Schedule III - Real Estate Investments and Accumulated Depreciation (Detail) - USD ($)	12 Months Ended
	Dec. 31, 2017		Dec. 31, 2016	Dec. 31, 2015	Dec. 31, 2014
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Initial costs, land	654,736,000
Initial costs, buildings	4,644,787,000
Additions subsequent to acquisition, Improvements	108,743,000
Additions subsequent to acquisition, carrying costs	29,882,000
Land at cost	673,253,000
Buildings at cost	4,764,895,000
Total at cost	5,438,148,000	[1]	$ 3,968,042,000	$ 2,991,590,000	$ 2,040,727,000
Accumulated Depreciation	406,855,000	[2]	$ 292,786,000	$ 232,675,000	$ 181,441,000
1994 [Member] | Bad Rappenau, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, buildings	$ 10,455,000
Buildings at cost	10,455,000
Total at cost	10,455,000
Accumulated Depreciation	$ 1,067,000
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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 383,000
Initial costs, buildings	19,755,000
Land at cost	383,000
Buildings at cost	19,755,000
Total at cost	20,138,000
Accumulated Depreciation	$ 2,017,000
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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,053,000
Initial costs, buildings	44,867,000
Additions subsequent to acquisition, Improvements	366,000
Land at cost	3,419,000
Buildings at cost	44,867,000
Total at cost	48,286,000
Accumulated Depreciation	$ 2,770,000
Date of Construction	1994
Date Acquired	Jul. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1994 [Member] | Gyhum, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 4,286,000
Initial costs, buildings	24,497,000
Additions subsequent to acquisition, Improvements	377,000
Land at cost	4,663,000
Buildings at cost	24,497,000
Total at cost	29,160,000
Accumulated Depreciation	$ 1,594,000
Date of Construction	1994
Date Acquired	Jun. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1994 [Member] | Hoppegarten, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 4,304,000
Initial costs, buildings	26,655,000
Additions subsequent to acquisition, Improvements	264,000
Land at cost	4,568,000
Buildings at cost	26,655,000
Total at cost	31,223,000
Accumulated Depreciation	$ 1,653,000
Date of Construction	1994
Date Acquired	Jul. 27, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1994 [Member] | Bad Lobenstein, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,914,000
Initial costs, buildings	22,192,000
Additions subsequent to acquisition, Improvements	198,000
Land at cost	4,112,000
Buildings at cost	22,192,000
Total at cost	26,304,000
Accumulated Depreciation	$ 1,420,000
Date of Construction	1994
Date Acquired	Jun. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1994 [Member] | Lubstorf, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,094,000
Initial costs, buildings	22,053,000
Additions subsequent to acquisition, Improvements	173,000
Land at cost	3,267,000
Buildings at cost	22,053,000
Total at cost	25,320,000
Accumulated Depreciation	$ 328,000
Date of Construction	1994
Date Acquired	Jun. 01, 2017
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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 411,000
Initial costs, buildings	22,674,000
Land at cost	411,000
Buildings at cost	22,674,000
Total at cost	23,085,000
Accumulated Depreciation	$ 2,315,000
Date of Construction	1996
Date Acquired	Nov. 30, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
1996 [Member] | Wismar, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,830,000
Initial costs, buildings	22,817,000
Additions subsequent to acquisition, Improvements	216,000
Land at cost	4,046,000
Buildings at cost	22,817,000
Total at cost	26,863,000
Accumulated Depreciation	$ 1,462,000
Date of Construction	1996
Date Acquired	Jun. 30, 2015
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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 943,000
Initial costs, buildings	8,026,000
Additions subsequent to acquisition, Improvements	504,000
Land at cost	1,447,000
Buildings at cost	8,026,000
Total at cost	9,473,000
Accumulated Depreciation	$ 273,000
Date of Construction	1996
Date Acquired	Oct. 27, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
1996 [Member] | Kevelaer, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,089,000
Initial costs, buildings	7,746,000
Additions subsequent to acquisition, Improvements	61,000
Land at cost	1,150,000
Buildings at cost	7,746,000
Total at cost	8,896,000
Accumulated Depreciation	$ 115,000
Date of Construction	1996
Date Acquired	Jun. 10, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
1996 [Member] | McMinnville, OR [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 5,000,000
Initial costs, buildings	97,900,000
Land at cost	5,000,000
Buildings at cost	97,900,000
Total at cost	102,900,000
Accumulated Depreciation	$ 4,157,000
Date of Construction	1996
Date Acquired	Aug. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	41 years
1960 [Member] | Bad Durkheim, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,509,000
Initial costs, buildings	16,587,000
Land at cost	3,509,000
Buildings at cost	16,587,000
Total at cost	20,096,000
Accumulated Depreciation	$ 1,693,000
Date of Construction	1960
Date Acquired	Nov. 30, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
1960 [Member] | Nordrach, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 336,000
Initial costs, buildings	3,216,000
Additions subsequent to acquisition, Improvements	90,000
Land at cost	426,000
Buildings at cost	3,216,000
Total at cost	3,642,000
Accumulated Depreciation	$ 216,000
Date of Construction	1960
Date Acquired	Jul. 07, 2015
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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,537,000
Initial costs, buildings	12,599,000
Additions subsequent to acquisition, Improvements	252,000
Land at cost	1,789,000
Buildings at cost	12,599,000
Total at cost	14,388,000
Accumulated Depreciation	$ 802,000
Date of Construction	1960
Date Acquired	Jul. 24, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1960 [Member] | Bad Pyrmont, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,055,000
Initial costs, buildings	21,790,000
Additions subsequent to acquisition, Improvements	170,000
Land at cost	3,225,000
Buildings at cost	21,790,000
Total at cost	25,015,000
Accumulated Depreciation	$ 324,000
Date of Construction	1960
Date Acquired	Jun. 01, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
1960 [Member] | Daun, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,475,000
Initial costs, buildings	10,484,000
Additions subsequent to acquisition, Improvements	82,000
Land at cost	1,557,000
Buildings at cost	10,484,000
Total at cost	12,041,000
Accumulated Depreciation	$ 156,000
Date of Construction	1960
Date Acquired	Jun. 15, 2017
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]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 3,501,000
Initial costs, buildings	34,530,000
Additions subsequent to acquisition, Improvements	8,477,000
Additions subsequent to acquisition, carrying costs	16,589,000
Land at cost	3,274,000
Buildings at cost	59,823,000
Total at cost	63,097,000
Accumulated Depreciation	$ 11,303,000
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]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 4,491,000
Initial costs, buildings	24,802,000
Land at cost	4,491,000
Buildings at cost	24,802,000
Total at cost	29,293,000
Accumulated Depreciation	$ 2,061,000
Date of Construction	1960
Date Acquired	Oct. 31, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
1981 [Member] | Bad Durkheim, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,054,000
Initial costs, buildings	21,727,000
Additions subsequent to acquisition, Improvements	171,000
Land at cost	3,225,000
Buildings at cost	21,727,000
Total at cost	24,952,000
Accumulated Depreciation	$ 277,000
Date of Construction	1981
Date Acquired	Jul. 07, 2017
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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 101,000
Initial costs, buildings	5,787,000
Land at cost	101,000
Buildings at cost	5,787,000
Total at cost	5,888,000
Accumulated Depreciation	$ 591,000
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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,402,000
Initial costs, buildings	16,362,000
Land at cost	3,402,000
Buildings at cost	16,362,000
Total at cost	19,764,000
Accumulated Depreciation	$ 1,670,000
Date of Construction	1977
Date Acquired	Nov. 30, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
1977 [Member] | Braunfels, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 2,305,000
Initial costs, buildings	14,733,000
Additions subsequent to acquisition, Improvements	60,000
Land at cost	2,365,000
Buildings at cost	14,733,000
Total at cost	17,098,000
Accumulated Depreciation	$ 931,000
Date of Construction	1977
Date Acquired	Jun. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1977 [Member] | Ban Nauheim, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,397,000
Initial costs, buildings	17,163,000
Additions subsequent to acquisition, Improvements	156,000
Land at cost	3,553,000
Buildings at cost	17,163,000
Total at cost	20,716,000
Accumulated Depreciation	$ 1,099,000
Date of Construction	1977
Date Acquired	Jun. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1977 [Member] | Neunkirchen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,108,000
Initial costs, buildings	22,198,000
Additions subsequent to acquisition, Improvements	173,000
Land at cost	3,281,000
Buildings at cost	22,198,000
Total at cost	25,479,000
Accumulated Depreciation	$ 378,000
Date of Construction	1977
Date Acquired	May 13, 2017
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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, buildings	$ 32,826,000
Buildings at cost	32,826,000
Total at cost	32,826
Accumulated Depreciation	$ 3,351,000
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 Liebenstein, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,774,000
Initial costs, buildings	37,482,000
Land at cost	1,774,000
Buildings at cost	37,482,000
Total at cost	39,256,000
Accumulated Depreciation	$ 2,967,000
Date of Construction	1992
Date Acquired	Nov. 05, 2014
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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 840,000
Initial costs, buildings	8,380,000
Additions subsequent to acquisition, Improvements	60,000
Land at cost	900,000
Buildings at cost	8,380,000
Total at cost	9,280,000
Accumulated Depreciation	$ 249,000
Date of Construction	1992
Date Acquired	Oct. 27, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
1992 [Member] | Ravensrush, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,062,000
Initial costs, buildings	2,993,000
Additions subsequent to acquisition, Improvements	90,000
Land at cost	1,152,000
Buildings at cost	2,993,000
Total at cost	4,145,000
Accumulated Depreciation	$ 81,000
Date of Construction	1992
Date Acquired	Dec. 31, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
1992 [Member] | Wichita, KS [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,019,000
Initial costs, buildings	18,373,000
Additions subsequent to acquisition, carrying costs	1,000
Land at cost	1,019,000
Buildings at cost	18,374,000
Total at cost	19,393,000
Accumulated Depreciation	$ 4,478,000
Date of Construction	1992
Date Acquired	Apr. 04, 2008
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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 595,000
Initial costs, buildings	16,516,000
Land at cost	595,000
Buildings at cost	16,516,000
Total at cost	17,111,000
Accumulated Depreciation	$ 1,686,000
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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 595,000
Initial costs, buildings	16,516,000
Land at cost	595,000
Buildings at cost	16,516,000
Total at cost	17,111,000
Accumulated Depreciation	$ 1,686,000
Date of Construction	1995
Date Acquired	Nov. 30, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
1995 [Member] | Bad Mergentheim, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, buildings	$ 12,432,000
Buildings at cost	12,432,000
Total at cost	12,432,000
Accumulated Depreciation	$ 958,000
Date of Construction	1995
Date Acquired	Dec. 11, 2014
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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,073,000
Initial costs, buildings	24,303,000
Additions subsequent to acquisition, Improvements	240,000
Land at cost	3,313,000
Buildings at cost	24,303,000
Total at cost	27,616,000
Accumulated Depreciation	$ 1,559,000
Date of Construction	1995
Date Acquired	Jun. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1995 [Member] | Heiligendamm, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 4,622,000
Initial costs, buildings	28,805,000
