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Real Estate and Lending Activities - Disposals - Additional Information (Detail)
$ in Thousands, € in Millions
3 Months Ended 6 Months Ended 9 Months Ended
Aug. 31, 2018
USD ($)
Hospital
Aug. 31, 2018
EUR (€)
Hospital
Jun. 04, 2018
USD ($)
Hospital
Mar. 01, 2018
USD ($)
Mar. 31, 2017
USD ($)
Sep. 30, 2018
USD ($)
Jun. 30, 2018
Hospital
Sep. 30, 2018
USD ($)
Sep. 30, 2017
USD ($)
Dec. 31, 2017
USD ($)
Debt Instrument [Line Items]                    
Proceeds from sale of facilities         $ 64,000          
Gain on real estate dispositions         7,400          
Gain offset by non-cash charges         $ 600          
Loans, Balance           $ 1,910,522   $ 1,910,522   $ 1,928,525
Net proceeds from sale of real estate               1,513,666 $ 64,362  
Working Capital Loans [Member]                    
Debt Instrument [Line Items]                    
Loans, Balance           365,077   365,077   31,761
Mortgage Loans [Member]                    
Debt Instrument [Line Items]                    
Loans, Balance           1,428,069   1,428,069   $ 1,778,316
Houston, Texas [Member] | Steward Health Care System LLC [Member] | St. Joseph Medical Center [Member]                    
Debt Instrument [Line Items]                    
Gain on real estate dispositions       $ 1,500            
Gain offset by non-cash charges       1,700            
Net proceeds from sale of real estate       $ 148,000            
Houston, Texas [Member] | North Cypress [Member]                    
Debt Instrument [Line Items]                    
Proceeds from sale of facilities $ 148,000                  
Gain on real estate dispositions 102,400                  
Gain offset by non-cash charges $ 2,500                  
General Acute Care Hospital and Healthcare System [Member] | Houston, Texas [Member] | North Cypress [Member]                    
Debt Instrument [Line Items]                    
Number of properties sold | Hospital 1 1                
Germany [Member] | Acute Care Hospital [Member]                    
Debt Instrument [Line Items]                    
Gain on real estate dispositions           $ 695,200   $ 719,400    
California, Texas, and Oregon [Member] | Vibra Healthcare, LLC [Member]                    
Debt Instrument [Line Items]                    
Proceeds from sale of facilities     $ 53,300              
Gain on real estate dispositions     24,200              
Gain offset by non-cash charges     5,100              
California, Texas, and Oregon [Member] | Vibra Healthcare, LLC [Member] | Working Capital Loans [Member]                    
Debt Instrument [Line Items]                    
Loans, Balance     1,500              
California, Texas, and Oregon [Member] | Vibra Healthcare, LLC [Member] | Mortgage Loans [Member]                    
Debt Instrument [Line Items]                    
Loans, Balance     $ 18,300              
California, Texas, and Oregon [Member] | Long-term Acute Care Hospital [Member] | Vibra Healthcare, LLC [Member]                    
Debt Instrument [Line Items]                    
Number of properties sold | Hospital     3              
Primotop Holdings S.a.r.l. [Member] | Germany [Member] | Acute Care Hospital [Member]                    
Debt Instrument [Line Items]                    
Number of properties sold | Hospital 71 71         71      
Proceeds from sale of facilities | €   € 1,635                
Gain on real estate dispositions $ 500