Universal Health Realty Income Trust (UHT) 10-Q 7 Nov 13 2013 Q3 Quarterly report Financial data

Document_and_Entity_Informatio

Document and Entity Information	9 Months Ended
	Sep. 30, 2013	Oct. 31, 2013
Document Information [Line Items]	'	'
Document Type	'10-Q	'
Amendment Flag	'false	'
Document Period End Date	30-Sep-13	'
Document Fiscal Year Focus	'2013	'
Document Fiscal Period Focus	'Q3	'
Trading Symbol	'UHT	'
Entity Registrant Name	'UNIVERSAL HEALTH REALTY INCOME TRUST	'
Entity Central Index Key	'0000798783	'
Current Fiscal Year End Date	'--12-31	'
Entity Filer Category	'Accelerated Filer	'
Entity Common Stock, Shares Outstanding	'	12,701,613

Condensed_Consolidated_Stateme

Condensed Consolidated Statements of Income (USD $)	3 Months Ended				9 Months Ended
In Thousands, except Per Share data, unless otherwise specified	Sep. 30, 2013		Sep. 30, 2012		Sep. 30, 2013		Sep. 30, 2012
Revenues:	'		'		'		'
Base rental - UHS facilities	$3,587		$4,068		$11,181		$11,556
Base rental - Non-related parties	6,905		6,623		20,979		20,265
Bonus rental - UHS facilities	1,075		955		3,214		3,109
Tenant reimbursements and other - Non-related parties	1,782		1,816		5,091		5,341
Tenant reimbursements and other - UHS facilities	99		148		370		356
Revenue	13,448		13,610		40,835		40,627
Expenses:	'		'		'		'
Depreciation and amortization	4,577		5,263		14,113		15,484
Advisory fees to UHS	603		540		1,759		1,594
Other operating expenses	3,636		3,578		11,045		11,244
Transaction costs	39		14		170		663
Costs and Expenses, Total	8,855		9,395		27,087		28,985
Income before equity in income of unconsolidated limited liability companies ("LLCs"), interest expense and gain, net	4,593		4,215		13,748		11,642
Equity in income of unconsolidated LLCs	515	[1],[2]	645	[1]	1,545	[1],[2]	1,803	[1]
Gain on divestiture of property owned by an unconsolidated LLC, net	0		0		0		7,375
Interest expense, net	-1,805		-1,874		-5,622		-5,853
Net income	$3,303		$2,986		$9,671		$14,967
Basic earnings per share	$0.26		$0.24		$0.76		$1.18
Diluted earnings per share	$0.26		$0.24		$0.76		$1.18
Weighted average number of shares outstanding - Basic	12,681		12,666		12,676		12,658
Weighted average number of share equivalents	13		10		14		7
Weighted average number of shares and equivalents outstanding - Diluted	12,694		12,676		12,690		12,665
[1]	Our share of net income includes interest income earned by us on various advances made to LLCs of approximately $511,000 and $438,000 for the three months ended September 30, 2013 and 2012, respectively, and $1.4 million and $1.3 million for the nine months ended September 30, 2013 and 2012, respectively.
[2]	As mentioned above, we began to account for Palmdale Medical Plaza on an unconsolidated basis pursuant to the equity method as of July 1, 2013. Prior to July 1, 2013, the financial results of this entity were accounted for on a consolidated basis. These amounts include the financial results for Palmdale Medical Plaza for the three months ended September 30, 2013.

Condensed_Consolidated_Balance

Condensed Consolidated Balance Sheets (USD $)	Sep. 30, 2013	Dec. 31, 2012
In Thousands, unless otherwise specified
Real Estate Investments:	'	'
Buildings and improvements	$367,101	$374,416
Accumulated depreciation	-94,798	-87,088
Real Estate Investment Property, Net, Total	272,303	287,328
Land	27,559	27,058
Net Real Estate Investments	299,862	314,386
Investments in and advances to limited liability companies ("LLCs")	39,209	28,636
Other Assets:	'	'
Cash and cash equivalents	2,936	3,048
Base and bonus rent receivable from UHS	2,083	2,041
Rent receivable - other	3,089	2,783
Intangible assets (net of accumulated amortization of $12.6 million and $8.2 million at September 30, 2013 and December 31, 2012, respectively)	22,177	26,293
Deferred charges, goodwill and other assets, net	5,961	5,851
Total Assets	375,317	383,038
Liabilities:	'	'
Line of credit borrowings	97,100	81,750
Mortgage and other notes payable, non-recourse to us (including net debt premium of $942,000 and $1.3 million at September 30, 2013 and December 31, 2012, respectively)	107,102	116,186
Accrued interest	470	539
Accrued expenses and other liabilities	4,686	4,920
Tenant reserves, escrows, deposits and prepaid rents	1,929	1,898
Total Liabilities	211,287	205,293
Equity:	'	'
Preferred shares of beneficial interest, $.01 par value; 5,000,000 shares authorized; none issued and outstanding	0	0
Common shares, $.01 par value; 95,000,000 shares authorized; issued and outstanding: 2013 - 12,702,192; 2012 -12,688,998	127	127
Capital in excess of par value	214,572	214,094
Cumulative net income	476,546	466,875
Cumulative dividends	-527,167	-503,425
Accumulated other comprehensive loss	-48	0
Total Universal Health Realty Income Trust Shareholders' Equity	164,030	177,671
Non-controlling equity interest	0	74
Total Equity	164,030	177,745
Total Liabilities and Equity	$375,317	$383,038

Condensed_Consolidated_Balance1

Condensed Consolidated Balance Sheets (Parenthetical) (USD $)	Sep. 30, 2013	Dec. 31, 2012
Intangible assets, accumulated amortization	$12,600,000	$8,200,000
Mortgage and other notes payable, non-recourse to us, debt premium	$942,000	$1,300,000
Preferred shares of beneficial interest, par value	$0.01	$0.01
Preferred shares of beneficial interest, shares authorized	5,000,000	5,000,000
Preferred shares of beneficial interest, issued	'	'
Preferred shares of beneficial interest, outstanding	'	'
Common shares, par value	$0.01	$0.01
Common shares, shares authorized	95,000,000	95,000,000
Common shares, issued	12,702,192	12,688,998
Common shares, outstanding	12,702,192	12,688,998

Condensed_Consolidated_Stateme1

Condensed Consolidated Statement of Cash Flows (USD $)	9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2013	Sep. 30, 2012
Cash flows from operating activities:	'	'
Net income	$9,671	$14,967
Adjustments to reconcile net income to net cash provided by operating activities:	'	'
Depreciation and amortization	14,181	15,484
Amortization on debt premium	-325	-509
Restricted/stock-based compensation expense	287	238
Gain on divestiture of property owned by an unconsolidated LLC	0	-7,375
Changes in assets and liabilities:	'	'
Rent receivable	-555	-1,017
Accrued expenses and other liabilities	75	-152
Tenant reserves, escrows, deposits and prepaid rents	64	543
Accrued interest	-43	68
Other, net	-352	196
Net cash provided by operating activities	23,003	22,443
Cash flows from investing activities:	'	'
Investments in LLCs	-2,593	-1,677
Repayments of advances made to LLCs	109	499
Advances made to LLCs	-4,431	-8,000
Cash distributions in excess of income from LLCs	1,775	2,622
Additions to real estate investments, net	-2,322	-2,733
Deposits on real estate assets	0	100
Net cash paid for acquisition of medical office buildings	-4,675	-7,324
Payment of assumed liabilities on acquired properties	0	-553
Cash proceeds received from divestiture of property owned by an unconsolidated LLC, net	0	8,077
Net cash used in investing activities	-12,137	-8,989
Cash flows from financing activities:	'	'
Net borrowings on line of credit	15,350	5,850
Proceeds from mortgages and other notes payable	11,150	7,000
Repayments of mortgages and other notes payable	-13,694	-11,242
Financing costs paid on mortgage and other notes payable	-95	-524
Dividends paid	-23,742	-23,328
Issuance of shares of beneficial interest, net	194	292
Net cash used in financing activities	-10,837	-21,952
Increase/(decrease) in cash and cash equivalents	29	-8,498
Decrease in cash due to recording of LLC on unconsolidated basis	-141	0
Cash and cash equivalents, beginning of period	3,048	11,649
Cash and cash equivalents, end of period	2,936	3,151
Supplemental disclosures of cash flow information:	'	'
Interest paid	5,680	6,033
Deconsolidation Of LLCs	'	'
Supplemental disclosures of non-cash transactions:	'	'
Net real estate investments	11,597	0
Cash and cash equivalents	141	0
Rent receivable - other	207	0
Deferred charges, goodwill and other assets, net	135	0
Mortgage and other notes payable, non-recourse to us	6,215	0
Accrued interest	26	0
Accrued expenses and other liabilities	342	0
Third-party equity interest	54	0
Investment in LLCs	$5,443	$0

