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Schedule III - Real Estate Investments and Accumulated Depreciation (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Initial costs, land $ 1,442,071      
Initial costs, buildings 8,857,393      
Additions subsequent to acquisition, Improvements 428,465      
Additions subsequent to acquisition, carrying costs 21,778      
Land at cost 1,463,201      
Buildings at cost 9,286,506      
Total at cost 10,749,707 $ 7,312,486 $ 4,781,149 $ 5,438,148
Accumulated Depreciation $ 728,176 $ 504,651    
Princes Risborough, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 5,006      
Land at cost 5,006      
Total at cost 5,006      
Encumbrances $ 0      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1981 [Member] | Ashtead, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 39,518      
Initial costs, buildings 76,020      
Additions subsequent to acquisition, Improvements 1,029      
Land at cost 40,547      
Buildings at cost 76,020      
Total at cost 116,567      
Accumulated Depreciation 2,648      
Encumbrances $ 0      
Date of Construction 1981      
Date Acquired Aug. 16, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1981 [Member] | Beckenham, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 5,810      
Initial costs, buildings 22,493      
Additions subsequent to acquisition, Improvements 55      
Land at cost 5,864      
Buildings at cost 22,494      
Total at cost 28,358      
Accumulated Depreciation 566      
Encumbrances $ 0      
Date of Construction 1981      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1981 [Member] | Cheadle, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 32,808      
Initial costs, buildings 174,982      
Additions subsequent to acquisition, Improvements 410      
Land at cost 33,218      
Buildings at cost 174,982      
Total at cost 208,200      
Accumulated Depreciation 4,401      
Encumbrances $ 0      
Date of Construction 1981      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1981 [Member] | Dorchester, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 533      
Initial costs, buildings 33,653      
Additions subsequent to acquisition, Improvements 62      
Land at cost 595      
Buildings at cost 33,653      
Total at cost 34,248      
Accumulated Depreciation 845      
Encumbrances $ 0      
Date of Construction 1981      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1981 [Member] | Euxton, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 4,088      
Initial costs, buildings 38,183      
Additions subsequent to acquisition, Improvements 870      
Land at cost 4,958      
Buildings at cost 38,183      
Total at cost 43,141      
Accumulated Depreciation 1,369      
Encumbrances $ 0      
Date of Construction 1981      
Date Acquired Aug. 16, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1981 [Member] | Great Missenden, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 12,303      
Initial costs, buildings 112,924      
Additions subsequent to acquisition, Improvements 335      
Land at cost 12,638      
Buildings at cost 112,924      
Total at cost 125,562      
Accumulated Depreciation 2,845      
Encumbrances $ 0      
Date of Construction 1981      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1981 [Member] | Torquay, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,840      
Initial costs, buildings 38,379      
Additions subsequent to acquisition, Improvements 360      
Land at cost 3,200      
Buildings at cost 38,379      
Total at cost 41,579      
Accumulated Depreciation 1,319      
Encumbrances $ 0      
Date of Construction 1981      
Date Acquired Aug. 16, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2008 [Member] | Bath, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,620      
Initial costs, buildings 33,584      
Land at cost 1,620      
Buildings at cost 33,584      
Total at cost 35,204      
Accumulated Depreciation 5,457      
Encumbrances $ 0      
Date of Construction 2008      
Date Acquired Jul. 01, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2008 [Member] | Boise, ID [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Long term acute care hospital      
Initial costs, land $ 1,558      
Initial costs, buildings 11,027      
Land at cost 1,558      
Buildings at cost 11,027      
Total at cost 12,585      
Accumulated Depreciation 634      
Encumbrances $ 0      
Date of Construction 2008      
Date Acquired Feb. 29, 2012      
Life on which depreciation in latest income statements is computed (Years) 50 years      
2008 [Member] | Boardman, OH [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Long term acute care hospital      
Initial costs, land $ 79      
Initial costs, buildings 275      
Land at cost 79      
Buildings at cost 275      
Total at cost 354      
Accumulated Depreciation 10      
Encumbrances $ 0      
Date of Construction 2008      
Date Acquired Aug. 30, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2008 [Member] | Crown Point, IN [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Long term acute care hospital      
Initial costs, land $ 302      
Initial costs, buildings 528      
Land at cost 302      
Buildings at cost 528      
Total at cost 830      
Accumulated Depreciation 22      
Encumbrances $ 0      
Date of Construction 2008      
Date Acquired Aug. 30, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2008 [Member] | Denville, NJ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 15,709      
Initial costs, buildings 55,772      
Land at cost 15,709      
Buildings at cost 55,772      
Total at cost 71,481      
Accumulated Depreciation 254      
Encumbrances $ 0      
Date of Construction 2008      
Date Acquired Sep. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2008 [Member] | Dover, NJ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 3,865      
Initial costs, buildings 8,693      
Land at cost 3,865      
Buildings at cost 8,693      
Total at cost 12,558      
Accumulated Depreciation 42      
Encumbrances $ 0      
Date of Construction 2008      
Date Acquired Sep. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2008 [Member] | Lubbock, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,376      
Initial costs, buildings 28,292      
Additions subsequent to acquisition, Improvements 3,648      
Land at cost 1,376      
Buildings at cost 31,940      
Total at cost 33,316      
Accumulated Depreciation 4,281      
Encumbrances $ 0      
Date of Construction 2008      
Date Acquired Jun. 16, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2008 [Member] | Sheffield, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 6,835      
Initial costs, buildings 47,906      
Additions subsequent to acquisition, Improvements 267      
Land at cost 7,102      
Buildings at cost 47,906      
Total at cost 55,008      
Accumulated Depreciation 1,215      
Encumbrances $ 0      
Date of Construction 2008      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1887 [Member} | Bassenheim, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,081      
Initial costs, buildings 5,853      
Additions subsequent to acquisition, Improvements 183      
Land at cost 1,264      
Buildings at cost 5,853      
Total at cost 7,117      
Accumulated Depreciation 311      
Encumbrances $ 0      
Date of Construction 1887      
Date Acquired Feb. 09, 2019      
Life on which depreciation in latest income statements is computed (Years) 39 years      
2009 [Member] | Bath, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,620      
Initial costs, buildings 33,584      
Land at cost 1,620      
Buildings at cost 33,584      
Total at cost 35,204      
Accumulated Depreciation 5,457      
Encumbrances $ 0      
Date of Construction 2009      
Date Acquired Jul. 01, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2009 [Member] | Brighton, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 18,540      
Initial costs, buildings 146,491      
Additions subsequent to acquisition, Improvements 39,279      
Land at cost 18,540      
Buildings at cost 185,770      
Total at cost 204,310      
Accumulated Depreciation 16,411      
Encumbrances $ 0      
Date of Construction 2009      
Date Acquired Oct. 03, 2016      
Life on which depreciation in latest income statements is computed (Years) 41 years      
2009 [Member] | Folsom, CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Long term acute care hospital      
Initial costs, land $ 3,291      
Initial costs, buildings 21,293      
Land at cost 3,291      
Buildings at cost 21,293      
Total at cost 24,584      
Accumulated Depreciation 843      
Encumbrances $ 0      
Date of Construction 2009      
Date Acquired Aug. 30, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1983 [Member] | Bassenheim, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,081      
Initial costs, buildings 5,853      
Additions subsequent to acquisition, Improvements 183      
Land at cost 1,264      
Buildings at cost 5,853      
Total at cost 7,117      
Accumulated Depreciation 311      
Encumbrances $ 0      
Date of Construction 1983      
Date Acquired Feb. 09, 2019      
Life on which depreciation in latest income statements is computed (Years) 39 years      
1983 [Member] | Grefath, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,220      
Initial costs, buildings 3,351      
Additions subsequent to acquisition, Improvements 108      
Land at cost 1,328      
Buildings at cost 3,351      
Total at cost 4,679      
Accumulated Depreciation 212      
Encumbrances $ 0      
Date of Construction 1983      
Date Acquired Aug. 28, 2018      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1983 [Member] | Remscheid, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,097      
Initial costs, buildings 2,797      
Additions subsequent to acquisition, Improvements 64      
Land at cost 1,161      
Buildings at cost 2,797      
Total at cost 3,958      
Accumulated Depreciation 173      
Encumbrances $ 0      
Date of Construction 1983      
Date Acquired Aug. 28, 2018      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1983 [Member] | Glasgow, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 6,767      
Initial costs, buildings 141,275      
Additions subsequent to acquisition, Improvements 150      
Land at cost 6,917      
Buildings at cost 141,275      
Total at cost 148,192      
Accumulated Depreciation 3,542      
Encumbrances $ 0      
Date of Construction 1983      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1983 [Member] | Lander, WY [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 761      
Initial costs, buildings 42,849      
Land at cost 761      
Buildings at cost 42,849      
Total at cost 43,610      
Accumulated Depreciation 1,145      
Encumbrances $ 0      
Date of Construction 1983      
Date Acquired Dec. 17, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1983 [Member] | Port Huron, MI [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,531      
Initial costs, buildings 14,252      
Land at cost 2,531      
Buildings at cost 14,252      
Total at cost 16,783      
Accumulated Depreciation 2,434      
Encumbrances $ 0      
Date of Construction 1983      
Date Acquired Dec. 31, 2015      
Life on which depreciation in latest income statements is computed (Years) 30 years      
1983 [Member] | Milton Keynes, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 5,536      
Initial costs, buildings 38,506      
Additions subsequent to acquisition, Improvements 96      
Land at cost 5,632      
Buildings at cost 38,506      
Total at cost 44,138      
Accumulated Depreciation 969      
Encumbrances $ 0      
Date of Construction 1983      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1983 [Member] | Nottingham, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 5,058      
Initial costs, buildings 49,340      
Additions subsequent to acquisition, Improvements 260      
Land at cost 5,318      
Buildings at cost 49,340      
Total at cost 54,658      
Accumulated Depreciation 1,251      
Encumbrances $ 0      
Date of Construction 1983      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1983 [Member] | Riverton, WY [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,163      
Initial costs, buildings 29,647      
Land at cost 1,163      
Buildings at cost 29,647      
Total at cost 30,810      
Accumulated Depreciation 919      
Encumbrances $ 0      
Date of Construction 1983      
Date Acquired Dec. 17, 2019      
Life on which depreciation in latest income statements is computed (Years) 36 years      
1983 [Member] | Watsonville CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 16,488      
Initial costs, buildings 17,800      
Land at cost 16,488      
Buildings at cost 17,800      
Total at cost 34,288      
Accumulated Depreciation 818      
Encumbrances $ 0      
Date of Construction 1983      
Date Acquired Sep. 30, 2019      
Life on which depreciation in latest income statements is computed (Years) 39 years      
1983 [Member] | West Jordan UT [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 16,896      
Initial costs, buildings 233,256      
Additions subsequent to acquisition, Improvements 3,319      
Land at cost 16,896      
Buildings at cost 236,575      
Total at cost 253,471      
Accumulated Depreciation 3,185      
Encumbrances $ 0      
Date of Construction 1983      
Date Acquired Sep. 29, 2017      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1977 [Member] | Braunfels, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,345      
Initial costs, buildings 14,992      
Additions subsequent to acquisition, Improvements 62      
Land at cost 2,407      
Buildings at cost 14,992      
Total at cost 17,399      
Accumulated Depreciation 2,084      
Encumbrances $ 0      
Date of Construction 1977      
Date Acquired Jun. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1977 [Member] | London, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 13,342      
Initial costs, buildings 87,261      
Additions subsequent to acquisition, Improvements 27      
Land at cost 13,369      
Buildings at cost 87,261      
Total at cost 100,630      
Accumulated Depreciation 2,183      
Encumbrances $ 0      
Date of Construction 1977      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1885 [Member] | Heidelberg, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 6,823      
Initial costs, buildings 39,424      
Additions subsequent to acquisition, Improvements 79      
Land at cost 6,902      
Buildings at cost 39,424      
Total at cost 46,326      
Accumulated Depreciation 4,459      
Encumbrances $ 0      
Date of Construction 1885      
Date Acquired Jun. 22, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1991 [Member] | Heidelberg, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 6,823      
Initial costs, buildings 39,424      
Additions subsequent to acquisition, Improvements 79      
Land at cost 6,902      
Buildings at cost 39,424      
Total at cost 46,326      
Accumulated Depreciation 4,459      
Encumbrances $ 0      
Date of Construction 1991      
Date Acquired Jun. 22, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1991 [Member] | Fresno, CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 5,507      
Initial costs, buildings 70,473      
Land at cost 5,507      
Buildings at cost 70,473      
Total at cost 75,980      
Accumulated Depreciation 2,532      
Encumbrances $ 0      
Date of Construction 1991      
Date Acquired Aug. 30, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1992 [Member] | Bath, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 7,519      
Initial costs, buildings 14,016      
Additions subsequent to acquisition, Improvements 205      
