XML 40 R26.htm IDEA: XBRL DOCUMENT v3.10.0.1
Real Estate and Lending Activities - 2017 Activity - Additional Information (Detail)
€ in Millions
1 Months Ended 3 Months Ended 5 Months Ended 6 Months Ended
Jun. 06, 2018
EUR (€)
Hospital
Jun. 22, 2017
EUR (€)
Jun. 01, 2017
USD ($)
RenewalOption
Bed
May 01, 2017
USD ($)
Hospital
Bed
Jan. 30, 2017
EUR (€)
Dec. 31, 2016
EUR (€)
Property
Jul. 31, 2016
EUR (€)
Property
Jun. 30, 2017
USD ($)
Hospital
Property
Jun. 30, 2017
EUR (€)
Hospital
Property
Jan. 30, 2017
EUR (€)
Hospital
Jun. 30, 2017
USD ($)
Germany [Member] | Rehabilitation Hospital with Covenant Health System [Member]                      
Business Acquisition [Line Items]                      
Number of facilities acquired | Hospital 4                 6  
Purchase price of acquisition | €         € 8.4         € 44.1  
Germany [Member] | Rehabilitation Hospital with Covenant Health System [Member] | MEDIAN [Member]                      
Business Acquisition [Line Items]                      
Term of lease 27 years                    
Lease rent increase percentage 70.00%                    
Lease rate 1.00%                    
Germany [Member] | Acute Care Hospital [Member]                      
Business Acquisition [Line Items]                      
Purchase price of acquisition | € € 23.0                    
2017 [Member] | Business Acquisitions [Member]                      
Business Acquisition [Line Items]                      
Revenue contributed by the acquired entity               $ 8,200,000     $ 8,400,000
Income contributed by the acquired entity               6,000,000     6,100,000
Acquisition related costs               $ 9,100,000     $ 9,600,000
2017 [Member] | Acute Care Hospital [Member] | Alecto Healthcare Services [Member] | Ohio Valley Medical Center [Member]                      
Business Acquisition [Line Items]                      
Number of beds acquired | Bed     218                
2017 [Member] | Acute Care Hospital [Member] | Alecto Healthcare Services [Member] | East Ohio Regional Hospital [Member]                      
Business Acquisition [Line Items]                      
Number of beds acquired | Bed     139                
2017 [Member] | Germany [Member] | Rehabilitation Hospital with Covenant Health System [Member] | Third Master Lease [Member]                      
Business Acquisition [Line Items]                      
Number of facilities acquired             20 11 11    
Acquisition costs | €             € 215.7   € 127.0    
Term of lease                 27 years    
Lease agreement, end date               2043-08 2043-08    
Number of properties closed | Property           7   2 2    
Amount of properties closed | €           € 49.5     € 39.2    
2017 [Member] | Germany [Member] | Acute Care Hospital [Member] | MEDIAN [Member]                      
Business Acquisition [Line Items]                      
Lease agreement, end date   2042-12                  
Purchase price of acquisition | €   € 19.4                  
Lease rent increase percentage   70.00%                  
Lease rate   1.00%                  
2017 [Member] | West Virginia and Ohio [Member] | Acute Care Hospital [Member] | Alecto Healthcare Services [Member]                      
Business Acquisition [Line Items]                      
Term of lease     15 years                
Purchase price of acquisition     $ 40,000,000                
Percentage of increase in annual rent     2.00%                
Number of lease extension options | RenewalOption     3                
Term of lease extension, years     5 years                
Additional fund committed to the tenant for capital improvements     $ 20,000,000                
Purchase price of acquisition funded     $ 0                
Ownership interest percentage in operator facility     20.00%                
2017 [Member] | Florida, Ohio, and Pennsylvania [Member] | Community Health Systems, Inc. [Member]                      
Business Acquisition [Line Items]                      
Number of facilities acquired | Hospital       8              
Purchase price of acquisition       $ 301,300,000              
2017 [Member] | IDAHO, Lewiston | Acute Care Hospital [Member] | St. Joseph Regional Medical Center [Member]                      
Business Acquisition [Line Items]                      
Purchase price of acquisition       $ 87,500,000              
Number of beds acquired | Bed       145