Schedule III - Real Estate Investments and Accumulated Depreciation (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2025		Dec. 31, 2024	[1]	Dec. 31, 2023	[1]	Dec. 31, 2022
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial costs, land	$ 1,786,342
Initial costs, buildings	8,594,759
Additions subsequent to acquisition, Improvements	421,829
Land at cost	1,787,821
Buildings at cost	9,015,109
Total at cost	10,802,930	[1]	$ 10,086,493		$ 11,813,175		$ 12,300,524
Accumulated Depreciation	1,438,594
Encumbrances	$ 850,779
Phoenix, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 5,773
Initial costs, buildings	0
Additions subsequent to acquisition, Improvements	0
Land at cost	5,773
Buildings at cost	0
Total at cost	5,773
Accumulated Depreciation	0
Encumbrances	$ 0
Date Acquired	Sep. 29, 2017
Princes Risborough, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,601
Land at cost	2,601
Total at cost	2,601
Encumbrances	$ 0
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1981 [Member] | Ashtead, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 39,969
Initial costs, buildings	74,936
Land at cost	39,969
Buildings at cost	74,936
Total at cost	114,905
Accumulated Depreciation	12,400
Encumbrances	$ 0
Date of Construction	1981
Date Acquired	Aug. 16, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1981 [Member] | Beckenham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 5,781
Initial costs, buildings	22,172
Land at cost	5,781
Buildings at cost	22,172
Total at cost	27,953
Accumulated Depreciation	3,347
Encumbrances	$ 15,750
Date of Construction	1981
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1981 [Member] | Cheadle, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 32,744
Initial costs, buildings	172,486
Additions subsequent to acquisition, Improvements	25
Land at cost	32,744
Buildings at cost	172,511
Total at cost	205,255
Accumulated Depreciation	26,035
Encumbrances	$ 113,319
Date of Construction	1981
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1981 [Member] | Dorchester, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 571
Initial costs, buildings	33,173
Land at cost	571
Buildings at cost	33,173
Total at cost	33,744
Accumulated Depreciation	5,000
Encumbrances	$ 0
Date of Construction	1981
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1981 [Member] | Euxton, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 4,887
Initial costs, buildings	37,638
Land at cost	4,887
Buildings at cost	37,638
Total at cost	42,525
Accumulated Depreciation	6,412
Encumbrances	$ 0
Date of Construction	1981
Date Acquired	Aug. 16, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1981 [Member] | Great Missenden, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 12,458
Initial costs, buildings	111,313
Land at cost	12,458
Buildings at cost	111,313
Total at cost	123,771
Accumulated Depreciation	16,829
Encumbrances	$ 58,207
Date of Construction	1981
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1981 [Member] | Torquay, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,155
Initial costs, buildings	37,831
Land at cost	3,155
Buildings at cost	37,831
Total at cost	40,986
Accumulated Depreciation	6,177
Encumbrances	$ 0
Date of Construction	1981
Date Acquired	Aug. 16, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
2008 [Member] | Arnold, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 505
Initial costs, buildings	10,496
Land at cost	505
Buildings at cost	10,496
Total at cost	11,001
Accumulated Depreciation	1,296
Encumbrances	$ 0
Date of Construction	2008
Date Acquired	Jun. 25, 2021
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]
Type of property	Acute care general hospital
Initial costs, land	$ 1,597
Initial costs, buildings	33,105
Land at cost	1,597
Buildings at cost	33,105
Total at cost	34,702
Accumulated Depreciation	9,518
Encumbrances	$ 0
Date of Construction	2008
Date Acquired	Jul. 01, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2008 [Member] | Boardman, OH [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Long term acute care hospital
Initial costs, land	$ 79
Initial costs, buildings	275
Land at cost	79
Buildings at cost	275
Total at cost	354
Accumulated Depreciation	49
Encumbrances	$ 0
Date of Construction	2008
Date Acquired	Aug. 30, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
2008 [Member] | Boise, ID [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Long term acute care hospital
Initial costs, land	$ 1,558
Initial costs, buildings	11,027
Land at cost	1,558
Buildings at cost	11,027
Total at cost	12,585
Accumulated Depreciation	1,786
Encumbrances	$ 0
Date of Construction	2008
Date Acquired	Feb. 29, 2012
Life on which depreciation in latest income statements is computed (Years)	50 years
2008 [Member] | Gainesborough UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 1,618
Initial costs, buildings	10,592
Land at cost	1,618
Buildings at cost	10,592
Total at cost	12,210
Accumulated Depreciation	$ 981
Date of Construction	2008
Date Acquired	Apr. 14, 2023
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]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,376
Initial costs, buildings	28,292
Additions subsequent to acquisition, Improvements	3,648
Land at cost	1,376
Buildings at cost	31,940
Total at cost	33,316
Accumulated Depreciation	8,342
Encumbrances	$ 0
Date of Construction	2008
Date Acquired	Jun. 16, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2008 [Member] | Sheffield, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 7,000
Initial costs, buildings	47,222
Land at cost	7,000
Buildings at cost	47,222
Total at cost	54,222
Accumulated Depreciation	7,188
Encumbrances	$ 34,458
Date of Construction	2008
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
2008 [Member] | York, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 3,924
Initial costs, buildings	7,137
Land at cost	3,924
Buildings at cost	7,137
Total at cost	11,061
Accumulated Depreciation	$ 549
Date of Construction	2008
Life on which depreciation in latest income statements is computed (Years)	40 years
1811 [Member] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 38,386
Initial costs, buildings	54,940
Land at cost	38,386
Buildings at cost	54,940
Total at cost	93,326
Accumulated Depreciation	4,554
Encumbrances	$ 0
Date of Construction	1811
Date Acquired	Dec. 09, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1890 [Member] | Altrincham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 15,499
Initial costs, buildings	26,606
Land at cost	15,499
Buildings at cost	26,606
Total at cost	42,105
Accumulated Depreciation	2,494
Encumbrances	$ 0
Date of Construction	1890
Date Acquired	Dec. 09, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1790 [Member] | Bristol, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 4,980
Initial costs, buildings	39,538
Land at cost	4,980
Buildings at cost	39,538
Total at cost	44,518
Accumulated Depreciation	3,270
Encumbrances	$ 0
Date of Construction	1790
Date Acquired	Dec. 09, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1790 [Member] | Essex, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 4,913
Initial costs, buildings	45,715
Land at cost	4,913
Buildings at cost	45,715
Total at cost	50,628
Accumulated Depreciation	3,769
Encumbrances	$ 0
Date of Construction	1790
Date Acquired	Dec. 09, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1790 [Member] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 30,627
Initial costs, buildings	15,847
Land at cost	30,627
Buildings at cost	15,847
Total at cost	46,474
Accumulated Depreciation	1,497
Encumbrances	$ 0
Date of Construction	1790
Date Acquired	Dec. 09, 2022
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]
Type of property	Acute care general hospital
Initial costs, buildings	$ 35,500
Buildings at cost	35,500
Total at cost	35,500
Accumulated Depreciation	8,234
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Aug. 31, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Altrincham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 15,499
Initial costs, buildings	26,606
Land at cost	15,499
Buildings at cost	26,606
Total at cost	42,105
Accumulated Depreciation	2,494
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Dec. 09, 2022
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]
Type of property	Freestanding ER
Initial costs, land	$ 105
Initial costs, buildings	4,087
Land at cost	105
Buildings at cost	4,087
Total at cost	4,192
Accumulated Depreciation	1,177
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Mar. 19, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Bristol, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 4,980
Initial costs, buildings	39,538
Land at cost	4,980
Buildings at cost	39,538
Total at cost	44,518
Accumulated Depreciation	3,270
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Dec. 09, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Essex, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 4,913
Initial costs, buildings	45,715
Land at cost	4,913
Buildings at cost	45,715
Total at cost	50,628
Accumulated Depreciation	3,769
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Dec. 09, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Fort Worth, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 3,406
Initial costs, buildings	34,627
Land at cost	3,406
Buildings at cost	34,627
Total at cost	38,033
Accumulated Depreciation	4,039
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Georgetown, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 4,569
Initial costs, buildings	22,858
Additions subsequent to acquisition, Improvements	10,561
Land at cost	4,569
Buildings at cost	33,419
Total at cost	37,988
Accumulated Depreciation	3,208
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 38,386
Initial costs, buildings	54,940
Land at cost	38,386
Buildings at cost	54,940
Total at cost	93,326
Accumulated Depreciation	4,554
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Dec. 09, 2022
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]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,759
Initial costs, buildings	16,414
Land at cost	1,759
Buildings at cost	16,414
Total at cost	18,173
Accumulated Depreciation	4,846
Encumbrances	$ 0
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]
Type of property	Freestanding ER
Initial costs, land	$ 1,075
Initial costs, buildings	3,577
Land at cost	1,075
Buildings at cost	3,577
Total at cost	4,652
Accumulated Depreciation	1,013
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Sep. 08, 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]
Type of property	Freestanding ER
Initial costs, land	$ 351
Initial costs, buildings	3,952
Land at cost	351
Buildings at cost	3,952
Total at cost	4,303
Accumulated Depreciation	1,160
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Jan. 01, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Richmond, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 5,380
Initial costs, buildings	6,155
Additions subsequent to acquisition, Improvements	10,815
Land at cost	5,380
Buildings at cost	16,970
Total at cost	22,350
Accumulated Depreciation	1,382
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Surrey, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 15,926
Initial costs, buildings	9,663
Land at cost	15,926
Buildings at cost	9,663
Total at cost	25,589
Accumulated Depreciation	1,007
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Dec. 09, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
2014-2 [Member] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 30,627
Initial costs, buildings	15,847
Land at cost	30,627
Buildings at cost	15,847
Total at cost	46,474
Accumulated Depreciation	1,497
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Dec. 09, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1887 [Member] | Bassenheim, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,179
Initial costs, buildings	5,628
Land at cost	1,179
Buildings at cost	5,628
Total at cost	6,807
Accumulated Depreciation	1,079
Encumbrances	$ 0
Date of Construction	1887
Date Acquired	Feb. 09, 2019
Life on which depreciation in latest income statements is computed (Years)	39 years
1974 [Member] | Bad Salzuflen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 11,176
Initial costs, buildings	28,283
Land at cost	11,176
Buildings at cost	28,283
Total at cost	39,459
Accumulated Depreciation	6,233
Encumbrances	$ 0
Date of Construction	1974
Date Acquired	Nov. 30, 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]
Type of property	Freestanding ER
Initial costs, land	$ 3,507
Initial costs, buildings	4,200
Land at cost	3,507
Buildings at cost	4,200
Total at cost	7,707
Accumulated Depreciation	955
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Mar. 02, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2017 [Member] | Birmingham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 8,276
Initial costs, buildings	44,683
Land at cost	8,276
Buildings at cost	44,683
Total at cost	52,959
Accumulated Depreciation	6,144
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Apr. 03, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2017 [Member] | Columbus OH [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 2,101
Initial costs, buildings	44,218
Land at cost	2,101
