10-Q

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, DC 20549

FORM 10-Q

☑ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended March 31, 2022

or

☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from ___________ to ___________.

Commission file number: 001-37815

Global Medical REIT Inc.

(Exact name of registrant as specified in its charter)

Maryland	46-4757266
(State or other jurisdiction of incorporation or organization)	(I.R.S. Employer Identification No.)
2 Bethesda Metro Center, Suite 440 Bethesda, MD	20814
(Address of principal executive offices)	(Zip Code)

Registrant’s telephone number, including area code: (202) 524-6851

N/A

(Former name, former address and former fiscal year, if changed since last report)

Securities registered pursuant to Section 12(b) of the Act:

Title of each class:	Trading Symbol(s):	Name of each exchange on which registered:
Common Stock, par value $0.001 per share	GMRE	NYSE
Series A Preferred Stock, par value $0.001 per share	GMRE PrA	NYSE

Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. þ Yes ◻ No

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes þ   No ◻

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer	þ	Accelerated filer	☐
Non-accelerated filer	☐	Smaller reporting company	☐
		Emerging growth company	☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act ◻

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☑

Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date.

The number of shares of the registrant’s common stock outstanding at May 2, 2022 was 65,518,303

TABLE OF CONTENTS

PART I   FINANCIAL INFORMATION

Item 1.	Financial Statements (Unaudited)
	Condensed Consolidated Balance Sheets – March 31, 2022 and December 31, 2021	3
	Condensed Consolidated Statements of Operations – Three Months Ended March 31, 2022 and 2021	4
	Condensed Consolidated Statements of Comprehensive Income – Three Months Ended March 31, 2022 and 2021	5
	Condensed Consolidated Statements of Equity – Three Months Ended March 31, 2022 and 2021	6
	Condensed Consolidated Statements of Cash Flows – Three Months Ended March 31, 2022 and 2021	7
	Notes to the Unaudited Condensed Consolidated Financial Statements	8
Item 2.	Management’s Discussion and Analysis of Financial Condition and Results of Operations	25
Item 3.	Quantitative and Qualitative Disclosures About Market Risk	37
Item 4.	Controls and Procedures	38
PART II OTHER INFORMATION
Item 1.	Legal Proceedings	38
Item 1A.	Risk Factors	38
Item 2.	Unregistered Sales of Equity Securities and Use of Proceeds	38
Item 3.	Defaults Upon Senior Securities	39
Item 4.	Mine Safety Disclosures	39
Item 5.	Other Information	39
Item 6.	Exhibits	39
Signatures		41

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GLOBAL MEDICAL REIT INC.

Condensed Consolidated Balance Sheets

(unaudited and in thousands, except par values)

	As of
	March 31, 2022		December 31, 2021
Assets
Investment in real estate:
Land	$	155,529	$	152,060
Building		1,002,087		985,091
Site improvements		19,596		19,021
Tenant improvements		60,154		58,900
Acquired lease intangible assets		130,790		127,931
		1,368,156		1,343,003
Less: accumulated depreciation and amortization		(157,132)		(143,255)
Investment in real estate, net		1,211,024		1,199,748
Cash and cash equivalents		1,854		7,213
Restricted cash		6,336		5,546
Tenant receivables, net		6,477		6,070
Due from related parties		451		163
Escrow deposits		7,697		5,957
Deferred assets		26,714		25,417
Derivative asset		12,692		1,236
Goodwill		5,903		5,903
Other assets		6,345		6,232
Total assets	$	1,285,493	$	1,263,485
Liabilities and Equity
Liabilities:
Credit Facility, net of unamortized debt issuance costs of $7,570 and $8,033 at March 31, 2022 and December 31, 2021, respectively	$	529,130	$	514,567
Notes payable, net of unamortized debt issuance costs of $568 and $607 at March 31, 2022 and December 31, 2021, respectively		56,919		57,162
Accounts payable and accrued expenses		9,272		10,344
Dividends payable		15,823		15,668
Security deposits		4,616		4,540
Derivative liability		1,865		7,790
Other liabilities		7,090		7,709
Acquired lease intangible liability, net		8,161		8,128
Total liabilities		632,876		625,908
Commitments and Contingencies
Equity:
Preferred stock, $0.001 par value, 10,000 shares authorized; 3,105 issued and outstanding at March 31, 2022 and December 31, 2021, respectively (liquidation preference of $77,625 at March 31, 2022 and December 31, 2021, respectively)		74,959		74,959
Common stock, $0.001 par value, 500,000 shares authorized; 65,400 shares and 64,880 shares issued and outstanding at March 31, 2022 and December 31, 2021, respectively		65		65
Additional paid-in capital		720,306		711,414
Accumulated deficit		(168,089)		(157,017)
Accumulated other comprehensive income (loss)		10,757		(6,636)
Total Global Medical REIT Inc. stockholders' equity		637,998		622,785
Noncontrolling interest		14,619		14,792
Total equity		652,617		637,577
Total liabilities and equity	$	1,285,493	$	1,263,485

The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.

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GLOBAL MEDICAL REIT INC.

Condensed Consolidated Statements of Operations

(unaudited and in thousands, except per share amounts)

	Three Months Ended March 31,
	2022		2021
Revenue
Rental revenue	$	31,852	$	27,325
Other income		23		24
Total revenue		31,875		27,349
Expenses
General and administrative		4,197		4,383
Operating expenses		5,372		3,687
Depreciation expense		9,402		7,848
Amortization expense		3,777		3,005
Interest expense		4,801		5,037
Preacquisition expense		40		66
Total expenses		27,589		24,026
Net income	$	4,286	$	3,323
Less: Preferred stock dividends		(1,455)		(1,455)
Less: Net income attributable to noncontrolling interest		(170)		(112)
Net income attributable to common stockholders	$	2,661	$	1,756
Net income attributable to common stockholders per share – basic and diluted	$	0.04	$	0.03
Weighted average shares outstanding – basic and diluted		65,302		52,671

The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.

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GLOBAL MEDICAL REIT INC.

Condensed Consolidated Statements of Comprehensive Income

(unaudited and in thousands)

	Three Months Ended March 31,
	2022		2021
Net income	$	4,286	$	3,323
Other comprehensive income:
Increase in fair value of interest rate swap agreements		17,393		3,631
Total other comprehensive income		17,393		3,631
Comprehensive income		21,679		6,954
Less: Preferred stock dividends		(1,455)		(1,455)
Less: Comprehensive income attributable to noncontrolling interest		(1,213)		(331)
Comprehensive income attributable to common stockholders	$	19,011	$	5,168

The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.

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GLOBAL MEDICAL REIT INC.

Condensed Consolidated Statements of Equity

(unaudited and in thousands, except per share amounts)

For the Three Months Ended March 31, 2022:

													Global
											Accumulated		Medical
							Additional				Other		REIT Inc.		Non-
	Common Stock			Preferred Stock			Paid-in		Accumulated		Comprehensive		Stockholders’		controlling		Total
	Shares	Amount		Shares	Amount		Capital		Deficit		Income (Loss)		Equity		Interest		Equity
Balances, December 31, 2021	64,880	$	65	3,105	$	74,959	$	711,414	$	(157,017)	$	(6,636)	$	622,785	$	14,792	$	637,577
Net income	—		—	—		—		—		4,116		—		4,116		170		4,286
Issuance of shares of common stock, net	480		—	—		—		8,210		—		—		8,210		—		8,210
LTIP Units and OP Units redeemed for common stock	40		—	—		—		682		—		—		682		(682)		—
Change in fair value of interest rate swap agreements	—		—	—		—		—		—		17,393		17,393		—		17,393
Stock-based compensation expense	—		—	—		—		—		—		—		—		1,287		1,287
Dividends to common stockholders ($0.21 per share)	—		—	—		—		—		(13,733)		—		(13,733)		—		(13,733)
Dividends to preferred stockholders ($0.46875 per share)	—		—	—		—		—		(1,455)		—		(1,455)		—		(1,455)
Dividends to noncontrolling interest	—		—	—		—		—		—		—		—		(948)		(948)
Balances, March 31, 2022	65,400	$	65	3,105	$	74,959	$	720,306	$	(168,089)	$	10,757	$	637,998	$	14,619	$	652,617

For the Three Months Ended March 31, 2021:

													Global
											Accumulated		Medical
							Additional				Other		REIT Inc.		Non-
	Common Stock			Preferred Stock			Paid-in		Accumulated		Comprehensive		Stockholders’		controlling		Total
	Shares	Amount		Shares	Amount		Capital		Deficit		Loss		Equity		Interest		Equity
Balances, December 31, 2020	49,461	$	49	3,105	$	74,959	$	504,789	$	(116,773)	$	(18,219)	$	444,805	$	12,955	$	457,760
Net income	—		—	—		—		—		3,211		—		3,211		112		3,323
Issuance of shares of common stock, net	11,333		12	—		—		144,160		—		—		144,172		—		144,172
Change in fair value of interest rate swap agreements	—		—	—		—		—		—		3,631		3,631		—		3,631
Stock-based compensation expense	—		—	—		—		—		—		—		—		1,715		1,715
Dividends to common stockholders ($0.205 per share)	—		—	—		—		—		(12,463)		—		(12,463)		—		(12,463)
Dividends to preferred stockholders ($0.46875 per share)	—		—	—		—		—		(1,455)		—		(1,455)		—		(1,455)
Dividends to noncontrolling interest	—		—	—		—		—		—		—		—		(864)		(864)
Balances, March 31, 2021	60,794	$	61	3,105	$	74,959	$	648,949	$	(127,480)	$	(14,588)	$	581,901	$	13,918	$	595,819

The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.

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GLOBAL MEDICAL REIT INC.

Condensed Consolidated Statements of Cash Flows

(unaudited and in thousands)

	Three Months Ended March 31,
	2022		2021
Operating activities
Net income	$	4,286	$	3,323
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation expense		9,402		7,848
Amortization of acquired lease intangible assets		3,755		2,984
Amortization of above market leases, net		199		60
Amortization of debt issuance costs and other		515		425
Stock-based compensation expense		1,287		1,715
Capitalized preacquisition and other costs charged to expense		153		24
Other		29		10
Changes in operating assets and liabilities:
Tenant receivables		(407)		11
Deferred assets		(1,297)		(1,404)
Other assets and liabilities		(532)		551
Accounts payable and accrued expenses		(1,030)		(287)
Security deposits		76		27
Net cash provided by operating activities		16,436		15,287
Investing activities
Purchase of land, buildings, and other tangible and intangible assets and liabilities		(24,468)		(43,348)
Escrow deposits for purchase of properties		(1,284)		300
Advances made to related parties		(288)		(127)
Capital expenditures on existing real estate investments		(556)		(397)
Net cash used in investing activities		(26,596)		(43,572)
Financing activities
Net proceeds received from common equity offerings		8,210		144,312
Escrow deposits required by third party lenders		(456)		(646)
Repayment of notes payable		(282)		(190)
Proceeds from Credit Facility		14,100		50,100
Repayment of Credit Facility		—		(151,800)
Payment of debt issuance costs		—		(74)
Dividends paid to common stockholders, and OP Unit and LTIP Unit holders		(14,526)		(11,315)
Dividends paid to preferred stockholders		(1,455)		(1,455)
Net cash provided by financing activities		5,591		28,932
Net (decrease) increase in cash and cash equivalents and restricted cash		(4,569)		647
Cash and cash equivalents and restricted cash—beginning of period		12,759		10,753
Cash and cash equivalents and restricted cash—end of period	$	8,190	$	11,400
Supplemental cash flow information:
Cash payments for interest	$	4,258	$	4,602
Noncash financing and investing activities:
Accrued dividends payable	$	15,823	$	14,482
Interest rate swap agreements fair value change recognized in other comprehensive income	$	(17,393)	$	(3,631)
OP Units and LTIP Units redeemed for common stock	$	682	$	—
Accrued common stock offering costs	$	—	$	220
Accrued capital expenditures included in accounts payable and accrued expenses	$	1,841	$	244

The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.

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GLOBAL MEDICAL REIT INC.

Notes to the Unaudited Condensed Consolidated Financial Statements

(in thousands, except per share amounts or as otherwise indicated)

Note 1 – Organization

Global Medical REIT Inc. (the “Company”) is a Maryland corporation engaged primarily in the acquisition of purpose-built healthcare facilities and the leasing of those facilities to strong healthcare systems and physician groups with leading market share. The Company holds its facilities and conducts its operations through a Delaware limited partnership subsidiary named Global Medical REIT L.P. (the “Operating Partnership”). The Company serves as the sole general partner of the Operating Partnership through a wholly owned subsidiary of the Company named Global Medical REIT GP LLC, a Delaware limited liability company. As of March 31, 2022, the Company was the 94.00% limited partner of the Operating Partnership, with an aggregate of 6.00% of the Operating Partnership owned by holders of long-term incentive plan units (“LTIP Units”) and third-party limited partners who contributed properties or services to the Operating Partnership in exchange for common limited partnership units (“OP Units”).

Note 2 – Summary of Significant Accounting Policies

Basis of presentation

The accompanying condensed consolidated financial statements are unaudited and include the accounts of the Company, including the Operating Partnership and its wholly owned subsidiaries. The accompanying condensed consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) and the rules and regulations of the U.S. Securities and Exchange Commission (“SEC”). Certain information and footnote disclosures required for annual consolidated financial statements have been condensed or excluded pursuant to SEC rules and regulations. Accordingly, the accompanying condensed consolidated financial statements do not include all the information and footnotes required by GAAP for complete consolidated financial statements and should be read in conjunction with the audited consolidated financial statements and notes thereto for the year ended December 31, 2021. In the opinion of management, all adjustments of a normal and recurring nature necessary for a fair presentation of the condensed consolidated financial statements for the interim periods have been made.

Principles of Consolidation

The accompanying condensed consolidated financial statements include the accounts of the Company and its wholly owned subsidiaries. The Company presents the portion of any equity it does not own but controls (and thus consolidates) as noncontrolling interest. Noncontrolling interest in the Company includes the LTIP Units that have been granted to directors, officers and employees of the Company and the OP Units held by third parties. Refer to Note 5 – “Equity” and Note 7 – “Stock-Based Compensation” for additional information regarding the OP Units and LTIP Units.

The Company classifies noncontrolling interest as a component of consolidated equity on its Condensed Consolidated Balance Sheets, separate from the Company’s total equity. The Company’s net income or loss is allocated to noncontrolling interests based on the respective ownership or voting percentage in the Operating Partnership associated with such noncontrolling interests and is removed from consolidated income or loss on the Condensed Consolidated Statements of Operations in order to derive net income or loss attributable to common stockholders. The noncontrolling ownership percentage is calculated by dividing the aggregate number of LTIP Units and OP Units by the total number of units and shares outstanding. Any future issuances of additional LTIP Units or OP Units would change the noncontrolling ownership interest.

Use of Estimates

The preparation of the condensed consolidated financial statements in conformity with GAAP requires the Company to make estimates and assumptions that affect the amounts reported in the condensed consolidated financial statements and footnotes. Actual results could differ from those estimates.

Investment in Real Estate

The Company determines when an acquisition meets the definition of a business or alternatively should be accounted for as an asset acquisition in accordance with Accounting Standard Codification (“ASC”) Topic 805 “Business Combinations” (“ASC Topic

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805”), which requires that, when substantially all of the fair value of an acquisition is concentrated in a single identifiable asset or a group of similar identifiable assets, the asset or group of similar identifiable assets does not meet the definition of a business and therefore is required to be accounted for as an asset acquisition. Transaction costs are capitalized for asset acquisitions and expensed as incurred for business combinations. All our facility acquisitions for the three months ended March 31, 2022 and 2021 have been accounted for as asset acquisitions because substantially all the fair value of the gross assets the Company acquired were concentrated in a single asset or group of similar identifiable assets.

For asset acquisitions that are “owner occupied” (meaning that the seller either is the tenant or controls the tenant), the purchase price, including capitalized acquisition costs, will be allocated to land and building based on their relative fair values with no value allocated to intangible assets or liabilities. For asset acquisitions where there is a lease in place but that are not “owner occupied,” the Company will allocate the purchase price to tangible assets and any intangible assets acquired or liabilities assumed based on their relative fair values. Fair value is determined based upon the guidance of ASC Topic 820, “Fair Value Measurements and Disclosures,” and generally are determined using Level 2 inputs, such as rent comparables, sales comparables, and broker indications. Although Level 3 inputs are utilized, they are minor in comparison to the Level 2 data used for the primary assumptions. The determination of fair value involves the use of significant judgment and estimates. We make estimates to determine the fair value of the tangible and intangible assets acquired and liabilities assumed using information obtained from multiple sources, including preacquisition due diligence, and we routinely utilize the assistance of a third-party appraiser.

Revenue Recognition

The Company’s operations primarily consist of rental revenue earned from tenants under leasing arrangements which provide for minimum rent and escalations. The leases have been accounted for as operating leases. For operating leases with contingent rental escalators, revenue is recorded based on the contractual cash rental payments due during the period. Revenue from leases with fixed annual rental escalators are recognized on a straight-line basis over the initial lease term, subject to a collectability assessment, with the difference between the contractual rental receipts and the straight-line amounts recorded as a “deferred rent receivable.” Additionally, the Company recognizes “expense recoveries” revenue, which represents revenue recognized related to tenant reimbursement of real estate taxes, insurance, and certain other operating expenses (“tenant reimbursements”). The Company recognizes these reimbursements and related expenses on a gross basis in its Condensed Consolidated Statements of Operations.

Cash and Cash Equivalents and Restricted Cash

The Company considers all demand deposits, cashier’s checks, money market accounts, and certificates of deposit with a maturity of three months or less to be cash equivalents. Amounts included in restricted cash represent (1) certain security deposits received from tenants at the inception of their leases; (2) cash required to be held by a third-party lender as a reserve for debt service; and (3) funds held by the Company related to tenant reimbursements. The following table provides a reconciliation of the Company’s cash and cash equivalents and restricted cash that sums to the total of those amounts at the end of the periods presented on the Company’s accompanying Condensed Consolidated Statements of Cash Flows:

	As of March 31,
	2022		2021
Cash and cash equivalents	$	1,854	$	5,304
Restricted cash		6,336		6,096
Total cash and cash equivalents and restricted cash	$	8,190	$	11,400

Tenant Receivables, Net

The tenant receivable balance as of March 31, 2022 and December 31, 2021 was $6,477 and $6,070, respectively. The balance as of March 31, 2022 consisted of $1,792 in funds owed from the Company’s tenants for rent that the Company had earned but had not yet received, $1,152 of loans that were made to two of the Company’s tenants, and $3,533 of tenant reimbursements. The balance as of December 31, 2021 consisted of $1,309 in funds owed from the Company’s tenants for rent that the Company had earned but had not yet received, $1,158 of loans that were made to two of the Company’s tenants, and $3,603 of tenant reimbursements.

Receivables arising from operating leases are accounted for in accordance with ASC Topic 842 “Leases” (“ASC Topic 842”). The Company assesses the likelihood of losses resulting from tenant defaults, or the inability of tenants to make contractual rent and tenant reimbursements at each reporting date. The Company also monitors the liquidity and creditworthiness of its tenants and operators on a continuous basis. If the likelihood of a tenant paying its lease payments is determined to no longer be probable, all tenant receivables,

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including deferred rent, are written off against revenue and any future revenue for that tenant is recognized only upon receipt of cash. In addition, as of March 31, 2022 and December 31, 2021, the Company had a portfolio level reserve of $350 on those leases that were probable of collection to ensure that the tenant lease receivables were not overstated.  

Escrow Deposits

The escrow balance as of March 31, 2022 and December 31, 2021 was $7,697 and $5,957, respectively. Escrow deposits include funds held in escrow to be used for the acquisition of properties in the future and for the payment of taxes, insurance, and other amounts as stipulated by the Company’s Cantor Loan, as hereinafter defined.

Deferred Assets

The deferred assets balance as of March 31, 2022 and December 31, 2021 was $26,714 and $25,417, respectively. The balance as of March 31, 2022 consisted of $26,551 in deferred rent receivables resulting from the recognition of revenue from leases with fixed annual rental escalations on a straight-line basis and $163 of other deferred costs. The balance as of December 31, 2021 consisted of $25,356 in deferred rent receivables resulting from the recognition of revenue from leases with fixed annual rental escalations on a straight-line basis and $61 of other deferred costs.

Other Assets

The other assets balance as of March 31, 2022 and December 31, 2021 was $6,345 and $6,232, respectively. The balance as of March 31, 2022 consisted of $3,728 for right of use assets, $494 in preacquisition and other capitalized costs related to our properties, $1,899 in prepaid assets, and $224 for net capitalized software costs and miscellaneous assets. The balance as of December 31, 2021 consisted of $3,809 for right of use assets, $257 in preacquisition and other capitalized costs related to our properties, $1,916 in prepaid assets, and $250 for net capitalized software costs and miscellaneous assets. Refer to Note 8 – “Leases” for additional details on right of use assets.

Derivative Instruments - Interest Rate Swaps

As of March 31, 2022 and December 31, 2021, the Company's balance related to interest rate swap derivative instruments that were designated as cash flow hedges of interest rate risk was a net asset of $10,827 and a net liability of $6,554, respectively. In accordance with the Company’s risk management strategy, the purpose of the interest rate swaps is to manage interest rate risk for certain of the Company’s variable-rate debt. The interest rate swaps involve the Company’s receipt of variable-rate amounts from the counterparties in exchange for the Company making fixed-rate payments over the life of the agreements. The Company accounts for derivative instruments in accordance with the provisions of ASC Topic 815, “Derivatives and Hedging.” Refer to Note 4 – “Credit Facility, Notes Payable and Derivative Instruments” for additional details.

Goodwill

As of March 31, 2022 and December 31, 2021, the Company’s goodwill balance was $5,903. Goodwill represents the excess of consideration paid over the fair value of underlying identifiable net assets of businesses acquired. Goodwill has an indefinite life and is not amortized, but is tested for impairment on an annual basis, or more frequently if events or changes in circumstances indicate that the asset might be impaired. The Company’s policy is to perform its annual goodwill impairment evaluation as of the first day of the fourth quarter of its fiscal year. The Company has one reporting unit.  

Assets Held for Sale and Sales of Real Estate

The Company classifies a property as held for sale when the following criteria are met: (i) management, having the authority to approve action, commits to a plan to sell the property in its present condition, (ii) the sale of the property is at a price reasonable in relation to its current fair value and (iii) the sale is probable and expected to be completed within one year. At that time, the Company presents the assets and obligations associated with the real estate held for sale separately in its Condensed Consolidated Balance Sheets and ceases recording depreciation and amortization expense related to that asset.  Real estate held for sale is reported at the lower of its carrying amount or its estimated fair value less estimated costs to sell. None of the Company’s properties were classified as held for sale as of March 31, 2022 or December 31, 2021.

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Upon the disposition of a property, the Company recognizes a gain or loss at a point in time when the Company determines control of the underlying asset has been transferred to the buyer. The Company’s performance obligation is generally satisfied at the closing of the transaction. Any continuing involvement is analyzed as a separate performance obligation in the contract, and a portion of the sales price is allocated to each performance obligation. There is significant judgment applied to estimate the amount of any variable consideration identified within the sales price and assess its probability of occurrence based on current market information, historical transactions, and forecasted information that is reasonably available.

For sales of real estate (or assets classified as held for sale), the Company evaluates whether the disposition is a strategic shift that will have a major effect on the Company’s operations and financial results, and, if so, it will be classified as discontinued operations in the Company’s consolidated financial statements for all periods presented.  

Other Liabilities

The other liabilities balance as of March 31, 2022 and December 31, 2021 was $7,090 and $7,709, respectively. The balance as of March 31, 2022 consisted of $3,179 for right of use liabilities and $3,911 of prepaid rent. The balance as of December 31, 2021 consisted of $4,479 for right of use liabilities and $3,230 of prepaid rent. Refer to Note 8 – “Leases” for additional details on right of use liabilities.

Recent Accounting Pronouncements

Reference Rate Reform

Accounting Standards Update (“ASU”) 2020-04, Reference Rate Reform (Topic 848) (“ASU 2020-04”) contains practical expedients for reference rate reform-related activities that impact debt, leases, derivatives, and other contracts. The guidance in ASU 2020-04 is optional and may be elected over time as reference rate reform activities occur. As of March 31, 2022, the Company had elected to apply the hedge accounting expedients related to probability and the assessments of effectiveness for future LIBOR-indexed cash flows to assume that the index upon which future hedged transactions will be based matches the index on the corresponding derivatives. Application of these expedients preserves the presentation of derivatives consistent with past presentation. The Company continues to evaluate the impact of the guidance and may apply other elections as applicable as additional changes in the market occur.

Note 3 – Property Portfolio

Summary of Properties Acquired During the Three Months Ended March 31, 2022

During the three months ended March 31, 2022 the Company completed four acquisitions. For each acquisition, substantially all of the fair value was concentrated in a single identifiable asset or group of similar identifiable assets and, therefore, each acquisition represents an asset acquisition. Accordingly, transaction costs for these acquisitions were capitalized.

A rollforward of the gross investment in land, building, improvements, and acquired lease intangible assets as of March 31, 2022 resulting from these acquisitions is as follows:

					Site		Tenant		Acquired Lease		Gross Investment in
	Land		Building		Improvements		Improvements		Intangible Assets		Real Estate
Balances as of December 31, 2021	$	152,060	$	985,091	$	19,021	$	58,900	$	127,931	$	1,343,003
Facility Acquired – Date Acquired:
Gainesville – 2/4/22		555		3,899		76		199		575		5,304
Grand Rapids – 2/28/22		1,238		4,976		221		270		595		7,300
Sarasota – 3/29/22		747		3,703		84		331		1,263		6,128
Greenwood – 3/30/22		929		4,332		194		360		426		6,241
Capitalized costs(1)		—		86		—		94		—		180
Total Additions:		3,469		16,996		575		1,254		2,859		25,153
Balances as of March 31, 2022	$	155,529	$	1,002,087	$	19,596	$	60,154	$	130,790	$	1,368,156

⁽¹⁾   Represents capital projects that were completed and placed in service during the three months ended March 31, 2022 related to the Company’s existing facilities.

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Depreciation expense was $9,402 and $7,848 for the three months ended March 31, 2022 and 2021, respectively.

As of March 31, 2022, the Company had aggregate capital improvement commitments and obligations to improve, expand, and maintain the Company’s existing facilities of approximately $27,892. Many of these amounts are subject to contingencies that make it difficult to predict when they will be utilized, if at all. In accordance with the terms of the Company’s leases, capital improvement obligations in the next twelve months could total up to approximately $24,112.

Property Under Contract for Sale

On October 5, 2021, the Company entered into an agreement to sell a medical office building located in Belpre, Ohio for gross proceeds of approximately $44.6 million. The property had a net book value of approximately $29 million as of March 31, 2022.  The transaction is expected to be completed no earlier than September 2022. The transaction is subject to various closing contingencies and, accordingly, it may not close on a timely basis or at all. As of March 31, 2022 the transaction did not meet the criteria to be classified as held for sale. The Company acquired the facility as part of a portfolio of four medical office buildings in April 2018.

Summary of Properties Acquired During the Year Ended December 31, 2021

During the year ended December 31, 2021 the Company completed 20 acquisitions. For each acquisition, substantially all of the fair value was concentrated in a single identifiable asset or group of similar identifiable assets and, therefore, each acquisition represents an asset acquisition. Accordingly, transaction costs for these acquisitions were capitalized.

A rollforward of the gross investment in land, building, improvements, and acquired lease intangible assets as of December 31, 2021 resulting from these acquisitions is as follows:

						Site		Tenant		Acquired Lease		Gross Investment in
	Land		Building			Improvements		Improvements		Intangible Assets		Real Estate
Balances as of December 31, 2020	$	128,857	$	851,427		$	15,183	$	49,204	$	98,234	$	1,142,905
Facility Acquired – Date Acquired:
El Paso – 1/12/21		899		7,549			71		160		1,338		10,017
Syracuse – 1/15/21		616		4,745			128		136		772		6,397
West El Paso – 1/15/21		851		7,160			144		567		856		9,578
Fort Worth – 3/9/21		1,817		13,020			143		395		2,069		17,444
Port St. Lucie – 4/6/21		590		3,583			70		185		359		4,787
Cape Coral and Fort Myers – 4/13/21		5,623		20,155			480		1,132		4,311		31,701
Dallas – 4/16/21		3,101		2,593			63		469		493		6,719
East Grand Forks – 4/19/21		845		6,248			278		815		2,092		10,278
Coos Bay – 4/21/21		861		5,095			56		50		410		6,472
Caledonia – 6/2/21		582		2,669			66		96		497		3,910
Tallahassee – 6/2/21		782		6,720			137		387		1,218		9,244
Forsyth – 7/28/21		1,554		9,627			348		456		7,439		19,424
North Charleston – 7/29/21		927		4,248			106		801		1,098		7,180
Munster – 9/15/21		780		4,451			161		391		953		6,736
Hialeah – 9/30/21		—		9,633			264		716		1,231		11,844
Athens – 9/30/21		564		4,106			58		63		548		5,339
Lemoyne – 12/3/21		299		3,661			113		359		904		5,336
Athens 200 – 12/13/21		327		1,336			42		134		204		2,043
Mentor – 12/16/21		2,249		6,291			354		253		1,322		10,469
Oklahoma City – 12/20/21		727		5,839			261		495		1,583		8,905
Capitalized costs(1)		—		8,756	(2)		495		1,636		—		10,887
Total Additions:		23,994		137,485			3,838		9,696		29,697		204,710
Disposition of Prescott – 10/13/21		(791)		(3,821)			—		—		—		(4,612)
Balances as of December 31, 2021	$	152,060	$	985,091		$	19,021	$	58,900	$	127,931	$	1,343,003

(1) Represents capital projects that were completed and placed in service during the year ended December 31, 2021 related to the Company’s existing facilities.

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(2) During the year ended December 31, 2021, the Company completed and funded a $6,814 expansion at its Oklahoma City facility that was acquired in April 2019 with Mercy Rehabilitation Hospital as the tenant.

Lease Intangible Assets and Liabilities

The following is a summary of the carrying amount of lease intangible assets and liabilities as of the dates presented:

	As of March 31, 2022
			Accumulated
	Cost		Amortization		Net
Assets
In-place leases	$	71,683	$	(26,277)	$	45,406
Above market leases		23,577		(7,132)		16,445
Leasing costs		35,530		(11,317)		24,213
	$	130,790	$	(44,726)	$	86,064
Liability
Below market leases	$	12,401	$	(4,240)	$	8,161

	As of December 31, 2021
			Accumulated
	Cost		Amortization		Net
Assets
In-place leases	$	70,527	$	(23,638)	$	46,889
Above market leases		22,615		(6,407)		16,208
Leasing costs		34,789		(10,201)		24,588
	$	127,931	$	(40,246)	$	87,685
Liability
Below market leases	$	11,842	$	(3,714)	$	8,128

The following is a summary of the acquired lease intangible amortization:

	Three Months Ended
	March 31,
	2022		2021
Amortization expense related to in-place leases	$	2,639	$	2,090
Amortization expense related to leasing costs	$	1,116	$	894
Decrease in rental revenue related to above market leases	$	725	$	491
Increase in rental revenue related to below market leases	$	(526)	$	(431)

As of March 31, 2022, scheduled future aggregate net amortization of the acquired lease intangible assets and liabilities for each year ended December 31 is listed below:

	Net Decrease		Net Increase
	in Revenue		in Expenses
2022 (nine months remaining)	$	(634)	$	11,264
2023		(882)		14,061
2024		(721)		11,952
2025		(1,110)		8,476
2026		(1,187)		6,891
Thereafter		(3,750)		16,975
Total	$	(8,284)	$	69,619

As of March 31, 2022, the weighted average amortization periods for asset lease intangibles and liability lease intangibles were 4.7 years and 3.8 years, respectively.

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Note 4 – Credit Facility, Notes Payable and Derivative Instruments

Credit Facility

On May 3, 2021, the Company, the Operating Partnership, as borrower, and certain of its subsidiaries (such subsidiaries, the “Subsidiary Guarantors”) entered into an amended and restated $750 million unsecured syndicated credit facility with JPMorgan Chase Bank, N.A. (“JPMorgan”), as administrative agent (the “Credit Facility”). The Credit Facility consists of a $350 million term loan component (the “Term Loan”) and a $400 million revolver component (the “Revolver”). The Credit Facility also includes a $500 million accordion feature. The Term Loan matures in May 2026 and the Revolver matures in May 2025, with two six-month extension options. Amounts outstanding under the Credit Facility bear interest at a floating rate that is based on LIBOR plus a specified margin based on the Company’s leverage.

The Operating Partnership is subject to a number of financial covenants under the Credit Facility, including, among other things, the following as of the end of each fiscal quarter, (i) a maximum consolidated unsecured leverage ratio of less than 60%, (ii) a maximum consolidated secured leverage ratio of less than 30%, (iii) a maximum consolidated secured recourse leverage ratio of less than 10%, (iv) a minimum fixed charge coverage ratio of 1.50:1.00, (v) a minimum unsecured interest coverage ratio of 1.50:1.00, (vi) a maximum consolidated leverage ratio of less than 60%, and (vii) a minimum net worth of $345 million plus 75% of all net proceeds raised through equity offerings subsequent to December 31, 2020. As of May 2, 2022, management believed it complied with all of the financial and non-financial covenants contained in the Credit Facility.

The Company has entered into interest rate swaps to hedge its interest rate risk on the Term Loan. For additional information related to the interest rate swaps, see the “Derivative Instruments - Interest Rate Swaps” section herein.

During the three months ended March 31, 2022, the Company borrowed $14,100 under the Credit Facility and made no repayments, for a net amount borrowed of $14,100. During the three months ended March 31, 2021, the Company borrowed $50,100 under the Credit Facility and repaid $151,800 for a net amount repaid of $101,700. Interest expense incurred on the Credit Facility was $3,614 and $3,852 for the three months ended March 31, 2022 and 2021, respectively.

As of March 31, 2022 and December 31, 2021, the Company had the following outstanding borrowings under the Credit Facility:

	March 31, 2022		December 31, 2021
Revolver	$	186,700	$	172,600
Term Loan		350,000		350,000
Less: Unamortized debt issuance costs		(7,570)		(8,033)
Credit Facility, net	$	529,130	$	514,567

Costs incurred related to the Credit Facility, net of accumulated amortization, are netted against the Company’s “Credit Facility, net of unamortized debt issuance costs” balance in the accompanying Condensed Consolidated Balance Sheets. The Company paid $74 related to amendments and modifications to the Credit Facility as well as fees related to adding properties to the borrowing base during the three months ended March 31, 2021. Amortization expense incurred was $463 and $349 for the three months ended March 31, 2022 and 2021, respectively, and is included in the “Interest Expense” line item in the accompanying Condensed Consolidated Statements of Operations.

Reference Rate Reform

On March 5, 2021, the Financial Conduct Authority (“FCA”) announced that USD LIBOR will no longer be published after June 30, 2023. This announcement has several implications, including setting the spread that may be used to automatically convert contracts from LIBOR to the Secured Overnight Financing Rate (“SOFR”).  Additionally, as of December 31, 2021, banks have ceased issuance of any new LIBOR debt.

The Company anticipates that LIBOR will continue to be available at least until June 30, 2023.  Any changes adopted by the FCA or other governing bodies in the method used for determining LIBOR may result in a sudden or prolonged increase or decrease in reported LIBOR. If that were to occur, our interest payments could change. In addition, uncertainty about the extent and manner of future changes may result in interest rates and/or payments that are higher or lower than if LIBOR were to remain available in its current form.

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The Company has interest rate swaps that are indexed to LIBOR and is monitoring and evaluating the related risks.  These risks arise in connection with transitioning contracts to an alternative rate, including any resulting value transfer that may occur, and are likely to vary by contract. The value of loans, securities, or derivative instruments tied to LIBOR, as well as interest rates on our current or future indebtedness, may also be impacted if LIBOR is limited or discontinued.  For some instruments the method of transitioning to an alternative reference rate may be challenging, especially if the Company cannot agree with the respective counterparty about how to make the transition.

While the Company expects LIBOR to be available in substantially its current form until at least June 30, 2023, it is possible that LIBOR will become unavailable prior to that point. This could result, for example, if sufficient banks decline to make submissions to the LIBOR administrator. In that case, the risks associated with the transition to an alternative reference rate would be accelerated and magnified.

Alternative rates and other market changes related to the replacement of LIBOR, including the introduction of financial products and changes in market practices, may lead to risk modeling and valuation challenges, such as adjusting interest rate accrual calculations and building a term structure for an alternative rate.

The introduction of an alternative rate also may create additional basis risk and increased volatility as alternative rates are phased in and utilized in parallel with LIBOR.

Adjustments to systems and mathematical models to properly process and account for alternative rates will be required, which may strain the model risk management and information technology functions and result in substantial incremental costs for the Company.

Notes Payable, Net of Debt Issuance Costs

The Company’s notes payable, net, includes three loans: (1) the Rosedale Loan, (2) the Dumfries Loan, and (3) the Cantor Loan, described in detail herein. The following table sets forth the aggregate balances of these loans as of March 31, 2022 and December 31, 2021.

	March 31, 2022		December 31, 2021
Notes payable	$	57,487	$	57,769
Unamortized debt issuance costs		(568)		(607)
Notes payable, net	$	56,919	$	57,162

Amortization expense incurred related to the debt issuance costs was $39 and $63 for the three months ended March 31, 2022 and 2021, respectively, and is included in the “Interest Expense” line item in the accompanying Condensed Consolidated Statements of Operations.  

Rosedale Loan

On July 31, 2020, in connection with its acquisition of the Rosedale Facilities, the Company, through certain of its wholly owned subsidiaries, as borrowers, entered into a loan with FVCbank with a principal balance of $14,800 (the “Rosedale Loan”). The Rosedale Loan has an annual interest rate of 3.85% and matures on July 31, 2025 with principal and interest payable monthly based on a 25-year amortization schedule. The Company, at its option, may prepay the loan, subject to a prepayment fee.

The Company made principal payments of $95 and $91 during the three months ended March 31, 2022 and 2021, respectively. The loan balance as of March 31, 2022 and December 31, 2021 was $14,235 and $14,330, respectively. Interest expense incurred on this loan was $137 and $141 for the three months ended March 31, 2022 and 2021, respectively.

