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Schedule III Real Estate and Accumulated Depreciation (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 75,742      
Initial Cost, Land 50,302      
Initial Cost, Building & Improvements 478,853      
Adjustments to Basis [2] 63,169      
Land 53,142      
Buildings and Improvements 539,182      
CIP 7,452      
Total 599,776 $ 585,828 $ 511,657 $ 486,589
Accumulated Depreciation 153,379 $ 138,588    
Inland Valley Regional Medical Center Wildomar, California        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land 2,050      
Initial Cost, Building & Improvements 10,701      
Adjustments to Basis [2] 14,596      
Land 2,050      
Buildings and Improvements 25,297      
Total 27,347      
Accumulated Depreciation $ 13,307      
Date of Completion of Construction, Acquisition or Significant Improvement 2007      
Date Acquired 1986      
Average Depreciable Life 43 years      
McAllen Medical Center McAllen, Texas        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 4,720      
Initial Cost, Building & Improvements 31,442      
Adjustments to Basis [2] 10,189      
Land 6,281      
Buildings and Improvements 40,070      
Total 46,351      
Accumulated Depreciation $ 27,221      
Date of Completion of Construction, Acquisition or Significant Improvement 1994      
Date Acquired 1986      
Average Depreciable Life 42 years      
Wellington Regional Medical Center West Palm Beach, Florida        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 1,190      
Initial Cost, Building & Improvements 14,652      
Adjustments to Basis [2] 17,370      
Land 1,663      
Buildings and Improvements 31,549      
Total 33,212      
Accumulated Depreciation $ 19,485      
Date of Completion of Construction, Acquisition or Significant Improvement 2006      
Date Acquired 1986      
Average Depreciable Life 42 years      
HealthSouth Deaconess Rehabilitation Hospital Evansville, Indiana        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 500      
Initial Cost, Building & Improvements 6,945      
Adjustments to Basis [2] 1,062      
Land 500      
Buildings and Improvements 8,007      
Total 8,507      
Accumulated Depreciation $ 5,678      
Date of Completion of Construction, Acquisition or Significant Improvement 1993      
Date Acquired 1989      
Average Depreciable Life 40 years      
Kindred Chicago Central Hospital Central Chicago, Illinois        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 158      
Initial Cost, Building & Improvements 6,404      
Adjustments to Basis [2] 1,838      
Land 158      
Buildings and Improvements 8,242      
Total 8,400      
Accumulated Depreciation $ 8,242      
Date of Completion of Construction, Acquisition or Significant Improvement 1993      
Date Acquired 1986      
Average Depreciable Life 25 years      
Family Doctor's Medical Office Building Shreveport, Louisiana        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 54      
Initial Cost, Building & Improvements 1,526      
Adjustments to Basis [2] 494      
Land 54      
Buildings and Improvements 2,020      
Total 2,074      
Accumulated Depreciation $ 1,045      
Date of Completion of Construction, Acquisition or Significant Improvement 1991      
Date Acquired 1995      
Average Depreciable Life 45 years      
Kelsey-Seybold Clinic at King's Crossing Kingwood, Texas        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land [3] $ 439      
Initial Cost, Building & Improvements [3] 1,618      
Adjustments to Basis [2],[3] (1,618)      
Land [3] 439      
Total [3] $ 439      
Date of Completion of Construction, Acquisition or Significant Improvement [3] 1995      
Date Acquired [3] 1995      
Average Depreciable Life [3] 45 years      
Professional Buildings at King's Crossing Kingwood, Texas        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land [3] $ 439      
Initial Cost, Building & Improvements [3] 1,837      
Adjustments to Basis [2],[3] (1,837)      
Land [3] 439      
Total [3] $ 439      
Date of Completion of Construction, Acquisition or Significant Improvement [3] 1995      
Date Acquired [3] 1995      
Average Depreciable Life [3] 45 years      
Chesterbrook Academy Audubon, Pennsylvania        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 307      
Initial Cost, Building & Improvements 996      
Land 307      
Buildings and Improvements 996      
Total 1,303      
Accumulated Depreciation $ 477      
Date of Completion of Construction, Acquisition or Significant Improvement 1996      
Date Acquired 1996      
Average Depreciable Life 45 years      
Chesterbrook Academy New Britain, Pennsylvania        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 250      
Initial Cost, Building & Improvements 744      
