American Healthcare REIT (AHR) 10-K 26 Mar 21 2020 FY Annual report Financial data

Document and Entity Information

Document and Entity Information - USD ($)	12 Months Ended
	Dec. 31, 2020	Mar. 12, 2021	Jun. 30, 2020
Entity Information [Line Items]
Document Type	10-K
Document Annual Report	true
Document Period End Date	Dec. 31, 2020
Current Fiscal Year End Date	--12-31
Document Transition Report	false
Entity File Number	000-55775
Entity Registrant Name	GRIFFIN-AMERICAN HEALTHCARE REIT IV, INC.
Entity Incorporation, State or Country Code	MD
Entity Tax Identification Number	47-2887436
Entity Address, Address Line One	18191 Von Karman Avenue
Entity Address, Address Line Two	Suite 300
Entity Address, City or Town	Irvine
Entity Address, State or Province	CA
Entity Address, Postal Zip Code	92612
City Area Code	949
Local Phone Number	270-9200
Title of 12(g) Security	Common stock, $0.01 par value per share
Entity Well-known Seasoned Issuer	No
Entity Voluntary Filers	No
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Non-accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	true
Entity Ex Transition Period	true
ICFR Auditor Attestation Flag	false
Entity Shell Company	false
Documents Incorporated by Reference	None
Amendment Flag	false
Document Fiscal Year Focus	2020
Document Fiscal Period Focus	FY
Entity Central Index Key	0001632970
Common Class T
Entity Information [Line Items]
Entity Public Float			$ 712,712,000
Entity Common Stock, Shares Outstanding		76,041,549
Common Class I
Entity Information [Line Items]
Entity Public Float			$ 51,075,000
Entity Common Stock, Shares Outstanding		5,655,798

CONSOLIDATED BALANCE SHEETS

CONSOLIDATED BALANCE SHEETS - USD ($)		Dec. 31, 2020	Dec. 31, 2019
ASSETS
Real estate investments, net		$ 921,580,000	$ 895,060,000
Cash and cash equivalents		17,411,000	15,290,000
Accounts and other receivables, net		2,635,000	4,608,000
Restricted cash		714,000	556,000
Real estate deposits		0	1,915,000
Identified intangible assets, net		64,101,000	74,023,000
Operating lease right-of-use assets, net		14,133,000	14,255,000
Other assets, net		72,199,000	62,620,000
Total assets		1,092,773,000	1,068,327,000
Liabilities:
Mortgage loans payable, net(1)	[1]	17,827,000	26,070,000
Line of credit and term loans(1)	[1]	476,900,000	396,800,000
Accounts payable and accrued liabilities(1)	[1]	23,057,000	32,033,000
Accounts payable due to affiliates(1)	[1]	1,046,000	1,016,000
Identified intangible liabilities, net		1,295,000	1,601,000
Operating lease liabilities(1)	[1]	9,904,000	9,858,000
Security deposits, prepaid rent and other liabilities(1)	[1]	10,387,000	9,408,000
Total liabilities		540,416,000	476,786,000
Commitments and contingencies
Redeemable noncontrolling interests		2,618,000	1,462,000
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		733,192,000	719,894,000
Accumulated deficit		(185,047,000)	(130,613,000)
Total stockholders’ equity		548,958,000	590,079,000
Noncontrolling interest		781,000	0
Total equity		549,739,000	590,079,000
Total liabilities, redeemable noncontrolling interests and equity		1,092,773,000	1,068,327,000
Class T common stock, $0.01 par value per share; 900,000,000 shares authorized; 75,690,838 and 74,244,823 shares issued and outstanding as of December 31, 2020 and 2019, respectively
Stockholders’ equity:
Common stock, $0.01 par value per share		756,000	742,000
Class I common stock, $0.01 par value per share; 100,000,000 shares authorized; 5,648,499 and 5,655,051 shares issued and outstanding as of December 31, 2020 and 2019, respectively
Stockholders’ equity:
Common stock, $0.01 par value per share		$ 57,000	$ 56,000
[1]	Such liabilities of Griffin-American Healthcare REIT IV, Inc. as of December 31, 2020 and 2019 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, or VIE, 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, as defined in Note 7, held by Griffin-American Healthcare REIT IV Holdings, LP in the amount of $476,900,000 and $396,800,000 as of December 31, 2020 and 2019, respectively, which is guaranteed by Griffin-American Healthcare REIT IV, Inc.

CONSOLIDATED BALANCE SHEETS (Pa

CONSOLIDATED BALANCE SHEETS (Parenthetical) - USD ($)		Dec. 31, 2020	Dec. 31, 2019
Line of credit and term loans(1)	[1]	$ 476,900,000	$ 396,800,000
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
Class T common stock, $0.01 par value per share; 900,000,000 shares authorized; 75,690,838 and 74,244,823 shares issued and outstanding as of December 31, 2020 and 2019, respectively
Common stock, par value (usd per share)		$ 0.01	$ 0.01
Common stock, shares authorized		900,000,000	900,000,000
Common stock, shares, issued		75,690,838	74,244,823
Common stock, shares outstanding		75,690,838	74,244,823
Class I common stock, $0.01 par value per share; 100,000,000 shares authorized; 5,648,499 and 5,655,051 shares issued and outstanding as of December 31, 2020 and 2019, respectively
Common stock, par value (usd per share)		$ 0.01	$ 0.01
Common stock, shares authorized		100,000,000	100,000,000
Common stock, shares, issued		5,648,499	5,655,051
Common stock, shares outstanding		5,648,499	5,655,051
[1]	Such liabilities of Griffin-American Healthcare REIT IV, Inc. as of December 31, 2020 and 2019 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, or VIE, 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, as defined in Note 7, held by Griffin-American Healthcare REIT IV Holdings, LP in the amount of $476,900,000 and $396,800,000 as of December 31, 2020 and 2019, respectively, which is guaranteed by Griffin-American Healthcare REIT IV, Inc.

CONSOLIDATED STATEMENTS OF OPER

CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($)	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Revenues and grant income:
Real estate revenue	$ 86,321,000	$ 74,610,000	$ 47,599,000
Resident fees and services	67,793,000	46,160,000	36,857,000
Grant income	1,005,000	0	0
Total revenues and grant income	155,119,000	120,770,000	84,456,000
Expenses:
Rental expenses	23,450,000	19,226,000	11,499,000
Property operating expenses	60,224,000	37,434,000	30,023,000
General and administrative	16,691,000	15,235,000	9,172,000
Acquisition related expenses	(160,000)	1,974,000	2,795,000
Depreciation and amortization	50,304,000	45,626,000	32,658,000
Total expenses	150,509,000	119,495,000	86,147,000
Other income (expense):
Interest expense (including amortization of deferred financing costs and debt discount/premium)	(19,955,000)	(16,191,000)	(6,788,000)
Loss in fair value of derivative financial instruments	(870,000)	(4,385,000)	0
Impairment of real estate investments	(3,642,000)	0	0
Income (loss) from unconsolidated entity	629,000	267,000	(110,000)
Other income	286,000	175,000	11,000
Loss before income taxes	(18,942,000)	(18,859,000)	(8,578,000)
Income tax benefit (expense)	0	8,000	(8,000)
Net loss	(18,942,000)	(18,851,000)	(8,586,000)
Less: net loss attributable to noncontrolling interests	885,000	82,000	232,000
Net loss attributable to controlling interest	$ (18,057,000)	$ (18,769,000)	$ (8,354,000)
Net loss per Class T and Class I common share attributable to controlling interest — basic and diluted	$ (0.22)	$ (0.24)	$ (0.15)
Weighted average number of Class T and Class I common shares outstanding — basic and diluted	80,661,645	78,396,077	54,847,197

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 Interest
Beginning balance, shares at Dec. 31, 2017				42,207,160
Beginning balance 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
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 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
Issuance of vested and nonvested restricted common, shares				22,500
Issuance of vested and nonvested restricted common stock	45,000		45,000		45,000
Amortization of nonvested common stock compensation	$ 140,000		140,000		140,000
Repurchase of common stock, shares	(350,418)			(350,418)
Repurchase of common stock	$ (3,312,000)		(3,312,000)	$ (4,000)	(3,308,000)
Adjustment to value of redeemable noncontrolling interests	(232,000)		(232,000)		(232,000)
Distributions declared	(32,943,000)		(32,943,000)			(32,943,000)
Net income (loss)	(8,354,000)	[1]	(8,354,000)			(8,354,000)
Ending balance, shares at Dec. 31, 2018				69,254,971
Ending balance at Dec. 31, 2018	557,672,000		557,672,000	$ 692,000	621,759,000	(64,779,000)	0
Issuance of common stock, number of shares				8,884,165
Issuance of common stock	88,715,000		88,715,000	$ 89,000	88,626,000
Offering costs — common stock	(7,432,000)		(7,432,000)		(7,432,000)
Issuance of common stock under the DRIP, shares				2,666,913
Issuance of common stock under the DRIP	25,533,000		25,533,000	$ 26,000	25,507,000
Issuance of vested and nonvested restricted common, shares				22,500
Issuance of vested and nonvested restricted common stock	43,000		43,000		43,000
Amortization of nonvested common stock compensation	$ 164,000		164,000		164,000
Repurchase of common stock, shares	(928,675)			(928,675)
Repurchase of common stock	$ (8,609,000)		(8,609,000)	$ (9,000)	(8,600,000)
Adjustment to value of redeemable noncontrolling interests	(173,000)		(173,000)		(173,000)
Distributions declared	(47,065,000)		(47,065,000)			(47,065,000)
Net income (loss)	(18,769,000)	[1]	(18,769,000)			(18,769,000)
Ending balance, shares at Dec. 31, 2019				79,899,874
Ending balance at Dec. 31, 2019	590,079,000		590,079,000	$ 798,000	719,894,000	(130,613,000)	0
Offering costs — common stock	(65,000)		(65,000)		(65,000)
Issuance of common stock under the DRIP, shares				2,081,895
Issuance of common stock under the DRIP	19,862,000		19,862,000	$ 22,000	19,840,000
Issuance of vested and nonvested restricted common, shares				22,500
Issuance of vested and nonvested restricted common stock	43,000		43,000		43,000
Amortization of nonvested common stock compensation	$ 172,000		172,000		172,000
Repurchase of common stock, shares	(664,932)			(664,932)
Repurchase of common stock	$ (6,214,000)		(6,214,000)	$ (7,000)	(6,207,000)
Contribution from noncontrolling interest	1,250,000						1,250,000
Distributions to noncontrolling interest	(77,000)						(77,000)
Adjustment to value of redeemable noncontrolling interests	(615,000)		(615,000)		(615,000)
Distributions declared	(36,377,000)		(36,377,000)			(36,377,000)
Net income (loss)	(18,449,000)	[1]	(18,057,000)			(18,057,000)	(392,000)
Ending balance, shares at Dec. 31, 2020				81,339,337
Ending balance at Dec. 31, 2020	$ 549,739,000		$ 548,958,000	$ 813,000	$ 733,192,000	$ (185,047,000)	$ 781,000
[1]	Amount excludes $493,000, $82,000 and $232,000 for the years ended December 31, 2020, 2019 and 2018, respectively, of net loss attributable to redeemable noncontrolling interests. See Note 11, Redeemable Noncontrolling Interests, for a further discussion.

CONSOLIDATED STATEMENTS OF EQ_2

CONSOLIDATED STATEMENTS OF EQUITY (Parenthetical) - USD ($)	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Statement of Stockholders' Equity [Abstract]
Common Stock, Dividends, Per Share, Declared	$ 0.45	$ 0.60	$ 0.60
Net loss Attributable to Redeemable Noncontrolling Interest	$ (493,000)	$ (82,000)	$ (232,000)

CONSOLIDATED STATEMENTS OF CASH

CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
CASH FLOWS FROM OPERATING ACTIVITIES
Net loss	$ (18,942,000)	$ (18,851,000)	$ (8,586,000)
Adjustments to reconcile net loss to net cash provided by operating activities:
Depreciation and amortization	50,304,000	45,626,000	32,658,000
Other amortization	2,788,000	3,251,000	1,015,000
Deferred rent	(4,376,000)	(3,076,000)	(3,029,000)
Stock based compensation	215,000	207,000	185,000
(Income) loss from unconsolidated entity	(629,000)	(267,000)	110,000
Distributions of earnings from unconsolidated entity	629,000	157,000	0
Bad debt expense	510,000	1,482,000	1,274,000
Change in fair value of derivative financial instruments	870,000	4,385,000	0
Impairment of real estate investments	3,642,000	0	0
Changes in operating assets and liabilities:
Accounts and other receivables	1,464,000	3,489,000	(7,413,000)
Other assets	(1,380,000)	(121,000)	(328,000)
Accounts payable and accrued liabilities	1,183,000	2,999,000	224,000
Accounts payable due to affiliates	75,000	224,000	338,000
Security deposits, prepaid rent, operating lease and other liabilities	(858,000)	35,000	(1,025,000)
Net cash provided by operating activities	35,495,000	39,540,000	15,423,000
CASH FLOWS FROM INVESTING ACTIVITIES
Acquisitions of real estate investments	(68,509,000)	(195,249,000)	(355,070,000)
Capital expenditures	(8,308,000)	(6,497,000)	(4,257,000)
Investment in unconsolidated entity	0	(600,000)	(48,000,000)
Distributions in excess of earnings from unconsolidated entity	361,000	1,294,000	290,000
Real estate deposits	0	1,385,000	(3,400,000)
Pre-acquisition expenses	0	(267,000)	(1,117,000)
Net cash used in investing activities	(76,456,000)	(199,934,000)	(411,554,000)
CASH FLOWS FROM FINANCING ACTIVITIES
Payments on mortgage loans payable	(8,332,000)	(650,000)	(449,000)
Borrowings under the line of credit and term loans	143,200,000	257,900,000	771,200,000
Payments on the line of credit and term loans	(63,100,000)	(136,100,000)	(580,300,000)
Deferred financing costs	(43,000)	(1,192,000)	(4,092,000)
Proceeds from issuance of common stock	0	90,438,000	254,017,000
Payment of offering costs	(6,444,000)	(19,136,000)	(19,817,000)
Distributions paid	(17,837,000)	(20,905,000)	(13,989,000)
Repurchase of common stock	(6,214,000)	(8,609,000)	(3,312,000)
Contribution from noncontrolling interest	1,250,000	0	0
Distributions to noncontrolling interest	(77,000)	0	0
Contributions from redeemable noncontrolling interests	1,138,000	151,000	369,000
Distributions to redeemable noncontrolling interests	(104,000)	(151,000)	0
Security deposits	(197,000)	(96,000)	(9,000)
Net cash provided by financing activities	43,240,000	161,650,000	403,618,000
NET CHANGE IN CASH, CASH EQUIVALENTS AND RESTRICTED CASH	2,279,000	1,256,000	7,487,000
CASH, CASH EQUIVALENTS AND RESTRICTED CASH — Beginning of period	15,846,000	14,590,000	7,103,000
CASH, CASH EQUIVALENTS AND RESTRICTED CASH — End of period	18,125,000	15,846,000	14,590,000
Cash and cash equivalents at beginning of period	15,290,000	14,388,000	7,087,000
Cash and cash equivalents at end of period	17,411,000	15,290,000	14,388,000
Restricted cash at beginning of period	556,000	202,000	16,000
Restricted cash at end of period	714,000	556,000	202,000
Cash paid for:
Interest	18,111,000	13,506,000	5,194,000
Income taxes	101,000	30,000	14,000
Investing Activities:
Accrued capital expenditures	1,616,000	2,580,000	5,391,000
Tenant improvement overage	636,000	195,000	692,000
Accrued pre-acquisition expenses	0	412,000	154,000
The following represents the increase in certain assets and liabilities in connection with our acquisitions of real estate investments:
Right-of-use asset	0	3,133,000	0
Other assets	196,000	112,000	225,000
Mortgage loans payable, net	0	9,735,000	5,808,000
Accounts payable and accrued liabilities	201,000	1,146,000	3,415,000
Operating lease liability	0	4,489,000	0
Security deposits and prepaid rent	11,000	1,601,000	2,193,000
Financing Activities:
Issuance of common stock under the DRIP	19,862,000	25,533,000	17,612,000
Distributions declared but not paid	2,764,000	4,086,000	3,459,000
Accrued stockholder servicing fee	6,100,000	12,610,000	16,395,000
Accrued Contingent Advisor Payment	0	0	7,866,000
Receivable from transfer agent	$ 0	$ 0	$ 1,670,000

Organization and Description of

Organization and Description of Business	12 Months Ended
	Dec. 31, 2020
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, invests in a diversified portfolio of real estate properties, focusing primarily on medical office buildings, skilled nursing facilities and senior housing facilities that produce current income. 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 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. We raised $754,118,000 through a best efforts initial public offering, or our initial offering, and issued 75,639,681 aggregate shares of our Class T and Class I shares of our common stock. In addition, during our initial offering, we issued 3,253,535 aggregate shares of our Class T and Class I common stock pursuant to our distribution reinvestment plan, as amended, or the DRIP, for a total of $31,021,000 in distributions reinvested. Following the deregistration of our initial offering, we continued issuing shares of our common stock pursuant to the DRIP through a subsequent offering, or the 2019 DRIP Offering. We commenced offering shares pursuant to the 2019 DRIP Offering on March 1, 2019, following the termination of our initial offering on February 15, 2019. As of December 31, 2020, a total of $41,471,000 in distributions were reinvested that resulted in 4,342,059 shares of our common stock being issued pursuant to the 2019 DRIP Offering. We collectively refer to the DRIP portion of our initial offering and the 2019 DRIP Offering as our DRIP Offerings. See Note 12, Equity — Distribution Reinvestment Plan and Share Repurchase Plan, for a further discussion. 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 initial 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 11, 2021 and expires on February 16, 2022. Our advisor uses its best efforts, subject to the oversight and review of our board of directors, or our board, 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 wholly owned subsidiaries of 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 our advisor, American Healthcare Investors and AHI Group Holdings. In October 2020, our board established a special committee of our board, which consists of all of our independent directors, to investigate and analyze strategic alternatives, including but not limited to, the sale of our assets, a listing of our shares on a national securities exchange, or a merger with another entity, including a merger with another unlisted entity that we expect would enhance our value. We currently operate through four reportable business segments: medical office buildings, senior housing, senior housing — RIDEA and skilled nursing facilities. As of December 31, 2020, we owned 89 properties, comprising 94 buildings, or approximately 4,863,000 square feet of gross leasable area, or GLA, for an aggregate contract purchase price of $1,089,431,000. As of December 31, 2020, we also owned a 6.0% interest in a joint venture which owns a portfolio of integrated senior health campuses and ancillary businesses.

Summary of Significant Accounti

Summary of Significant Accounting Policies	12 Months Ended
	Dec. 31, 2020
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 accompanying 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 VIEs in which we are the primary beneficiary. We evaluate our ability to control an entity, and whether the entity is a VIE and 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 a re the sole general partner of our operating partnership, and as of both December 31, 2020 and 2019, we owned greater than a 99.99% general partnership interest therein. Our advisor is a limited partner, and as of both December 31, 2020 and 2019, owned less 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 accompanying 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, revenues and grant income, allowance for credit losses, impairment of long-lived and intangible 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. Leases On January 1, 2019, we adopted Financial Accounting Standards Board, or FASB, Accounting Standards Codification, or ASC, Topic 842, Leases , or ASC Topic 842. ASC Topic 842 supersedes ASC Topic 840, Leases , or ASC Topic 840. We adopted ASC Topic 842 using the modified retrospective approach whereby the cumulative effect of adoption was recognized on the adoption date and prior periods were not restated. There was no net cumulative effect adjustment to retained earnings as of January 1, 2019 as a result of this adoption. Therefore, with respect to our leases as both lessees and lessors, information is presented under ASC Topic 842 for the years ended December 31, 2020 and 2019, and under ASC Topic 840 for the year ended December 31, 2018. We determine if a contract is a lease upon inception of the lease. We maintain 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. Lessee: Pursuant to ASC Topic 842, lessees are required to recognize the following for all leases with terms greater than 12 months 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. The lease liability is calculated by using either the implicit rate of the lease or the incremental borrowing rate. As a result of the adoption of ASC Topic 842 on January 1, 2019, we recognized an initial amount of operating lease liabilities of $5,334,000 in our consolidated balance sheet for all of our ground leases. In addition, we recorded corresponding right-of-use assets of $11,239,000, which represent the lease liabilities, net of the existing accrued straight-line rent liabilities and adjusted for unamortized above/below market ground lease intangibles. The accretion of lease liabilities and amortization expense on right-of-use assets for our operating leases are included in rental expenses in our accompanying consolidated statements of operations. Operating lease liabilities are calculated using our incremental borrowing rate based on the information available as of the lease commencement date. Lessor: Pursuant to ASC Topic 842, lessors bifurcate lease revenues into lease components and non-lease components and 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 revenue recognition guidance in ASC Topic 606, Revenue from Contracts with Customers, or ASC Topic 606. See the “Revenue Recognition” section below. ASC Topic 842 also provides for a practical expedient package that permits lessors to not separate non-lease components from the associated lease component if certain conditions are met. In addition, such practical expedient causes an entity to assess whether a contract is predominately lease or service based, and recognize the revenue from the entire contract under the relevant accounting guidance. Effective upon our adoption of ASC Topic 842 on January 1, 2019, we continued to recognize revenue for our medical office buildings, senior housing and skilled nursing facilities segments under ASC Topic 842 as real estate revenue. 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, which is included in other assets, net in our accompanying consolidated balance sheets. Tenant reimbursement revenue, which comprises additional amounts recoverable from tenants for common area maintenance expenses and certain other recoverable expenses, are considered non-lease components and variable lease payments. We qualified for and elected the practical expedient as outlined above to combine the non-lease component with the lease component, which is the predominant component, and therefore the non-lease component is recognized as part of real estate revenue. In addition, as lessors, we exclude certain lessor costs (i.e., property taxes and insurance) paid directly by a lessee to third parties on our behalf from our measurement of variable lease revenue and associated expense (i.e., no gross up of revenue and expense for these costs); and include lessor costs that we paid and are reimbursed by the lessee in our measurement of variable lease revenue and associated expense (i.e., gross up revenue and expense for these costs). Therefore, we no longer record revenue or expense when the lessee pays the property taxes and insurance directly to a third party. Our senior housing — RIDEA facilities offer residents room and board (lease component), standard meals and healthcare services (non-lease component), and certain ancillary services that are not contemplated in the lease with each resident (i.e., laundry, guest meals, etc.). For our senior housing — RIDEA facilities, we recognize revenue under ASC Topic 606 as resident fees and services, based on our predominance assessment from electing the practical expedient outlined above. See the “Revenue Recognition” section below. See Note 16, Leases, for a further discussion. Revenue Recognition Real Estate Revenue Prior to January 1, 2019, minimum annual rental revenue was recognized on a straight-line basis over the term of the related lease (including rent holidays) in accordance with ASC Topic 840. Differences between real estate revenue recognized and cash amounts contractually due from tenants under the lease agreements were recorded to deferred rent receivable. 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 had been met and the tenant was no longer occupying the property. Effective January 1, 2019, we recognize real estate revenue in accordance with ASC Topic 842. See the “Leases” section above. Resident Fees and Services Revenue We recognize resident fees and services revenue in accordance with ASC Topic 606. 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 ASC Topic 606 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. Resident fees and services revenue includes fees for basic housing and assisted living care. We record revenue when services are rendered 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. The following tables disaggregate 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: Years Ended December 31, 2020 2019 2018 Point in Over Time Total Point in Over Time Total Point in Over Time Total Senior housing — RIDEA $ 964,000 $ 66,829,000 $ 67,793,000 $ 715,000 $ 45,445,000 $ 46,160,000 $ 847,000 $ 36,010,000 $ 36,857,000 The following tables disaggregate our resident fees and services revenue by payor class: Years Ended December 31, 2020 2019 2018 Private and other payors $ 61,045,000 $ 40,140,000 $ 30,775,000 Medicaid 6,748,000 6,020,000 6,082,000 Total resident fees and services $ 67,793,000 $ 46,160,000 $ 36,857,000 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 Total Beginning balance — January 1, 2020 $ 2,731,000 $ 281,000 $ 3,012,000 Ending balance — December 31, 2020 1,123,000 358,000 1,481,000 (Decrease)/increase $ (1,608,000) $ 77,000 $ (1,531,000) Financing Component We have elected a practical expedient allowed under ASC Topic 606 and, therefore, we do not adjust the promised amount of consideration from patients and third-party payors for the effects of a significant financing component due to our expectation that the period between the time the service is provided to a patient and the time that the patient or a third-party payor pays for that service will be one year or less. Contract Costs We have applied a practical expedient provided by ASC Topic 340, Other Assets and Deferred Costs , and, therefore, all incremental customer contract acquisition costs are expensed as they are incurred since the amortization period of the asset that we otherwise would have recognized is one year or less in duration. Government Grants We have been granted stimulus funds through various federal and state government programs, such as through the Coronavirus Aid, Relief, and Economic Security Act, or the CARES Act, passed by the federal government on March 27, 2020, which were established for eligible healthcare providers to preserve liquidity in response to lost revenues and/or increased healthcare expenses (as such terms are defined in the applicable regulatory guidance) associated with the coronavirus, or COVID-19, pandemic. Such grants are not loans and, as such, are not required to be repaid, subject to certain conditions. We recognize government grants as grant income or as a reduction of property operating expenses, as applicable, in our accompanying consolidated statements of operations when there is reasonable assurance that the grants will be received and all conditions to retain the funds will be met. We adjust our estimates and assumptions based on the applicable guidance provided by the government and the best available information that we have. Any stimulus or other relief funds received that are not expected to be used in accordance with such terms and conditions will be returned to the government. For the year ended December 31, 2020, we recognized government grants of $1,005,000 as grant income. As of and for the years ended December 31, 2019 and 2018, we did not recognize any government grants. Tenant and Resident Receivables and Allowances On January 1, 2020, we adopted ASC Topic 326, Financial Instruments Credit Losses , or ASC Topic 326. We adopted ASC Topic 326 using the modified retrospective approach whereby the cumulative effect of adoption was recognized on the adoption date and prior periods were not restated. There was no net cumulative effect adjustment to retained earnings as of January 1, 2020. Resident receivables are carried net of an allowance for credit losses. An allowance is maintained for estimated losses resulting from the inability of residents and payors to meet the contractual obligations under their lease or service agreements. Substantially all of such allowances are recorded as direct reductions of resident fees and services revenue as contractual adjustments provided to third-party payors or implicit price concessions 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 residents’ financial condition, security deposits, cash collection patterns by payor and by state, current economic conditions, future expectations in estimating credit losses and other relevant factors. Prior to our adoption of ASC Topic 326 on January 1, 2020, resident receivables were carried net of an allowance for uncollectible amounts. Tenant receivables and unbilled deferred rent receivables are reduced for uncollectible amounts, which are recognized as direct reductions of real estate revenue in our accompanying consolidated statements of operations. Prior to our adoption of ASC Topic 842 on January 1, 2019, tenant receivables and unbilled deferred rent receivables were reduced for uncollectible amounts. Such amounts were charged to bad debt expense, which was included in general and administrative in our accompanying consolidated statements of operations. As of December 31, 2020 and 2019, we had $2,086,000 and $902,000, respectively, in allowances, which were determined necessary to reduce receivables by our expected future credit losses. For the years ended December 31, 2020, 2019 and 2018, we increased allowances by $1,614,000, $2,301,000 and $1,790,000, respectively, and reduced allowances for collections or adjustments by $207,000, $1,758,000 and $531,000, respectively. For the years ended December 31, 2020, 2019 and 2018, we did not write off any of our receivables directly to bad debt expense or as direct adjustments to revenue. For the years ended December 31, 2020, 2019 and 2018, $223,000, $962,000 and $21,000, respectively, of our receivables were written off against the related allowances. Property Acquisitions 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. 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 the value of the leasehold interest 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 , 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 21 years. The cost of furniture, fixtures and equipment is depreciated over the estimated useful life, up to 20 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 included in other assets, net in our accompanying consolidated balance sheets. Lease inducement is recognized over the lease term as a reduction of real estate 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. 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 carrying 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. We test other indefinite-lived intangible assets for impairment at least annually, and more frequently if indicators arise. We first assess qualitative factors to determine the likelihood that the fair value of the reporting group is less than its carrying value. If the carrying amount of an indefinite-lived intangible asset exceeds its fair value, an impairment loss is recognized. Fair values of other indefinite-lived intangible assets are usually determined based on discounted cash flows or appraised values, as appropriate. For the years ended December 31, 2020, 2019 and 2018, we did not incur any impairment losses with respect to intangible assets. See Note 3, Real Estate Investments, Net, for a discussion of impairment of long-lived assets. Properties Held for Sale A property or a group of properties is reported in discontinued operations in our consolidated 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. At such time as a