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As of March 31, 2022, scheduled principal payments due for each year ended December 31 were as follows:

2022 (nine months remaining)	$	281
2023		391
2024		405
2025		13,158
Total	$	14,235

Dumfries Loan

On April 27, 2020, in connection with its acquisition of the Dumfries Facility, the Company, through a wholly-owned subsidiary, assumed a CMBS loan with a principal amount of $12,074 (the “Dumfries Loan”). The Dumfries Loan has an annual interest rate of 4.68% and matures on June 1, 2024 with principal and interest payable monthly based on a ten-year amortization schedule. The Company, at its option, may prepay the loan, subject to a prepayment premium.

The Company made principal payments of $72 and $69 during the three months ended March 31, 2022 and 2021, respectively. The loan balance as of March 31, 2022 and December 31, 2021 was $11,552 and $11,624, respectively. Interest expense incurred on this loan was $133 and $138 for the three months ended March 31, 2022 and 2021, respectively.

As of March 31, 2022, scheduled principal payments due for each year ended December 31 were as follows:

2022 (nine months remaining)	$	216
2023		302
2024		11,034
Total	$	11,552

Cantor Loan

On March 31, 2016, through certain of its wholly owned subsidiaries (the “GMR Loan Subsidiaries”), the Company entered into a $32,097 CMBS loan (the “Cantor Loan”). The Cantor Loan has a maturity date of April 6, 2026 and an annual interest rate of 5.22%. The Cantor Loan required interest-only payments through March 31, 2021 and thereafter principal and interest based on a 30-year amortization schedule. Prepayment can only occur within four months prior to the maturity date, subject to earlier defeasance. The Cantor Loan is secured by the assets of the GMR Loan Subsidiaries.

The Company made principal payments of $115 during the three months ended March 31, 2022 and no principal payments during the three months ended March 31, 2021. The loan balance as of March 31, 2022 and December 31, 2021 was $31,700 and $31,815, respectively. Interest expense incurred on this loan was $415 and $419 for the three months ended March 31, 2022 and 2021, respectively.

As of March 31, 2022, scheduled principal payments due for each year ended December 31 were as follows:

2022 (nine months remaining)		332
2023		471
2024		492
2025		523
2026		551
Thereafter		29,331
Total	$	31,700

Derivative Instruments - Interest Rate Swaps

The Company has six interest rate swaps with a total notional amount of $350 million that are used to manage its interest rate risk and fix the LIBOR component on the Term Loan. An aggregate of $150 million of the swaps mature in August 2023 and the remaining $200 million mature in August 2024. In addition, the Company has five forward starting interest rate swaps that will be

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effective on the maturity dates of the existing interest rate swaps. The forward starting swaps each have a maturity date of April 2026 and will fix the LIBOR component on the Term Loan through its maturity. Currently, the interest rate swaps fix the LIBOR component of the Term Loan at a rate of 1.91% through August 2023. Subsequently, from August 2023 to August 2024 the LIBOR component of the Term Loan rate will be fixed at 1.61%.  Finally, from August 2024 to April 2026 the LIBOR component of the Term Loan rate will be fixed at 1.45%.

The Company records the swaps either as an asset or a liability measured at its fair value at each reporting period. When hedge accounting is applied, the change in the fair value of derivatives designated and that qualify as cash flow hedges is (i) recorded in accumulated other comprehensive loss in the equity section of the Company’s Condensed Consolidated Balance Sheets and (ii) subsequently reclassified into earnings as interest expense for the period that the hedged forecasted transactions affect earnings. If specific hedge accounting criteria are not met, changes in the Company’s derivative instruments’ fair value are recognized currently as an adjustment to net income.

The Company’s interest rate swaps are not traded on an exchange. The Company’s interest rate swaps are recorded at fair value based on a variety of observable inputs including contractual terms, interest rate curves, yield curves, measure of volatility, and correlations of such inputs. The Company measures its derivatives at fair value on a recurring basis based on the expected size of future cash flows on a discounted basis and incorporating a measure of non-performance risk. The fair values are based on Level 2 inputs within the framework of ASC Topic 820, “Fair Value Measurement.” The Company considers its own credit risk, as well as the credit risk of its counterparties, when evaluating the fair value of its derivative instruments.

The fair value of the Company’s interest rate swaps was a net asset of $10,827 and a net liability of $6,554 as of March 31, 2022 and December 31, 2021, respectively. The gross balances are included in the “Derivative Asset” and “Derivative Liability” line items on the Company’s Condensed Consolidated Balance Sheets as of March 31, 2022 and December 31, 2021, respectively.

The table below details the components of the amounts presented on the accompanying Condensed Consolidated Statements of Comprehensive Income recognized on the Company’s interest rate swaps designated as cash flow hedges for the three months ended March 31, 2022 and 2021:

	Three Months Ended March 31,
	2022		2021
Amount of gain recognized in other comprehensive income	$	(15,878)	$	(2,082)
Amount of loss reclassified from accumulated other comprehensive income (loss) into interest expense		(1,515)		(1,549)
Total change in accumulated other comprehensive income (loss)	$	(17,393)	$	(3,631)

During the next twelve months, the Company estimates that an additional $388 will be reclassified as an increase to interest expense. Additionally, during the three months ended March 31, 2022, the Company recorded total interest expense in its Condensed Consolidated Statements of Operations of $4,801.

Weighted-Average Interest Rate and Term

The weighted average interest rate and term of the Company’s debt was 2.91% and 4.03 years at March 31, 2022, compared to 2.87% and 4.28 years as of December 31, 2021.

Note 5 – Equity

Preferred Stock

The Company’s charter authorizes the issuance of 10,000 shares of preferred stock, par value $0.001 per share. As of March 31, 2022 and December 31, 2021, there were 3,105 shares of Series A Cumulative Redeemable Preferred Stock (“Series A Preferred Stock”), issued and outstanding. The Series A Preferred Stock has a liquidation preference of $25 per share.

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Preferred stock dividend activity for the three months ended March 31, 2022 is summarized in the following table:

		Applicable		Quarterly			Dividends
Date Announced	Record Date	Quarter	Payment Date	Dividend			per Share
December 10, 2021	January 15, 2022	Q4 2021	January 31, 2022	$	1,455		$	0.46875
March 11, 2022	April 15, 2022	Q1 2022	May 2, 2022	$	1,455	(1)	$	0.46875

⁽¹⁾ Two months of this amount, equal to $970, was accrued at March 31, 2022.

The holders of the Series A Preferred Stock are entitled to receive dividend payments only when, as and if declared by the Company’s board of directors (the “Board”) (or a duly authorized committee of the Board). Dividends will accrue or be payable in cash from the original issue date, on a cumulative basis, quarterly in arrears on each dividend payment date at a fixed rate per annum equal to 7.50% of the liquidation preference of $25.00 per share (equivalent to $1.875 per share on an annual basis). Dividends on the Series A Preferred Stock will be cumulative and will accrue whether or not (i) funds are legally available for the payment of those dividends, (ii) the Company has earnings or (iii) those dividends are declared by the Board. The quarterly dividend payment dates on the Series A Preferred Stock are January 31, April 30, July 31 and October 31 of each year. During each of the three-month periods ended March 31, 2022 and 2021, the Company paid preferred dividends of $1,455.

Common Stock

The Company has 500,000 authorized shares of common stock, $0.001 par value. As of March 31, 2022 and December 31, 2021, there were 65,400 and 64,880 outstanding shares of common stock, respectively.

Common stock dividend activity for the three months ended March 31, 2022 is summarized in the following table:

		Applicable		Dividend		Dividends
Date Announced	Record Date	Quarter	Payment Date	Amount(1)		per Share
December 10, 2021	December 27, 2021	Q4 2021	January 10, 2022	$	14,055	$	0.205
March 11, 2022	March 25, 2022	Q1 2022	April 8, 2022	$	14,611	$	0.21

⁽¹⁾ Includes distributions on outstanding LTIP Units and OP Units.

During the three months ended March 31, 2022 and 2021, the Company paid total dividends on its common stock, LTIP Units and OP Units in the aggregate amount of $14,526 and $11,315, respectively.

As of March 31, 2022 and December 31, 2021, the Company had accrued dividend balances of $242 and $643 for dividends payable on the aggregate annual and long-term LTIP Units that are subject to retroactive receipt of dividends on the amount of LTIP Units ultimately earned. During the three months ended March 31, 2022, $70 of dividends were accrued and $471 of dividends were paid related to these units. During the three months ended March 31, 2021, $67 of dividends were accrued and $742 of dividends were paid related to these units.

The amount of the dividends paid to the Company’s stockholders is determined by the Board and is dependent on a number of factors, including funds available for payment of dividends, the Company’s financial condition and capital expenditure requirements except that, in accordance with the Company’s organizational documents and Maryland law, the Company may not make dividend distributions that would: (i) cause it to be unable to pay its debts as they become due in the usual course of business; (ii) cause its total assets to be less than the sum of its total liabilities plus senior liquidation preferences; or (iii) jeopardize its ability to maintain its qualification as a REIT.

Capital Raising Activity

In March 2022, the Company and the Operating Partnership entered into a Sales Agreement with certain sales agents, pursuant to which the Company may offer and sell, from time to time, up to $300,000 of its common stock (the “2022 ATM Program”).

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In August 2020, the Company and the Operating Partnership entered into a Sales Agreement with certain sales agents, pursuant to which the Company could offer and sell, from time to time, up to $150,000 of its common stock (the “2020 ATM Program”). During the three months ended March 31, 2022, the Company generated net proceeds of $8,210 through equity issuances of 480 shares of the Company’s common stock at an average offering price of $17.38 per share through the 2020 ATM Program. The 2020 ATM Program was terminated upon the commencement of the 2022 ATM Program.  

OP Units

During the three months ended March 31, 2022, one OP Unit holder redeemed 35 OP Units for shares of the Company’s common stock with an aggregate redemption value of $600. During the year ended December 31, 2021, three OP Unit holders redeemed an aggregate of 62 OP Units for shares of the Company’s common stock with an aggregate redemption value of $919.

As of March 31, 2022 and December 31, 2021, there were 1,667 and 1,702 OP Units issued and outstanding, respectively, with an aggregate value of $8,480 and $9,080, respectively. The OP Unit value at issuance and redemption is based on the Company’s closing share price on the date of the respective transaction and is included as a component of noncontrolling interest equity in the Company’s Condensed Consolidated Balance Sheets as of March 31, 2022 and December 31, 2021. The Company has sufficient shares of common stock authorized pursuant to its charter to cover the redemption of outstanding OP Units.

Note 6 – Related Party Transactions

Related Party Balances

The due from related parties balance as of March 31, 2022 and December 31, 2021 was $451 and $163, respectively. These balances primarily consist of taxes paid on behalf of LTIP Unit and OP Unit holders that are reimbursable to the Company. The Company had no amounts due to related parties as of March 31, 2022 and December 31, 2021.

Note 7 – Stock-Based Compensation

2016 Equity Incentive Plan

The 2016 Equity Incentive Plan, as amended (the “Plan”), is intended to assist the Company and its affiliates in recruiting and retaining employees of the Company, members of the Board, executive officers of the Company, and individuals who provide services to the Company and its affiliates.

The Plan is intended to permit the grant of both qualifying and non-qualified options and the grant of stock appreciation rights, restricted stock, unrestricted stock, awards of restricted stock units, performance awards and other equity-based awards (including LTIP Units). On May 26, 2021, the Company’s stockholders approved an amendment to the Plan to increase the number of authorized shares available for issuance under the Plan by 1,500 shares. Based on the grants outstanding as of March 31, 2022, there were 1,469 shares of common stock that remain available to be granted under the Plan. Units subject to awards under the Plan that are forfeited, cancelled, lapsed, or otherwise expired (excluding shares withheld to satisfy exercise prices or tax withholding obligations) are available for grant.

Time-Based Grants

During the three months ended March 31, 2022, pursuant to the recommendation of the Compensation Committee of the Board (the “Compensation Committee”), the Board approved the following LTIP Unit activity:

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		Number of
Date	Description	Units Issued	Vesting Dates
March 4, 2022	Final awards under the 2019 Long-Term Incentive Plan	163	50% on March 4, 2022; and
			50% on March 4, 2023
February 24, 2022	Final awards under the 2021 Annual Incentive Plan	91	50% on February 24, 2022; and
			50% on February 24, 2023
February 24, 2022	Time-based awards under the 2022 Long-Term Incentive Plan	75	100% on February 24, 2025

During the three months ended March 31, 2022, there were five time-based LTIP Units redeemed for the Company’s common stock.  A detail of the Company’s outstanding time-based LTIP Units as of March 31, 2022 is as follows:

Vested units	1,837
Unvested units	670
LTIP Units outstanding as of March 31, 2022	2,507

Performance Based Awards

The Board has approved annual performance-based LTIP awards (“Annual Awards”) and long-term performance-based LTIP awards (“Long-Term Awards”) to the executive officers and other employees of the Company.  As described below, the Annual Awards have one-year performance periods and the Long-Term Awards have three-year performance periods. In addition to meeting specified performance metrics, vesting in both the Annual Awards and the Long-Term Awards is subject to service requirements.

A detail of the Company’s Long-Term Awards under the 2020 and 2021 programs, and the Annual Awards and Long-Term Awards under the 2022 program as of March 31, 2022 is as follows:

2020 Long-Term Awards	68
2021 Long-Term Awards	74
2022 Annual Awards (1)	89
2022 Long-Term Awards (2)	106
Total target performance awards as of March 31, 2022	337

(1) Approved by the Board on February 24, 2022. The number of target LTIP Units was based on the average closing price of the Company’s common stock reported on the New York Stock Exchange (“NYSE”) over the 15 trading days preceding the grant date.  

(2) Approved by the Board on February 24, 2022. The number of target LTIP Units was based on the fair value of the Long-Term Awards as determined by an independent valuation consultant.

Annual Awards. The Annual Awards are subject to the terms and conditions of LTIP Annual Award Agreements (“LTIP Annual Award Agreements”) between the Company and each grantee.

The Compensation Committee and Board established performance goals for the year ending December 31, 2022, as set forth in the 2022 LTIP Annual Award Agreements (the “Performance Goals”) that will be used to determine the number of LTIP Units earned by each grantee. As of March 31, 2022, management estimated that the Performance Goals would be met at a 100% level and, accordingly, cumulative stock-based compensation expense during the three months ended March 31, 2022 reflects management’s estimate that 100% of these awards will be earned. As soon as reasonably practicable following the first anniversary of the Annual Awards grant date, the Compensation Committee and Board will determine the extent to which the Company has achieved each of the Performance Goals (expressed as a percentage) and, based on such determination, will calculate the number of LTIP Units that each grantee is entitled to receive. Each grantee may earn up to 150% of the number of his/her target LTIP Units. Any 2022 Annual Award LTIP Units that are not earned will be forfeited and cancelled.

Vesting. LTIP Units that are earned as of the end of the applicable performance period will be subject to vesting, subject to continued employment through each vesting date, in two installments as follows: 50% of the earned LTIP Units will become vested on

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February 28, 2023 (the end of the performance period) and 50% of the earned LTIP Units become vested on February 28, 2024, the one year anniversary of the initial vesting date. Vesting may be accelerated under certain circumstances such as a “change-in-control” transaction or a “qualified termination” event.

Distributions. Distributions equal to the dividends declared and paid by the Company will accrue during the applicable performance period on the maximum number of LTIP Units that the grantee could earn and will be paid with respect to all of the earned LTIP Units at the conclusion of the applicable performance period, in cash or by the issuance of additional LTIP Units at the discretion of the Compensation Committee.

Long-Term Awards. The Long-Term Awards are subject to the terms and conditions of their related LTIP Long-Term Award Agreements (collectively the “LTIP Long-Term Award Agreements”) between the Company and each grantee. The number of LTIP Units that each grantee earns under the LTIP Long-Term Award Agreements will be determined following the conclusion of a three-year performance period based on the Company’s total stockholder return (“TSR”), which is determined based on a combination of appreciation in stock price and dividends paid during the performance period. Each grantee may earn up to 200% of the number of target LTIP Units covered by the grantee’s Long-Term Award. Any target LTIP Units that are not earned will be forfeited and cancelled. The number of LTIP Units earned under the Long-Term Awards will be determined as soon as reasonably practicable following the end of the applicable three-year performance period based on the Company’s TSR on an absolute basis (as to 75% of the Long-Term Award) and relative to the companies that comprised the Dow Jones U.S. Real Estate Health Care Index (the “Index”) (as to 25% of the Long-Term Award).

Vesting. LTIP Units that are earned as of the end of the applicable three-year performance period will be subject to forfeiture restrictions that will lapse (“vesting”), subject to continued employment through each vesting date as follows; 50% of the earned LTIP Units will vest upon the day prior to the third anniversary of the respective grant dates and the remaining 50% will vest on the one year anniversary of the initial vesting date. Vesting may be accelerated under certain circumstances such as a “change-in-control” transaction or a “qualified termination” event.

Distributions. Pursuant to the LTIP Long-Term Award Agreements, distributions equal to the dividends declared and paid by the Company will accrue during the applicable performance period on the maximum number of LTIP Units that the grantee could earn and will be paid with respect to all of the earned LTIP Units at the conclusion of the applicable performance period, in cash or by the issuance of additional LTIP Units at the discretion of the Compensation Committee.

Stock-Based Compensation Expense

The Company’s prospective compensation expense for all unvested LTIP Units, Annual Awards, and Long-Term Awards is recognized using the adoption date fair value of the awards, with no remeasurement required. Compensation expense for future LTIP Unit grants, Annual Awards, and Long-Term Awards is based on the grant date fair value of the units/awards, with no subsequent remeasurement required.

As the Long-Term Awards involve market-based performance conditions, the Company utilizes a Monte Carlo simulation to provide a grant date fair value for expense recognition. The Monte Carlo simulation is a generally accepted statistical technique used, in this instance, to simulate a range of possible future stock prices for the Company and the members of the Index over the Performance Periods. The purpose of this modeling is to use a probabilistic approach for estimating the fair value of the performance share award.

The assumptions used in the Monte Carlo simulation include beginning average stock price, valuation date stock price, expected volatilities, correlation coefficients, risk-free rate of interest, and expected dividend yield. The beginning average stock price is the beginning average stock price for the Company and each member of the Index for the 15 trading days leading up to the grant date of the Long-Term Award. The valuation date stock price is the closing stock price of the Company and each of the peer companies in the Index on the grant dates of the Long-Term Awards. The expected volatilities are modeled using the historical volatilities for the Company and the members of the Index. The correlation coefficients are calculated using the same data as the historical volatilities. The risk-free rate of interest is taken from the U.S. Treasury website and relates to the expected life of the remaining performance period on valuation or revaluation. Lastly, the dividend yield assumption is 0.0%, which is mathematically equivalent to reinvesting dividends in the issuing entity, which is part of the Company’s award agreement assumptions.

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Below are details regarding certain of the assumptions for the Long-Term Awards using Monte Carlo simulations:

	2022 Long-Term			2021 Long-Term			2020 Long-Term
	Awards			Awards			Awards
Fair value	$	16.39		$	14.86		$	13.47
Target awards		106			76			70
Volatility		41.65	%		42.37	%		28.75	%
Risk-free rate		1.72	%		0.26	%		0.72	%
Dividend assumption		reinvested			reinvested			reinvested
Expected term in years		3			3			3

The Company incurred stock compensation expense of $1,287 and $1,715 for the three months ended March 31, 2022 and 2021, respectively, related to the grants awarded under the Plan. Compensation expense is included within “General and Administrative” expense in the Company’s Condensed Consolidated Statements of Operations.

As of March 31, 2022, total unamortized compensation expense related to these awards of approximately $7.8 million is expected to be recognized over a weighted average remaining period of 2.2 years.

Note 8 – Leases

The Company operates as both a lessor and a lessee. As a lessor, the Company is required under ASC Topic 842 to account for leases using an approach that is substantially similar to ASC Topic 840’s guidance for operating leases and other leases such as sales-type leases and direct financing leases. In addition, ASC Topic 842 requires lessors to capitalize and amortize only incremental direct leasing costs. As a lessee, the Company is required under the new standard to apply a dual approach, classifying leases, such as ground leases, as either finance or operating leases based on the principle of whether or not the lease is effectively a financed purchase. This classification determines whether lease expense is recognized based on an effective interest method or on a straight-line basis over the term of the lease. ASC Topic 842 also requires lessees to record a right of use asset and a lease liability for all leases with an initial term of greater than a year regardless of their classification. The Company has also elected the practical expedient not to recognize right of use assets and lease liabilities for leases with a term of a year or less.

Information as Lessor

To generate positive cash flow, as a lessor, the Company leases its facilities to tenants in exchange for fixed monthly payments that cover rent, property taxes, insurance and certain cost recoveries, primarily common area maintenance (“CAM”). The Company’s leases were determined to be operating leases and have a portfolio-average-lease-years remaining of approximately 10 years. Payments from the Company’s tenants for CAM are considered nonlease components that are separated from lease components and are generally accounted for in accordance with the revenue recognition standard. However, the Company qualified for and elected the practical expedient related to combining the components because the lease component is classified as an operating lease and the timing and pattern of transfer of CAM income, which is not the predominant component, is the same as the lease component, for all asset classes. As such, consideration for CAM is accounted for as part of the overall consideration in the lease. Payments from customers for property taxes and insurance are considered non-components of the lease and therefore no consideration is allocated to them because they do not transfer a good or service to the customer. Fixed contractual payments from the Company’s leases are recognized on a straight-line basis over the terms of the respective leases. This means that, with respect to a particular lease, actual amounts billed in accordance with the lease during any given period may be higher or lower than the amount of rental revenue recognized for the period. Straight-line rental revenue is commenced when the tenant assumes control of the leased premises. Accrued straight-line rents receivable represents the amount by which straight-line rental revenue exceeds rents currently billed in accordance with lease agreements.

Some of the Company’s leases are subject to annual changes in the Consumer Price Index (“CPI”). Although increases in CPI are not estimated as part of the Company’s measurement of straight-line rental revenue, for leases with base rent increases based on CPI, the amount of rent revenue recognized is adjusted in the period the changes in CPI are measured and effective. Additionally, some of the Company’s leases have extension options.

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Initial direct costs, primarily commissions, related to the leasing of our facilities are capitalized when material as incurred. Capitalized leasing costs are amortized on a straight-line basis over the remaining useful life of the respective leases. All other costs to negotiate or arrange a lease are expensed as incurred.

Lease-related receivables, which include accounts receivable and accrued straight-line rents receivable, are reduced for credit losses, if applicable. The Company regularly evaluates the collectability of its lease-related receivables. The Company’s evaluation of collectability primarily consists of reviewing past due account balances and considering such factors as the credit quality of our tenant, historical trends of the tenant and changes in tenant payment terms. If the Company’s assumptions regarding the collectability of lease-related receivables prove incorrect, the Company could experience credit losses in excess of what was recognized in rental and other revenues.

The Company recognized $31,852 and $27,325 of rental revenue related to operating lease payments for the three months ended March 31, 2022 and 2021, respectively. Of these amounts, $1,947 and $1,374 relate to variable rental revenue.

The aggregate annual cash to be received by the Company on the noncancelable operating leases related to its portfolio as of March 31, 2022 is as follows for the subsequent years ended December 31:

2022 (nine months remaining)	$	81,327
2023		105,373
2024		96,043
2025		82,814
2026		75,110
Thereafter		364,217
Total	$	804,884

Information as Lessee

The Company has seven buildings located on land that is subject to operating ground leases with a weighted average remaining term of approximately 40 years. Rental payments on these leases are adjusted periodically based on either the CPI or on a pre-determined schedule. The monthly payments on a pre-determined schedule are recognized on a straight-line basis over the terms of the respective leases. Changes in the CPI are not estimated as part of our measurement of straight-line rental expense. The Company used a weighted average discount rate of approximately 7.5%, which was derived, using a portfolio approach, from our assessment of the credit quality of the Company and adjusted to reflect secured borrowing, estimated yield curves and long-term spread adjustments over appropriate tenors. Some of the Company’s ground leases contain extension options and, where we determined it was reasonably certain that an extension would occur, they were included in our calculation of the right of use asset and liability. The Company recognized approximately $55 and $36 of ground lease expense, of which $28 and $30 was paid in cash, during the three months ended March 31, 2022 and 2021, respectively.

The following table sets forth the undiscounted cash flows of our scheduled obligations for future lease payments on operating ground leases at March 31, 2022, and a reconciliation of those cash flows to the operating lease liability at March 31, 2022:

2022 (nine months remaining)	$	331
2023		206
2024		162
2025		163
2026		165
Thereafter		6,042
Total		7,069
Discount		(3,890)
Lease liability	$	3,179

Tenant Concentration

During the three months ended March 31, 2022, the Company’s rental revenues were derived from 201 tenants leasing 109 facilities.  During this period there were no tenants with rental revenue that exceeded 10% of the Company’s rental revenue.    

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Note 9 – Commitments and Contingencies

Litigation

The Company is not presently subject to any material litigation nor, to its knowledge, is any material litigation threatened against the Company, which if determined unfavorably to the Company, would have a material adverse effect on the Company’s financial position, results of operations, or cash flows.

Environmental Matters

The Company follows a policy of monitoring its properties for the presence of hazardous or toxic substances. While there can be no assurance that a material environmental liability does not exist at its properties, the Company is not currently aware of any environmental liability with respect to its properties that would have a material effect on its financial position, results of operations, or cash flows. Additionally, the Company is not aware of any material environmental liability or any unasserted claim or assessment with respect to an environmental liability that management believes would require additional disclosure or the recording of a loss contingency.

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

The following discussion should be read in conjunction with our financial statements, including the notes to those financial statements, included elsewhere in this Quarterly Report on Form 10-Q (this “Report”). Some of the comments we make in this section are forward-looking statements within the meaning of the federal securities laws. For a complete discussion of forward-looking statements, see the section below entitled “Special Note Regarding Forward-Looking Statements.” Certain risk factors may cause actual results, performance or achievements to differ materially from those expressed or implied by the following discussion. For a discussion of such risk factors, see Item 1A. Risk Factors of our Annual Report on Form 10-K for the year ended December 31, 2021, that was filed with the U.S. Securities and Exchange Commission (the “SEC” or the “Commission”) on March 1, 2022. Unless otherwise indicated, all dollar and share amounts in the following discussion are presented in thousands.

Special Note Regarding Forward-Looking Statements

This Report contains “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995 (set forth in Section 27A of the Securities Act of 1933, as amended (the “Securities Act”), and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”)). In particular, statements pertaining to our trends, liquidity, capital resources, and the healthcare industry and the healthcare real estate markets and opportunity, among others, contain forward-looking statements. You can identify forward-looking statements by the use of forward-looking terminology including, but not limited to, “believes,” “expects,” “may,” “will,” “should,” “seeks,” “approximately,” “intends,” “plans,” “estimates” or “anticipates” or the negative of these words and phrases or similar words or phrases which are predictions of or indicate future events or trends and which do not relate solely to historical matters. You can also identify forward-looking statements by discussions of strategy, plans or intentions.

Forward-looking statements involve numerous risks and uncertainties and you should not rely on them as predictions of future events. Forward-looking statements depend on assumptions, data or methods which may be incorrect or imprecise and we may not be able to realize them. We do not guarantee that the transactions and events described will happen as described (or that they will happen at all). The following factors, among others, could cause actual results and future events to differ materially from those set forth or contemplated in the forward-looking statements:

● defaults on or non-renewal of leases by tenants;

● our ability to collect rents;

● increases in interest rates and increased operating costs;

● our failure to effectively hedge our interest rate risk;

● difficulties in identifying healthcare facilities to acquire (due to increased competition or otherwise) and completing such acquisitions;

● macroeconomic and geopolitical factors, including, but not limited to, inflationary pressures, interest rate volatility, global supply chain disruptions and ongoing geopolitical war;

● the effects of the ongoing coronavirus (“COVID-19”) pandemic (including any related variants of the COVID-19 virus such as the Delta variant, Omicron variant, or others), which are highly uncertain, cannot be predicted and will depend upon future developments, including the severity of COVID-19, the duration of the outbreak and potential resurgences, plateaued or stagnant vaccination and booster rates, adequate testing and treatments and the prevalence of widespread immunity to COVID-19;

● our ability to satisfy the covenants in our existing and any future debt agreements;

● decreased rental rates or increased vacancy rates, including expected rent levels on acquired properties;

● adverse economic or real estate conditions or developments, either nationally or in the markets in which our facilities are located;

● our failure to generate sufficient cash flows to service our outstanding obligations;

● our ability to satisfy our short and long-term liquidity requirements;

● our ability to deploy the debt and equity capital we raise;

● our ability to raise additional equity and debt capital on terms that are attractive or at all;

● our ability to make distributions on shares of our common and preferred stock or to redeem our preferred stock;

● expectations regarding the timing and/or completion of any acquisition;

● expectations regarding the timing and/or completion of dispositions, and the expected use of proceeds therefrom;

● general volatility of the market price of our common and preferred stock;

● changes in our business or our investment or financing strategy;

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● our dependence upon key personnel whose continued service is not guaranteed;

● our ability to identify, hire and retain highly qualified personnel in the future;

● the degree and nature of our competition;

● changes in healthcare laws, governmental regulations, tax rates and similar matters;

● changes in current healthcare and healthcare real estate trends;

● changes in expected trends in Medicare, Medicaid and commercial insurance reimbursement trends;

● competition for investment opportunities;

● our failure to successfully integrate acquired healthcare facilities;

● our expected capital and tenant improvement expenditures;

● changes in accounting policies generally accepted in the United States of America (“GAAP”);

● lack of, or insufficient amounts of, insurance;

● other factors affecting the real estate industry generally;

● changes in the tax treatment of our distributions;

● our failure to maintain our qualification as a real estate investment trust (“REIT”) for U.S. federal income tax purposes;

● our ability to qualify for the safe harbors from the “100% Prohibited Transactions Tax” under the REIT rules with respect to our property dispositions; and

● limitations imposed on our business and our ability to satisfy complex rules relating to REIT qualification for U.S. federal income tax purposes.

See Item 1A. Risk Factors in our Annual Report on Form 10-K for the year ended December 31, 2021 for further discussion of these and other risks, as well as the risks, uncertainties and other factors discussed in this Report and identified in other documents we may file with the SEC from time to time. You should carefully consider these risks before making any investment decisions in our company. New risks and uncertainties may also emerge from time to time that could materially and adversely affect us. While forward-looking statements reflect our good faith beliefs, they are not guarantees of future performance. We disclaim any obligation to update or revise any forward-looking statement to reflect changes in underlying assumptions or factors, of new information, data or methods, future events or other changes after the date of this Report, except as required by applicable law. You should not place undue reliance on any forward-looking statements that are based on information currently available to us or the third parties making the forward-looking statements.

Objective of MD&A

Management’s Discussion and Analysis (“MD&A”) is a narrative explanation of the financial statements and other statistical data that we believe will enhance a reader’s understanding of our financial condition, changes in financial condition and results of operations.

The objectives of MD&A are:

a. To provide a narrative explanation of our financial statements that enables investors to see the Company from management’s perspective;

b. To enhance the overall financial disclosure and provide the context within which financial information should be analyzed; and

c. To provide information about the quality of, and potential variability of, our earnings and cash flow so that investors can ascertain the likelihood that past performance is indicative of future performance.

Overview

Global Medical REIT Inc. (the “Company,” “us,” “we,” or “our”) is an internally managed REIT that acquires healthcare facilities and leases those facilities to physician groups and regional and national healthcare systems.  We conduct our business through an umbrella partnership REIT, or UPREIT, structure in which our properties are owned by wholly owned subsidiaries of our operating partnership, Global Medical REIT L.P. (the “Operating Partnership”). Our wholly owned subsidiary, Global Medical REIT GP LLC, is the sole general partner of our Operating Partnership and, as of March 31, 2022, we owned 94.00% of the outstanding common operating partnership units (“OP Units”) of our Operating Partnership, with an aggregate of 6.00% of the Operating Partnership owned by holders of long-term incentive plan units (“LTIP Units”) and third-party limited partners who contributed properties or services to the Operating Partnership in exchange for OP Units.

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Our revenues are derived from the rental and operating expense reimbursement payments we receive from our tenants, and most of our leases are medium to long-term triple net leases with contractual rent escalation provisions. Our primary expenses are depreciation, interest, and general and administrative expenses. We finance our acquisitions with a mixture of debt and equity primarily from our cash from operations, borrowings under our Credit Facility, and stock issuances.

Business Overview and Strategy

Our business strategy is to invest in healthcare properties that provide an attractive rate of return relative to our cost of capital and are operated by profitable physician groups, regional or national healthcare systems or combinations thereof. We believe this strategy allows us to attain our goals of providing stockholders with (i) reliable dividends and (ii) stock price appreciation. To implement this strategy, we seek to invest:

● in medical office buildings and other de-centralized components of the healthcare delivery system because we believe that healthcare delivery trends in the U.S. are increasingly moving away from centralized hospital locations;

● in small to mid-sized healthcare facilities located in secondary markets and suburbs of primary markets and that provide services needed for an aging population such as cardiovascular treatment, rehabilitation, eye surgery, gastroenterology, oncology treatment and orthopedics. We believe these facilities and markets are typically overlooked by larger REITs and other healthcare investors but contain tenant credit profiles that are like those of larger, more expensive facilities in primary markets; and

● to a lesser extent, in opportunistic acquisitions, including (i) certain acute-care hospitals and long-term acute care facilities (LTACs) that we believe provide premium, risk-adjusted returns, (ii) health system corporate office and administrative buildings, which we believe will help us develop relationships with larger health systems and (iii) behavioral and mental health facilities that are operated by national or regional operators and are located in markets that demonstrate a need for such services.

Most of our healthcare facilities are leased to single-tenants under triple-net leases. As we continue to grow our portfolio and the competition for single-tenant, triple-net leased properties has intensified, we have added to our portfolio some multi-tenant properties with gross lease or modified gross lease structures.  

Corporate Sustainability and Social Responsibility

Our business values integrate environmental sustainability, social responsibility, and strong governance practices throughout our Company.

Our Board of Directors (the “Board”)  continues to lead our environmental, social and governance (“ESG”) efforts. The Board has a standing ESG committee. The primary purpose of the ESG committee is to assist the Board in fulfilling our responsibilities to provide oversight and support of our commitment to ESG matters by overseeing: (1) our general ESG strategy and policies as set by our  management, (2) communications with our employees, investors, and other stakeholders with respect to ESG matters, (3) developments relating to, and improving our understanding of, ESG matters, (4) our compliance with certain ESG-related legal and regulatory requirements, and (5) coordination with other Board committees on ESG matters of common import.

We continue to improve and expand our efforts in the corporate sustainability arena through tenant outreach and data collection to benchmark our portfolio’s energy consumption and efficiency. We are in the process of collecting and compiling our energy consumption information for 2021 to submit for the 2021 GRESB assessment report.

Our commitment to employee engagement remains a high-priority, as we continue to make accommodations for health, safety, and work-life balance.

In 2021, we initiated a successful pilot project with a ride-share provider and national charitable organization in the greater Phoenix, Arizona metro area to provide transportation to healthcare facilities for those in need. We anticipate continuing this project during 2022.  

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Climate Change

We take climate change and the risks associated with climate change seriously. We are committed to aligning our investment strategy with science and have begun to monitor our portfolio for climate risk factors. We utilize utility and energy audits that are performed by third-party engineering consultants during the due diligence phase of our acquisitions. The energy consumption data that we collect is used to assess our facilities’ carbon emission levels. Capturing and tracking this information may help inform future mitigation and remediation efforts when possible. To that end, we are exploring ways to mitigate climate risk, should it be present, in our acquisition strategy, as well as ways to contribute to the reduction of climate impact through proactive asset management that looks for ways to incorporate renewable energy resources and energy utilization reduction. We stand with our communities, tenants, and stockholders in supporting meaningful solutions that address this global challenge and contribute to the sustainability of our business objectives.

Impact of COVID-19

U.S economic growth in 2021 rebounded substantially from 2020 as COVID-19 vaccines became readily available to most of the U.S. population. However, the rapid spread of the Omicron variant beginning in late 2021 and the resulting increase in hospital admissions stressed the U.S. healthcare system, as more people sought treatment for COVID-19 infections and many healthcare workers were unavailable due to them having left the profession or being infected themselves. Many stories exist about U.S. healthcare workers experiencing burnout due to the length and severity of the pandemic, which has caused many healthcare workers to quit their professions. If this continues, healthcare practices, including our tenants, may experience staffing shortages or increased labor and recruitment costs, which could negatively impact their businesses.

In addition, COVID-19 has caused widespread labor shortages outside of the healthcare industry. These labor shortages have affected several of the outside consultants we rely on to, among other services, complete our property acquisitions, which, in certain circumstances, has affected those consultants’ ability to provide timely services to us.  

The volatility of COVID-19 is unpredictable and there are no assurances that an equally or more volatile variant will not emerge in the future. Although to date our liquidity and operational and financial performance has not been materially affected by the COVID-19 pandemic, we cannot predict the effects future resurgences will have on our tenants and our business.

Executive Summary

The following table summarizes the primary changes in our business and operations during the periods presented.  

		Three Months Ended March 31,
		2022		2021
	(in thousands, except per share and unit amounts)
Rental revenue		$	31,852	$	27,325
Depreciation and amortization expense		$	13,179	$	10,853
Interest expense		$	4,801	$	5,037
General and administrative expense		$	4,197	$	4,383
Net income attributable to common stockholders per share		$	0.04	$	0.03
FFO per share and unit(1)		$	0.23	$	0.23
AFFO per share and unit(1)		$	0.24	$	0.24
Dividends per share of common stock		$	0.21	$	0.205
Weighted average common stock outstanding			65,302		52,671
Weighted average OP Units outstanding			1,672		1,764
Weighted average LTIP Units outstanding			2,345		1,882
Total weighted average shares and units outstanding			69,319		56,317

(1) See “—Non-GAAP Financial Measures,” for a description of our non-GAAP financial measures and a reconciliation of our non-GAAP financial measures.

