Schedule III - Real Estate Investments and Accumulated Depreciation (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023		Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial costs, land	$ 1,805,286
Initial costs, buildings	9,493,186
Additions subsequent to acquisition, Improvements	514,703
Land at cost	1,806,765
Buildings at cost	10,006,410
Total at cost	11,813,175	[1]	$ 12,300,524	$ 13,628,749	$ 10,749,707
Accumulated Depreciation	$ 1,227,619		1,008,340
Princes Risborough, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 4,662
Land at cost	4,662
Total at cost	4,662
Encumbrances	$ 0
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1981 [Member] | Ashtead, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 37,762
Initial costs, buildings	70,798
Land at cost	37,762
Buildings at cost	70,798
Total at cost	108,560
Accumulated Depreciation	8,016
Encumbrances	$ 0
Date of Construction	1981
Date Acquired	Aug. 16, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1981 [Member] | Beckenham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 5,462
Initial costs, buildings	20,948
Land at cost	5,462
Buildings at cost	20,948
Total at cost	26,410
Accumulated Depreciation	2,108
Encumbrances	$ 0
Date of Construction	1981
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1981 [Member] | Cheadle, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 30,936
Initial costs, buildings	162,963
Land at cost	30,936
Buildings at cost	162,963
Total at cost	193,899
Accumulated Depreciation	16,398
Encumbrances	$ 0
Date of Construction	1981
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1981 [Member] | Croydon, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 9,943
Initial costs, buildings	41,706
Land at cost	9,943
Buildings at cost	41,706
Total at cost	51,649
Accumulated Depreciation	4,225
Encumbrances	$ 0
Date of Construction	1981
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1981 [Member] | Dorchester, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 539
Initial costs, buildings	31,341
Land at cost	539
Buildings at cost	31,341
Total at cost	31,880
Accumulated Depreciation	3,149
Encumbrances	$ 0
Date of Construction	1981
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1981 [Member] | Euxton, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 4,617
Initial costs, buildings	35,560
Land at cost	4,617
Buildings at cost	35,560
Total at cost	40,177
Accumulated Depreciation	4,145
Encumbrances	$ 0
Date of Construction	1981
Date Acquired	Aug. 16, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1981 [Member] | Great Missenden, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 11,770
Initial costs, buildings	105,167
Land at cost	11,770
Buildings at cost	105,167
Total at cost	116,937
Accumulated Depreciation	10,600
Encumbrances	$ 0
Date of Construction	1981
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1981 [Member] | Torquay, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,981
Initial costs, buildings	35,743
Land at cost	38,724
Buildings at cost	35,743
Total at cost	2,981
Accumulated Depreciation	3,993
Encumbrances	$ 0
Date of Construction	1981
Date Acquired	Aug. 16, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
2008 [Member] | Arnold, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 477
Initial costs, buildings	9,916
Land at cost	477
Buildings at cost	9,916
Total at cost	10,393
Accumulated Depreciation	680
Encumbrances	$ 0
Date of Construction	2008
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2008 [Member] | Bath, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,509
Initial costs, buildings	31,277
Land at cost	1,509
Buildings at cost	31,277
Total at cost	32,786
Accumulated Depreciation	7,428
Encumbrances	$ 0
Date of Construction	2008
Date Acquired	Jul. 01, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2008 [Member] | Boardman, OH [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Long term acute care hospital
Initial costs, land	$ 79
Initial costs, buildings	275
Land at cost	79
Buildings at cost	275
Total at cost	354
Accumulated Depreciation	34
Encumbrances	$ 0
Date of Construction	2008
Date Acquired	Aug. 30, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
2008 [Member] | Boise, ID [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Long term acute care hospital
Initial costs, land	$ 1,558
Initial costs, buildings	11,027
Land at cost	1,558
Buildings at cost	11,027
Total at cost	12,585
Accumulated Depreciation	1,325
Encumbrances	$ 0
Date of Construction	2008
Date Acquired	Feb. 29, 2012
Life on which depreciation in latest income statements is computed (Years)	50 years
2008 [Member] | Crown Point, IN [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Long term acute care hospital
Initial costs, land	$ 302
Initial costs, buildings	528
Land at cost	302
Buildings at cost	528
Total at cost	830
Accumulated Depreciation	73
Encumbrances	$ 0
Date of Construction	2008
Date Acquired	Aug. 30, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
2008 [Member] | Denville, NJ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 15,709
Initial costs, buildings	55,772
Land at cost	15,709
Buildings at cost	55,772
Total at cost	71,481
Accumulated Depreciation	4,835
Encumbrances	$ 0
Date of Construction	2008
Date Acquired	Sep. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2008 [Member] | Dover NJ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,865
Initial costs, buildings	8,693
Land at cost	3,865
Buildings at cost	8,693
Total at cost	12,558
Accumulated Depreciation	802
Encumbrances	$ 0
Date of Construction	2008
Date Acquired	Sep. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2008 [Member] | Gainesborough UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, buildings	$ 10,007
Land at cost	1,528
Buildings at cost	10,007
Total at cost	11,535
Accumulated Depreciation	$ 253
Date of Construction	2008
Date Acquired	Apr. 14, 2023
Life on which depreciation in latest income statements is computed (Years)	40 years
2008 [Member] | Lubbock, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,376
Initial costs, buildings	28,292
Additions subsequent to acquisition, Improvements	3,648
Land at cost	1,376
Buildings at cost	31,940
Total at cost	33,316
Accumulated Depreciation	6,718
Encumbrances	$ 0
Date of Construction	2008
Date Acquired	Jun. 16, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2008 [Member] | Sheffield, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 6,614
Initial costs, buildings	44,615
Land at cost	51,229
Buildings at cost	44,615
Total at cost	6,614
Accumulated Depreciation	4,528
Encumbrances	$ 0
Date of Construction	2008
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
2008 [Member] | York, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 3,708
Initial costs, buildings	6,743
Land at cost	10,451
Buildings at cost	6,743
Total at cost	3,708
Accumulated Depreciation	$ 141
Date of Construction	2008
Life on which depreciation in latest income statements is computed (Years)	40 hours
1811 [Member] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 36,266
Initial costs, buildings	51,909
Land at cost	36,266
Buildings at cost	51,909
Total at cost	88,175
Accumulated Depreciation	1,512
Encumbrances	$ 0
Date of Construction	1811
Date Acquired	Dec. 09, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1890 [Member] | Altrincham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 14,644
Initial costs, buildings	25,138
Land at cost	14,644
Buildings at cost	25,138
Total at cost	39,782
Accumulated Depreciation	828
Encumbrances	$ 0
Date of Construction	1890
Date Acquired	Dec. 09, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1790 [Member] | Bristol, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 4,705
Initial costs, buildings	37,356
Land at cost	4,705
Buildings at cost	37,356
Total at cost	42,061
Accumulated Depreciation	1,085
Encumbrances	$ 0
Date of Construction	1790
Date Acquired	Dec. 09, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1790 [Member] | Essex, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 4,642
Initial costs, buildings	43,193
Land at cost	4,642
Buildings at cost	43,193
Total at cost	47,835
Accumulated Depreciation	1,251
Encumbrances	$ 0
Date of Construction	1790
Date Acquired	Dec. 09, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1790 [Member] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 28,936
Initial costs, buildings	14,973
Land at cost	28,936
Buildings at cost	14,973
Total at cost	43,909
Accumulated Depreciation	497
Encumbrances	$ 0
Date of Construction	1790
Date Acquired	Dec. 09, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Altoona, WI [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, buildings	$ 29,062
Buildings at cost	29,062
Total at cost	29,062
Accumulated Depreciation	6,781
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Aug. 31, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Altrincham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 14,644
Initial costs, buildings	25,138
Land at cost	14,644
Buildings at cost	25,138
Total at cost	39,782
Accumulated Depreciation	828
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Dec. 09, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Alvin, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 105
Initial costs, buildings	4,087
Land at cost	105
Buildings at cost	4,087
Total at cost	4,192
Accumulated Depreciation	973
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Mar. 19, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Bristol, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 4,705
Initial costs, buildings	37,356
Land at cost	4,705
Buildings at cost	37,356
Total at cost	42,061
Accumulated Depreciation	1,085
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Dec. 09, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Broomfield, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 825
Initial costs, buildings	3,895
Land at cost	825
Buildings at cost	3,895
Total at cost	4,720
Accumulated Depreciation	925
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Jul. 03, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Commerce City, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 707
Initial costs, buildings	4,248
Land at cost	707
Buildings at cost	4,248
Total at cost	4,955
Accumulated Depreciation	964
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Dec. 11, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Colorado Springs CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 600
Initial costs, buildings	4,231
Land at cost	600
Buildings at cost	4,231
Total at cost	4,831
Accumulated Depreciation	1,014
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Jun. 05, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Essex, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 4,642
Initial costs, buildings	43,193
Land at cost	4,642
Buildings at cost	43,193
Total at cost	47,835
Accumulated Depreciation	1,251
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Dec. 09, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Firestone, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 495
Initial costs, buildings	3,963
Land at cost	495
Buildings at cost	3,963
Total at cost	4,458
Accumulated Depreciation	949
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Jun. 06, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Fort Worth, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 3,406
Initial costs, buildings	34,627
Land at cost	3,406
Buildings at cost	34,627
Total at cost	38,033
Accumulated Depreciation	2,100
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Fountain, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,508
Initial costs, buildings	4,131
Land at cost	1,508
Buildings at cost	4,131
Total at cost	5,639
Accumulated Depreciation	973
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Jul. 31, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Georgetown, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 4,569
Initial costs, buildings	22,858
Additions subsequent to acquisition, Improvements	7,669
Land at cost	4,569
Buildings at cost	30,527
Total at cost	35,096
Accumulated Depreciation	1,375
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 36,266
Initial costs, buildings	51,909
Land at cost	36,266
Buildings at cost	51,909
Total at cost	88,175
Accumulated Depreciation	1,512
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Dec. 09, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Ogden, UT [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,759
Initial costs, buildings	16,414
Land at cost	1,759
Buildings at cost	16,414
Total at cost	18,173
Accumulated Depreciation	4,025
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Mar. 01, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Pearland, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,075
Initial costs, buildings	3,577
Land at cost	4,652
Buildings at cost	3,577
Total at cost	1,075
Accumulated Depreciation	835
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Sep. 08, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | San Antonio, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 351
Initial costs, buildings	3,952
Buildings at cost	3,952
Total at cost	351
Accumulated Depreciation	962
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Jan. 01, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Richmond, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 5,380
Initial costs, buildings	6,155
Additions subsequent to acquisition, Improvements	6,017
Land at cost	17,552
Buildings at cost	12,172
Total at cost	5,380
Accumulated Depreciation	472
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | San Antonio, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Land at cost	$ 4,303
2014 [Member] | Surrey, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 15,047
Initial costs, buildings	9,130
Land at cost	24,177
Buildings at cost	9,130
Total at cost	15,047
Accumulated Depreciation	334
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Dec. 09, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Thornton, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,350
Initial costs, buildings	4,259
Land at cost	5,609
Buildings at cost	4,259
Total at cost	1,350
Accumulated Depreciation			994
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Aug. 29, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014-2 [Member] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial costs, land	$ 28,936
Land at cost	28,936
Buildings at cost	14,973
Total at cost	43,909
Accumulated Depreciation	497
2014-2 [Member] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial costs, buildings	$ 14,973
1887 [Member] | Bassenheim, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,122
Initial costs, buildings	5,289
Land at cost	1,122
Buildings at cost	5,289
Total at cost	6,411
Accumulated Depreciation	721
Encumbrances	$ 0
Date of Construction	1887
Date Acquired	Feb. 09, 2019
Life on which depreciation in latest income statements is computed (Years)	39 years
1974 [Member] | Bad Salzuflen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 10,503
Initial costs, buildings	26,581
Land at cost	10,503
Buildings at cost	26,581
Total at cost	37,084
Accumulated Depreciation	4,409
Encumbrances	$ 0
Date of Construction	1974
Date Acquired	Nov. 30, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
1974 [Member] | Sebastian Fl
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 5,733
Initial costs, buildings	49,136
Additions subsequent to acquisition, Improvements	58,739
Land at cost	113,608
Buildings at cost	107,875
Total at cost	5,733
Accumulated Depreciation	14,058
Encumbrances	$ 0
Date of Construction	1974