Real Estate Investments, Net

Real Estate Investments, Net	12 Months Ended
	Dec. 31, 2020
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, 2020 and 2019 : December 31, 2020 2019 Building and improvements $ 884,816,000 $ 836,091,000 Land 109,444,000 103,371,000 Furniture, fixtures and equipment 8,599,000 6,656,000 1,002,859,000 946,118,000 Less: accumulated depreciation (81,279,000) (51,058,000) Total $ 921,580,000 $ 895,060,000 Depreciation expense for the years ended December 31, 2020, 2019 and 2018 was $31,563,000, $27,435,000 and $16,723,000, respectively. In addition to the property acquisition transactions discussed below, for the years ended December 31, 2020, 2019 and 2018, we incurred capital expenditures of $5,556,000, $4,537,000 and $3,643,000, respectively, for our medical office buildings, $1,767,000, $2,505,000 and $5,342,000, respectively, for our senior housing — RIDEA facilities, $657,000, $0 and $0, respectively, for our skilled nursing facilities and $0, $75,000 and $0, respectively, for our senior housing facilities. During 2020, we committed to a plan to sell two senior housing facilities within our senior housing – RIDEA reporting segment and commenced actively marketing such assets for sale. We determined that the fair values of such facilities less costs to sell were lower than their carrying values. Therefore, we recognized an aggregate impairment charge of $3,642,000 for the year ended December 31, 2020, which reduced the total aggregate carrying value of such assets to $6,415,000. The carrying values of such senior housing — RIDEA facilities were reclassified to properties held for sale, which are included in other assets, net in our accompanying consolidated balance sheets. The fair values of such facilities were determined by the sales price from an executed purchase and sales agreement with a third-party buyer, and adjusted for anticipated selling costs, which were considered Level 2 measurements within the fair value hierarchy. We did not recognize impairment charges on long-lived assets for the years ended December 31, 2019 and 2018. In June 2020, we paid an earn-out of $1,483,000 in connection with Overland Park MOB, originally purchased in August 2019, which we capitalized and included in real estate investments, net in our accompanying consolidated balance sheets. Such amount was paid upon the condition being met for an existing tenant to lease and occupy additional space. In addition, we paid our advisor a base acquisition fee, as defined in Note 13, Related Party Transactions — Acquisition and Development Stage — Acquisition Fee, of $34,000, or 2.25% of the earn-out amount. In December 2020, we paid an earn-out of $360,000 in connection with Catalina Madera ALF, originally purchased in January 2020, which we capitalized and included in real estate investments, net in our accompanying consolidated balance sheets. Such amount was paid upon the condition being met for achievement of a certain financial metric. In addition, we paid our advisor a base acquisition fee of $8,000, or 2.25% of the earn-out amount. Acquisitions in 2020 For the year ended December 31, 2020, using cash on hand and debt financing, we completed the acquisition of seven buildings from unaffiliated third parties. The following is a summary of our property acquisitions for the year ended December 31, 2020: Acquisition Location Type Date Contract Line of Total Catalina West Haven ALF(3) West Haven, UT Senior Housing — RIDEA 01/01/20 $ 12,799,000 $ 12,700,000 $ 278,000 Louisiana Senior Housing Portfolio(4) Gonzales, Monroe, New Iberia, Shreveport and Slidell, LA Senior Housing — RIDEA 01/03/20 34,000,000 32,700,000 737,000 Catalina Madera ALF(3) Madera, CA Senior Housing — RIDEA 01/31/20 17,900,000 17,300,000 389,000 Total $ 64,699,000 $ 62,700,000 $ 1,404,000 ___________ (1) Represents a borrowing under the 2018 Credit Facility, as defined in Note 7, Line of Credit and Term Loans, at the time of acquisition. (2) 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 contract purchase price paid by us. (3) On January 1, 2020 and January 31, 2020, we completed the acquisitions of Catalina West Haven ALF and Catalina Madera ALF, respectively, pursuant to a joint venture with an affiliate of Avalon Health Care, Inc., or Avalon, an unaffiliated third party. Our ownership of the joint venture is approximately 90.0%. (4) On January 3, 2020, we completed the acquisition of Louisiana Senior Housing Portfolio pursuant to a joint venture with an affiliate of Senior Solutions Management Group, or SSMG, an unaffiliated third party. Our ownership of the joint venture is approximately 90.0%. For the year ended December 31, 2020, we accounted for our property acquisitions completed as asset acquisitions. We incurred and capitalized base acquisition fees and direct acquisition related expenses of $2,545,000. The following table summarizes the purchase price of the assets acquired at the time of acquisition based on their relative fair values: 2020 Building and improvements $ 49,792,000 Land 7,632,000 In-place leases 8,974,000 Furniture, fixtures and equipment 854,000 Total assets acquired $ 67,252,000 Acquisitions in 2019 For the year ended December 31, 2019, using net proceeds from our initial offering and debt financing, we completed the acquisition of 18 buildings from unaffiliated third parties. The following is a summary of our property acquisitions for the year ended December 31, 2019: Acquisition(1) Location Type Date Contract Mortgage Line of Total Lithonia MOB Lithonia, GA Medical Office 03/05/19 $ 10,600,000 $ — $ — $ 477,000 West Des Moines SNF West Des Moines, IA Skilled Nursing 03/24/19 7,000,000 — — 315,000 Great Nord MOB Portfolio Tinley Park, IL; Chesterton and Crown Point, IN; and Plymouth, MN Medical Office 04/08/19 44,000,000 — 15,000,000 1,011,000 Michigan ALF Portfolio(5) Grand Rapids, MI Senior Housing 05/01/19 14,000,000 10,493,000 3,500,000 315,000 Overland Park MOB Overland Park, KS Medical Office 08/05/19 28,350,000 — 28,700,000 638,000 Blue Badger MOB Marysville, OH Medical Office 08/09/19 13,650,000 — 12,000,000 307,000 Bloomington MOB Bloomington, IL Medical Office 08/13/19 18,200,000 — 17,400,000 409,000 Memphis MOB Memphis, TN Medical Office 08/15/19 8,700,000 — 8,600,000 196,000 Haverhill MOB Haverhill, MA Medical Office 08/27/19 15,500,000 — 15,450,000 349,000 Fresno MOB Fresno, CA Medical Office 10/30/19 10,000,000 — 9,950,000 225,000 Colorado Foothills MOB Portfolio Arvada, Centennial and Colorado Springs, CO Medical Office 11/19/19 31,200,000 — 30,500,000 702,000 Total $ 201,200,000 $ 10,493,000 $ 141,100,000 $ 4,944,000 ___________ (1) We own 100% of our properties acquired for the year ended December 31, 2019. (2) Represents the principal balance of the mortgage loan payable assumed by us at the time of acquisition. (3) Represents a borrowing under the 2018 Credit Facility 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 contract purchase price paid by us. In addition, the total acquisition fee may include a Contingent Advisor Payment, as defined in Note 13, Related Party Transactions, up to 2.25% of the contract purchase price paid by us. See Note 13, Related Party Transactions — Acquisition and Development Stage — Acquisition Fee, for a further discussion. (5) We added three buildings to our existing Michigan ALF Portfolio. The other six buildings in the Michigan ALF Portfolio were acquired in December 2018. For the year ended December 31, 2019, we accounted for our property acquisitions completed as asset acquisitions. We incurred and capitalized base acquisition fees and direct acquisition related expenses of $6,461,000. In addition, we incurred Contingent Advisor Payments of $418,000 to our advisor for certain property acquisitions. The following table summarizes the purchase price of the assets acquired and liabilities assumed at the time of acquisition based on their relative fair values: 2019 Building and improvements $ 164,084,000 Land 20,286,000 In-place leases 21,393,000 Above-market leases 2,578,000 Right-of-use asset 3,133,000 Total assets acquired 211,474,000 Mortgage loan payable (including debt discount of $758,000) (9,735,000) Below-market leases (874,000) Operating lease liability (4,489,000) Total liabilities assumed (15,098,000) Net assets acquired $ 196,376,000 Acquisitions in 2018 For the year ended December 31, 2018, using net proceeds from our initial offering and debt financing, we completed the acquisition of 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 Contract Mortgage Line of Total 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 2016 Credit Facility or 2018 Credit Facility, as defined in Note 7, Line of Credit and Term Loans, 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. (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 98.0%. For the year ended December 31, 2018, we accounted for our property acquisitions completed as asset acquisitions. We incurred and capitalized base acquisition fees and direct acquisition related expenses of $13,021,000. 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 based on their relative fair values: 2018 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

Identified Intangible Assets, N

Identified Intangible Assets, Net	12 Months Ended
	Dec. 31, 2020
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, 2020 and 2019: December 31, 2020 2019 Amortized intangible assets: In-place leases, net of accumulated amortization of $32,134,000 and $18,273,000 as of December 31, 2020 and 2019, respectively (with a weighted average remaining life of 8.8 years and 9.5 years as of December 31, 2020 and 2019, respectively) $ 61,166,000 $ 70,650,000 Above-market leases, net of accumulated amortization of $1,009,000 and $609,000 as of December 31, 2020 and 2019, respectively (with a weighted average remaining life of 9.1 years and 9.5 years as of December 31, 2020 and 2019, respectively) 2,587,000 3,025,000 Unamortized intangible assets: Certificates of need 348,000 348,000 Total $ 64,101,000 $ 74,023,000 Amortization expense on identified intangible assets for the years ended December 31, 2020, 2019 and 2018 was $18,897,000, $18,384,000 and $16,180,000, respectively, which included $438,000, $310,000 and $208,000, respectively, of amortization recorded against real estate revenue for above-market leases in our accompanying consolidated statements of operations. The aggregate weighted average remaining life of the identified intangible assets was 8.8 years and 9.5 years as of December 31, 2020 and 2019, respectively. As of December 31, 2020, 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 2021 $ 11,920,000 2022 8,648,000 2023 7,384,000 2024 6,155,000 2025 4,977,000 Thereafter 24,669,000 Total $ 63,753,000

Other Assets, Net

Other Assets, Net	12 Months Ended
	Dec. 31, 2020
Other Assets [Abstract]
Other Assets, Net	5. Other Assets, Net Other assets, net consisted of the following as of December 31, 2020 and 2019: December 31, 2020 2019 Investment in unconsolidated entity $ 46,653,000 $ 47,016,000 Deferred rent receivables 12,395,000 8,018,000 Prepaid expenses, deposits and other assets 9,028,000 2,380,000 Lease commissions, net of accumulated amortization of $426,000 and $174,000 as of December 31, 2020 and 2019, respectively 2,399,000 1,623,000 Deferred financing costs, net of accumulated amortization of $3,397,000 and $1,517,000 as of December 31, 2020 and 2019, respectively(1) 1,724,000 3,583,000 Total $ 72,199,000 $ 62,620,000 ___________ (1) Deferred financing costs only include costs related to our line of credit and term loans. Amortization expense on deferred financing costs of our line of credit and term loans for the years ended December 31, 2020, 2019 and 2018 was $1,880,000, $2,028,000 and $1,000,000, respectively, which is recorded to interest expense in our accompanying consolidated statements of operations. See Note 7, Line of Credit and Term Loans, for a further discussion. Investment in unconsolidated entity represents our purchase of 6.0% of the total membership interests of Trilogy REIT Holdings, LLC, or the Trilogy Joint Venture, from unaffiliated third parties on October 1, 2018 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 share of the debt of the Trilogy Joint Venture based on our ownership interest. The Trilogy Joint Venture, through an approximately 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. 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% is indirectly owned by NorthStar Healthcare Income, Inc. 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, we paid 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. As of December 31, 2020 and 2019, the unamortized basis difference of our joint venture investment in an unconsolidated entity of $16,791,000 and $17,248,000, respectively, 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 income or loss from unconsolidated entity in our accompanying consolidated statements of operations.

Mortgage Loans Payable, Net

Mortgage Loans Payable, Net	12 Months Ended
	Dec. 31, 2020
Mortgage Loans Payable, Net [Abstract]
Mortgage Loans Payable, Net	6. Mortgage Loans Payable, Net As of December 31, 2020 and 2019, mortgage loans payable were $18,766,000 ($17,827,000, net of discount/premium and deferred financing costs) and $27,099,000 ($26,070,000, net of discount/premium and deferred financing costs), respectively. As of December 31, 2020, we had three fixed-rate mortgage loans with interest rates ranging from 3.67% to 5.25% per annum, maturity dates ranging from April 1, 2025 to February 1, 2051 and a weighted average effective interest rate of 3.93%. As of December 31, 2019, we had four fixed-rate mortgage loans with interest rates ranging from 3.67% to 5.25% per annum, maturity dates ranging from April 1, 2020 to February 1, 2051 and a weighted average effective interest rate of 4.18%. In January 2020, we paid off a mortgage loan payable with a principal balance of $7,738,000, which had an original maturity date of April 1, 2020. We did not incur any prepayment penalties or fees in connection with such payoff. The following table reflects the changes in the carrying amount of mortgage loans payable, net for the years ended December 31, 2020 and 2019: December 31, 2020 2019 Beginning balance $ 26,070,000 $ 16,892,000 Additions: Assumption of mortgage loan payable, net — 9,735,000 Amortization of deferred financing costs 40,000 78,000 Amortization of discount/premium on mortgage loans payable 49,000 41,000 Deductions: Scheduled principal payments on mortgage loans payable (8,332,000) (650,000) Deferred financing costs — (26,000) Ending balance $ 17,827,000 $ 26,070,000 As of December 31, 2020, 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 2021 $ 607,000 2022 651,000 2023 680,000 2024 711,000 2025 5,878,000 Thereafter 10,239,000 Total $ 18,766,000

Line of Credit and Term Loans

Line of Credit and Term Loans	12 Months Ended
	Dec. 31, 2020
Line of Credit Facility [Abstract]
Line of Credit and Term Loan	7. Line of Credit and Term Loans 2016 Credit Facility 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. The 2016 Line of Credit would have matured on August 25, 2019. On each of October 31, 2017 and September 28, 2018, we amended the 2016 Credit Agreement. The material terms of such amendments provided for increases in both the revolving line of credit and term loan commitments, which resulted in an aggregate borrowing capacity under the 2016 Line of Credit of $350,000,000. On November 20, 2018, we, through our operating partnership, terminated the 2016 Credit Agreement, as amended, and entered into the 2018 Credit Agreement as described below. We currently do not have any obligations under the 2016 Credit Agreement, as amended. 2018 Credit Facility 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, as syndication agent, joint lead arranger and joint bookrunner; Merrill Lynch, Pierce, Fenner & Smith Incorporated, as joint lead arranger and joint bookrunner; KeyBanc Capital Markets, as joint lead arranger and joint bookrunner; and the lenders named therein, to obtain a credit facility with an initial aggregate maximum principal amount of $400,000,000, or the 2018 Credit Facility. The 2018 Credit Facility initially consisted of a senior unsecured revolving credit facility in the initial aggregate amount of $150,000,000 and senior unsecured term loan facilities in the initial aggregate amount of $250,000,000. 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. On November 1, 2019, we entered into an amendment to the 2018 Credit Agreement, or the 2019 Amendment, with Bank of America, KeyBank and a syndicate of other banks, as lenders, which increased the term loan commitment by $45,000,000 and increased the revolving credit facility by $85,000,000. As a result of the 2019 Amendment, the aggregate borrowing capacity under the 2018 Credit Facility was $530,000,000. Except as modified by the 2019 Amendment, the material terms of the 2018 Credit Agreement, as amended, remain in full force and effect. The maximum principal amount of the 2018 Credit Facility may be increased by up to $120,000,000, for a total principal amount of $650,000,000, subject to: (i) the terms of the 2018 Credit Agreement, as amended; and (ii) at least five business days prior written notice to Bank of America. 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, as amended, subject to satisfaction of certain conditions, including payment of an extension fee. 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, as amended, plus (ii) a margin ranging from 1.70% to 2.20% based on our Consolidated Leverage Ratio, as defined in the 2018 Credit Agreement, as amended, 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, as amended, plus 0.50%, (3) the one-month Eurodollar Rate plus 1.00%, and (4) 0.00%, plus (ii) a margin ranging from 0.70% to 1.20% 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, as amended, at a per annum rate equal to 0.20% if the average daily used amount is greater than 50.00% of the commitments and 0.25% if the average daily used amount is less than or equal to 50.00% of the commitments, which fee shall be measured and payable on a quarterly basis. As of both December 31, 2020 and 2019, our aggregate borrowing capacity under the 2018 Credit Facility was $530,000,000 . As of December 31, 2020 and 2019, borrowings outstanding totaled $476,900,000 and $396,800,000, respectively, and the weighted average interest rate on such borrowings outstanding was 2.12% and 3.50%, respectively, per annum.

Derivative Financial Instrument

Derivative Financial Instruments	12 Months Ended
	Dec. 31, 2020
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Derivative Financial Instruments	8. Derivative Financial Instruments We record derivative financial instruments in our accompanying consolidated balance sheets as either an asset or a liability measured at fair value. The following table lists the derivative financial instruments held by us as of December 31, 2020 and 2019, which are included in security deposits, prepaid rent and other liabilities in our accompanying consolidated balance sheets: Fair Value December 31, Instrument Notional Amount Index Interest Rate Maturity Date 2020 2019 Swap $ 139,500,000 one month LIBOR 2.49% 11/19/21 $ (2,915,000) $ (2,441,000) Swap 58,800,000 one month LIBOR 2.49% 11/19/21 (1,229,000) (1,029,000) Swap 45,000,000 one month LIBOR 0.20% 11/19/21 (27,000) — Swap 36,700,000 one month LIBOR 2.49% 11/19/21 (766,000) (642,000) Swap 15,000,000 one month LIBOR 2.53% 11/19/21 (318,000) (273,000) $ 295,000,000 $ (5,255,000) $ (4,385,000) As of both December 31, 2020 and 2019, none of our derivative financial instruments were designated as hedges as defined by guidance under ASC Topic 815. Derivative financial instruments not designated as hedges are not speculative and are used to manage our exposure to interest rate movements, but do not meet the strict hedge accounting requirements. For the years ended December 31, 2020 and 2019, we recorded $(870,000) and $(4,385,000), respectively, as an increase to in terest expense in our accompanying consolidated statements of operations related to the change in the fair value of our derivative financial instruments. We did not have any derivative financial instruments during the year ended December 31, 2018. See Note 14, Fair Value Measurements, for a further discussion of the fair value of our derivative financial instruments.

Identified Intangible Liabiliti

Identified Intangible Liabilities, Net	12 Months Ended
	Dec. 31, 2020
Identified Intangible Liabilities [Abstract]
Identified Intangible Liabilities, Net	9. Identified Intangible Liabilities, Net As of December 31, 2020 and 2019, identified intangible liabilities, net consisted of below-market leases of $1,295,000 and $1,601,000, respectively, net of accumulated amortization of $608,000 and $702,000, respectively. Amortization expense on below-market leases for the years ended December 31, 2020, 2019 and 2018 was $306,000, $517,000 and $380,000 respectively, which was recorded to real estate revenue in our accompanying consolidated statements of operations. The weighted average remaining life of below-market leases was 11.6 years and 11.3 years as of December 31, 2020 and 2019, respectively. As of December 31, 2020, estimated amortization expense on below-market leases for each of the next five years ending December 31 and thereafter was as follows: Year Amount 2021 $ 236,000 2022 217,000 2023 207,000 2024 161,000 2025 123,000 Thereafter 351,000 Total $ 1,295,000

Commitments and Contingencies

Commitments and Contingencies	12 Months Ended
	Dec. 31, 2020
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies	10. 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. Impact of the COVID-19 Pandemic Since March 2020, the COVID-19 pandemic has been dramatically impacting the United States, which has resulted in an aggressive worldwide effort to contain the spread of the virus. These efforts have significantly and adversely disrupted economic markets and impacted commercial activity worldwide, including markets in which we own and/or operate properties, and the prolonged economic impact remains uncertain. In addition, the continuously evolving nature of the COVID-19 pandemic makes it difficult to ascertain the long-term impact it will have on real estate markets and our portfolio of investments. Considerable uncertainty still surrounds the COVID-19 pandemic and its effects on the population, as well as the effectiveness of any responses taken on national and local levels by government and public health authorities and businesses to contain and combat the outbreak and spread of the virus, including the widespread availability and use of effective vaccines. In particular, government-imposed business closures and re-opening restrictions, as well as self-imposed restrictions of discretionary activities, have dramatically impacted the operations of our real estate investments and our tenants across the country, such as creating significant declines in resident occupancy. Further, our senior housing facilities have also experienced dramatic increases and may continue to experience increases in costs to care for residents; particularly labor costs to maintain staffing levels to care for the aged population during this crisis, costs of COVID-19 testing of employees and residents and costs to procure the volume of personal protective equipment and other supplies required. We received and recognized in our accompanying consolidated financial statements stimulus funds through economic relief programs of the CARES Act, as discussed at Note 2, Summary of Significant Accounting Policies — Government Grants. We have also taken actions to strengthen our balance sheet and preserve liquidity in response to the COVID-19 pandemic risks. From March to December 2020, we postponed non-essential capital expenditures. In addition, in March 2020, we reduced the stockholder distribution rate and partially suspended our share repurchase plan. See Note 12, Equity — Share Repurchase Plan, for a further discussion. We are continuously monitoring the impact of the COVID-19 pandemic on our business, residents, tenants, operating partners, managers, portfolio of investments and on the United States and global economi es.

Redeemable Noncontrolling Inter

Redeemable Noncontrolling Interest	12 Months Ended
	Dec. 31, 2020
Redeemable Noncontrolling Interest [Abstract]
Redeemable Noncontrolling Interests	11. Redeemable Noncontrolling Interests As of December 31, 2020 and 2019, our advisor owned all of the 208 limited partnership units outstanding in our operating partnership. As of December 31, 2020 and 2019, 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. Our advisor is entitled to special redemption rights of its limited partnership units. 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 13, Related Party Transactions — Liquidity Stage — Subordinated Participation Interest — Subordinated Distribution Upon Listing, and Note 13, Related Party Transactions — Subordinated Distribution Upon Termination, for a further discussion of the redemption features of the limited partnership units. In connection with our acquisitions of Central Florida Senior Housing Portfolio, Pinnacle Beaumont ALF and Pinnacle Warrenton ALF, we own approximately 98.0% of the joint ventures with Meridian. In connection with our acquisitions of Catalina West Haven ALF and Catalina Madera ALF, we own approximately 90.0% of the joint venture with Avalon. The noncontrolling interests held by Meridian and Avalon 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, 2020 and 2019: December 31, 2020 2019 Beginning balance $ 1,462,000 $ 1,371,000 Additions 1,138,000 151,000 Distributions (104,000) (151,000) Adjustment to redemption value 615,000 173,000 Net loss attributable to redeemable noncontrolling interests (493,000) (82,000) Ending balance $ 2,618,000 $ 1,462,000

Equity

Equity	12 Months Ended
	Dec. 31, 2020
Equity [Abstract]
Equity	12. 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 both December 31, 2020 and 2019, 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, whereby 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. As of both December 31, 2020 and 2019, our advisor owned 20,833 shares of our Class T common stock. On February 15, 2019, we terminated our initial offering and we continued to offer shares of our common stock pursuant to the 2019 DRIP Offering. See the “Distribution Reinvestment Plan” section below for a further discussion. Through December 31, 2020, we had issued 75,639,681 aggregate shares of our Class T and Class I common stock in connection with the primary portion of our initial offering and 7,595,594 aggregate shares of our Class T and Class I common stock pursuant to our DRIP Offerings. We also granted an aggregate of 105,000 shares of our restricted Class T common stock to our independent directors and repurchased 2,021,771 shares of our common stock under our share repurchase plan through December 31, 2020. As of December 31, 2020 and 2019, we had 81,339,337 and 79,899,874 aggregate shares of our Class T and Class I common stock, respectively, issued and outstanding. 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 initial 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 initial 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 initial offering and we continued to offer up to $100,000,000 in shares of our common stock pursuant to the 2019 DRIP Offering. In connection with our board’s strategic alternative review process and in order to facilitate a strategic transaction, on March 18, 2021, our board authorized the suspension of the DRIP, effective as of April 1, 2021, unless and until our board reinstates the DRIP. As a consequence of the suspension of the DRIP, beginning with the April 2021 distributions, which will be payable on or about May 1, 2021, there will be no further issuances of shares pursuant to the DRIP, and stockholders who are participants in the DRIP will receive cash distributions instead. Since April 6, 2018, our board has approved and established an estimated per share net asset value, or NAV, on at least an annual basis. Commencing with the distribution payment to stockholders paid in the month following such board approval, shares of our common stock issued pursuant the DRIP were or will be issued at the current estimated per share NAV until such time as our board determines an updated estimated per share NAV. The following is a summary of our historical estimated per share NAV of our Class T and Class I common stock: Approval Date by our Board Estimated Per 04/06/18 $ 9.65 04/04/19 $ 9.54 04/02/20 $ 9.54 For the years ended December 31, 2020, 2019 and 2018, $19,862,000, $25,533,000 and $17,612,000, respectively, in distributions were reinvested and 2,081,895, 2,666,913 and 1,838,711 shares of our common stock, respectively, were issued pursuant to our DRIP Offerings. As of December 31, 2020 and 2019, a total of $72,492,000 and $52,630,000, respectively, in distributions were cumulatively reinvested that resulted in 7,595,594 and 5,513,699 shares of our common stock, respectively, being issued pursuant to our DRIP Offerings. Share Repurchase Plan Due to the impact the COVID-19 pandemic has had on the United States and globally, and the ongoing uncertainty of the severity and duration of the COVID-19 pandemic and its effects, beginning in March 2020, our board decided to take steps to protect our capital and maximize our liquidity in an effort to strengthen our long-term financial prospects. As a result, on March 31, 2020, our board suspended our share repurchase plan with respect to all repurchase requests other than repurchases resulting from the death or qualifying disability of stockholders, beginning with share repurchase requests submitted for repurchase during the second quarter of 2020. Repurchase requests resulting from the death or qualifying disability of stockholders were not suspended, but remained subject to all terms and conditions of our share repurchase plan, including our board’s discretion to determine whether we have sufficient funds available to repurchase any shares. In connection with our board’s strategic alternative review process and in order to facilitate a strategic transaction, on March 18, 2021, our board approved the suspension of our share repurchase plan with respect to all repurchase requests received by us after February 28, 2021, including repurchases resulting from the death or qualifying disability of stockholders, until such time, if any, as our board determines to reinstate our share repurchase plan. Prior to the suspension of our share repurchase plan, our share repurchase plan allowed for repurchases of shares of our common stock by us when certain criteria are met. Share repurchases were made at the sole discretion of our board. Subject to the availability of the funds for share repurchases, we generally limited 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 were not subject to this cap. Funds for the repurchase of shares of our common stock came exclusively from the cumulative proceeds we received from the sale of shares of our common stock pursuant to our DRIP Offerings. All repurchases of our shares of common stock were 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 were 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 had been held. During our initial 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 initial offering. Commencing with shares repurchased for the quarter ending June 30, 2019, the repurchase amount for shares repurchased under our share repurchase plan was the lesser of (i) the amount per share the stockholder paid for their shares of our common stock, or (ii) the most recent estimated value of one share of the applicable class of common stock as determined by our board. See the “Distribution Reinvestment Plan” section above for a summary of our historical estimated per share NAV. However, if shares of our common stock were repurchased in connection with a stockholder’s death or qualifying disability, the repurchase price was no less than 100% of the price paid to acquire the shares of our common stock from us. Furthermore, our share repurchase plan provided that if there were insufficient funds to honor all repurchase requests, pending requests may 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, 2020, 2019 and 2018, we repurchased 664,932, 928,675 and 350,418 shares of our common stock, respectively, for an aggregate of $6,214,000, $8,609,000 and $3,312,000, respectively, at an average repurchase price of $9.34, $9.27 and $9.45 per share, respectively. As of December 31, 2020 and 2019, we cumulatively repurchased 2,021,771 and 1,356,839 shares of our common stock, respectively, for an aggregate of $18,870,000 and $12,656,000, respectively, at an average repurchase price of $9.33 per share. In January 2021, we repurch ased 72,339 shares of our common stock, for an aggregate of $713,000, at an average repurchase price of $9.86 per share. All shares were repurchased using the cumulative proceeds we received from the sale of shares of our common stock pursuant to our DRIP Offerings. 2015 Incentive Plan We adopted the 2015 Incentive Plan, or our incentive plan, pursuant to which our board, 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, 2020, 2019 and 2018, we granted an aggregate of 22,500 shares of our restricted Class T common stock at a weighted average grant date fair value of $9.54, $9.54 and $9.65 per share, respectively, to our independent directors in connection with their re-election to our board 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. We follow ASC Topic 718, Compensation — Stock Compensation , to account for our stock compensation pursuant to our incentive plan. For the years ended December 31, 2020, 2019 and 2018, we recognized stock compensation expense of $215,000, $207,000 and $185,000, respectively, which is included in general and administrative in our accompanying consolidated statements of operations. Offering Costs Selling Commissions Through the termination of our initial offering on February 15, 2019, 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 the primary portion of our initial offering. No selling commissions were payable on Class I shares or shares of our common stock sold pursuant to our DRIP Offerings. Following the termination of our initial offering on February 15, 2019, we no longer incur additional selling commissions. For the years ended December 30, 2019 and 2018, we incurred $2,241,000 and $6,983,000, 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 initial offering. Dealer Manager Fee Through the termination of our initial offering on February 15, 2019, 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 initial 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. Effective March 1, 2017 and through the termination of our initial offering on February 15, 2019, with respect to shares of our Class I common stock, 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 of our common stock pursuant to the primary portion of our initial offering, all of which was funded by our advisor. No dealer manager fee was payable on shares of our common stock sold pursuant to our DRIP Offerings. Following the termination of our initial offering on February 15, 2019, we no longer incur additional dealer manager fees. For the years ended December 31, 2019 and 2018, we incurred $759,000 and $2,364,000, 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 initial offering. See Note 13, 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 our DRIP Offerings. 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 the primary portion of our initial offering. We will cease paying the stockholder servicing fee with respect to our Class T shares sold in the primary portion of our initial offering upon the occurrence of certain defined events, such as our redemption of such Class T shares. 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. Following the termination of our initial offering on February 15, 2019, we no longer incur additional stockholder servicing fees. For the years ended December 31, 2019 and 2018, we incurred $2,573,000 and $8,069,000, respectively, in stockholder servicing fees to our dealer manager. As of December 31, 2020 and 2019, we accrued $6,100,000 and $12,610,000, 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. Noncontrolling Interest In connection with our acquisition of Louisiana Senior Housing Portfolio on January 3, 2020, as of December 31, 2020 we owned an approximate 90.0% interest in our consolidated joint venture with SSMG that owns such properties. As such, 10.0% of the net earnings of the joint venture were allocated to noncontrolling interests in our accompanying consolidated statements of operations for the period from January 3, 2020 through December 31, 2020, and the carrying amount of such

