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Schedule III - Real Estate Investments and Accumulated Depreciation (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Encumbrances $ 13,101      
Initial costs, land 403,141      
Initial costs, buildings 3,482,455      
Additions subsequent to acquisition, Improvements 52,564      
Additions subsequent to acquisition, carrying costs 29,882      
Land at cost 417,368      
Buildings at cost 3,550,674      
Total at cost 3,968,042 $ 2,991,590 $ 2,040,727 $ 1,733,194
Accumulated Depreciation $ 292,786 $ 232,675 $ 181,441 $ 144,235
Wiesbaden, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,557      
Initial costs, buildings 7,220      
Additions subsequent to acquisition, Improvements 37      
Land at cost 1,594      
Buildings at cost 7,220      
Total at cost 8,814      
Accumulated Depreciation $ 274      
Date of Construction 1974      
Date Acquired Jun. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Bad Liebenstein [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,554      
Initial costs, buildings 32,836      
Land at cost 1,554      
Buildings at cost 32,836      
Total at cost 34,390      
Accumulated Depreciation $ 1,779      
Date of Construction 1992      
Date Acquired Nov. 05, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Bad Mergentheim [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, buildings $ 10,891      
Buildings at cost 10,891      
Total at cost 10,891      
Accumulated Depreciation $ 567      
Date of Construction 1995      
Date Acquired Dec. 11, 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 $ 1,463      
Initial costs, buildings 30,316      
Land at cost 1,463      
Buildings at cost 30,316      
Total at cost 31,779      
Accumulated Depreciation $ 1,895      
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 $ 2,182      
Initial costs, buildings 12,278      
Additions subsequent to acquisition, Improvements 105      
Land at cost 2,287      
Buildings at cost 12,278      
Total at cost 14,565      
Accumulated Depreciation $ 471      
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 $ 3,124      
Initial costs, buildings 14,569      
Additions subsequent to acquisition, Improvements 163      
Land at cost 3,287      
Buildings at cost 14,569      
Total at cost 17,856      
Accumulated Depreciation $ 531      
Date of Construction 1997      
Date Acquired Jul. 22, 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 $ 1,677      
Initial costs, buildings 15,176      
Additions subsequent to acquisition, Improvements 147      
Land at cost 1,824      
Buildings at cost 15,176      
Total at cost 17,000      
Accumulated Depreciation $ 584      
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 $ 2,224      
Initial costs, buildings 19,184      
Additions subsequent to acquisition, Improvements 189      
Land at cost 2,413      
Buildings at cost 19,184      
Total at cost 21,597      
Accumulated Depreciation $ 738      
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 $ 2,966      
Initial costs, buildings 14,961      
Additions subsequent to acquisition, Improvements 131      
Land at cost 3,097      
Buildings at cost 14,961      
Total at cost 18,058      
Accumulated Depreciation $ 542      
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 $ 2,019      
Initial costs, buildings 12,907      
Additions subsequent to acquisition, Improvements 53      
Land at cost 2,072      
Buildings at cost 12,907      
Total at cost 14,979      
Accumulated Depreciation $ 489      
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 $ 3,386      
Initial costs, buildings 14,709      
Additions subsequent to acquisition, Improvements 42      
Land at cost 3,428      
Buildings at cost 14,709      
Total at cost 18,137      
Accumulated Depreciation $ 525      
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 $ 2,692      
Initial costs, buildings 13,590      
Additions subsequent to acquisition, Improvements 142      
Land at cost 2,834      
Buildings at cost 13,590      
Total at cost 16,424      
Accumulated Depreciation $ 524      
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 $ 294      
Initial costs, buildings 2,818      
Additions subsequent to acquisition, Improvements 79      
Land at cost 373      
Buildings at cost 2,818      
Total at cost 3,191      
Accumulated Depreciation $ 114      
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 $ 49      
Initial costs, buildings 14,462      
Additions subsequent to acquisition, Improvements 835      
Land at cost 884      
Buildings at cost 14,462      
Total at cost 15,346      
Accumulated Depreciation $ 417      
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 $ 2,674      
Initial costs, buildings 39,306      
Additions subsequent to acquisition, Improvements 321      
Land at cost 2,995      
Buildings at cost 39,306      
Total at cost 42,301      
Accumulated Depreciation $ 1,422      
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 $ 1,230      
Initial costs, buildings 8,652      
Additions subsequent to acquisition, Improvements 121      
Land at cost 1,351      
Buildings at cost 8,652      
Total at cost 10,003      
Accumulated Depreciation $ 337      
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 $ 3,755      
Initial costs, buildings 21,461      
Additions subsequent to acquisition, Improvements 330      
Land at cost 4,085      
Buildings at cost 21,461      
Total at cost 25,546      
Accumulated Depreciation $ 838      
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 $ 3,081      
Initial costs, buildings 14,562      
Additions subsequent to acquisition, Improvements 300      
Land at cost 3,381      
Buildings at cost 14,562      
Total at cost 17,943      
Accumulated Depreciation $ 416      
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 $ 4,049      
Initial costs, buildings 25,235      
Additions subsequent to acquisition, Improvements 200      
Land at cost 4,249      
Buildings at cost 25,235      
Total at cost 29,484      
Accumulated Depreciation $ 966      
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 $ 1,961      
Initial costs, buildings 14,956      
Additions subsequent to acquisition, Improvements 252      
Land at cost 2,213      
Buildings at cost 14,956      
Total at cost 17,169      
Accumulated Depreciation $ 586      
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 $ 3,770      
Initial costs, buildings 23,351      
Additions subsequent to acquisition, Improvements 231      
Land at cost 4,001      
Buildings at cost 23,351      
Total at cost 27,352      
Accumulated Depreciation $ 849      
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 $ 2,976      
Initial costs, buildings 15,036      
Additions subsequent to acquisition, Improvements 137      
Land at cost 3,113      