Land at cost 7,724      
Buildings at cost 14,016      
Total at cost 21,740      
Accumulated Depreciation 364      
Encumbrances $ 0      
Date of Construction 1992      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1992 [Member] | Bowling Green, KY [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 3,486      
Initial costs, buildings 56,296      
Land at cost 3,486      
Buildings at cost 56,296      
Total at cost 59,782      
Accumulated Depreciation 2,092      
Encumbrances $ 0      
Date of Construction 1992      
Date Acquired Aug. 30, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1992 [Member] | Wichita, KS [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,019      
Initial costs, buildings 18,373      
Additions subsequent to acquisition, carrying costs 1      
Land at cost 1,019      
Buildings at cost 18,374      
Total at cost 19,393      
Accumulated Depreciation 5,856      
Encumbrances $ 0      
Date of Construction 1992      
Date Acquired Apr. 04, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2018 [Member] | Birmingham, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, buildings $ 20,011      
Buildings at cost 20,011      
Total at cost 20,011      
Accumulated Depreciation 249      
Encumbrances $ 0      
Date of Construction 2018      
Date Acquired Jun. 29, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2018 [Member] | El Paso, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 4,268      
Initial costs, buildings 21,328      
Land at cost 4,268      
Buildings at cost 21,328      
Total at cost 25,596      
Encumbrances $ 0      
Date of Construction 2018      
Date Acquired Dec. 17, 2020      
Life on which depreciation in latest income statements is computed (Years) 38 years      
2018 [Member] | Olathe, KS [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 3,485      
Initial costs, buildings 14,484      
Land at cost 3,485      
Buildings at cost 14,484      
Total at cost 17,969      
Accumulated Depreciation 498      
Encumbrances $ 0      
Date of Construction 2018      
Date Acquired Jun. 10, 2019      
Life on which depreciation in latest income statements is computed (Years) 50 years      
2018 [Member] | Roeland Park, KS [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,569      
Initial costs, buildings 15,103      
Land at cost 1,569      
Buildings at cost 15,103      
Total at cost 16,672      
Accumulated Depreciation 509      
Encumbrances $ 0      
Date of Construction 2018      
Date Acquired Jun. 10, 2019      
Life on which depreciation in latest income statements is computed (Years) 50 years      
2018 [Member] | Shawnee, KS [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 3,076      
Initial costs, buildings 14,945      
Land at cost 3,076      
Buildings at cost 14,945      
Total at cost 18,021      
Accumulated Depreciation 587      
Encumbrances $ 0      
Date of Construction 2018      
Date Acquired Jun. 10, 2019      
Life on which depreciation in latest income statements is computed (Years) 50 years      
2011 [Member] | Cologne, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 4,788      
Initial costs, buildings 16,560      
Additions subsequent to acquisition, Improvements 111      
Land at cost 4,899      
Buildings at cost 16,560      
Total at cost 21,459      
Accumulated Depreciation 1,475      
Encumbrances $ 0      
Date of Construction 2011      
Date Acquired Jun. 23, 2017      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2011 [Member] | Methuen, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 23,809      
Initial costs, buildings 89,505      
Additions subsequent to acquisition, Improvements 9,184      
Land at cost 23,809      
Buildings at cost 98,689      
Total at cost 122,498      
Accumulated Depreciation 11,290      
Encumbrances $ 0      
Date of Construction 2011      
Date Acquired Oct. 03, 2016      
Life on which depreciation in latest income statements is computed (Years) 41 years      
2011 [Member] | New Braunfels, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,853      
Initial costs, buildings 10,622      
Land at cost 1,853      
Buildings at cost 10,622      
Total at cost 12,475      
Accumulated Depreciation 23      
Encumbrances $ 0      
Date of Construction 2011      
Date Acquired Feb. 29, 2012      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2017 [Member] | Birmingham, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 9,397      
Initial costs, buildings 48,175      
Land at cost 9,397      
Buildings at cost 48,175      
Total at cost 57,572      
Accumulated Depreciation 599      
Encumbrances $ 0      
Date of Construction 2017      
Date Acquired Apr. 03, 2017      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2017 [Member] | Houston, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,903      
Initial costs, buildings 1,276      
Land at cost 1,903      
Buildings at cost 1,276      
Total at cost 3,179      
Accumulated Depreciation 408      
Encumbrances $ 0      
Date of Construction 2017      
Date Acquired May 08, 2017      
Life on which depreciation in latest income statements is computed (Years) 35 years      
2017 [Member] | Kansas City, KS [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,351      
Initial costs, buildings 13,665      
Land at cost 2,351      
Buildings at cost 13,665      
Total at cost 16,016      
Accumulated Depreciation 468      
Encumbrances $ 0      
Date of Construction 2017      
Date Acquired Jun. 10, 2019      
Life on which depreciation in latest income statements is computed (Years) 50 years      
2017 [Member] | Phoenix, AZ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,132      
Initial costs, buildings 5,052      
Land at cost 1,132      
Buildings at cost 5,052      
Total at cost 6,184      
Accumulated Depreciation 474      
Encumbrances $ 0      
Date of Construction 2017      
Date Acquired Apr. 13, 2017      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2017 [Member] | Leawood, KS [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,513      
Initial costs, buildings 13,938      
Land at cost 2,513      
Buildings at cost 13,938      
Total at cost 16,451      
Accumulated Depreciation 474      
Encumbrances $ 0      
Date of Construction 2017      
Date Acquired Jun. 10, 2019      
Life on which depreciation in latest income statements is computed (Years) 50 years      
2017 [Member] | Overland Park, KS [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,974      
Initial costs, buildings 14,405      
Land at cost 2,974      
Buildings at cost 14,405      
Total at cost 17,379      
Accumulated Depreciation 498      
Encumbrances $ 0      
Date of Construction 2017      
Date Acquired Jun. 10, 2019      
Life on which depreciation in latest income statements is computed (Years) 50 years      
2017 [Member] | Austin, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 3,782      
Initial costs, buildings 4,200      
Land at cost 3,782      
Buildings at cost 4,200      
Total at cost 7,982      
Accumulated Depreciation 434      
Encumbrances $ 0      
Date of Construction 2017      
Date Acquired Mar. 02, 2017      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2017 [Member] | Texarkana T X        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 14,562      
Land at cost 14,562      
Total at cost 14,562      
Encumbrances $ 0      
Date of Construction 2017      
Date Acquired Sep. 29, 2017      
1974 [Member] | Bad Salzuflen, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 10,624      
Initial costs, buildings 29,415      
Additions subsequent to acquisition, Improvements 999      
Land at cost 11,623      
Buildings at cost 29,415      
Total at cost 41,038      
Accumulated Depreciation 2,473      
Encumbrances $ 0      
Date of Construction 1974      
Date Acquired Nov. 30, 2017      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1974 [Member] | Redding, CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,555      
Initial costs, buildings 53,863      
Additions subsequent to acquisition, carrying costs 13      
Land at cost 1,555      
Buildings at cost 53,876      
Total at cost 55,431      
Accumulated Depreciation 18,079      
Encumbrances $ 0      
Date of Construction 1974      
Date Acquired Aug. 10, 2007      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1974 [Member] | Sebastian, FL [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 5,733      
Initial costs, buildings 49,136      
Additions subsequent to acquisition, Improvements 52,394      
Land at cost 5,733      
Buildings at cost 101,530      
Total at cost 107,263      
Accumulated Depreciation 5,392      
Encumbrances $ 0      
Date of Construction 1974      
Date Acquired May 01, 2017      
Life on which depreciation in latest income statements is computed (Years) 41 years      
1982 [Member] | Birmingham, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 10,317      
Initial costs, buildings 100,791      
Additions subsequent to acquisition, Improvements 390      
Land at cost 10,707      
Buildings at cost 100,791      
Total at cost 111,498      
Accumulated Depreciation 2,545      
Encumbrances $ 0      
Date of Construction 1982      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1982 [Member] | Bedford, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,599      
Initial costs, buildings 8,057      
Additions subsequent to acquisition, Improvements 55      
Land at cost 1,654      
Buildings at cost 8,057      
Total at cost 9,711      
Accumulated Depreciation 205      
Encumbrances $ 0      
Date of Construction 1982      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1982 [Member] | Bossier City, LA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Long term acute care hospital      
Initial costs, land $ 900      
Initial costs, buildings 17,818      
Additions subsequent to acquisition, Improvements 944      
Land at cost 900      
Buildings at cost 18,762      
Total at cost 19,662      
Accumulated Depreciation 5,736      
Encumbrances $ 0      
Date of Construction 1982      
Date Acquired Apr. 01, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1982 [Member] | Cheraw, SC [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 657      
Initial costs, buildings 19,576      
Land at cost 657      
Buildings at cost 19,576      
Total at cost 20,233      
Accumulated Depreciation 6,675      
Encumbrances $ 0      
Date of Construction 1982      
Date Acquired Apr. 01, 2008      
Life on which depreciation in latest income statements is computed (Years) 42 years      
1982 [Member] | Caterham, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 10,927      
Initial costs, buildings 22,384      
Additions subsequent to acquisition, Improvements 403      
Land at cost 11,330      
Buildings at cost 22,384      
Total at cost 33,714      
Accumulated Depreciation 791      
Encumbrances $ 0      
Date of Construction 1982      
Date Acquired Aug. 16, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1982 [Member] | Canterbury, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 9,774      
Initial costs, buildings 29,624      
Additions subsequent to acquisition, Improvements 89      
Land at cost 9,863      
Buildings at cost 29,624      
Total at cost 39,487      
Accumulated Depreciation 746      
Encumbrances $ 0      
Date of Construction 1982      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1982 [Member] | Croydon, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 10,458      
Initial costs, buildings 44,782      
Additions subsequent to acquisition, Improvements 218      
Land at cost 10,676      
Buildings at cost 44,782      
Total at cost 55,458      
Accumulated Depreciation 1,134      
Encumbrances $ 0      
Date of Construction 1982      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1982 [Member] | Warren, OH [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 5,385      
Initial costs, buildings 47,588      
Additions subsequent to acquisition, Improvements 9,893      
Land at cost 5,385      
Buildings at cost 57,481      
Total at cost 62,866      
Accumulated Depreciation 5,935      
Encumbrances $ 0      
Date of Construction 1982      
Date Acquired May 01, 2017      
Life on which depreciation in latest income statements is computed (Years) 41 years      
1982 [Member] | Haverhill, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 5,651      
Initial costs, buildings 105,848      
Additions subsequent to acquisition, Improvements 3,384      
Land at cost 5,651      
Buildings at cost 109,232      
Total at cost 114,883      
Accumulated Depreciation 6,674      
Encumbrances $ 0      
Date of Construction 1982      
Date Acquired Aug. 31, 2018      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1982 [Member] | Garden Grove, CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 5,502      
Initial costs, buildings 10,748      
Additions subsequent to acquisition, carrying costs 51      
Land at cost 5,502      
Buildings at cost 10,799      
Total at cost 16,301      
Accumulated Depreciation 3,277      
Encumbrances $ 0      
Date of Construction 1982      
Date Acquired Nov. 25, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 [Member] | Bad Salzuflen, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 10,624      
Initial costs, buildings 29,415      
Additions subsequent to acquisition, Improvements 999      
Land at cost 11,623      
Buildings at cost 29,415      
Total at cost 41,038      
Accumulated Depreciation 2,473      
Encumbrances $ 0      
Date of Construction 2016      
Date Acquired Nov. 30, 2017      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 [Member] | Houston, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 950      
Initial costs, buildings 3,996      
Land at cost 950      
Buildings at cost 3,996      
Total at cost 4,946      
Accumulated Depreciation 425      
Encumbrances $ 0      
Date of Construction 2016      
Date Acquired Sep. 26, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 [Member] | New Orleans, LA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 2,850      
Initial costs, buildings 6,125      
Land at cost 2,850      
Buildings at cost 6,125      
Total at cost 8,975      
Accumulated Depreciation 651      
Encumbrances $ 0      
Date of Construction 2016      
Date Acquired Sep. 23, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 [Member] | Katy, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,604      
Initial costs, buildings 4,174      
Land at cost 1,604      
Buildings at cost 4,174      
Total at cost 5,778      
Accumulated Depreciation 443      
Encumbrances $ 0      
Date of Construction 2016      
Date Acquired Oct. 10, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 [Member] | The Woodlands, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 2,019      
Initial costs, buildings 4,524      
Land at cost 2,019      
Buildings at cost 4,524      
Total at cost 6,543      
Accumulated Depreciation 537      
Encumbrances $ 0      
Date of Construction 2016      
Date Acquired Mar. 28, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 [Member] | DeSoto, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 750      
Initial costs, buildings 4,234      
Land at cost 750      
Buildings at cost 4,234      
Total at cost 4,984      
Accumulated Depreciation 485      
Encumbrances $ 0      
Date of Construction 2016      
Date Acquired May 23, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 [Member] | San Antonio, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 3,216      
Initial costs, buildings 4,801      
Land at cost 3,216      
Buildings at cost 4,801      
Total at cost 8,017      
Accumulated Depreciation 490      
Encumbrances $ 0      
