Universal Health Realty Income Trust (UHT) 10-K 7 Mar 14 2013 FY Annual report Financial data

Document_and_Entity_Informatio

Document and Entity Information (USD $)	12 Months Ended
	Dec. 31, 2013	Jan. 31, 2014	Jun. 28, 2013
Document Information [Line Items]	'	'	'
Document Type	'10-K	'	'
Amendment Flag	'false	'	'
Document Period End Date	31-Dec-13	'	'
Document Fiscal Year Focus	'2013	'	'
Document Fiscal Period Focus	'FY	'	'
Trading Symbol	'UHT	'	'
Entity Registrant Name	'UNIVERSAL HEALTH REALTY INCOME TRUST	'	'
Entity Central Index Key	'0000798783	'	'
Current Fiscal Year End Date	'--12-31	'	'
Entity Well-known Seasoned Issuer	'No	'	'
Entity Current Reporting Status	'Yes	'	'
Entity Voluntary Filers	'No	'	'
Entity Filer Category	'Accelerated Filer	'	'
Entity Common Stock, Shares Outstanding	'	12,858,667	'
Entity Public Float	'	'	$540,970,533

Consolidated_Balance_Sheets

Consolidated Balance Sheets (USD $)	Dec. 31, 2013	Dec. 31, 2012
In Thousands, unless otherwise specified
Real Estate Investments:	'	'
Buildings and improvements	$368,295	$374,416
Accumulated depreciation	-97,921	-87,088
Real Estate Investment Property, Net, Total	270,374	287,328
Land	27,374	27,058
Net Real Estate Investments	297,748	314,386
Investments in and advances to limited liability companies ("LLCs")	39,201	28,636
Other Assets:	'	'
Cash and cash equivalents	3,337	3,048
Base and bonus rent receivable from UHS	2,053	2,041
Rent receivable-other	3,310	2,783
Intangible assets (net of accumulated amortization of $13.7 million and $8.2 million at December 31, 2013 and December 31, 2012, respectively)	20,782	26,293
Deferred charges, goodwill and other assets, net	6,714	5,851
Total Assets	373,145	383,038
Liabilities:	'	'
Line of credit borrowings	93,700	81,750
Mortgage and other notes payable, non-recourse to us (including net debt premium of $834,000 and $1.3 million at December 31, 2013 and December 31, 2012, respectively)	106,287	116,186
Accrued interest	491	539
Accrued expenses and other liabilities	5,156	4,920
Tenant reserves, escrows, deposits and prepaid rents	1,881	1,898
Total Liabilities	207,515	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: 2013-12,858,643 2012 -12,688,998	128	127
Capital in excess of par value	220,691	214,094
Cumulative net income	480,044	466,875
Cumulative dividends	-535,176	-503,425
Accumulated other comprehensive loss	-57	0
Total Universal Health Realty Income Trust Shareholders' Equity	165,630	177,671
Non-controlling equity interest	0	74
Total Equity	165,630	177,745
Total Liabilities and Equity	$373,145	$383,038

Consolidated_Balance_Sheets_Pa

Consolidated Balance Sheets (Parenthetical) (USD $)	Dec. 31, 2013	Dec. 31, 2012
Intangible assets, accumulated amortization	$13,700,000	$8,200,000
Mortgage and other notes payable, non-recourse to us, debt premium	$834,000	$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	12,858,643	12,688,998
Common shares, outstanding	12,858,643	12,688,998