Buildings at cost 15,036      
Total at cost 18,149      
Accumulated Depreciation $ 578      
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 $ 3,292      
Initial costs, buildings 21,994      
Additions subsequent to acquisition, Improvements 158      
Land at cost 3,450      
Buildings at cost 21,994      
Total at cost 25,444      
Accumulated Depreciation $ 841      
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 $ 904      
Initial costs, buildings 6,276      
Additions subsequent to acquisition, Improvements 116      
Land at cost 1,020      
Buildings at cost 6,276      
Total at cost 7,296      
Accumulated Depreciation $ 247      
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, buildings $ 20,107      
Additions subsequent to acquisition, Improvements 179      
Land at cost 179      
Buildings at cost 20,107      
Total at cost 20,286      
Accumulated Depreciation $ 775      
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 $ 3,429      
Initial costs, buildings 19,442      
Additions subsequent to acquisition, Improvements 174      
Land at cost 3,603      
Buildings at cost 19,442      
Total at cost 23,045      
Accumulated Depreciation $ 746      
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 $ 13,931      
Initial costs, buildings 51,674      
Additions subsequent to acquisition, Improvements 242      
Land at cost 14,173      
Buildings at cost 51,674      
Total at cost 65,847      
Accumulated Depreciation $ 1,853      
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 $ 1,015      
Initial costs, buildings 3,302      
Additions subsequent to acquisition, Improvements 258      
Land at cost 1,273      
Buildings at cost 3,302      
Total at cost 4,575      
Accumulated Depreciation $ 150      
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 $ 1,346      
Initial costs, buildings 11,038      
Additions subsequent to acquisition, Improvements 221      
Land at cost 1,567      
Buildings at cost 11,038      
Total at cost 12,605      
Accumulated Depreciation $ 412      
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 $ 1,425      
Initial costs, buildings 10,392      
Additions subsequent to acquisition, Improvements 110      
Land at cost 1,535      
Buildings at cost 10,392      
Total at cost 11,927      
Accumulated Depreciation $ 378      
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 $ 1,704      
Initial costs, buildings 8,906      
Additions subsequent to acquisition, Improvements 53      
Land at cost 1,757      
Buildings at cost 8,906      
Total at cost 10,663      
Accumulated Depreciation $ 339      
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 $ 3,560      
Initial costs, buildings 26,396      
Additions subsequent to acquisition, Improvements 195      
Land at cost 3,755      
Buildings at cost 26,396      
Total at cost 30,151      
Accumulated Depreciation $ 1,009      
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 $ 3,355      
Initial costs, buildings 19,989      
Additions subsequent to acquisition, Improvements 189      
Land at cost 3,544      
Buildings at cost 19,989      
Total at cost 23,533      
Accumulated Depreciation $ 769      
Date of Construction 1996      
Date Acquired Jun. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Heidelberg, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 5,757      
Initial costs, buildings 33,689      
Additions subsequent to acquisition, Improvements 438      
Land at cost 6,195      
Buildings at cost 33,689      
Total at cost 39,884      
Accumulated Depreciation $ 436      
Date of Construction 1991      
Date Acquired Jun. 22, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Bad Kosen, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 717      
Initial costs, buildings 4,473      
Land at cost 717      
Buildings at cost 4,473      
Total at cost 5,190      
Accumulated Depreciation $ 19      
Date of Construction 1997      
Date Acquired Oct. 27, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Bad Salzdetfurth, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,129      
Initial costs, buildings 6,556      
Land at cost 1,129      
Buildings at cost 6,556      
Total at cost 7,685      
Accumulated Depreciation $ 14      
Date of Construction 1987      
Date Acquired Nov. 23, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Lubeck, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 673      
Initial costs, buildings 4,922      
Additions subsequent to acquisition, Improvements 38      
Land at cost 711      
Buildings at cost 4,922      
Total at cost $ 5,633      
Date of Construction 2011      
Date Acquired Dec. 31, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Vitense-Parber, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 540      
Initial costs, buildings 3,938      
Additions subsequent to acquisition, Improvements 30      
Land at cost 570      
Buildings at cost 3,938      
Total at cost $ 4,508      
Date of Construction 1995      
Date Acquired Dec. 31, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Breuberg-Sandbach, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,554      
Initial costs, buildings 11,485      
Additions subsequent to acquisition, Improvements 88      
Land at cost 1,642      
Buildings at cost 11,485      
Total at cost $ 13,127      
Date of Construction 1984      
Date Acquired Dec. 31, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Ravensrush, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 407      
Initial costs, buildings 3,199      
Additions subsequent to acquisition, Improvements 25      
Land at cost 432      
Buildings at cost 3,199      
Total at cost $ 3,631      
Date of Construction 1992      
Date Acquired Dec. 31, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Wildeck, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 731      
Initial costs, buildings 5,250      
Additions subsequent to acquisition, Improvements 40      
Land at cost 771      
Buildings at cost 5,250      
Total at cost $ 6,021      
Date of Construction 2013      
Date Acquired Dec. 31, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Romhild, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 169      
Initial costs, buildings 8,039      
Additions subsequent to acquisition, Improvements 62      
Land at cost 231      
Buildings at cost 8,039      
Total at cost $ 8,270      
Date of Construction 2000      
Date Acquired Dec. 31, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Bad Hersfield, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 507      
Initial costs, buildings 3,773      
Additions subsequent to acquisition, Improvements 29      
Land at cost 536      
Buildings at cost 3,773      
Total at cost $ 4,309      
Date of Construction 2014      
Date Acquired Dec. 31, 2016      