Buildings at cost	44,218
Total at cost	46,319
Accumulated Depreciation	5,077
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2017 [Member] | Englewood, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 3,369
Initial costs, buildings	65,480
Land at cost	3,369
Buildings at cost	65,480
Total at cost	68,849
Accumulated Depreciation	7,432
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2017 [Member] | Frome, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 11,531
Initial costs, buildings	11,337
Land at cost	11,531
Buildings at cost	11,337
Total at cost	22,868
Accumulated Depreciation	1,895
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2017 [Member] | Kansas City, KS [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,351
Initial costs, buildings	13,665
Land at cost	2,351
Buildings at cost	13,665
Total at cost	16,016
Accumulated Depreciation	1,946
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Jun. 10, 2019
Life on which depreciation in latest income statements is computed (Years)	50 years
2017 [Member] | Kuopio, Finland [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,364
Initial costs, buildings	46,129
Land at cost	1,364
Buildings at cost	46,129
Total at cost	47,493
Accumulated Depreciation	4,622
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Mar. 11, 2022
Life on which depreciation in latest income statements is computed (Years)	29 years
2017 [Member] | Leawood, KS [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,513
Initial costs, buildings	13,938
Land at cost	2,513
Buildings at cost	13,938
Total at cost	16,451
Accumulated Depreciation	1,972
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Jun. 10, 2019
Life on which depreciation in latest income statements is computed (Years)	50 years
2017 [Member] | Oulu, Finland [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,376
Initial costs, buildings	47,789
Land at cost	3,376
Buildings at cost	47,789
Total at cost	51,165
Accumulated Depreciation	4,848
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Mar. 11, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
2017 [Member] | Overland Park, KS [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,974
Initial costs, buildings	14,405
Land at cost	2,974
Buildings at cost	14,405
Total at cost	17,379
Accumulated Depreciation	2,070
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Jun. 10, 2019
Life on which depreciation in latest income statements is computed (Years)	50 years
2017 [Member] | Monmouth, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 16,413
Initial costs, buildings	12,227
Land at cost	16,413
Buildings at cost	12,227
Total at cost	28,640
Accumulated Depreciation	1,859
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2017 [Member] | Oklahoma City, OK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 3,641
Initial costs, buildings	3,047
Land at cost	3,641
Buildings at cost	3,047
Total at cost	6,688
Accumulated Depreciation	647
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2017 [Member] | Texarkana, Texas [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 14,562
Land at cost	14,562
Total at cost	14,562
Accumulated Depreciation	0
Encumbrances	$ 0
Date Acquired	Sep. 29, 2017
2017 [Member] | Valencia, Spain [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 11,841
Initial costs, buildings	74,006
Land at cost	11,841
Buildings at cost	74,006
Total at cost	85,847
Accumulated Depreciation	8,710
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Dec. 02, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2024 [Member] | McKinney, Texas [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 2,934
Initial costs, buildings	31,068
Land at cost	2,934
Buildings at cost	31,068
Total at cost	34,002
Accumulated Depreciation	1,399
Encumbrances	$ 0
Date of Construction	2024
Life on which depreciation in latest income statements is computed (Years)	40 years
2024 [Member] | Valencia, Spain [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 27,603
Initial costs, buildings	25,848
Land at cost	27,603
Buildings at cost	25,848
Total at cost	53,451
Accumulated Depreciation	1,240
Encumbrances	$ 0
Date of Construction	2024
Date Acquired	May 06, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1864 [Member] | Birmingham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 981
Initial costs, buildings	10,753
Land at cost	981
Buildings at cost	10,753
Total at cost	11,734
Accumulated Depreciation	760
Encumbrances
Date of Construction	1864
Date Acquired	Apr. 14, 2023
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Avondale, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 5,383
Initial costs, buildings	64,650
Additions subsequent to acquisition, Improvements	8,281
Land at cost	5,383
Buildings at cost	72,931
Total at cost	78,314
Accumulated Depreciation	7,320
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Oct. 19, 2021
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]
Type of property	Rehabilitation hospital
Initial costs, land	$ 11,176
Initial costs, buildings	28,283
Land at cost	11,176
Buildings at cost	28,283
Total at cost	39,459
Accumulated Depreciation	6,233
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Nov. 30, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Birmingham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 436
Initial costs, buildings	20,284
Land at cost	436
Buildings at cost	20,284
Total at cost	20,720
Accumulated Depreciation	2,445
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Flagstaff, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,049
Initial costs, buildings	22,464
Land at cost	3,049
Buildings at cost	22,464
Total at cost	25,513
Accumulated Depreciation	4,399
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Aug. 23, 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]
Type of property	Freestanding ER
Initial costs, land	$ 1,900
Initial costs, buildings	5,115
Land at cost	1,900
Buildings at cost	5,115
Total at cost	7,015
Accumulated Depreciation	1,258
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Mar. 10, 2016
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]
Type of property	Freestanding ER
Initial costs, land	$ 950
Initial costs, buildings	3,996
Land at cost	950
Buildings at cost	3,996
Total at cost	4,946
Accumulated Depreciation	924
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Sep. 26, 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]
Type of property	Freestanding ER
Initial costs, land	$ 1,491
Initial costs, buildings	2,870
Land at cost	1,491
Buildings at cost	2,870
Total at cost	4,361
Accumulated Depreciation	904
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Oct. 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]
Type of property	Freestanding ER
Initial costs, land	$ 2,800
Initial costs, buildings	5,370
Land at cost	2,800
Buildings at cost	5,370
Total at cost	8,170
Accumulated Depreciation	1,231
Encumbrances	$ 0
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]
Type of property	Freestanding ER
Initial costs, land	$ 1,517
Initial costs, buildings	5,801
Land at cost	1,517
Buildings at cost	5,801
Total at cost	7,318
Accumulated Depreciation	1,378
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Jul. 15, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Miami, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 20,430
Initial costs, buildings	30,276
Additions subsequent to acquisition, Improvements	10,947
Land at cost	20,430
Buildings at cost	41,223
Total at cost	61,653
Accumulated Depreciation	3,276
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Apr. 25, 2022
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]
Type of property	Freestanding ER
Initial costs, land	$ 2,850
Initial costs, buildings	6,125
Land at cost	2,850
Buildings at cost	6,125
Total at cost	8,975
Accumulated Depreciation	1,416
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Sep. 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]
Type of property	Freestanding ER
Initial costs, land	$ 2,988
Initial costs, buildings	4,801
Land at cost	2,988
Buildings at cost	4,801
Total at cost	7,789
Accumulated Depreciation	1,090
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Dec. 09, 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]
Type of property	Freestanding ER
Initial costs, land	$ 1,217
Initial costs, buildings	4,505
Land at cost	1,217
Buildings at cost	4,505
Total at cost	5,722
Accumulated Depreciation	1,126
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Jan. 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]
Type of property	Freestanding ER
Initial costs, land	$ 2,310
Initial costs, buildings	4,253
Land at cost	2,310
Buildings at cost	4,253
Total at cost	6,563
Accumulated Depreciation	975
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Oct. 27, 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]
Type of property	Freestanding ER
Initial costs, land	$ 1,922
Initial costs, buildings	4,524
Land at cost	1,922
Buildings at cost	4,524
Total at cost	6,446
Accumulated Depreciation	1,103
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Mar. 28, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Toledo, OH [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,103
Initial costs, buildings	17,740
Land at cost	1,103
Buildings at cost	17,740
Total at cost	18,843
Accumulated Depreciation	4,324
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Apr. 01, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Viseu, Portugal [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,697
Initial costs, buildings	30,733
Land at cost	2,697
Buildings at cost	30,733
Total at cost	33,430
Accumulated Depreciation	5,243
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Nov. 28, 2019
Life on which depreciation in latest income statements is computed (Years)	37 years
1989 [Member] | Bad Salzuflen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 7,595
Initial costs, buildings	24,873
Land at cost	7,595
Buildings at cost	24,873
Total at cost	32,468
Accumulated Depreciation	5,221
Encumbrances	$ 0
Date of Construction	1989
Date Acquired	Nov. 30, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
1989 [Member] | Bolton, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,678
Initial costs, buildings	47,136
Land at cost	1,678
Buildings at cost	47,136
Total at cost	48,814
Accumulated Depreciation	7,095
Encumbrances	$ 22,412
Date of Construction	1989
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1989 [Member] | Guildford, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 7,283
Initial costs, buildings	38,556
Land at cost	7,283
Buildings at cost	38,556
Total at cost	45,839
Accumulated Depreciation	5,835
Encumbrances	$ 23,155
Date of Construction	1989
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1989 [Member] | Richmond, VA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Long term acute care hospital
Initial costs, land	$ 1,289
Initial costs, buildings	10,071
Land at cost	1,289
Buildings at cost	10,071
Total at cost	11,360
Accumulated Depreciation	2,065
Encumbrances	$ 0
Date of Construction	1989
Date Acquired	Aug. 30, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1989 [Member] | Rochdale, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Long term acute care hospital
Initial costs, land	$ 654
Initial costs, buildings	3,368
Land at cost	654
Buildings at cost	3,368
Total at cost	4,022
Accumulated Depreciation	625
Encumbrances	$ 0
Date of Construction	1989
Date Acquired	Aug. 30, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1989 [Member] | Rochdale, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 67
Initial costs, buildings	344
Land at cost	67
Buildings at cost	344
Total at cost	411
Accumulated Depreciation	64
Encumbrances	$ 0
Date of Construction	1989
Date Acquired	Aug. 30, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
2004 [Member] | Ayr, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 17,982
Initial costs, buildings	51,498
Land at cost	17,982
Buildings at cost	51,498
Total at cost	69,480
Accumulated Depreciation	5,917
Encumbrances	$ 0
Date of Construction	2004
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2004 [Member] | Odessa, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 6,217
Initial costs, buildings	123,518
Additions subsequent to acquisition, Improvements	16,600
Land at cost	6,217
Buildings at cost	140,118
Total at cost	146,335
Accumulated Depreciation	27,772
Encumbrances	$ 0
Date of Construction	2004
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1973 [Member] | Bad Oeynhausen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,198
Initial costs, buildings	2,928
Land at cost	1,198
Buildings at cost	2,928
Total at cost	4,126
Accumulated Depreciation	662
Encumbrances	$ 0
Date of Construction	1973
Date Acquired	Nov. 30, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
1973 [Member] | Big Spring, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,655
Initial costs, buildings	21,254
Additions subsequent to acquisition, Improvements	815
Land at cost	1,655
Buildings at cost	22,069
Total at cost	23,724
Accumulated Depreciation	4,028
Encumbrances	$ 0
Date of Construction	1973
Date Acquired	Apr. 12, 2019
Life on which depreciation in latest income statements is computed (Years)	41 years
