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Basis of Presentation (Details)
$ in Thousands
6 Months Ended
Jun. 30, 2019
USD ($)
building
property
Dec. 31, 2018
USD ($)
Basis Of Presentation [Line Items]    
Variable interest entity, consolidated, carrying amount, assets $ 1,036,537 $ 1,061,593
Variable interest entity, consolidated, carrying amount, liabilities $ (707,579) $ (714,226)
Joint Venture    
Basis Of Presentation [Line Items]    
Noncontrolling interest, ownership percentage by parent 45.00%  
Ownership percentage 55.00%  
Massachusetts | MOBs | Joint Venture    
Basis Of Presentation [Line Items]    
Number of properties included in joint venture agreement | property 1  
Number of buildings included in joint venture agreement | building 2