Additions subsequent to acquisition, Improvements	228,000
Land at cost	4,850,000
Buildings at cost	28,805,000
Total at cost	33,655,000
Accumulated Depreciation	$ 1,838,000
Date of Construction	1995
Date Acquired	Jun. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1995 [Member] | Kalbe, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,758,000
Initial costs, buildings	25,106,000
Additions subsequent to acquisition, Improvements	180,000
Land at cost	3,938,000
Buildings at cost	25,106,000
Total at cost	29,044,000
Accumulated Depreciation	$ 1,599,000
Date of Construction	1995
Date Acquired	Jul. 06, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1995 [Member] | Vitense-Parber, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospita
Initial costs, land	$ 864,000
Initial costs, buildings	4,197,000
Additions subsequent to acquisition, Improvements	84,000
Land at cost	948,000
Buildings at cost	4,197,000
Total at cost	5,145,000
Accumulated Depreciation	$ 111,000
Date of Construction	1995
Date Acquired	Dec. 31, 2016
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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 805,000
Initial costs, buildings	7,234,000
Land at cost	805,000
Buildings at cost	7,234,000
Total at cost	8,039,000
Accumulated Depreciation	$ 738,000
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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 546,000
Initial costs, buildings	4,424,000
Additions subsequent to acquisition, Improvements	72,000
Land at cost	618,000
Buildings at cost	4,424,000
Total at cost	5,042,000
Accumulated Depreciation	$ 125,000
Date of Construction	1980
Date Acquired	Nov. 30, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
1980 [Member] | Blue Springs, MO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 4,347,000
Initial costs, buildings	23,494,000
Land at cost	4,347,000
Buildings at cost	23,494,000
Total at cost	27,841,000
Accumulated Depreciation	$ 1,800,000
Date of Construction	1980
Date Acquired	Feb. 13, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1980 [Member] | Hill County, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 1,120,000
Initial costs, buildings	17,882,000
Land at cost	1,120,000
Buildings at cost	17,882,000
Total at cost	19,002,000
Accumulated Depreciation	$ 8,691,000
Date of Construction	1980
Date Acquired	Sep. 17, 2010
Life on which depreciation in latest income statements is computed (Years)	40 years
1980 [Member] | Poplar Bluff, MO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 2,659,000
Initial costs, buildings	38,694,000
Additions subsequent to acquisition, carrying costs	1,000
Land at cost	2,660,000
Buildings at cost	38,694,000
Total at cost	41,354,000
Accumulated Depreciation	$ 9,370,000
Date of Construction	1980
Date Acquired	Apr. 22, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
1980 [Member] | Sharon, PA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 6,179,000
Initial costs, buildings	9,066,000
Land at cost	6,179,000
Buildings at cost	9,066,000
Total at cost	15,245,000
Accumulated Depreciation	$ 435,000
Date of Construction	1980
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1980 [Member] | West Valley City, UT [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 5,516,000
Initial costs, buildings	58,314,000
Additions subsequent to acquisition, Improvements	2,036,000
Additions subsequent to acquisition, carrying costs	(114,000)
Land at cost	5,402,000
Buildings at cost	60,350,000
Total at cost	65,752,000
Accumulated Depreciation	$ 14,237,000
Date of Construction	1980
Date Acquired	Apr. 22, 2008
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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 6,448,000
Initial costs, buildings	17,804,000
Land at cost	6,448,000
Buildings at cost	17,804,000
Total at cost	24,252,000
Accumulated Depreciation	$ 1,818,000
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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 438,000
Initial costs, buildings	4,385,000
Additions subsequent to acquisition, Improvements	96,000
Land at cost	534,000
Buildings at cost	4,385,000
Total at cost	4,919,000
Accumulated Depreciation	$ 116,000
Date of Construction	1930
Date Acquired	Dec. 31, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
1930 [Member] | Easton, PA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 13,898,000
Initial costs, buildings	40,245,000
Land at cost	13,898,000
Buildings at cost	40,245,000
Total at cost	54,143,000
Accumulated Depreciation	$ 710,000
Date of Construction	1930
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1986 [Member] | Bad Rappenau, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,780,000
Initial costs, buildings	6,440,000
Land at cost	3,780,000
Buildings at cost	6,440,000
Total at cost	10,220,000
Accumulated Depreciation	$ 657,000
Date of Construction	1986
Date Acquired	Nov. 30, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
1974 [Member] | Wiesbaden, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,776,000
Initial costs, buildings	8,242,000
Additions subsequent to acquisition, Improvements	3,104,000
Land at cost	1,818,000
Buildings at cost	11,304,000
Total at cost	13,122,000
Accumulated Depreciation	$ 562,000
Date of Construction	1974
Date Acquired	Jun. 30, 2015
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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 2,436,000
Initial costs, buildings	10,273,000
Additions subsequent to acquisition, Improvements	214,000
Land at cost	2,436,000
Buildings at cost	10,487,000
Total at cost	12,923,000
Accumulated Depreciation	$ 808,000
Date of Construction	1974
Date Acquired	Nov. 19, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
1974 [Member] | Bad Soden-Salmunster, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,032,000
Initial costs, buildings	7,164,000
Additions subsequent to acquisition, Improvements	132,000
Land at cost	1,164,000
Buildings at cost	7,164,000
Total at cost	8,328,000
Accumulated Depreciation	$ 470,000
Date of Construction	1974
Date Acquired	Jun. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1974 [Member] | Bad Salzuflen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 5,601,000
Initial costs, buildings	41,854,000
Additions subsequent to acquisition, Improvements	372,000
Land at cost	5,973,000
Buildings at cost	41,854,000
Total at cost	47,827,000
Accumulated Depreciation	$ 90,000
Date of Construction	1974
Date Acquired	Nov. 30, 2017
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]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 1,555,000
Initial costs, buildings	53,863,000
Additions subsequent to acquisition, carrying costs	13,000
Land at cost	1,555,000
Buildings at cost	53,876,000
Total at cost	55,431,000
Accumulated Depreciation	$ 14,039,000
Date of Construction	1974
Date Acquired	Aug. 10, 2007
Life on which depreciation in latest income statements is computed (Years)	40 years
1974 [Member] | Sebastian, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 5,733,000
Initial costs, buildings	49,136,000
Land at cost	5,733,000
Buildings at cost	49,136,000
Total at cost	54,869,000
Accumulated Depreciation	$ 910,000
Date of Construction	1974
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1954 [Member] | Bad Liebenstein, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,774,000
Initial costs, buildings	37,482,000
Land at cost	1,774,000
Buildings at cost	37,482,000
Total at cost	39,256,000
Accumulated Depreciation	$ 2,967,000
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]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, buildings	$ 22,739,000
Buildings at cost	22,739,000
Total at cost	22,739,000
Accumulated Depreciation	$ 972,000
Date of Construction	1954
Date Acquired	Oct. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	39 years
1988 [Member] | Bad Mergentheim, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, buildings	$ 12,432,000
Buildings at cost	12,432,000
Total at cost	12,432,000
Accumulated Depreciation	$ 958,000
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]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 1,602,000
Initial costs, buildings	33,197,000
Land at cost	1,602,000
Buildings at cost	33,197,000
Total at cost	34,799,000
Accumulated Depreciation	$ 2,906,000
Date of Construction	2008
Date Acquired	Jul. 01, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2008 [Member] | Bad Krozingen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,627,000
Initial costs, buildings	11,863,000
Additions subsequent to acquisition, Improvements	126,000
Land at cost	1,753,000
Buildings at cost	11,863,000
Total at cost	13,616,000
Accumulated Depreciation	$ 737,000
Date of Construction	2008
Date Acquired	Jul. 24, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2008 [Member] | DeSoto, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Long term acute care hospital
Initial costs, land	$ 1,067,000
Initial costs, buildings	10,701,000
Additions subsequent to acquisition, Improvements	86,000
Additions subsequent to acquisition, carrying costs	8,000
Land at cost	1,161,000
Buildings at cost	10,701,000
Total at cost	11,862,000
Accumulated Depreciation	$ 1,750,000
Date of Construction	2008
Date Acquired	Jul. 18, 2011
Life on which depreciation in latest income statements is computed (Years)	40 years
2008 [Member] | Lubbock, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation Hospital
Initial costs, land	$ 1,376,000
Initial costs, buildings	28,292,000
Additions subsequent to acquisition, Improvements	3,648,000
Land at cost	1,376,000
Buildings at cost	31,940,000
Total at cost	33,316,000
Accumulated Depreciation	$ 1,844,000
Date of Construction	2008
Date Acquired	Jun. 16, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2009 [Member] | Bath, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospita
Initial costs, land	$ 1,602,000
Initial costs, buildings	33,197,000
Land at cost	1,602,000
Buildings at cost	33,197,000
Total at cost	34,799,000
Accumulated Depreciation	$ 2,906,000
Date of Construction	2009
Date Acquired	Jul. 01, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2009 [Member] | Daun, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,475,000
Initial costs, buildings	10,484,000
Additions subsequent to acquisition, Improvements	82,000
Land at cost	1,557,000
Buildings at cost	10,484,000
Total at cost	12,041,000
Accumulated Depreciation	$ 156,000
Date of Construction	2009
Date Acquired	Jun. 15, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2009 [Member] | Brighton, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 18,540,000
Initial costs, buildings	146,490,000
Additions subsequent to acquisition, Improvements	836,000
Land at cost	18,540,000
Buildings at cost	147,326,000
Total at cost	165,866,000
Accumulated Depreciation	$ 4,584,000
Date of Construction	2009
Date Acquired	Oct. 03, 2016
Life on which depreciation in latest income statements is computed (Years)	41 years
1956 [Member] | Ottenhofen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 2,490,000
Initial costs, buildings	14,015,000
Additions subsequent to acquisition, Improvements	120,000
Land at cost	2,610,000
Buildings at cost	14,015,000
Total at cost	16,625,000
Accumulated Depreciation	$ 896,000
Date of Construction	1956
Date Acquired	Jul. 03, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1956 [Member] | Detroit, MI [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Long term acute care hospital
Initial costs, land	$ 1,220,000
Initial costs, buildings	8,687,000
Additions subsequent to acquisition, carrying costs	(365,000)
Land at cost	1,220,000
Buildings at cost	8,322,000
Total at cost	9,542,000
Accumulated Depreciation	$ 2,068,000
Date of Construction	1956
Date Acquired	May 22, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
1957 [Member] | Ottenhofen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabitation hospital
Initial costs, land	$ 2,490,000
Initial costs, buildings	14,015,000
Additions subsequent to acquisition, Improvements	120,000
Land at cost	2,610,000
Buildings at cost	14,015,000
Total at cost	16,625,000
Accumulated Depreciation	$ 896,000
Date of Construction	1957
Date Acquired	Jul. 03, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1997 [Member] | Bad Berka, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,565,000
Initial costs, buildings	16,630,000
Additions subsequent to acquisition, Improvements	186,000
Land at cost	3,751,000
Buildings at cost	16,630,000
Total at cost	20,381,000
Accumulated Depreciation	$ 1,035,000
Date of Construction	1997
Date Acquired	Jul. 22, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1997 [Member] | Bad Kosen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 486,000
Initial costs, buildings	5,024,000