Related Party Transactions

Related Party Transactions	12 Months Ended
	Dec. 31, 2020
Related Party Transactions [Abstract]
Related Party Transactions	13. 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, including a majority of our independent directors, has reviewed the material transactions between our affiliates and us during the year ended December 31, 2020. 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, 2020, 2019 and 2018, we incurred $13,350,000, $16,296,000 and $22,355,000, respectively, in fees and expenses to our affiliates as detailed below. Offering Stage Dealer Manager Fee Through the termination of our initial offering on February 15, 2019, 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 the primary portion of our initial 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. Effective March 1, 2017 and through the termination of our initial offering on February 15, 2019, with respect to shares of our Class I common stock, 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 of our common stock pursuant to the primary portion of our initial offering, all of which was funded by our advisor. Our advisor recouped the portion of the dealer manager fee it funded through the receipt from us of the Contingent Advisor Payment, as defined below, through the payment of acquisition fees as described below. No dealer manager fee was payable on shares of our common stock sold pursuant to our DRIP Offerings. Following the termination of our initial offering on February 15, 2019, we no longer incur additional dealer manager fees. For the years ended December 31, 2019 and 2018, we incurred $1,687,000 and $4,878,000, 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 12, Equity — Offering Costs — Dealer Manager Fee, for a further discussion of the dealer manager fee funded by us. Other Organizational and Offering Expenses Through the termination of our initial offering on February 15, 2019, we incurred other organizational and offering expenses in connection with the primary portion of our initial offering (other than selling commissions, the dealer manager fee and the stockholder servicing fee) that were funded by our advisor. Our advisor recouped such expenses it funded through the receipt of the Contingent Advisor Payment from us, as described below, through the payment of acquisition fees. No other organizational and offering expenses were paid with respect to shares of our common stock sold pursuant to our DRIP Offerings. Following the termination of our initial offering on February 15, 2019, we no longer incur additional other organizational and offering expenses. For the years ended December 31, 2019 and 2018, we incurred $114,000 and $1,465,000, 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 or its affiliates 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. The 4.50% acquisition fees consist of a 2.25% base acquisition fee, or the base acquisition fee, for real estate acquisitions, and an additional 2.25% contingent advisor payment, or the Contingent Advisor Payment, as applicable. The Contingent Advisor Payment allowed 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 did 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 initial offering and the third anniversary of the commencement date of our initial offering, at which time such amount was paid to our advisor. Our advisor or its affiliates are entitled to receive these acquisition fees for properties acquired with funds raised in our initial offering, including acquisitions completed after the termination of the Advisory Agreement (including imputed leverage of 50.0% on funds raised in our initial offering), or funded with net proceeds from the sale of a property, 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. Base acquisition 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 as incurred and included in acquisition related expenses in our accompanying consolidated statements of operations, as applicable. For the years ended December 31, 2020, 2019 and 2018, we incurred base acquisition fees of $1,485,000, $4,595,000 and $10,096,000, respectively, to our advisor. As of both December 31, 2020 and 2019, we paid $20,982,000 in Contingent Advisor Payments to our advisor and do not have any amounts outstanding due to our advisor. For a further discussion of amounts paid in connection with the Contingent Advisor Payment, see the “Dealer Manager Fee” and “Other Organizational and Offering Expenses” sections above. 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 years ended December 31, 2020, 2019 and 2018, we incurred development fees of $87,000, $34,000 and $6,000 respectively, to our advisor, which was expensed as incurred and included in acquisition related expenses in our accompanying consolidated statements of operations. 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, 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, 2020, 2019 and 2018, 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 Athens MOB Portfolio, Northern California Senior Housing Portfolio, Pinnacle Warrenton ALF, Glendale MOB, Missouri SNF Portfolio, Flemington MOB Portfolio and West Des Moines SNF, which excess fees and expenses were approved by our directors as set forth above. Reimbursements of acquisition expenses are capitalized as part of the associated asset and included in real estate investments, net in our accompanying consolidated balance sheets or are expensed as incurred and included in acquisition related expenses in our accompanying consolidated statements of operations, as applicable. For the years ended December 31, 2020, 2019 and 2018, we incurred $1,000, $0 and $2,000, respectively, in acquisition expenses to our advisor or its affiliates. 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, 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, 2020, 2019 and 2018, we incurred $9,732,000, $8,276,000 and $4,975,000, respectively, in asset management fees to our advisor, which 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 rental expenses or general and administrative expenses in our accompanying consolidated statements of operations, as applicable. For the years ended December 31, 2020, 2019 and 2018, we incurred property management fees of $1,454,000, $1,220,000 and $746,000, respectively, to American Healthcare Investors. Lease Fees We 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 years ended December 31, 2020, 2019 and 2018, we incurred lease fees of $333,000, $83,000 and $94,000, respectively. 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 years ended December 31, 2020, 2019 and 2018, we incurred construction management fees of $99,000, $155,000 and $28,000, respectively. 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. For the 12 months ended December 31, 2020, 2019 and 2018, our operating expenses did not exceed the aforementioned limitations. The following table reflects our operating expenses as a percentage of average invested assets and as a percentage of net income for the 12 month periods then ended: 12 months ended December 31, 2020 2019 2018 Operating expenses as a percentage of average invested assets 1.2 % 1.2 % 1.2 % Operating expenses as a percentage of net income 38.1 % 37.2 % 28.3 % For the years ended December 31, 2020, 2019 and 2018, our advisor incurred operating expenses on our behalf of $159,000, $132,000 and $65,000, respectively. Operating expenses are generally included in general and administrative in our accompanying consolidated statements of operations. 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, 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, 2020, 2019 and 2018, 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, 2020, 2019 and 2018, 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, 2020, 2019 and 2018, 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, 2020 and 2019, we did not have any liability related to the subordinated distribution upon termination. Stock Purchase Plans On December 31, 2017, 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 2018 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 I common stock. In addition, on December 31, 2017, the four Executive Vice Presidents of American Healthcare Investors at the time, including our Executive Vice President of Acquisitions, Stefan K.L. Oh, our Chief Financial Officer, Brian S. Peay, and Wendie Newman Vice President of Asset Management, 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, and concluded with the regularly scheduled payroll payment on January 7, 2019. For the years ended December 31, 2019 and 2018, our officers invested $34,000 and $1,078,000, respectively, and 3,346 and 113,658 shares of our Class I common stock, respectively, were issued in the aggregate pursuant to the 2018 Stock Purchase Plans. 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. Accounts Payable Due to Affiliates The following amounts were outstanding to our affiliates as of December 31, 2020 and 2019: December 31, Fee 2020 2019 Asset management fees $ 814,000 $ 768,000 Property management fees 117,000 145,000 Acquisition and development fees 64,000 5,000 Construction management fees 33,000 65,000 Operating expenses 10,000 12,000 Lease commissions 8,000 21,000 Total $ 1,046,000 $ 1,016,000

Fair Value Measurements

Fair Value Measurements	12 Months Ended
	Dec. 31, 2020
Fair Value Disclosures [Abstract]
Fair Value Measurements	14. Fair Value Measurements Assets and Liabilities Reported at Fair Value The table below presents our assets and liabilities measured at fair value on a recurring basis as of December 31, 2020, aggregated by the level in the fair value hierarchy within which those measurements fall: Quoted Prices in Significant Other Significant Total Liabilities: Derivative financial instruments $ — $ 5,255,000 $ — $ 5,255,000 The table below presents our assets and liabilities measured at fair value on a recurring basis as of December 31, 2019, aggregated by the level in the fair value hierarchy within which those measurements fall: Quoted Prices in Significant Other Significant Total Liabilities: Derivative financial instruments $ — $ 4,385,000 $ — $ 4,385,000 There were no transfers into or out of fair value measurement levels during the years ended December 31, 2020 and 2019. Derivative Financial Instruments We use interest rate swaps to manage interest rate risk associated with variable-rate debt. The valuation of these instruments is determined using widely accepted valuation techniques including a discounted cash flow analysis on the expected cash flows of each derivative. This analysis reflects the contractual terms of the derivatives, including the period to maturity, and uses observable market-based inputs, including interest rate curves, as well as option volatility. The fair values of interest rate swaps are determined by netting the discounted future fixed cash payments and the discounted expected variable cash receipts. The variable cash receipts are based on an expectation of future interest rates derived from observable market interest rate curves. We incorporate credit valuation adjustments to appropriately reflect both our own nonperformance risk and the respective counterparty’s nonperformance risk in the fair value measurements. In adjusting the fair value of our derivative contracts for the effect of nonperformance risk, we have considered the impact of netting and any applicable credit enhancements, such as collateral postings, thresholds, mutual puts and guarantees. Although we have determined that the majority of the inputs used to value our derivative financial instruments fall within Level 2 of the fair value hierarchy, the credit valuation adjustments associated with these instruments utilize Level 3 inputs, such as estimates of current credit spreads, to evaluate the likelihood of default by us and our counterparty. However, as of December 31, 2020, we have assessed the significance of the impact of the credit valuation adjustments on the overall valuation of our derivative positions and have determined that the credit valuation adjustments are not significant to the overall valuation of our derivatives. As a result, we have determined that our derivative valuations in their entirety are classified in Level 2 of the fair value hierarchy. 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 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 values of our mortgage loans payable and the 2018 Credit Facility are estimated using discounted cash flow analyses using borrowing rates available to us for debt instruments with similar terms and maturities. We have determined that our mortgage loans payable and the 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, 2020 and 2019 were as follows: December 31, 2020 2019 Carrying Fair Carrying Fair Financial Liabilities: Mortgage loans payable $ 17,827,000 $ 22,052,000 $ 26,070,000 $ 26,677,000 Line of credit and term loans $ 475,176,000 $ 477,651,000 $ 393,217,000 $ 396,891,000 ___________ (1) Carrying amount is net of any discount/premium and deferred financing costs.

Income Taxes

Income Taxes	12 Months Ended
	Dec. 31, 2020
Income Taxes and Distributions [Abstract]
Income Taxes	15. Income Taxes 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 TRS, pursuant to the Code. TRS 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 March 27, 2020, the federal government passed the CARES Act which contains economic stimulus provisions, including the temporary removal of limitations on the deductibility of net operating losses, or NOL, modifications to the carryback periods of NOL, modifications to the business interest deduction limitations and technical corrections to the tax depreciation recovery period for qualified improvement property. Accordingly, tax law changes within the CARES Act may impact income taxes accrued, deferred tax assets or liabilities and the associated valuation allowances included in our consolidated financial statements, if any. We do not anticipate that tax law changes in the CARES Act will materially impact the computation of our taxable income, including our TRS. We also do not expect that we will realize a material tax benefit as a result of the changes to the provisions of the Code made by the CARES Act. We will continue to evaluate the tax impact of the CARES Act and any guidance provided by the United States Treasury Department, the IRS and other state and local regulatory authorities to our consolidated financial statements. The components of income tax benefit or expense for the years ended December 31, 2020, 2019 and 2018 were as follows: Years Ended December 31, 2020 2019 2018 Federal deferred $ (3,336,000) $ (1,087,000) $ (2,593,000) State deferred (1,097,000) (100,000) (675,000) Federal current — — — State current — (8,000) 8,000 Valuation allowance 4,433,000 1,187,000 3,268,000 Total income tax (benefit) expense $ — $ (8,000) $ 8,000 Current Income Tax Federal and state income taxes are generally a function of the level of income recognized by our TRS. 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 NOL 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 both December 31, 2020 and 2019, 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 both December 31, 2020 and 2019, 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 benefit or expense in our accompanying consolidated statements of operations. The components of deferred tax assets as of December 31, 2020 and 2019 was as follows: Years Ended December 31, 2020 2019 Deferred income tax assets: Fixed assets and intangibles $ 3,982,000 $ 2,455,000 Expense accruals and other 1,076,000 620,000 Net operating loss 4,306,000 1,856,000 Valuation allowances (9,364,000) (4,931,000) Total deferred income tax assets $ — $ — At December 31, 2020 and 2019, we had a NOL carryforward of $16,158,000 and $7,179,000, respectively, related to our TRS. 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 TRS. 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 United States stockholders’ basis (but not below zero) in their shares. The income tax treatment for distributions reportable for the years ended December 31, 2020, 2019 and 2018 was as follows: Years Ended December 31, 2020 2019 2018 Ordinary income $ 5,479,000 14.5 % $ 10,099,000 21.8 % $ 11,909,000 37.7 % Capital gain — — — — — — Return of capital 32,193,000 85.5 36,317,000 78.2 19,673,000 62.3 $ 37,672,000 100 % $ 46,416,000 100 % $ 31,582,000 100 % Amounts listed above do not include distributions paid on nonvested shares of our restricted common stock which have been separately reported.

Leases

Leases	12 Months Ended
	Dec. 31, 2020
Leases [Abstract]
Leases	16. Leases Lessor We have operating leases with tenants that expire at various dates through 2040. For the years ended December 31, 2020 and 2019, we recognized $86,321,000 and $74,610,000 of real estate revenue, respectively, related to operating lease payments, of which $18,372,000 and $14,878,000, respectively, was for variable lease payments. As of December 31, 2020, the following table sets forth the undiscounted cash flows for future minimum base rents due under operating leases for each of the next five years ending December 31 and thereafter for the properties that we wholly own: Year Amount 2021 $ 64,261,000 2022 61,691,000 2023 57,193,000 2024 51,590,000 2025 45,136,000 Thereafter 266,446,000 Total $ 546,317,000 Lessee We have ground 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. Certain of our lease agreements include rental payments that are adjusted periodically based on the United States Bureau of Labor Statistics’ Consumer Price Index, and may include other variable lease costs (i.e., common area maintenance, property taxes and insurance). Our lease agreements do not contain any material residual value guarantees or material restrictive covenants. For the years ended December 31, 2020 and 2019, operating lease costs were $862,000 and $735,000, respectively, which are included in rental expenses in our accompanying consolidated statements of operations. Such costs also include variable lease costs, which are immaterial. Additional information related to our operating leases for the periods presented below was as follows: December 31, 2020 2019 Weighted average remaining lease term (in years) 79.5 80.4 Weighted average discount rate 5.74 % 5.74 % Years Ended December 31, 2020 2019 Cash paid for amounts included in the measurement of operating lease liabilities: Operating cash outflows related to operating leases $ 518,000 $ 458,000 Right-of-use assets obtained in exchange for operating lease liabilities $ — $ 4,489,000 As of December 31, 2020, the following table sets forth the undiscounted cash flows of our scheduled obligations for future minimum payments for each of the next five years ending December 31 and thereafter, as well as the reconciliation of those cash flows to operating lease liabilities on our accompanying consolidated balance sheet: Year Amount 2021 $ 523,000 2022 526,000 2023 530,000 2024 534,000 2025 538,000 Thereafter 46,565,000 Total operating lease payments 49,216,000 Less: interest 39,312,000 Present value of operating lease liabilities $ 9,904,000
Leases	16. Leases Lessor We have operating leases with tenants that expire at various dates through 2040. For the years ended December 31, 2020 and 2019, we recognized $86,321,000 and $74,610,000 of real estate revenue, respectively, related to operating lease payments, of which $18,372,000 and $14,878,000, respectively, was for variable lease payments. As of December 31, 2020, the following table sets forth the undiscounted cash flows for future minimum base rents due under operating leases for each of the next five years ending December 31 and thereafter for the properties that we wholly own: Year Amount 2021 $ 64,261,000 2022 61,691,000 2023 57,193,000 2024 51,590,000 2025 45,136,000 Thereafter 266,446,000 Total $ 546,317,000 Lessee We have ground 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. Certain of our lease agreements include rental payments that are adjusted periodically based on the United States Bureau of Labor Statistics’ Consumer Price Index, and may include other variable lease costs (i.e., common area maintenance, property taxes and insurance). Our lease agreements do not contain any material residual value guarantees or material restrictive covenants. For the years ended December 31, 2020 and 2019, operating lease costs were $862,000 and $735,000, respectively, which are included in rental expenses in our accompanying consolidated statements of operations. Such costs also include variable lease costs, which are immaterial. Additional information related to our operating leases for the periods presented below was as follows: December 31, 2020 2019 Weighted average remaining lease term (in years) 79.5 80.4 Weighted average discount rate 5.74 % 5.74 % Years Ended December 31, 2020 2019 Cash paid for amounts included in the measurement of operating lease liabilities: Operating cash outflows related to operating leases $ 518,000 $ 458,000 Right-of-use assets obtained in exchange for operating lease liabilities $ — $ 4,489,000 As of December 31, 2020, the following table sets forth the undiscounted cash flows of our scheduled obligations for future minimum payments for each of the next five years ending December 31 and thereafter, as well as the reconciliation of those cash flows to operating lease liabilities on our accompanying consolidated balance sheet: Year Amount 2021 $ 523,000 2022 526,000 2023 530,000 2024 534,000 2025 538,000 Thereafter 46,565,000 Total operating lease payments 49,216,000 Less: interest 39,312,000 Present value of operating lease liabilities $ 9,904,000

Segment Reporting

Segment Reporting	12 Months Ended
	Dec. 31, 2020
Segment Reporting [Abstract]
Segment Reporting	17. Segment Reporting As of December 31, 2020, 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, thus requiring active management and responsibility for many of the associated operating expenses (much of which are, or can effectively be, passed through to the tenants). Our senior housing 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, or NOI. We define segment NOI as total revenues and grant income, less rental expenses and property operating expenses, which excludes depreciation and amortization, general and administrative expenses, acquisition related expenses, interest expense, impairment of real estate investments, income or loss from unconsolidated entity, other income and income tax benefit or 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 NOI 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 our joint venture investment in an unconsolidated entity, 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, 2020, 2019 and 2018 was as follows: Medical Senior Skilled Senior Year Ended Revenues and grant income: Real estate revenue $ 65,509,000 $ — $ 11,968,000 $ 8,844,000 $ 86,321,000 Resident fees and services — 67,793,000 — — 67,793,000 Grant income — 1,005,000 — — 1,005,000 Total revenues and grant income 65,509,000 68,798,000 11,968,000 8,844,000 155,119,000 Expenses: Rental expenses 22,068,000 — 576,000 806,000 23,450,000 Property operating expenses — 60,224,000 — — 60,224,000 Segment net operating income $ 43,441,000 $ 8,574,000 $ 11,392,000 $ 8,038,000 $ 71,445,000 Expenses: General and administrative $ 16,691,000 Acquisition related expenses (160,000) Depreciation and amortization 50,304,000 Other income (expense): Interest expense: Interest expense (including amortization of deferred financing costs and debt discount/premium) (19,955,000) Loss in fair value of derivative financial instruments (870,000) Impairment of real estate investments (3,642,000) Income from unconsolidated entity 629,000 Other income 286,000 Net loss $ (18,942,000) Medical Senior Skilled Senior Year Ended Revenues: Real estate revenue $ 54,508,000 $ — $ 11,681,000 $ 8,421,000 $ 74,610,000 Resident fees and services — 46,160,000 — — 46,160,000 Total revenues 54,508,000 46,160,000 11,681,000 8,421,000 120,770,000 Expenses: Rental expenses 17,528,000 — 556,000 1,142,000 19,226,000 Property operating expenses — 37,434,000 — — 37,434,000 Segment net operating income $ 36,980,000 $ 8,726,000 $ 11,125,000 $ 7,279,000 $ 64,110,000 Expenses: General and administrative $ 15,235,000 Acquisition related expenses 1,974,000 Depreciation and amortization 45,626,000 Other income (expense): Interest expense: Interest expense (including amortization of deferred financing costs and debt discount/premium) (16,191,000) Loss in fair value of derivative financial instruments (4,385,000) Income from unconsolidated entity 267,000 Other income 175,000 Loss before income taxes (18,859,000) Income tax benefit 8,000 Net loss $ (18,851,000) Medical Senior Skilled Senior Year Ended Revenues: Real estate revenue $ 34,339,000 $ — $ 4,266,000 $ 8,994,000 $ 47,599,000 Resident fees and services — 36,857,000 — — 36,857,000 Total revenues 34,339,000 36,857,000 4,266,000 8,994,000 84,456,000 Expenses: Rental expenses 9,934,000 — 351,000 1,214,000 11,499,000 Property operating expenses — 30,023,000 — — 30,023,000 Segment net operating income $ 24,405,000 $ 6,834,000 $ 3,915,000 $ 7,780,000 $ 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) Assets by reportable segment as of December 31, 2020 and 2019 were as follows: December 31, 2020 2019 Medical office buildings $ 583,131,000 $ 600,048,000 Senior housing — RIDEA 238,910,000 149,055,000 Skilled nursing 119,247,000 121,749,000 Senior housing 100,370,000 142,982,000 Other 51,115,000 54,493,000 Total assets $ 1,092,773,000 $ 1,068,327,000

Concentration of Credit Risk

Concentration of Credit Risk	12 Months Ended
	Dec. 31, 2020
Risks and Uncertainties [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, 2020 and 2019, 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, 2020, two states in the United States accounted for 10.0% or more of our total property portfolio’s annualized base rent or annualized NOI. Our properties located in Missouri and Michigan accounted for approximately 12.1% and 10.1%, respectively, of our total property portfolio’s annualized base rent or annualized NOI. 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, 2020, our four reportable business segments, medical office buildings, skilled nursing facilities, senior housing — RIDEA and senior housing accounted for 65.0%, 14.4%, 10.5% and 10.1%, respectively, of our total property portfolio’s annualized base rent or annualized NOI. As of December 31, 2020, we had one tenant that accounted for 10.0% or more of our total property portfolio’s annualized base rent or annualized NOI, as follows: Tenant Annualized Percentage of Acquisition Reportable GLA Lease Expiration RC Tier Properties, LLC $ 7,937,000 11.0% Missouri SNF Portfolio Skilled Nursing 385,000 09/30/33 ___________ (1) Amount is based on contractual base rent from leases in effect as of December 31, 2020, for our non–RIDEA properties and annualized NOI for our senior housing — RIDEA facilities. 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, 2020
Earnings Per Share [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 $20,000, $24,000 and $19,000 for the years ended December 31, 2020, 2019 and 2018, 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, 2020 and 2019, there were 45,000 and 43,500 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, 2020 and 2019, there were 208 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.

