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Real Estate Activities - Disposals - Additional Information (Detail)
$ in Thousands, € in Millions
1 Months Ended 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 ($)
Aug. 31, 2018
EUR (€)
Dec. 31, 2019
USD ($)
Hospital
Dec. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Aug. 23, 2019
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               $ 1,819,854 $ 1,586,520    
Net proceeds from sale of real estate               $ 111,766 $ 1,513,666 $ 64,362  
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            
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                  
Vibra [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 [Member] | California, Texas, and Oregon [Member] | Working Capital Loans [Member]                      
Debt Instrument [Line Items]                      
Loans, Balance       1,500              
Vibra [Member] | California, Texas, and Oregon [Member] | Mortgage Loans [Member]                      
Debt Instrument [Line Items]                      
Loans, Balance       $ 18,300              
Acute Care Hospital [Member]                      
Debt Instrument [Line Items]                      
Number of hospitals sold | Hospital               5      
Proceeds from sale of facilities               $ 97,000      
Gain on real estate dispositions               $ 41,600      
Acute Care Hospital [Member] | Mortgage Loans [Member]                      
Debt Instrument [Line Items]                      
Loans, Balance                     $ 51,300
Acute Care Hospital [Member] | Germany [Member]                      
Debt Instrument [Line Items]                      
Gain on real estate dispositions | €             € 500        
Acute Care Hospital [Member] | Primotop Holdings S.a.r.l. [Member] | Germany [Member]                      
Debt Instrument [Line Items]                      
Proceeds from sale of facilities | €     € 1,635                
Gain on real estate dispositions | €     € 500                
Number of properties sold | Hospital   71 71                
General Acute Care Hospital and Healthcare System [Member] | North Cypress [Member] | Houston, Texas [Member]                      
Debt Instrument [Line Items]                      
Number of properties sold | Hospital   1 1                
Long-term Acute Care Hospital [Member] | Vibra [Member] | California, Texas, and Oregon [Member]                      
Debt Instrument [Line Items]                      
Number of properties sold | Hospital       3