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Schedule IV - Schedule of Mortgage Loans on Real Estate (Detail)
12 Months Ended
Dec. 31, 2015
USD ($)
Mortgage Loans on Real Estate [Line Items]  
Prior Liens $ 0
Face Amount of Mortgages 757,500,000
Carrying Amount of Mortgages 757,500,000
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0
Long-Term First Mortgage Loan [Member]  
Mortgage Loans on Real Estate [Line Items]  
Periodic Payment Terms Payable in monthly installments of interest plus principal payable in full at maturity
Long-Term First Mortgage Loan [Member] | Desert Valley Hospital [Member]  
Mortgage Loans on Real Estate [Line Items]  
Interest rate 11.00%
Final Maturity Date 2022
Face Amount of Mortgages $ 70,000,000
Carrying Amount of Mortgages 70,000,000
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0
Long-Term First Mortgage Loan [Member] | Desert Valley Hospital [Member]  
Mortgage Loans on Real Estate [Line Items]  
Interest rate 11.60%
Final Maturity Date 2022
Face Amount of Mortgages $ 20,000,000
Carrying Amount of Mortgages 20,000,000
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0
Long-Term First Mortgage Loan [Member] | Desert Valley Hospital [Member]  
Mortgage Loans on Real Estate [Line Items]  
Interest rate 11.00%
Final Maturity Date 2017
Face Amount of Mortgages $ 12,500,000
Carrying Amount of Mortgages 12,500,000
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0
Long-Term First Mortgage Loan [Member] | Chino Valley Medical Center [Member]  
Mortgage Loans on Real Estate [Line Items]  
Interest rate 11.00%
Final Maturity Date 2022
Face Amount of Mortgages $ 50,000,000
Carrying Amount of Mortgages 50,000,000
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0
Long-Term First Mortgage Loan [Member] | Paradise Valley Hospital [Member]  
Mortgage Loans on Real Estate [Line Items]  
Interest rate 10.60%
Final Maturity Date 2022
Face Amount of Mortgages $ 25,000,000
Carrying Amount of Mortgages 25,000,000
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0
Long-Term First Mortgage Loan [Member] | Ernest Mortgage Loan [Member]  
Mortgage Loans on Real Estate [Line Items]  
Interest rate 9.60%
Final Maturity Date 2032
Face Amount of Mortgages $ 100,000,000
Carrying Amount of Mortgages 100,000,000
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0
Long-Term First Mortgage Loan [Member] | Centinela Hospital Medical Center [Member]  
Mortgage Loans on Real Estate [Line Items]  
Interest rate 11.00%
Final Maturity Date 2022
Face Amount of Mortgages $ 100,000,000
Carrying Amount of Mortgages 100,000,000
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0
Long-Term First Mortgage Loan [Member] | Olympia Medical Center [Member]  
Mortgage Loans on Real Estate [Line Items]  
Interest rate 11.20%
Final Maturity Date 2024
Face Amount of Mortgages $ 20,000,000
Carrying Amount of Mortgages 20,000,000
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0
Long-Term First Mortgage Loan [Member] | St. Joseph Medical Center [Member]  
Mortgage Loans on Real Estate [Line Items]  
Interest rate 8.50%
Final Maturity Date 2025
Face Amount of Mortgages $ 30,000,000
Carrying Amount of Mortgages 30,000,000
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0
Long-Term First Mortgage Loan [Member] | St Marys Medical Center [Member]  
Mortgage Loans on Real Estate [Line Items]  
Interest rate 8.50%
Final Maturity Date 2025
Face Amount of Mortgages $ 10,000,000
Carrying Amount of Mortgages 10,000,000
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0
Long-Term First Mortgage Loan [Member] | Lake Huron Medical Center [Member]  
Mortgage Loans on Real Estate [Line Items]  
Interest rate 8.50%
Final Maturity Date 2020
Face Amount of Mortgages $ 10,000,000
Carrying Amount of Mortgages 10,000,000
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0
Long-Term First Mortgage Loan [Member] | St. Clare's Hospital [Member]  
Mortgage Loans on Real Estate [Line Items]  
Interest rate 8.50%
Final Maturity Date 2020
Face Amount of Mortgages $ 100,000,000
Carrying Amount of Mortgages 100,000,000
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0
Long-Term First Mortgage Loan [Member] | Capella Mortgage Loan [Member]  
Mortgage Loans on Real Estate [Line Items]  
Interest rate 8.00%
Final Maturity Date 2030
Face Amount of Mortgages $ 210,000,000
Carrying Amount of Mortgages 210,000,000
Principal Amount of Loans Subject to Delinquent Principal or Interest $ 0