Schedule III - Real Estate Investments and Accumulated Depreciation (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017		Dec. 31, 2016	Dec. 31, 2015
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Initial costs, land	$ 544,228
Initial costs, buildings	4,026,620
Additions subsequent to acquisition, Improvements	188,640
Additions subsequent to acquisition, carrying costs	21,661
Land at cost	547,894
Buildings at cost	4,233,255
Total at cost	4,781,149	$ 5,438,148	[1]	$ 3,968,042	$ 2,991,590
Accumulated Depreciation	414,331	$ 406,855
Encumbrances	$ 0
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	$ 1,512
Initial costs, buildings	31,334
Land at cost	1,512
Buildings at cost	31,334
Total at cost	32,846
Accumulated Depreciation	3,526
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] | 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	173
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] | 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	2,657
Encumbrances	$ 0
Date of Construction	2008
Date Acquired	Jun. 16, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2009 [Member] | Bath, UK [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,512
Initial costs, buildings	31,334
Land at cost	1,512
Buildings at cost	31,334
Total at cost	32,846
Accumulated Depreciation	3,526
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] | Brighton, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 18,540
Initial costs, buildings	146,490
Additions subsequent to acquisition, Improvements	11,176
Land at cost	18,540
Buildings at cost	157,666
Total at cost	176,206
Accumulated Depreciation	8,304
Encumbrances	$ 0
Date of Construction	2009
Date Acquired	Oct. 03, 2016
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	$ 2,202
Initial costs, buildings	14,073
Additions subsequent to acquisition, Improvements	57
Land at cost	2,259
Buildings at cost	14,073
Total at cost	16,332
Accumulated Depreciation	1,245
Encumbrances	$ 0
Date of Construction	1977
Date Acquired	Jun. 30, 2015
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	$ 6,404
Initial costs, buildings	37,006
Additions subsequent to acquisition, Improvements	75
Land at cost	6,479
Buildings at cost	37,006
Total at cost	43,485
Accumulated Depreciation	2,325
Encumbrances	$ 0
Date of Construction	1885
Date Acquired	Jun. 22, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
1991 [Member] | Heidelberg, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 6,404
Initial costs, buildings	37,006
Additions subsequent to acquisition, Improvements	75
Land at cost	6,479
Buildings at cost	37,006
Total at cost	43,485
Accumulated Depreciation	2,325
Encumbrances	$ 0
Date of Construction	1991
Date Acquired	Jun. 22, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2011 [Member] | Cologne, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 4,494
Initial costs, buildings	15,545
Additions subsequent to acquisition, Improvements	104
Land at cost	4,598
Buildings at cost	15,545
Total at cost	20,143
Accumulated Depreciation	593
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] | Methuen, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 23,809
Initial costs, buildings	89,505
Additions subsequent to acquisition, Improvements	5,698
Land at cost	23,809
Buildings at cost	95,203
Total at cost	119,012
Accumulated Depreciation	5,766
Encumbrances	$ 0
Date of Construction	2011
Date Acquired	Oct. 03, 2016
Life on which depreciation in latest income statements is computed (Years)	41 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	$ 9,972
Initial costs, buildings	27,611
Additions subsequent to acquisition, Improvements	939
Land at cost	10,911
Buildings at cost	27,611
Total at cost	38,522
Accumulated Depreciation	816
Encumbrances	$ 0
Date of Construction	1974
Date Acquired	Nov. 30, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
1974 [Member] | Redding, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,555
Initial costs, buildings	53,863
Additions subsequent to acquisition, carrying costs	13
Land at cost	1,555
Buildings at cost	53,876
Total at cost	55,431
Accumulated Depreciation	15,387
Encumbrances	$ 0
Date of Construction	1974
Date Acquired	Aug. 10, 2007
Life on which depreciation in latest income statements is computed (Years)	40 years
1974 [Member] | Sebastian, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 5,733
Initial costs, buildings	49,136
Additions subsequent to acquisition, Improvements	16,829
Land at cost	5,733
Buildings at cost	65,965
Total at cost	71,698
Accumulated Depreciation	2,288
Encumbrances	$ 0
Date of Construction	1974
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	41 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	$ 9,972
Initial costs, buildings	27,611
Additions subsequent to acquisition, Improvements	939
Land at cost	10,911
Buildings at cost	27,611
Total at cost	38,522
Accumulated Depreciation	816
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] | 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	225
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] | Glendale, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,144
Initial costs, buildings	6,087
Land at cost	1,144
Buildings at cost	6,087
Total at cost	7,231
Accumulated Depreciation	330
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Oct. 21, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | New Orleans, LA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
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	346
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] | Katy, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, buildings	$ 4,174
Buildings at cost	4,174
Total at cost	4,174
Accumulated Depreciation	235
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] | The Woodlands, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, buildings	$ 4,524
Buildings at cost	4,524
Total at cost	4,524
Accumulated Depreciation	311
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] | DeSoto, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 750
Initial costs, buildings	4,234
Land at cost	750
Buildings at cost	4,234
Total at cost	4,984
Accumulated Depreciation	273
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	May 23, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | San Antonio, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, buildings	$ 4,801
Buildings at cost	4,801
Total at cost	4,801
Accumulated Depreciation	250
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] | 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	468
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] | Frisco, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, buildings	$ 1,806
Buildings at cost	1,806
Total at cost	1,806
Accumulated Depreciation	336
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Mar. 04, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Garland, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, buildings	$ 4,647
Buildings at cost	4,647
Total at cost	4,647
Accumulated Depreciation	252
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Nov. 15, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Goodyear, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,800
Initial costs, buildings	4,713
Land at cost	1,800
Buildings at cost	4,713
Total at cost	6,513
Accumulated Depreciation	324