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
2017 [Member] | Austin, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 3,610
Initial costs, buildings	4,200
Land at cost	3,610
Buildings at cost	4,200
Total at cost	7,810
Accumulated Depreciation	746
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Mar. 02, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2017 [Member] | Birmingham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 8,192
Initial costs, buildings	42,216
Land at cost	8,192
Buildings at cost	42,216
Total at cost	50,408
Accumulated Depreciation	3,694
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Apr. 03, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2017 [Member] | Columbus OH [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 2,101
Initial costs, buildings	44,218
Land at cost	2,101
Buildings at cost	44,218
Total at cost	46,319
Accumulated Depreciation	2,640
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2017 [Member] | Englewood, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 3,369
Initial costs, buildings	65,480
Land at cost	3,369
Buildings at cost	65,480
Total at cost	68,849
Accumulated Depreciation	3,865
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2017 [Member] | Frome, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 2,896
Initial costs, buildings	10,711
Land at cost	2,896
Buildings at cost	17,545
Total at cost	20,441
Accumulated Depreciation	1,237
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2017 [Member] | Kansas City, KS [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,351
Initial costs, buildings	13,665
Land at cost	2,351
Buildings at cost	13,665
Total at cost	16,016
Accumulated Depreciation	1,355
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Jun. 10, 2019
Life on which depreciation in latest income statements is computed (Years)	50 years
2017 [Member] | Kuopio, Finland [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,301
Initial costs, buildings	43,352
Land at cost	1,301
Buildings at cost	43,352
Total at cost	44,653
Accumulated Depreciation	2,085
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Mar. 11, 2022
Life on which depreciation in latest income statements is computed (Years)	29 years
2017 [Member] | Leawood, KS [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,513
Initial costs, buildings	13,938
Land at cost	2,513
Buildings at cost	13,938
Total at cost	16,451
Accumulated Depreciation	1,373
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Jun. 10, 2019
Life on which depreciation in latest income statements is computed (Years)	50 years
2017 [Member] | Oulu, Finland [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,173
Initial costs, buildings	44,912
Land at cost	3,173
Buildings at cost	44,912
Total at cost	48,085
Accumulated Depreciation	2,187
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Mar. 11, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
2017 [Member] | Overland Park, KS [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,974
Initial costs, buildings	14,405
Land at cost	2,974
Buildings at cost	14,405
Total at cost	17,379
Accumulated Depreciation	1,441
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Jun. 10, 2019
Life on which depreciation in latest income statements is computed (Years)	50 years
2017 [Member] | Monmouth, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 15,506
Initial costs, buildings	11,552
Land at cost	15,506
Buildings at cost	11,552
Total at cost	27,058
Accumulated Depreciation	976
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2017 [Member] | Oklahoma City, OK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 3,641
Initial costs, buildings	3,047
Land at cost	3,641
Buildings at cost	3,047
Total at cost	6,688
Accumulated Depreciation	337
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2017 [Member] | Phoenix, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 5,576
Initial costs, buildings	45,782
Land at cost	51,358
Buildings at cost	45,782
Total at cost	5,576
Accumulated Depreciation	7,916
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Feb. 10, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2017 [Member] | Phoenix, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,132
Initial costs, buildings	5,052
Land at cost	6,184
Buildings at cost	5,052
Total at cost	1,132
Accumulated Depreciation	853
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Apr. 13, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2017 [Member] | Texarkana, Texas [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 14,562
Land at cost	14,562
Total at cost	14,562
Accumulated Depreciation	0
Encumbrances	$ 0
Date Acquired	Sep. 29, 2017
2017 [Member] | The Woodlands, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial costs, buildings	$ 4,524
2017 [Member] | Valencia, Spain [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 11,128
Initial costs, buildings	69,552
Land at cost	80,680
Buildings at cost	69,552
Total at cost	11,128
Accumulated Depreciation	4,176
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Dec. 02, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1864 [Member] | Birmingham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial costs, land	$ 927
Initial costs, buildings	10,159
Land at cost	927
Buildings at cost	10,159
Total at cost	11,086
Accumulated Depreciation	196
Encumbrances
Date of Construction	1864
Date Acquired	Apr. 14, 2023
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Avondale, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 5,383
Initial costs, buildings	64,650
Land at cost	5,383
Buildings at cost	64,650
Total at cost	70,033
Accumulated Depreciation	3,806
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Bad Salzuflen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 10,503
Initial costs, buildings	26,581
Land at cost	10,503
Buildings at cost	26,581
Total at cost	37,084
Accumulated Depreciation	4,409
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Nov. 30, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Birmingham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 412
Initial costs, buildings	19,164
Land at cost	412
Buildings at cost	19,164
Total at cost	19,576
Accumulated Depreciation	1,284
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Goodyear, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,800
Initial costs, buildings	4,713
Land at cost	1,800
Buildings at cost	4,713
Total at cost	6,513
Accumulated Depreciation	913
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Apr. 04, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Flagstaff, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,049
Initial costs, buildings	22,464
Land at cost	3,049
Buildings at cost	22,464
Total at cost	25,513
Accumulated Depreciation	3,276
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Aug. 23, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Helotes, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,900
Initial costs, buildings	5,115
Land at cost	1,900
Buildings at cost	5,115
Total at cost	7,015
Accumulated Depreciation	1,002
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Mar. 10, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Glendale,AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,144
Initial costs, buildings	6,087
Land at cost	1,144
Buildings at cost	6,087
Total at cost	7,231
Accumulated Depreciation	1,091
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Oct. 21, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Houston, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 950
Initial costs, buildings	3,996
Land at cost	950
Buildings at cost	3,996
Total at cost	4,946
Accumulated Depreciation	724
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Sep. 26, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Highlands Ranch, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 4,200
Initial costs, buildings	4,779
Land at cost	4,200
Buildings at cost	4,779
Total at cost	8,979
Accumulated Depreciation	886
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Jul. 25, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Katy, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,534
Initial costs, buildings	4,174
Land at cost	1,534
Buildings at cost	4,174
Total at cost	5,708
Accumulated Depreciation	756
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Oct. 10, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Longmont, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,748
Initial costs, buildings	4,181
Land at cost	1,748
Total at cost	5,929
Accumulated Depreciation	827
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Feb. 10, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Mandeville, LA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 2,800
Initial costs, buildings	5,370
Land at cost	2,800
Buildings at cost	5,370
Total at cost	8,170
Accumulated Depreciation	962
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Oct. 28, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Marrero, LA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,561
Initial costs, buildings	5,801
Land at cost	1,561
Buildings at cost	5,801
Total at cost	7,362
Accumulated Depreciation	1,088
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Jul. 15, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Miami, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 20,430
Initial costs, buildings	30,282
Additions subsequent to acquisition, Improvements	10,935
Land at cost	20,430
Buildings at cost	41,217
Total at cost	61,647
Accumulated Depreciation	1,483
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Apr. 25, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | New Orleans, LA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 2,850
Initial costs, buildings	6,125
Land at cost	2,850
Buildings at cost	6,125
Total at cost	8,975
Accumulated Depreciation	1,110
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Sep. 23, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | San Antonio, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 3,075
Initial costs, buildings	4,801
Land at cost	7,876
Buildings at cost	4,801
Total at cost	3,075
Accumulated Depreciation	850
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Dec. 09, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Plano, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 4,138
Initial costs, buildings	1,416
Land at cost	5,554
Buildings at cost	1,416
Total at cost	4,138
Accumulated Depreciation	553
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Sep. 30, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Rosenberg, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,251
Initial costs, buildings	4,505
Land at cost	5,756
Buildings at cost	4,505
Total at cost	1,251
Accumulated Depreciation	901
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Jan. 15, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | San Antonio, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 2,377
Initial costs, buildings	4,253
Land at cost	6,630
Buildings at cost	4,253
Total at cost	2,377
Accumulated Depreciation	762
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Oct. 27, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | The Woodlands, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,976
Land at cost	6,500
Buildings at cost	4,524
Total at cost	1,976
Accumulated Depreciation			877
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Mar. 28, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Toledo, OH [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,134
Initial costs, buildings	17,740
Land at cost	18,874
Buildings at cost	17,740
Total at cost	1,134
Accumulated Depreciation	3,437
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Apr. 01, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Viseu, Portugal [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,535
Initial costs, buildings	28,884
Land at cost	31,419
Buildings at cost	28,884
Total at cost	2,535
Accumulated Depreciation	3,307
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Nov. 28, 2019
Life on which depreciation in latest income statements is computed (Years)	37 years
1989 [Member] | Bad Salzuflen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 7,138
Initial costs, buildings	23,376
Land at cost	7,138
Buildings at cost	23,376
Total at cost	30,514
Accumulated Depreciation	3,693
Encumbrances	$ 0
Date of Construction	1989
Date Acquired	Nov. 30, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
1989 [Member] | Bolton, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,585
Initial costs, buildings	44,534
Land at cost	1,585
Buildings at cost	44,534
Total at cost	46,119
Accumulated Depreciation	4,469
Encumbrances	$ 0
Date of Construction	1989
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1989 [Member] | Guildford, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 6,881
Initial costs, buildings	36,427
Land at cost	6,881
Buildings at cost	36,427
Total at cost	43,308
Accumulated Depreciation	3,675
Encumbrances	$ 0
Date of Construction	1989
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1989 [Member] | Lynwood, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 30,116
Initial costs, buildings	148,527
Land at cost	30,116
Buildings at cost	148,527
Total at cost	178,643
Accumulated Depreciation	12,749
Encumbrances	$ 0
Date of Construction	1989
Date Acquired	Aug. 13, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1989 [Member] | Richmond, VA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Long term acute care hospital
Initial costs, land	$ 1,296
Initial costs, buildings	10,071
Land at cost	11,367
Buildings at cost	10,071
Total at cost	1,296
Accumulated Depreciation	1,413
Encumbrances	$ 0
Date of Construction	1989
Date Acquired	Aug. 30, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1989 [Member] | Rochdale, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Long term acute care hospital
Initial costs, land	$ 654
Initial costs, buildings	3,368
Land at cost	4,022
Buildings at cost	3,368
Total at cost	654
Accumulated Depreciation	428
Encumbrances	$ 0
Date of Construction	1989
Date Acquired	Aug. 30, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1989 [Member] | Rochdale, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 67
Initial costs, buildings	344
Land at cost	411
Buildings at cost	344
Total at cost	67
Accumulated Depreciation	44
Encumbrances	$ 0
Date of Construction	1989
Date Acquired	Aug. 30, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
2004 [Member] | Ayr, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 16,990
Initial costs, buildings	48,655
Land at cost	16,990
Buildings at cost	48,655
Total at cost	65,645
Accumulated Depreciation	3,105
Encumbrances	$ 0
Date of Construction	2004
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2004 [Member] | Odessa, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 6,217
Initial costs, buildings	123,518
Additions subsequent to acquisition, Improvements	16,600
Land at cost	6,217
Buildings at cost	140,118
Total at cost	146,335
Accumulated Depreciation	20,542
Encumbrances	$ 0
Date of Construction	2004
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
2004 [Member] | Webster, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Long term acute care hospital
Initial costs, land	$ 663
Initial costs, buildings	33,751
Land at cost	34,414
Buildings at cost	33,751
Total at cost	663
Accumulated Depreciation	10,969
Encumbrances	$ 0
Date of Construction	2004
Date Acquired	Dec. 21, 2010
Life on which depreciation in latest income statements is computed (Years)	40 years
1973 [Member] | Bad Oeynhausen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,126