General

General	9 Months Ended
	Sep. 30, 2013
General	'
	(1) General
	This Quarterly Report on Form 10-Q is for the Quarterly Period ended September 30, 2013. In this Quarterly Report, “we,” “us,” “our” and the “Trust” refer to Universal Health Realty Income Trust.
	You should carefully review all of the information contained in this Quarterly Report, and should particularly consider any risk factors that we set forth in this Quarterly Report and in other reports or documents that we file from time to time with the Securities and Exchange Commission (the “SEC”). In this Quarterly Report, we state our beliefs of future events and of our future financial performance. In some cases, you can identify those so-called “forward-looking statements” by words such as “may,” “will,” “should,” “could,” “would,” “predicts,” “potential,” “continue,” “expects,” “anticipates,” “future,” “intends,” “plans,” “believes,” “estimates,” “appears,” “projects” and similar expressions, as well as statements in future tense. You should be aware that those statements are only our predictions. Actual events or results may differ materially. In evaluating those statements, you should specifically consider various factors, including the risks outlined herein and in our Annual Report on Form 10-K for the year ended December 31, 2012 in Item 1A Risk Factors and in Item 7 Management’s Discussion and Analysis of Financial Condition and Results of Operations - Forward Looking Statements. Those factors may cause our actual results to differ materially from any of our forward-looking statements.
	Our future results of operations could be unfavorably impacted by continued deterioration in general economic conditions which could result in increases in the number of people unemployed and/or uninsured. Should that occur, it may result in decreased occupancy rates at our medical office buildings as well as a reduction in the revenues earned by the operators of our hospital facilities which would unfavorably impact our future bonus rentals (on the Universal Health Services, Inc. hospital facilities) and may potentially have a negative impact on the future lease renewal terms and the underlying value of the hospital properties. Additionally, the general real estate market has been unfavorably impacted by the deterioration in economic and credit market conditions which may adversely impact the underlying value of our properties. The tightening in the credit markets and the instability in certain banking and financial institutions over the past several years has not had a material impact on us. However, there can be no assurance that unfavorable credit market conditions will not materially increase our cost of borrowings and/or have a material adverse impact on our ability to finance our future growth through borrowed funds.
	In this Quarterly Report on Form 10-Q, the term “revenues” does not include the revenues of the unconsolidated limited liability companies (“LLCs”) in which we have various non-controlling equity interests ranging from 33% to 95%. We currently account for our share of the income/loss from these investments by the equity method (see Note 5). As of September 30, 2013, we had investments or commitments in thirteen jointly-owned LLCs, all of which are accounted for by the equity method as of September 30, 2013. Palmdale Medical Properties was consolidated in our financial statements through June 30, 2013. As previously disclosed, the master lease with a wholly-owned subsidiary of UHS related to Palmdale Medical Properties expired effective as of July 1, 2013 and, as of that date, we began accounting for Palmdale Medical Properties under the equity method.
	The financial statements included herein have been prepared by us, without audit, pursuant to the rules and regulations of the SEC and reflect all normal and recurring adjustments which, in our opinion, are necessary to fairly present results for the interim periods. Certain information and footnote disclosures normally included in financial statements prepared in accordance with generally accepted accounting principles have been condensed or omitted pursuant to such rules and regulations, although we believe that the accompanying disclosures are adequate to make the information presented not misleading. It is suggested that these financial statements be read in conjunction with the financial statements, the notes thereto and accounting policies included in our Annual Report on Form 10-K for the year ended December 31, 2012.

Relationship_with_Universal_He

Relationship with Universal Health Services, Inc. ("UHS") and Related Party Transactions	9 Months Ended
	Sep. 30, 2013
Relationship with Universal Health Services, Inc. ("UHS") and Related Party Transactions	'
	(2) Relationship with Universal Health Services, Inc. (“UHS”) and Related Party Transactions
	Leases: We commenced operations in 1986 by purchasing properties of certain subsidiaries from UHS and immediately leasing the properties back to the respective subsidiaries. Most of the leases were entered into at the time we commenced operations and provided for initial terms of 13 to 15 years with up to six additional 5-year renewal terms. The current base rentals and lease and rental terms for each facility are provided below. The base rents are paid monthly and each lease also provides for additional or bonus rents which are computed and paid on a quarterly basis based upon a computation that compares current quarter revenue to a corresponding quarter in the base year. The leases with subsidiaries of UHS are unconditionally guaranteed by UHS and are cross-defaulted with one another.
	The combined revenues generated from the leases on the UHS hospital facilities comprised approximately 30% and 29% of our consolidated revenues for the three months ended September 30, 2013 and 2012, respectively, and approximately 30% of our consolidated revenues during each of the nine months ended September 20, 2013 and 2012. Including 100% of the revenues generated at the unconsolidated LLCs in which we have various non-controlling equity interests ranging from 33% to 95%, the leases on the UHS hospital facilities accounted for approximately 22% and 21% of the combined consolidated and unconsolidated revenue for the three-month periods ended September 30, 2013 and 2012, respectively, and 22% and 21% of the combined consolidated and unconsolidated revenue for the nine months ended September 30, 2013 and 2012, respectively. In addition, twelve MOBs, that are either wholly or jointly-owned, include or will include tenants which are subsidiaries of UHS.
	Pursuant to the Master Lease Document by and among us and certain subsidiaries of UHS, dated December 24, 1986 (the “Master Lease”), which governs the leases of all hospital properties with subsidiaries of UHS, UHS has the option to renew the leases at the lease terms described below by providing notice to us at least 90 days prior to the termination of the then current term. In addition, UHS has rights of first refusal to: (i) purchase the respective leased facilities during and for 180 days after the lease terms at the same price, terms and conditions of any third-party offer, or; (ii) renew the lease on the respective leased facility at the end of, and for 180 days after, the lease term at the same terms and conditions pursuant to any third-party offer. UHS also has the right to purchase the respective leased facilities at the end of the lease terms or any renewal terms at the appraised fair market value. In addition, the Master Lease, as amended during 2006, includes a change of control provision whereby UHS has the right, upon one month’s notice should a change of control of the Trust occur, to purchase any or all of the four leased hospital properties listed below at their appraised fair market value.
	The table below details the existing lease terms and renewal options for each of the UHS hospital facilities, giving effect to the above-mentioned renewals:
	Hospital Name		Type of Facility	Annual		End of Lease Term	Renewal
				Minimum			Term
				Rent			(years)
	McAllen Medical Center		Acute Care	$	5,485,000	December, 2016		15	(a)
	Wellington Regional Medical Center		Acute Care	$	3,030,000	December, 2016		15	(b)
	Southwest Healthcare System, Inland Valley Campus		Acute Care	$	2,648,000	December, 2016		15	(b)
	The Bridgeway		Behavioral Health	$	930,000	December, 2014		10	(c)
	(a)	UHS has three 5-year renewal options at existing lease rates (through 2031).
	(b)	UHS has one 5-year renewal option at existing lease rates (through 2021) and two 5-year renewal options at fair market value lease rates (2022 through 2031).
	(c)	UHS has two 5-year renewal options at fair market value lease rates (2015 through 2024).
	We have funded $6.0 million in equity and member loans as of September 30, 2013, and are committed to fund an additional $2.9 million, in exchange for a 95% non-controlling equity interest in an LLC (Palmdale Medical Properties) that constructed, owns, and operates the Palmdale Medical Plaza, located in Palmdale, California, on the campus of a UHS hospital. The LLC has a third-party term loan of $6.2 million, which is non-recourse to us, outstanding as of September 30, 2013. As previously disclosed, through June 30, 2013, this MOB had a triple net, 75% master lease commitment by UHS of Palmdale, Inc., a wholly-owned subsidiary of UHS, pursuant to the terms of which the master lease for each suite would be cancelled at such time that the suite was leased to another tenant acceptable to the LLC and UHS of Palmdale, Inc. This MOB, tenants of which include subsidiaries of UHS, was completed and opened during the third quarter of 2008 at which time the master lease commenced. The master lease arrangement expired effective as of July 1, 2013, and although the expiration will have an unfavorable impact on our net income and funds from operations, we do not believe the impact will be material to our financial condition or liquidity. This LLC, which was deemed to be a variable interest entity during the term of the master lease, is consolidated in our financial statements through June 30, 2013 since we were the primary beneficiary through that date. Effective July 1, 2013, this LLC is no longer be deemed a variable interest entity and is accounted for in our financial statements on an unconsolidated basis pursuant to the equity method.
	We have funded $2.1 million in equity as of September 30, 2013, and are committed to fund an additional $2.3 million, in exchange for a 95% non-controlling equity interest in an LLC (Texoma Medical Properties) that developed, constructed, owns and operates the Texoma Medical Plaza located in Denison, Texas, which was completed and opened during the first quarter of 2010. This MOB is located on the campus of a UHS acute care hospital which is owned and operated by Texoma Medical Center (“Texoma Hospital”), a wholly-owned subsidiary of UHS. This MOB has tenants that include subsidiaries of UHS. This LLC has a third-party term loan of $12.6 million, which is non-recourse to us, outstanding as of September 30, 2013. As this LLC is not considered to be a variable interest entity, it is accounted for pursuant to the equity method.
	Advisory Agreement: UHS of Delaware, Inc. (the “Advisor”), a wholly-owned subsidiary of UHS, serves as Advisor to us under an Advisory Agreement (the “Advisory Agreement”) dated December 24, 1986. Pursuant to the Advisory Agreement, the Advisor is obligated to present an investment program to us, to use its best efforts to obtain investments suitable for such program (although it is not obligated to present any particular investment opportunity to us), to provide administrative services to us and to conduct our day-to-day affairs. All transactions between us and UHS must be approved by the Trustees who are unaffiliated with UHS (the “Independent Trustees”). In performing its services under the Advisory Agreement, the Advisor may utilize independent professional services, including accounting, legal, tax and other services, for which the Advisor is reimbursed directly by us. The Advisory Agreement may be terminated for any reason upon sixty days written notice by us or the Advisor. The Advisory Agreement expires on December 31 of each year; however, it is renewable by us, subject to a determination by the Independent Trustees, that the Advisor’s performance has been satisfactory. In December of 2012, based upon a review of our advisory fee and other general and administrative expenses, as compared to an industry peer group, the Advisory agreement was renewed for 2013 and, effective January 1, 2013, the fee was increased to 0.70% (from 0.65%) of our average invested real estate assets, as derived from our consolidated balance sheet.
	The Advisory Agreement provides that the Advisor is entitled to receive an annual advisory fee equal to 0.70% of our average invested real estate assets, as derived from our consolidated balance sheet. The average real estate assets for advisory fee calculation purposes exclude certain items from our consolidated balance sheet such as, among other things, accumulated depreciation, cash and cash equivalents, base and bonus rent receivables, deferred charges and other assets. The advisory fee is payable quarterly, subject to adjustment at year-end based upon our audited financial statements. In addition, the Advisor is entitled to an annual incentive fee equal to 20% of the amount by which cash available for distribution to shareholders for each year, as defined in the Advisory Agreement, exceeds 15% of our equity as shown on our consolidated balance sheet, determined in accordance with generally accepted accounting principles without reduction for return of capital dividends. The Advisory Agreement defines cash available for distribution to shareholders as net cash flow from operations less deductions for, among other things, amounts required to discharge our debt and liabilities and reserves for replacement and capital improvements to our properties and investments. No incentive fees were paid during the first nine months of 2013 or 2012 since the incentive fee requirements were not achieved. Advisory fees incurred and paid (or payable) to UHS amounted to $603,000 and $540,000 for the three months ended September 30, 2013 and 2012, respectively, and were based upon average invested real estate assets of $345 million and $332 million for the three-month periods ended September 30, 2013 and 2012, respectively. Advisory fees incurred and paid (or payable) to UHS amounted to $1.8 million and $1.6 million for the nine months ended September 30, 2013 and 2012, respectively, and were based upon average invested real estate assets of $335 million and $327 million for the nine-month periods ended September 30, 2013 and 2012, respectively.
	Officers and Employees: Our officers are all employees of UHS (through UHS of Delaware, Inc.) and although as of September 30, 2013 we had no salaried employees, our officers do receive stock-based compensation.
	Share Ownership: As of September 30, 2013 and December 31, 2012, UHS owned 6.2% of our outstanding shares of beneficial interest.
	SEC reporting requirements of UHS: UHS is subject to the reporting requirements of the SEC and is required to file annual reports containing audited financial information and quarterly reports containing unaudited financial information. Since the leases on the hospital facilities leased to wholly-owned subsidiaries of UHS comprised approximately 30% of our consolidated revenues during each of the three and nine months ended September 30, 2013 and 29% and 30% for the three and nine months ended September 30, 2012, respectively, and since a subsidiary of UHS is our Advisor, you are encouraged to obtain the publicly available filings for Universal Health Services, Inc. from the SEC’s website at www.sec.gov. These filings are the sole responsibility of UHS and are not incorporated by reference herein.