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Apr. 04, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Helotes, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
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	362
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] | Highlands Ranch, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 4,200
Initial costs, buildings	4,779
Land at cost	4,200
Buildings at cost	4,779
Total at cost	8,979
Accumulated Depreciation	289
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Jul. 25, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Longmont, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, buildings	$ 4,181
Buildings at cost	4,181
Total at cost	4,181
Accumulated Depreciation	305
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Feb. 10, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 [Member] | Mandeville, LA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
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	291
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, buildings	$ 5,801
Buildings at cost	5,801
Total at cost	5,801
Accumulated Depreciation	364
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] | Plano, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, buildings	$ 2,492
Buildings at cost	2,492
Total at cost	2,492
Accumulated Depreciation	272
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Sep. 30, 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, buildings	$ 4,253
Buildings at cost	4,253
Total at cost	4,253
Accumulated Depreciation	230
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] | Rosenberg, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, buildings	$ 4,505
Buildings at cost	4,505
Total at cost	4,505
Accumulated Depreciation	338
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] | Columbus, OH [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,726
Land at cost	1,726
Total at cost	1,726
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Aug. 30, 2016
2016 [Member] | Toledo, OH [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, buildings	$ 17,740
Buildings at cost	17,740
Total at cost	17,740
Accumulated Depreciation	1,220
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Apr. 01, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
1989 [Member] | Bad Salzuflen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 7,062
Initial costs, buildings	24,283
Additions subsequent to acquisition, Improvements	353
Land at cost	7,415
Buildings at cost	24,283
Total at cost	31,698
Accumulated Depreciation	683
Encumbrances	$ 0
Date of Construction	1989
Date Acquired	Nov. 30, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2016 One [Member] | Bad Salzuflen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 7,062
Initial costs, buildings	24,283
Additions subsequent to acquisition, Improvements	353
Land at cost	7,415
Buildings at cost	24,283
Total at cost	31,698
Accumulated Depreciation	683
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 One [Member] | Houston, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 4,047
Initial costs, buildings	36,862
Land at cost	4,047
Buildings at cost	36,862
Total at cost	40,909
Accumulated Depreciation	2,304
Encumbrances	$ 0
Date of Construction	2016
Date Acquired	Jul. 07, 2016
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	$ 3,501
Initial costs, buildings	34,530
Additions subsequent to acquisition, Improvements	8,477
Additions subsequent to acquisition, carrying costs	16,589
Land at cost	3,274
Buildings at cost	59,823
Total at cost	63,097
Accumulated Depreciation	12,943
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] | Sherman, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 4,493
Initial costs, buildings	11,081
Land at cost	4,493
Buildings at cost	11,081
Total at cost	15,574
Accumulated Depreciation	2,703
Encumbrances	$ 0
Date of Construction	1960
Date Acquired	Oct. 31, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
1973 [Member] | Bad Oeynhausen, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,042
Initial costs, buildings	2,859
Additions subsequent to acquisition, Improvements	127
Land at cost	1,169
Buildings at cost	2,859
Total at cost	4,028
Accumulated Depreciation	87
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] | San Diego, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 12,663
Initial costs, buildings	52,431
Land at cost	12,663
Buildings at cost	52,431
Total at cost	65,094
Accumulated Depreciation	10,377
Encumbrances	$ 0
Date of Construction	1973
Date Acquired	Feb. 09, 2011
Life on which depreciation in latest income statements is computed (Years)	40 years
1973 [Member] | Odessa, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 6,535
Initial costs, buildings	123,518
Additions subsequent to acquisition, Improvements	254
Land at cost	6,535
Buildings at cost	123,772
Total at cost	130,307
Accumulated Depreciation	3,950
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 [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,029
Initial costs, buildings	14,622
Land at cost	3,029
Buildings at cost	14,622
Total at cost	17,651
Accumulated Depreciation	1,498
Encumbrances	$ 0
Date of Construction	1973
Date Acquired	Dec. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	30 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	$ 1,042
Initial costs, buildings	2,859
Additions subsequent to acquisition, Improvements	127
Land at cost	1,169
Buildings at cost	2,859
Total at cost	4,028
Accumulated Depreciation	87
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] | Brockton, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 18,328
Initial costs, buildings	67,248
Additions subsequent to acquisition, Improvements	4,296
Land at cost	18,328
Buildings at cost	71,544
Total at cost	89,872
Accumulated Depreciation	4,798
Encumbrances	$ 0
Date of Construction	2010
Date Acquired	Oct. 03, 2016
Life on which depreciation in latest income statements is computed (Years)	41 years
2010 [Member] | Sherman, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 4,493
Initial costs, buildings	11,081
Land at cost	4,493
Buildings at cost	11,081
Total at cost	15,574
Accumulated Depreciation	2,703
Encumbrances	$ 0
Date of Construction	2010
Date Acquired	Oct. 31, 2014
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	$ 1,843
Initial costs, buildings	5,848
Additions subsequent to acquisition, Improvements	140
Land at cost	1,983
Buildings at cost	5,848
Total at cost	7,831
Accumulated Depreciation	52
Encumbrances	$ 0
Date of Construction	1993
Date Acquired	Aug. 28, 2018
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	$ 1,843
Initial costs, buildings	5,848
Additions subsequent to acquisition, Improvements	140
Land at cost	1,983
Buildings at cost	5,848
Total at cost	7,831
Accumulated Depreciation	52
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] | Dallas, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Long term acute care hospital
Initial costs, land	$ 1,000
Initial costs, buildings	13,589
Additions subsequent to acquisition, carrying costs	368
Land at cost	1,421
Buildings at cost	13,536
Total at cost	14,957
Accumulated Depreciation	4,173
Encumbrances	$ 0
Date of Construction	2006
Date Acquired	Sep. 05, 2006
Life on which depreciation in latest income statements is computed (Years)	40 years
2006 [Member] | Bloomington, IN [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,392
Initial costs, buildings	28,212
