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Real Estate and Lending Activities - Summary of Operations for Disposed Assets in 2018 (Parenthetical) (Detail) - Acute Care Hospital [Member] - Germany [Member]
€ in Millions, $ in Millions
1 Months Ended 3 Months Ended 9 Months Ended
Aug. 31, 2018
EUR (€)
Sep. 30, 2018
USD ($)
Sep. 30, 2018
USD ($)
Income Statement Balance Sheet And Additional Disclosures By Disposal Groups Including Discontinued Operations [Line Items]      
Straight-line rent and other write-offs   $ 2.5 $ 7.6
Gain on sale of real estate € 500 $ 695.2 $ 719.3