Schedule III Real Estate and Ac

Schedule III Real Estate and Accumulated Depreciation	12 Months Ended
	Dec. 31, 2020
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(e) Description(a) Encumbrances Land Buildings and Cost Land Buildings and Total(d) Accumulated Date of Date Auburn MOB (Medical Office) Auburn, CA $ — $ 406,000 $ 4,600,000 $ 230,000 $ 406,000 $ 4,830,000 $ 5,236,000 $ (740,000) 1997 06/28/16 Pottsville MOB (Medical Office) Pottsville, PA — 1,493,000 7,050,000 118,000 1,493,000 7,168,000 8,661,000 (1,232,000) 2004 09/16/16 Charlottesville MOB (Medical Office) Charlottesville, VA — 4,768,000 13,330,000 83,000 4,768,000 13,413,000 18,181,000 (2,098,000) 2001 09/22/16 Rochester Hills MOB (Medical Office) Rochester Hills, MI 2,805,000 1,727,000 5,763,000 284,000 1,727,000 6,047,000 7,774,000 (1,036,000) 1990 09/29/16 Cullman MOB III (Medical Office) Cullman, AL — — 13,989,000 101,000 — 14,090,000 14,090,000 (1,781,000) 2010 09/30/16 Iron MOB Portfolio (Medical Office) Cullman, AL — — 10,237,000 1,221,000 — 11,458,000 11,458,000 (1,775,000) 1994 10/13/16 Cullman, AL — — 6,906,000 1,203,000 — 8,109,000 8,109,000 (1,222,000) 1998 10/13/16 Sylacauga, AL — — 7,907,000 73,000 — 7,980,000 7,980,000 (970,000) 1997 10/13/16 Mint Hill MOB (Medical Office) Mint Hill, NC — — 16,585,000 1,127,000 — 17,712,000 17,712,000 (2,929,000) 2007 11/14/16 Lafayette Assisted Living Portfolio (Senior Housing — RIDEA) Lafayette, LA — 1,327,000 8,225,000 217,000 1,327,000 8,442,000 9,769,000 (979,000) 1996 12/01/16 Lafayette, LA — 980,000 4,244,000 18,000 980,000 4,262,000 5,242,000 (520,000) 2014 12/01/16 Evendale MOB (Medical Office) Evendale, OH — 1,620,000 7,583,000 848,000 1,620,000 8,431,000 10,051,000 (1,412,000) 1988 12/13/16 Battle Creek MOB (Medical Office) Battle Creek, MI — 960,000 5,717,000 429,000 960,000 6,146,000 7,106,000 (1,064,000) 1996 03/10/17 Reno MOB (Medical Office) Reno, NV — — 64,718,000 906,000 — 65,624,000 65,624,000 (6,984,000) 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 (750,000) 2006 05/18/17 Athens, GA — 1,084,000 8,772,000 109,000 1,084,000 8,881,000 9,965,000 (1,080,000) 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 (1,225,000) 2007 05/22/17 Columbia, IL — 121,000 1,656,000 — 121,000 1,656,000 1,777,000 (187,000) 1999 05/22/17 Millstadt, IL — 203,000 3,827,000 — 203,000 3,827,000 4,030,000 (419,000) 2004 05/22/17 Red Bud, IL — 198,000 3,553,000 51,000 198,000 3,604,000 3,802,000 (406,000) 2006 05/22/17 Waterloo, IL — 470,000 8,369,000 — 470,000 8,369,000 8,839,000 (883,000) 2012 05/22/17 Lawrenceville MOB (Medical Office) Lawrenceville, GA — 1,363,000 9,099,000 5,000 1,363,000 9,104,000 10,467,000 (1,218,000) 2005 06/12/17 Northern California Senior Housing Portfolio (Senior Housing — RIDEA) Belmont, CA — 10,760,000 13,631,000 (226,000) 10,760,000 13,405,000 24,165,000 (1,338,000) 1958/2000 06/28/17 Fairfield, CA — 317,000 6,584,000 (2,214,000) (c) 317,000 4,370,000 4,687,000 (666,000) 1974 06/28/17 Menlo Park, CA — 5,188,000 2,177,000 (51,000) 5,188,000 2,126,000 7,314,000 (206,000) 1945 06/28/17 Sacramento, CA — 1,266,000 2,818,000 (1,438,000) (c) 1,266,000 1,380,000 2,646,000 (301,000) 1978 06/28/17 Roseburg MOB (Medical Office) Roseburg, OR — — 20,925,000 34,000 — 20,959,000 20,959,000 (2,313,000) 2003 06/29/17 Initial Cost to Company Gross Amount of Which Carried at Close of Period(e) Description(a) Encumbrances Land Buildings and Cost Land Buildings and Total(d) Accumulated Date of Date Fairfield County MOB Portfolio (Medical Office) Stratford, CT $ — $ 1,011,000 $ 3,538,000 $ 356,000 $ 1,011,000 $ 3,894,000 $ 4,905,000 $ (681,000) 1963 09/29/17 Trumbull, CT — 2,250,000 6,879,000 692,000 2,250,000 7,571,000 9,821,000 (1,048,000) 1987 09/29/17 Central Florida Senior Housing Portfolio (Senior Housing — RIDEA) Bradenton, FL — 1,058,000 5,118,000 518,000 1,058,000 5,636,000 6,694,000 (687,000) 1973/1983 11/01/17 Brooksville, FL — 1,377,000 10,217,000 844,000 1,378,000 11,060,000 12,438,000 (1,657,000) 1960/2007 11/01/17 Brooksville, FL — 934,000 6,550,000 559,000 934,000 7,109,000 8,043,000 (867,000) 2008 11/01/17 Lake Placid, FL — 949,000 3,476,000 178,000 950,000 3,653,000 4,603,000 (487,000) 2008 11/01/17 Lakeland, FL — 528,000 17,541,000 757,000 529,000 18,297,000 18,826,000 (1,671,000) 1985 11/01/17 Pinellas Park, FL — 1,118,000 9,005,000 40,000 1,118,000 9,045,000 10,163,000 (877,000) 2016 11/01/17 Sanford, FL — 2,782,000 10,019,000 994,000 2,783,000 11,012,000 13,795,000 (1,278,000) 1984 11/01/17 Spring Hill, FL — 930,000 6,241,000 2,475,000 930,000 8,716,000 9,646,000 (1,506,000) 1988 11/01/17 Winter Haven, FL — 3,118,000 21,973,000 516,000 3,119,000 22,488,000 25,607,000 (2,629,000) 1984 11/01/17 Central Wisconsin Senior Care Portfolio (Skilled Nursing) Sun Prairie, WI — 587,000 3,487,000 2,000 587,000 3,489,000 4,076,000 (346,000) 1960/2006 03/01/18 Waunakee, WI — 1,930,000 14,352,000 660,000 1,930,000 15,012,000 16,942,000 (1,460,000) 1974/2005 03/01/18 Sauk Prairie MOB (Medical Office) Prairie du Sac, WI — 2,154,000 15,194,000 35,000 2,154,000 15,229,000 17,383,000 (1,579,000) 2014 04/09/18 Surprise MOB (Medical Office) Surprise, AZ — 1,759,000 9,037,000 329,000 1,759,000 9,366,000 11,125,000 (923,000) 2012 04/27/18 Southfield MOB (Medical Office) Southfield, MI 5,782,000 1,639,000 12,907,000 395,000 1,639,000 13,302,000 14,941,000 (1,377,000) 1975/2014 05/11/18 Pinnacle Beaumont ALF (Senior Housing — RIDEA) Beaumont, TX — 1,586,000 17,483,000 67,000 1,586,000 17,550,000 19,136,000 (1,245,000) 2012 07/01/18 Grand Junction MOB (Medical Office) Grand Junction, CO — 1,315,000 27,528,000 3,000 1,315,000 27,531,000 28,846,000 (2,153,000) 2013 07/06/18 Edmonds MOB (Medical Office) Edmonds, WA — 4,167,000 16,770,000 361,000 4,167,000 17,131,000 21,298,000 (1,313,000) 1991/2008 07/30/18 Pinnacle Warrenton ALF (Senior Housing — RIDEA) Warrenton, MO — 462,000 7,125,000 540,000 462,000 7,665,000 8,127,000 (609,000) 1986 08/01/18 Glendale MOB (Medical Office) Glendale, WI — 794,000 5,541,000 551,000 794,000 6,092,000 6,886,000 (684,000) 2004 08/13/18 Missouri SNF Portfolio (Skilled Nursing) Florissant, MO — 1,064,000 9,301,000 — 1,064,000 9,301,000 10,365,000 (697,000) 1987 09/28/18 Kansas City, MO — 1,710,000 10,699,000 — 1,710,000 10,699,000 12,409,000 (873,000) 1974 09/28/18 Milan, MO — 181,000 5,972,000 — 181,000 5,972,000 6,153,000 (435,000) 1980 09/28/18 Missouri, MO — 473,000 9,856,000 — 473,000 9,856,000 10,329,000 (699,000) 1963 09/28/18 Salisbury, MO — 252,000 7,581,000 — 252,000 7,581,000 7,833,000 (549,000) 1970 09/28/18 Sedalia, MO — 266,000 22,397,000 — 266,000 22,397,000 22,663,000 (1,429,000) 1975 09/28/18 St. Elizabeth, MO — 329,000 4,282,000 — 329,000 4,282,000 4,611,000 (320,000) 1981 09/28/18 Initial Cost to Company Gross Amount of Which Carried at Close of Period(e) Description(a) Encumbrances Land Buildings and Cost Land Buildings and Total(d) Accumulated Date of Date Trenton, MO $ — $ 122,000 $ 4,507,000 $ — $ 122,000 $ 4,507,000 $ 4,629,000 $ (318,000) 1967 09/28/18 Flemington MOB Portfolio (Medical Office) Flemington, NJ — 1,473,000 10,728,000 161,000 1,473,000 10,889,000 12,362,000 (805,000) 2002 11/29/18 Flemington, NJ — 586,000 2,949,000 51,000 586,000 3,000,000 3,586,000 (258,000) 1993 11/29/18 Lawrenceville MOB II (Medical Office) Lawrenceville, GA — 1,000,000 7,737,000 305,000 1,000,000 8,042,000 9,042,000 (714,000) 1990 12/19/18 Mill Creek MOB (Medical Office) Mill Creek, WA — 1,453,000 5,935,000 8,000 1,453,000 5,943,000 7,396,000 (396,000) 1991 12/21/18 Modesto MOB (Medical Office) Modesto, CA — — 12,789,000 471,000 — 13,260,000 13,260,000 (898,000) 1991/2016 12/28/18 Michigan ALF Portfolio (Senior Housing) Grand Rapids, MI — 1,334,000 8,422,000 1,000 1,334,000 8,423,000 9,757,000 (496,000) 1953/2016 12/28/18 Grand Rapids, MI 10,179,000 1,382,000 10,740,000 1,000 1,382,000 10,741,000 12,123,000 (587,000) 1989 05/01/19 Holland, MI — 799,000 6,984,000 3,000 799,000 6,987,000 7,786,000 (477,000) 2007/2017 12/28/18 Howell, MI — 728,000 5,404,000 1,000 728,000 5,405,000 6,133,000 (326,000) 2003 12/28/18 Lansing, MI — 1,175,000 12,052,000 2,000 1,175,000 12,054,000 13,229,000 (689,000) 1988/2015 12/28/18 Wyoming, MI — 1,542,000 12,873,000 2,000 1,542,000 12,875,000 14,417,000 (746,000) 1964/2016 12/28/18 Lithonia MOB (Medical Office) Lithonia, GA — 1,129,000 8,842,000 15,000 1,129,000 8,857,000 9,986,000 (667,000) 2015 03/05/19 West Des Moines SNF (Skilled Nursing) West Des Moines, IA — 672,000 5,753,000 — 672,000 5,753,000 6,425,000 (318,000) 2004 03/24/19 Great Nord MOB Portfolio (Medical Office) Tinley Park, IL — — 12,976,000 16,000 — 12,992,000 12,992,000 (845,000) 2002 04/08/19 Chesterton, IN — 539,000 8,937,000 46,000 540,000 8,982,000 9,522,000 (545,000) 2007 04/08/19 Crown Point, IN — 283,000 4,882,000 — 283,000 4,882,000 5,165,000 (289,000) 2005 04/08/19 Plymouth, MN — 1,452,000 11,126,000 — 1,451,000 11,127,000 12,578,000 (619,000) 2014 04/08/19 Overland Park MOB (Medical Office) Overland Park, KS — 2,437,000 23,169,000 4,243,000 2,437,000 27,412,000 29,849,000 (1,194,000) 2017 08/05/19 Blue Badger MOB (Medical Office) Marysville, OH — 1,838,000 10,646,000 1,000 1,838,000 10,647,000 12,485,000 (481,000) 2014 08/09/19 Bloomington MOB (Medical Office) Bloomington, IL — 3,178,000 13,547,000 67,000 3,179,000 13,613,000 16,792,000 (580,000) 1990 08/13/19 Memphis MOB (Medical Office) Memphis, TN — 1,210,000 6,775,000 — 1,209,000 6,776,000 7,985,000 (312,000) 1984 08/15/19 Haverhill MOB (Medical Office) Haverhill, MA — 1,620,000 12,537,000 — 1,620,000 12,537,000 14,157,000 (522,000) 1987 08/27/19 Fresno MOB (Medical Office) Fresno, CA — 1,412,000 8,155,000 1,000 1,412,000 8,156,000 9,568,000 (379,000) 2007 10/30/19 Colorado Foothills MOB Portfolio (Medical Office) Arvada, CO — 720,000 4,615,000 223,000 720,000 4,838,000 5,558,000 (255,000) 1979 11/19/19 Centennial, CO — 970,000 10,307,000 70,000 970,000 10,377,000 11,347,000 (425,000) 1979 11/19/19 Colorado Springs, CO — 1,443,000 11,123,000 93,000 1,443,000 11,216,000 12,659,000 (545,000) 1999 11/19/19 Initial Cost to Company Gross Amount of Which Carried at Close of Period(e) Description(a) Encumbrances Land Buildings and Cost Land Buildings and Total(d) Accumulated Date of Date Catalina West Haven ALF (Senior Housing — RIDEA) West Haven, UT $ — $ 1,716,000 $ 9,633,000 $ 5,000 $ 1,716,000 $ 9,638,000 $ 11,354,000 $ (305,000) 2012 01/01/20 Louisiana Senior Housing Portfolio (Senior Housing — RIDEA) Gonzales, LA — 1,139,000 5,674,000 29,000 1,139,000 5,703,000 6,842,000 (222,000) 1996 01/03/20 Monroe, LA — 740,000 3,795,000 6,000 740,000 3,801,000 4,541,000 (155,000) 1994 01/03/20 New Iberia, LA — 881,000 5,258,000 35,000 881,000 5,293,000 6,174,000 (198,000) 1996 01/03/20 Shreveport, LA — 1,273,000 6,993,000 6,000 1,273,000 6,999,000 8,272,000 (231,000) 1996 01/03/20 Slidell, LA — 855,000 4,152,000 8,000 855,000 4,160,000 5,015,000 (170,000) 1996 01/03/20 Catalina Madera ALF (Senior Housing — RIDEA) Madera, CA — 1,051,000 15,536,000 86,000 1,052,000 15,622,000 16,674,000 (466,000) 2005 01/31/20 $ 18,766,000 $ 111,021,000 $ 878,763,000 $ 20,381,000 $ 111,027,000 $ 899,139,000 $ 1,010,166,000 $ (82,246,000) Construction in progress $ — $ — $ — $ 26,000 $ — $ 26,000 $ 26,000 $ — $ 18,766,000 $ 111,021,000 $ 878,763,000 $ 20,407,000 $ 111,027,000 $ 899,165,000 $ 1,010,192,000 $ (82,246,000) ________________ (a) We own 100% of our properties as of December 31, 2020, with the exception of Central Florida Senior Housing Portfolio, Pinnacle Beaumont ALF, Pinnacle Warrenton ALF, Catalina West Haven ALF, Louisiana Senior Housing Portfolio and Catalina Madera ALF. (b) The cost capitalized subsequent to acquisition is shown net of dispositions and impairments. (c) Properties were classified as held for sale assets as of December 31, 2020. (d) The changes in total real estate for the years ended December 31, 2020, 2019 and 2018 are as follows: Amount 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 Acquisitions $ 184,402,000 Additions 7,117,000 Dispositions (2,389,000) Balance — December 31, 2019 $ 946,118,000 Acquisitions $ 60,162,000 Additions 7,980,000 Dispositions and impairments (4,068,000) Balance — December 31, 2020 $ 1,010,192,000 (e) As of December 31, 2020, for federal income tax purposes, the aggregate cost of our properties is $1,123,701,000. (f) The changes in accumulated depreciation for the years ended December 31, 2020, 2019 and 2018 are as follows: Amount Balance — December 31, 2017 $ 8,885,000 Additions 16,672,000 Dispositions (245,000) Balance — December 31, 2018 $ 25,312,000 Additions $ 27,435,000 Dispositions (1,689,000) Balance — December 31, 2019 $ 51,058,000 Additions $ 31,612,000 Dispositions (424,000) Balance — December 31, 2020 $ 82,246,000 (g) 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 21 years. Furniture, fixtures and equipment is depreciated over the estimated useful life, up to 20 years.

Summary of Significant Accoun_2

Summary of Significant Accounting Policies (Policies)	12 Months Ended
	Dec. 31, 2020
Accounting Policies [Abstract]
Basis of Presentation	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 VIEs in which we are the primary beneficiary. We evaluate our ability to control an entity, and whether the entity is a VIE and 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.
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, revenues and grant income, allowance for credit losses, impairment of long-lived and intangible 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.
Lessor	Leases On January 1, 2019, we adopted Financial Accounting Standards Board, or FASB, Accounting Standards Codification, or ASC, Topic 842, Leases , or ASC Topic 842. ASC Topic 842 supersedes ASC Topic 840, Leases , or ASC Topic 840. We adopted ASC Topic 842 using the modified retrospective approach whereby the cumulative effect of adoption was recognized on the adoption date and prior periods were not restated. There was no net cumulative effect adjustment to retained earnings as of January 1, 2019 as a result of this adoption. Therefore, with respect to our leases as both lessees and lessors, information is presented under ASC Topic 842 for the years ended December 31, 2020 and 2019, and under ASC Topic 840 for the year ended December 31, 2018. We determine if a contract is a lease upon inception of the lease. We maintain 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. Lessee: Pursuant to ASC Topic 842, lessees are required to recognize the following for all leases with terms greater than 12 months 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. The lease liability is calculated by using either the implicit rate of the lease or the incremental borrowing rate. As a result of the adoption of ASC Topic 842 on January 1, 2019, we recognized an initial amount of operating lease liabilities of $5,334,000 in our consolidated balance sheet for all of our ground leases. In addition, we recorded corresponding right-of-use assets of $11,239,000, which represent the lease liabilities, net of the existing accrued straight-line rent liabilities and adjusted for unamortized above/below market ground lease intangibles. The accretion of lease liabilities and amortization expense on right-of-use assets for our operating leases are included in rental expenses in our accompanying consolidated statements of operations. Operating lease liabilities are calculated using our incremental borrowing rate based on the information available as of the lease commencement date. Lessor: Pursuant to ASC Topic 842, lessors bifurcate lease revenues into lease components and non-lease components and 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 revenue recognition guidance in ASC Topic 606, Revenue from Contracts with Customers, or ASC Topic 606. See the “Revenue Recognition” section below. ASC Topic 842 also provides for a practical expedient package that permits lessors to not separate non-lease components from the associated lease component if certain conditions are met. In addition, such practical expedient causes an entity to assess whether a contract is predominately lease or service based, and recognize the revenue from the entire contract under the relevant accounting guidance. Effective upon our adoption of ASC Topic 842 on January 1, 2019, we continued to recognize revenue for our medical office buildings, senior housing and skilled nursing facilities segments under ASC Topic 842 as real estate revenue. 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, which is included in other assets, net in our accompanying consolidated balance sheets. Tenant reimbursement revenue, which comprises additional amounts recoverable from tenants for common area maintenance expenses and certain other recoverable expenses, are considered non-lease components and variable lease payments. We qualified for and elected the practical expedient as outlined above to combine the non-lease component with the lease component, which is the predominant component, and therefore the non-lease component is recognized as part of real estate revenue. In addition, as lessors, we exclude certain lessor costs (i.e., property taxes and insurance) paid directly by a lessee to third parties on our behalf from our measurement of variable lease revenue and associated expense (i.e., no gross up of revenue and expense for these costs); and include lessor costs that we paid and are reimbursed by the lessee in our measurement of variable lease revenue and associated expense (i.e., gross up revenue and expense for these costs). Therefore, we no longer record revenue or expense when the lessee pays the property taxes and insurance directly to a third party. Our senior housing — RIDEA facilities offer residents room and board (lease component), standard meals and healthcare services (non-lease component), and certain ancillary services that are not contemplated in the lease with each resident (i.e., laundry, guest meals, etc.). For our senior housing — RIDEA facilities, we recognize revenue under ASC Topic 606 as resident fees and services, based on our predominance assessment from electing the practical expedient outlined above. See the “Revenue Recognition” section below.
Lessee	Leases On January 1, 2019, we adopted Financial Accounting Standards Board, or FASB, Accounting Standards Codification, or ASC, Topic 842, Leases , or ASC Topic 842. ASC Topic 842 supersedes ASC Topic 840, Leases , or ASC Topic 840. We adopted ASC Topic 842 using the modified retrospective approach whereby the cumulative effect of adoption was recognized on the adoption date and prior periods were not restated. There was no net cumulative effect adjustment to retained earnings as of January 1, 2019 as a result of this adoption. Therefore, with respect to our leases as both lessees and lessors, information is presented under ASC Topic 842 for the years ended December 31, 2020 and 2019, and under ASC Topic 840 for the year ended December 31, 2018. We determine if a contract is a lease upon inception of the lease. We maintain 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. Lessee: Pursuant to ASC Topic 842, lessees are required to recognize the following for all leases with terms greater than 12 months 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. The lease liability is calculated by using either the implicit rate of the lease or the incremental borrowing rate. As a result of the adoption of ASC Topic 842 on January 1, 2019, we recognized an initial amount of operating lease liabilities of $5,334,000 in our consolidated balance sheet for all of our ground leases. In addition, we recorded corresponding right-of-use assets of $11,239,000, which represent the lease liabilities, net of the existing accrued straight-line rent liabilities and adjusted for unamortized above/below market ground lease intangibles. The accretion of lease liabilities and amortization expense on right-of-use assets for our operating leases are included in rental expenses in our accompanying consolidated statements of operations. Operating lease liabilities are calculated using our incremental borrowing rate based on the information available as of the lease commencement date. Lessor: Pursuant to ASC Topic 842, lessors bifurcate lease revenues into lease components and non-lease components and 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 revenue recognition guidance in ASC Topic 606, Revenue from Contracts with Customers, or ASC Topic 606. See the “Revenue Recognition” section below. ASC Topic 842 also provides for a practical expedient package that permits lessors to not separate non-lease components from the associated lease component if certain conditions are met. In addition, such practical expedient causes an entity to assess whether a contract is predominately lease or service based, and recognize the revenue from the entire contract under the relevant accounting guidance. Effective upon our adoption of ASC Topic 842 on January 1, 2019, we continued to recognize revenue for our medical office buildings, senior housing and skilled nursing facilities segments under ASC Topic 842 as real estate revenue. 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, which is included in other assets, net in our accompanying consolidated balance sheets. Tenant reimbursement revenue, which comprises additional amounts recoverable from tenants for common area maintenance expenses and certain other recoverable expenses, are considered non-lease components and variable lease payments. We qualified for and elected the practical expedient as outlined above to combine the non-lease component with the lease component, which is the predominant component, and therefore the non-lease component is recognized as part of real estate revenue. In addition, as lessors, we exclude certain lessor costs (i.e., property taxes and insurance) paid directly by a lessee to third parties on our behalf from our measurement of variable lease revenue and associated expense (i.e., no gross up of revenue and expense for these costs); and include lessor costs that we paid and are reimbursed by the lessee in our measurement of variable lease revenue and associated expense (i.e., gross up revenue and expense for these costs). Therefore, we no longer record revenue or expense when the lessee pays the property taxes and insurance directly to a third party. Our senior housing — RIDEA facilities offer residents room and board (lease component), standard meals and healthcare services (non-lease component), and certain ancillary services that are not contemplated in the lease with each resident (i.e., laundry, guest meals, etc.). For our senior housing — RIDEA facilities, we recognize revenue under ASC Topic 606 as resident fees and services, based on our predominance assessment from electing the practical expedient outlined above. See the “Revenue Recognition” section below.
Revenue Recognition	Revenue Recognition Real Estate Revenue Prior to January 1, 2019, minimum annual rental revenue was recognized on a straight-line basis over the term of the related lease (including rent holidays) in accordance with ASC Topic 840. Differences between real estate revenue recognized and cash amounts contractually due from tenants under the lease agreements were recorded to deferred rent receivable. 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 had been met and the tenant was no longer occupying the property. Effective January 1, 2019, we recognize real estate revenue in accordance with ASC Topic 842. See the “Leases” section above. Resident Fees and Services Revenue We recognize resident fees and services revenue in accordance with ASC Topic 606. 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 ASC Topic 606 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. Resident fees and services revenue includes fees for basic housing and assisted living care. We record revenue when services are rendered 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. Financing Component We have elected a practical expedient allowed under ASC Topic 606 and, therefore, we do not adjust the promised amount of consideration from patients and third-party payors for the effects of a significant financing component due to our expectation that the period between the time the service is provided to a patient and the time that the patient or a third-party payor pays for that service will be one year or less. Contract Costs We have applied a practical expedient provided by ASC Topic 340, Other Assets and Deferred Costs , and, therefore, all incremental customer contract acquisition costs are expensed as they are incurred since the amortization period of the asset that we otherwise would have recognized is one year or less in duration.
Government Grants	Government GrantsWe have been granted stimulus funds through various federal and state government programs, such as through the Coronavirus Aid, Relief, and Economic Security Act, or the CARES Act, passed by the federal government on March 27, 2020, which were established for eligible healthcare providers to preserve liquidity in response to lost revenues and/or increased healthcare expenses (as such terms are defined in the applicable regulatory guidance) associated with the coronavirus, or COVID-19, pandemic. Such grants are not loans and, as such, are not required to be repaid, subject to certain conditions. We recognize government grants as grant income or as a reduction of property operating expenses, as applicable, in our accompanying consolidated statements of operations when there is reasonable assurance that the grants will be received and all conditions to retain the funds will be met. We adjust our estimates and assumptions based on the applicable guidance provided by the government and the best available information that we have. Any stimulus or other relief funds received that are not expected to be used in accordance with such terms and conditions will be returned to the government.
Tenant and Resident Receivables and Allowances	Tenant and Resident Receivables and Allowances On January 1, 2020, we adopted ASC Topic 326, Financial Instruments Credit Losses , or ASC Topic 326. We adopted ASC Topic 326 using the modified retrospective approach whereby the cumulative effect of adoption was recognized on the adoption date and prior periods were not restated. There was no net cumulative effect adjustment to retained earnings as of January 1, 2020. Resident receivables are carried net of an allowance for credit losses. An allowance is maintained for estimated losses resulting from the inability of residents and payors to meet the contractual obligations under their lease or service agreements. Substantially all of such allowances are recorded as direct reductions of resident fees and services revenue as contractual adjustments provided to third-party payors or implicit price concessions 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 residents’ financial condition, security deposits, cash collection patterns by payor and by state, current economic conditions, future expectations in estimating credit losses and other relevant factors. Prior to our adoption of ASC Topic 326 on January 1, 2020, resident receivables were carried net of an allowance for uncollectible amounts. Tenant receivables and unbilled deferred rent receivables are reduced for uncollectible amounts, which are recognized as direct reductions of real estate revenue in our accompanying consolidated statements of operations. Prior to our adoption of ASC Topic 842 on January 1, 2019, tenant receivables and unbilled deferred rent receivables were reduced for uncollectible
Property Acquisitions	Property Acquisitions 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. 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 the value of the leasehold interest 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 , and is included in other assets or other liabilities in our accompanying consolidated balance sheets.
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 21 years. The cost of furniture, fixtures and equipment is depreciated over the estimated useful life, up to 20 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 included in other assets, net in our accompanying consolidated balance sheets. Lease inducement is recognized over the lease term as a reduction of real estate 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.
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 carrying 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.
Properties Held for Sale	Properties Held for Sale A property or a group of properties is reported in discontinued operations in our consolidated 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. 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.
Derivative Financial Instruments	Derivative Financial Instruments We are exposed to the effect of interest rate changes in the normal course of business. We seek to mitigate these risks by following established risk management policies and procedures, which include the occasional use of derivatives. Our primary strategy in entering into derivative contracts, such as fixed interest rate swaps, is to add stability to interest expense and to manage our exposure to interest rate movements by effectively converting a portion of our variable-rate debt to fixed-rate debt. We do not enter into derivative instruments for speculative purposes. Derivatives are recognized as either other assets or other liabilities in our accompanying consolidated balance sheets and are measured at fair value. We do not designate our derivative instruments as hedge instruments as defined by guidance under ASC Topic 815, Derivatives and Hedging
Fair Value Measurements	Fair Value Measurements The fair value of certain assets and liabilities 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, we follow a fair value hierarchy that distinguishes between market participant assumptions based on market data obtained from sources independent of our reporting entity (observable inputs that are classified within Levels 1 and 2 of the hierarchy) and our 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 DepositsReal 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 primarily consist of our investment in an unconsolidated entity, deferred financing costs on our line of credit and term loans, prepaid expenses and deposits, lease commissions and deferred rent receivables. Deferred financing costs on our line of credit and term loans include amounts paid to lenders and others to obtain financing. Such costs are amortized using the straight-line method over the term of the related line of credit and term loans, which approximates the effective interest rate method. Amortization of deferred financing costs on our line of credit and term loans are included in interest expense in our accompanying consolidated statements of operations. Prepaid expenses are amortized over the related contract periods. Lease commissions are amortized using the straight-line method over the term of the related lease.
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 distribute to our stockholders a minimum of 90.0% of our annual taxable income, excluding net capital gains. Existi ng Internal Revenue Service, or IRS, guidance includes a safe harbor pursuant to which publicly offered REITs can satisfy the di stribution requirement by distributing a combination of cash and stock to stockholders. In general, to qualify under the safe harbor, each stockholder must elect to receive either cash or stock, and the aggregate cash component of the distribution to stockholders must represent at least 20.0% of the total distribution. In May 2020, the IRS issued similar guidance that lowered the cash component of the distribution to 10.0% for dividends declared between April 1, 2020 and December 31, 2020 . 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 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 TRS, to allow us to provide services that would otherwise be considered impermissible for REITs. Accordingly, we recognize income tax benefit or expense for the federal, state and local income taxes incurred by our TRS. 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 benefit or 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 benefit or expense in our accompanying consolidated statements of operations.
Segment Disclosure	Segment DisclosureWe 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 Adopted Accounting Pronouncements	Recently Issued Accounting Pronouncements In March 2020, the FASB issued Accounting Standards Update, or ASU, 2020-04, Facilitation of the Effects of Reference Rate Reform on Financial Reporting, or ASU 2020-04, which provides optional expedients and exceptions for applying GAAP to contract modifications and hedging relationships, subject to meeting certain criteria, that reference the London Inter-bank Offered Rate, or LIBOR, or another reference rate expected to be discontinued. ASU 2020-04 is effective for fiscal years and interim periods beginning after March 12, 2020 through December 31, 2022. We are currently evaluating this guidance to determine the impact on our disclosures. In April 2020, the FASB issued a question and answer document, or the Lease Modification Q&A, to provide guidance for the application of lease accounting modifications within ASC Topic 842 to lease concessions granted by lessors related to the effects of the COVID-19 pandemic. Lease accounting modification guidance in ASC Topic 842 addresses routine changes or enforceable rights and obligations to lease terms as a result of negotiations between the lessor and the lessee; however, the guidance does not take into consideration concessions granted to address sudden liquidity constraints of lessees arising from the COVID-19 pandemic. The underlying premise of ASC Topic 842 requires a modified lease to be accounted for as a new lease if the modified terms and conditions affect the economics of the lease for the remainder of the lease term. Further, a lease modification resulting from lease concessions would require the application of the modification framework pursuant to ASC Topic 842 on a lease-by-lease basis. The potential large volume of contracts to be assessed due to the COVID-19 pandemic may be burdensome and complex for entities to evaluate the lease modification accounting for each lease. Therefore, the Lease Modification Q&A allows entities to elect to account for lease concessions related to the effects of the COVID-19 pandemic as if they were granted under the enforceable rights included in the original contract and are outside of the lease modification framework pursuant to ASC Topic 842. Such election is available for lease concessions that do not result in a substantial increase in the rights of the lessor or the obligations of the lessee (e.g., total payments required by the modified contract being substantially the same as or less than total payments required by the original contract) and is to be applied consistently to leases with similar characteristics and circumstances. As a result of the COVID-19 pandemic, we have granted lease concessions to an insignificant number of tenants within our medical office building segment, such as in the form of rent abatements with lease term extensions and rent payment deferrals requiring payment within one year. Such concessions were not material to our consolidated financial statements, and as such, we elected not to apply the relief from lease modification accounting provided in the Lease Modification Q&A. We evaluate each lease concession granted as a result of the effects of the COVID-19 pandemic to determine whether the concession reflects: (i) a resolution of contractual rights in the original lease and is thus outside of the lease modification framework of ASC Topic 842; or (ii) a modification for which we would be required to apply the lease modification framework of ASC Topic 842. The application of the lease modification framework of ASC Topic 842 to lease concessions granted due to the effects of the COVID-19 pandemic did not have a material impact on our consolidated financial statements.