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 Acute care general hospital      
Initial costs, land $ 4,047      
Initial costs, buildings 41,914      
Land at cost 4,047      
Buildings at cost 41,914      
Total at cost 45,961      
Accumulated Depreciation $ 524      
Date of Construction 2016      
Date Acquired Jul. 07, 2016      
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 $ 245      
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 $ 3,799      
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 $ 258      
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 $ 4,812      
Buildings at cost 4,812      
Total at cost 4,812      
Accumulated Depreciation $ 150      
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 $ 4,392      
Buildings at cost 4,392      
Total at cost 4,392      
Accumulated Depreciation $ 192      
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 $ 15,234      
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 $ 3,419      
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 $ 1,183      
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 $ 3,895      
Date of Construction 1982      
Date Acquired Apr. 01, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Brighton, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 18,638      
Initial costs, buildings 147,266      
Land at cost 18,638      
Buildings at cost 147,266      
Total at cost 165,904      
Accumulated Depreciation $ 922      
Date of Construction 2009      
Date Acquired Oct. 03, 2016      
Life on which depreciation in latest income statements is computed (Years) 41 years      
Brockton, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 18,141      
Initial costs, buildings 66,562      
Land at cost 18,141      
Buildings at cost 66,562      
Total at cost 84,703      
Accumulated Depreciation $ 526      
Date of Construction 2010      
Date Acquired Oct. 03, 2016      
Life on which depreciation in latest income statements is computed (Years) 41 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 $ 249      
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 $ 243      
Date of Construction 2014      
Date Acquired Jul. 03, 2014      
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 $ 4,046      
Buildings at cost 4,046      
Total at cost 4,046      
Accumulated Depreciation $ 160      
Date of Construction 2015      
Date Acquired Jun. 05, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
New Orleans, LA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 2,850      
Initial costs, buildings 5,599      
Land at cost 2,850      
Buildings at cost 5,599      
Total at cost 8,449      
Accumulated Depreciation $ 35      
Date of Construction 2016      
Date Acquired Sep. 23, 2016      
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 34,342      
Land at cost 729      
Buildings at cost 34,342      
Total at cost 35,071      
Accumulated Depreciation $ 1,216      
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 $ 228      
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 4,203      
Land at cost 1,310      
Buildings at cost 4,203      
Total at cost 5,513      
Accumulated Depreciation $ 263      
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, land $ 750      
Initial costs, buildings 3,852      
Land at cost 750      
Buildings at cost 3,852      
Total at cost 4,602      
Accumulated Depreciation $ 120      
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 $ 4,242      
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 $ 3,873      
Buildings at cost 3,873      
Total at cost 3,873      
Accumulated Depreciation $ 113      
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 $ 5,063      
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 $ 221      
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 3,712      
Land at cost 1,338      
Buildings at cost 3,712      
Total at cost 5,050      
Accumulated Depreciation $ 131      
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 4,423      
Land at cost 750      
Buildings at cost 4,423      
Total at cost 5,173      
Accumulated Depreciation $ 194      
Date of Construction 2015      
Date Acquired Apr. 10, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
The Woodlands, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, buildings $ 4,740      
Buildings at cost 4,740      
Total at cost 4,740      
Accumulated Depreciation $ 89      
Date of Construction 2016      
Date Acquired Mar. 28, 2016      
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 $ 3,496      
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 $ 4,276      
Buildings at cost 4,276      
Total at cost 4,276      
Accumulated Depreciation $ 169      
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 $ 1,476      
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 $ 1,862      
Date of Construction 1956      
Date Acquired May 22, 2008      
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 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 $ 609      
Date of Construction 2012      
Date Acquired Oct. 02, 2012      
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 $ 220      
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 3,928      
Land at cost 1,277      
Buildings at cost 15,952      
Total at cost 17,229      
Accumulated Depreciation $ 857      
Date of Construction 1985      
Date Acquired Sep. 19, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Fall River, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,406      
Initial costs, buildings 82,358      
Land at cost 2,406      
Buildings at cost 82,358      
Total at cost 84,764      
Accumulated Depreciation $ 526      
Date of Construction 2012      
Date Acquired Oct. 03, 2016      
Life on which depreciation in latest income statements is computed (Years) 41 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 $ 256      
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      
Additions subsequent to acquisition, Improvements 105      
Land at cost 900      
Buildings at cost 28,567      
Total at cost 29,467      
Accumulated Depreciation $ 3,388      
Date of Construction 2012      
Date Acquired Feb. 07, 2012      
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 $ 4,763      
Date of Construction 1985      
Date Acquired Aug. 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 $ 250      
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, land $ 1,500      
Initial costs, buildings 3,863      
Additions subsequent to acquisition, Improvements 27      
Additions subsequent to acquisition, carrying costs (89)      
Land at cost 1,411      
Buildings at cost 3,890      
Total at cost 5,301      
Accumulated Depreciation $ 251      
Date of Construction 2014      
Date Acquired Jun. 13, 2014      
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 $ 2,196      