Dividends_and_Equity_Issuance_

Dividends and Equity Issuance Program	9 Months Ended
	Sep. 30, 2013
Dividends and Equity Issuance Program	'
	(3) Dividends and Equity Issuance Program
	We declared and paid dividends of $7.9 million, or $.625 per share, during the third quarter of 2013 and $7.8 million, or $.615 per share, during the third quarter of 2012. We declared and paid dividends of $23.7 million, or $1.87 per share, during the nine-month period ended September 30, 2013 and $23.3 million, or $1.84 per share, during the nine-month period ended September 30, 2012.
	We filed a Registration Statement with the Securities and Exchange Commission which became effective in November 2012, under which we can offer up to an aggregate sales price of $50 million of our securities pursuant to supplemental prospectuses which we may file from time to time. No offering will be made except pursuant to such supplemental prospectuses, and none have been made as of September 30, 2013.

Acquisitions_Dispositions_and_

Acquisitions, Dispositions and New Construction	9 Months Ended
	Sep. 30, 2013
Acquisitions, Dispositions and New Construction	'
	(4) Acquisitions, Dispositions and New Construction
	Nine Months Ended September 30, 2013:
	Acquisition:
	On August 22, 2013, we purchased the Ward Eagle Office Village, a medical office building (“MOB”) located in Farmington Hills, Michigan. This multi-tenant MOB, which was purchased for approximately $4.1 million, consists of approximately 16,282 rentable square feet. The net tangible and intangible property preliminary and estimated asset allocation of the total purchase price was recorded during the third quarter of 2013 and will be adjusted based upon their respective fair values at acquisition, subject to a third-party appraisal.
	On June 6, 2013, we purchased the 5004 Poole Road MOB, located in Denison, Texas, on the campus of Texoma Medical Center, a wholly-owned subsidiary of UHS. This single-tenant MOB, which was purchased for approximately $625,000, consists of approximately 4,400 rentable square feet and is located adjacent to our Texoma Medical Plaza MOB.
	New Construction:
	The newly constructed Forney Medical Plaza II located in Forney, Texas was completed and opened in April, 2013. This multi-tenant medical office building, consisting of 30,000 rentable square feet, is owned by a limited partnership in which we hold a 95% non-controlling ownership interest. As this LLC is not considered to be a variable interest entity, it is accounted for pursuant to the equity method.
	Divestitures:
	There were no divestitures during the first nine months of 2013.
	Nine Months Ended September 30, 2012:
	Acquisition:
	In January, 2012, we purchased, as part of a planned, like-kind exchange transaction pursuant to Section 1031 of the Internal Revenue Code, the PeaceHealth Medical Clinic, a single-tenant medical office building consisting of approximately 99,000 rentable square feet, located in Bellingham, Washington. The property was purchased for approximately $30.4 million, including the assumption of approximately $22.4 million of third-party financing. The aggregate purchase price of this MOB was allocated to the assets and liabilities acquired consisting of tangible property ($26.8 million) and identified intangible assets ($3.6 million), based on the respective fair values at acquisition, as determined by an appraisal. Intangible assets include the value of the in-place lease at the time of acquisition and will be amortized over the average remaining lease term of approximately ten years.
	Divestiture:
	In February, 2012, Canyon Healthcare Properties, a limited liability company (“LLC”) in which we owned a 95% noncontrolling ownership interest, completed the divestiture of the Canyon Springs Medical Plaza. As partial consideration for the transaction, the buyer assumed an existing third-party mortgage related to this property. The divestiture by this LLC generated approximately $8.1 million of cash proceeds to us, net of closing costs and the minority members’ share of the proceeds. This divestiture resulted in a gain of approximately $7.4 million which is included in our consolidated statement of income for the nine months ended September 30, 2012.

