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Schedule IV - Schedule of Mortgage Loans on Real Estate (Detail) - USD ($)
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Mortgage Loans on Real Estate [Line Items]        
Prior Liens $ 0      
Face Amount of Mortgages 1,213,283,000      
Carrying Amount of Mortgages 1,213,283,000 $ 1,778,264,000 $ 1,060,336,000 $ 757,500,000
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0      
Long-Term First Mortgage Loan [Member]        
Mortgage Loans on Real Estate [Line Items]        
Periodic Payment Terms Payable in monthly installments of interest plus principal payable in full at maturity      
Long-Term First Mortgage Loan [Member] | Desert Valley Hospital [Member]        
Mortgage Loans on Real Estate [Line Items]        
Interest Rate 11.00%      
Final Maturity Date 2022      
Face Amount of Mortgages $ 70,000,000      
Carrying Amount of Mortgages 70,000,000      
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0      
Long-Term First Mortgage Loan [Member] | Desert Valley Hospital [Member]        
Mortgage Loans on Real Estate [Line Items]        
Interest Rate 12.20%      
Final Maturity Date 2022      
Face Amount of Mortgages $ 20,000,000      
Carrying Amount of Mortgages 20,000,000      
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0      
Long-Term First Mortgage Loan [Member] | Desert Valley Hospital [Member]        
Mortgage Loans on Real Estate [Line Items]        
Interest Rate 11.00%      
Final Maturity Date 2020      
Face Amount of Mortgages $ 12,500,000      
Carrying Amount of Mortgages 12,500,000      
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0      
Long-Term First Mortgage Loan [Member] | Chino Valley Medical Center [Member]        
Mortgage Loans on Real Estate [Line Items]        
Interest Rate 11.00%      
Final Maturity Date 2022      
Face Amount of Mortgages $ 50,000,000      
Carrying Amount of Mortgages 50,000,000      
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0      
Long-Term First Mortgage Loan [Member] | Paradise Valley Hospital [Member]        
Mortgage Loans on Real Estate [Line Items]        
Interest Rate 11.00%      
Final Maturity Date 2022      
Face Amount of Mortgages $ 25,000,000      
Carrying Amount of Mortgages 25,000,000      
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0      
Long-Term First Mortgage Loan [Member] | Ernest Mortgage Loan [Member]        
Mortgage Loans on Real Estate [Line Items]        
Interest Rate 10.00%      
Final Maturity Date 2032      
Face Amount of Mortgages $ 115,000,000      
Carrying Amount of Mortgages 115,000,000      
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0      
Long-Term First Mortgage Loan [Member] | Centinela Hospital Medical Center [Member]        
Mortgage Loans on Real Estate [Line Items]        
Interest Rate 11.60%      
Final Maturity Date 2022      
Face Amount of Mortgages $ 100,000,000      
Carrying Amount of Mortgages 100,000,000      
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0      
Long-Term First Mortgage Loan [Member] | Olympia Medical Center [Member]        
Mortgage Loans on Real Estate [Line Items]        
Interest Rate 10.70%      
Final Maturity Date 2024      
Face Amount of Mortgages $ 25,000,000      
Carrying Amount of Mortgages 25,000,000      
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0      
Long-Term First Mortgage Loan [Member] | St. Joseph Medical Center [Member]        
Mortgage Loans on Real Estate [Line Items]        
Interest Rate 9.00%      
Final Maturity Date 2025      
Face Amount of Mortgages $ 30,000,000      
Carrying Amount of Mortgages 30,000,000      
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0      
Long-Term First Mortgage Loan [Member] | St. Mary's Medical Center [Member]        
Mortgage Loans on Real Estate [Line Items]        
Interest Rate 9.00%      
Final Maturity Date 2025      
Face Amount of Mortgages $ 10,000,000      
Carrying Amount of Mortgages 10,000,000      
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0      
Long-Term First Mortgage Loan [Member] | Lake Huron Medical Center [Member]        
Mortgage Loans on Real Estate [Line Items]        
Interest Rate 9.00%      
Final Maturity Date 2020      
Face Amount of Mortgages $ 10,000,000      
Carrying Amount of Mortgages 10,000,000      
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0      
Long-Term First Mortgage Loan [Member] | Steward Mortgage Loan [Member]        
Mortgage Loans on Real Estate [Line Items]        
Interest Rate 7.50%      
Final Maturity Date 2031      
Face Amount of Mortgages $ 727,508,000      
Carrying Amount of Mortgages 727,508,000      
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0      
Long-Term First Mortgage Loan [Member] | Vibra Mortgage Loan [Member]        
Mortgage Loans on Real Estate [Line Items]        
Interest Rate 11.50%      
Final Maturity Date 2024      
Face Amount of Mortgages $ 18,275,000      
Carrying Amount of Mortgages 18,275,000      
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0