Summary of Significant Accoun_3

Summary of Significant Accounting Policies (Tables)	12 Months Ended
	Dec. 31, 2020
Accounting Policies [Abstract]
Disaggregation of Resident Fees and Services Revenue	The following tables disaggregate 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: Years Ended December 31, 2020 2019 2018 Point in Over Time Total Point in Over Time Total Point in Over Time Total Senior housing — RIDEA $ 964,000 $ 66,829,000 $ 67,793,000 $ 715,000 $ 45,445,000 $ 46,160,000 $ 847,000 $ 36,010,000 $ 36,857,000 The following tables disaggregate our resident fees and services revenue by payor class: Years Ended December 31, 2020 2019 2018 Private and other payors $ 61,045,000 $ 40,140,000 $ 30,775,000 Medicaid 6,748,000 6,020,000 6,082,000 Total resident fees and services $ 67,793,000 $ 46,160,000 $ 36,857,000
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 Total Beginning balance — January 1, 2020 $ 2,731,000 $ 281,000 $ 3,012,000 Ending balance — December 31, 2020 1,123,000 358,000 1,481,000 (Decrease)/increase $ (1,608,000) $ 77,000 $ (1,531,000)

Real Estate Investments, Net (T

Real Estate Investments, Net (Tables)	12 Months Ended
	Dec. 31, 2020
Real Estate [Abstract]
Schedule Of Real Estate Investments Table	Our real estate investments, net consisted of the following as of December 31, 2020 and 2019 : December 31, 2020 2019 Building and improvements $ 884,816,000 $ 836,091,000 Land 109,444,000 103,371,000 Furniture, fixtures and equipment 8,599,000 6,656,000 1,002,859,000 946,118,000 Less: accumulated depreciation (81,279,000) (51,058,000) Total $ 921,580,000 $ 895,060,000
Schedule Of Acquisitions Of Properties Table	Acquisitions in 2020 For the year ended December 31, 2020, using cash on hand and debt financing, we completed the acquisition of seven buildings from unaffiliated third parties. The following is a summary of our property acquisitions for the year ended December 31, 2020: Acquisition Location Type Date Contract Line of Total Catalina West Haven ALF(3) West Haven, UT Senior Housing — RIDEA 01/01/20 $ 12,799,000 $ 12,700,000 $ 278,000 Louisiana Senior Housing Portfolio(4) Gonzales, Monroe, New Iberia, Shreveport and Slidell, LA Senior Housing — RIDEA 01/03/20 34,000,000 32,700,000 737,000 Catalina Madera ALF(3) Madera, CA Senior Housing — RIDEA 01/31/20 17,900,000 17,300,000 389,000 Total $ 64,699,000 $ 62,700,000 $ 1,404,000 ___________ (1) Represents a borrowing under the 2018 Credit Facility, as defined in Note 7, Line of Credit and Term Loans, at the time of acquisition. (2) 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 contract purchase price paid by us. (3) On January 1, 2020 and January 31, 2020, we completed the acquisitions of Catalina West Haven ALF and Catalina Madera ALF, respectively, pursuant to a joint venture with an affiliate of Avalon Health Care, Inc., or Avalon, an unaffiliated third party. Our ownership of the joint venture is approximately 90.0%. (4) On January 3, 2020, we completed the acquisition of Louisiana Senior Housing Portfolio pursuant to a joint venture with an affiliate of Senior Solutions Management Group, or SSMG, an unaffiliated third party. Our ownership of the joint venture is approximately 90.0%. Acquisitions in 2019 For the year ended December 31, 2019, using net proceeds from our initial offering and debt financing, we completed the acquisition of 18 buildings from unaffiliated third parties. The following is a summary of our property acquisitions for the year ended December 31, 2019: Acquisition(1) Location Type Date Contract Mortgage Line of Total Lithonia MOB Lithonia, GA Medical Office 03/05/19 $ 10,600,000 $ — $ — $ 477,000 West Des Moines SNF West Des Moines, IA Skilled Nursing 03/24/19 7,000,000 — — 315,000 Great Nord MOB Portfolio Tinley Park, IL; Chesterton and Crown Point, IN; and Plymouth, MN Medical Office 04/08/19 44,000,000 — 15,000,000 1,011,000 Michigan ALF Portfolio(5) Grand Rapids, MI Senior Housing 05/01/19 14,000,000 10,493,000 3,500,000 315,000 Overland Park MOB Overland Park, KS Medical Office 08/05/19 28,350,000 — 28,700,000 638,000 Blue Badger MOB Marysville, OH Medical Office 08/09/19 13,650,000 — 12,000,000 307,000 Bloomington MOB Bloomington, IL Medical Office 08/13/19 18,200,000 — 17,400,000 409,000 Memphis MOB Memphis, TN Medical Office 08/15/19 8,700,000 — 8,600,000 196,000 Haverhill MOB Haverhill, MA Medical Office 08/27/19 15,500,000 — 15,450,000 349,000 Fresno MOB Fresno, CA Medical Office 10/30/19 10,000,000 — 9,950,000 225,000 Colorado Foothills MOB Portfolio Arvada, Centennial and Colorado Springs, CO Medical Office 11/19/19 31,200,000 — 30,500,000 702,000 Total $ 201,200,000 $ 10,493,000 $ 141,100,000 $ 4,944,000 ___________ (1) We own 100% of our properties acquired for the year ended December 31, 2019. (2) Represents the principal balance of the mortgage loan payable assumed by us at the time of acquisition. (3) Represents a borrowing under the 2018 Credit Facility 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 contract purchase price paid by us. In addition, the total acquisition fee may include a Contingent Advisor Payment, as defined in Note 13, Related Party Transactions, up to 2.25% of the contract purchase price paid by us. See Note 13, Related Party Transactions — Acquisition and Development Stage — Acquisition Fee, for a further discussion. (5) We added three buildings to our existing Michigan ALF Portfolio. The other six buildings in the Michigan ALF Portfolio were acquired in December 2018. Acquisitions in 2018 For the year ended December 31, 2018, using net proceeds from our initial offering and debt financing, we completed the acquisition of 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 Contract Mortgage Line of Total 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 2016 Credit Facility or 2018 Credit Facility, as defined in Note 7, Line of Credit and Term Loans, 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. (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 98.0%.
Schedule of Asset Acquisitions, by Acquisition	The following table summarizes the purchase price of the assets acquired at the time of acquisition based on their relative fair values: 2020 Building and improvements $ 49,792,000 Land 7,632,000 In-place leases 8,974,000 Furniture, fixtures and equipment 854,000 Total assets acquired $ 67,252,000
Schedule of Asset Acquisitions, by Acquisition	The following table summarizes the purchase price of the assets acquired and liabilities assumed at the time of acquisition based on their relative fair values: 2019 Building and improvements $ 164,084,000 Land 20,286,000 In-place leases 21,393,000 Above-market leases 2,578,000 Right-of-use asset 3,133,000 Total assets acquired 211,474,000 Mortgage loan payable (including debt discount of $758,000) (9,735,000) Below-market leases (874,000) Operating lease liability (4,489,000) Total liabilities assumed (15,098,000) Net assets acquired $ 196,376,000 2018 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

Identified Intangible Assets,_2

Identified Intangible Assets, Net (Tables)	12 Months Ended
	Dec. 31, 2020
Finite-Lived Intangible Assets, Net [Abstract]
Schedule of Finite-Lived Intangible Assets	Identified intangible assets, net consisted of the following as of December 31, 2020 and 2019: December 31, 2020 2019 Amortized intangible assets: In-place leases, net of accumulated amortization of $32,134,000 and $18,273,000 as of December 31, 2020 and 2019, respectively (with a weighted average remaining life of 8.8 years and 9.5 years as of December 31, 2020 and 2019, respectively) $ 61,166,000 $ 70,650,000 Above-market leases, net of accumulated amortization of $1,009,000 and $609,000 as of December 31, 2020 and 2019, respectively (with a weighted average remaining life of 9.1 years and 9.5 years as of December 31, 2020 and 2019, respectively) 2,587,000 3,025,000 Unamortized intangible assets: Certificates of need 348,000 348,000 Total $ 64,101,000 $ 74,023,000
Amortization Expense on Identified Intangible Assets	As of December 31, 2020, 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 2021 $ 11,920,000 2022 8,648,000 2023 7,384,000 2024 6,155,000 2025 4,977,000 Thereafter 24,669,000 Total $ 63,753,000

Other Assets, Net (Tables)

Other Assets, Net (Tables)	12 Months Ended
	Dec. 31, 2020
Other Assets [Abstract]
Schedule of Other Assets	Other assets, net consisted of the following as of December 31, 2020 and 2019: December 31, 2020 2019 Investment in unconsolidated entity $ 46,653,000 $ 47,016,000 Deferred rent receivables 12,395,000 8,018,000 Prepaid expenses, deposits and other assets 9,028,000 2,380,000 Lease commissions, net of accumulated amortization of $426,000 and $174,000 as of December 31, 2020 and 2019, respectively 2,399,000 1,623,000 Deferred financing costs, net of accumulated amortization of $3,397,000 and $1,517,000 as of December 31, 2020 and 2019, respectively(1) 1,724,000 3,583,000 Total $ 72,199,000 $ 62,620,000 ___________

Mortgage Loans Payable, Net (Ta

Mortgage Loans Payable, Net (Tables)	12 Months Ended
	Dec. 31, 2020
Mortgage Loans Payable, Net [Abstract]
Schedule of Activity Related to Notes Payable	The following table reflects the changes in the carrying amount of mortgage loans payable, net for the years ended December 31, 2020 and 2019: December 31, 2020 2019 Beginning balance $ 26,070,000 $ 16,892,000 Additions: Assumption of mortgage loan payable, net — 9,735,000 Amortization of deferred financing costs 40,000 78,000 Amortization of discount/premium on mortgage loans payable 49,000 41,000 Deductions: Scheduled principal payments on mortgage loans payable (8,332,000) (650,000) Deferred financing costs — (26,000) Ending balance $ 17,827,000 $ 26,070,000
Schedule of Maturities of Long-term Debt	As of December 31, 2020, 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 2021 $ 607,000 2022 651,000 2023 680,000 2024 711,000 2025 5,878,000 Thereafter 10,239,000 Total $ 18,766,000

Derivative Financial Instrume_2

Derivative Financial Instruments (Tables)	12 Months Ended
	Dec. 31, 2020
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Schedule of Derivative Instruments	The following table lists the derivative financial instruments held by us as of December 31, 2020 and 2019, which are included in security deposits, prepaid rent and other liabilities in our accompanying consolidated balance sheets: Fair Value December 31, Instrument Notional Amount Index Interest Rate Maturity Date 2020 2019 Swap $ 139,500,000 one month LIBOR 2.49% 11/19/21 $ (2,915,000) $ (2,441,000) Swap 58,800,000 one month LIBOR 2.49% 11/19/21 (1,229,000) (1,029,000) Swap 45,000,000 one month LIBOR 0.20% 11/19/21 (27,000) — Swap 36,700,000 one month LIBOR 2.49% 11/19/21 (766,000) (642,000) Swap 15,000,000 one month LIBOR 2.53% 11/19/21 (318,000) (273,000) $ 295,000,000 $ (5,255,000) $ (4,385,000)

Identified Intangible Liabili_2

Identified Intangible Liabilities, Net (Tables)	12 Months Ended
	Dec. 31, 2020
Identified Intangible Liabilities [Abstract]
Schedule of Expected Amortization Expense Intangible Liabilities	As of December 31, 2020, estimated amortization expense on below-market leases for each of the next five years ending December 31 and thereafter was as follows: Year Amount 2021 $ 236,000 2022 217,000 2023 207,000 2024 161,000 2025 123,000 Thereafter 351,000 Total $ 1,295,000

Redeemable Noncontrolling Int_2

Redeemable Noncontrolling Interest (Tables)	12 Months Ended
	Dec. 31, 2020
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, 2020 and 2019: December 31, 2020 2019 Beginning balance $ 1,462,000 $ 1,371,000 Additions 1,138,000 151,000 Distributions (104,000) (151,000) Adjustment to redemption value 615,000 173,000 Net loss attributable to redeemable noncontrolling interests (493,000) (82,000) Ending balance $ 2,618,000 $ 1,462,000

Equity (Tables)

Equity (Tables)	12 Months Ended
	Dec. 31, 2020
Equity [Abstract]
Schedule of Historical and Current Estimated Per Share NAV	The following is a summary of our historical estimated per share NAV of our Class T and Class I common stock: Approval Date by our Board Estimated Per 04/06/18 $ 9.65 04/04/19 $ 9.54 04/02/20 $ 9.54

Related Party Transactions (Tab

Related Party Transactions (Tables)	12 Months Ended
	Dec. 31, 2020
Related Party Transaction [Line Items]
Schedule of Limitation on Affiliate Reimbursement	The following table reflects our operating expenses as a percentage of average invested assets and as a percentage of net income for the 12 month periods then ended: 12 months ended December 31, 2020 2019 2018 Operating expenses as a percentage of average invested assets 1.2 % 1.2 % 1.2 % Operating expenses as a percentage of net income 38.1 % 37.2 % 28.3 %
Schedule Of Amount Outstanding To Affiliates Table	Accounts Payable Due to Affiliates The following amounts were outstanding to our affiliates as of December 31, 2020 and 2019: December 31, Fee 2020 2019 Asset management fees $ 814,000 $ 768,000 Property management fees 117,000 145,000 Acquisition and development fees 64,000 5,000 Construction management fees 33,000 65,000 Operating expenses 10,000 12,000 Lease commissions 8,000 21,000 Total $ 1,046,000 $ 1,016,000

Fair Value Measurements (Tables

Fair Value Measurements (Tables)	12 Months Ended
	Dec. 31, 2020
Fair Value Disclosures [Abstract]
Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis	The table below presents our assets and liabilities measured at fair value on a recurring basis as of December 31, 2020, aggregated by the level in the fair value hierarchy within which those measurements fall: Quoted Prices in Significant Other Significant Total Liabilities: Derivative financial instruments $ — $ 5,255,000 $ — $ 5,255,000 The table below presents our assets and liabilities measured at fair value on a recurring basis as of December 31, 2019, aggregated by the level in the fair value hierarchy within which those measurements fall: Quoted Prices in Significant Other Significant Total Liabilities: Derivative financial instruments $ — $ 4,385,000 $ — $ 4,385,000
Fair Value, by Balance Sheet Grouping	December 31, 2020 2019 Carrying Fair Carrying Fair Financial Liabilities: Mortgage loans payable $ 17,827,000 $ 22,052,000 $ 26,070,000 $ 26,677,000 Line of credit and term loans $ 475,176,000 $ 477,651,000 $ 393,217,000 $ 396,891,000 ___________ (1) Carrying amount is net of any discount/premium and deferred financing costs.

Income Taxes (Tables)

Income Taxes (Tables)	12 Months Ended
	Dec. 31, 2020
Income Taxes and Distributions [Abstract]
Schedule of Components of Income Tax Expense (Benefit)	The components of income tax benefit or expense for the years ended December 31, 2020, 2019 and 2018 were as follows: Years Ended December 31, 2020 2019 2018 Federal deferred $ (3,336,000) $ (1,087,000) $ (2,593,000) State deferred (1,097,000) (100,000) (675,000) Federal current — — — State current — (8,000) 8,000 Valuation allowance 4,433,000 1,187,000 3,268,000 Total income tax (benefit) expense $ — $ (8,000) $ 8,000
Schedule of Deferred Tax Assets and Liabilities	The components of deferred tax assets as of December 31, 2020 and 2019 was as follows: Years Ended December 31, 2020 2019 Deferred income tax assets: Fixed assets and intangibles $ 3,982,000 $ 2,455,000 Expense accruals and other 1,076,000 620,000 Net operating loss 4,306,000 1,856,000 Valuation allowances (9,364,000) (4,931,000) Total deferred income tax assets $ — $ —
Summary of Tax Treatment of Distributions	The income tax treatment for distributions reportable for the years ended December 31, 2020, 2019 and 2018 was as follows: Years Ended December 31, 2020 2019 2018 Ordinary income $ 5,479,000 14.5 % $ 10,099,000 21.8 % $ 11,909,000 37.7 % Capital gain — — — — — — Return of capital 32,193,000 85.5 36,317,000 78.2 19,673,000 62.3 $ 37,672,000 100 % $ 46,416,000 100 % $ 31,582,000 100 %

Leases (Tables)

Leases (Tables)	12 Months Ended
	Dec. 31, 2020
Leases [Abstract]
Schedule of Lease Payments to be Received	As of December 31, 2020, the following table sets forth the undiscounted cash flows for future minimum base rents due under operating leases for each of the next five years ending December 31 and thereafter for the properties that we wholly own: Year Amount 2021 $ 64,261,000 2022 61,691,000 2023 57,193,000 2024 51,590,000 2025 45,136,000 Thereafter 266,446,000 Total $ 546,317,000
Schedule of Additional Lease Information	Additional information related to our operating leases for the periods presented below was as follows: December 31, 2020 2019 Weighted average remaining lease term (in years) 79.5 80.4 Weighted average discount rate 5.74 % 5.74 % Years Ended December 31, 2020 2019 Cash paid for amounts included in the measurement of operating lease liabilities: Operating cash outflows related to operating leases $ 518,000 $ 458,000 Right-of-use assets obtained in exchange for operating lease liabilities $ — $ 4,489,000
Schedule of Operating Lease Payments Due, 842	As of December 31, 2020, the following table sets forth the undiscounted cash flows of our scheduled obligations for future minimum payments for each of the next five years ending December 31 and thereafter, as well as the reconciliation of those cash flows to operating lease liabilities on our accompanying consolidated balance sheet: Year Amount 2021 $ 523,000 2022 526,000 2023 530,000 2024 534,000 2025 538,000 Thereafter 46,565,000 Total operating lease payments 49,216,000 Less: interest 39,312,000 Present value of operating lease liabilities $ 9,904,000

Segment Reporting (Tables)

Segment Reporting (Tables)	12 Months Ended
	Dec. 31, 2020
Assets by Reportable Segment
Summary Information by Reportable Segment	Summary information for the reportable segments during the years ended December 31, 2020, 2019 and 2018 was as follows: Medical Senior Skilled Senior Year Ended Revenues and grant income: Real estate revenue $ 65,509,000 $ — $ 11,968,000 $ 8,844,000 $ 86,321,000 Resident fees and services — 67,793,000 — — 67,793,000 Grant income — 1,005,000 — — 1,005,000 Total revenues and grant income 65,509,000 68,798,000 11,968,000 8,844,000 155,119,000 Expenses: Rental expenses 22,068,000 — 576,000 806,000 23,450,000 Property operating expenses — 60,224,000 — — 60,224,000 Segment net operating income $ 43,441,000 $ 8,574,000 $ 11,392,000 $ 8,038,000 $ 71,445,000 Expenses: General and administrative $ 16,691,000 Acquisition related expenses (160,000) Depreciation and amortization 50,304,000 Other income (expense): Interest expense: Interest expense (including amortization of deferred financing costs and debt discount/premium) (19,955,000) Loss in fair value of derivative financial instruments (870,000) Impairment of real estate investments (3,642,000) Income from unconsolidated entity 629,000 Other income 286,000 Net loss $ (18,942,000) Medical Senior Skilled Senior Year Ended Revenues: Real estate revenue $ 54,508,000 $ — $ 11,681,000 $ 8,421,000 $ 74,610,000 Resident fees and services — 46,160,000 — — 46,160,000 Total revenues 54,508,000 46,160,000 11,681,000 8,421,000 120,770,000 Expenses: Rental expenses 17,528,000 — 556,000 1,142,000 19,226,000 Property operating expenses — 37,434,000 — — 37,434,000 Segment net operating income $ 36,980,000 $ 8,726,000 $ 11,125,000 $ 7,279,000 $ 64,110,000 Expenses: General and administrative $ 15,235,000 Acquisition related expenses 1,974,000 Depreciation and amortization 45,626,000 Other income (expense): Interest expense: Interest expense (including amortization of deferred financing costs and debt discount/premium) (16,191,000) Loss in fair value of derivative financial instruments (4,385,000) Income from unconsolidated entity 267,000 Other income 175,000 Loss before income taxes (18,859,000) Income tax benefit 8,000 Net loss $ (18,851,000) Medical Senior Skilled Senior Year Ended Revenues: Real estate revenue $ 34,339,000 $ — $ 4,266,000 $ 8,994,000 $ 47,599,000 Resident fees and services — 36,857,000 — — 36,857,000 Total revenues 34,339,000 36,857,000 4,266,000 8,994,000 84,456,000 Expenses: Rental expenses 9,934,000 — 351,000 1,214,000 11,499,000 Property operating expenses — 30,023,000 — — 30,023,000 Segment net operating income $ 24,405,000 $ 6,834,000 $ 3,915,000 $ 7,780,000 $ 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)
Assets by Reportable Segment	Assets by reportable segment as of December 31, 2020 and 2019 were as follows: December 31, 2020 2019 Medical office buildings $ 583,131,000 $ 600,048,000 Senior housing — RIDEA 238,910,000 149,055,000 Skilled nursing 119,247,000 121,749,000 Senior housing 100,370,000 142,982,000 Other 51,115,000 54,493,000 Total assets $ 1,092,773,000 $ 1,068,327,000

Concentration of Credit Risk (T

Concentration of Credit Risk (Tables)	12 Months Ended
	Dec. 31, 2020
Risks and Uncertainties [Abstract]
Schedules of Concentration of Risk, by Risk Factor	As of December 31, 2020, we had one tenant that accounted for 10.0% or more of our total property portfolio’s annualized base rent or annualized NOI, as follows: Tenant Annualized Percentage of Acquisition Reportable GLA Lease Expiration RC Tier Properties, LLC $ 7,937,000 11.0% Missouri SNF Portfolio Skilled Nursing 385,000 09/30/33 ___________ (1) Amount is based on contractual base rent from leases in effect as of December 31, 2020, for our non–RIDEA properties and annualized NOI for our senior housing — RIDEA facilities. The loss of this tenant or its inability to pay rent could have a material adverse effect on our business and results of operations.

Organization and Description _2

Organization and Description of Business (Detail)	Dec. 31, 2020ft²segment	Oct. 01, 2018USD ($)	Dec. 31, 2020USD ($)ft²segment	Dec. 31, 2019USD ($)	Dec. 31, 2018USD ($)	Feb. 16, 2017	Dec. 31, 2020USD ($)ft²shares	Feb. 15, 2019USD ($)shares	Dec. 31, 2019shares	Dec. 31, 2020ft²shares	Dec. 31, 2020USD ($)ft²PropertyBuilding	Jan. 18, 2019USD ($)	Feb. 16, 2016USD ($)	Mar. 01, 2015
Issuance of common stock under the DRIP			$ 19,862,000	$ 25,533,000	$ 17,612,000			$ 31,021,000
Issuance of common stock under the DRIP, shares | shares								3,253,535	5,513,699	7,595,594
Advisory Agreement Term						1 year
Number of Reportable Segments | segment	4		4
Number of Properties Acquired from Unaffiliated Parties | Property											89
Number of Buildings Acquired from Unaffiliated Parties | Building											94
GLA (Sq Ft) | ft²	4,863,000		4,863,000				4,863,000			4,863,000	4,863,000
Contract purchase price											$ 1,089,431,000
DRIP S-3 Public Offering [Member]
Maximum amount of common stock issuable under public offering												$ 100,000,000
Issuance of common stock under the DRIP							$ 41,471,000
Issuance of common stock under the DRIP, shares | shares							4,342,059
Distribution Reinvestment Plan [Member]
Maximum amount of common stock issuable under public offering													$ 150,000,000
Class T and Class I Common Stock
Subscriptions In Offering Of Common Stock Received And Accepted Shares | shares								75,639,681		75,639,681
Subscriptions In Offering Of Common Stock Received And Accepted Value								$ 754,118,000
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%
Griffin-American Healthcare REIT IV, Inc. [Member]
Contract purchase price		$ 48,000,000
Joint venture ownership interest	6.00%	6.00%	6.00%				6.00%			6.00%	6.00%

Summary of Significant Accoun_4

Summary of Significant Accounting Policies (Detail)		Dec. 31, 2020USD ($)segment	Jun. 30, 2021	Dec. 31, 2020USD ($)segment	Dec. 31, 2019USD ($)	Dec. 31, 2018USD ($)	Jan. 01, 2019USD ($)
Number of Reportable Segments | segment		4		4
Present value of operating lease liabilities	[1]	$ 9,904,000		$ 9,904,000	$ 9,858,000
Operating lease right-of-use assets, net		14,133,000		14,133,000	14,255,000
Grant income				1,005,000	0	$ 0
Allowance for credit losses		$ 2,086,000		2,086,000	902,000
Increase in allowances				1,614,000	2,301,000	1,790,000
Reduction in allowance from collection or adjustment				(207,000)	(1,758,000)	(531,000)
Accounts Receivable, Allowance for Credit Loss, Writeoff				$ (223,000)	$ (962,000)	$ (21,000)
General Partnership [Member]
Percentage of ownership in operating partnership				99.99%	99.99%
Limited Partnership [Member]
Percentage of limited partnership interest				0.01%	0.01%
Forecast [Member]
Deferral and Extension Term, COVID-19			1 year
Building and Building Improvements [Member] | Maximum [Member]
Estimated useful life				39 years
Leasehold Improvements [Member] | Maximum [Member]
Estimated useful life				21 years
Furniture and Fixtures [Member] | Maximum [Member]
Estimated useful life				20 years
Accounting Standards Update 2016-02 [Member]
Present value of operating lease liabilities							$ 5,334,000
Operating lease right-of-use assets, net							$ 11,239,000
[1]	Such liabilities of Griffin-American Healthcare REIT IV, Inc. as of December 31, 2020 and 2019 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, or VIE, 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, as defined in Note 7, held by Griffin-American Healthcare REIT IV Holdings, LP in the amount of $476,900,000 and $396,800,000 as of December 31, 2020 and 2019, respectively, which is guaranteed by Griffin-American Healthcare REIT IV, Inc.

