Schedule III - Real Estate Investments and Accumulated Depreciation (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2024		Dec. 31, 2023	[1]	Dec. 31, 2022	Dec. 31, 2021
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial costs, land	$ 1,605,243
Initial costs, buildings	8,087,849
Additions subsequent to acquisition, Improvements	393,401
Land at cost	1,606,722
Buildings at cost	8,479,771
Total at cost	10,086,493	[1]	$ 11,813,175		$ 12,300,524	$ 13,628,749
Accumulated Depreciation	1,239,897
Encumbrances	$ 790,230
Princes Risborough, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,345
Land at cost	3,345
Total at cost	3,345
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	$ 37,124
Initial costs, buildings	69,603
Land at cost	37,124
Buildings at cost	69,603
Total at cost	106,727
Accumulated Depreciation	9,699
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	$ 5,369
Initial costs, buildings	20,594
Land at cost	5,369
Buildings at cost	20,594
Total at cost	25,963
Accumulated Depreciation	2,591
Encumbrances	$ 14,629
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	$ 30,414
Initial costs, buildings	160,210
Land at cost	30,414
Buildings at cost	160,210
Total at cost	190,624
Accumulated Depreciation	20,151
Encumbrances	$ 105,255
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	$ 530
Initial costs, buildings	30,812
Land at cost	530
Buildings at cost	30,812
Total at cost	31,342
Accumulated Depreciation	3,870
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	$ 4,539
Initial costs, buildings	34,959
Land at cost	4,539
Buildings at cost	34,959
Total at cost	39,498
Accumulated Depreciation	5,015
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	$ 11,571
Initial costs, buildings	103,391
Land at cost	11,571
Buildings at cost	103,391
Total at cost	114,962
Accumulated Depreciation	13,026
Encumbrances	$ 54,064
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	$ 2,930
Initial costs, buildings	35,139
Land at cost	2,930
Buildings at cost	35,139
Total at cost	38,069
Accumulated Depreciation	4,832
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	$ 469
Initial costs, buildings	9,749
Land at cost	469
Buildings at cost	9,749
Total at cost	10,218
Accumulated Depreciation	936
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	$ 1,483
Initial costs, buildings	30,749
Land at cost	1,483
Buildings at cost	30,749
Total at cost	32,232
Accumulated Depreciation	8,072
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	41
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	1,555
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] | Gainesborough UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 1,503
Initial costs, buildings	9,838
Land at cost	1,503
Buildings at cost	9,838
Total at cost	11,341
Accumulated Depreciation	$ 580
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	7,530
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	$ 6,502
Initial costs, buildings	43,862
Land at cost	6,502
Buildings at cost	43,862
Total at cost	50,364
Accumulated Depreciation	5,564
Encumbrances	$ 32,006
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	$ 3,645
Initial costs, buildings	6,629
Land at cost	3,645
Buildings at cost	6,629
Total at cost	10,274
Accumulated Depreciation	$ 325
Date of Construction	2008
Life on which depreciation in latest income statements is computed (Years)	40 years
1811 [Member] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 35,654
Initial costs, buildings	51,030
Land at cost	35,654
Buildings at cost	51,030
Total at cost	86,684
Accumulated Depreciation	2,858
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	$ 14,396
Initial costs, buildings	24,713
Land at cost	14,396
Buildings at cost	24,713
Total at cost	39,109
Accumulated Depreciation	1,565
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	$ 4,626
Initial costs, buildings	36,724
Land at cost	4,626
Buildings at cost	36,724
Total at cost	41,350
Accumulated Depreciation	2,052
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	$ 4,563
Initial costs, buildings	42,462
Land at cost	4,563
Buildings at cost	42,462
Total at cost	47,025
Accumulated Depreciation	2,365
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	$ 28,447
Initial costs, buildings	14,719
Land at cost	28,447
Buildings at cost	14,719
Total at cost	43,166
Accumulated Depreciation	940
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	7,508
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	$ 14,396
Initial costs, buildings	24,713
Land at cost	14,396
Buildings at cost	24,713
Total at cost	39,109
Accumulated Depreciation	1,565
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	1,075
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	$ 4,626
Initial costs, buildings	36,724
Land at cost	4,626
Buildings at cost	36,724
Total at cost	41,350
Accumulated Depreciation	2,052
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] | Essex, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 4,563
Initial costs, buildings	42,462
Land at cost	4,563
Buildings at cost	42,462
Total at cost	47,025
Accumulated Depreciation	2,365
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] | 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	3,069
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] | 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	23,550
Additions subsequent to acquisition, Improvements	10,561
Land at cost	4,569
Buildings at cost	34,111
Total at cost	38,680
Accumulated Depreciation	2,283
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	$ 35,654
Initial costs, buildings	51,030
Land at cost	35,654
Buildings at cost	51,030
Total at cost	86,684
Accumulated Depreciation	2,858
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	4,435
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	1,075
Buildings at cost	3,577
Total at cost	4,652
Accumulated Depreciation	924
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
Land at cost	351
Buildings at cost	3,952
Total at cost	4,303
Accumulated Depreciation	1,061
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	6,665
Additions subsequent to acquisition, Improvements	10,815
Land at cost	5,380
Buildings at cost	17,480
Total at cost	22,860
Accumulated Depreciation	867
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] | Surrey, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 14,793
Initial costs, buildings	8,975
Land at cost	14,793
Buildings at cost	8,975
Total at cost	23,768
Accumulated Depreciation	632
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Dec. 09, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
2014-2 [Member] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 28,447
Initial costs, buildings	14,719
Land at cost	28,447
Buildings at cost	14,719
Total at cost	43,166
Accumulated Depreciation	940
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Dec. 09, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1887 [Member] | Bassenheim, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,046
Initial costs, buildings	4,961
Land at cost	1,046
Buildings at cost	4,961
Total at cost	6,007
Accumulated Depreciation	814
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	$ 9,852
Initial costs, buildings	24,931
