XML 44 R30.htm IDEA: XBRL DOCUMENT v3.10.0.1
Real Estate and Lending Activities - Disposals - Additional Information (Detail)
$ in Thousands, € in Millions
3 Months Ended 6 Months Ended
Aug. 03, 2018
EUR (€)
Jun. 07, 2018
EUR (€)
Hospital
Jun. 04, 2018
USD ($)
Hospital
Mar. 01, 2018
USD ($)
Mar. 31, 2017
USD ($)
Sep. 30, 2018
EUR (€)
Jun. 30, 2018
USD ($)
Facility
Jun. 30, 2017
USD ($)
Dec. 31, 2017
USD ($)
Debt Instrument [Line Items]                  
Proceeds from sale of facilities         $ 64,000        
Loans, Balance             $ 1,834,721   $ 1,928,525
Gain on real estate dispositions         7,400        
Gain offset by non-cash charges         $ 600        
Net proceeds from sale of real estate             221,931 $ 64,335  
Steward Health Care System LLC [Member] | Houston, Texas [Member] | St. Joseph Medical Center [Member]                  
Debt Instrument [Line Items]                  
Gain on real estate dispositions       $ 1,500          
Gain offset by non-cash charges       1,700          
Net proceeds from sale of real estate       $ 148,000          
Working Capital Loans [Member]                  
Debt Instrument [Line Items]                  
Loans, Balance             29,565   31,761
Mortgage Loans [Member]                  
Debt Instrument [Line Items]                  
Loans, Balance             1,686,866   $ 1,778,316
Germany [Member] | Acute Care Hospital [Member]                  
Debt Instrument [Line Items]                  
Ownership interest in joint venture under the equity method   50.00%              
Aggregate value of ownership interest   € 1,635         $ 1,299,503    
Number of facilities designated as held for sale | Facility             71    
Germany [Member] | Acute Care Hospital [Member] | Subsequent Event [Member]                  
Debt Instrument [Line Items]                  
Proceeds from issuance of new secured debt | € € 655                
California, Texas, and Oregon [Member] | Vibra Healthcare, LLC [Member]                  
Debt Instrument [Line Items]                  
Proceeds from sale of facilities     $ 53,300            
Gain on real estate dispositions     24,200            
Gain offset by non-cash charges     5,100            
California, Texas, and Oregon [Member] | Working Capital Loans [Member] | Vibra Healthcare, LLC [Member]                  
Debt Instrument [Line Items]                  
Loans, Balance     1,500            
California, Texas, and Oregon [Member] | Mortgage Loans [Member] | Vibra Healthcare, LLC [Member]                  
Debt Instrument [Line Items]                  
Loans, Balance     $ 18,300            
California, Texas, and Oregon [Member] | Long-term Acute Care Hospital [Member] | Vibra Healthcare, LLC [Member]                  
Debt Instrument [Line Items]                  
Number of properties sold | Hospital     3            
Primotop Holdings S.a.r.l. [Member] | Germany [Member] | Acute Care Hospital [Member]                  
Debt Instrument [Line Items]                  
Ownership interest in joint venture under the equity method   50.00%              
Number of facilities acquired | Hospital   71              
Primotop Holdings S.a.r.l. [Member] | Germany [Member] | Scenario, Forecast [Member] | Acute Care Hospital [Member]                  
Debt Instrument [Line Items]                  
Proceeds from joint venture | €           € 1,140