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Real Estate Activities and Lending Activities - 2018 Activity - Additional Information (Detail)
$ in Thousands
1 Months Ended 6 Months Ended
Jun. 27, 2018
USD ($)
Hospital
Oct. 31, 2016
USD ($)
Jun. 30, 2019
USD ($)
Jun. 30, 2018
USD ($)
Business Acquisition [Line Items]        
Payment of cash consideration for acquisition     $ 1,402,315 $ 273,728
2018 [Member] | General Acute Care Hospital and Healthcare System [Member]        
Business Acquisition [Line Items]        
Number of facilities acquired | Hospital 2      
Mortgage financing   $ 259,400    
Payment of cash consideration for acquisition $ 14,400