (0.06 ) $ (0.03 ) $ (0.02 ) $ (0.05 ) Weighted average number of Class T and Class I common shares outstanding — basic and diluted 64,954,525 57,769,964 51,277,753 45,136,647 Quarters Ended December 31, 2017 September 30, 2017 June 30, 2017 March 31, 2017 Revenues $ 14,595,000 $ 8,488,000 $ 6,198,000 $ 4,052,000 Expenses (14,285,000 ) (6,954,000 ) (5,169,000 ) (3,719,000 ) Other expense (1,092,000 ) (780,000 ) (408,000 ) (418,000 ) Net (loss) income (782,000 ) 754,000 621,000 (85,000 ) Less: net loss income attributable to redeemable noncontrolling interest 33,000 — — — Net (loss) income attributable to controlling interest $ (749,000 ) $ 754,000 $ 621,000 $ (85,000 ) Net (loss) income per Class T and Class I common share attributable to controlling interest — basic and diluted $ (0.02 ) $ 0.02 $ 0.03 $ (0.01 ) Weighted average number of Class T and Class I common shares outstanding — basic and diluted 39,409,207 32,593,321 24,035,973 14,655,107

Subsequent Events

Subsequent Events	12 Months Ended
	Dec. 31, 2018
Subsequent Events [Abstract]
Subsequent Events	21. Subsequent Events Interest Rate Swaps On February 5, 2019, we, through our operating partnership, entered into interest rate swap transactions with Citizens Bank; Comerica Bank; Fifth Third Financial Risk Solutions, a division of Fifth Third Bank, an Ohio banking corporation, or Fifth Third; and The Huntington National Bank, or Huntington, or collectively referred to herein as the Swaps. We entered into the Swaps to fix and mitigate the risk associated with $250,000,000 of our floating rate term loan (without incurring substantial prepayment penalties or defeasance costs typically associated with fixed rate indebtedness) under our existing 2018 Credit Facility. The Swaps have a trade date of February 5, 2019, an effective date of February 11, 2019 and a termination date of November 19, 2021. Beginning on March 11, 2019, we are required to make monthly fixed rate payments while the counterparties are obligated to make monthly floating rate payments based on London Interbank Offered Rate. The following is a summary of the Swaps: Financial Institution Interest Rate Notional Amount Citizens Bank 2.49% $ 139,500,000 Comerica Bank 2.49% 36,700,000 Fifth Third 2.49% 58,800,000 Huntington 2.53% 15,000,000 $ 250,000,000 We may, subject to certain limitations, modify or terminate any of the foregoing Swaps or enter into additional swap transactions in the future from time to time. Notwithstanding the terms of the Swaps, our operating partnership remains ultimately obligated for all amounts due and payable under the 2018 Credit Facility in accordance with the terms thereof. Property Acquisition Subsequent to December 31, 2018, we completed one property acquisition comprising one building from an unaffiliated third party. The following is a summary of our property acquisition subsequent to December 31, 2018: Acquisition(1) Location Type Date Acquired Contract Purchase Price Total Acquisition Fee(2) Lithonia MOB Lithonia, GA Medical Office 03/05/19 $ 10,600,000 $ 477,000 ___________ (1) We own 100% of our property acquired subsequent to December 31, 2018. (2) Our advisor was paid, as compensation for services rendered in connection with the investigation, selection and acquisition of our property, a base acquisition fee of 2.25% of the portion of the aggregate contract purchase price paid by us. In addition, the total acquisition fee includes a Contingent Advisor Payment, as defined in Note 12, Related Party Transactions , in the amount of 2.25% of the portion of the aggregate contract purchase price paid by us. See Note 12, Related Party Transactions — Acquisition and Development Stage — Acquisition Fee, for a further discussion.

Schedule III Real Estate and Ac

Schedule III Real Estate and Accumulated Depreciation	12 Months Ended
	Dec. 31, 2018
Sch III Real Estate and Accumulated Depreciation [Abstract]
SEC Schedule III, Real Estate and Accumulated Depreciation Disclosure	Initial Cost to Company Gross Amount of Which Carried at Close of Period(d) Description(a) Encumbrances Land Buildings and Improvements Cost Capitalized Subsequent to Acquisition(b) Land Buildings and Improvements Total(c) Accumulated Depreciation (e)(f) Date of Construction Date Acquired Auburn MOB (Medical Office) Auburn, CA $ — $ 406,000 $ 4,600,000 $ 65,000 $ 406,000 $ 4,665,000 $ 5,071,000 $ (407,000 ) 1997 06/28/16 Pottsville MOB (Medical Office) Pottsville, PA — 1,493,000 7,050,000 78,000 1,493,000 7,128,000 8,621,000 (630,000 ) 2004 09/16/16 Charlottesville MOB (Medical Office) Charlottesville, VA — 4,768,000 13,330,000 51,000 4,768,000 13,381,000 18,149,000 (1,102,000 ) 2001 09/22/16 Rochester Hills MOB (Medical Office) Rochester Hills, MI 3,385,000 1,727,000 5,763,000 65,000 1,727,000 5,828,000 7,555,000 (541,000 ) 1990 09/29/16 Cullman MOB III (Medical Office) Cullman, AL — — 13,989,000 48,000 — 14,037,000 14,037,000 (934,000 ) 2010 09/30/16 Iron MOB Portfolio (Medical Office) Cullman, AL — — 10,237,000 635,000 — 10,872,000 10,872,000 (894,000 ) 1994 10/13/16 Cullman, AL — — 6,906,000 110,000 — 7,016,000 7,016,000 (639,000 ) 1998 10/13/16 Sylacauga, AL — — 7,907,000 63,000 — 7,970,000 7,970,000 (510,000 ) 1997 10/13/16 Mint Hill MOB (Medical Office) Mint Hill, NC — — 16,585,000 1,100,000 — 17,685,000 17,685,000 (1,465,000 ) 2007 11/14/16 Lafayette Assisted Living Portfolio (Senior Housing) Lafayette, LA — 1,328,000 8,225,000 70,000 1,327,000 8,296,000 9,623,000 (508,000 ) 1996 12/01/16 Lafayette, LA — 980,000 4,244,000 — 980,000 4,244,000 5,224,000 (281,000 ) 2014 12/01/16 Evendale MOB (Medical Office) Evendale, OH — 1,620,000 7,583,000 606,000 1,620,000 8,189,000 9,809,000 (696,000 ) 1988 12/13/16 Battle Creek MOB (Medical Office) Battle Creek, MI — 960,000 5,717,000 99,000 960,000 5,816,000 6,776,000 (545,000 ) 1996 03/10/17 Reno MOB (Medical Office) Reno, NV — — 64,718,000 297,000 — 65,015,000 65,015,000 (3,384,000 ) 2005 03/13/17 Athens MOB Portfolio (Medical Office) Athens, GA — 809,000 5,227,000 422,000 809,000 5,649,000 6,458,000 (335,000 ) 2006 05/18/17 Athens, GA — 1,084,000 8,772,000 109,000 1,084,000 8,881,000 9,965,000 (475,000 ) 2006 05/18/17 SW Illinois Senior Housing Portfolio (Senior Housing) Columbia, IL — 1,086,000 9,651,000 3,000 1,086,000 9,654,000 10,740,000 (541,000 ) 2007 05/22/17 Columbia, IL — 121,000 1,656,000 — 121,000 1,656,000 1,777,000 (83,000 ) 1999 05/22/17 Millstadt, IL — 203,000 3,827,000 — 203,000 3,827,000 4,030,000 (185,000 ) 2004 05/22/17 Red Bud, IL — 198,000 3,553,000 51,000 198,000 3,604,000 3,802,000 (178,000 ) 2006 05/22/17 Waterloo, IL — 470,000 8,369,000 — 470,000 8,369,000 8,839,000 (390,000 ) 2012 05/22/17 Lawrenceville MOB (Medical Office) Lawrenceville, GA 7,862,000 1,363,000 9,099,000 5,000 1,363,000 9,104,000 10,467,000 (538,000 ) 2005 06/12/17 Northern California Senior Housing Portfolio (Senior Housing) Belmont, CA — 10,760,000 13,631,000 — 10,760,000 13,631,000 24,391,000 (603,000 ) 1958/2000 06/28/17 Fairfield, CA — 317,000 6,584,000 — 317,000 6,584,000 6,901,000 (304,000 ) 1974 06/28/17 Menlo Park, CA — 5,188,000 2,177,000 5,000 5,188,000 2,182,000 7,370,000 (95,000 ) 1945 06/28/17 Sacramento, CA — 1,266,000 2,818,000 702,000 1,266,000 3,520,000 4,786,000 (151,000 ) 1978 06/28/17 Roseburg MOB (Medical Office) Roseburg, OR — — 20,925,000 34,000 — 20,959,000 20,959,000 (990,000 ) 2003 06/29/17 Initial Cost to Company Gross Amount of Which Carried at Close of Period(d) Description(a) Encumbrances Land Buildings and Improvements Cost Capitalized Subsequent to Acquisition(b) Land Buildings and Improvements Total(c) Accumulated Depreciation (e)(f) Date of Construction Date Acquired Fairfield County MOB Portfolio (Medical Office) Stratford, CT $ — $ 1,011,000 $ 3,538,000 $ 295,000 $ 1,011,000 $ 3,833,000 $ 4,844,000 $ (257,000 ) 1963 09/29/17 Trumbull, CT — 2,250,000 6,879,000 412,000 2,250,000 7,291,000 9,541,000 (409,000 ) 1987 09/29/17 Central Florida Senior Housing Portfolio (Senior Housing — RIDEA) Bradenton, FL — 1,058,000 5,118,000 479,000 1,058,000 5,597,000 6,655,000 (237,000 ) 1973/1983 11/01/17 Brooksville, FL — 1,377,000 10,217,000 182,000 1,378,000 10,398,000 11,776,000 (526,000 ) 1960/2007 11/01/17 Brooksville, FL — 934,000 6,550,000 318,000 934,000 6,868,000 7,802,000 (278,000 ) 2008 11/01/17 Lake Placid, FL — 949,000 3,476,000 182,000 950,000 3,657,000 4,607,000 (173,000 ) 2008 11/01/17 Lakeland, FL — 528,000 17,541,000 555,000 529,000 18,095,000 18,624,000 (576,000 ) 1985 11/01/17 Pinellas Park, FL — 1,118,000 9,005,000 583,000 1,118,000 9,588,000 10,706,000 (413,000 ) 2016 11/01/17 Sanford, FL — 2,782,000 10,019,000 538,000 2,783,000 10,556,000 13,339,000 (412,000 ) 1984 11/01/17 Spring Hill, FL — 930,000 6,241,000 386,000 930,000 6,627,000 7,557,000 (260,000 ) 1988 11/01/17 Winter Haven, FL — 3,118,000 21,973,000 1,061,000 3,119,000 23,033,000 26,152,000 (1,052,000 ) 1984 11/01/17 Central Wisconsin Senior Care Portfolio (Skilled Nursing) Sun Prairie, WI — 586,000 3,487,000 — 586,000 3,487,000 4,073,000 (102,000 ) 1960/2006 03/01/18 Waunakee, WI — 1,930,000 14,352,000 — 1,930,000 14,352,000 16,282,000 (421,000 ) 1974/2005 03/01/18 Sauk Prairie MOB (Medical Office) Prairie du Sac, WI — 2,154,000 15,194,000 — 2,154,000 15,194,000 17,348,000 (443,000 ) 2014 04/09/18 Surprise MOB (Medical Office) Surprise, AZ — 1,759,000 9,037,000 30,000 1,759,000 9,067,000 10,826,000 (225,000 ) 2012 04/27/18 Southfield MOB (Medical Office) Southfield, MI 6,009,000 1,639,000 12,907,000 8,000 1,639,000 12,915,000 14,554,000 (364,000 ) 1975/2014 05/11/18 Pinnacle Beaumont ALF (Senior Housing — RIDEA) Beaumont, TX — 1,586,000 17,483,000 23,000 1,586,000 17,506,000 19,092,000 (246,000 ) 2012 07/01/18 Grand Junction MOB (Medical Office) Grand Junction, CO — 1,315,000 27,528,000 — 1,315,000 27,528,000 28,843,000 (433,000 ) 2013 07/06/18 Edmonds MOB (Medical Office) Edmonds, WA — 4,167,000 16,770,000 — 4,167,000 16,770,000 20,937,000 (223,000 ) 1991/2008 07/30/18 Pinnacle Warrenton ALF (Senior Housing — RIDEA) Warrenton, MO — 462,000 7,125,000 83,000 462,000 7,208,000 7,670,000 (93,000 ) 1986 08/01/18 Glendale MOB (Medical Office) Glendale, WI — 794,000 5,541,000 563,000 794,000 6,104,000 6,898,000 (131,000 ) 2004 08/13/18 Missouri SNF Portfolio (Skilled Nursing) Kansas City, MO — 1,710,000 10,699,000 — 1,710,000 10,699,000 12,409,000 (97,000 ) 1974 09/28/18 Salisbury, MO — 252,000 7,581,000 — 252,000 7,581,000 7,833,000 (61,000 ) 1970 09/28/18 Florissant, MO — 1,064,000 9,301,000 — 1,064,000 9,301,000 10,365,000 (77,000 ) 1987 09/28/18 Trenton, MO — 122,000 4,507,000 — 122,000 4,507,000 4,629,000 (35,000 ) 1967 09/28/18 Sedalia, MO — 266,000 22,397,000 — 266,000 22,397,000 22,663,000 (159,000 ) 1975 09/28/18 Milan, MO — 181,000 5,972,000 — 181,000 5,972,000 6,153,000 (48,000 ) 1980 09/28/18 Missouri, MO — 473,000 9,856,000 — 473,000 9,856,000 10,329,000 (78,000 ) 1963 09/28/18 St. Elizabeth, MO — 329,000 4,282,000 — 329,000 4,282,000 4,611,000 (36,000 ) 1981 09/28/18 Initial Cost to Company Gross Amount of Which Carried at Close of Period(d) Description(a) Encumbrances Land Buildings and Improvements Cost Capitalized Subsequent to Acquisition(b) Land Buildings and Improvements Total(c) Accumulated Depreciation (e)(f) Date of Construction Date Acquired Flemington MOB Portfolio (Medical Office) Flemington, NJ $ — $ 1,473,000 $ 10,728,000 $ — $ 1,473,000 $ 10,728,000 $ 12,201,000 $ (33,000 ) 2002 11/29/2018 Flemington, NJ — 586,000 2,949,000 — 586,000 2,949,000 3,535,000 (10,000 ) 1993 11/29/2018 Lawrenceville MOB II (Medical Office) Lawrenceville, GA — 1,000,000 7,737,000 — 1,000,000 7,737,000 8,737,000 — 1990 12/19/2018 Mill Creek MOB (Medical Office) Mill Creek, WA — 1,452,000 5,935,000 — 1,452,000 5,935,000 7,387,000 — 1991 12/21/2018 Modesto MOB (Medical Office) Modesto, CA — — 12,789,000 — — 12,789,000 12,789,000 — 1991/2016 12/28/2018 Michigan ALF Portfolio (Senior Housing) Lansing, MI — 1,175,000 12,052,000 — 1,175,000 12,052,000 13,227,000 — 1988/2015 12/28/2018 Holland, MI — 799,000 6,984,000 — 799,000 6,984,000 7,783,000 — 2007/2017 12/28/2018 Howell, MI — 728,000 5,404,000 — 728,000 5,404,000 6,132,000 — 2003 12/28/2018 Grand Rapids, MI — 1,334,000 8,422,000 — 1,334,000 8,422,000 9,756,000 — 1953/2016 12/28/2018 Wyoming, MI — 1,542,000 12,873,000 — 1,542,000 12,873,000 14,415,000 — 1964/2016 12/28/2018 $ 17,256,000 $ 83,080,000 $ 663,592,000 $ 10,316,000 $ 83,084,000 $ 673,904,000 $ 756,988,000 $ (25,312,000 ) ________________ (a) We own 100% of our properties as of December 31, 2018, with the exception of Central Florida Senior Housing Portfolio, Pinnacle Beaumont ALF and Pinnacle Warrenton ALF. (b) The cost capitalized subsequent to acquisition is shown net of dispositions. (c) The changes in total real estate for the years ended December 31, 2018, 2017 and 2016 are as follows: Amount Balance — December 31, 2015 $ — Acquisitions 118,741,000 Additions 23,000 Dispositions — Balance — December 31, 2016 $ 118,764,000 Acquisitions $ 307,384,000 Additions 2,476,000 Dispositions (74,000 ) Balance — December 31, 2017 $ 428,550,000 Acquisitions $ 320,822,000 Additions 8,985,000 Dispositions (1,369,000 ) Balance — December 31, 2018 $ 756,988,000 (d) As of December 31, 2018 , for federal income tax purposes, the aggregate cost of our properties is $841,468,000 . (e) The changes in accumulated depreciation for the years ended December 31, 2018, 2017 and 2016 are as follows: Amount Balance — December 31, 2015 $ — Additions 822,000 Dispositions — Balance — December 31, 2016 $ 822,000 Additions $ 8,090,000 Dispositions (27,000 ) Balance — December 31, 2017 $ 8,885,000 Additions $ 16,672,000 Dispositions (245,000 ) Balance — December 31, 2018 $ 25,312,000 (f) The cost of buildings and capital improvements is depreciated on a straight-line basis over the estimated useful lives of the buildings and capital improvements, up to 39 years , and the cost for tenant improvements is depreciated over the shorter of the lease term or useful life, up to 14 years . Furniture, fixtures and equipment is depreciated over the estimated useful life, up to 10 years .