Date of Construction 2016      
Date Acquired Dec. 09, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 [Member] | Glendale, AZ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,144      
Initial costs, buildings 6,087      
Land at cost 1,144      
Buildings at cost 6,087      
Total at cost 7,231      
Accumulated Depreciation 634      
Encumbrances $ 0      
Date of Construction 2016      
Date Acquired Oct. 21, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 [Member] | Goodyear, AZ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,800      
Initial costs, buildings 4,713      
Land at cost 1,800      
Buildings at cost 4,713      
Total at cost 6,513      
Accumulated Depreciation 560      
Encumbrances $ 0      
Date of Construction 2016      
Date Acquired Apr. 04, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 [Member] | Flagstaff, AZ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 3,049      
Initial costs, buildings 22,464      
Land at cost 3,049      
Buildings at cost 22,464      
Total at cost 25,513      
Accumulated Depreciation 1,591      
Encumbrances $ 0      
Date of Construction 2016      
Date Acquired Aug. 23, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 [Member] | Helotes, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,900      
Initial costs, buildings 5,115      
Land at cost 1,900      
Buildings at cost 5,115      
Total at cost 7,015      
Accumulated Depreciation 618      
Encumbrances $ 0      
Date of Construction 2016      
Date Acquired Mar. 10, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 [Member] | Garland, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 3,441      
Initial costs, buildings 4,648      
Land at cost 3,441      
Buildings at cost 4,648      
Total at cost 8,089      
Accumulated Depreciation 484      
Encumbrances $ 0      
Date of Construction 2016      
Date Acquired Nov. 15, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 [Member] | Highlands Ranch, CO [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 4,200      
Initial costs, buildings 4,779      
Land at cost 4,200      
Buildings at cost 4,779      
Total at cost 8,979      
Accumulated Depreciation 528      
Encumbrances $ 0      
Date of Construction 2016      
Date Acquired Jul. 25, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 [Member] | Longmont, CO [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,826      
Initial costs, buildings 4,181      
Land at cost 1,826      
Buildings at cost 4,181      
Total at cost 6,007      
Accumulated Depreciation 514      
Encumbrances $ 0      
Date of Construction 2016      
Date Acquired Feb. 10, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 [Member] | Mandeville, LA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 2,800      
Initial costs, buildings 5,370      
Land at cost 2,800      
Buildings at cost 5,370      
Total at cost 8,170      
Accumulated Depreciation 559      
Encumbrances $ 0      
Date of Construction 2016      
Date Acquired Oct. 28, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 [Member] | Marrero, LA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,632      
Initial costs, buildings 5,801      
Land at cost 1,632      
Buildings at cost 5,801      
Total at cost 7,433      
Accumulated Depreciation 653      
Encumbrances $ 0      
Date of Construction 2016      
Date Acquired Jul. 15, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 [Member] | Plano, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 4,343      
Initial costs, buildings 2,492      
Land at cost 4,343      
Buildings at cost 2,492      
Total at cost 6,835      
Accumulated Depreciation 375      
Encumbrances $ 0      
Date of Construction 2016      
Date Acquired Sep. 30, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 [Member] | San Antonio, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 2,485      
Initial costs, buildings 4,253      
Land at cost 2,485      
Buildings at cost 4,253      
Total at cost 6,738      
Accumulated Depreciation 443      
Encumbrances $ 0      
Date of Construction 2016      
Date Acquired Oct. 27, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 [Member] | Rosenberg, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,309      
Initial costs, buildings 4,505      
Land at cost 1,309      
Buildings at cost 4,505      
Total at cost 5,814      
Accumulated Depreciation 563      
Encumbrances $ 0      
Date of Construction 2016      
Date Acquired Jan. 15, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 [Member] | Columbus, OH [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,726      
Land at cost 1,726      
Total at cost 1,726      
Encumbrances $ 0      
Date of Construction 2016      
Date Acquired Aug. 30, 2016      
2016 [Member] | Houston, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 4,047      
Initial costs, buildings 36,862      
Land at cost 4,047      
Buildings at cost 36,862      
Total at cost 40,909      
Accumulated Depreciation 4,147      
Encumbrances $ 0      
Date of Construction 2016      
Date Acquired Jul. 07, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 [Member] | Toledo, OH [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,186      
Initial costs, buildings 17,740      
Land at cost 1,186      
Buildings at cost 17,740      
Total at cost 18,926      
Accumulated Depreciation 2,107      
Encumbrances $ 0      
Date of Construction 2016      
Date Acquired Apr. 01, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 [Member] | Viseu, Portugal [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,319      
Initial costs, buildings 31,963      
Additions subsequent to acquisition, Improvements 486      
Land at cost 2,805      
Buildings at cost 31,963      
Total at cost 34,768      
Accumulated Depreciation 971      
Encumbrances $ 0      
Date of Construction 2016      
Date Acquired Nov. 28, 2019      
Life on which depreciation in latest income statements is computed (Years) 37 years      
1989 [Member] | Bad Salzuflen, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 7,523      
Initial costs, buildings 25,869      
Additions subsequent to acquisition, Improvements 376      
Land at cost 7,899      
Buildings at cost 25,869      
Total at cost 33,768      
Accumulated Depreciation 2,072      
Encumbrances $ 0      
Date of Construction 1989      
Date Acquired Nov. 30, 2017      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1989 [Member] | Bolton, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,640      
Initial costs, buildings 47,818      
Additions subsequent to acquisition, Improvements 62      
Land at cost 1,702      
Buildings at cost 47,818      
Total at cost 49,520      
Accumulated Depreciation 1,199      
Encumbrances $ 0      
Date of Construction 1989      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1989 [Member] | Guildford, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 7,259      
Initial costs, buildings 39,114      
Additions subsequent to acquisition, Improvements 130      
Land at cost 7,389      
Buildings at cost 39,114      
Total at cost 46,503      
Accumulated Depreciation 986      
Encumbrances $ 0      
Date of Construction 1989      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1989 [Member] | Lynwood, CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 30,116      
Initial costs, buildings 148,527      
Land at cost 30,116      
Buildings at cost 148,527      
Total at cost 178,643      
Accumulated Depreciation 1,555      
Encumbrances $ 0      
Date of Construction 1989      
Date Acquired Aug. 13, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1989 [Member] | Richmond, VA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Long term acute care hospital      
Initial costs, land $ 1,304      
Initial costs, buildings 10,071      
Land at cost 1,304      
Buildings at cost 10,071      
Total at cost 11,375      
Accumulated Depreciation 435      
Encumbrances $ 0      
Date of Construction 1989      
Date Acquired Aug. 30, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1989 [Member] | Rochdale, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Long term acute care hospital      
Initial costs, land $ 654      
Initial costs, buildings 3,368      
Land at cost 654      
Buildings at cost 3,368      
Total at cost 4,022      
Accumulated Depreciation 132      
Encumbrances $ 0      
Date of Construction 1989      
Date Acquired Aug. 30, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1989 [Member] | Rochdale, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 67      
Initial costs, buildings 344      
Land at cost 67      
Buildings at cost 344      
Total at cost 411      
Accumulated Depreciation 13      
Encumbrances $ 0      
Date of Construction 1989      
Date Acquired Aug. 30, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2016 One [Member] | Bad Salzuflen, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 7,523      
Initial costs, buildings 25,869      
Additions subsequent to acquisition, Improvements 376      
Land at cost 7,899      
Buildings at cost 25,869      
Total at cost 33,768      
Accumulated Depreciation 2,072      
Encumbrances $ 0      
Date of Construction 2016      
Date Acquired Nov. 30, 2017      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1960 [Member] | Houston, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 3,501      
Initial costs, buildings 34,530      
Additions subsequent to acquisition, Improvements 8,477      
Additions subsequent to acquisition, carrying costs 16,589      
Land at cost 3,274      
Buildings at cost 59,823      
Total at cost 63,097      
Accumulated Depreciation 16,224      
Encumbrances $ 0      
Date of Construction 1960      
Date Acquired Aug. 10, 2007      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1960 [Member] | Meyersdale, PA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 390      
Initial costs, buildings 4,280      
Land at cost 390      
Buildings at cost 4,280      
Total at cost 4,670      
Accumulated Depreciation 183      
Encumbrances $ 0      
Date of Construction 1960      
Date Acquired Dec. 17, 2019      
Life on which depreciation in latest income statements is computed (Years) 30 years      
1960 [Member] | Sherman Texas        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 3,363      
Initial costs, buildings 10,932      
Land at cost 3,363      
Buildings at cost 10,932      
Total at cost 14,295      
Accumulated Depreciation 3,169      
Encumbrances $ 0      
Date of Construction 1960      
Date Acquired Oct. 31, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1973 [Member] | Bad Oeynhausen, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,110      
Initial costs, buildings 3,045      
Additions subsequent to acquisition, Improvements 135      
Land at cost 1,245      
Buildings at cost 3,045      
Total at cost 4,290      
Accumulated Depreciation 263      
Encumbrances $ 0      
Date of Construction 1973      
Date Acquired Nov. 30, 2017      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1973 [Member] | San Diego, CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 12,663      
Initial costs, buildings 52,431      
Land at cost 12,663      
Buildings at cost 52,431      
Total at cost 65,094      
Accumulated Depreciation 12,999      
Encumbrances $ 0      
Date of Construction 1973      
Date Acquired Feb. 09, 2011      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1973 [Member] | Big Spring, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,655      
Initial costs, buildings 21,254      
Land at cost 1,655      
Buildings at cost 21,254      
Total at cost 22,909      
Accumulated Depreciation 1,058      
Encumbrances $ 0      
Date of Construction 1973      
Date Acquired Apr. 12, 2019      
Life on which depreciation in latest income statements is computed (Years) 41 years      
1973 [Member] | Port Huron, MI [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,531      
Initial costs, buildings 14,252      
Land at cost 2,531      
Buildings at cost 14,252      
Total at cost 16,783      
Accumulated Depreciation 2,434      
Encumbrances $ 0      
Date of Construction 1973      
Date Acquired Dec. 31, 2015      
Life on which depreciation in latest income statements is computed (Years) 30 years      
1973 [Member] | Odessa, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 6,535      
Initial costs, buildings 123,518      
Additions subsequent to acquisition, Improvements 4,571      
Land at cost 6,535      
Buildings at cost 128,089      
Total at cost 134,624      
Accumulated Depreciation 10,331      
Encumbrances $ 0      
Date of Construction 1973      
Date Acquired Sep. 29, 2017      
Life on which depreciation in latest income statements is computed (Years) 41 years      
1973 [Member] | Ringwood, Australia [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 4,413      
Initial costs, buildings 20,469      
Additions subsequent to acquisition, Improvements 146      
Land at cost 4,559      
Buildings at cost 20,469      
Total at cost 25,028      
Accumulated Depreciation 954      
Encumbrances $ 0      
Date of Construction 1973      
Date Acquired Jun. 07, 2019      
Life on which depreciation in latest income statements is computed (Years) 35 years      
2010 [Member] | Bad Oeynhausen, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,110      
Initial costs, buildings 3,045      
Additions subsequent to acquisition, Improvements 135      
Land at cost 1,245      
Buildings at cost 3,045      
Total at cost 4,290      
Accumulated Depreciation 263      
Encumbrances $ 0      
Date of Construction 2010      
Date Acquired Nov. 30, 2017      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2010 [Member] | Brockton, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 18,328      
Initial costs, buildings 67,248      
Additions subsequent to acquisition, Improvements 4,937      
Land at cost 18,328      
Buildings at cost 72,185      
Total at cost 90,513      
Accumulated Depreciation 9,289      
Encumbrances $ 0      
Date of Construction 2010      
Date Acquired Oct. 03, 2016      
Life on which depreciation in latest income statements is computed (Years) 41 years      
2010 [Member] | Layton, UT [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 14,360      
Initial costs, buildings 370,154      
Additions subsequent to acquisition, Improvements 3,034      
Land at cost 14,360      
Buildings at cost 373,188      
Total at cost 387,548      
Accumulated Depreciation 4,914      
Encumbrances $ 0      
Date of Construction 2010      
Date Acquired Sep. 29, 2017      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2010 [Member] | Sherman Texas        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 3,363      
Initial costs, buildings 10,932      
Land at cost 3,363      
Buildings at cost 10,932      
Total at cost 14,295      
Accumulated Depreciation 3,169      
Encumbrances $ 0      
Date of Construction 2010      
Date Acquired Oct. 31, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1993 [Member] | Dormagen, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,963      
Initial costs, buildings 6,251      
Additions subsequent to acquisition, Improvements 150      
Land at cost 2,113      
Buildings at cost 6,251      
Total at cost 8,364      
Accumulated Depreciation 388      
Encumbrances $ 0      
Date of Construction 1993      
Date Acquired Aug. 28, 2018      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1993 [Member] | San Bernardino, CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,209      
Initial costs, buildings 37,498      
Land at cost 2,209      
Buildings at cost 37,498      
Total at cost 39,707      
Accumulated Depreciation 1,366      