1973 [Member] | Odessa, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 6,217
Initial costs, buildings	123,518
Additions subsequent to acquisition, Improvements	16,600
Land at cost	6,217
Buildings at cost	140,118
Total at cost	146,335
Accumulated Depreciation	27,772
Encumbrances	$ 0
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
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,531
Initial costs, buildings	14,252
Land at cost	2,531
Buildings at cost	14,252
Total at cost	16,783
Accumulated Depreciation	4,869
Encumbrances	$ 0
Date of Construction	1973
Date Acquired	Dec. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	30 years
2015 [Member] | Converse, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 750
Initial costs, buildings	4,423
Land at cost	750
Buildings at cost	4,423
Total at cost	5,173
Accumulated Depreciation	1,189
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Apr. 10, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Frome, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 11,531
Initial costs, buildings	11,337
Land at cost	11,531
Buildings at cost	11,337
Total at cost	22,868
Accumulated Depreciation	1,895
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Highland Hills, OH [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 3,148
Initial costs, buildings	43,891
Land at cost	3,148
Buildings at cost	43,891
Total at cost	47,039
Accumulated Depreciation	5,042
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Oct. 19, 2021
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]
Type of property	Freestanding ER
Initial costs, land	$ 0
Initial costs, buildings	7,581
Land at cost	0
Buildings at cost	7,581
Total at cost	7,581
Accumulated Depreciation	2,361
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	May 01, 2015
Life on which depreciation in latest income statements is computed (Years)	34 years
2015 [Member] | League City, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,244
Initial costs, buildings	3,901
Land at cost	1,244
Buildings at cost	3,901
Total at cost	5,145
Accumulated Depreciation	1,024
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Jun. 19, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | McKinney, Texas [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 2,441
Initial costs, buildings	4,060
Land at cost	2,441
Buildings at cost	4,060
Total at cost	6,501
Accumulated Depreciation	1,421
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Jul. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	30 years
2015 [Member] | Olathe, KS [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 6,882
Initial costs, buildings	57,056
Additions subsequent to acquisition, Improvements	18,873
Land at cost	6,882
Buildings at cost	75,929
Total at cost	82,811
Accumulated Depreciation	6,778
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Santa Maria de Feira, PT [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,979
Initial costs, buildings	18,981
Land at cost	1,979
Buildings at cost	18,981
Total at cost	20,960
Accumulated Depreciation	2,083
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Oct. 21, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1970 [Member] | Bussage, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 8,986
Initial costs, buildings	3,972
Land at cost	8,986
Buildings at cost	3,972
Total at cost	12,958
Accumulated Depreciation	500
Encumbrances	$ 0
Date of Construction	1970
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1970 [Member] | Royston, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 7,127
Initial costs, buildings	21,220
Land at cost	7,127
Buildings at cost	21,220
Total at cost	28,347
Accumulated Depreciation	3,007
Encumbrances	$ 0
Date of Construction	1970
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1992 [Member] | Bath, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 7,613
Initial costs, buildings	13,816
Land at cost	7,613
Buildings at cost	13,816
Total at cost	21,429
Accumulated Depreciation	2,153
Encumbrances	$ 16,326
Date of Construction	1992
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1992 [Member] | Bowling Green, KY [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,486
Initial costs, buildings	56,296
Additions subsequent to acquisition, Improvements	3,550
Land at cost	3,486
Buildings at cost	59,846
Total at cost	63,332
Accumulated Depreciation	10,251
Encumbrances	$ 0
Date of Construction	1992
Date Acquired	Aug. 30, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1992 [Member] | Essex, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 4,913
Initial costs, buildings	45,715
Land at cost	4,913
Buildings at cost	45,715
Total at cost	50,628
Accumulated Depreciation	3,769
Encumbrances	$ 0
Date of Construction	1992
Date Acquired	Dec. 09, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1992 [Member] | Helsinki, Finland [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 4,347
Initial costs, buildings	71,714
Additions subsequent to acquisition, Improvements	1,164
Land at cost	4,347
Buildings at cost	72,878
Total at cost	77,225
Accumulated Depreciation	6,896
Encumbrances	$ 0
Date of Construction	1992
Date Acquired	Mar. 11, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1992 [Member] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 30,627
Initial costs, buildings	15,847
Land at cost	30,627
Buildings at cost	15,847
Total at cost	46,474
Accumulated Depreciation	1,497
Encumbrances	$ 0
Date of Construction	1992
Date Acquired	Dec. 09, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1992 [Member] | Stirling, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,116
Initial costs, buildings	20,651
Land at cost	1,116
Buildings at cost	20,651
Total at cost	21,767
Accumulated Depreciation	2,428
Encumbrances	$ 9,691
Date of Construction	1992
Date Acquired	Jul. 06, 2021
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]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,019
Initial costs, buildings	16,881
Land at cost	1,019
Buildings at cost	16,881
Total at cost	17,900
Accumulated Depreciation	8,131
Encumbrances	$ 0
Date of Construction	1992
Date Acquired	Apr. 04, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
1992 - 2 [Member] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial costs, land	$ 14,617
Initial costs, buildings	7,208
Land at cost	14,617
Buildings at cost	7,208
Total at cost	21,825
Accumulated Depreciation	928
Encumbrances	$ 0
Date of Construction	1992
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1984 [Member] | Basingstoke, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 13,677
Initial costs, buildings	53,123
Land at cost	13,677
Buildings at cost	53,123
Total at cost	66,800
Accumulated Depreciation	8,049
Encumbrances	$ 34,016
Date of Construction	1984
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1984 [Member] | Birmingham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 436
Initial costs, buildings	20,284
Land at cost	436
Buildings at cost	20,284
Total at cost	20,720
Accumulated Depreciation	2,445
Encumbrances	$ 0
Date of Construction	1984
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1984 [Member] | Droitwich, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 81
Initial costs, buildings	16,192
Land at cost	81
Buildings at cost	16,192
Total at cost	16,273
Accumulated Depreciation	2,461
Encumbrances	$ 0
Date of Construction	1984
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1984 [Member] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,477
Initial costs, buildings	60,527
Land at cost	3,477
Buildings at cost	4,390
Total at cost	7,867
Accumulated Depreciation	669
Encumbrances	$ 0
Date of Construction	1987
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1984 [Member] | Swindon, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 5,639
Initial costs, buildings	63,265
Land at cost	5,639
Buildings at cost	63,265
Total at cost	68,904
Accumulated Depreciation	9,546
Encumbrances	$ 33,219
Date of Construction	1984
Date Acquired	Jan. 09, 2020
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]
Type of property	Acute care general hospital
Initial costs, land	$ 4,347
Initial costs, buildings	23,494
Land at cost	4,347
Buildings at cost	23,494
Total at cost	27,841
Accumulated Depreciation	6,737
Encumbrances	$ 0
Date of Construction	1980
Date Acquired	Feb. 13, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1980 [Member] | Frome, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 3,065
Initial costs, buildings	18,571
Land at cost	3,065
Buildings at cost	18,571
Total at cost	21,636
Accumulated Depreciation	2,357
Encumbrances	$ 0
Date of Construction	1980
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1980 [Member] | Glasgow, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 1,512
Initial costs, buildings	16,531
Land at cost	1,512
Buildings at cost	16,531
Total at cost	18,043
Accumulated Depreciation	2,016
Encumbrances	$ 0
Date of Construction	1980
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1980 [Member] | Harrow, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 40,647
Initial costs, buildings	42,777
Land at cost	40,647
Buildings at cost	42,777
Total at cost	83,424
Accumulated Depreciation	6,505
Encumbrances	$ 0
Date of Construction	1980
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1980 [Member] | Hook, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 5,732
Initial costs, buildings	10,918
Land at cost	5,732
Buildings at cost	10,918
Total at cost	16,650
Accumulated Depreciation	1,447
Encumbrances	$ 0
Date of Construction	1980
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1980 [Member] | Nottingham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 10,596
Initial costs, buildings	9,483
Land at cost	10,596
Buildings at cost	9,483
Total at cost	20,079
Accumulated Depreciation	1,401
Encumbrances	$ 0
Date of Construction	2000
Date Acquired	Jun. 25, 2021
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]
Type of property	Acute care general hospital
Initial costs, land	$ 2,659
Initial costs, buildings	38,694
Land at cost	2,659
Buildings at cost	38,694
Total at cost	41,353
Accumulated Depreciation	17,125
Encumbrances	$ 0
Date of Construction	1980
Date Acquired	Apr. 22, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
1980 [Member] | Romford, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 5,667
Initial costs, buildings	9,278
Land at cost	5,667
Buildings at cost	9,278
Total at cost	14,945
Accumulated Depreciation	1,317
Encumbrances	$ 0
Date of Construction	1980
Date Acquired	Jun. 25, 2021
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]
Type of property	Acute care general hospital
Initial costs, land	$ 6,179
Initial costs, buildings	9,066
Additions subsequent to acquisition, Improvements	8,513
Land at cost	6,179
Buildings at cost	17,579
Total at cost	23,758
Accumulated Depreciation	4,430
Encumbrances	$ 0
Date of Construction	1980
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1980 [Member] | Usk, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 1,831
Initial costs, buildings	32,837
Land at cost	1,831
Buildings at cost	32,837
Total at cost	34,668
Accumulated Depreciation	3,207
Encumbrances	$ 0
Date of Construction	1980
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1980 [Member] | York, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 22,899
Initial costs, buildings	75,966
Land at cost	22,899
Buildings at cost	75,966
Total at cost	98,865
Accumulated Depreciation	9,030
Encumbrances	$ 0
Date of Construction	1980
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1985 [Member] | Aberdeen, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 4,501
Initial costs, buildings	106,607
Land at cost	4,501
Buildings at cost	106,607
Total at cost	111,108
Accumulated Depreciation	16,045
Encumbrances	$ 47,809
Date of Construction	1985
Date Acquired	Jan. 09, 2020
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]
Type of property	Acute care general hospital
Initial costs, land	$ 5,622
Initial costs, buildings	59,432
Additions subsequent to acquisition, Improvements	21,221
Land at cost	5,622
Buildings at cost	80,653
Total at cost	86,275
Accumulated Depreciation	21,530
Encumbrances	$ 0
Date of Construction	1985
Date Acquired	Aug. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1985 [Member] | Southampton, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 6,821
Initial costs, buildings	20,030
Land at cost	6,821
Buildings at cost	20,030
Total at cost	26,851
Accumulated Depreciation	2,792
Encumbrances	$ 0
Date of Construction	1985
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1997 [Member] | Algeciras, Spain [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 554
Initial costs, buildings	8,749
Land at cost	554
Buildings at cost	8,749
Total at cost	9,303
Accumulated Depreciation	882
Encumbrances	$ 0
Date of Construction	1997
Date Acquired	Apr. 29, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1997 [Member] | Floridablanca, Colombia [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 836
Initial costs, buildings	26,157
Land at cost	836
Buildings at cost	26,157
Total at cost	26,993
Accumulated Depreciation	2,256
Encumbrances	$ 0
Date of Construction	1997
Date Acquired	Jul. 29, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1982 [Member] | Bedford, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,630
