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Real Estate Properties - Narrative (Details)
$ in Thousands
1 Months Ended 3 Months Ended
May 09, 2019
USD ($)
community
Mar. 31, 2019
USD ($)
state
building
property
Mar. 31, 2019
USD ($)
ft²
state
building
community
property
Mar. 31, 2018
USD ($)
Real Estate Properties        
Impairment of assets     $ 6,206 $ 0
Skilled Nursing Facility        
Real Estate Properties        
Impairment of assets     $ 6,206  
Number of properties acquired | property     15  
Discontinued Operations, Held-for-sale        
Real Estate Properties        
Number of real estate properties | building   467 467  
Number of real estate properties held for sale | property   30 30  
Number of states in which properties are located | state   42 42  
Discontinued Operations, Held-for-sale | MOBs        
Real Estate Properties        
Number of communities sold | community     10  
Aggregate purchase price     $ 15,609  
Amount under agreement to sell   $ 17,347 $ 17,347  
Discontinued Operations, Held-for-sale | Skilled Nursing Facility        
Real Estate Properties        
Number of communities sold | community     20  
Aggregate purchase price     $ 40,500  
Amount under agreement to sell   $ 44,342 $ 44,342  
Disposal Group, Disposed of by Sale, Not Discontinued Operations        
Real Estate Properties        
Number of real estate properties | building   2 2  
Aggregate purchase price     $ 2,975  
Disposal Group, Disposed of by Sale, Not Discontinued Operations | MOBs        
Real Estate Properties        
Number of communities sold | community     2  
Square footage of real estate property | ft²     64,796  
Aggregate purchase price     $ 2,975  
Rental income     $ 123  
Joint Venture        
Real Estate Properties        
Number of buildings | building   2 2  
Ownership percentage   55.00% 55.00%  
Joint Venture | MOBs        
Real Estate Properties        
Number of real estate properties held for sale | property   1 1  
California | Disposal Group, Disposed of by Sale, Not Discontinued Operations | Skilled Nursing Facility        
Real Estate Properties        
Number of communities sold | community     3  
Aggregate purchase price     $ 21,500  
Massachusetts | Disposal Group, Disposed of by Sale, Not Discontinued Operations | MOBs        
Real Estate Properties        
Number of real estate properties | building   1 1  
Aggregate purchase price   $ 75    
Subsequent Event | Massachusetts | Discontinued Operations, Held-for-sale | MOBs        
Real Estate Properties        
Number of communities sold | community 3      
Aggregate purchase price $ 4,955