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Schedule III - Real Estate Investments and Accumulated Depreciation (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 18,400      
Initial costs, land 302,046      
Initial costs, buildings 2,632,473      
Additions subsequent to acquisition, Improvements 27,568      
Additions subsequent to acquisition, carrying costs 29,503      
Land at cost 315,787      
Buildings at cost 2,675,803      
Total at cost 2,991,590 $ 2,040,727 $ 1,733,194 $ 1,189,552
Accumulated Depreciation $ 232,675 $ 181,441 $ 144,235 $ 114,399
Baden-Wurttemburg, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, buildings $ 11,249      
Buildings at cost 11,249      
Total at cost 11,249      
Accumulated Depreciation $ 305      
Date of Construction 1995      
Date Acquired Dec. 11, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Saxony, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 539      
Initial costs, buildings 14,943      
Land at cost 539      
Buildings at cost 14,943      
Total at cost 15,482      
Accumulated Depreciation $ 778      
Date of Construction 1995      
Date Acquired Nov. 30, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Rhineland-Pflaz, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 5,834      
Initial costs, buildings 16,109      
Land at cost 5,834      
Buildings at cost 16,109      
Total at cost 21,943      
Accumulated Depreciation $ 839      
Date of Construction 1930      
Date Acquired Nov. 30, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Brandenburg, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 346      
Initial costs, buildings 17,874      
Land at cost 346      
Buildings at cost 17,874      
Total at cost 18,220      
Accumulated Depreciation $ 931      
Date of Construction 1994      
Date Acquired Nov. 30, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Hesse, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 3,078      
Initial costs, buildings 14,804      
Land at cost 3,078      
Buildings at cost 14,804      
Total at cost 17,882      
Accumulated Depreciation $ 771      
Date of Construction 1977      
Date Acquired Nov. 30, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Bavaria Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 2,204      
Initial costs, buildings 9,294      
Additions subsequent to acquisition, Improvements 194      
Land at cost 2,204      
Buildings at cost 9,488      
Total at cost 11,692      
Accumulated Depreciation $ 257      
Date of Construction 1974      
Date Acquired Nov. 19, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Thuringia Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,605      
Initial costs, buildings 33,913      
Land at cost 1,605      
Buildings at cost 33,913      
Total at cost 35,518      
Accumulated Depreciation $ 989      
Date of Construction 1992      
Date Acquired Nov. 05, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Bath, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,747      
Initial costs, buildings 36,203      
Land at cost 1,747      
Buildings at cost 36,203      
Total at cost 37,950      
Accumulated Depreciation $ 1,358      
Date of Construction 2009      
Date Acquired Jul. 01, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Ottenhofen Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 2,254      
Initial costs, buildings 12,681      
Additions subsequent to acquisition, Improvements 108      
Land at cost 2,362      
Buildings at cost 12,681      
Total at cost 15,043      
Accumulated Depreciation $ 162      
Date of Construction 1957      
Date Acquired Jul. 03, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Bad Berka Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 3,226      
Initial costs, buildings 15,046      
Additions subsequent to acquisition, Improvements 168      
Land at cost 3,394      
Buildings at cost 15,046      
Total at cost 18,440      
Accumulated Depreciation $ 161      
Date of Construction 1997      
Date Acquired Jul. 22, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Wiesbaden Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,608      
Initial costs, buildings 7,457      
Additions subsequent to acquisition, Improvements 38      
Land at cost 1,646      
Buildings at cost 7,457      
Total at cost 9,103      
Accumulated Depreciation $ 94      
Date of Construction 1974      
Date Acquired Jun. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Bad Lausick Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,733      
Initial costs, buildings 15,674      
Additions subsequent to acquisition, Improvements 152      
Land at cost 1,885      
Buildings at cost 15,674      
Total at cost 17,559      
Accumulated Depreciation $ 201      
Date of Construction 1993      
Date Acquired Jun. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Bad Sulze Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 2,297      
Initial costs, buildings 19,814      
Additions subsequent to acquisition, Improvements 196      
Land at cost 2,493      
Buildings at cost 19,814      
Total at cost 22,307      
Accumulated Depreciation $ 254      
Date of Construction 1993      
Date Acquired Jun. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Kurort Berggiebhubel Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 3,199      
Initial costs, buildings 15,452      
Land at cost 3,199      
Buildings at cost 15,452      
Total at cost 18,651      
Accumulated Depreciation $ 165      
Date of Construction 1993      
Date Acquired Jul. 21, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Braunfels Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,086      
Initial costs, buildings 13,331      
Additions subsequent to acquisition, Improvements 54      
Land at cost 2,140      
Buildings at cost 13,331      
Total at cost 15,471      
Accumulated Depreciation $ 168      
Date of Construction 1977      
Date Acquired Jun. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Bernkastel-Kues Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 3,498      
Initial costs, buildings 15,191      
Additions subsequent to acquisition, Improvements 43      
Land at cost 3,541      
Buildings at cost 15,191      
Total at cost 18,732      
Accumulated Depreciation $ 159      
Date of Construction 1982      
Date Acquired Jul. 15, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Flechtingen Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 2,781      
Initial costs, buildings 21,989      
Additions subsequent to acquisition, Improvements 217      
Land at cost 2,998      
Buildings at cost 21,989      
Total at cost 24,987      
Accumulated Depreciation $ 282      
Date of Construction 1993      
Date Acquired Jun. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Nordrach Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 304      
Initial costs, buildings 2,910      
Additions subsequent to acquisition, Improvements 82      
Land at cost 386      
Buildings at cost 2,910      
Total at cost 3,296      
Accumulated Depreciation $ 39      
Date of Construction 1960      
Date Acquired Jul. 07, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Bad Gottleuba Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 3,259      
Initial costs, buildings 14,937      
Additions subsequent to acquisition, Improvements 863      
Land at cost 4,122      
Buildings at cost 14,937      
Total at cost $ 19,059      
