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Real Estate Activities - Disposals - Additional Information (Detail)
$ in Thousands, € in Millions
12 Months Ended
Oct. 04, 2018
USD ($)
Aug. 31, 2018
USD ($)
Hospital
Aug. 31, 2018
EUR (€)
Hospital
Jun. 04, 2018
USD ($)
Hospital
Mar. 01, 2018
USD ($)
Mar. 31, 2017
USD ($)
Dec. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Debt Instrument [Line Items]                  
Proceeds from sale of facilities           $ 64,000      
Gain on real estate dispositions           7,400      
Gain offset by non-cash charges           $ 600      
Loans, Balance             $ 1,586,520 $ 1,928,524  
Net proceeds from sale of real estate             1,513,666 64,362 $ 198,767
Working Capital Loans [Member]                  
Debt Instrument [Line Items]                  
Loans, Balance             369,744 31,760  
Mortgage Loans [Member]                  
Debt Instrument [Line Items]                  
Loans, Balance             $ 1,213,322 $ 1,778,316  
Houston, Texas [Member] | Steward Health Care System LLC [Member] | St. Joseph Medical Center [Member]                  
Debt Instrument [Line Items]                  
Gain on real estate dispositions         $ 1,500        
Gain offset by non-cash charges         1,700        
Net proceeds from sale of real estate         $ 148,000        
Primotop Holdings S.a.r.l. [Member] | Germany [Member] | Acute Care Hospital [Member]                  
Debt Instrument [Line Items]                  
Proceeds from sale of facilities | €     € 1,635            
Number of properties sold | Hospital   71 71            
Gain on real estate dispositions   $ 500              
Ernest [Member]                  
Debt Instrument [Line Items]                  
Proceeds from sale of facilities $ 176,000                
North Cypress [Member] | Houston, Texas [Member]                  
Debt Instrument [Line Items]                  
Proceeds from sale of facilities   148,000              
Gain on real estate dispositions   102,400              
Gain offset by non-cash charges   $ 2,500              
North Cypress [Member] | General Acute Care Hospital and Healthcare System [Member] | Houston, Texas [Member]                  
Debt Instrument [Line Items]                  
Number of properties sold | Hospital   1 1            
Vibra Healthcare, LLC [Member] | California, Texas, and Oregon [Member]                  
Debt Instrument [Line Items]                  
Proceeds from sale of facilities       $ 53,300          
Gain on real estate dispositions       24,200          
Gain offset by non-cash charges       5,100          
Vibra Healthcare, LLC [Member] | California, Texas, and Oregon [Member] | Working Capital Loans [Member]                  
Debt Instrument [Line Items]                  
Loans, Balance       1,500          
Vibra Healthcare, LLC [Member] | California, Texas, and Oregon [Member] | Mortgage Loans [Member]                  
Debt Instrument [Line Items]                  
Loans, Balance       $ 18,300          
Vibra Healthcare, LLC [Member] | California, Texas, and Oregon [Member] | Long-term Acute Care Hospital [Member]                  
Debt Instrument [Line Items]                  
Number of properties sold | Hospital       3