Additions subsequent to acquisition, Improvements	5,000
Additions subsequent to acquisition, carrying costs	408
Land at cost	2,392
Buildings at cost	33,620
Total at cost	36,012
Accumulated Depreciation	10,377
Encumbrances	$ 0
Date of Construction	2006
Date Acquired	Aug. 08, 2006
Life on which depreciation in latest income statements is computed (Years)	40 years
2006 [Member] | Petersburg, VA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
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	2,394
Encumbrances	$ 0
Date of Construction	2006
Date Acquired	Jul. 01, 2008
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	$ 1,145
Initial costs, buildings	3,127
Additions subsequent to acquisition, Improvements	102
Land at cost	1,247
Buildings at cost	3,127
Total at cost	4,374
Accumulated Depreciation	28
Encumbrances	$ 0
Date of Construction	1886
Date Acquired	Aug. 28, 2018
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	$ 1,145
Initial costs, buildings	3,127
Additions subsequent to acquisition, Improvements	102
Land at cost	1,247
Buildings at cost	3,127
Total at cost	4,374
Accumulated Depreciation	28
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] | Remscheid, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,029
Initial costs, buildings	2,614
Additions subsequent to acquisition, Improvements	60
Land at cost	1,089
Buildings at cost	2,614
Total at cost	3,703
Accumulated Depreciation	23
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] | Port Huron, MI [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,029
Initial costs, buildings	14,622
Land at cost	3,029
Buildings at cost	14,622
Total at cost	17,651
Accumulated Depreciation	1,498
Encumbrances	$ 0
Date of Construction	1983
Date Acquired	Dec. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	30 years
1951 [Member] | Remscheid, Germany [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 1,029
Initial costs, buildings	2,614
Additions subsequent to acquisition, Improvements	60
Land at cost	1,089
Buildings at cost	2,614
Total at cost	3,703
Accumulated Depreciation	23
Encumbrances	$ 0
Date of Construction	1951
Date Acquired	Aug. 28, 2018
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Houston, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,345
Initial costs, buildings	3,678
Land at cost	1,345
Buildings at cost	3,678
Total at cost	5,023
Accumulated Depreciation	414
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Jun. 20, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Allen, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,550
Initial costs, buildings	866
Land at cost	1,550
Buildings at cost	866
Total at cost	2,416
Accumulated Depreciation	441
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Jul. 14, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Alvin, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
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	462
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] | Austin, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,140
Initial costs, buildings	1,777
Land at cost	1,140
Buildings at cost	1,777
Total at cost	2,917
Accumulated Depreciation	441
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	May 29, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Broomfield, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 825
Initial costs, buildings	3,895
Land at cost	825
Buildings at cost	3,895
Total at cost	4,720
Accumulated Depreciation	438
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Jul. 03, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Cedar Hill. TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,122
Initial costs, buildings	3,644
Land at cost	1,122
Buildings at cost	3,644
Total at cost	4,766
Accumulated Depreciation	410
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Jun. 23, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Spring, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,310
Initial costs, buildings	3,639
Land at cost	1,310
Buildings at cost	3,639
Total at cost	4,949
Accumulated Depreciation	409
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Jul. 15, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Commerce City, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 707
Initial costs, buildings	4,248
Land at cost	707
Buildings at cost	4,248
Total at cost	4,955
Accumulated Depreciation	434
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Dec. 11, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Dulles, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,076
Initial costs, buildings	3,784
Land at cost	1,076
Buildings at cost	3,784
Total at cost	4,860
Accumulated Depreciation	410
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Sep. 12, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Firestone, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 495
Initial costs, buildings	3,963
Land at cost	495
Buildings at cost	3,963
Total at cost	4,458
Accumulated Depreciation	454
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Jun. 06, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Fountain, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,508
Initial costs, buildings	4,131
Land at cost	1,508
Buildings at cost	4,131
Total at cost	5,639
Accumulated Depreciation	456
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Jul. 31, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Frisco, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,500
Initial costs, buildings	3,863
Additions subsequent to acquisition, Improvements	27
Additions subsequent to acquisition, carrying costs	(89)
Land at cost	1,411
Buildings at cost	3,890
Total at cost	5,301
Accumulated Depreciation	446
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Jun. 13, 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	468
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] | Colorado Springs, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 600
Initial costs, buildings	4,231
Land at cost	600
Buildings at cost	4,231
Total at cost	4,831
Accumulated Depreciation	485
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Jun. 05, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Altoona, WI [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, buildings	$ 29,062
Buildings at cost	29,062
Total at cost	29,062
Accumulated Depreciation	3,148
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] | 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	1,971
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	388
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] | Sienna, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,000
Initial costs, buildings	3,591
Land at cost	1,000
Buildings at cost	3,591
Total at cost	4,591
Accumulated Depreciation	389
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Aug. 20, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2014 [Member] | Thornton, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,350
Initial costs, buildings	4,259
Land at cost	1,350
Buildings at cost	4,259
Total at cost	5,609
Accumulated Depreciation	461
Encumbrances	$ 0
Date of Construction	2014
Date Acquired	Aug. 29, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Houston, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,423
Initial costs, buildings	3,772
Land at cost	1,423
Buildings at cost	3,772
Total at cost	5,195
Accumulated Depreciation	361
