2026 and thereafter
Lessor, Operating Lease, Payments To Be Received, After Four Year
Lessor, Operating Lease, Payments To Be Received, After Four Year
Area of real estate property (in square feet)
Square footage (in square feet)
Area of Real Estate Property
Cash consideration
Payments to Acquire Real Estate
Granted (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period
All Others (Less than 4%)
Other States [Member]
Other States [Member]
Document Type
Document Type
Receivable Type [Axis]
Receivable Type [Axis]
Schedule of VIEs
Schedule of Variable Interest Entities [Table Text Block]
Accounts payable and accrued liabilities
Increase (Decrease) in Accounts Payable and Accrued Liabilities
Real Estate Properties [Line Items]
Real Estate Properties [Line Items]
Behavioral Specialty Facilities
Behavioral Facilities [Member]
Behavioral Facilities [Member]
Total real estate properties
Real Estate Investment Property, At Cost, Excluding Finance Lease
Real Estate Investment Property, At Cost, Excluding Finance Lease
Interest rate swap asset
Net Amounts of Assets in the Condensed Consolidated Balance Sheets
Derivative Asset
Statistical Measurement [Domain]
Statistical Measurement [Domain]
LIABILITIES AND STOCKHOLDERS' EQUITY
Liabilities and Equity [Abstract]
Line of Credit
Line of Credit [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Derivative Financial Instruments
Derivative Instruments and Hedging Activities Disclosure [Text Block]
Leasing commissions, net
Leasing Commissions, Net
Leasing Commissions, Net
Preferred Stock
Preferred Stock [Member]
Security Exchange Name
Security Exchange Name
Term loan borrowings
Proceeds from Issuance of Long-term Debt
Debt issuance costs
Payments of Debt Issuance Costs
Gross Amounts Not Offset in the Condensed Consolidated Balance Sheets, Net Amount
Derivative, Collateral, Obligation to Return Cash
Variable Rate [Domain]
Variable Rate [Domain]
Variable Rate [Axis]
Variable Rate [Axis]
Schedule of Business Acquisitions, by Acquisition [Table]
Schedule of Business Acquisitions, by Acquisition [Table]
Real Estate, Type of Property [Axis]
Real Estate, Type of Property [Axis]
Commitments and contingencies
Commitments and Contingencies
ASSETS
Assets [Abstract]
Accounting Policies [Abstract]
Accounting Policies [Abstract]
Restricted Cash
Cash and Cash Equivalents, Restricted Cash and Cash Equivalents, Policy [Policy Text Block]
Entity Address, State or Province
Entity Address, State or Province
Vested (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period
Value of shares authorized
Sale Of Stock, Value Of Shares Authorized
Sale Of Stock, Value Of Shares Authorized
Unusual or Infrequent Item, or Both [Line Items]
Unusual or Infrequent Item, or Both [Line Items]
Acquisitions of real estate
Payments to Acquire Commercial Real Estate
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]
US Healthvest
US Healthvest [Member]
US Healthvest
2021 (nine months ending December 31)
Lessor, Operating Lease, Payment to be Received, Remainder of Fiscal Year
Operating lease right-of-use assets
Operating Lease, Right-of-Use Asset
Net (repayments) borrowings on revolving credit facility
Repayments of Lines of Credit
Other Assets, net
Other Assets Disclosure [Text Block]
Increase (decrease) in fair value of cash flow hedges
Unrecognized gain (Loss) on cash flow hedges
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification, after Tax
Third Amended And Restated Credit Facility
Third Amended And Restated Credit Facility [Member]
Third Amended And Restated Credit Facility [Member]
Term Loan
Term Loan [Member]
Term Loan [Member]
Income taxes paid
Income Taxes Paid
Stockholders' Equity
Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest [Abstract]
Restricted Common Stock, Stock in Lieu of Compensation
Restricted Common Stock, Stock in Lieu of Compensation [Member]
Restricted Common Stock, Stock in Lieu of Compensation [Member]
Customer [Axis]
Customer [Axis]
Beginning Balance (in shares)
Ending Balance (in shares)
Shares, Outstanding
Preferred stock, $0.01 par value; 50,000,000 shares authorized; none issued and outstanding
Preferred Stock, Value, Issued
Income Taxes
Income Tax, Policy [Policy Text Block]
Hedging Designation [Domain]
Hedging Designation [Domain]
EXPENSES
Operating Expenses
Other comprehensive income (loss):
Other Comprehensive Income (Loss), Net of Tax [Abstract]
Common Stock, par value (in dollars per share)
Common Stock, Par or Stated Value Per Share
Deferred tax assets, net
Deferred Income Tax Assets, Net
Stock-based compensation
APIC, Share-based Payment Arrangement, Increase for Cost Recognition
Real estate properties
Real Estate Investment Property, Net [Abstract]
Weighted average Common Shares outstanding
Weighted Average Number of Shares Outstanding, Basic [Abstract]
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]
Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Abstract]
A-1 Term Loan, net
A-1 Term Loan [Member]
A-1 Term Loan [Member]
Geographical [Domain]
Geographical [Domain]
Statement [Line Items]
Statement [Line Items]
Leasing commission accrued
Payments for Leasing Costs, Commissions, and Tenant Improvements
Acute Inpatient Behavioral
Acute Inpatient Behavioral [Member]
Acute Inpatient Behavioral
Increase (decrease) in fair value of cash flow hedges
Increase (Decrease) In Fair Value Of Cash Flow Hedges
Increase (Decrease) In Fair Value Of Cash Flow Hedges
Debt term
Debt Instrument, Term
Statement [Table]
Statement [Table]
Statistical Measurement [Axis]
Statistical Measurement [Axis]
Credit Facility [Axis]
Credit Facility [Axis]
A-4 Term Loan, net
A-4 Term Loan [Member]
A-4 Term Loan
Number of real estate properties held for sale
Number of Real Estate Properties Held for Sale
Number of Real Estate Properties Held for Sale
Preferred Stock, shares issued (in shares)
Preferred Stock, Shares Issued
Total
Lessor, Operating Lease, Payments to be Received
Amount of loss reclassified from AOCI into interest expense
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, before Tax
Business Combinations [Abstract]
Business Combinations [Abstract]
Entity Small Business
Entity Small Business
Pro forma information, earnings or loss of acquiree since acquisition date, actual
Business Combination, Pro Forma Information, Earnings or Loss of Acquiree since Acquisition Date, Actual
Average gross sales price per share (in dollars per share)
Sale Of Stock, Average Gross Sales Price, Price Per Share
Sale Of Stock, Average Gross Sales Price, Price Per Share
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Shares issued (in shares)
Sale of Stock, Number of Shares Issued in Transaction
Fair Value Hierarchy and NAV [Domain]
Fair Value Hierarchy and NAV [Domain]
Debt, net
Debt Disclosure [Text Block]
A-3 Term Loan, net
A-3 Term Loan [Member]
A-3 Term Loan [Member]
Proceeds from issuance of common stock
Proceeds from Issuance of Common Stock
Cumulative net income
Cumulative Earnings (Deficit)
Number outstanding interest rate derivatives
Derivative, Number of Instruments Held
Amendment Flag
Amendment Flag
Schedule of earnings per share
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]
Purchase Price
Asset Acquisition, Consideration Transferred
Asset Acquisition, Consideration Transferred
Finite-Lived Intangible Assets, Major Class Name [Domain]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Schedule of assets acquired and liabilities assumed
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]
Deferred income tax expense
Deferred Income Tax Expense (Benefit) Net Of Refunds
Deferred Income Tax Expense (Benefit) Net Of Refunds
Texas
TEXAS
Reclassification for amounts recognized as interest expense
Reclassification adjustment for losses included in net income (interest expense)
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, after Tax
Net cash provided by operating activities
Net Cash Provided by (Used in) Operating Activities
Entity Central Index Key
Entity Central Index Key
Schedule of ATM Program
Schedule of Sale of Stock by Subsidiary or Equity Method Investee Disclosure [Table Text Block]
Lease intangibles
Asset Acquisition, Finite Lived Assets
Asset Acquisition, Finite Lived Assets
Derivative Instrument [Axis]
Derivative Instrument [Axis]
Cash Consideration
Total cash consideration
Payments For Asset Acquisitions
Payments For Asset Acquisitions
Finite-Lived Intangible Assets by Major Class [Axis]
Finite-Lived Intangible Assets by Major Class [Axis]
Fair Value, by balance sheet grouping
Fair Value, by Balance Sheet Grouping [Table Text Block]
Maximum Exposure to Loss
Variable Interest Entity, Reporting Entity Involvement, Maximum Loss Exposure, Amount
Note Receivable 3
Note receivable
Note Receivable 3 [Member]
Note Receivable 3
Total interest expense presented in the Condensed Consolidated Statements of Income in which the effects of the cash flow hedges are recorded
Derivative, Gain (Loss) on Derivative, Net
Capital expenditures on existing real estate properties
Payments for Capital Improvements
Fair Value Measurement [Domain]
Fair Value Measurement [Domain]
Liabilities held for sale
Disposal Group, Including Discontinued Operation, Liabilities
A-2 Term Loan, net
A-2 Term Loan [Member]
A-2 Term Loan [Member]
Invoices accrued for construction, tenant improvement and other capitalized costs
Capital Expenditures Incurred but Not yet Paid
Geographical [Axis]
Geographical [Axis]
Subsequent Events
Subsequent Events [Text Block]
Derivative Liability [Abstract]
Derivative Liability [Abstract]
Brenham, TX
Brenham, TX [Member]
Brenham, TX
Asset Acquisition [Axis]
Asset Acquisition [Axis]
Asset Acquisition [Axis]
Statement of Cash Flows [Abstract]
Statement of Cash Flows [Abstract]
