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Subsequent Events - Narrative (Details) - Subsequent Event - USD ($)
Oct. 31, 2019
Oct. 15, 2019
Oct. 23, 2019
Term Loan      
Subsequent Event [Line Items]      
Debt instrument, face amount     $ 47,000,000.0
Interest rate (as a percent)     6.00%
Foundation El Paso Surgical Hospital, El Paso, Texas | Disposal Group, Disposed of by Sale, Not Discontinued Operations      
Subsequent Event [Line Items]      
Proceeds from divestiture of businesses $ 32,000,000.0    
Notes receivable, face amount $ 27,600,000    
Receivable rate 8.00%    
Interest rate, after thirteen months (as a percent) 10.00%    
Term of receivable 2 years    
Medcore Realty Eden Hill, LLC      
Subsequent Event [Line Items]      
Ownership in joint venture 49.00%    
Payments to acquire interest in joint venture $ 8,900,000    
Medical Office Facility Manchester, Connecticut      
Subsequent Event [Line Items]      
Payments to acquire productive assets   $ 11,300,000