Summary of Significant Accoun_5

Summary of Significant Accounting Policies Disaggregation of Revenue (Details) - USD ($)	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Resident fees and services	$ 67,793,000	$ 46,160,000	$ 36,857,000
Senior housing — RIDEA
Resident fees and services	67,793,000	46,160,000	36,857,000
Senior housing — RIDEA | Transferred at Point in Time [Member]
Resident fees and services	964,000	715,000	847,000
Senior housing — RIDEA | Transferred over Time [Member]
Resident fees and services	66,829,000	45,445,000	36,010,000
Resident Fees and Services [Member]
Resident fees and services	67,793,000	46,160,000	36,857,000
Private and Other Payors [Member] | Resident Fees and Services [Member]
Resident fees and services	61,045,000	40,140,000	30,775,000
Medicaid [Member] | Resident Fees and Services [Member]
Resident fees and services	$ 6,748,000	$ 6,020,000	$ 6,082,000

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, 2020	Jan. 01, 2020
Contract with Customer, Asset and Liability [Line Items]
Accounts Receivable, Net - Resident Fees and Services	$ 1,481,000	$ 3,012,000
Increase (Decrease)	(1,531,000)
Medicaid
Contract with Customer, Asset and Liability [Line Items]
Accounts Receivable, Net - Resident Fees and Services	1,123,000	2,731,000
Increase (Decrease)	(1,608,000)
Private and other payors
Contract with Customer, Asset and Liability [Line Items]
Accounts Receivable, Net - Resident Fees and Services	358,000	$ 281,000
Increase (Decrease)	$ 77,000

Real Estate Investments, Net -

Real Estate Investments, Net - Investments in Consolidated Properties (Detail) - USD ($)	Dec. 31, 2020	Dec. 31, 2019
Real Estate Properties [Line Items]
Real estate investments, at cost	$ 1,002,859,000	$ 946,118,000
Real Estate Investment Property, Accumulated Depreciation	(81,279,000)	(51,058,000)
Real estate investments, net	921,580,000	895,060,000
Building and improvements
Real Estate Properties [Line Items]
Real estate investments, at cost	884,816,000	836,091,000
Land
Real Estate Properties [Line Items]
Real estate investments, at cost	109,444,000	103,371,000
Furniture, fixtures and equipment
Real Estate Properties [Line Items]
Real estate investments, at cost	$ 8,599,000	$ 6,656,000

Real Estate Investments, Net _2

Real Estate Investments, Net - Additional Information (Detail)	1 Months Ended			12 Months Ended			71 Months Ended
	Dec. 31, 2020USD ($)	Jun. 30, 2020USD ($)	Dec. 31, 2018Building	Dec. 31, 2020USD ($)Buildingfacility	Dec. 31, 2019USD ($)Building	Dec. 31, 2018USD ($)Building	Dec. 31, 2020USD ($)Building
Real Estate Properties [Line Items]
Ownership Percentage, Properties				100.00%	100.00%
Depreciation				$ 31,563,000	$ 27,435,000	$ 16,723,000
Capitalized Acquisition Costs and Fees Additions				2,545,000	6,461,000	13,021,000
Number of Buildings Acquired from Unaffiliated Parties | Building							94
Contract purchase price							$ 1,089,431,000
Related party transaction, expenses from transactions with related party				13,350,000	16,296,000	22,355,000
Impairment of real estate investments				3,642,000	0	0
Senior Housing-RIDEA [Member]
Real Estate Properties [Line Items]
Impairment of real estate investments				3,642,000
Property, Plant, and Equipment, Fair Value Disclosure	$ 6,415,000			$ 6,415,000			$ 6,415,000
Long Lived Assets Held-for-sale, Name [Domain]
Real Estate Properties [Line Items]
Impairment of real estate investments					0	0
Number of Senior Housing-RIDEA Impaired | facility				2
Medical Office Building [Member]
Real Estate Properties [Line Items]
Capital expenditures incurred				$ 5,556,000	4,537,000	3,643,000
Senior Housing [Member]
Real Estate Properties [Line Items]
Capital expenditures incurred				0	75,000	0
Senior Housing-RIDEA [Member]
Real Estate Properties [Line Items]
Capital expenditures incurred				1,767,000	2,505,000	5,342,000
Skilled Nursing Facilities [Member]
Real Estate Properties [Line Items]
Capital expenditures incurred				657,000	0	$ 0
Contingent Advisor Payment Incurred [Member]
Real Estate Properties [Line Items]
Base Acquisition Fee For Property Acquired						2.25%
Related party transaction, expenses from transactions with related party				$ 20,982,000	$ 20,982,000
Advisor [Member]
Real Estate Properties [Line Items]
Base Acquisition Fee For Property Acquired				2.25%
Contingent Advisor Payment Fee				2.25%	2.25%
Overland Park MOB [Member]
Real Estate Properties [Line Items]
Payments of Earn-Out		$ 1,483,000
Acquisition Fee of Earn-out Amount		$ 34,000
Acquisition Fee of Earn-Out Amount, Percent		2.25%
Catalina Madera ALF [Member]
Real Estate Properties [Line Items]
Payments of Earn-Out	360,000
Acquisition Fee of Earn-out Amount	$ 8,000
Acquisition Fee of Earn-Out Amount, Percent	2.25%
2020 Acquisitions [Member]
Real Estate Properties [Line Items]
Number of Buildings Acquired from Unaffiliated Parties | Building				7
Contract purchase price				$ 64,699,000
Related Party Transactions Total Acquisition Fees				$ 1,404,000
2019 Acquisitions [Member]
Real Estate Properties [Line Items]
Number of Buildings Acquired from Unaffiliated Parties | Building					18
Contract purchase price					$ 201,200,000
Related Party Transactions Total Acquisition Fees					4,944,000
2019 Acquisitions [Member] | Contingent Advisor Payment Incurred [Member]
Real Estate Properties [Line Items]
Related party transaction, expenses from transactions with related party					418,000
2018 Acquisitions [Member]
Real Estate Properties [Line Items]
Ownership Percentage, Properties						100.00%
Number of Buildings Acquired from Unaffiliated Parties | Building						29
Contract purchase price						$ 355,549,000
Related Party Transactions Total Acquisition Fees						15,988,000
2018 Acquisitions [Member] | Contingent Advisor Payment Incurred [Member]
Real Estate Properties [Line Items]
Related party transaction, expenses from transactions with related party						$ 7,994,000
2018 Acquisitions [Member] | Advisor [Member]
Real Estate Properties [Line Items]
Base Acquisition Fee For Property Acquired						2.25%
Pinnacle Beaumont ALF and Pinnacle Warrenton ALF [Member]
Real Estate Properties [Line Items]
Joint venture ownership interest			98.00%			98.00%
Michigan ALF Portfolio Five [Member]
Real Estate Properties [Line Items]
Contract purchase price					14,000,000
Related Party Transactions Total Acquisition Fees					$ 315,000
Number of Buildings Added to Portfolio | Building					3
Number of Buildings Acquired | Building			6
Catalina West Haven ALF and Catalina Madera ALF [Member]
Real Estate Properties [Line Items]
Joint venture ownership interest	90.00%			90.00%			90.00%
Louisiana Senior Housing Portfolio [Member]
Real Estate Properties [Line Items]
Contract purchase price				$ 34,000,000
Related Party Transactions Total Acquisition Fees				$ 737,000
Joint venture ownership interest	90.00%			90.00%			90.00%

Real Estate Investments, Net _3

Real Estate Investments, Net - Acquisitions (Details) - USD ($)	12 Months Ended			71 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2020
Real Estate Properties [Line Items]
Contract purchase price				$ 1,089,431,000
2020 Acquisitions [Member]
Real Estate Properties [Line Items]
Contract purchase price	$ 64,699,000
Lines Of Credit Related To Acquisition Of Properties	62,700,000
Related Party Transactions Total Acquisition Fees	$ 1,404,000
2019 Acquisitions [Member]
Real Estate Properties [Line Items]
Contract purchase price		$ 201,200,000
Lines Of Credit Related To Acquisition Of Properties		141,100,000
Related Party Transactions Total Acquisition Fees		4,944,000
Borrowings and assumptions on mortgage loans payable		$ 10,493,000
2018 Acquisitions [Member]
Real Estate Properties [Line Items]
Contract purchase price			$ 355,549,000
Lines Of Credit Related To Acquisition Of Properties			335,600,000
Related Party Transactions Total Acquisition Fees			15,988,000
Borrowings and assumptions on mortgage loans payable			$ 6,071,000
Catalina West Haven ALF [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Senior Housing — RIDEA
Date of acquisition of property	Jan. 1, 2020
Contract purchase price	$ 12,799,000
Lines Of Credit Related To Acquisition Of Properties	12,700,000
Related Party Transactions Total Acquisition Fees	$ 278,000
Louisiana Senior Housing Portfolio [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Senior Housing — RIDEA
Date of acquisition of property	Jan. 3, 2020
Contract purchase price	$ 34,000,000
Lines Of Credit Related To Acquisition Of Properties	32,700,000
Related Party Transactions Total Acquisition Fees	$ 737,000
Catalina Madera ALF [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired	Senior Housing — RIDEA
Date of acquisition of property	Jan. 31, 2020
Contract purchase price	$ 17,900,000
Lines Of Credit Related To Acquisition Of Properties	17,300,000
Related Party Transactions Total Acquisition Fees	$ 389,000
Lithonia MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Medical Office
Date of acquisition of property		Mar. 5, 2019
Contract purchase price		$ 10,600,000
Lines Of Credit Related To Acquisition Of Properties		0
Related Party Transactions Total Acquisition Fees		$ 477,000
West Des Moines SNF [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Skilled Nursing
Date of acquisition of property		Mar. 24, 2019
Contract purchase price		$ 7,000,000
Lines Of Credit Related To Acquisition Of Properties		0
Related Party Transactions Total Acquisition Fees		$ 315,000
Great Nord MOB Portfolio [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Medical Office
Date of acquisition of property		Apr. 8, 2019
Contract purchase price		$ 44,000,000
Lines Of Credit Related To Acquisition Of Properties		15,000,000
Related Party Transactions Total Acquisition Fees		$ 1,011,000
Michigan ALF Portfolio Five [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Senior Housing
Date of acquisition of property		May 1, 2019
Contract purchase price		$ 14,000,000
Lines Of Credit Related To Acquisition Of Properties		3,500,000
Related Party Transactions Total Acquisition Fees		315,000
Borrowings and assumptions on mortgage loans payable		$ 10,493,000
Overland Park MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Medical Office
Date of acquisition of property		Aug. 5, 2019
Contract purchase price		$ 28,350,000
Lines Of Credit Related To Acquisition Of Properties		28,700,000
Related Party Transactions Total Acquisition Fees		$ 638,000
Blue Badger MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Medical Office
Date of acquisition of property		Aug. 9, 2019
Contract purchase price		$ 13,650,000
Lines Of Credit Related To Acquisition Of Properties		12,000,000
Related Party Transactions Total Acquisition Fees		$ 307,000
Bloomington MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Medical Office
Date of acquisition of property		Aug. 13, 2019
Contract purchase price		$ 18,200,000
Lines Of Credit Related To Acquisition Of Properties		17,400,000
Related Party Transactions Total Acquisition Fees		$ 409,000
Memphis MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Medical Office
Date of acquisition of property		Aug. 15, 2019
Contract purchase price		$ 8,700,000
Lines Of Credit Related To Acquisition Of Properties		8,600,000
Related Party Transactions Total Acquisition Fees		$ 196,000
Haverhill MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Medical Office
Date of acquisition of property		Aug. 27, 2019
Contract purchase price		$ 15,500,000
Lines Of Credit Related To Acquisition Of Properties		15,450,000
Related Party Transactions Total Acquisition Fees		$ 349,000
Fresno MOB [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Medical Office
Date of acquisition of property		Oct. 30, 2019
Contract purchase price		$ 10,000,000
Lines Of Credit Related To Acquisition Of Properties		9,950,000
Related Party Transactions Total Acquisition Fees		$ 225,000
Colorado Foothills MOB Portfolio [Member]
Real Estate Properties [Line Items]
Type Of Property Acquired		Medical Office
Date of acquisition of property		Nov. 19, 2019
Contract purchase price		$ 31,200,000
Lines Of Credit Related To Acquisition Of Properties		30,500,000
Related Party Transactions Total Acquisition Fees		$ 702,000
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
Lines Of Credit Related To Acquisition Of Properties			22,600,000
Related Party Transactions Total Acquisition Fees			$ 1,018,000
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
Lines Of Credit Related To Acquisition Of Properties			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
Date of acquisition of property			Apr. 27, 2018
Contract purchase price			$ 11,650,000
Lines Of Credit Related To Acquisition Of Properties			8,000,000
Related Party Transactions Total Acquisition Fees			$ 524,000
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
Lines Of Credit Related To Acquisition Of Properties			10,000,000
Related Party Transactions Total Acquisition Fees			728,000
Borrowings and assumptions on mortgage loans payable			$ 6,071,000
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
Lines Of Credit Related To Acquisition Of Properties			19,400,000
Related Party Transactions Total Acquisition Fees			$ 868,000
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
Lines Of Credit Related To Acquisition Of Properties			31,400,000
Related Party Transactions Total Acquisition Fees			$ 1,418,000
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
Lines Of Credit Related To Acquisition Of Properties			22,000,000
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
Date of acquisition of property			Aug. 1, 2018
Contract purchase price			$ 8,100,000
Lines Of Credit Related To Acquisition Of Properties			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
Date of acquisition of property			Aug. 13, 2018
Contract purchase price			$ 7,600,000
Lines Of Credit Related To Acquisition Of Properties			7,000,000
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
Date of acquisition of property			Sep. 28, 2018
Contract purchase price			$ 88,200,000
Lines Of Credit Related To Acquisition Of Properties			87,000,000
Related Party Transactions Total Acquisition Fees			$ 3,970,000
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
Lines Of Credit Related To Acquisition Of Properties			15,500,000
Related Party Transactions Total Acquisition Fees			$ 763,000
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
Lines Of Credit Related To Acquisition Of Properties			10,100,000
Related Party Transactions Total Acquisition Fees			$ 450,000
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
Lines Of Credit Related To Acquisition Of Properties			6,200,000
Related Party Transactions Total Acquisition Fees			$ 371,000
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
Lines Of Credit Related To Acquisition Of Properties			15,400,000
Related Party Transactions Total Acquisition Fees			$ 720,000
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
Lines Of Credit Related To Acquisition Of Properties			53,400,000
Related Party Transactions Total Acquisition Fees			$ 2,520,000

Real Estate Investments, Net Sc

Real Estate Investments, Net Schedule of Recognized Identified Assets Acquired and Liabilities Assumed (Details) - USD ($)	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
2020 Acquisitions [Member]
Building and improvements	$ 49,792,000
Land	7,632,000
In-place leases	8,974,000
Furniture, fixtures and equipment	854,000
Total assets acquired	$ 67,252,000
2019 Acquisitions [Member]
Building and improvements		$ 164,084,000
Land		20,286,000
In-place leases		21,393,000
Above-market leases		2,578,000
Right-of-use asset		3,133,000
Total assets acquired		211,474,000
Mortgage loan payable (including debt discount of $758,000)		(9,735,000)
Below-market leases		(874,000)
Operating lease liability		(4,489,000)
Total liabilities assumed		(15,098,000)
Net assets acquired		196,376,000
2018 Acquisitions [Member]
Building and improvements			$ 289,830,000
Land			30,878,000
In-place leases			45,439,000
Certificates of need			348,000
Leasehold interests			93,000
Above-market leases			200,000
Furniture, fixtures and equipment			79,000
Total assets acquired			366,867,000
Mortgage loan payable (including debt discount of $758,000)			(5,808,000)
Below-market leases			(269,000)
Total liabilities assumed			(6,077,000)
Net assets acquired			360,790,000
Debt Instrument, Unamortized Discount		$ 758,000	$ 263,000

Identified Intangible Assets,_3

Identified Intangible Assets, Net - Summary of Identified Intangibles, Net (Detail) - USD ($)	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019
Finite-Lived Intangible Assets [Line Items]
Identified intangible assets, net	$ 64,101,000	$ 74,023,000
Finite-Lived Intangible Asset, Useful Life	8 years 9 months 18 days	9 years 6 months
In-Place Leases [Member]
Finite-Lived Intangible Assets [Line Items]
Finite-Lived Intangible Assets, Net	$ 61,166,000	$ 70,650,000
Net of accumulated amortization	$ 32,134,000	$ 18,273,000
Finite-Lived Intangible Asset, Useful Life	8 years 9 months 18 days	9 years 6 months
Above Market Leases [Member]
Finite-Lived Intangible Assets [Line Items]
Finite-Lived Intangible Assets, Net	$ 2,587,000	$ 3,025,000
Net of accumulated amortization	$ 1,009,000	$ 609,000
Finite-Lived Intangible Asset, Useful Life	9 years 1 month 6 days	9 years 6 months
Certificates Of Need [Member]
Finite-Lived Intangible Assets [Line Items]
Finite-Lived Intangible Assets, Net	$ 348,000	$ 348,000

Identified Intangible Assets,_4

Identified Intangible Assets, Net - Narrative (Details) - USD ($)	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Finite-Lived Intangible Assets [Line Items]
Amortization of Intangible Assets	$ 18,897,000	$ 18,384,000	$ 16,180,000
Finite-Lived Intangible Asset, Useful Life	8 years 9 months 18 days	9 years 6 months
Amortization of Intangible Assets	$ 18,897,000	$ 18,384,000	16,180,000
Above Market Leases [Member]
Finite-Lived Intangible Assets [Line Items]
Amortization of Intangible Assets	$ 438,000	$ 310,000	208,000
Finite-Lived Intangible Asset, Useful Life	9 years 1 month 6 days	9 years 6 months
Amortization of Intangible Assets	$ 438,000	$ 310,000	$ 208,000

Identified Intangible Assets,_5

Identified Intangible Assets, Net - Summary of Amortization Expense on Identified Intangible Assets, Net (Detail)	Dec. 31, 2020USD ($)
Finite-Lived Intangible Assets [Line Items]
2021	$ 11,920,000
2022	8,648,000
2023	7,384,000
2024	6,155,000
2025	4,977,000
Thereafter	24,669,000
Identified intangible assets, net	$ 63,753,000

Other Assets, Net - Other Asset

Other Assets, Net - Other Assets, Net (Detail) - USD ($)	Dec. 31, 2020	Dec. 31, 2019
Other Assets [Abstract]
Investment in unconsolidated entity	$ 46,653,000	$ 47,016,000
Deferred rent receivables	12,395,000	8,018,000
Deferred financing costs, net of accumulated amortization of $3,397,000 and $1,517,000 as of December 31, 2020 and 2019, respectively(1)	1,724,000	3,583,000
Prepaid expenses, deposits and other assets	9,028,000	2,380,000
Lease commissions, net of accumulated amortization of $426,000 and $174,000 as of December 31, 2020 and 2019, respectively	2,399,000	1,623,000
Other assets, net	72,199,000	62,620,000
Accumulated Amortization, Debt Issuance Costs	3,397,000	1,517,000
Deferred Costs, Leasing, Accumulated Amortization	$ 426,000	$ 174,000

Other Assets, Net - Additional

Other Assets, Net - Additional Information (Detail) - USD ($)	Oct. 01, 2018	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2020
Joint Venture unamortized basis difference		$ 16,791,000	$ 17,248,000		$ 16,791,000
Amortization of Debt Issuance Costs		1,880,000	2,028,000	$ 1,000,000
Contract purchase price					$ 1,089,431,000
Related party transaction, expenses from transactions with related party		13,350,000	16,296,000	22,355,000
Base Acquisition Fee Paid [Member]
Related party transaction, expenses from transactions with related party		1,485,000	4,595,000	$ 10,096,000
Base Acquisition Fee For Property Acquired				2.25%
Contingent Advisor Payment Incurred [Member]
Related party transaction, expenses from transactions with related party		$ 20,982,000	$ 20,982,000
Base Acquisition Fee For Property Acquired				2.25%
Griffin-American Healthcare REIT IV, Inc. [Member]
Joint venture ownership interest	6.00%	6.00%			6.00%
Contract purchase price	$ 48,000,000
Gross Enterprise Value	$ 93,154,000
Trilogy Joint Venture [Member]
Joint venture ownership interest	24.00%
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%

Mortgage Loans Payable, Net - A

Mortgage Loans Payable, Net - Additional Information (Detail)	1 Months Ended
	Jan. 31, 2020USD ($)	Dec. 31, 2020USD ($)MortgageLoan		Dec. 31, 2019USD ($)MortgageLoan		Dec. 31, 2018USD ($)
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
Mortgage loans payable, gross		$ 18,766,000		$ 27,099,000
Mortgage loans payable, net(1)		$ 17,827,000	[1]	$ 26,070,000	[1]	$ 16,892,000
Number Of Fixed Rate Mortgage Loans Payable | MortgageLoan		3		4
Payoff of mortgage loan payable	$ 7,738,000
Minimum [Member]
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Line Items]
Debt Instrument, Interest Rate, Effective Percentage		3.67%		3.67%
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		3.93%		4.18%
[1]	Such liabilities of Griffin-American Healthcare REIT IV, Inc. as of December 31, 2020 and 2019 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, or VIE, 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, as defined in Note 7, held by Griffin-American Healthcare REIT IV Holdings, LP in the amount of $476,900,000 and $396,800,000 as of December 31, 2020 and 2019, 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, 2020		Dec. 31, 2019		Dec. 31, 2018
SEC Schedule, 12-29, Real Estate Companies, Investment in Movement in Mortgage Loans on Real Estate [Roll Forward]
Mortgage loan payable, net— Beginning Balance	$ 26,070,000	[1]	$ 16,892,000
Assumption of mortgage loan payable, net	0		9,735,000
Amortization of deferred financing costs	40,000		78,000
Amortization of discount/premium on mortgage loans payable	49,000		41,000
Scheduled principal payments on mortgage loans payable	(8,332,000)		(650,000)		$ (449,000)
Deferred financing costs	0		(26,000)
Mortgage loans payable, net — Ending Balance	$ 17,827,000	[1]	$ 26,070,000	[1]	$ 16,892,000
[1]	Such liabilities of Griffin-American Healthcare REIT IV, Inc. as of December 31, 2020 and 2019 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, or VIE, 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, as defined in Note 7, held by Griffin-American Healthcare REIT IV Holdings, LP in the amount of $476,900,000 and $396,800,000 as of December 31, 2020 and 2019, 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, 2020	Dec. 31, 2019
SEC Schedule, 12-29, Real Estate Companies, Investment in Mortgage Loans on Real Estate [Abstract]
2021	$ 607,000
2022	651,000
2023	680,000
2024	711,000
2025	5,878,000
Thereafter	10,239,000
Mortgage loans payable, gross	$ 18,766,000	$ 27,099,000

Line of Credit (Detail)

Line of Credit (Detail)		Nov. 01, 2019USD ($)	Nov. 20, 2018USD ($)Extension	Dec. 31, 2020USD ($)	Dec. 31, 2019USD ($)	Sep. 28, 2018USD ($)	Aug. 25, 2016USD ($)
Line of Credit Facility [Line Items]
Line of credit facility, maximum borrowing capacity				$ 530,000,000	$ 530,000,000	$ 350,000,000
Swing line loan			$ 50,000,000
Line of credit and term loans	[1]			$ 476,900,000	$ 396,800,000
Line Of Credit Facility, Number Of Potential Extensions | Extension			1
Line Of Credit Facility, Potential Extension Term			12 months
Term Loan [Member]
Line of Credit Facility [Line Items]
Line of Credit Facility, Increase (Decrease), Net		$ 45,000,000
Line of Credit [Member]
Line of Credit Facility [Line Items]
Line of credit facility, maximum borrowing capacity							$ 100,000,000
Revolving Credit Facility [Member]
Line of Credit Facility [Line Items]
Line of Credit Facility, Increase (Decrease), Net		85,000,000
Line Of Credit Facility, Increase Amount To Borrowing Capacity			$ 150,000,000
Term Loan Facility [Member]
Line of Credit Facility [Line Items]
Line Of Credit Facility, Increase Amount To Borrowing Capacity			250,000,000
2018 Line of Credit [Member]
Line of Credit Facility [Line Items]
Line of credit facility, maximum borrowing capacity		$ 530,000,000	400,000,000
Line Of Credit Facility, Increase Amount To Borrowing Capacity			120,000,000
Letters of Credit Outstanding, Amount			$ 20,000,000
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%
Line of Credit [Member] | Federal Funds Rate [Member]
Line of Credit Facility [Line Items]
Debt Instrument, Basis Spread on Variable Rate			0.50%
Line of Credit [Member] | One-Month Eurodollar [Member]
Line of Credit Facility [Line Items]
Debt Instrument, Basis Spread on Variable Rate			1.00%
Line of Credit [Member] | Base Rate [Member]
Line of Credit Facility [Line Items]
Debt Instrument, Base Rate, Percent			0.00%
Minimum [Member] | Line of Credit [Member] | Eurodollar [Member]
Line of Credit Facility [Line Items]
Debt Instrument, Basis Spread on Variable Rate			1.70%
Minimum [Member] | Line of Credit [Member] | Base Rate [Member]
Line of Credit Facility [Line Items]
Debt Instrument, Basis Spread on Variable Rate			0.70%
Maximum [Member] | Line of Credit [Member] | Eurodollar [Member]
Line of Credit Facility [Line Items]
Debt Instrument, Basis Spread on Variable Rate			2.20%
Maximum [Member] | Line of Credit [Member] | Base Rate [Member]
Line of Credit Facility [Line Items]
Debt Instrument, Basis Spread on Variable Rate			1.20%
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
Line of Credit [Member]
Line of Credit Facility [Line Items]
Weighted average effective interest rate				2.12%	3.50%
[1]	Such liabilities of Griffin-American Healthcare REIT IV, Inc. as of December 31, 2020 and 2019 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, or VIE, 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, as defined in Note 7, held by Griffin-American Healthcare REIT IV Holdings, LP in the amount of $476,900,000 and $396,800,000 as of December 31, 2020 and 2019, respectively, which is guaranteed by Griffin-American Healthcare REIT IV, Inc.