Number of options to extend
Debt Instrument, Number of Options to Extend
Debt Instrument, Number of Options to Extend
Deferred financing costs, net
Other Deferred Costs, Net
Property, Plant and Equipment, Type [Axis]
Long-Lived Tangible Asset [Axis]
Summary of nonvested restricted stock activity
Share-based Payment Arrangement, Restricted Stock and Restricted Stock Unit, Activity [Table Text Block]
Income Statement Location [Axis]
Income Statement Location [Axis]
Entity Common Stock, Shares Outstanding
Entity Common Stock, Shares Outstanding
Income Statement Location [Domain]
Income Statement Location [Domain]
FINANCING ACTIVITIES
Net Cash Provided by (Used in) Financing Activities [Abstract]
Land and land improvements
Land and Land Improvements
Notional amount
Derivative, Notional Amount
Line of Credit Facility [Table]
Line of Credit Facility [Table]
Interest and other income, net
Interest and Other Income
Buildings, improvements, and lease intangibles
Investment Building and Building Improvements
Plan Name [Axis]
Plan Name [Axis]
Below-market lease intangibles, net
Below Market Lease, Net
Other liabilities, net
Other liabilities, net
Other Liabilities
Issuance of common stock, net of issuance costs
Stock Issued During Period, Value, New Issues
Restricted stock-based awards (in shares)
Stock Issued During Period, Shares, Restricted Stock Award, Net of Forfeitures
Total assets
Assets
Asset Acquisition [Domain]
Asset Acquisition [Domain]
[Domain] for Asset Acquisition [Axis]
Inpatient Rehabilitation Facilities
Inpatient Rehabilitation Facilities
Inpatient Rehabilitation Hospital [Member]
Inpatient Rehabilitation Hospital [Member]
Summary of Significant Accounting Policies
Organization, Consolidation, Basis of Presentation, Business Description and Accounting Policies [Text Block]
Stock-based awards, beginning of period (in shares)
Stock-based awards, end of period (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number
Title of 12(b) Security
Title of 12(b) Security
Disposal Group Classification [Axis]
Disposal Group Classification [Axis]
Number of properties held for investment in financing lease
Number Of Real Estate Properties Accounted For As Financing Lease
Number Of Real Estate Properties Accounted For As Financing Lease
Schedule of Real Estate Properties [Table]
Schedule of Real Estate Properties [Table]
Illinois
ILLINOIS
Subsequent Event Type [Axis]
Subsequent Event Type [Axis]
Real Estate Leases
Lessor, Operating Leases [Text Block]
Total intangibles
Asset Acquisition, Finite-Lived Intangible Assets (Liabilities)
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangible Assets (Liabilities)
Schedule of reconciliation of common stock
Schedule of Common Stock Outstanding Roll Forward [Table Text Block]
2023
Lessor, Operating Lease, Payment to be Received, Year Two
Interest expense
Interest Expense
Real Estate Acquisitions and Dispositions
Mergers, Acquisitions and Dispositions Disclosures [Text Block]
Total liabilities
Liabilities
Percentage leased
Lessor, Operating Lease, Percentage Leased
Lessor, Operating Lease, Percentage Leased
Revolving Credit Facility, Unused Borrowing Capacity Rate 1
Revolving Credit Facility, Unused Borrowing Capacity Rate 1 [Member]
Revolving Credit Facility, Unused Borrowing Capacity Rate 1 [Member]
Termination value
Derivative, Termination Value
Derivative, Termination Value
Note receivable interest rate
Receivable with Imputed Interest, Effective Yield (Interest Rate)
Net income, less participating securities' share in earnings
Net Income (Loss) Available to Common Stockholders, Basic
Schedule of Accounts, Notes, Loans and Financing Receivable [Table]
Schedule of Accounts, Notes, Loans and Financing Receivable [Table]
Amount of unrealized gain (loss) recognized in OCI on derivatives
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification and Tax
Land and land improvements
Land and Land Improvements [Member]
Real Estate [Abstract]
Weighted average interest rate percentage
Debt, Weighted Average Interest Rate
Number of states
Number of States in which Entity Operates
Gross Amounts Offset in the Condensed Consolidated Balance Sheet
Derivative Liability, Fair Value, Gross Asset
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward]
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward]
Dividends to common stockholders, per share (in dollars per share)
Common Stock, Dividends, Per Share, Cash Paid
Debt Instrument [Axis]
Debt Instrument [Axis]
Additional Paid in Capital
Additional Paid-in Capital [Member]
Surgical Centers and Hospitals
Surgical Centers and Hospitals [Member]
Surgical Centers and Hospitals [Member]
Schedule of acquisitions
Schedule of Business Acquisitions, by Acquisition [Table Text Block]
Other assets, net
Other assets, net
Other Assets
Specialty Centers
Specialty Centers [Member]
Specialty Centers [Member]
