Real Estate Transactions - Impairments of Real Estate (Details) $ in Thousands	3 Months Ended
Mar. 31, 2019 USD ($) property	Mar. 31, 2018 USD ($)
Real Estate [Line Items]
Impairments (recoveries), net	$ 8,858	$ (3,298)
Medical office
Real Estate [Line Items]
Number Of real estate properties impaired (in properties) \| property	2
Impairments (recoveries), net	$ 9,000

Amount of write-down of assets recognized in the income statement. Includes, but is not limited to, losses from tangible assets, intangible assets and goodwill.

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 230
-SubTopic 10
-Section 45
-Paragraph 28
-Subparagraph (b)
-URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3602-108585

Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 360
-SubTopic 10
-Section 45
-Paragraph 4
-URI http://asc.fasb.org/extlink&oid=109226348&loc=d3e2420-110228

Name:	us-gaap_AssetImpairmentCharges
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	debit
Period Type:	duration