Initial costs, buildings	2,752
Land at cost	1,126
Buildings at cost	2,752
Total at cost	3,878
Accumulated Depreciation	468
Encumbrances	$ 0
Date of Construction	1973
Date Acquired	Nov. 30, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
1973 [Member] | Big Spring, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,655
Initial costs, buildings	21,254
Additions subsequent to acquisition, Improvements	815
Land at cost	1,655
Buildings at cost	22,069
Total at cost	23,724
Accumulated Depreciation	2,922
Encumbrances	$ 0
Date of Construction	1973
Date Acquired	Apr. 12, 2019
Life on which depreciation in latest income statements is computed (Years)	41 years
1973 [Member] | Odessa, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 6,217
Initial costs, buildings	123,518
Additions subsequent to acquisition, Improvements	16,600
Land at cost	6,217
Buildings at cost	140,118
Total at cost	146,335
Accumulated Depreciation	20,542
Encumbrances	$ 0
Date of Construction	1973
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1973 [Member] | Port Huron, MI
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,531
Initial costs, buildings	14,252
Land at cost	16,783
Buildings at cost	14,252
Total at cost	2,531
Accumulated Depreciation	3,895
Encumbrances	$ 0
Date of Construction	1973
Date Acquired	Dec. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	30 years
2015 [Member] | Aurora, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 2,801
Initial costs, buildings	4,812
Land at cost	2,801
Buildings at cost	4,812
Total at cost	7,613
Accumulated Depreciation	992
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Sep. 17, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Chandler, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 3,517
Initial costs, buildings	4,783
Land at cost	3,517
Buildings at cost	4,783
Total at cost	8,300
Accumulated Depreciation	1,036
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Apr. 24, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Converse, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 750
Initial costs, buildings	4,423
Land at cost	750
Buildings at cost	4,423
Total at cost	5,173
Accumulated Depreciation	968
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Apr. 10, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Denver, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,239
Initial costs, buildings	4,276
Land at cost	1,239
Buildings at cost	4,276
Total at cost	5,515
Accumulated Depreciation	918
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Jun. 08, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Frome, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of Construction	2015
2015 [Member] | Frome, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 2,896
Initial costs, buildings	10,711
Land at cost	2,896
Buildings at cost	17,545
Total at cost	20,441
Accumulated Depreciation	1,237
Encumbrances	$ 0
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Gilbert, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,517
Initial costs, buildings	4,661
Land at cost	1,517
Buildings at cost	4,661
Total at cost	6,178
Accumulated Depreciation	981
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Jul. 22, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Glendale,AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,176
Initial costs, buildings	4,046
Land at cost	1,176
Buildings at cost	4,046
Total at cost	5,222
Accumulated Depreciation	868
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Jun. 05, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Highland Hills, OH [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 3,148
Initial costs, buildings	43,891
Land at cost	3,148
Buildings at cost	43,891
Total at cost	47,039
Accumulated Depreciation	2,622
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Highland Village TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 3,172
Initial costs, buildings	1,551
Land at cost	3,172
Buildings at cost	1,551
Total at cost	4,723
Accumulated Depreciation	479
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Sep. 22, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Hoover, AL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 0
Initial costs, buildings	7,581
Land at cost	0
Buildings at cost	1,330
Total at cost	1,330
Accumulated Depreciation	308
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	May 01, 2015
Life on which depreciation in latest income statements is computed (Years)	34 years
2015 [Member] | Katy, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 2,116
Initial costs, buildings	3,873
Land at cost	2,116
Buildings at cost	3,873
Total at cost	5,989
Accumulated Depreciation	791
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Oct. 21, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Lehi, UT [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 13,368
Initial costs, buildings	29,950
Additions subsequent to acquisition, Improvements	1,676
Land at cost	13,368
Buildings at cost	31,626
Total at cost	44,994
Accumulated Depreciation	5,664
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	45 years
2015 [Member] | League City, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,278
Initial costs, buildings	3,901
Land at cost	1,278
Buildings at cost	3,901
Total at cost	5,179
Accumulated Depreciation	829
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Jun. 19, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | McKinney, Texas [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 2,558
Initial costs, buildings	4,060
Land at cost	2,558
Buildings at cost	4,060
Total at cost	6,618
Accumulated Depreciation	1,149
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Jul. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	30 years
2015 [Member] | Olathe, KS [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 6,882
Initial costs, buildings	55,745
Additions subsequent to acquisition, Improvements	2,052
Land at cost	6,882
Buildings at cost	57,797
Total at cost	64,679
Accumulated Depreciation	3,376
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Parker, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,300
Initial costs, buildings	4,448
Land at cost			1,300
Buildings at cost	4,448
Total at cost			$ 5,748
Accumulated Depreciation	908
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Nov. 06, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Santa Maria de Feira, PT [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,860
Initial costs, buildings	17,839
Land at cost	19,699
Buildings at cost	17,839
Total at cost	1,860
Accumulated Depreciation	1,018
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Oct. 21, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1970 [Member] | Bussage, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 8,490
Initial costs, buildings	3,753
Land at cost	8,490
Buildings at cost	3,753
Total at cost	12,243
Accumulated Depreciation	262
Encumbrances	$ 0
Date of Construction	1970
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1970 [Member] | Rockledge, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 13,919
Initial costs, buildings	23,282
Additions subsequent to acquisition, Improvements	8,428
Land at cost	45,629
Buildings at cost	31,710
Total at cost	13,919
Accumulated Depreciation	6,584
Encumbrances	$ 0
Date of Construction	1970
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	42 years
1970 [Member] | Royston, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 6,734
Initial costs, buildings	20,048
Land at cost	26,782
Buildings at cost	20,048
Total at cost	6,734
Accumulated Depreciation	1,578
Encumbrances	$ 0
Date of Construction	1970
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1992 [Member] | Bath, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 7,193
Initial costs, buildings	13,053
Land at cost	7,193
Buildings at cost	13,053
Total at cost	20,246
Accumulated Depreciation	1,356
Encumbrances	$ 0
Date of Construction	1992
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1992 [Member] | Bowling Green, KY [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,486
Initial costs, buildings	56,296
Additions subsequent to acquisition, Improvements	3,550
Land at cost	3,486
Buildings at cost	59,846
Total at cost	63,332
Accumulated Depreciation	6,920
Encumbrances	$ 0
Date of Construction	1992
Date Acquired	Aug. 30, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1992 [Member] | Essex, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 4,642
Initial costs, buildings	43,193
Land at cost	4,642
Buildings at cost	43,193
Total at cost	47,835
Accumulated Depreciation	1,251
Encumbrances	$ 0
Date of Construction	1992
Date Acquired	Dec. 09, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1992 [Member] | Helsinki, Finland [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 4,085
Initial costs, buildings	67,529
Land at cost	4,085
Buildings at cost	67,529
Total at cost	71,614
Accumulated Depreciation	3,137
Encumbrances	$ 0
Date of Construction	1992
Date Acquired	Mar. 11, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1992 [Member] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 28,936
Initial costs, buildings	14,973
Land at cost	28,936
Buildings at cost	14,973
Total at cost	43,909
Accumulated Depreciation	497
Encumbrances	$ 0
Date of Construction	1992
Date Acquired	Dec. 09, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1992 [Member] | Stirling, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,054
Initial costs, buildings	19,511
Land at cost	20,565
Buildings at cost	19,511
Total at cost	1,054
Accumulated Depreciation	1,274
Encumbrances	$ 0
Date of Construction	1992
Date Acquired	Jul. 06, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1992 [Member] | Wichita, KS [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,019
Initial costs, buildings	18,374
Land at cost	19,393
Buildings at cost	18,374
Total at cost	1,019
Accumulated Depreciation	7,234
Encumbrances	$ 0
Date of Construction	1992
Date Acquired	Apr. 04, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
1992 - 2 [Member] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial costs, land	$ 13,810
Initial costs, buildings	6,810
Land at cost	13,810
Buildings at cost	6,810
Total at cost	20,620
Accumulated Depreciation	487
Encumbrances	$ 0
Date of Construction	1992
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1984 [Member] | Basingstoke, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 12,922
Initial costs, buildings	50,190
Land at cost	12,922
Buildings at cost	50,190
Total at cost	63,112
Accumulated Depreciation	5,070
Encumbrances	$ 0
Date of Construction	1984
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1984 [Member] | Bennettsville, SC [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 794
Initial costs, buildings	13,245
Land at cost	794
Buildings at cost	13,245
Total at cost	14,039
Accumulated Depreciation	12,308
Encumbrances	$ 0
Date of Construction	1984
Date Acquired	Apr. 01, 2008
Life on which depreciation in latest income statements is computed (Years)	42 years
1984 [Member] | Birmingham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 412
Initial costs, buildings	19,164
Land at cost	412
Buildings at cost	19,164
Total at cost	19,576
Accumulated Depreciation	1,284
Encumbrances	$ 0
Date of Construction	1984
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1984 [Member] | Droitwich, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 76
Initial costs, buildings	15,298
Land at cost	76
Buildings at cost	15,298
Total at cost	15,374
Accumulated Depreciation	1,550
Encumbrances	$ 0
Date of Construction	1984
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1984 [Member] | Hope, AR [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,651
Initial costs, buildings	3,359
Additions subsequent to acquisition, Improvements	2,733
Land at cost	1,651
Buildings at cost	6,092
Total at cost	7,743
Accumulated Depreciation	1,395
Encumbrances	$ 0
Date of Construction	1984
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1984 [Member] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,285
Initial costs, buildings	61,004
Land at cost	3,285
Buildings at cost	4,148
Total at cost	7,433
Accumulated Depreciation	422
Encumbrances	$ 0
Date of Construction	1987
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1984 [Member] | Swindon, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 5,328
Initial costs, buildings	59,772
Land at cost	65,100
Buildings at cost	59,772
Total at cost	5,328
Accumulated Depreciation	6,013
Encumbrances	$ 0
Date of Construction	1984
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1980 [Member] | Blue Springs, MO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 4,347
Initial costs, buildings	23,494
Land at cost	4,347
Buildings at cost	23,494
Total at cost	27,841
Accumulated Depreciation	5,503
Encumbrances	$ 0
Date of Construction	1980
Date Acquired	Feb. 13, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1980 [Member] | Frome, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 10,895
Initial costs, buildings	17,545
Land at cost	10,895
Buildings at cost	10,711
Total at cost	$ 21,606
Life on which depreciation in latest income statements is computed (Years)	40 years
1980 [Member] | Frome, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Accumulated Depreciation	$ 995
Encumbrances	$ 0
Date of Construction	1980
Date Acquired	Jun. 25, 2021
1980 [Member] | Glasgow, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 1,429
Initial costs, buildings	15,619
Land at cost	1,429
Buildings at cost	15,619
Total at cost	17,048
Accumulated Depreciation	1,058
Encumbrances	$ 0
Date of Construction	1980
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1980 [Member] | Harrow, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 38,403
Initial costs, buildings	40,415
Land at cost	38,403
Buildings at cost	40,415
Total at cost	78,818
Accumulated Depreciation	4,098
Encumbrances	$ 0
Date of Construction	1980
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1980 [Member] | Hill County, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,120
Initial costs, buildings	17,882
Additions subsequent to acquisition, Improvements	845
Land at cost	1,120
Buildings at cost	18,727
Total at cost	19,847
Accumulated Depreciation	16,139
Encumbrances	$ 0
Date of Construction	1980
Date Acquired	Sep. 17, 2010
Life on which depreciation in latest income statements is computed (Years)	15 years
1980 [Member] | Hinckley, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 5,416
Land at cost	5,416
Buildings at cost	10,315
Total at cost	15,731
Accumulated Depreciation	759
Encumbrances	$ 0
Date of Construction	1980
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1980 [Member] | Hook, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial costs, buildings	$ 10,315
1980 [Member] | Nottingham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 10,011
Initial costs, buildings	8,960
Land at cost	10,011
Buildings at cost	8,960
Total at cost	18,971
Accumulated Depreciation	735
Encumbrances	$ 0
Date of Construction	2000
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1980 [Member] | Poplar Bluff, MO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,659
Initial costs, buildings	38,694
Land at cost	41,353
Buildings at cost	38,694
Total at cost	2,659
Accumulated Depreciation	15,186
Encumbrances	$ 0
Date of Construction	1980
Date Acquired	Apr. 22, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
1980 [Member] | Romford, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 5,354
Initial costs, buildings	8,766
Land at cost	14,120
Buildings at cost	8,766
Total at cost	5,354
