Real Estate and Loans Receivable - Monroe Facility - Additional Information (Detail) (USD $)						1 Months Ended	12 Months Ended			12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010	Dec. 31, 2013 Olympia Medical Center [Member]	Mar. 31, 2012 Monroe Facility [Member]	Dec. 31, 2013 Monroe Facility [Member]	Dec. 31, 2013 Monroe Facility [Member] Scenario, Forecast [Member]	Dec. 31, 2013 Monroe Facility [Member] Ernest Transaction and Other Acquisitions [Member]	Dec. 31, 2013 Monroe Facility [Member] Monroe Hospital [Member]	Dec. 31, 2010 Monroe Facility [Member] Monroe Hospital [Member]
Significant Acquisitions and Disposals [Line Items]
Lease advance										$ 31,100,000
Operating leases rent, interest and other charges outstanding										21,000,000
Advanced amount of working capital loan agreement										1,200,000
Interest receivables										6,000,000
Impairment of working capital loan recognized											12,000,000
Straight line rent receivables write-off											2,500,000
Number of days past due										90 days
Net investment to maximum exposure										40,300,000
Impairment of working capital loan estimation-patient receivables considered for first priority secured interest										4,000,000
Impairment of working capital loan estimation-cash balance considered for first priority secured interest										100,000
Existing mortgage loan	368,650,000	368,650,000	165,000,000	165,000,000	20,000,000				98,000,000
Working capital loan outstanding									19,100,000
Amount of convertible note converted into equity interest						1,600,000
Convertible note						5,000,000
Percentage of equity shares from convertible debt						9.90%	15.10%	15.10%
Remaining convertible debt after conversion of part of debt							$ 3,400,000