Summarized_Financial_Informati

Summarized Financial Information of Equity Affiliates	9 Months Ended
	Sep. 30, 2013
Summarized Financial Information of Equity Affiliates	'
	(5) Summarized Financial Information of Equity Affiliates
	Our consolidated financial statements include the consolidated accounts of our controlled investments and those investments that meet the criteria of a variable interest entity where we are or were the primary beneficiary. In accordance with the Financial Accounting Standards Board’s (“FASB”) standards and guidance relating to accounting for investments and real estate ventures, we account for our unconsolidated investments in LLCs which we do not control using the equity method of accounting. The third-party members in these investments have equal voting rights with regards to issues such as, but not limited to: (i) divestiture of property; (ii) annual budget approval, and; (iii) financing commitments. These investments, which represent 33% to 95% non-controlling ownership interests, are recorded initially at our cost and subsequently adjusted for our net equity in the net income, cash contributions to, and distributions from, the investments. Pursuant to certain agreements, allocations of sales proceeds and profits and losses of some of the LLC investments may be allocated disproportionately as compared to ownership interests after specified preferred return rate thresholds have been satisfied.
	At September 30, 2013, we have non-controlling equity investments or commitments in thirteen jointly-owned LLCs which own MOBs. As of September 30, 2013, we accounted for these LLCs on an unconsolidated basis pursuant to the equity method since they are not variable interest entities. Palmdale Medical Properties was consolidated in our financial statements through June 30, 2013. As previously disclosed, the master lease with a wholly-owned subsidiary of UHS related to Palmdale Medical Properties expired effective as of July 1, 2013 and, as of that date, we began accounting for Palmdale Medical Properties under the equity method. The majority of these LLCs are joint-ventures between us and a non-related party that manages and holds minority ownership interests in the entities. Each LLC is generally self-sustained from a cash flow perspective and generates sufficient cash flow to meet its operating cash flow requirements and service the third-party debt (if applicable) that is non-recourse to us. Although there is typically no ongoing financial support required from us to these entities since they are cash-flow sufficient, we may, from time to time, provide funding for certain purposes such as, but not limited to, significant capital expenditures, leasehold improvements and debt financing. Although we are not obligated to do so, if approved by us at our sole discretion, additional cash fundings are typically advanced as equity or member loans.
	Palmdale Medical Properties had a master lease with a subsidiary of UHS through June 30, 2013. Additionally, UHS of Delaware, a wholly-owned subsidiary of UHS, serves as advisor to us under the terms of an advisory agreement and manages our day-to-day affairs. All of our officers are officers or employees of UHS (through UHS of Delaware, Inc.). As a result of our related-party relationship with UHS and the master lease, lease assurance or lease guarantee arrangements with subsidiaries of UHS, we have accounted for this LLC on a consolidated basis, since the fourth quarter of 2007 through June 30, 2013, since it was a variable interest entity and we were deemed to be the primary beneficiary. As of July 1, 2013, the master lease expired and this LLC is no longer considered a variable interest entity and we therefore began to account for this LLC on an unconsolidated basis pursuant to the equity method as of July 1, 2013. Although the expiration of the master lease will have an unfavorable impact on our net income and funds from operations, we do not believe the impact will be material to our financial condition or liquidity.
	At September 30, 2013, the LLCs in which we hold various non-controlling ownership interests are not variable interest entities and therefore are not subject to consolidation. As a result of master lease arrangements between UHS and various LLCs in which we hold majority non-controlling ownership interests, we have consolidated or deconsolidated these LLCs as required in accordance with the FASB’s standards and guidance.
	Rental income is recorded by our consolidated and unconsolidated MOBs relating to leases in excess of one year in length using the straight-line method under which contractual rents are recognized evenly over the lease term regardless of when payments are due. The amount of rental revenue resulting from straight-line rent adjustments is dependent on many factors, including the nature and amount of any rental concessions granted to new tenants, scheduled rent increases under existing leases, as well as the acquisition and sales of properties that have existing in-place leases with terms in excess of one year. As a result, the straight-line adjustments to rental revenue may vary from period-to-period.
	The following property table represents the thirteen LLCs in which we own a noncontrolling interest and were accounted for under the equity method as of September 30, 2013:
	Name of LLC/LP		Ownership			Property Owned by LLC
	DVMC Properties			90	%	Desert Valley Medical Center
	Suburban Properties			33	%	Suburban Medical Plaza II
	Santa Fe Scottsdale			90	%	Santa Fe Professional Plaza
	Brunswick Associates			74	%	Mid Coast Hospital MOB
	PCH Medical Properties			85	%	Rosenberg Children’s Medical Plaza
	Arlington Medical Properties (b.)			75	%	Saint Mary’s Professional Office Building
	Sierra Medical Properties			95	%	Sierra San Antonio Medical Plaza
	PCH Southern Properties			95	%	Phoenix Children’s East Valley Care Center
	Sparks Medical Properties (a.)			95	%	Vista Medical Terrace & The Sparks Medical Building
	Grayson Properties (a.)(c.)			95	%	Texoma Medical Plaza
	3811 Bell Medical Properties			95	%	North Valley Medical Plaza
	FTX MOB Phase II (d.)			95	%	Forney Medical Plaza II
	Palmdale Medical Plaza (a.) (e.)			95	%	Palmdale Medical Properties
	(a.)	Tenants of this medical office building include or will include subsidiaries of UHS.
	(b.)	We have funded $5.2 million in equity as of September 30, 2013 and are committed to invest an additional $1.2 million, in exchange for a 75% non-controlling equity interest in an LLC that owns and operates the Saint Mary’s Professional Office Building. This LLC has a third-party term loan of $24.2 million, which is non-recourse to us, outstanding as of September 30, 2013.
	(c.)	We have funded $2.1 million in equity as of September 30, 2013, and are committed to fund an additional $2.3 million. This building, which is on the campus of a UHS hospital and has tenants that include subsidiaries of UHS, was completed and opened during the first quarter of 2010. This LLC has a third-party term loan of $12.6 million, which is non-recourse to us, outstanding as of September 30, 2013.
	(d.)	During the third quarter of 2012, this limited partnership entered into an agreement to develop, construct, own and operate the Forney Medical Plaza II, which opened on April 1, 2013. We have committed to invest up to $2.5 million in equity and debt financing, of which $1.1 million has been funded as of September 30, 2013. This LLC has a third-party construction loan of $5.6 million, which is non-recourse to us, outstanding as of September 30, 2013.
	(e.)	We have funded $6.0 million in equity and member loans as of September 30, 2013, and are committed to invest an additional $2.9 million, in exchange for a 95% non-controlling equity interest in an LLC that owns and operates the Palmdale Medical Plaza, which is on the campus of a UHS hospital and has tenants that include subsidiaries of UHS. This LLC has a third-party term loan of $6.2 million, which is non-recourse to us, outstanding as of September 30, 2013. We began to account for this LLC on an unconsolidated basis pursuant to the equity method as of July 1, 2013, as discussed above.
	Below are the condensed combined statements of income (unaudited) for the LLCs accounted for under the equity method at September 30, 2013 and 2012. The combined statements of income for the three and nine month periods ended September 30, 2012 include the prorated amounts for Canyon Springs Medical Plaza, which was divested in February, 2012, and Centinela Medical Building Complex, which was divested in October, 2012.
			Three Months  Ended					Nine Months  Ended
			September 30,					September 30,
			2013(b.)			2012		2013(b.)		2012
			(amounts in thousands)
	Revenues		$	5,320		$	5,514	$	15,566	$	16,499
	Operating expenses			2,099			2,327		6,499		6,992
	Depreciation and amortization			985			1,062		2,969		3,120
	Interest, net			1,716			1,545		4,714		4,716
	Net income		$	520		$	580	$	1,384	$	1,671
	Our share of net income (a.)		$	515		$	645	$	1,545	$	1,803
	Our share of gain on divestiture		$	—		$	—	$	—	$	7,375
	(a.)	Our share of net income includes interest income earned by us on various advances made to LLCs of approximately $511,000 and $438,000 for the three months ended September 30, 2013 and 2012, respectively, and $1.4 million and $1.3 million for the nine months ended September 30, 2013 and 2012, respectively.
	(b.)	As mentioned above, we began to account for Palmdale Medical Plaza on an unconsolidated basis pursuant to the equity method as of July 1, 2013. Prior to July 1, 2013, the financial results of this entity were accounted for on a consolidated basis. These amounts include the financial results for Palmdale Medical Plaza for the three months ended September 30, 2013.
	Below are the condensed combined balance sheets (unaudited) for the LLCs accounted for under the equity method:
			September 30,			December 31,
			2013 (a.)			2012
			(amounts in thousands)
	Net property, including CIP		$	119,948		$	106,150
	Other assets			10,207			9,850
	Total assets		$	130,155		$	116,000
	Liabilities		$	5,870		$	5,368
	Mortgage notes payable, non-recourse to us			80,563			77,511
	Advances payable to us			22,461			12,658
	Equity			21,261			20,463
	Total liabilities and equity		$	130,155		$	116,000
	Our share of equity and advances to LLCs		$	39,209		$	28,636
	(a.)	As mentioned above, we began to account for Palmdale Medical Plaza on an unconsolidated basis pursuant to the equity method as of July 1, 2013. Prior to July 1, 2013, the financial results of this entity were accounted for on a consolidated basis.
	As of September 30, 2013, aggregate principal amounts due on mortgage notes payable by unconsolidated LLCs, which are accounted for under the equity method and are non-recourse to us, are as follows (amounts in thousands):
	2013		$	464
	2014			14,180
	2015			41,473
	2016			578
	2017			11,828
	Later			12,040
	Total		$	80,563
	Name of LLC		Mortgage/			Maturity Date
Construction
Loan
Balance(a.)
Grayson Properties		$	12,615			2014
Brunswick Associates			7,979			2015
Arlington Medical Properties			24,237			2015
Palmdale Medical Properties (c.)			6,189			2015
DVMC Properties			3,996			2015
FTX MOB Phase II(b.)			5,596			2017
PCH Southern Properties			6,645			2017
Sparks Medical Properties			4,634			2018
PCH Medical Properties			8,672			2018
		$	80,563
(a.)	All mortgage loans, other than construction loans, require monthly principal payments through maturity and include a balloon principal payment upon maturity.
(b.)	Construction loan.
(c.)	Refinance options have been completed subsequent to September 30, 2013. The loan has been extended with a maturity date of October 31, 2015.
Pursuant to the operating agreements of the LLCs, the third-party member and the Trust, at any time, have the right to make an offer (“Offering Member”) to the other member(s) (“Non-Offering Member”) in which it either agrees to: (i) sell the entire ownership interest of the Offering Member to the Non-Offering Member (“Offer to Sell”) at a price as determined by the Offering Member (“Transfer Price”), or; (ii) purchase the entire ownership interest of the Non-Offering Member (“Offer to Purchase”) at the equivalent proportionate Transfer Price. The Non-Offering Member has 60 days to either: (i) purchase the entire ownership interest of the Offering Member at the Transfer Price, or; (ii) sell its entire ownership interest to the Offering Member at the equivalent proportionate Transfer Price. The closing of the transfer must occur within 60 days of the acceptance by the Non-Offering Member.
The LLCs in which we have invested maintain property insurance on all properties. Although we believe that generally our properties are adequately insured, two of the LLCs in which we own various non-controlling equity interests, own properties in California that are located in earthquake zones. These properties are not covered by earthquake insurance since earthquake insurance is no longer available at rates which are economical in relation to the risks covered.

Recent_Accounting_Pronouncemen

Recent Accounting Pronouncements	9 Months Ended
	Sep. 30, 2013
Recent Accounting Pronouncements	'
	(6) Recent Accounting Pronouncements
	There were no new accounting pronouncements during the first nine months of 2013 that impacted, or are expected to impact us.

Debt

Debt	9 Months Ended
	Sep. 30, 2013
Debt	'
	(7) Debt
	In July, 2011, we entered into a $150 million revolving credit agreement (“Credit Agreement”) which is scheduled to expire on July 24, 2015. The Credit Agreement includes a $50 million sub limit for letters of credit and a $20 million sub limit for swingline/short-term loans. The Credit Agreement also provides an option to increase the total facility borrowing capacity by an additional $50 million, subject to lender agreement. Borrowings made pursuant to the Credit Agreement will bear interest, at our option, at one, two, three, or six month LIBOR plus an applicable margin ranging from 1.75% to 2.50% or at the Base Rate plus an applicable margin ranging from 0.75% to 1.50%. The Credit Agreement defines “Base Rate” as the greatest of: (a) the administrative agent’s prime rate; (b) the federal funds effective rate plus 0.50%, and; (c) one month LIBOR plus 1%. A fee of 0.30% to 0.50% will be charged on the unused portion of the commitment. The margins over LIBOR, Base Rate and the commitment fee are based upon our ratio of debt to total capital. At September 30, 2013, the applicable margin over the LIBOR rate was 1.75%, the margin over the Base Rate was 1.75%, and the commitment fee was 0.30%.
	At September 30, 2013, we had $97.1 million of outstanding borrowings and $9.5 million of letters of credit outstanding against our revolving credit agreement. We had $43.4 million of available borrowing capacity, net of the outstanding borrowings and letters of credit outstanding as of September 30, 2013. There are no compensating balance requirements.
	Covenants relating to the Agreement require the maintenance of a minimum tangible net worth and specified financial ratios, limit our ability to incur additional debt, limit the aggregate amount of mortgage receivables and limit our ability to increase dividends in excess of 95% of cash available for distribution, unless additional distributions are required to comply with the applicable section of the Internal Revenue Code of 1986 and related regulations governing real estate investment trusts. We are in compliance with all of the covenants at September 30, 2013. We also believe that we would remain in compliance if the full amount of our commitment was borrowed.
	The following table includes a summary of the required compliance ratios, giving effect to the covenants contained in the Credit Agreement (dollar amounts in thousands):
			Covenant			September 30,
						2013
	Tangible net worth		$	125,000		$	141,853
	Debt to total capital			< 55	%		37.2	%
	Debt service coverage ratio			> 5.00x			20.2x
	Debt to cash flow ratio			< 3.50x			2.29x
	We have twelve mortgages, all of which are non-recourse to us, included on our consolidated balance sheet as of September 30, 2013, with a combined outstanding balance of $106.2 million (excluding net debt premium, resulting from fair value recognition of third-party debt related to majority-owned LLCs in which we purchased the minority ownership interests, of $942,000 at September 30, 2013). The following table summarizes our outstanding mortgages at September 30, 2013 (amounts in thousands):
	Facility Name		Outstanding			Interest			Maturity
			Balance			Rate			Date
			(in thousands)(a)
	Summerlin Hospital Medical Office Building I fixed rate mortgage loan			9,241			6.55	%		2014
	Spring Valley Medical Office Building fixed rate mortgage loan			5,171			5.5	%		2015
	Summerlin Hospital Medical Office Building III floating rate mortgage loan			11,425			3.43	%		2016
	Peace Health fixed rate mortgage loan			21,786			5.64	%		2017
	Auburn Medical II floating rate mortgage loan			7,461			2.93	%		2017
	Medical Center of Western Connecticut fixed rate mortgage loan			4,927			6	%		2017
	Summerlin Hospital Medical Office Building II fixed rate mortgage loan			12,092			5.5	%		2017
	Centennial Hills Medical Office Building floating rate mortgage loan			11,010			3.43	%		2018
	Kindred Hospital-Corpus Christi fixed rate mortgage loan			3,002			6.5	%		2019
	700 Shadow Lane and Goldring MOBs fixed rate mortgage loan			6,806			4.54	%		2022
	BRB Medical Office Building fixed rate mortgage loan			6,880			4.27	%		2022
	Tuscan Professional Building fixed rate mortgage loan			6,359			5.56	%		2025
	Total		$	106,160
	(a)	Amortized principal payments are made on a monthly basis.
	The mortgages are secured by the real property of the buildings as well as property leases and rents. The mortgages have a combined fair value of approximately $107.2 million as of September 30, 2013. Changes in market rates on our fixed rate debt impacts the fair value of debt, but it has no impact on interest incurred or cash flow.