Land at cost	9,852
Buildings at cost	24,931
Total at cost	34,783
Accumulated Depreciation	4,815
Encumbrances	$ 0
Date of Construction	1974
Date Acquired	Nov. 30, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2017 [Member] | Austin, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 3,557
Initial costs, buildings	4,200
Land at cost	3,557
Buildings at cost	4,200
Total at cost	7,757
Accumulated Depreciation	850
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	$ 7,870
Initial costs, buildings	41,503
Land at cost	7,870
Buildings at cost	41,503
Total at cost	49,373
Accumulated Depreciation	4,669
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	3,859
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	5,648
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	$ 10,711
Initial costs, buildings	10,530
Land at cost	10,711
Buildings at cost	10,530
Total at cost	21,241
Accumulated Depreciation	1,369
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	1,650
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	$ 1,212
Initial costs, buildings	40,662
Land at cost	1,212
Buildings at cost	40,662
Total at cost	41,874
Accumulated Depreciation	3,015
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	1,672
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	$ 2,976
Initial costs, buildings	42,125
Land at cost	2,976
Buildings at cost	42,125
Total at cost	45,101
Accumulated Depreciation	3,162
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	1,755
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	$ 15,244
Initial costs, buildings	11,357
Land at cost	15,244
Buildings at cost	11,357
Total at cost	26,601
Accumulated Depreciation	1,343
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	492
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] | 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] | Valencia, Spain [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 10,438
Initial costs, buildings	65,236
Land at cost	10,438
Buildings at cost	65,236
Total at cost	75,674
Accumulated Depreciation	5,797
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Dec. 02, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2024 [Member] | Valencia, Spain [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 24,332
Initial costs, buildings	22,785
Land at cost	24,332
Buildings at cost	22,785
Total at cost	47,117
Accumulated Depreciation	$ 522
Date of Construction	2024
Date Acquired	May 06, 2022
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	$ 912
Initial costs, buildings	9,988
Land at cost	912
Buildings at cost	9,988
Total at cost	10,900
Accumulated Depreciation	449
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
Additions subsequent to acquisition, Improvements	470
Land at cost	5,383
Buildings at cost	65,120
Total at cost	70,503
Accumulated Depreciation	5,563
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	$ 9,852
Initial costs, buildings	24,931
Land at cost	9,852
Buildings at cost	24,931
Total at cost	34,783
Accumulated Depreciation	4,815
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	$ 405
Initial costs, buildings	18,840
Land at cost	405
Buildings at cost	18,840
Total at cost	19,245
Accumulated Depreciation	1,767
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] | 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	3,838
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	1,130
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] | 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	824
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] | Katy, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,512
Initial costs, buildings	2,870
Land at cost	1,512
Buildings at cost	2,870
Total at cost	4,382
Accumulated Depreciation	841
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] | 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	1,096
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	$ 1,539
Initial costs, buildings	5,801
Land at cost	1,539
Buildings at cost	5,801
Total at cost	7,340
Accumulated Depreciation	1,233
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	15,750
Additions subsequent to acquisition, Improvements	10,947
Land at cost	20,430
Buildings at cost	26,697
Total at cost	47,127
Accumulated Depreciation	2,281
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	1,263
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	$ 3,030
Initial costs, buildings	4,801
Land at cost	3,030
Buildings at cost	4,801
Total at cost	7,831
Accumulated Depreciation	970
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	$ 4,077
Initial costs, buildings	1,416
Land at cost	4,077
Buildings at cost	1,416
Total at cost	5,493
Accumulated Depreciation	584
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	$ 1,233
Initial costs, buildings	4,505
Land at cost	1,233
Buildings at cost	4,505
Total at cost	5,738
Accumulated Depreciation	1,014
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	$ 2,343
Initial costs, buildings	4,253
Land at cost	2,343
Buildings at cost	4,253
Total at cost	6,596
Accumulated Depreciation	868
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	$ 1,949
Initial costs, buildings	4,524
Land at cost	1,949
Buildings at cost	4,524
Total at cost	6,473
Accumulated Depreciation	990
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	$ 1,118
Initial costs, buildings	17,740
Land at cost	1,118
Buildings at cost	17,740
Total at cost	18,858
Accumulated Depreciation	3,881
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	$ 2,377
Initial costs, buildings	27,091
Land at cost	2,377
Buildings at cost	27,091
Total at cost	29,468
Accumulated Depreciation	3,862
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	$ 6,695
Initial costs, buildings	21,926
Land at cost	6,695
Buildings at cost	21,926
Total at cost	28,621
Accumulated Depreciation	4,033
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	$ 1,558
Initial costs, buildings	43,781
Land at cost	1,558
Buildings at cost	43,781
Total at cost	45,339
Accumulated Depreciation	5,491
Encumbrances	$ 20,817
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	$ 6,765
Initial costs, buildings	35,812
Land at cost	6,765
Buildings at cost	35,812
Total at cost	42,577
Accumulated Depreciation	4,516
Encumbrances	$ 21,507
Date of Construction	1989
Date Acquired	Jan. 09, 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	$ 1,293
Initial costs, buildings	10,071
Land at cost	1,293
Buildings at cost	10,071
Total at cost	11,364
Accumulated Depreciation	1,739
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	654
Buildings at cost	3,368
Total at cost	4,022
Accumulated Depreciation	527
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	67
Buildings at cost	344
Total at cost	411
Accumulated Depreciation	54
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	$ 16,703
Initial costs, buildings	47,833
Land at cost	16,703
Buildings at cost	47,833
Total at cost	64,536
Accumulated Depreciation	4,274
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	24,157
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	663
Buildings at cost	33,751
Total at cost	34,414
Accumulated Depreciation	11,742
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	$ 1,056
Initial costs, buildings	2,581
