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Transactions with Affiliates - Narrative (Details) - USD ($)
1 Months Ended 12 Months Ended
Jun. 30, 2018
Jul. 31, 2018
May 31, 2018
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Related Party Transaction [Line Items]            
Management fee, percent of net asset value       1.25%    
Management fee, amount       $ 1,000,000    
Proceeds from sale of equity method investments       142,270,000 $ 0 $ 0
Gain on sale of real estate       167,231,000 137,370,000 73,616,000
Due to affiliates—contingent consideration for Internalization       0 23,534,000  
Contingent consideration            
Related Party Transaction [Line Items]            
Due to affiliates—contingent consideration for Internalization         20,650,000  
American Healthcare Investors, LLC | Management and Advisory Fees            
Related Party Transaction [Line Items]            
Property management and sub-advisory fees       $ 4,100,000 4,800,000  
Minimum | Healthcare Strategic Partnership            
Related Party Transaction [Line Items]            
Incentive fee percentage       20.00%    
Maximum | Healthcare Strategic Partnership            
Related Party Transaction [Line Items]            
Incentive fee percentage       25.00%    
NorthStar Healthcare | Revolving Credit Facility | Line of Credit | Affiliated Entity            
Related Party Transaction [Line Items]            
Maximum principal amount of credit facility       $ 35,000,000.0    
Extension option, term       6 months    
Outstanding advances       $ 0 0  
Colony Credit | Affiliated Entity            
Related Party Transaction [Line Items]            
Proceeds from sale of equity method investments     $ 89,100,000      
Proceeds from sale of real estate   $ 121,500,000        
Gain on sale of real estate   $ 28,600,000        
LIBOR | NorthStar Healthcare | Revolving Credit Facility | Line of Credit | Affiliated Entity            
Related Party Transaction [Line Items]            
Basis spread on variable rate, percent       3.50%    
Redeemable noncontrolling interests | Investment Vehicles | Affiliated Entity            
Related Party Transaction [Line Items]            
Investments       $ 5,700,000 4,800,000  
Net income attributable to noncontrolling interest       400,000    
Senior Management | Contingent consideration            
Related Party Transaction [Line Items]            
Due to affiliates—contingent consideration for Internalization       0 20,650,000  
Common Stock And OP Units | Senior Management | Affiliated Entity | Contingent consideration            
Related Party Transaction [Line Items]            
Transfer out of liabilities into equity $ 12,500,000          
Cost reimbursements | Corporate Aircraft Use Reimbursement            
Related Party Transaction [Line Items]            
Revenue from contract with customer       700,000 1,900,000 900,000
Cost reimbursements | Affiliated Entity            
Related Party Transaction [Line Items]            
Revenue from contract with customer       34,695,000 $ 25,630,000 $ 4,296,000
Contingent consideration | Level 3 | Recurring            
Related Party Transaction [Line Items]            
Transfer out of liabilities into equity       12,539,000    
Transfers out of Level 3       $ 6,381,000    
Contingent consideration | Level 3 | Recurring | Senior Management | Contingent consideration            
Related Party Transaction [Line Items]            
Transfers out of Level 3 $ 6,400,000