Segment_Reporting

Segment Reporting	9 Months Ended
	Sep. 30, 2013
Segment Reporting	'
	(8) Segment Reporting
	Our primary business is investing in and leasing healthcare and human service facilities through direct ownership or through joint ventures, which aggregate into a single reportable segment. We actively manage our portfolio of healthcare and human service facilities and may from time to time make decisions to sell lower performing properties not meeting our long-term investment objectives. The proceeds of sales are typically reinvested in new developments or acquisitions, which we believe will meet our planned rate of return. It is our intent that all healthcare and human service facilities will be owned or developed for investment purposes. Our revenue and net income are generated from the operation of our investment portfolio.
	Our portfolio is located throughout the United States, however, we do not distinguish or group our operations on a geographical basis for purposes of allocating resources or measuring performance. We review operating and financial data for each property on an individual basis; therefore, we define an operating segment as our individual properties. Individual properties have been aggregated into one reportable segment based upon their similarities with regard to both the nature and economics of the facilities, tenants and operational processes, as well as long-term average financial performance.

Relationship_with_Universal_He1

Relationship with Universal Health Services, Inc. ("UHS") and Related Party Transactions (Tables)	9 Months Ended
	Sep. 30, 2013
Existing Lease Terms and Renewal Options for Each of UHS Hospital Facilities	'
	The table below details the existing lease terms and renewal options for each of the UHS hospital facilities, giving effect to the above-mentioned renewals:
	Hospital Name		Type of Facility	Annual		End of Lease Term	Renewal
				Minimum			Term
				Rent			(years)
	McAllen Medical Center		Acute Care	$	5,485,000	December, 2016		15	(a)
	Wellington Regional Medical Center		Acute Care	$	3,030,000	December, 2016		15	(b)
	Southwest Healthcare System, Inland Valley Campus		Acute Care	$	2,648,000	December, 2016		15	(b)
	The Bridgeway		Behavioral Health	$	930,000	December, 2014		10	(c)
	(a)	UHS has three 5-year renewal options at existing lease rates (through 2031).
	(b)	UHS has one 5-year renewal option at existing lease rates (through 2021) and two 5-year renewal options at fair market value lease rates (2022 through 2031).
	(c)	UHS has two 5-year renewal options at fair market value lease rates (2015 through 2024).

Summarized_Financial_Informati1

Summarized Financial Information of Equity Affiliates (Tables)	9 Months Ended
	Sep. 30, 2013
Limited Liability Companies Accounted for Under Equity Method	'
	The following property table represents the thirteen LLCs in which we own a noncontrolling interest and were accounted for under the equity method as of September 30, 2013:
	Name of LLC/LP		Ownership			Property Owned by LLC
	DVMC Properties			90	%	Desert Valley Medical Center
	Suburban Properties			33	%	Suburban Medical Plaza II
	Santa Fe Scottsdale			90	%	Santa Fe Professional Plaza
	Brunswick Associates			74	%	Mid Coast Hospital MOB
	PCH Medical Properties			85	%	Rosenberg Children’s Medical Plaza
	Arlington Medical Properties (b.)			75	%	Saint Mary’s Professional Office Building
	Sierra Medical Properties			95	%	Sierra San Antonio Medical Plaza
	PCH Southern Properties			95	%	Phoenix Children’s East Valley Care Center
	Sparks Medical Properties (a.)			95	%	Vista Medical Terrace & The Sparks Medical Building
	Grayson Properties (a.)(c.)			95	%	Texoma Medical Plaza
	3811 Bell Medical Properties			95	%	North Valley Medical Plaza
	FTX MOB Phase II (d.)			95	%	Forney Medical Plaza II
	Palmdale Medical Plaza (a.) (e.)			95	%	Palmdale Medical Properties
	(a.)	Tenants of this medical office building include or will include subsidiaries of UHS.
	(b.)	We have funded $5.2 million in equity as of September 30, 2013 and are committed to invest an additional $1.2 million, in exchange for a 75% non-controlling equity interest in an LLC that owns and operates the Saint Mary’s Professional Office Building. This LLC has a third-party term loan of $24.2 million, which is non-recourse to us, outstanding as of September 30, 2013.
	(c.)	We have funded $2.1 million in equity as of September 30, 2013, and are committed to fund an additional $2.3 million. This building, which is on the campus of a UHS hospital and has tenants that include subsidiaries of UHS, was completed and opened during the first quarter of 2010. This LLC has a third-party term loan of $12.6 million, which is non-recourse to us, outstanding as of September 30, 2013.
	(d.)	During the third quarter of 2012, this limited partnership entered into an agreement to develop, construct, own and operate the Forney Medical Plaza II, which opened on April 1, 2013. We have committed to invest up to $2.5 million in equity and debt financing, of which $1.1 million has been funded as of September 30, 2013. This LLC has a third-party construction loan of $5.6 million, which is non-recourse to us, outstanding as of September 30, 2013.
	(e.)	We have funded $6.0 million in equity and member loans as of September 30, 2013, and are committed to invest an additional $2.9 million, in exchange for a 95% non-controlling equity interest in an LLC that owns and operates the Palmdale Medical Plaza, which is on the campus of a UHS hospital and has tenants that include subsidiaries of UHS. This LLC has a third-party term loan of $6.2 million, which is non-recourse to us, outstanding as of September 30, 2013. We began to account for this LLC on an unconsolidated basis pursuant to the equity method as of July 1, 2013, as discussed above.
Condensed Combined Statements of Income (Unaudited) for Limited Liability Companies Accounted for Under Equity Method	'
	Below are the condensed combined statements of income (unaudited) for the LLCs accounted for under the equity method at September 30, 2013 and 2012. The combined statements of income for the three and nine month periods ended September 30, 2012 include the prorated amounts for Canyon Springs Medical Plaza, which was divested in February, 2012, and Centinela Medical Building Complex, which was divested in October, 2012.
			Three Months  Ended					Nine Months  Ended
			September 30,					September 30,
			2013(b.)			2012		2013(b.)		2012
			(amounts in thousands)
	Revenues		$	5,320		$	5,514	$	15,566	$	16,499
	Operating expenses			2,099			2,327		6,499		6,992
	Depreciation and amortization			985			1,062		2,969		3,120
	Interest, net			1,716			1,545		4,714		4,716
	Net income		$	520		$	580	$	1,384	$	1,671
	Our share of net income (a.)		$	515		$	645	$	1,545	$	1,803
	Our share of gain on divestiture		$	—		$	—	$	—	$	7,375
	(a.)	Our share of net income includes interest income earned by us on various advances made to LLCs of approximately $511,000 and $438,000 for the three months ended September 30, 2013 and 2012, respectively, and $1.4 million and $1.3 million for the nine months ended September 30, 2013 and 2012, respectively.
	(b.)	As mentioned above, we began to account for Palmdale Medical Plaza on an unconsolidated basis pursuant to the equity method as of July 1, 2013. Prior to July 1, 2013, the financial results of this entity were accounted for on a consolidated basis. These amounts include the financial results for Palmdale Medical Plaza for the three months ended September 30, 2013.
Condensed Combined Balance Sheets (Unaudited) for LLCs Accounted for Under Equity Method	'
	Below are the condensed combined balance sheets (unaudited) for the LLCs accounted for under the equity method:
			September 30,			December 31,
			2013 (a.)			2012
			(amounts in thousands)
	Net property, including CIP		$	119,948		$	106,150
	Other assets			10,207			9,850
	Total assets		$	130,155		$	116,000
	Liabilities		$	5,870		$	5,368
	Mortgage notes payable, non-recourse to us			80,563			77,511
	Advances payable to us			22,461			12,658
	Equity			21,261			20,463
	Total liabilities and equity		$	130,155		$	116,000
	Our share of equity and advances to LLCs		$	39,209		$	28,636
	(a.)	As mentioned above, we began to account for Palmdale Medical Plaza on an unconsolidated basis pursuant to the equity method as of July 1, 2013. Prior to July 1, 2013, the financial results of this entity were accounted for on a consolidated basis.
Aggregate Principal Amounts due on Mortgage and Construction Notes Payable by Unconsolidated LLC's Accounted Under Equity Method	'
	As of September 30, 2013, aggregate principal amounts due on mortgage notes payable by unconsolidated LLCs, which are accounted for under the equity method and are non-recourse to us, are as follows (amounts in thousands):
	2013		$	464
	2014			14,180
	2015			41,473
	2016			578
	2017			11,828
	Later			12,040
	Total		$	80,563
	Name of LLC		Mortgage/			Maturity Date
			Construction
			Loan
			Balance(a.)
	Grayson Properties		$	12,615			2014
	Brunswick Associates			7,979			2015
	Arlington Medical Properties			24,237			2015
	Palmdale Medical Properties (c.)			6,189			2015
	DVMC Properties			3,996			2015
	FTX MOB Phase II(b.)			5,596			2017
	PCH Southern Properties			6,645			2017
	Sparks Medical Properties			4,634			2018
	PCH Medical Properties			8,672			2018
			$	80,563
	(a.)	All mortgage loans, other than construction loans, require monthly principal payments through maturity and include a balloon principal payment upon maturity.
	(b.)	Construction loan.
	(c.)	Refinance options have been completed subsequent to September 30, 2013. The loan has been extended with a maturity date of October 31, 2015.

