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Real Estate and Lending Activities - 2017 Activity - Additional Information (Detail) - 2017 [Member]
€ in Millions
1 Months Ended 3 Months Ended 5 Months Ended 9 Months Ended
Sep. 29, 2017
USD ($)
Facility
Hospital
Health_Center
Jun. 22, 2017
EUR (€)
Jun. 01, 2017
USD ($)
Bed
May 01, 2017
USD ($)
Bed
Hospital
Jan. 30, 2017
EUR (€)
Dec. 31, 2016
EUR (€)
Property
Jul. 31, 2016
EUR (€)
Property
Sep. 30, 2017
USD ($)
Hospital
Sep. 30, 2017
EUR (€)
Hospital
Jun. 30, 2017
EUR (€)
Hospital
Jan. 30, 2017
EUR (€)
Hospital
Sep. 30, 2017
USD ($)
Subsidiaries                        
Business Acquisition [Line Items]                        
Number of facilities acquired | Facility 9                      
Equity interest acquired $ 100,000,000                      
Combined purchase price and investment amount $ 1,500,000,000                      
Term of lease 15 years                      
Mortgage [Member] | Subsidiaries                        
Business Acquisition [Line Items]                        
Amount of mortgage loan $ 700,000,000                      
Number of mortgage facilities | Hospital 2                      
Number of lease extension options | Hospital 3                      
Period of options extension 5 years                      
IASIS Healthcare [Member] | Subsidiaries                        
Business Acquisition [Line Items]                        
Purchase price of acquisition $ 700,000,000                      
Business Acquisitions [Member]                        
Business Acquisition [Line Items]                        
Revenue contributed by the acquired entity               $ 16,700,000       $ 25,100,000
Income contributed by the acquired entity               12,700,000       18,800,000
Acquisition related costs               $ 5,400,000       $ 15,600,000
Acute Care Hospital [Member] | IASIS Healthcare [Member]                        
Business Acquisition [Line Items]                        
Number of facilities closed | Hospital 10                      
Acute Care Hospital [Member] | IASIS Healthcare [Member] | Subsidiaries                        
Business Acquisition [Line Items]                        
Number of facilities acquired | Hospital 8                      
Acute Care Hospital [Member] | Alecto Healthcare Services [Member] | Ohio Valley Medical Center [Member]                        
Business Acquisition [Line Items]                        
Number of beds acquired | Bed     218                  
Acute Care Hospital [Member] | Alecto Healthcare Services [Member] | East Ohio Regional Hospital [Member]                        
Business Acquisition [Line Items]                        
Number of beds acquired | Bed     139                  
Behavioral Health Care Facility [Member] | IASIS Healthcare [Member]                        
Business Acquisition [Line Items]                        
Number of facilities closed | Health_Center 1                      
Behavioral Health Care Facility [Member] | IASIS Healthcare [Member] | Subsidiaries                        
Business Acquisition [Line Items]                        
Number of facilities acquired | Health_Center 1                      
West Virginia and Ohio [Member] | Acute Care Hospital [Member] | Alecto Healthcare Services [Member]                        
Business Acquisition [Line Items]                        
Purchase price of acquisition     $ 40,000,000                  
Term of lease     15 years                  
Purchase price of acquisition funded     $ 0                  
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%                  
Florida, Ohio, and Pennsylvania [Member] | Community Health Systems, Inc. [Member]                        
Business Acquisition [Line Items]                        
Number of facilities acquired | Hospital       8                
Purchase price of acquisition       $ 301,300,000                
Germany [Member] | Acute Care Hospital [Member] | MEDIAN [Member]                        
Business Acquisition [Line Items]                        
Purchase price of acquisition | €   € 19.4                    
Lease agreement, end date   2042-12                    
Lease rent increase percentage   1.00%                    
Lease rate   70.00%                    
Purchase price of acquisition funded | €   € 18.6                    
Remaining payment period   4 years                    
Germany [Member] | Rehabilitation Hospital with Covenant Health System [Member]                        
Business Acquisition [Line Items]                        
Number of facilities acquired | Hospital                     6  
Purchase price of acquisition | €         € 8.4           € 44.1  
Germany [Member] | Rehabilitation Hospital with Covenant Health System [Member] | Third Master Lease [Member]                        
Business Acquisition [Line Items]                        
Number of facilities acquired             20 2 2 11    
Acquisition costs | €             € 215.7   € 39.2 € 127.0    
Lease agreement, end date               2043-08 2043-08      
Number of properties closed | Property           7            
Amount of properties closed | €           € 49.5            
Lease rent increase percentage               1.00% 1.00%      
Lease rate               70.00% 70.00%     70.00%
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