Derivative Financial Instrume_3

Derivative Financial Instruments - Additional Information (Details) - USD ($)	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Loss in fair value of derivative financial instruments	$ (870,000)	$ (4,385,000)	$ 0

Derivative Financial Instrume_4

Derivative Financial Instruments (Detail) - Not Designated as Hedging Instrument [Member] - USD ($)	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019
Derivative [Line Items]
Derivative, Notional Amount	$ 295,000,000
Derivative Assets (Liabilities), at Fair Value, Net	$ (5,255,000)	$ (4,385,000)
Notional Amount, 139.5 [Member]
Derivative [Line Items]
Derivative, Type of Instrument	Swap
Derivative, Notional Amount	$ 139,500,000
Debt Instrument, Description of Variable Rate Basis	one month LIBOR
Derivative, Maturity Date	Nov. 19, 2021
Derivative Assets (Liabilities), at Fair Value, Net	$ (2,915,000)	(2,441,000)
Notional Amount, 58.8 [Member]
Derivative [Line Items]
Derivative, Type of Instrument	Swap
Derivative, Notional Amount	$ 58,800,000
Debt Instrument, Description of Variable Rate Basis	one month LIBOR
Derivative, Maturity Date	Nov. 19, 2021
Derivative Assets (Liabilities), at Fair Value, Net	$ (1,229,000)	(1,029,000)
Notional Amount, 45.0 [Member]
Derivative [Line Items]
Derivative, Type of Instrument	Swap
Derivative, Notional Amount	$ 45,000,000
Debt Instrument, Description of Variable Rate Basis	one month LIBOR
Derivative, Maturity Date	Nov. 19, 2021
Derivative Assets (Liabilities), at Fair Value, Net	$ (27,000)	0
Notional Amount, 36.7 [Member]
Derivative [Line Items]
Derivative, Type of Instrument	Swap
Derivative, Notional Amount	$ 36,700,000
Debt Instrument, Description of Variable Rate Basis	one month LIBOR
Derivative, Maturity Date	Nov. 19, 2021
Derivative Assets (Liabilities), at Fair Value, Net	$ (766,000)	(642,000)
Notional Amount, 15.0 [Member]
Derivative [Line Items]
Derivative, Type of Instrument	Swap
Derivative, Notional Amount	$ 15,000,000
Debt Instrument, Description of Variable Rate Basis	one month LIBOR
Derivative, Maturity Date	Nov. 19, 2021
Derivative Assets (Liabilities), at Fair Value, Net	$ (318,000)	$ (273,000)
Swap, 2.49% Interest Rate [Member] | Notional Amount, 139.5 [Member]
Derivative [Line Items]
Derivative, Basis Spread on Variable Rate	2.49%
Swap, 2.49% Interest Rate [Member] | Notional Amount, 58.8 [Member]
Derivative [Line Items]
Derivative, Basis Spread on Variable Rate	2.49%
Swap, 2.49% Interest Rate [Member] | Notional Amount, 36.7 [Member]
Derivative [Line Items]
Derivative, Basis Spread on Variable Rate	2.49%
Swap, 2.53% Interest Rate [Member] | Notional Amount, 15.0 [Member]
Derivative [Line Items]
Derivative, Basis Spread on Variable Rate	2.53%
Swap, 0.20% Interest Rate [Member] | Notional Amount, 45.0 [Member]
Derivative [Line Items]
Derivative, Basis Spread on Variable Rate	0.20%

Identified Intangible Liabili_3

Identified Intangible Liabilities, Net - Summary of Identified Intangibles, Net (Detail) - USD ($)	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Finite Lived Intangible Liabilities [Line Items]
Identified intangible liabilities, net	$ 1,295,000	$ 1,601,000
Amortization of Identified Intangible Liabilities	$ (306,000)	$ (517,000)	$ (380,000)
Weighted average remaining life	11 years 7 months 6 days	11 years 3 months 18 days
Below Market Lease [Member]
Finite Lived Intangible Liabilities [Line Items]
Identified intangible liabilities, net	$ 1,295,000	$ 1,601,000
Finite Lived Intangible Liabilities Accumulated Amortization	$ 608,000	$ 702,000

Identified Intangible Liabili_4

Identified Intangible Liabilities, Net - Summary of Amortization Expense on Below Market Leases (Detail)	Dec. 31, 2020USD ($)
Intangible Liabilities [Abstract]
2021	$ 236,000
2022	217,000
2023	207,000
2024	161,000
2025	123,000
Thereafter	351,000
Total	$ 1,295,000

Redeemable Noncontrolling Int_3

Redeemable Noncontrolling Interest (Details) - USD ($)	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Changes in carrying amount of redeemable noncontrolling interest [Roll Forward]
Beginning balance	$ 1,462,000	$ 1,371,000
Additions	1,138,000	151,000
Distributions	(104,000)	(151,000)	$ 0
Adjustment to redemption value	615,000	173,000	232,000
Net loss attributable to redeemable noncontrolling interests	(493,000)	(82,000)	(232,000)
Ending balance	$ 2,618,000	$ 1,462,000	$ 1,371,000
General Partnership [Member]
Changes in carrying amount of redeemable noncontrolling interest [Roll Forward]
Noncontrolling Interest, Ownership Percentage by Parent	99.99%	99.99%
Limited Partnership [Member]
Changes in carrying amount of redeemable noncontrolling interest [Roll Forward]
Noncontrolling Interest, Ownership Percentage by Noncontrolling Owners	0.01%	0.01%
Meridian [Member]
Changes in carrying amount of redeemable noncontrolling interest [Roll Forward]
Joint venture ownership interest	98.00%
Avalon [Member]
Changes in carrying amount of redeemable noncontrolling interest [Roll Forward]
Joint venture ownership interest	90.00%
Limited Partner [Member]
Changes in carrying amount of redeemable noncontrolling interest [Roll Forward]
Stock Issued During Period, Shares, Stock Splits	208	208

Equity (Details)

Equity (Details) - USD ($)	1 Months Ended	12 Months Ended			23 Months Ended	35 Months Ended	36 Months Ended	45 Months Ended	46 Months Ended	57 Months Ended
	Jan. 31, 2021	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2020	Dec. 31, 2020	Feb. 15, 2019	Dec. 31, 2019	Dec. 31, 2020	Dec. 31, 2020	Apr. 02, 2020	Apr. 04, 2019	Jan. 18, 2019	Apr. 11, 2018	Apr. 06, 2018	Jan. 22, 2018	Dec. 31, 2017	Apr. 13, 2016	Feb. 16, 2016	Feb. 12, 2016
Preferred stock, shares issued		0	0		0	0		0	0	0
Preferred stock, shares outstanding		0	0		0	0		0	0	0
Share Repurchase Plan Percentage of Price per-Share Condition Two		100.00%			100.00%	100.00%			100.00%	100.00%
Stockholder Servicing Fee Incurred			$ 2,573,000	$ 8,069,000
Common stock, shares authorized		1,000,000,000	1,000,000,000		1,000,000,000	1,000,000,000		1,000,000,000	1,000,000,000	1,000,000,000
Granted (in shares)										105,000
Issuance of common stock under the DRIP		$ 19,862,000	$ 25,533,000	17,612,000			$ 31,021,000
Proceeds from Issuance of Common Stock, Dividend Reinvestment Plan								$ 52,630,000		$ 72,492,000
Issuance of common stock under the DRIP, shares							3,253,535	5,513,699		7,595,594
Selling Commissions Percentage						3.00%
Selling Commissions Expenses			2,241,000	6,983,000
Maximum percentage of dealer manager fee						3.00%
Percentage Of Dealer Manager Fee						1.00%
Dealer Manager Fees			759,000	$ 2,364,000
Stockholder daily servicing fee percentage						1.00%
Stockholder Servicing Fee Payable		$ 6,100,000	$ 12,610,000		$ 6,100,000	$ 6,100,000		$ 12,610,000	$ 6,100,000	$ 6,100,000
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	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	$ 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	$ 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%			92.50%	92.50%			92.50%	92.50%
Stock Acquired Average Cost Per Share		$ 9.34	$ 9.27	$ 9.45				$ 9.33		$ 9.33
Stock Repurchased During Period, Shares		664,932	928,675	350,418				1,356,839		2,021,771
Stock Repurchased During Period, Value		$ 6,214,000	$ 8,609,000	$ 3,312,000				$ 12,656,000		$ 18,870,000
Louisiana Senior Housing Portfolio [Member]
Joint venture ownership interest		90.00%			90.00%	90.00%			90.00%	90.00%
Net earning of joint venture allocated to noncontrolling interest		10.00%
Subsequent Event [Member]
Stock Acquired Average Cost Per Share	$ 9.86
Stock Repurchased During Period, Shares	72,339
Stock Repurchased During Period, Value	$ 713,000
Distribution Reinvestment Plan [Member]
Maximum amount of common stock issuable under public offering																			$ 150,000,000
Common Class T
Common stock, shares authorized		900,000,000	900,000,000		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	20,833	20,833
Par value of common stock to be offered and sold to the public		$ 0.01	$ 0.01		$ 0.01	$ 0.01		$ 0.01	$ 0.01	$ 0.01
Common Class I
Share price														$ 9.65		$ 9.21
Common stock, shares authorized		100,000,000	100,000,000		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		$ 0.01	$ 0.01		$ 0.01	$ 0.01		$ 0.01	$ 0.01	$ 0.01
Class T and Class I Common Stock
Subscriptions In Offering Of Common Stock Received And Accepted Shares							75,639,681			75,639,681
Advisor [Member]
Percentage Of Dealer Manager Fee						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		$ 9.54	$ 9.54	$ 9.65	$ 9.54	$ 9.54		$ 9.54	$ 9.54	$ 9.54
Two Thousand Fifteen Incentive Plan [Member] | Restricted Stock [Member]
Share-based Payment Arrangement, Expense		$ 215,000	$ 207,000	$ 185,000
Two Thousand Fifteen Incentive Plan [Member] | Restricted Stock [Member] | Re-elected or Newly Elected Independent Directors [Member]
Granted (in shares)		22,500	22,500	22,500
Share based compensation arrangement by share based payment award equity instruments other than options vesting percentage																		20.00%
Total Stockholders’ Equity
Issuance of common stock under the DRIP		$ 19,862,000	$ 25,533,000	$ 17,612,000
Stock Repurchased During Period, Value		6,214,000	8,609,000	3,312,000
Class T and Class I Common Stock
Issuance of common stock under the DRIP		$ 22,000	$ 26,000	$ 18,000
Issuance of common stock under the DRIP, shares		2,081,895	2,666,913	1,838,711
Shares, issued		81,339,337	79,899,874	69,254,971	81,339,337	81,339,337		79,899,874	81,339,337	81,339,337							42,207,160
Stock Repurchased During Period, Shares		664,932	928,675	350,418
Stock Repurchased During Period, Value		$ 7,000	$ 9,000	$ 4,000
Distribution Reinvestment Plan [Member]
Share price											$ 9.54	$ 9.54			$ 9.65
DRIP S-3 Public Offering [Member]
Maximum amount of common stock issuable under public offering													$ 100,000,000
Issuance of common stock under the DRIP					$ 41,471,000
Issuance of common stock under the DRIP, shares					4,342,059

Equity - Schedule of Historical

Equity - Schedule of Historical and Current Estimated Per Share NAV (Details) - $ / shares	Apr. 02, 2020	Apr. 04, 2019	Apr. 06, 2018
Distribution Reinvestment Plan [Member]
Class of Stock [Line Items]
Share price	$ 9.54	$ 9.54	$ 9.65

Related Party Transactions Addi

Related Party Transactions Additional Information (Detail)	12 Months Ended			35 Months Ended	46 Months Ended	59 Months Ended
	Dec. 31, 2020USD ($)	Dec. 31, 2019USD ($)shares	Dec. 31, 2018USD ($)shares	Dec. 31, 2020USD ($)	Dec. 31, 2020USD ($)	Dec. 31, 2020USD ($)Quarter	Apr. 11, 2018$ / shares	Jan. 22, 2018$ / shares	Dec. 31, 2017	Feb. 29, 2016	Feb. 16, 2016USD ($)
Related Party Transaction [Line Items]
Percentage Of Dealer Manager Fee				1.00%
Due to Affiliate	$ 1,046,000	$ 1,016,000		$ 1,046,000	$ 1,046,000	$ 1,046,000
Maximum percentage Of Fees And Expenses Associated With Acquisition	6.00%	6.00%	6.00%			6.00%
Minimum Investment Rate By Officer EVP									5.00%
Maximum Investment Rate By Officer EVP									15.00%
Related party transaction, expenses from transactions with related party	$ 13,350,000	$ 16,296,000	$ 22,355,000
Maximum percentage of dealer manager fee				3.00%
Issuance of common stock		88,715,000	$ 255,252,000
Contingent Advisor Payment Incurred [Member]
Related Party Transaction [Line Items]
Base Acquisition Fee For Property Acquired			2.25%
Related party transaction, expenses from transactions with related party	20,982,000	20,982,000
Base Acquisition Fee Paid [Member]
Related Party Transaction [Line Items]
Base Acquisition Fee For Property Acquired			2.25%
Related party transaction, expenses from transactions with related party	1,485,000	4,595,000	$ 10,096,000
Operating Expenses [Member]
Related Party Transaction [Line Items]
Due to Affiliate	10,000	12,000		$ 10,000	$ 10,000	$ 10,000
Related party transaction, expenses from transactions with related party	$ 159,000	$ 132,000	65,000
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%
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%
Advisor [Member]
Related Party Transaction [Line Items]
Percentage Of Dealer Manager Fee				2.00%
Acquisition Fee Of Contract Purchase Price For Property Acquired	4.50%
Base Acquisition Fee For Property Acquired	2.25%
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	$ 87,000	$ 34,000	6,000
Asset Management [Member]
Related Party Transaction [Line Items]
Related party transaction, expenses from transactions with related party	9,732,000	8,276,000	4,975,000
Construction Management Fee [Member]
Related Party Transaction [Line Items]
Related party transaction, expenses from transactions with related party	$ 99,000	$ 155,000	$ 28,000
Operating Expenses [Member]
Related Party Transaction [Line Items]
Percentage Of Operating Expenses Of Average Invested Assets	1.20%	1.20%	1.20%
Percentage Of Operating Expenses Of Net Income	38.10%	37.20%	28.30%
Lease Commissions [Member]
Related Party Transaction [Line Items]
Related party transaction, expenses from transactions with related party	$ 333,000	$ 83,000	$ 94,000
Reimbursement of acquisition expenses [Member]
Related Party Transaction [Line Items]
Related party transaction, expenses from transactions with related party	1,000	0	2,000
Property Management Fees [Member]
Related Party Transaction [Line Items]
Related party transaction, expenses from transactions with related party	$ 1,454,000	1,220,000	746,000
Executive Officer [Member]
Related Party Transaction [Line Items]
Issuance of common stock		$ 34,000	$ 1,078,000
Issuance of common stock, number of shares | shares		3,346	113,658
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		$ 1,687,000	$ 4,878,000
Other organizational and offering expenses [Member] | Contingent Advisor Payment Incurred [Member]
Related Party Transaction [Line Items]
Due to Affiliate		$ 114,000	$ 1,465,000
Common Class I
Related Party Transaction [Line Items]
Share price | $ / shares							$ 9.65	$ 9.21
Maximum percentage of dealer manager fee					1.50%

Related Party Transactions Sche

Related Party Transactions Schedule of Amount Outstanding to Affiliates (Details) - USD ($)	Dec. 31, 2020	Dec. 31, 2019
Related Party Transaction [Line Items]
Due to Affiliate	$ 1,046,000	$ 1,016,000
Asset Management Fees [Member]
Related Party Transaction [Line Items]
Due to Affiliate	814,000	768,000
Property Management Fees [Member]
Related Party Transaction [Line Items]
Due to Affiliate	117,000	145,000
Acquisition and development fees [Member]
Related Party Transaction [Line Items]
Due to Affiliate	64,000	5,000
Construction Management Fee [Member]
Related Party Transaction [Line Items]
Due to Affiliate	33,000	65,000
Operating Expenses [Member]
Related Party Transaction [Line Items]
Due to Affiliate	10,000	12,000
Lease Commissions [Member]
Related Party Transaction [Line Items]
Due to Affiliate	$ 8,000	$ 21,000

Fair Value Measurements Fair Va

Fair Value Measurements Fair Value Measurements- Assets and Liabilities Measured at Fair Value on Recurring Basis (Details) - Fair Value, Recurring [Member] - USD ($)	Dec. 31, 2020	Dec. 31, 2019
Derivative financial instruments	$ 5,255,000	$ 4,385,000
Fair Value, Inputs, Level 1 [Member]
Derivative financial instruments	0	0
Fair Value, Inputs, Level 2 [Member]
Derivative financial instruments	5,255,000	4,385,000
Fair Value, Inputs, Level 3 [Member]
Derivative financial instruments	$ 0	$ 0

Fair Value Measurements Fair _2

Fair Value Measurements Fair Value by Balance Sheet Grouping (Details) - USD ($)	Dec. 31, 2020		Dec. 31, 2019		Dec. 31, 2018
Carrying Amount(1)
Mortgage loans payable	$ 17,827,000	[1]	$ 26,070,000	[1]	$ 16,892,000
Line of credit and term loans	475,176,000		393,217,000
Fair Value
Mortgage loans payable	22,052,000		26,677,000
Line of credit and term loans	$ 477,651,000		$ 396,891,000
[1]	Such liabilities of Griffin-American Healthcare REIT IV, Inc. as of December 31, 2020 and 2019 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, or VIE, 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, as defined in Note 7, held by Griffin-American Healthcare REIT IV Holdings, LP in the amount of $476,900,000 and $396,800,000 as of December 31, 2020 and 2019, respectively, which is guaranteed by Griffin-American Healthcare REIT IV, Inc.

Income Taxes - Income Tax Expen

Income Taxes - Income Tax Expense (Benefit) (Details) - USD ($)	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Income Tax Disclosure [Abstract]
Federal deferred	$ (3,336,000)	$ (1,087,000)	$ (2,593,000)
State deferred	(1,097,000)	(100,000)	(675,000)
Federal current	0	0	0
State current	0	(8,000)	8,000
Valuation allowance	4,433,000	1,187,000	3,268,000
Total income tax (benefit) expense	$ 0	$ (8,000)	$ 8,000

Income Taxes - Deferred Taxes (

Income Taxes - Deferred Taxes (Details) - USD ($)	Dec. 31, 2020	Dec. 31, 2019
Income Taxes and Distributions [Abstract]
Fixed assets and intangibles	$ 3,982,000	$ 2,455,000
Expense accruals and other	1,076,000	620,000
Net operating loss	4,306,000	1,856,000
Valuation allowances	(9,364,000)	(4,931,000)
Total deferred income tax assets	0	0
Operating Loss Carryforwards	$ 16,158,000	$ 7,179,000

Income Taxes Tax Treatment of D

Income Taxes Tax Treatment of Distributions (Details) - USD ($)	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Income Tax Disclosure [Abstract]
Ordinary income	$ 5,479,000	$ 10,099,000	$ 11,909,000
Capital gain	0	0	0
Return of capital	32,193,000	36,317,000	19,673,000
Total tax treatment of distributions	$ 37,672,000	$ 46,416,000	$ 31,582,000
Ordinary income (as a percent)	14.50%	21.80%	37.70%
Capital gain (as a percent)	0.00%	0.00%	0.00%
Return of capital (as a percent)	85.50%	78.20%	62.30%
Total tax treatment of distributions (as a percent)	100.00%	100.00%	100.00%

Leases Lessor, Future Minimum R

Leases Lessor, Future Minimum Rents Due (Details)	Dec. 31, 2020USD ($)
Leases [Abstract]
2021	$ 64,261,000
2022	61,691,000
2023	57,193,000
2024	51,590,000
2025	45,136,000
Thereafter	266,446,000
Total	$ 546,317,000

Leases Additional (Details)

Leases Additional (Details) - USD ($)	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Leases [Abstract]
Real estate revenue	$ 86,321,000	$ 74,610,000	$ 47,599,000
Variable lease payments	$ 18,372,000	$ 14,878,000

Leases Components of Lease Cost

Leases Components of Lease Cost (Details) - USD ($)	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019
Leases [Abstract]
Operating Lease, Cost	$ 862,000	$ 735,000

Leases Lease Term and Discount

Leases Lease Term and Discount Rate (Details) - USD ($)	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019
Leases [Abstract]
Weighted average remaining lease term (in years)	79 years 6 months	80 years 4 months 24 days
Weighted average discount rate	5.74%	5.74%
Operating cash outflows related to operating leases	$ 518,000	$ 458,000
Right-of-use assets obtained in exchange for operating lease liabilities	$ 0	$ 4,489,000

Leases Future Minimum Rent Paym

Leases Future Minimum Rent Payments, Operating Leases (Details) - USD ($)		Dec. 31, 2020	Dec. 31, 2019
Leases [Abstract]
2021		$ 523,000
2022		526,000
2023		530,000
2024		534,000
2025		538,000
Thereafter		46,565,000
Total operating lease payments		49,216,000
Less: interest		39,312,000
Present value of operating lease liabilities	[1]	$ 9,904,000	$ 9,858,000
[1]	Such liabilities of Griffin-American Healthcare REIT IV, Inc. as of December 31, 2020 and 2019 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, or VIE, 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, as defined in Note 7, held by Griffin-American Healthcare REIT IV Holdings, LP in the amount of $476,900,000 and $396,800,000 as of December 31, 2020 and 2019, respectively, which is guaranteed by Griffin-American Healthcare REIT IV, Inc.

Segment Reporting - Summary Inf

Segment Reporting - Summary Information for Reportable Segments (Detail) - USD ($)	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Revenues and grant income:
Real estate revenue	$ 86,321,000	$ 74,610,000	$ 47,599,000
Resident fees and services	67,793,000	46,160,000	36,857,000
Grant income	1,005,000	0	0
Total revenues and grant income	155,119,000	120,770,000	84,456,000
Revenues		120,770,000	84,456,000
Expenses:
Rental expenses	23,450,000	19,226,000	11,499,000
Property operating expenses	60,224,000	37,434,000	30,023,000
Segment net operating income	71,445,000	64,110,000	42,934,000
Operating Expenses [Abstract]
General and administrative	16,691,000	15,235,000	9,172,000
Acquisition related expenses	(160,000)	1,974,000	2,795,000
Depreciation and amortization	50,304,000	45,626,000	32,658,000
Other income (expense):
Interest expense (including amortization of deferred financing costs and debt discount/premium)	(19,955,000)	(16,191,000)	(6,788,000)
Loss in fair value of derivative financial instruments	(870,000)	(4,385,000)	0
Impairment of real estate investments	(3,642,000)	0	0
Income (loss) from unconsolidated entity	629,000	267,000	(110,000)
Other income	286,000	175,000	11,000
Loss before income taxes	(18,942,000)	(18,859,000)	(8,578,000)
Income tax benefit (expense)	0	8,000	(8,000)
Net loss	(18,942,000)	(18,851,000)	(8,586,000)
Medical Office Building [Member]
Revenues and grant income:
Real estate revenue	65,509,000	54,508,000	34,339,000
Total revenues and grant income	65,509,000
Revenues		54,508,000	34,339,000
Expenses:
Rental expenses	22,068,000	17,528,000	9,934,000
Segment net operating income	43,441,000	36,980,000	24,405,000
Senior Housing-RIDEA [Member]
Revenues and grant income:
Resident fees and services	67,793,000	46,160,000	36,857,000
Grant income	1,005,000
Total revenues and grant income	68,798,000
Revenues		46,160,000	36,857,000
Expenses:
Property operating expenses	60,224,000	37,434,000	30,023,000
Segment net operating income	8,574,000	8,726,000	6,834,000
Senior Housing [Member]
Revenues and grant income:
Real estate revenue	8,844,000	8,421,000	8,994,000
Total revenues and grant income	8,844,000
Revenues		8,421,000	8,994,000
Expenses:
Rental expenses	806,000	1,142,000	1,214,000
Segment net operating income	8,038,000	7,279,000	7,780,000
Skilled Nursing Facilities [Member]
Revenues and grant income:
Real estate revenue	11,968,000	11,681,000	4,266,000
Total revenues and grant income	11,968,000
Revenues		11,681,000	4,266,000
Expenses:
Rental expenses	576,000	556,000	351,000
Segment net operating income	$ 11,392,000	$ 11,125,000	$ 3,915,000

Segment Reporting - Assets by R

Segment Reporting - Assets by Reportable Segment (Details)	Dec. 31, 2020USD ($)segment	Dec. 31, 2020USD ($)segment	Dec. 31, 2019USD ($)
Assets by Reportable Segment
Number of Reportable Segments | segment	4	4
Total assets	$ 1,092,773,000	$ 1,092,773,000	$ 1,068,327,000
Medical Office Building [Member]
Assets by Reportable Segment
Total assets	583,131,000	583,131,000	600,048,000
Senior Housing-RIDEA [Member]
Assets by Reportable Segment
Total assets	238,910,000	238,910,000	149,055,000
Skilled Nursing Facilities [Member]
Assets by Reportable Segment
Total assets	119,247,000	119,247,000	121,749,000
Senior Housing [Member]
Assets by Reportable Segment
Total assets	100,370,000	100,370,000	142,982,000
Other Segments [Member]
Assets by Reportable Segment
Total assets	$ 51,115,000	$ 51,115,000	$ 54,493,000

Concentration of Credit Risk -

Concentration of Credit Risk - Additional Information (Detail)	Dec. 31, 2020Statetenantsegment	Dec. 31, 2020segmenttenantState
Concentration of Credit Risk
Number of tenants with more than ten percent of annual base rent | tenant	1	1
Minimum percent share of annualized base rent accounted by tenants	10.00%	10.00%
Minimum Percent Share Of Each State Annualized Base Rent That Company Owned	10.00%	10.00%
Number of Reportable Segments | segment	4	4
Concentration Risk Number Of States That Generated At Least Ten Percent Of Annualized Base Rent | State	2	2
Medical Office Building [Member]
Concentration of Credit Risk
Percentage of annual base rent	65.00%	65.00%
Senior Housing [Member]
Concentration of Credit Risk
Percentage of annual base rent	10.10%	10.10%
Skilled Nursing Facilities [Member]
Concentration of Credit Risk
Percentage of annual base rent	14.40%	14.40%
Senior Housing-RIDEA [Member]
Concentration of Credit Risk
Percentage of annual base rent	10.50%	10.50%
MISSOURI
Concentration of Credit Risk
Percentage of annual base rent	12.10%	12.10%
MICHIGAN
Concentration of Credit Risk
Percentage of annual base rent	10.10%	10.10%

Concentration of Credit Risk _2

Concentration of Credit Risk - Schedule of Annualized Base Rent from Tenants at Consolidated Properties (Detail) - RC Tier Properties, LLC [Member]	12 Months Ended
	Dec. 31, 2020USD ($)ft²
Annualized Base Rent From Tenants At Consolidated Properties [Line Items]
Annual base rent | $	$ 7,937,000
Percentage of annual base rent	11.00%
Reportable Segment	Skilled Nursing
GLA (Sq Ft) | ft²	385,000
Lease Expiration Date	Sep. 30, 2033

Per Share Data (Detail)

Per Share Data (Detail) - USD ($)	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Participating securities, distributed and undistributed earnings (loss), basic	$ 20,000	$ 24,000	$ 19,000
Restricted Common Stock [Member]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive securities excluded from computation of earnings per share	45,000	43,500
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