Date of Construction 1913      
Date Acquired Dec. 16, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Grunheide, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 8,369      
Initial costs, buildings 40,596      
Additions subsequent to acquisition, Improvements 331      
Land at cost 8,700      
Buildings at cost 40,596      
Total at cost 49,296      
Accumulated Depreciation $ 432      
Date of Construction 2014      
Date Acquired Jul. 31, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Baden-Baden Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,271      
Initial costs, buildings 8,936      
Additions subsequent to acquisition, Improvements 125      
Land at cost 1,396      
Buildings at cost 8,936      
Total at cost 10,332      
Accumulated Depreciation $ 116      
Date of Construction 2003      
Date Acquired Jun. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Gyhum Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 3,878      
Initial costs, buildings 22,165      
Additions subsequent to acquisition, Improvements 341      
Land at cost 4,219      
Buildings at cost 22,165      
Total at cost 26,384      
Accumulated Depreciation $ 288      
Date of Construction 1994      
Date Acquired Jun. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Hannover Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 4,073      
Initial costs, buildings 16,293      
Land at cost 4,073      
Buildings at cost 16,293      
Total at cost 20,366      
Accumulated Depreciation $ 34      
Date of Construction 1900      
Date Acquired Dec. 01, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Heiligendamm Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 4,182      
Initial costs, buildings 26,063      
Additions subsequent to acquisition, Improvements 206      
Land at cost 4,388      
Buildings at cost 26,063      
Total at cost 30,451      
Accumulated Depreciation $ 333      
Date of Construction 1995      
Date Acquired Jun. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Bad Camberg Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 2,026      
Initial costs, buildings 15,447      
Additions subsequent to acquisition, Improvements 260      
Land at cost 2,286      
Buildings at cost 15,447      
Total at cost 17,733      
Accumulated Depreciation $ 202      
Date of Construction 1973      
Date Acquired Jun. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Hoppegarten Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 3,894      
Initial costs, buildings 24,117      
Additions subsequent to acquisition, Improvements 239      
Land at cost 4,133      
Buildings at cost 24,117      
Total at cost 28,250      
Accumulated Depreciation $ 258      
Date of Construction 1994      
Date Acquired Jul. 27, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Ban Nauheim Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 3,074      
Initial costs, buildings 15,529      
Additions subsequent to acquisition, Improvements 141      
Land at cost 3,215      
Buildings at cost 15,529      
Total at cost 18,744      
Accumulated Depreciation $ 199      
Date of Construction 1977      
Date Acquired Jun. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Kalbe Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 3,400      
Initial costs, buildings 22,716      
Additions subsequent to acquisition, Improvements 163      
Land at cost 3,563      
Buildings at cost 22,716      
Total at cost 26,279      
Accumulated Depreciation $ 289      
Date of Construction 1995      
Date Acquired Jul. 06, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Bad Soden-Salmunster, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 934      
Initial costs, buildings 6,482      
Additions subsequent to acquisition, Improvements 120      
Land at cost 1,054      
Buildings at cost 6,482      
Total at cost 7,536      
Accumulated Depreciation $ 85      
Date of Construction 1974      
Date Acquired Jun. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Berlin Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,157      
Initial costs, buildings 20,767      
Additions subsequent to acquisition, Improvements 184      
Land at cost 1,341      
Buildings at cost 20,767      
Total at cost 22,108      
Accumulated Depreciation $ 221      
Date of Construction 1998      
Date Acquired Jul. 16, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Bad Lobenstein Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 3,541      
Initial costs, buildings 20,079      
Additions subsequent to acquisition, Improvements 179      
Land at cost 3,720      
Buildings at cost 20,079      
Total at cost 23,799      
Accumulated Depreciation $ 257      
Date of Construction 1994      
Date Acquired Jun. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Magdeburg Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 14,387      
Initial costs, buildings 53,369      
Additions subsequent to acquisition, Improvements 250      
Land at cost 14,637      
Buildings at cost 53,369      
Total at cost 68,006      
Accumulated Depreciation $ 563      
Date of Construction 2014      
Date Acquired Jul. 22, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Schlangenbad Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,048      
Initial costs, buildings 3,411      
Additions subsequent to acquisition, Improvements 266      
Land at cost 1,314      
Buildings at cost 3,411      
Total at cost 4,725      
Accumulated Depreciation $ 52      
Date of Construction 1973      
Date Acquired Jun. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Bad Durrheim Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,390      
Initial costs, buildings 11,400      
Additions subsequent to acquisition, Improvements 228      
Land at cost 1,618      
Buildings at cost 11,400      
Total at cost 13,018      
Accumulated Depreciation $ 125      
Date of Construction 1970      
Date Acquired Jul. 24, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Bad Krozingen Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,472      
Initial costs, buildings 10,733      
Additions subsequent to acquisition, Improvements 114      
Land at cost 1,586      
Buildings at cost 10,733      
Total at cost 12,319      
Accumulated Depreciation $ 115      
Date of Construction 2008      
Date Acquired Jul. 24, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Bad Nauheim Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,760      
Initial costs, buildings 9,198      
Additions subsequent to acquisition, Improvements 54      
Land at cost 1,814      
Buildings at cost 9,198      
Total at cost 11,012      
Accumulated Depreciation $ 117      
Date of Construction 1973      
Date Acquired Jun. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Bad Tennstedt Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 3,677      
Initial costs, buildings 27,261      
Additions subsequent to acquisition, Improvements 201      
Land at cost 3,878      
Buildings at cost 27,261      
Total at cost 31,139      
Accumulated Depreciation $ 347      
Date of Construction 1993      
Date Acquired Jun. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Wismar Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 3,465      
Initial costs, buildings 20,645      
Additions subsequent to acquisition, Improvements 195      
Land at cost 3,660      
Buildings at cost 20,645      
Total at cost 24,305      
Accumulated Depreciation $ 265      