Accumulated Depreciation	692
Encumbrances	$ 0
Date of Construction	1980
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1980 [Member] | Sharon, PA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 6,179
Initial costs, buildings	9,066
Additions subsequent to acquisition, Improvements	8,513
Land at cost	23,758
Buildings at cost	17,579
Total at cost	6,179
Accumulated Depreciation	3,537
Encumbrances	$ 0
Date of Construction	1980
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1980 [Member] | Usk, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 1,730
Initial costs, buildings	22,202
Land at cost	23,932
Buildings at cost	22,202
Total at cost	1,730
Accumulated Depreciation	1,472
Encumbrances	$ 0
Date of Construction	1980
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1980 [Member] | West Valley City, UT [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 5,260
Initial costs, buildings	58,314
Additions subsequent to acquisition, Improvements	6,644
Land at cost	70,218
Buildings at cost	64,958
Total at cost	5,260
Accumulated Depreciation	24,100
Encumbrances	$ 0
Date of Construction	1980
Date Acquired	Apr. 22, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
1980 [Member] | York, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 21,635
Initial costs, buildings	71,771
Land at cost	93,406
Buildings at cost	71,771
Total at cost	21,635
Accumulated Depreciation	4,739
Encumbrances	$ 0
Date of Construction	1980
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 hours
1985 [Member] | Aberdeen, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 4,252
Initial costs, buildings	100,721
Land at cost	4,252
Buildings at cost	100,721
Total at cost	104,973
Accumulated Depreciation	10,106
Encumbrances	$ 0
Date of Construction	1985
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1985 [Member] | Hot Springs, AR [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 5,622
Initial costs, buildings	59,432
Additions subsequent to acquisition, Improvements	21,221
Land at cost	5,622
Buildings at cost	80,653
Total at cost	86,275
Accumulated Depreciation	17,341
Encumbrances	$ 0
Date of Construction	1985
Date Acquired	Aug. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1985 [Member] | Lawton, OK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,944
Initial costs, buildings	63,031
Land at cost	3,944
Buildings at cost	63,031
Total at cost	66,975
Accumulated Depreciation	6,770
Encumbrances	$ 0
Date of Construction	1985
Date Acquired	Dec. 17, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1985 [Member] | Southampton, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 6,445
Initial costs, buildings	18,924
Land at cost	25,369
Buildings at cost	18,924
Total at cost	6,445
Accumulated Depreciation	1,466
Encumbrances	$ 0
Date of Construction	1985
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1997 [Member] | Algeciras, Spain [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 521
Initial costs, buildings	8,222
Land at cost	521
Buildings at cost	8,222
Total at cost	8,743
Accumulated Depreciation	377
Encumbrances	$ 0
Date of Construction	1997
Date Acquired	Apr. 29, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1997 [Member] | Floridablanca, Colombia [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 815
Initial costs, buildings	25,478
Land at cost	815
Buildings at cost	25,478
Total at cost	26,293
Accumulated Depreciation	912
Encumbrances	$ 0
Date of Construction	1997
Date Acquired	Jul. 29, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1982 [Member] | Bedford, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,540
Initial costs, buildings	7,504
Land at cost	1,540
Buildings at cost	7,504
Total at cost	9,044
Accumulated Depreciation	764
Encumbrances	$ 0
Date of Construction	1982
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1982 [Member] | Birmingham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 9,862
Initial costs, buildings	93,867
Land at cost	9,862
Buildings at cost	93,867
Total at cost	103,729
Accumulated Depreciation	9,484
Encumbrances	$ 0
Date of Construction	1982
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1982 [Member] | Bossier City, LA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Long term acute care hospital
Initial costs, land	$ 900
Initial costs, buildings	17,818
Additions subsequent to acquisition, Improvements	944
Land at cost	900
Buildings at cost	18,762
Total at cost	19,662
Accumulated Depreciation	7,170
Encumbrances	$ 0
Date of Construction	1982
Date Acquired	Apr. 01, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
1982 [Member] | Brandis, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial costs, buildings	$ 13,548
1982 [Member] | Cheraw, SC [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 657
Initial costs, buildings	18,534
Land at cost	657
Buildings at cost	18,534
Total at cost	19,191
Accumulated Depreciation	15,276
Encumbrances	$ 0
Date of Construction	1982
Date Acquired	Apr. 01, 2008
Life on which depreciation in latest income statements is computed (Years)	42 years
1982 [Member] | Caterham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 10,552
Initial costs, buildings	20,846
Land at cost	10,552
Buildings at cost	20,846
Total at cost	31,398
Accumulated Depreciation	2,394
Encumbrances	$ 0
Date of Construction	1982
Date Acquired	Aug. 16, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1982 [Member] | Canterbury, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 9,185
Initial costs, buildings	27,589
Land at cost	9,185
Buildings at cost	27,589
Total at cost	36,774
Accumulated Depreciation	2,781
Encumbrances	$ 0
Date of Construction	1982
Date Acquired	Jan. 09, 2020
1982 [Member] | Warren, OH [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 5,385
Initial costs, buildings	47,588
Additions subsequent to acquisition, Improvements	10,492
Land at cost	63,465
Buildings at cost	58,080
Total at cost	5,385
Accumulated Depreciation	11,225
Encumbrances	$ 0
Date of Construction	1982
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
2023 [Member] | Cayce, SC [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,022
Initial costs, buildings	21,159
Land at cost	1,022
Buildings at cost	21,159
Total at cost	22,181
Accumulated Depreciation	255
Encumbrances	$ 0
Date of Construction	2023
Date Acquired	Oct. 21, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
2018 [Member] | Birmingham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, buildings	$ 17,361
Buildings at cost	17,361
Total at cost	17,361
Accumulated Depreciation	1,519
Encumbrances	$ 0
Date of Construction	2018
Date Acquired	Jun. 29, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
2018 [Member] | Conroe, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 3,855
Initial costs, buildings	38,892
Land at cost	3,855
Buildings at cost	38,892
Total at cost	42,747
Accumulated Depreciation	2,373
Encumbrances	$ 0
Date of Construction	2018
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2018 [Member] | Darlington, United Kingdom [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 21,246
Land at cost	21,246
Buildings at cost	48,262
Total at cost	69,508
Accumulated Depreciation	3,533
Encumbrances	$ 0
Date of Construction	2018
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2018 [Member] | Darlington UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial costs, buildings	$ 48,262
2018 [Member] | El Paso, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 4,268
Initial costs, buildings	21,345
Land at cost	4,268
Buildings at cost	21,345
Total at cost	25,613
Accumulated Depreciation	1,859
Encumbrances	$ 0
Date of Construction	2018
Date Acquired	Dec. 17, 2020
Life on which depreciation in latest income statements is computed (Years)	38 years
2018 [Member] | Malaga, SP [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 748
Initial costs, buildings	11,718
Land at cost	748
Buildings at cost	11,718
Total at cost	12,466
Accumulated Depreciation	498
Encumbrances	$ 0
Date of Construction	2018
Date Acquired	Apr. 29, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
2018 [Member] | Olathe, KS [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,485
Initial costs, buildings	14,484
Land at cost	3,485
Buildings at cost	14,484
Total at cost	17,969
Accumulated Depreciation	1,442
Encumbrances	$ 0
Date of Construction	2018
Date Acquired	Jun. 10, 2019
Life on which depreciation in latest income statements is computed (Years)	50 years
2018 [Member] | Preston, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 8,740
Initial costs, buildings	26,001
Land at cost	34,741
Buildings at cost	26,001
Total at cost	8,740
Accumulated Depreciation	1,741
Encumbrances	$ 0
Date of Construction	2018
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2018 [Member] | Raleigh, NC [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 3,469
Initial costs, buildings	27,514
Land at cost	30,983
Buildings at cost	27,514
Total at cost	3,469
Accumulated Depreciation	1,769
Encumbrances	$ 0
Date of Construction	2018
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2018 [Member] | Roeland Park, KS [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,569
Initial costs, buildings	15,103
Land at cost	16,672
Buildings at cost	15,103
Total at cost	1,569
Accumulated Depreciation	1,473
Encumbrances	$ 0
Date of Construction	2018
Date Acquired	Jun. 10, 2019
Life on which depreciation in latest income statements is computed (Years)	50 years
2018 [Member] | Shawnee, KS [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,076
Initial costs, buildings	14,945
Land at cost	18,021
Buildings at cost	14,945
Total at cost	3,076
Accumulated Depreciation	1,699
Encumbrances	$ 0
Date of Construction	2018
Date Acquired	Jun. 10, 2019
Life on which depreciation in latest income statements is computed (Years)	50 years
2018 [Member] | Turku, Finland [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,207
Initial costs, buildings	58,193
Land at cost	59,400
Buildings at cost	58,193
Total at cost	1,207
Accumulated Depreciation	2,731
Encumbrances	$ 0
Date of Construction	2018
Date Acquired	Mar. 11, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
2018 [Member] | Vancouver, WA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 9,313
Initial costs, buildings	12,505
Land at cost	21,818
Buildings at cost	12,505
Total at cost	9,313
Accumulated Depreciation	$ 384
Date of Construction	2018
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1900 [Member] | Birmingham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 412
Initial costs, buildings	19,164
Land at cost	412
Buildings at cost	19,164
Total at cost	19,576
Accumulated Depreciation	1,284
Encumbrances	$ 0
Date of Construction	1900
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1900 [Member] | York, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Buildings at cost	$ 71,771
1972 [Member] | Bellflower, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 2,563
Land at cost	2,563
Total at cost	2,563
Encumbrances	$ 0
Date Acquired	Aug. 23, 2019
1972 [Member] | Los Angeles, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 12,562
Initial costs, buildings	40,164
Land at cost	12,562
Total at cost	52,726
Accumulated Depreciation	2,593
Encumbrances	$ 0
Date of Construction	1972
Date Acquired	Jul. 06, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1957 [Member] | Blackburn, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,661
Initial costs, buildings	51,001
Land at cost	2,661
Buildings at cost	51,001
Total at cost	53,662
Accumulated Depreciation	5,131
Encumbrances	$ 0
Date of Construction	1957
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
2006 [Member] | Dallas, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Long term acute care hospital
Initial costs, land	$ 1,421
Initial costs, buildings	13,536
Land at cost	1,421
Buildings at cost	13,536
Total at cost	14,957
Accumulated Depreciation	5,865
Encumbrances	$ 0
Date of Construction	2006
Date Acquired	Sep. 05, 2006
Life on which depreciation in latest income statements is computed (Years)	40 years
2006 [Member] | Dahlen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,342
Initial costs, buildings	11,339
Land at cost	1,342
Buildings at cost	11,339
Total at cost	12,681
Accumulated Depreciation	1,065
Encumbrances	$ 0
Date of Construction	2006
Date Acquired	Aug. 28, 2018
Life on which depreciation in latest income statements is computed (Years)	40 years
2006 [Member] | Dormagen Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,909
Initial costs, buildings	5,648
Land at cost	1,909
Buildings at cost	5,648
Total at cost	7,557
Accumulated Depreciation	801
Encumbrances	$ 0
Date of Construction	2006
Date Acquired	Aug. 28, 2018
Life on which depreciation in latest income statements is computed (Years)	40 years
2006 [Member] | Petersburg, VA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,302
Initial costs, buildings	9,121
Land at cost	10,423
Buildings at cost	9,121
Total at cost	1,302
Accumulated Depreciation	3,534
Encumbrances	$ 0
Date of Construction	2006
Date Acquired	Jul. 01, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
1930 [Member] | Blackburn, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 20,030
Initial costs, buildings	54,338
Land at cost	20,030
Buildings at cost	54,338
Total at cost	74,368
Accumulated Depreciation	3,723
Encumbrances	$ 0
Date of Construction	1930
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1952 [Member] | Boonton Township, NJ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 6,712
Initial costs, buildings	17,031
Land at cost	6,712
Buildings at cost	17,031
Total at cost	23,743
Accumulated Depreciation	1,510
Encumbrances	$ 0
Date of Construction	1952
Date Acquired	Sep. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2009 [Member] | Bath, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,509
Initial costs, buildings	31,277
Land at cost	1,509
Buildings at cost	31,277
Total at cost	32,786
Accumulated Depreciation	7,428
Encumbrances	$ 0
Date of Construction	2009
Date Acquired	Jul. 01, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2009 [Member] | Birmingham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial costs, land	$ 927
Initial costs, buildings	10,159
Land at cost	927
Buildings at cost	10,159
Total at cost	11,086
Accumulated Depreciation	196
Encumbrances
Date of Construction	2009
Date Acquired	Apr. 14, 2023
Life on which depreciation in latest income statements is computed (Years)	40 years
2009 [Member] | Folsom, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Long term acute care hospital
Initial costs, land	$ 3,291
Initial costs, buildings	21,293
Land at cost	3,291
Buildings at cost	21,293
Total at cost	24,584
Accumulated Depreciation	2,738
Encumbrances	$ 0
Date of Construction	2009
Date Acquired	Aug. 30, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1983 [Member] | Bassenheim, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,122
Initial costs, buildings	5,289
Land at cost	1,122
Buildings at cost	5,289
Total at cost	6,411
Accumulated Depreciation	721
Encumbrances	$ 0
Date of Construction	1983
Date Acquired	Feb. 09, 2019
Life on which depreciation in latest income statements is computed (Years)	39 years
1983 [Member] | Glasgow, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 6,442
Initial costs, buildings	131,570
Land at cost	6,442
Buildings at cost	131,570
Total at cost	138,012
Accumulated Depreciation	13,194
Encumbrances	$ 0
Date of Construction	1983
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1983 [Member] | Grefath, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,200
Initial costs, buildings	3,028
Land at cost	1,200
Buildings at cost	3,028
Total at cost	4,228
