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Schedule IV - Schedule of Mortgage Loans on Real Estate (Detail) - USD ($)
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Mortgage Loans on Real Estate [Line Items]        
Prior Liens $ 0      
Face Amount of Mortgages 248,335,000      
Carrying Amount of Mortgages 248,335,000 $ 1,274,995,000 $ 1,213,283,000 $ 1,778,264,000
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0      
Long-Term First Mortgage Loan [Member]        
Mortgage Loans on Real Estate [Line Items]        
Periodic Payment Terms Payable in monthly installments of interest plus principal payable in full at maturity      
Long-Term First Mortgage Loan [Member] | Colombia [Member]        
Mortgage Loans on Real Estate [Line Items]        
Interest Rate 8.95%      
Final Maturity Date 2035      
Face Amount of Mortgages $ 136,332,000      
Carrying Amount of Mortgages 136,332,000      
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0      
Long-Term First Mortgage Loan [Member] | East Ohio Regional Hospital [Member]        
Mortgage Loans on Real Estate [Line Items]        
Interest Rate 8.00%      
Final Maturity Date 2025      
Face Amount of Mortgages $ 1,750,000      
Carrying Amount of Mortgages 1,750,000      
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0      
Long-Term First Mortgage Loan [Member] | Olympia Medical Center [Member]        
Mortgage Loans on Real Estate [Line Items]        
Interest Rate 11.14%      
Final Maturity Date 2024      
Face Amount of Mortgages $ 25,000,000      
Carrying Amount of Mortgages 25,000,000      
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0      
Long-Term First Mortgage Loan [Member] | St. Luke's Hospital [Member]        
Mortgage Loans on Real Estate [Line Items]        
Interest Rate 0.00%      
Final Maturity Date 2021      
Face Amount of Mortgages $ 15,000,000      
Carrying Amount of Mortgages 15,000,000      
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0      
Long-Term First Mortgage Loan [Member] | Vibra [Member]        
Mortgage Loans on Real Estate [Line Items]        
Interest Rate 11.50%      
Final Maturity Date 2024      
Face Amount of Mortgages $ 18,986,000      
Carrying Amount of Mortgages 18,986,000      
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0      
Long-Term First Mortgage Loan [Member] | Prospect [Member]        
Mortgage Loans on Real Estate [Line Items]        
Interest Rate 7.50%      
Final Maturity Date 2034      
Face Amount of Mortgages $ 51,267,000      
Carrying Amount of Mortgages 51,267,000      
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0