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Real Estate and Lending Activities - 2014 Activity - Additional Information (Detail)
$ in Thousands, £ in Millions
3 Months Ended 9 Months Ended
Sep. 19, 2014
USD ($)
RenewalOptions
Jul. 01, 2014
USD ($)
Jul. 01, 2014
GBP (£)
Mar. 31, 2014
USD ($)
Sep. 30, 2015
USD ($)
Sep. 30, 2014
USD ($)
Sep. 30, 2015
USD ($)
Sep. 30, 2014
USD ($)
Jul. 01, 2014
GBP (£)
Business Acquisition [Line Items]                  
Acquisition related costs         $ 24,949 $ 4,886 $ 56,997 $ 7,933  
Income contributed by the acquired entity         54,332 64,303 193,413 157,910  
2014 [Member] | Circle Health Ltd. [Member]                  
Business Acquisition [Line Items]                  
Acquired facility, carrying value of sale/leaseback transaction   $ 48,000             £ 28.3
Sale/leaseback transaction, initial term period   15 years 15 years            
Sale/leaseback transaction, additional term period   15 years 15 years            
Percentage change in annual retail price index, floor rate   2.00%             2.00%
Percentage change in annual retail price index, cap rate   5.00%             5.00%
Acquisition related costs   $ 1,900 £ 1.1            
2014 [Member] | Acute Care Hospital [Member]                  
Business Acquisition [Line Items]                  
Acquisition costs       $ 115,000          
Term of lease, years       15 years          
Term of lease extension, years       3 years          
2014 [Member] | Acute Care Hospital [Member] | Alecto Healthcare Services [Member] | Fairmont West Virginia [Member]                  
Business Acquisition [Line Items]                  
Acquisition costs $ 15,000                
Term of lease, years 15 years                
Term of lease extension, years 5 years                
Number of lease extension options in current lease contract | RenewalOptions 3                
Working capital loan to the tenant $ 5,000                
Additional lease period 5 years                
Additional fund committed to the tenant for capital improvements $ 5,000                
2014 [Member] | Acute Care Hospital [Member] | Fair value market [Member]                  
Business Acquisition [Line Items]                  
Term of lease extension, years       12 years          
2014 [Member] | Business Acquisitions [Member]                  
Business Acquisition [Line Items]                  
Acquisition related costs           2,300   3,100  
Revenue contributed by the acquired entity           4,100   6,400  
Income contributed by the acquired entity           $ 3,000   $ 4,600  
2015 [Member] | Business Acquisitions [Member]                  
Business Acquisition [Line Items]                  
Acquisition related costs         23,300   51,600    
Revenue contributed by the acquired entity         30,000   59,200    
Income contributed by the acquired entity         $ 13,900   $ 34,300