Accumulated Depreciation	439
Encumbrances	$ 0
Date of Construction	1983
Date Acquired	Aug. 28, 2018
Life on which depreciation in latest income statements is computed (Years)	40 years
1983 [Member] | Lander, WY [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 758
Initial costs, buildings	42,849
Land at cost	758
Buildings at cost	42,849
Total at cost	43,607
Accumulated Depreciation	4,579
Encumbrances	$ 0
Date of Construction	1983
Date Acquired	Dec. 17, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1983 [Member] | Nottingham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 4,952
Initial costs, buildings	45,951
Land at cost	4,952
Buildings at cost	45,951
Total at cost	50,903
Accumulated Depreciation	4,660
Encumbrances	$ 0
Date of Construction	1983
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1983 [Member] | Milton Keynes, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 5,245
Initial costs, buildings	35,861
Land at cost	5,245
Buildings at cost	35,861
Total at cost	41,106
Accumulated Depreciation	3,610
Encumbrances	$ 0
Date of Construction	1983
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1983 [Member] | Port Huron, MI
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,531
Initial costs, buildings	14,252
Land at cost	16,783
Buildings at cost	14,252
Total at cost	2,531
Accumulated Depreciation	3,895
Encumbrances	$ 0
Date of Construction	1983
Date Acquired	Dec. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	30 years
1983 [Member] | Remscheid, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,048
Initial costs, buildings	2,528
Land at cost	3,576
Buildings at cost	2,528
Total at cost	1,048
Accumulated Depreciation	357
Encumbrances	$ 0
Date of Construction	1983
Date Acquired	Aug. 28, 2018
Life on which depreciation in latest income statements is computed (Years)	40 years
1983 [Member] | Riverton, WY [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,163
Initial costs, buildings	29,647
Land at cost	30,810
Buildings at cost	29,647
Total at cost	1,163
Accumulated Depreciation	3,675
Encumbrances	$ 0
Date of Construction	1983
Date Acquired	Dec. 17, 2019
Life on which depreciation in latest income statements is computed (Years)	36 years
1983 [Member] | Watsonville, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 16,488
Initial costs, buildings	17,800
Land at cost	34,288
Buildings at cost	17,800
Total at cost	16,488
Accumulated Depreciation	2,780
Encumbrances	$ 0
Date of Construction	1983
Date Acquired	Sep. 30, 2019
Life on which depreciation in latest income statements is computed (Years)	39 years
1983 [Member] | West Jordan, UT [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 16,897
Initial costs, buildings	233,256
Additions subsequent to acquisition, Improvements	6,293
Land at cost	256,446
Buildings at cost	239,549
Total at cost	16,897
Accumulated Depreciation	22,616
Encumbrances	$ 0
Date of Construction	1983
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Bad Salzuflen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 7,138
Initial costs, buildings	23,376
Land at cost	7,138
Buildings at cost	23,376
Total at cost	30,514
Accumulated Depreciation	3,693
Encumbrances	$ 0
Date Acquired	Nov. 30, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Longmont, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Buildings at cost	$ 4,181
2010 [Member] | Bad Oeynhausen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,126
Initial costs, buildings	2,752
Land at cost	1,126
Buildings at cost	2,752
Total at cost	3,878
Accumulated Depreciation	468
Encumbrances	$ 0
Date of Construction	2010
Date Acquired	Nov. 30, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2010 [Member] | Layton, UT [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 14,360
Initial costs, buildings	370,154
Additions subsequent to acquisition, Improvements	6,530
Land at cost	14,360
Buildings at cost	376,684
Total at cost	391,044
Accumulated Depreciation	31,857
Encumbrances	$ 0
Date of Construction	2010
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2010 [Member] | Newburgh, IN [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 1,215
Initial costs, buildings	7,212
Land at cost	1,215
Buildings at cost	7,212
Total at cost	8,427
Accumulated Depreciation	472
Encumbrances	$ 0
Date of Construction	2010
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2010 [Member] | Sherman, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,363
Initial costs, buildings	10,931
Land at cost	14,294
Buildings at cost	10,931
Total at cost	3,363
Accumulated Depreciation	4,326
Encumbrances	$ 0
Date of Construction	2010
Date Acquired	Oct. 31, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2022 [Member] | Bakersfield, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 2,178
Initial costs, buildings	45,253
Land at cost	2,178
Buildings at cost	45,253
Total at cost	47,431
Accumulated Depreciation	2,074
Encumbrances	$ 0
Date of Construction	2022
Date Acquired	May 15, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1922 [Member] | Lewiston, ID [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 5,389
Initial costs, buildings	75,435
Land at cost	5,389
Buildings at cost	75,435
Total at cost	80,824
Accumulated Depreciation	17,006
Encumbrances	$ 0
Date of Construction	1922
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
1922 [Member] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Buildings at cost	$ 40,164
1922 [Member] | Warren, OH [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 2,417
Initial costs, buildings	15,857
Additions subsequent to acquisition, Improvements	1,737
Land at cost	20,011
Buildings at cost	17,594
Total at cost	2,417
Accumulated Depreciation	3,598
Encumbrances	$ 0
Date of Construction	1922
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	46 years
2013 [Member] | Hausman, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,500
Initial costs, buildings	8,957
Land at cost	1,500
Buildings at cost	8,957
Total at cost	10,457
Accumulated Depreciation	2,407
Encumbrances	$ 0
Date of Construction	2013
Date Acquired	Mar. 01, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
2013 [Member] | Helsinki, Finland [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 4,085
Initial costs, buildings	67,529
Land at cost	4,085
Buildings at cost	67,529
Total at cost	71,614
Accumulated Depreciation	3,137
Encumbrances	$ 0
Date of Construction	2013
Date Acquired	Mar. 11, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
2013 [Member] | Lafayette, IN [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 800
Initial costs, buildings	14,968
Additions subsequent to acquisition, Improvements	(25)
Land at cost	800
Buildings at cost	14,943
Total at cost	15,743
Accumulated Depreciation	4,068
Encumbrances	$ 0
Date of Construction	2013
Date Acquired	Feb. 01, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
2013 [Member] | Little Elm, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,241
Initial costs, buildings	3,491
Land at cost	1,241
Buildings at cost	3,491
Total at cost	4,732
Accumulated Depreciation	877
Encumbrances	$ 0
Date of Construction	2013
Date Acquired	Dec. 01, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
2013 [Member] | Post Falls Idaho
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 417
Initial costs, buildings	12,175
Additions subsequent to acquisition, Improvements	1,905
Land at cost	14,497
Buildings at cost	13,730
Total at cost	767
Accumulated Depreciation	3,442
Encumbrances	$ 0
Date of Construction	2013
Date Acquired	Dec. 31, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
2013 [Member] | Spartanburg, SC [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,135
Initial costs, buildings	15,717
Land at cost	16,852
Buildings at cost	15,717
Total at cost	1,135
Accumulated Depreciation	4,079
Encumbrances	$ 0
Date of Construction	2013
Date Acquired	Aug. 01, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
2013 [Member] | West Chester, OH [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 3,670
Initial costs, buildings	61,338
Land at cost	65,008
Buildings at cost	61,338
Total at cost	3,670
Accumulated Depreciation	3,670
Encumbrances	$ 0
Date of Construction	2013
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2013 [Member] | West Midlands, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 1,922
Initial costs, buildings	7,162
Land at cost	9,084
Buildings at cost	7,162
Total at cost	1,922
Accumulated Depreciation	$ 149
Date of Construction	2013
Date Acquired	Apr. 14, 2023
Life on which depreciation in latest income statements is computed (Years)	40 years
1971 [Member] | Boonton Township, NJ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 6,712
Initial costs, buildings	17,031
Land at cost	6,712
Buildings at cost	17,031
Total at cost	23,743
Accumulated Depreciation	1,510
Encumbrances	$ 0
Date of Construction	1971
Date Acquired	Sep. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1978 [Member] | Boonton Township, NJ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 6,712
Initial costs, buildings	17,031
Land at cost	6,712
Buildings at cost	17,031
Total at cost	23,743
Accumulated Depreciation	1,510
Encumbrances	$ 0
Date of Construction	1978
Date Acquired	Sep. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1978 [Member] | Phoenix, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 12,695
Initial costs, buildings	73,773
Additions subsequent to acquisition, Improvements	4,499
Land at cost	90,967
Buildings at cost	78,272
Total at cost	12,695
Accumulated Depreciation	13,041
Encumbrances	$ 0
Date of Construction	1968
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	43 years
2007 [Member] | Godalming, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 9,356
Initial costs, buildings	18,980
Land at cost	9,356
Buildings at cost	18,980
Total at cost	28,336
Accumulated Depreciation	1,376
Encumbrances	$ 0
Date of Construction	2007
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2007 [Member] | Hinckley, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 2,466
Initial costs, buildings	16,804
Land at cost	2,466
Buildings at cost	16,804
Total at cost	19,270
Accumulated Depreciation	1,138
Encumbrances	$ 0
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2007 [Member] | Northland, MO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Long term acute care hospital
Initial costs, land	$ 834
Initial costs, buildings	17,182
Land at cost	834
Buildings at cost	17,182
Total at cost	18,016
Accumulated Depreciation	5,549
Encumbrances	$ 0
Date of Construction	2007
Date Acquired	Feb. 14, 2011
Life on which depreciation in latest income statements is computed (Years)	40 years
2007 [Member] | Mesa, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 6,498
Initial costs, buildings	100,032
Additions subsequent to acquisition, Improvements	4,152
Land at cost	6,498
Buildings at cost	104,184
Total at cost	110,682
Accumulated Depreciation	27,504
Encumbrances	$ 0
Date of Construction	2007
Date Acquired	Sep. 26, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Chandler, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 750
Initial costs, buildings	3,853
Land at cost	750
Buildings at cost	3,853
Total at cost	4,603
Accumulated Depreciation	795
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Oct. 07, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Hoover, AL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 0
Initial costs, buildings	1,034
Additions subsequent to acquisition, Improvements	296
Land at cost	0
Buildings at cost	7,581
Total at cost	7,581
Accumulated Depreciation	1,918
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	May 01, 2015
Life on which depreciation in latest income statements is computed (Years)	34 years
1978 [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of Construction	1978
Date Acquired	Jul. 06, 2021
1978 [Member] | Kansas City, MO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 10,497
Initial costs, buildings	64,419
Land at cost	10,497
Buildings at cost	64,419
Total at cost	74,916
Accumulated Depreciation	14,637
Encumbrances	$ 0
Date of Construction	1978
Date Acquired	Feb. 13, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1978 [Member] | Norwalk, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 7,946
Initial costs, buildings	31,574
Additions subsequent to acquisition, Improvements	5,995
Land at cost	7,946
Buildings at cost	37,569
Total at cost	45,515
Accumulated Depreciation	2,178
Encumbrances	$ 0
Life on which depreciation in latest income statements is computed (Years)	40 years
1978 [Member] | San Antonio, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 8,053
Initial costs, buildings	10,851
Additions subsequent to acquisition, Improvements	7,982
Land at cost	26,886
Buildings at cost	18,833
Total at cost	8,053
Accumulated Depreciation	5,731
Encumbrances	$ 0
Date of Construction	1978
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1977 [Member] | Braunfels, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,175
Land at cost	2,175
Buildings at cost	13,548
Total at cost	15,723
Accumulated Depreciation	2,910
Encumbrances	$ 0
Date of Construction	1977
Date Acquired	Jun. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1977 [Member] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 12,451
Initial costs, buildings	81,267
Land at cost	12,451
Buildings at cost	81,267
Total at cost	93,718
Accumulated Depreciation	8,133
Encumbrances	$ 0
Date of Construction	1977
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1965 [Member] | Rochdale, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,577
Initial costs, buildings	40,753
Land at cost	44,330
Buildings at cost	40,753
Total at cost	3,577
Accumulated Depreciation	4,113
Encumbrances	$ 0
Date of Construction	1965
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1714 [Member] | Bromley, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 7,224
Initial costs, buildings	15,521
Land at cost	7,224
Buildings at cost	15,521
Total at cost	22,745
Accumulated Depreciation	1,077
Encumbrances	$ 0
Date of Construction	1714
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1979 [Member] | Phoenix, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 2,396
Initial costs, buildings	12,643
Additions subsequent to acquisition, Improvements	2,985
Land at cost	18,024
Buildings at cost	15,628
Total at cost	2,396
Accumulated Depreciation	4,763
Encumbrances	$ 0
Date of Construction	1979
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	42 years
2012 [Member] | Carrollton, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 4,941
Initial costs, buildings	52,227
Land at cost	4,941
Buildings at cost	52,227
Total at cost	57,168
Accumulated Depreciation	3,089
Encumbrances	$ 0
Date of Construction	2012
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2012 [Member] | Casper, WY [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,683
Land at cost	1,683
Total at cost	1,683
Encumbrances	$ 0
Date of Construction	2012
Date Acquired	Feb. 29, 2012
2012 [Member] | Dewsburry, UK
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	ehavioral health facility
Initial costs, land	$ 1,120
Initial costs, buildings	10,199
Land at cost	1,120
Buildings at cost	10,199
Total at cost	11,319
Accumulated Depreciation	206
Encumbrances	$ 0
Date of Construction	2012
Date Acquired	Apr. 14, 2023
Life on which depreciation in latest income statements is computed (Years)	40 years
2012 [Member] | Dublin, OH [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 5,118
Initial costs, buildings	69,346
Land at cost	5,118
Buildings at cost	69,346
Total at cost	74,464
Accumulated Depreciation	4,058
Encumbrances	$ 0
Date of Construction	2012