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Feb. 18, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Aurora, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, buildings	$ 4,812
Buildings at cost	4,812
Total at cost	4,812
Accumulated Depreciation	391
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Sep. 17, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Ft. Worth, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, buildings	$ 4,392
Buildings at cost	4,392
Total at cost	4,392
Accumulated Depreciation	412
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Mar. 27, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Glendale, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, buildings	$ 4,046
Buildings at cost	4,046
Total at cost	4,046
Accumulated Depreciation	362
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Jun. 05, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Carrollton, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 729
Initial costs, buildings	34,342
Land at cost	729
Buildings at cost	34,342
Total at cost	35,071
Accumulated Depreciation	2,933
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Jul. 17, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Chandler, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, buildings	$ 4,783
Buildings at cost	4,783
Total at cost	4,783
Accumulated Depreciation	438
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Apr. 24, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Katy, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, buildings	$ 3,873
Buildings at cost	3,873
Total at cost	3,873
Accumulated Depreciation	307
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Oct. 21, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Conroe, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,338
Initial costs, buildings	3,712
Land at cost	1,338
Buildings at cost	3,712
Total at cost	5,050
Accumulated Depreciation	317
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Jul. 29, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Converse, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
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	415
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] | Denver, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, buildings	$ 4,276
Buildings at cost	4,276
Total at cost	4,276
Accumulated Depreciation	383
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Jun. 08, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Dorchester, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 14,428
Initial costs, buildings	219,575
Additions subsequent to acquisition, Improvements	5,394
Land at cost	14,428
Buildings at cost	224,969
Total at cost	239,397
Accumulated Depreciation	1,371
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Oct. 15, 2018
Life on which depreciation in latest income statements is computed (Years)	42 years
2015 [Member] | Frisco, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 2,441
Initial costs, buildings	185
Land at cost	2,441
Buildings at cost	185
Total at cost	2,626
Accumulated Depreciation	354
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Nov. 13, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Gilbert, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,517
Initial costs, buildings	4,660
Land at cost	1,517
Buildings at cost	4,660
Total at cost	6,177
Accumulated Depreciation	398
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Jul. 22, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Highland Village, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, buildings	$ 1,551
Buildings at cost	1,551
Total at cost	1,551
Accumulated Depreciation	326
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Sep. 22, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Hoover, AL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, buildings	$ 7,581
Buildings at cost	7,581
Total at cost	7,581
Accumulated Depreciation	812
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] | Lehi, UT [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 13,403
Initial costs, buildings	29,950
Additions subsequent to acquisition, Improvements	156
Additions subsequent to acquisition, carrying costs	(35)
Land at cost	13,368
Buildings at cost	30,106
Total at cost	43,474
Accumulated Depreciation	1,108
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	45 years
2015 [Member] | McKinney, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, buildings	$ 4,060
Buildings at cost	4,060
Total at cost	4,060
Accumulated Depreciation	466
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] | Parker, CO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,300
Initial costs, buildings	4,448
Land at cost	1,300
Buildings at cost	4,448
Total at cost	5,748
Accumulated Depreciation	352
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Nov. 06, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 [Member] | Taunton, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 4,428
Initial costs, buildings	73,228
Additions subsequent to acquisition, Improvements	2,951
Land at cost	4,428
Buildings at cost	76,179
Total at cost	80,607
Accumulated Depreciation	4,400
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Oct. 03, 2016
Life on which depreciation in latest income statements is computed (Years)	41 years
2015 [Member] | League City, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, buildings	$ 3,901
Buildings at cost	3,901
Total at cost	3,901
Accumulated Depreciation	341
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Jun. 19, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1970 [Member] | Ayer, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 9,048
Initial costs, buildings	77,913
Additions subsequent to acquisition, Improvements	1,603
Land at cost	9,048
Buildings at cost	79,516
Total at cost	88,564
Accumulated Depreciation	911
Encumbrances	$ 0
Date of Construction	1970
Date Acquired	Jun. 27, 2018
Life on which depreciation in latest income statements is computed (Years)	47 years
1970 [Member] | Rockledge, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 13,919
Initial costs, buildings	23,282
Additions subsequent to acquisition, Improvements	1,831
Land at cost	13,919
Buildings at cost	25,113
Total at cost	39,032
Accumulated Depreciation	1,460
Encumbrances	$ 0
Date of Construction	1970
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	42 years
2013 [Member] | Ayer, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 9,048
Initial costs, buildings	77,913
Additions subsequent to acquisition, Improvements	1,603
Land at cost	9,048
Buildings at cost	79,516
Total at cost	88,564
Accumulated Depreciation	911
Encumbrances	$ 0
Date of Construction	2013
Date Acquired	Jun. 27, 2018
Life on which depreciation in latest income statements is computed (Years)	47 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	1,284
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] | 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	2,198
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] | Lehi, UT [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,241
Initial costs, buildings	3,491
Land at cost	1,241
Buildings at cost	3,491
Total at cost	4,732
Accumulated Depreciation	441
Encumbrances	$ 0
Date of Construction	2013
Date Acquired	Dec. 01, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
2013 [Member] | Post Falls, ID [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
