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Schedule of Indebtedness (Detail) (USD $)
In Thousands, unless otherwise specified
12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2013
Variable Rate Debt
Dec. 31, 2012
Variable Rate Debt
Dec. 31, 2013
Fixed rate debt
Dec. 31, 2012
Fixed rate debt
Dec. 31, 2013
Perennial Communities
Mortgage Loans
Dec. 31, 2013
Perennial Communities
Variable Rate Debt
Mortgage Loans
Dec. 31, 2013
Calvert MOBs
Mortgage Loans
Dec. 31, 2013
Calvert MOBs
Variable Rate Debt
Mortgage Loans
Dec. 31, 2013
Medical Portfolio I Loan
Mortgage Loans
Dec. 31, 2013
Medical Portfolio I Loan
Variable Rate Debt
Mortgage Loans
Dec. 31, 2013
Harbor Chase Community
Construction Loans
Dec. 31, 2013
Harbor Chase Community
Variable Rate Debt
Construction Loans
Dec. 31, 2013
Dogwood Community
Construction Loans
Dec. 31, 2013
Dogwood Community
Variable Rate Debt
Construction Loans
Dec. 31, 2013
Knoxville MOBs
Mortgage Loans
Dec. 31, 2013
Knoxville MOBs
Variable Rate Debt
Mortgage Loans
Dec. 31, 2013
Primrose I Communities
Mortgage Loans
Dec. 31, 2013
Primrose I Communities
Fixed rate debt
Mortgage Loans
Dec. 31, 2012
Primrose I Communities
Fixed rate debt
Mortgage Loans
Dec. 31, 2013
Pacific Northwest I Communities
Mortgage Loans
Dec. 31, 2013
Pacific Northwest I Communities
Fixed rate debt
Mortgage Loans
Dec. 31, 2013
Capital Health Communities
Mortgage Loans
Dec. 31, 2013
Capital Health Communities
Fixed rate debt
Mortgage Loans
Dec. 31, 2012
Capital Health Communities
Fixed rate debt
Mortgage Loans
Dec. 31, 2013
Primrose II Communities
Mortgage Loans
Dec. 31, 2013
Primrose II Communities
Bridge Loan
Dec. 31, 2012
Primrose II Communities
Variable Rate Debt
Bridge Loan
Dec. 31, 2013
Primrose II Communities
Fixed rate debt
Mortgage Loans
Dec. 31, 2013
LaPorte Cancer Center
Mortgage Loans
Dec. 31, 2013
LaPorte Cancer Center
Fixed rate debt
Mortgage Loans
Dec. 31, 2013
CHTSunIV
Mezzanine Loan
Dec. 31, 2012
CHTSunIV
Fixed rate debt
Mezzanine Loan
Debt Instrument [Line Items]                                                                    
Interest accrues on loan in addition to LIBOR             4.25% [1]   2.50% [2]   2.65% [2]   3.20%   3.20%   2.50% [1]                     3.75%            
Interest on Loan accrues - Fixed rate                                     4.11% [3]     4.30%   4.25%     3.81%       4.25%   8.00%  
Interest on Loan accrues - Fixed rate applicable final year                                                             2020      
Payment Terms             Monthly interest only payments through 2015; principal and interest payments thereafter based on a 30-year amortization schedule [1]   Monthly interest only payments for the first 18 months; principal and interest payments thereafter based on a 30-year amortization schedule [2]   Monthly principal and interest payments based on a 30-year amortization schedule [2]   Monthly interest only payments through 2015; principal and interest payments thereafter based on a 30-year amortization schedule   Monthly interest only payments through 2015; principal and interest payments thereafter based on a 30-year amortization schedule   Monthly interest only payments for the first 18 months; principal and interest payments thereafter based on a 30-year amortization schedule [1]   Monthly principal and interest payments based on a 30-year amortization schedule [3]     Monthly principal and interest payments based on a 30-year amortization schedule   Monthly principal and interest payments based on a 25-year amortization schedule     Monthly principal and interest payments based on a 30-year amortization schedule Monthly interest only payments based on LIBOR plus 3.75% per annum     Monthly interest only payments   Monthly interest only payments of 8.0% per annum  
Principal and interest payments amortizable period             30 years [1]   30 years [2]   30 years [2]   30 years   30 years   30 years [1]   30 years [3]     30 years   25 years     30 years              
payments for interest only period                 18 months [2]               18 months [1]                                  
Maturity Date             May 31, 2016 [1]   Aug. 30, 2018 [2]   Sep. 05, 2016 [2]   Sep. 01, 2017   Jan. 01, 2018   Jul. 10, 2018 [1]   Sep. 01, 2022 [3]     Dec. 05, 2018   Jan. 01, 2020     Jun. 01, 2020       Jun. 14, 2028      
Outstanding Principal Balance $ 438,107 $ 193,151 $ 147,290 $ 49,687 $ 290,817 $ 143,464   $ 30,000 [1]   $ 26,274 [2]   $ 35,512 [2]   $ 13,130   $ 3,765   $ 38,609 [1]   $ 54,031 [3] $ 54,964 [3]   $ 157,549   $ 47,481 $ 48,500     $ 49,687 $ 23,337   $ 8,419   $ 40,000
[1] The Company entered into a two-year forward interest rate swap with a notional amount of $30 million; see Note 13, "Derivative Financial Instruments" for additional information.
[2] The Company entered into a three-year forward interest rate swap with a notional amount of $26.1 million; see Note 13, "Derivative Financial Instruments" for additional information.
[3] The Company entered into a three-year forward interest rate swap with a notional amount of $38.3 million; see Note 13, "Derivative Financial Instruments" for additional information.