Date of Construction 1982      
Date Acquired Nov. 25, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Garland, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, buildings $ 4,954      
Buildings at cost 4,954      
Total at cost 4,954      
Accumulated Depreciation $ 21      
Date of Construction 2016      
Date Acquired Nov. 15, 2016      
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 $ 2,333      
Date of Construction 2005      
Date Acquired Jan. 04, 2011      
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 Freestanding ER      
Initial costs, land $ 1,518      
Initial costs, buildings 4,660      
Land at cost 1,518      
Buildings at cost 4,660      
Total at cost 6,178      
Accumulated Depreciation $ 165      
Date of Construction 2015      
Date Acquired Jul. 22, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Goodyear, AZ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,800      
Initial costs, buildings 4,709      
Land at cost 1,800      
Buildings at cost 4,709      
Total at cost 6,509      
Accumulated Depreciation $ 88      
Date of Construction 2016      
Date Acquired Apr. 04, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Hartsville, SC [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,050      
Initial costs, buildings 43,970      
Land at cost 2,050      
Buildings at cost 43,970      
Total at cost 46,020      
Accumulated Depreciation $ 957      
Date of Construction 1999      
Date Acquired Aug. 31, 2015      
Life on which depreciation in latest income statements is computed (Years) 34 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 $ 835      
Date of Construction 2013      
Date Acquired Mar. 01, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Helotes, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,900      
Initial costs, buildings 5,297      
Land at cost 1,900      
Buildings at cost 5,297      
Total at cost 7,197      
Accumulated Depreciation $ 110      
Date of Construction 2016      
Date Acquired Mar. 10, 2016      
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 $ 4,016      
Buildings at cost 4,016      
Total at cost 4,016      
Accumulated Depreciation $ 126      
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 $ 7,492      
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 $ 11,394      
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 $ 369      
Date of Construction 2015      
Date Acquired May 01, 2015      
Life on which depreciation in latest income statements is computed (Years) 34 years      
Hoover, AL [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 $ 50      
Date of Construction 2015      
Date Acquired May 01, 2015      
Life on which depreciation in latest income statements is computed (Years) 34 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 $ 7,100      
Initial costs, buildings 59,432      
Additions subsequent to acquisition, Improvements 19,113      
Land at cost 7,100      
Buildings at cost 78,545      
Total at cost 85,645      
Accumulated Depreciation $ 2,480      
Date of Construction 1985      
Date Acquired Aug. 31, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Highlands Ranch, CO [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 4,200      
Initial costs, buildings 4,763      
Land at cost 4,200      
Buildings at cost 4,763      
Total at cost 8,963      
Accumulated Depreciation $ 50      
Date of Construction 2016      
Date Acquired Jul. 25, 2016      
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 $ 9,086      
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 $ 3,146      
Date of Construction 1978      
Date Acquired Feb. 13, 2015      
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 $ 4,671      
Buildings at cost 4,671      
Total at cost 4,671      
Accumulated Depreciation $ 29      
Date of Construction 2016      
Date Acquired Oct. 10, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Camden, SC [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, buildings $ 22,739      
Buildings at cost 22,739      
Total at cost 22,739      
Accumulated Depreciation $ 384      
Date of Construction 2004      
Date Acquired Oct. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 20 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 $ 1,450      
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 $ 266      
Date of Construction 2013      
Date Acquired Dec. 01, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Longmont, CO [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, buildings $ 4,770      
Buildings at cost 4,770      
Total at cost 4,770      
Accumulated Depreciation $ 109      
Date of Construction 2016      
Date Acquired Feb. 10, 2016      
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, land $ 1,376      
Initial costs, buildings 28,292      
Additions subsequent to acquisition, Improvements 705      
Land at cost 1,376      
Buildings at cost 28,997      
Total at cost 30,373      
Accumulated Depreciation $ 1,072      
Date of Construction 2008      
Date Acquired Jun. 16, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Mandeville, LA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 2,800      
Initial costs, buildings 5,004      
Land at cost 2,800      
Buildings at cost 5,004      
Total at cost 7,804      
Accumulated Depreciation $ 21      
Date of Construction 2016      
Date Acquired Oct. 28, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Marrero, LA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, buildings $ 5,756      
Buildings at cost 5,756      
Total at cost 5,756      
Accumulated Depreciation $ 72      
Date of Construction 2016      
Date Acquired Jul. 15, 2016      
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 $ 4,060      
Buildings at cost 4,060      
Total at cost 4,060      
Accumulated Depreciation $ 193      
Date of Construction 2015      
Date Acquired Jul. 31, 2015      
Life on which depreciation in latest income statements is computed (Years) 30 years      
McMinnville, OR [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 5,000      
Initial costs, buildings 97,900      
Land at cost 5,000      
Buildings at cost 97,900      
Total at cost 102,900      
Accumulated Depreciation $ 1,663      
Date of Construction 1996      
Date Acquired Aug. 31, 2015      
Life on which depreciation in latest income statements is computed (Years) 41 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 $ 8,576      
Date of Construction 2007      
Date Acquired Sep. 26, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Methuen, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 23,809      
Initial costs, buildings 89,505      
Land at cost 23,809      
Buildings at cost 89,505      
Total at cost 113,314      
Accumulated Depreciation $ 638      
