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Real Estate and Loans Receivable - 2014 Activity - Additional Information (Detail)
$ in Thousands, € in Millions, £ in Millions
3 Months Ended 12 Months Ended
Oct. 31, 2014
USD ($)
Bed
Oct. 15, 2014
EUR (€)
Sep. 19, 2014
USD ($)
RenewalOptions
Jul. 01, 2014
USD ($)
Jul. 01, 2014
GBP (£)
Mar. 31, 2014
USD ($)
Dec. 31, 2014
USD ($)
Bed
Facility
Dec. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
Dec. 31, 2014
USD ($)
Bed
Dec. 31, 2014
EUR (€)
Bed
Jul. 01, 2014
GBP (£)
Business Acquisition [Line Items]                        
Acquisition related costs               $ 46,273 $ 61,342 $ 26,389    
Income contributed by the acquired entity               $ 310,019 $ 306,756      
2014 [Member]                        
Business Acquisition [Line Items]                        
Acquired percentage of the outstanding equity interest   5.10%                    
2014 [Member] | Circle Health Ltd. [Member]                        
Business Acquisition [Line Items]                        
Acquired facility, carrying value of sale/leaseback transaction       $ 48,000               £ 28.3
Sale/leaseback transaction, initial term period       15 years 15 years              
Sale/leaseback transaction, additional term period       15 years 15 years              
Percentage change in annual retail price index, floor rate       2.00%               2.00%
Percentage change in annual retail price index, cap rate       5.00%               5.00%
Acquisition related costs       $ 1,900 £ 1.1              
2014 [Member] | Acute Care Hospital [Member]                        
Business Acquisition [Line Items]                        
Acquisition costs           $ 115,000            
Term of lease, years           15 years            
Term of lease extension, years           3 years            
2014 [Member] | Acute Care Hospital [Member] | Fair value market [Member]                        
Business Acquisition [Line Items]                        
Term of lease extension, years           12 years            
2014 [Member] | Acute Care Hospital [Member] | Alecto Healthcare Services [Member] | Fairmont West Virginia [Member]                        
Business Acquisition [Line Items]                        
Ownership interest, percentage     20.00%                  
Acquisition costs     $ 15,000                  
Term of lease, years     15 years                  
Term of lease extension, years     5 years                  
Number of lease extension options in current lease contract | RenewalOptions     3                  
Working capital loan to the tenant     $ 5,000                  
Additional lease period     5 years                  
Additional fund committed to the tenant for capital improvements     $ 5,000                  
2014 [Member] | Median and Waterland [Member]                        
Business Acquisition [Line Items]                        
Interim acquisition loans aggregate amount | €   € 425.0                    
Interim acquisition loans advanced | €                     € 349.0  
2014 [Member] | Median [Member] | Waterland [Member]                        
Business Acquisition [Line Items]                        
Acquired percentage of the outstanding equity interest   94.90%                    
2014 [Member] | Business Acquisitions [Member]                        
Business Acquisition [Line Items]                        
Acquisition related costs                   26,400    
Revenue contributed by the acquired entity                   12,400    
Income contributed by the acquired entity                   8,700    
Acquisition-related costs on consummated deals                   25,200    
Acquisition related costs - transfer taxes on consummated deals                   5,800    
2014 [Member] | Germany [Member] | RHM Rehabilitation Facilities [Member]                        
Business Acquisition [Line Items]                        
Purchase price of acquisition             $ 81,000     81,000 63.6  
Applicable transfer and other taxes on purchase price             $ 3,600     $ 3,600 € 3.0  
Number of facilities acquired | Facility             3          
2014 [Member] | Germany [Member] | Bad Mergentheim [Member] | RHM Rehabilitation Facilities [Member]                        
Business Acquisition [Line Items]                        
Number of beds | Bed             211     211 211  
2014 [Member] | Germany [Member] | Bad Tolz [Member] | RHM Rehabilitation Facilities [Member]                        
Business Acquisition [Line Items]                        
Number of beds | Bed             248     248 248  
2014 [Member] | Germany [Member] | Bad Liebenstein [Member] | RHM Rehabilitation Facilities [Member]                        
Business Acquisition [Line Items]                        
Number of beds | Bed             271     271 271  
2014 [Member] | Sherman, TX [Member]                        
Business Acquisition [Line Items]                        
Purchase price of acquisition $ 32,500                      
2014 [Member] | Sherman, TX [Member] | Alecto Healthcare Services [Member]                        
Business Acquisition [Line Items]                        
Working capital loan $ 7,500                      
Initial leaseback term               15 years        
Ownership interest, percentage 20.00%                      
2014 [Member] | Sherman, TX [Member] | Acute Care Hospital [Member]                        
Business Acquisition [Line Items]                        
Number of beds | Bed 237