Encumbrances $ 0      
Date of Construction 1993      
Date Acquired Aug. 30, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2006 [Member] | Dormagen, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,963      
Initial costs, buildings 6,251      
Additions subsequent to acquisition, Improvements 150      
Land at cost 2,113      
Buildings at cost 6,251      
Total at cost 8,364      
Accumulated Depreciation 388      
Encumbrances $ 0      
Date of Construction 2006      
Date Acquired Aug. 28, 2018      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2006 [Member] | Dallas, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Long term acute care hospital      
Initial costs, land $ 1,000      
Initial costs, buildings 13,589      
Additions subsequent to acquisition, carrying costs 368      
Land at cost 1,421      
Buildings at cost 13,536      
Total at cost 14,957      
Accumulated Depreciation 4,850      
Encumbrances $ 0      
Date of Construction 2006      
Date Acquired Sep. 05, 2006      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2006 [Member] | Bloomington, IN [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,392      
Initial costs, buildings 28,212      
Additions subsequent to acquisition, Improvements 5,000      
Additions subsequent to acquisition, carrying costs 408      
Land at cost 2,392      
Buildings at cost 33,620      
Total at cost 36,012      
Accumulated Depreciation 11,742      
Encumbrances $ 0      
Date of Construction 2006      
Date Acquired Aug. 08, 2006      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2006 [Member] | Petersburg, VA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,302      
Initial costs, buildings 9,121      
Land at cost 1,302      
Buildings at cost 9,121      
Total at cost 10,423      
Accumulated Depreciation 2,850      
Encumbrances $ 0      
Date of Construction 2006      
Date Acquired Jul. 01, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1886 [Member] | Grefath, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,220      
Initial costs, buildings 3,351      
Additions subsequent to acquisition, Improvements 108      
Land at cost 1,328      
Buildings at cost 3,351      
Total at cost 4,679      
Accumulated Depreciation 212      
Encumbrances $ 0      
Date of Construction 1886      
Date Acquired Aug. 28, 2018      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1951 [Member] | Remscheid, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,097      
Initial costs, buildings 2,797      
Additions subsequent to acquisition, Improvements 64      
Land at cost 1,161      
Buildings at cost 2,797      
Total at cost 3,958      
Accumulated Depreciation 173      
Encumbrances $ 0      
Date of Construction 1951      
Date Acquired Aug. 28, 2018      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2014 [Member] | Houston, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,345      
Initial costs, buildings 3,678      
Land at cost 1,345      
Buildings at cost 3,678      
Total at cost 5,023      
Accumulated Depreciation 598      
Encumbrances $ 0      
Date of Construction 2014      
Date Acquired Jun. 20, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2014 [Member] | Alvin, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 105      
Initial costs, buildings 4,087      
Land at cost 105      
Buildings at cost 4,087      
Total at cost 4,192      
Accumulated Depreciation 666      
Encumbrances $ 0      
Date of Construction 2014      
Date Acquired Mar. 19, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2014 [Member] | Cedar Hill. TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,122      
Initial costs, buildings 3,644      
Land at cost 1,122      
Buildings at cost 3,644      
Total at cost 4,766      
Accumulated Depreciation 592      
Encumbrances $ 0      
Date of Construction 2014      
Date Acquired Jun. 23, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2014 [Member] | Spring, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,310      
Initial costs, buildings 3,639      
Land at cost 1,310      
Buildings at cost 3,639      
Total at cost 4,949      
Accumulated Depreciation 591      
Encumbrances $ 0      
Date of Construction 2014      
Date Acquired Jul. 15, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2014 [Member] | Commerce City, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 707      
Initial costs, buildings 4,248      
Land at cost 707      
Buildings at cost 4,248      
Total at cost 4,955      
Accumulated Depreciation 646      
Encumbrances $ 0      
Date of Construction 2014      
Date Acquired Dec. 11, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2014 [Member] | Broomfield, CO [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 825      
Initial costs, buildings 3,895      
Land at cost 825      
Buildings at cost 3,895      
Total at cost 4,720      
Accumulated Depreciation 633      
Encumbrances $ 0      
Date of Construction 2014      
Date Acquired Jul. 03, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2014 [Member] | San Antonio, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 351      
Initial costs, buildings 3,952      
Land at cost 351      
Buildings at cost 3,952      
Total at cost 4,303      
Accumulated Depreciation 666      
Encumbrances $ 0      
Date of Construction 2014      
Date Acquired Jan. 01, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2014 [Member] | Firestone, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 495      
Initial costs, buildings 3,963      
Land at cost 495      
Buildings at cost 3,963      
Total at cost 4,458      
Accumulated Depreciation 652      
Encumbrances $ 0      
Date of Construction 2014      
Date Acquired Jun. 06, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2014 [Member] | Fountain, CO [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,508      
Initial costs, buildings 4,131      
Land at cost 1,508      
Buildings at cost 4,131      
Total at cost 5,639      
Accumulated Depreciation 663      
Encumbrances $ 0      
Date of Construction 2014      
Date Acquired Jul. 31, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2014 [Member] | Frisco, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,500      
Initial costs, buildings 2,431      
Additions subsequent to acquisition, Improvements 27      
Additions subsequent to acquisition, carrying costs (89)      
Land at cost 1,411      
Buildings at cost 2,458      
Total at cost 3,869      
Accumulated Depreciation 631      
Encumbrances $ 0      
Date of Construction 2014      
Date Acquired Jun. 13, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2014 [Member] | Colorado Springs, CO [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 600      
Initial costs, buildings 4,231      
Land at cost 600      
Buildings at cost 4,231      
Total at cost 4,831      
Accumulated Depreciation 697      
Encumbrances $ 0      
Date of Construction 2014      
Date Acquired Jun. 05, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2014 [Member] | Altoona, WI [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, buildings $ 29,062      
Buildings at cost 29,062      
Total at cost 29,062      
Accumulated Depreciation 4,601      
Encumbrances $ 0      
Date of Construction 2014      
Date Acquired Aug. 31, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2014 [Member] | Ogden, UT [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,759      
Initial costs, buildings 16,414      
Land at cost 1,759      
Buildings at cost 16,414      
Total at cost 18,173      
Accumulated Depreciation 2,792      
Encumbrances $ 0      
Date of Construction 2014      
Date Acquired Mar. 01, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2014 [Member] | Pearland, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,075      
Initial costs, buildings 3,577      
Land at cost 1,075      
Buildings at cost 3,577      
Total at cost 4,652      
Accumulated Depreciation 566      
Encumbrances $ 0      
Date of Construction 2014      
Date Acquired Sep. 08, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2014 [Member] | Sienna, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,000      
Initial costs, buildings 2,027      
Land at cost 1,000      
Buildings at cost 2,027      
Total at cost 3,027      
Accumulated Depreciation 554      
Encumbrances $ 0      
Date of Construction 2014      
Date Acquired Aug. 20, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2014 [Member] | Thornton, CO [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,350      
Initial costs, buildings 4,259      
Land at cost 1,350      
Buildings at cost 4,259      
Total at cost 5,609      
Accumulated Depreciation 674      
Encumbrances $ 0      
Date of Construction 2014      
Date Acquired Aug. 29, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2015 [Member] | Aurora, CO [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 2,939      
Initial costs, buildings 4,812      
Land at cost 2,939      
Buildings at cost 4,812      
Total at cost 7,751      
Accumulated Depreciation 632      
Encumbrances $ 0      
Date of Construction 2015      
Date Acquired Sep. 17, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2015 [Member] | Ft. Worth, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 2,741      
Initial costs, buildings 4,392      
Land at cost 2,741      
Buildings at cost 4,392      
Total at cost 7,133      
Accumulated Depreciation 631      
Encumbrances $ 0      
Date of Construction 2015      
Date Acquired Mar. 27, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2015 [Member] | Chandler, AZ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 3,674      
Initial costs, buildings 4,783      
Land at cost 3,674      
Buildings at cost 4,783      
Total at cost 8,457      
Accumulated Depreciation 678      
Encumbrances $ 0      
Date of Construction 2015      
Date Acquired Apr. 24, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2015 [Member] | Carrollton, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 729      
Initial costs, buildings 34,342      
Additions subsequent to acquisition, Improvements 374      
Land at cost 729      
Buildings at cost 34,716      
Total at cost 35,445      
Accumulated Depreciation 4,689      
Encumbrances $ 0      
Date of Construction 2015      
Date Acquired Jul. 17, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2015 [Member] | Katy, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 2,211      
Initial costs, buildings 3,873      
Land at cost 2,211      
Buildings at cost 3,873      
Total at cost 6,084      
Accumulated Depreciation 500      
Encumbrances $ 0      
Date of Construction 2015      
Date Acquired Oct. 21, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2015 [Member] | Conroe, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,338      
Initial costs, buildings 1,699      
Land at cost 1,338      
Buildings at cost 1,699      
Total at cost 3,037      
Accumulated Depreciation 482      
Encumbrances $ 0      
Date of Construction 2015      
Date Acquired Jul. 29, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2015 [Member] | Converse, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 750      
Initial costs, buildings 4,423      
Land at cost 750      
Buildings at cost 4,423      
Total at cost 5,173      
Accumulated Depreciation 636      
Encumbrances $ 0      
Date of Construction 2015      
Date Acquired Apr. 10, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2015 [Member] | Denver, CO [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,295      
Initial costs, buildings 4,276      
Land at cost 1,295      
Buildings at cost 4,276      
Total at cost 5,571      
Accumulated Depreciation 597      
Encumbrances $ 0      
Date of Construction 2015      
Date Acquired Jun. 08, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2015 [Member] | Dorchester, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 14,428      
Initial costs, buildings 219,575      
Additions subsequent to acquisition, Improvements 6,638      
Land at cost 14,428      
Buildings at cost 226,213      
Total at cost 240,641      
Accumulated Depreciation 12,424      
Encumbrances $ 0      
Date of Construction 2015      
Date Acquired Oct. 15, 2018      
Life on which depreciation in latest income statements is computed (Years) 42 years      
2015 [Member] | Glendale, AZ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,229      
Initial costs, buildings 4,046      
Land at cost 1,229      
Buildings at cost 4,046      
Total at cost 5,275      
Accumulated Depreciation 565      
Encumbrances $ 0      
Date of Construction 2015      
Date Acquired Jun. 05, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2015 [Member] | Highland Village, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 3,314      
Initial costs, buildings 1,551      
Land at cost 3,314      
Buildings at cost 1,551      
Total at cost 4,865      
Accumulated Depreciation 377      
Encumbrances $ 0      
Date of Construction 2015      
Date Acquired Sep. 22, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2015 [Member] | Hoover, AL [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, buildings $ 7,581      
Buildings at cost 7,581      
Total at cost 7,581      
Accumulated Depreciation 1,254      
Encumbrances $ 0      
Date of Construction 2015      
Date Acquired May 01, 2015      
Life on which depreciation in latest income statements is computed (Years) 34 years      
2015 [Member] | Gilbert, AZ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,517      
Initial costs, buildings 4,661      
Land at cost 1,517      
Buildings at cost 4,661      
Total at cost 6,178      
Accumulated Depreciation 631      
Encumbrances $ 0      
Date of Construction 2015      
Date Acquired Jul. 22, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2015 [Member] | Lehi, UT [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 13,403      
Initial costs, buildings 29,950      
Additions subsequent to acquisition, Improvements 601      
Additions subsequent to acquisition, carrying costs (35)      
Land at cost 13,368      
Buildings at cost 30,551      
Total at cost 43,919      
Accumulated Depreciation 2,899      
Encumbrances $ 0      
Date of Construction 2015      
Date Acquired Sep. 29, 2017      
Life on which depreciation in latest income statements is computed (Years) 45 years      
2015 [Member] | McKinney, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 2,722      
Initial costs, buildings 4,060      
Land at cost 2,722      
Buildings at cost 4,060      
Total at cost 6,782      
Accumulated Depreciation 739      
Encumbrances $ 0      
Date of Construction 2015      
Date Acquired Jul. 31, 2015      
Life on which depreciation in latest income statements is computed (Years) 30 years      
2015 [Member] | Parker, CO [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,300      
Initial costs, buildings 4,448      
Land at cost 1,300      
Buildings at cost 4,448      
Total at cost 5,748      
Accumulated Depreciation 574      
Encumbrances $ 0      
Date of Construction 2015      
Date Acquired Nov. 06, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2015 [Member] | Taunton, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 4,428      
Initial costs, buildings 73,228      
Additions subsequent to acquisition, Improvements 11,290      
Land at cost 4,428      
Buildings at cost 84,518      
Total at cost 88,946      
Accumulated Depreciation 8,573      
Encumbrances $ 0      
Date of Construction 2015      
Date Acquired Oct. 03, 2016      
Life on which depreciation in latest income statements is computed (Years) 41 years      
2015 [Member] | Houston, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,423      