Summary of Significant Accoun_2

Summary of Significant Accounting Policies (Policies)	12 Months Ended
	Dec. 31, 2018
Accounting Policies [Abstract]
Basis of Accounting, Policy	Basis of Presentation Our accompanying consolidated financial statements include our accounts and those of our operating partnership and the wholly owned subsidiaries of our operating partnership, as well as any variable interest entities, or VIEs, in which we are the primary beneficiary. We evaluate our ability to control an entity, and whether the entity is a VIE and of which we are the primary beneficiary, by considering substantive terms of the arrangement and identifying which enterprise has the power to direct the activities of the entity that most significantly impacts the entity’s economic performance. We operate and intend to continue to operate in an umbrella partnership REIT structure in which our operating partnership, or wholly owned subsidiaries of our operating partnership, will own substantially all of the interests in properties acquired on our behalf. We are the sole general partner of o ur operating partnership, Because we are the sole general partner of our operating partnership and have unilateral control over its management and major operating decisions (even if additional limited partners are admitted to our operating partnership), the accounts of our operating partnership are consolidated in our consolidated financial statements. All intercompany accounts and transactions are eliminated in consolidation.
Use of Estimates	Use of Estimates The preparation of our accompanying consolidated financial statements in conformity with GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, as well as the disclosure of contingent assets and liabilities, at the date of our consolidated financial statements and the reported amounts of revenues and expenses during the reporting period. Significant items subject to such estimates and assumptions include, but are not limited to, the initial and recurring valuation of certain assets acquired and liabilities assumed through property acquisitions, allowance for uncollectible accounts, impairment of long-lived assets and contingencies. These estimates are made and evaluated on an on-going basis using information that is currently available as well as various other assumptions believed to be reasonable under the circumstances. Actual results could differ from those estimates, perhaps in material adverse ways, and those estimates could be different under different assumptions or conditions.
Cash, Cash Equivalents and Restricted Cash	Cash, Cash Equivalents and Restricted Cash Cash and cash equivalents consist of all highly liquid investments with a maturity of three months or less when purchased. Restricted cash primarily comprises lender required accounts for property taxes, tenant improvements, capital improvements and insurance which are restricted as to use or withdrawal.
Revenue Recognition, Tenant Receivables and Allowance for Uncollectible Accounts	Disaggregation of Resident Fees and Services Revenue We disaggregate revenue from contracts with customers according to lines of business and payor classes. The transfer of goods and services may occur at a point in time or over time; in other words, revenue may be recognized over the course of the underlying contract, or may occur at a single point in time based upon a single transfer of control. This distinction is discussed in further detail below. We determine that disaggregating revenue into these categories achieves the disclosure objective to depict how the nature, amount, timing and uncertainty of revenue and cash flows are affected by economic factors. Revenue Recognition In May 2014, the Financial Accounting Standards Board, or FASB, issued Accounting Standards Update, or ASU, 2014-09, Revenue from Contracts with Customers , which has been codified to Accounting Standards Codification, or ASC, Topic 606. We evaluate all of our revenue streams to identify whether each revenue stream would be subject to the provisions of ASC Topic 606 and whether there are any differences in the timing, measurement or presentation of revenue recognition. Based on a review of our various revenue streams, certain components of resident fees and services, such as revenues that are ancillary to the contractual rights of residents within our senior housing facilities operated utilizing a RIDEA structure, are subject to ASC Topic 606. While these revenue streams are subject to the provisions of ASC Topic 606, we believe that the pattern and timing of recognition of income are consistent with the previous accounting model. Virtually all resident fees and services are earned over a period of time and the majority of these revenues are paid by private payor types with the residual being paid by Medicaid. We adopted ASC Topic 606 on January 1, 2018 using the modified retrospective adoption method and the adoption did not have a material impact on our consolidated financial statements.
Tenant and Resident Receivables and Allowance for Uncollectible Accounts	Tenant and Resident Receivables and Allowance for Uncollectible Accounts Tenant and resident receivables and unbilled deferred rent receivables are carried net of an allowance for uncollectible amounts. An allowance is maintained for estimated losses resulting from the inability of certain tenants, residents and payors to meet the contractual obligations under their lease or service agreements. We also maintain an allowance for deferred rent receivables arising from the straight line recognition of rents. Such allowances are charged to bad debt expense, which is included in general and administrative in our accompanying consolidated statements of operations. Our determination of the adequacy of these allowances is based primarily upon evaluations of historical loss experience, the tenant’s or resident’s financial condition, security deposits, letters of credit, lease guarantees, cash collection patterns by payor and by state, current economic conditions and other relevant factors.
Property Acquisitions	Property Acquisitions In accordance with ASC Topic 805, Business Combinations , or ASC Topic 805, and ASU 2017-01, Clarifying the Definition of a Business , or ASU 2017-01, we determine whether a transaction is a business combination, which requires that the assets acquired and liabilities assumed constitute a business. If the assets acquired and liabilities assumed are not a business, we account for the transaction as an asset acquisition. Under both methods, we recognize the identifiable assets acquired and liabilities assumed; however, for a transaction accounted for as an asset acquisition, we allocate the purchase price to the identifiable assets acquired and liabilities assumed based on their relative fair values. We immediately expense acquisition related expenses associated with a business combination and capitalize acquisition related expenses directly associated with an asset acquisition. As a result of our early adoption of ASU 2017-01 on January 1, 2017, we accounted for the 15 and nine property acquisitions we completed for the years ended December 31, 2018 and 2017, respectively, as asset acquisitions rather than business combinations. See Note 3, Real Estate Investments, Net, for a further discussion. For year ended December 31, 2016, we completed nine property acquisitions, which we accounted for as business combinations. See Note 16, Business Combinations, for a further discussion. We, with assistance from independent valuation specialists, measure the fair value of tangible and identified intangible assets and liabilities, as applicable, based on their respective fair values for acquired properties. Our method for allocating the purchase price to acquired investments in real estate requires us to make subjective assessments for determining fair value of the assets acquired and liabilities assumed. This includes determining the value of the buildings, land, leasehold interests, furniture, fixtures and equipment, above- or below-market rent, in-place leases, master leases, above- or below-market debt assumed and derivative financial instruments assumed. These estimates require significant judgment and in some cases involve complex calculations. These allocation assessments directly impact our results of operations, as amounts allocated to certain assets and liabilities have different depreciation or amortization lives. In addition, we amortize the value assigned to above- or below-market rent as a component of revenue, unlike in-place leases and other intangibles, which we include in depreciation and amortization in our accompanying consolidated statements of operations. The determination of the fair value of land is based upon comparable sales data. In cases where a leasehold interest in the land is acquired, only the above/below market consideration is necessary where this value is determined by discounting the difference between the contract ground lease payments and a market ground lease payment back to a present value as of the acquisition date. The fair value of buildings is based upon our determination of the value under two methods: one, as if it were to be replaced and vacant using cost data and, two, also using a residual technique based on discounted cash flow models, as vacant. Factors considered by us include an estimate of carrying costs during the expected lease-up periods considering current market conditions and costs to execute similar leases. We also recognize the fair value of furniture, fixtures and equipment on the premises, as well as the above- or below-market rent, the value of in-place leases, master leases, above- or below-market debt and derivative financial instruments assumed. The value of the above- or below-market component of the acquired in-place leases is determined based upon the present value (using a discount rate that reflects the risks associated with the acquired leases) of the difference between: (i) the level payment equivalent of the contract rent paid pursuant to the lease; and (ii) our estimate of market rent payments taking into account rent steps throughout the lease. In the case of leases with options, a case-by-case analysis is performed based on all facts and circumstances of the specific lease to determine whether the option will be assumed to be exercised. The amounts related to above-market leases are included in identified intangible assets, net in our accompanying consolidated balance sheets and are amortized against real estate revenue over the remaining non-cancelable lease term of the acquired leases with each property. The amounts related to below-market leases are included in identified intangible liabilities, net in our accompanying consolidated balance sheets and are amortized to real estate revenue over the remaining non-cancelable lease term plus any below-market renewal options of the acquired leases with each property. The value of in-place lease costs are based on management’s evaluation of the specific characteristics of the tenant’s lease and our overall relationship with the tenants. Characteristics considered by us in allocating these values include the nature and extent of the credit quality and expectations of lease renewals, among other factors. The in-place lease intangible represents the value related to the economic benefit for acquiring a property with in-place leases as opposed to a vacant property, which is evaluated based on a review of comparable leases for a similar property, terms and conditions for marketing and executing new leases, and implied in the difference between the value of the whole property “as is” and “as vacant.” The net amounts related to in-place lease costs are included in identified intangible assets, net in our accompanying consolidated balance sheets and are amortized to depreciation and amortization expense over the average downtime of the acquired leases with each property. The net amounts related to the value of tenant relationships, if any, are included in identified intangible assets, net in our accompanying consolidated balance sheets and are amortized to depreciation and amortization expense over the average remaining non-cancelable lease term of the acquired leases plus the market renewal lease term. The value of a master lease, if any, in which a previous owner or a tenant is relieved of specific rental obligations as additional space is leased, is determined by discounting the expected real estate revenue associated with the master lease space over the assumed lease-up period. The value of above- or below-market debt is determined based upon the present value of the difference between the cash flow stream of the assumed mortgage and the cash flow stream of a market rate mortgage at the time of assumption. The net value of above- or below-market debt is included in mortgage loans payable, net in our accompanying consolidated balance sheets and is amortized to interest expense over the remaining term of the assumed mortgage. The value of derivative financial instruments, if any, is determined in accordance with ASC Topic 820, Fair Value Measurements and Disclosures , or ASC Topic 820, and is included in other assets or other liabilities in our accompanying consolidated balance sheets. The values of contingent consideration assets and liabilities, if any, are analyzed at the time of acquisition. For contingent purchase options, the fair market value of the acquired asset is compared to the specified option price at the exercise date. If the option price is below market, it is assumed to be exercised and the difference between the fair market value and the option price is discounted to the present value at the time of acquisition.
Real Estate Investments, Net	Real Estate Investments, Net We carry our operating properties at our historical cost less accumulated depreciation. The cost of operating properties includes the cost of land and completed buildings and related improvements. Expenditures that increase the service life of properties are capitalized and the cost of maintenance and repairs is charged to expense as incurred. The cost of buildings and capital improvements is depreciated on a straight-line basis over the estimated useful lives of the buildings and capital improvements, up to 39 years , and the cost for tenant improvements is depreciated over the shorter of the lease term or useful life, up to 14 years . The cost of furniture, fixtures and equipment is depreciated over the estimated useful life, up to 10 years . When depreciable property is retired, replaced or disposed of, the related cost and accumulated depreciation is removed from the accounts and any gain or loss is reflected in earnings. As part of the leasing process, we may provide the lessee with an allowance for the construction of leasehold improvements. These leasehold improvements are capitalized and recorded as tenant improvements and depreciated over the shorter of the useful life of the improvements or the lease term. If the allowance represents a payment for a purpose other than funding leasehold improvements, or in the event we are not considered the owner of the improvements, the allowance is considered to be a lease inducement and is recognized over the lease term as a reduction of rental revenue on a straight-line basis. Factors considered during this evaluation include, among other things, who holds legal title to the improvements as well as other controlling rights provided by the lease agreement and provisions for substantiation of such costs, e.g ., unilateral control of the tenant space during the build-out process. Determination of the appropriate accounting for the payment of a tenant allowance is made on a lease-by-lease basis, considering the facts and circumstances of the individual tenant lease. Recognition of lease revenue commences when the lessee is given possession of the leased space upon completion of tenant improvements when we are the owner of the leasehold improvements. However, when the leasehold improvements are owned by the tenant, the lease inception date (and the date on which recognition of lease revenue commences) is the date the tenant obtains possession of the leased space for purposes of constructing its leasehold improvements.
Properties Held for Sale	Properties Held for Sale We will account for our properties held for sale in accordance with ASC Topic 360, Property, Plant, and Equipment , or ASC Topic 360, which addresses financial accounting and reporting for the impairment or disposal of long-lived assets. ASC Topic 360 requires that a property or a group of properties is required to be reported in discontinued operations in the statements of operations for current and prior periods if the disposal represents a strategic shift that has (or will have) a major effect on an entity’s operations and financial results when either (i) the component has been disposed of; or (ii) is classified as held for sale. In accordance with ASC Topic 360, at such time as a property is held for sale, such property is carried at the lower of (i) its carrying amount or (ii) fair value less costs to sell. In addition, a property being held for sale ceases to be depreciated. We will classify operating properties as property held for sale in the period in which all of the following criteria are met: • management, having the authority to approve the action, commits to a plan to sell the asset; • the asset is available for immediate sale in its present condition subject only to terms that are usual and customary for sales of such assets; • an active program to locate a buyer or buyers and other actions required to complete the plan to sell the asset has been initiated; • the sale of the asset is probable and the transfer of the asset is expected to qualify for recognition as a completed sale within one year; • the asset is being actively marketed for sale at a price that is reasonable in relation to its current fair value; and • given the actions required to complete the plan to sell the asset, it is unlikely that significant changes to the plan would be made or that the plan would be withdrawn.
Impairment of Long-Lived and Intangible Assets	Impairment of Long-Lived and Intangible Assets We periodically evaluate our long-lived assets, primarily consisting of investments in real estate that we carry at our historical cost less accumulated depreciation, for impairment when events or changes in circumstances indicate that its carrying value may not be recoverable. Indicators we consider important and that we believe could trigger an impairment review include, among others, the following: • significant negative industry or economic trends; • a significant underperformance relative to historical or projected future operating results; and • a significant change in the extent or manner in which the asset is used or significant physical change in the asset. If indicators of impairment of our long-lived assets are present, we evaluate the carrying value of the related real estate investments in relation to the future undiscounted cash flows of the underlying operations. In performing this evaluation, we consider market conditions and our current intentions with respect to holding or disposing of the asset. We adjust the net book value of leased properties and other long-lived assets to fair value if the sum of the expected future undiscounted cash flows, including sales proceeds, is less than book value. We recognize an impairment loss at the time we make any such determination. If impairment indicators arise with respect to intangible assets with finite useful lives, we evaluate impairment by comparing the carrying amount of the asset to the estimated future undiscounted net cash flows expected to be generated by the asset. If the estimated future undiscounted net cash flows are less than the carrying amount of the asset, then we estimate the fair value of the asset and compare the estimated fair value to the intangible asset’s carrying value. For all of our reporting units, we recognize any shortfall from carrying value as an impairment loss in the current period.
Fair Value Measurements	Fair Value Measurements We follow ASC Topic 820 to account for the fair value of certain assets and liabilities. ASC Topic 820 defines fair value, establishes a framework for measuring fair value and expands disclosures about fair value measurements. ASC Topic 820 emphasizes that fair value is a market-based measurement, not an entity-specific measurement. Therefore, a fair value measurement should be determined based on the assumptions that market participants would use in pricing the asset or liability. As a basis for considering market participant assumptions in fair value measurements, ASC Topic 820 establishes a fair value hierarchy that distinguishes between market participant assumptions based on market data obtained from sources independent of the reporting entity (observable inputs that are classified within Levels 1 and 2 of the hierarchy) and the reporting entity’s own assumptions about market participant assumptions (unobservable inputs classified within Level 3 of the hierarchy). Level 1 inputs are quoted prices (unadjusted) in active markets for identical assets or liabilities that we have the ability to access. An active market is defined as a market in which transactions for the assets or liabilities occur with sufficient frequency and volume to provide pricing information on an ongoing basis. Level 2 inputs are inputs other than quoted prices included in Level 1 that are observable for the asset or liability, either directly or indirectly. Level 2 inputs may include quoted prices for similar assets and liabilities in active markets, as well as inputs that are observable for the asset or liability (other than quoted prices), such as interest rates, foreign exchange rates and yield curves that are observable at commonly quoted intervals. Level 3 inputs are unobservable inputs for the asset or liability, which are typically based on an entity’s own assumptions, as there is little, if any, related market activity. In instances where the determination of the fair value measurement is based on inputs from different levels of the fair value hierarchy, the level in the fair value hierarchy within which the entire fair value measurement falls is based on the lowest level input that is significant to the fair value measurement in its entirety. Our assessment of the significance of a particular input to the fair value measurement in its entirety requires judgment and considers factors specific to the asset or liability.
Real Estate Deposits	Real Estate Deposits Real estate deposits may include refundable and non-refundable funds held by escrow agents and others to be applied towards the acquisition of real estate investments, and such future investments are subject to substantial conditions to closing.
Other Assets, Net	Other Assets, Net Other assets, net consist of our investment in an unconsolidated entity, deferred financing costs on the 2017 Credit Facility or 2018 Credit Facility, as defined in Note 7, Line of Credit and Term Loan , prepaid expenses and deposits, lease commissions and deferred rent receivables. Deferred financing costs on the 2017 Credit Facility or 2018 Credit Facility include amounts paid to lenders and others to obtain financing. Such costs are amortized using the straight-line method over the term of the 2017 Credit Facility or 2018 Credit Facility, which approximates the effective interest rate method. Amortization of deferred financing costs on the 2017 Credit Facility or 2018 Credit Facility is included in interest expense in our accompanying consolidated statements of operations. Prepaid expenses are amortized over the related contract periods. We report investments in unconsolidated entities using the equity method of accounting when we have the ability to exercise significant influence over the operating and financial policies. Under the equity method, our share of the investee’s earnings or losses is included in our accompanying consolidated statements of operations. To the extent that our cost basis is different from the basis reflected at the entity level, the basis difference is generally amortized over the lives of the related assets and liabilities, and such amortization is included in our share of equity in earnings of the entity. The initial carrying value of investments in unconsolidated entities is based on the amount paid to purchase the entity interest or the estimated fair value of the assets prior to the sale of interests in the entity. We have elected to follow the cumulative earnings approach when classifying distributions received from equity method investments in our consolidated statements of cash flows, whereby any distributions received up to the amount of cumulative equity earnings would be considered a return on investment and classified in operating activities and any excess distributions would be considered a return of investment and classified in investing activities. We evaluate our equity method investments for impairment based upon a comparison of the estimated fair value of the equity method investment to its carrying value. When we determine a decline in the estimated fair value of such an investment below its carrying value is other-than-temporary, an impairment is recorded. For the years ended December 31, 2018, 2017 and 2016, we did not incur any impairment losses from unconsolidated entities.
Stock Compensation	Stock Compensation We follow ASC Topic 718, Compensation — Stock Compensation , or ASC Topic 718, to account for our stock compensation pursuant to the 2015 Incentive Plan, or our incentive plan.
Income Taxes	Income Taxes We qualified, and elected to be taxed, as a REIT under the Code for federal income tax purposes beginning with our taxable year ended December 31, 2016, and we intend to continue to qualify to be taxed as a REIT. To maintain our qualification as a REIT, we must meet certain organizational and operational requirements, including a requirement to currently distribute at least 90.0% of our annual taxable income, excluding net capital gains, to our stockholders. As a REIT, we generally will not be subject to federal income tax on taxable income that we distribute to our stockholders. If we fail to maintain our qualification as a REIT in any taxable year, we will then be subject to federal income taxes on our taxable income at regular corporate rates and will not be permitted to qualify for treatment as a REIT for federal income tax purposes for four years following the year during which qualification is lost unless the Internal Revenue Service, or the IRS, grants us relief under certain statutory provisions. Such an event could have a material adverse effect on our net income and net cash available for distribution to our stockholders. We may be subject to certain state and local income taxes on our income, property or net worth in some jurisdictions, and in certain circumstances we may also be subject to federal excise taxes on undistributed income. In addition, certain activities that we undertake are conducted by subsidiaries, which we elected to be treated as taxable REIT subsidiaries, or TRSs, to allow us to provide services that would otherwise be considered impermissible for REITs. Accordingly, we recognize income tax benefit (expense) for the federal, state and local income taxes incurred by our TRSs. We follow ASC Topic 740, Income Taxes , or ASC Topic 740, to recognize, measure, present and disclose in our accompanying consolidated financial statements uncertain tax positions that we have taken or expect to take on a tax return. As of December 31, 2018 and 2017, we did not have any tax benefits nor liabilities for uncertain tax positions that we believe should be recognized in our accompanying consolidated financial statements. We account for deferred income taxes using the asset and liability method and recognize deferred tax assets and liabilities for the expected future tax consequences of events that have been included in our financial statements or tax returns. Under this method, we determine deferred tax assets and liabilities based on the temporary differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases using enacted tax rates in effect for the year in which the differences are expected to reverse. Deferred tax assets reflect the impact of the future deductibility of operating loss carryforwards. A valuation allowance is provided if we believe it is more likely than not that all or some portion of the deferred tax asset will not be realized. Any increase or decrease in the valuation allowance that results from a change in circumstances, and that causes us to change our judgment about the realizability of the related deferred tax asset, is included in income tax expense in our accompanying consolidated statements of operations when such changes occur. Any increase or decrease in the deferred tax liability that results from a change in circumstances, and that causes us to change our judgment about expected future tax consequences of events, is recorded in income tax expense in our accompanying consolidated statements of operations. Deferred tax assets are included in other assets, net, and deferred tax liabilities are included in security deposits, prepaid rent and other liabilities, in our accompanying consolidated balance sheets.
Segment Disclosure	Segment Disclosure ASC Topic 280, Segment Reporting , establishes standards for reporting financial and descriptive information about a public entity’s reportable segments. We segregate our operations into reporting segments in order to assess the performance of our business in the same way that management reviews our performance and makes operating decisions. Accordingly, when we acquired our first medical office building in June 2016; senior housing facility in December 2016; senior housing — RIDEA facility in November 2017; and skilled nursing facility in March 2018, we added a new reportable segment at each such time.
GLA and Other Measures	GLA and Other Measures GLA and other measures used to describe real estate investments included in our accompanying consolidated financial statements are presented on an unaudited basis.
Recently Issued or Adopted Accounting Pronouncements	Recently Issued or Adopted Accounting Pronouncements In February 2016, the FASB issued ASU 2016-02, Leases , or ASU 2016-02, codified as ASC Topic 842 — Leases , or ASC Topic 842, which amends the guidance on accounting for leases, including extensive amendments to the disclosure requirements. ASU 2016-02 maintains a distinction between finance and operating leases, which is substantially similar to the classification criteria for distinguishing between capital leases and operating leases in the previous lease guidance. Under ASU 2016-02, lessees are required to recognize the following for all leases (with the exception of short-term leases) at the commencement date: (i) a lease liability, which is a lessee’s obligation to make lease payments arising from a lease; and (ii) a right-of-use asset, which is an asset that represents the lessee’s right to use, or control the use of, a specified asset for the lease term. Under ASU 2016-02 from a lessor perspective, the guidance requires bifurcation of lease revenues into lease components and non-lease components and to separately recognize and disclose non-lease components that are executory in nature. Lease components continue to be recognized on a straight-line basis over the lease term and certain non-lease components may be accounted for under the new revenue recognition guidance in ASC Topic 606. In addition, ASU 2016-02 provides a practical expedient package that allows an entity to not reassess the following upon adoption (must be elected as a group): (i) whether an expired or existing contract contains a lease arrangement; (ii) the lease classification related to expired or existing lease arrangements; or (iii) whether costs incurred on expired or existing leases qualify as initial direct costs. We elected such practical expedient package upon our adoption of ASU 2016-02 on January 1, 2019. In July 2018, the FASB issued ASU 2018-10, Codification Improvements to Topic 842, Leases , or ASU 2018-10, and ASU 2018-11, Leases (Topic 842) Targeted Improvements , or ASU 2018-11, which update the guidance on accounting for leases under ASU 2016-02. ASU 2018-10 was issued to increase stockholders’ awareness of narrow aspects of the guidance issued in the amendments and to expedite the improvements under ASU 2016-02. ASU 2018-11 provides (i) an alternative transition method by allowing entities to initially apply the new leases standard at the adoption date and recognize a cumulative-effect adjustment to the opening balance of retained earnings in the period of adoption; and (ii) a practical expedient that permits lessors to not separate non-lease components from the associated lease component if certain conditions are met. Such practical expedient is limited to circumstances in which: (i) the timing and pattern of transfer are the same for the non-lease component and the related lease component; and (ii) the lease component, if accounted for separately, would be classified as an operating lease. In addition, such practical expedient causes an entity to assess whether a contract is predominately lease or service based, and recognize the entire contract under the relevant accounting guidance. We elected both the alternative transition method and lessor practical expedient as described in ASU 2018-10 and ASU 2018-11 upon our adoption of ASU 2016-02 on January 1, 2019. Lessee Impact: As a result of the adoption of ASU 2016-02 on January 1, 2019, we currently estimate the initial amount of the lease liability recorded on our consolidated balance sheet to be approximately $5,335,000 for all of our operating leases for which we are the lessee, including facilities leases and ground leases. In addition, we will record a corresponding right-of-use asset of $9,257,000 , which is the lease liability, net of the existing accrued straight-line rent liability balance and adjusted for unamortized above/below market ground lease intangibles. Lessor Impact: We completed an assessment of predominance, and effective upon our adoption of ASU 2016-02, we recognize revenue for our medical office buildings, senior housing and skilled nursing facilities segments under ASC Topic 842, and for our senior housing — RIDEA facilities, we recognize revenue under ASC Topic 606. In December 2018, the FASB issued ASU 2018-20, Narrow Scope Improvements for Lessors , or ASU 2018-20, which requires a lessor to: (i) exclude certain lessor costs (i.e., property taxes and insurance) paid directly by a lessee to third parties on behalf of the lessor from a lessor's measurement of variable lease revenue and associated expense (i.e., no gross up of revenue and expense for these costs); and (ii) include lessor costs that are paid by the lessor and reimbursed by the lessee in the measurement of variable lease revenue and the associated expense (i.e., gross up revenue and expense for these costs). For the years ended December 31, 2018, 2017 and 2016, we did not recognize any property taxes or insurance paid by the lessee in revenue. In June 2016, the FASB issued ASU 2016-13, Measurement of Credit Losses on Financial Instruments, or ASU 2016-13, which introduces a new approach to estimate credit losses on certain types of financial instruments based on expected losses. It also modifies the impairment model for available-for-sale debt securities and provides for a simplified accounting model for purchased financial assets with credit deterioration since their origination. In addition, in November 2018, the FASB issued ASU 2018-19, which amended the scope of ASU 2016-13 to clarify that operating lease receivables should be accounted for under the new leasing standard ASC Topic 842. ASU 2016-13 is effective for fiscal years and interim periods beginning after December 15, 2019. Early adoption is permitted after December 15, 2018. We are evaluating the impact of the adoption of ASU 2016-13 on January 1, 2020 to our consolidated financial position and results of operations. In February 2018, the FASB issued ASU 2018-02, Reclassification of Certain Tax Effects From Accumulated Other Comprehensive Income , or ASU 2018-02, which amends the reclassification requirements from accumulated other comprehensive income to retained earnings for stranded tax effects resulting from the Tax Cuts and Jobs Act of 2017, or the Tax Act. Under ASU 2018-02, an entity will be required to provide certain disclosures regarding stranded tax effects. ASU 2018-02 is effective for fiscal years and interim periods beginning after December 15, 2018. Early adoption is permitted. The adoption of ASU 2018-02 on January 1, 2019 did not have a material impact on our consolidated financial statements. In March 2018, the FASB issued ASU 2018-05, Amendments to the SEC Paragraphs Pursuant to SEC Staff Accounting Bulletin No. 118 , or ASU 2018-05, which updates the income tax accounting in GAAP to reflect the interpretive guidance of the United States Securities and Exchange Commission, or the SEC, with regards to the Tax Act. We adopted ASU 2018-05 in March 2018, which did not have a material impact on our consolidated financial statements. See Note 14, Income Taxes and Distributions , for a further discussion. In August 2018, the FASB issued ASU 2018-13, Fair Value Measurement (Topic 820): Disclosure Framework — Changes to the Disclosure Requirements for Fair Value Measurement, or ASU 2018-13, which modifies the disclosure requirements in ASC Topic 820, Fair Value Measurement, by removing certain disclosure requirements related to the fair value hierarchy, modifying existing disclosure requirements related to measurement uncertainty and adding new disclosure requirements, such as disclosing the changes in unrealized gains and losses for the period included in other comprehensive income for recurring Level 3 fair value measurements held at the end of the reporting period and disclosing the range and weighted average of significant unobservable inputs used to develop Level 3 measurements. ASU 2018-13 is effective for fiscal years and interim periods beginning after December 15, 2019. Early adoption is permitted for any removed or modified disclosures. We are evaluating the complete impact of the adoption of ASU 2018-13 on January 1, 2020 to our consolidated financial statements disclosures.

Summary of Significant Accoun_3

Summary of Significant Accounting Policies (Tables)	12 Months Ended
	Dec. 31, 2018
Accounting Policies [Abstract]
Disaggregation of Resident Fees and Services Revenue	The following table disaggregates our resident fees and services revenue by line of business, according to whether such revenue is recognized at a point in time or over time: Year Ended December 31, 2018 Point in Time Over Time Total Senior housing — RIDEA(1) $ 847,000 $ 36,010,000 $ 36,857,000 The following table disaggregates our resident fees and services revenue by payor class: Year Ended December 31, 2018 Medicaid $ 6,082,000 Private and other payors 30,775,000 Total resident fees and services(1) $ 36,857,000 ___________ (1) This includes fees for basic housing and assisted living care. We record revenue when services are rendered on the date services are provided at amounts billable to individual residents. Residency agreements are generally for a term of 30 days, with resident fees billed monthly in advance. For patients under reimbursement arrangements with Medicaid, revenue is recorded based on contractually agreed-upon amounts or rates on a per resident, daily basis or as services are rendered.
Accounts Receivable, Net- Resident Fees and Services	Accounts Receivable, Net — Resident Fees and Services The beginning and ending balances of accounts receivable, net — resident fees and services are as follows: Medicaid Private and Other Payors Total Beginning balance — January 1, 2018 $ 827,000 $ 338,000 $ 1,165,000 Ending balance — December 31, 2018 6,098,000 644,000 6,742,000 Increase $ 5,271,000 $ 306,000 $ 5,577,000