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2012 [Member] | Florence, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 900
Initial costs, buildings	28,462
Additions subsequent to acquisition, Improvements	105
Land at cost	900
Buildings at cost	28,567
Total at cost	29,467
Accumulated Depreciation	8,388
Encumbrances	$ 0
Date of Construction	2012
Date Acquired	Feb. 07, 2012
Life on which depreciation in latest income statements is computed (Years)	40 years
2012 [Member] | Lafayette, IN [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 2,829
Initial costs, buildings	10,795
Land at cost	2,829
Buildings at cost	10,795
Total at cost	13,624
Accumulated Depreciation	782
Encumbrances	$ 0
Date of Construction	2012
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2012 [Member] | Overlook, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,452
Initial costs, buildings	9,666
Additions subsequent to acquisition, Improvements	7
Land at cost	2,452
Buildings at cost	9,673
Total at cost	12,125
Accumulated Depreciation	2,626
Encumbrances	$ 0
Date of Construction	2012
Date Acquired	Feb. 01, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
2012 [Member] | Mount Pleasant, SC [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Long term acute care hospital
Initial costs, land	$ 597
Initial costs, buildings	2,198
Land at cost	597
Buildings at cost	2,198
Total at cost	2,795
Accumulated Depreciation	276
Encumbrances	$ 0
Date of Construction	2012
Date Acquired	Aug. 30, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
2012 [Member] | San Antonio, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,248
Initial costs, buildings	5,880
Land at cost	8,128
Buildings at cost	5,880
Total at cost	2,248
Accumulated Depreciation	1,641
Encumbrances	$ 0
Date of Construction	2012
Date Acquired	Oct. 02, 2012
Life on which depreciation in latest income statements is computed (Years)	40 years
2012 [Member] | Reading, United Kingdom [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 25,995
Initial costs, buildings	83,297
Land at cost	109,292
Buildings at cost	83,297
Total at cost	25,995
Accumulated Depreciation	6,367
Encumbrances	$ 0
Date of Construction	2012
Date Acquired	Dec. 18, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
2003 [Member] | Bury, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 8,510
Initial costs, buildings	19,391
Land at cost	8,510
Buildings at cost	19,391
Total at cost	27,901
Accumulated Depreciation	1,398
Encumbrances	$ 0
Date of Construction	2003
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2003 [Member] | Newark, NJ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 32,957
Initial costs, buildings	24,553
Land at cost	32,957
Buildings at cost	24,553
Total at cost	57,510
Accumulated Depreciation	2,019
Encumbrances	$ 0
Date of Construction	2003
Date Acquired	May 02, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2003 [Member] | Youngstown, OH [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 4,335
Initial costs, buildings	3,565
Land at cost	8,388
Buildings at cost	4,053
Total at cost	4,335
Accumulated Depreciation	2,626
Encumbrances	$ 0
Date of Construction	2003
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1990 [Member] | Bossier City, LA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial costs, buildings	$ 26,348
1990 [Member] | Carmarthen, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 910
Initial costs, buildings	25,576
Land at cost	910
Buildings at cost	25,576
Total at cost	26,486
Accumulated Depreciation	2,583
Encumbrances	$ 0
Date of Construction	1990
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1990 [Member] | Darlington, United Kingdom [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 5,228
Land at cost	5,228
Buildings at cost	26,348
Total at cost	31,576
Accumulated Depreciation	1,735
Encumbrances	$ 0
Date of Construction	1990
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1990 [Member] | Gloucester, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 5,580
Initial costs, buildings	61,373
Land at cost	5,580
Buildings at cost	61,373
Total at cost	66,953
Accumulated Depreciation	7,042
Encumbrances	$ 0
Date of Construction	1990
Date Acquired	Aug. 16, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1990 [Member] | Hemel Hempstead, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 12,490
Initial costs, buildings	6,304
Land at cost	12,490
Buildings at cost	6,304
Total at cost	18,794
Accumulated Depreciation	550
Encumbrances	$ 0
Date of Construction	1990
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1990 [Member] | Leeds, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 2,280
Initial costs, buildings	9,521
Land at cost	2,280
Buildings at cost	9,521
Total at cost	11,801
Accumulated Depreciation	665
Encumbrances	$ 0
Date of Construction	1990
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1990 [Member] | Melton Mowbray, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 5,702
Initial costs, buildings	15,982
Land at cost	5,702
Buildings at cost	15,982
Total at cost	21,684
Accumulated Depreciation	1,143
Encumbrances	$ 0
Date of Construction	1990
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1990 [Member] | Reading, United Kingdom [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 34,795
Initial costs, buildings	46,173
Land at cost	80,968
Buildings at cost	46,173
Total at cost	34,795
Accumulated Depreciation	5,227
Encumbrances	$ 0
Date of Construction	1990
Date Acquired	Aug. 16, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1956 [Member] | Detroit, MI [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Long term acute care hospital
Initial costs, land	$ 1,220
Initial costs, buildings	8,323
Land at cost	1,220
Buildings at cost	8,323
Total at cost	9,543
Accumulated Depreciation	3,305
Encumbrances	$ 0
Date of Construction	1956
Date Acquired	May 22, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
1953 [Member] | Denville, NJ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 15,709
Initial costs, buildings	55,772
Land at cost	15,709
Buildings at cost	55,772
Total at cost	71,481
Accumulated Depreciation	4,835
Encumbrances	$ 0
Date of Construction	1953
Date Acquired	Sep. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1953 [Member] | Port Huron, MI
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,531
Initial costs, buildings	14,252
Land at cost	16,783
Buildings at cost	14,252
Total at cost	2,531
Accumulated Depreciation	3,895
Encumbrances	$ 0
Date of Construction	1953
Date Acquired	Dec. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	30 years
1976 [Member] | Layton, UT [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 14,360
Initial costs, buildings	370,154
Additions subsequent to acquisition, Improvements	6,530
Land at cost	14,360
Buildings at cost	376,684
Total at cost	391,044
Accumulated Depreciation	31,857
Encumbrances	$ 0
Date of Construction	1976
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
1976 [Member] | Phoenix, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 12,695
Initial costs, buildings	73,773
Additions subsequent to acquisition, Improvements	4,499
Land at cost	90,967
Buildings at cost	78,272
Total at cost	12,695
Accumulated Depreciation	13,041
Encumbrances	$ 0
Date of Construction	1976
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	43 years
2019 [Member] | Clarksville, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 2,460
Initial costs, buildings	25,540
Land at cost	2,460
Buildings at cost	25,540
Total at cost	28,000
Accumulated Depreciation	2,130
Encumbrances	$ 0
Date of Construction	2019
Date Acquired	Dec. 17, 2020
Life on which depreciation in latest income statements is computed (Years)	39 years
2019 [Member] | Mesa, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,604
Initial costs, buildings	16,400
Land at cost	2,604
Buildings at cost	16,400
Total at cost	19,004
Accumulated Depreciation	707
Encumbrances	$ 0
Date of Construction	2019
Date Acquired	Apr. 18, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
2019 [Member] | Overland Park, KS [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,191
Initial costs, buildings	14,263
Land at cost	3,191
Buildings at cost	14,263
Total at cost	17,454
Accumulated Depreciation	1,498
Encumbrances	$ 0
Date of Construction	2019
Date Acquired	Jun. 10, 2019
Life on which depreciation in latest income statements is computed (Years)	50 years
2011 [Member] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial costs, land	$ 1,853
Initial costs, buildings	$ 10,622
2011 [Member] | New Braunfels, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Land at cost	$ 1,853
Buildings at cost	10,622
Total at cost	12,475
Accumulated Depreciation	850
Encumbrances	$ 0
Date of Construction	2011
Date Acquired	Feb. 29, 2012
Life on which depreciation in latest income statements is computed (Years)	40 years
1959 [Member] | Canterbury, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Life on which depreciation in latest income statements is computed (Years)	40 years
1959 [Member] | Coral Gables, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 26,215
Initial costs, buildings	84,584
Land at cost	26,215
Buildings at cost	84,584
Total at cost	110,799
Accumulated Depreciation	5,295
Encumbrances	$ 0
Date of Construction	1959
Date Acquired	Aug. 01, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1959 [Member] | Norwalk, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,811
Initial costs, buildings	5,940
Land at cost	2,811
Buildings at cost	5,940
Total at cost	8,751
Accumulated Depreciation	464
Encumbrances	$ 0
Date of Construction	1959
Date Acquired	Jul. 06, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1994 [Member] | Cheadle, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 29,815
Initial costs, buildings	94,808
Land at cost	29,815
Buildings at cost	94,808
Total at cost	124,623
Accumulated Depreciation	6,413
Encumbrances	$ 0
Date of Construction	1994
Date Acquired	Jul. 08, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1994 [Member] | Worthing, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 6,716
Initial costs, buildings	30,146
Land at cost	36,862
Buildings at cost	30,146
Total at cost	6,716
Accumulated Depreciation	3,040
Encumbrances	$ 0
Date of Construction	1994
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
2001 [Member] | Cologne Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 4,426
Initial costs, buildings	14,965
Land at cost	4,426
Buildings at cost	14,965
Total at cost	19,391
Accumulated Depreciation	2,475
Encumbrances	$ 0
Date of Construction	2001
Date Acquired	Aug. 07, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
2001 [Member] | Darlington, United Kingdom [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,088
Initial costs, buildings	35,818
Land at cost	2,088
Buildings at cost	35,818
Total at cost	37,906
Accumulated Depreciation	3,138
Encumbrances	$ 0
Date of Construction	2001
Date Acquired	Aug. 07, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
2001 [Member] | Hope, AR [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,651
Initial costs, buildings	3,359
Additions subsequent to acquisition, Improvements	2,733
Land at cost	1,651
Buildings at cost	6,092
Total at cost	7,743
Accumulated Depreciation	1,395
Encumbrances	$ 0
Date of Construction	2001
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
2001 [Member] | Norwood, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 6,373
Land at cost	6,373
Total at cost	$ 6,373
Date Acquired	Jun. 27, 2018
Life on which depreciation in latest income statements is computed (Years)	46 years
1925 [Member] | Dover NJ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,865
Initial costs, buildings	8,693
Land at cost	3,865
Buildings at cost	8,693
Total at cost	12,558
Accumulated Depreciation	802
Encumbrances	$ 0
Date of Construction	1925
Date Acquired	Sep. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1935 [Member] | Darlington, United Kingdom [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 21,246
Land at cost	21,246
Buildings at cost	48,262
Total at cost	69,508
Accumulated Depreciation	3,533
Encumbrances	$ 0
Date of Construction	1935
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1935 [Member] | Darlington UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial costs, buildings	$ 48,262
1960 [Member] | Bossier City, LA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial costs, buildings	$ 26,348
1960 [Member] | Darlington, United Kingdom [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 5,228
Land at cost	5,228
Buildings at cost	26,348
Total at cost	31,576
Accumulated Depreciation	1,735
Encumbrances	$ 0
Date of Construction	1960
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1960 [Member] | Houston, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,274
Initial costs, buildings	27,324
Additions subsequent to acquisition, Improvements	32,499
Land at cost	3,274
Buildings at cost	59,823
Total at cost	63,097
Accumulated Depreciation	21,142
Encumbrances	$ 0
Date of Construction	1960
Date Acquired	Aug. 10, 2007
Life on which depreciation in latest income statements is computed (Years)	40 years
1960 [Member] | Huntington Park, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,132
Initial costs, buildings	6,103
Land at cost	3,132
Buildings at cost	5,002
Total at cost	8,134
Accumulated Depreciation	386
Encumbrances	$ 0
Date of Construction	1960
Date Acquired	Jul. 06, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1960 [Member] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 6,161
Initial costs, buildings	15,655
Land at cost	6,161
Buildings at cost	15,655
Total at cost	21,816
Accumulated Depreciation	1,076
Encumbrances	$ 0
Date of Construction	1960
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1960 [Member] | Meyersdale, PA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 390
Initial costs, buildings	4,280
Land at cost	390
Buildings at cost	4,280
Total at cost	4,670
Accumulated Depreciation	731
Encumbrances	$ 0
Date of Construction	1960
Date Acquired	Dec. 17, 2019
Life on which depreciation in latest income statements is computed (Years)	30 years
1960 [Member] | Sherman, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,363
Initial costs, buildings	10,931
Land at cost	14,294
Buildings at cost	10,931
Total at cost	3,363
Accumulated Depreciation	4,326
Encumbrances	$ 0
Date of Construction	1960
Date Acquired	Oct. 31, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
1840 [Member] | Diss, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 2,910
Initial costs, buildings	10,377
Land at cost	2,910
Buildings at cost	10,377
Total at cost	13,287
Accumulated Depreciation	796
Encumbrances	$ 0
Date of Construction	1840
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1993 [Member] | Dahlen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,342
Initial costs, buildings	11,339
Land at cost	1,342
Buildings at cost	11,339
Total at cost	12,681
Accumulated Depreciation	1,065
Encumbrances	$ 0
Date of Construction	1993
Date Acquired	Aug. 28, 2018
Life on which depreciation in latest income statements is computed (Years)	40 years
1993 [Member] | Dormagen Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,909
Initial costs, buildings	5,648
Land at cost	1,909
Buildings at cost	5,648
Total at cost	7,557
Accumulated Depreciation	801
Encumbrances	$ 0
Date of Construction	1993
Date Acquired	Aug. 28, 2018
Life on which depreciation in latest income statements is computed (Years)	40 years
1993 [Member] | San Bernardino, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,209
Initial costs, buildings	37,498
Land at cost	39,707
Buildings at cost	37,498
Total at cost	2,209