Interest rate swap liability
Net Amounts of Liabilities in the Condensed Consolidated Balance Sheets
Net Amounts of Liabilities in the Condensed Consolidated Balance Sheets
Derivative Liability
Adjustments to reconcile net income to net cash provided by operating activities:
Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract]
Common Stock, shares outstanding (in shares)
Balance, beginning of period (in shares)
Balance, end of period (in shares)
Common Stock, Shares, Outstanding
Prorated rent, interest and operating expense reimbursement amounts collected
Asset Acquisition, Prorated Rent and Operating Expense Reimbursement Amounts Collected
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Prorated Rent and Operating Expense Reimbursement Amounts Collected
Revolving Credit Facility
Revolving Credit Facility [Member]
Variable Interest Entity, Not Primary Beneficiary
Variable Interest Entity, Not Primary Beneficiary [Member]
Subsequent Event
Subsequent Event [Member]
Toledo, OH
Toledo, OH [Member]
Toledo, OH
Ohio
OHIO
Common Stock, shares authorized (in shares)
Common Stock, Shares Authorized
Dilutive potential common share (in shares)
Incremental Common Shares Attributable to Dilutive Effect of Share-based Payment Arrangements
COVID-19
COVID-19 [Member]
COVID-19 [Member]
Properties held for sale
Assets Held-for-sale, Not Part of Disposal Group
Medical Office Building
Medical Office Building [Member]
Medical Office [Member]
Schedule of real estate property investments
Schedule of Real Estate Properties [Table Text Block]
Fair Value
Estimate of Fair Value Measurement [Member]
Income Statement [Abstract]
Income Statement [Abstract]
Accumulated Other Comprehensive (Loss) Income
AOCI Attributable to Parent [Member]
Disposal Groups, Including Discontinued Operations [Table]
Disposal Groups, Including Discontinued Operations [Table]
Use of Estimates in the Condensed Consolidated Financial Statements
Use of Estimates, Policy [Policy Text Block]
Other amortization
Amortization
Revolving Credit Facility, Unused Borrowing Capacity Rate 2
Revolving Credit Facility, Unused Borrowing Capacity Rate 2 [Member]
Revolving Credit Facility, Unused Borrowing Capacity Rate 2 [Member]
Physician Clinics
Physician Clinics [Member]
Physician Clinics [Member]
COMPREHENSIVE INCOME (LOSS)
Comprehensive Income (Loss), Net of Tax, Attributable to Parent
Preferred Stock, par value (in dollars per share)
Preferred Stock, Par or Stated Value Per Share
Remaining availability under ATM program
Sale Of Stock, Shares Available For Future Issuance, Value
Sale Of Stock, Shares Available For Future Issuance, Value
Massachusetts
MASSACHUSETTS
City Area Code
City Area Code
Document Period End Date
Document Period End Date
Security deposits
Security Deposit Liability
Other Liabilities, net
Other Liabilities Disclosure [Text Block]
Above-market lease intangible assets, net
Other Intangible Assets, Net
INCOME FROM OPERATIONS
Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest
Hedging Designation [Axis]
Hedging Designation [Axis]
Long-term Debt, Type [Domain]
Long-term Debt, Type [Domain]
Stock-based compensation
Share-based Payment Arrangement, Noncash Expense
Designated as Hedging Instrument
Designated as Hedging Instrument [Member]
Cover [Abstract]
Cover [Abstract]
Base Rate
Base Rate [Member]
Derivative Instruments, Gain (Loss) [Table]
Derivative Instruments, Gain (Loss) [Table]
All Others
Other Tenant [Member]
Other Tenant
Useful life (in years)
Property, Plant and Equipment, Useful Life
Debt, net
Amount outstanding
Long-term Debt
Fair Value Disclosures [Abstract]
Fair Value Disclosures [Abstract]
Property operating
Operating Expenses, Property
Operating Expenses, Property
At-market lease intangibles
Leases, Acquired-in-Place [Member]
Net proceeds received
Proceeds from Issuance or Sale of Equity
Equity Components [Axis]
Equity Components [Axis]
Restricted Common Stock
Restricted Stock [Member]
Share-based Payment Arrangement [Abstract]
Share-based Payment Arrangement [Abstract]
Debt Instrument, Name [Domain]
Debt Instrument, Name [Domain]
Minimum
Minimum [Member]
Balance Sheet Location [Domain]
Balance Sheet Location [Domain]
Payment received
Proceeds from Collection of Finance Receivables
Mortgage note repayments
Repayments of Notes Payable
Fair value of interest rate swaps
Interest Rate Fair Value Hedge Asset at Fair Value
Acquisition and funding of notes receivable
Payments to Acquire Other Receivables
Cumulative dividends
Cumulative Dividends
Schedule of derivative gain (loss)
Derivative Instruments, Gain (Loss) [Table Text Block]
Derivative Instruments, Gain (Loss) [Line Items]
Derivative Instruments, Gain (Loss) [Line Items]
Everest Rehabilitation
Everest Rehabilitation [Member]
Everest Rehabilitation
Entity Interactive Data Current
Entity Interactive Data Current