Initial costs, buildings 1,890      
Land at cost 1,423      
Buildings at cost 1,890      
Total at cost 3,313      
Accumulated Depreciation 532      
Encumbrances $ 0      
Date of Construction 2015      
Date Acquired Feb. 18, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2015 [Member] | League City, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,336      
Initial costs, buildings 3,901      
Land at cost 1,336      
Buildings at cost 3,901      
Total at cost 5,237      
Accumulated Depreciation 536      
Encumbrances $ 0      
Date of Construction 2015      
Date Acquired Jun. 19, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1970 [Member] | Ayer, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 9,048      
Initial costs, buildings 77,913      
Additions subsequent to acquisition, Improvements 2,300      
Land at cost 9,048      
Buildings at cost 80,213      
Total at cost 89,261      
Accumulated Depreciation 4,637      
Encumbrances $ 0      
Date of Construction 1970      
Date Acquired Jun. 27, 2018      
Life on which depreciation in latest income statements is computed (Years) 47 years      
1970 [Member] | Rockledge, FL [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 13,919      
Initial costs, buildings 23,282      
Additions subsequent to acquisition, Improvements 5,512      
Land at cost 13,919      
Buildings at cost 28,794      
Total at cost 42,713      
Accumulated Depreciation 3,413      
Encumbrances $ 0      
Date of Construction 1970      
Date Acquired May 01, 2017      
Life on which depreciation in latest income statements is computed (Years) 42 years      
2013 [Member] | Ayer, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 9,048      
Initial costs, buildings 77,913      
Additions subsequent to acquisition, Improvements 2,300      
Land at cost 9,048      
Buildings at cost 80,213      
Total at cost 89,261      
Accumulated Depreciation 4,637      
Encumbrances $ 0      
Date of Construction 2013      
Date Acquired Jun. 27, 2018      
Life on which depreciation in latest income statements is computed (Years) 47 years      
2013 [Member] | Hausman, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,500      
Initial costs, buildings 8,957      
Land at cost 1,500      
Buildings at cost 8,957      
Total at cost 10,457      
Accumulated Depreciation 1,734      
Encumbrances $ 0      
Date of Construction 2013      
Date Acquired Mar. 01, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2013 [Member] | Lafayette, IN [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 800      
Initial costs, buildings 14,968      
Additions subsequent to acquisition, Improvements (25)      
Land at cost 800      
Buildings at cost 14,943      
Total at cost 15,743      
Accumulated Depreciation 2,946      
Encumbrances $ 0      
Date of Construction 2013      
Date Acquired Feb. 01, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2013 [Member] | Little Elm, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 1,241      
Initial costs, buildings 3,491      
Land at cost 1,241      
Buildings at cost 3,491      
Total at cost 4,732      
Accumulated Depreciation 615      
Encumbrances $ 0      
Date of Construction 2013      
Date Acquired Dec. 01, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2013 [Member] | Post Falls, ID [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 417      
Initial costs, buildings 12,175      
Additions subsequent to acquisition, Improvements 1,905      
Land at cost 767      
Buildings at cost 13,730      
Total at cost 14,497      
Accumulated Depreciation 2,412      
Encumbrances $ 0      
Date of Construction 2013      
Date Acquired Dec. 31, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2013 [Member] | Spartanburg, SC [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,135      
Initial costs, buildings 15,717      
Land at cost 1,135      
Buildings at cost 15,717      
Total at cost 16,852      
Accumulated Depreciation 2,899      
Encumbrances $ 0      
Date of Construction 2013      
Date Acquired Aug. 01, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1984 [Member] | Bennettsville, SC [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 794      
Initial costs, buildings 15,773      
Land at cost 794      
Buildings at cost 15,773      
Total at cost 16,567      
Accumulated Depreciation 5,379      
Encumbrances $ 0      
Date of Construction 1984      
Date Acquired Apr. 01, 2008      
Life on which depreciation in latest income statements is computed (Years) 42 years      
1984 [Member] | Basingstoke, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 13,670      
Initial costs, buildings 53,891      
Additions subsequent to acquisition, Improvements 205      
Land at cost 13,875      
Buildings at cost 53,891      
Total at cost 67,766      
Accumulated Depreciation 1,361      
Encumbrances $ 0      
Date of Construction 1984      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1984 [Member] | Droitwich, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, buildings $ 16,427      
Additions subsequent to acquisition, Improvements 82      
Land at cost 82      
Buildings at cost 16,427      
Total at cost 16,509      
Accumulated Depreciation 416      
Encumbrances $ 0      
Date of Construction 1984      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1984 [Member] | Hope, AR [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,651      
Initial costs, buildings 3,359      
Additions subsequent to acquisition, Improvements 2,274      
Land at cost 1,651      
Buildings at cost 5,633      
Total at cost 7,284      
Accumulated Depreciation 655      
Encumbrances $ 0      
Date of Construction 1984      
Date Acquired Sep. 29, 2017      
Life on which depreciation in latest income statements is computed (Years) 41 years      
1984 [Member] | London, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 9,842      
Initial costs, buildings 65,503      
Additions subsequent to acquisition, Improvements 82      
Land at cost 9,924      
Buildings at cost 65,503      
Total at cost 75,427      
Accumulated Depreciation 1,643      
Encumbrances $ 0      
Date of Construction 1984      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1984 [Member] | Olympia, WA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 7,220      
Initial costs, buildings 89,348      
Additions subsequent to acquisition, Improvements 15,930      
Land at cost 7,220      
Buildings at cost 105,278      
Total at cost 112,498      
Accumulated Depreciation 11,733      
Encumbrances $ 0      
Date of Construction 1984      
Date Acquired Jul. 22, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1984 [Member] | Swindon, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 5,577      
Initial costs, buildings 64,181      
Additions subsequent to acquisition, Improvements 144      
Land at cost 5,721      
Buildings at cost 64,181      
Total at cost 69,902      
Accumulated Depreciation 1,614      
Encumbrances $ 0      
Date of Construction 1984      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1984 [Member] | Wantirna, Australia [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 27,854      
Initial costs, buildings 229,129      
Additions subsequent to acquisition, Improvements 1,050      
Land at cost 28,904      
Buildings at cost 229,129      
Total at cost 258,033      
Accumulated Depreciation 9,208      
Encumbrances $ 0      
Date of Construction 1984      
Date Acquired Jun. 07, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1980 [Member] | Blue Springs, MO [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 4,347      
Initial costs, buildings 23,494      
Land at cost 4,347      
Buildings at cost 23,494      
Total at cost 27,841      
Accumulated Depreciation 3,651      
Encumbrances $ 0      
Date of Construction 1980      
Date Acquired Feb. 13, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1980 [Member] | Hill County, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,120      
Initial costs, buildings 17,882      
Land at cost 1,120      
Buildings at cost 17,882      
Total at cost 19,002      
Accumulated Depreciation 12,288      
Encumbrances $ 0      
Date of Construction 1980      
Date Acquired Sep. 17, 2010      
Life on which depreciation in latest income statements is computed (Years) 15 years      
1980 [Member] | Harrow, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 41,010      
Initial costs, buildings 43,396      
Additions subsequent to acquisition, Improvements 226      
Land at cost 41,236      
Buildings at cost 43,396      
Total at cost 84,632      
Accumulated Depreciation 1,100      
Encumbrances $ 0      
Date of Construction 1980      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1980 [Member] | Sharon, PA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 6,179      
Initial costs, buildings 9,066      
Additions subsequent to acquisition, Improvements 6,435      
Land at cost 6,179      
Buildings at cost 15,501      
Total at cost 21,680      
Accumulated Depreciation 2,356      
Encumbrances $ 0      
Date of Construction 1980      
Date Acquired May 01, 2017      
Life on which depreciation in latest income statements is computed (Years) 41 years      
1980 [Member] | Poplar Bluff, MO [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,659      
Initial costs, buildings 38,693      
Additions subsequent to acquisition, carrying costs 1      
Land at cost 2,659      
Buildings at cost 38,694      
Total at cost 41,353      
Accumulated Depreciation 12,278      
Encumbrances $ 0      
Date of Construction 1980      
Date Acquired Apr. 22, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1980 [Member] | West Valley City, UT [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 5,374      
Initial costs, buildings 58,314      
Additions subsequent to acquisition, Improvements 7,150      
Additions subsequent to acquisition, carrying costs (114)      
Land at cost 5,260      
Buildings at cost 65,464      
Total at cost 70,724      
Accumulated Depreciation 19,035      
Encumbrances $ 0      
Date of Construction 1980      
Date Acquired Apr. 22, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1985 [Member] | Aberdeen United Kingdom        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 4,429      
Initial costs, buildings 108,150      
Additions subsequent to acquisition, Improvements 137      
Land at cost 4,566      
Buildings at cost 108,150      
Total at cost 112,716      
Accumulated Depreciation 2,712      
Encumbrances $ 0      
Date of Construction 1985      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1985 [Member] | Fairmont, CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,000      
Initial costs, buildings 6,072      
Additions subsequent to acquisition, Improvements 5,278      
Land at cost 1,277      
Buildings at cost 11,073      
Total at cost 12,350      
Accumulated Depreciation 2,331      
Encumbrances $ 0      
Date of Construction 1985      
Date Acquired Sep. 19, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1985 [Member] | Hot Springs, AR [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 5,844      
Initial costs, buildings 59,432      
Additions subsequent to acquisition, Improvements 21,221      
Land at cost 5,844      
Buildings at cost 80,653      
Total at cost 86,497      
Accumulated Depreciation 11,013      
Encumbrances $ 0      
Date of Construction 1985      
Date Acquired Aug. 31, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1985 [Member] | Fort Lauderdale, FL [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 3,499      
Initial costs, buildings 21,939      
Additions subsequent to acquisition, carrying costs 1      
Land at cost 3,499      
Buildings at cost 21,940      
Total at cost 25,439      
Accumulated Depreciation 6,962      
Encumbrances $ 0      
Date of Construction 1985      
Date Acquired Apr. 22, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1985 [Member] | Lawton, OK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 3,944      
Initial costs, buildings 63,031      
Land at cost 3,944      
Buildings at cost 63,031      
Total at cost 66,975      
Accumulated Depreciation 1,692      
Encumbrances $ 0      
Date of Construction 1985      
Date Acquired Dec. 17, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1985 [Member] | St. Albans Park, Australia [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,298      
Initial costs, buildings 23,474      
Additions subsequent to acquisition, Improvements 4,921      
Land at cost 2,893      
Buildings at cost 27,800      
Total at cost 30,693      
Accumulated Depreciation 1,008      
Encumbrances $ 0      
Date of Construction 1985      
Date Acquired Jun. 07, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1985 [Member] | Strathpine, Australia [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,781      
Initial costs, buildings 38,949      
Additions subsequent to acquisition, Improvements 330      
Land at cost 3,111      
Buildings at cost 38,949      
Total at cost 42,060      
Accumulated Depreciation 1,585      
Encumbrances $ 0      
Date of Construction 1985      
Date Acquired Jun. 07, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1972 [Member] | Bellflower, CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Behavioral health facility      
Initial costs, land $ 2,563      
Land at cost 2,563      
Total at cost 2,563      
Encumbrances $ 0      
Date of Construction 1972      
Date Acquired Aug. 23, 2019      
1972 [Member] | Fairmont, CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,000      
Initial costs, buildings 6,072      
Additions subsequent to acquisition, Improvements 5,278      
Land at cost 1,277      
Buildings at cost 11,073      
Total at cost 12,350      
Accumulated Depreciation 2,331      
Encumbrances $ 0      
Date of Construction 1972      
Date Acquired Sep. 19, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1972 [Member] | Glen Waverly, Australia [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 32,590      
Initial costs, buildings 25,179      
Additions subsequent to acquisition, Improvements 885      
Land at cost 33,475      
Buildings at cost 25,179      
Total at cost 58,654      
Accumulated Depreciation 1,421      
Encumbrances $ 0      
Date of Construction 1972      
Date Acquired Jun. 07, 2019      
Life on which depreciation in latest income statements is computed (Years) 32 years      
1972 [Member] | San Dimas, CA [member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 6,161      
Initial costs, buildings 6,839      
Additions subsequent to acquisition, carrying costs 34      
Land at cost 6,161      
Buildings at cost 6,873      
Total at cost 13,034      
Accumulated Depreciation 2,080      
Encumbrances $ 0      
Date of Construction 1972      
Date Acquired Nov. 25, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1957 [Member] | Blackburn, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,734      
Initial costs, buildings 54,763      
Additions subsequent to acquisition, Improvements 123      
Land at cost 2,857      
Buildings at cost 54,763      
Total at cost 57,620      
Accumulated Depreciation 1,377      
Encumbrances $ 0      
Date of Construction 1957      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1952 [Member] | Boonton Township, NJ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Behavioral health facility      
Initial costs, land $ 6,712      
Initial costs, buildings 17,031      
Land at cost 6,712      
Buildings at cost 17,031      
Total at cost 23,743      
Accumulated Depreciation 79      
Encumbrances $ 0      
Date of Construction 1952      
