Combined purchase price and investment amount.

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- Definition

Contingent business acquisition related loans.

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Lease agreement annual incremental interest percentage.

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Lease agreement interest percentage.

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No definition available.

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- Definition

Lease extension period.

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No definition available.

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Lease period.

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No definition available.

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- Definition

Number of beds acquired.

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No definition available.

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Number of free-standing emergency department and health center.

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No definition available.

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Number of hospitals acquired.

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No definition available.

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- Definition

Number of lease extension options.

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No definition available.

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- Definition

Number of licensed hospitals.

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No definition available.

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- Definition

Number of portfolio investments.

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No definition available.

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- Definition

Number of properties disposed.

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No definition available.

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- Definition

Number of property investments mortgage loan.

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No definition available.

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- Definition

Number of real estate properties acquired.

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No definition available.

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- Definition

Operating leases, income statement, lease income.

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No definition available.

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- Definition

The capitalized costs incurred during the period (excluded from amortization) to purchase, lease or otherwise acquire an unproved property, including costs of lease bonuses and options to purchase or lease properties, the portion of costs applicable to minerals when land including mineral rights is purchased in fee, brokers' fees, recording fees, legal costs, and other costs incurred in acquiring properties.

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-Publisher FASB
-Name Accounting Standards Codification
-Topic 932
-SubTopic 10
-Section S99
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-Subparagraph (SX 210.4-10(c)(7)(ii))
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- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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No definition available.

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Balance Type:	na
Period Type:	duration

- Definition

Percentage of voting equity interests acquired at the acquisition date in the business combination.

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-Name Accounting Standards Codification
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-SubTopic 10
-Section 50
-Paragraph 2
-Subparagraph (c)
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- Definition

This element represents acquisition-related costs incurred to effect a business combination which costs have been expensed during the period. Such costs include finder's fees; advisory, legal, accounting, valuation, and other professional or consulting fees; general administrative costs, including the costs of maintaining an internal acquisitions department; and may include costs of registering and issuing debt and equity securities.

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- Definition

Contractual interest rate for funds borrowed, under the debt agreement.

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-Name Accounting Standards Codification
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Period of time between issuance and maturity of debt instrument, in PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days.

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No definition available.

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- Definition

The percentage of ownership of common stock or equity participation in the investee accounted for under the equity method of accounting.

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-Name Accounting Standards Codification
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Total investments in (A) an entity in which the entity has significant influence, but does not have control, (B) subsidiaries that are not required to be consolidated and are accounted for using the equity and or cost method, and (C) an entity in which the reporting entity shares control of the entity with another party or group. Includes long-term advances receivable from a party that is affiliated with the reporting entity by means of direct or indirect ownership.

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The parent entity's interest in net assets of the subsidiary, expressed as a percentage.

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No definition available.

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The amount of principal collected on mortgage loans on real estate during the reporting period.

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Total amount of new mortgage loans on real estate during the reporting period.

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The number of businesses acquired by the entity during the period.

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No definition available.

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- Definition

The total amount of revenue recognized for the period from operating leases, including minimum lease revenue, contingent revenue, percentage revenue and sublease revenue.

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The cash outflow associated with extending a long-term loan to a related party. Alternate caption: Payments for Advances to Affiliates.

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No definition available.

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The historical cost of the asset(s) sold in connection with the sale of the property to another party and the lease of the property back to the seller.

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Real Estate and Lending Activities - 2015 Activity - Additional Information (Detail) $ in Thousands, € in Millions							3 Months Ended			9 Months Ended		12 Months Ended
	Sep. 30, 2015 USD ($) Property Hospital	Aug. 31, 2015 USD ($) Investment Bed	Jun. 16, 2015 USD ($) RenewalOptions Property Bed	Apr. 29, 2015 EUR (€) Hospital	Feb. 27, 2015 USD ($) RenewalOptions	Feb. 13, 2015 USD ($) Facility RenewalOptions	Sep. 30, 2016 USD ($)	Dec. 31, 2015 USD ($) Property	Sep. 30, 2015 USD ($)	Sep. 30, 2016 USD ($)	Sep. 30, 2015 USD ($)	Dec. 31, 2015 USD ($)	Sep. 30, 2015 EUR (€)	Dec. 31, 2014 EUR (€)
Business Acquisition [Line Items]
Acquisition related costs							$ 2,677		$ 24,949	$ 6,379	$ 56,997
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] \| Lake Huron Medical Center [Member]
Business Acquisition [Line Items]
Acquisition costs												$ 20,000
Mortgage financing		$ 30,000
Mortgage financing term		5 years
2015 [Member] \| Rehabilitation Hospital with Covenant Health System [Member] \| Ernest [Member]
Business Acquisition [Line Items]
Number of beds acquired \| Bed			60
2015 [Member] \| Acute Care Hospital [Member] \| Kansas [Member]
Business Acquisition [Line Items]
Term of lease, years						10 years
Mortgage financing						$ 40,000
Mortgage financing term						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
2015 [Member] \| Acute Care Hospital [Member] \| Ernest [Member]
Business Acquisition [Line Items]
Number of beds acquired \| Bed			37
2015 [Member] \| Inpatient Rehabilitation Hospital [Member] \| Ernest [Member] \| Weslaco Texas [Member]
Business Acquisition [Line Items]
Acquisition costs					$ 10,700
Term of lease, years					20 years
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
2015 [Member] \| General Acute Care Hospital and Healthcare System [Member]
Business Acquisition [Line Items]
Mortgage financing	$ 100,000
Number of licensed hospitals \| Hospital	3
Number of free-standing emergency department and health center \| Hospital	1
Mortgage financing term	5 years
Mortgage financing funded	$ 85,000							$ 15,000
2015 [Member] \| General Acute Care Hospital [Member] \| Lake Huron Medical Center [Member]
Business Acquisition [Line Items]
Number of beds acquired \| Bed		144
2015 [Member] \| Median [Member]
Business Acquisition [Line Items]
Number of properties closed \| Property	30
Number of hospitals acquired \| Hospital				32
Acquisition costs \| €				€ 688
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	€ 425
Value of properties closed \| €													€ 627
2015 [Member] \| Waterland Private Equity Fund [Member] \| Median [Member]
Business Acquisition [Line Items]
Ownership percentage														94.90%
2015 [Member] \| Capella [Member]
Business Acquisition [Line Items]
Combined purchase price and investment amount		$ 900,000
Number of properties closed \| Property								6
Ownership interest in joint venture under the equity method		49.00%
Ownership interests owned by management		51.00%
2015 [Member] \| Capella [Member] \| Acute Care Hospital [Member]
Business Acquisition [Line Items]
Number of portfolio investments \| Investment		7
Number of investment in form of mortgage loan \| Investment		2
2015 [Member] \| Capella [Member] \| Joint Venture Partner [Member]
Business Acquisition [Line Items]
Fixed interest rate		8.00%
2015 [Member] \| Business Acquisitions [Member]
Business Acquisition [Line Items]
Revenue contributed by the acquired entity									30,000		59,200
Income contributed by the acquired entity									13,900		34,300
Acquisition related costs									$ 23,700		$ 52,900