Consolidated_Statements_of_Inc

Consolidated Statements of Income (USD $)	12 Months Ended
In Thousands, except Per Share data, unless otherwise specified	Dec. 31, 2013		Dec. 31, 2012		Dec. 31, 2011
Revenues:	'		'		'
Base rental-UHS facilities	$14,773		$15,438		$13,150
Base rental-Non-related parties	27,955		27,213		10,392
Bonus rental-UHS facilities	4,260		4,142		4,191
Tenant reimbursements and other-Non-related parties	6,812		6,674		1,654
Tenant reimbursements and other-UHS facilities	480		483		107
Revenue	54,280		53,950		29,494
Expenses:	'		'		'
Depreciation and amortization	18,753		20,216		7,306
Advisory fees to UHS	2,369		2,119		2,008
Other operating expenses	14,409		14,575		5,581
Transaction costs	203		680		518
Provision for asset impairment	0		0		5,354
Costs and Expenses, Total	35,734		37,590		20,767
Income before equity in income of unconsolidated limited liability companies ("LLCs"), interest expense and gains, net	18,546		16,360		8,727
Equity in income of unconsolidated LLCs	2,095	[1],[2]	2,365	[1],[3]	3,058	[1],[3]
Gain on fair value recognition resulting from the purchase of minority interests in majority-owned LLCs, net	0		0		28,576
Gain on divestitures of properties owned by unconsolidated LLCs, net	0		8,520	[3],[4]	35,835	[3]
Interest expense, net	-7,472		-7,768		-2,402
Net income	$13,169	[5]	$19,477		$73,794
Basic earnings per share	$1.04	[5]	$1.54		$5.84
Diluted earnings per share	$1.04	[5]	$1.54		$5.83
Weighted average number of shares outstanding-Basic	12,689		12,661		12,644
Weighted average number of share equivalents	12		8		5
Weighted average number of shares and equivalents outstanding-Diluted	12,701		12,669		12,649
[1]	Our share of net income during 2013, 2012 and 2011, includes interest income earned by us on various advances made to LLCs of approximately $1.9 million, $1.5 million and $2.6 million, 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, 2103. Prior to July 1, 2013, the financial results of this entity were accounted for on a consolidated basis. Included in the 2013 amounts reflected on the table above are the financial results for Palmdale Medical Plaza for the six-month period of July 1, 2013 through December 31, 2013.
[3]	As mentioned above, beginning in the fourth quarter of 2011, eleven of our LLCs that were previously recorded on unconsolidated basis became wholly-owned by us and are included in our financial results on a consolidated basis. Additionally, during the fourth quarter of 2011, the first quarter of 2012 and the fourth quarter of 2012, eleven LLCs in which we previously owned various noncontrolling, majority ownership interests, completed divestitures of medical office buildings and related real property. Our share of the financial results of the divested entities were previously accounted for on an unconsolidated basis under the equity method.
[4]	During the first and fourth quarters of 2012, as previously discussed in Note 3, two LLCs in which we owned various noncontrolling, majority ownership interests, completed the divestitures of medical office buildings. As a result, the net income amounts presented for 2012 include amounts only up to the divested date for each of these two LLCs. In the aggregate, these divestitures resulted in an $8.5 million gain which is included in our consolidated statements of income for the year ended December 31, 2012.
[5]	We began reflecting the operating results 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 recorded on a consolidated basis. The revenues for the first and second quarters of 2013, as reflected above, include the revenue for Palmdale Medical Plaza. There was no material impact to our net income as a result of the deconsolidation of this property.

Consolidated_Statements_Change

Consolidated Statements Changes in Equity (USD $)	Total	Common stock	Capital in excess of par value	Cumulative net income	Accumulated other comprehensive loss	UHT Shareholders' Equity	Non-controlling Interests	Cumulative dividends
In Thousands, except Share data, unless otherwise specified
Beginning Balance at Dec. 31, 2010	$145,510	$127	$213,209	$373,604	'	$145,413	$97	($441,527)
Beginning Balance, Shares at Dec. 31, 2010	'	12,653,000	'	'	'	'	'	'
Shares of Beneficial Interest:	'	'	'	'	'	'	'	'
Issued (in shares)	'	14,000	'	'	'	'	'	'
Issued	238	'	238	'	'	238	'	'
Partial settlement of dividend equivalent rights	-162	'	-162	'	'	-162	'	'
Restricted stock-based compensation expense	269	'	269	'	'	269	'	'
Stock-based compensation expense	12	'	12	'	'	12	'	'
Dividends ($2.495/share) in 2013, ($2.46/share) in 2012 and ($2.425/share) in 2011	-30,703	'	'	'	'	-30,703	'	-30,703
Comprehensive income:	'	'	'	'	'	'	'	'
Net income	73,781	'	'	73,794	'	73,794	-13	'
Ending Balance at Dec. 31, 2011	188,945	127	213,566	447,398	'	188,861	84	-472,230
Ending Balance, Shares at Dec. 31, 2011	'	12,677,000	'	'	'	'	'	'
Shares of Beneficial Interest:	'	'	'	'	'	'	'	'
Issued (in shares)	'	22,000	'	'	'	'	'	'
Issued	305	'	305	'	'	305	'	'
Partial settlement of dividend equivalent rights	-106	'	-106	'	'	-106	'	'
Restricted stock-based compensation expense	329	'	329	'	'	329	'	'
Dividends ($2.495/share) in 2013, ($2.46/share) in 2012 and ($2.425/share) in 2011	-31,195	'	'	'	'	-31,195	'	-31,195
Comprehensive income:	'	'	'	'	'	'	'	'
Net income	19,467	'	'	19,477	'	19,477	-10	'
Ending Balance at Dec. 31, 2012	177,745	127	214,094	466,875	'	177,671	74	-503,425
Ending Balance, Shares at Dec. 31, 2012	'	12,689,000	'	'	'	'	'	'
Shares of Beneficial Interest:	'	'	'	'	'	'	'	'
Issued (in shares)	'	170,000	'	'	'	'	'	'
Issued	6,324	1	6,323	'	'	6,324	'	'
Partial settlement of dividend equivalent rights	-101	'	-101	'	'	-101	'	'
Restricted stock-based compensation expense	375	'	375	'	'	375	'	'
Dividends ($2.495/share) in 2013, ($2.46/share) in 2012 and ($2.425/share) in 2011	-31,751	'	'	'	'	-31,751	'	-31,751
Deconsolidation of LLC	-74	'	'	'	'	'	-74	'
Comprehensive income:	'	'	'	'	'	'	'	'
Net income	13,169	'	'	13,169	'	13,169	'	'
Unrealized loss on interest rate cap	-57	'	'	'	-57	-57	'	'
Subtotal-comprehensive income	13,112	'	'	13,169	-57	13,112	0	'
Ending Balance at Dec. 31, 2013	$165,630	$128	$220,691	$480,044	($57)	$165,630	$0	($535,176)
Ending Balance, Shares at Dec. 31, 2013	'	12,859,000	'	'	'	'	'	'