Date of Construction 1996      
Date Acquired Jun. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Houston, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,423      
Initial costs, buildings 3,770      
Land at cost 1,423      
Buildings at cost 3,770      
Total at cost 5,193      
Accumulated Depreciation $ 79      
Date of Construction 2015      
Date Acquired Feb. 18, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Allen TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,550      
Initial costs, buildings 3,921      
Land at cost 1,550      
Buildings at cost 3,921      
Total at cost 5,471      
Accumulated Depreciation $ 147      
Date of Construction 2014      
Date Acquired Jul. 14, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
San Diego, CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 6,550      
Initial costs, buildings 15,653      
Additions subsequent to acquisition, carrying costs 77      
Land at cost 6,550      
Buildings at cost 15,730      
Total at cost 22,280      
Accumulated Depreciation $ 3,406      
Date of Construction 1964      
Date Acquired May 09, 2007      
Life on which depreciation in latest income statements is computed (Years) 40 years      
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 $ 156      
Date of Construction 2014      
Date Acquired Mar. 19, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Aurora, CO [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, buildings $ 4,860      
Buildings at cost 4,860      
Total at cost 4,860      
Accumulated Depreciation $ 26      
Date of Construction 2015      
Date Acquired Sep. 17, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Ft Worth, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, buildings $ 3,984      
Buildings at cost 3,984      
Total at cost 3,984      
Accumulated Depreciation $ 75      
Date of Construction 2015      
Date Acquired Mar. 27, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Bayonne, NJ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,003      
Initial costs, buildings 51,495      
Land at cost 2,003      
Buildings at cost 51,495      
Total at cost 53,498      
Accumulated Depreciation $ 12,658      
Date of Construction 1918      
Date Acquired Feb. 04, 2011      
Life on which depreciation in latest income statements is computed (Years) 20 years      
Bennettsville, SC [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 794      
Initial costs, buildings 15,772      
Land at cost 794      
Buildings at cost 15,772      
Total at cost 16,566      
Accumulated Depreciation $ 3,050      
Date of Construction 1984      
Date Acquired Apr. 01, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
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 $ 566      
Date of Construction 1980      
Date Acquired Feb. 13, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
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      
Land at cost 900      
Buildings at cost 17,818      
Total at cost 18,718      
Accumulated Depreciation $ 3,450      
Date of Construction 1982      
Date Acquired Apr. 01, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Austin TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,140      
Initial costs, buildings 3,853      
Land at cost 1,140      
Buildings at cost 3,853      
Total at cost 4,993      
Accumulated Depreciation $ 161      
Date of Construction 2014      
Date Acquired May 29, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Broomfield, CO [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 825      
Initial costs, buildings 3,895      
Land at cost 825      
Buildings at cost 3,895      
Total at cost 4,720      
Accumulated Depreciation $ 146      
Date of Construction 2014      
Date Acquired Jul. 03, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Carrollton, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 729      
Initial costs, buildings 34,289      
Land at cost 729      
Buildings at cost 34,289      
Total at cost 35,018      
Accumulated Depreciation $ 354      
Date of Construction 2015      
Date Acquired Jul. 17, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Cedar Hill TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,122      
Initial costs, buildings 3,644      
Land at cost 1,122      
Buildings at cost 3,644      
Total at cost 4,766      
Accumulated Depreciation $ 137      
Date of Construction 2014      
Date Acquired Jun. 23, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Spring, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,310      
Initial costs, buildings 3,543      
Land at cost 1,310      
Buildings at cost 3,543      
Total at cost 4,853      
Accumulated Depreciation $ 133      
Date of Construction 2014      
Date Acquired Jul. 15, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Chandler, AZ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, buildings $ 4,244      
Buildings at cost 4,244      
Total at cost 4,244      
Accumulated Depreciation $ 71      
Date of Construction 2015      
Date Acquired Apr. 24, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Chandler Az Two [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 750      
Initial costs, buildings 3,214      
Land at cost 750      
Buildings at cost 3,214      
Total at cost 3,964      
Accumulated Depreciation $ 19      
Date of Construction 2015      
Date Acquired Oct. 07, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Cheraw, SC [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 657      
Initial costs, buildings 19,576      
Land at cost 657      
Buildings at cost 19,576      
Total at cost 20,233      
Accumulated Depreciation $ 3,785      
Date of Construction 1982      
Date Acquired Apr. 01, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Katy, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, buildings $ 3,248      
Buildings at cost 3,248      
Total at cost 3,248      
Accumulated Depreciation $ 14      
Date of Construction 2015      
Date Acquired Oct. 21, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
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 $ 4,219      
Date of Construction 2004      
Date Acquired Dec. 21, 2010      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Commerce City TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 707      
Initial costs, buildings 4,236      
Land at cost 707      
Buildings at cost 4,236      
Total at cost 4,943      
Accumulated Depreciation $ 115      
Date of Construction 2014      
Date Acquired Dec. 11, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Conroe Tx [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,338      
Initial costs, buildings 3,436      
Land at cost 1,338      
Buildings at cost 3,436      
Total at cost 4,774      
Accumulated Depreciation $ 35      
Date of Construction 2015      
Date Acquired Jul. 29, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
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 4,405      
Land at cost 750      
Buildings at cost 4,405      
Total at cost 5,155      
Accumulated Depreciation $ 83      
Date of Construction 2015      
Date Acquired Apr. 10, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Corinth, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Long term acute care hospital      
Initial costs, land $ 1,288      
Initial costs, buildings 21,175      
Additions subsequent to acquisition, Improvements 313      