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	1,725
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	2,112
Encumbrances	$ 0
Date of Construction	2013
Date Acquired	Aug. 01, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
1918 [Member] | Bayonne, NJ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,003
Initial costs, buildings	51,495
Land at cost	2,003
Buildings at cost	51,495
Total at cost	53,498
Accumulated Depreciation	20,383
Encumbrances	$ 0
Date of Construction	1918
Date Acquired	Feb. 04, 2011
Life on which depreciation in latest income statements is computed (Years)	20 years
1984 [Member] | Bennettsville, SC [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 794
Initial costs, buildings	15,772
Land at cost	794
Buildings at cost	15,772
Total at cost	16,566
Accumulated Depreciation	4,157
Encumbrances	$ 0
Date of Construction	1984
Date Acquired	Apr. 01, 2008
Life on which depreciation in latest income statements is computed (Years)	42 years
1984 [Member] | Hope, AR [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,651
Initial costs, buildings	3,359
Additions subsequent to acquisition, Improvements	373
Land at cost	1,651
Buildings at cost	3,732
Total at cost	5,383
Accumulated Depreciation	223
Encumbrances	$ 0
Date of Construction	1984
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1984 [Member] | Olympia, Washington [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 7,220
Initial costs, buildings	89,348
Additions subsequent to acquisition, Improvements	15,930
Land at cost	7,220
Buildings at cost	105,278
Total at cost	112,498
Accumulated Depreciation	6,138
Encumbrances	$ 0
Date of Construction	1984
Date Acquired	Jul. 22, 2016
Life on which depreciation in latest income statements is computed (Years)	40 years
1980 [Member] | Blue Springs, MO [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
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	2,417
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] | Hill County, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,120
Initial costs, buildings	17,882
Land at cost	1,120
Buildings at cost	17,882
Total at cost	19,002
Accumulated Depreciation	9,890
Encumbrances	$ 0
Date of Construction	1980
Date Acquired	Sep. 17, 2010
Life on which depreciation in latest income statements is computed (Years)	15 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	$ 2,660
Initial costs, buildings	38,693
Additions subsequent to acquisition, carrying costs	1
Land at cost	2,660
Buildings at cost	38,694
Total at cost	41,354
Accumulated Depreciation	10,339
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] | 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	1,808
Land at cost	6,179
Buildings at cost	10,874
Total at cost	17,053
Accumulated Depreciation	1,096
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] | West Valley City, UT [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 5,516
Initial costs, buildings	58,314
Additions subsequent to acquisition, Improvements	2,478
Additions subsequent to acquisition, carrying costs	(114)
Land at cost	5,402
Buildings at cost	60,792
Total at cost	66,194
Accumulated Depreciation	15,762
Encumbrances	$ 0
Date of Construction	1980
Date Acquired	Apr. 22, 2008
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	628
Land at cost	900
Buildings at cost	18,446
Total at cost	19,346
Accumulated Depreciation	4,786
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] | Cheraw, SC [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 657
Initial costs, buildings	19,576
Land at cost	657
Buildings at cost	19,576
Total at cost	20,233
Accumulated Depreciation	5,158
Encumbrances	$ 0
Date of Construction	1982
Date Acquired	Apr. 01, 2008
Life on which depreciation in latest income statements is computed (Years)	42 years
1982 [Member] | Garden Grove, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 5,502
Initial costs, buildings	10,748
Additions subsequent to acquisition, carrying costs	51
Land at cost	5,502
Buildings at cost	10,799
Total at cost	16,301
Accumulated Depreciation	2,736
Encumbrances	$ 0
Date of Construction	1982
Date Acquired	Nov. 25, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
1982 [Member] | Haverhill, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 5,651
Initial costs, buildings	105,848
Additions subsequent to acquisition, Improvements	1,888
Land at cost	5,651
Buildings at cost	107,736
Total at cost	113,387
Accumulated Depreciation	936
Encumbrances	$ 0
Date of Construction	1982
Date Acquired	Aug. 31, 2018
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	47,588
Additions subsequent to acquisition, Improvements	5,142
Land at cost	5,385
Buildings at cost	52,730
Total at cost	58,115
Accumulated Depreciation	2,509
Encumbrances	$ 0
Date of Construction	1982
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1917 [Member] | Brighton, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 18,540
Initial costs, buildings	146,490
Additions subsequent to acquisition, Improvements	11,176
Land at cost	18,540
Buildings at cost	157,666
Total at cost	176,206
Accumulated Depreciation	8,304
Encumbrances	$ 0
Date of Construction	1917
Date Acquired	Oct. 03, 2016
Life on which depreciation in latest income statements is computed (Years)	41 years
1965 [Member] | Brockton, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 18,328
Initial costs, buildings	67,248
Additions subsequent to acquisition, Improvements	4,296
Land at cost	18,328
Buildings at cost	71,544
Total at cost	89,872
Accumulated Depreciation	4,798
Encumbrances	$ 0
Date of Construction	1965
Date Acquired	Oct. 03, 2016
Life on which depreciation in latest income statements is computed (Years)	41 years
2015 One [Member] | Chandler, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 750
Initial costs, buildings	3,852
Additions subsequent to acquisition, Improvements	0
Land at cost	750
Buildings at cost	3,852
Total at cost	4,602
Accumulated Depreciation	313
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	Oct. 07, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
2015 One [Member] | Hoover, AL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Medical Office Building
Initial costs, buildings	$ 1,034
Buildings at cost	1,034
Total at cost	1,034
Accumulated Depreciation	111
Encumbrances	$ 0
Date of Construction	2015
Date Acquired	May 01, 2015
Life on which depreciation in latest income statements is computed (Years)	34 years
2004 [Member] | Webster, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Long term acute care hospital
Initial costs, land	$ 663
Initial costs, buildings	33,751
Land at cost	663
Buildings at cost	33,751
Total at cost	34,414
Accumulated Depreciation	6,750
Encumbrances	$ 0
Date of Construction	2004
Date Acquired	Dec. 21, 2010
Life on which depreciation in latest income statements is computed (Years)	40 years
2004 [Member] | Camden, SC [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, buildings	$ 22,739
Buildings at cost	22,739
Total at cost	22,739
Accumulated Depreciation	1,555
Encumbrances	$ 0
Date of Construction	2004
Date Acquired	Oct. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	39 years
2004 [Member] | Odessa, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 6,535
Initial costs, buildings	123,518
Additions subsequent to acquisition, Improvements	254
Land at cost	6,535
Buildings at cost	123,772