Additions subsequent to acquisition, Improvements	414,000
Land at cost	900,000
Buildings at cost	5,024,000
Total at cost	5,924,000
Accumulated Depreciation	$ 179,000
Date of Construction	1997
Date Acquired	Oct. 27, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
1993 [Member] | Bad Lausick, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,914,000
Initial costs, buildings	17,324,000
Additions subsequent to acquisition, Improvements	168,000
Land at cost	2,082,000
Buildings at cost	17,324,000
Total at cost	19,406,000
Accumulated Depreciation	$ 1,111,000
Date of Construction	1993
Date Acquired	Jun. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1993 [Member] | Bad Sulze, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 2,538,000
Initial costs, buildings	21,899,000
Additions subsequent to acquisition, Improvements	216,000
Land at cost	2,754,000
Buildings at cost	21,899,000
Total at cost	24,653,000
Accumulated Depreciation	$ 1,405,000
Date of Construction	1993
Date Acquired	Jun. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1993 [Member] | Kurort Berggiebhubel, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,385,000
Initial costs, buildings	17,078,000
Additions subsequent to acquisition, Improvements	150,000
Land at cost	3,535,000
Buildings at cost	17,078,000
Total at cost	20,613,000
Accumulated Depreciation	$ 1,057,000
Date of Construction	1993
Date Acquired	Jul. 21, 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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 864,000
Initial costs, buildings	12,471,000
Additions subsequent to acquisition, Improvements	144,000
Land at cost	1,008,000
Buildings at cost	12,471,000
Total at cost	13,479,000
Accumulated Depreciation	$ 803,000
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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,073,000
Initial costs, buildings	15,513,000
Additions subsequent to acquisition, Improvements	162,000
Land at cost	3,235,000
Buildings at cost	15,513,000
Total at cost	18,748,000
Accumulated Depreciation	$ 997,000
Date of Construction	1993
Date Acquired	Jun. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1993 [Member] | Bad Tennstedt, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 4,064,000
Initial costs, buildings	30,130,000
Additions subsequent to acquisition, Improvements	222,000
Land at cost	4,286,000
Buildings at cost	30,130,000
Total at cost	34,416,000
Accumulated Depreciation	$ 1,920,000
Date of Construction	1993
Date Acquired	Jun. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1982 [Member] | Bernkastel-Kues, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,866,000
Initial costs, buildings	16,790,000
Additions subsequent to acquisition, Improvements	48,000
Land at cost	3,914,000
Buildings at cost	16,790,000
Total at cost	20,704,000
Accumulated Depreciation	$ 1,022,000
Date of Construction	1982
Date Acquired	Jul. 15, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1982 [Member] | Bossier City, LA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Long term acute care hospital
Initial costs, land	$ 900,000
Initial costs, buildings	17,818,000
Land at cost	900,000
Buildings at cost	17,818,000
Total at cost	18,718,000
Accumulated Depreciation	$ 4,341,000
Date of Construction	1982
Date Acquired	Apr. 01, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
1982 [Member] | Cheraw, SC [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 657,000
Initial costs, buildings	19,576,000
Land at cost	657,000
Buildings at cost	19,576,000
Total at cost	20,233,000
Accumulated Depreciation	$ 4,700,000
Date of Construction	1982
Date Acquired	Apr. 01, 2008
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]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 5,502,000
Initial costs, buildings	10,748,000
Additions subsequent to acquisition, carrying costs	51,000
Land at cost	5,502,000
Buildings at cost	10,799,000
Total at cost	16,301,000
Accumulated Depreciation	$ 2,466,000
Date of Construction	1982
Date Acquired	Nov. 25, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
1982 [Member] | Warren, OH [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 5,385,000
Initial costs, buildings	47,588,000
Land at cost	5,385,000
Buildings at cost	47,588,000
Total at cost	52,973,000
Accumulated Depreciation	$ 997,000
Date of Construction	1982
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1993 One [Member] | Flechtingen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,073,000
Initial costs, buildings	24,303,000
Additions subsequent to acquisition, Improvements	240,000
Land at cost	3,313,000
Buildings at cost	24,303,000
Total at cost	27,616,000
Accumulated Depreciation	$ 1,559,000
Date of Construction	1993
Date Acquired	Jun. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1913 [Member] | Bad Gottleuba, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 57,000
Initial costs, buildings	16,508,000
Additions subsequent to acquisition, Improvements	954,000
Land at cost	1,011,000
Buildings at cost	16,508,000
Total at cost	17,519,000
Accumulated Depreciation	$ 953,000
Date of Construction	1913
Date Acquired	Dec. 16, 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]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 4,491,000
Initial costs, buildings	24,802,000
Land at cost	4,491,000
Buildings at cost	24,802,000
Total at cost	29,293,000
Accumulated Depreciation	$ 2,061,000
Date of Construction	1913
Date Acquired	Oct. 31, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Grunheide, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,053,000
Initial costs, buildings	44,867,000
Additions subsequent to acquisition, Improvements	366,000
Land at cost	3,419,000
Buildings at cost	44,867,000
Total at cost	48,286,000
Accumulated Depreciation	$ 2,770,000
Date of Construction	2014
Date Acquired	Jul. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Magdeburg, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 15,901,000
Initial costs, buildings	58,985,000
Additions subsequent to acquisition, Improvements	276,000
Land at cost	16,177,000
Buildings at cost	58,985,000
Total at cost	75,162,000
Accumulated Depreciation	$ 3,608,000
Date of Construction	2014
Date Acquired	Jul. 22, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Bad Hersfield, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 438,000
Initial costs, buildings	4,385,000
Additions subsequent to acquisition, Improvements	96,000
Land at cost	534,000
Buildings at cost	4,385,000
Total at cost	4,919,000
Accumulated Depreciation	$ 116,000
Date of Construction	2014
Date Acquired	Dec. 31, 2016
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]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 1,345,000
Initial costs, buildings	3,678,000
Land at cost	1,345,000
Buildings at cost	3,678,000
Total at cost	5,023,000
Accumulated Depreciation	$ 322,000
Date of Construction	2014
Date Acquired	Jun. 20, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Allen, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 1,550,000
Initial costs, buildings	3,921,000
Land at cost	1,550,000
Buildings at cost	3,921,000
Total at cost	5,471,000
Accumulated Depreciation	$ 343,000
Date of Construction	2014
Date Acquired	Jul. 14, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Alvin, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 105,000
Initial costs, buildings	4,087,000
Land at cost	105,000
Buildings at cost	4,087,000
Total at cost	4,192,000
Accumulated Depreciation	$ 360,000
Date of Construction	2014
Date Acquired	Mar. 19, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Austin, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 1,140,000
Initial costs, buildings	3,853,000
Land at cost	1,140,000
Buildings at cost	3,853,000
Total at cost	4,993,000
Accumulated Depreciation	$ 345,000
Date of Construction	2014
Date Acquired	May 29, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Broomfield, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 825,000
Initial costs, buildings	3,895,000
Land at cost	825,000
Buildings at cost	3,895,000
Total at cost	4,720,000
Accumulated Depreciation	$ 341,000
Date of Construction	2014
Date Acquired	Jul. 03, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Cedar Hill, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 1,122,000
Initial costs, buildings	3,644,000
Land at cost	1,122,000
Buildings at cost	3,644,000
Total at cost	4,766,000
Accumulated Depreciation	$ 319,000
Date of Construction	2014
Date Acquired	Jun. 23, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Spring, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 1,310,000
Initial costs, buildings	3,583,000
Land at cost	1,310,000
Buildings at cost	3,583,000
Total at cost	4,893,000
Accumulated Depreciation	$ 314,000
Date of Construction	2014
Date Acquired	Jul. 15, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Commerce City, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 707,000
Initial costs, buildings	4,248,000
Land at cost	707,000
Buildings at cost	4,248,000
Total at cost	4,955,000
Accumulated Depreciation	$ 327,000
Date of Construction	2014
Date Acquired	Dec. 11, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Dulles, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 1,076,000
Initial costs, buildings	3,784,000
Land at cost	1,076,000
Buildings at cost	3,784,000
Total at cost	4,860,000
Accumulated Depreciation	$ 315,000
Date of Construction	2014
Date Acquired	Sep. 12, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Firestone, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 495,000
Initial costs, buildings	3,963,000
Land at cost	495,000
Buildings at cost	3,963,000
Total at cost	4,458,000
Accumulated Depreciation	$ 355,000
Date of Construction	2014
Date Acquired	Jun. 06, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Fountain, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 1,508,000
Initial costs, buildings	4,131,000
Land at cost	1,508,000
Buildings at cost	4,131,000
Total at cost	5,639,000
Accumulated Depreciation	$ 353,000
Date of Construction	2014
Date Acquired	Jul. 31, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Frisco, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 1,500,000
Initial costs, buildings	3,863,000
Additions subsequent to acquisition, Improvements	27,000
Additions subsequent to acquisition, carrying costs	(89,000)
Land at cost	1,411,000
Buildings at cost	3,890,000
Total at cost	5,301,000
Accumulated Depreciation	$ 348,000
Date of Construction	2014
Date Acquired	Jun. 13, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Colorado Springs, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 600,000
Initial costs, buildings	4,231,000
Land at cost	600,000
Buildings at cost	4,231,000
Total at cost	4,831,000
Accumulated Depreciation	$ 379,000
Date of Construction	2014
Date Acquired	Jun. 05, 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]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 351,000
Initial costs, buildings	3,952,000
Land at cost	351,000
Buildings at cost	3,952,000
Total at cost	4,303,000
Accumulated Depreciation	$ 369,000
Date of Construction	2014
Date Acquired	Jan. 01, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Altoona, WI [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, buildings	$ 29,062,000
Buildings at cost	29,062,000
Total at cost	29,062,000
Accumulated Depreciation	$ 2,422,000
Date of Construction	2014
Date Acquired	Aug. 31, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Ogden, UT [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,759,000
Initial costs, buildings	16,414,000
Land at cost	1,759,000
Buildings at cost	16,414,000
Total at cost	18,173,000
Accumulated Depreciation	$ 1,560,000
Date of Construction	2014
Date Acquired	Mar. 01, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Pearland, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 1,075,000
Initial costs, buildings	3,577,000
Land at cost	1,075,000
Buildings at cost	3,577,000
Total at cost	4,652,000
Accumulated Depreciation	$ 298,000
Date of Construction	2014
Date Acquired	Sep. 08, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Sienna, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 999,000
Initial costs, buildings	3,591,000
Land at cost	999,000
Buildings at cost	3,591,000
Total at cost	4,590,000
Accumulated Depreciation	$ 299,000
Date of Construction	2014
Date Acquired	Aug. 20, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Thornton, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 1,350,000
Initial costs, buildings	4,259,000
Land at cost	1,350,000
Buildings at cost	4,259,000
Total at cost	5,609,000
Accumulated Depreciation	$ 355,000
Date of Construction	2014
Date Acquired	Aug. 29, 2014
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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,405,000