Date Acquired Sep. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2007 [Member] | Campbelltown, Australia [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,117      
Initial costs, buildings 58,005      
Additions subsequent to acquisition, Improvements 54      
Land at cost 1,171      
Buildings at cost 58,005      
Total at cost 59,176      
Accumulated Depreciation 2,302      
Encumbrances $ 0      
Date of Construction 2007      
Date Acquired Jun. 07, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2007 [Member] | Mesa, AZ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 6,534      
Initial costs, buildings 100,042      
Additions subsequent to acquisition, Improvements 1,885      
Land at cost 6,534      
Buildings at cost 101,927      
Total at cost 108,461      
Accumulated Depreciation 19,203      
Encumbrances $ 0      
Date of Construction 2007      
Date Acquired Sep. 26, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2007 [Member] | Northland, MO [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Long term acute care hospital      
Initial costs, land $ 834      
Initial costs, buildings 17,182      
Land at cost 834      
Buildings at cost 17,182      
Total at cost 18,016      
Accumulated Depreciation 4,260      
Encumbrances $ 0      
Date of Construction 2007      
Date Acquired Feb. 14, 2011      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2015 One [Member] | Chandler, AZ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 750      
Initial costs, buildings 3,853      
Land at cost 750      
Buildings at cost 3,853      
Total at cost 4,603      
Accumulated Depreciation 506      
Encumbrances $ 0      
Date of Construction 2015      
Date Acquired Oct. 07, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2015 One [Member] | Hoover, AL [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Medical Office Building      
Initial costs, buildings $ 1,034      
Additions subsequent to acquisition, Improvements 296      
Buildings at cost 1,330      
Total at cost 1,330      
Accumulated Depreciation 188      
Encumbrances $ 0      
Date of Construction 2015      
Date Acquired May 01, 2015      
Life on which depreciation in latest income statements is computed (Years) 34 years      
1971 [Member] | Boonton Township, NJ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Behavioral health facility      
Initial costs, land $ 6,712      
Initial costs, buildings 17,031      
Land at cost 6,712      
Buildings at cost 17,031      
Total at cost 23,743      
Accumulated Depreciation 79      
Encumbrances $ 0      
Date of Construction 1971      
Date Acquired Sep. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1978 [Member] | Boonton Township, NJ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Behavioral health facility      
Initial costs, land $ 6,712      
Initial costs, buildings 17,031      
Land at cost 6,712      
Buildings at cost 17,031      
Total at cost 23,743      
Accumulated Depreciation 79      
Encumbrances $ 0      
Date of Construction 1978      
Date Acquired Sep. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1978 [Member] | Kansas City, MO [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 10,497      
Initial costs, buildings 64,419      
Land at cost 10,497      
Buildings at cost 64,419      
Total at cost 74,916      
Accumulated Depreciation 9,713      
Encumbrances $ 0      
Date of Construction 1978      
Date Acquired Feb. 13, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1978 [Member] | San Antonio, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 8,053      
Initial costs, buildings 29,333      
Additions subsequent to acquisition, Improvements 1,945      
Land at cost 8,053      
Buildings at cost 31,278      
Total at cost 39,331      
Accumulated Depreciation 2,735      
Encumbrances $ 0      
Date of Construction 1978      
Date Acquired Sep. 29, 2017      
Life on which depreciation in latest income statements is computed (Years) 41 years      
1917 [Member] | Brighton, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 18,540      
Initial costs, buildings 146,491      
Additions subsequent to acquisition, Improvements 39,279      
Land at cost 18,540      
Buildings at cost 185,770      
Total at cost 204,310      
Accumulated Depreciation 16,411      
Encumbrances $ 0      
Date of Construction 1917      
Date Acquired Oct. 03, 2016      
Life on which depreciation in latest income statements is computed (Years) 41 years      
2004 [Member] | Webster, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Long term acute care hospital      
Initial costs, land $ 663      
Initial costs, buildings 33,751      
Land at cost 663      
Buildings at cost 33,751      
Total at cost 34,414      
Accumulated Depreciation 8,438      
Encumbrances $ 0      
Date of Construction 2004      
Date Acquired Dec. 21, 2010      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2004 [Member] | Camden, SC [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, buildings $ 22,739      
Buildings at cost 22,739      
Total at cost 22,739      
Accumulated Depreciation 2,721      
Encumbrances $ 0      
Date of Construction 2004      
Date Acquired Oct. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 39 years      
2004 [Member] | Odessa, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 6,535      
Initial costs, buildings 123,518      
Additions subsequent to acquisition, Improvements 4,571      
Land at cost 6,535      
Buildings at cost 128,089      
Total at cost 134,624      
Accumulated Depreciation 10,331      
Encumbrances $ 0      
Date of Construction 2004      
Date Acquired Sep. 29, 2017      
Life on which depreciation in latest income statements is computed (Years) 41 years      
1965 [Member] | Brockton, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 18,328      
Initial costs, buildings 67,248      
Additions subsequent to acquisition, Improvements 4,937      
Land at cost 18,328      
Buildings at cost 72,185      
Total at cost 90,513      
Accumulated Depreciation 9,289      
Encumbrances $ 0      
Date of Construction 1965      
Date Acquired Oct. 03, 2016      
Life on which depreciation in latest income statements is computed (Years) 41 years      
1965 [Member] | Perth, Australia [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 112,312      
Initial costs, buildings 39,888      
Additions subsequent to acquisition, Improvements 1,772      
Land at cost 112,546      
Buildings at cost 41,426      
Total at cost 153,972      
Accumulated Depreciation 2,160      
Encumbrances $ 0      
Date of Construction 1965      
Date Acquired Jun. 07, 2019      
Life on which depreciation in latest income statements is computed (Years) 30 years      
1965 [Member] | Rochdale, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 3,691      
Initial costs, buildings 43,759      
Additions subsequent to acquisition, Improvements 150      
Land at cost 3,841      
Buildings at cost 43,759      
Total at cost 47,600      
Accumulated Depreciation 1,104      
Encumbrances $ 0      
Date of Construction 1965      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1979 [Member] | Bundoora, Australia [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 7,049      
Initial costs, buildings 67,900      
Additions subsequent to acquisition, Improvements 302      
Land at cost 7,351      
Buildings at cost 67,900      
Total at cost 75,251      
Accumulated Depreciation 2,959      
Encumbrances $ 0      
Date of Construction 1979      
Date Acquired Jun. 07, 2019      
Life on which depreciation in latest income statements is computed (Years) 37 years      
1979 [Member] | Phoenix, AZ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,396      
Initial costs, buildings 26,521      
Additions subsequent to acquisition, Improvements 12,253      
Land at cost 2,396      
Buildings at cost 38,774      
Total at cost 41,170      
Accumulated Depreciation 2,521      
Encumbrances $ 0      
Date of Construction 1979      
Date Acquired Sep. 29, 2017      
Life on which depreciation in latest income statements is computed (Years) 42 years      
1979 [Member] | San Dimas, CA [member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Medical Office Building      
Initial costs, land $ 1,915      
Initial costs, buildings 5,085      
Additions subsequent to acquisition, carrying costs 18      
Land at cost 1,915      
Buildings at cost 5,103      
Total at cost 7,018      
Accumulated Depreciation 1,545      
Encumbrances $ 0      
Date of Construction 1979      
Date Acquired Nov. 25, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1979 [Member] | Sunnybank, Australia [member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 6,377      
Initial costs, buildings 48,465      
Additions subsequent to acquisition, Improvements 379      
Land at cost 6,756      
Buildings at cost 48,465      
Total at cost 55,221      
Accumulated Depreciation 2,318      
Encumbrances $ 0      
Date of Construction 1979      
Date Acquired Jun. 07, 2019      
Life on which depreciation in latest income statements is computed (Years) 34 years      
2012 [Member] | Casper, WY [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,836      
Land at cost 1,836      
Total at cost 1,836      
Encumbrances $ 0      
Date of Construction 2012      
Date Acquired Feb. 29, 2012      
2012 [Member] | Fall River, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 3,526      
Initial costs, buildings 82,358      
Additions subsequent to acquisition, Improvements 24,463      
Land at cost 3,526      
Buildings at cost 106,821      
Total at cost 110,347      
Accumulated Depreciation 10,619      
Encumbrances $ 0      
Date of Construction 2012      
Date Acquired Oct. 03, 2016      
Life on which depreciation in latest income statements is computed (Years) 41 years      
2012 [Member] | Florence, AZ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 900      
Initial costs, buildings 28,462      
Additions subsequent to acquisition, Improvements 105      
Land at cost 900      
Buildings at cost 28,567      
Total at cost 29,467      
Accumulated Depreciation 6,246      
Encumbrances $ 0      
Date of Construction 2012      
Date Acquired Feb. 07, 2012      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2012 [Member] | Mount Pleasant, SC [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Long term acute care hospital      
Initial costs, land $ 597      
Initial costs, buildings 2,198      
Land at cost 597      
Buildings at cost 2,198      
Total at cost 2,795      
Accumulated Depreciation 85      
Encumbrances $ 0      
Date of Construction 2012      
Date Acquired Aug. 30, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2012 [Member] | Overlook, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,452      
Initial costs, buildings 9,666      
Additions subsequent to acquisition, Improvements 7      
Land at cost 2,452      
Buildings at cost 9,673      
Total at cost 12,125      
Accumulated Depreciation 1,897      
Encumbrances $ 0      
Date of Construction 2012      
Date Acquired Feb. 01, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2012 [Member] | Reading, United Kingdom [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 27,272      
Initial costs, buildings 88,860      
Additions subsequent to acquisition, Improvements 641      
Land at cost 27,913      
Buildings at cost 88,860      
Total at cost 116,773      
Encumbrances $ 0      
Date of Construction 2012      
Date Acquired Dec. 18, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2012 [Member] | San Antonio, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,248      
Initial costs, buildings 5,880      
Land at cost 2,248      
Buildings at cost 5,880      
Total at cost 8,128      
Accumulated Depreciation 1,199      
Encumbrances $ 0      
Date of Construction 2012      
Date Acquired Oct. 02, 2012      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1990 [Member] | Carmarthen, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 875      
Initial costs, buildings 27,462      
Additions subsequent to acquisition, Improvements 102      
Land at cost 977      
Buildings at cost 27,462      
Total at cost 28,439      
Accumulated Depreciation 693      
Encumbrances $ 0      
Date of Construction 1990      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1990 [Member] | Gloucester, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 4,919      
Initial costs, buildings 65,900      
Additions subsequent to acquisition, Improvements 1,073      
Land at cost 5,992      
Buildings at cost 65,900      
Total at cost 71,892      
Accumulated Depreciation 2,327      
Encumbrances $ 0      
Date of Construction 1990      
Date Acquired Aug. 16, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1990 [Member] | Reading, United Kingdom [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 36,861      
Initial costs, buildings 49,579      
Additions subsequent to acquisition, Improvements 501      
Land at cost 37,362      
Buildings at cost 49,579      
Total at cost 86,941      
Accumulated Depreciation 1,727      
Encumbrances $ 0      
Date of Construction 1990      
Date Acquired Aug. 16, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1956 [Member] | Detroit, MI [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Long term acute care hospital      
Initial costs, land $ 1,220      
Initial costs, buildings 8,687      
Additions subsequent to acquisition, carrying costs (364)      
Land at cost 1,220      
Buildings at cost 8,323      
Total at cost 9,543      
Accumulated Depreciation 2,686      
Encumbrances $ 0      
Date of Construction 1956      
Date Acquired May 22, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1953 [Member] | Dorchester, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 14,428      
Initial costs, buildings 219,575      
Additions subsequent to acquisition, Improvements 6,638      
Land at cost 14,428      
Buildings at cost 226,213      
Total at cost 240,641      
Accumulated Depreciation 12,424      
Encumbrances $ 0      
Date of Construction 1953      
Date Acquired Oct. 15, 2018      
Life on which depreciation in latest income statements is computed (Years) 42 years      
1953 [Member] | Denville, NJ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 15,709      
Initial costs, buildings 55,772      
Land at cost 15,709      
Buildings at cost 55,772      
Total at cost 71,481      
Accumulated Depreciation 254      
Encumbrances $ 0      
Date of Construction 1953      
Date Acquired Sep. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1953 [Member] | Port Huron, MI [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,531      
Initial costs, buildings 14,252      
Land at cost 2,531      
Buildings at cost 14,252      
Total at cost 16,783      
Accumulated Depreciation 2,434      
Encumbrances $ 0      
Date of Construction 1953      
Date Acquired Dec. 31, 2015      
Life on which depreciation in latest income statements is computed (Years) 30 years      
1976 [Member] | Dodge City, KS [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,124      
Initial costs, buildings 52,705      
Land at cost 1,124      
Buildings at cost 52,705      
Total at cost 53,829      
Accumulated Depreciation 1,422      
Encumbrances $ 0      
Date of Construction 1976      
Date Acquired Dec. 17, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1976 [Member] | Phoenix, AZ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 12,695      
Initial costs, buildings 73,773      
Additions subsequent to acquisition, Improvements 4,978      
Land at cost 12,695      
Buildings at cost 78,751      
Total at cost 91,446      
Accumulated Depreciation 6,703      
Encumbrances $ 0      
Date of Construction 1976      