Land at cost	1,056
Buildings at cost	2,581
Total at cost	3,637
Accumulated Depreciation	511
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	3,485
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	24,157
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	2,531
Buildings at cost	14,252
Total at cost	16,783
Accumulated Depreciation	4,382
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] | 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	1,078
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] | Frome, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 10,711
Initial costs, buildings	10,530
Land at cost	10,711
Buildings at cost	10,530
Total at cost	21,241
Accumulated Depreciation	1,369
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Jun. 25, 2021
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	3,832
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] | 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	7,581
Total at cost	7,581
Accumulated Depreciation	2,140
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] | League City, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,260
Initial costs, buildings	3,901
Land at cost	1,260
Buildings at cost	3,901
Total at cost	5,161
Accumulated Depreciation	927
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	$ 2,500
Initial costs, buildings	4,060
Land at cost	2,500
Buildings at cost	4,060
Total at cost	6,560
Accumulated Depreciation	1,285
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	56,381
Additions subsequent to acquisition, Improvements	11,584
Land at cost	6,882
Buildings at cost	67,965
Total at cost	74,847
Accumulated Depreciation	4,934
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] | 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	$ 1,744
Initial costs, buildings	16,732
Land at cost	1,744
Buildings at cost	16,732
Total at cost	18,476
Accumulated Depreciation	1,395
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	$ 8,346
Initial costs, buildings	3,690
Land at cost	8,346
Buildings at cost	3,690
Total at cost	12,036
Accumulated Depreciation	361
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] | Royston, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 6,620
Initial costs, buildings	19,710
Land at cost	6,620
Buildings at cost	19,710
Total at cost	26,330
Accumulated Depreciation	2,172
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	$ 7,072
Initial costs, buildings	12,833
Land at cost	7,072
Buildings at cost	12,833
Total at cost	19,905
Accumulated Depreciation	1,667
Encumbrances	$ 15,164
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	8,586
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	$ 4,563
Initial costs, buildings	42,462
Land at cost	4,563
Buildings at cost	42,462
Total at cost	47,025
Accumulated Depreciation	2,365
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	$ 3,832
Initial costs, buildings	63,268
Additions subsequent to acquisition, Improvements	494
Land at cost	3,832
Buildings at cost	63,762
Total at cost	67,594
Accumulated Depreciation	4,471
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	$ 28,447
Initial costs, buildings	14,719
Land at cost	28,447
Buildings at cost	14,719
Total at cost	43,166
Accumulated Depreciation	940
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	$ 1,036
Initial costs, buildings	19,181
Land at cost	1,036
Buildings at cost	19,181
Total at cost	20,217
Accumulated Depreciation	1,754
Encumbrances	$ 9,002
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	1,019
Buildings at cost	18,374
Total at cost	19,393
Accumulated Depreciation	7,693
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	$ 13,577
Initial costs, buildings	6,695
Land at cost	13,577
Buildings at cost	6,695
Total at cost	20,272
Accumulated Depreciation	671
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	$ 12,704
Initial costs, buildings	49,342
Land at cost	12,704
Buildings at cost	49,342
Total at cost	62,046
Accumulated Depreciation	6,230
Encumbrances	$ 31,595
Date of Construction	1984
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 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	$ 405
Initial costs, buildings	18,840
Land at cost	405
Buildings at cost	18,840
Total at cost	19,245
Accumulated Depreciation	1,767
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	$ 75
Initial costs, buildings	15,040
Land at cost	75
Buildings at cost	15,040
Total at cost	15,115
Accumulated Depreciation	1,905
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] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,229
Initial costs, buildings	59,974
Land at cost	3,229
Buildings at cost	4,078
Total at cost	7,307
Accumulated Depreciation	518
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	$ 5,238
Initial costs, buildings	58,763
Land at cost	5,238
Buildings at cost	58,763
Total at cost	64,001
Accumulated Depreciation	7,389
Encumbrances	$ 30,855
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	6,120
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	$ 2,847
Initial costs, buildings	17,249
Land at cost	2,847
Buildings at cost	17,249
Total at cost	20,096
Accumulated Depreciation	1,703
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] | Glasgow, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 1,405
Initial costs, buildings	15,356
Land at cost	1,405
Buildings at cost	15,356
Total at cost	16,761
Accumulated Depreciation	1,456
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	$ 37,755
Initial costs, buildings	39,733
Land at cost	37,755
Buildings at cost	39,733
Total at cost	77,488
Accumulated Depreciation	5,035
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	17,480
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] | Hook, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 5,324
Initial costs, buildings	10,141
Land at cost	5,324
Buildings at cost	10,141
Total at cost	15,465
Accumulated Depreciation	1,045
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] | Nottingham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 9,842
Initial costs, buildings	8,808
Land at cost	9,842
Buildings at cost	8,808
Total at cost	18,650
Accumulated Depreciation	1,012
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	2,659
Buildings at cost	38,694
Total at cost	41,353
Accumulated Depreciation	16,156
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	$ 5,263
Initial costs, buildings	8,618
Land at cost	5,263
Buildings at cost	8,618
Total at cost	13,881
Accumulated Depreciation	952
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	6,179
Buildings at cost	17,579
Total at cost	23,758
Accumulated Depreciation	3,984
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	$ 1,700
Initial costs, buildings	30,500
Land at cost	1,700
Buildings at cost	30,500
Total at cost	32,200
Accumulated Depreciation	2,164
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] | York, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 21,270
Initial costs, buildings	70,559
Land at cost	21,270
Buildings at cost	70,559
Total at cost	91,829
Accumulated Depreciation	6,523
Encumbrances	$ 0
Date of Construction	1980
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
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	$ 4,180