Land at cost 1,601      
Buildings at cost 21,175      
Total at cost 22,776      
Accumulated Depreciation $ 2,671      
Date of Construction 2008      
Date Acquired Jan. 31, 2011      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Covington, LA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Long term acute care hospital      
Initial costs, land $ 821      
Initial costs, buildings 10,238      
Additions subsequent to acquisition, carrying costs 14      
Land at cost 821      
Buildings at cost 10,252      
Total at cost 11,073      
Accumulated Depreciation $ 2,712      
Date of Construction 1984      
Date Acquired Jun. 09, 2005      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Dallas, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Long term acute care hospital      
Initial costs, land $ 1,000      
Initial costs, buildings 13,589      
Additions subsequent to acquisition, carrying costs 368      
Land at cost 1,421      
Buildings at cost 13,536      
Total at cost 14,957      
Accumulated Depreciation $ 3,158      
Date of Construction 2006      
Date Acquired Sep. 05, 2006      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Denver, CO [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, buildings $ 4,275      
Buildings at cost 4,275      
Total at cost 4,275      
Accumulated Depreciation $ 56      
Date of Construction 2015      
Date Acquired Jun. 08, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
DeSoto, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Long term acute care hospital      
Initial costs, land $ 1,067      
Initial costs, buildings 10,701      
Additions subsequent to acquisition, Improvements 86      
Additions subsequent to acquisition, carrying costs 8      
Land at cost 1,161      
Buildings at cost 10,701      
Total at cost 11,862      
Accumulated Depreciation $ 1,202      
Date of Construction 2008      
Date Acquired Jul. 18, 2011      
Life on which depreciation in latest income statements is computed (Years) 40 years      
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 8,687      
Additions subsequent to acquisition, carrying costs (365)      
Land at cost 1,220      
Buildings at cost 8,322      
Total at cost 9,542      
Accumulated Depreciation $ 1,656      
Date of Construction 1956      
Date Acquired May 22, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Dulles TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,076      
Initial costs, buildings 3,784      
Land at cost 1,076      
Buildings at cost 3,784      
Total at cost 4,860      
Accumulated Depreciation $ 125      
Date of Construction 2014      
Date Acquired Sep. 12, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Fairmont CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,000      
Initial costs, buildings 12,301      
Additions subsequent to acquisition, Improvements 1,386      
Land at cost 1,277      
Buildings at cost 13,410      
Total at cost 14,687      
Accumulated Depreciation $ 443      
Date of Construction 1985      
Date Acquired Sep. 19, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Firestone TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 495      
Initial costs, buildings 3,963      
Land at cost 495      
Buildings at cost 3,963      
Total at cost 4,458      
Accumulated Depreciation $ 157      
Date of Construction 2014      
Date Acquired Jun. 06, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
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      
Land at cost 900      
Buildings at cost 28,462      
Total at cost 29,362      
Accumulated Depreciation $ 2,659      
Date of Construction 2012      
Date Acquired Nov. 04, 2010      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Fort Lauderdale, FL [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 3,499      
Initial costs, buildings 21,939      
Additions subsequent to acquisition, carrying costs 1      
Land at cost 3,499      
Buildings at cost 21,940      
Total at cost 25,439      
Accumulated Depreciation $ 4,214      
Date of Construction 1985      
Date Acquired Apr. 22, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Fountain, CO [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,508      
Initial costs, buildings 4,131      
Land at cost 1,508      
Buildings at cost 4,131      
Total at cost 5,639      
Accumulated Depreciation $ 146      
Date of Construction 2014      
Date Acquired Jul. 31, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Frisco TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, buildings $ 3,769      
Buildings at cost 3,769      
Total at cost 3,769      
Accumulated Depreciation $ 15      
Date of Construction 2015      
Date Acquired Nov. 13, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Garden Grove, CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 5,502      
Initial costs, buildings 10,748      
Additions subsequent to acquisition, carrying costs 51      
Land at cost 5,502      
Buildings at cost 10,799      
Total at cost 16,301      
Accumulated Depreciation $ 1,925      
Date of Construction 1982      
Date Acquired Nov. 25, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Garden Grove, CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Medical Office Building      
Initial costs, land $ 862      
Initial costs, buildings 7,888      
Additions subsequent to acquisition, carrying costs 28      
Land at cost 862      
Buildings at cost 7,916      
Total at cost 8,778      
Accumulated Depreciation $ 1,404      
Date of Construction 1982      
Date Acquired Nov. 25, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Gilbert, AZ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 150      
Initial costs, buildings 15,553      
Land at cost 150      
Buildings at cost 15,553      
Total at cost 15,703      
Accumulated Depreciation $ 1,944      
Date of Construction 2005      
Date Acquired Jan. 04, 2011      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Gilbert Arizona Two [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,518      
Initial costs, buildings 4,112      
Land at cost 1,518      
Buildings at cost 4,112      
Total at cost 5,630      
Accumulated Depreciation $ 39      
Date of Construction 2015      
Date Acquired Jul. 22, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Glendale Az [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, buildings $ 3,886      
Buildings at cost 3,886      
Total at cost 3,886      
Accumulated Depreciation $ 50      
Date of Construction 2015      
Date Acquired Jun. 05, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Hammond LA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Long term acute care hospital      
Initial costs, land $ 519      
Initial costs, buildings 8,941      
Land at cost 519      
Buildings at cost 8,941      
Total at cost 9,460      
Accumulated Depreciation $ 689      
Date of Construction 2003      
Date Acquired Dec. 14, 2012      
Life on which depreciation in latest income statements is computed (Years) 40 years      
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 8,958      
Land at cost 1,500      
Buildings at cost 8,958      
Total at cost 10,458      
Accumulated Depreciation $ 611      
Date of Construction 2013      
Date Acquired Mar. 01, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Highland Village, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, buildings $ 3,673      
