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Real Estate Properties - MOB Acquisitions Narrative (Details)
$ in Thousands
1 Months Ended 12 Months Ended
Jul. 12, 2017
USD ($)
ft²
building
Jan. 17, 2017
USD ($)
ft²
building
property
Jan. 31, 2018
USD ($)
ft²
living_unit
building
Dec. 31, 2017
USD ($)
ft²
building
property
Nov. 30, 2017
USD ($)
ft²
building
property
Oct. 31, 2017
USD ($)
ft²
building
property
Oct. 31, 2016
USD ($)
ft²
building
property
May 31, 2016
USD ($)
ft²
building
property
Feb. 29, 2016
USD ($)
ft²
building
property
Jan. 31, 2015
USD ($)
ft²
living_unit
building
Dec. 31, 2017
USD ($)
ft²
property
Dec. 31, 2016
USD ($)
ft²
property
Dec. 31, 2015
USD ($)
ft²
property
Real Estate [Line Items]                          
Assumption of mortgage notes payable                     $ 0 $ 0 $ 181,433
Minnesota | MOBs                          
Real Estate [Line Items]                          
Number of properties acquired or agreed to be acquired | property                 1        
Number of buildings acquired | building                 3        
Area of real estate properties (in square feet) | ft²                 128,000        
Acquired lease amortization period                 6 years 4 months 24 days        
Below market, acquired lease amortization period                 7 years 3 months 18 days        
Purchase price excluding closing costs and working capital adjustments                 $ 22,700        
Florida | MOBs                          
Real Estate [Line Items]                          
Number of properties acquired or agreed to be acquired | property               1          
Number of buildings acquired | building               1          
Area of real estate properties (in square feet) | ft²               166,000          
Cash paid plus assumed debt               $ 45,000          
Ohio | MOBs                          
Real Estate [Line Items]                          
Number of properties acquired or agreed to be acquired | property             1            
Number of buildings acquired | building             1            
Area of real estate properties (in square feet) | ft²             96,000            
Acquired lease amortization period             14 years 1 month 6 days            
Purchase price excluding closing costs and working capital adjustments             $ 18,500            
Acquisitions | MOBs                          
Real Estate [Line Items]                          
Number of properties acquired or agreed to be acquired                   23 6 3 23
Number of buildings acquired | building                   23      
Area of real estate properties (in square feet) | ft²       630,000           2,170,000 630,000 390,000 2,170,000
Purchase price excluding closing costs and working capital adjustments                   $ 539,000      
Cash paid plus assumed debt                     $ 113,168 $ 86,432 $ 531,623
Assumption of mortgage notes payable                   $ 29,955 $ 0 $ 0 $ 29,955
Weighted average interest rate on debt (as a percent)                   4.73%      
Net closing adjustments                   $ 7,377      
Acquisitions | MOBs | Weighted Average                          
Real Estate [Line Items]                          
Below market, acquired lease amortization period                   11 years 2 months 12 days      
Acquisitions | Kansas | MOBs                          
Real Estate [Line Items]                          
Number of properties acquired or agreed to be acquired | property   1                 1    
Number of buildings acquired | building   1                      
Area of real estate properties (in square feet) | ft²   117,000   117,000             117,000    
Purchase price, including closing costs   $ 15,106                      
Acquisition costs incurred   $ 35                      
Acquired lease amortization period   10 years 3 months 18 days                      
Cash paid plus assumed debt                     $ 15,106    
Assumption of mortgage notes payable                     $ 0    
Acquisitions | Maryland | MOBs                          
Real Estate [Line Items]                          
Number of properties acquired or agreed to be acquired | property         1           1    
Number of buildings acquired | building 1                        
Area of real estate properties (in square feet) | ft² 59,000     59,000             59,000    
Purchase price, including closing costs $ 16,601                        
Acquisition costs incurred $ 383                        
Acquired lease amortization period 3 years 9 months 18 days                        
Cash paid plus assumed debt                     $ 16,601    
Assumption of mortgage notes payable                     $ 0    
Acquisitions | Minnesota and North Carolina | MOBs                          
Real Estate [Line Items]                          
Number of properties acquired or agreed to be acquired | property           2              
Number of buildings acquired | building           2              
Area of real estate properties (in square feet) | ft²           255,000              
Purchase price, including closing costs           $ 38,794              
Acquisition costs incurred           $ 283              
Acquired lease amortization period           2 years 7 months 6 days              
Acquisitions | California | MOBs                          
Real Estate [Line Items]                          
Number of properties acquired or agreed to be acquired | property         1           1    
Number of buildings acquired | building         1                
Area of real estate properties (in square feet) | ft²       63,000 63,000           63,000    
Purchase price, including closing costs         $ 26,823                
Acquisition costs incurred         $ 323                
Acquired lease amortization period         8 years 8 months 18 days                
Cash paid plus assumed debt                     $ 26,823    
Assumption of mortgage notes payable                     $ 0    
Acquisitions | Virginia | MOBs                          
Real Estate [Line Items]                          
Number of properties acquired or agreed to be acquired | property       1             1    
Number of buildings acquired | building       1                  
Area of real estate properties (in square feet) | ft²       136,000             136,000    
Purchase price, including closing costs       $ 15,844                  
Acquisition costs incurred       $ 275                  
Below market, acquired lease amortization period       6 years 9 months 18 days                  
Cash paid plus assumed debt                     $ 15,844    
Assumption of mortgage notes payable                     $ 0    
Acquisitions | Minnesota | MOBs                          
Real Estate [Line Items]                          
Number of properties acquired or agreed to be acquired | property                       1  
Area of real estate properties (in square feet) | ft²                       128,000  
Cash paid plus assumed debt                       $ 22,700  
Assumption of mortgage notes payable                       $ 0  
Acquisitions | Florida | MOBs                          
Real Estate [Line Items]                          
Number of properties acquired or agreed to be acquired | property                       1  
Area of real estate properties (in square feet) | ft²                       166,000  
Cash paid plus assumed debt                       $ 45,232  
Assumption of mortgage notes payable                       $ 0  
Acquisitions | Ohio | MOBs                          
Real Estate [Line Items]                          
Number of properties acquired or agreed to be acquired | property                       1  
Area of real estate properties (in square feet) | ft²                       96,000  
Cash paid plus assumed debt                       $ 18,500  
Assumption of mortgage notes payable                       $ 0  
Above market leases | Acquisitions | MOBs | Weighted Average                          
Real Estate [Line Items]                          
Acquired lease amortization period                   9 years 6 months      
Above market leases | Acquisitions | Virginia | MOBs                          
Real Estate [Line Items]                          
Acquired lease amortization period       6 years 1 month 6 days                  
Original value lease | Acquisitions | MOBs | Weighted Average                          
Real Estate [Line Items]                          
Acquired lease amortization period                   9 years 8 months 12 days      
Original value lease | Acquisitions | Virginia | MOBs                          
Real Estate [Line Items]                          
Acquired lease amortization period       7 years 2 months 12 days                  
Subsequent Event | Acquisitions | Kansas, Missouri and California | MOBs                          
Real Estate [Line Items]                          
Number of properties acquired or agreed to be acquired | living_unit     3                    
Number of buildings acquired | building     3                    
Area of real estate properties (in square feet) | ft²     400,000                    
Purchase price excluding closing costs and working capital adjustments     $ 91,154