Consolidated_Statements_Change1

Consolidated Statements Changes in Equity (Parenthetical) (USD $)	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Dividend, per share	$2.50	$2.46	$2.42

Consolidated_Statements_of_Cas

Consolidated Statements of Cash Flows (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013		Dec. 31, 2012	Dec. 31, 2011
Cash flows from operating activities:	'		'	'
Net income	$13,169	[1]	$19,477	$73,794
Adjustments to reconcile net income to net cash provided by operating activities:	'		'	'
Depreciation and amortization	18,843		20,216	7,306
Amortization on debt premium	-433		-657	-96
Provision for asset impairment	0		0	5,354
Restricted stock-based compensation expense	375		329	281
Gain on purchase of minority interests in majority-owned LLCs before transaction costs	0		0	-28,877
Gains on divestiture of properties owned by unconsolidated LLCs before transaction costs	0		-8,520	-36,300
Changes in assets and liabilities:	'		'	'
Rent receivable	-746		-862	-455
Accrued expenses and other liabilities	523		278	221
Tenant reserves, escrows, deposits and prepaid rents	16		207	4
Accrued interest	-22		66	39
Other, net	-431		249	101
Net cash provided by operating activities	31,294		30,783	21,372
Cash flows from investing activities:	'		'	'
Investments in LLCs	-3,013		-2,973	-3,788
Repayments of advances made to LLCs	114		8,551	8,718
Advances made to LLCs	-4,580		-8,000	-11,541
Cash distributions in excess of income from LLCs	2,346		3,169	5,260
Cash distributions of refinancing proceeds from LLCs	0		0	2,111
Repayment of advance made to third-party partners	0		0	3,967
Additions to real estate investments	-3,415		-3,985	-776
Deposits on real estate assets	-150		100	-634
Net cash paid for acquisition of medical office buildings	-4,675		-16,891	-39,578
Payment of assumed liabilities on acquired properties	0		-711	-621
Cash paid to acquire minority interests in majority-owned LLCs	0		0	-4,408
Cash proceeds received from divestiture of property owned by unconsolidated LLCs, net	0		12,175	33,836
Increase in cash and cash equivalents due to recording of LLCs on a consolidated basis	0		0	4,170
Decrease in cash and cash equivalents due to deconsolidation of LLCs	-141		0	0
Net cash used in investing activities	-13,514		-8,565	-3,284
Cash flows from financing activities:	'		'	'
Net borrowings on line of credit	11,950		4,600	24,550
Proceeds from mortgages and other notes payable	11,150		14,000	0
Repayments of mortgages and other notes payable	-14,401		-18,084	-291
Financing costs paid, new Revolving Credit Facility	0		0	-1,064
Financing costs paid on mortgage and other notes payable	-95		-384	0
Dividends paid	-31,751		-31,195	-30,703
Partial settlement of dividends equivalent rights	-101		-106	-162
Issuance of shares of beneficial interest, net	5,757		350	244
Net cash used in financing activities	-17,491		-30,819	-7,426
Increase/(decrease) in cash and cash equivalents	289		-8,601	10,662
Cash and cash equivalents, beginning of period	3,048		11,649	987
Cash and cash equivalents, end of period	3,337		3,048	11,649
Supplemental disclosures of cash flow information:	'		'	'
Interest paid	7,517		7,994	2,216
Supplemental disclosures of non-cash transactions:	'		'	'
Debt assumed on acquisition of real estate	0		22,441	6,999
Consolidation (2011) and deconsolidation (2010) of LLCs	'		'	'
Supplemental disclosures of non-cash transactions:	'		'	'
Net real estate investments	11,597		0	133,080
Cash and cash equivalents	141		0	4,170
Intangible assets	0		0	20,890
Rent receivable-other	207		0	687
Other assets	135		0	2,944
Mortgage and note payable, non-recourse to us	-6,215		0	-76,111
Other liabilities	-368		0	-3,025
Third-party equity interests	-54		0	0
Gain on purchase of minority interests in majoriyt-owned LLCs	0		0	-28,877
Investment in LLCs	$5,443		$0	($53,758)
[1]	We began reflecting the operating results 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 recorded on a consolidated basis. The revenues for the first and second quarters of 2013, as reflected above, include the revenue for Palmdale Medical Plaza. There was no material impact to our net income as a result of the deconsolidation of this property.