Land 250      
Buildings and Improvements 744      
Total 994      
Accumulated Depreciation $ 360      
Date of Completion of Construction, Acquisition or Significant Improvement 1991      
Date Acquired 1996      
Average Depreciable Life 45 years      
Chesterbrook Academy Uwchlan, Pennsylvania        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 180      
Initial Cost, Building & Improvements 815      
Land 180      
Buildings and Improvements 815      
Total 995      
Accumulated Depreciation $ 392      
Date of Completion of Construction, Acquisition or Significant Improvement 1992      
Date Acquired 1996      
Average Depreciable Life 45 years      
Chesterbrook Academy Newtown, Pennsylvania        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 195      
Initial Cost, Building & Improvements 749      
Land 195      
Buildings and Improvements 749      
Total 944      
Accumulated Depreciation $ 362      
Date of Completion of Construction, Acquisition or Significant Improvement 1992      
Date Acquired 1996      
Average Depreciable Life 45 years      
The Southern Crescent Center I        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land [4] $ 1,130      
Initial Cost, Building & Improvements [4] 5,092      
Adjustments to Basis [2],[4] (2,271)      
Land [4] 1,130      
Buildings and Improvements [4] 2,821      
Total [4] 3,951      
Accumulated Depreciation [4] $ 2,493      
Date of Completion of Construction, Acquisition or Significant Improvement [4] 1994      
Date Acquired [4] 1996      
Average Depreciable Life [4] 45 years      
The Southern Crescent Center II Riverdale, Georgia        
Real Estate and Accumulated Depreciation [Line Items]        
Adjustments to Basis [2],[4] $ 5,040      
Land [4] 806      
Buildings and Improvements [4] 4,234      
Total [4] 5,040      
Accumulated Depreciation [4] $ 2,494      
Date of Completion of Construction, Acquisition or Significant Improvement [4] 2000      
Date Acquired [4] 1998      
Average Depreciable Life [4] 35 years      
The Cypresswood Professional Center Spring, Texas        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land [5] $ 573      
Initial Cost, Building & Improvements [5] 3,842      
Adjustments to Basis [2],[5] (3,004)      
Land [5] 573      
Buildings and Improvements [5] 838      
Total [5] 1,411      
Accumulated Depreciation [5] $ 507      
Date of Completion of Construction, Acquisition or Significant Improvement [5] 1997      
Date Acquired [5] 1997      
Average Depreciable Life [5] 35 years      
701 South Tonopah Building Las Vegas, Nevada        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Building & Improvements [6] $ 1,579      
Adjustments to Basis [2],[6] 68      
Buildings and Improvements [6] 1,647      
Total [6] 1,647      
Accumulated Depreciation [6] $ 1,150      
Date of Completion of Construction, Acquisition or Significant Improvement [6] 1999      
Date Acquired [6] 1999      
Average Depreciable Life [6] 25 years      
Danbury Medical Plaza Danbury, Connecticut        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 1,151      
Initial Cost, Building & Improvements 5,176      
Adjustments to Basis [2] 826      
Land 1,151      
Buildings and Improvements 6,002      
Total 7,153      
Accumulated Depreciation $ 3,560      
Date of Completion of Construction, Acquisition or Significant Improvement 2000      
Date Acquired 2000      
Average Depreciable Life 30 years      
Vibra Hospital of Corpus Christi Corpus Christi, Texas        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 2,624      
Initial Cost, Land 1,104      
Initial Cost, Building & Improvements 5,508      
Land 1,104      
Buildings and Improvements 5,508      
Total 6,612      
Accumulated Depreciation $ 1,557      
Date of Completion of Construction, Acquisition or Significant Improvement 2008      
Date Acquired 2008      
Average Depreciable Life 35 years      
Apache Junction Medical Plaza Apache Junction, AZ        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 240      
Initial Cost, Building & Improvements 3,590      
Adjustments to Basis [2] 1,159      
Land 240      
Buildings and Improvements 4,749      
Total 4,989      
Accumulated Depreciation $ 1,317      
Date of Completion of Construction, Acquisition or Significant Improvement 2004      
Date Acquired 2004      
Average Depreciable Life 30 years      
Auburn Medical Office Building II Auburn, WA        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Building & Improvements [7] $ 10,200      
Adjustments to Basis [2],[7] 176      
Buildings and Improvements [7] 10,376      
Total [7] 10,376      
Accumulated Depreciation [7] $ 2,058      
Date of Completion of Construction, Acquisition or Significant Improvement [7] 2009      
Date Acquired [7] 2009      
