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Acquisitions and Dispositions - Investment Activity (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2017
Mar. 28, 2017
Mar. 07, 2017
Feb. 27, 2017
Feb. 14, 2017
Jan. 30, 2017
Jan. 11, 2017
Jan. 05, 2017
Mar. 31, 2017
Sep. 30, 2016
Mar. 31, 2016
Business Acquisition [Line Items]                      
Purchase price                 $ 248,300 $ 248,328  
Acquisition expenses                 5,405   $ 3,377
Debt assumed $ (26,379)               (26,379)    
Tinseltown - Loan Draw                      
Business Acquisition [Line Items]                      
Purchase price                 516    
Mortgage loans on real estate, new mortgage loans                 12,600    
Hazelwood Mezzanine Loan - Amendment                      
Business Acquisition [Line Items]                      
Purchase price                 1,763    
Mortgage loans on real estate, new mortgage loans                 5,100    
Orthopedic Associates                      
Business Acquisition [Line Items]                      
Purchase price               $ 18,750      
Medical Arts Center at Hartford                      
Business Acquisition [Line Items]                      
Purchase price             $ 30,250        
Noncontrolling Interest Buyout - New Albany                      
Business Acquisition [Line Items]                      
Purchase price           $ 2,824          
CareMount - Lake Katrine MOB                      
Business Acquisition [Line Items]                      
Purchase price         $ 41,791            
CareMount - Rhinebeck MOB                      
Business Acquisition [Line Items]                      
Purchase price         $ 18,639            
Syracuse Condos                      
Business Acquisition [Line Items]                      
Purchase price       $ 2,659              
Monterey Medical Center MOB                      
Business Acquisition [Line Items]                      
Purchase price     $ 18,979                
Creighton University Medical Center                      
Business Acquisition [Line Items]                      
Purchase price   $ 33,529                  
Transaction costs 100               100    
Strictly Pediatrics Specialty Center                      
Business Acquisition [Line Items]                      
Purchase price $ 78,628                    
Joint venture, Operating Partnership and Medical Center of New Albany I, LLC                      
Business Acquisition [Line Items]                      
Payments to acquire businesses, gross           $ 2,100          
Number of units issued for funding purchase price           38,641          
Supplemental disclosure of noncash activity - issuance of OP Units and Series A Preferred Units in connection with acquisitions           $ 2,800          
Units | Strictly Pediatrics Specialty Center                      
Business Acquisition [Line Items]                      
Number of units issued for funding purchase price 2,247,817                    
Supplemental disclosure of noncash activity - issuance of OP Units and Series A Preferred Units in connection with acquisitions $ 44,300               $ 44,300