Date of Construction 2011      
Date Acquired Oct. 03, 2016      
Life on which depreciation in latest income statements is computed (Years) 41 years      
Bloomington, IN [Member]        
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 $ 8,483      
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 $ 7,152      
Date of Construction 2000      
Date Acquired Apr. 01, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Muskogee, OK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,420      
Initial costs, buildings 51,953      
Land at cost 1,420      
Buildings at cost 51,953      
Total at cost 53,373      
Accumulated Depreciation $ 1,046      
Date of Construction 2009      
Date Acquired Aug. 31, 2015      
Life on which depreciation in latest income statements is computed (Years) 30 years      
San Antonio, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, buildings $ 4,837      
Buildings at cost 4,837      
Total at cost 4,837      
Accumulated Depreciation $ 20      
Date of Construction 2016      
Date Acquired Oct. 27, 2016      
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 $ 274      
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 $ 13,101      
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 $ 2,542      
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 $ 29,062      
Buildings at cost 29,062      
Total at cost 29,062      
Accumulated Depreciation $ 1,695      
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 $ 1,150      
Date of Construction 2014      
Date Acquired Mar. 01, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Olympia, Washington [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 7,220      
Initial costs, buildings 89,348      
Land at cost 7,220      
Buildings at cost 89,348      
Total at cost 96,568      
Accumulated Depreciation $ 993      
Date of Construction 1984      
Date Acquired Jul. 22, 2016      
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 $ 926      
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 4,448      
Land at cost 1,301      
Buildings at cost 4,448      
Total at cost 5,749      
Accumulated Depreciation $ 130      
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 $ 209      
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 $ 1,938      
Date of Construction 2006      
Date Acquired Jul. 01, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Plano Texas [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, buildings $ 5,060      
Buildings at cost 5,060      
Total at cost 5,060      
Accumulated Depreciation $ 32      
Date of Construction 2016      
Date Acquired Sep. 30, 2016      
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 $ 8,400      
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 $ 6,071      
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 $ 3,029      
Initial costs, buildings 14,622      
Land at cost 3,029      
Buildings at cost 14,622      
Total at cost 17,651      
Accumulated Depreciation $ 490      
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 $ 4,897      
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 $ 1,039      
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 $ 6,406      
Date of Construction 1991      
Date Acquired Jun. 30, 2005      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Rosenberg, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, buildings $ 4,731      
Buildings at cost 4,731      
Total at cost 4,731      
Accumulated Depreciation $ 118      
Date of Construction 2016      
Date Acquired Jan. 15, 2016      
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 $ 1,033      
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 $ 1,418      
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 $ 209      
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 $ 1,325      
Date of Construction 2013      
Date Acquired Aug. 01, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Taunton, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 4,428      
Initial costs, buildings 73,433      
Land at cost 4,428      
Buildings at cost 73,433      
Total at cost 77,861      
Accumulated Depreciation $ 488      
Date of Construction 2015      
Date Acquired Oct. 03, 2016      
Life on which depreciation in latest income statements is computed (Years) 41 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 4,259      
Land at cost 1,350      
Buildings at cost 4,259      
Total at cost 5,609      
Accumulated Depreciation $ 248      
Date of Construction 2014      
Date Acquired Aug. 29, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Toledo, OH [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, buildings $ 17,740      
Buildings at cost 17,740      
Total at cost 17,740      
Accumulated Depreciation $ 333      
Date of Construction 2016      
Date Acquired Apr. 01, 2016      
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 $ 3,597      
Date of Construction 2005      
Date Acquired Dec. 21, 2010      
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 $ 3,901      
Buildings at cost 3,901      
Total at cost 3,901      
Accumulated Depreciation $ 146      
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 $ 5,547      
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 $ 5,822      
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      
Additions subsequent to acquisition, Improvements 2,036      
Additions subsequent to acquisition, carrying costs (114)      
Land at cost 5,402      
Buildings at cost 60,350      
Total at cost 65,752      
Accumulated Depreciation $ 12,716      
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 $ 4,018      
Date of Construction 1992      
Date Acquired Apr. 04, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1994 [Member] | Bad Rappenau, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, buildings $ 9,159      
Buildings at cost 9,159      
Total at cost 9,159      
Accumulated Depreciation $ 706      
Date of Construction 1994      
Date Acquired Nov. 30, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1994 [Member] | Bad Liebenwerda, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 335      
Initial costs, buildings 17,307      
Land at cost 335      
Buildings at cost 17,307      
Total at cost 17,642      
Accumulated Depreciation $ 1,334      
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 $ 2,674      
Initial costs, buildings 39,306      
Additions subsequent to acquisition, Improvements 321      
Land at cost 2,995      
Buildings at cost 39,306      
Total at cost 42,301      
Accumulated Depreciation $ 1,422      
Date of Construction 1994      
Date Acquired Jul. 31, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1996 [Member] | Dahlen, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 360      
Initial costs, buildings 19,863      