Average Depreciable Life [7] 36 years      
BRB Medical Office Building Kingwood, Texas        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 6,126      
Initial Cost, Land 430      
Initial Cost, Building & Improvements 8,970      
Adjustments to Basis [2] 39      
Land 430      
Buildings and Improvements 9,009      
Total 9,439      
Accumulated Depreciation $ 1,764      
Date of Completion of Construction, Acquisition or Significant Improvement 2010      
Date Acquired 2010      
Average Depreciable Life 37 years      
Centennial Hills Medical Office Building Las Vegas, NV        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1],[6] $ 9,764      
Initial Cost, Building & Improvements [6] 19,890      
Adjustments to Basis [2],[6] 1,880      
Buildings and Improvements [6] 21,770      
CIP [6] 38      
Total [6] 21,808      
Accumulated Depreciation [6] $ 4,612      
Date of Completion of Construction, Acquisition or Significant Improvement [6] 2006      
Date Acquired [6] 2006      
Average Depreciable Life [6] 34 years      
Desert Springs Medical Plaza Las Vegas, NV        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 1,200      
Initial Cost, Building & Improvements 9,560      
Adjustments to Basis [2] 1,339      
Land 1,200      
Buildings and Improvements 10,899      
CIP 100      
Total 12,199      
Accumulated Depreciation $ 2,680      
Date of Completion of Construction, Acquisition or Significant Improvement 1998      
Date Acquired 1998      
Average Depreciable Life 30 years      
700 Shadow Lane & Goldring MOBs Las Vegas, NV        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 6,059      
Initial Cost, Land 400      
Initial Cost, Building & Improvements 11,300      
Adjustments to Basis [2] 3,539      
Land 400      
Buildings and Improvements 14,839      
CIP 12      
Total 15,251      
Accumulated Depreciation $ 3,554      
Date of Completion of Construction, Acquisition or Significant Improvement 2003      
Date Acquired 2003      
Average Depreciable Life 30 years      
Spring Valley Hospital MOB I Las Vegas, NV        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Building & Improvements [6] $ 9,500      
Adjustments to Basis [2],[6] 1,063      
Buildings and Improvements [6] 10,563      
CIP [6] 19      
Total [6] 10,582      
Accumulated Depreciation [6] $ 2,317      
Date of Completion of Construction, Acquisition or Significant Improvement [6] 2004      
Date Acquired [6] 2004      
Average Depreciable Life [6] 35 years      
Spring Valley Hospital MOB II Las Vegas, NV        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Building & Improvements [6] $ 9,800      
Adjustments to Basis [2],[6] 503      
Buildings and Improvements [6] 10,303      
Total [6] 10,303      
Accumulated Depreciation [6] $ 2,282      
Date of Completion of Construction, Acquisition or Significant Improvement [6] 2006      
Date Acquired [6] 2006      
Average Depreciable Life [6] 34 years      
Summerlin Hospital MOB I Las Vegas, NV        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 460      
Initial Cost, Building & Improvements 15,440      
Adjustments to Basis [2] 1,460      
Land 460      
Buildings and Improvements 16,900      
CIP 48      
Total 17,408      
Accumulated Depreciation $ 3,988      
Date of Completion of Construction, Acquisition or Significant Improvement 1999      
Date Acquired 1999      
Average Depreciable Life 30 years      
Summerlin Hospital MOB II Las Vegas, NV        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 370      
Initial Cost, Building & Improvements 16,830      
Adjustments to Basis [2] 1,446      
Land 370      
Buildings and Improvements 18,276      
CIP 13      
Total 18,659      
Accumulated Depreciation $ 4,326      
Date of Completion of Construction, Acquisition or Significant Improvement 2000      
Date Acquired 2000      
Average Depreciable Life 30 years      
Summerlin Hospital MOB III Las Vegas, NV        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1],[6] $ 13,199      
Initial Cost, Building & Improvements [6] 14,900      
Adjustments to Basis [2],[6] 2,161      
Buildings and Improvements [6] 17,061      
Total [6] 17,061      
Accumulated Depreciation [6] $ 3,260      
Date of Completion of Construction, Acquisition or Significant Improvement [6] 2009      
Date Acquired [6] 2009      
Average Depreciable Life [6] 36 years      
Emory at Dunwoody Building Dunwoody, GA        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 782      
Initial Cost, Building & Improvements 3,455      
Land 782      
Buildings and Improvements 3,455      
Total 4,237      
Accumulated Depreciation $ 789      
Date of Completion of Construction, Acquisition or Significant Improvement 2011      
Date Acquired 2011      