Debt_Tables

Debt (Tables)	9 Months Ended
	Sep. 30, 2013
Summary of Required Compliance Ratios Giving Effect to New Covenants in Credit Agreement	'
	The following table includes a summary of the required compliance ratios, giving effect to the covenants contained in the Credit Agreement (dollar amounts in thousands):
			Covenant			September 30,
						2013
	Tangible net worth		$	125,000		$	141,853
	Debt to total capital			< 55	%		37.2	%
	Debt service coverage ratio			> 5.00x			20.2x
	Debt to cash flow ratio			< 3.50x			2.29x
Outstanding Mortgages	'
	The following table summarizes our outstanding mortgages at September 30, 2013 (amounts in thousands):
	Facility Name		Outstanding			Interest			Maturity
			Balance			Rate			Date
			(in thousands)(a)
	Summerlin Hospital Medical Office Building I fixed rate mortgage loan			9,241			6.55	%		2014
	Spring Valley Medical Office Building fixed rate mortgage loan			5,171			5.5	%		2015
	Summerlin Hospital Medical Office Building III floating rate mortgage loan			11,425			3.43	%		2016
	Peace Health fixed rate mortgage loan			21,786			5.64	%		2017
	Auburn Medical II floating rate mortgage loan			7,461			2.93	%		2017
	Medical Center of Western Connecticut fixed rate mortgage loan			4,927			6	%		2017
	Summerlin Hospital Medical Office Building II fixed rate mortgage loan			12,092			5.5	%		2017
	Centennial Hills Medical Office Building floating rate mortgage loan			11,010			3.43	%		2018
	Kindred Hospital-Corpus Christi fixed rate mortgage loan			3,002			6.5	%		2019
	700 Shadow Lane and Goldring MOBs fixed rate mortgage loan			6,806			4.54	%		2022
	BRB Medical Office Building fixed rate mortgage loan			6,880			4.27	%		2022
	Tuscan Professional Building fixed rate mortgage loan			6,359			5.56	%		2025
	Total		$	106,160
	(a)	Amortized principal payments are made on a monthly basis.

General_Additional_Information

General - Additional Information (Detail)	Sep. 30, 2013
	Entity
Schedule of Investments [Line Items]	'
Number of limited liability companies, accounted for by equity method	13
Minimum	'
Schedule of Investments [Line Items]	'
Non-controlling equity interest, ownership percentage	33.00%
Maximum	'
Schedule of Investments [Line Items]	'
Non-controlling equity interest, ownership percentage	95.00%

Relationship_with_Universal_He2

Relationship with Universal Health Service, Inc. ("UHS") and Related Party Transactions - Additional Information (Detail) (USD $)

Sep. 30, 2013

Sep. 30, 2013

Sep. 30, 2013

Sep. 30, 2013

Sep. 30, 2013

Sep. 30, 2012

Sep. 30, 2013

Sep. 30, 2012

Sep. 30, 2013

Sep. 30, 2013

Jun. 30, 2013

Sep. 30, 2013

Sep. 30, 2013

Dec. 31, 2012

Sep. 30, 2013

Sep. 30, 2013

Sep. 30, 2013

Sep. 30, 2012

Sep. 30, 2013

Sep. 30, 2012

Sep. 30, 2013

Sep. 30, 2012

Sep. 30, 2013

Sep. 30, 2012

Minimum

Maximum

Prior annual advisory fee before 1/1/13 amendment

After Amendment

Universal Health Services of Delaware Inc

Universal Health Services of Delaware Inc

Universal Health Services of Delaware Inc

Universal Health Services of Delaware Inc

Universal Health Services of Delaware Inc

Palmdale Medical Plaza

Palmdale Medical Plaza

Texoma Medical Properties

Universal Health Services, Inc

Universal Health Services, Inc

Universal Health Services, Inc

Universal Health Services, Inc

Universal Health Services, Inc

Universal Health Services, Inc

Universal Health Services, Inc

Universal Health Services, Inc

Universal Health Services, Inc

Universal Health Services, Inc

Universal Health Services, Inc

Universal Health Services, Inc

Minimum

Property

Minimum

Maximum

Total revenue

Total revenue

Total revenue

Total revenue

Combined, including 100% revenue generated from unconsolidated LLCs

Combined, including 100% revenue generated from unconsolidated LLCs

Combined, including 100% revenue generated from unconsolidated LLCs

Combined, including 100% revenue generated from unconsolidated LLCs

Times

Sales

Sales

Sales

Sales

Sales

Sales

Sales

Sales

Related Party Transaction [Line Items]

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Initial lease terms

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'13 years

'15 years

'

'

'

'

'

'

'

'

Number of term renewal options

'

'

'

'

'

'

'

'

'

'

'

'

6

'

'

'

'

'

'

'

'

'

'

'

Additional renewal terms

'

'

'

'

'

'

'

'

'

'

'

'

'5 years

'

'

'

'

'

'

'

'

'

'

'

Percentage of revenues generated from leases

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

30.00%

29.00%

30.00%

30.00%

22.00%

21.00%

22.00%

21.00%

Non-controlling equity interest, ownership percentage

33.00%

95.00%

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Number of office buildings, owned by LLCs, in which the company holds ownership interest

'

'

'

'

'

'

'

'

'

'

'

'

12

'

'

'

'

'

'

'

'

'

'

'

Option to renew lease, notice period prior to termination date of current term

'

'

'

'

'

'

'

'

'

'

'

'

'90 days

'

'

'

'

'

'

'

'

'

'

'

Period to purchase respective leased facilities at same price after lease terms

'

'

'

'

'

'

'

'

'

'

'

'

'180 days

'

'

'

'

'

'

'

'

'

'

'

Renewal period of respective leased facilities at same price after lease terms

'

'

'

'

'

'

'

'

'

'

'

'

'180 days

'

'

'

'

'

'

'

'

'

'

'

Committed investment in equity and debt financing, funded

'

'

'

'

'

'

'

'

'

$6,000,000

'

$2,100,000

'

'

'

'

'

'

'

'

'

'

'

'

Committed investment in equity and debt financing

'

'

'

'

'

'

'

'

'

2,900,000

'

2,300,000

'

'

'

'

'

'

'

'

'

'

'

'

Non-controlling interest percentage

'

'

'

'

'

'

'

'

'

95.00%

'

95.00%

'

'

'

'

'

'

'

'

'

'

'

'

Percentage of master lease commitment

'

'

'

'

'

'

'

'

'

'

75.00%

'

'

'

'

'

'

'

'

'

'

'

'

'

Third-party term loan

'

'

'

'

'

'

'

'

'

6,200,000

'

12,600,000

'

'

'

'

'

'

'

'

'

'

'

'

Expiration date of master lease

'

'

'

'

'

'

'

'

'

1-Jul-13

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Advisory agreement expiration date of each year

'

'

'

'

'

'

'--12-31

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Annual advisory fee as percentage of average invested real estate assets

'

'

0.65%

0.70%

0.70%

'

0.70%

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Annual incentive fee to Advisor as percentage of cash available for distribution

'

'

'

'

20.00%

'

20.00%

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Percentage of equity to be exceeded for incentive distribution

'

'

'

'

'

'

'

'

15.00%

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Advisory fee

'

'

'

'

603,000

540,000

1,800,000

1,600,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Average invested real estate assets

'

'

'

'

$345,000,000

$332,000,000

$335,000,000

$327,000,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Percentage ownership of outstanding shares

'

'

'

'

'

'

'

'

'

'

'

'

6.20%

6.20%

'

'

'

'

'

'

'

'

'

'

Existing_Lease_Terms_and_Renew

Existing Lease Terms and Renewal Options for Each of UHS Hospital Facilities (Detail) (USD $)	9 Months Ended
	Sep. 30, 2013
McAllen Medical Center	'
Operating Leased Assets [Line Items]	'
Type of Facility	'Acute Care
Annual Minimum Rent	$5,485,000
End of Lease Term	'2016-12
Renewal Term (years)	'15 years	[1]
Wellington Regional Medical Center	'
Operating Leased Assets [Line Items]	'
Type of Facility	'Acute Care
Annual Minimum Rent	3,030,000
End of Lease Term	'2016-12
Renewal Term (years)	'15 years	[2]
Southwest Healthcare System, Inland Valley Campus	'
Operating Leased Assets [Line Items]	'
Type of Facility	'Acute Care
Annual Minimum Rent	2,648,000
End of Lease Term	'2016-12
Renewal Term (years)	'15 years	[2]
The Bridgeway	'
Operating Leased Assets [Line Items]	'
Type of Facility	'Behavioral Health
Annual Minimum Rent	$930,000
End of Lease Term	'2014-12
Renewal Term (years)	'10 years	[3]
[1]	UHS has three 5-year renewal options at existing lease rates (through 2031).
[2]	UHS has one 5-year renewal option at existing lease rates (through 2021) and two 5-year renewal options at fair market value lease rates (2022 through 2031).
[3]	UHS has two 5-year renewal options at fair market value lease rates (2015 through 2024).