Initial costs, buildings	99,020
Land at cost	4,180
Buildings at cost	99,020
Total at cost	103,200
Accumulated Depreciation	12,419
Encumbrances	$ 44,407
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	19,450
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	8,462
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	$ 6,336
Initial costs, buildings	18,605
Land at cost	6,336
Buildings at cost	18,605
Total at cost	24,941
Accumulated Depreciation	2,017
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	$ 488
Initial costs, buildings	7,712
Land at cost	488
Buildings at cost	7,712
Total at cost	8,200
Accumulated Depreciation	566
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	$ 717
Initial costs, buildings	22,411
Land at cost	717
Buildings at cost	22,411
Total at cost	23,128
Accumulated Depreciation	1,367
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	$ 1,514
Initial costs, buildings	7,416
Land at cost	1,514
Buildings at cost	7,416
Total at cost	8,930
Accumulated Depreciation	939
Encumbrances	$ 7,885
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	$ 9,695
Initial costs, buildings	92,282
Land at cost	9,695
Buildings at cost	92,282
Total at cost	101,977
Accumulated Depreciation	11,655
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	7,648
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] | Caterham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 10,374
Initial costs, buildings	20,494
Land at cost	10,374
Buildings at cost	20,494
Total at cost	30,868
Accumulated Depreciation	2,897
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	$ 9,030
Initial costs, buildings	27,124
Land at cost	9,030
Buildings at cost	27,124
Total at cost	36,154
Accumulated Depreciation	3,418
Encumbrances	$ 18,894
Date of Construction	1982
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1982 [Member] | Croydon, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 9,775
Initial costs, buildings	41,002
Land at cost	9,775
Buildings at cost	41,002
Total at cost	50,777
Accumulated Depreciation	5,192
Encumbrances	$ 25,157
Date of Construction	1982
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
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	38,374
Additions subsequent to acquisition, Improvements	10,492
Land at cost	5,385
Buildings at cost	48,866
Total at cost	54,251
Accumulated Depreciation	12,698
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	20,419
Land at cost	1,022
Buildings at cost	20,419
Total at cost	21,441
Accumulated Depreciation	766
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	$ 17,067
Buildings at cost	17,067
Total at cost	17,067
Accumulated Depreciation	1,920
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	3,468
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] | Cheadle, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 29,311
Initial costs, buildings	93,207
Land at cost	29,311
Buildings at cost	93,207
Total at cost	122,518
Accumulated Depreciation	8,826
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, United Kingdom [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 20,888
Initial costs, buildings	47,447
Land at cost	20,888
Buildings at cost	47,447
Total at cost	68,335
Accumulated Depreciation	4,862
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] | 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	2,479
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	$ 702
Initial costs, buildings	10,991
Land at cost	702
Buildings at cost	10,991
Total at cost	11,693
Accumulated Depreciation	748
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	1,756
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	$ 8,593
Initial costs, buildings	31,287
Land at cost	8,593
Buildings at cost	31,287
Total at cost	39,880
Accumulated Depreciation	2,487
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	3,469
Buildings at cost	27,514
Total at cost	30,983
Accumulated Depreciation	2,585
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	1,569
Buildings at cost	15,103
Total at cost	16,672
Accumulated Depreciation	1,795
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	3,076
Buildings at cost	14,945
Total at cost	18,021
Accumulated Depreciation	2,070
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	$ 1,133
Initial costs, buildings	54,582
Land at cost	1,133
Buildings at cost	54,582
Total at cost	55,715
Accumulated Depreciation	3,946
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	9,313
Buildings at cost	12,505
Total at cost	21,818
Accumulated Depreciation	$ 803
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	$ 405
Initial costs, buildings	18,840
Land at cost	405
Buildings at cost	18,840
Total at cost	19,245
Accumulated Depreciation	1,767
Encumbrances	$ 0
Date of Construction	1900
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
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
Additions subsequent to acquisition, Improvements	394
Land at cost	12,562
Buildings at cost	40,558
Total at cost	53,120
Accumulated Depreciation	3,631
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	$ 2,616
Initial costs, buildings	50,140
Land at cost	2,616
Buildings at cost	50,140
Total at cost	52,756
Accumulated Depreciation	6,305
Encumbrances	$ 23,300
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	6,176
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] | Dormagen Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,791
Initial costs, buildings	5,298
Land at cost	1,791
Buildings at cost	5,298
Total at cost	7,089
Accumulated Depreciation	892
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	1,302
Buildings at cost	9,121
Total at cost	10,423
Accumulated Depreciation	3,762
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	$ 19,692
Initial costs, buildings	53,421
Land at cost	19,692
Buildings at cost	53,421
Total at cost	73,113
Accumulated Depreciation	5,125
Encumbrances	$ 0
Date of Construction	1930
Date Acquired	Jun. 25, 2021
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	$ 1,483
Initial costs, buildings	30,749
Land at cost	1,483
Buildings at cost	30,749
Total at cost	32,232
Accumulated Depreciation	8,072
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	$ 912
Initial costs, buildings	9,988
Land at cost	912
Buildings at cost	9,988
Total at cost	10,900
Accumulated Depreciation	449
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	3,370
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	$ 1,046
Initial costs, buildings	4,961
Land at cost	1,046
Buildings at cost	4,961
Total at cost	6,007
Accumulated Depreciation	814
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	$ 6,333
Initial costs, buildings	129,348
Land at cost	6,333
Buildings at cost	129,348
Total at cost	135,681
Accumulated Depreciation	16,214
Encumbrances	$ 67,611
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	$ 1,126
Initial costs, buildings	2,841
Land at cost	1,126
Buildings at cost	2,841
Total at cost	3,967
Accumulated Depreciation	488
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	5,724
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	$ 4,869
Initial costs, buildings	45,175
Land at cost	4,869
Buildings at cost	45,175
Total at cost	50,044
Accumulated Depreciation	5,726