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	As of
	March 31,			December 31,
	2022			2021
	(dollars in thousands)
Investment in real estate, gross	$	1,368,156		$	1,343,003
Total debt, net	$	586,049		$	571,729
Weighted average interest rate		2.91	%		2.87	%
Total equity (including noncontrolling interest)	$	652,617		$	637,577
Net leasable square feet		4,426,403			4,343,467

Our Properties

Completed Acquisitions

During the three months ended March 31, 2022, we completed four acquisitions encompassing an aggregate of 80,781 leasable square feet for an aggregate contractual purchase price of $24 million with an aggregate annualized base rent of $1.7 million. As of March 31, 2022, our portfolio consisted of gross investment in real estate of $1.4 billion, which was comprised of 109 facilities with an aggregate of 4.4 million leasable square feet and an aggregate $105.4 million of annualized base rent.

Property Under Contract for Sale

On October 5, 2021, we entered into an agreement to sell a medical office building located in Belpre, Ohio for gross proceeds of approximately $44.6 million. The property had a net book value of approximately $29 million as of March 31, 2022. The transaction is expected to be completed no earlier than September 2022. The transaction is subject to various closing contingencies and, accordingly, it may not close on a timely basis or at all. We intend to reinvest the sales proceeds for future acquisitions.

Capital Raising Activity

In March 2022, the Company and the Operating Partnership entered into a Sales Agreement with certain sales agents, pursuant to which we may offer and sell, from time to time, up to $300 million of our common stock (the “2022 ATM Program”). No shares were sold under the 2022 ATM Program during the three months ended March 31, 2022.

In August 2020, the Company and the Operating Partnership entered into a Sales Agreement with certain sales agents, pursuant to which we could offer and sell, from time to time, up to $150 million of our common stock (the “2020 ATM Program”). During the three months ended March 31, 2022, we generated gross proceeds of $8.3 million through equity issuances of 0.5 million shares of our common stock at an average offering price of $17.38 per share through the 2020 ATM Program. The 2020 ATM Program was terminated upon the commencement of the 2022 ATM Program.  

Debt Activity

During the three months ended March 31, 2022, we borrowed $14.1 million under our Credit Facility and made no repayments, for a net amount borrowed of $14.1 million. As of March 31, 2022, the net outstanding Credit Facility balance was $529.1 million and as of May 2, 2022, we had unutilized borrowing capacity under the Revolver of $171 million.

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Recent Developments

Completed Acquisitions Subsequent to March 31, 2022

From April 1, 2022 through May 2, 2022, we completed two acquisitions encompassing an aggregate of 73,358 leasable square feet for an aggregate purchase price of $29.9 million with annualized base rent of $1.9 million.

Acquisitions Under Contract

As of May 2, 2022, we had four acquisitions under contract for an aggregate purchase price of approximately $52.6 million. We are currently in the due diligence period for our properties under contract. If we identify problems with any of these properties or the operator of any property during our due diligence review, we may not close the transactions on a timely basis or at all.

Sales under the 2022 ATM Program

From April 1, 2022 through May 2, 2022, we generated gross proceeds of $1.9 million through equity issuances of 0.1 million shares of our common stock at an average offering price of $16.24 per share through the 2022 ATM Program.

Trends Which May Influence Our Results of Operations

We believe the following trends may positively impact our results of operations:

● An aging population. According to the 2020 U.S. Census, the nation’s 65-and-older population has grown rapidly since 2010, driven by the aging of Baby Boomers born between 1946 and 1964. The 65-and-older population grew by over a third during the past decade, and by 3.2% from 2018 to 2019. We believe this segment of the U.S. population will utilize many of the services provided at our healthcare facilities such as orthopedics, cardiac, gastroenterology and rehabilitation.

● A continuing shift towards outpatient care. According to the American Hospital Association, patients are demanding more outpatient operations. We believe this shift in patient preference from inpatient to outpatient facilities will benefit our tenants as most of our properties consist of outpatient facilities.

● Physician practice group and hospital consolidation. We believe the trend towards physician group consolidation will serve to strengthen the credit quality of our tenants if our tenants merge or are consolidated with larger health systems.

We believe the following trends may negatively impact our results of operations:

● Increased interest rate environment. Due to a strong labor market and high inflation, the U.S. Federal Reserve raised the federal funds rate by 25 basis points (0.25%) in March 2022 and an additional 50 basis points (0.50%) in May 2022 and is expected to increase the federal funds rate at each of the remaining meetings in 2022. Additionally, the U.S. Federal Reserve announced that it will begin reducing the size of its balance sheet in 2022, which could also cause an increase in interest rates. Due to this interest rate environment, LIBOR, which is the current reference rate for our floating rate debt, is currently expected to increase to approximately 3.00% by the end of 2022 (based on the one-month LIBOR forward curve as of May 2, 2022), over 200 basis points (2.00%) from its current level. Based on our floating rate debt balance as of March 31, 2022, a 200 basis point increase in LIBOR would have caused our annual interest expense to increase by approximately $3.7 million.

● Increased competition for acquisition opportunities. We face increased competition for our target asset classes from both private funds and other public REITs, among other types of investors. Medical office properties have proven to be a resilient asset class during the COVID-19 pandemic as many tenants of such properties continued to pay rent during the pandemic, which was not the case for many other types of commercial real estate. Given the resiliency of medical office buildings, many real estate funds are now competing for acquisition opportunities in medical real estate, which may cause a decrease in overall capitalization rates and may make it more difficult for us to locate acquisition opportunities that meet our investment and return criteria.    

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● Continuation of the COVID-19 pandemic. U.S economic growth in 2021 rebounded substantially from 2020 as COVID-19 vaccines became readily available to most of the U.S. population. However, the rapid spread of the Omicron variant beginning in late 2021 and the resulting increase in hospital admissions stressed the U.S. healthcare system, as more people sought treatment for COVID-19 infections and many healthcare workers became unavailable due to them having left the profession or being infected themselves. We are unable to predict the overall effect it will have on the U.S. economy, and specifically within the healthcare industry, including whether labor shortages will continue in the healthcare industry, which may disrupt our tenants’ businesses or increase their recruitment and labor costs.  In addition, COVID-19 has caused widespread labor shortages.  These labor shortages have affected a number of the outside consultants we rely on to, among other things, complete our property acquisitions, which, in certain circumstances, has affected those consultants’ ability to provide timely services to us.    

The volatility of COVID-19 is unpredictable and there are no assurances that an equally or more volatile variant will not emerge in the future.  Although to date our liquidity and operational and financial performance has not been materially affected by the COVID-19 pandemic, we cannot predict the effects future resurgences will have on our tenants and our business going forward.

● Changes in third party reimbursement methods and policies. The price of healthcare services has been increasing, and, as a result, we believe that third-party payors, such as Medicare and commercial insurance companies, will continue to scrutinize and reduce the types of healthcare services eligible for, and the amounts of, reimbursement under their health insurance plans. Additionally, many employer-based insurance plans continue to increase the percentage of insurance premiums for which covered individuals are responsible, which makes healthcare services more expensive for individuals. We expect these trends will only be exacerbated by the COVID-19 pandemic, as medical expenditures increased significantly during the pandemic. If these trends continue, our tenants’ businesses will continue to be negatively affected, which may impact their ability to pay rent to us.

Critical Accounting Estimates

The preparation of financial statements in conformity with GAAP requires our management to use judgment in the application of accounting policies, including making estimates and assumptions. We base estimates on the best information available to us at the time, our experience and on various other assumptions believed to be reasonable under the circumstances. These estimates affect the reported amounts of assets and liabilities, disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting periods. If our judgment or interpretation of the facts and circumstances relating to various transactions or other matters had been different, it is possible that different accounting would have been applied, resulting in a different presentation of our financial statements. From time to time, we re-evaluate our estimates and assumptions. In the event estimates or assumptions prove to be different from actual results, adjustments are made in subsequent periods to reflect more current estimates and assumptions about matters that are inherently uncertain. Please refer to our Annual Report on Form 10-K for the year ended December 31, 2021, filed with the Commission on March 1, 2022, for further information regarding the critical accounting policies that affect our more significant estimates and judgments used in the preparation of our condensed consolidated financial statements included in Part I, Item 1 of this Report.

Consolidated Results of Operations

The major factor that resulted in variances in our results of operations for each revenue and expense category for the three  months ended March 31, 2022, compared to the same period in 2021, was the increase in the size of our property portfolio.  Our total investments in real estate, net of accumulated depreciation and amortization, was $1.2 billion and $1.1 billion as of March 31, 2022 and 2021, respectively.

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Three Months Ended March 31, 2022 Compared to Three Months Ended March 31, 2021

	Three Months Ended March 31,
	2022		2021		$ Change
	(in thousands)
Revenue
Rental revenue	$	31,852	$	27,325	$	4,527
Other income		23		24		(1)
Total revenue		31,875		27,349		4,526
Expenses
General and administrative		4,197		4,383		(186)
Operating expenses		5,372		3,687		1,685
Depreciation expense		9,402		7,848		1,554
Amortization expense		3,777		3,005		772
Interest expense		4,801		5,037		(236)
Preacquisition expense		40		66		(26)
Total expenses		27,589		24,026		3,563
Net income	$	4,286	$	3,323	$	963

Revenue

Total Revenue

Total revenue for the three months ended March 31, 2022 was $31.9 million, compared to $27.3 million for the same period in 2021, an increase of $4.6 million. The increase was primarily the result of rental revenue earned from the facilities that we acquired after March 31, 2021, as well as from the recognition of a full three months of rental revenue in 2022 from acquisitions that were completed during the three months ended March 31, 2021. Within that increase, $4.0 million in revenue was recognized from net lease expense recoveries during the three months ended March 31, 2022, compared to $2.9 million for the same period in 2021.

Expenses

General and Administrative

General and administrative expenses for the three months ended March 31, 2022 were $4.2 million, compared to $4.4 million for the same period in 2021, a decrease of $0.2 million. The decrease resulted primarily from a reduction in non-cash LTIP compensation expense, which was $1.3 million for the three months ended March 31, 2022, compared to $1.7 million for the same period in 2021.

Operating Expenses

Operating expenses for the three months ended March 31, 2022 were $5.4 million, compared to $3.7 million for the same period in 2021, an increase of $1.7 million. The increase resulted primarily from $4.0 million of recoverable property operating expenses incurred during the three months ended March 31, 2022, compared to $2.9 million for the same period in 2021. In addition, our operating expenses included $0.8 million of property operating expenses from gross leases for the three months ended March 31, 2022, compared to $0.5 million for the same period in 2021.

Depreciation Expense

Depreciation expense for the three months ended March 31, 2022 was $9.4 million, compared to $7.8 million for the same period in 2021, an increase of $1.6 million. The increase resulted primarily from depreciation expense incurred on the facilities that we acquired after March 31, 2021, as well as from the recognition of a full three months of depreciation expense in 2022 from acquisitions that were completed during the three months ended March 31, 2021.

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Amortization Expense

Amortization expense for the three months ended March 31, 2022 was $3.8 million, compared to $3.0 million for the same period in 2021, an increase of $0.8 million. The increase resulted primarily from amortization expense incurred on the facilities that we acquired after March 31, 2021, as well as from the recognition of a full three months of amortization expense in 2022 from acquisitions that were completed during the three months ended March 31, 2021.

Interest Expense

Interest expense for the three months ended March 31, 2022 was $4.8 million, compared to $5.0 million for the same period in 2021, a decrease of $0.2 million. This decrease was primarily due to lower interest rates during the three months ended March 31, 2022.

The weighted average interest rate of our debt for the three months ended March 31, 2022 was 2.87% compared to 3.17% for the same period in 2021. Additionally, the weighted average interest rate and term of our debt was 2.91% and 4.03 years at March 31, 2022.

Net Income

Net income for the three months ended March 31, 2022 was $4.3 million, compared to $3.3 million for the same period in 2021, an increase of $1.0 million.

Assets and Liabilities

As of March 31, 2022 and December 31, 2021, our principal assets consisted of investments in real estate, net, of $1.2 billion. We completed four acquisitions during the three months ended March 31, 2022.  Our liquid assets consisted primarily of cash and cash equivalents and restricted cash of $8.2 million and $12.8 million, as of March 31, 2022 and December 31, 2021, respectively.

The decrease in our cash and cash equivalents and restricted cash balances to $8.2 million as of March 31, 2022, compared to $12.8 million as of December 31, 2021, was primarily due to funds used to acquire real estate and pay dividends to our common and preferred stockholders and OP Unit and LTIP Unit holders of our Operating Partnership. Cash outflows were partially offset by borrowings on our Credit Facility, net proceeds received from ATM equity offerings, and net cash provided by operating activities.

The increase in our total liabilities to $632.9 million as of March 31, 2022 compared to $625.9 million as of December 31, 2021, was primarily the result of higher net borrowings outstanding, partially offset by decreases in the derivative liability balance and the accounts payable and accrued expenses balance.

Liquidity and Capital Resources

General

Our short-term (up to 12 months) liquidity requirements include:

● Interest expense and scheduled principal payments on outstanding indebtedness;

● General and administrative expenses;

● Property operating expenses;

● Property acquisitions;

● Distributions to our common and preferred stockholders and OP Unit and LTIP Unit holders in our Operating Partnership; and

● Capital and tenant improvements.

In 2022, we are contractually obligated to pay, or have capital commitments for, principal and interest payments on our outstanding debt, and ground and operating lease expenses. In addition, our preferred stock becomes redeemable by us beginning in September 2022. The liquidation preference for our preferred stock is $77.6 million, and, if we decide to fully redeem, we would be required to pay this amount plus fees and expenses.  

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Our long-term (beyond 12 months) liquidity requirements consist primarily of funds necessary to pay for acquisitions, capital and tenant improvements at our properties, scheduled debt maturities, general and administrative expenses, operating expenses, and distributions. Beyond 2022, we are contractually obligated to pay, or have capital commitments for, principal and interest payments on our outstanding debt and ground and operating lease expenses.

We expect to satisfy our short and long-term liquidity needs through various internal and external sources, including cash flow from operations, debt financing, sales of additional equity securities, the issuance of OP Units in connection with acquisitions of additional properties, proceeds from select property dispositions and recapitalization transactions.

Internal Sources of Liquidity

Our primary internal sources of liquidity include cash flow from operations and proceeds from select property dispositions and recapitalization transactions.  

External Sources of Liquidity

Our primary external sources of liquidity include net proceeds received from equity issuances, including the issuance of OP Units in connection with acquisitions of additional properties, and debt financing, including borrowings under our Credit Facility and secured term loans.

Equity Issuances

During the three months ended March 31, 2022, the Company generated gross proceeds of $8.3 million through equity issuances of 0.5 million shares of our common stock at an average offering price of $17.38 per share through the 2020 ATM Program.

From April 1, 2022 through May 2, 2022, we generated gross proceeds of $1.9 million through equity issuances of 0.1 million shares of our common stock at a weighted average offering price of $16.24 per share through the 2022 ATM program.

Debt Financing

Credit Facility. Our Credit Facility consists of a $350 million Term Loan and a $400 million Revolver. The Credit Facility also contains a $500 million accordion feature. As of May 2, 2022, we had unutilized borrowing capacity under the Revolver of $171 million.

The Credit Facility is an unsecured facility with a term of four years for the Revolver (subject to two, six-month extension options) and a term of five years for the Term Loan.

We are subject to a number of financial covenants under the Credit Facility, including, among other things, the following as of the end of each fiscal quarter, (i) a maximum consolidated unsecured leverage ratio of less than 60%, (ii) a maximum consolidated secured leverage ratio of less than 30%, (iii) a maximum consolidated secured recourse leverage ratio of less than 10%, (iv) a minimum fixed charge coverage ratio of 1.50:1.00, (v) a minimum unsecured interest coverage ratio of 1.50:1.00, (vi) a maximum consolidated leverage ratio of less than 60%, and (vii) a minimum net worth of $345 million plus 75% of all net proceeds raised through equity offerings subsequent to December 31, 2020. As of May 2, 2022, management believed it complied with all of the financial and non-financial covenants contained in the Credit Facility.

Hedging Instruments. We have six interest rate swaps with a total notional amount of $350 million that are used to manage our interest rate risk and fix the LIBOR component on the Term Loan. An aggregate of $150 million of the swaps mature in August 2023 and the remaining $200 million mature in August 2024. In addition, we have five forward starting interest rate swaps that will be effective on the maturity dates of the existing interest rate swaps. The forward starting swaps each have a maturity date of April 2026 and will fix the LIBOR component on the Term Loan through its maturity. Currently, the interest rate swaps fix the LIBOR component of the Term Loan at a rate of 1.91% through August 2023. Subsequently, from August 2023 to August 2024 the LIBOR component of the Term Loan rate will be fixed at 1.61%.  Finally, from August 2024 to April 2026 the LIBOR component of the Term Loan rate will be fixed at 1.45%.

LIBOR Transition. In July 2017, the Financial Conduct Authority, which regulates LIBOR, announced its intention to stop compelling banks to submit rates for the calculation of LIBOR after 2021. As a result, the Federal Reserve Board and the Federal

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Reserve Bank of New York organized the Alternative Reference Rates Committee which identified the Secured Overnight Financing Rate (“SOFR”) as its preferred alternative to LIBOR in derivatives and other financial contracts. On December 31, 2021, Ice Benchmark Administration, the administrator of LIBOR, announced plans to cease publication for all USD LIBOR tenors (except the one- and two-week tenors, which ceased on December 31, 2021) on June 30, 2023. The Credit Facility provides that, on or about the LIBOR cessation date (subject to an early opt-in election), LIBOR shall be replaced as a benchmark rate in the Credit Facility with term SOFR (or another alternative rate if term SOFR is not able to be determined), with such adjustments to cause the new benchmark rate to be economically equivalent to LIBOR at the time of the LIBOR cessation date.

The Company’s interest rate swap agreements are indexed to LIBOR and the Company will need to enter into bilateral agreements with its swap counterparties to institute a fallback reference rate once LIBOR ceases to be published. It is expected that most market participants will transition to compounding SOFR as the new reference rate for derivative contracts. If the Company transitions its interest rate swaps to compounded SOFR, such transition may impact the effectiveness of its hedging instruments as the reference rate for the Credit Facility (term SOFR) will be different than the reference rate for its interest rate swaps (compounded SOFR).

Cash Flow Information

Net cash provided by operating activities for the three months ended March 31, 2022 was $16.4 million, compared to $15.3 million for the same period in 2021. The increase during the 2022 period was primarily due to the increase in net income as well as increases in depreciation and amortization expenses compared to the same period in 2021.

Net cash used in investing activities for the three months ended March 31, 2022 was $26.6 million, compared to $43.8 million for the same period in 2021. The decrease during the 2022 period was primarily the result of less real estate investment activity compared to the same period in 2021.

Net cash provided by financing activities for the three months ended March 31, 2022 was $5.6 million, compared to $28.9 million for the same period in 2021. The decrease during the 2022 period was primarily due to less proceeds received from equity offerings, partially offset by net borrowings on our Credit Facility.

Non-GAAP Financial Measures

Management considers certain non-GAAP financial measures to be useful supplemental measures of the Company's operating performance. A non-GAAP financial measure is generally defined as one that purports to measure financial performance, financial position or cash flows, but excludes or includes amounts that would not be so adjusted in the most comparable measure determined in accordance with GAAP. The Company reports non-GAAP financial measures because these measures are observed by management to also be among the most predominant measures used by the REIT industry and by industry analysts to evaluate REITs. For these reasons, management deems it appropriate to disclose and discuss these non-GAAP financial measures. Set forth below are descriptions of the non-GAAP financial measures management considers relevant to the Company's business and useful to investors, as well as reconciliations of those measures to the most directly comparable GAAP financial measure.

The non-GAAP financial measures presented herein are not necessarily identical to those presented by other real estate companies due to the fact that not all real estate companies use the same definitions. These measures should not be considered as alternatives to net income, as indicators of the Company's financial performance, or as alternatives to cash flow from operating activities as measures of the Company's liquidity, nor are these measures necessarily indicative of sufficient cash flow to fund all of the Company's needs. Management believes that in order to facilitate a clear understanding of the Company's historical consolidated operating results, these measures should be examined in conjunction with net income and cash flows from operations as presented in the Condensed Consolidated Financial Statements and other financial data included elsewhere in this Quarterly Report on Form 10-Q.

Funds from Operations and Adjusted Funds from Operations

Funds from operations (“FFO”) and adjusted funds from operations (“AFFO”) are non-GAAP financial measures within the meaning of the rules of the SEC. The Company considers FFO and AFFO to be important supplemental measures of its operating performance and believes FFO is frequently used by securities analysts, investors, and other interested parties in the evaluation of REITs, many of which present FFO when reporting their results.

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In accordance with the National Association of Real Estate Investment Trusts’ (“NAREIT”) definition, FFO means net income or loss computed in accordance with GAAP before noncontrolling interests of holders of OP Units and LTIP Units, excluding gains (or losses) from sales of property and extraordinary items, less preferred stock dividends, plus real estate-related depreciation and amortization (excluding amortization of debt issuance costs and the amortization of above and below market leases), and after adjustments for unconsolidated partnerships and joint ventures. Because FFO excludes real estate-related depreciation and amortization (other than amortization of debt issuance costs and above and below market lease amortization expense), the Company believes that FFO provides a performance measure that, when compared period-over-period, reflects the impact to operations from trends in occupancy rates, rental rates, operating costs, development activities and interest costs, providing perspective not immediately apparent from the closest GAAP measurement, net income or loss.

AFFO is a non-GAAP measure used by many investors and analysts to measure a real estate company’s operating performance by removing the effect of items that do not reflect ongoing property operations. Management calculates AFFO by modifying the NAREIT computation of FFO by adjusting it for certain cash and non-cash items and certain recurring and non-recurring items. For the Company these items include recurring acquisition and disposition costs, loss on the extinguishment of debt, recurring straight line deferred rental revenue, recurring stock-based compensation expense, recurring amortization of above and below market leases, recurring amortization of debt issuance costs, recurring lease commissions, and other items.

Management believes that reporting AFFO in addition to FFO is a useful supplemental measure for the investment community to use when evaluating the operating performance of the Company on a comparative basis.

A reconciliation of net income to FFO and AFFO for the three months ended March 31, 2022 and 2021 is as follows:

	Three Months Ended March 31,
	2022		2021
	(unaudited, in thousands except per share and unit amounts)
Net income	$	4,286	$	3,323
Less: Preferred stock dividends		(1,455)		(1,455)
Depreciation and amortization expense		13,151		10,826
FFO	$	15,982	$	12,694
Amortization of above market leases, net		199		60
Straight line deferred rental revenue		(1,195)		(1,404)
Stock-based compensation expense		1,287		1,715
Amortization of debt issuance costs and other		515		425
Preacquisition expense		40		66
AFFO	$	16,828	$	13,556
Net income attributable to common stockholders per share – basic and diluted	$	0.04	$	0.03
FFO per share and unit	$	0.23	$	0.23
AFFO per share and unit	$	0.24	$	0.24
Weighted Average Shares and Units Outstanding – basic and diluted		69,319		56,317
Weighted Average Shares and Units Outstanding:
Weighted Average Common Shares		65,302		52,671
Weighted Average OP Units		1,672		1,764
Weighted Average LTIP Units		2,345		1,882
Weighted Average Shares and Units Outstanding – basic and diluted		69,319		56,317

Earnings Before Interest, Taxes, Depreciation and Amortization for Real Estate (EBITDAre and Adjusted EBITDAre)

The Company calculates EBITDAre in accordance with standards established by NAREIT and defines EBITDAre as net income or loss computed in accordance with GAAP plus depreciation and amortization, interest expense, gain or loss on the sale of

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investment properties, and impairment loss, as applicable. The Company defines Adjusted EBITDAre as EBITDAre plus non-cash stock compensation expense, non-cash intangible amortization related to above and below market leases, preacquisition expense and other normalizing items. Management considers EBITDAre and Adjusted EBITDAre important measures because they provide additional information to allow management, investors, and our current and potential creditors to evaluate and compare our core operating results and our ability to service debt.

A reconciliation of net income to EBITDAre and Adjusted EBITDAre for the three months ended March 31, 2022 and 2021 is as follows:

	Three Months Ended March 31,
		2022		2021
	(unaudited and in thousands)
Net income	$	4,286	$	3,323
Interest expense		4,801		5,037
Depreciation and amortization expense		13,179		10,853
EBITDAre	$	22,266	$	19,213
Stock-based compensation expense		1,287		1,715
Amortization of above market leases, net		199		60
Preacquisition expense		40		66
Adjusted EBITDAre	$	23,792	$	21,054

Item 3. Quantitative and Qualitative Disclosures About Market Risk.

Market risk includes risks that arise from changes in interest rates, foreign currency exchange rates, commodity prices, equity prices and other market changes that affect market sensitive instruments. In pursuing our business and investment objectives, we expect that the primary market risk to which we will be exposed is interest rate risk.

We may be exposed to the effects of interest rate changes primarily as a result of debt used to acquire healthcare facilities, including borrowings under the Credit Facility. The analysis below presents the sensitivity of the value of our variable rate financial obligations to selected changes in market interest rates. The range of changes chosen reflects our view of changes which are reasonably possible over a one-year period.

As of March 31, 2022, we had $186.7 million of unhedged borrowings outstanding under the Revolver (before the netting of unamortized debt issuance costs) that bears interest at a variable rate. See “Management’s Discussion and Analysis of Financial Condition and Results of Operation — Liquidity and Capital Resources” for a detailed discussion of our Credit Facility. At March 31, 2022, LIBOR on our outstanding floating-rate borrowings was 0.33%. Assuming no increase in the amount of our variable interest rate debt, (i) if LIBOR increased 100 basis points, our cash flow would decrease by approximately $1.9 million annually, and (ii) if LIBOR increased 200 basis points, our cash flow would decrease by approximately $3.7 million annually. Assuming no increase in the amount of our variable rate debt, if LIBOR were reduced 100 basis points, our cash flow would increase by approximately $1.9 million annually.

Our interest rate risk management objectives are to limit the impact of interest rate changes on earnings and cash flows and to lower overall borrowing costs. To achieve our objectives, we may borrow at fixed rates or floating rates. See “Management’s Discussion and Analysis of Financial Condition and Results of Operations—Liquidity and Capital Resources—Hedging Instruments,” for a description of our interest rate swaps. See “Management’s Discussion and Analysis of Financial Condition and Results of Operations—Liquidity and Capital Resources—LIBOR Transition,” for a discussion of the effects of the upcoming LIBOR transition on our hedging instruments.

We may enter into additional derivative financial instruments, including interest rate swaps and caps, in order to mitigate our interest rate risk on our future borrowings. We will not enter into derivative transactions for speculative purposes.

In addition to changes in interest rates, the value of our investments is subject to fluctuations based on changes in local and regional economic conditions and changes in the creditworthiness of tenants/operators and borrowers, which may affect our ability to refinance our debt if necessary.

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Item 4. Controls and Procedures.

Evaluation of Disclosure Controls and Procedures

We maintain disclosure controls and procedures as defined in Rules 13a-15(e) and 15d-15(e) of the Exchange Act that are designed to ensure that information required to be disclosed in our reports filed or submitted to the SEC under the Exchange Act is recorded, processed, summarized and reported within the time periods specified by the SEC’s rules and forms, and that information is accumulated and communicated to management, including the principal executive and financial officer as appropriate, to allow timely decisions regarding required disclosures. Our principal executive officer and principal financial officer evaluated the effectiveness of disclosure controls and procedures as of March 31, 2022 pursuant to Rule 13a-15(b) under the Exchange Act. Based on that evaluation, our principal executive officer and principal financial officer concluded that, as of the end of the period covered by this Report, the Company’s disclosure controls and procedures were effective to ensure that information required to be included in our periodic SEC filings is recorded, processed, summarized, and reported within the time periods specified in the SEC rules and forms.

Our management, including our principal executive officer and principal financial officer, does not expect that our disclosure controls and procedures or our internal controls will prevent all error and all fraud. A control system, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the control system are met. Further, the design of a control system must reflect the fact that there are resource constraints and the benefits of controls must be considered relative to their costs. Due to the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues and instances of fraud, if any, within our company have been detected.

Changes in Internal Control over Financial Reporting

No changes were made to our internal control over financial reporting during our most recently completed fiscal quarter that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

PART II OTHER INFORMATION

Item 1. Legal Proceedings

We are not involved in any pending legal proceeding or litigation and, to the best of our knowledge, no governmental authority is contemplating any proceeding to which we are a party or to which any of our properties is subject, which would reasonably be likely to have a material adverse effect on our financial condition or results of operations. From time to time, we may become involved in litigation relating to claims arising out of our operations in the normal course of business. There can be no assurance that these matters that arise in the future, individually or in the aggregate, will not have a material adverse effect on our financial condition or results of operations in any future period.

Item 1A. Risk Factors

During the three months ended March 31, 2022, there were no material changes to the risk factors that were disclosed in Item 1A. Risk Factors in our Annual Report on Form 10-K for the year ended December 31, 2021, filed with the SEC on March 1, 2022.

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

On January 14, 2022, the Company issued 35,000 shares of its common stock to Minnite Family, LLC (the “LLC”) in connection with the LLC’s redemption of 35,000 OP Units issued to the LLC by the Operating Partnership on April 19, 2018 in connection with the LLC’s contribution of certain assets to the Operating Partnership. Pursuant to the terms of the Operating Partnership’s partnership agreement, OP Units may be redeemed by the holder after a one-year holding period for either cash or shares of common stock of the Company, such form of redemption consideration to be determined at the sole discretion of the Company. The issuance of these shares of common stock was effected in reliance upon the exemption from registration under Section 4(a)(2) of the Securities Act of 1933, as amended, based on the fact that the issuance was not a “public offering” as defined in Section 4(a)(2) due to the insubstantial number of persons involved in the transaction, manner of the issuance and number of securities issued.

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Item 3. Defaults Upon Senior Securities

None.

Item 4. Mine Safety Disclosures

Not applicable.

Item 5. Other Information

None.

Item 6. Exhibits

(a)Exhibits

Exhibit No.	Description
3.1	Articles of Restatement of Global Medical REIT Inc. (incorporated herein by reference to Exhibit 3.1 to the Company’s Report on Form 10-Q as filed with the SEC on August 8, 2018).
3.2	Third Amended and Restated Bylaws of Global Medical REIT Inc., adopted as of August 13, 2019 (incorporated herein by reference to Exhibit 3.2 to the Company’s Current Report on Form 8-K as filed with the SEC on August 14, 2019).
4.1	Specimen of Common Stock Certificate (incorporated herein by reference to Exhibit 4.1 to the Company’s Registration Statement on Form S-11/A as filed with the SEC on June 15, 2016).
4.2	Specimen of 7.50% Series A Cumulative Redeemable Preferred Stock Certificate (incorporated herein by reference to Exhibit 4.1 to the Company’s Current Report on Form 8-K as filed with the SEC on September 14, 2017).
10.1*	Form of LTIP Award Agreement (Annual Awards).
10.2*	Form of LTIP Award Agreement (Long-Term Performance Awards).
10.3*	Form of LTIP Award Agreement (Long-Term Time-Based Awards).
31.1*	Certification of Principal Executive Officer pursuant to Rules 13a-14(a) and 15d-14(a) promulgated under the Securities Exchange Act of 1934, as amended, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
31.2*	Certification of Principal Financial and Accounting Officer pursuant to Rules 13a-14(a) and 15d-14(a) promulgated under the Securities Exchange Act of 1934, as amended, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
32.1**	Certification of Principal Executive Officer and Principal Financial Officer, pursuant to 18 U.S.C. Section 1350 as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
101.INS *	Inline XBRL Instance Document
101.SCH *	Inline XBRL Taxonomy Schema
101.CAL *	Inline XBRL Taxonomy Calculation Linkbase
101.DEF *	Inline XBRL Taxonomy Definition Linkbase
101.LAB *	Inline XBRL Taxonomy Label Linkbase

-39-

101.PRE *	Inline XBRL Taxonomy Presentation Linkbase
104	Cover Page Interactive Data File (embedded within the Inline XBRL document and contained in Exhibit 101)

* Filed herewith.

** Furnished herewith. Such certification shall not be deemed “filed” for the purposes of Section 18 of the Securities Exchange Act of 1934, as amended.

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SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

		GLOBAL MEDICAL REIT INC.
Date: May 6, 2022	By:	/s/ Jeffrey M. Busch
		Jeffrey M. Busch
		Chief Executive Officer (Principal Executive Officer)
Date: May 6, 2022	By:	/s/ Robert J. Kiernan
		Robert J. Kiernan
		Chief Financial Officer (Principal Financial and Accounting Officer)

-41-

EX-10.1

Exhibit 10.1

GLOBAL MEDICAL REIT INC.

2016 ANNUAL INCENTIVE PLAN

LTIP UNIT VESTING AGREEMENT

Annual Award (Performance-Based with Time-Vesting)

Name of Grantee:	[     ]
Number of Award LTIP Units:	[     ]
Grant Date:	February 24, 2022
Final Acceptance Date:	[   ], 2022

Pursuant to the Global Medical REIT Inc. 2016 Equity Incentive Plan, as amended from time to time (the “Plan”), and the Agreement of Limited Partnership, dated as of March 14, 2016 (as amended from time to time, the “Partnership Agreement”), of Global Medical REIT L.P., a Delaware limited partnership (“GMR OP”), Global Medical REIT Inc., a Maryland corporation (the “Company”) and the sole member of Global Medical REIT GP LLC, a Delaware limited liability company, the general partner of GMR OP (the “General Partner”), and for the provision of services to or for the benefit of GMR OP in a partner capacity or in anticipation of being a partner, hereby grants to the Grantee named above an Other Equity-Based Award (as defined in the Plan), to be determined following the conclusion of the Performance Period (defined herein) based on (i) the number of Award LTIP Units shown above (the “Award LTIP Units”) and (ii) the extent to which the Performance Goals (defined herein) are achieved during the Performance Period as provided in further detail herein (such number of LTIP Units that are earned and issued to the Grantee, the “Earned LTIP Units”) having the rights, voting powers, restrictions, limitations as to distributions, qualifications and terms and conditions of redemption and conversion set forth herein and in the Partnership Agreement (the “Award”). Upon acceptance of this LTIP Unit Vesting Agreement (this “Agreement”), the Grantee shall become entitled to receive the Earned LTIP Units to the extent earned in accordance with, and subject to, the terms and conditions contained herein, in the Plan and in the Partnership Agreement. Capitalized terms used but not defined herein have the meanings assigned to such terms in the Partnership Agreement, attached hereto as ANNEX A, or the Plan, as applicable, unless a different meaning is specified herein.  In addition, as used herein:

“Board Meeting Date” means the date in 2023 on which the Board of Directors of the Company (the “Board”) approves the recommendation of the Compensation Committee of the Board (or such other committee(s) as may be appointed or designated by the Board to administer the Plan) (the “Committee”) with respect to the number of Earned LTIP Units to issue based on the level of achievement of the Performance Goals.

“Continuous Service” means the Grantee’s continuous service to the Company and its Affiliates, without interruption or termination, in any capacity. Continuous Service shall not be considered interrupted in the case of: (a) any approved leave of absence; (b) transfers among the Company and its Affiliates, or any successor; or (c) any change in status as long as the individual remains in the service of the Company and its Affiliates. An approved leave of absence shall include sick leave, military leave, or any other authorized personal leave.

[“Good Reason” means: (i) a material diminution in the Grantee’s base salary; (ii) a material diminution or adverse change in the Grantee’s title, duties or authority; (iii) a material breach by the Company or GMR OP of any of its covenants or obligations under this Agreement; or (iv) the relocation of the geographic location of the Grantee’s principal place of employment by more than 50 miles from the location of the Grantee’s principal place of employment as of the Grant Date; provided that, in the case of the Grantee’s allegation of Good Reason, (A) the condition described in the foregoing clauses must have arisen without the

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Grantee’s consent; (B) the Grantee must provide written notice to GMR OP of such condition in accordance with the Agreement within 45 days of the initial existence of the condition; (C) the condition specified in such notice must remain uncorrected for 30 days after receipt of such notice by GMR OP; and (D) the Grantee’s date of termination must occur within 60 days after such notice is received by GMR OP.]

“Partial Service Factor” means a factor carried out to the sixth decimal to be used in calculating the number of LTIP Units earned pursuant to Section 3(a) hereof in the event of a Qualified Termination of the Grantee’s Continuous Service prior to the Valuation Date, determined by dividing (a) the number of calendar days that have elapsed since January 1, 2022 to and including the date of the Grantee’s Qualified Termination by (b) the number of calendar days from January 1, 2022 to and including the Valuation Date.

“Performance Period” means the period beginning on January 1, 2022 and ending on February 28, 2023.

“Retirement” means retirement from employment with the Company and its Affiliates, but only to the extent the Grantee is at least 60 years of age at the time of such retirement and has been employed with the Company and its Affiliates for at least 10 years prior to the date of such retirement.

“Valuation Date” means the earlier of (a) the Board Meeting Date or (b) the date upon which a Change in Control shall occur.

1.Acceptance of Agreement. The Grantee shall have no rights with respect to this Agreement unless he or she shall have accepted this Agreement prior to the close of business on the Final Acceptance Date specified above by (a) signing and delivering to GMR OP, a copy of this Agreement and (b) unless the Grantee is already a Limited Partner, the Grantee shall not be entitled to receive the Earned LTIP Units unless the Grantee signs, as a Limited Partner, and delivers to GMR OP a counterpart signature page to the Partnership Agreement. Upon receipt of the Earned LTIP Units to which the Grantee becomes entitled hereunder, the Partnership effective as of the Valuation Date, and the Grantee shall have all the rights of a Limited Partner with respect to the number of LTIP Units specified above, as set forth in the Partnership Agreement, subject, however, to the restrictions and conditions specified in Section 3 below.

2. Restrictions and Conditions.

(a)The records of GMR OP evidencing the Earned LTIP Units granted herein shall bear an appropriate legend, as determined by GMR OP in its sole discretion, to the effect that such  LTIP Units are subject to restrictions as set forth herein and in the Partnership Agreement.

(b)Award LTIP Units may not be sold, transferred, pledged, exchanged, hypothecated or otherwise disposed of by the Grantee in any respect.  Earned LTIP Units may not be sold, transferred, pledged, exchanged, hypothecated or otherwise disposed of by the Grantee prior to vesting as contemplated in Section 3 or 4 of this Agreement.

