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Real Estate and Lending Activities - 2015 Activity - Additional Information (Detail)
$ in Thousands, € in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2015
EUR (€)
Property
Jun. 16, 2015
USD ($)
RenewalOptions
Property
Bed
Apr. 29, 2015
EUR (€)
Hospital
Feb. 27, 2015
USD ($)
RenewalOptions
Feb. 13, 2015
USD ($)
Facility
RenewalOptions
Jun. 30, 2016
USD ($)
Jun. 30, 2015
USD ($)
Jun. 30, 2016
USD ($)
Jun. 30, 2015
USD ($)
Jun. 22, 2016
EUR (€)
Dec. 31, 2014
EUR (€)
Business Acquisition [Line Items]                      
Income contributed by the acquired entity             $ 50   $ 100    
Acquisition related costs           $ 4,767 25,809 $ 3,702 32,048    
Median [Member]                      
Business Acquisition [Line Items]                      
Value of properties closed | €                   € 41.6  
2015 [Member] | Ernest [Member]                      
Business Acquisition [Line Items]                      
Acquisition costs   $ 31,500                  
Term of lease, years   20 years                  
Loans provided for acquisition   $ 12,000                  
Number of properties acquired | Property   2                  
Number of lease extension options | RenewalOptions   3                  
Term of lease extension, years   5 years                  
2015 [Member] | Inpatient Rehabilitation Hospital [Member] | Ernest [Member] | Weslaco Texas [Member]                      
Business Acquisition [Line Items]                      
Acquisition costs       $ 10,700              
Number of lease extension options | RenewalOptions       3              
Term of lease extension, years       5 years              
Payments to fund long-term loans to related parties       $ 5,000              
Lease original term       17 years              
2015 [Member] | Acute Care Hospital [Member] | Kansas [Member]                      
Business Acquisition [Line Items]                      
Term of lease, years         10 years            
Number of lease extension options | RenewalOptions         2            
Term of lease extension, years         5 years            
Number of facilities acquired | Facility         2            
Purchase price of acquisition         $ 110,000            
Mortgage financing         $ 40,000            
Mortgage financing term         10 years            
2015 [Member] | Acute Care Hospital [Member] | Ernest [Member]                      
Business Acquisition [Line Items]                      
Number of beds acquired | Bed   37                  
2015 [Member] | Rehabilitation Hospital with Covenant Health System [Member] | Ernest [Member]                      
Business Acquisition [Line Items]                      
Number of beds acquired | Bed   60                  
2015 [Member] | Median [Member]                      
Business Acquisition [Line Items]                      
Number of hospitals acquired | Hospital     32                
Acquisition costs | €     € 688.0                
Term of lease, years     27 years                
Lease rent increase percentage     70.00%                
Lease rate     9.30%                
Ownership percentage                     5.10%
Loans provided for acquisition | € € 240.0                   € 425.0
Number of properties closed | Property 17                    
Value of properties closed | € € 317.0                    
2015 [Member] | Waterland Private Equity Fund [Member] | Median [Member]                      
Business Acquisition [Line Items]                      
Ownership percentage                     94.90%
2015 [Member] | Business Acquisitions [Member]                      
Business Acquisition [Line Items]                      
Revenue contributed by the acquired entity             4,200   6,200    
Income contributed by the acquired entity             3,500   4,900    
Acquisition related costs             $ 22,600   $ 26,700