Encumbrances	$ 32,221
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	$ 5,157
Initial costs, buildings	35,255
Land at cost	5,157
Buildings at cost	35,255
Total at cost	40,412
Accumulated Depreciation	4,436
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	2,531
Buildings at cost	14,252
Total at cost	16,783
Accumulated Depreciation	4,382
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	$ 983
Initial costs, buildings	2,371
Land at cost	983
Buildings at cost	2,371
Total at cost	3,354
Accumulated Depreciation	398
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	1,163
Buildings at cost	29,647
Total at cost	30,810
Accumulated Depreciation	4,594
Encumbrances	$ 0
Date of Construction	1983
Date Acquired	Dec. 17, 2019
Life on which depreciation in latest income statements is computed (Years)	36 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	$ 6,695
Initial costs, buildings	21,926
Land at cost	6,695
Buildings at cost	21,926
Total at cost	28,621
Accumulated Depreciation	4,033
Encumbrances	$ 0
Date Acquired	Nov. 30, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2010 [Member] | Bad Oeynhausen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,056
Initial costs, buildings	2,581
Land at cost	1,056
Buildings at cost	2,581
Total at cost	3,637
Accumulated Depreciation	511
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] | 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	690
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	3,363
Buildings at cost	10,931
Total at cost	14,294
Accumulated Depreciation	4,595
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	3,205
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	19,557
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] | 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	2,417
Buildings at cost	17,594
Total at cost	20,011
Accumulated Depreciation	3,983
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	2,632
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	$ 3,832
Initial costs, buildings	63,268
Additions subsequent to acquisition, Improvements	494
Land at cost	3,832
Buildings at cost	63,762
Total at cost	67,594
Accumulated Depreciation	4,471
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	4,442
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] | 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	767
Buildings at cost	13,730
Total at cost	14,497
Accumulated Depreciation	3,785
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	1,135
Buildings at cost	15,717
Total at cost	16,852
Accumulated Depreciation	4,472
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	3,670
Buildings at cost	61,338
Total at cost	65,008
Accumulated Depreciation	5,364
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	$ 1,890
Initial costs, buildings	7,042
Land at cost	1,890
Buildings at cost	7,042
Total at cost	8,932
Accumulated Depreciation	$ 342
Date of Construction	2013
Date Acquired	Apr. 14, 2023
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	51,834
Additions subsequent to acquisition, Improvements	4,499
Land at cost	12,695
Buildings at cost	56,333
Total at cost	69,028
Accumulated Depreciation	14,842
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	$ 9,198
Initial costs, buildings	18,660
Land at cost	9,198
Buildings at cost	18,660
Total at cost	27,858
Accumulated Depreciation	1,893
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	$ 2,424
Initial costs, buildings	16,521
Land at cost	2,424
Buildings at cost	16,521
Total at cost	18,945
Accumulated Depreciation	1,566
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] | 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	5,978
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	$ 6,140
Initial costs, buildings	99,275
Additions subsequent to acquisition, Improvements	4,152
Land at cost	6,140
Buildings at cost	103,427
Total at cost	109,567
Accumulated Depreciation	30,110
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] | 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	1,330
Total at cost	1,330
Accumulated Depreciation	348
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] | 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	16,279
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	30,465
Additions subsequent to acquisition, Improvements	7,104
Land at cost	7,946
Buildings at cost	37,569
Total at cost	45,515
Accumulated Depreciation	3,158
Encumbrances	$ 0
Date of Construction	1978
Date Acquired	Jul. 06, 2021
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	8,053
Buildings at cost	18,833
Total at cost	26,886
Accumulated Depreciation	6,230
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	$ 2,040
Initial costs, buildings	12,707
Land at cost	2,040
Buildings at cost	12,707
Total at cost	14,747
Accumulated Depreciation	3,051
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	$ 12,241
Initial costs, buildings	79,894
Land at cost	12,241
Buildings at cost	79,894
Total at cost	92,135
Accumulated Depreciation	9,995
Encumbrances	$ 41,283
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	$ 3,517
Initial costs, buildings	40,065
Land at cost	3,517
Buildings at cost	40,065
Total at cost	43,582
Accumulated Depreciation	5,054
Encumbrances	$ 21,903
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	$ 7,101
Initial costs, buildings	15,259
Land at cost	7,101
Buildings at cost	15,259
Total at cost	22,360
Accumulated Depreciation	1,483
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	7,276
Additions subsequent to acquisition, Improvements	2,985
Land at cost	2,396
Buildings at cost	10,261
Total at cost	12,657
Accumulated Depreciation	5,014
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	4,514
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	$ 1,632
Land at cost	1,632
Total at cost	1,632
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	$ 1,101
Initial costs, buildings	10,026
Land at cost	1,101
Buildings at cost	10,026
Total at cost	11,127
Accumulated Depreciation	474
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	5,931
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	9,103
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	1,143
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	2,869
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	335
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	2,248
Buildings at cost	5,880
Total at cost	8,128
Accumulated Depreciation	1,789
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	$ 25,556
Initial costs, buildings	81,890
Land at cost	25,556
Buildings at cost	81,890
Total at cost	107,446
Accumulated Depreciation	8,350
Encumbrances	$ 22,118
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	$ 8,366
Initial costs, buildings	19,063
Land at cost	8,366
Buildings at cost	19,063
Total at cost	27,429
Accumulated Depreciation	1,925
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	2,657
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	$ 3,555
Initial costs, buildings	3,469
Additions subsequent to acquisition, Improvements	488
Land at cost	3,555
Buildings at cost	3,957
Total at cost	7,512
Accumulated Depreciation	2,724
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] | Carmarthen, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 895