Initial costs, buildings	7,942
Additions subsequent to acquisition, Improvements	42
Land at cost	1,630
Buildings at cost	7,984
Total at cost	9,614
Accumulated Depreciation	1,213
Encumbrances	$ 8,489
Date of Construction	1982
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1982 [Member] | Birmingham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 10,437
Initial costs, buildings	99,353
Land at cost	10,437
Buildings at cost	99,353
Total at cost	109,790
Accumulated Depreciation	15,057
Encumbrances	$ 0
Date of Construction	1982
Date Acquired	Jan. 09, 2020
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]
Type of property	Long term acute care hospital
Initial costs, land	$ 900
Initial costs, buildings	17,818
Additions subsequent to acquisition, Improvements	944
Land at cost	900
Buildings at cost	18,762
Total at cost	19,662
Accumulated Depreciation	8,126
Encumbrances	$ 0
Date of Construction	1982
Date Acquired	Apr. 01, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
1982 [Member] | Caterham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 11,169
Initial costs, buildings	22,065
Land at cost	11,169
Buildings at cost	22,065
Total at cost	33,234
Accumulated Depreciation	3,704
Encumbrances	$ 0
Date of Construction	1982
Date Acquired	Aug. 16, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1982 [Member] | Canterbury, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 9,722
Initial costs, buildings	29,202
Land at cost	9,722
Buildings at cost	29,202
Total at cost	38,924
Accumulated Depreciation	4,415
Encumbrances	$ 20,342
Date of Construction	1982
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1982 [Member] | Croydon, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 10,524
Initial costs, buildings	44,143
Land at cost	10,524
Buildings at cost	44,143
Total at cost	54,667
Accumulated Depreciation	6,708
Encumbrances	$ 27,085
Date of Construction	1982
Date Acquired	Jan. 09, 2020
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]
Type of property	Acute care general hospital
Initial costs, land	$ 5,385
Initial costs, buildings	47,466
Additions subsequent to acquisition, Improvements	10,492
Land at cost	5,385
Buildings at cost	57,958
Total at cost	63,343
Accumulated Depreciation	14,060
Encumbrances	$ 0
Date of Construction	1982
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
2023 [Member] | Cayce, SC [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,022
Initial costs, buildings	20,419
Land at cost	1,022
Buildings at cost	20,419
Total at cost	21,441
Accumulated Depreciation	1,276
Encumbrances	$ 0
Date of Construction	2023
Date Acquired	Oct. 21, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
2018 [Member] | Birmingham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, buildings	$ 18,375
Buildings at cost	18,375
Total at cost	18,375
Accumulated Depreciation	2,527
Encumbrances	$ 0
Date of Construction	2018
Date Acquired	Jun. 29, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
2018 [Member] | Conroe, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 3,855
Initial costs, buildings	38,892
Land at cost	3,855
Buildings at cost	38,892
Total at cost	42,747
Accumulated Depreciation	4,563
Encumbrances	$ 0
Date of Construction	2018
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2018 [Member] | Cheadle, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 31,557
Initial costs, buildings	100,349
Land at cost	31,557
Buildings at cost	100,349
Total at cost	131,906
Accumulated Depreciation	12,217
Encumbrances	$ 0
Date of Construction	2018
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2018 [Member] | Darlington, United Kingdom [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 22,488
Initial costs, buildings	51,083
Land at cost	22,488
Buildings at cost	51,083
Total at cost	73,571
Accumulated Depreciation	6,731
Encumbrances	$ 0
Date of Construction	2018
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2018 [Member] | El Paso, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 4,268
Initial costs, buildings	21,345
Land at cost	4,268
Buildings at cost	21,345
Total at cost	25,613
Accumulated Depreciation	3,099
Encumbrances	$ 0
Date of Construction	2018
Date Acquired	Dec. 17, 2020
Life on which depreciation in latest income statements is computed (Years)	38 years
2018 [Member] | Malaga, SP [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 796
Initial costs, buildings	12,469
Land at cost	796
Buildings at cost	12,469
Total at cost	13,265
Accumulated Depreciation	1,167
Encumbrances	$ 0
Date of Construction	2018
Date Acquired	Apr. 29, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
2018 [Member] | Olathe, KS [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,485
Initial costs, buildings	14,484
Land at cost	3,485
Buildings at cost	14,484
Total at cost	17,969
Accumulated Depreciation	2,071
Encumbrances	$ 0
Date of Construction	2018
Date Acquired	Jun. 10, 2019
Life on which depreciation in latest income statements is computed (Years)	50 years
2018 [Member] | Preston, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 9,251
Initial costs, buildings	33,685
Land at cost	9,251
Buildings at cost	33,685
Total at cost	42,936
Accumulated Depreciation	3,583
Encumbrances	$ 0
Date of Construction	2018
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2018 [Member] | Raleigh, NC [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 3,469
Initial costs, buildings	27,514
Land at cost	3,469
Buildings at cost	27,514
Total at cost	30,983
Accumulated Depreciation	3,402
Encumbrances	$ 0
Date of Construction	2018
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2018 [Member] | Roeland Park, KS [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,569
Initial costs, buildings	15,103
Land at cost	1,569
Buildings at cost	15,103
Total at cost	16,672
Accumulated Depreciation	2,116
Encumbrances	$ 0
Date of Construction	2018
Date Acquired	Jun. 10, 2019
Life on which depreciation in latest income statements is computed (Years)	50 years
2018 [Member] | Shawnee, KS [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,076
Initial costs, buildings	14,945
Land at cost	3,076
Buildings at cost	14,945
Total at cost	18,021
Accumulated Depreciation	2,440
Encumbrances	$ 0
Date of Construction	2018
Date Acquired	Jun. 10, 2019
Life on which depreciation in latest income statements is computed (Years)	50 years
2018 [Member] | Turku, Finland [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,285
Initial costs, buildings	61,920
Land at cost	1,285
Buildings at cost	61,920
Total at cost	63,205
Accumulated Depreciation	6,046
Encumbrances	$ 0
Date of Construction	2018
Date Acquired	Mar. 11, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
2018 [Member] | Vancouver, WA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 9,313
Initial costs, buildings	12,505
Land at cost	9,313
Buildings at cost	12,505
Total at cost	21,818
Accumulated Depreciation	1,222
Encumbrances	$ 0
Date of Construction	2018
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1900 [Member] | Birmingham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 436
Initial costs, buildings	20,284
Land at cost	436
Buildings at cost	20,284
Total at cost	20,720
Accumulated Depreciation	2,445
Encumbrances	$ 0
Date of Construction	1900
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1972 [Member] | Bellflower, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 10,155
Initial costs, buildings	21,296
Land at cost	10,155
Buildings at cost	21,296
Total at cost	31,451
Accumulated Depreciation	88
Encumbrances	$ 0
Date of Construction	1972
Date Acquired	Aug. 23, 2019
Life on which depreciation in latest income statements is computed (Years)	21 years
1972 [Member] | Los Angeles, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 12,562
Initial costs, buildings	40,164
Additions subsequent to acquisition, Improvements	394
Land at cost	12,562
Buildings at cost	40,558
Total at cost	53,120
Accumulated Depreciation	4,680
Encumbrances	$ 0
Date of Construction	1972
Date Acquired	Jul. 06, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1957 [Member] | Blackburn, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,816
Initial costs, buildings	53,982
Land at cost	2,816
Buildings at cost	53,982
Total at cost	56,798
Accumulated Depreciation	8,146
Encumbrances	$ 25,085
Date of Construction	1957
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
2006 [Member] | Dormagen Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 2,032
Initial costs, buildings	6,010
Land at cost	2,032
Buildings at cost	6,010
Total at cost	8,042
Accumulated Depreciation	1,172
Encumbrances	$ 0
Date of Construction	2006
Date Acquired	Aug. 28, 2018
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]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,302
Initial costs, buildings	9,121
Land at cost	1,302
Buildings at cost	9,121
Total at cost	10,423
Accumulated Depreciation	3,990
Encumbrances	$ 0
Date of Construction	2006
Date Acquired	Jul. 01, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
1930 [Member] | Blackburn, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 21,201
Initial costs, buildings	57,514
Land at cost	21,201
Buildings at cost	57,514
Total at cost	78,715
Accumulated Depreciation	7,094
Encumbrances	$ 0
Date of Construction	1930
Date Acquired	Jun. 25, 2021
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]
Type of property	Acute care general hospital
Initial costs, land	$ 1,597
Initial costs, buildings	33,105
Land at cost	1,597
Buildings at cost	33,105
Total at cost	34,702
Accumulated Depreciation	9,518
Encumbrances	$ 0
Date of Construction	2009
Date Acquired	Jul. 01, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2009 [Member] | Birmingham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 981
Initial costs, buildings	10,753
Land at cost	981
Buildings at cost	10,753
Total at cost	11,734
Accumulated Depreciation	760
Encumbrances
Date of Construction	2009
Date Acquired	Apr. 14, 2023
Life on which depreciation in latest income statements is computed (Years)	40 years
2009 [Member] | Folsom, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Long term acute care hospital
Initial costs, land	$ 3,291
Initial costs, buildings	21,293
Land at cost	3,291
Buildings at cost	21,293
Total at cost	24,584
Accumulated Depreciation	4,002
Encumbrances	$ 0
Date of Construction	2009
Date Acquired	Aug. 30, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1983 [Member] | Bassenheim, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,179
Initial costs, buildings	5,628
Land at cost	1,179
Buildings at cost	5,628
Total at cost	6,807
Accumulated Depreciation	1,079
Encumbrances	$ 0
Date of Construction	1983
Date Acquired	Feb. 09, 2019
Life on which depreciation in latest income statements is computed (Years)	39 years
1983 [Member] | Glasgow, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 6,818
Initial costs, buildings	139,259
Land at cost	6,818
Buildings at cost	139,259
Total at cost	146,077
Accumulated Depreciation	20,948
Encumbrances	$ 72,792
Date of Construction	1983
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1983 [Member] | Grefath, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,277
Initial costs, buildings	3,222
Land at cost	1,277
Buildings at cost	3,222
Total at cost	4,499
Accumulated Depreciation	642
Encumbrances	$ 0
Date of Construction	1983
Date Acquired	Aug. 28, 2018
Life on which depreciation in latest income statements is computed (Years)	40 years
1983 [Member] | Lander, WY [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 757
Initial costs, buildings	42,849
Land at cost	757
Buildings at cost	42,849
Total at cost	43,606
Accumulated Depreciation	6,869
Encumbrances	$ 0
Date of Construction	1983
Date Acquired	Dec. 17, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1983 [Member] | Nottingham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 5,242
Initial costs, buildings	48,637
Land at cost	5,242
Buildings at cost	48,637
Total at cost	53,879
Accumulated Depreciation	7,398
Encumbrances	$ 34,690
Date of Construction	1983
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1983 [Member] | Milton Keynes, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 5,552
Initial costs, buildings	37,956
Land at cost	5,552
Buildings at cost	37,956
Total at cost	43,508
Accumulated Depreciation	5,731
Encumbrances	$ 0
Date of Construction	1983
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1983 [Member] | Port Huron, MI
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,531
Initial costs, buildings	14,252
Land at cost	2,531
Buildings at cost	14,252
Total at cost	16,783
Accumulated Depreciation	4,869
Encumbrances	$ 0
Date of Construction	1983
Date Acquired	Dec. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	30 years
1983 [Member] | Remscheid, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,116
Initial costs, buildings	2,689
Land at cost	1,116
Buildings at cost	2,689
Total at cost	3,805
Accumulated Depreciation	523
Encumbrances	$ 0
Date of Construction	1983
Date Acquired	Aug. 28, 2018
Life on which depreciation in latest income statements is computed (Years)	40 years
1983 [Member] | Riverton, WY [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,163
Initial costs, buildings	29,647
Land at cost	1,163
Buildings at cost	29,647
