Real Estate and Lending Activities - 2014 Activity - Additional Information (Detail) (Acute Care Hospitals [Member], USD $) In Millions, unless otherwise specified	3 Months Ended
Mar. 31, 2014
Significant Acquisitions and Disposals [Line Items]
Acquisition costs	$ 115
Term of lease, years	15 years
Term of lease extension, years	3 years
Fair value market [Member]
Significant Acquisitions and Disposals [Line Items]
Term of lease extension, years	12 years

The capitalized costs incurred during the period (excluded from amortization) to purchase, lease or otherwise acquire an unproved property, including costs of lease bonuses and options to purchase or lease properties, the portion of costs applicable to minerals when land including mineral rights is purchased in fee, brokers' fees, recording fees, legal costs, and other costs incurred in acquiring properties.

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 932

-SubTopic 10

-Section S99

-Paragraph 1

-Subparagraph (SX 210.4-10.(c)(7)(ii))

-URI http://asc.fasb.org/extlink&oid=27015464&loc=d3e511914-122862

Reference 2: http://www.xbrl.org/2003/role/presentationRef

-Publisher SEC

-Name Regulation S-X (SX)

-Number 210

-Section 10

-Paragraph c

-Subparagraph 3(ii)(A)

-Article 4

Name:	us-gaap_AcquisitionCosts
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	debit
Period Type:	duration