Buildings at cost 3,673      
Total at cost 3,673      
Accumulated Depreciation $ 21      
Date of Construction 2015      
Date Acquired Sep. 22, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
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      
Land at cost 1,120      
Buildings at cost 17,882      
Total at cost 19,002      
Accumulated Depreciation $ 6,294      
Date of Construction 1980      
Date Acquired Sep. 17, 2010      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Hoboken, NJ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,387      
Initial costs, buildings 44,351      
Land at cost 1,387      
Buildings at cost 44,351      
Total at cost 45,738      
Accumulated Depreciation $ 9,173      
Date of Construction 1863      
Date Acquired Nov. 04, 2011      
Life on which depreciation in latest income statements is computed (Years) 20 years      
Hoover AL [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, buildings $ 7,581      
Buildings at cost 7,581      
Total at cost 7,581      
Accumulated Depreciation $ 126      
Date of Construction 2015      
Date Acquired May 01, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Hoover Al Two [Member ]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Medical Office Building      
Initial costs, buildings $ 1,034      
Buildings at cost 1,034      
Total at cost 1,034      
Accumulated Depreciation $ 17      
Date of Construction 2015      
Date Acquired May 01, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Hot Springs, AR [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 4,300      
Initial costs, buildings 66,922      
Land at cost 4,300      
Buildings at cost 66,922      
Total at cost 71,222      
Accumulated Depreciation $ 548      
Date of Construction 1985      
Date Acquired Aug. 31, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
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, carrying costs 4,665      
Land at cost 1,822      
Buildings at cost 42,132      
Total at cost 43,954      
Accumulated Depreciation $ 8,028      
Date of Construction 2002      
Date Acquired Apr. 01, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
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 $ 1,505      
Date of Construction 1978      
Date Acquired Feb. 13, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
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 $ 1,076      
Date of Construction 2013      
Date Acquired Feb. 01, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Little Elm, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,241      
Initial costs, buildings 3,491      
Land at cost 1,241      
Buildings at cost 3,491      
Total at cost 4,732      
Accumulated Depreciation $ 179      
Date of Construction 2013      
Date Acquired Dec. 01, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Lubbock Tx [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, buildings $ 21,241      
Buildings at cost 21,241      
Total at cost 21,241      
Accumulated Depreciation $ 260      
Date of Construction 2008      
Date Acquired Jun. 16, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Lubbock Tx Two [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Long term acute care hospital      
Initial costs, buildings $ 10,725      
Buildings at cost 10,725      
Total at cost 10,725      
Accumulated Depreciation $ 134      
Date of Construction 2008      
Date Acquired Jun. 16, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
McKinney, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, buildings $ 3,991      
Buildings at cost 3,991      
Total at cost 3,991      
Accumulated Depreciation $ 40      
Date of Construction 2015      
Date Acquired Jul. 31, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Mesa - AZ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 4,900      
Initial costs, buildings 97,980      
Additions subsequent to acquisition, Improvements 2,242      
Land at cost 7,142      
Buildings at cost 97,980      
Total at cost 105,122      
Accumulated Depreciation $ 5,977      
Date of Construction 2007      
Date Acquired Sep. 26, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Bloomington, IN        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,392      
Initial costs, buildings 28,212      
Additions subsequent to acquisition, Improvements 5,000      
Additions subsequent to acquisition, carrying costs 408      
Land at cost 2,392      
Buildings at cost 33,620      
Total at cost 36,012      
Accumulated Depreciation $ 7,544      
Date of Construction 2006      
Date Acquired Aug. 08, 2006      
Life on which depreciation in latest income statements is computed (Years) 40 years      
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 99,632      
Additions subsequent to acquisition, Improvements 585      
Land at cost 8,477      
Buildings at cost 99,640      
Total at cost 108,117      
Accumulated Depreciation $ 4,623      
Date of Construction 2000      
Date Acquired Apr. 01, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
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 $ 172      
Date of Construction 2014      
Date Acquired Jan. 01, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
New Braunfels, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Long term acute care hospital      
Initial costs, land $ 1,100      
Initial costs, buildings 7,883      
Land at cost 1,100      
Buildings at cost 7,883      
Total at cost 8,983      
Accumulated Depreciation $ 838      
Date of Construction 2007      
Date Acquired Sep. 30, 2011      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Shenandoah, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 2,033      
Initial costs, buildings 21,943      
Land at cost 2,033      
Buildings at cost 21,943      
Total at cost 23,976      
Accumulated Depreciation $ 3,017      
Date of Construction 2008      
Date Acquired Jun. 17, 2010      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Colorado Springs CO [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 600      
Initial costs, buildings 4,231      
Land at cost 600      
Buildings at cost 4,231      
Total at cost 4,831      
Accumulated Depreciation $ 168      
Date of Construction 2014      
Date Acquired Jun. 05, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Northland, MO [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 13,400      
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 $ 2,112      
Date of Construction 2007      
Date Acquired Feb. 14, 2011      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Altoona, WI [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, buildings $ 29,048      
Buildings at cost 29,048      
Total at cost 29,048      
Accumulated Depreciation $ 945      
Date of Construction 2014      
Date Acquired Aug. 31, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
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 $ 739      
Date of Construction 2014      
Date Acquired Mar. 01, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
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 $ 683      
Date of Construction 2012      
Date Acquired Feb. 01, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Parker, CO [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,301      
Initial costs, buildings 4,024      
Land at cost 1,301      
Buildings at cost 4,024      
Total at cost 5,325      