Existing_Lease_Terms_and_Renew1

Existing Lease Terms and Renewal Options for Each of UHS Hospital Facilities (Parenthetical) (Detail) (Universal Health Services, Inc)	9 Months Ended
	Sep. 30, 2013
	Times
McAllen Medical Center	'
Operating Leased Assets [Line Items]	'
Number of renewal options at existing lease rates	3
Renewal options term at existing lease rates	'5 years
Renewal options at existing lease rates expiration year	'2031
The Bridgeway	'
Operating Leased Assets [Line Items]	'
Number of renewal options at fair market value lease rates	2
Renewal options term at fair market value lease rates	'5 years
Wellington Regional Medical Center And Southwest Healthcare System	'
Operating Leased Assets [Line Items]	'
Number of renewal options at existing lease rates	1
Renewal options term at existing lease rates	'5 years
Renewal options at existing lease rates expiration year	'2021
Number of renewal options at fair market value lease rates	2
Renewal options term at fair market value lease rates	'5 years
Minimum | The Bridgeway	'
Operating Leased Assets [Line Items]	'
Renewal options at fair market value lease rates expiration year	'2015
Minimum | Wellington Regional Medical Center And Southwest Healthcare System	'
Operating Leased Assets [Line Items]	'
Renewal options at fair market value lease rates expiration year	'2022
Maximum | The Bridgeway	'
Operating Leased Assets [Line Items]	'
Renewal options at fair market value lease rates expiration year	'2024
Maximum | Wellington Regional Medical Center And Southwest Healthcare System	'
Operating Leased Assets [Line Items]	'
Renewal options at fair market value lease rates expiration year	'2031

Dividends_and_Equity_Issuance_1

Dividends and Equity Issuance Program - Additional Information (Detail) (USD $)	3 Months Ended		9 Months Ended
In Millions, except Per Share data, unless otherwise specified	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012	Nov. 30, 2012
Dividends [Line Items]	'	'	'	'	'
Declared and paid dividends	$7.90	$7.80	$23.70	$23.30	'
Declared and paid dividends, per share	$0.63	$0.62	$1.87	$1.84	'
Securities, aggregate sales price	'	'	'	'	$50

Acquisitions_Dispositions_and_1

Acquisitions Dispositions and New Construction - Additional Information (Detail) (USD $)	3 Months Ended		9 Months Ended				1 Months Ended
	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2012	Jun. 06, 2013	Apr. 30, 2013	Jan. 31, 2012	Aug. 22, 2013
					Canyon Healthcare Properties	5004 Poole Road medical office building	FTX MOB Phase II limited partnership	Peace Health Medical Clinic	Ward Eagle Office Village Medical Office Building
						sqft	sqft	sqft	sqft
Business Acquisitions and Dispositions [Line Items]	'	'	'	'	'	'	'	'	'
Total purchase price	'	'	'	'	'	$625,000	'	$30,410,000	$4,100,000
Net rentable area	'	'	'	'	'	4,400	'	99,000	16,282
Non-controlling ownership interest	'	'	'	'	95.00%	'	95.00%	'	'
Rentable medical office building	'	'	'	'	'	'	30,000	'	'
Third-Party Financing	'	'	'	'	'	'	'	22,441,000	'
Aggregate purchase price of tangible property	'	'	'	'	'	'	'	26,800,000	'
Aggregate purchase price of intangible assets	'	'	'	'	'	'	'	3,600,000	'
Intangible assets amortization period, years	'	'	'	'	'	'	'	'10 years	'
Cash proceeds from divestiture, net of closing costs and minority members' share	'	'	'	'	8,100,000	'	'	'	'
Gain on divestiture of property owned by an unconsolidated LLC, net	$0	$0	$0	$7,375,000	'	'	'	'	'

Summarized_Financial_Informati2

Summarized Financial Information of Equity Affiliates - Additional Information (Detail)	Sep. 30, 2013	Dec. 31, 2008
	Entity
Schedule of Equity Method Investments [Line Items]	'	'
Number of limited liability companies where company has investments or commitments, accounted for by equity method	13	'
Number of days for Non-Offering Member either to purchase or sell its entire ownership interest to or from Offering Member	'	'60 days
Minimum	'	'
Schedule of Equity Method Investments [Line Items]	'	'
Non-controlling equity interest, ownership percentage	33.00%	'
Maximum	'	'
Schedule of Equity Method Investments [Line Items]	'	'
Non-controlling equity interest, ownership percentage	95.00%	'

Limited_Liability_Companies_Ac

Limited Liability Companies Accounted for Under Equity Method (Detail) (Equity Method Investments)	9 Months Ended
	Sep. 30, 2013
DVMC Properties	'
Schedule of Equity Method Investments [Line Items]	'
Ownership	90.00%
Property Owned by LLC	'Desert Valley Medical Center
Suburban Properties	'
Schedule of Equity Method Investments [Line Items]	'
Ownership	33.00%
Property Owned by LLC	'Suburban Medical Plaza II
Santa Fe Scottsdale	'
Schedule of Equity Method Investments [Line Items]	'
Ownership	90.00%
Property Owned by LLC	'Santa Fe Professional Plaza
Brunswick Associates	'
Schedule of Equity Method Investments [Line Items]	'
Ownership	74.00%
Property Owned by LLC	'Mid Coast Hospital MOB
PCH Medical Properties	'
Schedule of Equity Method Investments [Line Items]	'
Ownership	85.00%
Property Owned by LLC	'Rosenberg Children's Medical Plaza
Arlington Medical Properties	'
Schedule of Equity Method Investments [Line Items]	'
Ownership	75.00%	[1]
Property Owned by LLC	'Saint Mary's Professional Office Building	[1]
Sierra Medical Properties	'
Schedule of Equity Method Investments [Line Items]	'
Ownership	95.00%
Property Owned by LLC	'Sierra San Antonio Medical Plaza
PCH Southern Properties	'
Schedule of Equity Method Investments [Line Items]	'
Ownership	95.00%
Property Owned by LLC	'Phoenix Children's East Valley Care Center
Sparks Medical Properties	'
Schedule of Equity Method Investments [Line Items]	'
Ownership	95.00%	[2]
Property Owned by LLC	'Vista Medical Terrace & The Sparks Medical Building	[2]
Grayson Properties	'
Schedule of Equity Method Investments [Line Items]	'
Ownership	95.00%	[2],[3]
Property Owned by LLC	'Texoma Medical Plaza	[2],[3]
3811 Bell Medical Properties	'
Schedule of Equity Method Investments [Line Items]	'
Ownership	95.00%
Property Owned by LLC	'North Valley Medical Plaza
FTX MOB Phase II limited partnership	'
Schedule of Equity Method Investments [Line Items]	'
Ownership	95.00%	[4]
Property Owned by LLC	'Forney Medical Plaza II	[4]
Palmdale Medical Plaza	'
Schedule of Equity Method Investments [Line Items]	'
Ownership	95.00%	[2],[5]
Property Owned by LLC	'Palmdale Medical Properties	[2],[5]
[1]	We have funded $5.2 million in equity as of September 30, 2013 and are committed to invest an additional $1.2 million, in exchange for a 75% non-controlling equity interest in an LLC that owns and operates the Saint Mary's Professional Office Building. This LLC has a third-party term loan of $24.2 million, which is non-recourse to us, outstanding as of September 30, 2013.
[2]	Tenants of this medical office building include or will include subsidiaries of UHS.
[3]	We have funded $2.1 million in equity as of September 30, 2013, and are committed to fund an additional $2.3 million. This building, which is on the campus of a UHS hospital and has tenants that include subsidiaries of UHS, was completed and opened during the first quarter of 2010. This LLC has a third-party term loan of $12.6 million, which is non-recourse to us, outstanding as of September 30, 2013.
[4]	During the third quarter of 2012, this limited partnership entered into an agreement to develop, construct, own and operate the Forney Medical Plaza II, which opened on April 1, 2013. We have committed to invest up to $2.5 million in equity and debt financing, of which $1.1 million has been funded as of September 30, 2013. This LLC has a third-party construction loan of $5.6 million, which is non-recourse to us, outstanding as of September 30, 2013.
[5]	We have funded $6.0 million in equity and member loans as of September 30, 2013, and are committed to invest an additional $2.9 million, in exchange for a 95% non-controlling equity interest in an LLC that owns and operates the Palmdale Medical Plaza, which is on the campus of a UHS hospital and has tenants that include subsidiaries of UHS. This LLC has a third-party term loan of $6.2 million, which is non-recourse to us, outstanding as of September 30, 2013. We began to account for this LLC on an unconsolidated basis pursuant to the equity method as of July 1, 2013, as discussed above.

Limited_Liability_Companies_Ac1

Limited Liability Companies Accounted for Under Equity Method (Parenthetical) (Detail) (USD $)	Sep. 30, 2013
In Millions, unless otherwise specified
Grayson Properties	'
Schedule of Equity Method Investments [Line Items]	'
Committed investment in equity and debt financing, funded	$2.10
Commitment to investment	2.3
Third-party term loan	12.6
FTX MOB Phase II limited partnership	'
Schedule of Equity Method Investments [Line Items]	'
Committed investment in equity and debt financing, funded	1.1
Commitment to investment	2.5
Third-party term loan	5.6
Arlington Medical Properties	'
Schedule of Equity Method Investments [Line Items]	'
Committed investment in equity and debt financing, funded	5.2
Commitment to investment	1.2
Non-controlling interest percentage	75.00%
Third-party term loan	24.2
Palmdale Medical Plaza	'
Schedule of Equity Method Investments [Line Items]	'
Committed investment in equity and debt financing, funded	6
Commitment to investment	2.9
Non-controlling interest percentage	95.00%
Third-party term loan	$6.20

Condensed_Combined_Statement_o

Condensed Combined Statement of Income for Limited Liabilities Accounted for under Equity Method (Detail) (USD $)	3 Months Ended				9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2013		Sep. 30, 2012		Sep. 30, 2013		Sep. 30, 2012
Schedule of Equity Method Investments [Line Items]	'		'		'		'
Revenues	$5,320	[1]	$5,514		$15,566	[1]	$16,499
Operating expenses	2,099	[1]	2,327		6,499	[1]	6,992
Depreciation and amortization	985	[1]	1,062		2,969	[1]	3,120
Interest, net	1,716	[1]	1,545		4,714	[1]	4,716
Net income	520	[1]	580		1,384	[1]	1,671
Our share of net income	515	[1],[2]	645	[2]	1,545	[1],[2]	1,803	[2]
Our share of gain on divestiture	$0		$0		$0		$7,375
[1]	As mentioned above, we began to account for Palmdale Medical Plaza on an unconsolidated basis pursuant to the equity method as of July 1, 2013. Prior to July 1, 2013, the financial results of this entity were accounted for on a consolidated basis. These amounts include the financial results for Palmdale Medical Plaza for the three months ended September 30, 2013.
[2]	Our share of net income includes interest income earned by us on various advances made to LLCs of approximately $511,000 and $438,000 for the three months ended September 30, 2013 and 2012, respectively, and $1.4 million and $1.3 million for the nine months ended September 30, 2013 and 2012, respectively.