Initial costs, buildings	25,144
Land at cost	895
Buildings at cost	25,144
Total at cost	26,039
Accumulated Depreciation	3,174
Encumbrances	$ 14,884
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	$ 5,140
Initial costs, buildings	25,903
Land at cost	5,140
Buildings at cost	25,903
Total at cost	31,043
Accumulated Depreciation	2,388
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	$ 5,486
Initial costs, buildings	60,337
Land at cost	5,486
Buildings at cost	60,337
Total at cost	65,823
Accumulated Depreciation	8,521
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	$ 12,279
Initial costs, buildings	6,197
Land at cost	12,279
Buildings at cost	6,197
Total at cost	18,476
Accumulated Depreciation	757
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	$ 2,241
Initial costs, buildings	9,360
Land at cost	2,241
Buildings at cost	9,360
Total at cost	11,601
Accumulated Depreciation	916
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	$ 5,605
Initial costs, buildings	15,712
Land at cost	5,605
Buildings at cost	15,712
Total at cost	21,317
Accumulated Depreciation	1,573
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	$ 34,208
Initial costs, buildings	45,393
Land at cost	34,208
Buildings at cost	45,393
Total at cost	79,601
Accumulated Depreciation	6,324
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	3,511
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] | 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	2,531
Buildings at cost	14,252
Total at cost	16,783
Accumulated Depreciation	4,382
Encumbrances	$ 0
Date of Construction	1953
Date Acquired	Dec. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	30 years
1849 [Member] | Cheadle, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 29,311
Initial costs, buildings	93,207
Land at cost	29,311
Buildings at cost	93,207
Total at cost	122,518
Accumulated Depreciation	8,826
Encumbrances	$ 0
Date of Construction	1849
Date Acquired	Jun. 25, 2021
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	51,834
Additions subsequent to acquisition, Improvements	4,499
Land at cost	12,695
Buildings at cost	56,333
Total at cost	69,028
Accumulated Depreciation	14,842
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	2,840
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	1,131
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	1,825
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] | Cologne Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 4,152
Initial costs, buildings	14,036
Land at cost	4,152
Buildings at cost	14,036
Total at cost	18,188
Accumulated Depreciation	2,679
Encumbrances	$ 0
Date of Construction	2011
Date Acquired	Jun. 23, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2011 [Member] | New Braunfels, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,853
Initial costs, buildings	10,622
Land at cost	1,853
Buildings at cost	10,622
Total at cost	12,475
Accumulated Depreciation	1,126
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] | 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
Additions subsequent to acquisition, Improvements	2,624
Land at cost	26,215
Buildings at cost	87,208
Total at cost	113,423
Accumulated Depreciation	7,509
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	649
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] | Dahlen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,259
Initial costs, buildings	10,635
Land at cost	1,259
Buildings at cost	10,635
Total at cost	11,894
Accumulated Depreciation	1,291
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	$ 6,602
Initial costs, buildings	29,637
Land at cost	6,602
Buildings at cost	29,637
Total at cost	36,239
Accumulated Depreciation	3,736
Encumbrances	$ 17,192
Date of Construction	1994
Date Acquired	Jan. 09, 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	$ 2,053
Initial costs, buildings	35,213
Land at cost	2,053
Buildings at cost	35,213
Total at cost	37,266
Accumulated Depreciation	3,988
Encumbrances	$ 33,613
Date of Construction	2001
Date Acquired	Aug. 07, 2020
Life on which depreciation in latest income statements is computed (Years)	40 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
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	$ 20,888
Initial costs, buildings	47,447
Land at cost	20,888
Buildings at cost	47,447
Total at cost	68,335
Accumulated Depreciation	4,862
Encumbrances	$ 0
Date of Construction	1935
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
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	$ 5,140
Initial costs, buildings	25,903
Land at cost	5,140
Buildings at cost	25,903
Total at cost	31,043
Accumulated Depreciation	2,388
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	22,782
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	$ 3,935
Initial costs, buildings	6,103
Land at cost	3,935
Buildings at cost	6,103
Total at cost	10,038
Accumulated Depreciation	645
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	$ 6,057
Initial costs, buildings	15,390
Land at cost	6,057
Buildings at cost	15,390
Total at cost	21,447
Accumulated Depreciation	1,481
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	913
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	3,363
Buildings at cost	10,931
Total at cost	14,294
Accumulated Depreciation	4,595
Encumbrances	$ 0
Date of Construction	1960
Date Acquired	Oct. 31, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
1960 [Member] | Valencia, Spain [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 24,332
Initial costs, buildings	22,785
Land at cost	24,332
Buildings at cost	22,785
Total at cost	47,117
Accumulated Depreciation	$ 522
Date of Construction	1960
Date Acquired	May 06, 2022
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	$ 2,861
Initial costs, buildings	10,202
Land at cost	2,861
Buildings at cost	10,202
Total at cost	13,063
Accumulated Depreciation	1,095
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] | Dormagen Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,791
Initial costs, buildings	5,298
Land at cost	1,791
Buildings at cost	5,298
Total at cost	7,089
Accumulated Depreciation	892
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	2,209
Buildings at cost	37,498
Total at cost	39,707
Accumulated Depreciation	5,464
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	$ 7,101
Initial costs, buildings	15,259
Land at cost	7,101
Buildings at cost	15,259
Total at cost	22,360
Accumulated Depreciation	1,483
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] | 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	222,271
Additions subsequent to acquisition, Improvements	1,958
Land at cost	75,339
Buildings at cost	224,229
Total at cost	299,568
Accumulated Depreciation	21,712
Encumbrances	$ 0
Date of Construction	1969
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	$ 3,935
Initial costs, buildings	6,103
Land at cost	3,935
Buildings at cost	6,103
Total at cost	10,038
Accumulated Depreciation	645
Encumbrances	$ 0
Date of Construction	1969
Date Acquired	Jul. 06, 2021
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	$ 7,101
Initial costs, buildings	15,259
Land at cost	7,101
Buildings at cost	15,259