Accumulated Depreciation $ 17      
Date of Construction 2015      
Date Acquired Nov. 06, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
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 $ 119      
Date of Construction 2014      
Date Acquired Sep. 08, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
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 $ 1,710      
Date of Construction 2006      
Date Acquired Jul. 01, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
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      
Additions subsequent to acquisition, carrying costs 1      
Land at cost 2,660      
Buildings at cost 38,694      
Total at cost 41,354      
Accumulated Depreciation $ 7,431      
Date of Construction 1980      
Date Acquired Apr. 22, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Port Arthur, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 3,000      
Initial costs, buildings 72,341      
Additions subsequent to acquisition, Improvements 1,062      
Land at cost 4,062      
Buildings at cost 72,341      
Total at cost 76,403      
Accumulated Depreciation $ 4,246      
Date of Construction 2005      
Date Acquired Sep. 26, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Port Huron Mi [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,000      
Initial costs, buildings 18,000      
Land at cost 2,000      
Buildings at cost 18,000      
Total at cost $ 20,000      
Date of Construction 1983      
Date Acquired Dec. 31, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Portland, OR [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Long term acute care hospital      
Initial costs, land $ 3,085      
Initial costs, buildings 17,859      
Additions subsequent to acquisition, carrying costs 2,559      
Land at cost 3,071      
Buildings at cost 20,432      
Total at cost 23,503      
Accumulated Depreciation $ 4,383      
Date of Construction 1964      
Date Acquired Apr. 18, 2007      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Post Falls, ID [Member]        
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 $ 696      
Date of Construction 2013      
Date Acquired Dec. 31, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Redding, CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Long term acute care hospital      
Initial costs, buildings $ 19,952      
Additions subsequent to acquisition, carrying costs 4,360      
Land at cost 1,629      
Buildings at cost 22,683      
Total at cost 24,312      
Accumulated Depreciation $ 5,757      
Date of Construction 1991      
Date Acquired Jun. 30, 2005      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Richardson, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 2,219      
Initial costs, buildings 17,419      
Land at cost 2,219      
Buildings at cost 17,419      
Total at cost 19,638      
Accumulated Depreciation $ 2,395      
Date of Construction 2008      
Date Acquired Jun. 17, 2010      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Addison, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 2,013      
Initial costs, buildings 22,531      
Land at cost 2,013      
Buildings at cost 22,531      
Total at cost 24,544      
Accumulated Depreciation $ 3,098      
Date of Construction 2008      
Date Acquired Jun. 17, 2010      
Life on which depreciation in latest income statements is computed (Years) 40 years      
San Dimas, CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Medical Office Building      
Initial costs, land $ 1,915      
Initial costs, buildings 5,085      
Additions subsequent to acquisition, carrying costs 18      
Land at cost 1,915      
Buildings at cost 5,103      
Total at cost 7,018      
Accumulated Depreciation $ 905      
Date of Construction 1979      
Date Acquired Nov. 25, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Sherman TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 4,491      
Initial costs, buildings 24,802      
Land at cost 4,491      
Buildings at cost 24,802      
Total at cost 29,293      
Accumulated Depreciation $ 775      
Date of Construction 2010      
Date Acquired Oct. 31, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Sienna, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 999      
Initial costs, buildings 3,591      
Land at cost 999      
Buildings at cost 3,591      
Total at cost 4,590      
Accumulated Depreciation $ 120      
Date of Construction 2014      
Date Acquired Aug. 20, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
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 $ 931      
Date of Construction 2013      
Date Acquired Aug. 01, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Thornton CO [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,350      
Initial costs, buildings 4,227      
Land at cost 1,350      
Buildings at cost 4,227      
Total at cost 5,577      
Accumulated Depreciation $ 141      
Date of Construction 2014      
Date Acquired Aug. 29, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
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 23,982      
Land at cost 1,299      
Buildings at cost 23,982      
Total at cost 25,281      
Accumulated Depreciation $ 2,998      
Date of Construction 2005      
Date Acquired Dec. 21, 2010      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Victoria, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Long term acute care hospital      
Initial costs, land $ 625      
Initial costs, buildings 7,197      
Land at cost 625      
Buildings at cost 7,197      
Total at cost 7,822      
Accumulated Depreciation $ 1,634      
Date of Construction 1998      
Date Acquired Dec. 01, 2006      
Life on which depreciation in latest income statements is computed (Years) 40 years      
League City TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, buildings $ 3,645      
Buildings at cost 3,645      
Total at cost 3,645      
Accumulated Depreciation $ 46      
Date of Construction 2015      
Date Acquired Jun. 19, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Anaheim, CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,875      
Initial costs, buildings 21,814      
Additions subsequent to acquisition, carrying costs 10      
Land at cost 1,875      
Buildings at cost 21,824      
Total at cost 23,699      
Accumulated Depreciation $ 5,001      
Date of Construction 1964      
Date Acquired Nov. 08, 2006      
Life on which depreciation in latest income statements is computed (Years) 40 years      
West Monroe, LA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 12,000      
Initial costs, buildings 69,433      
Additions subsequent to acquisition, Improvements 552      
Land at cost 12,552      
Buildings at cost 69,433      
Total at cost 81,985      
Accumulated Depreciation $ 4,048      
Date of Construction 1962      
Date Acquired Sep. 26, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
West Valley City, UT [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 5,516      
Initial costs, buildings 58,314      
Land at cost 5,516      
Buildings at cost 58,314      
Total at cost 63,830      
Accumulated Depreciation $ 11,198      
Date of Construction 1980      
Date Acquired Apr. 22, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
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 18,373      
Additions subsequent to acquisition, carrying costs 1      
Land at cost 1,019      
Buildings at cost 18,374      