(c)Subject to the provisions of Section 3 below, any LTIP Units (and the proportionate amount of the Grantee’s Capital Account balance attributable to such LTIP Units) subject to this Award that have not become vested on or before the date that the Grantee’s employment with the Company and its Affiliates terminates shall be forfeited as of the date that such employment terminates.

3.Determination of Number of Earned LTIP Units. The Committee has established performance goals for calendar year 2022 (the “Performance Period”) as set forth on Exhibit A hereto (the “Performance Goals”) that shall be used to determine the number of Earned LTIP Units. As soon as reasonably practicable following the last day of the Performance Period, which may in some cases not occur before the Company’s operating results for such period have been publicly announced by the

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Company, the Committee will determine the extent to which the Company has achieved each of the Performance Goals (expressed as a percentage) as further detailed on Exhibit A and, based on such determination, will calculate the number of Earned LTIP Units that Grantee is entitled to receive based on the applicable Performance Percentages described on Exhibit A. Any Award LTIP Units that are not earned in accordance with this Agreement and Exhibit A hereto shall be forfeited and cancelled, and the Grantee shall have no right in or to any such unearned LTIP Units after it is determined that they were not earned.

4.Vesting of LTIP Units. The restrictions and conditions in Sections 2(b) and 2(c) of this Agreement shall lapse with respect to the LTIP Units granted herein in the amounts and on  the Vesting Dates specified below:

Portion of Award to Vest	Vesting Date
50%	As of the Valuation Date
50%	First Anniversary of the Valuation Date
Total: 100% of Award

5.Termination of Employment.

(a)If the Grantee’s employment with the Company and its Affiliates  ends on account of the Grantee’s termination of employment by the Company or its Affiliates: (i) without Cause [(as defined in that certain Employment Agreement by and between Inter-American  Management LLC (“IAM”) and [    ], dated as of [      ] (the “Employment Agreement”)][(as defined in the Inter-American Management LLC Severance Plan and Summary Plan Description, dated July 9, 2020 (the “Severance Plan”)] (ii) by the Grantee for Good Reason ([as defined in the Employment Agreement][as defined herein]); provided that the Grantee executes the Release ([as defined in Section 7(f)(i) of the Employment Agreement][as defined in Section 5 of the Severance Plan]) on or before the Release Expiration Date ([as defined in Section 7(f)(v) of the Employment Agreement][as defined in Section 5 of the Severance Plan]), and does not revoke such Release within any time provided in such Release to do so, (iii) due to the Grantee’s death or Disability ([as defined in the Employment Agreement][as defined in the Severance Plan]) or (iv) a result of the Grantee’s Retirement (as defined herein) (each, a “Qualified Termination”), the Grantee will not forfeit the Award LTIP Units upon such termination, and instead the following provisions of this Section 5 shall be applied to determine the number of Earned LTIP Units the Grantee shall be entitled receive:

i.the calculations provided in Section 3 hereof shall be performed as of the Valuation Date as if the Qualified Termination had not occurred;

ii.the number of Earned LTIP Units calculated pursuant to Section 3 shall be multiplied by the Partial Service Factor (with the resulting number being rounded to the nearest whole LTIP Unit or, in the case of 0.5 of a unit, up to the next whole unit), and such adjusted number of LTIP Units shall be deemed the Grantee’s Earned LTIP Units for all purposes under this Agreement; and

iii.the Grantee’s Earned LTIP Units as adjusted pursuant to Section 5(a)(ii) above shall no longer be subject to forfeiture pursuant to Section 4 hereof; provided that, notwithstanding that no Continuous Service requirement pursuant to Section 4 hereof will apply to the Grantee after the effective date of a Qualified Termination, except in the case of death or Disability (as defined in the [Employment Agreement][Severance Plan]), the Grantee will not have the right to transfer his or her Earned LTIP Units or request redemption of his or her Common Units under the Partnership Agreement until such dates as of which his or her Earned LTIP Units, as adjusted pursuant to Section 5(a)(ii) above, would have become vested pursuant to Section 2(b) absent a Qualified Termination. For the avoidance of doubt, the purpose of

3

this Section 5(a)(iii) is to prevent a situation where the Grantee who has had a Qualified Termination would be able to realize the value of his or her LTIP Units or Common Units (through transfer or redemption) before other grantees whose Continuous Service continues through the applicable vesting dates set forth in Section 4 hereof.

(b)In the event of a Qualified Termination after the Valuation Date, all Earned LTIP Units that are subject to forfeiture restrictions pursuant to Section 4 shall no longer be subject to forfeiture; provided that, notwithstanding that no Continuous Service requirement pursuant to Section 4 hereof will apply to the Grantee after the effective date of a Qualified Termination, except in the case of death or Disability, the Grantee will not have the right to transfer his or her Earned LTIP Units or request redemption of his or her Common Units under the Partnership Agreement until such dates as of which his or her Earned LTIP Units would have become vested pursuant to Section 4 absent a Qualified Termination. For the avoidance of doubt, the purpose of this Section 5(b) is to prevent a situation where a Grantee who has had a Qualified Termination would be able to realize the value of his or her Earned LTIP Units or Common Units (through transfer or redemption) before other grantees of Earned LTIP Units whose Continuous Service continues through the applicable vesting dates set forth in Section 4 hereof.

(c)In the event of a termination of the Grantee’s employment other than a Qualified Termination, all unearned Award LTIP Units and all Earned LTIP Units except for those that have become vested pursuant to Section 4 hereof shall, without payment of any consideration by the Company or its Affiliates, automatically and without notice terminate, be forfeited and be and become null and void, and neither the Grantee nor any of his or her successors, heirs, assigns, or personal representatives will thereafter have any further rights or interests in such LTIP Units.

6. Change in Control.

(a) If a Change in Control ([as defined in the Employment Agreement][as defined in the Severance Plan]) occurs before the first anniversary of the Effective Date, the provisions of Section 3 shall apply to determine the number of Earned LTIP Units except that (i) the number of Award LTIP Units that are earned under the Performance Goals shall be based on a shortened Performance Period (with such shortened Performance Period ending on the date of the Change in Control), and (ii) the resulting number of Earned LTIP Units shall be prorated to reflect the portion of the original Performance Period that had elapsed as of the date of such Change in Control. If a Change in Control occurs on or after the first anniversary of the Effective Date, the number of Earned LTIP Units shall be determined as provided in Section 3.

Notwithstanding any provision herein to the contrary, in the event of any inconsistency between this Section 6 and the [Employment Agreement][Severance Plan], the terms of the [Employment Agreement][Severance Plan] shall control.

7.Merger-Related Action. In contemplation of and subject to the consummation of a consolidation or merger or sale of all or substantially all of the assets of the Company in which outstanding Common Stock is exchanged for securities, cash, or other property of an unrelated corporation or business entity or in the event of a liquidation of the Company (in each case, a “Transaction”), the Board, or the board of trustees or directors of any corporation assuming the obligations of the Company (the “Acquiror”), may, in its discretion, take any one or more of the following actions, as to the outstanding Earned LTIP Units: (i) provide that such Earned LTIP Units shall be assumed or equivalent awards shall be substituted, by the acquiring or succeeding entity (or an affiliate thereof), and/or (ii) upon prior written notice to the LTIP Unitholders (as defined in the Partnership Agreement) of not less than 30 days, provide that such Earned LTIP Units shall terminate immediately prior to the consummation of the Transaction. The right to take such actions (each, a “Merger-Related Action”) shall be subject to the following limitations and qualifications:

4

(a)if all Earned LTIP Units awarded to the Grantee hereunder are eligible, as of the time of the Merger-Related Action, for conversion into Common Units (as defined in and in accordance with the Partnership Agreement) and the Grantee is afforded the opportunity to effect such conversion and receive, in consideration for the Common Units into which his Earned LTIP Units shall have been converted, the same kind and amount of consideration as other holders of Common Units in connection with the Transaction, then Merger-Related Action of the kind specified in (i) or (ii) above shall be permitted and available to the Company and the Acquiror;

(b)if some or all of the Earned LTIP Units awarded to the Grantee hereunder are not, as of the time of the Merger-Related Action, so eligible for conversion into Common Units (in accordance with the Partnership Agreement), and the acquiring or succeeding entity is itself, or has a subsidiary which is organized as a partnership or limited liability company (consisting of a so-called “UPREIT” or other structure substantially similar in purpose or effect to that of the Company and GMR OP), then Merger-Related Action of the kind specified in clause (i) of this Section 7 above must be taken by the Acquiror with respect to all Earned LTIP Units subject to this Award which are not so convertible at the time, whereby all such Earned LTIP Units covered by this Award shall be assumed by the acquiring or succeeding entity, or equivalent awards shall be substituted by the acquiring or succeeding entity, and the acquiring or succeeding entity shall preserve with respect to the assumed Earned LTIP Units or any securities to be substituted for such Earned LTIP Units, as far as reasonably possible under the circumstances, the distribution, special allocation, conversion and other rights set forth in the Partnership Agreement for the benefit of the LTIP Unitholders; and

(c)if some or all of the Earned LTIP Units awarded to the Grantee hereunder are not, as of the time of the Merger-Related Action, so eligible for conversion into Common Units (in accordance with the Partnership Agreement), and after exercise of reasonable commercial efforts the Company or the Acquiror is unable to treat the Earned LTIP Units in accordance with Section 7(b), then Merger-Related Action of the kind specified in clause (ii) of this Section 7 above must be taken by the Company or the Acquiror, in which case such action shall be subject to a provision that the settlement of the terminated award of Earned LTIP Units which are not convertible into Common Units requires a payment of the same kind and amount of consideration payable in connection with the Transaction to a holder of the number of Common Units into which the Earned LTIP Units to be terminated could be converted or, if greater, the consideration payable to holders of the number of  shares of common stock into which such Common Units could be exchanged (including the right to make elections as to the type of consideration) if the Transaction were of a nature that permitted a revaluation of the Grantee’s capital account balance under the terms of the Partnership Agreement, as determined by the Committee in good faith in accordance with the Plan.

8.Distributions.   Distributions shall accrue during the Performance Period on the maximum number of LTIP Units that the Grantee could earn under this Agreement and shall be paid with respect to all of the Earned LTIP Units at the conclusion of the Performance Period following calculation of the number of Earned LTIP Units in accordance with Section 3 and the issuance thereof to the Grantee, in cash or by the issuance of additional LTIP Units at the discretion of the Committee. The right to distributions set forth in this Section 8 shall be deemed a Dividend Equivalent Right for purposes of the Plan. The Grantee shall cease to have any Dividend Equivalent Right with respect to LTIP Units that are not earned or that cease to be eligible for vesting and are forfeited in accordance with this Agreement.

9.Incorporation of Plan. Notwithstanding anything herein to the contrary, this Award shall be subject to all of the terms and conditions of the Plan and the Partnership Agreement.

10.Covenants. The Grantee hereby covenants as follows:

(a)So long as the Grantee holds any LTIP Units, the Grantee shall disclose to GMR

5

OP in writing such information as may be reasonably requested with respect to ownership of LTIP Units as GMR OP may deem reasonably necessary to ascertain and to establish compliance with provisions of the Code applicable to GMR OP or to comply with requirements of any other appropriate taxing authority.

(b)The Grantee hereby agrees to make an election under Section 83(b) of the Code with respect to the LTIP Units awarded hereunder, and the Company hereby consents thereto. The Grantee has delivered with this Agreement a completed, executed copy of the election form attached hereto as Annex B. The Grantee agrees to file the election (or to permit GMR OP to file such election on the Grantee’s behalf) within thirty (30) days after the Grant Date with the IRS   Service Center at which such Grantee files his personal income tax returns, and to file a copy of such election with the Grantee’s U.S. federal income tax return for the taxable year in which the LTIP Units are awarded to the Grantee.

(c)The Grantee hereby agrees that it does not have the intention to dispose of the LTIP Units subject to this Award within two years of receipt of such LTIP Units. GMR OP and the Grantee hereby agree to treat the Grantee as the owner of the LTIP Units from the Grant Date. The Grantee hereby agrees to take into account the distributive share of GMR OP income, gain, loss, deduction, and credit associated with the LTIP Units in computing the Grantee’s income tax liability for the entire period during which the Grantee has the LTIP Units.

(d)The Grantee hereby recognizes that the IRS has proposed regulations under Sections 83 and 704 of the Code that may affect the proper treatment of the LTIP Units for federal tax purposes. In the event that those proposed regulations are finalized, the Grantee hereby agrees to cooperate with GMR OP in amending this Agreement and the Partnership Agreement, and to take such other action as may be required, to conform to such regulations.

(e)The Grantee hereby recognizes that changes in applicable law may affect the federal tax consequences of owning and disposing of LTIP Units.

11.Transferability. This Agreement is personal to the Grantee, is non-assignable and is not transferable in any manner, by operation of law or otherwise, other than by will or the laws of descent and distribution, without the prior written consent of the Company.

12.Amendment. The Grantee acknowledges that the Plan may be amended or canceled or terminated in accordance with Article XVIII thereof and that this Agreement may be amended or cancelled by the Committee, on behalf of GMR OP, for the purpose of satisfying changes in law or for any other lawful purpose, provided that no such action shall adversely affect the Grantee’s rights under this Agreement without the Grantee’s written consent. The provisions of Section 7 of this Agreement applicable to the termination of the LTIP Units covered by this Award in connection with a Transaction (as defined in Section 7 of this Agreement) shall apply, mutatis mutandi to amendments, discontinuance or cancellation pursuant to this Section 12 or the Plan.

13.No Obligation to Continue Employment. Neither the Company nor any one of its Affiliates is obligated by or as a result of the Plan or this Agreement to continue the Grantee in employment and neither the Plan nor this Agreement shall interfere in any way with the right of the Company or its Affiliates to terminate the employment of the Grantee at any time.

14.Notices. Notices hereunder shall be mailed or delivered to GMR OP at its principal place of business and shall be mailed or delivered to the Grantee at the address on file with GMR OP or, in either case, at such other address as one party may subsequently furnish to the other party in writing.

15.Governing Law. This Agreement shall be governed by, and construed in accordance with,

6

the laws of the State of Delaware, applied without regard to conflict of law principles. The parties agree that any action or proceeding arising directly, indirectly or otherwise in connection with, out of, related to or from this Agreement, any breach hereof or any action covered hereby, shall be resolved within the State of Delaware and the parties hereto consent and submit to the jurisdiction of the federal and state courts located within Delaware.

[Signatures appear on following page.]

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GLOBAL MEDICAL REIT INC.
a Maryland real estate investment trust
Name:
Title:
Date:
GLOBAL MEDICAL REIT L.P.
a Delaware limited partnership
By:	GLOBAL MEDICAL REIT GP LLC
	its general partner
By:	GLOBAL MEDICAL REIT INC.
	its sole member
Name:
Title:
Date:

The foregoing agreement is hereby accepted and the terms and conditions thereof hereby agreed to by the Grantee.

Date:
	Grantee’s Signature
	Grantee’s name and address:
	Name:
	Address:

[Signature page to LTIP Unit Vesting Agreement]

Exhibit A

Performance Goals and Percentages

Name of Grantee:

Number of Award LTIP Units:  

The number of Earned LTIP Units issuable to Grantee in respect of the Award LTIP Units under this Award shall be determined by dividing the total number of Award LTIP Units (as shown above) into four components as shown in the table below (each a “Component”) and multiplying the number of Award LTIP Units allocated to each Component by the applicable Performance Percentage described below based on the extent to which the Goal for each such Component is achieved.

% of AwardLTIP Units	Component	Goal
30% of total Award LTIP Units	Acquisitions including (i) closed acquisitions during 2022 and (ii) acquisitions placed under definitive purchase contract on or before December 31, 2022 and closed by February 28, 2023.	Threshold: $125 million. Target: $180 million. Maximum: $235 million.
20% of total Award LTIP Units	Average quarterly Consolidated Leverage Ratio (as defined in the Company’s Amended and Restated Credit Agreement) (based on each fiscal quarter end).	Threshold: 47% Target: 45% Maximum: 43%
30% of total Award LTIP Units	Adjusted FFO (AFFO) per share for the year ended December 31, 2022, as reported by the Company in its year-end earnings announcement for the year ended December 31, 2022.	Threshold: $0.96 per share Target: $0.99 per share Maximum: $1.03 per share
20% of total Award LTIP Units	Discretionary Component	Entirely at the discretion of the Committee based on the Committee’s assessment of the Grantee’s individual performance in areas the Committee deems in its discretion to be important based on the Grantee’s job duties and position within the organization.

Performance Percentages

(i)If the Company does not achieve the Threshold Goal in a particular Component in the above table, all of the Award LTIP Units for that Component will be forfeited.

(ii)If the Company achieves the Threshold Goal in a particular Component in the above table, the number of Earned LTIP Units in that Component will be equal to 50% of the number of Award LTIP Units for that Component.

(iii)If the Company achieves the Target Goal in a particular Component in the above table, the number of Earned LTIP Units in that Component will be equal to 100% of the number of Award LTIP Units for that Component.

(iv)If the Company achieves or exceeds the Maximum Goal in a particular Component in the above table, the number of Earned LTIP Units for that Component will be equal to 150% of the number of Award LTIP Units for that Component.

For achievement of a Goal at an intermediate point between the Threshold Goal and the Target Goal or between the Target Goal and the Maximum Goal for any Component, the number of Earned LTIP Units eligible for vesting and settlement pursuant to Sections 3 and 4 for that Component will be interpolated on a straight-line basis between 50% and 100% or between 100% and 150%, respectively, of the number of Award LTIP Units allocated to that Component. Fractional LTIP Units will be rounded to the next whole LTIP Unit.

ANNEX A

FORM OF LIMITED PARTNER SIGNATURE PAGE

The Grantee desiring to become one of the within named Partners of Global Medical REIT L.P. (“GMR OP”), hereby becomes a party to the Agreement of Limited Partnership (as amended from time to time, the “Partnership Agreement”) of GMR OP, by and among Global Medical REIT GP LLC, as general partner (the “General Partner”), and the Limited Partners, effective as of the Grant Date (as specified in the LTIP Unit Vesting Agreement, dated [    ], 2022, among the Grantee, Global Medical REIT Inc. and GMR OP). The Grantee agrees to be bound by the Partnership Agreement. The Grantee also agrees that this signature page may be attached to, and hereby authorizes the General Partner to attach this signature page to, any counterpart of the Partnership Agreement.

Date: [ ], 2022
	Signature of Limited Partner
	Limited Partner’s name and address:
	Name: [ ]
	Address: [ ]

Annex A

ANNEX B

ELECTION TO INCLUDE IN GROSS INCOME IN YEAR OF TRANSFER OF PROPERTY PURSUANT TO SECTION 83(b) OF THE INTERNAL REVENUE CODE

The undersigned hereby makes an election pursuant to Section 83(b) of the Internal Revenue Code of 1986, as amended (the “Code”), with respect to the property described below and supplies the following information in accordance with the regulations promulgated thereunder:

1.	The name, address and taxpayer identification number of the undersigned are:
	Name:		(the “Taxpayer”)
	Address:
	Social security number:
2.	Description of property with respect to which the election is being made:
		LTIP Units (the “LTIP Units”) in Global Medical REIT L.P. (“GMR OP”).
3.	The date on which the LTIP Units were transferred is February [   ], 2022.  The taxable year to which this election relates is calendar year 2022.
4.	The LTIP Units are subject to the following restrictions:
	(a)	The LTIP Units are subject to a substantial risk of forfeiture and are nontransferable on the date of transfer.
	(b)	The Taxpayer’s LTIP Units vest and become transferable based on the Taxpayer’s continued employment.
5.	The fair market value at the time of transfer (determined without regard to any restrictions other than restrictions which by their terms will never lapse) of the LTIP Units with respect to which this election is being made was $0.00 per LTIP Unit.
6.	The amount paid by the Taxpayer for the LTIP Units was $0.00 per LTIP Unit.
7.	The amount to include in gross income is $0.00.
8.	A copy of this statement has been furnished to GMR OP and to its general partner, Global Medical REIT GP LLC.

[Signature Page Follows]

Signature Page to Annex B

Dated:      ,2022
	Signature of the Taxpayer
	Taxpayer’s name and address:
	Name:
	Address:

The undersigned hereby consents to the making, by the undersigned’s spouse, of the foregoing election pursuant to Section 83(b) of the Code.

Dated:      ,2022
	Signature of the Taxpayer’s Spouse
	Spouse’s name and address:
	Name:
	Address:

Signature Page to Annex B

Exhibit II

EX-10.2

Exhibit 10.2

GLOBAL MEDICAL REIT INC.

2016 EQUITY INCENTIVE PLAN

LTIP UNIT AWARD AGREEMENT

Long Term Incentive Award (Performance-Based with Time-Vesting)

Name of Grantee:
Number of LTIP Units:
Grant Date (Closing Date):	February 24, 2022
Final Acceptance Date:	,

Pursuant to the Global Medical REIT Inc. 2016 Equity Incentive Plan, as amended from time to time (the “Plan”), and the Agreement of Limited Partnership, dated as of March 14, 2016 (as amended from time to time, the “Partnership Agreement”), of Global Medical REIT L.P., a Delaware limited partnership (“GMR OP”), Global Medical REIT Inc., a Maryland corporation (the “Company”) and the sole member of Global Medical REIT GP LLC, a Delaware limited liability company, the general partner of GMR OP (the “General Partner”), and for the provision of services to or for the benefit of GMR OP in a partner capacity or in anticipation of being a partner, hereby grants, and agrees to cause GMR OP to issue, to the Grantee named above a number of LTIP Units (which constitute Other Equity Based Awards under the Plan) to be determined following the conclusion of the Performance Period (defined herein) based on (i) the number of Award LTIP Units shown above (the ”Award LTIP Units”) and (ii) the Company’s Total Shareholder Return and Relative Performance during the Performance Period as provided in further detail herein (such number of LTIP Units that are earned and issued to the Grantee, the “Earned LTIP Units”) having the rights, voting powers, restrictions, limitations as to distributions, qualifications and terms and conditions of redemption and conversion set forth herein and in the Partnership Agreement (the “Award”). Upon acceptance of this LTIP Unit Award Agreement (this “Agreement”), the Grantee shall become entitled to receive the Earned LTIP Units to the extent earned in accordance with, and subject to, the terms and conditions contained herein, in the Plan and in the Partnership Agreement, the terms of which are hereby incorporated by reference. Capitalized terms used but not defined herein have the meanings assigned to such terms in the Partnership Agreement, attached hereto as ANNEX B, or the Plan, as applicable, unless a different meaning is specified herein. In addition, as used herein:

“Absolute TSR Component” means 75% of the Award LTIP Units, meaning that 75% of the Award LTIP Units shall be eligible to convert into Earned LTIP Units based on the Company’s Total Shareholder Return during the Performance Period.

“Baseline Value” for each of the Company and the Peer Companies means the dollar amount representing the average Fair Market Value over the five consecutive trading days ending on, and including, the Effective Date.

“Common Stock” means the common stock, par value $0.001 per share, of the Company.

“Common Stock Price” means, with respect to the Company and each of the Peer Companies, as of a particular date, the average of the Fair Market Value over the 15 consecutive trading days ending on, and including, such date (or, if such date is not a trading day, the most recent trading day immediately preceding such date); provided, however, that if such date is the date upon which a Transactional Change of Control occurs, the Common Stock Price of a share of common stock as of such date shall be equal to the fair value, as determined by the Committee, of the total consideration paid or payable in the transaction resulting in the Transactional Change of Control for one share of Common Stock.

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“Continuous Service” means the Grantee’s continuous service to the Company and its Affiliates, without interruption or termination, in any capacity. Continuous Service shall not be considered interrupted in the case of: (a) any approved leave of absence; (b) transfers among the Company and its Affiliates, or any successor; or (c) any change in status as long as the individual remains in the service of the Company and its Affiliates. An approved leave of absence shall include sick leave, military leave, or any other authorized personal leave.

“Effective Date” means February 24, 2022.

“Fair Market Value” means the closing price of one share of common stock of the applicable company as reported or quoted, as the case may be, on the national securities exchange or quotation system on which such company’s common stock is listed or quoted.

[“Good Reason” means: (i) a material diminution in the Grantee’s base salary; (ii) a material diminution or adverse change in the Grantee’s title, duties or authority; (iii) a material breach by the Company or GMR OP of any of its covenants or obligations under this Agreement; or (iv) the relocation of the geographic location of the Grantee’s principal place of employment by more than 50 miles from the location of the Grantee’s principal place of employment as of the Grant Date; provided that, in the case of the Grantee’s allegation of Good Reason, (A) the condition described in the foregoing clauses must have arisen without the Grantee’s consent; (B) the Grantee must provide written notice to GMR OP of such condition in accordance with the Agreement within 45 days of the initial existence of the condition; (C) the condition specified in such notice must remain uncorrected for 30 days after receipt of such notice by GMR OP; and (D) the Grantee’s date of termination must occur within 60 days after such notice is received by GMR OP.]

“Partial Service Factor” means a factor carried out to the sixth decimal to be used in calculating the number of LTIP Units earned pursuant to Section 3(d) hereof in the event of a Qualified Termination of the Grantee’s Continuous Service prior to the Valuation Date, determined by dividing (a) the number of calendar days that have elapsed since the Effective Date to and including the date of the Grantee’s Qualified Termination by (b) the number of calendar days from the Effective Date to and including the Valuation Date.

“Peer Companies” means the companies that comprise the Dow Jones U.S. Real Estate Health Care Index.

“Performance Period” means the period beginning on the Effective Date and ending on the Valuation Date.

“Relative Performance” means the Company’s Total Shareholder Return relative to the Total Shareholder Return of the Peer Companies. Relative Performance will be determined by (a) ranking the Peer Companies from highest to lowest according to their respective Total Shareholder Return; (b) assigning each Peer Company a market capitalization percentage based upon each such Peer Company’s share of equity market capitalization as compared to the total market capitalization of all of the Peer Companies as of the Valuation Date; and then (c) constructing a percentile pool whereby each Peer Company is assigned a percentile range based on its Total Shareholder Return and market capitalization percentage. After this ranking, the Company’s Total Shareholder Return shall be compared to that of the Peer Companies and assigned a percentile rank based on the foregoing methodology.

“Relative TSR Component” means 25% of the Award LTIP Units, meaning that 25% of the Award LTIP Units shall be eligible to convert into Earned LTIP Units based on the Company’s Relative Performance during the Performance Period.

“Retirement” means retirement from employment with the Company and its Affiliates, but only to the extent the Grantee is at least 60 years old at the time of such retirement and has been employed with the Company or an Affiliate for at least 10 years prior to the date of such retirement.

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“Total Shareholder Return” means, for each of the Company and the Peer Companies, with respect to the Performance Period, the total return (expressed as a percentage) that would have been realized by a shareholder who (a) bought one share of common stock of such company at the Baseline Value on the Effective Date, (b) reinvested each dividend and other distribution declared during the Performance Period with respect to such share (and any other shares, or fractions thereof, previously received upon reinvestment of dividends or other distributions or on account of stock dividends), without deduction for any taxes with respect to such dividends or other distributions or any charges in connection with such reinvestment, in additional common stock at a price per share equal to (i) the Fair Market Value on the trading day immediately preceding the ex-dividend date for such dividend or other distribution less (ii) the amount of such dividend or other distribution, and (c) sold such shares on the Valuation Date at the Common Stock Price on the Valuation Date, without deduction for any taxes with respect to any gain on such sale or any charges in connection with such sale. Appropriate adjustments to the Total Shareholder Return shall be made to take into account all stock dividends, stock splits, reverse stock splits and the other events that occur during the Performance Period.

“Transactional Change of Control” means a Change of Control resulting from any person or group making a tender offer for shares of Common Stock, a merger or consolidation where the Company is not the acquirer or surviving entity or consisting of a sale, lease, exchange or other transfer to an unrelated party of all or substantially all of the assets of the Company.

“Valuation Date” means the earlier of (a) the calendar day immediately preceding the third anniversary of the Effective Date, or (b) the date upon which a Change in Control shall occur.

1.Acceptance of Agreement. The Grantee shall have no rights under this Agreement unless he or she shall have accepted this Agreement prior to the close of business on the Final Acceptance Date specified above by signing and delivering to GMR OP a copy of this Agreement. Furthermore, unless the Grantee is already a Limited Partner of GMR OP as of the Final Acceptance Date shown above, the Grantee shall not be entitled to receive the Earned LTIP Units unless the Grantee signs, as a Limited Partner, and delivers to GMR OP on or prior to the Final Acceptance Date a counterpart signature page to the Partnership Agreement attached hereto as ANNEX C. Thereupon, the Grantee shall have all the rights of a Limited Partner with respect to the number of LTIP Units specified above, as set forth in the Partnership Agreement, subject, however, to the restrictions and conditions specified herein. Upon receipt of the Earned LTIP Units to which the Grantee becomes entitled hereunder, the Partnership Agreement shall be amended to reflect the issuance to the Grantee of such Earned LTIP Units, effective as of the Valuation Date, and the Grantee shall have all of the rights of a Limited Partner with respect to the number of Earned LTIP Units issued to the Grantee, as set forth in the Partnership Agreement, subject, however, to the restrictions and conditions specified herein.

2.Restrictions and Conditions.

(a)          The records of GMR OP evidencing the Award LTIP Units granted hereby and the Earned LTIP Units issued pursuant hereto shall bear an appropriate legend, as determined by GMR OP in its sole discretion, to the effect that such LTIP Units are subject to restrictions as set forth herein and in the Partnership Agreement.

(b)          Award LTIP Units may not be sold, transferred, pledged, exchanged, hypothecated or otherwise disposed of by the Grantee in any respect. Earned LTIP Units may not be sold, transferred, pledged, exchanged, hypothecated or otherwise disposed of by the Grantee prior to vesting as contemplated in Section 4 and Section 5 of this Agreement, and then only to the extent permitted under the Partnership Agreement.

(c)          Subject to the provisions of Section 5 below, any LTIP Units (and the proportionate amount of the Grantee’s Capital Account balance attributable to such LTIP Units) subject to this Award that

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have not been earned and become vested on or before the date that the Grantee’s employment with the Company and its Affiliates terminates shall be forfeited as of the date that such employment terminates.

3.Terms of LTIP Units.

(a)          Subject to Section 5, the exact number of Earned LTIP Units that Grantee shall be entitled to receive under this Agreement shall be determined following the conclusion of the Performance Period based on the Company’s Total Shareholder Return and Relative Performance during the Performance Period as provided herein. The Grantee shall not be entitled to receive any LTIP Units hereunder except to the extent they are earned upon the end of the Performance Period in accordance with the terms and conditions hereof. Earned LTIP Units shall be issued as soon as reasonably practical following the end of the Performance Period. In addition to the performance vesting requirements specified herein, Earned LTIP Units shall be subject to service vesting as provided in Section 4(e). Award LTIP Units that are not earned in accordance with this Agreement shall be forfeited and cancelled and unvested Earned LTIP Units will be subject to forfeiture prior to vesting as set forth in this Section 4 and in Section 5.

(b)          The number of LTIP Units earned under the Absolute TSR Component of the Award will be determined pursuant to Section 4(d) as soon as reasonably practicable following the Valuation Date by multiplying the number of Award LTIP Units by 75% and then multiplying such product by the applicable Percentage of Absolute TSR Component Earned based on the Company’s Total Shareholder Return as shown below:

Total Shareholder Return	Percentage of AbsoluteTSR Component Earned
Less than 18%	0%
18%	50%
27%	100%
36% or greater	200%

The Absolute TSR Component of the Award will be forfeited in its entirety if the Total Shareholder Return is less than 18%. If the Total Shareholder Return is between 18% and 27%, or between 27% and 36%, the percentage of the Absolute TSR Component earned will be determined using linear interpolation as between those tiers, respectively.

(c)          The number of Award LTIP Units earned under the Relative TSR Component of the Award will be determined pursuant to Section 4(d) as soon as reasonably practicable following the Valuation Date by multiplying the number of Award LTIP Units by 25% and then multiplying such product by the applicable Percentage of Relative TSR Component Earned based on the Company’s Relative Performance as shown below:

Relative Performance	Percentage of RelativeTSR Component Earned
TSR below the 35th percentile of Peer Companies	0%
TSR equal to the 35th percentile of Peer Companies	50%
TSR equal to the 55th percentile of Peer Companies	100%

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TSR equal to or greater than the 75^th percentile of Peer Companies 200%

The Relative TSR Component of the Award will be forfeited in its entirety if the Relative Performance is below the 35th percentile of Peer Companies. If the Relative Performance is between the 35th percentile and 55th percentile of Peer Companies, or between the 55th percentile and 75th percentile of Peer Companies, the percentage of the Relative TSR Component earned will be determined using linear interpolation as between those tiers, respectively.

(d)          As soon as practicable following the Valuation Date, the Compensation Committee of the Board of Directors of the Company (the “Board”) (or such other Committee(s) as may be appointed or designated by the Board to administer the Plan) (the “Committee”) shall determine the number of LTIP Units earned by the Grantee under both the Absolute TSR Component and the Relative TSR Component. Upon the performance of the calculations set forth in this Section 4(d): (A) the Company shall cause GMR OP to issue to the Grantee, as of the Valuation Date, a number of LTIP Units equal to the number of Earned LTIP Units. Any Award LTIP Units that are not earned in accordance with this Section 4 hereto shall not be deemed granted and shall not be issued, and the Grantee shall have no right in or to any such unearned and unissued LTIP Units after it is determined that they were not earned.

(e)          LTIP Units that have been earned based on performance as provided in Section 4(c), shall, subject to Section 5 hereof, be subject to forfeiture restrictions that will lapse in the following amounts and on the following vesting dates subject to the Continuous Service of the Grantee through and on the applicable vesting date:

(i)          50% of the Earned LTIP Units shall become vested, and shall cease to be subject to forfeiture, as of the Valuation Date; and

(ii)         50% of the Earned LTIP Units shall become vested, and shall cease to be subject to forfeiture, on the first anniversary of the Valuation Date.

(f)           Any Earned LTIP Units that do not become vested pursuant to Section 4(e) or Section 5 hereof shall, without payment of any consideration by the Company or its Affiliates, automatically and without notice be forfeited and be and become null and void, and neither the Grantee nor any of his or her successors, heirs, assigns, or personal representatives will thereafter have any further rights or interests in such unvested Earned LTIP Units.

4.Termination of Employment.

(a)If the Grantee’s employment with the Company and its Affiliates  ends on account of the Grantee’s termination of employment by the Company or its Affiliates: (i) without Cause [(as defined in that certain Employment Agreement by and between Inter-American  Management LLC (“IAM”) and [    ], dated as of [      ] (the “Employment Agreement”)][(as defined in the Inter-American Management LLC Severance Plan and Summary Plan Description, dated July 9, 2020 (the “Severance Plan”)] (ii) by the Grantee for Good Reason ([as defined in the Employment Agreement][as defined herein]); provided that the Grantee executes the Release ([as defined in Section 7(f)(i) of the Employment Agreement][as defined in Section 5 of the Severance Plan]) on or before the Release Expiration Date ([as defined in Section 7(f)(v) of the Employment Agreement][as defined in Section 5 of the Severance Plan]), and does not revoke such Release within any time provided in such Release to do so, (iii) due to the Grantee’s death or Disability (as defined in [the Employment Agreement][the Severance Plan] or (iv) a result of the Grantee’s Retirement (as defined herein) (each, a “Qualified Termination”), the Grantee will not forfeit the Award LTIP Units upon such

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termination, and instead the following provisions of this Section 5 shall be applied to determine the number of Earned LTIP Units the Grantee shall be entitled receive:

i.the calculations provided in Section 4(d) hereof shall be performed as of the Valuation Date as if the Qualified Termination had not occurred;

ii. the number of Earned LTIP Units calculated pursuant to Section 4(d) shall be multiplied by the Partial Service Factor (with the resulting number being rounded to the nearest whole LTIP Unit or, in the case of 0.5 of a unit, up to the next whole unit), and such adjusted number of LTIP Units shall be deemed the Grantee’s Earned LTIP Units for all purposes under this Agreement; and

iii.the Grantee’s Earned LTIP Units as adjusted pursuant to Section 5(b)ii above shall no longer be subject to forfeiture pursuant to Section 4(e) hereof; provided that, notwithstanding that no Continuous Service requirement pursuant to Section 4(e) hereof will apply to the Grantee after the effective date of a Qualified Termination, except in the case of death or Disability, the Grantee will not have the right to transfer his or her Earned LTIP Units or request redemption of his or her Common Units under the Partnership Agreement until such dates as of which his or her Earned LTIP Units, as adjusted pursuant to Section 5(a)ii above, would have become vested pursuant to Section 4(e) absent a Qualified Termination. For the avoidance of doubt, the purpose of this Section 5(a)iii is to prevent a situation where the Grantee who has had a Qualified Termination would be able to realize the value of his or her LTIP Units or Common Units (through transfer or redemption) before other grantees whose Continuous Service continues through the applicable vesting dates set forth in Section 4(e) hereof.

(b)In the event of a Qualified Termination after the Valuation Date, all Earned LTIP Units that are subject to forfeiture restrictions pursuant to Section 4(e) shall no longer be subject to forfeiture; provided that, notwithstanding that no Continuous Service requirement pursuant to Section 4(e) hereof will apply to the Grantee after the effective date of a Qualified Termination, except in the case of death or Disability, the Grantee will not have the right to transfer his or her Earned LTIP Units or request redemption of his or her Common Units under the Partnership Agreement until such dates as of which his or her Earned LTIP Units would have become vested pursuant to Section 4(e) absent a Qualified Termination. For the avoidance of doubt, the purpose of this Section 4(b) is to prevent a situation where a Grantee who has had a Qualified Termination would be able to realize the value of his or her Earned LTIP Units or Common Units (through transfer or redemption) before other grantees of Earned LTIP Units whose Continuous Service continues through the applicable vesting dates set forth in Section 4(e) hereof.

(c)In the event of a termination of the Grantee’s employment other than a Qualified Termination, all unearned Award LTIP Units and all Earned LTIP Units except for those that have become vested pursuant to Section 4(e) hereof shall, without payment of any consideration by the Company or its Affiliates, automatically and without notice terminate, be forfeited and be and become null and void, and neither the Grantee nor any of his or her successors, heirs, assigns, or personal representatives will thereafter have any further rights or interests in such LTIP Units.

5.Change in Control.