Total at cost	30,810
Accumulated Depreciation	5,513
Encumbrances	$ 0
Date of Construction	1983
Date Acquired	Dec. 17, 2019
Life on which depreciation in latest income statements is computed (Years)	36 years
2016 [Member] | Bad Salzuflen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 7,595
Initial costs, buildings	24,873
Land at cost	7,595
Buildings at cost	24,873
Total at cost	32,468
Accumulated Depreciation	5,221
Encumbrances	$ 0
Date Acquired	Nov. 30, 2017
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]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,198
Initial costs, buildings	2,928
Land at cost	1,198
Buildings at cost	2,928
Total at cost	4,126
Accumulated Depreciation	662
Encumbrances	$ 0
Date of Construction	2010
Date Acquired	Nov. 30, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2010 [Member] | Newburgh, IN [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 1,215
Initial costs, buildings	7,212
Land at cost	1,215
Buildings at cost	7,212
Total at cost	8,427
Accumulated Depreciation	908
Encumbrances	$ 0
Date of Construction	2010
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2010 [Member] | Sherman, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,363
Initial costs, buildings	10,931
Land at cost	3,363
Buildings at cost	10,931
Total at cost	14,294
Accumulated Depreciation	4,962
Encumbrances	$ 0
Date of Construction	2010
Date Acquired	Oct. 31, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2022 [Member] | Bakersfield, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 2,178
Initial costs, buildings	45,253
Land at cost	2,178
Buildings at cost	45,253
Total at cost	47,431
Accumulated Depreciation	4,337
Encumbrances	$ 0
Date of Construction	2022
Date Acquired	May 15, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1922 [Member] | Lewiston, ID [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 5,389
Initial costs, buildings	75,435
Land at cost	5,389
Buildings at cost	75,435
Total at cost	80,824
Accumulated Depreciation	22,108
Encumbrances	$ 0
Date of Construction	1922
Date Acquired	May 01, 2017
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]
Type of property	Rehabilitation hospital
Initial costs, land	$ 2,417
Initial costs, buildings	15,857
Additions subsequent to acquisition, Improvements	1,737
Land at cost	2,417
Buildings at cost	17,594
Total at cost	20,011
Accumulated Depreciation	4,367
Encumbrances	$ 0
Date of Construction	1922
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	46 years
2013 [Member] | Hausman, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,500
Initial costs, buildings	8,957
Land at cost	1,500
Buildings at cost	8,957
Total at cost	10,457
Accumulated Depreciation	2,856
Encumbrances	$ 0
Date of Construction	2013
Date Acquired	Mar. 01, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
2013 [Member] | Helsinki, Finland [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 4,347
Initial costs, buildings	71,714
Additions subsequent to acquisition, Improvements	1,164
Land at cost	4,347
Buildings at cost	72,878
Total at cost	77,225
Accumulated Depreciation	6,896
Encumbrances	$ 0
Date of Construction	2013
Date Acquired	Mar. 11, 2022
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]
Type of property	Rehabilitation hospital
Initial costs, land	$ 800
Initial costs, buildings	14,968
Additions subsequent to acquisition, Improvements	(25)
Land at cost	800
Buildings at cost	14,943
Total at cost	15,743
Accumulated Depreciation	4,816
Encumbrances	$ 0
Date of Construction	2013
Date Acquired	Feb. 01, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
2013 [Member] | Post Falls Idaho
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 417
Initial costs, buildings	12,175
Additions subsequent to acquisition, Improvements	1,905
Land at cost	767
Buildings at cost	13,730
Total at cost	14,497
Accumulated Depreciation	4,128
Encumbrances	$ 0
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]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,135
Initial costs, buildings	15,717
Land at cost	1,135
Buildings at cost	15,717
Total at cost	16,852
Accumulated Depreciation	4,866
Encumbrances	$ 0
Date of Construction	2013
Date Acquired	Aug. 01, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
2013 [Member] | West Chester, OH [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 3,670
Initial costs, buildings	61,338
Land at cost	3,670
Buildings at cost	61,338
Total at cost	65,008
Accumulated Depreciation	7,058
Encumbrances	$ 0
Date of Construction	2013
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2013 [Member] | West Midlands, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 2,035
Initial costs, buildings	7,581
Land at cost	2,035
Buildings at cost	7,581
Total at cost	9,616
Accumulated Depreciation	579
Encumbrances	$ 0
Date of Construction	2013
Date Acquired	Apr. 14, 2023
Life on which depreciation in latest income statements is computed (Years)	40 years
2007 [Member] | Godalming, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 9,903
Initial costs, buildings	20,090
Land at cost	9,903
Buildings at cost	20,090
Total at cost	29,993
Accumulated Depreciation	2,621
Encumbrances	$ 0
Date of Construction	2007
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2007 [Member] | Hinckley, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 2,610
Initial costs, buildings	17,786
Land at cost	2,610
Buildings at cost	17,786
Total at cost	20,396
Accumulated Depreciation	2,167
Encumbrances	$ 0
Date of Construction	2007
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2007 [Member] | Northland, MO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Long term acute care hospital
Initial costs, land	$ 834
Initial costs, buildings	17,182
Land at cost	834
Buildings at cost	17,182
Total at cost	18,016
Accumulated Depreciation	6,408
Encumbrances	$ 0
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]
Type of property	Acute care general hospital
Initial costs, land	$ 6,140
Initial costs, buildings	99,275
Additions subsequent to acquisition, Improvements	4,152
Land at cost	6,140
Buildings at cost	103,427
Total at cost	109,567
Accumulated Depreciation	32,867
Encumbrances	$ 0
Date of Construction	2007
Date Acquired	Sep. 26, 2013
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]
Type of property	Freestanding ER
Initial costs, land	$ 0
Initial costs, buildings	1,034
Additions subsequent to acquisition, Improvements	296
Land at cost	0
Buildings at cost	1,330
Total at cost	1,330
Accumulated Depreciation	388
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	May 01, 2015
Life on which depreciation in latest income statements is computed (Years)	34 years
1978 [Member] | Kansas City, MO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 10,497
Initial costs, buildings	64,419
Land at cost	10,497
Buildings at cost	64,419
Total at cost	74,916
Accumulated Depreciation	17,920
Encumbrances	$ 0
Date of Construction	1978
Date Acquired	Feb. 13, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1978 [Member] | Norwalk, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 7,946
Initial costs, buildings	30,465
Additions subsequent to acquisition, Improvements	7,104
Land at cost	7,946
Buildings at cost	37,569
Total at cost	45,515
Accumulated Depreciation	4,158
Encumbrances	$ 0
Date of Construction	1978
Date Acquired	Jul. 06, 2021
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]
Type of property	Acute care general hospital
Initial costs, land	$ 7,061
Initial costs, buildings	10,851
Additions subsequent to acquisition, Improvements	7,982
Land at cost	7,061
Buildings at cost	18,833
Total at cost	25,894
Accumulated Depreciation	6,730
Encumbrances	$ 0
Date of Construction	1978
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1977 [Member] | Braunfels, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,314
Initial costs, buildings	14,415
Additions subsequent to acquisition, Improvements	8
Land at cost	2,314
Buildings at cost	14,423
Total at cost	16,737
Accumulated Depreciation	3,825
Encumbrances	$ 0
Date of Construction	1977
Date Acquired	Jun. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1977 [Member] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 13,179
Initial costs, buildings	86,016
Land at cost	13,179
Buildings at cost	86,016
Total at cost	99,195
Accumulated Depreciation	12,913
Encumbrances	$ 44,446
Date of Construction	1977
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1965 [Member] | Rochdale, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,786
Initial costs, buildings	43,135
Land at cost	3,786
Buildings at cost	43,135
Total at cost	46,921
Accumulated Depreciation	6,530
Encumbrances	$ 23,581
Date of Construction	1965
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1714 [Member] | Bromley, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 7,646
Initial costs, buildings	16,428
Land at cost	7,646
Buildings at cost	16,428
Total at cost	24,074
Accumulated Depreciation	2,053
Encumbrances	$ 0
Date of Construction	1714
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2012 [Member] | Carrollton, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 4,941
Initial costs, buildings	52,227
Land at cost	4,941
Buildings at cost	52,227
Total at cost	57,168
Accumulated Depreciation	5,940
Encumbrances	$ 0
Date of Construction	2012
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2012 [Member] | Casper, WY [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,581
Land at cost	1,581
Total at cost	1,581
Encumbrances	$ 0
Date of Construction	2012
Date Acquired	Feb. 29, 2012
2012 [Member] | Dewsburry, UK
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	ehavioral health facility
Initial costs, land	$ 1,185
Initial costs, buildings	10,795
Land at cost	1,185
Buildings at cost	10,795
Total at cost	11,980
Accumulated Depreciation	802
Encumbrances	$ 0
Date of Construction	2012
Date Acquired	Apr. 14, 2023
Life on which depreciation in latest income statements is computed (Years)	40 years
2012 [Member] | Dublin, OH [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 5,118
Initial costs, buildings	69,346
Land at cost	5,118
Buildings at cost	69,346
Total at cost	74,464
Accumulated Depreciation	7,804
Encumbrances	$ 0
Date of Construction	2012
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2012 [Member] | Florence, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 900
Initial costs, buildings	28,462
Additions subsequent to acquisition, Improvements	105
Land at cost	900
Buildings at cost	28,567
Total at cost	29,467
Accumulated Depreciation	9,817
Encumbrances	$ 0
Date of Construction	2012
Date Acquired	Feb. 07, 2012
Life on which depreciation in latest income statements is computed (Years)	40 years
2012 [Member] | Lafayette, IN [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 2,829
Initial costs, buildings	10,795
Land at cost	2,829
Buildings at cost	10,795
Total at cost	13,624
Accumulated Depreciation	1,504
Encumbrances	$ 0
Date of Construction	2012
Date Acquired	Oct. 19, 2021
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]
Type of property	Acute care general hospital
Initial costs, land	$ 2,452
Initial costs, buildings	9,666
Additions subsequent to acquisition, Improvements	7
Land at cost	2,452
Buildings at cost	9,673
Total at cost	12,125
Accumulated Depreciation	3,112
Encumbrances	$ 0
Date of Construction	2012
Date Acquired	Feb. 01, 2013
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]
Type of property	Acute care general hospital
Initial costs, land	$ 2,248
Initial costs, buildings	5,880
Land at cost	2,248
Buildings at cost	5,880
Total at cost	8,128
Accumulated Depreciation	1,936
Encumbrances	$ 0
Date of Construction	2012
Date Acquired	Oct. 02, 2012
Life on which depreciation in latest income statements is computed (Years)	40 years
2012 [Member] | Reading, United Kingdom [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 27,515
Initial costs, buildings	88,165
Land at cost	27,515
Buildings at cost	88,165
Total at cost	115,680
Accumulated Depreciation	11,241
Encumbrances	$ 23,813
Date of Construction	2012
Date Acquired	Dec. 18, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
2003 [Member] | Bury, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 9,007
Initial costs, buildings	20,524
Land at cost	9,007
Buildings at cost	20,524
Total at cost	29,531
Accumulated Depreciation	2,664
Encumbrances	$ 0
Date of Construction	2003
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2003 [Member] | Newark, NJ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 32,957
Initial costs, buildings	24,553
Land at cost	32,957
Buildings at cost	24,553
Total at cost	57,510
Accumulated Depreciation	3,294
Encumbrances	$ 0
Date of Construction	2003
Date Acquired	May 02, 2016
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]
Type of property	Acute care general hospital
Initial costs, land	$ 3,555
Initial costs, buildings	3,565
Additions subsequent to acquisition, Improvements	488
Land at cost	3,555
Buildings at cost	4,053
Total at cost	7,608
Accumulated Depreciation	2,823
Encumbrances	$ 0
Date of Construction	2003
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1954 [Member] | Norwalk, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 6,982
Initial costs, buildings	14,308
Land at cost	6,982
Buildings at cost	14,308
Total at cost	21,290