Initial costs, buildings	9,876,000
Additions subsequent to acquisition, Improvements	138,000
Land at cost	1,543,000
Buildings at cost	9,876,000
Total at cost	11,419,000
Accumulated Depreciation	$ 640,000
Date of Construction	1900
Date Acquired	Jun. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1900 [Member] | Hannover, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,518,000
Initial costs, buildings	16,622,000
Additions subsequent to acquisition, Improvements	342,000
Land at cost	3,860,000
Buildings at cost	16,622,000
Total at cost	20,482,000
Accumulated Depreciation	$ 913,000
Date of Construction	1900
Date Acquired	Dec. 01, 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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,164,000
Initial costs, buildings	5,235,000
Additions subsequent to acquisition, Improvements	30,000
Land at cost	1,194,000
Buildings at cost	5,235,000
Total at cost	6,429,000
Accumulated Depreciation	$ 133,000
Date of Construction	1900
Date Acquired	Dec. 31, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
1900 [Member] | Oppenweiler, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 2,152,000
Initial costs, buildings	15,349,000
Additions subsequent to acquisition, Improvements	121,000
Land at cost	2,273,000
Buildings at cost	15,349,000
Total at cost	17,622,000
Accumulated Depreciation	$ 163,000
Date of Construction	1900
Date Acquired	Jul. 28, 2017
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]
Encumbrances	$ 0
Type of property	Rehabilitatio hospital
Initial costs, land	$ 1,405,000
Initial costs, buildings	9,876,000
Additions subsequent to acquisition, Improvements	138,000
Land at cost	1,543,000
Buildings at cost	9,876,000
Total at cost	11,419,000
Accumulated Depreciation	$ 640,000
Date of Construction	2002
Date Acquired	Jun. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2002 [Member] | Idaho Falls, ID [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 1,822,000
Initial costs, buildings	37,467,000
Additions subsequent to acquisition, carrying costs	4,665,000
Land at cost	1,822,000
Buildings at cost	42,132,000
Total at cost	43,954,000
Accumulated Depreciation	$ 10,143,000
Date of Construction	2002
Date Acquired	Apr. 01, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
2002 [Member] | Melbourne, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 5,642,000
Initial costs, buildings	17,087,000
Land at cost	5,642,000
Buildings at cost	17,087,000
Total at cost	22,729,000
Accumulated Depreciation	$ 363,000
Date of Construction	2002
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	42 years
2002 [Member] | San Antonio, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 8,053,000
Initial costs, buildings	29,333,000
Land at cost	8,053,000
Buildings at cost	29,333,000
Total at cost	37,386,000
Accumulated Depreciation	$ 204,000
Date of Construction	2002
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
2003 [Member] | Baden-Baden, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,405,000
Initial costs, buildings	9,876,000
Additions subsequent to acquisition, Improvements	138,000
Land at cost	1,543,000
Buildings at cost	9,876,000
Total at cost	11,419,000
Accumulated Depreciation	$ 640,000
Date of Construction	2003
Date Acquired	Jun. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2003 [Member] | Youngstown, OH [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 4,335,000
Initial costs, buildings	3,565,000
Land at cost	4,335,000
Buildings at cost	3,565,000
Total at cost	7,900,000
Accumulated Depreciation	$ 385,000
Date of Construction	2003
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
Renovations in 1997 [Member] | Hannover, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,518,000
Initial costs, buildings	16,622,000
Additions subsequent to acquisition, Improvements	342,000
Land at cost	3,860,000
Buildings at cost	16,622,000
Total at cost	20,482,000
Accumulated Depreciation	$ 913,000
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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,518,000
Initial costs, buildings	16,622,000
Additions subsequent to acquisition, Improvements	342,000
Land at cost	3,860,000
Buildings at cost	16,622,000
Total at cost	20,482,000
Accumulated Depreciation	$ 913,000
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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,518,000
Initial costs, buildings	16,622,000
Additions subsequent to acquisition, Improvements	342,000
Land at cost	3,860,000
Buildings at cost	16,622,000
Total at cost	20,482,000
Accumulated Depreciation	$ 913,000
Date of Construction	2009
Date Acquired	Dec. 01, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1973 [Member] | Bad Camberg, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 2,240,000
Initial costs, buildings	17,072,000
Additions subsequent to acquisition, Improvements	3,717,000
Land at cost	2,527,000
Buildings at cost	20,502,000
Total at cost	23,029,000
Accumulated Depreciation	$ 1,160,000
Date of Construction	1973
Date Acquired	Jun. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1973 [Member] | Schlangenbad, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,159,000
Initial costs, buildings	3,770,000
Additions subsequent to acquisition, Improvements	294,000
Land at cost	1,453,000
Buildings at cost	3,770,000
Total at cost	5,223,000
Accumulated Depreciation	$ 285,000
Date of Construction	1973
Date Acquired	Jun. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1973 [Member] | Bad Nauheim, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,945,000
Initial costs, buildings	10,166,000
Additions subsequent to acquisition, Improvements	60,000
Land at cost	2,005,000
Buildings at cost	10,166,000
Total at cost	12,171,000
Accumulated Depreciation	$ 645,000
Date of Construction	1973
Date Acquired	Jun. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1973 [Member] | Bad Oeynhausen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 591,000
Initial costs, buildings	4,350,000
Additions subsequent to acquisition, Improvements	40,000
Land at cost	631,000
Buildings at cost	4,350,000
Total at cost	4,981,000
Accumulated Depreciation	$ 10,000
Date of Construction	1973
Date Acquired	Nov. 30, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
1973 [Member] | Ahrweiler, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,262,000
Initial costs, buildings	8,952,000
Additions subsequent to acquisition, Improvements	70,000
Land at cost	1,332,000
Buildings at cost	8,952,000
Total at cost	10,284,000
Accumulated Depreciation	$ 133,000
Date of Construction	1973
Date Acquired	May 27, 2017
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]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 12,663,000
Initial costs, buildings	52,432,000
Land at cost	12,663,000
Buildings at cost	52,432,000
Total at cost	65,095,000
Accumulated Depreciation	$ 9,066,000
Date of Construction	1973
Date Acquired	Feb. 09, 2011
Life on which depreciation in latest income statements is computed (Years)	40 years
1973 [Member] | Odessa, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 6,772,000
Initial costs, buildings	123,215,000
Land at cost	6,772,000
Buildings at cost	123,215,000
Total at cost	129,987,000
Accumulated Depreciation	$ 788,000
Date of Construction	1973
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1973 [Member] | Port Huron, MI [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 3,029,000
Initial costs, buildings	14,622,000
Land at cost	3,029,000
Buildings at cost	14,622,000
Total at cost	17,651,000
Accumulated Depreciation	$ 998,000
Date of Construction	1973
Date Acquired	Dec. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1998 [Member] | Berlin, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, buildings	$ 22,952,000
Additions subsequent to acquisition, Improvements	204,000
Land at cost	204,000
Buildings at cost	22,952,000
Total at cost	23,156,000
Accumulated Depreciation	$ 1,509,000
Date of Construction	1998
Date Acquired	Jul. 16, 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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 15,901,000
Initial costs, buildings	58,985,000
Additions subsequent to acquisition, Improvements	276,000
Land at cost	16,177,000
Buildings at cost	58,985,000
Total at cost	75,162,000
Accumulated Depreciation	$ 3,608,000
Date of Construction	1999
Date Acquired	Jul. 22, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1999 [Member] | Hartsville, SC [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 2,050,000
Initial costs, buildings	43,970,000
Land at cost	2,050,000
Buildings at cost	43,970,000
Total at cost	46,020,000
Accumulated Depreciation	$ 2,392,000
Date of Construction	1999
Date Acquired	Aug. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	34 years
1970 [Member] | Bad Durrheim, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,537,000
Initial costs, buildings	12,599,000
Additions subsequent to acquisition, Improvements	252,000
Land at cost	1,789,000
Buildings at cost	12,599,000
Total at cost	14,388,000
Accumulated Depreciation	$ 802,000
Date of Construction	1970
Date Acquired	Jul. 24, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1970 [Member] | Rieden, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 611,000
Initial costs, buildings	4,310,000
Additions subsequent to acquisition, Improvements	34,000
Land at cost	645,000
Buildings at cost	4,310,000
Total at cost	4,955,000
Accumulated Depreciation	$ 55,000
Date of Construction	1970
Date Acquired	Jun. 17, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
1970 [Member] | Rockledge, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 13,919,000
Initial costs, buildings	23,282,000
Land at cost	13,919,000
Buildings at cost	23,282,000
Total at cost	37,201,000
Accumulated Depreciation	$ 581,000
Date of Construction	1970
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	42 years
1972 [Member] | Bad Nauheim, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,945,000
Initial costs, buildings	10,166,000
Additions subsequent to acquisition, Improvements	60,000
Land at cost	2,005,000
Buildings at cost	10,166,000
Total at cost	12,171,000
Accumulated Depreciation	$ 645,000
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]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 1,000,000
Initial costs, buildings	12,301,000
Additions subsequent to acquisition, Improvements	5,277,000
Land at cost	1,277,000
Buildings at cost	17,301,000
Total at cost	18,578,000
Accumulated Depreciation	$ 1,343,000
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]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 6,160,000
Initial costs, buildings	6,839,000
Additions subsequent to acquisition, carrying costs	34,000
Land at cost	6,160,000
Buildings at cost	6,873,000
Total at cost	13,033,000
Accumulated Depreciation	$ 1,563,000
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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 6,705,000
Initial costs, buildings	38,743,000
Additions subsequent to acquisition, Improvements	78,000
Land at cost	6,783,000
Buildings at cost	38,743,000
Total at cost	45,526,000
Accumulated Depreciation	$ 1,461,000
Date of Construction	1885
Date Acquired	Jun. 22, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
1991 [Member] | Heidelberg, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 6,705,000
Initial costs, buildings	38,743,000
Additions subsequent to acquisition, Improvements	78,000
Land at cost	6,783,000
Buildings at cost	38,743,000
Total at cost	45,526,000
Accumulated Depreciation	$ 1,461,000
Date of Construction	1991
Date Acquired	Jun. 22, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
1991 [Member] | Redding, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Long term acute care hospital
Initial costs, buildings	$ 19,952,000
Additions subsequent to acquisition, carrying costs	4,360,000
Land at cost	1,629,000
Buildings at cost	22,683,000
Total at cost	24,312,000
Accumulated Depreciation	$ 6,979,000
Date of Construction	1991
Date Acquired	Jun. 30, 2005
Life on which depreciation in latest income statements is computed (Years)	40 years
1987 [Member] | Bad Salzdetfurth, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,122,000
Initial costs, buildings	7,595,000
Additions subsequent to acquisition, Improvements	54,000
Land at cost	1,176,000
Buildings at cost	7,595,000
Total at cost	8,771,000
Accumulated Depreciation	$ 210,000
Date of Construction	1987
Date Acquired	Nov. 23, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
1987 [Member] | Salt Lake City, UT [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 17,204,000
Initial costs, buildings	101,915,000
Land at cost	17,204,000
Buildings at cost	101,915,000
Total at cost	119,119,000