Summary_of_Significant_Account

Summary of Significant Accounting Policies	12 Months Ended
	Dec. 31, 2013
Summary of Significant Accounting Policies	'
	-1		SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
	Nature of Operations
	Universal Health Realty Income Trust and subsidiaries (the “Trust”) is organized as a Maryland real estate investment trust. We invest in healthcare and human service related facilities including acute care hospitals, behavioral healthcare facilities, rehabilitation hospitals, sub-acute facilities, surgery centers, childcare centers and medical office buildings. As of February 28, 2014, we have fifty-eight real estate investments or commitments located in sixteen states consisting of:
		•		seven hospital facilities including three acute care, one behavioral healthcare, one rehabilitation and two sub-acute;
		•		forty-seven medical office buildings, including eleven owned by unconsolidated limited liability companies (“LLCs”), and;
		•		four preschool and childcare centers.
	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.
	Management is unable to predict the effect, if any, that the factors discussed above will have on the operating results of our lessees or on their ability to meet their obligations under the terms of their leases with us. Management’s estimate of future cash flows from our leased properties could be materially affected in the near term, if certain of the leases are not renewed or renewed with less favorable terms at the end of their lease terms.
	Revenue Recognition
	Our revenues consist primarily of rentals received from tenants, which are comprised of minimum rent (base rentals), bonus rentals and reimbursements from tenants for their pro-rata share of expenses such as common area maintenance costs, real estate taxes and utilities.
	The minimum rent for all hospital facilities is fixed over the initial term or renewal term of the respective leases. Rental income recorded by our consolidated and unconsolidated medical office buildings (“MOBs”) relating to leases in excess of one year in length is recognized 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 acquisitions 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. Bonus rents are recognized when earned based upon increases in each facility’s net revenue in excess of stipulated amounts. Bonus rentals are determined and paid each quarter based upon a computation that compares the respective facility’s current quarter’s net revenue to the corresponding quarter in the base year. Tenant reimbursements for operating expenses are accrued as revenue in the same period the related expenses are incurred.
	Real Estate Investments
	On the date of acquisition, the purchase price of a property is allocated to the property’s land, buildings and intangible assets based upon our estimates of their fair values. Intangible assets include the value of in-place leases, above market leases and leasehold interest in land at the time of acquisition. Substantially all of our intangible assets consist of the value of in-place leases at December 31, 2013, and will be amortized over the remaining lease terms (aggregate weighted average of 3.5 years) and will result in an estimated aggregate amortization expense of $4.6 million, $3.9 million, $3.4 million $2.9 million and $1.7 million for 2014, 2015, 2016, 2017 and 2018, respectively. Amortization expense on intangible values of in place leases was $6.0 million for the year ended December 31, 2013, $7.8 million for the year ended December 31, 2012 and $836,000 for the year ended December 31, 2011. Depreciation is computed using the straight-line method over the estimated useful lives of the buildings and capital improvements. The estimated original useful lives of our buildings ranges from 25-45 years and the estimated original useful lives of capital improvements ranges from 3-35 years. On a consolidated basis, depreciation expense was $12.5 million for the year ended December 31, 2013, $12.2 million for the year ended December 31, 2012 and $6.3 million for the year ended December 31, 2011.
	Cash and Cash Equivalents
	We consider all highly liquid investment instruments with original maturities of three months or less to be cash equivalents.
	Asset Impairment
	Real estate investments and related intangible assets are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of the property might not be recoverable. A property to be held and used is considered impaired only if management’s estimate of the aggregate future cash flows, less estimated capital expenditures, to be generated by the property, undiscounted and without interest charges, are less than the carrying value of the property. This estimate takes into consideration factors such as expected future operating income, trends and prospects, as well as the effects of demand, competition, local market conditions and other factors.
	The determination of undiscounted cash flows requires significant estimates by management, including the expected course of action at the balance sheet date that would lead to such cash flows. Subsequent changes in estimated undiscounted cash flows arising from changes in anticipated action to be taken with respect to the property could impact the determination of whether an impairment exists and whether the effects could materially impact our net income. To the extent estimated undiscounted cash flows are less than the carrying value of the property, the loss will be measured as the excess of the carrying amount of the property over the fair value of the property.
	Assessment of the recoverability by us of certain lease related costs must be made when we have reason to believe that a tenant might not be able to perform under the terms of the lease as originally expected. This requires us to make estimates as to the recoverability of such costs. If we determine that the intangible assets are not recoverable from future cash flows, the excess of carrying value of the intangible asset over its estimated fair value is charged to income.
	During the fourth quarter of 2011, we recorded an asset impairment charge of $5.4 million in connection with an MOB located on a medical campus in Atlanta, Georgia. The asset impairment charge was recorded after evaluation of property and location-specific factors including pressure on rental and occupancy rates caused, in part, by the impact of continued unfavorable economic conditions in the market as well as competitive pressures caused by increased capacity added to the market. The fair value of this property was determined based upon the present value of the expected future cash flows.
	An other than temporary impairment of an investment/advance in an LLC is recognized when the carrying value of the investment is not considered recoverable based on evaluation of the severity and duration of the decline in value, including projected declines in cash flow. To the extent impairment has occurred, the excess carrying value of the asset over its estimated fair value is charged to income.
	Investments in Limited Liability Companies (“LLCs”)
	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 the primary beneficiary. In accordance with the FASB’s 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 December 31, 2013, we have non-controlling equity investments or commitments in thirteen LLCs which own medical office buildings (including Palmdale Medical Properties, LLC and Sparks Medical Properties, LLC which, as discussed below, we purchased the minority ownership interests effective January 1, 2014 and now hold 100% of the ownership interests of these entities). As of December 31, 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 discussed below, 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 its inception in 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. The expiration of the master lease and related deconsolidation did not have a material impact on our net income and funds from operations during the second half of 2013.
