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Segment Reporting - Summary Information for Reportable Segments (Detail)
3 Months Ended 9 Months Ended
Sep. 30, 2020
USD ($)
segment
Sep. 30, 2020
USD ($)
Sep. 30, 2019
USD ($)
Sep. 30, 2020
USD ($)
segment
Sep. 30, 2019
USD ($)
Dec. 31, 2019
USD ($)
Segment Reporting Information Line Items            
Number of reportable segments | segment 4     4    
Assets by Reportable Segment            
Total assets $ 1,111,490,000 $ 1,111,490,000   $ 1,111,490,000   $ 1,068,327,000
Revenues:            
Real estate revenue   21,519,000 $ 19,253,000 64,824,000 $ 53,280,000  
Resident fees and services   18,948,000 11,865,000 51,863,000 34,053,000  
Grant income   864,000 0 864,000 0  
Total revenues and grant income   41,331,000 31,118,000 117,551,000 87,333,000  
Expenses:            
Rental expenses   5,905,000 4,929,000 17,723,000 14,238,000  
Property operating expenses   17,397,000 9,884,000 44,856,000 28,194,000  
Segment net operating income   18,029,000 16,305,000 54,972,000 44,901,000  
Operating Expenses            
General and administrative   3,672,000 3,982,000 11,960,000 11,413,000  
Acquisition related expenses   57,000 74,000 74,000 1,492,000  
Depreciation and amortization   12,669,000 9,552,000 37,919,000 35,561,000  
Other income (expense):            
Interest expense (including amortization of deferred financing costs and debt discount/premium)   (4,839,000) (4,140,000) (15,123,000) (11,532,000)  
Gain (loss) in fair value of derivative financial instruments   1,450,000 (402,000) (2,302,000) (5,401,000)  
Impairment of real estate investments   (3,064,000) 0 (3,064,000) 0  
(Loss) income from unconsolidated entity   (377,000) (79,000) 952,000 185,000  
Other income   8,000 13,000 278,000 162,000  
Loss before income taxes   (5,191,000) (1,911,000) (14,240,000) (20,151,000)  
Income tax benefit (expense)   39,000 (7,000) 0 (17,000)  
Net loss   (5,152,000) (1,918,000) (14,240,000) (20,168,000)  
Medical Office Building            
Assets by Reportable Segment            
Total assets 590,075,000 590,075,000   590,075,000   600,048,000
Revenues:            
Real estate revenue   16,338,000 14,144,000 49,184,000 38,802,000  
Total revenues and grant income   16,338,000 14,144,000 49,184,000 38,802,000  
Expenses:            
Rental expenses   5,607,000 4,581,000 16,616,000 12,814,000  
Segment net operating income   10,731,000 9,563,000 32,568,000 25,988,000  
Senior Housing-RIDEA            
Assets by Reportable Segment            
Total assets 247,972,000 247,972,000   247,972,000   149,055,000
Revenues:            
Resident fees and services   18,948,000 11,865,000 51,863,000 34,053,000  
Grant income   864,000   864,000    
Total revenues and grant income   19,812,000 11,865,000 52,727,000 34,053,000  
Expenses:            
Property operating expenses   17,397,000 9,884,000 44,856,000 28,194,000  
Segment net operating income   2,415,000 1,981,000 7,871,000 5,859,000  
Skilled Nursing Facilities            
Assets by Reportable Segment            
Total assets 120,219,000 120,219,000   120,219,000   121,749,000
Revenues:            
Real estate revenue   2,979,000 2,929,000 8,984,000 8,732,000  
Total revenues and grant income   2,979,000 2,929,000 8,984,000 8,732,000  
Expenses:            
Rental expenses   125,000 135,000 459,000 435,000  
Segment net operating income   2,854,000 2,794,000 8,525,000 8,297,000  
Senior Housing            
Assets by Reportable Segment            
Total assets 101,225,000 101,225,000   101,225,000   142,982,000
Revenues:            
Real estate revenue   2,202,000 2,180,000 6,656,000 5,746,000  
Total revenues and grant income   2,202,000 2,180,000 6,656,000 5,746,000  
Expenses:            
Rental expenses   173,000 213,000 648,000 989,000  
Segment net operating income   2,029,000 $ 1,967,000 6,008,000 $ 4,757,000  
Other            
Assets by Reportable Segment            
Total assets $ 51,999,000 $ 51,999,000   $ 51,999,000   $ 54,493,000