Date Acquired Sep. 29, 2017      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1976 [Member] | Layton, UT [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 14,360      
Initial costs, buildings 370,154      
Additions subsequent to acquisition, Improvements 3,034      
Land at cost 14,360      
Buildings at cost 373,188      
Total at cost 387,548      
Accumulated Depreciation 4,914      
Encumbrances $ 0      
Date of Construction 1976      
Date Acquired Sep. 29, 2017      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2019 [Member] | Clarksville, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 2,460      
Initial costs, buildings 25,530      
Land at cost 2,460      
Buildings at cost 25,530      
Total at cost 27,990      
Encumbrances $ 0      
Date of Construction 2019      
Date Acquired Dec. 17, 2020      
Life on which depreciation in latest income statements is computed (Years) 39 years      
2019 [Member] | Overland Park, KS [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 3,191      
Initial costs, buildings 14,263      
Land at cost 3,191      
Buildings at cost 14,263      
Total at cost 17,454      
Accumulated Depreciation 518      
Encumbrances $ 0      
Date of Construction 2019      
Date Acquired Jun. 10, 2019      
Life on which depreciation in latest income statements is computed (Years) 50 years      
1994 [Member] | Dahlen, Germany [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 1,017      
Initial costs, buildings 12,526      
Additions subsequent to acquisition, Improvements 466      
Land at cost 1,483      
Buildings at cost 12,526      
Total at cost 14,009      
Accumulated Depreciation 143      
Encumbrances $ 0      
Date of Construction 1994      
Date Acquired Jul. 08, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1994 [Member] | Worthing, UK [member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 7,108      
Initial costs, buildings 32,370      
Additions subsequent to acquisition, Improvements 103      
Land at cost 7,211      
Buildings at cost 32,370      
Total at cost 39,581      
Accumulated Depreciation 816      
Encumbrances $ 0      
Date of Construction 1994      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2001 [Member] | Darlington, United Kingdom [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,873      
Initial costs, buildings 38,465      
Additions subsequent to acquisition, Improvements 369      
Land at cost 2,242      
Buildings at cost 38,465      
Total at cost 40,707      
Accumulated Depreciation 411      
Encumbrances $ 0      
Date of Construction 2001      
Date Acquired Aug. 07, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2001 [Member] | Hope, AR [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,651      
Initial costs, buildings 3,359      
Additions subsequent to acquisition, Improvements 2,274      
Land at cost 1,651      
Buildings at cost 5,633      
Total at cost 7,284      
Accumulated Depreciation 655      
Encumbrances $ 0      
Date of Construction 2001      
Date Acquired Sep. 29, 2017      
Life on which depreciation in latest income statements is computed (Years) 41 years      
2001 [Member] | Norwood, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 7,073      
Initial costs, buildings 154,496      
Additions subsequent to acquisition, Improvements 35,897      
Land at cost 7,073      
Buildings at cost 190,393      
Total at cost 197,466      
Accumulated Depreciation 9,055      
Encumbrances $ 0      
Date of Construction 2001      
Date Acquired Jun. 27, 2018      
Life on which depreciation in latest income statements is computed (Years) 46 years      
1969 [Member] | Denville, NJ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 15,709      
Initial costs, buildings 55,772      
Land at cost 15,709      
Buildings at cost 55,772      
Total at cost 71,481      
Accumulated Depreciation 254      
Encumbrances $ 0      
Date of Construction 1969      
Date Acquired Sep. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1925 [Member] | Dover, NJ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 3,865      
Initial costs, buildings 8,693      
Land at cost 3,865      
Buildings at cost 8,693      
Total at cost 12,558      
Accumulated Depreciation 42      
Encumbrances $ 0      
Date of Construction 1925      
Date Acquired Sep. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1927 [Member] | Dover, NJ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 3,865      
Initial costs, buildings 8,693      
Land at cost 3,865      
Buildings at cost 8,693      
Total at cost 12,558      
Accumulated Depreciation 42      
Encumbrances $ 0      
Date of Construction 1927      
Date Acquired Sep. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1986 | Halsall, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,539      
Initial costs, buildings 33,458      
Additions subsequent to acquisition, Improvements 624      
Land at cost 2,163      
Buildings at cost 33,458      
Total at cost 35,621      
Accumulated Depreciation 1,185      
Encumbrances $ 0      
Date of Construction 1986      
Date Acquired Aug. 16, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1986 | Rowley, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,515      
Initial costs, buildings 19,652      
Additions subsequent to acquisition, Improvements 608      
Land at cost 3,123      
Buildings at cost 19,652      
Total at cost 22,775      
Accumulated Depreciation 717      
Encumbrances $ 0      
Date of Construction 1986      
Date Acquired Aug. 16, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1922 [Member] | Warren, OH [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 2,417      
Initial costs, buildings 15,857      
Additions subsequent to acquisition, Improvements 1,384      
Land at cost 2,417      
Buildings at cost 17,241      
Total at cost 19,658      
Accumulated Depreciation 2,006      
Encumbrances $ 0      
Date of Construction 1922      
Date Acquired May 01, 2017      
Life on which depreciation in latest income statements is computed (Years) 46 years      
1922 [Member] | Lewiston, ID [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 5,389      
Initial costs, buildings 75,435      
Land at cost 5,389      
Buildings at cost 75,435      
Total at cost 80,824      
Accumulated Depreciation 9,353      
Encumbrances $ 0      
Date of Construction 1922      
Date Acquired May 01, 2017      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1999 [Member] | Hartsville, SC [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,050      
Initial costs, buildings 43,970      
Land at cost 2,050      
Buildings at cost 43,970      
Total at cost 46,020      
Accumulated Depreciation 6,698      
Encumbrances $ 0      
Date of Construction 1999      
Date Acquired Aug. 31, 2015      
Life on which depreciation in latest income statements is computed (Years) 34 years      
2000 [Member] | Warren, OH [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 2,417      
Initial costs, buildings 15,857      
Additions subsequent to acquisition, Improvements 1,384      
Land at cost 2,417      
Buildings at cost 17,241      
Total at cost 19,658      
Accumulated Depreciation 2,006      
Encumbrances $ 0      
Date of Construction 2000      
Date Acquired May 01, 2017      
Life on which depreciation in latest income statements is computed (Years) 46 years      
2000 [Member] | Montclair, NJ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 7,900      
Initial costs, buildings 99,640      
Additions subsequent to acquisition, Improvements 577      
Land at cost 8,477      
Buildings at cost 99,640      
Total at cost 108,117      
Accumulated Depreciation 17,270      
Encumbrances $ 0      
Date of Construction 2000      
Date Acquired Apr. 01, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2000 [Member] | Kingswood, Australia [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 25,723      
Initial costs, buildings 85,264      
Additions subsequent to acquisition, Improvements 496      
Land at cost 26,219      
Buildings at cost 85,264      
Total at cost 111,483      
Accumulated Depreciation 3,435      
Encumbrances $ 0      
Date of Construction 2000      
Date Acquired Jun. 07, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2000 [Member] | Lynwood, CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 30,116      
Initial costs, buildings 148,527      
Land at cost 30,116      
Buildings at cost 148,527      
Total at cost 178,643      
Accumulated Depreciation 1,555      
Encumbrances $ 0      
Date of Construction 2000      
Date Acquired Aug. 13, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1924 [Member] | Hastings, PA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 603      
Initial costs, buildings 8,834      
Land at cost 603      
Buildings at cost 8,834      
Total at cost 9,437      
Accumulated Depreciation 363      
Encumbrances $ 0      
Date of Construction 1924      
Date Acquired Dec. 17, 2019      
Life on which depreciation in latest income statements is computed (Years) 30 years      
1924 [Member] | Johnstown, PA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 8,877      
Initial costs, buildings 247,042      
Additions subsequent to acquisition, carrying costs 116      
Land at cost 8,877      
Buildings at cost 247,158      
Total at cost 256,035      
Accumulated Depreciation 8,359      
Encumbrances $ 0      
Date of Construction 1924      
Date Acquired Dec. 17, 2019      
Life on which depreciation in latest income statements is computed (Years) 30 years      
1924 [Member] | Roaring Springs, PA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,446      
Initial costs, buildings 9,549      
Land at cost 1,446      
Buildings at cost 9,549      
Total at cost 10,995      
Accumulated Depreciation 405      
Encumbrances $ 0      
Date of Construction 1924      
Date Acquired Dec. 17, 2019      
Life on which depreciation in latest income statements is computed (Years) 30 years      
1939 [Member] | Fairmont, CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,000      
Initial costs, buildings 6,072      
Additions subsequent to acquisition, Improvements 5,278      
Land at cost 1,277      
Buildings at cost 11,073      
Total at cost 12,350      
Accumulated Depreciation 2,331      
Encumbrances $ 0      
Date of Construction 1939      
Date Acquired Sep. 19, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1950 [Member] | Houston, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 28,687      
Initial costs, buildings 104,028      
Additions subsequent to acquisition, Improvements 17,462      
Land at cost 28,687      
Buildings at cost 121,490      
Total at cost 150,177      
Accumulated Depreciation 6,714      
Encumbrances $ 0      
Date of Construction 1950      
Date Acquired Sep. 29, 2017      
Life on which depreciation in latest income statements is computed (Years) 41 years      
1950 [Member] | Fall River, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 3,526      
Initial costs, buildings 82,358      
Additions subsequent to acquisition, Improvements 24,463      
Land at cost 3,526      
Buildings at cost 106,821      
Total at cost 110,347      
Accumulated Depreciation 10,619      
Encumbrances $ 0      
Date of Construction 1950      
Date Acquired Oct. 03, 2016      
Life on which depreciation in latest income statements is computed (Years) 41 years      
1950 [Member] | Methuen, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 23,809      
Initial costs, buildings 89,505      
Additions subsequent to acquisition, Improvements 9,184      
Land at cost 23,809      
Buildings at cost 98,689      
Total at cost 122,498      
Accumulated Depreciation 11,290      
Encumbrances $ 0      
Date of Construction 1950      
Date Acquired Oct. 03, 2016      
Life on which depreciation in latest income statements is computed (Years) 41 years      
1950 [Member] | Rockledge, FL [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 13,919      
Initial costs, buildings 23,282      
Additions subsequent to acquisition, Improvements 5,512      
Land at cost 13,919      
Buildings at cost 28,794      
Total at cost 42,713      
Accumulated Depreciation 3,413      
Encumbrances $ 0      
Date of Construction 1950      
Date Acquired May 01, 2017      
Life on which depreciation in latest income statements is computed (Years) 42 years      
1950 [Member] | Sharon, PA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 6,179      
Initial costs, buildings 9,066      
Additions subsequent to acquisition, Improvements 6,435      
Land at cost 6,179      
Buildings at cost 15,501      
Total at cost 21,680      
Accumulated Depreciation 2,356      
Encumbrances $ 0      
Date of Construction 1950      
Date Acquired May 01, 2017      
Life on which depreciation in latest income statements is computed (Years) 41 years      
1950 [Member] | Ottumwa, IA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,377      
Initial costs, buildings 48,697      
Land at cost 2,377      
Buildings at cost 48,697      
Total at cost 51,074      
Accumulated Depreciation 1,811      
Encumbrances $ 0      
Date of Construction 1950      
Date Acquired Dec. 17, 2019      
Life on which depreciation in latest income statements is computed (Years) 30 years      
Two Thousand Five | Haverhill, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 5,651      
Initial costs, buildings 105,848      
Additions subsequent to acquisition, Improvements 3,384      
Land at cost 5,651      
Buildings at cost 109,232      
Total at cost 114,883      
Accumulated Depreciation 6,674      
Encumbrances $ 0      
Date of Construction 2005      
Date Acquired Aug. 31, 2018      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Two Thousand Five | Gilbert, AZ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 150      
Initial costs, buildings 10,449      
Land at cost 150      
Buildings at cost 10,449      
Total at cost 10,599      
Accumulated Depreciation 3,838      
Encumbrances $ 0      
Date of Construction 2005      
Date Acquired Jan. 04, 2011      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Two Thousand Five | Port Arthur, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 12,972      
Initial costs, buildings 78,051      
Additions subsequent to acquisition, Improvements 3,384      
Land at cost 12,972      
Buildings at cost 81,435      
Total at cost 94,407      
Accumulated Depreciation 14,383      
Encumbrances $ 0      
Date of Construction 2005      
Date Acquired Sep. 26, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Two Thousand Five | Tomball, TX [member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Long term acute care hospital      
Initial costs, land $ 1,299      
Initial costs, buildings 23,982      
Land at cost 1,299      
Buildings at cost 23,982      
Total at cost 25,281      
Accumulated Depreciation 5,996      
Encumbrances $ 0      
Date of Construction 2005      
Date Acquired Dec. 21, 2010      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1940 [Member] | Houston, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 28,687      
Initial costs, buildings 104,028      
Additions subsequent to acquisition, Improvements 17,462      
Land at cost 28,687      
Buildings at cost 121,490      
Total at cost 150,177      
Accumulated Depreciation 6,714      
Encumbrances $ 0      
Date of Construction 1940      
Date Acquired Sep. 29, 2017      
Life on which depreciation in latest income statements is computed (Years) 41 years      
1940 [Member] | Lynwood, CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 30,116      
Initial costs, buildings 148,527      
Land at cost 30,116      
Buildings at cost 148,527      
Total at cost 178,643      
Accumulated Depreciation 1,555      