Average Depreciable Life 35 years      
Forney Medical Plaza Forney, TX        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 910      
Initial Cost, Building & Improvements 11,960      
Adjustments to Basis [2] 55      
Land 910      
Buildings and Improvements 12,015      
Total 12,925      
Accumulated Depreciation $ 3,026      
Date of Completion of Construction, Acquisition or Significant Improvement 2011      
Date Acquired 2011      
Average Depreciable Life 35 years      
Lake Pointe Medical Arts Building Rowlett, TX        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 1,100      
Initial Cost, Building & Improvements 9,000      
Adjustments to Basis [2] 31      
Land 1,100      
Buildings and Improvements 9,031      
CIP 1      
Total 10,132      
Accumulated Depreciation $ 1,992      
Date of Completion of Construction, Acquisition or Significant Improvement 2011      
Date Acquired 2011      
Average Depreciable Life 35 years      
Tuscan Professional Building Irving, TX        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 4,519      
Initial Cost, Land 1,100      
Initial Cost, Building & Improvements 12,525      
Adjustments to Basis [2] 1,214      
Land 1,100      
Buildings and Improvements 13,739      
Total 14,839      
Accumulated Depreciation $ 2,715      
Date of Completion of Construction, Acquisition or Significant Improvement 2011      
Date Acquired 2011      
Average Depreciable Life 35 years      
Peace Health Medical Clinic Bellingham, WA        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 1,900      
Initial Cost, Building & Improvements 24,910      
Land 1,900      
Buildings and Improvements 24,910      
Total 26,810      
Accumulated Depreciation $ 5,024      
Date of Completion of Construction, Acquisition or Significant Improvement 2012      
Date Acquired 2012      
Average Depreciable Life 35 years      
Northwest Texas Professional Office Tower Amarillo TX        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Building & Improvements [6] $ 7,180      
Buildings and Improvements [6] 7,180      
Total [6] 7,180      
Accumulated Depreciation [6] $ 1,208      
Date of Completion of Construction, Acquisition or Significant Improvement [6] 2012      
Date Acquired [6] 2012      
Average Depreciable Life [6] 35 years      
Ward Eagle Office Village Farmington Hills MI        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 220      
Initial Cost, Building & Improvements 3,220      
Land 220      
Buildings and Improvements 3,220      
Total 3,440      
Accumulated Depreciation $ 526      
Date of Completion of Construction, Acquisition or Significant Improvement 2013      
Date Acquired 2013      
Average Depreciable Life 35 years      
5004 Poole Road Medical Office Building Denison, TX        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 96      
Initial Cost, Building & Improvements 529      
Land 96      
Buildings and Improvements 529      
Total 625      
Accumulated Depreciation $ 81      
Date of Completion of Construction, Acquisition or Significant Improvement 2013      
Date Acquired 2013      
Average Depreciable Life 35 years      
Desert Valley Medical Center Phoenix AZ        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 4,946      
Initial Cost, Land 2,280      
Initial Cost, Building & Improvements 4,624      
Adjustments to Basis [2] 479      
Land 2,280      
Buildings and Improvements 5,103      
CIP 80      
Total 7,463      
Accumulated Depreciation $ 757      
Date of Completion of Construction, Acquisition or Significant Improvement 1996      
Date Acquired 1996      
Average Depreciable Life 30 years      
Hanover Emergency Center Mechanicsville, VA        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 1,300      
Initial Cost, Building & Improvements 6,224      
Land 1,300      
Buildings and Improvements 6,224      
Total 7,524      
Accumulated Depreciation $ 699      
Date of Completion of Construction, Acquisition or Significant Improvement 2014      
Date Acquired 2014      
Average Depreciable Life 35 years      
Haas Medical Office Park Ottumwa, IA        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Building & Improvements [7] $ 3,571      
Buildings and Improvements [7] 3,571      
Total [7] 3,571      
Accumulated Depreciation [7] $ 343      
Date of Completion of Construction, Acquisition or Significant Improvement [7] 2015      
Date Acquired [7] 2015      
Average Depreciable Life [7] 35 years      
South Texas ER at Mission, Mission, TX        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 1,441      
Initial Cost, Building & Improvements 4,696      
Land 1,441      
Buildings and Improvements 4,696      
Total 6,137      
Accumulated Depreciation $ 458      