Accumulated Depreciation	$ 36
Date of Construction	1954
Date Acquired	Aug. 23, 2019
Life on which depreciation in latest income statements is computed (Years)	37 years
1990 [Member] | Carmarthen, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 963
Initial costs, buildings	27,071
Land at cost	963
Buildings at cost	27,071
Total at cost	28,034
Accumulated Depreciation	4,101
Encumbrances	$ 16,025
Date of Construction	1990
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1990 [Member] | Darlington, United Kingdom [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 5,534
Initial costs, buildings	27,888
Land at cost	5,534
Buildings at cost	27,888
Total at cost	33,422
Accumulated Depreciation	3,305
Encumbrances	$ 0
Date of Construction	1990
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1990 [Member] | Gloucester, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 5,906
Initial costs, buildings	64,960
Land at cost	5,906
Buildings at cost	64,960
Total at cost	70,866
Accumulated Depreciation	10,894
Encumbrances	$ 0
Date of Construction	1990
Date Acquired	Aug. 16, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1990 [Member] | Hemel Hempstead, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 13,220
Initial costs, buildings	6,672
Land at cost	13,220
Buildings at cost	6,672
Total at cost	19,892
Accumulated Depreciation	1,048
Encumbrances	$ 0
Date of Construction	1990
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1990 [Member] | Leeds, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 2,413
Initial costs, buildings	10,078
Land at cost	2,413
Buildings at cost	10,078
Total at cost	12,491
Accumulated Depreciation	1,267
Encumbrances	$ 0
Date of Construction	1990
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1990 [Member] | Melton Mowbray, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 6,035
Initial costs, buildings	16,916
Land at cost	6,035
Buildings at cost	16,916
Total at cost	22,951
Accumulated Depreciation	2,177
Encumbrances	$ 0
Date of Construction	1990
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1990 [Member] | Reading, United Kingdom [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 36,829
Initial costs, buildings	48,872
Land at cost	36,829
Buildings at cost	48,872
Total at cost	85,701
Accumulated Depreciation	8,085
Encumbrances	$ 0
Date of Construction	1990
Date Acquired	Aug. 16, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1953 [Member] | Port Huron, MI
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,531
Initial costs, buildings	14,252
Land at cost	2,531
Buildings at cost	14,252
Total at cost	16,783
Accumulated Depreciation	4,869
Encumbrances	$ 0
Date of Construction	1953
Date Acquired	Dec. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	30 years
1849 [Member] | Cheadle, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 31,557
Initial costs, buildings	100,349
Land at cost	31,557
Buildings at cost	100,349
Total at cost	131,906
Accumulated Depreciation	12,217
Encumbrances	$ 0
Date of Construction	1849
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2019 [Member] | Clarksville, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 2,460
Initial costs, buildings	25,540
Land at cost	2,460
Buildings at cost	25,540
Total at cost	28,000
Accumulated Depreciation	3,550
Encumbrances	$ 0
Date of Construction	2019
Date Acquired	Dec. 17, 2020
Life on which depreciation in latest income statements is computed (Years)	39 years
2019 [Member] | Mesa, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,604
Initial costs, buildings	16,400
Land at cost	2,604
Buildings at cost	16,400
Total at cost	19,004
Accumulated Depreciation	1,556
Encumbrances	$ 0
Date of Construction	2019
Date Acquired	Apr. 18, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
2019 [Member] | Overland Park, KS [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,191
Initial costs, buildings	14,263
Land at cost	3,191
Buildings at cost	14,263
Total at cost	17,454
Accumulated Depreciation	2,152
Encumbrances	$ 0
Date of Construction	2019
Date Acquired	Jun. 10, 2019
Life on which depreciation in latest income statements is computed (Years)	50 years
2011 [Member] | Cologne Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 4,710
Initial costs, buildings	15,923
Land at cost	4,710
Buildings at cost	15,923
Total at cost	20,633
Accumulated Depreciation	3,444
Encumbrances	$ 0
Date of Construction	2011
Date Acquired	Jun. 23, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2011 [Member] | New Braunfels, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,853
Initial costs, buildings	10,622
Land at cost	1,853
Buildings at cost	10,622
Total at cost	12,475
Accumulated Depreciation	1,402
Encumbrances	$ 0
Date of Construction	2011
Date Acquired	Feb. 29, 2012
Life on which depreciation in latest income statements is computed (Years)	40 years
1959 [Member] | Coral Gables, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 26,215
Initial costs, buildings	84,584
Additions subsequent to acquisition, Improvements	2,624
Land at cost	26,215
Buildings at cost	87,208
Total at cost	113,423
Accumulated Depreciation	9,771
Encumbrances	$ 0
Date of Construction	1959
Date Acquired	Aug. 01, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1959 [Member] | Norwalk, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,811
Initial costs, buildings	5,940
Land at cost	2,811
Buildings at cost	5,940
Total at cost	8,751
Accumulated Depreciation	835
Encumbrances	$ 0
Date of Construction	1959
Date Acquired	Jul. 06, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1994 [Member] | Dahlen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,428
Initial costs, buildings	12,065
Land at cost	1,428
Buildings at cost	12,065
Total at cost	13,493
Accumulated Depreciation	1,796
Encumbrances	$ 0
Date of Construction	1994
Date Acquired	Jul. 08, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1994 [Member] | Worthing, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 7,108
Initial costs, buildings	31,908
Land at cost	7,108
Buildings at cost	31,908
Total at cost	39,016
Accumulated Depreciation	4,827
Encumbrances	$ 18,509
Date of Construction	1994
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
2001 [Member] | Darlington, United Kingdom [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,210
Initial costs, buildings	37,911
Land at cost	2,210
Buildings at cost	37,911
Total at cost	40,121
Accumulated Depreciation	5,265
Encumbrances	$ 36,188
Date of Construction	2001
Date Acquired	Aug. 07, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
2001 [Member] | Norwood, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 6,860
Land at cost	6,860
Total at cost	$ 6,860
Date Acquired	Jun. 27, 2018
Life on which depreciation in latest income statements is computed (Years)	46 years
1935 [Member] | Darlington, United Kingdom [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 22,488
Initial costs, buildings	51,083
Land at cost	22,488
Buildings at cost	51,083
Total at cost	73,571
Accumulated Depreciation	6,731
Encumbrances	$ 0
Date of Construction	1935
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1960 [Member] | Darlington, United Kingdom [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 5,534
Initial costs, buildings	27,888
Land at cost	5,534
Buildings at cost	27,888
Total at cost	33,422
Accumulated Depreciation	3,305
Encumbrances	$ 0
Date of Construction	1960
Date Acquired	Jun. 25, 2021
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]
Type of property	Acute care general hospital
Initial costs, land	$ 3,274
Initial costs, buildings	27,324
Additions subsequent to acquisition, Improvements	32,499
Land at cost	3,274
Buildings at cost	59,823
Total at cost	63,097
Accumulated Depreciation	24,422
Encumbrances	$ 0
Date of Construction	1960
Date Acquired	Aug. 10, 2007
Life on which depreciation in latest income statements is computed (Years)	40 years
1960 [Member] | Huntington Park, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,935
Initial costs, buildings	6,103
Land at cost	3,935
Buildings at cost	6,103
Total at cost	10,038
Accumulated Depreciation	829
Encumbrances	$ 0
Date of Construction	1960
Date Acquired	Jul. 06, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1960 [Member] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 6,521
Initial costs, buildings	16,570
Land at cost	6,521
Buildings at cost	16,570
Total at cost	23,091
Accumulated Depreciation	2,051
Encumbrances	$ 0
Date of Construction	1960
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1960 [Member] | Meyersdale, PA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 390
Initial costs, buildings	4,280
Land at cost	390
Buildings at cost	4,280
Total at cost	4,670
Accumulated Depreciation	1,096
Encumbrances	$ 0
Date of Construction	1960
Date Acquired	Dec. 17, 2019
Life on which depreciation in latest income statements is computed (Years)	30 years
1960 [Member] | Sherman, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,363
Initial costs, buildings	10,931
Land at cost	3,363
Buildings at cost	10,931
Total at cost	14,294
Accumulated Depreciation	4,962
Encumbrances	$ 0
Date of Construction	1960
Date Acquired	Oct. 31, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
1960 [Member] | Valencia, Spain [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 27,603
Initial costs, buildings	25,848
Land at cost	27,603
Buildings at cost	25,848
Total at cost	53,451
Accumulated Depreciation	1,240
Encumbrances	$ 0
Date of Construction	1960
Date Acquired	May 06, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1840 [Member] | Diss, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 3,080
Initial costs, buildings	10,984
Land at cost	3,080
Buildings at cost	10,984
Total at cost	14,064
Accumulated Depreciation	1,516
Encumbrances	$ 0
Date of Construction	1840
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1993 [Member] | Dormagen Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 2,032
Initial costs, buildings	6,010
Land at cost	2,032
Buildings at cost	6,010
Total at cost	8,042
Accumulated Depreciation	1,172
Encumbrances	$ 0
Date of Construction	1993
Date Acquired	Aug. 28, 2018
Life on which depreciation in latest income statements is computed (Years)	40 years
1993 [Member] | San Bernardino, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,209
Initial costs, buildings	37,498
Land at cost	2,209
Buildings at cost	37,498
Total at cost	39,707
Accumulated Depreciation	6,488
Encumbrances	$ 0
Date of Construction	1993
Date Acquired	Aug. 30, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1830 [Member] | Bromley, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 7,646
Initial costs, buildings	16,428
Land at cost	7,646
Buildings at cost	16,428
Total at cost	24,074
Accumulated Depreciation	2,053
Encumbrances	$ 0
Date of Construction	1830
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1969 [Member] | Culver City, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 37,885
Initial costs, buildings	178,101
Land at cost	37,885
Buildings at cost	178,101
Total at cost	215,986
Accumulated Depreciation	517
Encumbrances	$ 0
Date of Construction	1969
Date Acquired	Aug. 23, 2019
Life on which depreciation in latest income statements is computed (Years)	29 years
1969 [Member] | Hialeah, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 75,339
Initial costs, buildings	222,271
Additions subsequent to acquisition, Improvements	2,564
Land at cost	75,339
Buildings at cost	224,835
Total at cost	300,174
Accumulated Depreciation	28,114
Encumbrances	$ 0
Date of Construction	1969
Date Acquired	Aug. 01, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1969 [Member] | Huntington Park, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,935
Initial costs, buildings	6,103
Land at cost	3,935
Buildings at cost	6,103
Total at cost	10,038
Accumulated Depreciation	829
Encumbrances	$ 0
Date of Construction	1969
Date Acquired	Jul. 06, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2021 [Member] | Bromley, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 7,646
Initial costs, buildings	16,428
Land at cost	7,646
Buildings at cost	16,428
Total at cost	24,074
Accumulated Depreciation	2,053
Encumbrances	$ 0
Date of Construction	2021
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2021 [Member] | McKinney, Texas [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Date Acquired	Oct. 19, 2021
2021 [Member] | Preston, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 9,251
Initial costs, buildings	33,685
Land at cost	9,251
Buildings at cost	33,685
Total at cost	42,936
Accumulated Depreciation	3,583
Encumbrances	$ 0
Date of Construction	2021
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2021 [Member] | Stockton, California [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 2,717
Initial costs, buildings	50,681
Land at cost	2,717
Buildings at cost	50,681
Total at cost	53,398
Accumulated Depreciation	3,379
Encumbrances	$ 0
Date of Construction	2021
Date Acquired	Nov. 23, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
2020 [Member] | Darlington, United Kingdom [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 22,488
Initial costs, buildings	51,083
Land at cost	22,488
Buildings at cost	51,083
Total at cost	73,571
Accumulated Depreciation	6,731
Encumbrances	$ 0