Accumulated Depreciation	$ 635,000
Date of Construction	1987
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1910 [Member] | Bad Bertrich, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 546,000
Initial costs, buildings	4,424,000
Additions subsequent to acquisition, Improvements	72,000
Land at cost	618,000
Buildings at cost	4,424,000
Total at cost	5,042,000
Accumulated Depreciation	$ 125,000
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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 546,000
Initial costs, buildings	4,424,000
Additions subsequent to acquisition, Improvements	72,000
Land at cost	618,000
Buildings at cost	4,424,000
Total at cost	5,042,000
Accumulated Depreciation	$ 125,000
Date of Construction	1985
Date Acquired	Nov. 30, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
1985 [Member] | Fairmont, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 1,000,000
Initial costs, buildings	12,301,000
Additions subsequent to acquisition, Improvements	5,277,000
Land at cost	1,277,000
Buildings at cost	17,301,000
Total at cost	18,578,000
Accumulated Depreciation	$ 1,343,000
Date of Construction	1985
Date Acquired	Sep. 19, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
1985 [Member] | Fort Lauderdale, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,499,000
Initial costs, buildings	21,939,000
Additions subsequent to acquisition, carrying costs	1,000
Land at cost	3,499,000
Buildings at cost	21,940,000
Total at cost	25,439,000
Accumulated Depreciation	$ 5,313,000
Date of Construction	1985
Date Acquired	Apr. 22, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
1985 [Member] | Hot Springs, AR [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 7,100,000
Initial costs, buildings	59,432,000
Additions subsequent to acquisition, Improvements	19,996,000
Land at cost	7,100,000
Buildings at cost	79,428,000
Total at cost	86,528,000
Accumulated Depreciation	$ 4,626,000
Date of Construction	1985
Date Acquired	Aug. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2011 [Member] | Lubeck, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,164,000
Initial costs, buildings	5,235,000
Additions subsequent to acquisition, Improvements	30,000
Land at cost	1,194,000
Buildings at cost	5,235,000
Total at cost	6,429,000
Accumulated Depreciation	$ 133,000
Date of Construction	2011
Date Acquired	Dec. 31, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2011 [Member] | Cologne, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 2,576,000
Initial costs, buildings	18,842,000
Additions subsequent to acquisition, Improvements	144,000
Land at cost	2,720,000
Buildings at cost	18,842,000
Total at cost	21,562,000
Accumulated Depreciation	$ 240,000
Date of Construction	2011
Date Acquired	Jun. 23, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2011 [Member] | Methuen, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general
Initial costs, land	$ 23,809,000
Initial costs, buildings	89,505,000
Additions subsequent to acquisition, Improvements	810,000
Land at cost	23,809,000
Buildings at cost	90,315,000
Total at cost	114,124,000
Accumulated Depreciation	$ 3,191,000
Date of Construction	2011
Date Acquired	Oct. 03, 2016
Life on which depreciation in latest income statements is computed (Years)	41 years
1800 [Member] | Vitense-Parber, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 864,000
Initial costs, buildings	4,197,000
Additions subsequent to acquisition, Improvements	84,000
Land at cost	948,000
Buildings at cost	4,197,000
Total at cost	5,145,000
Accumulated Depreciation	$ 111,000
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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 804,000
Initial costs, buildings	13,872,000
Additions subsequent to acquisition, Improvements	306,000
Land at cost	1,110,000
Buildings at cost	13,872,000
Total at cost	14,982,000
Accumulated Depreciation	$ 367,000
Date of Construction	1901
Date Acquired	Dec. 31, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
1984 [Member] | Breuberg-Sandbach, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 804,000
Initial costs, buildings	13,872,000
Additions subsequent to acquisition, Improvements	306,000
Land at cost	1,110,000
Buildings at cost	13,872,000
Total at cost	14,982,000
Accumulated Depreciation	$ 367,000
Date of Construction	1984
Date Acquired	Dec. 31, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
1984 [Member] | Bennettsville, SC [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 794,000
Initial costs, buildings	15,772,000
Land at cost	794,000
Buildings at cost	15,772,000
Total at cost	16,566,000
Accumulated Depreciation	$ 3,788,000
Date of Construction	1984
Date Acquired	Apr. 01, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
1984 [Member] | Hope, AR [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 1,651,000
Initial costs, buildings	3,359,000
Land at cost	1,651,000
Buildings at cost	3,359,000
Total at cost	5,010,000
Accumulated Depreciation	$ 45,000
Date of Construction	1984
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1984 [Member] | Olympia, Washington [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 7,220,000
Initial costs, buildings	89,348,000
Additions subsequent to acquisition, Improvements	11,775,000
Land at cost	7,220,000
Buildings at cost	101,123,000
Total at cost	108,343,000
Accumulated Depreciation	$ 3,375,000
Date of Construction	1984
Date Acquired	Jul. 22, 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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,062,000
Initial costs, buildings	2,993,000
Additions subsequent to acquisition, Improvements	90,000
Land at cost	1,152,000
Buildings at cost	2,993,000
Total at cost	4,145,000
Accumulated Depreciation	$ 81,000
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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 846,000
Initial costs, buildings	5,961,000
Additions subsequent to acquisition, Improvements	66,000
Land at cost	912,000
Buildings at cost	5,961,000
Total at cost	6,873,000
Accumulated Depreciation	$ 153,000
Date of Construction	1600
Date Acquired	Dec. 31, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2013 [Member] | Wildeck, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 846,000
Initial costs, buildings	5,961,000
Additions subsequent to acquisition, Improvements	66,000
Land at cost	912,000
Buildings at cost	5,961,000
Total at cost	6,873,000
Accumulated Depreciation	$ 153,000
Date of Construction	2013
Date Acquired	Dec. 31, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2013 [Member] | Germersheim, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 797,000
Initial costs, buildings	5,647,000
Additions subsequent to acquisition, Improvements	44,000
Land at cost	841,000
Buildings at cost	5,647,000
Total at cost	6,488,000
Accumulated Depreciation	$ 84,000
Date of Construction	2013
Date Acquired	Jun. 08, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2013 [Member] | Hausman, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 1,500,000
Initial costs, buildings	8,958,000
Land at cost	1,500,000
Buildings at cost	8,958,000
Total at cost	10,458,000
Accumulated Depreciation	$ 1,060,000
Date of Construction	2013
Date Acquired	Mar. 01, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
2013 [Member] | Lafayette, IN [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 800,000
Initial costs, buildings	14,968,000
Additions subsequent to acquisition, Improvements	(25,000)
Land at cost	800,000
Buildings at cost	14,943,000
Total at cost	15,743,000
Accumulated Depreciation	$ 1,824,000
Date of Construction	2013
Date Acquired	Feb. 01, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
2013 [Member] | Little Elm, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 1,241,000
Initial costs, buildings	3,491,000
Land at cost	1,241,000
Buildings at cost	3,491,000
Total at cost	4,732,000
Accumulated Depreciation	$ 353,000
Date of Construction	2013
Date Acquired	Dec. 01, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
2013 [Member] | Post Falls, ID [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 417,000
Initial costs, buildings	12,175,000
Additions subsequent to acquisition, Improvements	1,905,000
Land at cost	767,000
Buildings at cost	13,730,000
Total at cost	14,497,000
Accumulated Depreciation	$ 1,382,000
Date of Construction	2013
Date Acquired	Dec. 31, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
2013 [Member] | Spartanburg, SC [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,135,000
Initial costs, buildings	15,717,000
Land at cost	1,135,000
Buildings at cost	15,717,000
Total at cost	16,852,000
Accumulated Depreciation	$ 1,718,000
Date of Construction	2013
Date Acquired	Aug. 01, 2013
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]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 107,000
Initial costs, buildings	9,603,000
Additions subsequent to acquisition, Improvements	240,000
Land at cost	347,000
Buildings at cost	9,603,000
Total at cost	9,950,000
Accumulated Depreciation	$ 264,000
Date of Construction	1902
Date Acquired	Dec. 31, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2000 [Member] | Romhild, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 107,000
Initial costs, buildings	9,603,000
Additions subsequent to acquisition, Improvements	240,000
Land at cost	347,000
Buildings at cost	9,603,000
Total at cost	9,950,000
Accumulated Depreciation	$ 264,000
Date of Construction	2000
Date Acquired	Dec. 31, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2000 [Member] | Warren, OH [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 2,417,000
Initial costs, buildings	15,857,000
Land at cost	2,417,000
Buildings at cost	15,857,000
Total at cost	18,274,000
Accumulated Depreciation	$ 356,000
Date of Construction	2000
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	46 years
2000 [Member] | Montclair, NJ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 7,900,000
Initial costs, buildings	99,632,000
Additions subsequent to acquisition, Improvements	585,000
Land at cost	8,477,000
Buildings at cost	99,640,000
Total at cost	108,117,000
Accumulated Depreciation	$ 9,682,000
Date of Construction	2000
Date Acquired	Apr. 01, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Bad Durkheim, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,054,000
Initial costs, buildings	21,727,000
Additions subsequent to acquisition, Improvements	171,000
Land at cost	3,225,000
Buildings at cost	21,727,000
Total at cost	24,952,000
Accumulated Depreciation	$ 277,000
Date of Construction	2015
Date Acquired	Jul. 07, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Houston, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 1,423,000
Initial costs, buildings	3,770,000
Land at cost	1,423,000
Buildings at cost	3,770,000
Total at cost	5,193,000
Accumulated Depreciation	$ 267,000
Date of Construction	2015
Date Acquired	Feb. 18, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Aurora, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, buildings	$ 4,812,000
Buildings at cost	4,812,000
Total at cost	4,812,000
Accumulated Depreciation	$ 271,000
Date of Construction	2015
Date Acquired	Sep. 17, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Ft. Worth, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, buildings	$ 4,392,000
Buildings at cost	4,392,000
Total at cost	4,392,000
Accumulated Depreciation	$ 302,000
Date of Construction	2015
Date Acquired	Mar. 27, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Glendale, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, buildings	$ 4,046,000
Buildings at cost	4,046,000
Total at cost	4,046,000
Accumulated Depreciation	$ 261,000
Date of Construction	2015
Date Acquired	Jun. 05, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Carrollton, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 729,000
Initial costs, buildings	34,342,000
Land at cost	729,000
Buildings at cost	34,342,000
Total at cost	35,071,000
Accumulated Depreciation	$ 2,075,000
Date of Construction	2015
Date Acquired	Jul. 17, 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]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, buildings	$ 4,783,000
Buildings at cost	4,783,000
Total at cost	4,783,000
Accumulated Depreciation	$ 319,000
Date of Construction	2015
Date Acquired	Apr. 24, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Katy, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, buildings	$ 3,873,000
Buildings at cost	3,873,000
Total at cost	3,873,000
Accumulated Depreciation	$ 210,000
Date of Construction	2015
Date Acquired	Oct. 21, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Conroe, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 1,338,000
Initial costs, buildings	3,712,000
Land at cost	1,338,000
Buildings at cost	3,712,000