(a)If a Change in Control ([as defined in the Employment Agreement][as defined in the Severance Plan]) occurs before the third anniversary of the Effective Date, the provisions of Section 4 shall apply to determine the number of Earned LTIP Units except that (i) the number of Award LTIP Units that are earned under the Absolute TSR Component or the Relative TSR Component, as applicable, shall be based on a shortened Performance Period (with such shortened Performance Period ending on the date of the Change in Control), and (ii) the resulting number of Earned LTIP Units shall be prorated to reflect the portion of the

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original Performance Period that had elapsed as of the date of such Change in Control. If a Change in Control occurs on or after the third anniversary of the Effective Date, the number of Earned LTIP Units shall be determined as provided in Section 4.

(b)The number of Earned LTIP Units determined under Section 4, as modified by Section 6(a) for a Change in Control that occurs before the third anniversary of the Effective Date, shall remain subject to vesting tied to Continuous Service as provided in Section 4(e), except that the Grantee shall become fully vested in the Earned LTIP Units if he or she is terminated in a Qualified Termination.

(c)If the Change in Control occurs after the third anniversary of the Effective Date, and the Grantee is terminated in a Qualified Termination, the Grantee shall become fully vested in any unvested Earned LTIP Units.

(d)Notwithstanding any provision herein to the contrary, in the event of any inconsistency between this Section 6 and the [Employment Agreement][Severance Plan], the terms of the [Employment Agreement][Severance Plan] shall control.

6.Merger-Related Action. In contemplation of and subject to the consummation of a consolidation or merger or sale of all or substantially all of the assets of the Company in which outstanding Common Stock is exchanged for securities, cash, or other property of an unrelated corporation or business entity or in the event of a liquidation of the Company (in each case, a “Transaction”), the Board, or the board of trustees or directors of any corporation assuming the obligations of the Company (the “Acquiror”), may, in its discretion, take any one or more of the following actions, as to the outstanding Earned LTIP Units: (i) provide that such Earned LTIP Units shall be assumed or equivalent awards shall be substituted, by the acquiring or succeeding entity (or an affiliate thereof), and/or (ii) upon prior written notice to the LTIP Unitholders (as defined in the Partnership Agreement) of not less than 30 days, provide that such Earned LTIP Units shall terminate immediately prior to the consummation of the Transaction. The right to take such actions (each, a “Merger-Related Action”) shall be subject to the following limitations    and qualifications:

(a)if all Earned LTIP Units awarded to the Grantee hereunder are eligible, as of the time of the Merger-Related Action, for conversion into Common Units (as defined in and in accordance with the Partnership Agreement) and the Grantee is afforded the opportunity to effect such conversion and receive, in consideration for the Common Units into which his Earned LTIP Units shall have been converted, the same kind and amount of consideration as other holders of Common Units in connection with the Transaction, then Merger-Related Action of the kind specified in (i) or (ii) above shall be permitted and available to the Company and the Acquiror;

(b)if some or all of the Earned LTIP Units awarded to the Grantee hereunder are not, as of the time of the Merger-Related Action, so eligible for conversion into Common Units (in accordance with the Partnership Agreement), and the acquiring or succeeding entity is itself, or has a subsidiary which is organized as a partnership or limited liability company (consisting of a so-called “UPREIT” or other structure substantially similar in purpose or effect to that of the Company and GMR OP), then Merger-Related Action of the kind specified in clause (i) of this Section 7 above must be taken by the Acquiror with respect to all Earned LTIP Units subject to this Award which are not so convertible at the time, whereby all such Earned LTIP Units covered by this Award shall be assumed by the acquiring or succeeding entity, or equivalent awards shall be substituted by the acquiring or succeeding entity, and the acquiring or succeeding entity shall preserve with respect to the assumed Earned LTIP Units or any securities to be substituted for such Earned LTIP Units, as far as reasonably possible under the circumstances, the distribution, special allocation, conversion and other rights set forth in the Partnership Agreement for the benefit of the LTIP Unitholders; and

(c)if some or all of the Earned LTIP Units awarded to the Grantee hereunder are not, as of the time of the Merger-Related Action, so eligible for conversion into Common Units (in accordance with the Partnership Agreement), and after exercise of reasonable commercial efforts the Company or the Acquiror is unable to treat the Earned LTIP Units in accordance with Section 7(b), then Merger-Related Action of the kind specified in clause (ii) of this Section 7 above must be taken by the Company or the Acquiror, in which case such action shall be subject to a provision that the settlement of the terminated award of Earned LTIP Units which are not convertible into Common

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Units requires a payment of the same kind and amount of consideration payable in connection with the Transaction to a holder of the number of Common Units into which the Earned LTIP Units to be terminated could be converted or, if greater, the consideration payable to holders of the number of  shares of common stock into which such Common Units could be exchanged (including the right to make elections as to the type of consideration) if the Transaction were of a nature that permitted a revaluation of the Grantee’s capital account balance under the terms of the Partnership Agreement, as determined by the Committee in good faith in accordance with the Plan.

7.Distributions. Distributions shall accrue during the Performance Period on the maximum number LTIP Units that the Grantee could earn under this Agreement and shall be paid with respect to all of the Earned LTIP Units at the conclusion of the Performance Period following calculation of the number of Earned LTIP Units in accordance with Section 4 and upon the issuance thereof to the Grantee, in cash or by the issuance of additional LTIP Units at the discretion of the Committee. The right to distributions set forth in this Section 8 shall be deemed a Dividend Equivalent Right for purposes of the Plan. The Grantee shall cease to have any Dividend Equivalent Right with respect to LTIP Units that are not earned or that cease to be eligible for vesting and are forfeited in accordance with this Agreement.

8.Incorporation of Plan and Partnership Agreement. Notwithstanding anything herein to the contrary, this Award shall be subject to all of the terms and conditions of the Plan and the Partnership Agreement.

9.Covenants. The Grantee hereby covenants as follows:

(a)So long as the Grantee holds any LTIP Units, the Grantee shall disclose to GMR OP in writing such information as may be reasonably requested with respect to ownership of LTIP Units as GMR OP may deem reasonably necessary to ascertain and to establish compliance with provisions of the Code applicable to GMR OP or to comply with requirements of any other appropriate taxing authority.

(b)The Grantee hereby agrees to make an election under Section 83(b) of the Code with respect to the maximum number of LTIP Units that the Grantee may earn hereunder, and the Company hereby consents thereto. The Grantee has delivered with this Agreement a completed, executed copy of the election form attached hereto as ANNEX A. The Grantee agrees to file the election (or to permit GMR OP to file such election on the Grantee’s behalf) within thirty (30) days after the Final Acceptance Date with the IRS Service Center at which such Grantee files his personal income tax returns, and to file a copy of such election with the Grantee’s U.S. federal income tax return for the taxable year in which the LTIP Units are awarded to the Grantee.

(c)The Grantee hereby agrees that it does not have the intention to dispose of the LTIP Units subject to this Award within two years of receipt of such LTIP Units. GMR OP and the Grantee hereby agree to treat the Grantee as the owner of the LTIP Units, subject to the terms and conditions hereof, from the Final Acceptance Date. The Grantee hereby agrees to take into account the distributive share of GMR OP income, gain, loss, deduction, and credit associated with the LTIP Units in computing the Grantee’s income tax liability for the entire period during which the Grantee has the LTIP Units.

(d) The Grantee hereby recognizes that the IRS has proposed regulations under Sections 83 and 704 of the Code that may affect the proper treatment of the LTIP Units for federal tax purposes. In

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the event that those proposed regulations are finalized, the Grantee hereby agrees to cooperate with GMR OP in amending this Agreement and the Partnership Agreement, and to take such other action as may be required, to conform to such regulations.

(e)The Grantee hereby recognizes that changes in applicable law may affect the federal tax consequences of owning and disposing of LTIP Units.

10.Transferability. This Agreement is personal to the Grantee, is non-assignable and is not transferable in any manner, by operation of law or otherwise, other than by will or the laws of descent and distribution, without the prior written consent of the Company.

11.Amendment. The Grantee acknowledges that the Plan may be amended or canceled or terminated in accordance with Article XVIII thereof and that this Agreement may be amended or cancelled by the Committee, on behalf of GMR OP, for the purpose of satisfying changes in law or for any other lawful purpose, provided that no such action shall adversely affect the Grantee’s rights under this Agreement without the Grantee’s written consent. The provisions of Section 6 of this Agreement applicable to the termination of the LTIP Units covered by this Award in connection with a Change in Control shall apply, mutatis mutandi to amendments, discontinuance or cancellation pursuant to this Section 12 or the Plan.

12.No Obligation to Continue Employment. Neither the Company nor any one of its Affiliates is obligated by or as a result of the Plan or this Agreement to continue the Grantee in employment and neither the Plan nor this Agreement shall interfere in any way with the right of the Company or its Affiliates to terminate the employment of the Grantee at any time.

13.Notices. Notices hereunder shall be mailed or delivered to GMR OP at its principal place of business and shall be mailed or delivered to the Grantee at the address on file with GMR OP or, in either case, at such other address as one party may subsequently furnish to the other party in writing.

14.Governing Law. This Agreement shall be governed by, and construed in accordance with, the laws of the State of Delaware, applied without regard to conflict of law principles. The parties agree that any action or proceeding arising directly, indirectly or otherwise in connection with, out of, related to or from this Agreement, any breach hereof or any action covered hereby, shall be resolved within the State of Delaware and the parties hereto consent and submit to the jurisdiction of the federal and state courts located within Delaware.

[Signatures appear on following page.]

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GLOBAL MEDICAL REIT INC.

a Maryland corporation

Name:

Title:

Date:

GLOBAL MEDICAL REIT L.P.
a Delaware limited partnership
By:	GLOBAL MEDICAL REIT GP LLC
	its general partner
By:	GLOBAL MEDICAL REIT INC.
	its sole member

Name:

Title:

Date:

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The foregoing agreement is hereby accepted and the terms and conditions thereof hereby agreed to by the Grantee.

Date: March __, 2022
	Grantee’s Signature
	Grantee’s name and address:
	Name:
	Address:

[Signature page to LTIP Unit Vesting Agreement]

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ANNEX A

ELECTION TO INCLUDE IN GROSS INCOME IN YEAR OF

TRANSFER OF PROPERTY PURSUANT TO SECTION 83(b)

OF THE INTERNAL REVENUE CODE

The undersigned hereby makes an election pursuant to Section 83(b) of the Internal Revenue Code of 1986, as amended (the “Code”), with respect to the property described below and supplies the following information in accordance with the regulations promulgated thereunder:

1.	The name, address and taxpayer identification number of the undersigned are:
	Name:		(the “Taxpayer”)
	Address:
	Social security number:
2.	Description of property with respect to which the election is being made:
	LTIP Units (the “LTIP Units”) in Global Medical REIT L.P. (“GMR OP”).
3.	The date on which the LTIP Units were transferred is March 2, 2021.  The taxable year to which this election relates is calendar year 2021.
4.	The LTIP Units are subject to the following restrictions:
	(a)	The LTIP Units are subject to a substantial risk of forfeiture and are nontransferable on the date of transfer.
	(b)	The Taxpayer’s LTIP Units vest and become transferable based on the Taxpayer’s continued employment.
5.	The fair market value at the time of transfer (determined without regard to any restrictions other than restrictions which by their terms will never lapse) of the LTIP Units with respect to which this election is being made was $0.00 per LTIP Unit.
6.	The amount paid by the Taxpayer for the LTIP Units was $0.00 per LTIP Unit.
7.	The amount to include in gross income is $0.00.
8.	A copy of this statement has been furnished to GMR OP and to its general partner, Global Medical REIT GP LLC.

[Signature Page Follows]

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Dated: _________, 2022
	Signature of the Taxpayer
	Taxpayer’s name and address:
	Name:
	Address:

The undersigned hereby consents to the making, by the undersigned’s spouse, of the foregoing election pursuant to Section 83(b) of the Code.

Dated: _________, 2022
	Signature of the Taxpayer’s Spouse
	Spouse’s name and address:
	Name:
	Address:

Signature Page to Annex A

13

ANNEX B

Partnership Agreement

(Attached)

14

ANNEX C

FORM OF LIMITED PARTNER SIGNATURE PAGE

The Grantee desiring to become one of the within named Partners of Global Medical REIT L.P. (“GMR OP”), hereby becomes a party to the Agreement of Limited Partnership (as amended from time to time, the “Partnership Agreement”) of GMR OP, by and among Global Medical REIT GP LLC, as general partner (the “General Partner”), and the Limited Partners, effective as of the Grant Date (as specified in the LTIP Unit Vesting Agreement, dated ____________, ____, among the Grantee, Global Medical REIT Inc. and GMR OP). The Grantee agrees to be bound by the Partnership Agreement. The Grantee also agrees that this signature page may be attached to, and hereby authorizes the General Partner to attach this signature page to, any counterpart of the Partnership Agreement.

Date:
	Signature of Limited Partner
	Limited Partner’s name and address:
	Name:
	Address:

15

EX-10.3

Exhibit 10.3

GLOBAL MEDICAL REIT INC.

2016 EQUITY INCENTIVE PLAN

LTIP UNIT AWARD AGREEMENT

Long-Term Incentive Award (Time-Vesting)

Name of Grantee:
Number of LTIP Units:
Grant Date (Closing Date):	February 24, 2022
Final Acceptance Date:	,

Pursuant to the Global Medical REIT Inc. 2016 Equity Incentive Plan, as amended from time to time (the “Plan”), and the Agreement of Limited Partnership, dated as of March 14, 2016 (as amended from time to time, the “Partnership Agreement”), of Global Medical REIT L.P., a Delaware limited partnership (“GMR OP”), Global Medical REIT Inc., a Maryland corporation (the “Company”) and the sole member of Global Medical REIT GP LLC, a Delaware limited liability company, the general partner of GMR OP (the “General Partner”), and for the provision of services to or for the benefit of GMR OP in a partner capacity or in anticipation of being a partner, hereby grants to the Grantee named above an Other Equity-Based Award (as defined in the Plan) in the form of, and by causing GMR OP to issue to the Grantee named above, the number of LTIP Units specified above having the rights, voting powers, restrictions, limitations as to distributions, qualifications and terms and conditions of redemption and conversion set forth herein and in the Partnership Agreement (the “Award”). Upon acceptance of this LTIP Unit Vesting Agreement (this “Agreement”), the Grantee shall receive, subject to Section 1 and 2 below, the number of LTIP Units specified above, subject to the restrictions and conditions set forth herein and in the Partnership Agreement. Capitalized terms used but not defined herein have the meanings assigned to such terms in the Partnership Agreement, attached hereto as ANNEX A, or the Plan, as applicable, unless a different meaning is specified herein.

1.Acceptance of Agreement. The Grantee shall have no rights with respect to this Agreement unless he or she shall have accepted this Agreement prior to the close of business on the Final Acceptance Date specified above by (a) signing and delivering to GMR OP, a copy of this Agreement and (b) unless the Grantee is already a Limited Partner, signing, as a Limited Partner, and delivering to GMR OP a counterpart signature page to the Partnership Agreement. Upon acceptance of this Agreement by the Grantee, subject to Section 2 below, the Partnership Agreement shall be amended to reflect the issuance to the Grantee of the LTIP Units so accepted. Thereupon, the Grantee shall have all the rights of a Limited Partner with respect to the number of LTIP Units specified above, as set forth in the Partnership Agreement, subject, however, to the restrictions and conditions specified in Section 3 below.

2.Restrictions and Conditions.

a.The records of GMR OP evidencing the LTIP Units granted herein shall bear an appropriate legend, as determined by GMR OP in its sole discretion, to the effect that such LTIP Units are subject to restrictions as set forth herein and in the Partnership Agreement.

b.LTIP Units granted herein may not be sold, transferred, pledged, exchanged, hypothecated or otherwise disposed of by the Grantee prior to vesting as contemplated in Section 3 or 4 of this Agreement.

c.Subject to the provisions of Section 4 below, any LTIP Units (and the proportionate amount of the Grantee’s Capital Account balance attributable to such LTIP Units) subject to this Award

that have not become vested on or before the date that the Grantee’s employment with the Company and its Affiliates terminates shall be forfeited as of the date that such employment terminates.

3.Vesting of LTIP Units. The restrictions and conditions in Sections 2(b) and 2(c) of this Agreement shall lapse with respect to the LTIP Units granted herein in the amounts and on the Vesting Date specified below (the “Vesting Date”):

Portion of Award to Vest	Vesting Date
100%	Third Anniversary of the Grant Date
Total: 100% of Award

4.Acceleration of Vesting in Special Circumstances:  All LTIP Units granted herein shall automatically become fully vested on the date specified below if the Grantee remains in the continuous employ of the Company or an Affiliate from the Grant Date until such date:

a.the Grantee’s employment with the Company and its Affiliates  ends on account of the Grantee’s termination of employment by the Company and its Affiliates: (i) without Cause [(as defined in that certain Employment Agreement by and between Inter-American  Management LLC and [     ], dated as of [    ] (the “Employment Agreement”)][(as defined in the Inter-American Management LLC Severance Plan and Summary Plan Description, dated July 9, 2020 (the “Severance Plan”)] (ii) by the Grantee for Good Reason ([as defined in the Employment Agreement][as defined herein]); provided that the Grantee executes the Release ([as defined in Section 7(f)(i) of the Employment Agreement][as defined in Section 5 of the Severance Plan]) on or before the Release Expiration Date ([as defined in Section 7(f)(v) of the Employment Agreement][as defined in Section 5 of the Severance Plan]), and does not revoke such Release within any time provided in such Release to do so, (iii) due to the Grantee’s death or Disability (as defined in [the Employment Agreement][Severance Plan]) or (iv) a result of the Grantee’s Retirement (as defined herein) (each, a “Qualified Termination”)

b.In the event of a termination of the Grantee’s employment other than a Qualified Termination, all LTIP Units except for those that have previously become vested pursuant to Section 3 or 4 hereof shall, without payment of any consideration by the Partnership, automatically and without notice terminate, be forfeited and be and become null and void, and neither the Grantee nor any of his or her successors, heirs, assigns, or personal representatives will thereafter have any further rights or interests in such LTIP Units.

c.[“Good Reason” means: (i) a material diminution in the Grantee’s base salary; (ii) a material diminution or adverse change in the Grantee’s title, duties or authority; (iii) a material breach by the Company or GMR OP of any of its covenants or obligations under this Agreement; or (iv) the relocation of the geographic location of the Grantee’s principal place of employment by more than 50 miles from the location of the Grantee’s principal place of employment as of the Grant Date; provided that, in the case of the Grantee’s allegation of Good Reason, (A) the condition described in the foregoing clauses must have arisen without the Grantee’s consent; (B) the Grantee must provide written notice to GMR OP of such condition in accordance with the Agreement within 45 days of the initial existence of the condition; (C) the condition specified in such notice must remain uncorrected for 30 days after receipt of such notice by GMR OP; and (D) the Grantee’s date of termination must occur within 60 days after such notice is received by GMR OP.]

d.“Retirement” means: retirement from employment with the Company and its

Affiliates, but only to the extent the Grantee is at least 60 years old at the time of such retirement and has been employed with the Company or an Affiliate for at least 10 years prior to the date of such retirement.

Notwithstanding any provision herein to the contrary, in the event of any inconsistency between this Section 4 and the Employment Agreement, the terms of the Employment Agreement shall control.

5.Merger-Related Action. In contemplation of and subject to the consummation of a consolidation or merger or sale of all or substantially all of the assets of the Company in which outstanding Common Stock is exchanged for securities, cash, or other property of an unrelated corporation or business entity or in the event of a liquidation of the Company (in each case, a “Transaction”), the Board, or the board of trustees or directors of any corporation assuming the obligations of the Company (the “Acquiror”), may, in its discretion, take any one or more of the following actions, as to the outstanding LTIP Units subject to this Award: (i) provide that such LTIP Units shall be assumed or equivalent awards shall be substituted, by the acquiring or succeeding entity (or an affiliate thereof), and/or (ii) upon prior written notice to the LTIP Unitholders (as defined in the Partnership Agreement) of not less than 30 days, provide that such LTIP Units shall terminate immediately prior to the consummation of the Transaction. The right to take such actions (each, a “Merger-Related Action”) shall be subject to the following limitations and qualifications:

a. if all LTIP Units awarded to the Grantee hereunder are eligible, as of the time of the Merger-Related Action, for conversion into Common Units (as defined in and in accordance with the Partnership Agreement) and the Grantee is afforded the opportunity to effect such conversion and receive, in consideration for the Common Units into which his LTIP Units shall have been converted, the same kind and amount of consideration as other holders of Common Units in connection with the Transaction, then Merger-Related Action of the kind specified in (i) or (ii) above shall be permitted and available to the Company and the Acquiror;

b.if some or all of the LTIP Units awarded to the Grantee hereunder are not, as of the time of the Merger-Related Action, so eligible for conversion into Common Units (in accordance with the Partnership Agreement), and the acquiring or succeeding entity is itself, or has a subsidiary which is organized as a partnership or limited liability company (consisting of a so-called “UPREIT” or other structure substantially similar in purpose or effect to that of the Company and GMR OP), then Merger-Related Action of the kind specified in clause (i) of this Section 5 above must be taken by the Acquiror with respect to all LTIP Units subject to this Award which are not so convertible at the time, whereby all such LTIP Units covered by this Award shall be assumed by the acquiring or succeeding entity, or equivalent awards shall be substituted by the acquiring or succeeding entity, and the acquiring or succeeding entity shall preserve with respect to the assumed LTIP Units or any securities to be substituted for such LTIP Units, as far as reasonably possible under the circumstances, the distribution, special allocation, conversion and other rights set forth in the Partnership Agreement for the benefit of the LTIP Unitholders; and

c.if some or all of the LTIP Units awarded to the Grantee hereunder are not, as of the time of the Merger-Related Action, so eligible for conversion into Common Units (in accordance with the Partnership Agreement), and after exercise of reasonable commercial efforts the Company or the Acquiror is unable to treat the LTIP Units in accordance with Section 5(b), then Merger-Related Action of the kind specified in clause (ii) of this Section 5 above must be taken by the Company or the Acquiror, in which case such action shall be subject to a provision that the settlement of the terminated award of LTIP Units which are not convertible into Common Units requires a payment of the same kind and amount of consideration payable in connection with the Transaction to a holder of the number of Common Units into which the LTIP Units to be terminated could be converted or, if greater, the consideration payable to holders of the number of common shares into which such Common Units could

be exchanged (including the right to make elections as to the type of consideration) if the Transaction were of a nature that permitted a revaluation of the Grantee’s capital account balance under the terms of the Partnership Agreement, as determined by the Committee in good faith in accordance with the Plan.

6.Distributions. Upon the issuance of the LTIP Units pursuant to Section 1 hereof, distributions on the LTIP Units shall be paid currently to the Grantee in accordance with the terms of the Partnership Agreement. The right to distributions set forth in this Section 6 shall be deemed a Dividend Equivalent Right for purposes of the Plan.

7.Incorporation of Plan. Notwithstanding anything herein to the contrary, this Award shall be subject to all of the terms and conditions of the Plan and the Partnership Agreement.

8.Covenants. The Grantee hereby covenants as follows:

a.So long as the Grantee holds any LTIP Units, the Grantee shall disclose to GMR OP in writing such information as may be reasonably requested with respect to ownership of LTIP Units as GMR OP may deem reasonably necessary to ascertain and to establish compliance with provisions of the Code applicable to GMR OP or to comply with requirements of any other appropriate taxing authority.

b.The Grantee hereby agrees to make an election under Section 83(b) of the Code with respect to the LTIP Units awarded hereunder, and the Company hereby consents thereto.. The Grantee agrees to file a completed, executed copy of the election form attached hereto as ANNEX B (or to permit GMR OP to file such election on the Grantee’s behalf) within thirty (30) days after the date that LTIP Units are issued to the Grantee pursuant to Section 2 of this Agreement with the IRS Service Center at which such Grantee files his personal income tax returns, and to file a copy of such election with the Grantee’s U.S. federal income tax return for the taxable year in which the LTIP Units are awarded to the Grantee.

c.The Grantee hereby agrees that it does not have the intention to dispose of the LTIP Units subject to this Award within two years of receipt of such LTIP Units. GMR OP and the Grantee hereby agree to treat the Grantee as the owner of the LTIP Units from the Grant Date. The Grantee hereby agrees to take into account the distributive share of GMR OP income, gain, loss, deduction, and credit associated with the LTIP Units in computing the Grantee’s income tax liability for the entire period during which the Grantee has the LTIP Units.

d.The Grantee hereby recognizes that the IRS has proposed regulations under Sections 83 and 704 of the Code that may affect the proper treatment of the LTIP Units for federal tax purposes. In the event that those proposed regulations are finalized, the Grantee hereby agrees to cooperate with GMR OP in amending this Agreement and the Partnership Agreement, and to take such other action as may be required, to conform to such regulations.

e.The Grantee hereby recognizes that changes in applicable law may affect the federal tax consequences of owning and disposing of LTIP Units.

9.Transferability. This Agreement is personal to the Grantee, is non-assignable and is not transferable in any manner, by operation of law or otherwise, other than by will or the laws of descent and distribution, without the prior written consent of the Company.

10.Amendment. The Grantee acknowledges that the Plan may be amended or canceled or terminated in accordance with Article XVIII thereof and that this Agreement may be amended or

cancelled by the Committee, on behalf of GMR OP, for the purpose of satisfying changes in law or for any other lawful purpose, provided that no such action shall adversely affect the Grantee’s rights under this Agreement without the Grantee’s written consent. The provisions of Section 4 of this Agreement applicable to the termination of the LTIP Units covered by this Award in connection with a Transaction (as defined in Section 5 of this Agreement) shall apply, mutatis mutandi to amendments, discontinuance or cancellation pursuant to this Section 10 or the Plan.

11.No Obligation to Continue Employment. Neither the Company nor any one of its Affiliates is obligated by or as a result of the Plan or this Agreement to continue the Grantee in employment and neither the Plan nor this Agreement shall interfere in any way with the right of the Company or its Affiliates to terminate the employment of the Grantee at any time.

12.Notices. Notices hereunder shall be mailed or delivered to GMR OP at its principal place of business and shall be mailed or delivered to the Grantee at the address on file with GMR OP or, in either case, at such other address as one party may subsequently furnish to the other party in writing.

13.Governing Law. This Agreement shall be governed by, and construed in accordance with, the laws of the State of Delaware, applied without regard to conflict of law principles. The parties agree that any action or proceeding arising directly, indirectly or otherwise in connection with, out of, related to or from this Agreement, any breach hereof or any action covered hereby, shall be resolved within the State of Delaware and the parties hereto consent and submit to the jurisdiction of the federal and state courts located within Delaware.

[Signatures appear on following page.]

GLOBAL MEDICAL REIT INC.
a Maryland corporation
Name:
Title:
Date:
GLOBAL MEDICAL REIT L.P.
a Delaware limited partnership
By:	GLOBAL MEDICAL REIT GP LLC
	its general partner
By:	GLOBAL MEDICAL REIT INC.
	its sole member
Name:
Title:
Date:

The foregoing agreement is hereby accepted and the terms and conditions thereof hereby agreed to by the Grantee.

Date:
	Grantee’s Signature
	Grantee’s name and address:
	Name:
	Address:

[Signature page to LTIP Unit Vesting Agreement]

ANNEX A

FORM OF LIMITED PARTNER SIGNATURE PAGE

The Grantee desiring to become one of the within named Partners of Global Medical REIT L.P. (“GMR OP”), hereby becomes a party to the Agreement of Limited Partnership (as amended from time to time, the “Partnership Agreement”) of GMR OP, by and among Global Medical REIT GP LLC, as general partner (the “General Partner”), and the Limited Partners, effective as of the Grant Date (as specified in the LTIP Unit Vesting Agreement, dated [     ], among the Grantee, Global Medical REIT Inc. and GMR OP). The Grantee agrees to be bound by the Partnership Agreement. The Grantee also agrees that this signature page may be attached to, and hereby authorizes the General Partner to attach this signature page to, any counterpart of the Partnership Agreement.

Date:
	Signature of Limited Partner
	Limited Partner’s name and address:
	Name:
	Address:

Annex A

ANNEX B

ELECTION TO INCLUDE IN GROSS INCOME IN YEAR OF

TRANSFER OF PROPERTY PURSUANT TO SECTION 83(b)

OF THE INTERNAL REVENUE CODE

The undersigned hereby makes an election pursuant to Section 83(b) of the Internal Revenue Code of 1986, as amended (the “Code”), with respect to the property described below and supplies the following information in accordance with the regulations promulgated thereunder:

1.	The name, address and taxpayer identification number of the undersigned are:
	Name:		(the “Taxpayer”)
	Address:
	Social security number:
2.	Description of property with respect to which the election is being made:
	LTIP Units (the “LTIP Units”) in Global Medical REIT L.P. (“GMR OP”).
3.	The date on which the LTIP Units were transferred is [ ].  The taxable year to which this election relates is calendar year 2022.
4.	The LTIP Units are subject to the following restrictions:
	(a)	The LTIP Units are subject to a substantial risk of forfeiture and are nontransferable on the date of transfer.
	(b)	The Taxpayer’s LTIP Units vest and become transferable based on the Taxpayer’s continued employment.
5.	The fair market value at the time of transfer (determined without regard to any restrictions other than restrictions which by their terms will never lapse) of the LTIP Units with respect to which this election is being made was $0.00 per LTIP Unit.
6.	The amount paid by the Taxpayer for the LTIP Units was $0.00 per LTIP Unit.
7.	The amount to include in gross income is $0.00.
8.	A copy of this statement has been furnished to GMR OP and to its general partner, Global Medical REIT GP LLC.

[Signature Page Follows]

Signature Page to Annex B

Dated:	, 2022
		Signature of the Taxpayer
		Taxpayer’s name and address:
		Name:
		Address:

The undersigned hereby consents to the making, by the undersigned’s spouse, of the foregoing election pursuant to Section 83(b) of the Code.

Dated:	, 2022
		Signature of the Taxpayer’s Spouse
		Spouse’s name and address:
		Name:
		Address:

Signature Page to Annex B

EX-31.1

Exhibit 31.1

CERTIFICATIONS

I, Jeffrey M. Busch, certify that:

1. I have reviewed this Quarterly Report on Form 10-Q for the period ended March 31, 2022 of Global Medical REIT Inc. (the “registrant”);

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

(a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

(c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

(a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date: May 6, 2022	/s/ Jeffrey M. Busch
	Jeffrey M. Busch, Chief Executive Officer
	(Principal Executive Officer)

EX-31.2

Exhibit 31.2

CERTIFICATIONS

I, Robert J. Kiernan, certify that:

1. I have reviewed this Quarterly Report on Form 10-Q for the period ended March 31, 2022 of Global Medical REIT Inc. (the “registrant”);

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have:

(a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

(b) Designed such internal control over financial reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles;

(c) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

(a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

Date: May 6, 2022	/s/ Robert J. Kiernan
	Robert J. Kiernan, Chief Financial Officer
	(Principal Financial and Accounting Officer)

EX-32.1

Exhibit 32.1

Section 1350 Certification of Chief Executive Officer and Chief Financial Officer

In connection with the Quarterly Report on Form 10-Q of Global Medical REIT Inc. (the “Company”) for the period ended March 31, 2022 as filed with the Securities and Exchange Commission on the date hereof (the “Report”), I, Jeffrey M. Busch, Chief Executive Officer of the Company and I, Robert J. Kiernan, Chief Financial Officer of the Company, each certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that, to the best of our knowledge:

1. The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934, as amended; and

2. The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Date: May 6, 2022	/s/ Jeffrey M. Busch
	Jeffrey M. Busch, Chief Executive Officer
	(Principal Executive Officer)

Date: May 6, 2022	/s/ Robert J. Kiernan
	Robert J. Kiernan, Chief Financial Officer
	(Principal Financial and Accounting Officer)

This certification accompanies this Quarterly Report on Form 10-Q pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 and shall not, except to the extent required by such Act, be deemed filed by the Company for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). Such certification will not be deemed to be incorporated by reference into any filing under the Securities Act of 1933, as amended, or the Exchange Act, except to the extent that the Company specifically incorporates it by reference.

XML

Document and Entity Information - shares	3 Months Ended
	Mar. 31, 2022	May 02, 2022
Document Type	10-Q
Document Period End Date	Mar. 31, 2022
Entity Registrant Name	Global Medical REIT Inc.
Document Quarterly Report	true
Document Transition Report	false
Entity File Number	001-37815
Entity Tax Identification Number	46-4757266
Entity Incorporation, State or Country Code	MD
Entity Address, Address Line One	2 Bethesda Metro Center, Suite 440
Entity Address, City or Town	Bethesda
Entity Address, State or Province	MD
Entity Address, Postal Zip Code	20814
City Area Code	202
Local Phone Number	524-6851
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Large Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		65,518,303
Entity Central Index Key	0001533615
Current Fiscal Year End Date	--12-31
Document Fiscal Year Focus	2022
Document Fiscal Period Focus	Q1
Amendment Flag	false
Common Stock [Member]
Title of 12(b) Security	Common Stock, par value $0.001 per share
Trading Symbol	GMRE
Security Exchange Name	NYSE
Series A Preferred Stock [Member]
Title of 12(b) Security	Series A Preferred Stock, par value $0.001 per share
Trading Symbol	GMRE PrA
Security Exchange Name	NYSE

XML

Condensed Consolidated Balance Sheets - USD ($) $ in Thousands	Mar. 31, 2022	Dec. 31, 2021
Investment in real estate:
Land	$ 155,529	$ 152,060
Building	1,002,087	985,091
Site improvements	19,596	19,021
Tenant improvements	60,154	58,900
Acquired lease intangible assets	130,790	127,931
Investment in real estate, Total	1,368,156	1,343,003
Less: accumulated depreciation and amortization	(157,132)	(143,255)
Investment in real estate, net	1,211,024	1,199,748
Cash and cash equivalents	1,854	7,213
Restricted cash	6,336	5,546
Tenant receivables, net	6,477	6,070
Due from related parties	451	163
Escrow deposits	7,697	5,957
Deferred assets	26,714	25,417
Derivative asset	12,692	1,236
Goodwill	5,903	5,903
Other assets	6,345	6,232
Total assets	1,285,493	1,263,485
Liabilities:
Credit Facility, net of unamortized debt issuance costs of $7,570 and $8,033 at March 31, 2022 and December 31, 2021, respectively	529,130	514,567
Notes payable, net of unamortized debt issuance costs of $568 and $607 at March 31, 2022 and December 31, 2021, respectively	56,919	57,162
Accounts payable and accrued expenses	9,272	10,344
Dividends payable	15,823	15,668
Security deposits	4,616	4,540
Derivative liability	1,865	7,790
Other liabilities	7,090	7,709
Acquired lease intangible liability, net	8,161	8,128
Total liabilities	632,876	625,908
Equity:
Preferred stock, $0.001 par value, 10,000 shares authorized; 3,105 issued and outstanding at March 31, 2022 and December 31, 2021, respectively (liquidation preference of $77,625 at March 31, 2022 and December 31, 2021, respectively)	74,959	74,959
Common stock, $0.001 par value, 500,000 shares authorized; 65,400 shares and 64,880 shares issued and outstanding at March 31, 2022 and December 31, 2021, respectively	65	65
Additional paid-in capital	720,306	711,414
Accumulated deficit	(168,089)	(157,017)
Accumulated other comprehensive income (loss)	10,757	(6,636)
Total Global Medical REIT Inc. stockholders' equity	637,998	622,785
Noncontrolling interest	14,619	14,792
Total equity	652,617	637,577
Total liabilities and equity	$ 1,285,493	$ 1,263,485

XML

Condensed Consolidated Balance Sheets (Parenthetical) - USD ($) shares in Thousands, $ in Thousands	Mar. 31, 2022	Dec. 31, 2021
Unamortized debt issuance costs	$ 568	$ 607
Preferred stock, par value (in dollars per share)	$ 0.001	$ 0.001
Preferred stock, shares authorized	10,000	10,000
Preferred stock, shares issued	3,105	3,105
Preferred stock, shares outstanding	3,105	3,105
Preferred stock, liquidation preference	$ 77,625	$ 77,625
Common stock, par value (in dollars per share)	$ 0.001	$ 0.001
Common stock, shares authorized	500,000	500,000
Common stock, shares issued	65,400	64,880
Common stock, shares outstanding	65,400	64,880
Credit facility [Member]
Unamortized debt issuance costs	$ 7,570	$ 8,033
Notes Payable [Member]
Unamortized debt issuance costs	$ 568	$ 607

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Condensed Consolidated Statements of Operations - USD ($) shares in Thousands, $ in Thousands	3 Months Ended
	Mar. 31, 2022	Mar. 31, 2021
Revenue
Rental revenue	$ 31,852	$ 27,325
Other income	23	24
Total revenue	31,875	27,349
Expenses
General and administrative	4,197	4,383
Operating expenses	5,372	3,687
Depreciation expense	9,402	7,848
Amortization expense	3,777	3,005
Interest expense	4,801	5,037
Preacquisition expense	40	66
Total expenses	27,589	24,026
Net income	4,286	3,323
Less: Preferred stock dividends	(1,455)	(1,455)
Less: Net (income) loss attributable to noncontrolling interest	(170)	(112)
Net income (loss) attributable to common stockholders	$ 2,661	$ 1,756
Net income (loss) attributable to common stockholders per share - basic	$ 0.04	$ 0.03
Net income (loss) attributable to common stockholders per share - diluted	$ 0.04	$ 0.03
Weighted average shares outstanding - basic	65,302	52,671
Weighted average shares outstanding - diluted	65,302	52,671

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Condensed Consolidated Statements of Comprehensive Income - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2022	Mar. 31, 2021
Condensed Consolidated Statements of Comprehensive Income
Net income	$ 4,286	$ 3,323
Other comprehensive income
Increase in fair value of interest rate swap agreements	17,393	3,631
Total other comprehensive income	17,393	3,631
Comprehensive income	21,679	6,954
Less: Preferred stock dividends	(1,455)	(1,455)
Less: Comprehensive income attributable to noncontrolling interest	(1,213)	(331)
Comprehensive income attributable to common stockholders	$ 19,011	$ 5,168

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Condensed Consolidated Statements of Equity - USD ($) shares in Thousands, $ in Thousands	Global Medical REIT Inc. [Member]	Common Stock [Member]	Preferred Stock [Member]	Additional Paid-in Capital [Member]	Accumulated Deficit [Member]	Accumulated Other Comprehensive Loss [Member]	Global Medial REIT Inc. Stockholders' Equity [Member]	Noncontrolling Interest [Member]	Total
Balances at Dec. 31, 2020	$ 444,805	$ 49	$ 74,959	$ 504,789	$ (116,773)	$ (18,219)		$ 12,955	$ 457,760
Balance (in shares) at Dec. 31, 2020		49,461	3,105
Net income	3,211				3,211			112	3,323
Issuance of shares of common stock, net	144,172	$ 12		144,160					144,172
Issuance of shares of common stock, net (in shares)		11,333
Change in fair value of interest rate swap agreements	3,631					3,631			3,631
Stock-based compensation expense								1,715	1,715
Dividends to common stockholders	(12,463)				(12,463)				(12,463)
Dividends to preferred stockholders	(1,455)				(1,455)				(1,455)
Dividends to noncontrolling interest								(864)	(864)
Balances at Mar. 31, 2021	$ 581,901	$ 61	$ 74,959	648,949	(127,480)	(14,588)		13,918	595,819
Balances (in shares) at Mar. 31, 2021		60,794	3,105
Balances at Dec. 31, 2021		$ 65	$ 74,959	711,414	(157,017)	(6,636)	$ 622,785	14,792	637,577
Balance (in shares) at Dec. 31, 2021		64,880	3,105
Net income					4,116		4,116	170	4,286
Issuance of shares of common stock, net				8,210			8,210		8,210
Issuance of shares of common stock, net (in shares)		480
LTIP Units and OP Units redeemed for common stock				682			682	(682)
LTIP Units and OP Units redeemed for common stock (in shares)		40
Change in fair value of interest rate swap agreements						17,393	17,393		17,393
Stock-based compensation expense								1,287	1,287
Dividends to common stockholders					(13,733)		(13,733)		(13,733)
Dividends to preferred stockholders					(1,455)		(1,455)		(1,455)
Dividends to noncontrolling interest								(948)	(948)
Balances at Mar. 31, 2022		$ 65	$ 74,959	$ 720,306	$ (168,089)	$ 10,757	$ 637,998	$ 14,619	$ 652,617
Balances (in shares) at Mar. 31, 2022		65,400	3,105

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Condensed Consolidated Statements of Equity (Parentheticals) - $ / shares	3 Months Ended
	Mar. 31, 2022	Mar. 31, 2021
Condensed Consolidated Statements of Equity
Dividends to common stockholders	$ 0.21	$ 0.205
Dividends to preferred stockholders	$ 0.46875	$ 0.46875

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Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2022	Mar. 31, 2021
Operating activities
Net income	$ 4,286	$ 3,323
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation expense	9,402	7,848
Amortization of acquired lease intangible assets	3,755	2,984
Amortization of above market leases, net	199	60
Amortization of debt issuance costs and other	515	425
Stock-based compensation expense	1,287	1,715
Capitalized preacquisition and other costs charged to expense	153	24
Other	29	10
Changes in operating assets and liabilities:
Tenant receivables	(407)	11
Deferred assets	(1,297)	(1,404)
Other assets and liabilities	(532)	551
Accounts payable and accrued expenses	(1,030)	(287)
Security deposits	76	27
Net cash provided by operating activities	16,436	15,287
Investing activities
Purchase of land, buildings, and other tangible and intangible assets and liabilities	(24,468)	(43,348)
Escrow deposits for purchase of properties	(1,284)	300
Advances made to related parties	(288)	(127)
Capital expenditures on existing real estate investments	(556)	(397)
Net cash used in investing activities	(26,596)	(43,572)
Financing activities
Net proceeds received from common equity offerings	8,210	144,312
Escrow deposits required by third party lenders	(456)	(646)
Repayment of notes payable	(282)	(190)
Proceeds from Credit Facility	14,100	50,100
Repayment of Credit Facility		(151,800)
Payment of debt issuance costs		(74)
Dividends paid to common stockholders, and OP Unit and LTIP Unit holders	(14,526)	(11,315)
Dividends paid to preferred stockholders	(1,455)	(1,455)
Net cash provided by financing activities	5,591	28,932
Net (decrease) increase in cash and cash equivalents and restricted cash	(4,569)	647
Cash and cash equivalents and restricted cash-beginning of period	12,759	10,753
Cash and cash equivalents and restricted cash-end of period	8,190	11,400
Supplemental cash flow information:
Cash payments for interest	4,258	4,602
Noncash financing and investing activities:
Accrued dividends payable	15,823	14,482
Interest rate swap agreements fair value change recognized in other comprehensive income	(17,393)	(3,631)
OP Units and LTIP Units redeemed for common stock	682
Accrued common stock offering costs		220
Accrued capital expenditures included in accounts payable and accrued expenses	$ 1,841	$ 244

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Organization

3 Months Ended

Mar. 31, 2022

Organization

Organization

Note 1 – Organization

Global Medical REIT Inc. (the “Company”) is a Maryland corporation engaged primarily in the acquisition of purpose-built healthcare facilities and the leasing of those facilities to strong healthcare systems and physician groups with leading market share. The Company holds its facilities and conducts its operations through a Delaware limited partnership subsidiary named Global Medical REIT L.P. (the “Operating Partnership”). The Company serves as the sole general partner of the Operating Partnership through a wholly owned subsidiary of the Company named Global Medical REIT GP LLC, a Delaware limited liability company. As of March 31, 2022, the Company was the 94.00% limited partner of the Operating Partnership, with an aggregate of 6.00% of the Operating Partnership owned by holders of long-term incentive plan units (“LTIP Units”) and third-party limited partners who contributed properties or services to the Operating Partnership in exchange for common limited partnership units (“OP Units”).

