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Real Estate and Loans Receivable - 2017 Activity - Additional Information (Detail)
€ in Millions
1 Months Ended 3 Months Ended 5 Months Ended 12 Months Ended
Nov. 29, 2017
EUR (€)
Hospital
Sep. 29, 2017
USD ($)
Hospital
Health_Center
Jun. 22, 2017
EUR (€)
Jun. 01, 2017
USD ($)
Bed
May 01, 2017
USD ($)
Hospital
Bed
Jan. 30, 2017
EUR (€)
Dec. 31, 2016
EUR (€)
Property
Jul. 31, 2016
EUR (€)
Property
Sep. 30, 2017
EUR (€)
Hospital
Jun. 30, 2017
EUR (€)
Hospital
Jan. 30, 2017
EUR (€)
Hospital
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Dec. 31, 2015
USD ($)
Business Acquisition [Line Items]                            
Amount of mortgage loan                       $ 717,928,000 $ 612,836,000 $ 380,000,000
2017 [Member] | Business Acquisitions [Member]                            
Business Acquisition [Line Items]                            
Revenue contributed by the acquired entity                       72,900,000    
Income contributed by the acquired entity                       57,800,000    
Acquisition related costs                       24,400,000    
2017 [Member] | Subsidiaries [Member]                            
Business Acquisition [Line Items]                            
Equity interest acquired   $ 100,000,000                   $ 100,000,000    
Combined purchase price and investment amount   1,500,000,000                        
2017 [Member] | Subsidiaries [Member] | IASIS Healthcare [Member]                            
Business Acquisition [Line Items]                            
Purchase price of acquisition   700,000,000                        
2017 [Member] | Subsidiaries [Member] | Mortgage [Member]                            
Business Acquisition [Line Items]                            
Amount of mortgage loan   $ 700,000,000                        
Number of mortgage facilities | Hospital   2                        
2017 [Member] | Acute Care Hospital [Member] | IASIS Healthcare [Member]                            
Business Acquisition [Line Items]                            
Number of facilities closed | Hospital   10                        
2017 [Member] | Acute Care Hospital [Member] | Subsidiaries [Member] | IASIS Healthcare [Member]                            
Business Acquisition [Line Items]                            
Number of facilities acquired | Hospital   8                        
2017 [Member] | Acute Care Hospital [Member] | Alecto Healthcare Services [Member] | Ohio Valley Medical Center [Member]                            
Business Acquisition [Line Items]                            
Number of beds acquired | Bed       218                    
2017 [Member] | Acute Care Hospital [Member] | Alecto Healthcare Services [Member] | East Ohio Regional Hospital [Member]                            
Business Acquisition [Line Items]                            
Number of beds acquired | Bed       139                    
2017 [Member] | Behavioral Health Care Facility [Member] | IASIS Healthcare [Member]                            
Business Acquisition [Line Items]                            
Number of facilities closed | Health_Center   1                        
2017 [Member] | Behavioral Health Care Facility [Member] | Subsidiaries [Member] | IASIS Healthcare [Member]                            
Business Acquisition [Line Items]                            
Number of facilities acquired | Health_Center   1                        
2017 [Member] | West Virginia and Ohio [Member] | Acute Care Hospital [Member] | Alecto Healthcare Services [Member]                            
Business Acquisition [Line Items]                            
Purchase price of acquisition       $ 40,000,000                    
Purchase price of acquisition funded       $ 0                    
Term of lease       15 years                    
Percentage of increase in annual rent       2.00%                    
Number of lease extension options       3                    
Term of lease extension       5 years                    
Additional fund committed to the tenant for capital improvements       $ 20,000,000                    
Ownership interest percentage in operator facility       20.00%                    
2017 [Member] | IDAHO, Lewiston | Acute Care Hospital [Member] | St. Joseph Regional Medical Center [Member]                            
Business Acquisition [Line Items]                            
Purchase price of acquisition         $ 87,500,000                  
Number of beds acquired | Bed         145                  
2017 [Member] | Germany [Member] | Acute Care Hospital [Member] | Median [Member]                            
Business Acquisition [Line Items]                            
Purchase price of acquisition | €     € 19.4                      
Lease rent increase percentage     1.00%                      
Lease rate     70.00%                      
Lease agreement, end date     2042-12                      
Purchase price of acquisition funded | €     € 18.6                      
Remaining payment period     4 years                      
2017 [Member] | Germany [Member] | Rehabilitation Hospital with Covenant Health System [Member]                            
Business Acquisition [Line Items]                            
Number of facilities acquired | Hospital                     6      
Purchase price of acquisition | €           € 8.4         € 44.1      
2017 [Member] | Germany [Member] | Rehabilitation Hospital with Covenant Health System [Member] | Third Master Lease [Member]                            
Business Acquisition [Line Items]                            
Number of facilities acquired               20 2 11        
Acquisition costs | €               € 215.7 € 39.2 € 127.0        
Number of properties closed | Property             7              
Amount of properties closed | €             € 49.5              
2017 [Member] | Germany [Member] | Rehabilitation Hospital with Covenant Health System [Member] | Median [Member]                            
Business Acquisition [Line Items]                            
Number of facilities acquired | Hospital 3                          
Purchase price of acquisition | € € 80.0                          
Term of lease 27 years                          
Lease rent increase percentage 1.00%                          
Lease rate 70.00%                          
Lease agreement, end date 2044-11                          
2017 [Member] | Florida, Ohio, and Pennsylvania [Member] | Community Health Systems, Inc. [Member]                            
Business Acquisition [Line Items]                            
Number of facilities acquired | Hospital         8                  
Purchase price of acquisition         $ 301,300,000