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Real Estate and Lending Activities - Loans - Additional Information (Detail)
$ in Thousands, € in Millions
9 Months Ended
Sep. 30, 2020
USD ($)
Hospital
Sep. 30, 2020
EUR (€)
Dec. 31, 2019
USD ($)
Loans [Line Items]      
Acquisition loan $ 334,281   $ 123,893
Primotop Holdings S.a.r.l. [Member]      
Loans [Line Items]      
Shareholder loan to joint venture | €   € 290  
Joint Venture Partner [Member]      
Loans [Line Items]      
Acquisition loan $ 205,000    
Acute Care Hospital [Member]      
Loans [Line Items]      
Number of facilities acquired | Hospital 2