Land at cost 360      
Buildings at cost 19,863      
Total at cost 20,223      
Accumulated Depreciation $ 1,531      
Date of Construction 1996      
Date Acquired Nov. 30, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1996 [Member] | Bad Kosen, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,203      
Initial costs, buildings 7,095      
Land at cost 1,203      
Buildings at cost 7,095      
Total at cost 8,298      
Accumulated Depreciation $ 30      
Date of Construction 1996      
Date Acquired Oct. 27, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1960 [Member] | Bad Durkheim, 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 14,531      
Land at cost 3,074      
Buildings at cost 14,531      
Total at cost 17,605      
Accumulated Depreciation $ 1,120      
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 $ 1,346      
Initial costs, buildings 11,038      
Additions subsequent to acquisition, Improvements 221      
Land at cost 1,567      
Buildings at cost 11,038      
Total at cost 12,605      
Accumulated Depreciation $ 412      
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 16,589      
Land at cost 3,274      
Buildings at cost 59,823      
Total at cost 63,097      
Accumulated Depreciation $ 9,663      
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 $ 1,418      
Date of Construction 1960      
Date Acquired Oct. 31, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1981 [Member] | Ortenberg, Germany[Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 89      
Initial costs, buildings 5,070      
Land at cost 89      
Buildings at cost 5,070      
Total at cost 5,159      
Accumulated Depreciation $ 391      
Date of Construction 1981      
Date Acquired Nov. 30, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1977 [Member] | Wiesbaden, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 2,980      
Initial costs, buildings 14,334      
Land at cost 2,980      
Buildings at cost 14,334      
Total at cost 17,314      
Accumulated Depreciation $ 1,105      
Date of Construction 1977      
Date Acquired Nov. 30, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1992 [Member] | Bad Durkheim, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, buildings $ 28,758      
Buildings at cost 28,758      
Total at cost 28,758      
Accumulated Depreciation $ 2,217      
Date of Construction 1992      
Date Acquired Nov. 30, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1992 [Member] | Bad Kosen, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,189      
Initial costs, buildings 6,941      
Land at cost 1,189      
Buildings at cost 6,941      
Total at cost 8,130      
Accumulated Depreciation $ 29      
Date of Construction 1992      
Date Acquired Oct. 27, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1904 [Member] | Bad Liebenwerda, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 522      
Initial costs, buildings 14,469      
Land at cost 522      
Buildings at cost 14,469      
Total at cost 14,991      
Accumulated Depreciation $ 1,115      
Date of Construction 1904      
Date Acquired Nov. 30, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1995 [Member] | Bad Liebenwerda, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 522      
Initial costs, buildings 14,469      
Land at cost 522      
Buildings at cost 14,469      
Total at cost 14,991      
Accumulated Depreciation $ 1,115      
Date of Construction 1995      
Date Acquired Nov. 30, 2013      
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 $ 2,692      
Initial costs, buildings 21,291      
Additions subsequent to acquisition, Improvements 210      
Land at cost 2,902      
Buildings at cost 21,291      
Total at cost 24,193      
Accumulated Depreciation $ 819      
Date of Construction 1995      
Date Acquired Jun. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1980 [Member] | Bad Durkheim, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 705      
Initial costs, buildings 6,337      
Land at cost 705      
Buildings at cost 6,337      
Total at cost 7,042      
Accumulated Depreciation $ 488      
Date of Construction 1980      
Date Acquired Nov. 30, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1980 [Member] | Bad Bertrich, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 631      
Initial costs, buildings 3,787      
Land at cost 631      
Buildings at cost 3,787      
Total at cost 4,418      
Accumulated Depreciation $ 8      
Date of Construction 1980      
Date Acquired Nov. 30, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1930 [Member] | Bad Durkheim, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 5,649      
Initial costs, buildings 15,597      
Land at cost 5,649      
Buildings at cost 15,597      
Total at cost 21,246      
Accumulated Depreciation $ 1,202      
Date of Construction 1930      
Date Acquired Nov. 30, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1930 [Member] | Bad Hersfield, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 507      
Initial costs, buildings 3,773      
Additions subsequent to acquisition, Improvements 29      
Land at cost 536      
Buildings at cost 3,773      
Total at cost $ 4,309      
Date of Construction 1930      
Date Acquired Dec. 31, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1986 [Member] | Bad Rappenau, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 3,312      
Initial costs, buildings 5,642      
Land at cost 3,312      
Buildings at cost 5,642      
Total at cost 8,954      
Accumulated Depreciation $ 435      
Date of Construction 1986      
Date Acquired Nov. 30, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1974 [Member] | Bad Tolz, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 2,134      
Initial costs, buildings 9,187      
Land at cost 2,134      
Buildings at cost 9,187      
Total at cost 11,321      
Accumulated Depreciation $ 478      
Date of Construction 1974      
Date Acquired Nov. 19, 2014      
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 $ 12,692      
Date of Construction 1974      
Date Acquired Aug. 10, 2007      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1954 [Member] | Bad Liebenstein [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,554      
Initial costs, buildings 32,836      
Land at cost 1,554      
Buildings at cost 32,836      
Total at cost 34,390      
Accumulated Depreciation $ 1,779      
Date of Construction 1954      
Date Acquired Nov. 05, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1954 [Member] | Camden, SC [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, buildings $ 22,739      
Buildings at cost 22,739      
Total at cost 22,739      
Accumulated Depreciation $ 384      
Date of Construction 1954      
Date Acquired Oct. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 20 years      