Real Estate Investments, Net (T

Real Estate Investments, Net (Tables)	12 Months Ended
	Dec. 31, 2018
Real Estate [Abstract]
Schedule Of Real Estate Investments Table	Our real estate investments, net consisted of the following as of December 31, 2018 and 2017 : December 31, 2018 2017 Building and improvements $ 668,814,000 $ 371,890,000 Land 83,084,000 52,202,000 Furniture, fixtures and equipment 5,090,000 4,458,000 756,988,000 428,550,000 Less: accumulated depreciation (25,312,000 ) (8,885,000 ) Total $ 731,676,000 $ 419,665,000
Schedule Of Acquisitions Of Properties Table	Acquisitions in 2017 For the year ended December 31, 2017, using net proceeds from our offering and debt financing, we completed nine property acquisitions comprising 28 buildings from unaffiliated third parties. The following is a summary of our property acquisitions for the year ended December 31, 2017: Acquisition(1) Location Type Date Acquired Contract Purchase Price Mortgage Loan Payable(2) Line of Credit(3) Total Acquisition Fee(4) Battle Creek MOB Battle Creek, MI Medical Office 03/10/17 $ 7,300,000 $ — $ — $ 328,000 Reno MOB Reno, NV Medical Office 03/13/17 66,250,000 — 60,000,000 2,982,000 Athens MOB Portfolio Athens, GA Medical Office 05/18/17 16,800,000 — 7,800,000 756,000 SW Illinois Senior Housing Portfolio Columbia, Millstadt, Red Bud and Waterloo, IL Senior Housing 05/22/17 31,800,000 — 31,700,000 1,431,000 Lawrenceville MOB Lawrenceville, GA Medical Office 06/12/17 11,275,000 8,000,000 3,000,000 507,000 Northern California Senior Housing Portfolio Belmont, Fairfield, Menlo Park and Sacramento, CA Senior Housing 06/28/17 45,800,000 — 21,600,000 2,061,000 Roseburg MOB Roseburg, OR Medical Office 06/29/17 23,200,000 — 23,000,000 1,044,000 Fairfield County MOB Portfolio Stratford and Trumbull, CT Medical Office 09/29/17 15,395,000 — 15,500,000 693,000 Central Florida Senior Housing Portfolio(5) Bradenton, Brooksville, Lake Placid, Lakeland, Pinellas Park, Sanford, Spring Hill and Winter Haven, FL Senior Housing — RIDEA 11/01/17 109,500,000 — 112,000,000 4,882,000 Total $ 327,320,000 $ 8,000,000 $ 274,600,000 $ 14,684,000 ___________ (1) We own 100% of our properties acquired in 2017, with the exception of Central Florida Senior Housing Portfolio. (2) Represents the principal balance of the mortgage loan payable assumed by us at the time of acquisition. (3) Represents a borrowing under the 2016 Line of Credit or 2017 Credit Facility, as defined in Note 7, Line of Credit and Term Loan , at the time of acquisition. (4) Our advisor was paid, as compensation for services rendered in connection with the investigation, selection and acquisition of our properties, a base acquisition fee of 2.25% of the portion of the aggregate contract purchase price paid by us. In addition, the total acquisition fee includes a Contingent Advisor Payment, as defined in Note 12, Related Party Transactions , in the amount of 2.25% of the portion of the aggregate contract purchase price paid by us. See Note 12, Related Party Transactions — Acquisition and Development Stage — Acquisition Fee, for a further discussion. (5) On November 1, 2017, we completed the acquisition of Central Florida Senior Housing Portfolio pursuant to a joint venture with an affiliate of Meridian. Our ownership of the joint venture is approximately 98% . The following table summarizes the purchase price of the assets acquired and liabilities assumed at the time of acquisition from our nine property acquisitions in 2017 based on their relative fair values: 2017 Acquisitions Building and improvements $ 263,052,000 Land 39,879,000 Furniture, fixtures and equipment 4,453,000 In-place leases 30,754,000 Above-market leases 127,000 Total assets acquired 338,265,000 Mortgage loan payable (8,000,000 ) Below-market leases (571,000 ) Above-market leasehold interests (395,000 ) Total liabilities assumed (8,966,000 ) Net assets acquired $ 329,299,000 Acquisitions in 2016 For the year ended December 31, 2016, we completed nine property acquisitions comprising 12 buildings from unaffiliated third parties. See Note 16, Business Combinations , for a further discussion. The following is a summary of our property acquisitions for the year ended December 31, 2016: Acquisition(1) Location Type Date Acquired Contract Purchase Price Mortgage Loan Payable(2) Line of Credit(3) Total Acquisition Fee(4) Auburn MOB Auburn, CA Medical Office 06/28/16 $ 5,450,000 $ — $ — $ 245,000 Pottsville MOB Pottsville, PA Medical Office 09/16/16 9,150,000 — — 412,000 Charlottesville MOB Charlottesville, VA Medical Office 09/22/16 20,120,000 — — 905,000 Rochester Hills MOB Rochester Hills, MI Medical Office 09/29/16 8,300,000 3,968,000 — 374,000 Cullman MOB III Cullman, AL Medical Office 09/30/16 16,650,000 — 12,000,000 749,000 Iron MOB Portfolio Cullman and Sylacauga, AL Medical Office 10/13/16 31,000,000 — 30,400,000 1,395,000 Mint Hill MOB Mint Hill, NC Medical Office 11/14/16 21,000,000 — 20,400,000 945,000 Lafayette Assisted Living Portfolio Lafayette, LA Senior Housing 12/01/16 16,750,000 — 17,500,000 754,000 Evendale MOB Evendale, OH Medical Office 12/13/16 10,400,000 — 10,400,000 468,000 Total $ 138,820,000 $ 3,968,000 $ 90,700,000 $ 6,247,000 ___________ (1) We own 100% of our properties acquired in 2016. (2) Represents the principal balance of the mortgage loan payable assumed by us at the time of acquisition. (3) Represents a borrowing under the 2016 Line of Credit, as defined in Note 7, Line of Credit and Term Loan , at the time of acquisition. (4) Our advisor was paid, as compensation for services rendered in connection with the investigation, selection and acquisition of our properties, a base acquisition fee of 2.25% of the portion of the aggregate contract purchase price paid by us. In addition, the total acquisition fee includes a Contingent Advisor Payment, as defined in Note 12, Related Party Transactions , in the amount of 2.25% of the portion of the aggregate contract purchase price paid by us. See Note 12, Related Party Transactions — Acquisition and Development Stage — Acquisition Fee, for a further discussion. Acquisitions in 2018 For the year ended December 31, 2018, using net proceeds from our offering and debt financing, we completed 15 property acquisitions comprising 29 buildings from unaffiliated third parties. The following is a summary of our property acquisitions for the year ended December 31, 2018: Acquisition(1) Location Type Date Acquired Contract Purchase Price Mortgage Loan Payable(2) Line of Credit(3) Total Acquisition Fee(4) Central Wisconsin Senior Care Portfolio Sun Prairie and Waunakee, WI Skilled Nursing 03/01/18 $ 22,600,000 $ — $ 22,600,000 $ 1,018,000 Sauk Prairie MOB Prairie du Sac, WI Medical Office 04/09/18 19,500,000 — 19,500,000 878,000 Surprise MOB Surprise, AZ Medical Office 04/27/18 11,650,000 — 8,000,000 524,000 Southfield MOB Southfield, MI Medical Office 05/11/18 16,200,000 6,071,000 10,000,000 728,000 Pinnacle Beaumont ALF(5) Beaumont, TX Senior Housing — RIDEA 07/01/18 19,500,000 — 19,400,000 868,000 Grand Junction MOB Grand Junction, CO Medical Office 07/06/18 31,500,000 — 31,400,000 1,418,000 Edmonds MOB Edmonds, WA Medical Office 07/30/18 23,500,000 — 22,000,000 1,058,000 Pinnacle Warrenton ALF(5) Warrenton, MO Senior Housing — RIDEA 08/01/18 8,100,000 — 8,100,000 360,000 Glendale MOB Glendale, WI Medical Office 08/13/18 7,600,000 — 7,000,000 342,000 Missouri SNF Portfolio Florissant, Kansas City, Milan, Moberly, Salisbury, Sedalia, St. Elizabeth and Trenton, MO Skilled Nursing 09/28/18 88,200,000 — 87,000,000 3,970,000 Flemington MOB Portfolio Flemington, NJ Medical Office 11/29/18 16,950,000 — 15,500,000 763,000 Lawrenceville MOB II Lawrenceville, GA Medical Office 12/19/18 9,999,000 — 10,100,000 450,000 Mill Creek MOB Mill Creek, WA Medical Office 12/21/18 8,250,000 — 6,200,000 371,000 Modesto MOB Modesto, CA Medical Office 12/28/18 16,000,000 — 15,400,000 720,000 Michigan ALF Portfolio Grand Rapids, Holland, Howell, Lansing and Wyoming, MI Senior Housing 12/28/18 56,000,000 — 53,400,000 2,520,000 Total $ 355,549,000 $ 6,071,000 $ 335,600,000 $ 15,988,000 ___________ (1) We own 100% of our properties acquired in 2018, with the exception of Pinnacle Beaumont ALF and Pinnacle Warrenton ALF. (2) Represents the principal balance of the mortgage loan payable assumed by us at the time of acquisition. (3) Represents a borrowing under the 2017 Credit Facility or 2018 Credit Facility, as defined in Note 7, Line of Credit and Term Loan , at the time of acquisition. (4) Our advisor was paid, as compensation for services rendered in connection with the investigation, selection and acquisition of our properties, a base acquisition fee of 2.25% of the portion of the aggregate contract purchase price paid by us. In addition, the total acquisition fee includes a Contingent Advisor Payment, as defined in Note 12, Related Party Transactions , in the amount of 2.25% of the portion of the aggregate contract purchase price paid by us. See Note 12, Related Party Transactions — Acquisition and Development Stage — Acquisition Fee, for a further discussion. (5) On July 1, 2018 and August 1, 2018, we completed the acquisitions of Pinnacle Beaumont ALF and Pinnacle Warrenton ALF, respectively, pursuant to a joint venture with an affiliate of Meridian Senior Living, LLC, or Meridian, an unaffiliated third party. Our ownership of the joint venture is approximately 98% . The following is a summary of our property acquisition subsequent to December 31, 2018: Acquisition(1) Location Type Date Acquired Contract Purchase Price Total Acquisition Fee(2) Lithonia MOB Lithonia, GA Medical Office 03/05/19 $ 10,600,000 $ 477,000 ___________ (1) We own 100% of our property acquired subsequent to December 31, 2018. (2) Our advisor was paid, as compensation for services rendered in connection with the investigation, selection and acquisition of our property, a base acquisition fee of 2.25% of the portion of the aggregate contract purchase price paid by us. In addition, the total acquisition fee includes a Contingent Advisor Payment, as defined in Note 12, Related Party Transactions , in the amount of 2.25% of the portion of the aggregate contract purchase price paid by us. See Note 12, Related Party Transactions — Acquisition and Development Stage — Acquisition Fee, for a further discussion.
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed	The following table summarizes the purchase price of the assets acquired and liabilities assumed at the time of acquisition from our nine property acquisitions in 2017 based on their relative fair values: 2017 Acquisitions Building and improvements $ 263,052,000 Land 39,879,000 Furniture, fixtures and equipment 4,453,000 In-place leases 30,754,000 Above-market leases 127,000 Total assets acquired 338,265,000 Mortgage loan payable (8,000,000 ) Below-market leases (571,000 ) Above-market leasehold interests (395,000 ) Total liabilities assumed (8,966,000 ) Net assets acquired $ 329,299,000 The following table summarizes the purchase price of the assets acquired and liabilities assumed at the time of acquisition from our 15 property acquisitions in 2018 based on their relative fair values: 2018 Acquisitions Building and improvements $ 289,830,000 Land 30,878,000 Furniture, fixtures and equipment 79,000 In-place leases 45,439,000 Certificates of need 348,000 Leasehold interests 93,000 Above-market leases 200,000 Total assets acquired 366,867,000 Mortgage loan payable (including debt discount of $263,000) (5,808,000 ) Below-market leases (269,000 ) Total liabilities assumed (6,077,000 ) Net assets acquired $ 360,790,000 The following table summarizes the acquisition date fair values of the assets acquired and liabilities assumed of our nine property acquisitions in 2016: Auburn MOB Pottsville MOB Charlottesville Rochester Hills Cullman MOB Building and improvements $ 4,600,000 $ 7,050,000 $ 13,330,000 $ 5,763,000 $ 13,989,000 Land 406,000 1,493,000 4,768,000 1,727,000 — In-place leases 386,000 740,000 2,030,000 1,089,000 1,249,000 Leasehold interests — — — — 1,412,000 Total assets acquired 5,392,000 9,283,000 20,128,000 8,579,000 16,650,000 Mortgage loan payable, net — — — 4,129,000 — Below-market leases — 133,000 — 117,000 — Total liabilities assumed — 133,000 — 4,246,000 — Net assets acquired $ 5,392,000 $ 9,150,000 $ 20,128,000 $ 4,333,000 $ 16,650,000 Iron MOB Portfolio Mint Hill MOB Lafayette Assisted Living Portfolio Evendale MOB Building and improvements $ 25,050,000 $ 16,585,000 $ 12,469,000 $ 7,583,000 Land — — 2,308,000 1,620,000 In-place leases 2,563,000 1,705,000 1,973,000 1,199,000 Above-market leases 790,000 — — 20,000 Leasehold interests 2,953,000 2,047,000 — — Total assets acquired 31,356,000 20,337,000 16,750,000 10,422,000 Below-market leases 646,000 — — 227,000 Total liabilities assumed 646,000 — — 227,000 Net assets acquired $ 30,710,000 $ 20,337,000 $ 16,750,000 $ 10,195,000

Identified Intangible Assets,_2

Identified Intangible Assets, Net (Tables)	12 Months Ended
	Dec. 31, 2018
Finite-Lived Intangible Assets, Net [Abstract]
Schedule of Finite-Lived Intangible Assets	Identified intangible assets, net consisted of the following as of December 31, 2018 and 2017: December 31, 2018 2017 Amortized intangible assets: In-place leases, net of accumulated amortization of $11,299,000 and $5,832,000 as of December 31, 2018 and 2017, respectively (with a weighted average remaining life of 10.3 years and 7.3 years as of December 31, 2018 and 2017, respectively) $ 67,332,000 $ 37,766,000 Leasehold interests, net of accumulated amortization of $217,000 and $119,000 as of December 31, 2018 and 2017, respectively (with a weighted average remaining life of 69.1 years and 70.6 years as of December 31, 2018 and 2017, respectively) 6,288,000 6,292,000 Above-market leases, net of accumulated amortization of $323,000 and $173,000 as of December 31, 2018 and 2017, respectively (with a weighted average remaining life of 4.5 years and 5.6 years as of December 31, 2018 and 2017, respectively) 755,000 763,000 Unamortized intangible assets: Certificates of need 348,000 — Total $ 74,723,000 $ 44,821,000
Amortization expense on identified intangible assets	As of December 31, 2018 , estimated amortization expense on the identified intangible assets for each of the next five years ending December 31 and thereafter was as follows: Year Amount 2019 $ 10,464,000 2020 8,549,000 2021 7,680,000 2022 6,708,000 2023 5,716,000 Thereafter 35,258,000 Total $ 74,375,000

Other Assets, Net (Tables)

Other Assets, Net (Tables)	12 Months Ended
	Dec. 31, 2018
Other Assets [Abstract]
Schedule of Other Assets	Other assets, net consisted of the following as of December 31, 2018 and 2017: December 31, 2018 2017 Investment in unconsolidated entity $ 47,600,000 $ — Deferred rent receivables 4,941,000 1,912,000 Deferred financing costs, net of accumulated amortization of $1,554,000 and $554,000 as of December 31, 2018 and 2017, respectively(1) 4,447,000 1,456,000 Prepaid expenses and deposits 2,682,000 1,532,000 Lease commissions, net of accumulated amortization of $64,000 and $9,000 as of December 31, 2018 and 2017, respectively 564,000 326,000 Total $ 60,234,000 $ 5,226,000 ___________ (1) Deferred financing costs, net only include costs related to our line of credit and term loan. See Note 7, Line of Credit and Term Loan , for a further discussion.

Mortgage Loans Payable, Net (Ta

Mortgage Loans Payable, Net (Tables)	12 Months Ended
	Dec. 31, 2018
Mortgage Loans Payable, Net [Abstract]
Schedule of Activity Related to Notes Payable	The changes in the carrying amount of mortgage loans payable consisted of the following for the years ended December 31, 2018 and 2017: Amount Mortgage loan payable, net — December 31, 2016 $ 3,965,000 Additions: Assumption of mortgage loan payable, net 8,000,000 Amortization of deferred financing costs(1) 38,000 Deductions: Deferred financing costs(1) (150,000 ) Scheduled principal payments on mortgage loans payable (273,000 ) Amortization of premium on mortgage loan payable (13,000 ) Mortgage loans payable, net — December 31, 2017 $ 11,567,000 Additions: Assumption of mortgage loan payable, net $ 5,808,000 Amortization of deferred financing costs(1) 76,000 Deductions: Deferred financing costs(1) (123,000 ) Scheduled principal payments on mortgage loans payable (449,000 ) Amortization of discount/premium on mortgage loans payable 13,000 Mortgage loans payable, net — December 31, 2018 $ 16,892,000 ___________ (1)
Schedule of Maturities of Long-term Debt	As of December 31, 2018 , the principal payments due on our mortgage loans payable for each of the next five years ending December 31 and thereafter were as follows: Year Amount 2019 $ 518,000 2020 8,151,000 2021 434,000 2022 455,000 2023 478,000 Thereafter 7,220,000 Total $ 17,256,000

Identified Intangible Liabili_2

Identified Intangible Liabilities, Net (Tables)	12 Months Ended
	Dec. 31, 2018
Identified Intangible Liabilities [Abstract]
Schedule of Intangible Liabilities, Net	Identified intangible liabilities, net consisted of the following as of December 31, 2018 and 2017: December 31, 2018 2017 Below-market leases, net of accumulated amortization of $678,000 and $345,000 as of December 31, 2018 and 2017, respectively (with a weighted average remaining life of 5.7 years and 6.4 years as of December 31, 2018 and 2017, respectively) $ 1,245,000 $ 1,349,000 Above-market leasehold interests, net of accumulated amortization of $13,000 and $6,000 as of December 31, 2018 and 2017, respectively (with a weighted average remaining life of 51.2 and 52.2 years as of December 31, 2018 and 2017, respectively) 382,000 388,000 Total $ 1,627,000 $ 1,737,000
Schedule of Expected Amortization Expense Intangible Liabilities	As of December 31, 2018 , estimated amortization expense on the identified intangible liabilities for each of the next five years ending December 31 and thereafter was as follows: Year Amount 2019 $ 387,000 2020 223,000 2021 168,000 2022 143,000 2023 132,000 Thereafter 574,000 Total $ 1,627,000

Redeemable Noncontrolling Int_2

Redeemable Noncontrolling Interest (Tables)	12 Months Ended
	Dec. 31, 2018
Redeemable Noncontrolling Interest [Abstract]
Redeemable Noncontrolling Interests	The changes in the carrying amount of redeemable noncontrolling interests consisted of the following for the years ended December 31, 2018 and 2017: December 31, 2018 2017 Beginning balance $ 1,002,000 $ 2,000 Additions 369,000 1,000,000 Net loss attributable to redeemable noncontrolling interests (232,000 ) (33,000 ) Fair value adjustment to redemption value 232,000 33,000 Ending balance $ 1,371,000 $ 1,002,000

Related Party Transactions (Ta

Related Party Transactions (Tables)	12 Months Ended
	Dec. 31, 2018
Related Party Transaction [Line Items]
Schedule of Related Party Transactions	For the years ended December 31, 2018, 2017 and 2016, our officers invested the following amounts and we issued the following shares of our Class T and Class I common stock pursuant to the applicable stock purchase plan: Years Ended December 31, 2018 2017 2016 Officer’s Name Title Amount Shares Amount Shares Amount Shares Jeffrey T. Hanson Chief Executive Officer and Chairman of the Board of Directors $ 329,000 34,690 $ 263,000 28,464 $ 184,000 19,213 Danny Prosky President and Chief Operating Officer 352,000 37,111 272,000 29,480 204,000 21,265 Mathieu B. Streiff Executive Vice President and General Counsel 324,000 34,262 263,000 28,462 199,000 20,707 Brian S. Peay Chief Financial Officer 30,000 3,143 — — — — Stefan K.L. Oh Executive Vice President of Acquisitions 34,000 3,534 32,000 3,416 23,000 2,447 Christopher M. Belford Executive Vice President of Asset Management 55,000 5,866 65,000 7,014 18,000 1,828 Wendie Newman Executive Vice President of Asset Management 9,000 918 8,000 828 — — Total $ 1,133,000 119,524 $ 903,000 97,664 $ 628,000 65,460
Schedule Of Amount Outstanding To Affiliates Table	Accounts Payable Due to Affiliates The following amounts were outstanding to our affiliates as of December 31, 2018 and 2017: December 31, Fee 2018 2017 Contingent Advisor Payment $ 7,866,000 $ 7,744,000 Asset management fees 595,000 316,000 Property management fees 97,000 43,000 Construction management fees 18,000 1,000 Operating expenses 6,000 6,000 Development fees 6,000 — Lease commissions — 8,000 Total $ 8,588,000 $ 8,118,000

Fair Value Measurements (Tables

Fair Value Measurements (Tables)	12 Months Ended
	Dec. 31, 2018
Fair Value Disclosures [Abstract]
Fair Value, by Balance Sheet Grouping	The carrying amounts and estimated fair values of such financial instruments as of December 31, 2018 and 2017 were as follows: December 31, 2018 2017 Carrying Fair Carrying Fair Financial Liabilities: Mortgage loans payable $ 16,892,000 $ 16,920,000 $ 11,567,000 $ 11,819,000 Line of credit and term loan $ 270,553,000 $ 275,124,000 $ 82,644,000 $ 84,088,000

Income Taxes and Distributions

Income Taxes and Distributions (Tables)	12 Months Ended
	Dec. 31, 2018
Income Taxes and Distributions [Abstract]
Schedule of Components of Income Tax Expense (Benefit)	Year Ended December 31, 2018 Federal deferred $ (2,593,000 ) State deferred (675,000 ) State current 8,000 Valuation allowance 3,268,000 Total income tax expense $ 8,000
Schedule of Deferred Tax Assets and Liabilities	The components of deferred tax assets as of December 31, 2018 and 2017 was as follows: Years Ended December 31, 2018 2017 Deferred income tax assets: Fixed assets & intangibles $ 2,484,000 $ 388,000 Expense accruals & other 469,000 (41,000 ) Net operating loss 791,000 129,000 Valuation allowances (3,744,000 ) (476,000 ) Total deferred income tax assets $ — $ —
Summary of Tax Treatment of Distributions	The income tax treatment for distributions reportable for the years ended December 31, 2018, 2017 and 2016 was as follows: Years Ended December 31, 2018 2017 2016 Ordinary income $ 11,909,000 37.7 % $ 6,021,000 39.9 % $ — — % Capital gain — — — — — — Return of capital 19,673,000 62.3 9,055,000 60.1 1,345,000 100 $ 31,582,000 100 % $ 15,076,000 100 % $ 1,345,000 100 %

Future Minimum Rent (Tables)

Future Minimum Rent (Tables)	12 Months Ended
	Dec. 31, 2018
Future Minimum Rent [Abstract]
Schedule of Future Minimum Rental Payments for Operating Leases	Future minimum base rent contractually due under operating leases, excluding tenant reimbursements of certain costs, as of December 31, 2018 for each of the next five years ending December 31 and thereafter was as follows: Year Amount 2019 $ 52,764,000 2020 52,207,000 2021 50,886,000 2022 48,249,000 2023 44,397,000 Thereafter 290,103,000 Total $ 538,606,000
Schedule of Future Minimum Lease Obligations under Non-cancelable Ground and Other Lease Obligations	Future minimum lease obligations under non-cancelable ground and other lease obligations as of December 31, 2018 for each of the next five years ending December 31 and thereafter was as follows: Year Amount 2019 $ 307,000 2020 307,000 2021 307,000 2022 307,000 2023 307,000 Thereafter 11,978,000 Total $ 13,513,000

Business Combinations (Tables)

Business Combinations (Tables)	12 Months Ended
	Dec. 31, 2018
Business Combinations [Abstract]
Business Combination Revenue and Net income/Loss	For the period from the acquisition date through December 31, 2016, we recognized the following amounts of revenue and net income (loss) for the property acquisitions: Acquisition Revenue Net Income (Loss) Auburn MOB $ 432,000 $ 144,000 Pottsville MOB $ 311,000 $ 136,000 Charlottesville MOB $ 555,000 $ 203,000 Rochester Hills MOB $ 288,000 $ 35,000 Cullman MOB III $ 403,000 $ 151,000 Iron MOB Portfolio $ 701,000 $ 147,000 Mint Hill MOB $ 270,000 $ 75,000 Lafayette Assisted Living Portfolio $ 127,000 $ 73,000 Evendale MOB $ 69,000 $ (10,000 )
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed	The following table summarizes the purchase price of the assets acquired and liabilities assumed at the time of acquisition from our nine property acquisitions in 2017 based on their relative fair values: 2017 Acquisitions Building and improvements $ 263,052,000 Land 39,879,000 Furniture, fixtures and equipment 4,453,000 In-place leases 30,754,000 Above-market leases 127,000 Total assets acquired 338,265,000 Mortgage loan payable (8,000,000 ) Below-market leases (571,000 ) Above-market leasehold interests (395,000 ) Total liabilities assumed (8,966,000 ) Net assets acquired $ 329,299,000 The following table summarizes the purchase price of the assets acquired and liabilities assumed at the time of acquisition from our 15 property acquisitions in 2018 based on their relative fair values: 2018 Acquisitions Building and improvements $ 289,830,000 Land 30,878,000 Furniture, fixtures and equipment 79,000 In-place leases 45,439,000 Certificates of need 348,000 Leasehold interests 93,000 Above-market leases 200,000 Total assets acquired 366,867,000 Mortgage loan payable (including debt discount of $263,000) (5,808,000 ) Below-market leases (269,000 ) Total liabilities assumed (6,077,000 ) Net assets acquired $ 360,790,000 The following table summarizes the acquisition date fair values of the assets acquired and liabilities assumed of our nine property acquisitions in 2016: Auburn MOB Pottsville MOB Charlottesville Rochester Hills Cullman MOB Building and improvements $ 4,600,000 $ 7,050,000 $ 13,330,000 $ 5,763,000 $ 13,989,000 Land 406,000 1,493,000 4,768,000 1,727,000 — In-place leases 386,000 740,000 2,030,000 1,089,000 1,249,000 Leasehold interests — — — — 1,412,000 Total assets acquired 5,392,000 9,283,000 20,128,000 8,579,000 16,650,000 Mortgage loan payable, net — — — 4,129,000 — Below-market leases — 133,000 — 117,000 — Total liabilities assumed — 133,000 — 4,246,000 — Net assets acquired $ 5,392,000 $ 9,150,000 $ 20,128,000 $ 4,333,000 $ 16,650,000 Iron MOB Portfolio Mint Hill MOB Lafayette Assisted Living Portfolio Evendale MOB Building and improvements $ 25,050,000 $ 16,585,000 $ 12,469,000 $ 7,583,000 Land — — 2,308,000 1,620,000 In-place leases 2,563,000 1,705,000 1,973,000 1,199,000 Above-market leases 790,000 — — 20,000 Leasehold interests 2,953,000 2,047,000 — — Total assets acquired 31,356,000 20,337,000 16,750,000 10,422,000 Below-market leases 646,000 — — 227,000 Total liabilities assumed 646,000 — — 227,000 Net assets acquired $ 30,710,000 $ 20,337,000 $ 16,750,000 $ 10,195,000
Business Acquisition, Pro Forma Information	Assuming the property acquisitions in 2016 discussed above had occurred on January 23, 2015 (Date of Inception), for the year ended December 31, 2016, unaudited pro forma revenue, net income, net income attributable to controlling interest and net income per Class T and Class I common share attributable to controlling interest — basic and diluted would have been as follows: (Unaudited) December 31, 2016 Revenue $ 14,654,000 Net income $ 207,700 Net income attributable to controlling interest $ 2,077,000 Net income per Class T and Class I common share attributable to controlling interest — basic and diluted $ 0.12

Segment Reporting (Tables)

Segment Reporting (Tables)	12 Months Ended
	Dec. 31, 2018
Assets by Reportable Segment
Summary Information by Reportable Segment	Summary information for the reportable segments during the years ended December 31, 2018, 2017 and 2016 was as follows: Medical Office Senior Housing Senior Skilled Nursing Facilities Year Ended Revenues: Real estate revenue $ 34,339,000 $ 8,994,000 $ — $ 4,266,000 $ 47,599,000 Resident fees and services — — 36,857,000 — 36,857,000 Total revenues 34,339,000 8,994,000 36,857,000 4,266,000 84,456,000 Expenses: Rental expenses 9,934,000 1,214,000 — 351,000 11,499,000 Property operating expenses — — 30,023,000 — 30,023,000 Segment net operating income $ 24,405,000 $ 7,780,000 $ 6,834,000 $ 3,915,000 $ 42,934,000 Expenses: General and administrative $ 9,172,000 Acquisition related expenses 2,795,000 Depreciation and amortization 32,658,000 Other income (expense): Interest expense (including amortization of deferred financing costs and debt discount/premium) (6,788,000 ) Loss from unconsolidated entity (110,000 ) Other income 11,000 Loss before income taxes (8,578,000 ) Income tax expense (8,000 ) Net loss $ (8,586,000 ) Medical Office Senior Housing Senior Year Ended Revenues: Real estate revenue $ 22,320,000 $ 5,450,000 $ — $ 27,770,000 Resident fees and services — — 5,563,000 5,563,000 Total revenues 22,320,000 5,450,000 5,563,000 33,333,000 Expenses: Rental expenses 6,694,000 598,000 — 7,292,000 Property operating expenses — — 4,203,000 4,203,000 Segment net operating income $ 15,626,000 $ 4,852,000 $ 1,360,000 $ 21,838,000 Expenses: General and administrative $ 4,338,000 Acquisition related expenses 655,000 Depreciation and amortization 13,639,000 Other income (expense): Interest expense (including amortization of deferred financing costs and debt premium) (2,699,000 ) Other income 1,000 Net income $ 508,000 Medical Office Buildings Senior Housing Senior Housing — RIDEA Year Ended December 31, 2016 Revenue: Real estate revenue $ 3,029,000 $ 127,000 $ — $ 3,156,000 Expenses: Rental expenses 887,000 11,000 — 898,000 Segment net operating income $ 2,142,000 $ 116,000 $ — $ 2,258,000 Expenses: General and administrative $ 1,221,000 Acquisition related expenses 4,745,000 Depreciation and amortization 1,252,000 Other income (expense): Interest expense (including amortization of deferred financing costs and debt premium) (514,000 ) Net loss $ (5,474,000 )
Assets by Reportable Segment	Assets by reportable segment as of December 31, 2018 and 2017 were as follows: December 31, 2018 2017 Medical office buildings $ 417,708,000 $ 262,260,000 Senior housing 154,716,000 98,519,000 Senior housing — RIDEA 146,965,000 115,402,000 Skilled nursing 115,657,000 — Other 61,326,000 3,972,000 Total assets $ 896,372,000 $ 480,153,000

Concentration of Credit Risk (T

Concentration of Credit Risk (Tables)	12 Months Ended
	Dec. 31, 2018
Concentration of Credit Risk [Abstract]
Schedules of Concentration of Risk, by Risk Factor	As of December 31, 2018 , we had one tenant that accounted for 10.0% or more of our total property portfolio’s annualized base rent or annualized net operating income, as follows: Tenant Annualized Percentage of Annualized Base Rent Acquisition Reportable Segment GLA Lease Expiration RC Tier Properties, LLC $ 7,629,000 12.5% Missouri SNF Portfolio Skilled Nursing 385,000 09/30/33 ___________ (1) Annualized base rent is based on contractual base rent from leases in effect as of December 31, 2018 .