Encumbrances $ 0      
Date of Construction 1940      
Date Acquired Aug. 13, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1940 [Member] | Taunton, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 4,428      
Initial costs, buildings 73,228      
Additions subsequent to acquisition, Improvements 11,290      
Land at cost 4,428      
Buildings at cost 84,518      
Total at cost 88,946      
Accumulated Depreciation 8,573      
Encumbrances $ 0      
Date of Construction 1940      
Date Acquired Oct. 03, 2016      
Life on which depreciation in latest income statements is computed (Years) 41 years      
1940 [Member] | Tempe, AZ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 6,050      
Initial costs, buildings 10,986      
Additions subsequent to acquisition, Improvements 6,773      
Land at cost 6,050      
Buildings at cost 17,759      
Total at cost 23,809      
Accumulated Depreciation 1,457      
Encumbrances $ 0      
Date of Construction 1940      
Date Acquired Sep. 29, 2017      
Life on which depreciation in latest income statements is computed (Years) 41 years      
1982 One [Member] | Garden Grove, CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Medical Office Building      
Initial costs, land $ 862      
Initial costs, buildings 7,888      
Additions subsequent to acquisition, carrying costs 28      
Land at cost 862      
Buildings at cost 7,916      
Total at cost 8,778      
Accumulated Depreciation 2,396      
Encumbrances $ 0      
Date of Construction 1982      
Date Acquired Nov. 25, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2020 [Member] | Houston, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Behavioral health facility      
Initial costs, land $ 6,063      
Initial costs, buildings 19,874      
Land at cost 6,063      
Buildings at cost 19,874      
Total at cost 25,937      
Encumbrances $ 0      
Date of Construction 2020      
Date Acquired Oct. 25, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2020 [Member] | Idaho Falls, ID [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 380      
Initial costs, buildings 108,903      
Land at cost 380      
Buildings at cost 108,903      
Total at cost 109,283      
Accumulated Depreciation 2,486      
Encumbrances $ 0      
Date of Construction 2020      
Date Acquired Dec. 19, 2017      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2002 [Member] | Idaho Falls, ID [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,822      
Initial costs, buildings 37,467      
Additions subsequent to acquisition, Improvements 11,236      
Additions subsequent to acquisition, carrying costs 4,665      
Land at cost 1,822      
Buildings at cost 53,368      
Total at cost 55,190      
Accumulated Depreciation 13,527      
Encumbrances $ 0      
Date of Construction 2002      
Date Acquired Apr. 01, 2008      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2002 [Member] | Melbourne, FL [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 5,642      
Initial costs, buildings 17,087      
Additions subsequent to acquisition, Improvements 13,443      
Land at cost 5,642      
Buildings at cost 30,530      
Total at cost 36,172      
Accumulated Depreciation 2,132      
Encumbrances $ 0      
Date of Construction 2002      
Date Acquired May 01, 2017      
Life on which depreciation in latest income statements is computed (Years) 42 years      
2002 [Member] | San Antonio, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 8,053      
Initial costs, buildings 29,333      
Additions subsequent to acquisition, Improvements 1,945      
Land at cost 8,053      
Buildings at cost 31,278      
Total at cost 39,331      
Accumulated Depreciation 2,735      
Encumbrances $ 0      
Date of Construction 2002      
Date Acquired Sep. 29, 2017      
Life on which depreciation in latest income statements is computed (Years) 41 years      
1920 [Member] | Montclair, NJ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 7,900      
Initial costs, buildings 99,640      
Additions subsequent to acquisition, Improvements 577      
Land at cost 8,477      
Buildings at cost 99,640      
Total at cost 108,117      
Accumulated Depreciation 17,270      
Encumbrances $ 0      
Date of Construction 1920      
Date Acquired Apr. 01, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1920 [Member] | Newark, NJ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 32,957      
Initial costs, buildings 24,553      
Land at cost 32,957      
Buildings at cost 24,553      
Total at cost 57,510      
Accumulated Depreciation 106      
Encumbrances $ 0      
Date of Construction 1920      
Date Acquired May 02, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1920 [Member] | Pasco, WA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 2,594      
Initial costs, buildings 13,195      
Land at cost 2,594      
Buildings at cost 13,195      
Total at cost 15,789      
Accumulated Depreciation 1,052      
Encumbrances $ 0      
Date of Construction 1920      
Date Acquired Aug. 31, 2018      
Life on which depreciation in latest income statements is computed (Years) 30 years      
1920 [Member] | Sussex, NJ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Freestanding ER      
Initial costs, land $ 477      
Initial costs, buildings 2,097      
Land at cost 477      
Buildings at cost 2,097      
Total at cost 2,574      
Accumulated Depreciation 10      
Encumbrances $ 0      
Date of Construction 1920      
Date Acquired Sep. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1954 [Member] | Camden, SC [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, buildings $ 22,739      
Buildings at cost 22,739      
Total at cost 22,739      
Accumulated Depreciation 2,721      
Encumbrances $ 0      
Date of Construction 1954      
Date Acquired Oct. 30, 2015      
Life on which depreciation in latest income statements is computed (Years) 39 years      
1975 [Member] | Liverpool, Australia [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 14,605      
Initial costs, buildings 45,773      
Additions subsequent to acquisition, Improvements 101      
Land at cost 14,706      
Buildings at cost 45,773      
Total at cost 60,479      
Accumulated Depreciation 2,432      
Encumbrances $ 0      
Date of Construction 1975      
Date Acquired Jun. 07, 2019      
Life on which depreciation in latest income statements is computed (Years) 30 years      
1987 [Member] | London, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 3,500      
Initial costs, buildings 4,454      
Additions subsequent to acquisition, Improvements 27      
Land at cost 3,527      
Buildings at cost 4,454      
Total at cost 7,981      
Accumulated Depreciation 113      
Encumbrances $ 0      
Date of Construction 1987      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1987 [Member] | Salt Lake City, UT [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 13,590      
Initial costs, buildings 101,915      
Additions subsequent to acquisition, Improvements 15,109      
Land at cost 13,590      
Buildings at cost 117,024      
Total at cost 130,614      
Accumulated Depreciation 8,751      
Encumbrances $ 0      
Date of Construction 1987      
Date Acquired Sep. 29, 2017      
Life on which depreciation in latest income statements is computed (Years) 41 years      
1987 [Member] | Orpington, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 10,936      
Initial costs, buildings 45,864      
Additions subsequent to acquisition, Improvements 164      
Land at cost 11,100      
Buildings at cost 45,864      
Total at cost 56,964      
Accumulated Depreciation 1,157      
Encumbrances $ 0      
Date of Construction 1987      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2017 One [Member] | Phoenix, AZ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 5,576      
Initial costs, buildings 45,782      
Land at cost 5,576      
Buildings at cost 45,782      
Total at cost 51,358      
Accumulated Depreciation 4,483      
Encumbrances $ 0      
Date of Construction 2017      
Date Acquired Feb. 10, 2017      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1996 [Member] | McMinnville, OR [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 5,000      
Initial costs, buildings 97,900      
Land at cost 5,000      
Buildings at cost 97,900      
Total at cost 102,900      
Accumulated Depreciation 11,641      
Encumbrances $ 0      
Date of Construction 1996      
Date Acquired Aug. 31, 2015      
Life on which depreciation in latest income statements is computed (Years) 41 years      
1996 [Member] | Poole, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,942      
Initial costs, buildings 41,213      
Additions subsequent to acquisition, Improvements 555      
Land at cost 2,497      
Buildings at cost 41,213      
Total at cost 43,710      
Accumulated Depreciation 1,868      
Encumbrances $ 0      
Date of Construction 1996      
Date Acquired Apr. 03, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1919 [Member] | Newark, NJ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 32,957      
Initial costs, buildings 24,553      
Land at cost 32,957      
Buildings at cost 24,553      
Total at cost 57,510      
Accumulated Depreciation 106      
Encumbrances $ 0      
Date of Construction 1919      
Date Acquired May 02, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2003 [Member] | Newark, NJ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 32,957      
Initial costs, buildings 24,553      
Land at cost 32,957      
Buildings at cost 24,553      
Total at cost 57,510      
Accumulated Depreciation 106      
Encumbrances $ 0      
Date of Construction 2003      
Date Acquired May 02, 2016      
Life on which depreciation in latest income statements is computed (Years) 40 years      
2003 [Member] | Youngstown, OH [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 4,335      
Initial costs, buildings 3,565      
Additions subsequent to acquisition, Improvements 824      
Land at cost 4,335      
Buildings at cost 4,389      
Total at cost 8,724      
Accumulated Depreciation 2,160      
Encumbrances $ 0      
Date of Construction 2003      
Date Acquired May 01, 2017      
Life on which depreciation in latest income statements is computed (Years) 41 years      
1926 [Member] | Norwood, MA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 7,073      
Initial costs, buildings 154,496      
Additions subsequent to acquisition, Improvements 35,897      
Land at cost 7,073      
Buildings at cost 190,393      
Total at cost 197,466      
Accumulated Depreciation 9,055      
Encumbrances $ 0      
Date of Construction 1926      
Date Acquired Jun. 27, 2018      
Life on which depreciation in latest income statements is computed (Years) 46 years      
2017 [Member] | Phoenix, AZ [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 12,695      
Initial costs, buildings 73,773      
Additions subsequent to acquisition, Improvements 4,978      
Land at cost 12,695      
Buildings at cost 78,751      
Total at cost 91,446      
Accumulated Depreciation 6,703      
Encumbrances $ 0      
Date of Construction 1968      
Date Acquired Sep. 29, 2017      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1988 [Member] | Palestine, TX [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,848      
Initial costs, buildings 95,257      
Land at cost 1,848      
Buildings at cost 95,257      
Total at cost 97,105      
Accumulated Depreciation 2,496      
Encumbrances $ 0      
Date of Construction 1988      
Date Acquired Dec. 17, 2019      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1964 [Member] | San Diego, CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 6,550      
Initial costs, buildings 15,653      
Additions subsequent to acquisition, carrying costs 77      
Land at cost 6,550      
Buildings at cost 15,730      
Total at cost 22,280      
Accumulated Depreciation 5,372      
Encumbrances $ 0      
Date of Construction 1964      
Date Acquired May 09, 2007      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1964 [Member] | Anaheim, CA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 1,875      
Initial costs, buildings 21,813      
Additions subsequent to acquisition, carrying costs 10      
Land at cost 1,875      
Buildings at cost 21,823      
Total at cost 23,698      
Accumulated Depreciation 7,729      
Encumbrances $ 0      
Date of Construction 1964      
Date Acquired Nov. 08, 2006      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1906 [Member] | Salt Lake City, UT [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 13,590      
Initial costs, buildings 101,915      
Additions subsequent to acquisition, Improvements 15,109      
Land at cost 13,590      
Buildings at cost 117,024      
Total at cost 130,614      
Accumulated Depreciation 8,751      
Encumbrances $ 0      
Date of Construction 1906      
Date Acquired Sep. 29, 2017      
Life on which depreciation in latest income statements is computed (Years) 41 years      
1913 [Member] | Sherman Texas        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 3,363      
Initial costs, buildings 10,932      
Land at cost 3,363      
Buildings at cost 10,932      
Total at cost 14,295      
Accumulated Depreciation 3,169      
Encumbrances $ 0      
Date of Construction 1913      
Date Acquired Oct. 31, 2014      
Life on which depreciation in latest income statements is computed (Years) 40 years      
1929 [Member] | Youngstown, OH [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 4,335      
Initial costs, buildings 3,565      
Additions subsequent to acquisition, Improvements 824      
Land at cost 4,335      
Buildings at cost 4,389      
Total at cost 8,724      
Accumulated Depreciation 2,160      
Encumbrances $ 0      
Date of Construction 1929      
Date Acquired May 01, 2017      
Life on which depreciation in latest income statements is computed (Years) 41 years      
Two Thousand Twenty One | Stockton, California [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Rehabilitation hospital      
Initial costs, land $ 2,932      
Land at cost 2,932      
Total at cost 2,932      
Encumbrances $ 0      
Date of Construction 2021      
Date Acquired Nov. 23, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Nineteen Sixty Two | West Monroe, LA [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 12,000      
Initial costs, buildings 69,433      
Additions subsequent to acquisition, Improvements 16,187      
Land at cost 12,552      
Buildings at cost 85,068      
Total at cost 97,620      
Accumulated Depreciation 14,060      
Encumbrances $ 0      
Date of Construction 1962      
Date Acquired Sep. 26, 2013      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Nineteen Eleven | Winchester, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 6,835      
Initial costs, buildings 11,035      
Additions subsequent to acquisition, Improvements 130      
Land at cost 6,965      
Buildings at cost 11,035      
Total at cost 18,000      
Accumulated Depreciation 284      
Encumbrances $ 0      
Date of Construction 1911      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years      
Nineteen Fifty Five | Windsor, UK [Member]        
SEC Schedule III, Real Estate and Accumulated Depreciation [Line Items]        
Type of property Acute care general hospital      
Initial costs, land $ 12,973      
Initial costs, buildings 112,450      
Additions subsequent to acquisition, Improvements 109      
Land at cost 13,082      
Buildings at cost 112,450      
Total at cost 125,532      
Accumulated Depreciation 2,818      
Encumbrances $ 0      
Date of Construction 1955      
Date Acquired Jan. 09, 2020      
Life on which depreciation in latest income statements is computed (Years) 40 years