	As a result of master lease arrangements between UHS and various LLCs in which we hold or held majority non-controlling ownership interests, we have consolidated or deconsolidated these LLCs as required in accordance with the FASB’s standards and guidance.
	Effective January 1, 2014, we purchased the third-party minority ownership interests in two LLCs (Palmdale Medical Properties and Sparks Medical Properties) in which we formerly held non-controlling majority ownership interest. As a result of our purchase of the minority ownership interests, we now hold 100% of the ownership interests in these LLCs which own MOBs and will begin accounting for them on a consolidated basis effective January 1, 2014. Each of the property’s assets and liabilities will be recorded at their fair values (see Note 3 to the consolidated financial statements for additional disclosure). We do not expect these transactions or the expected related aggregate gain (to be recorded during the first quarter of 2014) to have a material impact on our future results of operations.
	In addition, effective December 12, 2011, as a result of our purchases of third-party minority ownership interests in eleven LLCs in which we formerly held non-controlling majority ownership interests, we now hold 100% of the ownership interest in these LLCs which own MOBs and are accounted for on a consolidated basis, as discussed herein (see Notes 3 and 8 to the consolidated financial statements for additional disclosure).
	Federal Income Taxes
	No provision has been made for federal income tax purposes since we qualify as a real estate investment trust under Sections 856 to 860 of the Internal Revenue Code of 1986, and intend to continue to remain so qualified. As such, we are exempt from federal income taxes and we are required to distribute at least 90% of our real estate investment taxable income to our shareholders.
	We are subject to a federal excise tax computed on a calendar year basis. The excise tax equals 4% of the amount by which 85% of our ordinary income plus 95% of any capital gain income for the calendar year exceeds cash distributions during the calendar year, as defined. No provision for excise tax has been reflected in the financial statements as no tax was due.
	Earnings and profits, which determine the taxability of dividends to shareholders, will differ from net income reported for financial reporting purposes due to the differences for federal tax purposes in the cost basis of assets and in the estimated useful lives used to compute depreciation and the recording of provision for impairment losses.
	The aggregate gross cost basis and net book value of the properties for federal income tax purposes are approximately $382 million and $256 million, respectively, at December 31, 2013.
	Stock-Based Compensation
	We expense the grant-date fair value of stock options and restricted stock awards over the vesting period. We recognize the grant-date fair value of stock options and other equity-based compensation and account for these transactions using the fair-value based method. We use the Black-Scholes model as our option pricing model for determining the grant-date fair value of our stock options.
	The expense associated with share-based compensation arrangements is a non-cash charge. In the Consolidated Statements of Cash Flows, share-based compensation expense is an adjustment to reconcile net income to cash provided by operating activities.
	Fair Value
	Fair value is a market-based measurement, not an entity-specific measurement and determined based upon the assumptions that market participants would use in pricing the asset or liability. As a basis for considering market participant assumptions in fair value measurements, accounting requirements establish a fair value hierarchy that distinguishes between market participant assumptions based on market data obtained from sources independent of the reporting entity (observable inputs that are classified within Level 1 and 2 of the hierarchy) and the reporting entity’s own assumptions about market participant assumptions (unobservable inputs classified within Level 3 of the hierarchy). In instances when it is necessary to establish the fair value of our real estate investments and investments in LLCs we use unobservable inputs which are typically based on our own assumptions.
	The fair value of our real estate investments, components of real estate investments and debt assumed in conjunction with acquisition and impairment activity, are considered to be Level 3 valuations as they are primarily based upon an income capitalization approach. Significant inputs into the models used to determine fair value of real estate investments and components of real estate investments include future cash flow projections, holding period, terminal capitalization rate and discount rates. Additionally the fair value of land takes into consideration comparable sales, as adjusted for site specific factors. The fair value of real estate investments is based upon significant judgments made by management, and accordingly, we typically obtain assistance from third party valuation specialists. Significant inputs into the models used to determine the fair value of assumed mortgages included the outstanding balance, term, stated interest rate and current market rate of the mortgage.
	The carrying amounts reported in the balance sheet for cash, receivables, and short-term borrowings approximate their fair values due to the short-term nature of these instruments. Accordingly, these items are excluded from the fair value disclosures included elsewhere in these notes to the consolidated financial statements.
	See Note 3-Acquisitions and Dispositions, for disclosure related to the $28.6 million net gain recorded during 2011 in connection with the fair value recognition of the assets and liabilities, including third-party debt, resulting from the purchase of minority ownership interests in majority-owned LLCs.
	Use of Estimates
	The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.
	New Accounting Standards
	Except as noted below, there were no new accounting pronouncements during 2013 that impacted, or are expected to impact, us.
	In February, 2013, the Financial Accounting Standards Board issued an Accounting Standards Update on reporting of amounts reclassified out of accumulated other comprehensive income. This guidance, which is effective for fiscal years beginning after December 31, 2012, required companies to provide information about amounts reclassified out of accumulated other comprehensive income by component (the respective line items of the income statement). The adoption of this standard did not have a material impact on our consolidated financial position or results of operations.
	In July 2013, the Financial Accounting Standards Board (FASB) issued guidance allowing the use of the Fed Funds Effective Swap Rate (or Overnight Index Swap Rate) as a benchmark interest rate for hedge accounting purposes in addition to interest rates on direct Treasury obligations of the United States government and the LIBOR. In addition, the guidance removes the restriction on using different benchmark rates for similar hedges. The guidance became effective on a prospective basis for qualifying new or redesignated hedging relationships entered into on or after July 17, 2013, and did not have a material impact in the consolidated financial results.