Total at cost	130,307
Accumulated Depreciation	3,950
Encumbrances	$ 0
Date of Construction	2004
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
2017 [Member] | Houston, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, buildings	$ 4,267
Buildings at cost	4,267
Total at cost	4,267
Accumulated Depreciation	203
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	May 08, 2017
Life on which depreciation in latest income statements is computed (Years)	35 years
2017 [Member] | Austin, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, buildings	$ 4,200
Buildings at cost	4,200
Total at cost	4,200
Accumulated Depreciation	231
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] | Phoenix, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 5,576
Initial costs, buildings	45,782
Land at cost	5,576
Buildings at cost	45,782
Total at cost	51,358
Accumulated Depreciation	2,194
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Feb. 10, 2017
Life on which depreciation in latest income statements is computed (Years)	40 years
2017 [Member] | Texarkana, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 14,562
Land at cost	14,562
Total at cost	14,562
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Sep. 29, 2017
1956 [Member] | Detroit, MI [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Long term acute care hospital
Initial costs, land	$ 1,220
Initial costs, buildings	8,687
Additions subsequent to acquisition, carrying costs	(365)
Land at cost	1,220
Buildings at cost	8,322
Total at cost	9,542
Accumulated Depreciation	2,274
Encumbrances	$ 0
Date of Construction	1956
Date Acquired	May 22, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
1953 [Member] | Dorchester, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 14,428
Initial costs, buildings	219,575
Additions subsequent to acquisition, Improvements	5,394
Land at cost	14,428
Buildings at cost	224,969
Total at cost	239,397
Accumulated Depreciation	1,371
Encumbrances	$ 0
Date of Construction	1953
Date Acquired	Oct. 15, 2018
Life on which depreciation in latest income statements is computed (Years)	42 years
1953 [Member] | Port Huron, MI [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,029
Initial costs, buildings	14,622
Land at cost	3,029
Buildings at cost	14,622
Total at cost	17,651
Accumulated Depreciation	1,498
Encumbrances	$ 0
Date of Construction	1953
Date Acquired	Dec. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	30 years
1930 [Member] | Easton, PA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 13,898
Initial costs, buildings	40,245
Additions subsequent to acquisition, Improvements	2,921
Land at cost	13,898
Buildings at cost	43,166
Total at cost	57,064
Accumulated Depreciation	1,786
Encumbrances	$ 0
Date of Construction	1930
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
2005 [Member] | Easton, PA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 13,898
Initial costs, buildings	40,245
Additions subsequent to acquisition, Improvements	2,921
Land at cost	13,898
Buildings at cost	43,166
Total at cost	57,064
Accumulated Depreciation	1,786
Encumbrances	$ 0
Date of Construction	2005
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
2005 [Member] | Gilbert, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 150
Initial costs, buildings	15,553
Land at cost	150
Buildings at cost	15,553
Total at cost	15,703
Accumulated Depreciation	3,111
Encumbrances	$ 0
Date of Construction	2005
Date Acquired	Jan. 04, 2011
Life on which depreciation in latest income statements is computed (Years)	40 years
2005 [Member] | Haverhill, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 5,651
Initial costs, buildings	105,848
Additions subsequent to acquisition, Improvements	1,888
Land at cost	5,651
Buildings at cost	107,736
Total at cost	113,387
Accumulated Depreciation	936
Encumbrances	$ 0
Date of Construction	2005
Date Acquired	Aug. 31, 2018
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	$ 12,972
Initial costs, buildings	78,051
Additions subsequent to acquisition, Improvements	859
Land at cost	12,972
Buildings at cost	78,910
Total at cost	91,882
Accumulated Depreciation	10,155
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	23,982
Land at cost	1,299
Buildings at cost	23,982
Total at cost	25,281
Accumulated Depreciation	4,796
Encumbrances	$ 0
Date of Construction	2005
Date Acquired	Dec. 21, 2010
Life on which depreciation in latest income statements is computed (Years)	40 years
1939 [Member] | Fairmont, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,000
Initial costs, buildings	6,072
Additions subsequent to acquisition, Improvements	5,278
Land at cost	1,277
Buildings at cost	11,073
Total at cost	12,350
Accumulated Depreciation	1,798
Encumbrances	$ 0
Date of Construction	1939
Date Acquired	Sep. 19, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
1950 [Member] | Houston, TX [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 28,687
Initial costs, buildings	104,028
Additions subsequent to acquisition, Improvements	5,999
Land at cost	28,687
Buildings at cost	110,027
Total at cost	138,714
Accumulated Depreciation	878
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] | Fall River, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,526
Initial costs, buildings	82,358
Additions subsequent to acquisition, Improvements	22,205
Land at cost	3,525
Buildings at cost	104,564
Total at cost	108,089
Accumulated Depreciation	4,977
Encumbrances	$ 0
Date of Construction	1950
Date Acquired	Oct. 03, 2016
Life on which depreciation in latest income statements is computed (Years)	41 years
1950 [Member] | Methuen, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 23,809
Initial costs, buildings	89,505
Additions subsequent to acquisition, Improvements	5,698
Land at cost	23,809
Buildings at cost	95,203
Total at cost	119,012
Accumulated Depreciation	5,766
Encumbrances	$ 0
Date of Construction	1950
Date Acquired	Oct. 03, 2016
Life on which depreciation in latest income statements is computed (Years)	41 years
1950 [Member] | Rockledge, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 13,919
Initial costs, buildings	23,282
Additions subsequent to acquisition, Improvements	1,831
Land at cost	13,919
Buildings at cost	25,113
Total at cost	39,032
Accumulated Depreciation	1,460
Encumbrances	$ 0
Date of Construction	1950
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	42 years
1950 [Member] | Sharon, PA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 6,179
Initial costs, buildings	9,066
Additions subsequent to acquisition, Improvements	1,808
Land at cost	6,179
Buildings at cost	10,874
Total at cost	17,053
Accumulated Depreciation	1,096
Encumbrances	$ 0
Date of Construction	1950
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1972 [Member] | Fairmont, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,000
Initial costs, buildings	6,072
Additions subsequent to acquisition, Improvements	5,278
Land at cost	1,277
Buildings at cost	11,073
Total at cost	12,350
Accumulated Depreciation	1,798
Encumbrances	$ 0
Date of Construction	1972
Date Acquired	Sep. 19, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
1972 [Member] | San Dimas, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 6,160
Initial costs, buildings	6,839
Additions subsequent to acquisition, carrying costs	34
Land at cost	6,160
Buildings at cost	6,873
Total at cost	13,033
Accumulated Depreciation	1,735