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Summary of Significant Accounting Policies

3 Months Ended

Mar. 31, 2022

Summary of Significant Accounting Policies

Summary of Significant Accounting Policies

Note 2 – Summary of Significant Accounting Policies

Basis of presentation

The accompanying condensed consolidated financial statements are unaudited and include the accounts of the Company, including the Operating Partnership and its wholly owned subsidiaries. The accompanying condensed consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) and the rules and regulations of the U.S. Securities and Exchange Commission (“SEC”). Certain information and footnote disclosures required for annual consolidated financial statements have been condensed or excluded pursuant to SEC rules and regulations. Accordingly, the accompanying condensed consolidated financial statements do not include all the information and footnotes required by GAAP for complete consolidated financial statements and should be read in conjunction with the audited consolidated financial statements and notes thereto for the year ended December 31, 2021. In the opinion of management, all adjustments of a normal and recurring nature necessary for a fair presentation of the condensed consolidated financial statements for the interim periods have been made.

Principles of Consolidation

The accompanying condensed consolidated financial statements include the accounts of the Company and its wholly owned subsidiaries. The Company presents the portion of any equity it does not own but controls (and thus consolidates) as noncontrolling interest. Noncontrolling interest in the Company includes the LTIP Units that have been granted to directors, officers and employees of the Company and the OP Units held by third parties. Refer to Note 5 – “Equity” and Note 7 – “Stock-Based Compensation” for additional information regarding the OP Units and LTIP Units.

The Company classifies noncontrolling interest as a component of consolidated equity on its Condensed Consolidated Balance Sheets, separate from the Company’s total equity. The Company’s net income or loss is allocated to noncontrolling interests based on the respective ownership or voting percentage in the Operating Partnership associated with such noncontrolling interests and is removed from consolidated income or loss on the Condensed Consolidated Statements of Operations in order to derive net income or loss attributable to common stockholders. The noncontrolling ownership percentage is calculated by dividing the aggregate number of LTIP Units and OP Units by the total number of units and shares outstanding. Any future issuances of additional LTIP Units or OP Units would change the noncontrolling ownership interest.

Use of Estimates

The preparation of the condensed consolidated financial statements in conformity with GAAP requires the Company to make estimates and assumptions that affect the amounts reported in the condensed consolidated financial statements and footnotes. Actual results could differ from those estimates.

Investment in Real Estate

The Company determines when an acquisition meets the definition of a business or alternatively should be accounted for as an asset acquisition in accordance with Accounting Standard Codification (“ASC”) Topic 805 “Business Combinations” (“ASC Topic

805”), which requires that, when substantially all of the fair value of an acquisition is concentrated in a single identifiable asset or a group of similar identifiable assets, the asset or group of similar identifiable assets does not meet the definition of a business and therefore is required to be accounted for as an asset acquisition. Transaction costs are capitalized for asset acquisitions and expensed as incurred for business combinations. All our facility acquisitions for the three months ended March 31, 2022 and 2021 have been accounted for as asset acquisitions because substantially all the fair value of the gross assets the Company acquired were concentrated in a single asset or group of similar identifiable assets.

For asset acquisitions that are “owner occupied” (meaning that the seller either is the tenant or controls the tenant), the purchase price, including capitalized acquisition costs, will be allocated to land and building based on their relative fair values with no value allocated to intangible assets or liabilities. For asset acquisitions where there is a lease in place but that are not “owner occupied,” the Company will allocate the purchase price to tangible assets and any intangible assets acquired or liabilities assumed based on their relative fair values. Fair value is determined based upon the guidance of ASC Topic 820, “Fair Value Measurements and Disclosures,” and generally are determined using Level 2 inputs, such as rent comparables, sales comparables, and broker indications. Although Level 3 inputs are utilized, they are minor in comparison to the Level 2 data used for the primary assumptions. The determination of fair value involves the use of significant judgment and estimates. We make estimates to determine the fair value of the tangible and intangible assets acquired and liabilities assumed using information obtained from multiple sources, including preacquisition due diligence, and we routinely utilize the assistance of a third-party appraiser.

Revenue Recognition

The Company’s operations primarily consist of rental revenue earned from tenants under leasing arrangements which provide for minimum rent and escalations. The leases have been accounted for as operating leases. For operating leases with contingent rental escalators, revenue is recorded based on the contractual cash rental payments due during the period. Revenue from leases with fixed annual rental escalators are recognized on a straight-line basis over the initial lease term, subject to a collectability assessment, with the difference between the contractual rental receipts and the straight-line amounts recorded as a “deferred rent receivable.” Additionally, the Company recognizes “expense recoveries” revenue, which represents revenue recognized related to tenant reimbursement of real estate taxes, insurance, and certain other operating expenses (“tenant reimbursements”). The Company recognizes these reimbursements and related expenses on a gross basis in its Condensed Consolidated Statements of Operations.

Cash and Cash Equivalents and Restricted Cash

The Company considers all demand deposits, cashier’s checks, money market accounts, and certificates of deposit with a maturity of three months or less to be cash equivalents. Amounts included in restricted cash represent (1) certain security deposits received from tenants at the inception of their leases; (2) cash required to be held by a third-party lender as a reserve for debt service; and (3) funds held by the Company related to tenant reimbursements. The following table provides a reconciliation of the Company’s cash and cash equivalents and restricted cash that sums to the total of those amounts at the end of the periods presented on the Company’s accompanying Condensed Consolidated Statements of Cash Flows:

	As of March 31,
	2022		2021
Cash and cash equivalents	$	1,854	$	5,304
Restricted cash		6,336		6,096
Total cash and cash equivalents and restricted cash	$	8,190	$	11,400

Tenant Receivables, Net

The tenant receivable balance as of March 31, 2022 and December 31, 2021 was $6,477 and $6,070, respectively. The balance as of March 31, 2022 consisted of $1,792 in funds owed from the Company’s tenants for rent that the Company had earned but had not yet received, $1,152 of loans that were made to two of the Company’s tenants, and $3,533 of tenant reimbursements. The balance as of December 31, 2021 consisted of $1,309 in funds owed from the Company’s tenants for rent that the Company had earned but had not yet received, $1,158 of loans that were made to two of the Company’s tenants, and $3,603 of tenant reimbursements.

Receivables arising from operating leases are accounted for in accordance with ASC Topic 842 “Leases” (“ASC Topic 842”). The Company assesses the likelihood of losses resulting from tenant defaults, or the inability of tenants to make contractual rent and tenant reimbursements at each reporting date. The Company also monitors the liquidity and creditworthiness of its tenants and operators on a continuous basis. If the likelihood of a tenant paying its lease payments is determined to no longer be probable, all tenant receivables,

including deferred rent, are written off against revenue and any future revenue for that tenant is recognized only upon receipt of cash. In addition, as of March 31, 2022 and December 31, 2021, the Company had a portfolio level reserve of $350 on those leases that were probable of collection to ensure that the tenant lease receivables were not overstated.  

Escrow Deposits

The escrow balance as of March 31, 2022 and December 31, 2021 was $7,697 and $5,957, respectively. Escrow deposits include funds held in escrow to be used for the acquisition of properties in the future and for the payment of taxes, insurance, and other amounts as stipulated by the Company’s Cantor Loan, as hereinafter defined.

Deferred Assets

The deferred assets balance as of March 31, 2022 and December 31, 2021 was $26,714 and $25,417, respectively. The balance as of March 31, 2022 consisted of $26,551 in deferred rent receivables resulting from the recognition of revenue from leases with fixed annual rental escalations on a straight-line basis and $163 of other deferred costs. The balance as of December 31, 2021 consisted of $25,356 in deferred rent receivables resulting from the recognition of revenue from leases with fixed annual rental escalations on a straight-line basis and $61 of other deferred costs.

Other Assets

The other assets balance as of March 31, 2022 and December 31, 2021 was $6,345 and $6,232, respectively. The balance as of March 31, 2022 consisted of $3,728 for right of use assets, $494 in preacquisition and other capitalized costs related to our properties, $1,899 in prepaid assets, and $224 for net capitalized software costs and miscellaneous assets. The balance as of December 31, 2021 consisted of $3,809 for right of use assets, $257 in preacquisition and other capitalized costs related to our properties, $1,916 in prepaid assets, and $250 for net capitalized software costs and miscellaneous assets. Refer to Note 8 – “Leases” for additional details on right of use assets.

Derivative Instruments - Interest Rate Swaps

As of March 31, 2022 and December 31, 2021, the Company's balance related to interest rate swap derivative instruments that were designated as cash flow hedges of interest rate risk was a net asset of $10,827 and a net liability of $6,554, respectively. In accordance with the Company’s risk management strategy, the purpose of the interest rate swaps is to manage interest rate risk for certain of the Company’s variable-rate debt. The interest rate swaps involve the Company’s receipt of variable-rate amounts from the counterparties in exchange for the Company making fixed-rate payments over the life of the agreements. The Company accounts for derivative instruments in accordance with the provisions of ASC Topic 815, “Derivatives and Hedging.” Refer to Note 4 – “Credit Facility, Notes Payable and Derivative Instruments” for additional details.

Goodwill

As of March 31, 2022 and December 31, 2021, the Company’s goodwill balance was $5,903. Goodwill represents the excess of consideration paid over the fair value of underlying identifiable net assets of businesses acquired. Goodwill has an indefinite life and is not amortized, but is tested for impairment on an annual basis, or more frequently if events or changes in circumstances indicate that the asset might be impaired. The Company’s policy is to perform its annual goodwill impairment evaluation as of the first day of the fourth quarter of its fiscal year. The Company has one reporting unit.  

Assets Held for Sale and Sales of Real Estate

The Company classifies a property as held for sale when the following criteria are met: (i) management, having the authority to approve action, commits to a plan to sell the property in its present condition, (ii) the sale of the property is at a price reasonable in relation to its current fair value and (iii) the sale is probable and expected to be completed within one year. At that time, the Company presents the assets and obligations associated with the real estate held for sale separately in its Condensed Consolidated Balance Sheets and ceases recording depreciation and amortization expense related to that asset.  Real estate held for sale is reported at the lower of its carrying amount or its estimated fair value less estimated costs to sell. None of the Company’s properties were classified as held for sale as of March 31, 2022 or December 31, 2021.

Upon the disposition of a property, the Company recognizes a gain or loss at a point in time when the Company determines control of the underlying asset has been transferred to the buyer. The Company’s performance obligation is generally satisfied at the closing of the transaction. Any continuing involvement is analyzed as a separate performance obligation in the contract, and a portion of the sales price is allocated to each performance obligation. There is significant judgment applied to estimate the amount of any variable consideration identified within the sales price and assess its probability of occurrence based on current market information, historical transactions, and forecasted information that is reasonably available.

For sales of real estate (or assets classified as held for sale), the Company evaluates whether the disposition is a strategic shift that will have a major effect on the Company’s operations and financial results, and, if so, it will be classified as discontinued operations in the Company’s consolidated financial statements for all periods presented.  

Other Liabilities

The other liabilities balance as of March 31, 2022 and December 31, 2021 was $7,090 and $7,709, respectively. The balance as of March 31, 2022 consisted of $3,179 for right of use liabilities and $3,911 of prepaid rent. The balance as of December 31, 2021 consisted of $4,479 for right of use liabilities and $3,230 of prepaid rent. Refer to Note 8 – “Leases” for additional details on right of use liabilities.

Recent Accounting Pronouncements

Reference Rate Reform

Accounting Standards Update (“ASU”) 2020-04, Reference Rate Reform (Topic 848) (“ASU 2020-04”) contains practical expedients for reference rate reform-related activities that impact debt, leases, derivatives, and other contracts. The guidance in ASU 2020-04 is optional and may be elected over time as reference rate reform activities occur. As of March 31, 2022, the Company had elected to apply the hedge accounting expedients related to probability and the assessments of effectiveness for future LIBOR-indexed cash flows to assume that the index upon which future hedged transactions will be based matches the index on the corresponding derivatives. Application of these expedients preserves the presentation of derivatives consistent with past presentation. The Company continues to evaluate the impact of the guidance and may apply other elections as applicable as additional changes in the market occur.

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Property Portfolio

3 Months Ended

Mar. 31, 2022

Property Portfolio

Property Portfolio

Note 3 – Property Portfolio

Summary of Properties Acquired During the Three Months Ended March 31, 2022

During the three months ended March 31, 2022 the Company completed four acquisitions. For each acquisition, substantially all of the fair value was concentrated in a single identifiable asset or group of similar identifiable assets and, therefore, each acquisition represents an asset acquisition. Accordingly, transaction costs for these acquisitions were capitalized.

A rollforward of the gross investment in land, building, improvements, and acquired lease intangible assets as of March 31, 2022 resulting from these acquisitions is as follows:

					Site		Tenant		Acquired Lease		Gross Investment in
	Land		Building		Improvements		Improvements		Intangible Assets		Real Estate
Balances as of December 31, 2021	$	152,060	$	985,091	$	19,021	$	58,900	$	127,931	$	1,343,003
Facility Acquired – Date Acquired:
Gainesville – 2/4/22		555		3,899		76		199		575		5,304
Grand Rapids – 2/28/22		1,238		4,976		221		270		595		7,300
Sarasota – 3/29/22		747		3,703		84		331		1,263		6,128
Greenwood – 3/30/22		929		4,332		194		360		426		6,241
Capitalized costs(1)		—		86		—		94		—		180
Total Additions:		3,469		16,996		575		1,254		2,859		25,153
Balances as of March 31, 2022	$	155,529	$	1,002,087	$	19,596	$	60,154	$	130,790	$	1,368,156

⁽¹⁾   Represents capital projects that were completed and placed in service during the three months ended March 31, 2022 related to the Company’s existing facilities.

Depreciation expense was $9,402 and $7,848 for the three months ended March 31, 2022 and 2021, respectively.

As of March 31, 2022, the Company had aggregate capital improvement commitments and obligations to improve, expand, and maintain the Company’s existing facilities of approximately $27,892. Many of these amounts are subject to contingencies that make it difficult to predict when they will be utilized, if at all. In accordance with the terms of the Company’s leases, capital improvement obligations in the next twelve months could total up to approximately $24,112.

Property Under Contract for Sale

On October 5, 2021, the Company entered into an agreement to sell a medical office building located in Belpre, Ohio for gross proceeds of approximately $44.6 million. The property had a net book value of approximately $29 million as of March 31, 2022.  The transaction is expected to be completed no earlier than September 2022. The transaction is subject to various closing contingencies and, accordingly, it may not close on a timely basis or at all. As of March 31, 2022 the transaction did not meet the criteria to be classified as held for sale. The Company acquired the facility as part of a portfolio of four medical office buildings in April 2018.

Summary of Properties Acquired During the Year Ended December 31, 2021

During the year ended December 31, 2021 the Company completed 20 acquisitions. For each acquisition, substantially all of the fair value was concentrated in a single identifiable asset or group of similar identifiable assets and, therefore, each acquisition represents an asset acquisition. Accordingly, transaction costs for these acquisitions were capitalized.

A rollforward of the gross investment in land, building, improvements, and acquired lease intangible assets as of December 31, 2021 resulting from these acquisitions is as follows:

						Site		Tenant		Acquired Lease		Gross Investment in
	Land		Building			Improvements		Improvements		Intangible Assets		Real Estate
Balances as of December 31, 2020	$	128,857	$	851,427		$	15,183	$	49,204	$	98,234	$	1,142,905
Facility Acquired – Date Acquired:
El Paso – 1/12/21		899		7,549			71		160		1,338		10,017
Syracuse – 1/15/21		616		4,745			128		136		772		6,397
West El Paso – 1/15/21		851		7,160			144		567		856		9,578
Fort Worth – 3/9/21		1,817		13,020			143		395		2,069		17,444
Port St. Lucie – 4/6/21		590		3,583			70		185		359		4,787
Cape Coral and Fort Myers – 4/13/21		5,623		20,155			480		1,132		4,311		31,701
Dallas – 4/16/21		3,101		2,593			63		469		493		6,719
East Grand Forks – 4/19/21		845		6,248			278		815		2,092		10,278
Coos Bay – 4/21/21		861		5,095			56		50		410		6,472
Caledonia – 6/2/21		582		2,669			66		96		497		3,910
Tallahassee – 6/2/21		782		6,720			137		387		1,218		9,244
Forsyth – 7/28/21		1,554		9,627			348		456		7,439		19,424
North Charleston – 7/29/21		927		4,248			106		801		1,098		7,180
Munster – 9/15/21		780		4,451			161		391		953		6,736
Hialeah – 9/30/21		—		9,633			264		716		1,231		11,844
Athens – 9/30/21		564		4,106			58		63		548		5,339
Lemoyne – 12/3/21		299		3,661			113		359		904		5,336
Athens 200 – 12/13/21		327		1,336			42		134		204		2,043
Mentor – 12/16/21		2,249		6,291			354		253		1,322		10,469
Oklahoma City – 12/20/21		727		5,839			261		495		1,583		8,905
Capitalized costs(1)		—		8,756	(2)		495		1,636		—		10,887
Total Additions:		23,994		137,485			3,838		9,696		29,697		204,710
Disposition of Prescott – 10/13/21		(791)		(3,821)			—		—		—		(4,612)
Balances as of December 31, 2021	$	152,060	$	985,091		$	19,021	$	58,900	$	127,931	$	1,343,003

(1) Represents capital projects that were completed and placed in service during the year ended December 31, 2021 related to the Company’s existing facilities.

(2) During the year ended December 31, 2021, the Company completed and funded a $6,814 expansion at its Oklahoma City facility that was acquired in April 2019 with Mercy Rehabilitation Hospital as the tenant.

Lease Intangible Assets and Liabilities

The following is a summary of the carrying amount of lease intangible assets and liabilities as of the dates presented:

	As of March 31, 2022
			Accumulated
	Cost		Amortization		Net
Assets
In-place leases	$	71,683	$	(26,277)	$	45,406
Above market leases		23,577		(7,132)		16,445
Leasing costs		35,530		(11,317)		24,213
	$	130,790	$	(44,726)	$	86,064
Liability
Below market leases	$	12,401	$	(4,240)	$	8,161

	As of December 31, 2021
			Accumulated
	Cost		Amortization		Net
Assets
In-place leases	$	70,527	$	(23,638)	$	46,889
Above market leases		22,615		(6,407)		16,208
Leasing costs		34,789		(10,201)		24,588
	$	127,931	$	(40,246)	$	87,685
Liability
Below market leases	$	11,842	$	(3,714)	$	8,128

The following is a summary of the acquired lease intangible amortization:

	Three Months Ended
	March 31,
	2022		2021
Amortization expense related to in-place leases	$	2,639	$	2,090
Amortization expense related to leasing costs	$	1,116	$	894
Decrease in rental revenue related to above market leases	$	725	$	491
Increase in rental revenue related to below market leases	$	(526)	$	(431)

As of March 31, 2022, scheduled future aggregate net amortization of the acquired lease intangible assets and liabilities for each year ended December 31 is listed below:

	Net Decrease		Net Increase
	in Revenue		in Expenses
2022 (nine months remaining)	$	(634)	$	11,264
2023		(882)		14,061
2024		(721)		11,952
2025		(1,110)		8,476
2026		(1,187)		6,891
Thereafter		(3,750)		16,975
Total	$	(8,284)	$	69,619

As of March 31, 2022, the weighted average amortization periods for asset lease intangibles and liability lease intangibles were 4.7 years and 3.8 years, respectively.

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Credit Facility, Notes Payable and Derivative Instruments

3 Months Ended

Mar. 31, 2022

Credit Facility, Notes Payable and Derivative Instruments

Credit Facility, Notes Payable and Derivative Instruments

Note 4 – Credit Facility, Notes Payable and Derivative Instruments

Credit Facility

On May 3, 2021, the Company, the Operating Partnership, as borrower, and certain of its subsidiaries (such subsidiaries, the “Subsidiary Guarantors”) entered into an amended and restated $750 million unsecured syndicated credit facility with JPMorgan Chase Bank, N.A. (“JPMorgan”), as administrative agent (the “Credit Facility”). The Credit Facility consists of a $350 million term loan component (the “Term Loan”) and a $400 million revolver component (the “Revolver”). The Credit Facility also includes a $500 million accordion feature. The Term Loan matures in May 2026 and the Revolver matures in May 2025, with two six-month extension options. Amounts outstanding under the Credit Facility bear interest at a floating rate that is based on LIBOR plus a specified margin based on the Company’s leverage.

The Operating Partnership is subject to a number of financial covenants under the Credit Facility, including, among other things, the following as of the end of each fiscal quarter, (i) a maximum consolidated unsecured leverage ratio of less than 60%, (ii) a maximum consolidated secured leverage ratio of less than 30%, (iii) a maximum consolidated secured recourse leverage ratio of less than 10%, (iv) a minimum fixed charge coverage ratio of 1.50:1.00, (v) a minimum unsecured interest coverage ratio of 1.50:1.00, (vi) a maximum consolidated leverage ratio of less than 60%, and (vii) a minimum net worth of $345 million plus 75% of all net proceeds raised through equity offerings subsequent to December 31, 2020. As of May 2, 2022, management believed it complied with all of the financial and non-financial covenants contained in the Credit Facility.

The Company has entered into interest rate swaps to hedge its interest rate risk on the Term Loan. For additional information related to the interest rate swaps, see the “Derivative Instruments - Interest Rate Swaps” section herein.

During the three months ended March 31, 2022, the Company borrowed $14,100 under the Credit Facility and made no repayments, for a net amount borrowed of $14,100. During the three months ended March 31, 2021, the Company borrowed $50,100 under the Credit Facility and repaid $151,800 for a net amount repaid of $101,700. Interest expense incurred on the Credit Facility was $3,614 and $3,852 for the three months ended March 31, 2022 and 2021, respectively.

As of March 31, 2022 and December 31, 2021, the Company had the following outstanding borrowings under the Credit Facility:

	March 31, 2022		December 31, 2021
Revolver	$	186,700	$	172,600
Term Loan		350,000		350,000
Less: Unamortized debt issuance costs		(7,570)		(8,033)
Credit Facility, net	$	529,130	$	514,567

Costs incurred related to the Credit Facility, net of accumulated amortization, are netted against the Company’s “Credit Facility, net of unamortized debt issuance costs” balance in the accompanying Condensed Consolidated Balance Sheets. The Company paid $74 related to amendments and modifications to the Credit Facility as well as fees related to adding properties to the borrowing base during the three months ended March 31, 2021. Amortization expense incurred was $463 and $349 for the three months ended March 31, 2022 and 2021, respectively, and is included in the “Interest Expense” line item in the accompanying Condensed Consolidated Statements of Operations.

Reference Rate Reform

On March 5, 2021, the Financial Conduct Authority (“FCA”) announced that USD LIBOR will no longer be published after June 30, 2023. This announcement has several implications, including setting the spread that may be used to automatically convert contracts from LIBOR to the Secured Overnight Financing Rate (“SOFR”).  Additionally, as of December 31, 2021, banks have ceased issuance of any new LIBOR debt.

The Company anticipates that LIBOR will continue to be available at least until June 30, 2023.  Any changes adopted by the FCA or other governing bodies in the method used for determining LIBOR may result in a sudden or prolonged increase or decrease in reported LIBOR. If that were to occur, our interest payments could change. In addition, uncertainty about the extent and manner of future changes may result in interest rates and/or payments that are higher or lower than if LIBOR were to remain available in its current form.

The Company has interest rate swaps that are indexed to LIBOR and is monitoring and evaluating the related risks.  These risks arise in connection with transitioning contracts to an alternative rate, including any resulting value transfer that may occur, and are likely to vary by contract. The value of loans, securities, or derivative instruments tied to LIBOR, as well as interest rates on our current or future indebtedness, may also be impacted if LIBOR is limited or discontinued.  For some instruments the method of transitioning to an alternative reference rate may be challenging, especially if the Company cannot agree with the respective counterparty about how to make the transition.

While the Company expects LIBOR to be available in substantially its current form until at least June 30, 2023, it is possible that LIBOR will become unavailable prior to that point. This could result, for example, if sufficient banks decline to make submissions to the LIBOR administrator. In that case, the risks associated with the transition to an alternative reference rate would be accelerated and magnified.

Alternative rates and other market changes related to the replacement of LIBOR, including the introduction of financial products and changes in market practices, may lead to risk modeling and valuation challenges, such as adjusting interest rate accrual calculations and building a term structure for an alternative rate.

The introduction of an alternative rate also may create additional basis risk and increased volatility as alternative rates are phased in and utilized in parallel with LIBOR.

Adjustments to systems and mathematical models to properly process and account for alternative rates will be required, which may strain the model risk management and information technology functions and result in substantial incremental costs for the Company.

Notes Payable, Net of Debt Issuance Costs

The Company’s notes payable, net, includes three loans: (1) the Rosedale Loan, (2) the Dumfries Loan, and (3) the Cantor Loan, described in detail herein. The following table sets forth the aggregate balances of these loans as of March 31, 2022 and December 31, 2021.

	March 31, 2022		December 31, 2021
Notes payable	$	57,487	$	57,769
Unamortized debt issuance costs		(568)		(607)
Notes payable, net	$	56,919	$	57,162

Amortization expense incurred related to the debt issuance costs was $39 and $63 for the three months ended March 31, 2022 and 2021, respectively, and is included in the “Interest Expense” line item in the accompanying Condensed Consolidated Statements of Operations.  

Rosedale Loan

On July 31, 2020, in connection with its acquisition of the Rosedale Facilities, the Company, through certain of its wholly owned subsidiaries, as borrowers, entered into a loan with FVCbank with a principal balance of $14,800 (the “Rosedale Loan”). The Rosedale Loan has an annual interest rate of 3.85% and matures on July 31, 2025 with principal and interest payable monthly based on a 25-year amortization schedule. The Company, at its option, may prepay the loan, subject to a prepayment fee.

The Company made principal payments of $95 and $91 during the three months ended March 31, 2022 and 2021, respectively. The loan balance as of March 31, 2022 and December 31, 2021 was $14,235 and $14,330, respectively. Interest expense incurred on this loan was $137 and $141 for the three months ended March 31, 2022 and 2021, respectively.

As of March 31, 2022, scheduled principal payments due for each year ended December 31 were as follows:

2022 (nine months remaining)	$	281
2023		391
2024		405
2025		13,158
Total	$	14,235

Dumfries Loan

On April 27, 2020, in connection with its acquisition of the Dumfries Facility, the Company, through a wholly-owned subsidiary, assumed a CMBS loan with a principal amount of $12,074 (the “Dumfries Loan”). The Dumfries Loan has an annual interest rate of 4.68% and matures on June 1, 2024 with principal and interest payable monthly based on a ten-year amortization schedule. The Company, at its option, may prepay the loan, subject to a prepayment premium.

The Company made principal payments of $72 and $69 during the three months ended March 31, 2022 and 2021, respectively. The loan balance as of March 31, 2022 and December 31, 2021 was $11,552 and $11,624, respectively. Interest expense incurred on this loan was $133 and $138 for the three months ended March 31, 2022 and 2021, respectively.

As of March 31, 2022, scheduled principal payments due for each year ended December 31 were as follows:

2022 (nine months remaining)	$	216
2023		302
2024		11,034
Total	$	11,552

Cantor Loan

On March 31, 2016, through certain of its wholly owned subsidiaries (the “GMR Loan Subsidiaries”), the Company entered into a $32,097 CMBS loan (the “Cantor Loan”). The Cantor Loan has a maturity date of April 6, 2026 and an annual interest rate of 5.22%. The Cantor Loan required interest-only payments through March 31, 2021 and thereafter principal and interest based on a 30-year amortization schedule. Prepayment can only occur within four months prior to the maturity date, subject to earlier defeasance. The Cantor Loan is secured by the assets of the GMR Loan Subsidiaries.

The Company made principal payments of $115 during the three months ended March 31, 2022 and no principal payments during the three months ended March 31, 2021. The loan balance as of March 31, 2022 and December 31, 2021 was $31,700 and $31,815, respectively. Interest expense incurred on this loan was $415 and $419 for the three months ended March 31, 2022 and 2021, respectively.

As of March 31, 2022, scheduled principal payments due for each year ended December 31 were as follows:

2022 (nine months remaining)		332
2023		471
2024		492
2025		523
2026		551
Thereafter		29,331
Total	$	31,700

Derivative Instruments - Interest Rate Swaps

The Company has six interest rate swaps with a total notional amount of $350 million that are used to manage its interest rate risk and fix the LIBOR component on the Term Loan. An aggregate of $150 million of the swaps mature in August 2023 and the remaining $200 million mature in August 2024. In addition, the Company has five forward starting interest rate swaps that will be

effective on the maturity dates of the existing interest rate swaps. The forward starting swaps each have a maturity date of April 2026 and will fix the LIBOR component on the Term Loan through its maturity. Currently, the interest rate swaps fix the LIBOR component of the Term Loan at a rate of 1.91% through August 2023. Subsequently, from August 2023 to August 2024 the LIBOR component of the Term Loan rate will be fixed at 1.61%.  Finally, from August 2024 to April 2026 the LIBOR component of the Term Loan rate will be fixed at 1.45%.

The Company records the swaps either as an asset or a liability measured at its fair value at each reporting period. When hedge accounting is applied, the change in the fair value of derivatives designated and that qualify as cash flow hedges is (i) recorded in accumulated other comprehensive loss in the equity section of the Company’s Condensed Consolidated Balance Sheets and (ii) subsequently reclassified into earnings as interest expense for the period that the hedged forecasted transactions affect earnings. If specific hedge accounting criteria are not met, changes in the Company’s derivative instruments’ fair value are recognized currently as an adjustment to net income.

The Company’s interest rate swaps are not traded on an exchange. The Company’s interest rate swaps are recorded at fair value based on a variety of observable inputs including contractual terms, interest rate curves, yield curves, measure of volatility, and correlations of such inputs. The Company measures its derivatives at fair value on a recurring basis based on the expected size of future cash flows on a discounted basis and incorporating a measure of non-performance risk. The fair values are based on Level 2 inputs within the framework of ASC Topic 820, “Fair Value Measurement.” The Company considers its own credit risk, as well as the credit risk of its counterparties, when evaluating the fair value of its derivative instruments.

The fair value of the Company’s interest rate swaps was a net asset of $10,827 and a net liability of $6,554 as of March 31, 2022 and December 31, 2021, respectively. The gross balances are included in the “Derivative Asset” and “Derivative Liability” line items on the Company’s Condensed Consolidated Balance Sheets as of March 31, 2022 and December 31, 2021, respectively.

The table below details the components of the amounts presented on the accompanying Condensed Consolidated Statements of Comprehensive Income recognized on the Company’s interest rate swaps designated as cash flow hedges for the three months ended March 31, 2022 and 2021:

	Three Months Ended March 31,
	2022		2021
Amount of gain recognized in other comprehensive income	$	(15,878)	$	(2,082)
Amount of loss reclassified from accumulated other comprehensive income (loss) into interest expense		(1,515)		(1,549)
Total change in accumulated other comprehensive income (loss)	$	(17,393)	$	(3,631)

During the next twelve months, the Company estimates that an additional $388 will be reclassified as an increase to interest expense. Additionally, during the three months ended March 31, 2022, the Company recorded total interest expense in its Condensed Consolidated Statements of Operations of $4,801.

Weighted-Average Interest Rate and Term

The weighted average interest rate and term of the Company’s debt was 2.91% and 4.03 years at March 31, 2022, compared to 2.87% and 4.28 years as of December 31, 2021.

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Equity

3 Months Ended

Mar. 31, 2022

Equity

Equity

Note 5 – Equity

Preferred Stock

The Company’s charter authorizes the issuance of 10,000 shares of preferred stock, par value $0.001 per share. As of March 31, 2022 and December 31, 2021, there were 3,105 shares of Series A Cumulative Redeemable Preferred Stock (“Series A Preferred Stock”), issued and outstanding. The Series A Preferred Stock has a liquidation preference of $25 per share.

Preferred stock dividend activity for the three months ended March 31, 2022 is summarized in the following table:

		Applicable		Quarterly			Dividends
Date Announced	Record Date	Quarter	Payment Date	Dividend			per Share
December 10, 2021	January 15, 2022	Q4 2021	January 31, 2022	$	1,455		$	0.46875
March 11, 2022	April 15, 2022	Q1 2022	May 2, 2022	$	1,455	(1)	$	0.46875

⁽¹⁾ Two months of this amount, equal to $970, was accrued at March 31, 2022.