Selected Quarterly Financial _2

Selected Quarterly Financial Data (Unaudited) (Tables)	12 Months Ended
	Dec. 31, 2018
Selected Quarterly Financial Data [Abstract]
Selected Quarterly Financial Data	Set forth below is the unaudited selected quarterly financial data. We believe that all necessary adjustments, consisting only of normal recurring adjustments, have been included in the amounts stated below to present fairly, and in accordance with GAAP, the unaudited selected quarterly financial data when read in conjunction with our consolidated financial statements. Quarters Ended December 31, 2018 September 30, 2018 June 30, 2018 March 31, 2018 Revenues $ 25,323,000 $ 22,281,000 $ 19,010,000 $ 17,842,000 Expenses (25,961,000 ) (22,384,000 ) (18,808,000 ) (18,994,000 ) Other expense (3,047,000 ) (1,596,000 ) (1,160,000 ) (1,084,000 ) Income tax expense (4,000 ) (4,000 ) — — Net loss (3,689,000 ) (1,703,000 ) (958,000 ) (2,236,000 ) Less: net loss attributable to redeemable noncontrolling interests 35,000 72,000 58,000 67,000 Net loss attributable to controlling interest $ (3,654,000 ) $ (1,631,000 ) $ (900,000 ) $ (2,169,000 ) Net loss per Class T and Class I common share attributable to controlling interest — basic and diluted $ (0.06 ) $ (0.03 ) $ (0.02 ) $ (0.05 ) Weighted average number of Class T and Class I common shares outstanding — basic and diluted 64,954,525 57,769,964 51,277,753 45,136,647 Quarters Ended December 31, 2017 September 30, 2017 June 30, 2017 March 31, 2017 Revenues $ 14,595,000 $ 8,488,000 $ 6,198,000 $ 4,052,000 Expenses (14,285,000 ) (6,954,000 ) (5,169,000 ) (3,719,000 ) Other expense (1,092,000 ) (780,000 ) (408,000 ) (418,000 ) Net (loss) income (782,000 ) 754,000 621,000 (85,000 ) Less: net loss income attributable to redeemable noncontrolling interest 33,000 — — — Net (loss) income attributable to controlling interest $ (749,000 ) $ 754,000 $ 621,000 $ (85,000 ) Net (loss) income per Class T and Class I common share attributable to controlling interest — basic and diluted $ (0.02 ) $ 0.02 $ 0.03 $ (0.01 ) Weighted average number of Class T and Class I common shares outstanding — basic and diluted 39,409,207 32,593,321 24,035,973 14,655,107

Subsequent Events (Tables)

Subsequent Events (Tables)	12 Months Ended
	Dec. 31, 2018
Subsequent Events [Line Items]
Schedule of Derivative Instruments [Table Text Block]	The following is a summary of the Swaps: Financial Institution Interest Rate Notional Amount Citizens Bank 2.49% $ 139,500,000 Comerica Bank 2.49% 36,700,000 Fifth Third 2.49% 58,800,000 Huntington 2.53% 15,000,000 $ 250,000,000
Schedule Of Acquisitions Of Properties Table	Acquisitions in 2017 For the year ended December 31, 2017, using net proceeds from our offering and debt financing, we completed nine property acquisitions comprising 28 buildings from unaffiliated third parties. The following is a summary of our property acquisitions for the year ended December 31, 2017: Acquisition(1) Location Type Date Acquired Contract Purchase Price Mortgage Loan Payable(2) Line of Credit(3) Total Acquisition Fee(4) Battle Creek MOB Battle Creek, MI Medical Office 03/10/17 $ 7,300,000 $ — $ — $ 328,000 Reno MOB Reno, NV Medical Office 03/13/17 66,250,000 — 60,000,000 2,982,000 Athens MOB Portfolio Athens, GA Medical Office 05/18/17 16,800,000 — 7,800,000 756,000 SW Illinois Senior Housing Portfolio Columbia, Millstadt, Red Bud and Waterloo, IL Senior Housing 05/22/17 31,800,000 — 31,700,000 1,431,000 Lawrenceville MOB Lawrenceville, GA Medical Office 06/12/17 11,275,000 8,000,000 3,000,000 507,000 Northern California Senior Housing Portfolio Belmont, Fairfield, Menlo Park and Sacramento, CA Senior Housing 06/28/17 45,800,000 — 21,600,000 2,061,000 Roseburg MOB Roseburg, OR Medical Office 06/29/17 23,200,000 — 23,000,000 1,044,000 Fairfield County MOB Portfolio Stratford and Trumbull, CT Medical Office 09/29/17 15,395,000 — 15,500,000 693,000 Central Florida Senior Housing Portfolio(5) Bradenton, Brooksville, Lake Placid, Lakeland, Pinellas Park, Sanford, Spring Hill and Winter Haven, FL Senior Housing — RIDEA 11/01/17 109,500,000 — 112,000,000 4,882,000 Total $ 327,320,000 $ 8,000,000 $ 274,600,000 $ 14,684,000 ___________ (1) We own 100% of our properties acquired in 2017, with the exception of Central Florida Senior Housing Portfolio. (2) Represents the principal balance of the mortgage loan payable assumed by us at the time of acquisition. (3) Represents a borrowing under the 2016 Line of Credit or 2017 Credit Facility, as defined in Note 7, Line of Credit and Term Loan , at the time of acquisition. (4) Our advisor was paid, as compensation for services rendered in connection with the investigation, selection and acquisition of our properties, a base acquisition fee of 2.25% of the portion of the aggregate contract purchase price paid by us. In addition, the total acquisition fee includes a Contingent Advisor Payment, as defined in Note 12, Related Party Transactions , in the amount of 2.25% of the portion of the aggregate contract purchase price paid by us. See Note 12, Related Party Transactions — Acquisition and Development Stage — Acquisition Fee, for a further discussion. (5) On November 1, 2017, we completed the acquisition of Central Florida Senior Housing Portfolio pursuant to a joint venture with an affiliate of Meridian. Our ownership of the joint venture is approximately 98% . The following table summarizes the purchase price of the assets acquired and liabilities assumed at the time of acquisition from our nine property acquisitions in 2017 based on their relative fair values: 2017 Acquisitions Building and improvements $ 263,052,000 Land 39,879,000 Furniture, fixtures and equipment 4,453,000 In-place leases 30,754,000 Above-market leases 127,000 Total assets acquired 338,265,000 Mortgage loan payable (8,000,000 ) Below-market leases (571,000 ) Above-market leasehold interests (395,000 ) Total liabilities assumed (8,966,000 ) Net assets acquired $ 329,299,000 Acquisitions in 2016 For the year ended December 31, 2016, we completed nine property acquisitions comprising 12 buildings from unaffiliated third parties. See Note 16, Business Combinations , for a further discussion. The following is a summary of our property acquisitions for the year ended December 31, 2016: Acquisition(1) Location Type Date Acquired Contract Purchase Price Mortgage Loan Payable(2) Line of Credit(3) Total Acquisition Fee(4) Auburn MOB Auburn, CA Medical Office 06/28/16 $ 5,450,000 $ — $ — $ 245,000 Pottsville MOB Pottsville, PA Medical Office 09/16/16 9,150,000 — — 412,000 Charlottesville MOB Charlottesville, VA Medical Office 09/22/16 20,120,000 — — 905,000 Rochester Hills MOB Rochester Hills, MI Medical Office 09/29/16 8,300,000 3,968,000 — 374,000 Cullman MOB III Cullman, AL Medical Office 09/30/16 16,650,000 — 12,000,000 749,000 Iron MOB Portfolio Cullman and Sylacauga, AL Medical Office 10/13/16 31,000,000 — 30,400,000 1,395,000 Mint Hill MOB Mint Hill, NC Medical Office 11/14/16 21,000,000 — 20,400,000 945,000 Lafayette Assisted Living Portfolio Lafayette, LA Senior Housing 12/01/16 16,750,000 — 17,500,000 754,000 Evendale MOB Evendale, OH Medical Office 12/13/16 10,400,000 — 10,400,000 468,000 Total $ 138,820,000 $ 3,968,000 $ 90,700,000 $ 6,247,000 ___________ (1) We own 100% of our properties acquired in 2016. (2) Represents the principal balance of the mortgage loan payable assumed by us at the time of acquisition. (3) Represents a borrowing under the 2016 Line of Credit, as defined in Note 7, Line of Credit and Term Loan , at the time of acquisition. (4) Our advisor was paid, as compensation for services rendered in connection with the investigation, selection and acquisition of our properties, a base acquisition fee of 2.25% of the portion of the aggregate contract purchase price paid by us. In addition, the total acquisition fee includes a Contingent Advisor Payment, as defined in Note 12, Related Party Transactions , in the amount of 2.25% of the portion of the aggregate contract purchase price paid by us. See Note 12, Related Party Transactions — Acquisition and Development Stage — Acquisition Fee, for a further discussion. Acquisitions in 2018 For the year ended December 31, 2018, using net proceeds from our offering and debt financing, we completed 15 property acquisitions comprising 29 buildings from unaffiliated third parties. The following is a summary of our property acquisitions for the year ended December 31, 2018: Acquisition(1) Location Type Date Acquired Contract Purchase Price Mortgage Loan Payable(2) Line of Credit(3) Total Acquisition Fee(4) Central Wisconsin Senior Care Portfolio Sun Prairie and Waunakee, WI Skilled Nursing 03/01/18 $ 22,600,000 $ — $ 22,600,000 $ 1,018,000 Sauk Prairie MOB Prairie du Sac, WI Medical Office 04/09/18 19,500,000 — 19,500,000 878,000 Surprise MOB Surprise, AZ Medical Office 04/27/18 11,650,000 — 8,000,000 524,000 Southfield MOB Southfield, MI Medical Office 05/11/18 16,200,000 6,071,000 10,000,000 728,000 Pinnacle Beaumont ALF(5) Beaumont, TX Senior Housing — RIDEA 07/01/18 19,500,000 — 19,400,000 868,000 Grand Junction MOB Grand Junction, CO Medical Office 07/06/18 31,500,000 — 31,400,000 1,418,000 Edmonds MOB Edmonds, WA Medical Office 07/30/18 23,500,000 — 22,000,000 1,058,000 Pinnacle Warrenton ALF(5) Warrenton, MO Senior Housing — RIDEA 08/01/18 8,100,000 — 8,100,000 360,000 Glendale MOB Glendale, WI Medical Office 08/13/18 7,600,000 — 7,000,000 342,000 Missouri SNF Portfolio Florissant, Kansas City, Milan, Moberly, Salisbury, Sedalia, St. Elizabeth and Trenton, MO Skilled Nursing 09/28/18 88,200,000 — 87,000,000 3,970,000 Flemington MOB Portfolio Flemington, NJ Medical Office 11/29/18 16,950,000 — 15,500,000 763,000 Lawrenceville MOB II Lawrenceville, GA Medical Office 12/19/18 9,999,000 — 10,100,000 450,000 Mill Creek MOB Mill Creek, WA Medical Office 12/21/18 8,250,000 — 6,200,000 371,000 Modesto MOB Modesto, CA Medical Office 12/28/18 16,000,000 — 15,400,000 720,000 Michigan ALF Portfolio Grand Rapids, Holland, Howell, Lansing and Wyoming, MI Senior Housing 12/28/18 56,000,000 — 53,400,000 2,520,000 Total $ 355,549,000 $ 6,071,000 $ 335,600,000 $ 15,988,000 ___________ (1) We own 100% of our properties acquired in 2018, with the exception of Pinnacle Beaumont ALF and Pinnacle Warrenton ALF. (2) Represents the principal balance of the mortgage loan payable assumed by us at the time of acquisition. (3) Represents a borrowing under the 2017 Credit Facility or 2018 Credit Facility, as defined in Note 7, Line of Credit and Term Loan , at the time of acquisition. (4) Our advisor was paid, as compensation for services rendered in connection with the investigation, selection and acquisition of our properties, a base acquisition fee of 2.25% of the portion of the aggregate contract purchase price paid by us. In addition, the total acquisition fee includes a Contingent Advisor Payment, as defined in Note 12, Related Party Transactions , in the amount of 2.25% of the portion of the aggregate contract purchase price paid by us. See Note 12, Related Party Transactions — Acquisition and Development Stage — Acquisition Fee, for a further discussion. (5) On July 1, 2018 and August 1, 2018, we completed the acquisitions of Pinnacle Beaumont ALF and Pinnacle Warrenton ALF, respectively, pursuant to a joint venture with an affiliate of Meridian Senior Living, LLC, or Meridian, an unaffiliated third party. Our ownership of the joint venture is approximately 98% . The following is a summary of our property acquisition subsequent to December 31, 2018: Acquisition(1) Location Type Date Acquired Contract Purchase Price Total Acquisition Fee(2) Lithonia MOB Lithonia, GA Medical Office 03/05/19 $ 10,600,000 $ 477,000 ___________ (1) We own 100% of our property acquired subsequent to December 31, 2018. (2) Our advisor was paid, as compensation for services rendered in connection with the investigation, selection and acquisition of our property, a base acquisition fee of 2.25% of the portion of the aggregate contract purchase price paid by us. In addition, the total acquisition fee includes a Contingent Advisor Payment, as defined in Note 12, Related Party Transactions , in the amount of 2.25% of the portion of the aggregate contract purchase price paid by us. See Note 12, Related Party Transactions — Acquisition and Development Stage — Acquisition Fee, for a further discussion.

Organization and Description _2

Organization and Description of Business (Detail) $ / shares in Units, ft² in Thousands	Dec. 31, 2018ft²	Dec. 31, 2018ft²segment	Feb. 16, 2016USD ($)$ / shares	Mar. 18, 2019PropertyBuilding	Dec. 31, 2018USD ($)ft²segmentshares	Dec. 31, 2017USD ($)Acquisitionshares	Feb. 16, 2017	Dec. 31, 2016USD ($)shares	Dec. 31, 2017shares	Dec. 31, 2018USD ($)ft²shares	Feb. 15, 2019USD ($)shares	Dec. 31, 2018USD ($)ft²AcquisitionPropertyBuilding	Dec. 31, 2018ft²	Dec. 31, 2018ft²	Jan. 18, 2019USD ($)$ / shares	Apr. 11, 2018$ / shares	Jan. 22, 2018$ / shares	Mar. 01, 2017$ / shares	Jan. 23, 2017$ / shares	Jan. 07, 2017$ / shares	Jun. 17, 2016USD ($)$ / shares	Mar. 01, 2015
Date of inception													Jan. 23, 2015
Date of capitalization														Feb. 6, 2015
Aggregate Maximum Amount Of Common Stock Issuable Under Public Offering			$ 3,150,000,000
Number of Reportable Segments	4	4			4
Aggregate Reallocated Maximum Amount of Common Stock Issuable Under Primary Public Offering																					$ 3,150,000,000
Advisory Agreement Term			1 year				1 year
Number of Acquisitions Completed from Unaffiliated Parties | Acquisition						9						33
Number of Properties Acquired from Unaffiliated Parties | Property												66
Number of Buildings Acquired from Unaffiliated Parties | Building												69
GLA (Sq Ft) | ft²	3,835	3,835			3,835					3,835		3,835	3,835	3,835
Contract purchase price												$ 821,689,000
Issuance of common stock under the DRIP					$ 17,612,000	$ 8,689,000		$ 796,000		$ 27,097,000
Issuance of common stock under the DRIP, shares | shares									1,008,075	2,846,786
Distribution Reinvestment Plan [Member]
Maximum amount of common stock issuable under public offering			$ 150,000,000
Class T and Class I Common Stock
Maximum amount of common stock issuable under public offering			$ 3,000,000,000
Share price | $ / shares			$ 10													$ 10.05
Common Class T [Member]
Maximum amount of common stock issuable under public offering			$ 3,000,000,000
Share price | $ / shares			$ 10
Reallocated Maximum Amount Of Common Stock Issuable Under Primary Public Offering																					$ 2,800,000,000
Common Class I [Member]
Share price | $ / shares																	$ 9.21	$ 9.21	$ 9.21		$ 9.30
Reallocated Maximum Amount Of Common Stock Issuable Under Primary Public Offering																					$ 200,000,000
Distribution Reinvestment Plan [Member]
Maximum amount of common stock issuable under public offering			$ 150,000,000
Share price | $ / shares			$ 9.50													$ 9.65				$ 9.40
Class T and Class I Common Stock
Subscriptions In Offering Of Common Stock Received And Accepted Shares | shares										66,755,516
Subscriptions In Offering Of Common Stock Received And Accepted Value										$ 665,403,000
Issuance of common stock under the DRIP, shares | shares					1,838,711	924,358		83,717
Griffin Capital Corporation [Member]
Ownership percentage in affiliate			25.00%
American Healthcare Investors [Member]
Ownership percentage in affiliate			75.00%
AHI Group Holdings, LLC [Member]
Ownership percentage in affiliate																						47.10%
NorthStar Asset Management Group Inc. [Member]
Ownership percentage in affiliate																						45.10%
James F. Flaherty III [Member]
Ownership percentage in affiliate																						7.80%
Subsequent Event [Member]
Number of Properties Acquired from Unaffiliated Parties | Property				1
Number of Buildings Acquired from Unaffiliated Parties | Building				1
Subsequent Event [Member] | DRIP S-3 Public Offering [Member]
Maximum amount of common stock issuable under public offering															$ 100,000,000
Share price | $ / shares															$ 9.65
Issuance of common stock under the DRIP											$ 31,021,000
Issuance of common stock under the DRIP, shares | shares											3,253,543
Subsequent Event [Member] | Class T and Class I Common Stock
Subscriptions In Offering Of Common Stock Received And Accepted Shares | shares											75,625,285
Subscriptions In Offering Of Common Stock Received And Accepted Value											$ 753,975,000

Summary of Significant Accoun_4

Summary of Significant Accounting Policies (Detail)	Dec. 31, 2018USD ($)	Dec. 31, 2018USD ($)segment	Dec. 31, 2018USD ($)Acquisitionsegment	Dec. 31, 2017USD ($)Acquisition	Dec. 31, 2016USD ($)Acquisition	Dec. 31, 2018USD ($)	Dec. 31, 2018USD ($)Acquisition	Jan. 01, 2019USD ($)
Resident fees and services			$ 36,857,000	$ 5,563,000	$ 0
Ancillary service revenue			847,000
Number of Acquisitions Completed from Unaffiliated Parties | Acquisition				9			33
Allowance for Doubtful Accounts Receivable	$ 1,321,000	$ 1,321,000	1,321,000	$ 83,000		$ 1,321,000	$ 1,321,000
Allowance for Doubtful Accounts Receivable, Write-offs			$ 21,000	$ 0	$ 0
Percentage of ownership in operating partnership			99.99%	99.99%
Percentage of limited partnership interest			0.01%	0.01%
Percentage of income required to be distributed as dividends					90.00%
Number of Reportable Segments	4	4	4
Direct Write Offs Of Deferred Rent Receivable			$ 0	$ 2,000
Building and Building Improvements [Member] | Maximum [Member]
Estimated useful life			39 years			39 years
Leasehold Improvements [Member] | Maximum [Member]
Estimated useful life			14 years			14 years
Furniture and Fixtures [Member] | Maximum [Member]
Estimated useful life			10 years			10 years
2018 Acquisitions [Member]
Number of Acquisitions Completed from Unaffiliated Parties | Acquisition			15
2017 Acquisitions [Member]
Number of Acquisitions Completed from Unaffiliated Parties | Acquisition				9
2016 Acquisitions [Member]
Number of Acquisitions Completed from Unaffiliated Parties | Acquisition					9
Scenario, Forecast [Member]
Operating Lease, Liability								$ 5,335,000
Operating Lease, Right-of-Use Asset								$ 9,257,000

Summary of Significant Accoun_5

Summary of Significant Accounting Policies Disaggregation of Revenue (Details) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Resident fees and services	$ 36,857,000	$ 5,563,000	$ 0
Resident Fees and Services [Member]
Resident fees and services	36,857,000
Senior Housing-RIDEA [Member]
Resident fees and services	36,857,000
Senior Housing-RIDEA [Member] | Transferred at Point in Time [Member]
Resident fees and services	847,000
Senior Housing-RIDEA [Member] | Transferred over Time [Member]
Resident fees and services	36,010,000
Medicaid [Member] | Resident Fees and Services [Member]
Resident fees and services	6,082,000
Private and Other Payors [Member] | Resident Fees and Services [Member]
Resident fees and services	$ 30,775,000

Summary of Significant Accoun_6

Summary of Significant Accounting Policies Accounts Receivable and Deferred Revenue (Details) - Resident Fees and Services [Member] - USD ($)	12 Months Ended
	Dec. 31, 2018	Jan. 01, 2018
Contract with Customer, Asset and Liability [Line Items]
Accounts Receivable, Net - Resident Fees and Services	$ 6,742,000	$ 1,165,000
Increase (Decrease)	5,577,000
Medicaid [Member]
Contract with Customer, Asset and Liability [Line Items]
Accounts Receivable, Net - Resident Fees and Services	6,098,000	827,000
Increase (Decrease)	5,271,000
Private and Other Payors [Member]
Contract with Customer, Asset and Liability [Line Items]
Accounts Receivable, Net - Resident Fees and Services	644,000	$ 338,000
Increase (Decrease)	$ 306,000