Encumbrances	$ 0
Date of Construction	1972
Date Acquired	Nov. 25, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
1985 [Member] | Fairmont, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,000
Initial costs, buildings	6,072
Additions subsequent to acquisition, Improvements	5,278
Land at cost	1,277
Buildings at cost	11,073
Total at cost	12,350
Accumulated Depreciation	1,798
Encumbrances	$ 0
Date of Construction	1985
Date Acquired	Sep. 19, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
1985 [Member] | Fort Lauderdale, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Rehabilitation hospital
Initial costs, land	$ 3,499
Initial costs, buildings	21,939
Additions subsequent to acquisition, carrying costs	1
Land at cost	3,499
Buildings at cost	21,940
Total at cost	25,439
Accumulated Depreciation	5,862
Encumbrances	$ 0
Date of Construction	1985
Date Acquired	Apr. 22, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
1985 [Member] | Hot Springs, AR [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 7,100
Initial costs, buildings	59,432
Additions subsequent to acquisition, Improvements	21,221
Land at cost	7,100
Buildings at cost	80,653
Total at cost	87,753
Accumulated Depreciation	6,795
Encumbrances	$ 0
Date of Construction	1985
Date Acquired	Aug. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
Two Thousand Twelve | 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	904
Encumbrances	$ 0
Date of Construction	2012
Date Acquired	Oct. 02, 2012
Life on which depreciation in latest income statements is computed (Years)	40 years
Two Thousand Twelve | Fall River, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 3,526
Initial costs, buildings	82,358
Additions subsequent to acquisition, Improvements	22,205
Land at cost	3,525
Buildings at cost	104,564
Total at cost	108,089
Accumulated Depreciation	4,977
Encumbrances	$ 0
Date of Construction	2012
Date Acquired	Oct. 03, 2016
Life on which depreciation in latest income statements is computed (Years)	41 years
Two Thousand Twelve | 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	4,817
Encumbrances	$ 0
Date of Construction	2012
Date Acquired	Feb. 07, 2012
Life on which depreciation in latest income statements is computed (Years)	40 years
Two Thousand Twelve | 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	1,411
Encumbrances	$ 0
Date of Construction	2012
Date Acquired	Feb. 01, 2013
Life on which depreciation in latest income statements is computed (Years)	40 years
1982 One [Member] | Garden Grove, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Medical Office Building
Initial costs, land	$ 862
Initial costs, buildings	7,888
Additions subsequent to acquisition, carrying costs	28
Land at cost	862
Buildings at cost	7,916
Total at cost	8,778
Accumulated Depreciation	1,999
Encumbrances	$ 0
Date of Construction	1982
Date Acquired	Nov. 25, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
Nineteen Ninety Nine | 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	3,827
Encumbrances	$ 0
Date of Construction	1999
Date Acquired	Aug. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	34 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	35
Land at cost	2,417
Buildings at cost	15,892
Total at cost	18,309
Accumulated Depreciation	891
Encumbrances	$ 0
Date of Construction	1922
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	46 years
1922 [Member] | Lewiston, ID [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
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	4,251
Encumbrances	$ 0
Date of Construction	1922
Date Acquired	May 01, 2017
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	35
Land at cost	2,417
Buildings at cost	15,892
Total at cost	18,309
Accumulated Depreciation	891
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] | 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	12,211
Encumbrances	$ 0
Date of Construction	2000
Date Acquired	Apr. 01, 2014
Life on which depreciation in latest income statements is computed (Years)	40 years
1863 [Member] | Hoboken, NJ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,387
Initial costs, buildings	44,351
Land at cost	1,387
Buildings at cost	44,351
Total at cost	45,738
Accumulated Depreciation	15,838
Encumbrances	$ 0
Date of Construction	1863
Date Acquired	Nov. 04, 2011
Life on which depreciation in latest income statements is computed (Years)	20 years
2001 [Member] | Hope, AR [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,651
Initial costs, buildings	3,359
Additions subsequent to acquisition, Improvements	373
Land at cost	1,651
Buildings at cost	3,732
Total at cost	5,383
Accumulated Depreciation	223
Encumbrances	$ 0
Date of Construction	2001
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 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	$ 7,073
Initial costs, buildings	154,496
Additions subsequent to acquisition, Improvements	7,745
Land at cost	7,073
Buildings at cost	162,241
Total at cost	169,314
Accumulated Depreciation	1,781
Encumbrances	$ 0
Date of Construction	2001
Date Acquired	Jun. 27, 2018
Life on which depreciation in latest income statements is computed (Years)	46 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	$ 28,687
Initial costs, buildings	104,028
Additions subsequent to acquisition, Improvements	5,999
Land at cost	28,687
Buildings at cost	110,027
Total at cost	138,714
Accumulated Depreciation	878
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] | Taunton, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 4,428
Initial costs, buildings	73,228
Additions subsequent to acquisition, Improvements	2,951
Land at cost	4,428
Buildings at cost	76,179
Total at cost	80,607
Accumulated Depreciation	4,400
Encumbrances	$ 0
Date of Construction	1940
Date Acquired	Oct. 03, 2016
Life on which depreciation in latest income statements is computed (Years)	41 years
1940 [Member] | Tempe, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 6,050
Initial costs, buildings	10,986
Additions subsequent to acquisition, Improvements	871
Land at cost	6,050
Buildings at cost	11,857
Total at cost	17,907
Accumulated Depreciation	476
Encumbrances	$ 0
Date of Construction	1940
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 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	$ 8,053
Initial costs, buildings	29,333
Additions subsequent to acquisition, Improvements	675
Land at cost	8,053
Buildings at cost	30,008
Total at cost	38,061
Accumulated Depreciation	1,024
Encumbrances	$ 0
Date of Construction	2002
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 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	441
Additions subsequent to acquisition, carrying costs	4,665
Land at cost	1,822
Buildings at cost	42,573
Total at cost	44,395
Accumulated Depreciation	11,201
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] | Melbourne, FL [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 5,642
Initial costs, buildings	17,087
Additions subsequent to acquisition, Improvements	2,282
Land at cost	5,642
Buildings at cost	19,369
Total at cost	25,011
Accumulated Depreciation	922
Encumbrances	$ 0
Date of Construction	2002
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	42 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	$ 8,053
Initial costs, buildings	29,333
Additions subsequent to acquisition, Improvements	675
Land at cost	8,053
Buildings at cost	30,008
Total at cost	38,061
Accumulated Depreciation	1,024
