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Real Estate Activities - 2018 Activity - Additional Information (Detail)
$ in Thousands, € in Millions
1 Months Ended 12 Months Ended
Dec. 17, 2020
USD ($)
Hospital
Dec. 17, 2019
USD ($)
Hospital
Aug. 31, 2018
EUR (€)
Aug. 28, 2018
EUR (€)
Hospital
Aug. 31, 2018
USD ($)
Hospital
Aug. 31, 2018
EUR (€)
Hospital
Mar. 31, 2018
USD ($)
Oct. 31, 2016
USD ($)
Dec. 31, 2020
USD ($)
Hospital
Dec. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
Hospital
Business Acquisition [Line Items]                      
Ownership interest in joint venture under the equity method value included in other assets                 $ 1,123,623 $ 926,990  
Gain on sale of real estate                 $ (2,800)    
Term of lease                 15 years    
Mortgage financing                 $ 193,590 61,712 $ 50,783
Acute Care Hospital [Member]                      
Business Acquisition [Line Items]                      
Number of facilities acquired | Hospital   10             2    
Gain on sale of real estate                   $ 41,600  
Purchase price of acquisition   $ 700,000                  
Inpatient Rehabilitation Hospital [Member]                      
Business Acquisition [Line Items]                      
Purchase price of acquisition $ 58,000                    
General Acute Care Hospital and Healthcare System [Member]                      
Business Acquisition [Line Items]                      
Number of facilities acquired | Hospital                     5
Mortgage financing             $ 764,400 $ 764,400      
Germany [Member] | Acute Care Hospital [Member]                      
Business Acquisition [Line Items]                      
Ownership interest in joint venture under the equity method     50.00%     50.00%          
Ownership interest in joint venture under the equity method value included in other assets | €     € 210.0     € 210.0          
Shareholder loan to joint venture | €     290.0     290.0          
Gain on sale of real estate | €           500.0          
Germany [Member] | Rehabilitation Hospital with Covenant Health System [Member] | MEDIAN [Member]                      
Business Acquisition [Line Items]                      
Term of lease       27 years              
Germany [Member] | Inpatient Rehabilitation Hospital [Member]                      
Business Acquisition [Line Items]                      
Number of facilities acquired | Hospital       3              
Purchase price of acquisition | €       € 17.3              
Germany [Member] | Fair Value [Member] | Acute Care Hospital [Member]                      
Business Acquisition [Line Items]                      
Aggregate fair value of ownership interest | €     € 1,635.0     € 1,635.0          
Pasco, Washington [Member] | Acute Care Hospital [Member]                      
Business Acquisition [Line Items]                      
Purchase price of acquisition         $ 17,500            
Massachusetts [Member] | General Acute Care Hospital and Healthcare System [Member]                      
Business Acquisition [Line Items]                      
Number of facilities acquired | Hospital                     4
Texas [Member] | Inpatient Rehabilitation Hospital [Member]                      
Business Acquisition [Line Items]                      
Number of facilities acquired | Hospital 1                    
Texas [Member] | General Acute Care Hospital and Healthcare System [Member] | Steward [Member]                      
Business Acquisition [Line Items]                      
Number of facilities acquired | Hospital                     1
Primotop Holdings S.a.r.l. [Member] | Germany [Member] | Acute Care Hospital [Member]                      
Business Acquisition [Line Items]                      
Ownership interest in joint venture under the equity method     50.00%     50.00%          
Number of facilities acquired | Hospital         71 71          
Proceeds from joint venture | €           € 1,140.0          
Gain on sale of real estate | €     € 500.0