Real Estate Investments, Net -

Real Estate Investments, Net - Investments in Consolidated Properties (Detail) - USD ($)	12 Months Ended			47 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2018
Real Estate Properties [Line Items]
Real estate investments, at cost	$ 756,988,000	$ 428,550,000		$ 756,988,000
Real Estate Investment Property, Accumulated Depreciation	(25,312,000)	(8,885,000)		(25,312,000)
Real estate investments, net	731,676,000	419,665,000		731,676,000
Contract purchase price				821,689,000
Mortgage loans payable related to acquisition of properties		8,000,000	$ 3,968,000
Building and Building Improvements [Member]
Real Estate Properties [Line Items]
Real estate investments, at cost	668,814,000	371,890,000		668,814,000
Land [Member]
Real Estate Properties [Line Items]
Real estate investments, at cost	83,084,000	52,202,000		83,084,000
Furniture and Fixtures [Member]
Real Estate Properties [Line Items]
Real estate investments, at cost	$ 5,090,000	4,458,000		$ 5,090,000
2017 Acquisitions [Member]
Real Estate Properties [Line Items]
Contract purchase price		327,320,000
Related Party Transactions Total Acquisition Fees		14,684,000
Lines Of Credit Related To Acquisition Of Properties		$ 274,600,000
2016 Acquisitions [Member]
Real Estate Properties [Line Items]
Contract purchase price			138,820,000
Related Party Transactions Total Acquisition Fees			6,247,000
Lines Of Credit Related To Acquisition Of Properties			$ 90,700,000
Auburn MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired			Medical Office
Date of acquisition of property			Jun. 28, 2016
Contract purchase price			$ 5,450,000
Related Party Transactions Total Acquisition Fees			$ 245,000
Central Wisconsin Senior Care Portfolio [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Skilled Nursing
Date of acquisition of property	Mar. 1, 2018
Contract purchase price	$ 22,600,000
Related Party Transactions Total Acquisition Fees	1,018,000
Lines Of Credit Related To Acquisition Of Properties	$ 22,600,000
Battle Creek MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Medical Office
Date of acquisition of property		Mar. 10, 2017
Contract purchase price		$ 7,300,000
Related Party Transactions Total Acquisition Fees		$ 328,000
Reno MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Medical Office
Date of acquisition of property		Mar. 13, 2017
Contract purchase price		$ 66,250,000
Related Party Transactions Total Acquisition Fees		2,982,000
Lines Of Credit Related To Acquisition Of Properties		$ 60,000,000
Athens MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Medical Office
Date of acquisition of property		May 18, 2017
Contract purchase price		$ 16,800,000
Related Party Transactions Total Acquisition Fees		756,000
Lines Of Credit Related To Acquisition Of Properties		$ 7,800,000
SW Illinois Senior Housing Portfolio [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Senior Housing
Date of acquisition of property		May 22, 2017
Contract purchase price		$ 31,800,000
Related Party Transactions Total Acquisition Fees		1,431,000
Lines Of Credit Related To Acquisition Of Properties		$ 31,700,000
Lawrenceville MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Medical Office
Date of acquisition of property		Jun. 12, 2017
Contract purchase price		$ 11,275,000
Mortgage loans payable related to acquisition of properties		8,000,000
Related Party Transactions Total Acquisition Fees		507,000
Lines Of Credit Related To Acquisition Of Properties		$ 3,000,000
Northern California Senior Housing Portfolio [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Senior Housing
Date of acquisition of property		Jun. 28, 2017
Contract purchase price		$ 45,800,000
Related Party Transactions Total Acquisition Fees		2,061,000
Lines Of Credit Related To Acquisition Of Properties		$ 21,600,000
Roseburg MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Medical Office
Date of acquisition of property		Jun. 29, 2017
Contract purchase price		$ 23,200,000
Related Party Transactions Total Acquisition Fees		1,044,000
Lines Of Credit Related To Acquisition Of Properties		$ 23,000,000
Fairfield County MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Medical Office
Date of acquisition of property		Sep. 29, 2017
Contract purchase price		$ 15,395,000
Related Party Transactions Total Acquisition Fees		693,000
Lines Of Credit Related To Acquisition Of Properties		$ 15,500,000
Central Florida Senior Housing Portfolio [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Senior Housing — RIDEA
Date of acquisition of property		Nov. 1, 2017
Contract purchase price		$ 109,500,000
Related Party Transactions Total Acquisition Fees		4,882,000
Lines Of Credit Related To Acquisition Of Properties		$ 112,000,000
Sauk Prairie MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Medical Office
Date of acquisition of property	Apr. 9, 2018
Contract purchase price	$ 19,500,000
Related Party Transactions Total Acquisition Fees	878,000
Lines Of Credit Related To Acquisition Of Properties	$ 19,500,000
Surprise MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Medical Office
Date of acquisition of property	Apr. 27, 2018
Contract purchase price	$ 11,650,000
Related Party Transactions Total Acquisition Fees	524,000
Lines Of Credit Related To Acquisition Of Properties	$ 8,000,000
Southfield MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Medical Office
Date of acquisition of property	May 11, 2018
Contract purchase price	$ 16,200,000
Borrowings and assumptions on mortgage loans payable	6,071,000
Related Party Transactions Total Acquisition Fees	728,000
Lines Of Credit Related To Acquisition Of Properties	$ 10,000,000
Pinnacle Beaumont ALF [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Senior Housing — RIDEA
Date of acquisition of property	Jul. 1, 2018
Contract purchase price	$ 19,500,000
Related Party Transactions Total Acquisition Fees	868,000
Lines Of Credit Related To Acquisition Of Properties	$ 19,400,000
Grand Junction MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Medical Office
Date of acquisition of property	Jul. 6, 2018
Contract purchase price	$ 31,500,000
Related Party Transactions Total Acquisition Fees	1,418,000
Lines Of Credit Related To Acquisition Of Properties	$ 31,400,000
Edmonds MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Medical Office
Date of acquisition of property	Jul. 30, 2018
Contract purchase price	$ 23,500,000
Related Party Transactions Total Acquisition Fees	1,058,000
Lines Of Credit Related To Acquisition Of Properties	$ 22,000,000
Pinnacle Warrenton ALF [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Senior Housing — RIDEA
Date of acquisition of property	Aug. 1, 2018
Contract purchase price	$ 8,100,000
Related Party Transactions Total Acquisition Fees	360,000
Lines Of Credit Related To Acquisition Of Properties	$ 8,100,000
Glendale MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Medical Office
Date of acquisition of property	Aug. 13, 2018
Contract purchase price	$ 7,600,000
Related Party Transactions Total Acquisition Fees	342,000
Lines Of Credit Related To Acquisition Of Properties	$ 7,000,000
Missouri Skilled Nursing Facility Portfolio [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Skilled Nursing
Date of acquisition of property	Sep. 28, 2018
Contract purchase price	$ 88,200,000
Related Party Transactions Total Acquisition Fees	3,970,000
Lines Of Credit Related To Acquisition Of Properties	$ 87,000,000
Flemington MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Medical Office
Date of acquisition of property	Nov. 29, 2018
Contract purchase price	$ 16,950,000
Related Party Transactions Total Acquisition Fees	763,000
Lines Of Credit Related To Acquisition Of Properties	$ 15,500,000
Lawrenceville MOB II [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Medical Office
Date of acquisition of property	Dec. 19, 2018
Contract purchase price	$ 9,999,000
Related Party Transactions Total Acquisition Fees	450,000
Lines Of Credit Related To Acquisition Of Properties	$ 10,100,000
Mill Creek MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Medical Office
Date of acquisition of property	Dec. 21, 2018
Contract purchase price	$ 8,250,000
Related Party Transactions Total Acquisition Fees	371,000
Lines Of Credit Related To Acquisition Of Properties	$ 6,200,000
Modesto MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Medical Office
Date of acquisition of property	Dec. 28, 2018
Contract purchase price	$ 16,000,000
Related Party Transactions Total Acquisition Fees	720,000
Lines Of Credit Related To Acquisition Of Properties	$ 15,400,000
Michigan ALF Portfolio [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Senior Housing
Date of acquisition of property	Dec. 28, 2018
Contract purchase price	$ 56,000,000
Related Party Transactions Total Acquisition Fees	2,520,000
Lines Of Credit Related To Acquisition Of Properties	53,400,000
Pottsville MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired			Medical Office
Date of acquisition of property			Sep. 16, 2016
Contract purchase price			$ 9,150,000
Related Party Transactions Total Acquisition Fees			$ 412,000
Charlottesville MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired			Medical Office
Date of acquisition of property			Sep. 22, 2016
Contract purchase price			$ 20,120,000
Related Party Transactions Total Acquisition Fees			$ 905,000
Rochester Hills MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired			Medical Office
Date of acquisition of property			Sep. 29, 2016
Contract purchase price			$ 8,300,000
Mortgage loans payable related to acquisition of properties			3,968,000
Related Party Transactions Total Acquisition Fees			$ 374,000
Cullman MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired			Medical Office
Date of acquisition of property			Sep. 30, 2016
Contract purchase price			$ 16,650,000
Related Party Transactions Total Acquisition Fees			749,000
Lines Of Credit Related To Acquisition Of Properties			$ 12,000,000
Iron MOB Portfolio [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired			Medical Office
Date of acquisition of property			Oct. 13, 2016
Contract purchase price			$ 31,000,000
Related Party Transactions Total Acquisition Fees			1,395,000
Lines Of Credit Related To Acquisition Of Properties			$ 30,400,000
Mint Hill MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired			Medical Office
Date of acquisition of property			Nov. 14, 2016
Contract purchase price			$ 21,000,000
Related Party Transactions Total Acquisition Fees			945,000
Lines Of Credit Related To Acquisition Of Properties			$ 20,400,000
Lafayette Assisted Living Portfolio [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired			Senior Housing
Date of acquisition of property			Dec. 1, 2016
Contract purchase price			$ 16,750,000
Related Party Transactions Total Acquisition Fees			754,000
Lines Of Credit Related To Acquisition Of Properties			$ 17,500,000
Evendale MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired			Medical Office
Date of acquisition of property			Dec. 13, 2016
Contract purchase price			$ 10,400,000
Related Party Transactions Total Acquisition Fees			468,000
Lines Of Credit Related To Acquisition Of Properties			$ 10,400,000
2018 Acquisitions [Member]
Real Estate Properties [Line Items]
Contract purchase price	355,549,000
Borrowings and assumptions on mortgage loans payable	6,071,000
Related Party Transactions Total Acquisition Fees	15,988,000
Lines Of Credit Related To Acquisition Of Properties	$ 335,600,000

Real Estate Investments, Net _2

Real Estate Investments, Net - Additional Information (Detail)	3 Months Ended	12 Months Ended			35 Months Ended	47 Months Ended
	Mar. 18, 2019Building	Dec. 31, 2018USD ($)AcquisitionBuilding	Dec. 31, 2017USD ($)AcquisitionBuilding	Dec. 31, 2016USD ($)AcquisitionBuilding	Dec. 31, 2018	Dec. 31, 2018USD ($)AcquisitionBuilding
Real Estate Properties [Line Items]
Ownership Percentage, Properties		100.00%
Depreciation		$ 16,723,000	$ 8,137,000	$ 822,000
Maximum percentage Of Fees And Expenses Associated With Acquisition		6.00%			6.00%
Number of Acquisitions Completed from Unaffiliated Parties | Acquisition			9			33
Capitalized Acquisition Costs and Fees Additions		$ 12,989,000	$ 11,019,000
Number of Buildings Acquired from Unaffiliated Parties | Building						69
Contract purchase price						$ 821,689,000
Related party transaction, expenses from transactions with related party		22,355,000	17,650,000	9,112,000
Medical Office Building [Member]
Real Estate Properties [Line Items]
Capital expenditures incurred		3,643,000	1,649,000	23,000
Senior Housing [Member]
Real Estate Properties [Line Items]
Capital expenditures incurred		0	822,000	0
Senior Housing-RIDEA [Member]
Real Estate Properties [Line Items]
Capital expenditures incurred		5,342,000	5,000	0
Skilled Nursing Facilities [Member]
Real Estate Properties [Line Items]
Capital expenditures incurred		$ 0	$ 0	$ 0
2017 Acquisitions [Member]
Real Estate Properties [Line Items]
Ownership Percentage, Properties			100.00%
Number of Acquisitions Completed from Unaffiliated Parties | Acquisition			9
Number of Buildings Acquired from Unaffiliated Parties | Building			28
Contract purchase price			$ 327,320,000
Related Party Transactions Total Acquisition Fees			14,684,000
2018 Acquisitions [Member]
Real Estate Properties [Line Items]
Ownership Percentage, Properties		100.00%
Number of Acquisitions Completed from Unaffiliated Parties | Acquisition		15
2016 Acquisitions [Member]
Real Estate Properties [Line Items]
Ownership Percentage, Properties				100.00%
Number of Acquisitions Completed from Unaffiliated Parties | Acquisition				9
Number of Buildings Acquired from Unaffiliated Parties | Building				12
Contract purchase price				$ 138,820,000
Related Party Transactions Total Acquisition Fees				$ 6,247,000
Contingent Advisor Payment Incurred [Member]
Real Estate Properties [Line Items]
Related party transaction, expenses from transactions with related party		$ 11,316,000	5,095,000
Contingent Advisor Payment Incurred [Member] | 2017 Acquisitions [Member]
Real Estate Properties [Line Items]
Related party transaction, expenses from transactions with related party			$ 7,342,000
Contingent Advisor Payment Incurred [Member] | 2018 Acquisitions [Member]
Real Estate Properties [Line Items]
Related party transaction, expenses from transactions with related party		$ 7,994,000
Advisor [Member]
Real Estate Properties [Line Items]
Base Acquisition Fee For Property Acquired		2.25%			2.25%
Contingent Advisor Payment Fee		2.25%			2.25%
Advisor [Member] | 2017 Acquisitions [Member]
Real Estate Properties [Line Items]
Base Acquisition Fee For Property Acquired			2.25%
Contingent Advisor Payment Fee			2.25%
Advisor [Member] | 2018 Acquisitions [Member]
Real Estate Properties [Line Items]
Base Acquisition Fee For Property Acquired		2.25%
Contingent Advisor Payment Fee		2.25%
Advisor [Member] | 2016 Acquisitions [Member]
Real Estate Properties [Line Items]
Base Acquisition Fee For Property Acquired				2.25%
Contingent Advisor Payment Fee				2.25%
2018 Acquisitions [Member]
Real Estate Properties [Line Items]
Number of Acquisitions Completed from Unaffiliated Parties | Acquisition		15
Number of Buildings Acquired from Unaffiliated Parties | Building		29
Contract purchase price		$ 355,549,000
Related Party Transactions Total Acquisition Fees		$ 15,988,000
Pinnacle Beaumont ALF and Pinnacle Warrenton ALF [Member]
Real Estate Properties [Line Items]
Ownership Percentage, Properties		98.00%
Subsequent Event [Member]
Real Estate Properties [Line Items]
Ownership Percentage, Properties	100.00%
Number of Buildings Acquired from Unaffiliated Parties | Building	1
Subsequent Event [Member] | Advisor [Member] | 2018 Acquisitions [Member]
Real Estate Properties [Line Items]
Base Acquisition Fee For Property Acquired	2.25%
Contingent Advisor Payment Fee	2.25%

Real Estate Investments, Net _3

Real Estate Investments, Net - Summary of Acquisitions (Detail)	12 Months Ended			47 Months Ended
	Dec. 31, 2018USD ($)AcquisitionBuilding	Dec. 31, 2017USD ($)Acquisition	Dec. 31, 2016USD ($)AcquisitionBuilding	Dec. 31, 2018USD ($)AcquisitionBuilding
Real Estate Properties [Line Items]
Number of Acquisitions Completed from Unaffiliated Parties | Acquisition		9		33
Contract purchase price				$ 821,689,000
Mortgage loans payable related to acquisition of properties		$ 8,000,000	$ 3,968,000
Number of Buildings Acquired from Unaffiliated Parties | Building				69
Central Wisconsin Senior Care Portfolio [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Skilled Nursing
Lines Of Credit Related To Acquisition Of Properties	$ 22,600,000
Date of acquisition of property	Mar. 1, 2018
Contract purchase price	$ 22,600,000
Related Party Transactions Total Acquisition Fees	$ 1,018,000
Battle Creek MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Medical Office
Date of acquisition of property		Mar. 10, 2017
Contract purchase price		$ 7,300,000
Related Party Transactions Total Acquisition Fees		$ 328,000
Reno MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Medical Office
Lines Of Credit Related To Acquisition Of Properties		$ 60,000,000
Date of acquisition of property		Mar. 13, 2017
Contract purchase price		$ 66,250,000
Related Party Transactions Total Acquisition Fees		$ 2,982,000
Athens MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Medical Office
Lines Of Credit Related To Acquisition Of Properties		$ 7,800,000
Date of acquisition of property		May 18, 2017
Contract purchase price		$ 16,800,000
Related Party Transactions Total Acquisition Fees		$ 756,000
SW Illinois Senior Housing Portfolio [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Senior Housing
Lines Of Credit Related To Acquisition Of Properties		$ 31,700,000
Date of acquisition of property		May 22, 2017
Contract purchase price		$ 31,800,000
Related Party Transactions Total Acquisition Fees		$ 1,431,000
Lawrenceville MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Medical Office
Lines Of Credit Related To Acquisition Of Properties		$ 3,000,000
Date of acquisition of property		Jun. 12, 2017
Contract purchase price		$ 11,275,000
Mortgage loans payable related to acquisition of properties		8,000,000
Related Party Transactions Total Acquisition Fees		$ 507,000
Northern California Senior Housing Portfolio [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Senior Housing
Lines Of Credit Related To Acquisition Of Properties		$ 21,600,000
Date of acquisition of property		Jun. 28, 2017
Contract purchase price		$ 45,800,000
Related Party Transactions Total Acquisition Fees		$ 2,061,000
Roseburg MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Medical Office
Lines Of Credit Related To Acquisition Of Properties		$ 23,000,000
Date of acquisition of property		Jun. 29, 2017
Contract purchase price		$ 23,200,000
Related Party Transactions Total Acquisition Fees		$ 1,044,000
Fairfield County MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Medical Office
Lines Of Credit Related To Acquisition Of Properties		$ 15,500,000
Date of acquisition of property		Sep. 29, 2017
Contract purchase price		$ 15,395,000
Related Party Transactions Total Acquisition Fees		$ 693,000
Central Florida Senior Housing Portfolio [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Senior Housing — RIDEA
Lines Of Credit Related To Acquisition Of Properties		$ 112,000,000
Date of acquisition of property		Nov. 1, 2017
Contract purchase price		$ 109,500,000
Related Party Transactions Total Acquisition Fees		$ 4,882,000
Auburn MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired			Medical Office
Date of acquisition of property			Jun. 28, 2016
Contract purchase price			$ 5,450,000
Related Party Transactions Total Acquisition Fees			$ 245,000
Pottsville MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired			Medical Office
Date of acquisition of property			Sep. 16, 2016
Contract purchase price			$ 9,150,000
Related Party Transactions Total Acquisition Fees			$ 412,000
Charlottesville MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired			Medical Office
Date of acquisition of property			Sep. 22, 2016
Contract purchase price			$ 20,120,000
Related Party Transactions Total Acquisition Fees			$ 905,000
Rochester Hills MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired			Medical Office
Date of acquisition of property			Sep. 29, 2016
Contract purchase price			$ 8,300,000
Mortgage loans payable related to acquisition of properties			3,968,000
Related Party Transactions Total Acquisition Fees			$ 374,000
Cullman MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired			Medical Office
Lines Of Credit Related To Acquisition Of Properties			$ 12,000,000
Date of acquisition of property			Sep. 30, 2016
Contract purchase price			$ 16,650,000
Related Party Transactions Total Acquisition Fees			$ 749,000
Iron MOB Portfolio [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired			Medical Office
Lines Of Credit Related To Acquisition Of Properties			$ 30,400,000
Date of acquisition of property			Oct. 13, 2016
Contract purchase price			$ 31,000,000
Related Party Transactions Total Acquisition Fees			$ 1,395,000
Mint Hill MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired			Medical Office
Lines Of Credit Related To Acquisition Of Properties			$ 20,400,000
Date of acquisition of property			Nov. 14, 2016
Contract purchase price			$ 21,000,000
Related Party Transactions Total Acquisition Fees			$ 945,000
Lafayette Assisted Living Portfolio [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired			Senior Housing
Lines Of Credit Related To Acquisition Of Properties			$ 17,500,000
Date of acquisition of property			Dec. 1, 2016
Contract purchase price			$ 16,750,000
Related Party Transactions Total Acquisition Fees			$ 754,000
Evendale MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired			Medical Office
Lines Of Credit Related To Acquisition Of Properties			$ 10,400,000
Date of acquisition of property			Dec. 13, 2016
Contract purchase price			$ 10,400,000
Related Party Transactions Total Acquisition Fees			$ 468,000
Sauk Prairie MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Medical Office
Lines Of Credit Related To Acquisition Of Properties	$ 19,500,000
Date of acquisition of property	Apr. 9, 2018
Contract purchase price	$ 19,500,000
Related Party Transactions Total Acquisition Fees	$ 878,000
Surprise MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Medical Office
Lines Of Credit Related To Acquisition Of Properties	$ 8,000,000
Date of acquisition of property	Apr. 27, 2018
Contract purchase price	$ 11,650,000
Related Party Transactions Total Acquisition Fees	$ 524,000
Southfield MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Medical Office
Lines Of Credit Related To Acquisition Of Properties	$ 10,000,000
Date of acquisition of property	May 11, 2018
Contract purchase price	$ 16,200,000
Related Party Transactions Total Acquisition Fees	728,000
Borrowings and assumptions on mortgage loans payable	$ 6,071,000
Grand Junction MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Medical Office
Lines Of Credit Related To Acquisition Of Properties	$ 31,400,000
Date of acquisition of property	Jul. 6, 2018
Contract purchase price	$ 31,500,000
Related Party Transactions Total Acquisition Fees	$ 1,418,000
Edmonds MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Medical Office
Lines Of Credit Related To Acquisition Of Properties	$ 22,000,000
Date of acquisition of property	Jul. 30, 2018
Contract purchase price	$ 23,500,000
Related Party Transactions Total Acquisition Fees	$ 1,058,000
Pinnacle Warrenton ALF [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Senior Housing — RIDEA
Lines Of Credit Related To Acquisition Of Properties	$ 8,100,000
Date of acquisition of property	Aug. 1, 2018
Contract purchase price	$ 8,100,000
Related Party Transactions Total Acquisition Fees	$ 360,000
Glendale MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Medical Office
Lines Of Credit Related To Acquisition Of Properties	$ 7,000,000
Date of acquisition of property	Aug. 13, 2018
Contract purchase price	$ 7,600,000
Related Party Transactions Total Acquisition Fees	$ 342,000
Missouri Skilled Nursing Facility Portfolio [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Skilled Nursing
Lines Of Credit Related To Acquisition Of Properties	$ 87,000,000
Date of acquisition of property	Sep. 28, 2018
Contract purchase price	$ 88,200,000
Related Party Transactions Total Acquisition Fees	$ 3,970,000
Flemington MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Medical Office
Lines Of Credit Related To Acquisition Of Properties	$ 15,500,000
Date of acquisition of property	Nov. 29, 2018
Contract purchase price	$ 16,950,000
Related Party Transactions Total Acquisition Fees	$ 763,000
Lawrenceville MOB II [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Medical Office
Lines Of Credit Related To Acquisition Of Properties	$ 10,100,000
Date of acquisition of property	Dec. 19, 2018
Contract purchase price	$ 9,999,000
Related Party Transactions Total Acquisition Fees	$ 450,000
Mill Creek MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Medical Office
Lines Of Credit Related To Acquisition Of Properties	$ 6,200,000
Date of acquisition of property	Dec. 21, 2018
Contract purchase price	$ 8,250,000
Related Party Transactions Total Acquisition Fees	$ 371,000
Modesto MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Medical Office
Lines Of Credit Related To Acquisition Of Properties	$ 15,400,000
Date of acquisition of property	Dec. 28, 2018
Contract purchase price	$ 16,000,000
Related Party Transactions Total Acquisition Fees	$ 720,000
Michigan ALF Portfolio [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Senior Housing
Lines Of Credit Related To Acquisition Of Properties	$ 53,400,000
Date of acquisition of property	Dec. 28, 2018
Contract purchase price	$ 56,000,000
Related Party Transactions Total Acquisition Fees	$ 2,520,000
2018 Acquisitions [Member]
Real Estate Properties [Line Items]
Number of Acquisitions Completed from Unaffiliated Parties | Acquisition	15
2016 Acquisitions [Member]
Real Estate Properties [Line Items]
Number of Acquisitions Completed from Unaffiliated Parties | Acquisition			9
Lines Of Credit Related To Acquisition Of Properties			$ 90,700,000
Contract purchase price			$ 138,820,000
Number of Buildings Acquired from Unaffiliated Parties | Building			12
Related Party Transactions Total Acquisition Fees			$ 6,247,000
2018 Acquisitions [Member]
Real Estate Properties [Line Items]
Number of Acquisitions Completed from Unaffiliated Parties | Acquisition	15
Lines Of Credit Related To Acquisition Of Properties	$ 335,600,000
Contract purchase price	$ 355,549,000
Number of Buildings Acquired from Unaffiliated Parties | Building	29
Related Party Transactions Total Acquisition Fees	$ 15,988,000
Borrowings and assumptions on mortgage loans payable	$ 6,071,000

Real Estate Investments, Net (P

Real Estate Investments, Net (Phantom) (Details)	Dec. 31, 2018USD ($)
2018 Acquisitions [Member]
Debt Instrument, Unamortized Discount	$ 263,000

Real Estate Investments, Net Sc

Real Estate Investments, Net Schedule of Recognized Identified Assets Acquired and Liabilities Assumed (Details) - USD ($)	Dec. 31, 2018	Dec. 31, 2017
2017 Acquisitions [Member]
Building and improvements		$ 263,052,000
Land		39,879,000
Furniture, fixtures and equipment		4,453,000
Total assets acquired		338,265,000
Total liabilities assumed		(8,966,000)
Net assets acquired		329,299,000
In-Place Leases [Member] | 2017 Acquisitions [Member]
In-place leases		30,754,000
Above Market Leases [Member] | 2018 Acquisitions [Member]
Above-market leases	$ 200,000
Above Market Leases [Member] | 2017 Acquisitions [Member]
Above-market leases		127,000
Mortgage Loans Payable, Net [Member] | 2018 Acquisitions [Member]
Mortgage loan payable	(5,808,000)
Mortgage Loans Payable, Net [Member] | 2017 Acquisitions [Member]
Mortgage loan payable		(8,000,000)
Below Market Lease [Member] | 2018 Acquisitions [Member]
Below-market leases	(269,000)
Below Market Lease [Member] | 2017 Acquisitions [Member]
Below-market leases		(571,000)
Above-market leasehold interest [Member] | 2017 Acquisitions [Member]
Above-market leasehold interests		$ (395,000)
2018 Acquisitions [Member]
Building and improvements	289,830,000
Land	30,878,000
Furniture, fixtures and equipment	79,000
Total assets acquired	366,867,000
Above-market leasehold interests	(93,000)
Total liabilities assumed	(6,077,000)
Net assets acquired	360,790,000
Asset Acquisition, Recognized Identifiable Assets Acquired and Liabilities Assumed, Certificates Of Need	348,000
2018 Acquisitions [Member] | In-Place Leases [Member]
In-place leases	$ 45,439,000

Identified Intangible Assets,_3

Identified Intangible Assets, Net - Summary of Identified Intangibles, Net (Detail) - USD ($)	Dec. 31, 2018	Dec. 31, 2017
Finite-Lived Intangible Assets [Line Items]
Identified intangible assets, net	$ 74,723,000	$ 44,821,000
In-Place Leases [Member]
Finite-Lived Intangible Assets [Line Items]
Finite-Lived Intangible Assets, Net	67,332,000	37,766,000
Leasehold Interests [Member]
Finite-Lived Intangible Assets [Line Items]
Finite-Lived Intangible Assets, Net	6,288,000	6,292,000
Above Market Leases [Member]
Finite-Lived Intangible Assets [Line Items]
Finite-Lived Intangible Assets, Net	755,000	763,000
Certificates Of Need [Member]
Finite-Lived Intangible Assets [Line Items]
Finite-Lived Intangible Assets, Net	$ 348,000	$ 0

Identified Intangible Assets,_4

Identified Intangible Assets, Net - Summary of Amortization Expense on Identified Intangible Assets, Net (Detail)	Dec. 31, 2018USD ($)
Finite-Lived Intangible Assets [Line Items]
2019	$ 10,464,000
2020	8,549,000
2021	7,680,000
2022	6,708,000
2023	5,716,000
Thereafter	35,258,000
Identified intangible assets, net	$ 74,375,000

Identified Intangible Assets,_5

Identified Intangible Assets, Net (Phantom) (Detail) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Finite-Lived Intangible Assets [Line Items]
Amortization of Intangible Assets	$ 16,180,000	$ 5,732,000	$ 483,000
Finite-Lived Intangible Asset, Useful Life	15 years 3 months 18 days	16 years 2 months 12 days
In-Place Leases [Member]
Finite-Lived Intangible Assets [Line Items]
Net of accumulated amortization	$ 11,299,000	$ 5,832,000
Finite-Lived Intangible Asset, Useful Life	10 years 3 months 18 days	7 years 3 months 18 days
Leasehold Interests [Member]
Finite-Lived Intangible Assets [Line Items]
Amortization of Intangible Assets	$ 98,000	$ 97,000	22,000
Net of accumulated amortization	$ 217,000	$ 119,000
Finite-Lived Intangible Asset, Useful Life	69 years 1 month 6 days	70 years 7 months 6 days
Above Market Leases [Member]
Finite-Lived Intangible Assets [Line Items]
Amortization of Intangible Assets	$ 208,000	$ 142,000	$ 31,000
Net of accumulated amortization	$ 323,000	$ 173,000
Finite-Lived Intangible Asset, Useful Life	4 years 6 months	5 years 7 months 6 days