Schedule of fair value of derivative instruments on balance sheet
Schedule of Derivative Instruments in Statement of Financial Position, Fair Value [Table Text Block]
Restrictions on cash and cash equivalents
Restrictions on Cash and Cash Equivalents [Table Text Block]
REVENUES
Revenues [Abstract]
Fair Value of Financial Instruments
Fair Value Disclosures [Text Block]
OPERATING ACTIVITIES
Net Cash Provided by (Used in) Operating Activities [Abstract]
Stockholders' Equity
Stockholders' Equity Note Disclosure [Text Block]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Accounts, Notes, Loans and Financing Receivable [Line Items]
Derivatives, Fair Value [Line Items]
Derivatives, Fair Value [Line Items]
Interest Rate Swap
Interest rate swaps
Interest rate swap liability
Interest Rate Swap [Member]
Customer [Domain]
Customer [Domain]
Unusual or Infrequent Item, or Both [Axis]
Unusual or Infrequent Item, or Both [Axis]
Other
Asset Acquisition, Other Items
Asset Acquisition, Other Items
Additional paid-in capital
Additional Paid in Capital, Common Stock
Reclassification of registration statement costs incurred in prior year to equity issuance costs
Reclassification of Registration Statement Costs Incurred In Prior Year to Equity Issuance Costs
Reclassification of Registration Statement Costs Incurred In Prior Year to Equity Issuance Costs
Entity Registrant Name
Entity Registrant Name
Subsequent Event Type [Domain]
Subsequent Event Type [Domain]
Derivative [Table]
Derivative [Table]
Business Acquisition [Line Items]
Business Acquisition [Line Items]
Statement of Stockholders' Equity [Abstract]
Statement of Stockholders' Equity [Abstract]
Total real estate properties
Real Estate Investment Property, at Cost
Other liabilities
Increase (Decrease) in Other Operating Liabilities
Remaining payments
Unusual Or Infrequent Item, Or Both, Deferral Agreements, Remaining Payments
Unusual Or Infrequent Item, Or Both, Deferral Agreements, Remaining Payments
Deferred rent
Operating Lease, Deferred Rent
Operating Lease, Deferred Rent
Cash flow hedges reclassified to interest expense
Cash Flow Hedge Gain (Loss) to be Reclassified within Twelve Months
Dividends paid
Payments of Ordinary Dividends, Common Stock
Weighted average Common Shares outstanding (in shares)
Weighted Average Number of Shares Issued, Basic
Schedule of Other Liabilities
Other Liabilities [Table Text Block]
Entity Incorporation, State or Country Code
Entity Incorporation, State or Country Code
Straight-line rent receivable
Deferred Rent Receivables, Net
Real Estate [Domain]
Real Estate [Domain]
Depreciation and amortization
Depreciation, Depletion and Amortization, Nonproduction
Credit Facility, Accordion Feature
Credit Facility, Accordion Feature [Member]
Credit Facility, Accordion Feature [Member]
Schedule of cash and cash equivalents
Schedule of Cash and Cash Equivalents [Table Text Block]
Rental income
Operating Lease, Lease Income
Straight-line rent receivable
Straight line rent
Straight Line Rent
Sale of Stock [Axis]
Sale of Stock [Axis]
Entity Address, Postal Zip Code
Entity Address, Postal Zip Code
Percentage of annualized rent with deferral agreements
Unusual Or Infrequent Item, Or Both, Deferral Agreements, Percentage Of Annualized Rent
Unusual Or Infrequent Item, Or Both, Deferral Agreements, Percentage Of Annualized Rent
Total other comprehensive income (loss)
Other Comprehensive Income (Loss), Net of Tax, Portion Attributable to Parent
Document Transition Report
Document Transition Report
Transaction costs
Business Acquisition, Transaction Costs
Gross Amounts of Recognized Assets
Derivative Asset, Fair Value, Gross Asset
Dividend declared (in dollars per share)
Common Stock, Dividends, Per Share, Declared
Face amount
Debt Instrument, Face Amount
Fair Value, Inputs, Level 2
Fair Value, Inputs, Level 2 [Member]
Building and building improvements
Building and Building Improvements [Member]
Document Quarterly Report
Document Quarterly Report
Equity [Abstract]
Equity [Abstract]
Gross Amounts Not Offset in the Condensed Consolidated Balance Sheets, Cash Collateral Received
Derivative Asset, Fair Value, Amount Offset Against Collateral
Land and land improvements
Asset Acquisition, Land
Asset Acquisition, Land
Subsequent Event [Line Items]
Subsequent Event [Line Items]
Other liabilities, net
Other Liabilities [Member]
Hudson, OH
Hudson, OH [Member]
Hudson, OH
Credit Facility [Domain]
Credit Facility [Domain]
Derivative Contract [Domain]
Derivative Contract [Domain]
Florida
FLORIDA
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING-DILUTED (in shares)
Weighted average Common Shares outstanding –Diluted (in shares)
Weighted Average Number of Shares Outstanding, Diluted
Net income per common share – Basic (in dollars per share)
Basic Net Income per Common Share (in dollars per share)
Earnings Per Share, Basic
Entity File Number
Entity File Number