Total at cost	22,360
Accumulated Depreciation	1,483
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	32,268
Land at cost	2,934
Buildings at cost	32,268
Total at cost	35,202
Accumulated Depreciation	605
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	$ 8,593
Initial costs, buildings	31,287
Land at cost	8,593
Buildings at cost	31,287
Total at cost	39,880
Accumulated Depreciation	2,487
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	$ 2,757
Initial costs, buildings	50,681
Land at cost	2,757
Buildings at cost	50,681
Total at cost	53,438
Accumulated Depreciation	2,112
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	$ 20,888
Initial costs, buildings	47,447
Land at cost	20,888
Buildings at cost	47,447
Total at cost	68,335
Accumulated Depreciation	4,862
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] | 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
Additions subsequent to acquisition, Improvements	5,411
Land at cost	4,790
Buildings at cost	50,487
Total at cost	55,277
Accumulated Depreciation	3,821
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	2,245
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	108,303
Additions subsequent to acquisition, Improvements	5,590
Land at cost	1,880
Buildings at cost	113,893
Total at cost	115,773
Accumulated Depreciation	13,216
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	$ 20,564
Initial costs, buildings	18,739
Land at cost	20,564
Buildings at cost	18,739
Total at cost	39,303
Accumulated Depreciation	2,154
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	$ 7,117
Initial costs, buildings	4,601
Land at cost	7,117
Buildings at cost	4,601
Total at cost	11,718
Accumulated Depreciation	493
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	$ 1,980
Initial costs, buildings	30,633
Land at cost	1,980
Buildings at cost	30,633
Total at cost	32,613
Accumulated Depreciation	4,338
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	$ 2,859
Initial costs, buildings	17,993
Land at cost	2,859
Buildings at cost	17,993
Total at cost	20,852
Accumulated Depreciation	2,627
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	11,918
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	1,816
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	41,793
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	1,446
Buildings at cost	9,549
Total at cost	10,995
Accumulated Depreciation	2,027
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	$ 18,802
Initial costs, buildings	107,783
Additions subsequent to acquisition, Improvements	3,324
Land at cost	18,802
Buildings at cost	111,107
Total at cost	129,909
Accumulated Depreciation	9,780
Encumbrances	$ 0
Date of Construction	1950
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	80,168
Additions subsequent to acquisition, Improvements	90,934
Land at cost	28,687
Buildings at cost	171,102
Total at cost	199,789
Accumulated Depreciation	20,251
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] | 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	9,057
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] | 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	6,179
Buildings at cost	17,579
Total at cost	23,758
Accumulated Depreciation	3,984
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	$ 14,793
Initial costs, buildings	8,975
Land at cost	14,793
Buildings at cost	8,975
Total at cost	23,768
Accumulated Depreciation	632
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	10,126
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	$ 5,850
Initial costs, buildings	33,415
Land at cost	5,850
Buildings at cost	33,415
Total at cost	39,265
Accumulated Depreciation	7,139
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	$ 10,711
Initial costs, buildings	10,530
Land at cost	10,711
Buildings at cost	10,530
Total at cost	21,241
Accumulated Depreciation	1,369
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	6,174
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	$ 1,405
Initial costs, buildings	15,356
Land at cost	1,405
Buildings at cost	15,356
Total at cost	16,761
Accumulated Depreciation	1,456
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	$ 6,057
Initial costs, buildings	15,390
Land at cost	6,057
Buildings at cost	15,390
Total at cost	21,447
Accumulated Depreciation	1,481
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	$ 21,270
Initial costs, buildings	70,559
Land at cost	21,270
Buildings at cost	70,559
Total at cost	91,829
Accumulated Depreciation	6,523
Encumbrances	$ 0
Date of Construction	1900
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1796 [Member] | Godalming, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 9,198
Initial costs, buildings	18,660
Land at cost	9,198
Buildings at cost	18,660
Total at cost	27,858
Accumulated Depreciation	1,893
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	$ 1,126
Initial costs, buildings	2,841
Land at cost	1,126
Buildings at cost	2,841
Total at cost	3,967
Accumulated Depreciation	488
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	$ 6,292
Initial costs, buildings	16,179
Land at cost	6,292
Buildings at cost	16,179
Total at cost	22,471
Accumulated Depreciation	$ 732
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	$ 5,392
Initial costs, buildings	28,190
Land at cost	5,392
Buildings at cost	28,190
Total at cost	33,582
Accumulated Depreciation	3,032
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	$ 5,850
Initial costs, buildings	33,415
Land at cost	5,850
Buildings at cost	33,415
Total at cost	39,265
Accumulated Depreciation	7,139
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	$ 12,279
Initial costs, buildings	6,197
Land at cost	12,279
Buildings at cost	6,197
Total at cost	18,476
Accumulated Depreciation	757
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	11,432
Buildings at cost	83,623
Total at cost	95,055
Accumulated Depreciation	23,087
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	1,299
Buildings at cost	20,545
Total at cost	21,844
Accumulated Depreciation	8,268
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	37,467
Additions subsequent to acquisition, Improvements	67,951
Land at cost	1,822
Buildings at cost	105,418
Total at cost	107,240
Accumulated Depreciation	19,747
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] | 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	8,053
Buildings at cost	18,833
Total at cost	26,886
Accumulated Depreciation	6,230
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	$ 2,424
Initial costs, buildings	16,521
Land at cost	2,424
Buildings at cost	16,521
Total at cost	18,945
Accumulated Depreciation	1,566
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	$ 281
Initial costs, buildings	6,377
Land at cost	281
Buildings at cost	6,377
Total at cost	6,658
Accumulated Depreciation	456
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] | 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	27,388
Encumbrances	$ 0
Date of Construction	2000
Date Acquired	Apr. 01, 2014
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	$ 9,988
Initial costs, buildings	3,191
Land at cost	9,988
Buildings at cost	3,191
Total at cost	13,179
Accumulated Depreciation	312