1988 [Member] | Bad Mergentheim [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, buildings $ 10,891      
Buildings at cost 10,891      
Total at cost 10,891      
Accumulated Depreciation $ 567      
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 $ 1,463      
Initial costs, buildings 30,316      
Land at cost 1,463      
Buildings at cost 30,316      
Total at cost 31,779      
Accumulated Depreciation $ 1,895      
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 $ 2,182      
Initial costs, buildings 12,278      
Additions subsequent to acquisition, Improvements 105      
Land at cost 2,287      
Buildings at cost 12,278      
Total at cost 14,565      
Accumulated Depreciation $ 471      
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 $ 757      
Initial costs, buildings 10,926      
Additions subsequent to acquisition, Improvements 126      
Land at cost 883      
Buildings at cost 10,926      
Total at cost 11,809      
Accumulated Depreciation $ 422      
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 $ 2,692      
Initial costs, buildings 21,291      
Additions subsequent to acquisition, Improvements 210      
Land at cost 2,902      
Buildings at cost 21,291      
Total at cost 24,193      
Accumulated Depreciation $ 819      
Date of Construction 1993      
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 $ 1,230      
Initial costs, buildings 8,652      
Additions subsequent to acquisition, Improvements 121      
Land at cost 1,351      
Buildings at cost 8,652      
Total at cost 10,003      
Accumulated Depreciation $ 337      
Date of Construction 1900      
Date Acquired Jun. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1900 [Member] | Lubeck, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 673      
Initial costs, buildings 4,922      
Additions subsequent to acquisition, Improvements 38      
Land at cost 711      
Buildings at cost 4,922      
Total at cost $ 5,633      
Date of Construction 1900      
Date Acquired Dec. 31, 2016      
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 $ 1,230      
Initial costs, buildings 8,652      
Additions subsequent to acquisition, Improvements 121      
Land at cost 1,351      
Buildings at cost 8,652      
Total at cost 10,003      
Accumulated Depreciation $ 337      
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 $ 3,081      
Initial costs, buildings 14,562      
Additions subsequent to acquisition, Improvements 300      
Land at cost 3,381      
Buildings at cost 14,562      
Total at cost 17,943      
Accumulated Depreciation $ 416      
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 $ 3,081      
Initial costs, buildings 14,562      
Additions subsequent to acquisition, Improvements 300      
Land at cost 3,381      
Buildings at cost 14,562      
Total at cost 17,943      
Accumulated Depreciation $ 416      
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 $ 3,081      
Initial costs, buildings 14,562      
Additions subsequent to acquisition, Improvements 300      
Land at cost 3,381      
Buildings at cost 14,562      
Total at cost 17,943      
Accumulated Depreciation $ 416      
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 $ 13,931      
Initial costs, buildings 51,674      
Additions subsequent to acquisition, Improvements 242      
Land at cost 14,173      
Buildings at cost 51,674      
Total at cost 65,847      
Accumulated Depreciation $ 1,853      
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 $ 1,704      
Initial costs, buildings 8,906      
Additions subsequent to acquisition, Improvements 53      
Land at cost 1,757      
Buildings at cost 8,906      
Total at cost 10,663      
Accumulated Depreciation $ 339      
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 3,928      
Land at cost 1,277      
Buildings at cost 15,952      
Total at cost 17,229      
Accumulated Depreciation $ 857      
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 $ 1,390      
Date of Construction 1972      
Date Acquired Nov. 25, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1885 [Member] | Heidelberg, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 5,757      
Initial costs, buildings 33,689      
Additions subsequent to acquisition, Improvements 438      
Land at cost 6,195      
Buildings at cost 33,689      
Total at cost 39,884      
Accumulated Depreciation $ 436      
Date of Construction 1885      
Date Acquired Jun. 22, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1910 [Member] | Bad Bertrich, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 631      
Initial costs, buildings 3,787      
Land at cost 631      
Buildings at cost 3,787      
Total at cost 4,418      
Accumulated Depreciation $ 8      
Date of Construction 1910      
Date Acquired Nov. 30, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1985 [Member] | Bad Bertrich, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 631      
Initial costs, buildings 3,787      
Land at cost 631      
Buildings at cost 3,787      
Total at cost 4,418      
Accumulated Depreciation $ 8      
Date of Construction 1985      
Date Acquired Nov. 30, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1800 [Member] | Vitense-Parber, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 540      
Initial costs, buildings 3,938      
Additions subsequent to acquisition, Improvements 30      
Land at cost 570      
Buildings at cost 3,938      
Total at cost $ 4,508      
Date of Construction 1800      
Date Acquired Dec. 31, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1901 [Member] | Breuberg-Sandbach, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,554      
Initial costs, buildings 11,485      
Additions subsequent to acquisition, Improvements 88      
Land at cost 1,642      
Buildings at cost 11,485      
Total at cost $ 13,127      
Date of Construction 1901      
Date Acquired Dec. 31, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1860 [Member] | Ravensrush, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 407      
Initial costs, buildings 3,199      
Additions subsequent to acquisition, Improvements 25      
Land at cost 432      
Buildings at cost 3,199      
Total at cost $ 3,631      
Date of Construction 1860      
Date Acquired Dec. 31, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1600 [Member] | Wildeck, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 731      
Initial costs, buildings 5,250      
Additions subsequent to acquisition, Improvements 40      
Land at cost 771      
Buildings at cost 5,250      
Total at cost $ 6,021      
Date of Construction 1600      
Date Acquired Dec. 31, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1902 [Member] | Romhild, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 169      
Initial costs, buildings 8,039      
Additions subsequent to acquisition, Improvements 62      