The holders of the Series A Preferred Stock are entitled to receive dividend payments only when, as and if declared by the Company’s board of directors (the “Board”) (or a duly authorized committee of the Board). Dividends will accrue or be payable in cash from the original issue date, on a cumulative basis, quarterly in arrears on each dividend payment date at a fixed rate per annum equal to 7.50% of the liquidation preference of $25.00 per share (equivalent to $1.875 per share on an annual basis). Dividends on the Series A Preferred Stock will be cumulative and will accrue whether or not (i) funds are legally available for the payment of those dividends, (ii) the Company has earnings or (iii) those dividends are declared by the Board. The quarterly dividend payment dates on the Series A Preferred Stock are January 31, April 30, July 31 and October 31 of each year. During each of the three-month periods ended March 31, 2022 and 2021, the Company paid preferred dividends of $1,455.

Common Stock

The Company has 500,000 authorized shares of common stock, $0.001 par value. As of March 31, 2022 and December 31, 2021, there were 65,400 and 64,880 outstanding shares of common stock, respectively.

Common stock dividend activity for the three months ended March 31, 2022 is summarized in the following table:

		Applicable		Dividend		Dividends
Date Announced	Record Date	Quarter	Payment Date	Amount(1)		per Share
December 10, 2021	December 27, 2021	Q4 2021	January 10, 2022	$	14,055	$	0.205
March 11, 2022	March 25, 2022	Q1 2022	April 8, 2022	$	14,611	$	0.21

⁽¹⁾ Includes distributions on outstanding LTIP Units and OP Units.

During the three months ended March 31, 2022 and 2021, the Company paid total dividends on its common stock, LTIP Units and OP Units in the aggregate amount of $14,526 and $11,315, respectively.

As of March 31, 2022 and December 31, 2021, the Company had accrued dividend balances of $242 and $643 for dividends payable on the aggregate annual and long-term LTIP Units that are subject to retroactive receipt of dividends on the amount of LTIP Units ultimately earned. During the three months ended March 31, 2022, $70 of dividends were accrued and $471 of dividends were paid related to these units. During the three months ended March 31, 2021, $67 of dividends were accrued and $742 of dividends were paid related to these units.

The amount of the dividends paid to the Company’s stockholders is determined by the Board and is dependent on a number of factors, including funds available for payment of dividends, the Company’s financial condition and capital expenditure requirements except that, in accordance with the Company’s organizational documents and Maryland law, the Company may not make dividend distributions that would: (i) cause it to be unable to pay its debts as they become due in the usual course of business; (ii) cause its total assets to be less than the sum of its total liabilities plus senior liquidation preferences; or (iii) jeopardize its ability to maintain its qualification as a REIT.

Capital Raising Activity

In March 2022, the Company and the Operating Partnership entered into a Sales Agreement with certain sales agents, pursuant to which the Company may offer and sell, from time to time, up to $300,000 of its common stock (the “2022 ATM Program”).

In August 2020, the Company and the Operating Partnership entered into a Sales Agreement with certain sales agents, pursuant to which the Company could offer and sell, from time to time, up to $150,000 of its common stock (the “2020 ATM Program”). During the three months ended March 31, 2022, the Company generated net proceeds of $8,210 through equity issuances of 480 shares of the Company’s common stock at an average offering price of $17.38 per share through the 2020 ATM Program. The 2020 ATM Program was terminated upon the commencement of the 2022 ATM Program.  

OP Units

During the three months ended March 31, 2022, one OP Unit holder redeemed 35 OP Units for shares of the Company’s common stock with an aggregate redemption value of $600. During the year ended December 31, 2021, three OP Unit holders redeemed an aggregate of 62 OP Units for shares of the Company’s common stock with an aggregate redemption value of $919.

As of March 31, 2022 and December 31, 2021, there were 1,667 and 1,702 OP Units issued and outstanding, respectively, with an aggregate value of $8,480 and $9,080, respectively. The OP Unit value at issuance and redemption is based on the Company’s closing share price on the date of the respective transaction and is included as a component of noncontrolling interest equity in the Company’s Condensed Consolidated Balance Sheets as of March 31, 2022 and December 31, 2021. The Company has sufficient shares of common stock authorized pursuant to its charter to cover the redemption of outstanding OP Units.

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Related Party Transactions

3 Months Ended

Mar. 31, 2022

Related Party Transactions

Related Party Transactions

Note 6 – Related Party Transactions

Related Party Balances

The due from related parties balance as of March 31, 2022 and December 31, 2021 was $451 and $163, respectively. These balances primarily consist of taxes paid on behalf of LTIP Unit and OP Unit holders that are reimbursable to the Company. The Company had no amounts due to related parties as of March 31, 2022 and December 31, 2021.

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Stock-Based Compensation

3 Months Ended

Mar. 31, 2022

Stock-Based Compensation

Stock-Based Compensation

Note 7 – Stock-Based Compensation

2016 Equity Incentive Plan

The 2016 Equity Incentive Plan, as amended (the “Plan”), is intended to assist the Company and its affiliates in recruiting and retaining employees of the Company, members of the Board, executive officers of the Company, and individuals who provide services to the Company and its affiliates.

The Plan is intended to permit the grant of both qualifying and non-qualified options and the grant of stock appreciation rights, restricted stock, unrestricted stock, awards of restricted stock units, performance awards and other equity-based awards (including LTIP Units). On May 26, 2021, the Company’s stockholders approved an amendment to the Plan to increase the number of authorized shares available for issuance under the Plan by 1,500 shares. Based on the grants outstanding as of March 31, 2022, there were 1,469 shares of common stock that remain available to be granted under the Plan. Units subject to awards under the Plan that are forfeited, cancelled, lapsed, or otherwise expired (excluding shares withheld to satisfy exercise prices or tax withholding obligations) are available for grant.

Time-Based Grants

During the three months ended March 31, 2022, pursuant to the recommendation of the Compensation Committee of the Board (the “Compensation Committee”), the Board approved the following LTIP Unit activity:

		Number of
Date	Description	Units Issued	Vesting Dates
March 4, 2022	Final awards under the 2019 Long-Term Incentive Plan	163	50% on March 4, 2022; and
			50% on March 4, 2023
February 24, 2022	Final awards under the 2021 Annual Incentive Plan	91	50% on February 24, 2022; and
			50% on February 24, 2023
February 24, 2022	Time-based awards under the 2022 Long-Term Incentive Plan	75	100% on February 24, 2025

During the three months ended March 31, 2022, there were five time-based LTIP Units redeemed for the Company’s common stock.  A detail of the Company’s outstanding time-based LTIP Units as of March 31, 2022 is as follows:

Vested units	1,837
Unvested units	670
LTIP Units outstanding as of March 31, 2022	2,507

Performance Based Awards

The Board has approved annual performance-based LTIP awards (“Annual Awards”) and long-term performance-based LTIP awards (“Long-Term Awards”) to the executive officers and other employees of the Company.  As described below, the Annual Awards have one-year performance periods and the Long-Term Awards have three-year performance periods. In addition to meeting specified performance metrics, vesting in both the Annual Awards and the Long-Term Awards is subject to service requirements.

A detail of the Company’s Long-Term Awards under the 2020 and 2021 programs, and the Annual Awards and Long-Term Awards under the 2022 program as of March 31, 2022 is as follows:

2020 Long-Term Awards	68
2021 Long-Term Awards	74
2022 Annual Awards (1)	89
2022 Long-Term Awards (2)	106
Total target performance awards as of March 31, 2022	337

(1) Approved by the Board on February 24, 2022. The number of target LTIP Units was based on the average closing price of the Company’s common stock reported on the New York Stock Exchange (“NYSE”) over the 15 trading days preceding the grant date.  

(2) Approved by the Board on February 24, 2022. The number of target LTIP Units was based on the fair value of the Long-Term Awards as determined by an independent valuation consultant.

Annual Awards. The Annual Awards are subject to the terms and conditions of LTIP Annual Award Agreements (“LTIP Annual Award Agreements”) between the Company and each grantee.

The Compensation Committee and Board established performance goals for the year ending December 31, 2022, as set forth in the 2022 LTIP Annual Award Agreements (the “Performance Goals”) that will be used to determine the number of LTIP Units earned by each grantee. As of March 31, 2022, management estimated that the Performance Goals would be met at a 100% level and, accordingly, cumulative stock-based compensation expense during the three months ended March 31, 2022 reflects management’s estimate that 100% of these awards will be earned. As soon as reasonably practicable following the first anniversary of the Annual Awards grant date, the Compensation Committee and Board will determine the extent to which the Company has achieved each of the Performance Goals (expressed as a percentage) and, based on such determination, will calculate the number of LTIP Units that each grantee is entitled to receive. Each grantee may earn up to 150% of the number of his/her target LTIP Units. Any 2022 Annual Award LTIP Units that are not earned will be forfeited and cancelled.

Vesting. LTIP Units that are earned as of the end of the applicable performance period will be subject to vesting, subject to continued employment through each vesting date, in two installments as follows: 50% of the earned LTIP Units will become vested on

February 28, 2023 (the end of the performance period) and 50% of the earned LTIP Units become vested on February 28, 2024, the one year anniversary of the initial vesting date. Vesting may be accelerated under certain circumstances such as a “change-in-control” transaction or a “qualified termination” event.

Distributions. Distributions equal to the dividends declared and paid by the Company will accrue during the applicable performance period on the maximum number of LTIP Units that the grantee could earn and will be paid with respect to all of the earned LTIP Units at the conclusion of the applicable performance period, in cash or by the issuance of additional LTIP Units at the discretion of the Compensation Committee.

Long-Term Awards. The Long-Term Awards are subject to the terms and conditions of their related LTIP Long-Term Award Agreements (collectively the “LTIP Long-Term Award Agreements”) between the Company and each grantee. The number of LTIP Units that each grantee earns under the LTIP Long-Term Award Agreements will be determined following the conclusion of a three-year performance period based on the Company’s total stockholder return (“TSR”), which is determined based on a combination of appreciation in stock price and dividends paid during the performance period. Each grantee may earn up to 200% of the number of target LTIP Units covered by the grantee’s Long-Term Award. Any target LTIP Units that are not earned will be forfeited and cancelled. The number of LTIP Units earned under the Long-Term Awards will be determined as soon as reasonably practicable following the end of the applicable three-year performance period based on the Company’s TSR on an absolute basis (as to 75% of the Long-Term Award) and relative to the companies that comprised the Dow Jones U.S. Real Estate Health Care Index (the “Index”) (as to 25% of the Long-Term Award).

Vesting. LTIP Units that are earned as of the end of the applicable three-year performance period will be subject to forfeiture restrictions that will lapse (“vesting”), subject to continued employment through each vesting date as follows; 50% of the earned LTIP Units will vest upon the day prior to the third anniversary of the respective grant dates and the remaining 50% will vest on the one year anniversary of the initial vesting date. Vesting may be accelerated under certain circumstances such as a “change-in-control” transaction or a “qualified termination” event.

Distributions. Pursuant to the LTIP Long-Term Award Agreements, distributions equal to the dividends declared and paid by the Company will accrue during the applicable performance period on the maximum number of LTIP Units that the grantee could earn and will be paid with respect to all of the earned LTIP Units at the conclusion of the applicable performance period, in cash or by the issuance of additional LTIP Units at the discretion of the Compensation Committee.

Stock-Based Compensation Expense

The Company’s prospective compensation expense for all unvested LTIP Units, Annual Awards, and Long-Term Awards is recognized using the adoption date fair value of the awards, with no remeasurement required. Compensation expense for future LTIP Unit grants, Annual Awards, and Long-Term Awards is based on the grant date fair value of the units/awards, with no subsequent remeasurement required.

As the Long-Term Awards involve market-based performance conditions, the Company utilizes a Monte Carlo simulation to provide a grant date fair value for expense recognition. The Monte Carlo simulation is a generally accepted statistical technique used, in this instance, to simulate a range of possible future stock prices for the Company and the members of the Index over the Performance Periods. The purpose of this modeling is to use a probabilistic approach for estimating the fair value of the performance share award.

The assumptions used in the Monte Carlo simulation include beginning average stock price, valuation date stock price, expected volatilities, correlation coefficients, risk-free rate of interest, and expected dividend yield. The beginning average stock price is the beginning average stock price for the Company and each member of the Index for the 15 trading days leading up to the grant date of the Long-Term Award. The valuation date stock price is the closing stock price of the Company and each of the peer companies in the Index on the grant dates of the Long-Term Awards. The expected volatilities are modeled using the historical volatilities for the Company and the members of the Index. The correlation coefficients are calculated using the same data as the historical volatilities. The risk-free rate of interest is taken from the U.S. Treasury website and relates to the expected life of the remaining performance period on valuation or revaluation. Lastly, the dividend yield assumption is 0.0%, which is mathematically equivalent to reinvesting dividends in the issuing entity, which is part of the Company’s award agreement assumptions.

Below are details regarding certain of the assumptions for the Long-Term Awards using Monte Carlo simulations:

	2022 Long-Term			2021 Long-Term			2020 Long-Term
	Awards			Awards			Awards
Fair value	$	16.39		$	14.86		$	13.47
Target awards		106			76			70
Volatility		41.65	%		42.37	%		28.75	%
Risk-free rate		1.72	%		0.26	%		0.72	%
Dividend assumption		reinvested			reinvested			reinvested
Expected term in years		3			3			3

The Company incurred stock compensation expense of $1,287 and $1,715 for the three months ended March 31, 2022 and 2021, respectively, related to the grants awarded under the Plan. Compensation expense is included within “General and Administrative” expense in the Company’s Condensed Consolidated Statements of Operations.

As of March 31, 2022, total unamortized compensation expense related to these awards of approximately $7.8 million is expected to be recognized over a weighted average remaining period of 2.2 years.

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Leases

3 Months Ended

Mar. 31, 2022

Leases

Leases

Note 8 – Leases

The Company operates as both a lessor and a lessee. As a lessor, the Company is required under ASC Topic 842 to account for leases using an approach that is substantially similar to ASC Topic 840’s guidance for operating leases and other leases such as sales-type leases and direct financing leases. In addition, ASC Topic 842 requires lessors to capitalize and amortize only incremental direct leasing costs. As a lessee, the Company is required under the new standard to apply a dual approach, classifying leases, such as ground leases, as either finance or operating leases based on the principle of whether or not the lease is effectively a financed purchase. This classification determines whether lease expense is recognized based on an effective interest method or on a straight-line basis over the term of the lease. ASC Topic 842 also requires lessees to record a right of use asset and a lease liability for all leases with an initial term of greater than a year regardless of their classification. The Company has also elected the practical expedient not to recognize right of use assets and lease liabilities for leases with a term of a year or less.

Information as Lessor

To generate positive cash flow, as a lessor, the Company leases its facilities to tenants in exchange for fixed monthly payments that cover rent, property taxes, insurance and certain cost recoveries, primarily common area maintenance (“CAM”). The Company’s leases were determined to be operating leases and have a portfolio-average-lease-years remaining of approximately 10 years. Payments from the Company’s tenants for CAM are considered nonlease components that are separated from lease components and are generally accounted for in accordance with the revenue recognition standard. However, the Company qualified for and elected the practical expedient related to combining the components because the lease component is classified as an operating lease and the timing and pattern of transfer of CAM income, which is not the predominant component, is the same as the lease component, for all asset classes. As such, consideration for CAM is accounted for as part of the overall consideration in the lease. Payments from customers for property taxes and insurance are considered non-components of the lease and therefore no consideration is allocated to them because they do not transfer a good or service to the customer. Fixed contractual payments from the Company’s leases are recognized on a straight-line basis over the terms of the respective leases. This means that, with respect to a particular lease, actual amounts billed in accordance with the lease during any given period may be higher or lower than the amount of rental revenue recognized for the period. Straight-line rental revenue is commenced when the tenant assumes control of the leased premises. Accrued straight-line rents receivable represents the amount by which straight-line rental revenue exceeds rents currently billed in accordance with lease agreements.

Some of the Company’s leases are subject to annual changes in the Consumer Price Index (“CPI”). Although increases in CPI are not estimated as part of the Company’s measurement of straight-line rental revenue, for leases with base rent increases based on CPI, the amount of rent revenue recognized is adjusted in the period the changes in CPI are measured and effective. Additionally, some of the Company’s leases have extension options.

Initial direct costs, primarily commissions, related to the leasing of our facilities are capitalized when material as incurred. Capitalized leasing costs are amortized on a straight-line basis over the remaining useful life of the respective leases. All other costs to negotiate or arrange a lease are expensed as incurred.

Lease-related receivables, which include accounts receivable and accrued straight-line rents receivable, are reduced for credit losses, if applicable. The Company regularly evaluates the collectability of its lease-related receivables. The Company’s evaluation of collectability primarily consists of reviewing past due account balances and considering such factors as the credit quality of our tenant, historical trends of the tenant and changes in tenant payment terms. If the Company’s assumptions regarding the collectability of lease-related receivables prove incorrect, the Company could experience credit losses in excess of what was recognized in rental and other revenues.

The Company recognized $31,852 and $27,325 of rental revenue related to operating lease payments for the three months ended March 31, 2022 and 2021, respectively. Of these amounts, $1,947 and $1,374 relate to variable rental revenue.

The aggregate annual cash to be received by the Company on the noncancelable operating leases related to its portfolio as of March 31, 2022 is as follows for the subsequent years ended December 31:

2022 (nine months remaining)	$	81,327
2023		105,373
2024		96,043
2025		82,814
2026		75,110
Thereafter		364,217
Total	$	804,884

Information as Lessee

The Company has seven buildings located on land that is subject to operating ground leases with a weighted average remaining term of approximately 40 years. Rental payments on these leases are adjusted periodically based on either the CPI or on a pre-determined schedule. The monthly payments on a pre-determined schedule are recognized on a straight-line basis over the terms of the respective leases. Changes in the CPI are not estimated as part of our measurement of straight-line rental expense. The Company used a weighted average discount rate of approximately 7.5%, which was derived, using a portfolio approach, from our assessment of the credit quality of the Company and adjusted to reflect secured borrowing, estimated yield curves and long-term spread adjustments over appropriate tenors. Some of the Company’s ground leases contain extension options and, where we determined it was reasonably certain that an extension would occur, they were included in our calculation of the right of use asset and liability. The Company recognized approximately $55 and $36 of ground lease expense, of which $28 and $30 was paid in cash, during the three months ended March 31, 2022 and 2021, respectively.

The following table sets forth the undiscounted cash flows of our scheduled obligations for future lease payments on operating ground leases at March 31, 2022, and a reconciliation of those cash flows to the operating lease liability at March 31, 2022:

2022 (nine months remaining)	$	331
2023		206
2024		162
2025		163
2026		165
Thereafter		6,042
Total		7,069
Discount		(3,890)
Lease liability	$	3,179

Tenant Concentration

During the three months ended March 31, 2022, the Company’s rental revenues were derived from 201 tenants leasing 109 facilities.  During this period there were no tenants with rental revenue that exceeded 10% of the Company’s rental revenue.    

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Commitments and Contingencies

3 Months Ended

Mar. 31, 2022

Commitments and Contingencies

Commitments and Contingencies

Note 9 – Commitments and Contingencies

Litigation

The Company is not presently subject to any material litigation nor, to its knowledge, is any material litigation threatened against the Company, which if determined unfavorably to the Company, would have a material adverse effect on the Company’s financial position, results of operations, or cash flows.

Environmental Matters

The Company follows a policy of monitoring its properties for the presence of hazardous or toxic substances. While there can be no assurance that a material environmental liability does not exist at its properties, the Company is not currently aware of any environmental liability with respect to its properties that would have a material effect on its financial position, results of operations, or cash flows. Additionally, the Company is not aware of any material environmental liability or any unasserted claim or assessment with respect to an environmental liability that management believes would require additional disclosure or the recording of a loss contingency.

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Summary of Significant Accounting Policies (Policies)

3 Months Ended

Mar. 31, 2022

Summary of Significant Accounting Policies

Basis of presentation

Basis of presentation

The accompanying condensed consolidated financial statements are unaudited and include the accounts of the Company, including the Operating Partnership and its wholly owned subsidiaries. The accompanying condensed consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) and the rules and regulations of the U.S. Securities and Exchange Commission (“SEC”). Certain information and footnote disclosures required for annual consolidated financial statements have been condensed or excluded pursuant to SEC rules and regulations. Accordingly, the accompanying condensed consolidated financial statements do not include all the information and footnotes required by GAAP for complete consolidated financial statements and should be read in conjunction with the audited consolidated financial statements and notes thereto for the year ended December 31, 2021. In the opinion of management, all adjustments of a normal and recurring nature necessary for a fair presentation of the condensed consolidated financial statements for the interim periods have been made.

Principles of Consolidation

Principles of Consolidation

The accompanying condensed consolidated financial statements include the accounts of the Company and its wholly owned subsidiaries. The Company presents the portion of any equity it does not own but controls (and thus consolidates) as noncontrolling interest. Noncontrolling interest in the Company includes the LTIP Units that have been granted to directors, officers and employees of the Company and the OP Units held by third parties. Refer to Note 5 – “Equity” and Note 7 – “Stock-Based Compensation” for additional information regarding the OP Units and LTIP Units.

The Company classifies noncontrolling interest as a component of consolidated equity on its Condensed Consolidated Balance Sheets, separate from the Company’s total equity. The Company’s net income or loss is allocated to noncontrolling interests based on the respective ownership or voting percentage in the Operating Partnership associated with such noncontrolling interests and is removed from consolidated income or loss on the Condensed Consolidated Statements of Operations in order to derive net income or loss attributable to common stockholders. The noncontrolling ownership percentage is calculated by dividing the aggregate number of LTIP Units and OP Units by the total number of units and shares outstanding. Any future issuances of additional LTIP Units or OP Units would change the noncontrolling ownership interest.

Use of Estimates

Use of Estimates

The preparation of the condensed consolidated financial statements in conformity with GAAP requires the Company to make estimates and assumptions that affect the amounts reported in the condensed consolidated financial statements and footnotes. Actual results could differ from those estimates.

Investment in Real Estate

Investment in Real Estate

The Company determines when an acquisition meets the definition of a business or alternatively should be accounted for as an asset acquisition in accordance with Accounting Standard Codification (“ASC”) Topic 805 “Business Combinations” (“ASC Topic

805”), which requires that, when substantially all of the fair value of an acquisition is concentrated in a single identifiable asset or a group of similar identifiable assets, the asset or group of similar identifiable assets does not meet the definition of a business and therefore is required to be accounted for as an asset acquisition. Transaction costs are capitalized for asset acquisitions and expensed as incurred for business combinations. All our facility acquisitions for the three months ended March 31, 2022 and 2021 have been accounted for as asset acquisitions because substantially all the fair value of the gross assets the Company acquired were concentrated in a single asset or group of similar identifiable assets.

For asset acquisitions that are “owner occupied” (meaning that the seller either is the tenant or controls the tenant), the purchase price, including capitalized acquisition costs, will be allocated to land and building based on their relative fair values with no value allocated to intangible assets or liabilities. For asset acquisitions where there is a lease in place but that are not “owner occupied,” the Company will allocate the purchase price to tangible assets and any intangible assets acquired or liabilities assumed based on their relative fair values. Fair value is determined based upon the guidance of ASC Topic 820, “Fair Value Measurements and Disclosures,” and generally are determined using Level 2 inputs, such as rent comparables, sales comparables, and broker indications. Although Level 3 inputs are utilized, they are minor in comparison to the Level 2 data used for the primary assumptions. The determination of fair value involves the use of significant judgment and estimates. We make estimates to determine the fair value of the tangible and intangible assets acquired and liabilities assumed using information obtained from multiple sources, including preacquisition due diligence, and we routinely utilize the assistance of a third-party appraiser.

Revenue Recognition

Revenue Recognition

The Company’s operations primarily consist of rental revenue earned from tenants under leasing arrangements which provide for minimum rent and escalations. The leases have been accounted for as operating leases. For operating leases with contingent rental escalators, revenue is recorded based on the contractual cash rental payments due during the period. Revenue from leases with fixed annual rental escalators are recognized on a straight-line basis over the initial lease term, subject to a collectability assessment, with the difference between the contractual rental receipts and the straight-line amounts recorded as a “deferred rent receivable.” Additionally, the Company recognizes “expense recoveries” revenue, which represents revenue recognized related to tenant reimbursement of real estate taxes, insurance, and certain other operating expenses (“tenant reimbursements”). The Company recognizes these reimbursements and related expenses on a gross basis in its Condensed Consolidated Statements of Operations.

Assets Held for Sale and Sales of Real Estate

Assets Held for Sale and Sales of Real Estate

The Company classifies a property as held for sale when the following criteria are met: (i) management, having the authority to approve action, commits to a plan to sell the property in its present condition, (ii) the sale of the property is at a price reasonable in relation to its current fair value and (iii) the sale is probable and expected to be completed within one year. At that time, the Company presents the assets and obligations associated with the real estate held for sale separately in its Condensed Consolidated Balance Sheets and ceases recording depreciation and amortization expense related to that asset.  Real estate held for sale is reported at the lower of its carrying amount or its estimated fair value less estimated costs to sell. None of the Company’s properties were classified as held for sale as of March 31, 2022 or December 31, 2021.

Upon the disposition of a property, the Company recognizes a gain or loss at a point in time when the Company determines control of the underlying asset has been transferred to the buyer. The Company’s performance obligation is generally satisfied at the closing of the transaction. Any continuing involvement is analyzed as a separate performance obligation in the contract, and a portion of the sales price is allocated to each performance obligation. There is significant judgment applied to estimate the amount of any variable consideration identified within the sales price and assess its probability of occurrence based on current market information, historical transactions, and forecasted information that is reasonably available.

For sales of real estate (or assets classified as held for sale), the Company evaluates whether the disposition is a strategic shift that will have a major effect on the Company’s operations and financial results, and, if so, it will be classified as discontinued operations in the Company’s consolidated financial statements for all periods presented.  

Cash and Cash Equivalents and Restricted Cash

Cash and Cash Equivalents and Restricted Cash

The Company considers all demand deposits, cashier’s checks, money market accounts, and certificates of deposit with a maturity of three months or less to be cash equivalents. Amounts included in restricted cash represent (1) certain security deposits received from tenants at the inception of their leases; (2) cash required to be held by a third-party lender as a reserve for debt service; and (3) funds held by the Company related to tenant reimbursements. The following table provides a reconciliation of the Company’s cash and cash equivalents and restricted cash that sums to the total of those amounts at the end of the periods presented on the Company’s accompanying Condensed Consolidated Statements of Cash Flows:

	As of March 31,
	2022		2021
Cash and cash equivalents	$	1,854	$	5,304
Restricted cash		6,336		6,096
Total cash and cash equivalents and restricted cash	$	8,190	$	11,400

Tenant Receivables, Net

Tenant Receivables, Net

The tenant receivable balance as of March 31, 2022 and December 31, 2021 was $6,477 and $6,070, respectively. The balance as of March 31, 2022 consisted of $1,792 in funds owed from the Company’s tenants for rent that the Company had earned but had not yet received, $1,152 of loans that were made to two of the Company’s tenants, and $3,533 of tenant reimbursements. The balance as of December 31, 2021 consisted of $1,309 in funds owed from the Company’s tenants for rent that the Company had earned but had not yet received, $1,158 of loans that were made to two of the Company’s tenants, and $3,603 of tenant reimbursements.

Receivables arising from operating leases are accounted for in accordance with ASC Topic 842 “Leases” (“ASC Topic 842”). The Company assesses the likelihood of losses resulting from tenant defaults, or the inability of tenants to make contractual rent and tenant reimbursements at each reporting date. The Company also monitors the liquidity and creditworthiness of its tenants and operators on a continuous basis. If the likelihood of a tenant paying its lease payments is determined to no longer be probable, all tenant receivables,

including deferred rent, are written off against revenue and any future revenue for that tenant is recognized only upon receipt of cash. In addition, as of March 31, 2022 and December 31, 2021, the Company had a portfolio level reserve of $350 on those leases that were probable of collection to ensure that the tenant lease receivables were not overstated.  

Escrow Deposits

Escrow Deposits

The escrow balance as of March 31, 2022 and December 31, 2021 was $7,697 and $5,957, respectively. Escrow deposits include funds held in escrow to be used for the acquisition of properties in the future and for the payment of taxes, insurance, and other amounts as stipulated by the Company’s Cantor Loan, as hereinafter defined.

Deferred Assets

Deferred Assets

The deferred assets balance as of March 31, 2022 and December 31, 2021 was $26,714 and $25,417, respectively. The balance as of March 31, 2022 consisted of $26,551 in deferred rent receivables resulting from the recognition of revenue from leases with fixed annual rental escalations on a straight-line basis and $163 of other deferred costs. The balance as of December 31, 2021 consisted of $25,356 in deferred rent receivables resulting from the recognition of revenue from leases with fixed annual rental escalations on a straight-line basis and $61 of other deferred costs.

Other Assets

Other Assets

The other assets balance as of March 31, 2022 and December 31, 2021 was $6,345 and $6,232, respectively. The balance as of March 31, 2022 consisted of $3,728 for right of use assets, $494 in preacquisition and other capitalized costs related to our properties, $1,899 in prepaid assets, and $224 for net capitalized software costs and miscellaneous assets. The balance as of December 31, 2021 consisted of $3,809 for right of use assets, $257 in preacquisition and other capitalized costs related to our properties, $1,916 in prepaid assets, and $250 for net capitalized software costs and miscellaneous assets. Refer to Note 8 – “Leases” for additional details on right of use assets.

Derivative Instruments - Interest Rate Swaps

Derivative Instruments - Interest Rate Swaps

As of March 31, 2022 and December 31, 2021, the Company's balance related to interest rate swap derivative instruments that were designated as cash flow hedges of interest rate risk was a net asset of $10,827 and a net liability of $6,554, respectively. In accordance with the Company’s risk management strategy, the purpose of the interest rate swaps is to manage interest rate risk for certain of the Company’s variable-rate debt. The interest rate swaps involve the Company’s receipt of variable-rate amounts from the counterparties in exchange for the Company making fixed-rate payments over the life of the agreements. The Company accounts for derivative instruments in accordance with the provisions of ASC Topic 815, “Derivatives and Hedging.” Refer to Note 4 – “Credit Facility, Notes Payable and Derivative Instruments” for additional details.

Other Liabilities

Other Liabilities

The other liabilities balance as of March 31, 2022 and December 31, 2021 was $7,090 and $7,709, respectively. The balance as of March 31, 2022 consisted of $3,179 for right of use liabilities and $3,911 of prepaid rent. The balance as of December 31, 2021 consisted of $4,479 for right of use liabilities and $3,230 of prepaid rent. Refer to Note 8 – “Leases” for additional details on right of use liabilities.

Goodwill

Goodwill

As of March 31, 2022 and December 31, 2021, the Company’s goodwill balance was $5,903. Goodwill represents the excess of consideration paid over the fair value of underlying identifiable net assets of businesses acquired. Goodwill has an indefinite life and is not amortized, but is tested for impairment on an annual basis, or more frequently if events or changes in circumstances indicate that the asset might be impaired. The Company’s policy is to perform its annual goodwill impairment evaluation as of the first day of the fourth quarter of its fiscal year. The Company has one reporting unit.  

Recent Accounting Pronouncements

Recent Accounting Pronouncements

Reference Rate Reform

Accounting Standards Update (“ASU”) 2020-04, Reference Rate Reform (Topic 848) (“ASU 2020-04”) contains practical expedients for reference rate reform-related activities that impact debt, leases, derivatives, and other contracts. The guidance in ASU 2020-04 is optional and may be elected over time as reference rate reform activities occur. As of March 31, 2022, the Company had elected to apply the hedge accounting expedients related to probability and the assessments of effectiveness for future LIBOR-indexed cash flows to assume that the index upon which future hedged transactions will be based matches the index on the corresponding derivatives. Application of these expedients preserves the presentation of derivatives consistent with past presentation. The Company continues to evaluate the impact of the guidance and may apply other elections as applicable as additional changes in the market occur.

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Summary of Significant Accounting Policies (Tables)

3 Months Ended

Mar. 31, 2022

Summary of Significant Accounting Policies

Schedule of cash and cash equivalents and restricted cash

	As of March 31,
	2022		2021
Cash and cash equivalents	$	1,854	$	5,304
Restricted cash		6,336		6,096
Total cash and cash equivalents and restricted cash	$	8,190	$	11,400

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Property Portfolio (Tables)

3 Months Ended

Mar. 31, 2022

Property Portfolio

Schedule of Properties Acquired

A rollforward of the gross investment in land, building, improvements, and acquired lease intangible assets as of March 31, 2022 resulting from these acquisitions is as follows:

					Site		Tenant		Acquired Lease		Gross Investment in
	Land		Building		Improvements		Improvements		Intangible Assets		Real Estate
Balances as of December 31, 2021	$	152,060	$	985,091	$	19,021	$	58,900	$	127,931	$	1,343,003
Facility Acquired – Date Acquired:
Gainesville – 2/4/22		555		3,899		76		199		575		5,304
Grand Rapids – 2/28/22		1,238		4,976		221		270		595		7,300
Sarasota – 3/29/22		747		3,703		84		331		1,263		6,128
Greenwood – 3/30/22		929		4,332		194		360		426		6,241
Capitalized costs(1)		—		86		—		94		—		180
Total Additions:		3,469		16,996		575		1,254		2,859		25,153
Balances as of March 31, 2022	$	155,529	$	1,002,087	$	19,596	$	60,154	$	130,790	$	1,368,156

⁽¹⁾   Represents capital projects that were completed and placed in service during the three months ended March 31, 2022 related to the Company’s existing facilities.

A rollforward of the gross investment in land, building, improvements, and acquired lease intangible assets as of December 31, 2021 resulting from these acquisitions is as follows:

						Site		Tenant		Acquired Lease		Gross Investment in
	Land		Building			Improvements		Improvements		Intangible Assets		Real Estate
Balances as of December 31, 2020	$	128,857	$	851,427		$	15,183	$	49,204	$	98,234	$	1,142,905
Facility Acquired – Date Acquired:
El Paso – 1/12/21		899		7,549			71		160		1,338		10,017
Syracuse – 1/15/21		616		4,745			128		136		772		6,397
West El Paso – 1/15/21		851		7,160			144		567		856		9,578
Fort Worth – 3/9/21		1,817		13,020			143		395		2,069		17,444
Port St. Lucie – 4/6/21		590		3,583			70		185		359		4,787
Cape Coral and Fort Myers – 4/13/21		5,623		20,155			480		1,132		4,311		31,701
Dallas – 4/16/21		3,101		2,593			63		469		493		6,719
East Grand Forks – 4/19/21		845		6,248			278		815		2,092		10,278
Coos Bay – 4/21/21		861		5,095			56		50		410		6,472
Caledonia – 6/2/21		582		2,669			66		96		497		3,910
Tallahassee – 6/2/21		782		6,720			137		387		1,218		9,244
Forsyth – 7/28/21		1,554		9,627			348		456		7,439		19,424
North Charleston – 7/29/21		927		4,248			106		801		1,098		7,180
Munster – 9/15/21		780		4,451			161		391		953		6,736
Hialeah – 9/30/21		—		9,633			264		716		1,231		11,844
Athens – 9/30/21		564		4,106			58		63		548		5,339
Lemoyne – 12/3/21		299		3,661			113		359		904		5,336
Athens 200 – 12/13/21		327		1,336			42		134		204		2,043
Mentor – 12/16/21		2,249		6,291			354		253		1,322		10,469
Oklahoma City – 12/20/21		727		5,839			261		495		1,583		8,905
Capitalized costs(1)		—		8,756	(2)		495		1,636		—		10,887
Total Additions:		23,994		137,485			3,838		9,696		29,697		204,710
Disposition of Prescott – 10/13/21		(791)		(3,821)			—		—		—		(4,612)
Balances as of December 31, 2021	$	152,060	$	985,091		$	19,021	$	58,900	$	127,931	$	1,343,003

(1) Represents capital projects that were completed and placed in service during the year ended December 31, 2021 related to the Company’s existing facilities.

(2) During the year ended December 31, 2021, the Company completed and funded a $6,814 expansion at its Oklahoma City facility that was acquired in April 2019 with Mercy Rehabilitation Hospital as the tenant.

Summary of Carrying amount of intangible assets and liabilities

The following is a summary of the carrying amount of lease intangible assets and liabilities as of the dates presented:

	As of March 31, 2022
			Accumulated
	Cost		Amortization		Net
Assets
In-place leases	$	71,683	$	(26,277)	$	45,406
Above market leases		23,577		(7,132)		16,445
Leasing costs		35,530		(11,317)		24,213
	$	130,790	$	(44,726)	$	86,064
Liability
Below market leases	$	12,401	$	(4,240)	$	8,161

	As of December 31, 2021
			Accumulated
	Cost		Amortization		Net
Assets
In-place leases	$	70,527	$	(23,638)	$	46,889
Above market leases		22,615		(6,407)		16,208
Leasing costs		34,789		(10,201)		24,588
	$	127,931	$	(40,246)	$	87,685
Liability
Below market leases	$	11,842	$	(3,714)	$	8,128

Summary of the acquired lease intangible amortization

	Three Months Ended
	March 31,
	2022		2021
Amortization expense related to in-place leases	$	2,639	$	2,090
Amortization expense related to leasing costs	$	1,116	$	894
Decrease in rental revenue related to above market leases	$	725	$	491
Increase in rental revenue related to below market leases	$	(526)	$	(431)

Schedule of net amortization acquired lease intangible assets and liabilities

As of March 31, 2022, scheduled future aggregate net amortization of the acquired lease intangible assets and liabilities for each year ended December 31 is listed below:

	Net Decrease		Net Increase
	in Revenue		in Expenses
2022 (nine months remaining)	$	(634)	$	11,264
2023		(882)		14,061
2024		(721)		11,952
2025		(1,110)		8,476
2026		(1,187)		6,891
Thereafter		(3,750)		16,975
Total	$	(8,284)	$	69,619

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Credit Facility, Notes Payable and Derivative Instruments (Tables)

3 Months Ended

Mar. 31, 2022

Notes Payable and Revolving Credit Facility

Schedule of Outstanding borrowings

As of March 31, 2022 and December 31, 2021, the Company had the following outstanding borrowings under the Credit Facility:

	March 31, 2022		December 31, 2021
Revolver	$	186,700	$	172,600
Term Loan		350,000		350,000
Less: Unamortized debt issuance costs		(7,570)		(8,033)
Credit Facility, net	$	529,130	$	514,567

Schedule of Aggregate balances of loans payable

	March 31, 2022		December 31, 2021
Notes payable	$	57,487	$	57,769
Unamortized debt issuance costs		(568)		(607)
Notes payable, net	$	56,919	$	57,162

Schedule of Comprehensive Income (Loss)

The table below details the components of the amounts presented on the accompanying Condensed Consolidated Statements of Comprehensive Income recognized on the Company’s interest rate swaps designated as cash flow hedges for the three months ended March 31, 2022 and 2021:

	Three Months Ended March 31,
	2022		2021
Amount of gain recognized in other comprehensive income	$	(15,878)	$	(2,082)
Amount of loss reclassified from accumulated other comprehensive income (loss) into interest expense		(1,515)		(1,549)
Total change in accumulated other comprehensive income (loss)	$	(17,393)	$	(3,631)

Rosedale Loan [Member]

Notes Payable and Revolving Credit Facility

Schedule of Maturities of Long-term Debt

As of March 31, 2022, scheduled principal payments due for each year ended December 31 were as follows:

2022 (nine months remaining)	$	281
2023		391
2024		405
2025		13,158
Total	$	14,235

Dumfries Loan [Member]

Notes Payable and Revolving Credit Facility

Schedule of Maturities of Long-term Debt

As of March 31, 2022, scheduled principal payments due for each year ended December 31 were as follows:

2022 (nine months remaining)	$	216
2023		302
2024		11,034
Total	$	11,552

Cantor Loan [Member]

Notes Payable and Revolving Credit Facility

Schedule of Maturities of Long-term Debt

As of March 31, 2022, scheduled principal payments due for each year ended December 31 were as follows:

2022 (nine months remaining)		332
2023		471
2024		492
2025		523
2026		551
Thereafter		29,331
Total	$	31,700

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Equity (Tables)

3 Months Ended

Mar. 31, 2022

Preferred Stock [Member]

Schedule of dividends payable

Preferred stock dividend activity for the three months ended March 31, 2022 is summarized in the following table:

		Applicable		Quarterly			Dividends
Date Announced	Record Date	Quarter	Payment Date	Dividend			per Share
December 10, 2021	January 15, 2022	Q4 2021	January 31, 2022	$	1,455		$	0.46875
March 11, 2022	April 15, 2022	Q1 2022	May 2, 2022	$	1,455	(1)	$	0.46875

⁽¹⁾ Two months of this amount, equal to $970, was accrued at March 31, 2022.