Date of Construction	2020
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2020 [Member] | Gilbert, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 4,790
Initial costs, buildings	45,933
Additions subsequent to acquisition, Improvements	9,647
Land at cost	4,790
Buildings at cost	55,580
Total at cost	60,370
Accumulated Depreciation	5,272
Encumbrances	$ 0
Date of Construction	2020
Date Acquired	Oct. 19, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2020 [Member] | Houston, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 6,063
Initial costs, buildings	19,881
Additions subsequent to acquisition, Improvements	2,565
Land at cost	6,063
Buildings at cost	22,446
Total at cost	28,509
Accumulated Depreciation	2,806
Encumbrances	$ 0
Date of Construction	2020
Date Acquired	Oct. 25, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
2020 [Member] | Idaho Falls, ID [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,880
Initial costs, buildings	108,498
Additions subsequent to acquisition, Improvements	15,146
Land at cost	1,880
Buildings at cost	123,644
Total at cost	125,524
Accumulated Depreciation	16,083
Encumbrances	$ 0
Date of Construction	2020
Date Acquired	Dec. 19, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2020 [Member] | Tadley, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 22,140
Initial costs, buildings	20,174
Land at cost	22,140
Buildings at cost	20,174
Total at cost	42,314
Accumulated Depreciation	2,982
Encumbrances	$ 0
Date of Construction	2020
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2020 [Member] | Woking, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 7,663
Initial costs, buildings	4,954
Land at cost	7,663
Buildings at cost	4,954
Total at cost	12,617
Accumulated Depreciation	683
Encumbrances	$ 0
Date of Construction	2020
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1986 [Member] | Halsall, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,132
Initial costs, buildings	32,980
Land at cost	2,132
Buildings at cost	32,980
Total at cost	35,112
Accumulated Depreciation	5,546
Encumbrances	$ 0
Date of Construction	1986
Date Acquired	Aug. 16, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1986 [Member] | Rowley, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,078
Initial costs, buildings	19,371
Land at cost	3,078
Buildings at cost	19,371
Total at cost	22,449
Accumulated Depreciation	3,359
Encumbrances	$ 0
Date of Construction	1986
Date Acquired	Aug. 16, 2019
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]
Type of property	Acute care general hospital
Initial costs, land	$ 2,050
Initial costs, buildings	43,970
Land at cost	2,050
Buildings at cost	43,970
Total at cost	46,020
Accumulated Depreciation	13,211
Encumbrances	$ 0
Date of Construction	1999
Date Acquired	Aug. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	34 years
1924 [Member] | Hastings, PA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 603
Initial costs, buildings	8,834
Land at cost	603
Buildings at cost	8,834
Total at cost	9,437
Accumulated Depreciation	2,179
Encumbrances	$ 0
Date of Construction	1924
Date Acquired	Dec. 17, 2019
Life on which depreciation in latest income statements is computed (Years)	30 years
1924 [Member] | Johnstown, PA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 8,877
Initial costs, buildings	247,158
Land at cost	8,877
Buildings at cost	247,158
Total at cost	256,035
Accumulated Depreciation	50,152
Encumbrances	$ 0
Date of Construction	1924
Date Acquired	Dec. 17, 2019
Life on which depreciation in latest income statements is computed (Years)	30 years
1924 [Member] | Roaring Springs, PA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,446
Initial costs, buildings	9,549
Land at cost	1,446
Buildings at cost	9,549
Total at cost	10,995
Accumulated Depreciation	2,432
Encumbrances	$ 0
Date of Construction	1924
Date Acquired	Dec. 17, 2019
Life on which depreciation in latest income statements is computed (Years)	30 years
1950 [Member] | Hialeah, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 18,802
Initial costs, buildings	105,316
Additions subsequent to acquisition, Improvements	4,784
Land at cost	18,802
Buildings at cost	110,100
Total at cost	128,902
Accumulated Depreciation	12,422
Encumbrances	$ 0
Date of Construction	1950
Date Acquired	Aug. 01, 2021
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]
Type of property	Acute care general hospital
Initial costs, land	$ 29,706
Initial costs, buildings	101,846
Additions subsequent to acquisition, Improvements	90,935
Land at cost	29,706
Buildings at cost	192,781
Total at cost	222,487
Accumulated Depreciation	24,195
Encumbrances	$ 0
Date of Construction	1950
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1950 [Member] | Ottumwa, IA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,377
Initial costs, buildings	48,697
Land at cost	2,377
Buildings at cost	48,697
Total at cost	51,074
Accumulated Depreciation	10,869
Encumbrances	$ 0
Date of Construction	1950
Date Acquired	Dec. 17, 2019
Life on which depreciation in latest income statements is computed (Years)	30 years
1950 [Member] | Sharon, PA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 6,179
Initial costs, buildings	9,066
Additions subsequent to acquisition, Improvements	8,513
Land at cost	6,179
Buildings at cost	17,579
Total at cost	23,758
Accumulated Depreciation	4,430
Encumbrances	$ 0
Date of Construction	1950
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1950 [Member] | Surrey, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 15,926
Initial costs, buildings	9,663
Land at cost	15,926
Buildings at cost	9,663
Total at cost	25,589
Accumulated Depreciation	1,007
Encumbrances	$ 0
Date of Construction	1950
Date Acquired	Dec. 09, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1991 [Member] | Fresno, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 5,507
Initial costs, buildings	70,473
Land at cost	5,507
Buildings at cost	70,473
Total at cost	75,980
Accumulated Depreciation	12,025
Encumbrances	$ 0
Date of Construction	1991
Date Acquired	Aug. 30, 2019
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]
Type of property	Rehabilitation hospital
Initial costs, land	$ 6,636
Initial costs, buildings	37,907
Land at cost	6,636
Buildings at cost	37,907
Total at cost	44,543
Accumulated Depreciation	9,051
Encumbrances	$ 0
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]
Type of property	Long term acute care hospital
Initial costs, land	$ 1,856
Initial costs, buildings	25,586
Land at cost	1,856
Buildings at cost	25,586
Total at cost	27,442
Accumulated Depreciation	77
Encumbrances	$ 0
Date of Construction	1991
Date Acquired	Nov. 17, 2025
Life on which depreciation in latest income statements is computed (Years)	30 years
1700 [Member] | Frome, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 11,531
Initial costs, buildings	11,337
Land at cost	11,531
Buildings at cost	11,337
Total at cost	22,868
Accumulated Depreciation	1,895
Encumbrances	$ 0
Date of Construction	1700
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1966 [Member] | Gardena, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 14,010
Initial costs, buildings	65,282
Additions subsequent to acquisition, Improvements	211
Land at cost	14,010
Buildings at cost	65,493
Total at cost	79,503
Accumulated Depreciation	7,938
Encumbrances	$ 0
Date of Construction	1966
Date Acquired	Jul. 06, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1900 [Member] | Glasgow, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 1,512
Initial costs, buildings	16,531
Land at cost	1,512
Buildings at cost	16,531
Total at cost	18,043
Accumulated Depreciation	2,016
Encumbrances	$ 0
Date of Construction	1900
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1900 [Member] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 6,521
Initial costs, buildings	16,570
Land at cost	6,521
Buildings at cost	16,570
Total at cost	23,091
Accumulated Depreciation	2,051
Encumbrances	$ 0
Date of Construction	1900
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1900 [Member] | York, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 22,899
Initial costs, buildings	75,966
Land at cost	22,899
Buildings at cost	75,966
Total at cost	98,865
Accumulated Depreciation	9,030
Encumbrances	$ 0
Date of Construction	1900
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1796 [Member] | Godalming, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 9,903
Initial costs, buildings	20,090
Land at cost	9,903
Buildings at cost	20,090
Total at cost	29,993
Accumulated Depreciation	2,621
Encumbrances	$ 0
Date of Construction	1796
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1886 [Member] | Grefath, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,277
Initial costs, buildings	3,222
Land at cost	1,277
Buildings at cost	3,222
Total at cost	4,499
Accumulated Depreciation	642
Encumbrances	$ 0
Date of Construction	1886
Date Acquired	Aug. 28, 2018
Life on which depreciation in latest income statements is computed (Years)	40 years
1998 [Member] | Kuhlungsborn Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 7,138
Initial costs, buildings	18,355
Land at cost	7,138
Buildings at cost	18,355
Total at cost	25,493
Accumulated Depreciation	$ 1,354
Date of Construction	1998
Date Acquired	Jun. 01, 2023
Life on which depreciation in latest income statements is computed (Years)	40 years
1998 [Member] | Hassocks, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 5,805
Initial costs, buildings	30,350
Land at cost	5,805
Buildings at cost	30,350
Total at cost	36,155
Accumulated Depreciation	4,198
Encumbrances	$ 0
Date of Construction	1998
Date Acquired	Jun. 25, 2021
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]
Type of property	Rehabilitation hospital
Initial costs, land	$ 6,636
Initial costs, buildings	37,907
Land at cost	6,636
Buildings at cost	37,907
Total at cost	44,543
Accumulated Depreciation	9,051
Encumbrances	$ 0
Date of Construction	1885
Date Acquired	Jun. 22, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
1901 [Member] | Hemel Hempstead, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 13,220
Initial costs, buildings	6,672
Land at cost	13,220
Buildings at cost	6,672
Total at cost	19,892
Accumulated Depreciation	1,048
Encumbrances	$ 0
Date of Construction	1901
Date Acquired	Jun. 25, 2021
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]
Type of property	Acute care general hospital
Initial costs, land	$ 11,432
Initial costs, buildings	76,746
Additions subsequent to acquisition, Improvements	6,877
Land at cost	11,432
Buildings at cost	83,623
Total at cost	95,055
Accumulated Depreciation	25,305
Encumbrances	$ 0
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]
Type of property	Long term acute care hospital
Initial costs, land	$ 1,299
Initial costs, buildings	16,185
Land at cost	1,299
Buildings at cost	16,185
Total at cost	17,484
Accumulated Depreciation	8,684
Encumbrances	$ 0
Date of Construction	2005
Date Acquired	Dec. 21, 2010
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]
Type of property	Acute care general hospital
Initial costs, land	$ 1,822
Initial costs, buildings	37,467
Additions subsequent to acquisition, Improvements	72,789
Land at cost	1,822
Buildings at cost	110,256
Total at cost	112,078
Accumulated Depreciation	23,598
Encumbrances	$ 0
Date of Construction	2002
Date Acquired	Apr. 01, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
2002 [Member] | San Antonio, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 7,061
Initial costs, buildings	10,851
Additions subsequent to acquisition, Improvements	7,982
Land at cost	7,061
Buildings at cost	18,833
Total at cost	25,894
Accumulated Depreciation	6,730
Encumbrances	$ 0
Date of Construction	2002
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1892 [Member] | Hinckley, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 2,610
Initial costs, buildings	17,786
Land at cost	2,610
Buildings at cost	17,786
Total at cost	20,396
Accumulated Depreciation	$ 2,167
Date of Construction	1892
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
2000 [Member] | Cadiz Spain [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 319
Initial costs, buildings	7,234
Land at cost	319
Buildings at cost	7,234
Total at cost	7,553
Accumulated Depreciation	711
Encumbrances	$ 0
Date of Construction	2000
Date Acquired	Apr. 29, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
2000 [Member] | Montclair, NJ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 7,900
Initial costs, buildings	99,640
Additions subsequent to acquisition, Improvements	577
Land at cost	8,477
Buildings at cost	99,640
Total at cost	108,117
Accumulated Depreciation	29,917
Encumbrances	$ 0
Date of Construction	2000
Date Acquired	Apr. 01, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2000 [Member] | Nottingham, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 10,754
Initial costs, buildings	3,436
Land at cost	10,754
Buildings at cost	3,436
Total at cost	14,190
Accumulated Depreciation	432
Encumbrances	$ 0
Date of Construction	1980
Date Acquired	Jun. 25, 2021
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]
Type of property	Rehabilitation hospital
Initial costs, land	$ 2,417
Initial costs, buildings	15,857
Additions subsequent to acquisition, Improvements	1,737