Total at cost 19,393      
Accumulated Depreciation $ 3,559      
Date of Construction 1992      
Date Acquired Apr. 04, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1994 [Member] | Baden-Wurttemburg, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, buildings $ 9,459      
Buildings at cost 9,459      
Total at cost 9,459      
Accumulated Depreciation $ 493      
Date of Construction 1994      
Date Acquired Nov. 30, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1994 [Member] | Grunheide, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 8,369      
Initial costs, buildings 40,596      
Additions subsequent to acquisition, Improvements 331      
Land at cost 8,700      
Buildings at cost 40,596      
Total at cost 49,296      
Accumulated Depreciation $ 432      
Date of Construction 1994      
Date Acquired Jul. 31, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1996 [Member] | Saxony, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 372      
Initial costs, buildings 20,515      
Land at cost 372      
Buildings at cost 20,515      
Total at cost 20,887      
Accumulated Depreciation $ 1,068      
Date of Construction 1996      
Date Acquired Nov. 30, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1960 [Member] | Rhineland-Pflaz, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 3,175      
Initial costs, buildings 15,008      
Land at cost 3,175      
Buildings at cost 15,008      
Total at cost 18,183      
Accumulated Depreciation $ 782      
Date of Construction 1960      
Date Acquired Nov. 30, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1960 [Member] | Bad Durrheim Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,390      
Initial costs, buildings 11,400      
Additions subsequent to acquisition, Improvements 228      
Land at cost 1,618      
Buildings at cost 11,400      
Total at cost 13,018      
Accumulated Depreciation $ 125      
Date of Construction 1960      
Date Acquired Jul. 24, 2015      
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 $ 3,501      
Initial costs, buildings 34,530      
Additions subsequent to acquisition, Improvements 8,477      
Additions subsequent to acquisition, carrying costs 15,993      
Land at cost 3,274      
Buildings at cost 59,227      
Total at cost 62,501      
Accumulated Depreciation $ 8,018      
Date of Construction 1960      
Date Acquired Aug. 10, 2007      
Life on which depreciation in latest income statements is computed (Years) 40 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 $ 4,491      
Initial costs, buildings 24,802      
Land at cost 4,491      
Buildings at cost 24,802      
Total at cost 29,293      
Accumulated Depreciation $ 775      
Date of Construction 1960      
Date Acquired Oct. 31, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1981 [Member] | Hesse, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 92      
Initial costs, buildings 5,236      
Land at cost 92      
Buildings at cost 5,236      
Total at cost 5,328      
Accumulated Depreciation $ 273      
Date of Construction 1981      
Date Acquired Nov. 30, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1992 [Member] | Rhineland-Pflaz, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, buildings $ 29,701      
Buildings at cost 29,701      
Total at cost 29,701      
Accumulated Depreciation $ 1,547      
Date of Construction 1992      
Date Acquired Nov. 30, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1904 [Member] | Saxony, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 539      
Initial costs, buildings 14,943      
Land at cost 539      
Buildings at cost 14,943      
Total at cost 15,482      
Accumulated Depreciation $ 778      
Date of Construction 1904      
Date Acquired Nov. 30, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1980 [Member] | Rhineland-Pflaz, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 728      
Initial costs, buildings 6,545      
Land at cost 728      
Buildings at cost 6,545      
Total at cost 7,273      
Accumulated Depreciation $ 341      
Date of Construction 1980      
Date Acquired Nov. 30, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1986 [Member] | Baden-Wurttemburg, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 3,420      
Initial costs, buildings 5,827      
Land at cost 3,420      
Buildings at cost 5,827      
Total at cost 9,247      
Accumulated Depreciation $ 303      
Date of Construction 1986      
Date Acquired Nov. 30, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1954 [Member] | Thuringia Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,605      
Initial costs, buildings 33,913      
Land at cost 1,605      
Buildings at cost 33,913      
Total at cost 35,518      
Accumulated Depreciation $ 989      
Date of Construction 1954      
Date Acquired Nov. 05, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1988 [Member] | Baden-Wurttemburg, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, buildings $ 11,249      
Buildings at cost 11,249      
Total at cost 11,249      
Accumulated Depreciation $ 305      
Date of Construction 1988      
Date Acquired Dec. 11, 2014      
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 $ 1,747      
Initial costs, buildings 36,203      
Land at cost 1,747      
Buildings at cost 36,203      
Total at cost 37,950      
Accumulated Depreciation $ 1,358      
Date of Construction 2008      
Date Acquired Jul. 01, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1956 [Member] | Ottenhofen Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 2,254      
Initial costs, buildings 12,681      
Additions subsequent to acquisition, Improvements 108      
Land at cost 2,362      
Buildings at cost 12,681      
Total at cost 15,043      
Accumulated Depreciation $ 162      
Date of Construction 1956      
Date Acquired Jul. 03, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1993 [Member] | Bernkastel-Kues Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 782      
Initial costs, buildings 11,284      
Additions subsequent to acquisition, Improvements 130      
Land at cost 912      
Buildings at cost 11,284      
Total at cost 12,196      
Accumulated Depreciation $ 145      
Date of Construction 1993      
Date Acquired Jul. 14, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1993 [Member] | Flechtingen Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 2,781      
Initial costs, buildings 14,036      
Additions subsequent to acquisition, Improvements 146      
Land at cost 2,927      
Buildings at cost 14,036      
Total at cost 16,963      
Accumulated Depreciation $ 180      
Date of Construction 1993      
Date Acquired Jun. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1995 [Member] | Flechtingen Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 2,781      
Initial costs, buildings 21,989      
Additions subsequent to acquisition, Improvements 217      
Land at cost 2,998      
Buildings at cost 21,989      
Total at cost 24,987      
Accumulated Depreciation $ 282      
Date of Construction 1995      
Date Acquired Jun. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1900 [Member] | Baden-Baden Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,271      
Initial costs, buildings 8,936      
Additions subsequent to acquisition, Improvements 125      
Land at cost 1,396      
Buildings at cost 8,936      
Total at cost 10,332      
Accumulated Depreciation $ 116      
