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Real Estate and Lending Activities - 2017 Activity - Additional Information (Detail)
€ in Millions
1 Months Ended 3 Months Ended 5 Months Ended 6 Months Ended 12 Months Ended
Jun. 22, 2017
EUR (€)
Hospital
Jun. 01, 2017
USD ($)
Bed
May 01, 2017
USD ($)
Bed
Hospital
Jan. 30, 2017
EUR (€)
Jul. 20, 2016
EUR (€)
Hospital
Jul. 31, 2016
EUR (€)
Property
Jun. 30, 2017
USD ($)
Jan. 30, 2017
EUR (€)
Hospital
Jun. 30, 2017
USD ($)
Hospital
Jun. 30, 2017
EUR (€)
Property
Hospital
Dec. 31, 2016
EUR (€)
Property
Germany [Member] | Rehabilitation Hospital with Covenant Health System [Member]                      
Business Acquisition [Line Items]                      
Number of facilities acquired | Hospital         20            
Acquisition costs | €         € 215.7            
Number of properties closed | Hospital                 18 18  
2017 [Member] | Business Acquisitions [Member]                      
Business Acquisition [Line Items]                      
Revenue contributed by the acquired entity             $ 8,200,000   $ 8,400,000    
Income contributed by the acquired entity             6,000,000   6,100,000    
Acquisition related costs             $ 9,100,000   $ 9,600,000    
2017 [Member] | Acute Care Hospital [Member] | Alecto Healthcare Services [Member] | Ohio Valley Medical Center [Member]                      
Business Acquisition [Line Items]                      
Number of beds acquired | Bed   218                  
2017 [Member] | Acute Care Hospital [Member] | Alecto Healthcare Services [Member] | East Ohio Regional Hospital [Member]                      
Business Acquisition [Line Items]                      
Number of beds acquired | Bed   139                  
2017 [Member] | West Virginia and Ohio [Member] | Acute Care Hospital [Member] | Alecto Healthcare Services [Member]                      
Business Acquisition [Line Items]                      
Purchase price of acquisition   $ 40,000,000                  
Purchase price of acquisition funded   $ 0                  
Term of lease   15 years                  
Percentage of increase in annual rent   2.00%                  
Number of lease extension options   3                  
Term of lease extension   5 years                  
Additional fund committed to the tenant for capital improvements   $ 20,000,000                  
Ownership interest percentage in operator facility   20.00%                  
2017 [Member] | Florida, Ohio, and Pennsylvania [Member] | Community Health Systems, Inc. [Member]                      
Business Acquisition [Line Items]                      
Purchase price of acquisition     $ 301,300,000                
Number of facilities acquired | Hospital     8                
2017 [Member] | Germany [Member] | Acute Care Hospital [Member] | MEDIAN [Member]                      
Business Acquisition [Line Items]                      
Purchase price of acquisition | € € 19.4                    
Purchase price of acquisition funded | € € 18.6                    
Number of facilities acquired | Hospital 1                    
Term of lease 27 years                    
Lease agreement, end date 2042-12                    
2017 [Member] | Germany [Member] | Rehabilitation Hospital with Covenant Health System [Member]                      
Business Acquisition [Line Items]                      
Purchase price of acquisition | €       € 8.4       € 44.1      
Number of facilities acquired | Hospital               6      
2017 [Member] | Germany [Member] | Rehabilitation Hospital with Covenant Health System [Member] | Third Master Lease [Member]                      
Business Acquisition [Line Items]                      
Number of facilities acquired           20     11 11  
Lease agreement, end date                 2043-08 2043-08  
Acquisition costs | €           € 215.7       € 127.0  
Number of properties closed | Property                     7
Amount of properties closed | €                     € 49.5
Number of properties closed after current report period | Property                   2  
Amount of properties closed after current report period | €                   € 39.2  
2017 [Member] | IDAHO, Lewiston | Acute Care Hospital [Member] | St. Joseph Regional Medical Center [Member]                      
Business Acquisition [Line Items]                      
Purchase price of acquisition     $ 87,500,000                
Number of beds acquired | Bed     145