Land at cost 231      
Buildings at cost 8,039      
Total at cost $ 8,270      
Date of Construction 1902      
Date Acquired Dec. 31, 2016      
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 $ 7,755      
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 $ 3,029      
Initial costs, buildings 14,622      
Land at cost 3,029      
Buildings at cost 14,622      
Total at cost 17,651      
Accumulated Depreciation $ 490      
Date of Construction 1973      
Date Acquired Dec. 31, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 [Member] | Houston, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 950      
Initial costs, buildings 4,576      
Land at cost 950      
Buildings at cost 4,576      
Total at cost 5,526      
Accumulated Depreciation $ 29      
Date of Construction 2016      
Date Acquired Sep. 26, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 [Member] | Glendale, AZ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,144      
Initial costs, buildings 6,005      
Land at cost 1,144      
Buildings at cost 6,005      
Total at cost 7,149      
Accumulated Depreciation $ 25      
Date of Construction 2016      
Date Acquired Oct. 21, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 [Member] | DeSoto, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 750      
Initial costs, buildings 4,569      
Land at cost 750      
Buildings at cost 4,569      
Total at cost 5,319      
Accumulated Depreciation $ 67      
Date of Construction 2016      
Date Acquired May 23, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 [Member] | San Antonio, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, buildings $ 5,157      
Buildings at cost 5,157      
Total at cost 5,157      
Accumulated Depreciation $ 11      
Date of Construction 2016      
Date Acquired Dec. 09, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 [Member] | Frisco, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, buildings $ 4,735      
Buildings at cost 4,735      
Total at cost 4,735      
Accumulated Depreciation $ 99      
Date of Construction 2016      
Date Acquired Mar. 04, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1917 [Member] | Brighton, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 18,638      
Initial costs, buildings 147,266      
Land at cost 18,638      
Buildings at cost 147,266      
Total at cost 165,904      
Accumulated Depreciation $ 922      
Date of Construction 1917      
Date Acquired Oct. 03, 2016      
Life on which depreciation in latest income statements is computed (Years) 41 years      
1965 [Member] | Brockton, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 18,141      
Initial costs, buildings 66,562      
Land at cost 18,141      
Buildings at cost 66,562      
Total at cost 84,703      
Accumulated Depreciation $ 526      
Date of Construction 1965      
Date Acquired Oct. 03, 2016      
Life on which depreciation in latest income statements is computed (Years) 41 years      
2015 [Member] | 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 $ 173      
Date of Construction 2015      
Date Acquired Feb. 18, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2015 [Member] | Chandler, AZ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, buildings $ 4,783      
Buildings at cost 4,783      
Total at cost 4,783      
Accumulated Depreciation $ 199      
Date of Construction 2015      
Date Acquired Apr. 24, 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 $ 230      
Date of Construction 2014      
Date Acquired Jun. 20, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2014 [Member] | 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 $ 271      
Date of Construction 2014      
Date Acquired Jan. 01, 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 3,928      
Land at cost 1,277      
Buildings at cost 15,952      
Total at cost 17,229      
Accumulated Depreciation $ 857      
Date of Construction 1939      
Date Acquired Sep. 19, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1950 [Member] | Fall River, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,406      
Initial costs, buildings 82,358      
Land at cost 2,406      
Buildings at cost 82,358      
Total at cost 84,764      
Accumulated Depreciation $ 526      
Date of Construction 1950      
Date Acquired Oct. 03, 2016      
Life on which depreciation in latest income statements is computed (Years) 41 years      
1950 [Member] | Methuen, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 23,809      
Initial costs, buildings 89,505      
Land at cost 23,809      
Buildings at cost 89,505      
Total at cost 113,314      
Accumulated Depreciation $ 638      
Date of Construction 1950      
Date Acquired Oct. 03, 2016      
Life on which depreciation in latest income statements is computed (Years) 41 years      
2015 [Member] | Frisco, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 2,441      
Initial costs, buildings 4,474      
Land at cost 2,441      
Buildings at cost 4,474      
Total at cost 6,915      
Accumulated Depreciation $ 130      
Date of Construction 2015      
Date Acquired Nov. 13, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1982 [Member] | 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 $ 1,603      
Date of Construction 1982      
Date Acquired Nov. 25, 2008      
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 $ 7,152      
Date of Construction 1920      
Date Acquired Apr. 01, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1959 [Member] | Muskogee, OK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,420      
Initial costs, buildings 51,953      
Land at cost 1,420      
Buildings at cost 51,953      
Total at cost 53,373      
Accumulated Depreciation $ 1,046      
Date of Construction 1959      
Date Acquired Aug. 31, 2015      
Life on which depreciation in latest income statements is computed (Years) 30 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 $ 14,270      
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 $ 3,029      
Initial costs, buildings 14,622      
Land at cost 3,029      
Buildings at cost 14,622      
Total at cost 17,651      
Accumulated Depreciation $ 490      
Date of Construction 1953      
Date Acquired Dec. 31, 2015      
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 $ 1,418      
Date of Construction 1913      
Date Acquired Oct. 31, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1940 [Member] | Taunton, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 4,428      
Initial costs, buildings 73,433      
Land at cost 4,428      
Buildings at cost 73,433      
Total at cost 77,861      
Accumulated Depreciation $ 488      
Date of Construction 1940      
Date Acquired Oct. 03, 2016      
Life on which depreciation in latest income statements is computed (Years) 41 years