Relationship_with_UHS_and_Rela

Relationship with UHS and Related Party Transactions	12 Months Ended
	Dec. 31, 2013
Relationship with UHS and Related Party Transactions	'
	-2		RELATIONSHIP WITH 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 accounted for approximately 41% of our total revenue for the five years ended December 31, 2013 (approximately 30% for each of the years ended December 31, 2013 and 2012, and 55% for the year ended December 31, 2011). The decrease during 2013 and 2012 as compared to 2011 is due primarily to the December, 2011 purchase of the third-party minority ownership interests in eleven LLCs in which we previously held noncontrolling majority ownership interests (we began recording the financial results of the entities in our financial statements on a consolidated basis at that time) and various acquisitions of medical office buildings (“MOBs”) and clinics completed during 2011 and the first quarter of 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 20% of the combined consolidated and unconsolidated revenue for the five years ended December 31, 2013 (approximately 22% for the year ended December 31, 2013, 21% for the year ended December 31, 2012 and 19% for the year ended December 31, 2011). 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		Renewal
				Minimum		Lease Term		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).
	Management cannot predict whether the leases with subsidiaries of UHS, which have renewal options at existing lease rates or fair market value lease rates, or any of our other leases, will be renewed at the end of their lease term. If the leases are not renewed at their current rates or the fair market value lease rates, we would be required to find other operators for those facilities and/or enter into leases on terms potentially less favorable to us than the current leases. The Bridgeway’s lease term is scheduled to end in December, 2014. We can provide no assurance that this lease will be renewed at the fair market value lease rate.
	As discussed above, Palmdale Medical Plaza, which is located in Palmdale, California, on the campus of a UHS hospital, had a master lease commitment by a wholly-owned subsidiary of UHS which expired on June 30, 2013. 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 LLC that owns this MOB was deemed to be a variable interest entity during the term of the master lease and was therefore 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.
	Effective January 1, 2014, we purchased the third-party minority ownership interests in two LLCs (Palmdale Medical Properties and Sparks Medical Properties) in which we formerly held non-controlling majority ownership interest. As a result of our purchase of the minority ownership interests, we now hold 100% of the ownership interests in these LLCs (which own MOBs) and will begin accounting for them on a consolidated basis effective January 1, 2014.
	We have funded $2.1 million in equity as of December 31, 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 $12.5 million, which is non-recourse to us, outstanding as of December 31, 2013. As this LLC is not considered to be a variable interest entity and does not meet the other criteria requiring consolidation of an investment, 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 2013, 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 2014 pursuant to the same terms as the Advisory Agreement in place during 2013. 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 2013 advisory fee, as compared to the 2012 advisory fee, was increased to 0.70% (from 0.65%) 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 2013, 2012 or 2011 since the incentive fee requirements were not achieved. Advisory fees incurred and paid (or payable) to UHS amounted to $2.4 million during 2013, $2.1 million during 2012 and $2.0 million during 2011 and were based upon average invested real estate assets of $338 million, $326 million and $309 million during 2013, 2012 and 2011, respectively.
	Officers and Employees:    Our officers are all employees of a wholly-owned subsidiary of UHS and although as of December 31, 2013 we had no salaried employees, our officers do typically receive annual stock-based compensation awards in the form of restricted stock. In special circumstances, if warranted and deemed appropriate by the Compensation Committee of the Board of Trustees, our officers may also receive one-time special compensation awards in the form of restricted stock and/or cash bonuses.
	Share Ownership:    As of December 31, 2013 and 2012, UHS owned 6.1% and 6.2%, respectively, 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 for each of the years ended December 31, 2013 and 2012, and 55% of our consolidated revenues for the year ended December 31, 2011, 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.