Accumulated Depreciation	4,439
Encumbrances	$ 0
Date of Construction	1993
Date Acquired	Aug. 30, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1830 [Member] | Bromley, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 7,224
Initial costs, buildings	15,521
Land at cost	7,224
Buildings at cost	15,521
Total at cost	22,745
Accumulated Depreciation	1,077
Encumbrances	$ 0
Date of Construction	1830
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1969 [Member] | Denville, NJ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 15,709
Initial costs, buildings	55,772
Land at cost	15,709
Buildings at cost	55,772
Total at cost	71,481
Accumulated Depreciation	4,835
Encumbrances	$ 0
Date of Construction	1969
Date Acquired	Sep. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1969 [Member] | Hialeah, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 18,802
Initial costs, buildings	222,271
Additions subsequent to acquisition, Improvements	73,911
Land at cost	18,802
Buildings at cost	107,783
Total at cost	126,585
Accumulated Depreciation	6,896
Encumbrances	$ 0
Date of Construction	1950
Date Acquired	Aug. 01, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1969 [Member] | Huntington Park, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,132
Initial costs, buildings	6,103
Land at cost	3,132
Buildings at cost	5,002
Total at cost	8,134
Accumulated Depreciation	386
Encumbrances	$ 0
Date of Construction	1969
Date Acquired	Jul. 06, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1927 [Member] | Dover NJ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,865
Initial costs, buildings	8,693
Land at cost	3,865
Buildings at cost	8,693
Total at cost	12,558
Accumulated Depreciation	802
Encumbrances	$ 0
Date of Construction	1927
Date Acquired	Sep. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2021 [Member] | Bromley, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 7,224
Initial costs, buildings	15,521
Land at cost	7,224
Buildings at cost	15,521
Total at cost	22,745
Accumulated Depreciation	1,077
Encumbrances	$ 0
Date of Construction	2021
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2021 [Member] | McKinney, Texas [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 2,934
Initial costs, buildings	0
Land at cost	2,934
Buildings at cost	0
Total at cost	2,934
Encumbrances	$ 0
Date Acquired	Oct. 19, 2021
2021 [Member] | Preston, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 8,740
Initial costs, buildings	26,001
Land at cost	34,741
Buildings at cost	26,001
Total at cost	8,740
Accumulated Depreciation	1,741
Encumbrances	$ 0
Date of Construction	2021
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2021 [Member] | Stockton, California [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 2,798
Initial costs, buildings	50,610
Land at cost	53,408
Buildings at cost	50,610
Total at cost	2,798
Accumulated Depreciation	835
Encumbrances	$ 0
Date of Construction	2021
Date Acquired	Nov. 23, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
2020 [Member] | Darlington, United Kingdom [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 21,246
Land at cost	21,246
Buildings at cost	48,262
Total at cost	69,508
Accumulated Depreciation	3,533
Encumbrances	$ 0
Date of Construction	2020
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2020 [Member] | Darlington UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial costs, buildings	$ 48,262
2020 [Member] | Gilbert, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 4,790
Initial costs, buildings	45,076
Land at cost	4,790
Buildings at cost	45,076
Total at cost	49,866
Accumulated Depreciation	2,614
Encumbrances	$ 0
Date of Construction	2020
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2020 [Member] | Houston, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 6,063
Initial costs, buildings	19,881
Additions subsequent to acquisition, Improvements	2,565
Land at cost	6,063
Buildings at cost	22,446
Total at cost	28,509
Accumulated Depreciation	1,683
Encumbrances	$ 0
Date of Construction	2020
Date Acquired	Oct. 25, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
2020 [Member] | Idaho Falls, ID [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,880
Initial costs, buildings	107,608
Additions subsequent to acquisition, Improvements	1,064
Land at cost	1,880
Buildings at cost	108,672
Total at cost	110,552
Accumulated Depreciation	10,525
Encumbrances	$ 0
Date of Construction	2020
Date Acquired	Dec. 19, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2020 [Member] | Tadley, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 20,918
Initial costs, buildings	19,061
Land at cost	39,979
Buildings at cost	19,061
Total at cost	20,918
Accumulated Depreciation	1,565
Encumbrances	$ 0
Date of Construction	2020
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2020 [Member] | Woking, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 7,240
Initial costs, buildings	4,680
Land at cost	11,920
Buildings at cost	4,680
Total at cost	7,240
Accumulated Depreciation	358
Encumbrances	$ 0
Date of Construction	2020
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1986 [Member] | Halsall, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,014
Initial costs, buildings	31,159
Land at cost	2,014
Buildings at cost	31,159
Total at cost	33,173
Accumulated Depreciation	3,585
Encumbrances	$ 0
Date of Construction	1986
Date Acquired	Aug. 16, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1986 [Member] | Rowley, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,908
Initial costs, buildings	18,302
Land at cost	21,210
Buildings at cost	18,302
Total at cost	2,908
Accumulated Depreciation	2,171
Encumbrances	$ 0
Date of Construction	1986
Date Acquired	Aug. 16, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1999 [Member] | Hartsville, SC [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,050
Initial costs, buildings	43,970
Land at cost	2,050
Buildings at cost	43,970
Total at cost	46,020
Accumulated Depreciation	10,625
Encumbrances	$ 0
Date of Construction	1999
Date Acquired	Aug. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	34 years
1924 [Member] | Hastings, PA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 603
Initial costs, buildings	8,834
Land at cost	603
Buildings at cost	8,834
Total at cost	9,437
Accumulated Depreciation	1,453
Encumbrances	$ 0
Date of Construction	1924
Date Acquired	Dec. 17, 2019
Life on which depreciation in latest income statements is computed (Years)	30 years
1924 [Member] | Johnstown, PA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 8,877
Initial costs, buildings	247,158
Land at cost	8,877
Buildings at cost	247,158
Total at cost	256,035
Accumulated Depreciation	33,435
Encumbrances	$ 0
Date of Construction	1924
Date Acquired	Dec. 17, 2019
Life on which depreciation in latest income statements is computed (Years)	30 years
1924 [Member] | Roaring Springs, PA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,446
Initial costs, buildings	9,549
Land at cost	10,995
Buildings at cost	9,549
Total at cost	1,446
Accumulated Depreciation	1,621
Encumbrances	$ 0
Date of Construction	1924
Date Acquired	Dec. 17, 2019
Life on which depreciation in latest income statements is computed (Years)	30 years
1950 [Member] | Hialeah, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 75,339
Initial costs, buildings	107,783
Land at cost	75,339
Buildings at cost	296,182
Total at cost	371,521
Accumulated Depreciation	15,345
Encumbrances	$ 0
Date of Construction	1969
Date Acquired	Aug. 01, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1950 [Member] | Houston, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 28,687
Initial costs, buildings	104,028
Additions subsequent to acquisition, Improvements	90,934
Land at cost	28,687
Buildings at cost	194,962
Total at cost	223,649
Accumulated Depreciation	16,337
Encumbrances	$ 0
Date of Construction	1950
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1950 [Member] | Lynwood, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Land at cost	$ 30,116
1950 [Member] | Ottumwa, IA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,377
Initial costs, buildings	48,697
Land at cost	2,377
Buildings at cost	48,697
Total at cost	51,074
Accumulated Depreciation	7,246
Encumbrances	$ 0
Date of Construction	1950
Date Acquired	Dec. 17, 2019
Life on which depreciation in latest income statements is computed (Years)	30 years
1950 [Member] | Rockledge, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 13,919
Initial costs, buildings	23,282
Additions subsequent to acquisition, Improvements	8,428
Land at cost	45,629
Buildings at cost	31,710
Total at cost	13,919
Accumulated Depreciation	6,584
Encumbrances	$ 0
Date of Construction	1950
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	42 years
1950 [Member] | Sharon, PA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 6,179
Initial costs, buildings	9,066
Additions subsequent to acquisition, Improvements	8,513
Land at cost	23,758
Buildings at cost	17,579
Total at cost	6,179
Accumulated Depreciation	3,537
Encumbrances	$ 0
Date of Construction	1950
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1950 [Member] | Surrey, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 15,047
Initial costs, buildings	9,130
Land at cost	24,177
Buildings at cost	9,130
Total at cost	15,047
Accumulated Depreciation	334
Encumbrances	$ 0
Date of Construction	1950
Date Acquired	Dec. 09, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1991 [Member] | Fresno, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 5,507
Initial costs, buildings	70,473
Land at cost	5,507
Buildings at cost	70,473
Total at cost	75,980
Accumulated Depreciation	8,228
Encumbrances	$ 0
Date of Construction	1991
Date Acquired	Aug. 30, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1991 [Member] | Heidelberg, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 6,237
Initial costs, buildings	35,625
Land at cost	6,237
Buildings at cost	35,625
Total at cost	41,862
Accumulated Depreciation	6,716
Encumbrances	$ 0
Date of Construction	1991
Date Acquired	Jun. 22, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
1700 [Member] | Frome, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 2,896
Initial costs, buildings	10,711
Land at cost	2,896
Buildings at cost	17,545
Total at cost	20,441
Accumulated Depreciation	1,237
Encumbrances	$ 0
Date of Construction	1700
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1966 [Member] | Gardena, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 14,010
Initial costs, buildings	65,282
Land at cost	14,010
Buildings at cost	65,282
Total at cost	79,292
Accumulated Depreciation	4,410
Encumbrances	$ 0
Date of Construction	1966
Date Acquired	Jul. 06, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1900 [Member] | Glasgow, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 1,429
Initial costs, buildings	15,619
Land at cost	1,429
Buildings at cost	15,619
Total at cost	17,048
Accumulated Depreciation	1,058
Encumbrances	$ 0
Date of Construction	1900
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1900 [Member] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 6,161
Initial costs, buildings	15,655
Land at cost	6,161
Buildings at cost	15,655
Total at cost	21,816
Accumulated Depreciation	1,076
Encumbrances	$ 0
Date of Construction	1900
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1900 [Member] | York, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 21,635
Initial costs, buildings	71,771
Land at cost	93,406
Total at cost	21,635
Accumulated Depreciation	4,739
Encumbrances	$ 0
Date of Construction	1900
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 hours
1796 [Member] | Godalming, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 9,356
Initial costs, buildings	18,980
Land at cost	9,356
Buildings at cost	18,980
Total at cost	28,336
Accumulated Depreciation	1,376
Encumbrances	$ 0
Date of Construction	1796
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1886 [Member] | Grefath, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,200
Initial costs, buildings	3,028
Land at cost	1,200
Buildings at cost	3,028
Total at cost	4,228
Accumulated Depreciation	439
Encumbrances	$ 0
Date of Construction	1886
Date Acquired	Aug. 28, 2018
Life on which depreciation in latest income statements is computed (Years)	40 years
1998 [Member] | Kuhlungsborn Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 6,700
Initial costs, buildings	17,226
Land at cost	6,700
Total at cost	23,926
Accumulated Depreciation	$ 288
Date of Construction	1998
Date Acquired	Jun. 01, 2023
Life on which depreciation in latest income statements is computed (Years)	40 years
1998 [Member] | Hassocks, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 5,484
Land at cost	5,484
Buildings at cost	28,675
Total at cost	34,159
Accumulated Depreciation	2,203
Encumbrances	$ 0
Date of Construction	1998
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1885 [Member] | Heidelberg, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 6,237
Initial costs, buildings	35,625
Land at cost	6,237
Buildings at cost	35,625
Total at cost	41,862
Accumulated Depreciation	6,716
Encumbrances	$ 0
Date of Construction	1885
Date Acquired	Jun. 22, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
1901 [Member] | Hemel Hempstead, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 12,490
Initial costs, buildings	6,304
Land at cost	12,490
Buildings at cost	6,304
Total at cost	18,794
Accumulated Depreciation	550
Encumbrances	$ 0
Date of Construction	1901
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2005 [Member] | Port Arthur, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 11,432
Initial costs, buildings	76,746
Additions subsequent to acquisition, Improvements	6,877
Land at cost	95,055
Buildings at cost	83,623
Total at cost	11,432
Accumulated Depreciation	20,870
Encumbrances	$ 0
Date of Construction	2005
Date Acquired	Sep. 26, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
2005 [Member] | Tomball, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Long term acute care hospital
Initial costs, land	$ 1,299
Initial costs, buildings	20,545
Land at cost	21,844
Buildings at cost	20,545
Total at cost	1,299
Accumulated Depreciation	7,794
Encumbrances	$ 0
Date of Construction	2005
Date Acquired	Dec. 21, 2010
Life on which depreciation in latest income statements is computed (Years)	40 years
2002 [Member] | Idaho Falls, ID [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,822
Initial costs, buildings	41,316
Additions subsequent to acquisition, Improvements	30,353
Land at cost	1,822
Buildings at cost	71,669
Total at cost	73,491
Accumulated Depreciation	17,918
Encumbrances	$ 0
Date of Construction	2002
Date Acquired	Apr. 01, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
2002 [Member] | Melbourne, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 5,642
Initial costs, buildings	17,087
Additions subsequent to acquisition, Improvements	21,830
Land at cost	5,642
Buildings at cost	38,917
Total at cost	44,559
Accumulated Depreciation	5,172
Encumbrances	$ 0
Date of Construction	2002
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	42 years
2002 [Member] | San Antonio, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 8,053
Initial costs, buildings	10,851
Additions subsequent to acquisition, Improvements	7,982
Land at cost	26,886
Buildings at cost	18,833
Total at cost	8,053
Accumulated Depreciation	5,731
Encumbrances	$ 0
Date of Construction	2002
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1892 [Member] | Hinckley, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 2,466
Initial costs, buildings	16,804
Land at cost	2,466
Buildings at cost	16,804