Land at cost	2,417
Buildings at cost	17,594
Total at cost	20,011
Accumulated Depreciation	4,367
Encumbrances	$ 0
Date of Construction	2000
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	46 years
2000 [Member] | Willenhall, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 7,715
Initial costs, buildings	17,212
Land at cost	7,715
Buildings at cost	17,212
Total at cost	24,927
Accumulated Depreciation	2,094
Encumbrances	$ 0
Date of Construction	2000
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1975 [Member] | Lauderdale Lakes, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 10,657
Initial costs, buildings	150,313
Additions subsequent to acquisition, Improvements	2,168
Land at cost	10,657
Buildings at cost	152,481
Total at cost	163,138
Accumulated Depreciation	18,902
Encumbrances	$ 0
Date of Construction	1975
Date Acquired	Aug. 01, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1987 [Member] | London, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 9,252
Initial costs, buildings	4,390
Land at cost	9,252
Buildings at cost	60,527
Total at cost	69,779
Accumulated Depreciation	9,111
Encumbrances	$ 40,474
Date of Construction	1984
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1987 [Member] | Orpington, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 10,942
Initial costs, buildings	45,210
Land at cost	10,942
Buildings at cost	45,210
Total at cost	56,152
Accumulated Depreciation	6,846
Encumbrances	$ 26,061
Date of Construction	1987
Date Acquired	Jan. 09, 2020
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]
Type of property	Acute care general hospital
Initial costs, land	$ 5,000
Initial costs, buildings	97,900
Land at cost	5,000
Buildings at cost	97,900
Total at cost	102,900
Accumulated Depreciation	24,113
Encumbrances	$ 0
Date of Construction	1996
Date Acquired	Aug. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	41 years
1996 [Member] | Poole, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,461
Initial costs, buildings	40,625
Land at cost	2,461
Buildings at cost	40,625
Total at cost	43,086
Accumulated Depreciation	7,102
Encumbrances	$ 13,804
Date of Construction	1996
Date Acquired	Apr. 03, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1955 [Member] | Los Angeles, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 10,579
Initial costs, buildings	62,948
Land at cost	10,579
Buildings at cost	62,948
Total at cost	73,527
Accumulated Depreciation	144
Encumbrances	$ 0
Date of Construction	1955
Date Acquired	Aug. 23, 2019
Life on which depreciation in latest income statements is computed (Years)	37 years
1955 [Member] | Miami, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 44,400
Initial costs, buildings	107,203
Additions subsequent to acquisition, Improvements	3,444
Land at cost	44,400
Buildings at cost	110,647
Total at cost	155,047
Accumulated Depreciation	14,913
Encumbrances	$ 0
Date of Construction	1955
Date Acquired	Aug. 01, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1955 [Member] | Windsor, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 12,896
Initial costs, buildings	110,846
Land at cost	12,896
Buildings at cost	110,846
Total at cost	123,742
Accumulated Depreciation	16,670
Encumbrances	$ 0
Date of Construction	1955
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1988 [Member] | Miami, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 20,430
Initial costs, buildings	30,276
Additions subsequent to acquisition, Improvements	10,947
Land at cost	20,430
Buildings at cost	41,223
Total at cost	61,653
Accumulated Depreciation	3,276
Encumbrances	$ 0
Date of Construction	1988
Date Acquired	Apr. 25, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1988 [Member] | Palestine, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,848
Initial costs, buildings	95,257
Land at cost	1,848
Buildings at cost	95,257
Total at cost	97,105
Accumulated Depreciation	14,978
Encumbrances	$ 0
Date of Construction	1988
Date Acquired	Dec. 17, 2019
Life on which depreciation in latest income statements is computed (Years)	40 years
1920 [Member] | Montclair, NJ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 7,900
Initial costs, buildings	99,640
Additions subsequent to acquisition, Improvements	577
Land at cost	8,477
Buildings at cost	99,640
Total at cost	108,117
Accumulated Depreciation	29,917
Encumbrances	$ 0
Date of Construction	1920
Date Acquired	Apr. 01, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
1920 [Member] | Pasco, WA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,594
Initial costs, buildings	13,195
Land at cost	2,594
Buildings at cost	13,195
Total at cost	15,789
Accumulated Depreciation	3,306
Encumbrances	$ 0
Date of Construction	1920
Date Acquired	Aug. 31, 2018
Life on which depreciation in latest income statements is computed (Years)	30 years
1920 [Member] | Newark, NJ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 32,957
Initial costs, buildings	24,553
Land at cost	32,957
Buildings at cost	24,553
Total at cost	57,510
Accumulated Depreciation	3,294
Encumbrances	$ 0
Date of Construction	1920
Date Acquired	May 02, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
1919 [Member] | Newark, NJ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 32,957
Initial costs, buildings	24,553
Land at cost	32,957
Buildings at cost	24,553
Total at cost	57,510
Accumulated Depreciation	3,294
Encumbrances	$ 0
Date of Construction	1919
Date Acquired	May 02, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
1958 [Member] | Miami, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 20,430
Initial costs, buildings	30,276
Additions subsequent to acquisition, Improvements	10,947
Land at cost	20,430
Buildings at cost	41,223
Total at cost	61,653
Accumulated Depreciation	3,276
Encumbrances	$ 0
Date of Construction	1958
Date Acquired	Apr. 25, 2022
Life on which depreciation in latest income statements is computed (Years)	40 years
1958 [Member] | Norwalk, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 7,946
Initial costs, buildings	30,465
Additions subsequent to acquisition, Improvements	7,104
Land at cost	7,946
Buildings at cost	37,569
Total at cost	45,515
Accumulated Depreciation	4,158
Encumbrances	$ 0
Date of Construction	1958
Date Acquired	Jul. 06, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1958 [Member] | Van Nuys, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 8,041
Initial costs, buildings	18,436
Land at cost	8,041
Buildings at cost	18,436
Total at cost	26,477
Accumulated Depreciation	48
Encumbrances	$ 0
Date of Construction	1958
Date Acquired	Aug. 23, 2019
Life on which depreciation in latest income statements is computed (Years)	35 years
1995 [Member] | Barby, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,938
Initial costs, buildings	21,619
Land at cost	1,938
Buildings at cost	21,619
Total at cost	23,557
Accumulated Depreciation	1,681
Encumbrances	$ 0
Date of Construction	1995
Date Acquired	Apr. 19, 2023
Life on which depreciation in latest income statements is computed (Years)	40 years
1995 [Member] | Brandis, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 2,358
Initial costs, buildings	25,958
Land at cost	2,358
Buildings at cost	25,958
Total at cost	28,316
Accumulated Depreciation	2,074
Encumbrances
Date of Construction	1995
Date Acquired	Apr. 19, 2023
Life on which depreciation in latest income statements is computed (Years)	40 years
1995 [Member] | Norwalk, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,811
Initial costs, buildings	5,940
Land at cost	2,811
Buildings at cost	5,940
Total at cost	8,751
Accumulated Depreciation	835
Encumbrances	$ 0
Date of Construction	1995
Date Acquired	Jul. 06, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1906 [Member] | Royston, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 7,127
Initial costs, buildings	21,220
Land at cost	7,127
Buildings at cost	21,220
Total at cost	28,347
Accumulated Depreciation	3,007
Encumbrances	$ 0
Date of Construction	1906
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1850 [Member] | Preston, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 9,251
Initial costs, buildings	33,685
Land at cost	9,251
Buildings at cost	33,685
Total at cost	42,936
Accumulated Depreciation	3,583
Encumbrances	$ 0
Date of Construction	1850
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1850 [Member] | Usk, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 1,831
Initial costs, buildings	32,837
Land at cost	1,831
Buildings at cost	32,837
Total at cost	34,668
Accumulated Depreciation	3,207
Encumbrances	$ 0
Date of Construction	1850
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1951 [Member] | Remscheid, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,116
Initial costs, buildings	2,689
Land at cost	1,116
Buildings at cost	2,689
Total at cost	3,805
Accumulated Depreciation	523
Encumbrances	$ 0
Date of Construction	1951
Date Acquired	Aug. 28, 2018
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]
Type of property	Acute care general hospital
Initial costs, land	$ 3,363
Initial costs, buildings	10,931
Land at cost	3,363
Buildings at cost	10,931
Total at cost	14,294
Accumulated Depreciation	4,962
Encumbrances	$ 0
Date of Construction	1913
Date Acquired	Oct. 31, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
1820 [Member] | Southampton, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 6,821
Initial costs, buildings	20,030
Land at cost	6,821
Buildings at cost	20,030
Total at cost	26,851
Accumulated Depreciation	2,792
Encumbrances	$ 0
Date of Construction	1820
Date Acquired	Jun. 25, 2021
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]
Type of property	Acute care general hospital
Initial costs, land	$ 29,706
Initial costs, buildings	101,846
Additions subsequent to acquisition, Improvements	90,935
Land at cost	29,706
Buildings at cost	192,781
Total at cost	222,487
Accumulated Depreciation	24,195
Encumbrances	$ 0
Date of Construction	1940
Date Acquired	Sep. 29, 2017
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]
Type of property	Acute care general hospital
Initial costs, land	$ 6,050
Initial costs, buildings	10,986
Additions subsequent to acquisition, Improvements	5,239
Land at cost	6,050
Buildings at cost	16,225
Total at cost	22,275
Accumulated Depreciation	3,843
Encumbrances	$ 0
Date of Construction	1940
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1770 [Member] | Usk, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 1,831
Initial costs, buildings	32,837
Land at cost	1,831
Buildings at cost	32,837
Total at cost	34,668
Accumulated Depreciation	3,207
Encumbrances	$ 0
Date of Construction	1770
Date Acquired	Jun. 25, 2021
Life on which depreciation in latest income statements is computed (Years)	40 years
1962 [Member] | Hollywood, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 62,916
Initial costs, buildings	37,051
Land at cost	62,916
Buildings at cost	37,051
Total at cost	99,967
Accumulated Depreciation	95
Encumbrances	$ 0
Date of Construction	1962
Date Acquired	Aug. 23, 2019
Life on which depreciation in latest income statements is computed (Years)	34 years
1962 [Member] | Miami, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 20,430
Initial costs, buildings	30,276
Additions subsequent to acquisition, Improvements	10,947
Land at cost	20,430
Buildings at cost	41,223
Total at cost	61,653
Accumulated Depreciation	3,276
Encumbrances	$ 0
Date of Construction	1962
Date Acquired	Apr. 25, 2022
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]
Type of property	Acute care general hospital
Initial costs, land	$ 11,702
Initial costs, buildings	69,433
Additions subsequent to acquisition, Improvements	19,116
Land at cost	12,254
Buildings at cost	87,997
Total at cost	100,251
Accumulated Depreciation	25,540
Encumbrances	$ 0
Date of Construction	1962
Date Acquired	Sep. 26, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
1911 [Member] | Winchester, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 6,865
Initial costs, buildings	10,877
Land at cost	6,865
Buildings at cost	10,877
Total at cost	17,742
Accumulated Depreciation	1,683
Encumbrances	$ 11,033
Date of Construction	1911
Date Acquired	Jan. 09, 2020
Life on which depreciation in latest income statements is computed (Years)	40 years
1800 [Member] | Woking, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Behavioral health facility
Initial costs, land	$ 7,663
Initial costs, buildings	4,954
Land at cost	7,663
Buildings at cost	4,954
Total at cost	12,617
Accumulated Depreciation	683
Encumbrances	$ 0
Date of Construction	1800
Date Acquired	Jun. 25, 2021
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]
Type of property	Acute care general hospital
Initial costs, land	$ 3,555
Initial costs, buildings	3,565
Additions subsequent to acquisition, Improvements	488
Land at cost	3,555
Buildings at cost	4,053
Total at cost	7,608
Accumulated Depreciation	2,823
Encumbrances	$ 0
Date of Construction	1929
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years

[1] Excludes approximately $530 million, $420 million, and $400 million of construction and building improvements in progress reflected in buildings and improvements at December 31, 2025, 2024 and 2023, respectively. Includes $52.2 million of land and building cost reflected in real estate held for sale at December 31, 2024.