Date of Construction 1900      
Date Acquired Jun. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2002 [Member] | Baden-Baden Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,271      
Initial costs, buildings 8,936      
Additions subsequent to acquisition, Improvements 125      
Land at cost 1,396      
Buildings at cost 8,936      
Total at cost 10,332      
Accumulated Depreciation $ 116      
Date of Construction 2002      
Date Acquired Jun. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Renovations in 1997 [Member] | Hannover Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 4,073      
Initial costs, buildings 16,293      
Land at cost 4,073      
Buildings at cost 16,293      
Total at cost 20,366      
Accumulated Depreciation $ 34      
Date of Construction 1997      
Date Acquired Dec. 01, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Renovations in 2000 [Member] | Hannover Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 4,073      
Initial costs, buildings 16,293      
Land at cost 4,073      
Buildings at cost 16,293      
Total at cost 20,366      
Accumulated Depreciation $ 34      
Date of Construction 2000      
Date Acquired Dec. 01, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Renovations in 2009 [Member] | Hannover Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 4,073      
Initial costs, buildings 16,293      
Land at cost 4,073      
Buildings at cost 16,293      
Total at cost 20,366      
Accumulated Depreciation $ 34      
Date of Construction 2009      
Date Acquired Dec. 01, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1999 [Member] | Magdeburg Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 14,387      
Initial costs, buildings 53,369      
Additions subsequent to acquisition, Improvements 250      
Land at cost 14,637      
Buildings at cost 53,369      
Total at cost 68,006      
Accumulated Depreciation $ 563      
Date of Construction 1999      
Date Acquired Jul. 22, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1972 [Member] | Bad Nauheim Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,760      
Initial costs, buildings 9,198      
Additions subsequent to acquisition, Improvements 54      
Land at cost 1,814      
Buildings at cost 9,198      
Total at cost 11,012      
Accumulated Depreciation $ 117      
Date of Construction 1972      
Date Acquired Jun. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1972 [Member] | Fairmont CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,000      
Initial costs, buildings 12,301      
Additions subsequent to acquisition, Improvements 1,386      
Land at cost 1,277      
Buildings at cost 13,410      
Total at cost 14,687      
Accumulated Depreciation $ 443      
Date of Construction 1972      
Date Acquired Sep. 19, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1972 [Member] | San Dimas, CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 6,160      
Initial costs, buildings 6,839      
Additions subsequent to acquisition, carrying costs 34      
Land at cost 6,160      
Buildings at cost 6,873      
Total at cost 13,033      
Accumulated Depreciation $ 1,218      
Date of Construction 1972      
Date Acquired Nov. 25, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1973 [Member] | San Diego, CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 12,663      
Initial costs, buildings 52,432      
Land at cost 12,663      
Buildings at cost 52,432      
Total at cost 65,095      
Accumulated Depreciation $ 6,445      
Date of Construction 1973      
Date Acquired Feb. 09, 2011      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1973 [Member] | Port Huron Mi [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,000      
Initial costs, buildings 18,000      
Land at cost 2,000      
Buildings at cost 18,000      
Total at cost $ 20,000      
Date of Construction 1973      
Date Acquired Dec. 31, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2014 [Member] | Houston, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,345      
Initial costs, buildings 3,678      
Land at cost 1,345      
Buildings at cost 3,678      
Total at cost 5,023      
Accumulated Depreciation $ 138      
Date of Construction 2014      
Date Acquired Jun. 20, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2014 [Member] | Frisco TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,500      
Initial costs, buildings 3,863      
Additions subsequent to acquisition, Improvements 27      
Land at cost 1,500      
Buildings at cost 3,890      
Total at cost 5,390      
Accumulated Depreciation $ 154      
Date of Construction 2014      
Date Acquired Jun. 13, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1939 [Member] | Fairmont CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,000      
Initial costs, buildings 12,301      
Additions subsequent to acquisition, Improvements 1,386      
Land at cost 1,277      
Buildings at cost 13,410      
Total at cost 14,687      
Accumulated Depreciation $ 443      
Date of Construction 1939      
Date Acquired Sep. 19, 2014      
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 99,632      
Additions subsequent to acquisition, Improvements 585      
Land at cost 8,477      
Buildings at cost 99,640      
Total at cost 108,117      
Accumulated Depreciation $ 4,623      
Date of Construction 1920      
Date Acquired Apr. 01, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2006 [Member] | Houston, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 4,757      
Initial costs, buildings 56,238      
Additions subsequent to acquisition, Improvements (37)      
Additions subsequent to acquisition, carrying costs 1,259      
Land at cost 5,427      
Buildings at cost 56,790      
Total at cost 62,217      
Accumulated Depreciation $ 12,848      
Date of Construction 2006      
Date Acquired Dec. 01, 2006      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1953 [Member] | Port Huron Mi [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,000      
Initial costs, buildings 18,000      
Land at cost 2,000      
Buildings at cost 18,000      
Total at cost $ 20,000      
Date of Construction 1953      
Date Acquired Dec. 31, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1974 [Member] | Redding, CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,555      
Initial costs, buildings 53,863      
Additions subsequent to acquisition, carrying costs 13      
Land at cost 1,555      
Buildings at cost 53,876      
Total at cost 55,431      
Accumulated Depreciation $ 11,346      
Date of Construction 1974      
Date Acquired Aug. 10, 2007      
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 $ 4,491      
Initial costs, buildings 24,802      
Land at cost 4,491      
Buildings at cost 24,802      
Total at cost 29,293      
Accumulated Depreciation $ 775      
Date of Construction 1913      
Date Acquired Oct. 31, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2013 [Member] | Victoria, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, buildings $ 10,412      
Buildings at cost 10,412      
Total at cost 10,412      
Accumulated Depreciation $ 515      
Date of Construction 2013      
Date Acquired Dec. 31, 2013      
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 $ 462      
Date of Construction 2012      
Date Acquired Oct. 14, 2011      
Life on which depreciation in latest income statements is computed (Years) 40 years