Common Stock [Member]

Schedule of dividends payable

Common stock dividend activity for the three months ended March 31, 2022 is summarized in the following table:

		Applicable		Dividend		Dividends
Date Announced	Record Date	Quarter	Payment Date	Amount(1)		per Share
December 10, 2021	December 27, 2021	Q4 2021	January 10, 2022	$	14,055	$	0.205
March 11, 2022	March 25, 2022	Q1 2022	April 8, 2022	$	14,611	$	0.21

⁽¹⁾ Includes distributions on outstanding LTIP Units and OP Units.

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Stock-Based Compensation (Tables)

3 Months Ended

Mar. 31, 2022

Stock-Based Compensation

Schedule of LTIP Unit Activity

		Number of
Date	Description	Units Issued	Vesting Dates
March 4, 2022	Final awards under the 2019 Long-Term Incentive Plan	163	50% on March 4, 2022; and
			50% on March 4, 2023
February 24, 2022	Final awards under the 2021 Annual Incentive Plan	91	50% on February 24, 2022; and
			50% on February 24, 2023
February 24, 2022	Time-based awards under the 2022 Long-Term Incentive Plan	75	100% on February 24, 2025

Schedule of time-based vesting LTIP unit activity

Vested units	1,837
Unvested units	670
LTIP Units outstanding as of March 31, 2022	2,507

Schedule of the annual awards and long-term awards

A detail of the Company’s Long-Term Awards under the 2020 and 2021 programs, and the Annual Awards and Long-Term Awards under the 2022 program as of March 31, 2022 is as follows:

2020 Long-Term Awards	68
2021 Long-Term Awards	74
2022 Annual Awards (1)	89
2022 Long-Term Awards (2)	106
Total target performance awards as of March 31, 2022	337

(1) Approved by the Board on February 24, 2022. The number of target LTIP Units was based on the average closing price of the Company’s common stock reported on the New York Stock Exchange (“NYSE”) over the 15 trading days preceding the grant date.  

(2) Approved by the Board on February 24, 2022. The number of target LTIP Units was based on the fair value of the Long-Term Awards as determined by an independent valuation consultant.

Schedule of of the assumptions for the long-term awards using Monte Carlo simulations

Below are details regarding certain of the assumptions for the Long-Term Awards using Monte Carlo simulations:

	2022 Long-Term			2021 Long-Term			2020 Long-Term
	Awards			Awards			Awards
Fair value	$	16.39		$	14.86		$	13.47
Target awards		106			76			70
Volatility		41.65	%		42.37	%		28.75	%
Risk-free rate		1.72	%		0.26	%		0.72	%
Dividend assumption		reinvested			reinvested			reinvested
Expected term in years		3			3			3

XML

Leases (Tables)

3 Months Ended

Mar. 31, 2022

Leases

Schedule of aggregate annual cash to be received by the company

The aggregate annual cash to be received by the Company on the noncancelable operating leases related to its portfolio as of March 31, 2022 is as follows for the subsequent years ended December 31:

2022 (nine months remaining)	$	81,327
2023		105,373
2024		96,043
2025		82,814
2026		75,110
Thereafter		364,217
Total	$	804,884

Schedule of aggregate cash payments to be made by the Company

The following table sets forth the undiscounted cash flows of our scheduled obligations for future lease payments on operating ground leases at March 31, 2022, and a reconciliation of those cash flows to the operating lease liability at March 31, 2022:

2022 (nine months remaining)	$	331
2023		206
2024		162
2025		163
2026		165
Thereafter		6,042
Total		7,069
Discount		(3,890)
Lease liability	$	3,179

XML

Organization (Details) - Global Medical REIT GP LLC [Member]	3 Months Ended
	Mar. 31, 2022
Operating Partnership	94.00%
Partnership interest	6.00%

XML

Summary of Significant Accounting Policies - Cash and Cash Equivalents (Details) - USD ($) $ in Thousands	Mar. 31, 2022	Dec. 31, 2021	Mar. 31, 2021	Dec. 31, 2020
Cash and Cash Equivalents [Abstract]
Cash and cash equivalents	$ 1,854	$ 7,213	$ 5,304
Restricted cash	6,336	5,546	6,096
Total cash and cash equivalents and restricted cash	$ 8,190	$ 12,759	$ 11,400	$ 10,753

XML

Summary of Significant Accounting Policies - Additional Information (Details) - USD ($) $ in Thousands	3 Months Ended	12 Months Ended
	Mar. 31, 2022	Dec. 31, 2021	Mar. 31, 2021
Tenant Receivables	$ 6,477	$ 6,070	$ 6,070
Receivables Earned But Not Received Relating To Tenant Rent	1,792	1,309
Loans receivable	1,152	1,158
Tenant reimbursements	3,533	3,603
Real estate held for sale	0	0
Reserve for leases	350	350
Escrow Deposit	7,697	5,957
Deferred Costs and Other Assets	26,714	25,417
Deferred Rent Receivables, Net	26,551	25,356
Other Deferred Costs, Net	163	61
Other Assets	6,345	6,232
Prepaid Expense and Other Assets	1,899	1,916
Capitalized preacquisition costs	494	257
Capitalized software costs	224	250
Operating Lease, Right-of-Use Asset	3,728	3,809
Prepaid rent	3,911	3,230
Derivative Liabilities	1,865	7,790
Other liabilities	7,090	7,709
Right of use liabilities	3,179	4,479
Goodwill	5,903	5,903
Derivative asset	12,692	1,236
Interest Rate Swap [Member]
Derivative Liabilities	6,554	6,554
Derivative asset	$ 10,827	$ 10,827

XML

Property Portfolio - Gross Investment (Details) - USD ($) $ in Thousands	3 Months Ended	12 Months Ended
	Mar. 31, 2022	Dec. 31, 2021
Property, Plant and Equipment [Line Items]
Beginning Balance	$ 1,343,003	$ 1,142,905
Acquisitions	25,153
Capitalized costs	180
Ending Balance	1,368,156	1,343,003
Greenwood [Member]
Property, Plant and Equipment [Line Items]
Acquisitions	6,241
Gainesville Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions	5,304
Clinton Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		10,887
West Allis Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		204,710
Grand Rapids Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions	7,300
Disposition of Prescott		(4,612)
El Paso Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		10,017
Syracuse Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		6,397
West El Paso Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		9,578
Fort Worth Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		17,444
Port St. Lucie Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		4,787
Cape Coral and Fort Myers Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		31,701
Dallas Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		6,719
East Grand Forks Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		10,278
Coos Bay Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		6,472
Caledonia Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		3,910
Tallahassee Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		9,244
Forsyth Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		19,424
North Charleston Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		7,180
Munster Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		6,736
Hialeah Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		11,844
Athens Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		5,339
Lemoyne Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		5,336
Athens 200 Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		2,043
Mentor Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		10,469
Oklahoma City Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		8,905
Tenant improvements		6,814
Sarasota Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions	6,128
Land [Member]
Property, Plant and Equipment [Line Items]
Beginning Balance	152,060	128,857
Acquisitions	3,469
Ending Balance	155,529	152,060
Land [Member] | Greenwood [Member]
Property, Plant and Equipment [Line Items]
Acquisitions	929
Land [Member] | Gainesville Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions	555
Land [Member] | West Allis Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		23,994
Land [Member] | Grand Rapids Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions	1,238
Disposition of Prescott		(791)
Land [Member] | El Paso Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		899
Land [Member] | Syracuse Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		616
Land [Member] | West El Paso Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		851
Land [Member] | Fort Worth Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		1,817
Land [Member] | Port St. Lucie Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		590
Land [Member] | Cape Coral and Fort Myers Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		5,623
Land [Member] | Dallas Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		3,101
Land [Member] | East Grand Forks Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		845
Land [Member] | Coos Bay Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		861
Land [Member] | Caledonia Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		582
Land [Member] | Tallahassee Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		782
Land [Member] | Forsyth Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		1,554
Land [Member] | North Charleston Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		927
Land [Member] | Munster Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		780
Land [Member] | Athens Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		564
Land [Member] | Lemoyne Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		299
Land [Member] | Athens 200 Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		327
Land [Member] | Mentor Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		2,249
Land [Member] | Oklahoma City Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		727
Land [Member] | Sarasota Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions	747
Buildings
Property, Plant and Equipment [Line Items]
Beginning Balance	985,091	851,427
Acquisitions	16,996
Capitalized costs	86
Ending Balance	1,002,087	985,091
Buildings | Greenwood [Member]
Property, Plant and Equipment [Line Items]
Acquisitions	4,332
Buildings | Gainesville Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions	3,899
Buildings | Clinton Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		8,756
Buildings | West Allis Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		137,485
Buildings | Grand Rapids Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions	4,976
Disposition of Prescott		(3,821)
Buildings | El Paso Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		7,549
Buildings | Syracuse Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		4,745
Buildings | West El Paso Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		7,160
Buildings | Fort Worth Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		13,020
Buildings | Port St. Lucie Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		3,583
Buildings | Cape Coral and Fort Myers Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		20,155
Buildings | Dallas Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		2,593
Buildings | East Grand Forks Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		6,248
Buildings | Coos Bay Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		5,095
Buildings | Caledonia Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		2,669
Buildings | Tallahassee Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		6,720
Buildings | Forsyth Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		9,627
Buildings | North Charleston Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		4,248
Buildings | Munster Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		4,451
Buildings | Hialeah Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		9,633
Buildings | Athens Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		4,106
Buildings | Lemoyne Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		3,661
Buildings | Athens 200 Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		1,336
Buildings | Mentor Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		6,291
Buildings | Oklahoma City Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		5,839
Buildings | Sarasota Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions	3,703
Site Improvements [Member]
Property, Plant and Equipment [Line Items]
Beginning Balance	19,021	15,183
Acquisitions	575
Ending Balance	19,596	19,021
Site Improvements [Member] | Greenwood [Member]
Property, Plant and Equipment [Line Items]
Acquisitions	194
Site Improvements [Member] | Gainesville Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions	76
Site Improvements [Member] | Clinton Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		495
Site Improvements [Member] | West Allis Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		3,838
Site Improvements [Member] | Grand Rapids Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions	221
Site Improvements [Member] | El Paso Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		71
Site Improvements [Member] | Syracuse Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		128
Site Improvements [Member] | West El Paso Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		144
Site Improvements [Member] | Fort Worth Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		143
Site Improvements [Member] | Port St. Lucie Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		70
Site Improvements [Member] | Cape Coral and Fort Myers Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		480
Site Improvements [Member] | Dallas Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		63
Site Improvements [Member] | East Grand Forks Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		278
Site Improvements [Member] | Coos Bay Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		56
Site Improvements [Member] | Caledonia Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		66
Site Improvements [Member] | Tallahassee Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		137
Site Improvements [Member] | Forsyth Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		348
Site Improvements [Member] | North Charleston Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		106
Site Improvements [Member] | Munster Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		161
Site Improvements [Member] | Hialeah Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		264
Site Improvements [Member] | Athens Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		58
Site Improvements [Member] | Lemoyne Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		113
Site Improvements [Member] | Athens 200 Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		42
Site Improvements [Member] | Mentor Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		354
Site Improvements [Member] | Oklahoma City Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		261
Site Improvements [Member] | Sarasota Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions	84
Tenant improvements [Member]
Property, Plant and Equipment [Line Items]
Beginning Balance	58,900	49,204
Acquisitions	1,254
Capitalized costs	94
Ending Balance	60,154	58,900
Tenant improvements [Member] | Greenwood [Member]
Property, Plant and Equipment [Line Items]
Acquisitions	360
Tenant improvements [Member] | Gainesville Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions	199
Tenant improvements [Member] | Clinton Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		1,636
Tenant improvements [Member] | West Allis Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		9,696
Tenant improvements [Member] | Grand Rapids Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions	270
Tenant improvements [Member] | El Paso Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		160
Tenant improvements [Member] | Syracuse Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		136
Tenant improvements [Member] | West El Paso Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		567
Tenant improvements [Member] | Fort Worth Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		395
Tenant improvements [Member] | Port St. Lucie Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		185
Tenant improvements [Member] | Cape Coral and Fort Myers Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		1,132
Tenant improvements [Member] | Dallas Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		469
Tenant improvements [Member] | East Grand Forks Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		815
Tenant improvements [Member] | Coos Bay Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		50
Tenant improvements [Member] | Caledonia Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		96
Tenant improvements [Member] | Tallahassee Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		387
Tenant improvements [Member] | Forsyth Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		456
Tenant improvements [Member] | North Charleston Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		801
Tenant improvements [Member] | Munster Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		391
Tenant improvements [Member] | Hialeah Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		716
Tenant improvements [Member] | Athens Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		63
Tenant improvements [Member] | Lemoyne Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		359
Tenant improvements [Member] | Athens 200 Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		134
Tenant improvements [Member] | Mentor Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		253
Tenant improvements [Member] | Oklahoma City Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		495
Tenant improvements [Member] | Sarasota Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions	331
Intangibles [Member]
Property, Plant and Equipment [Line Items]
Beginning Balance	127,931	98,234
Acquisitions	2,859
Ending Balance	130,790	127,931
Intangibles [Member] | Greenwood [Member]
Property, Plant and Equipment [Line Items]
Acquisitions	426
Intangibles [Member] | Gainesville Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions	575
Intangibles [Member] | West Allis Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		29,697
Intangibles [Member] | Grand Rapids Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions	595
Intangibles [Member] | El Paso Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		1,338
Intangibles [Member] | Syracuse Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		772
Intangibles [Member] | West El Paso Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		856
Intangibles [Member] | Fort Worth Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		2,069
Intangibles [Member] | Port St. Lucie Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		359
Intangibles [Member] | Cape Coral and Fort Myers Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		4,311
Intangibles [Member] | Dallas Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		493
Intangibles [Member] | East Grand Forks Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		2,092
Intangibles [Member] | Coos Bay Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		410
Intangibles [Member] | Caledonia Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		497
Intangibles [Member] | Tallahassee Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		1,218
Intangibles [Member] | Forsyth Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		7,439
Intangibles [Member] | North Charleston Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		1,098
Intangibles [Member] | Munster Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		953
Intangibles [Member] | Hialeah Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		1,231
Intangibles [Member] | Athens Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		548
Intangibles [Member] | Lemoyne Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		904
Intangibles [Member] | Athens 200 Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		204
Intangibles [Member] | Mentor Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		1,322
Intangibles [Member] | Oklahoma City Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		$ 1,583
Intangibles [Member] | Sarasota Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions	$ 1,263

XML

Property Portfolio - Summary of the carrying amount of intangible assets and liabilities (Details) - USD ($) $ in Thousands	Mar. 31, 2022	Dec. 31, 2021
Assets
Cost	$ 130,790	$ 127,931
Accumulated Amortization	(44,726)	(40,246)
Net	86,064	87,685
Liabilities
Cost	12,401	11,842
Accumulated Amortization	(4,240)	(3,714)
Net	8,161	8,128
In-place leases [Member]
Assets
Cost	71,683	70,527
Accumulated Amortization	(26,277)	(23,638)
Net	45,406	46,889
Above Market Lease intangibles [Member]
Assets
Cost	23,577	22,615
Accumulated Amortization	(7,132)	(6,407)
Net	16,445	16,208
Leasing Costs
Assets
Cost	35,530	34,789
Accumulated Amortization	(11,317)	(10,201)
Net	$ 24,213	$ 24,588

XML

Property Portfolio - Summary of the acquired lease intangible amortization (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2022	Mar. 31, 2021
In-place leases [Member]
Property, Plant and Equipment [Line Items]
Finite-Lived Intangible Assets, Accumulated Amortization	$ 2,639	$ 2,090
Leasing Costs
Property, Plant and Equipment [Line Items]
Finite-Lived Intangible Assets, Accumulated Amortization	1,116	894
Above Market Lease intangibles [Member]
Property, Plant and Equipment [Line Items]
Finite-Lived Intangible Assets, Accumulated Amortization	725	491
Below Market Lease Intangible [Member]
Property, Plant and Equipment [Line Items]
Finite-Lived Intangible Assets, Accumulated Amortization	$ 526	$ 431

XML

Property Portfolio - Net amortization of the acquired lease intangible (Details) $ in Thousands	Mar. 31, 2022 USD ($)
Net Decrease in Revenue
2022 (nine months remaining	$ (634)
2023	(882)
2024	(721)
2025	(1,110)
2026	(1,187)
Thereafter	3,750
Total	(8,284)
Net Increase in Expenses
2022 (nine months remaining)	11,264
2023	14,061
2024	11,952
2025	8,476
2026	6,891
Thereafter	16,975
Total	$ 69,619

XML

Property Portfolio - (Details) $ in Thousands		3 Months Ended		12 Months Ended
	Oct. 05, 2021 USD ($)	Mar. 31, 2022 USD ($) tenant item	Mar. 31, 2021 USD ($)	Dec. 31, 2021 USD ($) item
Property, Plant and Equipment [Line Items]
Number of Properties Acquired | item		4		20
Depreciation, Total		$ 9,402	$ 7,848
Tenant Improvement Allowances Receivable		27,892
Capital Lease Obligations, Noncurrent		24,112
Acquisitions		$ 25,153
Debt Instrument, Term		4 years 10 days		4 years 3 months 10 days
Number of tenants | tenant		201
Weighted average remaining term		40 years
Net book value of property being sold		$ 29,000
Gross proceeds from sale	$ 44,600
Lease Intangibles Asset [Member]
Property, Plant and Equipment [Line Items]
Finite-Lived Intangible Asset, Useful Life		4 years 8 months 12 days
Lease Intangibles Liability [Member]
Property, Plant and Equipment [Line Items]
Finite-Lived Intangible Asset, Useful Life		3 years 9 months 18 days
Land [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		$ 3,469
El Paso Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				$ 10,017
El Paso Facility [Member] | Land [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				899
Syracuse Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				6,397
Syracuse Facility [Member] | Land [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				616
West El Paso Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				9,578
West El Paso Facility [Member] | Land [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				851
Fort Worth Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				17,444
Fort Worth Facility [Member] | Land [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				1,817
Port St. Lucie Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				4,787
Port St. Lucie Facility [Member] | Land [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				590
Cape Coral and Fort Myers Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				31,701
Cape Coral and Fort Myers Facility [Member] | Land [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				5,623
Dallas Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				6,719
Dallas Facility [Member] | Land [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				3,101
East Grand Forks Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				10,278
East Grand Forks Facility [Member] | Land [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				845
Coos Bay Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				6,472
Coos Bay Facility [Member] | Land [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				861
Caledonia Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				3,910
Caledonia Facility [Member] | Land [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				582
Tallahassee Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				9,244
Tallahassee Facility [Member] | Land [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				782
Forsyth Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				19,424
Forsyth Facility [Member] | Land [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				1,554
North Charleston Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				7,180
North Charleston Facility [Member] | Land [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				927
Munster Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				6,736
Munster Facility [Member] | Land [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				780
Hialeah Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				11,844
Athens Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				5,339
Athens Facility [Member] | Land [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				564
Lemoyne Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				5,336
Lemoyne Facility [Member] | Land [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				299
Athens 200 Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				2,043
Athens 200 Facility [Member] | Land [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				327
Mentor Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				10,469
Mentor Facility [Member] | Land [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				2,249
Oklahoma City Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				8,905
Oklahoma City Facility [Member] | Land [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				727
Greenwood [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		6,241
Greenwood [Member] | Land [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		929
Clinton Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				10,887
West Allis Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				204,710
West Allis Facility [Member] | Land [Member]
Property, Plant and Equipment [Line Items]
Acquisitions				$ 23,994
Grand Rapids Facility [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		7,300
Grand Rapids Facility [Member] | Land [Member]
Property, Plant and Equipment [Line Items]
Acquisitions		$ 1,238

XML

Credit Facility, Notes Payable and Derivative Instruments - Schedule of outstanding borrowings under the Credit Facility (Details) - USD ($) $ in Thousands	Mar. 31, 2022	Dec. 31, 2021
Long-term Line of Credit	$ 529,130	$ 514,567
Revolving Credit Facility [Member]
Long-term Line of Credit	186,700	172,600
Term Loan [Member]
Long-term Line of Credit	350,000	350,000
Credit facility [Member]
Less: Unamortized deferred financing costs	$ (7,570)	$ (8,033)

XML

Credit Facility, Notes Payable and Derivative Instruments - Schedule of net of unamortized discount balances (Details) - USD ($) $ in Thousands	Mar. 31, 2022	Dec. 31, 2021
Credit Facility, Notes Payable and Derivative Instruments
Notes payable, gross	$ 57,487	$ 57,769
Less: Unamortized debt issuance costs	(568)	(607)
Notes payable, net	$ 56,919	$ 57,162

XML

Credit Facility, Notes Payable and Derivative Instruments - Scheduled Principal Payments Due On Cantor Loan Note Payable (Details) - USD ($) $ in Thousands	Mar. 31, 2022	Dec. 31, 2021	Mar. 31, 2021	Jul. 31, 2020	Apr. 27, 2020	Mar. 31, 2016
Rosedale Loan [Member]
Notes Payable and Revolving Credit Facility
2022 (nine months remaining)	$ 281
2023	391
2024	405
2026	13,158
Total	14,235	$ 14,330		$ 14,800
Dumfries Loan [Member]
Notes Payable and Revolving Credit Facility
2022 (nine months remaining)	216
2023	302
2024	11,034
Total	11,552	$ 11,624			$ 12,074
Cantor Loan [Member]
Notes Payable and Revolving Credit Facility
2022 (nine months remaining)	332
2023	471
2024	492
2025	523
2026	551
Thereafter	29,331
Total	$ 31,700		$ 31,815			$ 32,097

XML

Credit Facility, Notes Payable and Derivative Instruments - Schedule of interest rate swap agreement (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2022	Mar. 31, 2021
Credit Facility, Notes Payable and Derivative Instruments
Amount of gain recognized in other comprehensive income	$ (15,878)	$ (2,082)
Amount of loss reclassified from accumulated other comprehensive income (loss) into interest expense	(1,515)	(1,549)
Total other comprehensive loss	$ (17,393)	$ (3,631)

XML

Credit Facility, Notes Payable and Derivative Instruments (Details) $ in Thousands					3 Months Ended			12 Months Ended
	May 03, 2021 USD ($) item	Jul. 31, 2020 USD ($)	Apr. 27, 2020 USD ($)	Mar. 31, 2016 USD ($)	Mar. 31, 2022 USD ($) contract	Sep. 30, 2021 USD ($)	Mar. 31, 2021 USD ($)	Dec. 31, 2021 USD ($)
Notes Payable and Revolving Credit Facility
Amortization of financing costs					$ 39		$ 63
Other Operating Activities, Cash Flow Statement					14,100
Increase (Decrease) in Security Deposits					$ 76		27
Debt Instrument, Term					4 years 10 days			4 years 3 months 10 days
Note balance					$ 57,487			$ 57,769
Line Of Credit Cash Paid Other							74
Additional Interest Expense					388
Interest Expense, Total					$ 4,801	$ 4,801	5,037
Weighted average interest rate basis					2.91%			2.87%
Interest Rate Swap [Member]
Notes Payable and Revolving Credit Facility
Derivative, Notional Amount					$ 350,000
Number of interest rate swaps entered | contract					6
Derivative Instruments in Hedges, Liabilities, at Fair Value					$ 10,827			$ 6,554
Interest Rate Swap Agreement One [Member]
Notes Payable and Revolving Credit Facility
Derivative, Notional Amount					150,000
Interest Rate Swap Agreement Two [Member]
Notes Payable and Revolving Credit Facility
Derivative, Notional Amount					$ 200,000
Forward Starting Interest Rate Swaps [Member]
Notes Payable and Revolving Credit Facility
Number of interest rate swaps entered | contract					5
Credit Facility [Member]
Notes Payable and Revolving Credit Facility
Credit Facility maximum borrowing capacity	$ 750,000
Maximum consolidated leverage ratio under financial covenants	60
Maximum consolidated secured recourse leverage ratio under financial covenant	10.00%
Minimum fixed charge coverage ratio under financial covenants	1.50
Minimum unsecured interest coverage ratio under financial covenant	1.50
Maximum consolidated secured leverage ratio under financial covenants	30.00%
Maximum consolidated unsecured leverage ratio under financial covenants	60.00%
Percentage of net proceeds raised, covenant	75.00%
Other Operating Activities, Cash Flow Statement					$ 14,100			50,100
Repayments of Lines of Credit					0			151,800
Interest Expense, Total					3,852	$ 3,614
Minimum Net Worth Required for Compliance	$ 345,000
Revolving Credit Facility [Member]
Notes Payable and Revolving Credit Facility
Credit Facility maximum borrowing capacity	$ 400,000
Amortization of financing costs					349		463
Increase (Decrease) in Security Deposits					3,852
Debt instrument extensions | item	2
Extension option	6 months
Term Loan [Member]
Notes Payable and Revolving Credit Facility
Credit Facility maximum borrowing capacity	$ 350,000
Rosedale Loan [Member]
Notes Payable and Revolving Credit Facility
Long term debt		$ 14,800			$ 14,235			14,330
Debt Instrument, Interest Rate, Stated Percentage		3.85%
Debt Instrument, Maturity Date					Jul. 31, 2025
Interest expense					$ 137		141
Debt Instrument, Term		25 years
Principal payments made					95			91
Dumfries Loan [Member]
Notes Payable and Revolving Credit Facility
Long term debt			$ 12,074		$ 11,552			$ 11,624
Debt Instrument, Interest Rate, Stated Percentage			4.68%
Debt Instrument, Maturity Date					Jun. 01, 2024
Interest expense					$ 133		138
Debt Instrument, Term			10 years
Principal payments made					72		69
Cantor Loan [Member]
Notes Payable and Revolving Credit Facility
Long term debt				$ 32,097	31,700		31,815
Debt Instrument, Interest Rate, Stated Percentage				5.22%
Interest expense					415		419
Debt Instrument, Term				30 years
Principal payments made					$ 115		$ 0
The Term loan [Member] | Interest Rate Swap Agreement One [Member]
Notes Payable and Revolving Credit Facility
Debt Instrument, Basis Spread on Variable Rate					1.91%
The Term loan [Member] | Interest Rate Swap Agreement Two [Member]
Notes Payable and Revolving Credit Facility
Debt Instrument, Basis Spread on Variable Rate					1.61%
The Term loan [Member] | Interest Rate Swap Agreement Three [Member]
Notes Payable and Revolving Credit Facility
Debt Instrument, Basis Spread on Variable Rate					1.45%
Accordion [Member] | Credit Facility [Member]
Notes Payable and Revolving Credit Facility
Credit Facility maximum borrowing capacity	$ 500,000

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Equity - Summary of Preferred Stock Dividend Activity (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended
	Mar. 31, 2022	Dec. 31, 2021	Mar. 31, 2021
Dividend Amount	$ 15,823	$ 15,668
Common Stock [Member]
Dividend Amount	$ 70		$ 67
Preferred Stock [Member] | Dividend declared on December 10, 2021
Date Announced	Dec. 10, 2021
Record Date	Jan. 15, 2022
Payment Date	Jan. 31, 2022
Dividend Amount	$ 1,455
Dividends per Share	$ 0.46875
Preferred Stock [Member] | Dividend declared on March 11, 2022 [Member]
Date Announced	Mar. 11, 2022
Record Date	Apr. 15, 2022
Payment Date	May 02, 2022
Dividend Amount	$ 1,455
Dividends per Share	$ 0.46875
Common Stock [Member] | Dividend declared on December 10, 2021
Date Announced	Dec. 10, 2021
Record Date	Dec. 27, 2021
Payment Date	Jan. 10, 2022
Dividend Amount	$ 14,055
Dividends per Share	$ 0.205
Common Stock [Member] | Dividend declared on March 11, 2022 [Member]
Date Announced	Mar. 11, 2022
Record Date	Mar. 25, 2022
Payment Date	Apr. 08, 2022
Dividend Amount	$ 14,611
Dividends per Share	$ 0.21

XML

Equity - Additional Information (Details) - USD ($) $ / shares in Units, $ in Thousands	1 Months Ended	3 Months Ended		12 Months Ended
	Aug. 31, 2020	Mar. 31, 2022	Mar. 31, 2021	Dec. 31, 2021
Preferred Stock, Shares Authorized		10,000,000		10,000,000
Preferred Stock, Par or Stated Value Per Share		$ 0.001		$ 0.001
Preferred Stock, Shares Issued		3,105,000		3,105,000
Preferred Stock, Shares Outstanding		3,105,000		3,105,000
Dividend Accrued		$ 970
Common Stock, Shares Authorized		500,000,000		500,000,000
Common Stock, Par or Stated Value Per Share		$ 0.001		$ 0.001
Common Stock, Shares, Outstanding		65,400,000		64,880,000
Proceeds		$ 8,210	$ 144,312
Payments of Dividends, Total		1,455	1,455
Payment Of Dividends Common Stock Op And Ltip Units		14,526	11,315
Dividends Payable		$ 15,823		$ 15,668
Partners' Capital Account, Units, Treasury Units Purchased		35		62
Partners' Capital Account, Treasury Units, Purchased		$ 600		$ 919
Limited Partners' Capital Account, Units Issued		1,667,000		1,702,000
Limited Partners' Capital Account, Units Outstanding		1,667,000		1,702,000
Limited Partners' Capital Account		$ 8,480		$ 9,080
ATM
Authorized amount under sales agreement	$ 150,000	300,000
Proceeds	$ 8,210
Shares issued	480
Offering price (Dollars per share)	$ 17.38
Common Stock [Member]
Payments of Dividends, Total		471	742
Dividends Payable		$ 70	$ 67
Series A Preferred Stock [Member]
Preferred Stock, Shares Issued		3,105,000		3,105,000
Preferred Stock, Shares Outstanding		3,105,000		3,105,000
Preferred Stock, Dividend Rate, Percentage		7.50%
Preferred Stock, Liquidation Preference Per Share		$ 25.00		$ 25
Dividends Payable, Amount Per Share		$ 1.875
Long Term Incentives Plan Units Member
Dividends Payable		$ 242		$ 643

XML

Related Party Transactions (Details) - USD ($) $ in Thousands	Mar. 31, 2022	Dec. 31, 2021
Related Party Transactions
Due from related parties	$ 451	$ 163
Due to related party	$ 0	$ 0

XML

Stock-Based Compensation - TRIP Unit Activity (Details) - shares shares in Thousands			3 Months Ended
	Mar. 04, 2022	Feb. 24, 2022	Mar. 31, 2022
Long-Term Incentive Plan, 2019 [Member] | Long Term Incentives Plan Units [Member]
Number of units issued	163
Annual Incentive Plan 2021 [Member] | Long Term Incentives Plan Units [Member]
Number of units issued		91
Time-based awards under the 2022 Long-Term Incentive Plan [Member] | Long Term Incentives Plan Units [Member]
Number of units issued		75
Vesting percentage			100.00%
Share-based Compensation Award, Tranche One [Member] | Long-Term Awards [Member]
Vesting percentage			75.00%
Share-based Compensation Award, Tranche One [Member] | Long Term Incentives Plan Units [Member]
Vesting percentage			50.00%
Share-based Compensation Award, Tranche One [Member] | Long-Term Incentive Plan, 2019 [Member] | Long Term Incentives Plan Units [Member]
Vesting percentage			50.00%
Share-based Compensation Award, Tranche One [Member] | Annual Incentive Plan 2021 [Member] | Long Term Incentives Plan Units [Member]
Vesting percentage			50.00%
Share-based Compensation Award, Tranche Two [Member] | Long-Term Awards [Member]
Vesting percentage			25.00%
Share-based Compensation Award, Tranche Two [Member] | Long Term Incentives Plan Units [Member]
Vesting percentage			50.00%
Share-based Compensation Award, Tranche Two [Member] | Long-Term Incentive Plan, 2019 [Member] | Long Term Incentives Plan Units [Member]
Vesting percentage			50.00%
Share-based Compensation Award, Tranche Two [Member] | Annual Incentive Plan 2021 [Member] | Long Term Incentives Plan Units [Member]
Vesting percentage			50.00%

XML

Stock-Based Compensation - Vested and unvested LTIP units (Details) shares in Thousands	3 Months Ended
	Mar. 31, 2022 shares
Stock-Based Compensation
Vested units	1,837
Unvested units	670
LTIP Units outstanding as of March 31, 2022	2,507

XML

Stock-Based Compensation - Long-Term Awards (Details) shares in Thousands	Mar. 31, 2022 shares
Total target performance awards as of March 31, 2022	337
2020 Program [Member] | Long-Term Awards [Member]
Total target performance awards as of March 31, 2022	68	[1]
2022 program [Member] | Annual Awards [Member]
Total target performance awards as of March 31, 2022	89
2022 program [Member] | Long-Term Awards [Member]
Total target performance awards as of March 31, 2022	106
2021 Program [Member] | Long-Term Awards [Member]
Total target performance awards as of March 31, 2022	74	[1]

[1] 2020 Long-Term Awards

XML

Stock-Based Compensation - Assumptions Long-Term Awards (Details) - Long-Term Awards [Member] - $ / shares shares in Thousands	3 Months Ended	12 Months Ended
	Mar. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
2020 Program [Member]
Target awards			70
2019 Long-Term Awards
Expected term in years		3 years
2018 Long-Term Awards
Fair value			$ 13.47
Volatility			28.75%
Risk-free rate			0.72%
Dividend assumption			reinvested
Expected term in years			3 years
2022 program [Member]
Fair value	$ 16.39
Target awards	106
Volatility	41.65%
Risk-free rate	1.72%
Dividend assumption	reinvested
Expected term in years	3 years
2021 Program [Member]
Fair value		$ 14.86
Target awards		76
Volatility		42.37%
Risk-free rate		0.26%
Dividend assumption		reinvested

XML

Stock-Based Compensation (Details) - USD ($) $ in Thousands		3 Months Ended
	May 26, 2021	Mar. 31, 2022	Mar. 31, 2021
Expected dividend rate		0.00%
Stock-based compensation expense		$ 1,287	$ 1,715
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized		$ 7,800
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized, Period for Recognition		2 years 2 months 12 days
Long-Term Awards [Member]
Performance period		3 years
Share based compensation maximum percentage of target that may be earned		200.00%
Long Term Incentives Plan Units [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Non-Option Equity Instruments, Forfeitures		5
Share based compensation maximum percentage of target that may be earned		150.00%
Long Term Incentives Plan Units [Member] | 2016 Equity Incentive Plan [Member]
Additional shares authorized for issuance	1,500,000
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Available for Grant		1,469,000
Long Term Incentives Plan Units [Member] | Annual Award Agreements [Member]
Performance period		1 year
Share Based Compensation Estimated Percentage Of Performance Goals		100.00%
Share-based Compensation Award, Tranche One [Member] | Long-Term Awards [Member]
Vesting percentage		75.00%
Share-based Compensation Award, Tranche One [Member] | Long Term Incentives Plan Units [Member]
Vesting percentage		50.00%
Share-based Compensation Award, Tranche Two [Member] | Long-Term Awards [Member]
Vesting percentage		25.00%
Share-based Compensation Award, Tranche Two [Member] | Long Term Incentives Plan Units [Member]
Vesting percentage		50.00%

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Leases - Aggregate annual minimum cash to be received by the Company on the noncancelable operating leases (Details) $ in Thousands	Mar. 31, 2022 USD ($)
Leases
2022 (nine months remaining)	$ 81,327
2023	105,373
2024	96,043
2025	82,814
2026	75,110
Thereafter	364,217
Total	$ 804,884

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Leases - Scheduled obligations for future minimum payments on operating ground leases (Details) $ in Thousands	Mar. 31, 2022 USD ($)
Leases
2022 (nine months remaining)	$ 331
2023	206
2024	162
2025	163
2026	165
Thereafter	6,042
Total	7,069
Discount	(3,890)
Lease liability	$ 3,179

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Leases - Additional Information (Details) $ in Thousands	3 Months Ended
	Mar. 31, 2022 USD ($) property tenant building	Mar. 31, 2021 USD ($)
Leases
Operating Lease Average Remaining Lease Term	10 years
Variable revenue	$ 1,947	$ 1,374
Rental revenue	$ 31,852	27,325
Weighted average remaining term	40 years
Weighted average discount rate	7.50%
Lease Expense	$ 55	36
Paid in cash	$ 28	$ 30
Buildings located on land that is subject to operating ground leases | building	7
Number of tenants | tenant	201
Number of facilities leased | property	109
Concentration Risk, Customer	During this period there were no tenants with rental revenue that exceeded 10% of the Company’s rental revenue.