Real Estate and Lending Activities - Summary of Status Update on Current Development Projects (Detail) - Jun. 30, 2015 - USD ($) $ in Thousands	Total
Business Acquisition [Line Items]
Commitment	$ 390,047
Costs Incurred as of 06/30/2015	56,762
First Choice ER - Aurora [Member] | Aurora, CO [Member] | Acute Care Hospital [Member] | Adeptus Health [Member]
Business Acquisition [Line Items]
Commitment	5,273
Costs Incurred as of 06/30/2015	1,614
First Choice ER- Carrollton [Member] | Carrollton, TX [Member] | Acute Care Hospital [Member] | Adeptus Health [Member]
Business Acquisition [Line Items]
Commitment	35,820
Costs Incurred as of 06/30/2015	30,692
First Choice ER - Conroe [Member] | Houston, TX [Member] | Acute Care Hospital [Member] | Adeptus Health [Member]
Business Acquisition [Line Items]
Commitment	6,110
Costs Incurred as of 06/30/2015	3,150
First Choice ER - Gilbert [Member] | Gilbert, AZ [Member] | Acute Care Hospital [Member] | Adeptus Health [Member]
Business Acquisition [Line Items]
Commitment	6,500
Costs Incurred as of 06/30/2015	4,291
First Choice ER- McKinney [Member] | McKinney, TX [Member] | Acute Care Hospital [Member] | Adeptus Health [Member]
Business Acquisition [Line Items]
Commitment	4,750
Costs Incurred as of 06/30/2015	2,582
First Choice ER - Chandler - Ray [Member] | Chandler, AZ [Member] | Acute Care Hospital [Member] | Adeptus Health [Member]
Business Acquisition [Line Items]
Commitment	5,261
Costs Incurred as of 06/30/2015	$ 1,741
Estimated Completion Date	4Q 2015
First Choice ER - Cinco Ranch [Member] | Katy, TX [Member] | Acute Care Hospital [Member] | Adeptus Health [Member]
Business Acquisition [Line Items]
Commitment	$ 5,105
Costs Incurred as of 06/30/2015	$ 162
Estimated Completion Date	4Q 2015
First Choice ER - Highland Village [Member] | Highland Village, TX [Member] | Acute Care Hospital [Member] | Adeptus Health [Member]
Business Acquisition [Line Items]
Commitment	$ 4,884
Costs Incurred as of 06/30/2015	$ 361
Estimated Completion Date	4Q 2015
First Choice ER - Parker [Member] | Parker, CO [Member] | Acute Care Hospital [Member] | Adeptus Health [Member]
Business Acquisition [Line Items]
Commitment	$ 6,868
Costs Incurred as of 06/30/2015	$ 1,843
Estimated Completion Date	4Q 2015
First Choice ER - Frisco Eldorado [Member] | Frisco, TX [Member] | Acute Care Hospital [Member] | Adeptus Health [Member]
Business Acquisition [Line Items]
Commitment	$ 5,124
Costs Incurred as of 06/30/2015	$ 50
Estimated Completion Date	1Q 2016
First Choice ER - Helotes [Member] | Helotes, TX [Member] | Acute Care Hospital [Member] | Adeptus Health [Member]
Business Acquisition [Line Items]
Commitment	$ 7,530
Costs Incurred as of 06/30/2015	$ 2,251
Estimated Completion Date	2Q 2016
Rehabilitation Hospital of Northwest Ohio [Member] | Toledo, OH [Member] | Inpatient Rehabilitation Hospital [Member] | Ernest Health, Inc [Member]
Business Acquisition [Line Items]
Commitment	$ 19,212
Costs Incurred as of 06/30/2015	$ 1,649
Estimated Completion Date	2Q 2016
First Choice ER - Vintage Preserve [Member] | Houston, TX [Member] | Acute Care Hospital [Member] | Adeptus Health [Member]
Business Acquisition [Line Items]
Commitment	$ 45,961
Costs Incurred as of 06/30/2015	$ 6,376
Estimated Completion Date	2Q 2016
First Choice Emergency Rooms [Member] | Various [Member] | Acute Care Hospital [Member] | Adeptus Health [Member]
Business Acquisition [Line Items]
Commitment	$ 231,649
Estimated Completion Date	Various