Total at cost	5,050,000
Accumulated Depreciation	$ 224,000
Date of Construction	2015
Date Acquired	Jul. 29, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Converse, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 750,000
Initial costs, buildings	4,423,000
Land at cost	750,000
Buildings at cost	4,423,000
Total at cost	5,173,000
Accumulated Depreciation	$ 304,000
Date of Construction	2015
Date Acquired	Apr. 10, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Denver, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, buildings	$ 4,276,000
Buildings at cost	4,276,000
Total at cost	4,276,000
Accumulated Depreciation	$ 276,000
Date of Construction	2015
Date Acquired	Jun. 08, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Frisco, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 2,441,000
Initial costs, buildings	4,474,000
Land at cost	2,441,000
Buildings at cost	4,474,000
Total at cost	6,915,000
Accumulated Depreciation	$ 242,000
Date of Construction	2015
Date Acquired	Nov. 13, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Gilbert, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 1,518,000
Initial costs, buildings	4,660,000
Land at cost	1,518,000
Buildings at cost	4,660,000
Total at cost	6,178,000
Accumulated Depreciation	$ 282,000
Date of Construction	2015
Date Acquired	Jul. 22, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Highland Village, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, buildings	$ 4,016,000
Buildings at cost	4,016,000
Total at cost	4,016,000
Accumulated Depreciation	$ 226,000
Date of Construction	2015
Date Acquired	Sep. 22, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Hoover, AL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, buildings	$ 7,581,000
Buildings at cost	7,581,000
Total at cost	7,581,000
Accumulated Depreciation	$ 590,000
Date of Construction	2015
Date Acquired	May 01, 2015
Life on which depreciation in latest income statements is computed (Years)	34 years
2015 [Member] | Lehi, UT [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 13,403,000
Initial costs, buildings	29,950,000
Land at cost	13,403,000
Buildings at cost	29,950,000
Total at cost	43,353,000
Accumulated Depreciation	$ 221,000
Date of Construction	2015
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	45 years
2015 [Member] | McKinney, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, buildings	$ 4,060,000
Buildings at cost	4,060,000
Total at cost	4,060,000
Accumulated Depreciation	$ 330,000
Date of Construction	2015
Date Acquired	Jul. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	30 years
2015 [Member] | Parker, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 1,301,000
Initial costs, buildings	4,448,000
Land at cost	1,301,000
Buildings at cost	4,448,000
Total at cost	5,749,000
Accumulated Depreciation	$ 241,000
Date of Construction	2015
Date Acquired	Nov. 06, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Taunton, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 4,428,000
Initial costs, buildings	73,433,000
Land at cost	4,428,000
Buildings at cost	73,433,000
Total at cost	77,861,000
Accumulated Depreciation	$ 2,441,000
Date of Construction	2015
Date Acquired	Oct. 03, 2016
Life on which depreciation in latest income statements is computed (Years)	41 years
2015 [Member] | League City, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, buildings	$ 3,901,000
Buildings at cost	3,901,000
Total at cost	3,901,000
Accumulated Depreciation	$ 244,000
Date of Construction	2015
Date Acquired	Jun. 19, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2010 [Member] | Bad Oeynhausen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 591,000
Initial costs, buildings	4,350,000
Additions subsequent to acquisition, Improvements	40,000
Land at cost	631,000
Buildings at cost	4,350,000
Total at cost	4,981,000
Accumulated Depreciation	$ 10,000
Date of Construction	2010
Date Acquired	Nov. 30, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2010 [Member] | Bad Pyrmont, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,055,000
Initial costs, buildings	21,790,000
Additions subsequent to acquisition, Improvements	170,000
Land at cost	3,225,000
Buildings at cost	21,790,000
Total at cost	25,015,000
Accumulated Depreciation	$ 324,000
Date of Construction	2010
Date Acquired	Jun. 01, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2010 [Member] | Brockton, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 18,328,000
Initial costs, buildings	67,248,000
Additions subsequent to acquisition, Improvements	1,516,000
Land at cost	18,328,000
Buildings at cost	68,764,000
Total at cost	87,092,000
Accumulated Depreciation	$ 2,656,000
Date of Construction	2010
Date Acquired	Oct. 03, 2016
Life on which depreciation in latest income statements is computed (Years)	41 years
2010 [Member] | Sherman, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 4,491,000
Initial costs, buildings	24,802,000
Land at cost	4,491,000
Buildings at cost	24,802,000
Total at cost	29,293,000
Accumulated Depreciation	$ 2,061,000
Date of Construction	2010
Date Acquired	Oct. 31, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
1989 [Member] | Bad Salzuflen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 4,240,000
Initial costs, buildings	31,794,000
Additions subsequent to acquisition, Improvements	282,000
Land at cost	4,522,000
Buildings at cost	31,794,000
Total at cost	36,316,000
Accumulated Depreciation	$ 69,000
Date of Construction	1989
Date Acquired	Nov. 30, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Bad Salzuflen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 4,240,000
Initial costs, buildings	31,794,000
Additions subsequent to acquisition, Improvements	282,000
Land at cost	4,522,000
Buildings at cost	31,794,000
Total at cost	36,316,000
Accumulated Depreciation	$ 69,000
Date of Construction	2016
Date Acquired	Nov. 30, 2017
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]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 4,047,000
Initial costs, buildings	36,864,000
Land at cost	4,047,000
Buildings at cost	36,864,000
Total at cost	40,911,000
Accumulated Depreciation	$ 1,383,000
Date of Construction	2016
Date Acquired	Jul. 07, 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]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 1,144,000
Initial costs, buildings	6,087,000
Land at cost	1,144,000
Buildings at cost	6,087,000
Total at cost	7,231,000
Accumulated Depreciation	$ 178,000
Date of Construction	2016
Date Acquired	Oct. 21, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | New Orleans, LA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 2,850,000
Initial costs, buildings	6,125,000
Land at cost	2,850,000
Buildings at cost	6,125,000
Total at cost	8,975,000
Accumulated Depreciation	$ 191,000
Date of Construction	2016
Date Acquired	Sep. 23, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | The Woodlands, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, buildings	$ 4,524,000
Buildings at cost	4,524,000
Total at cost	4,524,000
Accumulated Depreciation	$ 198,000
Date of Construction	2016
Date Acquired	Mar. 28, 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]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 750,000
Initial costs, buildings	4,234,000
Land at cost	750,000
Buildings at cost	4,234,000
Total at cost	4,984,000
Accumulated Depreciation	$ 168,000
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]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, buildings	$ 4,801,000
Buildings at cost	4,801,000
Total at cost	4,801,000
Accumulated Depreciation	$ 130,000
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]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, buildings	$ 4,738,000
Buildings at cost	4,738,000
Total at cost	4,738,000
Accumulated Depreciation	$ 217,000
Date of Construction	2016
Date Acquired	Mar. 04, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Garland, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, buildings	$ 4,647,000
Buildings at cost	4,647,000
Total at cost	4,647,000
Accumulated Depreciation	$ 136,000
Date of Construction	2016
Date Acquired	Nov. 15, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Goodyear, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 1,800,000
Initial costs, buildings	4,713,000
Land at cost	1,800,000
Buildings at cost	4,713,000
Total at cost	6,513,000
Accumulated Depreciation	$ 206,000
Date of Construction	2016
Date Acquired	Apr. 04, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Helotes, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 1,900,000
Initial costs, buildings	5,115,000
Land at cost	1,900,000
Buildings at cost	5,115,000
Total at cost	7,015,000
Accumulated Depreciation	$ 234,000
Date of Construction	2016
Date Acquired	Mar. 10, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Highlands Ranch, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 4,200,000
Initial costs, buildings	4,778,000
Land at cost	4,200,000
Buildings at cost	4,778,000
Total at cost	8,978,000
Accumulated Depreciation	$ 169,000
Date of Construction	2016
Date Acquired	Jul. 25, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Katy, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, buildings	$ 4,183,000
Buildings at cost	4,183,000
Total at cost	4,183,000
Accumulated Depreciation	$ 131,000
Date of Construction	2016
Date Acquired	Oct. 10, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Longmont, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, buildings	$ 4,181,000
Buildings at cost	4,181,000
Total at cost	4,181,000
Accumulated Depreciation	$ 200,000
Date of Construction	2016
Date Acquired	Feb. 10, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Mandeville, LA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 2,800,000
Initial costs, buildings	5,370,000
Land at cost	2,800,000
Buildings at cost	5,370,000
Total at cost	8,170,000
Accumulated Depreciation	$ 157,000
Date of Construction	2016
Date Acquired	Oct. 28, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Marrero, LA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, buildings	$ 5,801,000
Buildings at cost	5,801,000
Total at cost	5,801,000
Accumulated Depreciation	$ 218,000
Date of Construction	2016
Date Acquired	Jul. 15, 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]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, buildings	$ 4,253,000
Buildings at cost	4,253,000
Total at cost	4,253,000
Accumulated Depreciation	$ 124,000
Date of Construction	2016
Date Acquired	Oct. 27, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Plano, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, buildings	$ 4,842,000
Buildings at cost	4,842,000
Total at cost	4,842,000
Accumulated Depreciation	$ 151,000
Date of Construction	2016
Date Acquired	Sep. 30, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Rosenberg, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, buildings	$ 4,505,000
Buildings at cost	4,505,000
Total at cost	4,505,000
Accumulated Depreciation	$ 225,000
Date of Construction	2016
Date Acquired	Jan. 15, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Columbus, Oh [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 1,726,000
Land at cost	1,726,000
Total at cost	$ 1,726,000
Date of Construction	2016
Date Acquired	Aug. 30, 2016
2016 [Member] | Toledo, OH [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, buildings	$ 17,740,000
Buildings at cost	17,740,000
Total at cost	17,740,000
Accumulated Depreciation	$ 773,000
Date of Construction	2016
Date Acquired	Apr. 01, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 One [Member] | Bad Salzuflen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 5,601,000
Initial costs, buildings	41,854,000
Additions subsequent to acquisition, Improvements	372,000
Land at cost	5,973,000
Buildings at cost	41,854,000
Total at cost	47,827,000
Accumulated Depreciation	$ 90,000
Date of Construction	2016
Date Acquired	Nov. 30, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
1911 [Member] | Schalkenmehren, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 199,000
Initial costs, buildings	1,354,000
Additions subsequent to acquisition, Improvements	11,000
Land at cost	210,000
Buildings at cost	1,354,000
Total at cost	1,564,000
Accumulated Depreciation	$ 20,000
Date of Construction	1911
Date Acquired	Jun. 15, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2012 [Member] | Schalkenmehren, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 199,000
Initial costs, buildings	1,354,000
Additions subsequent to acquisition, Improvements	11,000
Land at cost	210,000
Buildings at cost	1,354,000
Total at cost	1,564,000
Accumulated Depreciation	$ 20,000
Date of Construction	2012