Acquisitions_and_Dispositions

Acquisitions and Dispositions

12 Months Ended

Dec. 31, 2013

Acquisitions and Dispositions

'

-3

ACQUISITIONS AND DISPOSITIONS

2014:00:00

Acquisitions:

In January, 2014, we purchased the following in a single transaction:

•

The Children’s Clinic at Springdale – a 9,800 square foot, single-tenant medical office building located in Springdale, Arkansas, and;

•

The Northwest Medical Center at Sugar Creek – a 16,700 square foot, multi-tenant medical office building located in Bentonville, Arkansas.

The aggregate purchase price for these MOBs was approximately $7.2 million. The net tangible and intangible property preliminary asset allocation of the total purchase price will be recorded during the first quarter of 2014, subject to a third-party fair market valuation.

Additionally, effective January 1, 2014, we purchased the minority ownership interests held by third-party members in two LLCs in which we previously held noncontrolling majority ownership interests (Palmdale Medical Properties and Sparks Medical Properties). As a result of these minority ownership purchases, we now own 100% of each of these LLCs and will begin accounting for each on a consolidated basis effective January 1, 2014. The aggregate cash payment made by us during the first quarter of 2014 in connection with the purchase of these minority ownership interests was approximately $170,000. Each of the property’s assets and liabilities will be recorded at their estimated fair values during the first quarter of 2014. We do not expect these transactions, or the expected related aggregate gain (to be recorded during the first quarter of 2014), to have a material impact on our future results of operations.

2013:00:00

Acquisition:

In August, 2013, we purchased the Ward Eagle Office Village located in Farmington Hills, Michigan. This multi-tenant MOB, which was purchased for approximately $4.1 million, consists of approximately 16,300 rentable square feet.

In June, 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.

The aggregate purchase price of approximately $4.7 million for these MOBs was allocated to the assets and liabilities acquired consisting of tangible property and identifiable intangible assets, based on their respective fair values at acquisition, as detailed in the table below. Substantially all of the intangible assets include the value of the in-place leases at Ward Eagle Office Village at the time of acquisition which will be amortized over the average remaining lease term of approximately 9.8 years.

Land

$

316

Buildings and improvements

3,749

Intangible assets

610

Other assets

21

Liabilities (real property and operating)

(11

)

Net cash paid

$

4,685

The Ward Eagle Office Village acquisition was valued utilizing the income capitalization approach. The calculated fair value, utilizing the income capitalization approach, is based upon the basis of capitalization of the net estimated earnings expectancy of the property, assuming continued use similar to the existing use of the acquired property’s continued cash flow analysis were also utilized in estimating the fair value of the property, whereby cash flows from the various tenants are calculated based upon lease commencement and termination dates.

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 2013.

2012:00:00

Acquisitions and New Construction:

In January and December, 2012, we purchased the:

•

PeaceHealth Medical Clinic (as part of a planned like-kind exchange transaction pursuant to Section 1031 of the Internal Revenue Code) – a 99,000 square foot, single tenant medical office building located in Bellingham, Washington, which was acquired in January, 2012 for $30.4 million; the weighted average remaining lease term on the date of acquisition was approximately ten years, and;

•

Northwest Texas Professional Office Tower – a 72,000 square foot, multi-tenant medical office building located in Amarillo, Texas, which was acquired in December, 2012 for $9.6 million; the weighted average remaining lease term at the date of acquisition was 5.1 years.