Debt Disclosure [Abstract]
Debt Disclosure [Abstract]
Operating lease, right-of-use asset, statement of financial position
Operating Lease, Right-of-Use Asset, Statement of Financial Position [Extensible List]
2025
Lessor, Operating Lease, Payment to be Received, Year Four
Net cash provided by financing activities
Net Cash Provided by (Used in) Financing Activities
Term loan repayments
Repayments of Long-term Debt
Amortization expense
Share-based Payment Arrangement, Expense
Depreciation and amortization
Other Depreciation and Amortization
Balance Sheet Location [Axis]
Balance Sheet Location [Axis]
Other operating interest
Revenue from Contract with Customer, Including Assessed Tax
Cumulative Net Income
Cumulative Net Income(Deficit) [Member]
Cumulative Net Income(Deficit) [Member]
Common stock, $0.01 par value; 450,000,000 shares authorized; 24,417,124 and 23,888,090 shares issued and outstanding at March 31, 2021 and December 31, 2020, respectively
Common Stock, Value, Issued
Disposal Group Name [Axis]
Disposal Group Name [Axis]
Document Fiscal Year Focus
Document Fiscal Year Focus
Other
Other Liabilities, Miscellaneous
Other Liabilities, Miscellaneous
Entity Current Reporting Status
Entity Current Reporting Status
Number of properties used to secure notes by borrower
Real Estate Properties, Number Used To Secure Notes By Borrower
Real Estate Properties, Number Used To Secure Notes By Borrower
Derivative Asset [Abstract]
Derivative Asset [Abstract]
Other
Other Assets, Miscellaneous
Receivable [Domain]
Receivable [Domain]
Other Liabilities Disclosure [Abstract]
Subsequent Event [Table]
Subsequent Event [Table]
Stock-based compensation (in shares)
Shares Issued, Shares, Share-based Payment Arrangement, after Forfeiture
Schedule of Long-term Debt Instruments [Table]
Schedule of Long-term Debt Instruments [Table]
INVESTING ACTIVITIES
Net Cash Provided by (Used in) Investing Activities [Abstract]
Common Stock, shares issued (in shares)
Common Stock, Shares, Issued
Cash and cash equivalents
Cash and cash equivalents
Cash and Cash Equivalents, at Carrying Value
Lease liability
Operating Lease, Liability
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Subsidiary or Equity Method Investee, Sale of Stock by Subsidiary or Equity Investee [Table]
Subsidiary or Equity Method Investee, Sale of Stock by Subsidiary or Equity Investee [Table]
Accounts and interest receivable
Accounts Receivable, after Allowance for Credit Loss
Gross Amounts Offset in the Condensed Consolidated Balance Sheet
Derivative Asset, Fair Value, Gross Liability
Interest Expense
Interest Expense [Member]
Debt Instrument [Line Items]
Debt Instrument [Line Items]
Statement of Comprehensive Income [Abstract]
Statement of Comprehensive Income [Abstract]
Total stockholders’ equity
Stockholders' Equity Attributable to Parent
Equity issuance costs
Payments of Stock Issuance Costs
Oklahoma City, OK
Oklahoma City, OK [Member]
Oklahoma City, OK
Total liabilities and stockholders' equity
Liabilities and Equity
Accumulated other comprehensive loss
Accumulated Other Comprehensive Income (Loss), Net of Tax
At The Market Offering Program
At The Market Offering Program [Member]
At The Market Offering Program [Member]
Entity Address, City or Town
Entity Address, City or Town
Portion at Fair Value Measurement
Portion at Fair Value Measurement [Member]
Length of extension
Debt Instrument, Length Of Extension
Debt Instrument, Length Of Extension
Fair Value Hierarchy and NAV [Axis]
Fair Value Hierarchy and NAV [Axis]
Geriatric Behavioral Hospital
Geriatric Behavioral Hospital [Member]
Geriatric Behavioral Hospital
Notes receivable
Carrying Amount
Financing Receivable, after Allowance for Credit Loss
Other assets, net
Other Assets [Member]
Hedging Relationship [Axis]
Hedging Relationship [Axis]
General and administrative
General and Administrative Expense
Participating securities' share in earnings
Participating Securities, Distributed and Undistributed Earnings (Loss), Basic
Line of Credit Facility [Line Items]
Line of Credit Facility [Line Items]
Real Estate
Asset Acquisition, Real Estate Property Acquired
Asset Acquisition, Real Estate Property Acquired
Intangibles useful life (in years)
Finite-Lived Intangible Asset, Useful Life
Equity Component [Domain]
Equity Component [Domain]
Liabilities
Liabilities [Abstract]
Long-term Acute Care Hospitals
Long-Term Acute Care Hospitals
Long-Term Acute Care Facility [Member]
Long-Term Acute Care Facility [Member]
Real Estate Properties
Real Estate Disclosure [Text Block]
Assets held for sale
Disposal Group, Including Discontinued Operation, Assets
Entity Tax Identification Number
Entity Tax Identification Number
Lexington, VA
Lexington, VA [Member]
Lexington, VA
Incentive Plan
Share-based Payment Arrangement [Text Block]
Interest Rate Contract
Interest Rate Contract [Member]
Net income
NET INCOME