Date Acquired	Jun. 15, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2012 [Member] | Oppenweiler, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 2,152,000
Initial costs, buildings	15,349,000
Additions subsequent to acquisition, Improvements	121,000
Land at cost	2,273,000
Buildings at cost	15,349,000
Total at cost	17,622,000
Accumulated Depreciation	$ 163,000
Date of Construction	2012
Date Acquired	Jul. 28, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2012 [Member] | San Antonio, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 2,248,000
Initial costs, buildings	5,880,000
Land at cost	2,248,000
Buildings at cost	5,880,000
Total at cost	8,128,000
Accumulated Depreciation	$ 757,000
Date of Construction	2012
Date Acquired	Oct. 02, 2012
Life on which depreciation in latest income statements is computed (Years)	40 years
2012 [Member] | Fall River, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 2,406,000
Initial costs, buildings	82,358,000
Additions subsequent to acquisition, Improvements	15,555,000
Land at cost	2,406,000
Buildings at cost	97,913,000
Total at cost	100,319,000
Accumulated Depreciation	$ 2,632,000
Date of Construction	2012
Date Acquired	Oct. 03, 2016
Life on which depreciation in latest income statements is computed (Years)	41 years
2012 [Member] | Florence, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 900,000
Initial costs, buildings	28,462,000
Additions subsequent to acquisition, Improvements	105,000
Land at cost	900,000
Buildings at cost	28,567,000
Total at cost	29,467,000
Accumulated Depreciation	$ 4,103,000
Date of Construction	2012
Date Acquired	Feb. 07, 2012
Life on which depreciation in latest income statements is computed (Years)	40 years
2012 [Member] | Overlook, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 2,452,000
Initial costs, buildings	9,666,000
Additions subsequent to acquisition, Improvements	7,000
Land at cost	2,452,000
Buildings at cost	9,673,000
Total at cost	12,125,000
Accumulated Depreciation	$ 1,168,000
Date of Construction	2012
Date Acquired	Feb. 01, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
1940 [Member] | Darscheid, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,753,000
Initial costs, buildings	12,503,000
Additions subsequent to acquisition, Improvements	98,000
Land at cost	1,851,000
Buildings at cost	12,503,000
Total at cost	14,354,000
Accumulated Depreciation	$ 186,000
Date of Construction	1940
Date Acquired	Jun. 15, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
1940 [Member] | Houston, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 33,627,000
Initial costs, buildings	97,745,000
Land at cost	33,627,000
Buildings at cost	97,745,000
Total at cost	131,372,000
Accumulated Depreciation	$ 494,000
Date of Construction	1940
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1940 [Member] | Taunton, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 4,428,000
Initial costs, buildings	73,433,000
Land at cost	4,428,000
Buildings at cost	73,433,000
Total at cost	77,861,000
Accumulated Depreciation	$ 2,441,000
Date of Construction	1940
Date Acquired	Oct. 03, 2016
Life on which depreciation in latest income statements is computed (Years)	41 years
1940 [Member] | Tempe, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 6,050,000
Initial costs, buildings	10,986,000
Land at cost	6,050,000
Buildings at cost	10,986,000
Total at cost	17,036,000
Accumulated Depreciation	$ 95,000
Date of Construction	1940
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
2004 [Member] | Darscheid, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,753,000
Initial costs, buildings	12,503,000
Additions subsequent to acquisition, Improvements	98,000
Land at cost	1,851,000
Buildings at cost	12,503,000
Total at cost	14,354,000
Accumulated Depreciation	$ 186,000
Date of Construction	2004
Date Acquired	Jun. 15, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2004 [Member] | Lubstorf, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,094,000
Initial costs, buildings	22,053,000
Additions subsequent to acquisition, Improvements	173,000
Land at cost	3,267,000
Buildings at cost	22,053,000
Total at cost	25,320,000
Accumulated Depreciation	$ 328,000
Date of Construction	2004
Date Acquired	Jun. 01, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2004 [Member] | Webster, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Long term acute care hospital
Initial costs, land	$ 663,000
Initial costs, buildings	33,751,000
Land at cost	663,000
Buildings at cost	33,751,000
Total at cost	34,414,000
Accumulated Depreciation	$ 5,906,000
Date of Construction	2004
Date Acquired	Dec. 21, 2010
Life on which depreciation in latest income statements is computed (Years)	40 years
2004 [Member] | Camden, SC [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, buildings	$ 22,739,000
Buildings at cost	22,739,000
Total at cost	22,739,000
Accumulated Depreciation	$ 972,000
Date of Construction	2004
Date Acquired	Oct. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	39 years
2004 [Member] | Odessa, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 6,772,000
Initial costs, buildings	123,215,000
Land at cost	6,772,000
Buildings at cost	123,215,000
Total at cost	129,987,000
Accumulated Depreciation	$ 788,000
Date of Construction	2004
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1964 [Member] | Germersheim, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 797,000
Initial costs, buildings	5,647,000
Additions subsequent to acquisition, Improvements	44,000
Land at cost	841,000
Buildings at cost	5,647,000
Total at cost	6,488,000
Accumulated Depreciation	$ 84,000
Date of Construction	1964
Date Acquired	Jun. 08, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
1964 [Member] | Ahrweiler, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,262,000
Initial costs, buildings	8,952,000
Additions subsequent to acquisition, Improvements	70,000
Land at cost	1,332,000
Buildings at cost	8,952,000
Total at cost	10,284,000
Accumulated Depreciation	$ 133,000
Date of Construction	1964
Date Acquired	May 27, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
1964 [Member] | San Diego, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 6,550,000
Initial costs, buildings	15,653,000
Additions subsequent to acquisition, carrying costs	77,000
Land at cost	6,550,000
Buildings at cost	15,730,000
Total at cost	22,280,000
Accumulated Depreciation	$ 4,193,000
Date of Construction	1964
Date Acquired	May 09, 2007
Life on which depreciation in latest income statements is computed (Years)	40 years
1964 [Member] | Portland, OR [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Long term acute care hospital
Initial costs, land	$ 3,085,000
Initial costs, buildings	17,859,000
Additions subsequent to acquisition, carrying costs	2,559,000
Land at cost	3,071,000
Buildings at cost	20,432,000
Total at cost	23,503,000
Accumulated Depreciation	$ 5,410,000
Date of Construction	1964
Date Acquired	Apr. 18, 2007
Life on which depreciation in latest income statements is computed (Years)	40 years
1964 [Member] | Anaheim, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 1,875,000
Initial costs, buildings	21,814,000
Additions subsequent to acquisition, carrying costs	10,000
Land at cost	1,875,000
Buildings at cost	21,824,000
Total at cost	23,699,000
Accumulated Depreciation	$ 6,092,000
Date of Construction	1964
Date Acquired	Nov. 08, 2006
Life on which depreciation in latest income statements is computed (Years)	40 years
1967 [Member] | Kevelaer, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,089,000
Initial costs, buildings	7,746,000
Additions subsequent to acquisition, Improvements	61,000
Land at cost	1,150,000
Buildings at cost	7,746,000
Total at cost	8,896,000
Accumulated Depreciation	$ 115,000
Date of Construction	1967
Date Acquired	Jun. 10, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
Unknown Date [Member] | Willich, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 425,000
Initial costs, buildings	2,979,000
Additions subsequent to acquisition, Improvements	24,000
Land at cost	449,000
Buildings at cost	2,979,000
Total at cost	3,428,000
Accumulated Depreciation	$ 44,000
Date Acquired	May 31, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
1910 One [Member] | Bad Bertrich, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,357,000
Initial costs, buildings	7,746,000
Additions subsequent to acquisition, Improvements	24,000
Land at cost	1,381,000
Buildings at cost	7,746,000
Total at cost	9,127,000
Accumulated Depreciation	$ 179,000
Date of Construction	1910
Date Acquired	Jan. 31, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2001 [Member] | Neunkirchen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,108,000
Initial costs, buildings	22,198,000
Additions subsequent to acquisition, Improvements	173,000
Land at cost	3,281,000
Buildings at cost	22,198,000
Total at cost	25,479,000
Accumulated Depreciation	$ 378,000
Date of Construction	2001
Date Acquired	May 13, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2001 [Member] | Hope, AR [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 1,651,000
Initial costs, buildings	3,359,000
Land at cost	1,651,000
Buildings at cost	3,359,000
Total at cost	5,010,000
Accumulated Depreciation	$ 45,000
Date of Construction	2001
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1918 [Member] | Bayonne, NJ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 2,003,000
Initial costs, buildings	51,495,000
Land at cost	2,003,000
Buildings at cost	51,495,000
Total at cost	53,498,000
Accumulated Depreciation	$ 17,809,000
Date of Construction	1918
Date Acquired	Feb. 04, 2011
Life on which depreciation in latest income statements is computed (Years)	20 years
1917 [Member] | Brighton, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 18,540,000
Initial costs, buildings	146,490,000
Additions subsequent to acquisition, Improvements	836,000
Land at cost	18,540,000
Buildings at cost	147,326,000
Total at cost	165,866,000
Accumulated Depreciation	$ 4,584,000
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]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 18,328,000
Initial costs, buildings	67,248,000
Additions subsequent to acquisition, Improvements	1,516,000
Land at cost	18,328,000
Buildings at cost	68,764,000
Total at cost	87,092,000
Accumulated Depreciation	$ 2,656,000
Date of Construction	1965
Date Acquired	Oct. 03, 2016
Life on which depreciation in latest income statements is computed (Years)	41 years
2015 One [Member] | Chandler, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 750,000
Initial costs, buildings	3,852,000
Land at cost	750,000
Buildings at cost	3,852,000
Total at cost	4,602,000
Accumulated Depreciation	$ 217,000
Date of Construction	2015
Date Acquired	Oct. 07, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 One [Member] | Hoover, AL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Medical Office Building
Initial costs, buildings	$ 1,034,000
Buildings at cost	1,034,000
Total at cost	1,034,000
Accumulated Depreciation	$ 80,000
Date of Construction	2015
Date Acquired	May 01, 2015
Life on which depreciation in latest income statements is computed (Years)	34 years
2017 [Member] | Houston, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, buildings	$ 4,365,000
Buildings at cost	4,365,000
Total at cost	4,365,000
Accumulated Depreciation	$ 83,000
Date of Construction	2017
Date Acquired	May 08, 2017
Life on which depreciation in latest income statements is computed (Years)	35 years
2017 [Member] | Phoenix, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 5,576,000
Initial costs, buildings	45,774,000
Land at cost	5,576,000
Buildings at cost	45,774,000
Total at cost	51,350,000
Accumulated Depreciation	$ 1,049,000
Date of Construction	2017
Date Acquired	Feb. 10, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2017 [Member] | Austin, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, buildings	$ 4,979,000
Buildings at cost	4,979,000
Total at cost	4,979,000
Accumulated Depreciation	$ 104,000
Date of Construction	2017
Date Acquired	Mar. 02, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2017 [Member] | Texarkana, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 12,402,000
Land at cost	12,402,000
Total at cost	$ 12,402,000
Date of Construction	2017
Date Acquired	Sep. 29, 2017
2006 [Member] | Houston, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 4,757,000
Initial costs, buildings	56,238,000
Additions subsequent to acquisition, Improvements	(37,000)
Additions subsequent to acquisition, carrying costs	1,259,000
Land at cost	5,427,000
Buildings at cost	56,790,000
Total at cost	62,217,000
Accumulated Depreciation	$ 15,691,000
Date of Construction	2006
Date Acquired	Dec. 01, 2006
Life on which depreciation in latest income statements is computed (Years)	40 years
