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Summary of Details of Hospitals Leased from Trust (Detail) - USD ($)
12 Months Ended
Jan. 01, 2023
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Property Subject to or Available for Operating Lease [Line Items]        
Annual Minimum Rent   $ 131,626,000 $ 118,863,000 $ 116,059,000
Subsequent Event | McAllen Medical Center        
Property Subject to or Available for Operating Lease [Line Items]        
Annual Minimum Rent $ 5,485,000,000      
End of Lease Term 2026-12      
Renewal Term (years) [1] 5 years      
Subsequent Event | Wellington Regional Medical Center        
Property Subject to or Available for Operating Lease [Line Items]        
Annual Minimum Rent $ 6,477,000,000      
End of Lease Term 2026-12      
Renewal Term (years) [2] 5 years      
Subsequent Event | Aiken Regional Medical Center/Aurora Pavilion Behavioral Health Services        
Property Subject to or Available for Operating Lease [Line Items]        
Annual Minimum Rent $ 3,982,000,000      
End of Lease Term 2033-12      
Renewal Term (years) [3] 35 years      
Subsequent Event | Canyon Creek Behavioral Health        
Property Subject to or Available for Operating Lease [Line Items]        
Annual Minimum Rent $ 1,800,000,000      
End of Lease Term 2033-12      
Renewal Term (years) [3] 35 years      
Subsequent Event | Clive Behavioral Health Hospital        
Property Subject to or Available for Operating Lease [Line Items]        
Annual Minimum Rent $ 2,701,000,000      
End of Lease Term 2040-12      
Renewal Term (years) [4] 50 years      
[1] We have one 5-year renewal option at existing lease rates (through 2031).
[2] We have one 5-year renewal option at fair market value lease rates (through 2031). Upon the December 31, 2021 expiration of the lease on Wellington Regional Medical Center, a wholly-owned subsidiary of ours exercised its fair market value renewal option and renewed the lease for a 5-year term scheduled to expire on December 31, 2026. Effective January 1, 2022, the annual fair market value lease rate for this hospital is $6.3 million (there is no longer a bonus rental component of the lease payment). On each January 1st through 2026, the annual rent will increase by 2.50% on a cumulative and compounded basis.
[3] We have seven 5-year renewal options at fair market value lease rates (2034 through 2068). On each January 1st through 2033, the annual rent will increase by 2.25% on a cumulative and compounded basis.
[4] This facility is operated by a joint venture in which we are the managing, majority member and an unrelated third-party holds a minority ownership interest. The joint venture has three, 10-year renewal options at computed lease rates as stipulated in the lease (2041 through 2070) and two additional, 10-year renewal options at fair market values lease rates (2071 through 2090). In each January through 2040 (and potentially through 2070 if three, 10-year renewal options are exercised), the annual rental will increase by 2.75% on a cumulative and compounded basis.