Net income
Net Income (Loss) Attributable to Parent
Genesis Care
Genesis Care [Member]
Genesis Care
Changes in operating assets and liabilities:
Increase (Decrease) in Operating Capital [Abstract]
Schedule of Variable Interest Entities [Table]
Schedule of Variable Interest Entities [Table]
London Interbank Offered Rate (LIBOR)
London Interbank Offered Rate (LIBOR) [Member]
Acquisition Of Properties In 2020
Acquisition Of Properties In 2021 [Member]
Acquisition Of Properties In 2020 [Member]
Leases [Abstract]
Leases [Abstract]
Long-term Debt, Type [Axis]
Long-term Debt, Type [Axis]
Current Fiscal Year End Date
Current Fiscal Year End Date
NET INCOME PER COMMON SHARE:
Earnings Per Share [Abstract]
Finance lease liability
Finance Lease, Liability
Investments by Consolidated and Nonconsolidated Entities [Axis]
Investments by Consolidated and Nonconsolidated Entities [Axis]
Investment By Consolidated And Nonconsolidated Entities [Axis]
Investment By Consolidated And Nonconsolidated Entities
Disposal Group Name [Domain]
Disposal Group Name [Domain]
Document Fiscal Period Focus
Document Fiscal Period Focus
Notes Receivable
Notes Receivable [Member]
Subsidiary, Sale of Stock [Line Items]
Subsidiary, Sale of Stock [Line Items]
Note receivable
Note Receivable 2 [Member]
Note Receivable 2 [Member]
Investments by Consolidated and Nonconsolidated Entities [Domain]
Investments by Consolidated and Nonconsolidated Entities [Domain]
Investment By Consolidated And Nonconsolidated Entities [Domain]
Investment By Consolidated And Nonconsolidated Entities
Restricted Common Stock, Stock Awards
Restricted Common Stock, Stock Awards [Member]
Restricted Common Stock, Stock Awards [Member]
Number of real estate properties
Number of Real Estate Properties
Supplemental Cash Flow Information:
Supplemental Cash Flow Information [Abstract]
Mortgage Note Payable, net
Mortgages [Member]
Remaining lease term
Lessor, Operating Lease, Term of Contract
Proceeds from the repayment of notes receivable
Proceeds from Collection of Notes Receivable
Entity Filer Category
Entity Filer Category
Number of tenants with deferral agreements
Unusual Or Infrequent Item, Or Both, Deferral Agreements, Number Of Tenants
Unusual Or Infrequent Item, Or Both, Deferral Agreements, Number Of Tenants
Common Stock
Common Stock
Common Stock [Member]
Property, Plant and Equipment, Type [Domain]
Long-Lived Tangible Asset [Domain]
Percentage of properties that were leased at acquisition
Percentage of Acquired Building Leased at Acquisition
Percentage of Acquired Building Leased at Acquisition
2022
Lessor, Operating Lease, Payment to be Received, Year One
Remaining borrowing capacity
Line of Credit Facility, Remaining Borrowing Capacity
Issuance of common stock, net of issuance costs (in shares)
Issuance of common stock (in shares)
Stock Issued During Period, Shares, New Issues
Note Receivable 1
Note receivable
Note Receivable 1 [Member]
Note Receivable 1 [Member]
Unvested restricted shares (in shares)
Weighted Average Number of Shares, Restricted Stock
Held-for-sale
Discontinued Operations, Held-for-sale [Member]
Unusual or Infrequent Item, or Both [Domain]
Unusual or Infrequent Item, or Both [Domain]
Personal property
Real Estate, Personal Property
Real Estate, Personal Property
Percentage of borrowing capacity outstanding
Line of Credit Facility, Percentage of Borrowing Capacity Outstanding
Line of Credit Facility, Percentage of Borrowing Capacity Outstanding
Increase in cash and cash equivalents and restricted cash
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect
Sales-type lease receivable
Finance Lease, Right-of-Use Asset, after Accumulated Amortization
Hedging Relationship [Domain]
Hedging Relationship [Domain]
Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table]
Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table]
Basis of Presentation
Basis of Accounting, Policy [Policy Text Block]
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING-BASIC (in shares)
Weighted average Common Shares outstanding–Basic (in shares)
Weighted Average Number of Shares Outstanding, Basic
Variable rate percentage
Debt Instrument, Basis Spread on Variable Rate
EXPENSES
Costs and Expenses [Abstract]
Subsequent Events [Abstract]
Subsequent Events [Abstract]
Summit Behavioral Healthcare
Summit Behavioral Healthcare [Member]
Summit Behavioral Healthcare
Sale of Stock [Domain]
Sale of Stock [Domain]
Cash Flow Hedging
Cash Flow Hedging [Member]
Carrying Value
Reported Value Measurement [Member]
Plan Name [Domain]
Plan Name [Domain]
Interest paid
Interest Paid, Excluding Capitalized Interest, Operating Activities
Keller, TX
Keller, TX [Member]
Keller, TX
Acquisition Of Properties During 1st Quarter 2021
Acquisition Of Properties During 1st Quarter 2021 [Member]
Acquisition Of Properties During 1st Quarter 2020 [Member]
Beginning Balance
