XML 67 R45.htm IDEA: XBRL DOCUMENT v3.3.1.900
Real Estate and Loans Receivable - 2014 Activity - Additional Information (Detail)
$ in Thousands, € in Millions, £ in Millions
3 Months Ended 12 Months Ended
Dec. 15, 2014
EUR (€)
Oct. 31, 2014
USD ($)
Bed
Sep. 19, 2014
USD ($)
RenewalOptions
Jul. 01, 2014
USD ($)
Jul. 01, 2014
GBP (£)
Mar. 31, 2014
USD ($)
Dec. 31, 2014
USD ($)
Bed
Facility
Dec. 31, 2015
USD ($)
Dec. 31, 2014
USD ($)
Bed
Dec. 31, 2013
USD ($)
Dec. 31, 2014
EUR (€)
Bed
Jul. 01, 2014
GBP (£)
Business Acquisition [Line Items]                        
Acquisition related costs               $ 61,342 $ 26,389 $ 19,494    
Income contributed by the acquired entity               $ 240,783 220,181      
2014 [Member]                        
Business Acquisition [Line Items]                        
Acquired percentage of the outstanding equity interest 5.10%                      
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] | Fair value market [Member]                        
Business Acquisition [Line Items]                        
Term of lease extension, years           12 years            
2014 [Member] | Acute Care Hospital [Member] | Alecto Healthcare Services [Member] | Fairmont West Virginia [Member]                        
Business Acquisition [Line Items]                        
Ownership interest, percentage     20.00%                  
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] | Median and Waterland [Member]                        
Business Acquisition [Line Items]                        
Interim acquisition loans aggregate amount | € € 425.0                      
Interim acquisition loans advanced | €                     € 349.0  
2014 [Member] | Median [Member] | Waterland [Member]                        
Business Acquisition [Line Items]                        
Acquired percentage of the outstanding equity interest 94.90%                      
2014 [Member] | Business Acquisitions [Member]                        
Business Acquisition [Line Items]                        
Acquisition related costs                 26,400      
Revenue contributed by the acquired entity                 12,400      
Income contributed by the acquired entity                 8,700      
Acquisition-related costs on consummated deals                 25,200      
Acquisition related costs - transfer taxes on consummated deals                 5,800      
2014 [Member] | Germany [Member] | RHM Rehabilitation Facilities [Member]                        
Business Acquisition [Line Items]                        
Purchase price of acquisition             $ 81,000   81,000   63.6  
Applicable transfer and other taxes on purchase price             $ 3,600   $ 3,600   € 3.0  
Number of facilities acquired | Facility             3          
2014 [Member] | Germany [Member] | Bad Mergentheim [Member] | RHM Rehabilitation Facilities [Member]                        
Business Acquisition [Line Items]                        
Number of beds | Bed             211   211   211  
2014 [Member] | Germany [Member] | Bad Tolz [Member] | RHM Rehabilitation Facilities [Member]                        
Business Acquisition [Line Items]                        
Number of beds | Bed             248   248   248  
2014 [Member] | Germany [Member] | Bad Liebenstein [Member] | RHM Rehabilitation Facilities [Member]                        
Business Acquisition [Line Items]                        
Number of beds | Bed             271   271   271  
2014 [Member] | Sherman TX [Member]                        
Business Acquisition [Line Items]                        
Purchase price of acquisition   $ 32,500                    
2014 [Member] | Sherman TX [Member] | Alecto Healthcare Services [Member]                        
Business Acquisition [Line Items]                        
Working capital loan   $ 7,500                    
Initial leaseback term               15 years        
Ownership interest, percentage   20.00%                    
2014 [Member] | Sherman TX [Member] | Acute Care Hospital [Member]                        
Business Acquisition [Line Items]                        
Number of beds | Bed   237