Other Assets, Net - Other Asset

Other Assets, Net - Other Assets, Net (Detail) - USD ($)	Oct. 01, 2018	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2018	Dec. 31, 2018
Contract purchase price						$ 821,689,000
Related party transaction, expenses from transactions with related party		$ 22,355,000	$ 17,650,000	$ 9,112,000
Joint Venture unamortized basis difference		17,704,000			$ 17,704,000	17,704,000
Investment in unconsolidated entity		47,600,000	0		47,600,000	47,600,000
Deferred rent receivables		4,941,000	1,912,000		4,941,000	4,941,000
Deferred financing costs, net of accumulated amortization of $1,554,000 and $554,000 as of December 31, 2018 and 2017, respectively(1)		4,447,000	1,456,000		4,447,000	4,447,000
Prepaid expenses and deposits		2,682,000	1,532,000		2,682,000	2,682,000
Lease commissions, net of accumulated amortization of $64,000 and $9,000 as of December 31, 2018 and 2017, respectively		564,000	326,000		564,000	564,000
Other assets, net		60,234,000	5,226,000		$ 60,234,000	$ 60,234,000
Base Acquisition Fee Paid [Member]
Related party transaction, expenses from transactions with related party		10,096,000	7,342,000	$ 3,124,000
Contingent Advisor Payment Incurred [Member]
Related party transaction, expenses from transactions with related party		$ 11,316,000	$ 5,095,000
Advisor [Member]
Base Acquisition Fee For Property Acquired		2.25%			2.25%
Contingent Advisor Payment Fee		2.25%			2.25%
Griffin-American Healthcare REIT IV, Inc. [Member]
Joint venture ownership interest	6.00%
Contract purchase price	$ 48,000,000
Gross Enterprise Value	$ 93,154,000
Trilogy Joint Venture [Member]
Ownership percentage equity interest	96.70%
Trilogy Joint Venture [Member] | Base Acquisition Fee Paid [Member]
Related party transaction, expenses from transactions with related party		$ 2,096,000
Trilogy Joint Venture [Member] | Contingent Advisor Payment Incurred [Member]
Related party transaction, expenses from transactions with related party		$ 2,096,000
Griffin-American Healthcare REIT III, Inc. [Member]
Joint venture ownership interest	70.00%
NHI
Joint venture ownership interest	24.00%

Other Assets, Net - Additional

Other Assets, Net - Additional Information (Detail) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Amortization of Debt Issuance Costs	$ 1,000,000	$ 442,000	$ 112,000
Amortization Expense On Lease Commissions	$ 61,000	$ 9,000	$ 0

Other Assets, Net (Phantom) (De

Other Assets, Net (Phantom) (Details) - USD ($)	Dec. 31, 2018	Dec. 31, 2017
Real Estate (Phantom) [Abstract]
Accumulated Amortization, Debt Issuance Costs	$ 1,554,000	$ 554,000
Accumulated Amortization, Lease Inducements	$ 64,000	$ 9,000

Mortgage Loans Payable, Net - A

Mortgage Loans Payable, Net - Additional Information (Detail)	Dec. 31, 2018USD ($)MortgageLoan		Dec. 31, 2017USD ($)MortgageLoan		Dec. 31, 2016USD ($)
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
Mortgage loans payable, gross	$ 17,256,000		$ 11,634,000
Mortgage loans payable, net(1)	$ 16,892,000	[1]	$ 11,567,000	[1]	$ 3,965,000
Weighted average effective interest rate	4.25%		3.45%
Number Of Fixed Rate Mortgage Loans Payable | MortgageLoan	3		2
Minimum [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
Debt Instrument, Interest Rate, Effective Percentage	3.75%		4.77%
Maximum [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
Debt Instrument, Interest Rate, Effective Percentage	5.25%		5.25%
Mortgage Loans Payable, Net [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
Weighted average effective interest rate	4.51%		4.92%
[1]	Such liabilities of Griffin-American Healthcare REIT IV, Inc. as of December 31, 2018 and 2017 represented liabilities of Griffin-American Healthcare REIT IV Holdings, LP or its consolidated subsidiaries. Griffin-American Healthcare REIT IV Holdings, LP is a variable interest entity and a consolidated subsidiary of Griffin-American Healthcare REIT IV, Inc. The creditors of Griffin-American Healthcare REIT IV Holdings, LP or its consolidated subsidiaries do not have recourse against Griffin-American Healthcare REIT IV, Inc., except for the 2018 Credit Facility and 2017 Credit Facility, as defined in Note 7, held by Griffin-American Healthcare REIT IV Holdings, LP in the amount of $275,000,000 and $84,100,000 as of December 31, 2018 and 2017, respectively, which is guaranteed by Griffin-American Healthcare REIT IV, Inc.

Mortgage Loans Payable, Net Mor

Mortgage Loans Payable, Net Mortgage Loans Payable, Net (Details) - USD ($)		12 Months Ended
		Dec. 31, 2018		Dec. 31, 2017
SEC Schedule, 12-29, Real Estate Companies, Investment in Movement in Mortgage Loans on Real Estate [Roll Forward]
Mortgage loan payable, net— Beginning Balance		$ 11,567,000	[1]	$ 3,965,000
Assumptions on mortgage loans payable, net		5,808,000		8,000,000
Amortization of deferred financing costs related to mortgage		76,000		38,000
Deferred financing costs		(123,000)		(150,000)
Scheduled principal payments on mortgage loans payable		(449,000)		(273,000)
Amortization of premium on mortgage loan payable		13,000		(13,000)
Mortgage loans payable, net — Ending Balance	[1]	$ 16,892,000		$ 11,567,000
[1]	Such liabilities of Griffin-American Healthcare REIT IV, Inc. as of December 31, 2018 and 2017 represented liabilities of Griffin-American Healthcare REIT IV Holdings, LP or its consolidated subsidiaries. Griffin-American Healthcare REIT IV Holdings, LP is a variable interest entity and a consolidated subsidiary of Griffin-American Healthcare REIT IV, Inc. The creditors of Griffin-American Healthcare REIT IV Holdings, LP or its consolidated subsidiaries do not have recourse against Griffin-American Healthcare REIT IV, Inc., except for the 2018 Credit Facility and 2017 Credit Facility, as defined in Note 7, held by Griffin-American Healthcare REIT IV Holdings, LP in the amount of $275,000,000 and $84,100,000 as of December 31, 2018 and 2017, respectively, which is guaranteed by Griffin-American Healthcare REIT IV, Inc.

Mortgage Loans Payable, Net - P

Mortgage Loans Payable, Net - Principal Payments Due on Mortgage Loans Payable (Detail) - USD ($)	Dec. 31, 2018	Dec. 31, 2017
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Abstract]
2019	$ 518,000
2020	8,151,000
2021	434,000
2022	455,000
2023	478,000
Thereafter	7,220,000
Mortgage loans payable, gross	$ 17,256,000	$ 11,634,000

Line of Credit (Detail)

Line of Credit (Detail)		Nov. 20, 2018USD ($)	Oct. 31, 2017USD ($)Extension_period	Nov. 03, 2017	Dec. 31, 2018USD ($)		Sep. 28, 2018USD ($)	Dec. 31, 2017USD ($)		Dec. 31, 2016USD ($)	Aug. 25, 2016USD ($)
Line of Credit Facility [Line Items]
Mortgage loans payable, net(1)					$ 16,892,000	[1]		$ 11,567,000	[1]	$ 3,965,000
Line of credit facility, maximum borrowing capacity			$ 200,000,000		400,000,000		$ 350,000,000	200,000,000
Line Of Credit Facility, Number Of Potential Extensions | Extension_period			1
Line Of Credit Facility, Potential Extension Term			12 months
Swing line loan		$ 50,000,000
Line of credit and term loan(1)	[1]				$ 275,000,000			$ 84,100,000
Weighted average effective interest rate					4.25%			3.45%
2017 Line of Credit [Member]
Line of Credit Facility [Line Items]
Line of credit facility, maximum borrowing capacity			$ 150,000,000
2016 Line of Credit [Member]
Line of Credit Facility [Line Items]
Line of credit facility, maximum borrowing capacity			100,000,000								$ 100,000,000
Term Loan [Member]
Line of Credit Facility [Line Items]
Line Of Credit Facility, Increase Amount To Borrowing Capacity		200,000,000	50,000,000				$ 150,000,000
Revolving Credit Facility [Member]
Line of Credit Facility [Line Items]
Line Of Credit Facility, Increase Amount To Borrowing Capacity		150,000,000	50,000,000
Term Loan Facility [Member]
Line of Credit Facility [Line Items]
Line Of Credit Facility, Increase Amount To Borrowing Capacity		250,000,000
Aggregate Revolving Commitments [Member]
Line of Credit Facility [Line Items]
Line Of Credit Facility, Potential Maximum Borrowing Capacity			300,000,000
Recourse Indebtedness [Member]
Line of Credit Facility [Line Items]
Line Of Credit Facility, Increase Amount To Borrowing Capacity			20,000,000
Non-recourse Indebtedness [Member]
Line of Credit Facility [Line Items]
Line Of Credit Facility, Increase Amount To Borrowing Capacity			$ 50,000,000
Credit Agreement [Member]
Line of Credit Facility [Line Items]
Debt Instrument, Leverage Ratio				40.00%
2018 Line of Credit [Member]
Line of Credit Facility [Line Items]
Line of credit facility, maximum borrowing capacity		400,000,000
Line Of Credit Facility, Increase Amount To Borrowing Capacity		250,000,000
Letters of Credit Outstanding, Amount		20,000,000
Delayed Draw Term Loan [Member]
Line of Credit Facility [Line Items]
Line Of Credit Facility, Increase Amount To Borrowing Capacity		$ 50,000,000
2018 Line of Credit [Member]
Line of Credit Facility [Line Items]
Commitment fee percentage condition one		0.20%
Average daily used amount percentage condition one		50.00%
Commitment fee percentage condition two		0.25%
Average daily used amount percentage condition two		50.00%
2018 Line of Credit [Member] | Federal Funds Rate [Member]
Line of Credit Facility [Line Items]
Debt Instrument, Basis Spread on Variable Rate		0.50%
2018 Line of Credit [Member] | One-Month Eurodollar [Member]
Line of Credit Facility [Line Items]
Debt Instrument, Basis Spread on Variable Rate		1.00%
2018 Line of Credit [Member] | Base Rate [Member]
Line of Credit Facility [Line Items]
Debt Instrument, Base Rate, Percent		0.00%
Minimum [Member] | 2018 Line of Credit [Member] | Eurodollar [Member]
Line of Credit Facility [Line Items]
Debt Instrument, Basis Spread on Variable Rate		1.75%
Minimum [Member] | 2018 Line of Credit [Member] | Base Rate [Member]
Line of Credit Facility [Line Items]
Debt Instrument, Basis Spread on Variable Rate		0.55%
Maximum [Member] | 2018 Line of Credit [Member] | Eurodollar [Member]
Line of Credit Facility [Line Items]
Debt Instrument, Basis Spread on Variable Rate		2.25%
Maximum [Member] | 2018 Line of Credit [Member] | Base Rate [Member]
Line of Credit Facility [Line Items]
Debt Instrument, Basis Spread on Variable Rate		1.05%
2018 Line of Credit [Member] | Line of Credit [Member]
Line of Credit Facility [Line Items]
Line Of Credit Facility, Potential Maximum Borrowing Capacity		$ 650,000,000
[1]	Such liabilities of Griffin-American Healthcare REIT IV, Inc. as of December 31, 2018 and 2017 represented liabilities of Griffin-American Healthcare REIT IV Holdings, LP or its consolidated subsidiaries. Griffin-American Healthcare REIT IV Holdings, LP is a variable interest entity and a consolidated subsidiary of Griffin-American Healthcare REIT IV, Inc. The creditors of Griffin-American Healthcare REIT IV Holdings, LP or its consolidated subsidiaries do not have recourse against Griffin-American Healthcare REIT IV, Inc., except for the 2018 Credit Facility and 2017 Credit Facility, as defined in Note 7, held by Griffin-American Healthcare REIT IV Holdings, LP in the amount of $275,000,000 and $84,100,000 as of December 31, 2018 and 2017, respectively, which is guaranteed by Griffin-American Healthcare REIT IV, Inc.

Identified Intangible Liabili_3

Identified Intangible Liabilities, Net - Summary of Identified Intangibles, Net (Detail) - USD ($)	Dec. 31, 2018	Dec. 31, 2017
Finite Lived Intangible Liabilities [Line Items]
Identified intangible liabilities, net	$ 1,627,000	$ 1,737,000
Below Market Lease [Member]
Finite Lived Intangible Liabilities [Line Items]
Identified intangible liabilities, net	1,245,000	1,349,000
Above-market leasehold interest [Member]
Finite Lived Intangible Liabilities [Line Items]
Identified intangible liabilities, net	$ 382,000	$ 388,000

Identified Intangible Liabili_4

Identified Intangible Liabilities, Net - Summary of Amortization Expense on Below Market Leases (Detail) - USD ($)	Dec. 31, 2018	Dec. 31, 2017
Intangible Liabilities [Abstract]
2019	$ 387,000
2020	223,000
2021	168,000
2022	143,000
2023	132,000
Thereafter	574,000
Identified intangible liabilities, net	$ 1,627,000	$ 1,737,000

Identified Intangible Liabili_5

Identified Intangible Liabilities, Net (Phantom) (Details) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Amortization of Identified Intangible Liabilities	$ 380,000	$ 291,000	$ 60,000
Weighted average remaining life	16 years 4 months 24 days	16 years 8 months 12 days
Below Market Lease [Member]
Finite Lived Intangible Liabilities Accumulated Amortization	$ 678,000	$ 345,000
Amortization of above and below Market Leases	$ 373,000	$ 285,000	60,000
Weighted average remaining life	5 years 8 months 12 days	6 years 4 months 24 days
Above-market leasehold interest [Member]
Finite Lived Intangible Liabilities Accumulated Amortization	$ 13,000	$ 6,000
Amortization of above market leasehold interest	$ 7,000	$ 6,000	$ 0
Weighted average remaining life	51 years 2 months 12 days	52 years 2 months 12 days

Redeemable Noncontrolling Int_3

Redeemable Noncontrolling Interest (Details) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Redeemable Noncontrolling Interest [Line Items]
Proceeds from redeemable noncontrolling interest	$ 369,000	$ 1,000,000
Noncontrolling Interest, Ownership Percentage by Parent	99.99%	99.99%
Noncontrolling Interest, Ownership Percentage by Noncontrolling Owners	0.01%	0.01%
Beginning Balance	$ 1,002,000	$ 2,000
Reclassification of noncontrolling interest to mezzanine equity			$ (2,000)
Adjustments to Additional Paid in Capital, Fair Value Adjustment to Redeemable Noncontrolling Interests	(232,000)	(33,000)
Less: net loss attributable to redeemable noncontrolling interests	232,000	33,000	0
Ending Balance	$ 1,371,000	$ 1,002,000	$ 2,000
Ownership Percentage, Properties	100.00%
Central Florida Senior Housing Portfolio [Member]
Redeemable Noncontrolling Interest [Line Items]
Ownership Percentage, Properties		98.00%
Pinnacle Beaumont ALF and Pinnacle Warrenton ALF [Member]
Redeemable Noncontrolling Interest [Line Items]
Ownership Percentage, Properties	98.00%

Redeemable Noncontrolling Int_4

Redeemable Noncontrolling Interests (Phantom) (Details)	Dec. 31, 2018	Dec. 31, 2017
Redeemable Noncontrolling Interest [Line Items]
Noncontrolling Interest, Ownership Percentage by Parent	99.99%	99.99%
Noncontrolling Interest, Ownership Percentage by Noncontrolling Owners	0.01%	0.01%

Equity (Details)

Equity (Details) - USD ($)	Feb. 16, 2016	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016	Feb. 28, 2017	Dec. 31, 2017	Dec. 31, 2018	Feb. 15, 2019	Dec. 31, 2018	Jan. 18, 2019	Apr. 11, 2018	Jan. 22, 2018	Mar. 01, 2017	Jan. 23, 2017	Jan. 07, 2017	Jun. 17, 2016	Apr. 13, 2016	Feb. 12, 2016	Dec. 31, 2015	Feb. 06, 2015
Share Repurchase Plan Percentage of Price per-Share Condition Two	100.00%
Stockholder Servicing Fee Incurred		$ 8,069,000	$ 10,421,000	$ 4,052,000
Aggregate Maximum Amount Of Common Stock Issuable Under Public Offering	$ 3,150,000,000
Common Stock, Shares Authorized		1,000,000,000	1,000,000,000			1,000,000,000	1,000,000,000		1,000,000,000
Granted (in shares)							60,000
Common Stock Repuchased During Period Under Share Repurchase Plan Shares		350,418	77,746			77,746	428,164
Issuance of common stock under the DRIP		$ 17,612,000	$ 8,689,000	796,000			$ 27,097,000
Proceeds from Issuance of Common Stock, Dividend Reinvestment Plan						$ 9,485,000	$ 27,097,000
Issuance of common stock under the DRIP, shares						1,008,075	2,846,786
Selling Commissions Percentage									3.00%
Selling Commissions Expenses		$ 6,983,000	8,329,000	3,045,000
Maximum percentage of dealer manager fee		3.00%			3.00%
Percentage Of Dealer Manager Fee					1.00%				1.00%
Dealer Manager Fees		$ 2,364,000	2,844,000	1,106,000
Stockholder daily servicing fee percentage									1.00%
Maximum percentage of stockholder servicing fee		4.00%
Stockholder Servicing Fee Payable		$ 16,395,000	12,611,000			$ 12,611,000	$ 16,395,000		$ 16,395,000
Receivable from transfer agent		$ 1,670,000	$ 471,000	$ 1,015,000		$ 471,000	$ 1,670,000		$ 1,670,000
Number of shares of preferred stock, authorized to be issued		200,000,000	200,000,000			200,000,000	200,000,000		200,000,000
Par value of preferred stock, authorized to be issued		$ 0.01	$ 0.01			$ 0.01	$ 0.01		$ 0.01
Par value of common stock to be offered and sold to the public		$ 0.01	$ 0.01			$ 0.01	$ 0.01		$ 0.01
Maximum Percentage Of Common Stock Repurchased During Period									5.00%
Share Repurchase Plan Holding Period Condition One	1 year
Share Repurchase Plan Percentage of Price per-Share Condition One	92.50%
Stock Repuchased During Period Value Under the Share Repurchase Plan Value		$ 3,312,000	$ 735,000			$ 735,000	$ 4,047,000
Stock Acquired Average Cost Per Share		$ 9.45	$ 9.45			$ 9.45	$ 9.45
Distribution Reinvestment Plan [Member]
Maximum amount of common stock issuable under public offering	$ 150,000,000
Share price	$ 9.50										$ 9.65				$ 9.40
Common Class T [Member]
Reallocated Maximum Amount Of Common Stock Issuable Under Primary Public Offering																$ 2,800,000,000
Maximum amount of common stock issuable under public offering	$ 3,000,000,000
Share price	$ 10
Common Stock, Shares Authorized		900,000,000	900,000,000			900,000,000	900,000,000		900,000,000
Shares, Issued		20,833	20,833			20,833	20,833		20,833
Par value of common stock to be offered and sold to the public		$ 0	$ 0			$ 0	$ 0		$ 0
Common Class I [Member]
Reallocated Maximum Amount Of Common Stock Issuable Under Primary Public Offering																$ 200,000,000
Share price												$ 9.21	$ 9.21	$ 9.21		$ 9.30
Common Stock, Shares Authorized		100,000,000	100,000,000			100,000,000	100,000,000		100,000,000
Maximum percentage of dealer manager fee		1.50%
Par value of common stock to be offered and sold to the public		$ 0	$ 0			$ 0	$ 0		$ 0
Class T and Class I Common Stock
Issuance of common stock under the DRIP, shares		1,838,711	924,358	83,717
Subscriptions In Offering Of Common Stock Received And Accepted Shares							66,755,516
Class T and Class I Common Stock | Subsequent Event [Member]
Subscriptions In Offering Of Common Stock Received And Accepted Shares								75,625,285
Griffin American Advisor [Member] | Common Class T [Member]
Value of stock purchased																				$ 200,000
Advisor [Member]
Percentage Of Dealer Manager Fee		2.00%			2.00%
Two Thousand Fifteen Incentive Plan [Member] | Class T and Class I Common Stock
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Authorized																		4,000,000
Share price		$ 10	$ 9.65			$ 9.65	$ 10		$ 10
Two Thousand Fifteen Incentive Plan [Member] | Restricted Stock [Member]
Allocated Share-based Compensation Expense		$ 185,000	$ 131,000	$ 80,000
Two Thousand Fifteen Incentive Plan [Member] | Restricted Stock [Member] | Re-elected or Newly Elected Independent Directors [Member]
Granted (in shares)		22,500
Share based compensation arrangement by share based payment award equity instruments other than options vesting percentage																	20.00%
Share Based Compensation Arrangement By Share Based Payment Award Equity Instruments Other Than Options Vesting Percentage On Anniversary Of Grant Date																	20.00%
Two Thousand Fifteen Incentive Plan [Member] | Restricted Stock [Member] | Independent Directors [Member]
Granted (in shares)			22,500
Limited Partner [Member]
Stock Issued During Period, Shares, Stock Splits			208
Class T and Class I Common Stock
Issuance of common stock under the DRIP		$ 18,000	$ 9,000	$ 1,000
Issuance of common stock under the DRIP, shares		1,838,711	924,358	83,717
Shares, Issued		69,254,971	42,207,160	11,377,439		42,207,160	69,254,971		69,254,971										20,833
Class T and Class I Common Stock
Maximum amount of common stock issuable under public offering	$ 3,000,000,000
Share price	$ 10										$ 10.05
DRIP S-3 Public Offering [Member] | Subsequent Event [Member]
Maximum amount of common stock issuable under public offering										$ 100,000,000
Share price										$ 9.65
Issuance of common stock under the DRIP								$ 31,021,000
Issuance of common stock under the DRIP, shares								3,253,543

Equity Phantom (Detail)

Equity Phantom (Detail) - $ / shares	Dec. 31, 2018	Dec. 31, 2017
Class of Stock [Line Items]
Preferred stock, shares authorized	200,000,000	200,000,000
Preferred stock, par value (usd per share)	$ 0.01	$ 0.01
Common Stock, Shares Authorized	1,000,000,000	1,000,000,000
Common stock, par value (usd per share)	$ 0.01	$ 0.01
Common Class T [Member]
Class of Stock [Line Items]
Shares, Issued	20,833	20,833
Common Stock, Shares Authorized	900,000,000	900,000,000
Common stock, par value (usd per share)	$ 0	$ 0

Related Party Transactions Addi

Related Party Transactions Additional Information (Detail)	12 Months Ended			13 Months Ended	35 Months Ended
	Dec. 31, 2018USD ($)	Dec. 31, 2017USD ($)	Dec. 31, 2016USD ($)	Feb. 28, 2017	Dec. 31, 2018USD ($)Quarter	Jan. 22, 2018$ / shares	Mar. 01, 2017$ / shares	Jan. 23, 2017$ / shares	Jun. 17, 2016$ / shares	Feb. 29, 2016$ / shares	Feb. 16, 2016USD ($)
Related Party Transaction [Line Items]
Percentage Of Dealer Manager Fee				1.00%	1.00%
Due to Affiliate	$ 8,588,000	$ 8,118,000			$ 8,588,000
Maximum percentage Of Fees And Expenses Associated With Acquisition	6.00%				6.00%
Asset management fees waived by advisor			$ 80,000
Operating Expenses			437,000
Minimum Investment Rate By Officer EVP	5.00%				5.00%					10.00%
Maximum Investment Rate By Officer EVP	15.00%				15.00%					15.00%
Officer Purchase Share Price | $ / shares										$ 9.60
Related party transaction, expenses from transactions with related party	$ 22,355,000	17,650,000	9,112,000
Maximum percentage of dealer manager fee	3.00%			3.00%
Contingent Advisor Payment Incurred [Member]
Related Party Transaction [Line Items]
Due to Affiliate	$ 7,866,000	7,744,000			$ 7,866,000
Related party transaction, expenses from transactions with related party	11,316,000	5,095,000
Base Acquisition Fee Paid [Member]
Related Party Transaction [Line Items]
Related party transaction, expenses from transactions with related party	10,096,000	7,342,000	3,124,000
Operating Expenses [Member]
Related Party Transaction [Line Items]
Due to Affiliate	6,000	6,000			$ 6,000
Related party transaction, expenses from transactions with related party	$ 65,000	82,000	386,000
Subordinated Distribution Of Net Sales Proceeds [Member]
Related Party Transaction [Line Items]
Percentage Of Distribution of Net Proceeds From Sale Of Properties					15.00%
Annual Cumulative Non Compounded Return On Gross Proceeds From Sale Of Shares of our common stock					6.00%
Subordinated DistributionUpon Listing [Member]
Related Party Transaction [Line Items]
Distribution rate of common stock capital to advisor					15.00%
Annual Cumulative Non Compounded Return Upon Listing Of Shares of common stock					6.00%
Subordinated Distribution Upon Termination [Member]
Related Party Transaction [Line Items]
Distribution rate of common stock capital to advisor					15.00%
Annual Cumulative Non Compounded Return Upon Listing Of Shares of common stock					6.00%
Advisor [Member]
Related Party Transaction [Line Items]
Percentage Of Dealer Manager Fee	2.00%			2.00%
Maximum percentage of other organizational and offering expense					1.00%
Acquisition Fee Of Contract Purchase Price For Property Acquired					4.50%
Acquisition Fee Of Contract Purchase Price Of Real Estate Related Investments					4.25%
Base Acquisition Fee For Property Acquired	2.25%				2.25%
Base Acquisition Fee For Real Estate Related Investments					2.00%
Contingent Advisor Payment Fee	2.25%				2.25%
Minimum Condition Contingent Advisor Payment											$ 7,500,000
Imputed leverage on equity raise percentage as basis of acquisition fee					50.00%
Asset Management Fee Percent					0.80%
Percentage Of Property Management Oversight Fees					1.00%
Percentage Of Property Oversight Fees - Gross Monthly Cash Receipts					1.50%
Percentage Of Property Management Oversight Fees - Multiple Tenants					1.50%
Minimum Percentage Of Lease Fees					3.00%
Maximum Percentage Of Lease Fees					6.00%
Maximum Percentage Of Construction Management Fees					5.00%
Number Of Consecutive Fiscal Quarter For Reimbursement Measurement | Quarter					4
Condition One: Percentage Of Operating Expenses Of Average Invested Asset					2.00%
Condition Two: Percentage Of Operating Expense Of Net Income					25.00%
Disposition Fee As Percentage Of Contract Sales Price					2.00%
Disposition Fee As Percentage Of Customary Competitive Real Estate Commission					50.00%
Maximum Percentage Of Disposition Fees					6.00%
Development Fees [Member]
Related Party Transaction [Line Items]
Related party transaction, expenses from transactions with related party	$ 6,000	0	0
Asset Management [Member]
Related Party Transaction [Line Items]
Related party transaction, expenses from transactions with related party	4,975,000	2,344,000	151,000
Construction Management Fee [Member]
Related Party Transaction [Line Items]
Related party transaction, expenses from transactions with related party	$ 28,000	$ 1,000	$ 0
Operating Expenses [Member]
Related Party Transaction [Line Items]
Percentage Of Operating Expenses Of Average Invested Assets	1.20%	1.30%	3.30%
Percentage Of Operating Expense Of Net Income	28.30%	27.90%	(27.50%)
Lease Commissions [Member]
Related Party Transaction [Line Items]
Related party transaction, expenses from transactions with related party	$ 94,000	$ 64,000	$ 0
Reimbursement of acquisition expenses [Member]
Related Party Transaction [Line Items]
Related party transaction, expenses from transactions with related party	2,000	2,000	0
Property Management Fees [Member]
Related Party Transaction [Line Items]
Related party transaction, expenses from transactions with related party	746,000	381,000	47,000
Jeffrey T. Hanson, Danny Prosky, and Mathieu B. Streiff [Member]
Related Party Transaction [Line Items]
Investment Rate By Officer										100.00%
Dealer manager fees [Member] | Contingent Advisor Payment Incurred [Member]
Related Party Transaction [Line Items]
Due to Affiliate	4,878,000	5,851,000	2,212,000
Other organizational and offering expenses [Member] | Contingent Advisor Payment Incurred [Member]
Related Party Transaction [Line Items]
Due to Affiliate	1,465,000	1,583,000	$ 3,192,000
Due to Affiliate	$ 7,866,000	$ 7,744,000			$ 7,866,000
Common Class I [Member]
Related Party Transaction [Line Items]
Share price | $ / shares						$ 9.21	$ 9.21	$ 9.21	$ 9.30
Maximum percentage of dealer manager fee	1.50%

