Real Estate and Loans Receivable - Summary of Status Update on Current Development Projects (Detail) $ in Thousands	12 Months Ended
	Dec. 31, 2016 USD ($)
Business Acquisition [Line Items]
Commitment	$ 162,770
Costs Incurred as of 12/31/2016	53,648
Adeptus Health Two [Member]
Business Acquisition [Line Items]
Commitment	5,848
Costs Incurred as of 12/31/2016	$ 2,710
Estimated Completion Date	1Q 2017
Adeptus Health Three [Member]
Business Acquisition [Line Items]
Commitment	$ 67,185
Costs Incurred as of 12/31/2016	$ 44,948
Estimated Completion Date	2Q 2017
Ernest [Member]
Business Acquisition [Line Items]
Commitment	$ 28,067
Costs Incurred as of 12/31/2016	$ 4,342
Estimated Completion Date	4Q 2017
Adeptus Health Four [Member]
Business Acquisition [Line Items]
Commitment	$ 7,804
Costs Incurred as of 12/31/2016	$ 1,648
Estimated Completion Date	1Q 2018
Adeptus Health Five [Member]
Business Acquisition [Line Items]
Commitment	$ 53,866
Estimated Completion Date	Various