Total at cost	19,270
Accumulated Depreciation	1,138
Encumbrances	$ 0
Date of Construction	1892
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2000 [Member] | Cadiz Spain [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 299
Initial costs, buildings	6,799
Land at cost	299
Buildings at cost	6,799
Total at cost	7,098
Accumulated Depreciation	304
Encumbrances	$ 0
Date of Construction	2000
Date Acquired	Apr. 29, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
2000 [Member] | Hinckley, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date of Construction	2007
2000 [Member] | Lynwood, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 30,116
Initial costs, buildings	148,527
Land at cost	30,116
Buildings at cost	148,527
Total at cost	178,643
Accumulated Depreciation	12,749
Encumbrances	$ 0
Date of Construction	2000
Date Acquired	Aug. 13, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
2000 [Member] | Montclair, NJ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial costs, land	$ 7,900
Initial costs, buildings	99,640
Additions subsequent to acquisition, Improvements	577
Buildings at cost	$ 99,640
Life on which depreciation in latest income statements is computed (Years)	40 years
2000 [Member] | Nottingham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 10,160
Initial costs, buildings	3,246
Land at cost	10,160
Buildings at cost	3,246
Total at cost	13,406
Accumulated Depreciation	227
Encumbrances	$ 0
Date of Construction	1980
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2000 [Member] | Montclair New Jersey [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Land at cost	$ 8,477
Total at cost	108,117
Accumulated Depreciation	24,858
Encumbrances	$ 0
Date of Construction	2000
Date Acquired	Apr. 01, 2014
2000 [Member] | Warren, OH [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 2,417
Initial costs, buildings	15,857
Additions subsequent to acquisition, Improvements	1,737
Land at cost	20,011
Buildings at cost	17,594
Total at cost	2,417
Accumulated Depreciation	3,598
Encumbrances	$ 0
Date of Construction	2000
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	46 years
2000 [Member] | Willenhall, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 7,289
Initial costs, buildings	16,262
Land at cost	23,551
Buildings at cost	16,262
Total at cost	7,289
Accumulated Depreciation	1,100
Encumbrances	$ 0
Date of Construction	2000
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1967 [Member] | Huntington Park, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,935
Initial costs, buildings	5,002
Land at cost	3,935
Buildings at cost	6,103
Total at cost	10,038
Accumulated Depreciation	461
Encumbrances	$ 0
Date of Construction	1967
Date Acquired	Jul. 06, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1975 [Member] | Lauderdale Lakes, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 10,657
Initial costs, buildings	150,313
Land at cost	10,657
Buildings at cost	150,313
Total at cost	160,970
Accumulated Depreciation	10,300
Encumbrances	$ 0
Date of Construction	1975
Date Acquired	Aug. 01, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1987 [Member] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 9,243
Initial costs, buildings	4,148
Land at cost	9,243
Buildings at cost	61,004
Total at cost	70,247
Accumulated Depreciation	6,121
Encumbrances	$ 0
Date of Construction	1984
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1987 [Member] | Orpington, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 10,338
Initial costs, buildings	42,714
Land at cost	10,338
Buildings at cost	42,714
Total at cost	53,052
Accumulated Depreciation	4,312
Encumbrances	$ 0
Date of Construction	1987
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1987 [Member] | Salt Lake City, UT [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 13,590
Initial costs, buildings	101,915
Additions subsequent to acquisition, Improvements	15,268
Land at cost	130,773
Buildings at cost	117,183
Total at cost	13,590
Accumulated Depreciation	17,550
Encumbrances	$ 0
Date of Construction	1987
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1926 [Member] | Norwood, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 6,373
Land at cost	6,373
Total at cost	$ 6,373
Date Acquired	Jun. 27, 2018
Life on which depreciation in latest income statements is computed (Years)	46 years
1996 [Member] | Mcminnville, OR [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 5,000
Initial costs, buildings	97,900
Land at cost	5,000
Buildings at cost	97,900
Total at cost	102,900
Accumulated Depreciation	19,124
Encumbrances	$ 0
Date of Construction	1996
Date Acquired	Aug. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	41 years
1996 [Member] | Poole, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,325
Initial costs, buildings	38,382
Land at cost	40,707
Buildings at cost	38,382
Total at cost	2,325
Accumulated Depreciation	4,722
Encumbrances	$ 0
Date of Construction	1996
Date Acquired	Apr. 03, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1955 [Member] | Miami, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 44,400
Initial costs, buildings	107,203
Land at cost	44,400
Buildings at cost	107,203
Total at cost	151,603
Accumulated Depreciation	8,092
Encumbrances	$ 0
Date of Construction	1955
Date Acquired	Aug. 01, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1955 [Member] | Windsor, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 12,184
Initial costs, buildings	104,726
Land at cost	116,910
Buildings at cost	104,726
Total at cost	12,184
Accumulated Depreciation	10,500
Encumbrances	$ 0
Date of Construction	1955
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1988 [Member] | Hassocks, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial costs, buildings	$ 28,675
1988 [Member] | Miami, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 20,430
Initial costs, buildings	30,282
Additions subsequent to acquisition, Improvements	10,935
Land at cost	20,430
Buildings at cost	41,217
Total at cost	61,647
Accumulated Depreciation	1,483
Encumbrances	$ 0
Date of Construction	1988
Date Acquired	Apr. 25, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1988 [Member] | Palestine, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,848
Initial costs, buildings	95,257
Land at cost	1,848
Buildings at cost	95,257
Total at cost	97,105
Accumulated Depreciation	9,986
Encumbrances	$ 0
Date of Construction	1988
Date Acquired	Dec. 17, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1920 [Member] | Montclair, NJ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 7,900
Initial costs, buildings	99,640
Additions subsequent to acquisition, Improvements	577
Land at cost	8,477
Buildings at cost	99,640
Total at cost	108,117
Accumulated Depreciation	24,858
Encumbrances	$ 0
Date of Construction	1920
Date Acquired	Apr. 01, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
1920 [Member] | Pasco, WA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,594
Initial costs, buildings	13,195
Land at cost	15,789
Buildings at cost	13,195
Total at cost	2,594
Accumulated Depreciation	2,404
Encumbrances	$ 0
Date of Construction	1920
Date Acquired	Aug. 31, 2018
Life on which depreciation in latest income statements is computed (Years)	30 years
1920 [Member] | Newark, NJ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 32,957
Initial costs, buildings	24,553
Land at cost	32,957
Buildings at cost	24,553
Total at cost	57,510
Accumulated Depreciation	2,019
Encumbrances	$ 0
Date of Construction	1920
Date Acquired	May 02, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
1920 [Member] | Sussex, NJ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 477
Initial costs, buildings	2,097
Land at cost	2,574
Buildings at cost	2,097
Total at cost	477
Accumulated Depreciation	191
Encumbrances	$ 0
Date of Construction	1920
Date Acquired	Sep. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1919 [Member] | Newark, NJ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 32,957
Initial costs, buildings	24,553
Land at cost	32,957
Buildings at cost	24,553
Total at cost	57,510
Accumulated Depreciation	2,019
Encumbrances	$ 0
Date of Construction	1919
Date Acquired	May 02, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
1958 [Member] | Miami, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 20,430
Initial costs, buildings	30,282
Additions subsequent to acquisition, Improvements	10,935
Land at cost	20,430
Buildings at cost	41,217
Total at cost	61,647
Accumulated Depreciation	1,483
Encumbrances	$ 0
Date of Construction	1958
Date Acquired	Apr. 25, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1958 [Member] | Norwalk, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 7,946
Initial costs, buildings	31,574
Additions subsequent to acquisition, Improvements	5,995
Land at cost	7,946
Buildings at cost	37,569
Total at cost	45,515
Accumulated Depreciation	2,178
Encumbrances	$ 0
Date of Construction	1958
Date Acquired	Jul. 06, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1995 [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Land at cost	$ 2,811
Total at cost	8,751
Accumulated Depreciation	464
Encumbrances	$ 0
1995 [Member] | Barby, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,819
Initial costs, buildings	20,290
Land at cost	1,819
Buildings at cost	20,290
Total at cost	22,109
Accumulated Depreciation	397
Encumbrances	$ 0
Date of Construction	1995
Date Acquired	Apr. 19, 2023
Life on which depreciation in latest income statements is computed (Years)	40 years
1995 [Member] | Brandis, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial costs, land	$ 2,214
Initial costs, buildings	24,340
Land at cost	2,214
Buildings at cost	24,340
Total at cost	26,554
Accumulated Depreciation	485
Encumbrances
Date of Construction	1995
Date Acquired	Apr. 19, 2023
Life on which depreciation in latest income statements is computed (Years)	40 years
1995 [Member] | Norwalk, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial costs, land	$ 2,811
Initial costs, buildings	5,940
Buildings at cost	$ 5,940
Date of Construction	1995
Date Acquired	Jul. 06, 2021
1906 [Member] | Salt Lake City, UT [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 13,590
Initial costs, buildings	101,915
Additions subsequent to acquisition, Improvements	15,268
Land at cost	130,773
Buildings at cost	117,183
Total at cost	13,590
Accumulated Depreciation	17,550
Encumbrances	$ 0
Date of Construction	1906
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1906 [Member] | Royston, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 6,734
Initial costs, buildings	20,048
Land at cost	26,782
Buildings at cost	20,048
Total at cost	6,734
Accumulated Depreciation	1,578
Encumbrances	$ 0
Date of Construction	1906
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1850 [Member] | Preston, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 8,740
Initial costs, buildings	26,001
Land at cost	34,741
Buildings at cost	26,001
Total at cost	8,740
Accumulated Depreciation	1,741
Encumbrances	$ 0
Date of Construction	1850
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1850 [Member] | Usk, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 1,730
Initial costs, buildings	22,202
Land at cost	23,932
Buildings at cost	22,202
Total at cost	1,730
Accumulated Depreciation	1,472
Encumbrances	$ 0
Date of Construction	1850
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1951 [Member] | Remscheid, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,048
Initial costs, buildings	2,528
Land at cost	3,576
Buildings at cost	2,528
Total at cost	1,048
Accumulated Depreciation	357
Encumbrances	$ 0
Date of Construction	1951
Date Acquired	Aug. 28, 2018
Life on which depreciation in latest income statements is computed (Years)	40 years
1913 [Member] | Sherman, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,363
Initial costs, buildings	10,931
Land at cost	14,294
Buildings at cost	10,931
Total at cost	3,363
Accumulated Depreciation	4,326
Encumbrances	$ 0
Date of Construction	1913
Date Acquired	Oct. 31, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
1820 [Member] | Southampton, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 6,445
Initial costs, buildings	18,924
Land at cost	25,369
Buildings at cost	18,924
Total at cost	6,445
Accumulated Depreciation	1,466
Encumbrances	$ 0
Date of Construction	1820
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1940 [Member] | Houston, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 28,687
Initial costs, buildings	104,028
Additions subsequent to acquisition, Improvements	90,934
Land at cost	28,687
Buildings at cost	194,962
Total at cost	223,649
Accumulated Depreciation	16,337
Encumbrances	$ 0
Date of Construction	1940
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1940 [Member] | Lynwood, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial costs, land	$ 30,116
Initial costs, buildings	148,527
Buildings at cost	148,527
Total at cost	178,643
Accumulated Depreciation	12,749
Encumbrances	$ 0
Date of Construction	1940
Date Acquired	Aug. 13, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1940 [Member] | Tempe, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 6,050
Initial costs, buildings	10,986
Additions subsequent to acquisition, Improvements	5,239
Land at cost	22,275
Buildings at cost	16,225
Total at cost	6,050
Accumulated Depreciation	2,856
Encumbrances	$ 0
Date of Construction	1940
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1770 [Member] | Usk, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 1,730
Initial costs, buildings	22,202
Land at cost	23,932
Buildings at cost	22,202
Total at cost	1,730
Accumulated Depreciation	1,472
Encumbrances	$ 0
Date of Construction	1770
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1962 [Member] | Miami, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 20,430
Initial costs, buildings	30,282
Additions subsequent to acquisition, Improvements	10,935
Land at cost	20,430
Buildings at cost	41,217
Total at cost	61,647
Accumulated Depreciation	1,483
Encumbrances	$ 0
Date of Construction	1962
Date Acquired	Apr. 25, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1962 [Member] | West Monroe, LA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 11,702
Initial costs, buildings	69,433
Additions subsequent to acquisition, Improvements	19,116
Land at cost	100,251
Buildings at cost	87,997
Total at cost	12,254
Accumulated Depreciation	20,928
Encumbrances	$ 0
Date of Construction	1962
Date Acquired	Sep. 26, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
1911 [Member] | Winchester, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 6,487
Initial costs, buildings	10,277
Land at cost	16,764
Buildings at cost	10,277
Total at cost	6,487
Accumulated Depreciation	1,060
Encumbrances	$ 0
Date of Construction	1911
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1800 [Member] | Woking, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 7,240
Initial costs, buildings	4,680
Land at cost	11,920
Buildings at cost	4,680
Total at cost	7,240
Accumulated Depreciation	358
Encumbrances	$ 0
Date of Construction	1800
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1929 [Member] | Youngstown, OH [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 4,335
Initial costs, buildings	3,565
Land at cost	8,388
Buildings at cost	4,053
Total at cost	4,335
Accumulated Depreciation	2,626
Encumbrances	$ 0
Date of Construction	1929
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years

[1] Excludes approximately $400 million and $170 million of construction and building improvements in progress reflected in buildings and improvements at December 31, 2023 and 2022, respectively.