Related Party Transactions Rel

Related Party Transactions Related Party Description (Details) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Related Party Transaction [Line Items]
Issuance of common stock	$ 255,252,000	$ 298,076,000	$ 112,148,000
Board of Directors Chairman [Member]
Related Party Transaction [Line Items]
Issuance of common stock	$ 329,000	$ 263,000	$ 184,000
Issuance of common stock, number of shares	34,690	28,464	19,213
President [Member]
Related Party Transaction [Line Items]
Issuance of common stock	$ 352,000	$ 272,000	$ 204,000
Issuance of common stock, number of shares	37,111	29,480	21,265
Executive Vice President [Member]
Related Party Transaction [Line Items]
Issuance of common stock	$ 324,000	$ 263,000	$ 199,000
Issuance of common stock, number of shares	34,262	28,462	20,707
Chief Financial Officer [Member]
Related Party Transaction [Line Items]
Issuance of common stock	$ 30,000	$ 0	$ 0
Issuance of common stock, number of shares	3,143	0	0
Executive Vice President, Acquisitions [Member]
Related Party Transaction [Line Items]
Issuance of common stock	$ 34,000	$ 32,000	$ 23,000
Issuance of common stock, number of shares	3,534	3,416	2,447
Executive Officer [Member]
Related Party Transaction [Line Items]
Issuance of common stock	$ 1,133,000	$ 903,000	$ 628,000
Issuance of common stock, number of shares	119,524	97,664	65,460
Christopher M. Belford [Member] | Executive Vice President, Asset Management [Member]
Related Party Transaction [Line Items]
Issuance of common stock	$ 55,000	$ 65,000	$ 18,000
Issuance of common stock, number of shares	5,866	7,014	1,828
Wendie Newman [Member] | Executive Vice President, Asset Management [Member]
Related Party Transaction [Line Items]
Issuance of common stock	$ 9,000	$ 8,000	$ 0
Issuance of common stock, number of shares	918	828	0

Related Party Transactions Sche

Related Party Transactions Schedule of Amount Outstanding to Affiliates (Details) - USD ($)	Dec. 31, 2018	Dec. 31, 2017
Related Party Transaction [Line Items]
Due to Affiliate	$ 8,588,000	$ 8,118,000
Contingent Advisor Payment Incurred [Member]
Related Party Transaction [Line Items]
Due to Affiliate	7,866,000	7,744,000
Asset Management Fees [Member]
Related Party Transaction [Line Items]
Due to Affiliate	595,000	316,000
Property Management Fees [Member]
Related Party Transaction [Line Items]
Due to Affiliate	97,000	43,000
Construction Management Fee [Member]
Related Party Transaction [Line Items]
Due to Affiliate	18,000	1,000
Lease Commissions [Member]
Related Party Transaction [Line Items]
Due to Affiliate	0	8,000
Operating Expenses [Member]
Related Party Transaction [Line Items]
Due to Affiliate	6,000	6,000
Development Fees [Member]
Related Party Transaction [Line Items]
Due to Affiliate	$ 6,000	$ 0

Fair Value Measurements Fair Va

Fair Value Measurements Fair Value by Balance Sheet Grouping (Details) - USD ($)	Dec. 31, 2018		Dec. 31, 2017		Dec. 31, 2016
Fair Value Measurements [Abstract]
Mortgage loans payable, Fair Value	$ 16,920,000		$ 11,819,000
Lines of credit and term loan, net	270,553,000		82,644,000
Mortgage loans payable, net(1)	16,892,000	[1]	11,567,000	[1]	$ 3,965,000
Line of credit and term loan, Fair Value	$ 275,124,000		$ 84,088,000
[1]	Such liabilities of Griffin-American Healthcare REIT IV, Inc. as of December 31, 2018 and 2017 represented liabilities of Griffin-American Healthcare REIT IV Holdings, LP or its consolidated subsidiaries. Griffin-American Healthcare REIT IV Holdings, LP is a variable interest entity and a consolidated subsidiary of Griffin-American Healthcare REIT IV, Inc. The creditors of Griffin-American Healthcare REIT IV Holdings, LP or its consolidated subsidiaries do not have recourse against Griffin-American Healthcare REIT IV, Inc., except for the 2018 Credit Facility and 2017 Credit Facility, as defined in Note 7, held by Griffin-American Healthcare REIT IV Holdings, LP in the amount of $275,000,000 and $84,100,000 as of December 31, 2018 and 2017, respectively, which is guaranteed by Griffin-American Healthcare REIT IV, Inc.

Income Taxes and Distribution_2

Income Taxes and Distributions - Deferred Taxes (Details) - USD ($)	Dec. 31, 2018	Dec. 31, 2017
Income Taxes and Distributions [Abstract]
Fixed assets & intangibles	$ 2,484,000	$ 388,000
Expense accruals & other	(469,000)	41,000
Net operating loss	791,000	129,000
Valuation allowances	(3,744,000)	(476,000)
Total deferred income tax assets	$ 0	$ 0

Income Taxes and Distribution_3

Income Taxes and Distributions (Details) - USD ($)	3 Months Ended				12 Months Ended
	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Income Taxes and Distributions [Abstract]
Federal deferred					$ (2,593,000)
State deferred					(675,000)
State current					8,000
Valuation allowance					3,268,000
Operating Loss Carryforwards	$ 2,983,000				2,983,000
Income tax expense	$ 4,000	$ 4,000	$ 0	$ 0	$ 8,000	$ 0	$ 0

Income Taxes and Distribution_4

Income Taxes and Distributions Tax Treatment of Distributions (Details) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Income Tax Disclosure [Abstract]
Ordinary income	$ 11,909,000	$ 6,021,000	$ 0
Percentage Of Distributions Classified As Ordinary Income	38.00%	40.00%	0.00%
Capital gain	$ 0	$ 0	$ 0
Capital gain	0.00%	0.00%	0.00%
Return of capital	$ 19,673,000	$ 9,055,000	$ 1,345,000
Return of capital	62.00%	60.00%	100.00%
Distributions Reportable	$ 31,582,000	$ 15,076,000	$ 1,345,000
Percentage Distributions Reportable	100.00%	100.00%	100.00%

Future Minimum Rent - Schedule

Future Minimum Rent - Schedule of Future Minimum Rent (Details) $ in Thousands	Dec. 31, 2018USD ($)
Schedule of Future Minimum Base Rent Contractually Due under Operating Leases
2019	$ 52,764
2020	52,207
2021	50,886
2022	48,249
2023	44,397
Thereafter	290,103
Total	538,606
Schedule of Future Minimum Lease Obligations under Non-cancelable Ground and Other Lease Obligations
2019	307
2020	307
2021	307
2022	307
2023	307
Thereafter	11,978
Total	$ 13,513

Business Combinations - Additio

Business Combinations - Additional Information (Detail)	12 Months Ended			47 Months Ended
	Dec. 31, 2018USD ($)Acquisition	Dec. 31, 2017USD ($)AcquisitionBuilding	Dec. 31, 2016USD ($)AcquisitionBuilding	Dec. 31, 2018USD ($)AcquisitionBuilding	Jan. 01, 2015$ / shares
Business Acquisitions [Line Items]
Number of Acquisitions Completed from Unaffiliated Parties | Acquisition		9		33
Minimum Percent Share Of Each State Annualized Base Rent That Company Owned	10.00%			10.00%
Number of Buildings Acquired from Unaffiliated Parties | Building				69
Contract purchase price				$ 821,689,000
Acquisition related expenses	$ 2,795,000	$ 655,000	$ 4,745,000
2017 Acquisitions [Member]
Business Acquisitions [Line Items]
Total assets acquired		$ 0
Number of Acquisitions Completed from Unaffiliated Parties | Acquisition		9
Number of Buildings Acquired from Unaffiliated Parties | Building		28
Contract purchase price		$ 327,320,000
Related Party Transactions Total Acquisition Fees		$ 14,684,000
2018 Acquisitions [Member]
Business Acquisitions [Line Items]
Total assets acquired	$ 0			$ 0
Number of Acquisitions Completed from Unaffiliated Parties | Acquisition	15
2016 Acquisitions [Member]
Business Acquisitions [Line Items]
Number of Acquisitions Completed from Unaffiliated Parties | Acquisition			9
Share price | $ / shares					$ 10
Number of Buildings Acquired from Unaffiliated Parties | Building			12
Contingent Advisor Payment Incurred [Member]
Business Acquisitions [Line Items]
Due to Affiliate			$ 3,123,000
2016 Acquisitions [Member]
Business Acquisitions [Line Items]
Contract purchase price			138,820,000
Related Party Transactions Total Acquisition Fees			$ 4,522,000

Business Combinations - Schedul

Business Combinations - Schedule of Revenues and Net Income (Loss) of Properties Acquired (Detail) $ in Thousands	12 Months Ended
	Dec. 31, 2016USD ($)
Auburn MOB [Member]
Business Acquisitions [Line Items]
Revenue	$ 432
Net income (Loss)	144
Pottsville MOB [Member]
Business Acquisitions [Line Items]
Revenue	311
Net income (Loss)	136
Charlottesville MOB [Member]
Business Acquisitions [Line Items]
Revenue	555
Net income (Loss)	203
Rochester Hills MOB [Member]
Business Acquisitions [Line Items]
Revenue	288
Net income (Loss)	35
Cullman MOB [Member]
Business Acquisitions [Line Items]
Revenue	403
Net income (Loss)	151
Iron MOB Portfolio [Member]
Business Acquisitions [Line Items]
Revenue	701
Net income (Loss)	147
Mint Hill MOB [Member]
Business Acquisitions [Line Items]
Revenue	270
Net income (Loss)	75
Lafayette Assisted Living Portfolio [Member]
Business Acquisitions [Line Items]
Revenue	127
Net income (Loss)	73
Evendale MOB [Member]
Business Acquisitions [Line Items]
Revenue	69
Net income (Loss)	$ (10)

Business Combinations - Fair Va

Business Combinations - Fair Value of Acquisitions (Details)	Dec. 31, 2016USD ($)
Auburn MOB [Member]
Business Acquisitions [Line Items]
Buildings and Improvements	$ 4,600,000
Land	406,000
Total assets acquired	5,392,000
Mortgage loan payable, net	0
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities	0
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net	5,392,000
Pottsville MOB [Member]
Business Acquisitions [Line Items]
Buildings and Improvements	7,050,000
Land	1,493,000
Total assets acquired	9,283,000
Mortgage loan payable, net	0
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities	133,000
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net	9,150,000
Charlottesville MOB [Member]
Business Acquisitions [Line Items]
Buildings and Improvements	13,330,000
Land	4,768,000
Total assets acquired	20,128,000
Mortgage loan payable, net	0
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities	0
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net	20,128,000
Rochester Hills MOB [Member]
Business Acquisitions [Line Items]
Buildings and Improvements	5,763,000
Land	1,727,000
Total assets acquired	8,579,000
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities	4,246,000
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net	4,333,000
Cullman MOB [Member]
Business Acquisitions [Line Items]
Buildings and Improvements	13,989,000
Land	0
Total assets acquired	16,650,000
Mortgage loan payable, net	0
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities	0
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net	16,650,000
Iron MOB Portfolio [Member]
Business Acquisitions [Line Items]
Buildings and Improvements	25,050,000
Land	0
Total assets acquired	31,356,000
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities	646,000
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net	30,710,000
Mint Hill MOB [Member]
Business Acquisitions [Line Items]
Buildings and Improvements	16,585,000
Land	0
Total assets acquired	20,337,000
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities	0
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net	20,337,000
Lafayette Assisted Living Portfolio [Member]
Business Acquisitions [Line Items]
Buildings and Improvements	12,469,000
Land	2,308,000
Total assets acquired	16,750,000
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities	0
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net	16,750,000
Evendale MOB [Member]
Business Acquisitions [Line Items]
Buildings and Improvements	7,583,000
Land	1,620,000
Total assets acquired	10,422,000
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities	227,000
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net	10,195,000
In-Place Leases [Member] | Auburn MOB [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill	386,000
In-Place Leases [Member] | Pottsville MOB [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill	740,000
In-Place Leases [Member] | Charlottesville MOB [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill	2,030,000
In-Place Leases [Member] | Rochester Hills MOB [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill	1,089,000
In-Place Leases [Member] | Cullman MOB [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill	1,249,000
In-Place Leases [Member] | Iron MOB Portfolio [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill	2,563,000
In-Place Leases [Member] | Mint Hill MOB [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill	1,705,000
In-Place Leases [Member] | Lafayette Assisted Living Portfolio [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill	1,973,000
In-Place Leases [Member] | Evendale MOB [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill	1,199,000
Leasehold Interest [Member] | Auburn MOB [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill	0
Leasehold Interest [Member] | Pottsville MOB [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill	0
Leasehold Interest [Member] | Charlottesville MOB [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill	0
Leasehold Interest [Member] | Rochester Hills MOB [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill	0
Leasehold Interest [Member] | Cullman MOB [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill	1,412,000
Leasehold Interest [Member] | Iron MOB Portfolio [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill	2,953,000
Leasehold Interest [Member] | Mint Hill MOB [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill	2,047,000
Leasehold Interest [Member] | Lafayette Assisted Living Portfolio [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill	0
Leasehold Interest [Member] | Evendale MOB [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill	0
Above Market Leases [Member] | Iron MOB Portfolio [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill	790,000
Above Market Leases [Member] | Mint Hill MOB [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill	0
Above Market Leases [Member] | Lafayette Assisted Living Portfolio [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill	0
Above Market Leases [Member] | Evendale MOB [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill	20,000
Below Market Lease [Member] | Auburn MOB [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities	0
Below Market Lease [Member] | Pottsville MOB [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities	133,000
Below Market Lease [Member] | Charlottesville MOB [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities	0
Below Market Lease [Member] | Rochester Hills MOB [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities	117,000
Below Market Lease [Member] | Cullman MOB [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities	0
Below Market Lease [Member] | Iron MOB Portfolio [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities	646,000
Below Market Lease [Member] | Mint Hill MOB [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities	0
Below Market Lease [Member] | Lafayette Assisted Living Portfolio [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities	0
Below Market Lease [Member] | Evendale MOB [Member]
Business Acquisitions [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities	227,000
Mortgage Loans Payable, Net [Member] | Rochester Hills MOB [Member]
Business Acquisitions [Line Items]
Mortgage loan payable, net	$ 4,129,000

Business Combinations - Busines

Business Combinations - Business Acquisition Pro Forma Information (Detail) - 2016 Acquisitions [Member] $ / shares in Units, $ in Thousands	12 Months Ended
	Dec. 31, 2016USD ($)$ / shares
Business Acquisitions [Line Items]
Revenue	$ 14,654
Net income (loss)	208
Net income (loss) attributable to controlling interest	$ 2,077
Net income (loss) per Class T and Class I common share attributable to controlling interest-basic and diluted | $ / shares	$ 0.12

Segment Reporting - Summary Inf

Segment Reporting - Summary Information for Reportable Segments (Detail)	Dec. 31, 2018USD ($)	Dec. 31, 2018USD ($)segment	Dec. 31, 2018USD ($)	Sep. 30, 2018USD ($)	Jun. 30, 2018USD ($)	Mar. 31, 2018USD ($)	Dec. 31, 2017USD ($)	Sep. 30, 2017USD ($)	Jun. 30, 2017USD ($)	Mar. 31, 2017USD ($)	Dec. 31, 2018USD ($)segment	Dec. 31, 2017USD ($)	Dec. 31, 2016USD ($)
Assets by Reportable Segment
Number of Reportable Segments	4	4									4
Total assets	$ 896,372,000	$ 896,372,000	$ 896,372,000				$ 480,153,000				$ 896,372,000	$ 480,153,000
Revenues:
Real estate revenue											47,599,000	27,770,000	$ 3,156,000
Resident fees and services											36,857,000	5,563,000	0
Total revenues			25,323,000	$ 22,281,000	$ 19,010,000	$ 17,842,000	14,595,000	$ 8,488,000	$ 6,198,000	$ 4,052,000	84,456,000	33,333,000	3,156,000
Expenses:
Rental expenses											11,499,000	7,292,000	898,000
Property operating expenses											30,023,000	4,203,000	0
Segment net operating income											42,934,000	21,838,000	2,258,000
Operating Expenses [Abstract]
General and administrative											9,172,000	4,338,000	1,221,000
Acquisition related expenses											2,795,000	655,000	4,745,000
Depreciation and amortization											32,658,000	13,639,000	1,252,000
Other income (expense):
Interest expense (including amortization of deferred financing costs and debt discount/premium)											(6,788,000)	(2,699,000)	(514,000)
Loss from unconsolidated entity											(110,000)	0	0
Other income											11,000	1,000	0
Net (loss) income			(3,689,000)	(1,703,000)	(958,000)	(2,236,000)	(782,000)	$ 754,000	$ 621,000	$ (85,000)	(8,586,000)	508,000	(5,474,000)
(Loss) income before income taxes											(8,578,000)	508,000	(5,474,000)
Income tax expense			4,000	$ 4,000	$ 0	$ 0					8,000	0	0
Medical Office Building [Member]
Assets by Reportable Segment
Total assets	417,708,000	417,708,000	417,708,000				262,260,000				417,708,000	262,260,000
Revenues:
Real estate revenue											34,339,000	22,320,000	3,029,000
Total revenues											34,339,000	22,320,000
Expenses:
Rental expenses											9,934,000	6,694,000	887,000
Segment net operating income											24,405,000	15,626,000	2,142,000
Senior Housing-RIDEA [Member]
Assets by Reportable Segment
Total assets	146,965,000	146,965,000	146,965,000				115,402,000				146,965,000	115,402,000
Revenues:
Real estate revenue											0	0	0
Resident fees and services											36,857,000	5,563,000
Total revenues											36,857,000	5,563,000
Expenses:
Rental expenses											0	0	0
Property operating expenses											30,023,000	4,203,000
Segment net operating income											6,834,000	1,360,000	0
Senior Housing [Member]
Assets by Reportable Segment
Total assets	154,716,000	154,716,000	154,716,000				98,519,000				154,716,000	98,519,000
Revenues:
Real estate revenue											8,994,000	5,450,000	127,000
Resident fees and services											0
Total revenues											8,994,000	5,450,000
Expenses:
Rental expenses											1,214,000	598,000	11,000
Property operating expenses											0
Segment net operating income											7,780,000	4,852,000	$ 116,000
Skilled Nursing Facilities [Member]
Assets by Reportable Segment
Total assets	115,657,000	115,657,000	115,657,000				0				115,657,000	0
Revenues:
Real estate revenue											4,266,000
Total revenues											4,266,000
Expenses:
Rental expenses											351,000
Segment net operating income											3,915,000
Other Segments [Member]
Assets by Reportable Segment
Total assets	$ 61,326,000	$ 61,326,000	$ 61,326,000				$ 3,972,000				$ 61,326,000	$ 3,972,000

Concentration of Credit Risk -

Concentration of Credit Risk - Additional Information (Detail)	Dec. 31, 2018Statetenant
Concentration of Credit Risk
Number of states in which entity operates | State	3
Number of tenants with more than ten percent of annual base rent | tenant	1
Minimum percent share of annualized base rent accounted by tenants	10.00%
Minimum Percent Share Of Each State Annualized Base Rent That Company Owned	10.00%
Medical Office Building [Member]
Concentration of Credit Risk
Percentage of annual base rent	53.60%
Senior Housing [Member]
Concentration of Credit Risk
Percentage of annual base rent	17.40%
Senior Housing-RIDEA [Member]
Concentration of Credit Risk
Percentage of annual base rent	15.40%
MISSOURI
Concentration of Credit Risk
Percentage of annual base rent	14.00%
MICHIGAN
Concentration of Credit Risk
Percentage of annual base rent	10.60%
FLORIDA
Concentration of Credit Risk
Percentage of annual base rent	10.30%

Concentration of Credit Risk _2

Concentration of Credit Risk - Schedule of Annualized Base Rent from Tenants at Consolidated Properties (Detail)	12 Months Ended
	Dec. 31, 2018USD ($)ft²
Annualized Base Rent From Tenants At Consolidated Properties [Line Items]
GLA (Sq Ft)	3,835,000
RC Tier Properties, LLC [Member]
Annualized Base Rent From Tenants At Consolidated Properties [Line Items]
Annual base rent | $	$ 7,629,000
Percentage of annual base rent	12.53%
Type Of Property Acquired	Skilled Nursing
Gross Leasable Area	385,000
Lease expiration date	Sep. 30, 2033
Senior Housing-RIDEA [Member]
Annualized Base Rent From Tenants At Consolidated Properties [Line Items]
Percentage of annual base rent	13.60%
Senior Housing [Member]
Annualized Base Rent From Tenants At Consolidated Properties [Line Items]
Percentage of annual base rent	17.40%

Per Share Data (Detail)

Per Share Data (Detail) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Participating securities, distributed and undistributed earnings (loss), basic	$ 19,000	$ 12,000	$ 5,000
Restricted Common Stock [Member]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive securities excluded from computation of earnings per share	37,500	27,000
Redeemable Limited Partnership Units [Member]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive securities excluded from computation of earnings per share	208	208

Per Share Data Phantom (Details

Per Share Data Phantom (Details) - shares	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Redeemable Limited Partnership Units [Member]
Antidilutive securities excluded from computation of earnings per share	208	208

Selected Quarterly Financial _3

Selected Quarterly Financial Data (Unaudited) (Details) - USD ($)	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	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Selected Quarterly Financial Data [Abstract]
Revenues	$ 25,323,000	$ 22,281,000	$ 19,010,000	$ 17,842,000	$ 14,595,000	$ 8,488,000	$ 6,198,000	$ 4,052,000	$ 84,456,000	$ 33,333,000	$ 3,156,000
Expenses	(25,961,000)	(22,384,000)	(18,808,000)	(18,994,000)	(14,285,000)	(6,954,000)	(5,169,000)	(3,719,000)	(86,147,000)	(30,127,000)	(8,116,000)
Other expense	(3,047,000)	(1,596,000)	(1,160,000)	(1,084,000)	(1,092,000)	(780,000)	(408,000)	(418,000)
Income Tax Expense (Benefit)	(4,000)	(4,000)	0	0					(8,000)	0	0
Net (loss) income	(3,689,000)	(1,703,000)	(958,000)	(2,236,000)	(782,000)	754,000	621,000	(85,000)	(8,586,000)	508,000	(5,474,000)
Less: net loss attributable to redeemable noncontrolling interests	35,000	72,000	58,000	67,000	33,000	0	0	0
Net (loss) income attributable to controlling interest	$ (3,654,000)	$ (1,631,000)	$ (900,000)	$ (2,169,000)	$ (749,000)	$ 754,000	$ 621,000	$ (85,000)	$ (8,354,000)	$ 541,000	$ (5,474,000)
Net loss per Class T and Class I common share attributable to controlling interest — basic and diluted	$ (0.06)	$ (0.03)	$ (0.02)	$ (0.05)	$ (0.02)	$ 0.02	$ 0.03	$ (0.01)	$ (0.15)	$ 0.02	$ (1.75)
Weighted average number of Class T and Class I common shares outstanding — basic and diluted	64,954,525	57,769,964	51,277,753	45,136,647	39,409,207	32,593,321	24,035,973	14,655,107	54,847,197	27,754,701	3,131,466

Subsequent Events - Additional

Subsequent Events - Additional Information (Detail) - USD ($)

3 Months Ended

12 Months Ended

21 Months Ended

33 Months Ended

34 Months Ended

35 Months Ended

Mar. 18, 2019

Dec. 31, 2018

Dec. 31, 2017

Dec. 31, 2016

Dec. 31, 2017

Dec. 31, 2018

Feb. 15, 2019

Dec. 31, 2018

Mar. 11, 2019

Feb. 05, 2019

Jan. 18, 2019

Feb. 16, 2016

Subsequent Events [Line Items]

Ownership Percentage, Properties

100.00%

Issuance of common stock under the DRIP

$ 17,612,000

$ 8,689,000

$ 796,000

$ 27,097,000

Issuance of common stock under the DRIP, shares

1,008,075

2,846,786

Class T and Class I Common Stock

Subsequent Events [Line Items]

Maximum amount of common stock issuable under public offering

$ 3,000,000,000

Distribution Reinvestment Plan [Member]

Subsequent Events [Line Items]

Maximum amount of common stock issuable under public offering

150,000,000

Subsequent Event [Member]