Date of Completion of Construction, Acquisition or Significant Improvement 2015      
Date Acquired 2015      
Average Depreciable Life 35 years      
North Valley Medical Plaza Phoenix, AZ        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 930      
Initial Cost, Building & Improvements 6,929      
Adjustments to Basis [2] 612      
Land 930      
Buildings and Improvements 7,541      
CIP 796      
Total 9,267      
Accumulated Depreciation $ 1,004      
Date of Completion of Construction, Acquisition or Significant Improvement 2010      
Date Acquired 2010      
Average Depreciable Life 30 years      
Northwest Medical Center at Sugar Creek, Bentonville, AR        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 1,100      
Initial Cost, Building & Improvements 2,870      
Land 1,100      
Buildings and Improvements 2,870      
Total 3,970      
Accumulated Depreciation $ 366      
Date of Completion of Construction, Acquisition or Significant Improvement 2014      
Date Acquired 2014      
Average Depreciable Life 35 years      
The Children's Clinic at Springdale, Springdale, AR        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 610      
Initial Cost, Building & Improvements 1,570      
Land 610      
Buildings and Improvements 1,570      
Total 2,180      
Accumulated Depreciation $ 225      
Date of Completion of Construction, Acquisition or Significant Improvement 2014      
Date Acquired 2014      
Average Depreciable Life 35 years      
Rosenberg Children's Medical Plaza, Phoenix, AZ        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1],[7] $ 7,968      
Initial Cost, Building & Improvements [7] 23,302      
Adjustments to Basis [2],[7] 34      
Buildings and Improvements [7] 23,336      
Total [7] 23,336      
Accumulated Depreciation [7] $ 2,682      
Date of Completion of Construction, Acquisition or Significant Improvement [7] 2001      
Date Acquired [7] 2001      
Average Depreciable Life [7] 35 years      
Phoenix Children's East Valley Care Center, Phoenix, AZ        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 9,400      
Initial Cost, Land 1,050      
Initial Cost, Building & Improvements 10,900      
Land 1,050      
Buildings and Improvements 10,900      
Total 11,950      
Accumulated Depreciation $ 1,250      
Date of Completion of Construction, Acquisition or Significant Improvement 2006      
Date Acquired 2006      
Average Depreciable Life 35 years      
Palmdale Medical Plaza, Palmdale, CA        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Building & Improvements [6] $ 10,555      
Adjustments to Basis [2],[6] 1,745      
Buildings and Improvements [6] 12,300      
CIP [6] 8      
Total [6] 12,308      
Accumulated Depreciation [6] $ 1,638      
Date of Completion of Construction, Acquisition or Significant Improvement [6] 2008      
Date Acquired [6] 2008      
Average Depreciable Life [6] 34 years      
Piedmont-Roswell Physician Center Sandy Springs, GA        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 2,338      
Initial Cost, Building & Improvements 2,128      
Land 2,338      
Buildings and Improvements 2,128      
Total 4,466      
Accumulated Depreciation $ 243      
Date of Completion of Construction, Acquisition or Significant Improvement 2015      
Date Acquired 2015      
Average Depreciable Life 30 years      
Piedmont-Vinings Physician Center Vinings, GA        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 1,348      
Initial Cost, Building & Improvements 2,418      
Land 1,348      
Buildings and Improvements 2,418      
Total 3,766      
Accumulated Depreciation $ 267      
Date of Completion of Construction, Acquisition or Significant Improvement 2015      
Date Acquired 2015      
Average Depreciable Life 30 years      
Santa Fe Professional Plaza Scottsdale, AZ        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 1,090      
Initial Cost, Building & Improvements 1,960      
Adjustments to Basis [2] 359      
Land 1,090      
Buildings and Improvements 2,319      
CIP 1      
Total 3,410      
Accumulated Depreciation $ 360      
Date of Completion of Construction, Acquisition or Significant Improvement 1999      
Date Acquired 1999      
Average Depreciable Life 30 years      
Sierra San Antonio Medical Plaza Fontana, CA        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Building & Improvements [7] $ 11,538      
Adjustments to Basis [2],[7] 514      
Buildings and Improvements [7] 12,052      
CIP [7] 10      
Total [7] 12,062      
Accumulated Depreciation [7] $ 1,560      
Date of Completion of Construction, Acquisition or Significant Improvement [7] 2006      
Date Acquired [7] 2006      
Average Depreciable Life [7] 30 years      
Vista Medical Terrace & Sparks MOB Sparks, NV        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1],[6] $ 4,130      