Condensed_Combined_Statement_o1

Condensed Combined Statement of Income for Limited Liabilities Accounted for under Equity Method (Parenthetical) (Detail) (USD $)	3 Months Ended		9 Months Ended
	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012
Schedule of Equity Method Investments [Line Items]	'	'	'	'
Interest income earned on various advances made to LLCs	$511,000	$438,000	$1,400,000	$1,300,000

Condensed_Combined_Balance_She

Condensed Combined Balance Sheets of Limited Liabilities Accounted for under Equity Method (Detail) (USD $)	Sep. 30, 2013		Dec. 31, 2012
In Thousands, unless otherwise specified
Schedule of Equity Method Investments [Line Items]	'		'
Net property, including CIP	$119,948	[1]	$106,150
Other assets	10,207	[1]	9,850
Total assets	130,155	[1]	116,000
Liabilities	5,870	[1]	5,368
Mortgage notes payable, non-recourse to us	80,563	[1]	77,511
Advances payable to us	22,461	[1]	12,658
Equity	21,261	[1]	20,463
Total liabilities and equity	130,155	[1]	116,000
Our share of equity and advances to LLCs	$39,209	[1]	$28,636
[1]	As mentioned above, we began to account for Palmdale Medical Plaza on an unconsolidated basis pursuant to the equity method as of July 1, 2013. Prior to July 1, 2013, the financial results of this entity were accounted for on a consolidated basis.

Aggregate_Principal_Amounts_Du

Aggregate Principal Amounts Due on Mortgage Notes Payable by Unconsolidated LLCs, Accounted Under Equity Method (Detail) (Equity Method Investments, USD $)	Sep. 30, 2013
In Thousands, unless otherwise specified
Schedule of Equity Method Investments [Line Items]	'
2013	$464
2014	14,180
2015	41,473
2016	578
2017	11,828
Later	12,040
Mortgage/Construction Loan Balance	80,563	[1]
Grayson Properties	'
Schedule of Equity Method Investments [Line Items]	'
Mortgage/Construction Loan Balance	12,615	[1]
Maturity Year	'2014
Brunswick Associates	'
Schedule of Equity Method Investments [Line Items]	'
Mortgage/Construction Loan Balance	7,979	[1]
Maturity Year	'2015
Arlington Medical Properties	'
Schedule of Equity Method Investments [Line Items]	'
Mortgage/Construction Loan Balance	24,237	[1]
Maturity Year	'2015
Palmdale Medical Plaza	'
Schedule of Equity Method Investments [Line Items]	'
Mortgage/Construction Loan Balance	6,189	[1],[2]
Maturity Year	'2015	[2]
DVMC Properties	'
Schedule of Equity Method Investments [Line Items]	'
Mortgage/Construction Loan Balance	3,996	[1]
Maturity Year	'2015
FTX MOB Phase II	'
Schedule of Equity Method Investments [Line Items]	'
Mortgage/Construction Loan Balance	5,596	[1],[3]
Maturity Year	'2017	[3]
PCH Southern Properties	'
Schedule of Equity Method Investments [Line Items]	'
Mortgage/Construction Loan Balance	6,645	[1]
Maturity Year	'2017
Sparks Medical Properties	'
Schedule of Equity Method Investments [Line Items]	'
Mortgage/Construction Loan Balance	4,634	[1]
Maturity Year	'2018
PCH Medical Properties	'
Schedule of Equity Method Investments [Line Items]	'
Mortgage/Construction Loan Balance	$8,672	[1]
Maturity Year	'2018
[1]	All mortgage loans, other than construction loans, require monthly principal payments through maturity and include a balloon principal payment upon maturity.
[2]	Refinance options have been completed subsequent to September 30, 2013. The loan has been extended with a maturity date of October 31, 2015.
[3]	Construction loan.

Debt_Additional_Information_De

Debt - Additional Information (Detail) (USD $)	9 Months Ended
	Sep. 30, 2013
Debt [Line Items]	'
Outstanding borrowings under revolving credit agreement	$97,100,000
Outstanding borrowings under letter of credit	9,500,000
Available borrowing capacity	43,400,000
Percentage of increase dividends in excess of cash available for distribution	95.00%
Balance of Non Recourse Mortgages	106,160,000	[1]
Net debt premiums	942,000
Number of non-recourse mortgages	12
Mortgage loan fair value	107,200,000
New Revolving Credit Facility Agreement	'
Debt [Line Items]	'
Unsecured revolving credit agreement terminated	24-Jul-15
Outstanding borrowing	150,000,000
Revolving credit borrowing capacity additional amount	50,000,000
Credit facility, Interest Rate Terms	'One, two, three, or six month LIBOR plus an applicable margin ranging from 1.75% to 2.50% or at the Base Rate plus an applicable margin ranging from 0.75% to 1.50%.
Base rate description	'Greatest of (a) the administrative agent's prime rate; (b) the federal funds effective rate plus 0.50%, and; (c) one month LIBOR plus 1%.
Fee payable on unused portion of commitment	0.30%
New Revolving Credit Facility Agreement | Minimum	'
Debt [Line Items]	'
Fee payable on unused portion of commitment	0.30%
New Revolving Credit Facility Agreement | Maximum	'
Debt [Line Items]	'
Fee payable on unused portion of commitment	0.50%
New Revolving Credit Facility Agreement | LIBOR	'
Debt [Line Items]	'
Margin points added to the reference rate	1.75%
New Revolving Credit Facility Agreement | LIBOR | Minimum	'
Debt [Line Items]	'
Margin points added to the reference rate	1.75%
Margin points added to the base rate	1.00%
New Revolving Credit Facility Agreement | LIBOR | Maximum	'
Debt [Line Items]	'
Margin points added to the reference rate	2.50%
New Revolving Credit Facility Agreement | Base Rate	'
Debt [Line Items]	'
Margin points added to the reference rate	1.75%
New Revolving Credit Facility Agreement | Base Rate | Minimum	'
Debt [Line Items]	'
Margin points added to the reference rate	0.75%
New Revolving Credit Facility Agreement | Base Rate | Maximum	'
Debt [Line Items]	'
Margin points added to the reference rate	1.50%
New Revolving Credit Facility Agreement | Federal Funds Effective Rate | Minimum	'
Debt [Line Items]	'
Margin points added to the base rate	0.50%
New Revolving Credit Facility Agreement | Letter of Credit	'
Debt [Line Items]	'
Outstanding borrowing	50,000,000
New Revolving Credit Facility Agreement | Short-term Debt	'
Debt [Line Items]	'
Outstanding borrowing	$20,000,000
[1]	Amortized principal payments are made on a monthly basis.

Summary_of_Required_Compliance

Summary of Required Compliance Ratios in Connection with Terms of Credit Agreement (Detail) (USD $)	9 Months Ended
In Thousands, unless otherwise specified	Sep. 30, 2013
Debt Instrument [Line Items]	'
Covenant, Tangible net worth	$125,000
Tangible net worth	$141,853
Debt to total capital	37.20%
Debt service coverage ratio	20.2
Debt to cash flow ratio	2.29
Maximum	'
Debt Instrument [Line Items]	'
Covenant, Debt to total capital	55.00%
Covenant, Debt to cash flow ratio	3.5
Minimum	'
Debt Instrument [Line Items]	'
Covenant, Debt service coverage ratio	5

Summary_Of_Outstanding_Mortgag

Summary Of Outstanding Mortgages (Detail) (USD $)	Sep. 30, 2013
In Thousands, unless otherwise specified
Debt Disclosure [Line Items]	'
Outstanding Balance	$106,160	[1]
Summerlin Hospital Medical Office Building I fixed rate mortgage loan	'
Debt Disclosure [Line Items]	'
Outstanding Balance	9,241	[1]
Interest Rate	6.55%
Maturity Date	'2014
Spring Valley Medical Office Building fixed rate mortgage loan	'
Debt Disclosure [Line Items]	'
Outstanding Balance	5,171	[1]
Interest Rate	5.50%
Maturity Date	'2015
Summerlin Hospital Medical Office Building III floating rate mortgage loan	'
Debt Disclosure [Line Items]	'
Outstanding Balance	11,425	[1]
Interest Rate	3.43%
Maturity Date	'2016
Peace Health fixed rate mortgage loan	'
Debt Disclosure [Line Items]	'
Outstanding Balance	21,786	[1]
Interest Rate	5.64%
Maturity Date	'2017
Auburn Medical II floating rate mortgage loan	'
Debt Disclosure [Line Items]	'
Outstanding Balance	7,461	[1]
Interest Rate	2.93%
Maturity Date	'2017
Medical Center of Western Connecticut fixed rate mortgage loan	'
Debt Disclosure [Line Items]	'
Outstanding Balance	4,927	[1]
Interest Rate	6.00%
Maturity Date	'2017
Summerlin Hospital Medical Office Building II fixed rate mortgage loan	'
Debt Disclosure [Line Items]	'
Outstanding Balance	12,092	[1]
Interest Rate	5.50%
Maturity Date	'2017
Centennial Hills Medical Office Building fixed rate mortgage loan	'
Debt Disclosure [Line Items]	'
Outstanding Balance	11,010	[1]
Interest Rate	3.43%
Maturity Date	'2018
Kindred Hospital-Corpus Christi fixed rate mortgage loan	'
Debt Disclosure [Line Items]	'
Outstanding Balance	3,002	[1]
Interest Rate	6.50%
Maturity Date	'2019
700 Shadow Lane and Goldring MOBs fixed rate mortgage loan	'
Debt Disclosure [Line Items]	'
Outstanding Balance	6,806	[1]
Interest Rate	4.54%
Maturity Date	'2022
BRB Medical Office Building fixed rate mortgage loan	'
Debt Disclosure [Line Items]	'
Outstanding Balance	6,880	[1]
Interest Rate	4.27%
Maturity Date	'2022
Tuscan Professional Building fixed rate mortgage loan	'
Debt Disclosure [Line Items]	'
Outstanding Balance	$6,359	[1]
Interest Rate	5.56%
Maturity Date	'2025
[1]	Amortized principal payments are made on a monthly basis.

Segment_Reporting_Additional_I

Segment Reporting - Additional Information (Detail)	9 Months Ended
	Sep. 30, 2013
	Segment
Segment Reporting Information [Line Items]	'
Number of reportable segments	1