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Other Real Estate Property Investments - Narrative (Details)
$ in Thousands
1 Months Ended 2 Months Ended 3 Months Ended 5 Months Ended 12 Months Ended
Dec. 31, 2018
USD ($)
property
Nov. 30, 2018
property
joint_venture
Aug. 31, 2018
USD ($)
property
Feb. 14, 2019
USD ($)
Dec. 31, 2018
USD ($)
joint_venture
Dec. 31, 2018
USD ($)
Dec. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Real Estate [Line Items]                  
Payments to acquire real estate             $ 21,000    
Deposit, nonrefundable $ 15,000                
Gain on consolidation         $ 50,000   9,154 $ 0 $ 0
Net real estate 10,209,450       10,209,450 $ 10,209,450 10,209,450 $ 10,731,878  
MSREI MOB JV                  
Real Estate [Line Items]                  
Ownership percentage (as a percent)     51.00%     51.00%      
Proceeds from contributions from affiliates     $ 298,000            
Number of properties may be contributed in the agreement | property     9            
Contribution of property     $ 320,000            
Number of properties acquired | property     16            
Noncontrolling interest in variable interest entity $ 298,000       298,000 $ 298,000 298,000    
Life Science JVs                  
Real Estate [Line Items]                  
Number of properties acquired | property 2 4              
Payments to acquire real estate $ 245,000       $ 92,000        
Number of joint ventures | joint_venture   3     3        
Investment ownership percentage   100.00%              
Greenville Portfolio | MSREI MOB JV                  
Real Estate [Line Items]                  
Payments to acquire real estate     $ 285,000            
Term of operating leases     10 years            
Net real estate $ 276,000       $ 276,000 $ 276,000 276,000    
Finite-lived intangible assets acquired             $ 20,000    
Life science | Subsequent Event | Life Science facility                  
Real Estate [Line Items]                  
Payments to acquire real estate       $ 71,000          
Life science | Subsequent Event | Land                  
Real Estate [Line Items]                  
Payments to acquire real estate       $ 27,000