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] | 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	2,417
Buildings at cost	17,594
Total at cost	20,011
Accumulated Depreciation	3,983
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	$ 7,166
Initial costs, buildings	15,987
Land at cost	7,166
Buildings at cost	15,987
Total at cost	23,153
Accumulated Depreciation	1,513
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	$ 3,132
Initial costs, buildings	5,002
Land at cost	3,132
Buildings at cost	5,002
Total at cost	8,134
Accumulated Depreciation	540
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
Additions subsequent to acquisition, Improvements	2,168
Land at cost	10,657
Buildings at cost	152,481
Total at cost	163,138
Accumulated Depreciation	14,581
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	$ 9,087
Initial costs, buildings	4,078
Land at cost	9,087
Buildings at cost	59,974
Total at cost	69,061
Accumulated Depreciation	7,522
Encumbrances	$ 37,593
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	$ 10,163
Initial costs, buildings	41,992
Land at cost	10,163
Buildings at cost	41,992
Total at cost	52,155
Accumulated Depreciation	5,299
Encumbrances	$ 24,206
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	$ 2,913
Initial costs, buildings	0
Additions subsequent to acquisition, Improvements	0
Land at cost	2,913
Buildings at cost	0
Total at cost	2,913
Accumulated Depreciation	0
Encumbrances	$ 0
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 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	21,619
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	$ 2,286
Initial costs, buildings	37,734
Land at cost	2,286
Buildings at cost	37,734
Total at cost	40,020
Accumulated Depreciation	5,620
Encumbrances	$ 12,821
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
Additions subsequent to acquisition, Improvements	3,440
Land at cost	44,400
Buildings at cost	110,643
Total at cost	155,043
Accumulated Depreciation	11,471
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	$ 11,978
Initial costs, buildings	102,957
Land at cost	11,978
Buildings at cost	102,957
Total at cost	114,935
Accumulated Depreciation	12,903
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] | 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	15,750
Additions subsequent to acquisition, Improvements	10,947
Land at cost	20,430
Buildings at cost	26,697
Total at cost	47,127
Accumulated Depreciation	2,281
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	12,482
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	27,388
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	2,594
Buildings at cost	13,195
Total at cost	15,789
Accumulated Depreciation	2,855
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	2,657
Encumbrances	$ 0
Date of Construction	1920
Date Acquired	May 02, 2016
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	2,657
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	15,750
Additions subsequent to acquisition, Improvements	10,947
Land at cost	20,430
Buildings at cost	26,697
Total at cost	47,127
Accumulated Depreciation	2,281
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	30,465
Additions subsequent to acquisition, Improvements	7,104
Land at cost	7,946
Buildings at cost	37,569
Total at cost	45,515
Accumulated Depreciation	3,158
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] | Barby, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,708
Initial costs, buildings	19,057
Land at cost	1,708
Buildings at cost	19,057
Total at cost	20,765
Accumulated Depreciation	927
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	$ 2,079
Initial costs, buildings	22,882
Land at cost	2,079
Buildings at cost	22,882
Total at cost	24,961
Accumulated Depreciation	1,141
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]
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	649
Encumbrances	$ 0
Date of Construction	1995
Date Acquired	Jul. 06, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
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	$ 2,913
Initial costs, buildings	0
Additions subsequent to acquisition, Improvements	0
Land at cost	2,913
Buildings at cost	0
Total at cost	2,913
Accumulated Depreciation	0
Encumbrances	$ 0
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	$ 6,620
Initial costs, buildings	19,710
Land at cost	6,620
Buildings at cost	19,710
Total at cost	26,330
Accumulated Depreciation	2,172
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	$ 8,593
Initial costs, buildings	31,287
Land at cost	8,593
Buildings at cost	31,287
Total at cost	39,880
Accumulated Depreciation	2,487
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	$ 1,700
Initial costs, buildings	30,500
Land at cost	1,700
Buildings at cost	30,500
Total at cost	32,200
Accumulated Depreciation	2,164
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	$ 983
Initial costs, buildings	2,371
Land at cost	983
Buildings at cost	2,371
Total at cost	3,354
Accumulated Depreciation	398
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	3,363
Buildings at cost	10,931
Total at cost	14,294
Accumulated Depreciation	4,595
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	$ 6,336
Initial costs, buildings	18,605
Land at cost	6,336
Buildings at cost	18,605
Total at cost	24,941
Accumulated Depreciation	2,017
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	80,168
Additions subsequent to acquisition, Improvements	90,934
Land at cost	28,687
Buildings at cost	171,102
Total at cost	199,789
Accumulated Depreciation	20,251
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] | 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	6,050
Buildings at cost	16,225
Total at cost	22,275
Accumulated Depreciation	3,325
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	$ 1,700
Initial costs, buildings	30,500
Land at cost	1,700
Buildings at cost	30,500
Total at cost	32,200
Accumulated Depreciation	2,164
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	15,750
Additions subsequent to acquisition, Improvements	10,947
Land at cost	20,430
Buildings at cost	26,697
Total at cost	47,127
Accumulated Depreciation	2,281
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	12,254
Buildings at cost	87,997
Total at cost	100,251
Accumulated Depreciation	23,234
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	$ 6,377
Initial costs, buildings	10,103
Land at cost	6,377
Buildings at cost	10,103
Total at cost	16,480
Accumulated Depreciation	1,303
Encumbrances	$ 10,248
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	$ 7,117
Initial costs, buildings	4,601
Land at cost	7,117
Buildings at cost	4,601
Total at cost	11,718
Accumulated Depreciation	493
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	$ 3,555
Initial costs, buildings	3,469
Additions subsequent to acquisition, Improvements	488
Land at cost	3,555
Buildings at cost	3,957
Total at cost	7,512
Accumulated Depreciation	2,724
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 $420 million and $400 million of construction and building improvements in progress reflected in buildings and improvements at December 31, 2024 and 2023, respectively. Includes $52.2 million of land and building cost reflected in real estate held for sale at December 31, 2024.