Encumbrances	$ 0
Date of Construction	1978
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 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	6,429
Encumbrances	$ 0
Date of Construction	1978
Date Acquired	Feb. 13, 2015
Life on which depreciation in latest income statements is computed (Years)	40 years
1954 [Member] | Camden, SC [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, buildings	$ 22,739
Buildings at cost	22,739
Total at cost	22,739
Accumulated Depreciation	1,555
Encumbrances	$ 0
Date of Construction	1954
Date Acquired	Oct. 30, 2015
Life on which depreciation in latest income statements is computed (Years)	39 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	6,652
Encumbrances	$ 0
Date of Construction	1996
Date Acquired	Aug. 31, 2015
Life on which depreciation in latest income statements is computed (Years)	41 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	$ 6,534
Initial costs, buildings	100,042
Additions subsequent to acquisition, Improvements	289
Land at cost	6,533
Buildings at cost	100,332
Total at cost	106,865
Accumulated Depreciation	13,819
Encumbrances	$ 0
Date of Construction	2007
Date Acquired	Sep. 26, 2013
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	3,401
Encumbrances	$ 0
Date of Construction	2007
Date Acquired	Feb. 14, 2011
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	12,211
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	150
Encumbrances	$ 0
Date of Construction	1920
Date Acquired	Aug. 31, 2018
Life on which depreciation in latest income statements is computed (Years)	30 years
1926 [Member] | Norwood, MA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 7,073
Initial costs, buildings	154,496
Additions subsequent to acquisition, Improvements	7,745
Land at cost	7,073
Buildings at cost	162,241
Total at cost	169,314
Accumulated Depreciation	1,781
Encumbrances	$ 0
Date of Construction	1926
Date Acquired	Jun. 27, 2018
Life on which depreciation in latest income statements is computed (Years)	46 years
1964 [Member] | San Diego, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 6,550
Initial costs, buildings	15,653
Additions subsequent to acquisition, carrying costs	77
Land at cost	6,550
Buildings at cost	15,730
Total at cost	22,280
Accumulated Depreciation	4,586
Encumbrances	$ 0
Date of Construction	1964
Date Acquired	May 09, 2007
Life on which depreciation in latest income statements is computed (Years)	40 years
1964 [Member] | Anaheim, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 1,875
Initial costs, buildings	21,813
Additions subsequent to acquisition, carrying costs	10
Land at cost	1,875
Buildings at cost	21,823
Total at cost	23,698
Accumulated Depreciation	6,638
Encumbrances	$ 0
Date of Construction	1964
Date Acquired	Nov. 08, 2006
Life on which depreciation in latest income statements is computed (Years)	40 years
1979 [Member] | Phoenix, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 2,396
Initial costs, buildings	26,521
Additions subsequent to acquisition, Improvements	2,931
Land at cost	2,396
Buildings at cost	29,452
Total at cost	31,848
Accumulated Depreciation	817
Encumbrances	$ 0
Date of Construction	1979
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	42 years
1979 [Member] | San Dimas, CA [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Medical Office Building
Initial costs, land	$ 1,915
Initial costs, buildings	5,085
Additions subsequent to acquisition, carrying costs	18
Land at cost	1,915
Buildings at cost	5,103
Total at cost	7,018
Accumulated Depreciation	1,289
Encumbrances	$ 0
Date of Construction	1979
Date Acquired	Nov. 25, 2008
Life on which depreciation in latest income statements is computed (Years)	40 years
1968 [Member] | Phoenix, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 12,695
Initial costs, buildings	73,774
Additions subsequent to acquisition, Improvements	2,432
Land at cost	12,695
Buildings at cost	76,206
Total at cost	88,901
Accumulated Depreciation	2,502
Encumbrances	$ 0
Date of Construction	1968
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	43 years
1976 [Member] | Phoenix, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Acute care general hospital
Initial costs, land	$ 12,695
Initial costs, buildings	73,774
Additions subsequent to acquisition, Improvements	2,432
Land at cost	12,695
Buildings at cost	76,206
Total at cost	88,901
Accumulated Depreciation	2,502
Encumbrances	$ 0
Date of Construction	1976
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	43 years
1906 [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	$ 13,590
Initial costs, buildings	101,915
Additions subsequent to acquisition, Improvements	726
Land at cost	13,590
Buildings at cost	102,641
Total at cost	116,231
Accumulated Depreciation	3,178
Encumbrances	$ 0
Date of Construction	1906
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
1987 [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	$ 13,590
Initial costs, buildings	101,915
Additions subsequent to acquisition, Improvements	726
Land at cost	13,590
Buildings at cost	102,641
Total at cost	116,231
Accumulated Depreciation	3,178
Encumbrances	$ 0
Date of Construction	1987
Date Acquired	Sep. 29, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years
2017 One [Member] | Phoenix, AZ [Member]
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]
Type of property	Freestanding ER
Initial costs, land	$ 1,132
Initial costs, buildings	5,052
Land at cost	1,132
Buildings at cost	5,052
Total at cost	6,184
Accumulated Depreciation	221
Encumbrances	$ 0
Date of Construction	2017
Date Acquired	Apr. 13, 2017
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	$ 4,493
Initial costs, buildings	11,081
Land at cost	4,493
Buildings at cost	11,081
Total at cost	15,574
Accumulated Depreciation	2,703
Encumbrances	$ 0
Date of Construction	1913
Date Acquired	Oct. 31, 2014
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	$ 12,000
Initial costs, buildings	69,433
Additions subsequent to acquisition, Improvements	11,013
Land at cost	12,552
Buildings at cost	79,894
Total at cost	92,446
Accumulated Depreciation	9,746
Encumbrances	$ 0
Date of Construction	1962
Date Acquired	Sep. 26, 2013
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	18,373
Additions subsequent to acquisition, carrying costs	1
Land at cost	1,019
Buildings at cost	18,374
Total at cost	19,393
Accumulated Depreciation	4,937
Encumbrances	$ 0
Date of Construction	1992
Date Acquired	Apr. 04, 2008
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	$ 4,335
Initial costs, buildings	3,565
Additions subsequent to acquisition, Improvements	604
Land at cost	4,334
Buildings at cost	4,170
Total at cost	8,504
Accumulated Depreciation	965
Encumbrances	$ 0
Date of Construction	1929
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	41 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	$ 4,335
Initial costs, buildings	3,565
Additions subsequent to acquisition, Improvements	604
Land at cost	4,334
Buildings at cost	4,170
Total at cost	8,504
Accumulated Depreciation	965
Encumbrances	$ 0
Date of Construction	2003
Date Acquired	May 01, 2017
Life on which depreciation in latest income statements is computed (Years)	41 years

[1] Includes $131.4 million of land and building cost reflected in real estate held for sale at December 31, 2017. Excludes intangible lease assets that are included in real estate held for sale of $15.8 million at December 31, 2017.