Schedule III Real Estate and _2

Schedule III Real Estate and Accumulated Depreciation (Details) - USD ($)	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
Real Estate and Accumulated Depreciation [Line Items]
Ownership Percentage, Properties	100.00%	100.00%
Encumbrances	$ 18,766,000
Initial Cost to Company, Land	111,021,000
Initial Cost to Company, Building and Improvements	878,763,000
Cost Capitalized Subsequent to Acquisition	20,407,000
Gross Amount of Which Carried at Close of Period, Land	111,027,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	899,165,000
Gross Amount of Which Carried at Close of Period, Total	1,010,192,000	$ 946,118,000	$ 756,988,000	$ 428,550,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(82,246,000)	$ (51,058,000)	$ (25,312,000)	$ (8,885,000)
Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	18,766,000
Initial Cost to Company, Land	111,021,000
Initial Cost to Company, Building and Improvements	878,763,000
Cost Capitalized Subsequent to Acquisition	20,381,000
Gross Amount of Which Carried at Close of Period, Land	111,027,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	899,139,000
Gross Amount of Which Carried at Close of Period, Total	1,010,166,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(82,246,000)
Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	0
Initial Cost to Company, Building and Improvements	0
Cost Capitalized Subsequent to Acquisition	26,000
Gross Amount of Which Carried at Close of Period, Land	0
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	26,000
Gross Amount of Which Carried at Close of Period, Total	26,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	0
Auburn MOB [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	406,000
Initial Cost to Company, Building and Improvements	4,600,000
Cost Capitalized Subsequent to Acquisition	230,000
Gross Amount of Which Carried at Close of Period, Land	406,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	4,830,000
Gross Amount of Which Carried at Close of Period, Total	5,236,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(740,000)
Pottsville MOB [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,493,000
Initial Cost to Company, Building and Improvements	7,050,000
Cost Capitalized Subsequent to Acquisition	118,000
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	7,168,000
Gross Amount of Which Carried at Close of Period, Total	8,661,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(1,232,000)
Charlottesville MOB [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	4,768,000
Initial Cost to Company, Building and Improvements	13,330,000
Cost Capitalized Subsequent to Acquisition	83,000
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	13,413,000
Gross Amount of Which Carried at Close of Period, Total	18,181,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(2,098,000)
Rochester Hills MOB [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	2,805,000
Initial Cost to Company, Land	1,727,000
Initial Cost to Company, Building and Improvements	5,763,000
Cost Capitalized Subsequent to Acquisition	284,000
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	6,047,000
Gross Amount of Which Carried at Close of Period, Total	7,774,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(1,036,000)
Cullman MOB [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	0
Initial Cost to Company, Building and Improvements	13,989,000
Cost Capitalized Subsequent to Acquisition	101,000
Gross Amount of Which Carried at Close of Period, Land	0
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	14,090,000
Gross Amount of Which Carried at Close of Period, Total	14,090,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(1,781,000)
Iron MOB Portfolio [Member] | Iron MOB Portfolio One [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	0
Initial Cost to Company, Building and Improvements	10,237,000
Cost Capitalized Subsequent to Acquisition	1,221,000
Gross Amount of Which Carried at Close of Period, Land	0
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	11,458,000
Gross Amount of Which Carried at Close of Period, Total	11,458,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(1,775,000)
Iron MOB Portfolio [Member] | Iron MOB Portfolio Two [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	0
Initial Cost to Company, Building and Improvements	6,906,000
Cost Capitalized Subsequent to Acquisition	1,203,000
Gross Amount of Which Carried at Close of Period, Land	0
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	8,109,000
Gross Amount of Which Carried at Close of Period, Total	8,109,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(1,222,000)
Iron MOB Portfolio [Member] | Iron MOB Portfolio Three [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	0
Initial Cost to Company, Building and Improvements	7,907,000
Cost Capitalized Subsequent to Acquisition	73,000
Gross Amount of Which Carried at Close of Period, Land	0
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	7,980,000
Gross Amount of Which Carried at Close of Period, Total	7,980,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(970,000)
Mint Hill MOB [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	0
Initial Cost to Company, Building and Improvements	16,585,000
Cost Capitalized Subsequent to Acquisition	1,127,000
Gross Amount of Which Carried at Close of Period, Land	0
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	17,712,000
Gross Amount of Which Carried at Close of Period, Total	17,712,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(2,929,000)
Lafayette Assisted Living Portfolio [Member] | Lafayette Assisted Living Portfolio One [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,327,000
Initial Cost to Company, Building and Improvements	8,225,000
Cost Capitalized Subsequent to Acquisition	217,000
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	8,442,000
Gross Amount of Which Carried at Close of Period, Total	9,769,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(979,000)
Lafayette Assisted Living Portfolio [Member] | Lafayette Assisted Living Portfolio Two [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	980,000
Initial Cost to Company, Building and Improvements	4,244,000
Cost Capitalized Subsequent to Acquisition	18,000
Gross Amount of Which Carried at Close of Period, Land	980,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	4,262,000
Gross Amount of Which Carried at Close of Period, Total	5,242,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(520,000)
Evendale MOB [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,620,000
Initial Cost to Company, Building and Improvements	7,583,000
Cost Capitalized Subsequent to Acquisition	848,000
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	8,431,000
Gross Amount of Which Carried at Close of Period, Total	10,051,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(1,412,000)
Battle Creek MOB [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	960,000
Initial Cost to Company, Building and Improvements	5,717,000
Cost Capitalized Subsequent to Acquisition	429,000
Gross Amount of Which Carried at Close of Period, Land	960,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	6,146,000
Gross Amount of Which Carried at Close of Period, Total	7,106,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(1,064,000)
Reno MOB [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	0
Initial Cost to Company, Building and Improvements	64,718,000
Cost Capitalized Subsequent to Acquisition	906,000
Gross Amount of Which Carried at Close of Period, Land	0
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	65,624,000
Gross Amount of Which Carried at Close of Period, Total	65,624,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(6,984,000)
Athens MOB [Member] | Athens MOB Portfolio One [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	809,000
Initial Cost to Company, Building and Improvements	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	(750,000)
Athens MOB [Member] | Athens MOB Portfolio Two [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,084,000
Initial Cost to Company, Building and Improvements	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	(1,080,000)
SW Illinois Senior Housing Portfolio [Member] | SW Illinois Senior Housing Portfolio One [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,086,000
Initial Cost to Company, Building and Improvements	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	(1,225,000)
SW Illinois Senior Housing Portfolio [Member] | SW Illinois Senior Housing Portfolio Two [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	121,000
Initial Cost to Company, Building and Improvements	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	(187,000)
SW Illinois Senior Housing Portfolio [Member] | SW Illinois Senior Housing Portfolio Three [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	203,000
Initial Cost to Company, Building and Improvements	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	(419,000)
SW Illinois Senior Housing Portfolio [Member] | SW Illinois Senior Housing Portfolio Four [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	198,000
Initial Cost to Company, Building and Improvements	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	(406,000)
SW Illinois Senior Housing Portfolio [Member] | SW Illinois Senior Housing Portfolio Five [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	470,000
Initial Cost to Company, Building and Improvements	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	(883,000)
Lawrenceville MOB [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,363,000
Initial Cost to Company, Building and Improvements	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	(1,218,000)
Northern California Senior Housing Portfolio [Member] | Northern California Senior Housing Portfolio One [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	10,760,000
Initial Cost to Company, Building and Improvements	13,631,000
Cost Capitalized Subsequent to Acquisition	(226,000)
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	13,405,000
Gross Amount of Which Carried at Close of Period, Total	24,165,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(1,338,000)
Northern California Senior Housing Portfolio [Member] | Northern California Senior Housing Portfolio Two [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	317,000
Initial Cost to Company, Building and Improvements	6,584,000
Cost Capitalized Subsequent to Acquisition	(2,214,000)
Gross Amount of Which Carried at Close of Period, Land	317,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	4,370,000
Gross Amount of Which Carried at Close of Period, Total	4,687,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(666,000)
Northern California Senior Housing Portfolio [Member] | Northern California Senior Housing Portfolio Three [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	5,188,000
Initial Cost to Company, Building and Improvements	2,177,000
Cost Capitalized Subsequent to Acquisition	(51,000)
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	2,126,000
Gross Amount of Which Carried at Close of Period, Total	7,314,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(206,000)
Northern California Senior Housing Portfolio [Member] | Northern California Senior Housing Portfolio Four [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,266,000
Initial Cost to Company, Building and Improvements	2,818,000
Cost Capitalized Subsequent to Acquisition	(1,438,000)
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	1,380,000
Gross Amount of Which Carried at Close of Period, Total	2,646,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(301,000)
Roseburg MOB [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	0
Initial Cost to Company, Building and Improvements	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	(2,313,000)
Fairfield County MOB [Member] | Fairfield County MOB Portfolio One [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,011,000
Initial Cost to Company, Building and Improvements	3,538,000
Cost Capitalized Subsequent to Acquisition	356,000
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	3,894,000
Gross Amount of Which Carried at Close of Period, Total	4,905,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(681,000)
Fairfield County MOB [Member] | Fairfield County MOB Portfolio Two [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	2,250,000
Initial Cost to Company, Building and Improvements	6,879,000
Cost Capitalized Subsequent to Acquisition	692,000
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	7,571,000
Gross Amount of Which Carried at Close of Period, Total	9,821,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(1,048,000)
Central Florida Senior Housing Portfolio [Member] | Central Florida Senior Housing Portfolio One [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,058,000
Initial Cost to Company, Building and Improvements	5,118,000
Cost Capitalized Subsequent to Acquisition	518,000
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	5,636,000
Gross Amount of Which Carried at Close of Period, Total	6,694,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(687,000)
Central Florida Senior Housing Portfolio [Member] | Central Florida Senior Housing Portfolio Two [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,377,000
Initial Cost to Company, Building and Improvements	10,217,000
Cost Capitalized Subsequent to Acquisition	844,000
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	11,060,000
Gross Amount of Which Carried at Close of Period, Total	12,438,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(1,657,000)
Central Florida Senior Housing Portfolio [Member] | Central Florida Senior Housing Portfolio Three [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	934,000
Initial Cost to Company, Building and Improvements	6,550,000
Cost Capitalized Subsequent to Acquisition	559,000
Gross Amount of Which Carried at Close of Period, Land	934,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	7,109,000
Gross Amount of Which Carried at Close of Period, Total	8,043,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(867,000)
Central Florida Senior Housing Portfolio [Member] | Central Florida Senior Housing Portfolio Four [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	949,000
Initial Cost to Company, Building and Improvements	3,476,000
Cost Capitalized Subsequent to Acquisition	178,000
Gross Amount of Which Carried at Close of Period, Land	950,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	3,653,000
Gross Amount of Which Carried at Close of Period, Total	4,603,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(487,000)
Central Florida Senior Housing Portfolio [Member] | Central Florida Senior Housing Portfolio Five [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	528,000
Initial Cost to Company, Building and Improvements	17,541,000
Cost Capitalized Subsequent to Acquisition	757,000
Gross Amount of Which Carried at Close of Period, Land	529,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	18,297,000
Gross Amount of Which Carried at Close of Period, Total	18,826,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(1,671,000)
Central Florida Senior Housing Portfolio [Member] | Central Florida Senior Housing Portfolio Six [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,118,000
Initial Cost to Company, Building and Improvements	9,005,000
Cost Capitalized Subsequent to Acquisition	40,000
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	9,045,000
Gross Amount of Which Carried at Close of Period, Total	10,163,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(877,000)
Central Florida Senior Housing Portfolio [Member] | Central Florida Senior Housing Portfolio Seven [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	2,782,000
Initial Cost to Company, Building and Improvements	10,019,000
Cost Capitalized Subsequent to Acquisition	994,000
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	11,012,000
Gross Amount of Which Carried at Close of Period, Total	13,795,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(1,278,000)
Central Florida Senior Housing Portfolio [Member] | Central Florida Senior Housing Portfolio Eight [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	930,000
Initial Cost to Company, Building and Improvements	6,241,000
Cost Capitalized Subsequent to Acquisition	2,475,000
Gross Amount of Which Carried at Close of Period, Land	930,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	8,716,000
Gross Amount of Which Carried at Close of Period, Total	9,646,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(1,506,000)
Central Florida Senior Housing Portfolio [Member] | Central Florida Senior Housing Portfolio Nine [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	3,118,000
Initial Cost to Company, Building and Improvements	21,973,000
Cost Capitalized Subsequent to Acquisition	516,000
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	22,488,000
Gross Amount of Which Carried at Close of Period, Total	25,607,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(2,629,000)
Central Wisconsin Senior Care Portfolio [Member] | Central Wisconsin Senior Care Portfolio One [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	587,000
Initial Cost to Company, Building and Improvements	3,487,000
Cost Capitalized Subsequent to Acquisition	2,000
Gross Amount of Which Carried at Close of Period, Land	587,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	3,489,000
Gross Amount of Which Carried at Close of Period, Total	4,076,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(346,000)
Central Wisconsin Senior Care Portfolio [Member] | Central Wisconsin Senior Care Portfolio Two [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,930,000
Initial Cost to Company, Building and Improvements	14,352,000
Cost Capitalized Subsequent to Acquisition	660,000
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	15,012,000
Gross Amount of Which Carried at Close of Period, Total	16,942,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(1,460,000)
Sauk Prairie MOB [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	2,154,000
Initial Cost to Company, Building and Improvements	15,194,000
Cost Capitalized Subsequent to Acquisition	35,000
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	15,229,000
Gross Amount of Which Carried at Close of Period, Total	17,383,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(1,579,000)
Surprise MOB [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,759,000
Initial Cost to Company, Building and Improvements	9,037,000
Cost Capitalized Subsequent to Acquisition	329,000
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	9,366,000
Gross Amount of Which Carried at Close of Period, Total	11,125,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(923,000)
Southfield MOB [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	5,782,000
Initial Cost to Company, Land	1,639,000
Initial Cost to Company, Building and Improvements	12,907,000
Cost Capitalized Subsequent to Acquisition	395,000
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	13,302,000
Gross Amount of Which Carried at Close of Period, Total	14,941,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(1,377,000)
Pinnacle Beaumont ALF [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,586,000
Initial Cost to Company, Building and Improvements	17,483,000
Cost Capitalized Subsequent to Acquisition	67,000
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	17,550,000
Gross Amount of Which Carried at Close of Period, Total	19,136,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(1,245,000)
Grand Junction MOB [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,315,000
Initial Cost to Company, Building and Improvements	27,528,000
Cost Capitalized Subsequent to Acquisition	3,000
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	27,531,000
Gross Amount of Which Carried at Close of Period, Total	28,846,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(2,153,000)
Edmonds MOB [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	4,167,000
Initial Cost to Company, Building and Improvements	16,770,000
Cost Capitalized Subsequent to Acquisition	361,000
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	17,131,000
Gross Amount of Which Carried at Close of Period, Total	21,298,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(1,313,000)
Pinnacle Warrenton ALF [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	462,000
Initial Cost to Company, Building and Improvements	7,125,000
Cost Capitalized Subsequent to Acquisition	540,000
Gross Amount of Which Carried at Close of Period, Land	462,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	7,665,000
Gross Amount of Which Carried at Close of Period, Total	8,127,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(609,000)
Glendale MOB [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	794,000
Initial Cost to Company, Building and Improvements	5,541,000
Cost Capitalized Subsequent to Acquisition	551,000
Gross Amount of Which Carried at Close of Period, Land	794,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	6,092,000
Gross Amount of Which Carried at Close of Period, Total	6,886,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(684,000)
Missouri Skilled Nursing Facility Portfolio [Member] | Missouri SNF Portfolio One [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,064,000
Initial Cost to Company, Building and Improvements	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	(697,000)
Missouri Skilled Nursing Facility Portfolio [Member] | Missouri SNF Portfolio Two [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,710,000
Initial Cost to Company, Building and Improvements	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	(873,000)
Missouri Skilled Nursing Facility Portfolio [Member] | Missouri SNF Portfolio Three [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	181,000
Initial Cost to Company, Building and Improvements	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	(435,000)
Missouri Skilled Nursing Facility Portfolio [Member] | Missouri SNF Portfolio Four [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	473,000
Initial Cost to Company, Building and Improvements	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	(699,000)
Missouri Skilled Nursing Facility Portfolio [Member] | Missouri SNF Portfolio Five [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	252,000
Initial Cost to Company, Building and Improvements	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	(549,000)
Missouri Skilled Nursing Facility Portfolio [Member] | Missouri SNF Portfolio Six [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	266,000
Initial Cost to Company, Building and Improvements	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	(1,429,000)
Missouri Skilled Nursing Facility Portfolio [Member] | Missouri SNF Portfolio Seven [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	329,000
Initial Cost to Company, Building and Improvements	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	(320,000)
Missouri Skilled Nursing Facility Portfolio [Member] | Missouri SNF Portfolio Eight [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	122,000
Initial Cost to Company, Building and Improvements	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	(318,000)
Flemington MOB [Member] | Flemington MOB Portfolio One [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,473,000
Initial Cost to Company, Building and Improvements	10,728,000
Cost Capitalized Subsequent to Acquisition	161,000
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	10,889,000
Gross Amount of Which Carried at Close of Period, Total	12,362,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(805,000)
Flemington MOB [Member] | Flemington MOB Portfolio Two [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	586,000
Initial Cost to Company, Building and Improvements	2,949,000
Cost Capitalized Subsequent to Acquisition	51,000
Gross Amount of Which Carried at Close of Period, Land	586,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	3,000,000
Gross Amount of Which Carried at Close of Period, Total	3,586,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(258,000)
Lawrenceville MOB II [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,000,000
Initial Cost to Company, Building and Improvements	7,737,000
Cost Capitalized Subsequent to Acquisition	305,000
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	8,042,000
Gross Amount of Which Carried at Close of Period, Total	9,042,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(714,000)
Mill Creek MOB [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,453,000
Initial Cost to Company, Building and Improvements	5,935,000
Cost Capitalized Subsequent to Acquisition	8,000
Gross Amount of Which Carried at Close of Period, Land	1,453,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	5,943,000
Gross Amount of Which Carried at Close of Period, Total	7,396,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(396,000)
Modesto MOB [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	0
Initial Cost to Company, Building and Improvements	12,789,000
Cost Capitalized Subsequent to Acquisition	471,000
Gross Amount of Which Carried at Close of Period, Land	0
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	13,260,000
Gross Amount of Which Carried at Close of Period, Total	13,260,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(898,000)
Michigan ALF Portfolio [Member] | Michigan ALF Portfolio One [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,334,000
Initial Cost to Company, Building and Improvements	8,422,000
Cost Capitalized Subsequent to Acquisition	1,000
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	8,423,000
Gross Amount of Which Carried at Close of Period, Total	9,757,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(496,000)
Michigan ALF Portfolio [Member] | Michigan ALF Portfolio Two [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	10,179,000
Initial Cost to Company, Land	1,382,000
Initial Cost to Company, Building and Improvements	10,740,000
Cost Capitalized Subsequent to Acquisition	1,000
Gross Amount of Which Carried at Close of Period, Land	1,382,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	10,741,000
Gross Amount of Which Carried at Close of Period, Total	12,123,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(587,000)
Michigan ALF Portfolio [Member] | Michigan ALF Portfolio Three [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	799,000
Initial Cost to Company, Building and Improvements	6,984,000
Cost Capitalized Subsequent to Acquisition	3,000
Gross Amount of Which Carried at Close of Period, Land	799,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	6,987,000
Gross Amount of Which Carried at Close of Period, Total	7,786,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(477,000)
Michigan ALF Portfolio [Member] | Michigan ALF Portfolio Four [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	728,000
Initial Cost to Company, Building and Improvements	5,404,000
Cost Capitalized Subsequent to Acquisition	1,000
Gross Amount of Which Carried at Close of Period, Land	728,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	5,405,000
Gross Amount of Which Carried at Close of Period, Total	6,133,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(326,000)
Michigan ALF Portfolio [Member] | Michigan ALF Portfolio Five [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,175,000
Initial Cost to Company, Building and Improvements	12,052,000
Cost Capitalized Subsequent to Acquisition	2,000
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	12,054,000
Gross Amount of Which Carried at Close of Period, Total	13,229,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(689,000)
Michigan ALF Portfolio [Member] | Michigan ALF Portfolio Six [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,542,000
Initial Cost to Company, Building and Improvements	12,873,000
Cost Capitalized Subsequent to Acquisition	2,000
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	12,875,000
Gross Amount of Which Carried at Close of Period, Total	14,417,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(746,000)
Lithonia MOB [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,129,000
Initial Cost to Company, Building and Improvements	8,842,000
Cost Capitalized Subsequent to Acquisition	15,000
Gross Amount of Which Carried at Close of Period, Land	1,129,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	8,857,000
Gross Amount of Which Carried at Close of Period, Total	9,986,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(667,000)
West Des Moines SNF [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	672,000
Initial Cost to Company, Building and Improvements	5,753,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	672,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	5,753,000
Gross Amount of Which Carried at Close of Period, Total	6,425,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(318,000)
Great Nord MOB Portfolio [Member] | Great Nord MOB Portfolio One [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	0
Initial Cost to Company, Building and Improvements	12,976,000
Cost Capitalized Subsequent to Acquisition	16,000
Gross Amount of Which Carried at Close of Period, Land	0
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	12,992,000
Gross Amount of Which Carried at Close of Period, Total	12,992,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(845,000)
Great Nord MOB Portfolio [Member] | Great Nord MOB Portfolio Two [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	539,000
Initial Cost to Company, Building and Improvements	8,937,000
Cost Capitalized Subsequent to Acquisition	46,000
Gross Amount of Which Carried at Close of Period, Land	540,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	8,982,000
Gross Amount of Which Carried at Close of Period, Total	9,522,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(545,000)
Great Nord MOB Portfolio [Member] | Great Nord MOB Portfolio Three [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	283,000
Initial Cost to Company, Building and Improvements	4,882,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	283,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	4,882,000
Gross Amount of Which Carried at Close of Period, Total	5,165,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(289,000)
Great Nord MOB Portfolio [Member] | Great Nord MOB Portfolio Four [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,452,000
Initial Cost to Company, Building and Improvements	11,126,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	1,451,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	11,127,000
Gross Amount of Which Carried at Close of Period, Total	12,578,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(619,000)
Overland Park MOB [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	2,437,000
Initial Cost to Company, Building and Improvements	23,169,000
Cost Capitalized Subsequent to Acquisition	4,243,000
Gross Amount of Which Carried at Close of Period, Land	2,437,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	27,412,000
Gross Amount of Which Carried at Close of Period, Total	29,849,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(1,194,000)
Blue Badger MOB [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,838,000
Initial Cost to Company, Building and Improvements	10,646,000
Cost Capitalized Subsequent to Acquisition	1,000
Gross Amount of Which Carried at Close of Period, Land	1,838,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	10,647,000
Gross Amount of Which Carried at Close of Period, Total	12,485,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(481,000)
Bloomington MOB [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	3,178,000
Initial Cost to Company, Building and Improvements	13,547,000
Cost Capitalized Subsequent to Acquisition	67,000
Gross Amount of Which Carried at Close of Period, Land	3,179,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	13,613,000
Gross Amount of Which Carried at Close of Period, Total	16,792,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(580,000)
Memphis MOB [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,210,000
Initial Cost to Company, Building and Improvements	6,775,000
Cost Capitalized Subsequent to Acquisition	0
Gross Amount of Which Carried at Close of Period, Land	1,209,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	6,776,000
Gross Amount of Which Carried at Close of Period, Total	7,985,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(312,000)
Haverhill MOB [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,620,000
Initial Cost to Company, Building and Improvements	12,537,000
Cost Capitalized Subsequent to Acquisition	0
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	12,537,000
Gross Amount of Which Carried at Close of Period, Total	14,157,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(522,000)
Fresno MOB [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,412,000
Initial Cost to Company, Building and Improvements	8,155,000
Cost Capitalized Subsequent to Acquisition	1,000
Gross Amount of Which Carried at Close of Period, Land	1,412,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	8,156,000
Gross Amount of Which Carried at Close of Period, Total	9,568,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(379,000)
Colorado Foothills MOB Portfolio [Member] | Colorado Foothills MOB Portfolio One [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	720,000
Initial Cost to Company, Building and Improvements	4,615,000
Cost Capitalized Subsequent to Acquisition	223,000
Gross Amount of Which Carried at Close of Period, Land	720,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	4,838,000
Gross Amount of Which Carried at Close of Period, Total	5,558,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(255,000)
Colorado Foothills MOB Portfolio [Member] | Colorado Foothills MOB Portfolio Two [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	970,000
Initial Cost to Company, Building and Improvements	10,307,000
Cost Capitalized Subsequent to Acquisition	70,000
Gross Amount of Which Carried at Close of Period, Land	970,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	10,377,000
Gross Amount of Which Carried at Close of Period, Total	11,347,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(425,000)
Colorado Foothills MOB Portfolio [Member] | Colorado Foothills MOB Portfolio Three [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,443,000
Initial Cost to Company, Building and Improvements	11,123,000
Cost Capitalized Subsequent to Acquisition	93,000
Gross Amount of Which Carried at Close of Period, Land	1,443,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	11,216,000
Gross Amount of Which Carried at Close of Period, Total	12,659,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(545,000)
Catalina West Haven ALF [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,716,000
Initial Cost to Company, Building and Improvements	9,633,000
Cost Capitalized Subsequent to Acquisition	5,000
Gross Amount of Which Carried at Close of Period, Land	1,716,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	9,638,000
Gross Amount of Which Carried at Close of Period, Total	11,354,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(305,000)
Louisiana Senior Housing Portfolio [Member] | Louisiana Senior Housing Portfolio One | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,139,000
Initial Cost to Company, Building and Improvements	5,674,000
Cost Capitalized Subsequent to Acquisition	29,000
Gross Amount of Which Carried at Close of Period, Land	1,139,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	5,703,000
Gross Amount of Which Carried at Close of Period, Total	6,842,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(222,000)
Louisiana Senior Housing Portfolio [Member] | Louisiana Senior Housing Portfolio Two | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	740,000
Initial Cost to Company, Building and Improvements	3,795,000
Cost Capitalized Subsequent to Acquisition	6,000
Gross Amount of Which Carried at Close of Period, Land	740,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	3,801,000
Gross Amount of Which Carried at Close of Period, Total	4,541,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(155,000)
Louisiana Senior Housing Portfolio [Member] | Louisiana Senior Housing Portfolio Three | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	881,000
Initial Cost to Company, Building and Improvements	5,258,000
Cost Capitalized Subsequent to Acquisition	35,000
Gross Amount of Which Carried at Close of Period, Land	881,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	5,293,000
Gross Amount of Which Carried at Close of Period, Total	6,174,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(198,000)
Louisiana Senior Housing Portfolio [Member] | Louisiana Senior Housing Portfolio Four | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,273,000
Initial Cost to Company, Building and Improvements	6,993,000
Cost Capitalized Subsequent to Acquisition	6,000
Gross Amount of Which Carried at Close of Period, Land	1,273,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	6,999,000
Gross Amount of Which Carried at Close of Period, Total	8,272,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(231,000)
Louisiana Senior Housing Portfolio [Member] | Louisiana Senior Housing Portfolio Five | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	855,000
Initial Cost to Company, Building and Improvements	4,152,000
Cost Capitalized Subsequent to Acquisition	8,000
Gross Amount of Which Carried at Close of Period, Land	855,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	4,160,000
Gross Amount of Which Carried at Close of Period, Total	5,015,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	(170,000)
Catalina Madera ALF [Member] | Property, Excluding Construction in Progress
Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	0
Initial Cost to Company, Land	1,051,000
Initial Cost to Company, Building and Improvements	15,536,000
Cost Capitalized Subsequent to Acquisition	86,000
Gross Amount of Which Carried at Close of Period, Land	1,052,000
Gross Amount of Which Carried at Close of Period, Buildings and Improvements	15,622,000
Gross Amount of Which Carried at Close of Period, Total	16,674,000
Gross Amount of Which Carried at Close of Period, Accumulated Deprecation	$ (466,000)

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, 2020	Dec. 31, 2019	Dec. 31, 2018
Sch III Real Estate and Accumulated Depreciation [Abstract]
Aggregate Cost of Properties	$ 1,123,701,000
Reconciliation of Carrying Amount of Real Estate Investments [Roll Forward]
Beginning balance	946,118,000	$ 756,988,000	$ 428,550,000
Acquisitions	60,162,000	184,402,000	320,822,000
Additions	7,980,000	7,117,000	8,985,000
Dispositions	(4,068,000)	(2,389,000)	(1,369,000)
Ending balance	$ 1,010,192,000	$ 946,118,000	$ 756,988,000

Schedule III Real Estate and _4

Schedule III Real Estate and Accumulated Depreciation (Changes in Accumulated Depreciation) (Details) - USD ($)	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Reconciliation of Real Estate Accumulated Depreciation [Roll Forward]
Beginning balance	$ 51,058,000	$ 25,312,000	$ 8,885,000
Additions	31,612,000	27,435,000	16,672,000
Dispositions	(424,000)	(1,689,000)	(245,000)
Ending balance	$ 82,246,000	$ 51,058,000	$ 25,312,000
Maximum [Member] | Building and Building Improvements [Member]
Real Estate and Accumulated Depreciation [Line Items]
Estimated useful life	39 years
Maximum [Member] | Tenant Improvements [Member]
Real Estate and Accumulated Depreciation [Line Items]
Estimated useful life	21 years
Maximum [Member] | Furniture, Fixtures and Equipment [Member]
Real Estate and Accumulated Depreciation [Line Items]
Estimated useful life	20 years