Ending Balance
Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest
Cash and Cash Equivalents
Cash and Cash Equivalents, Policy [Policy Text Block]
REVENUES
Revenues
Cash and cash equivalents and restricted cash, beginning of period
Cash and cash equivalents and restricted cash, end of period
Cash, cash equivalents and restricted cash
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents
Cumulative Dividends
Cumulative Dividends [Member]
Cumulative Dividends [Member]
Net income per common share – Diluted (in dollars per share)
Diluted Net Income per Common Share (in dollars per share)
Earnings Per Share, Diluted
Variable Interest Entity [Line Items]
Variable Interest Entity [Line Items]
Local Phone Number
Local Phone Number
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Series of Individually Immaterial Asset Acquisitions
Series of Individually Immaterial Asset Acquisitions [Member]
Series of Individually Immaterial Asset Acquisitions [Member]
Pro forma information, revenue of acquiree since acquisition date, actual
Business Combination, Pro Forma Information, Revenue of Acquiree since Acquisition Date, Actual
Derivative [Line Items]
Derivative [Line Items]
Schedule of debt
Schedule of Long-term Debt Instruments [Table Text Block]
Entity Address, Address Line One
Entity Address, Address Line One
Entity Address, Address Line Two
Entity Address, Address Line Two
Other assets
Increase (Decrease) in Other Operating Assets
Entity Emerging Growth Company
Entity Emerging Growth Company
Unusual or Infrequent Item, or Both [Table]
Unusual or Infrequent Item, or Both [Table]
Deferred income tax expense
Deferred Income Tax Expense (Benefit)
Gross Amounts of Recognized Liabilities
Derivative Liability, Fair Value, Gross Liability
Maximum borrowing capacity
Line of Credit Facility, Maximum Borrowing Capacity
Award Type [Axis]
Award Type [Axis]
Gross Amounts Not Offset in the Condensed Consolidated Balance Sheets, Net Amount
Derivative Liability, Fair Value, Amount Offset Against Collateral
Prepaid assets
Prepaid Expense and Other Assets
2014 Incentive Plan
2014 Incentive Plan [Member]
2014 Incentive Plan [Member]
Maximum
Maximum [Member]
Gross Amounts Not Offset in the Condensed Consolidated Balance Sheets, Financial Instruments
Derivative, Collateral, Obligation to Return Securities
Preferred Stock, shares authorized (in shares)
Preferred Stock, Shares Authorized
Dividends to common stockholders
Dividends, Common Stock, Cash
Restricted cash
Restricted cash
Restricted Cash
Accounts payable and accrued liabilities
Accounts Payable and Accrued Liabilities
Preferred Stock, shares outstanding (in shares)
Preferred Stock, Shares Outstanding
Measurement Basis [Axis]
Measurement Basis [Axis]
Net cash used in investing activities
Net Cash Provided by (Used in) Investing Activities
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
2024
Lessor, Operating Lease, Payment to be Received, Year Three
Award Type [Domain]
Award Type [Domain]
Schedule of future minimum lease payments for operating leases
Lessor, Operating Lease, Payment to be Received, Fiscal Year Maturity [Table Text Block]
Building and building improvements
Asset Acquisition, Building
Asset Acquisitions, Building
Schedule of Other Assets
Schedule of Other Assets [Table Text Block]
Trading Symbol
Trading Symbol
Number of real estate properties acquired
Number of Real Estate Properties Acquired
Number of Real Estate Properties Acquired
Disposal Group Classification [Domain]
Disposal Group Classification [Domain]
Unused borrowing commitment fee percentage
Line of Credit Facility, Unused Capacity, Commitment Fee Percentage
Fair Value, by Balance Sheet Grouping [Table]
Fair Value, by Balance Sheet Grouping [Table]
Less accumulated depreciation
Real Estate Investment Property, Accumulated Depreciation
Mortgage note payable
Notes Payable, Fair Value Disclosure
Net Income Per Common Share
Earnings Per Share [Text Block]
Gross Amounts Not Offset in the Condensed Consolidated Balance Sheets, Cash Collateral Received
Derivative, Collateral, Right to Reclaim Cash
Gross Amounts Not Offset in the Condensed Consolidated Balance Sheets, Financial Instruments
Derivative, Collateral, Right to Reclaim Securities
Accounts payable, accrued liabilities and other liabilities assumed
Asset Acquisition, Accounts Payable, Accrued Liabilities, and Other Liabilities
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Accounts Payable, Accrued Liabilities, and Other Liabilities
Entity Shell Company
Entity Shell Company
Total real estate properties, net
Real Estate Investment Property, Net
New Accounting Pronouncements
New Accounting Pronouncements, Policy [Policy Text Block]
Net (repayments) borrowings on revolving credit facility
Proceeds from Lines of Credit
Statement of Financial Position [Abstract]
Statement of Financial Position [Abstract]