Subsequent Events [Line Items]

Derivative, Notional Amount

$ 250,000,000

Ownership Percentage, Properties

100.00%

Subsequent Event [Member] | DRIP S-3 Public Offering [Member]

Subsequent Events [Line Items]

Maximum amount of common stock issuable under public offering

$ 100,000,000

Issuance of common stock under the DRIP

$ 31,021,000

Issuance of common stock under the DRIP, shares

3,253,543

Class T and Class I Common Stock

Subsequent Events [Line Items]

Subscriptions In Offering Of Common Stock Received And Accepted Shares

66,755,516

Subscriptions In Offering Of Common Stock Received And Accepted Value

$ 665,403,000

Issuance of common stock under the DRIP, shares

1,838,711

924,358

83,717

Class T and Class I Common Stock | Subsequent Event [Member]

Subsequent Events [Line Items]

Subscriptions In Offering Of Common Stock Received And Accepted Shares

75,625,285

Subscriptions In Offering Of Common Stock Received And Accepted Value

$ 753,975,000

Advisor [Member]

Subsequent Events [Line Items]

Base Acquisition Fee For Property Acquired

2.25%

2.25%

Contingent Advisor Payment Fee

2.25%

2.25%

Minimum Condition Contingent Advisor Payment

$ 7,500,000

Not Designated as Hedging Instrument [Member] | Subsequent Event [Member]

Subsequent Events [Line Items]

Derivative, Notional Amount

250,000,000

15.0 notional amount [Member] | Not Designated as Hedging Instrument [Member] | Subsequent Event [Member]

Subsequent Events [Line Items]

Derivative, Notional Amount

15,000,000

Derivative, Basis Spread on Variable Rate

2.53%

58.8 notional amount [Member] | Not Designated as Hedging Instrument [Member] | Subsequent Event [Member]

Subsequent Events [Line Items]

Derivative, Notional Amount

58,800,000

Derivative, Basis Spread on Variable Rate

2.49%

36.7 notional amount [Member] | Not Designated as Hedging Instrument [Member] | Subsequent Event [Member]

Subsequent Events [Line Items]

Derivative, Notional Amount

36,700,000

Derivative, Basis Spread on Variable Rate

2.49%

139.5 notional amount [Member] | Not Designated as Hedging Instrument [Member] | Subsequent Event [Member]

Subsequent Events [Line Items]

Derivative, Notional Amount

$ 139,500,000

Derivative, Basis Spread on Variable Rate

2.49%

Subsequent Events Summary of Ac

Subsequent Events Summary of Acquisitions of Properties (Details)	3 Months Ended	12 Months Ended			35 Months Ended	47 Months Ended
	Mar. 18, 2019USD ($)PropertyBuilding	Dec. 31, 2018	Dec. 31, 2017USD ($)	Dec. 31, 2016USD ($)	Dec. 31, 2018	Dec. 31, 2018USD ($)PropertyBuilding
Number of Properties Acquired from Unaffiliated Parties | Property						66
Contract purchase price						$ 821,689,000
Mortgage loans payable related to acquisition of properties			$ 8,000,000	$ 3,968,000
Number of Buildings Acquired from Unaffiliated Parties | Building						69
Subsequent Event [Member]
Number of Properties Acquired from Unaffiliated Parties | Property	1
Number of Buildings Acquired from Unaffiliated Parties | Building	1
Subsequent Event [Member] | Lithonia MOB
Type Of Property Acquired	Medical Office
Date of acquisition of property	Mar. 5, 2019
Contract purchase price	$ 10,600,000
Related Parties Transactions Acquisition Fees Expenses	$ 477,000
Advisor [Member]
Base Acquisition Fee For Property Acquired		2.25%			2.25%
Contingent Advisor Payment Fee		2.25%			2.25%
Advisor [Member] | 2018 Acquisitions [Member]
Base Acquisition Fee For Property Acquired		2.25%
Contingent Advisor Payment Fee		2.25%
Advisor [Member] | 2018 Acquisitions [Member] | Subsequent Event [Member]
Base Acquisition Fee For Property Acquired	2.25%
Contingent Advisor Payment Fee	2.25%

Schedule III Real Estate and _2

Schedule III Real Estate and Accumulated Depreciation (Details) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
Real Estate and Accumulated Depreciation [Line Items]
Ownership Percentage, Properties	100.00%
Encumbrances	$ 17,256,000
Initial Cost to Company, Land	83,080,000
Initial Cost to Company, Building and Improvments	663,592,000
Cost Capitalized Subsequent to Acquisition	10,316,000
Gross Amount of Which Carried at Close of Period, Land	83,084,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	673,904,000
Gross Amount of Which Carried at Close of Period, Total	756,988,000	$ 428,550,000	$ 118,764,000	$ 0
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(25,312,000)	$ (8,885,000)	$ (822,000)	$ 0
Auburn MOB [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	406,000
Initial Cost to Company, Building and Improvments	4,600,000
Cost Capitalized Subsequent to Acquisition	65,000
Gross Amount of Which Carried at Close of Period, Land	406,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	4,665,000
Gross Amount of Which Carried at Close of Period, Total	5,071,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(407,000)
Pottsville MOB [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,493,000
Initial Cost to Company, Building and Improvments	7,050,000
Cost Capitalized Subsequent to Acquisition	78,000
Gross Amount of Which Carried at Close of Period, Land	1,493,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	7,128,000
Gross Amount of Which Carried at Close of Period, Total	8,621,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(630,000)
Charlottesville MOB [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	4,768,000
Initial Cost to Company, Building and Improvments	13,330,000
Cost Capitalized Subsequent to Acquisition	51,000
Gross Amount of Which Carried at Close of Period, Land	4,768,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	13,381,000
Gross Amount of Which Carried at Close of Period, Total	18,149,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(1,102,000)
Rochester Hills MOB [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	3,385,000
Initial Cost to Company, Land	1,727,000
Initial Cost to Company, Building and Improvments	5,763,000
Cost Capitalized Subsequent to Acquisition	65,000
Gross Amount of Which Carried at Close of Period, Land	1,727,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	5,828,000
Gross Amount of Which Carried at Close of Period, Total	7,555,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(541,000)
Cullman MOB [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	0
Initial Cost to Company, Building and Improvments	13,989,000
Cost Capitalized Subsequent to Acquisition	48,000
Gross Amount of Which Carried at Close of Period, Land	0
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	14,037,000
Gross Amount of Which Carried at Close of Period, Total	14,037,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(934,000)
Mint Hill MOB [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	0
Initial Cost to Company, Building and Improvments	16,585,000
Cost Capitalized Subsequent to Acquisition	1,100,000
Gross Amount of Which Carried at Close of Period, Land	0
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	17,685,000
Gross Amount of Which Carried at Close of Period, Total	17,685,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(1,465,000)
Evendale MOB [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,620,000
Initial Cost to Company, Building and Improvments	7,583,000
Cost Capitalized Subsequent to Acquisition	606,000
Gross Amount of Which Carried at Close of Period, Land	1,620,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	8,189,000
Gross Amount of Which Carried at Close of Period, Total	9,809,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(696,000)
Battle Creek MOB [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	960,000
Initial Cost to Company, Building and Improvments	5,717,000
Cost Capitalized Subsequent to Acquisition	99,000
Gross Amount of Which Carried at Close of Period, Land	960,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	5,816,000
Gross Amount of Which Carried at Close of Period, Total	6,776,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(545,000)
Reno MOB [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	0
Initial Cost to Company, Building and Improvments	64,718,000
Cost Capitalized Subsequent to Acquisition	297,000
Gross Amount of Which Carried at Close of Period, Land	0
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	65,015,000
Gross Amount of Which Carried at Close of Period, Total	65,015,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(3,384,000)
Lawrenceville MOB [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	7,862,000
Initial Cost to Company, Land	1,363,000
Initial Cost to Company, Building and Improvments	9,099,000
Cost Capitalized Subsequent to Acquisition	5,000
Gross Amount of Which Carried at Close of Period, Land	1,363,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	9,104,000
Gross Amount of Which Carried at Close of Period, Total	10,467,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(538,000)
Roseburg MOB [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	0
Initial Cost to Company, Building and Improvments	20,925,000
Cost Capitalized Subsequent to Acquisition	34,000
Gross Amount of Which Carried at Close of Period, Land	0
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	20,959,000
Gross Amount of Which Carried at Close of Period, Total	20,959,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(990,000)
Sauk Prairie MOB [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	2,154,000
Initial Cost to Company, Building and Improvments	15,194,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	2,154,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	15,194,000
Gross Amount of Which Carried at Close of Period, Total	17,348,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(443,000)
Surprise MOB [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,759,000
Initial Cost to Company, Building and Improvments	9,037,000
Cost Capitalized Subsequent to Acquisition	30,000
Gross Amount of Which Carried at Close of Period, Land	1,759,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	9,067,000
Gross Amount of Which Carried at Close of Period, Total	10,826,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(225,000)
Southfield MOB [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	6,009,000
Initial Cost to Company, Land	1,639,000
Initial Cost to Company, Building and Improvments	12,907,000
Cost Capitalized Subsequent to Acquisition	8,000
Gross Amount of Which Carried at Close of Period, Land	1,639,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	12,915,000
Gross Amount of Which Carried at Close of Period, Total	14,554,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(364,000)
Pinnacle Beaumont ALF [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,586,000
Initial Cost to Company, Building and Improvments	17,483,000
Cost Capitalized Subsequent to Acquisition	23,000
Gross Amount of Which Carried at Close of Period, Land	1,586,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	17,506,000
Gross Amount of Which Carried at Close of Period, Total	19,092,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(246,000)
Grand Junction MOB [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,315,000
Initial Cost to Company, Building and Improvments	27,528,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	1,315,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	27,528,000
Gross Amount of Which Carried at Close of Period, Total	28,843,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(433,000)
Edmonds MOB [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	4,167,000
Initial Cost to Company, Building and Improvments	16,770,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	4,167,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	16,770,000
Gross Amount of Which Carried at Close of Period, Total	20,937,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(223,000)
Pinnacle Warrenton ALF [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	462,000
Initial Cost to Company, Building and Improvments	7,125,000
Cost Capitalized Subsequent to Acquisition	83,000
Gross Amount of Which Carried at Close of Period, Land	462,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	7,208,000
Gross Amount of Which Carried at Close of Period, Total	7,670,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(93,000)
Glendale MOB [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	794,000
Initial Cost to Company, Building and Improvments	5,541,000
Cost Capitalized Subsequent to Acquisition	563,000
Gross Amount of Which Carried at Close of Period, Land	794,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	6,104,000
Gross Amount of Which Carried at Close of Period, Total	6,898,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(131,000)
Lawrenceville MOB II [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,000,000
Initial Cost to Company, Building and Improvments	7,737,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	1,000,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	7,737,000
Gross Amount of Which Carried at Close of Period, Total	8,737,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	0
Mill Creek MOB [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,452,000
Initial Cost to Company, Building and Improvments	5,935,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	1,452,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	5,935,000
Gross Amount of Which Carried at Close of Period, Total	7,387,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	0
Modesto MOB [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	0
Initial Cost to Company, Building and Improvments	12,789,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	0
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	12,789,000
Gross Amount of Which Carried at Close of Period, Total	12,789,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	0
Iron MOB Portfolio One [Member] | Iron MOB Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	0
Initial Cost to Company, Building and Improvments	10,237,000
Cost Capitalized Subsequent to Acquisition	635,000
Gross Amount of Which Carried at Close of Period, Land	0
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	10,872,000
Gross Amount of Which Carried at Close of Period, Total	10,872,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(894,000)
Iron MOB Portfolio Two [Member] | Iron MOB Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	0
Initial Cost to Company, Building and Improvments	6,906,000
Cost Capitalized Subsequent to Acquisition	110,000
Gross Amount of Which Carried at Close of Period, Land	0
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	7,016,000
Gross Amount of Which Carried at Close of Period, Total	7,016,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(639,000)
Iron MOB Portfolio Three [Member] | Iron MOB Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	0
Initial Cost to Company, Building and Improvments	7,907,000
Cost Capitalized Subsequent to Acquisition	63,000
Gross Amount of Which Carried at Close of Period, Land	0
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	7,970,000
Gross Amount of Which Carried at Close of Period, Total	7,970,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(510,000)
Lafayette Assisted Living Portfolio One [Member] | Lafayette Assisted Living Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,328,000
Initial Cost to Company, Building and Improvments	8,225,000
Cost Capitalized Subsequent to Acquisition	70,000
Gross Amount of Which Carried at Close of Period, Land	1,327,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	8,296,000
Gross Amount of Which Carried at Close of Period, Total	9,623,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(508,000)
Lafayette Assisted Living Portfolio Two [Member] | Lafayette Assisted Living Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	980,000
Initial Cost to Company, Building and Improvments	4,244,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	980,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	4,244,000
Gross Amount of Which Carried at Close of Period, Total	5,224,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(281,000)
Athens MOB Portfolio One [Member] | Athens MOB [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	809,000
Initial Cost to Company, Building and Improvments	5,227,000
Cost Capitalized Subsequent to Acquisition	422,000
Gross Amount of Which Carried at Close of Period, Land	809,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	5,649,000
Gross Amount of Which Carried at Close of Period, Total	6,458,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(335,000)
Athens MOB Portfolio Two [Member] | Athens MOB [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,084,000
Initial Cost to Company, Building and Improvments	8,772,000
Cost Capitalized Subsequent to Acquisition	109,000
Gross Amount of Which Carried at Close of Period, Land	1,084,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	8,881,000
Gross Amount of Which Carried at Close of Period, Total	9,965,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(475,000)
SW Illinois Senior Housing Portfolio One [Member] | SW Illinois Senior Housing Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,086,000
Initial Cost to Company, Building and Improvments	9,651,000
Cost Capitalized Subsequent to Acquisition	3,000
Gross Amount of Which Carried at Close of Period, Land	1,086,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	9,654,000
Gross Amount of Which Carried at Close of Period, Total	10,740,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(541,000)
SW Illinois Senior Housing Portfolio Two [Member] | SW Illinois Senior Housing Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	121,000
Initial Cost to Company, Building and Improvments	1,656,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	121,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	1,656,000
Gross Amount of Which Carried at Close of Period, Total	1,777,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(83,000)
SW Illinois Senior Housing Portfolio Three [Member] | SW Illinois Senior Housing Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	203,000
Initial Cost to Company, Building and Improvments	3,827,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	203,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	3,827,000
Gross Amount of Which Carried at Close of Period, Total	4,030,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(185,000)
SW Illinois Senior Housing Portfolio Four [Member] | SW Illinois Senior Housing Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	198,000
Initial Cost to Company, Building and Improvments	3,553,000
Cost Capitalized Subsequent to Acquisition	51,000
Gross Amount of Which Carried at Close of Period, Land	198,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	3,604,000
Gross Amount of Which Carried at Close of Period, Total	3,802,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(178,000)
SW Illinois Senior Housing Portfolio Five [Member] | SW Illinois Senior Housing Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	470,000
Initial Cost to Company, Building and Improvments	8,369,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	470,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	8,369,000
Gross Amount of Which Carried at Close of Period, Total	8,839,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(390,000)
Northern California Senior Housing Portfolio One [Member] | Northern California Senior Housing Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	10,760,000
Initial Cost to Company, Building and Improvments	13,631,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	10,760,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	13,631,000
Gross Amount of Which Carried at Close of Period, Total	24,391,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(603,000)
Northern California Senior Housing Portfolio Two [Member] | Northern California Senior Housing Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	317,000
Initial Cost to Company, Building and Improvments	6,584,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	317,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	6,584,000
Gross Amount of Which Carried at Close of Period, Total	6,901,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(304,000)
Northern California Senior Housing Portfolio Three [Member] | Northern California Senior Housing Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	5,188,000
Initial Cost to Company, Building and Improvments	2,177,000
Cost Capitalized Subsequent to Acquisition	5,000
Gross Amount of Which Carried at Close of Period, Land	5,188,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	2,182,000
Gross Amount of Which Carried at Close of Period, Total	7,370,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(95,000)
Northern California Senior Housing Portfolio Four [Member] | Northern California Senior Housing Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,266,000
Initial Cost to Company, Building and Improvments	2,818,000
Cost Capitalized Subsequent to Acquisition	702,000
Gross Amount of Which Carried at Close of Period, Land	1,266,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	3,520,000
Gross Amount of Which Carried at Close of Period, Total	4,786,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(151,000)
Fairfield County MOB Portfolio One [Member] | Fairfield County MOB [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,011,000
Initial Cost to Company, Building and Improvments	3,538,000
Cost Capitalized Subsequent to Acquisition	295,000
Gross Amount of Which Carried at Close of Period, Land	1,011,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	3,833,000
Gross Amount of Which Carried at Close of Period, Total	4,844,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(257,000)
Fairfield County MOB Portfolio Two [Member] | Fairfield County MOB [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	2,250,000
Initial Cost to Company, Building and Improvments	6,879,000
Cost Capitalized Subsequent to Acquisition	412,000
Gross Amount of Which Carried at Close of Period, Land	2,250,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	7,291,000
Gross Amount of Which Carried at Close of Period, Total	9,541,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(409,000)
Central Florida Senior Housing Portfolio One [Member] | Central Florida Senior Housing Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,058,000
Initial Cost to Company, Building and Improvments	5,118,000
Cost Capitalized Subsequent to Acquisition	479,000
Gross Amount of Which Carried at Close of Period, Land	1,058,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	5,597,000
Gross Amount of Which Carried at Close of Period, Total	6,655,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(237,000)
Central Florida Senior Housing Portfolio Two [Member] | Central Florida Senior Housing Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,377,000
Initial Cost to Company, Building and Improvments	10,217,000
Cost Capitalized Subsequent to Acquisition	182,000
Gross Amount of Which Carried at Close of Period, Land	1,378,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	10,398,000
Gross Amount of Which Carried at Close of Period, Total	11,776,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(526,000)
Central Florida Senior Housing Portfolio Three [Member] | Central Florida Senior Housing Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	934,000
Initial Cost to Company, Building and Improvments	6,550,000
Cost Capitalized Subsequent to Acquisition	318,000
Gross Amount of Which Carried at Close of Period, Land	934,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	6,868,000
Gross Amount of Which Carried at Close of Period, Total	7,802,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(278,000)
Central Florida Senior Housing Portfolio Four [Member] | Central Florida Senior Housing Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	949,000
Initial Cost to Company, Building and Improvments	3,476,000
Cost Capitalized Subsequent to Acquisition	182,000
Gross Amount of Which Carried at Close of Period, Land	950,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	3,657,000
Gross Amount of Which Carried at Close of Period, Total	4,607,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(173,000)
Central Florida Senior Housing Portfolio Five [Member] | Central Florida Senior Housing Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	528,000
Initial Cost to Company, Building and Improvments	17,541,000
Cost Capitalized Subsequent to Acquisition	555,000
Gross Amount of Which Carried at Close of Period, Land	529,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	18,095,000
Gross Amount of Which Carried at Close of Period, Total	18,624,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(576,000)
Central Florida Senior Housing Portfolio Six [Member] | Central Florida Senior Housing Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,118,000
Initial Cost to Company, Building and Improvments	9,005,000
Cost Capitalized Subsequent to Acquisition	583,000
Gross Amount of Which Carried at Close of Period, Land	1,118,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	9,588,000
Gross Amount of Which Carried at Close of Period, Total	10,706,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(413,000)
Central Florida Senior Housing Portfolio Seven [Member] | Central Florida Senior Housing Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	2,782,000
Initial Cost to Company, Building and Improvments	10,019,000
Cost Capitalized Subsequent to Acquisition	538,000
Gross Amount of Which Carried at Close of Period, Land	2,783,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	10,556,000
Gross Amount of Which Carried at Close of Period, Total	13,339,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(412,000)
Central Florida Senior Housing Portfolio Eight [Member] | Central Florida Senior Housing Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	930,000
Initial Cost to Company, Building and Improvments	6,241,000
Cost Capitalized Subsequent to Acquisition	386,000
Gross Amount of Which Carried at Close of Period, Land	930,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	6,627,000
Gross Amount of Which Carried at Close of Period, Total	7,557,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(260,000)
Central Florida Senior Housing Portfolio Nine [Member] | Central Florida Senior Housing Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	3,118,000
Initial Cost to Company, Building and Improvments	21,973,000
Cost Capitalized Subsequent to Acquisition	1,061,000
Gross Amount of Which Carried at Close of Period, Land	3,119,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	23,033,000
Gross Amount of Which Carried at Close of Period, Total	26,152,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(1,052,000)
Central Wisconsin Senior Care Portfolio One [Member] | Central Wisconsin Senior Care Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	586,000
Initial Cost to Company, Building and Improvments	3,487,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	586,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	3,487,000
Gross Amount of Which Carried at Close of Period, Total	4,073,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(102,000)
Central Wisconsin Senior Care Portfolio Two [Member] | Central Wisconsin Senior Care Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,930,000
Initial Cost to Company, Building and Improvments	14,352,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	1,930,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	14,352,000
Gross Amount of Which Carried at Close of Period, Total	16,282,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(421,000)
Missouri SNF Portfolio One [Member] | Missouri Skilled Nursing Facility Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,710,000
Initial Cost to Company, Building and Improvments	10,699,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	1,710,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	10,699,000
Gross Amount of Which Carried at Close of Period, Total	12,409,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(97,000)
Missouri SNF Portfolio Two [Member] | Missouri Skilled Nursing Facility Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	252,000
Initial Cost to Company, Building and Improvments	7,581,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	252,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	7,581,000
Gross Amount of Which Carried at Close of Period, Total	7,833,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(61,000)
Missouri SNF Portfolio Three [Member] | Missouri Skilled Nursing Facility Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,064,000
Initial Cost to Company, Building and Improvments	9,301,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	1,064,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	9,301,000
Gross Amount of Which Carried at Close of Period, Total	10,365,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(77,000)
Missouri SNF Portfolio Five [Member] | Missouri Skilled Nursing Facility Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	122,000
Initial Cost to Company, Building and Improvments	4,507,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	122,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	4,507,000
Gross Amount of Which Carried at Close of Period, Total	4,629,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(35,000)
Missouri SNF Portfolio Five [Member] | Missouri Skilled Nursing Facility Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	266,000
Initial Cost to Company, Building and Improvments	22,397,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	266,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	22,397,000
Gross Amount of Which Carried at Close of Period, Total	22,663,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(159,000)
Missouri SNF Portfolio Six [Member] | Missouri Skilled Nursing Facility Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	181,000
Initial Cost to Company, Building and Improvments	5,972,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	181,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	5,972,000
Gross Amount of Which Carried at Close of Period, Total	6,153,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(48,000)
Missouri SNF Portfolio Seven [Member] | Missouri Skilled Nursing Facility Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	473,000
Initial Cost to Company, Building and Improvments	9,856,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	473,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	9,856,000
Gross Amount of Which Carried at Close of Period, Total	10,329,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(78,000)
Missouri SNF Portfolio Eight [Member] | Missouri Skilled Nursing Facility Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	329,000
Initial Cost to Company, Building and Improvments	4,282,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	329,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	4,282,000
Gross Amount of Which Carried at Close of Period, Total	4,611,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(36,000)
Flemington MOB Portfolio One [Member] | Flemington MOB [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,473,000
Initial Cost to Company, Building and Improvments	10,728,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	1,473,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	10,728,000
Gross Amount of Which Carried at Close of Period, Total	12,201,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(33,000)
Flemington MOB Portfolio Two [Member] | Flemington MOB [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	586,000
Initial Cost to Company, Building and Improvments	2,949,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	586,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	2,949,000
Gross Amount of Which Carried at Close of Period, Total	3,535,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(10,000)
Michigan ALF Portfolio One [Member] | Michigan ALF Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,175,000
Initial Cost to Company, Building and Improvments	12,052,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	1,175,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	12,052,000
Gross Amount of Which Carried at Close of Period, Total	13,227,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	0
Michigan ALF Portfolio Two [Member] | Michigan ALF Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	799,000
Initial Cost to Company, Building and Improvments	6,984,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	799,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	6,984,000
Gross Amount of Which Carried at Close of Period, Total	7,783,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	0
Michigan ALF Portfolio Three [Member] | Michigan ALF Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	728,000
Initial Cost to Company, Building and Improvments	5,404,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	728,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	5,404,000
Gross Amount of Which Carried at Close of Period, Total	6,132,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	0
Michigan ALF Portfolio Four [Member] | Michigan ALF Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,334,000
Initial Cost to Company, Building and Improvments	8,422,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	1,334,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	8,422,000
Gross Amount of Which Carried at Close of Period, Total	9,756,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	0
Michigan ALF Portfolio Five [Member] | Michigan ALF Portfolio [Member]
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,542,000
Initial Cost to Company, Building and Improvments	12,873,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	1,542,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	12,873,000
Gross Amount of Which Carried at Close of Period, Total	14,415,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	$ 0

Schedule III Real Estate and _3

Schedule III Real Estate and Accumulated Depreciation (Changes in Total Real Estate Assets) (Details) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Sch III Real Estate and Accumulated Depreciation [Abstract]
Aggregate Cost of Properties	$ 841,468,000
Reconciliation of Carrying Amount of Real Estate Investments [Roll Forward]
Beginning balance	428,550,000	$ 118,764,000	$ 0
Acquisitions	320,822,000	307,384,000	118,741,000
Additions	8,985,000	2,476,000	23,000
Dispositions	(1,369,000)	(74,000)	0
Ending balance	$ 756,988,000	$ 428,550,000	$ 118,764,000

Schedule III Real Estate and _4

Schedule III Real Estate and Accumulated Depreciation (Changes in Accumulated Depreciation) (Details) - USD ($)	12 Months Ended			35 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2018
Reconciliation of Real Estate Accumulated Depreciation [Roll Forward]
Beginning balance	$ 8,885,000	$ 822,000	$ 0
Additions	16,672,000	8,090,000	822,000
Dispositions	245,000	27,000	0
Ending balance	$ 25,312,000	$ 8,885,000	$ 822,000	$ 25,312,000
Maximum [Member] | Building and Building Improvements [Member]
Real Estate and Accumulated Depreciation [Line Items]
Estimated useful life	39 years			39 years
Maximum [Member] | Tenant Improvements [Member]
Real Estate and Accumulated Depreciation [Line Items]
Estimated useful life	14 years			14 years
Maximum [Member] | Furniture, Fixtures and Equipment [Member]
Real Estate and Accumulated Depreciation [Line Items]
Estimated useful life	10 years			10 years