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Real Estate Activities - 2017 Activity - Additional Information (Detail)
$ in Thousands, € in Millions
1 Months Ended 3 Months Ended 5 Months Ended 12 Months Ended
Nov. 29, 2017
EUR (€)
Hospital
Sep. 29, 2017
USD ($)
Hospital
Health_Center
Jun. 22, 2017
EUR (€)
Jun. 01, 2017
USD ($)
RenewalOption
Bed
May 01, 2017
USD ($)
Hospital
Bed
Jan. 30, 2017
EUR (€)
Dec. 31, 2016
EUR (€)
Property
Jul. 31, 2016
EUR (€)
Hospital
Sep. 30, 2017
EUR (€)
Hospital
Jun. 30, 2017
EUR (€)
Hospital
Jan. 30, 2017
EUR (€)
Hospital
Dec. 31, 2018
USD ($)
Hospital
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Business Acquisition [Line Items]                            
Amount of mortgage loan | $                       $ 50,783 $ 717,928 $ 612,836
2017 [Member] | Subsidiaries [Member]                            
Business Acquisition [Line Items]                            
Amount of mortgage loan | $   $ 700,000                        
Number of mortgage facilities | Hospital   2                        
Equity interest acquired | $   $ 100,000                   $ 210,000    
Combined purchase price and investment amount | $   1,500,000                        
2017 [Member] | Subsidiaries [Member] | IASIS Healthcare [Member]                            
Business Acquisition [Line Items]                            
Purchase price of acquisition | $   $ 700,000                        
Acute Care Hospital [Member] | 2017 [Member] | Germany [Member] | MEDIAN [Member]                            
Business Acquisition [Line Items]                            
Purchase price of acquisition | €     € 19.4                      
Lease agreement, end date     2042-12                      
Lease rate     1.00%                      
Lease rent increase percentage     70.00%                      
Purchase price of acquisition funded | €     € 18.6                      
Remaining payment period     4 years                      
Acute Care Hospital [Member] | 2017 [Member] | West Virginia and Ohio [Member] | Alecto Healthcare Services [Member]                            
Business Acquisition [Line Items]                            
Purchase price of acquisition | $       $ 40,000                    
Term of lease       15 years                    
Percentage of increase in annual rent       2.00%                    
Number of lease extension options | RenewalOption       3                    
Term of lease extension, years       5 years                    
Ownership interest percentage in operator facility       20.00%                    
Acute Care Hospital [Member] | 2017 [Member] | IDAHO, Lewiston | St. Joseph Regional Medical Center [Member]                            
Business Acquisition [Line Items]                            
Purchase price of acquisition | $         $ 87,500                  
Number of beds acquired | Bed         145                  
Acute Care Hospital [Member] | 2017 [Member] | IASIS Healthcare [Member]                            
Business Acquisition [Line Items]                            
Number of facilities closed | Hospital   10                        
Acute Care Hospital [Member] | 2017 [Member] | Ohio Valley Medical Center [Member] | Alecto Healthcare Services [Member]                            
Business Acquisition [Line Items]                            
Number of beds acquired | Bed       218                    
Acute Care Hospital [Member] | 2017 [Member] | East Ohio Regional Hospital [Member] | Alecto Healthcare Services [Member]                            
Business Acquisition [Line Items]                            
Number of beds acquired | Bed       139                    
Acute Care Hospital [Member] | 2017 [Member] | Subsidiaries [Member] | IASIS Healthcare [Member]                            
Business Acquisition [Line Items]                            
Number of facilities acquired | Hospital   8                        
Behavioral Health Care Facility [Member] | 2017 [Member] | IASIS Healthcare [Member]                            
Business Acquisition [Line Items]                            
Number of facilities closed | Health_Center   1                        
Behavioral Health Care Facility [Member] | 2017 [Member] | Subsidiaries [Member] | IASIS Healthcare [Member]                            
Business Acquisition [Line Items]                            
Number of facilities acquired | Health_Center   1                        
Community Health Systems, Inc. [Member] | 2017 [Member] | Florida, Ohio, and Pennsylvania [Member]                            
Business Acquisition [Line Items]                            
Number of facilities acquired | Hospital         8                  
Purchase price of acquisition | $         $ 301,300                  
Rehabilitation Hospital with Covenant Health System [Member] | Germany [Member]                            
Business Acquisition [Line Items]                            
Number of facilities acquired | Hospital                       3    
Rehabilitation Hospital with Covenant Health System [Member] | 2017 [Member] | Germany [Member]                            
Business Acquisition [Line Items]                            
Number of facilities acquired | Hospital                     6      
Purchase price of acquisition | €           € 8.4         € 44.1      
Rehabilitation Hospital with Covenant Health System [Member] | 2017 [Member] | Germany [Member] | Third Master Lease [Member]                            
Business Acquisition [Line Items]                            
Number of facilities acquired | Hospital               20 2 11        
Acquisition costs | €               € 215.7 € 39.2 € 127.0        
Number of properties closed | Property             7              
Amount of properties closed | €             € 49.5              
Rehabilitation Hospital with Covenant Health System [Member] | 2017 [Member] | Germany [Member] | MEDIAN [Member]                            
Business Acquisition [Line Items]                            
Number of facilities acquired | Hospital 3                          
Acquisition costs | € € 80.0                          
Term of lease 27 years                          
Lease agreement, end date 2044-11                          
Lease rate 1.00%                          
Lease rent increase percentage 70.00%