2006 [Member] | Dallas, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Long term acute care hospital
Initial costs, land	$ 1,000,000
Initial costs, buildings	13,589,000
Additions subsequent to acquisition, carrying costs	368,000
Land at cost	1,421,000
Buildings at cost	13,536,000
Total at cost	14,957,000
Accumulated Depreciation	$ 3,835,000
Date of Construction	2006
Date Acquired	Sep. 05, 2006
Life on which depreciation in latest income statements is computed (Years)	40 years
2006 [Member] | Bloomington, IN [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 2,392,000
Initial costs, buildings	28,212,000
Additions subsequent to acquisition, Improvements	5,000,000
Additions subsequent to acquisition, carrying costs	408,000
Land at cost	2,392,000
Buildings at cost	33,620,000
Total at cost	36,012,000
Accumulated Depreciation	$ 9,430,000
Date of Construction	2006
Date Acquired	Aug. 08, 2006
Life on which depreciation in latest income statements is computed (Years)	40 years
2006 [Member] | Petersburg, VA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,302,000
Initial costs, buildings	9,121,000
Land at cost	1,302,000
Buildings at cost	9,121,000
Total at cost	10,423,000
Accumulated Depreciation	$ 2,166,000
Date of Construction	2006
Date Acquired	Jul. 01, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
2005 [Member] | Easton, PA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 13,898,000
Initial costs, buildings	40,245,000
Land at cost	13,898,000
Buildings at cost	40,245,000
Total at cost	54,143,000
Accumulated Depreciation	$ 710,000
Date of Construction	2005
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
2005 [Member] | Gilbert, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 150,000
Initial costs, buildings	15,553,000
Land at cost	150,000
Buildings at cost	15,553,000
Total at cost	15,703,000
Accumulated Depreciation	$ 2,722,000
Date of Construction	2005
Date Acquired	Jan. 04, 2011
Life on which depreciation in latest income statements is computed (Years)	40 years
2005 [Member] | Port Arthur, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 10,593,000
Initial costs, buildings	76,398,000
Additions subsequent to acquisition, Improvements	1,062,000
Land at cost	11,655,000
Buildings at cost	76,398,000
Total at cost	88,053,000
Accumulated Depreciation	$ 7,976,000
Date of Construction	2005
Date Acquired	Sep. 26, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
2005 [Member] | Tomball, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Long term acute care hospital
Initial costs, land	$ 1,299,000
Initial costs, buildings	23,982,000
Land at cost	1,299,000
Buildings at cost	23,982,000
Total at cost	25,281,000
Accumulated Depreciation	$ 4,197,000
Date of Construction	2005
Date Acquired	Dec. 21, 2010
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]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 1,000,000
Initial costs, buildings	12,301,000
Additions subsequent to acquisition, Improvements	5,277,000
Land at cost	1,277,000
Buildings at cost	17,301,000
Total at cost	18,578,000
Accumulated Depreciation	$ 1,343,000
Date of Construction	1939
Date Acquired	Sep. 19, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
1950 [Member] | Houston, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 33,627,000
Initial costs, buildings	97,745,000
Land at cost	33,627,000
Buildings at cost	97,745,000
Total at cost	131,372,000
Accumulated Depreciation	$ 494,000
Date of Construction	1950
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1950 [Member] | Fall River, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 2,406,000
Initial costs, buildings	82,358,000
Additions subsequent to acquisition, Improvements	15,555,000
Land at cost	2,406,000
Buildings at cost	97,913,000
Total at cost	100,319,000
Accumulated Depreciation	$ 2,632,000
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]
Encumbrances	$ 0
Type of property	Acute care general
Initial costs, land	$ 23,809,000
Initial costs, buildings	89,505,000
Additions subsequent to acquisition, Improvements	810,000
Land at cost	23,809,000
Buildings at cost	90,315,000
Total at cost	114,124,000
Accumulated Depreciation	$ 3,191,000
Date of Construction	1950
Date Acquired	Oct. 03, 2016
Life on which depreciation in latest income statements is computed (Years)	41 years
1950 [Member] | Rockledge, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 13,919,000
Initial costs, buildings	23,282,000
Land at cost	13,919,000
Buildings at cost	23,282,000
Total at cost	37,201,000
Accumulated Depreciation	$ 581,000
Date of Construction	1950
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	42 years
1950 [Member] | Sharon, PA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 6,179,000
Initial costs, buildings	9,066,000
Land at cost	6,179,000
Buildings at cost	9,066,000
Total at cost	15,245,000
Accumulated Depreciation	$ 435,000
Date of Construction	1950
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1982 [Member] | Garden Grove, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Medical Office Building
Initial costs, land	$ 862,000
Initial costs, buildings	7,888,000
Additions subsequent to acquisition, carrying costs	28,000
Land at cost	862,000
Buildings at cost	7,916,000
Total at cost	8,778,000
Accumulated Depreciation	$ 1,801,000
Date of Construction	1982
Date Acquired	Nov. 25, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
1922 [Member] | Warren, OH [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Rehabilitation hospital
Initial costs, land	$ 2,417,000
Initial costs, buildings	15,857,000
Land at cost	2,417,000
Buildings at cost	15,857,000
Total at cost	18,274,000
Accumulated Depreciation	$ 356,000
Date of Construction	1922
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	46 years
1922 [Member] | Lewiston, ID [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 10,577,000
Initial costs, buildings	70,247,000
Land at cost	10,577,000
Buildings at cost	70,247,000
Total at cost	80,824,000
Accumulated Depreciation	$ 1,585,000
Date of Construction	1922
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
1863 [Member] | Hoboken, NJ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 1,387,000
Initial costs, buildings	44,351,000
Land at cost	1,387,000
Buildings at cost	44,351,000
Total at cost	45,738,000
Accumulated Depreciation	$ 13,616,000
Date of Construction	1863
Date Acquired	Nov. 04, 2011
Life on which depreciation in latest income statements is computed (Years)	20 years
2007 [Member] | Northland, MO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Long term acute care hospital
Initial costs, land	$ 834,000
Initial costs, buildings	17,182,000
Land at cost	834,000
Buildings at cost	17,182,000
Total at cost	18,016,000
Accumulated Depreciation	$ 2,971,000
Date of Construction	2007
Date Acquired	Feb. 14, 2011
Life on which depreciation in latest income statements is computed (Years)	40 years
2007 [Member] | Mesa, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 6,264,000
Initial costs, buildings	99,175,000
Additions subsequent to acquisition, Improvements	2,242,000
Land at cost	8,506,000
Buildings at cost	99,175,000
Total at cost	107,681,000
Accumulated Depreciation	$ 11,183,000
Date of Construction	2007
Date Acquired	Sep. 26, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
1978 [Member] | Kansas City, MO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 10,497,000
Initial costs, buildings	64,419,000
Land at cost	10,497,000
Buildings at cost	64,419,000
Total at cost	74,916,000
Accumulated Depreciation	$ 4,788,000
Date of Construction	1978
Date Acquired	Feb. 13, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1978 [Member] | San Antonio, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 8,053,000
Initial costs, buildings	29,333,000
Land at cost	8,053,000
Buildings at cost	29,333,000
Total at cost	37,386,000
Accumulated Depreciation	$ 204,000
Date of Construction	1978
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1920 [Member] | Montclair, NJ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 7,900,000
Initial costs, buildings	99,632,000
Additions subsequent to acquisition, Improvements	585,000
Land at cost	8,477,000
Buildings at cost	99,640,000
Total at cost	108,117,000
Accumulated Depreciation	$ 9,682,000
Date of Construction	1920
Date Acquired	Apr. 01, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
1979 [Member] | Phoenix, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 2,396,000
Initial costs, buildings	26,521,000
Land at cost	2,396,000
Buildings at cost	26,521,000
Total at cost	28,917,000
Accumulated Depreciation	$ 160,000
Date of Construction	1979
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	42 years
1979 [Member] | San Dimas, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Medical Office Building
Initial costs, land	$ 1,915,000
Initial costs, buildings	5,085,000
Additions subsequent to acquisition, carrying costs	18,000
Land at cost	1,915,000
Buildings at cost	5,103,000
Total at cost	7,018,000
Accumulated Depreciation	$ 1,161,000
Date of Construction	1979
Date Acquired	Nov. 25, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
1968 [Member] | Phoenix, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 13,852,000
Initial costs, buildings	73,773,000
Land at cost	13,852,000
Buildings at cost	73,773,000
Total at cost	87,625,000
Accumulated Depreciation	$ 500,000
Date of Construction	1968
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	43 years
1976 [Member] | Phoenix, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 13,852,000
Initial costs, buildings	73,773,000
Land at cost	13,852,000
Buildings at cost	73,773,000
Total at cost	87,625,000
Accumulated Depreciation	$ 500,000
Date of Construction	1976
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	43 years
1953 [Member] | Port Huron, MI [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 3,029,000
Initial costs, buildings	14,622,000
Land at cost	3,029,000
Buildings at cost	14,622,000
Total at cost	17,651,000
Accumulated Depreciation	$ 998,000
Date of Construction	1953
Date Acquired	Dec. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1983 [Member] | Port Huron, MI [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 3,029,000
Initial costs, buildings	14,622,000
Land at cost	3,029,000
Buildings at cost	14,622,000
Total at cost	17,651,000
Accumulated Depreciation	$ 998,000
Date of Construction	1983
Date Acquired	Dec. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1906 [Member] | Salt Lake City, UT [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 17,204,000
Initial costs, buildings	101,915,000
Land at cost	17,204,000
Buildings at cost	101,915,000
Total at cost	119,119,000
Accumulated Depreciation	$ 635,000
Date of Construction	1906
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
2017 One [Member] | Phoenix, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Freestanding ER
Initial costs, land	$ 1,132,000
Initial costs, buildings	5,052,000
Land at cost	1,132,000
Buildings at cost	5,052,000
Total at cost	6,184,000
Accumulated Depreciation	$ 95,000
Date of Construction	2017
Date Acquired	Apr. 13, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
1962 [Member] | West Monroe, LA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 12,000,000
Initial costs, buildings	69,433,000
Additions subsequent to acquisition, Improvements	10,068,000
Land at cost	12,552,000
Buildings at cost	78,949,000
Total at cost	91,501,000
Accumulated Depreciation	$ 7,705,000
Date of Construction	1962
Date Acquired	Sep. 26, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
1948 [Member] | Woodland Park, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 54,000
Initial costs, buildings	428,000
Land at cost	54,000
Buildings at cost	428,000
Total at cost	482,000
Accumulated Depreciation	$ 3,000
Date of Construction	1948
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
1929 [Member] | Youngstown, OH [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Encumbrances	$ 0
Type of property	Acute care general hospital
Initial costs, land	$ 4,335,000
Initial costs, buildings	3,565,000
Land at cost	4,335,000
Buildings at cost	3,565,000
Total at cost	7,900,000
Accumulated Depreciation	$ 385,000
Date of Construction	1929
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years

[1] Includes real estate cost included in real estate held for sale of $131.3 million at December 31, 2017. Excludes intangible lease assets that are included in real estate held for sale of $15.5 million for 2017.

[2] Includes accumulated depreciation in real estate held for sale of $0.5 million. Excludes accumulated amortization related to intangible lease assets that are included in real estate held for sale of $0.1 million for 2017.