Initial Cost, Building & Improvements [6] 9,276      
Adjustments to Basis [2],[6] 608      
Buildings and Improvements [6] 9,884      
CIP [6] 39      
Total [6] 9,923      
Accumulated Depreciation [6] $ 1,760      
Date of Completion of Construction, Acquisition or Significant Improvement [6] 2008      
Date Acquired [6] 2008      
Average Depreciable Life [6] 30 years      
South Texas ER at Weslaco, Weslaco, TX        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 1,749      
Initial Cost, Building & Improvements 4,879      
Land 1,749      
Buildings and Improvements 4,879      
Total 6,628      
Accumulated Depreciation $ 485      
Date of Completion of Construction, Acquisition or Significant Improvement 2015      
Date Acquired 2015      
Average Depreciable Life 35 years      
Chandler Corporate Center III Chandler, AZ        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 2,328      
Initial Cost, Building & Improvements 14,131      
Land 2,328      
Buildings and Improvements 14,131      
Total 16,459      
Accumulated Depreciation $ 1,042      
Date of Completion of Construction, Acquisition or Significant Improvement 2016      
Date Acquired 2016      
Average Depreciable Life 35 years      
Frederick Crestwood MOB Frederick, MD        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 2,265      
Initial Cost, Building & Improvements 18,731      
Land 2,265      
Buildings and Improvements 18,731      
Total 20,996      
Accumulated Depreciation $ 939      
Date of Completion of Construction, Acquisition or Significant Improvement 2016      
Date Acquired 2016      
Average Depreciable Life 35 years      
Madison Professional Office Building Madison, AL        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 2,296      
Initial Cost, Building & Improvements 6,411      
Land 2,296      
Buildings and Improvements 6,411      
Total 8,707      
Accumulated Depreciation $ 473      
Date of Completion of Construction, Acquisition or Significant Improvement 2016      
Date Acquired 2016      
Average Depreciable Life 35 years      
Tenaya Medical Office Building Las Vegas, NV        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 7,007      
Initial Cost, Land 3,032      
Initial Cost, Building & Improvements 10,602      
Land 3,032      
Buildings and Improvements 10,602      
Total 13,634      
Accumulated Depreciation $ 444      
Date of Completion of Construction, Acquisition or Significant Improvement 2016      
Date Acquired 2016      
Average Depreciable Life 35 years      
Henderson Medical Plaza Henderson, NV        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Building & Improvements [6] $ 10,718      
Buildings and Improvements [6] 10,718      
CIP [6] 6,287      
Total [6] 17,005      
Accumulated Depreciation [6] $ 412      
Date of Completion of Construction, Acquisition or Significant Improvement [6] 2017      
Date Acquired [6] 2017      
Average Depreciable Life [6] 35 years      
Hamburg Medical Building Hamburg, PA        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 696      
Initial Cost, Building & Improvements 3,406      
Land 696      
Buildings and Improvements 3,406      
Total 4,102      
Accumulated Depreciation $ 64      
Date of Completion of Construction, Acquisition or Significant Improvement 2017      
Date Acquired 2017      
Average Depreciable Life 35 years      
Las Palmas Del Sol Emergency Center - West El Paso, TX        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 801      
Initial Cost, Building & Improvements 5,029      
Land 801      
Buildings and Improvements 5,029      
Total 5,830      
Accumulated Depreciation $ 59      
Date of Completion of Construction, Acquisition or Significant Improvement 2017      
Date Acquired 2017      
Average Depreciable Life 35 years      
[1] Consists of outstanding balances as of December 31, 2017 on third-party debt that is non-recourse to us.
[2] Consists of costs subsequent to acquisition that were capitalized, divested or written down in connection with asset impairments and hurricane related damage.
[3] Carrying value of depreciable assets were written down to zero as a result of substantial damage from Hurricane Harvey during the third quarter of 2017.
[4] During 2008, a $4.6 million provision for asset impairment was recorded in connection with the real estate assets of Southern Crescent Center I & Southern Crescent Center II.
[5] Carrying value of depreciable assets were written down as a result of substantial damage from Hurricane Harvey during the third quarter of 2017.
[6] At December 31, 2017, we are the lessee with a UHS-related party on a ground lease for land.
[7] At December 31, 2017, we are the lessee with a third party on a ground lease for land.