The aggregate purchase price of $40.0 million for these MOBs was allocated to the assets and liabilities acquired consisting of tangible property and identified intangible assets, based on their respective fair values at acquisition, as detailed in the table below. Substantially all of the intangible assets include the value of the in-place leases at the time of acquisition which are being amortized over the then average remaining lease term of approximately 7.0 years (aggregate weighted average of 4.9 years at December 31, 2013).

Land

$

1,900

Buildings and improvements

32,090

Intangible assets

6,020

Other assets

799

Liabilities (real property and operating)

(144

)

Deposit paid in 2011

(534

)

Debt (including fair value adjustment of $799)

(23,240

)

Net cash paid

$

16,891

The 2012 acquisitions were both valued utilizing the income capitalization approach as well as the sales comparison approach for valuing the land at the PeaceHealth Medical Clinic. The calculated fair values, utilizing the income capitalization approach, are based upon the basis of capitalization of the net estimated earnings expectancy of the properties, assuming continued use similar to the existing use of the acquired property’s continued cash flow analysis were also utilized in estimating the fair values of the properties, whereby cash flows from the various tenants are calculated based upon lease commencement and termination dates.

The following table summarizes significant unobservable quantitative inputs and assumptions used for the 2012 acquired properties categorized in Level 3 of the fair value hierarchy:

Assets(b.)

Fair Value at

Valuation Technique

Unobservable inputs

Range

December 31, 2012

PeaceHealth Medical Clinic (a.)(c.)

$

30,400,000

Income Capitalization Approach

Capitalization Rate

7.5

%

Discount Rate

8.5

%

Northwest Texas Professional Office Tower

$

9,600,000

Income Capitalization Approach

Capitalization Rate

8.6

%

Discount Rate

9.5

%

(a.)

The fair value of the land was estimated based upon the sales comparison approach.

(b.)

Based upon preliminary appraisals.

(c.)

Debt is recorded at its current estimated fair value based upon significant inputs including outstanding loan balance, term, stated interest rate and current market rate of the mortgage.

For these MOBs acquired during 2012, we recorded aggregate revenue of $2.7 million and net income of approximately $232,000 (excluding transaction expenses of $680,000) during 2012.

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 year ended December 31, 2012.

In October, 2012, 575 Hardy Investors, a LLC in which we owned a 90% non-controlling ownership interest, completed the divestiture of the Centinela Medical Building Complex. Including the repayment to us of a previously provided $8.0 million member loan, the divestiture by this LLC generated approximately $12.2 million of cash proceeds to us, net of closing costs and minority members’ share of the proceeds. This divestiture resulted in a gain of approximately $1.1 million, which is included in our consolidated statement of income for the year ended December 31, 2012.

Assuming the 2012 acquisitions and divestitures, as well as the 2011 acquisitions and divestitures as discussed below, occurred on January 1, 2011, our pro forma net revenues for the year ended December 31, 2011 would have been approximately $54.0 million, and our pro forma net income for the year ended December 31, 2011 would have been approximately $4.1 million, or $0.32 per diluted share, without giving effect to the gains and transaction costs recorded during 2011. Our 2011 reported (and pro forma) net income included a provision for asset impairment of $5.4 million, or $0.42 per diluted share, as discussed herein. Assuming the 2012 acquisitions and divestitures occurred on January 1, 2012, our pro forma net revenues and net income for the year ended December 31, 2012 would have been approximately $55.4 million and $11.6 million, or $.92 per diluted share, respectively, without giving effect to the gains and transaction costs recorded during 2012.

2011:00:00

Acquisitions:

In June, July and December, 2011, utilizing a qualified third-party intermediary in connection with planned like-kind exchange transactions pursuant to Section 1031 of the Internal Revenue Code, we purchased the:

•

Lake Pointe Medical Arts Building—a 50,974 square foot, multi-tenant, medical office building located in Rowlett, Texas, which was acquired in June, 2011, for $12.2 million; the weighted average remaining lease term at the date of acquisition was 6.5 years;

•

Forney Medical Plaza—a 50,946 square foot, multi-tenant medical office building located in Forney, Texas, which was acquired in July, 2011, for $15.0 million; the weighted average remaining lease term at the date of acquisition was 6.2 years;

•

Tuscan Professional Building—a 53,000 square foot, multi-tenant medical office building located in Irving, Texas, which was acquired in December, 2011, for $15.5 million, including the assumption of $7.0 million of third-party financing; the weighted average remaining lease term at the date of acquisition was 4.3 years, and;

•

Emory at Dunwoody Building—a 50,344 square foot single-tenant medical office building located in Atlanta, Georgia, which was acquired in December, 2011, for $5.1 million; the weighted average remaining lease term at the date of acquisition was 13.5 years.

The aggregate purchase price of $47.8 million for these MOBs was allocated to the assets acquired consisting of tangible property ($40.9 million) and identified intangible assets ($6.9 million), based on their respective fair values at acquisition, as detailed in the table below. Intangible assets include the value of the in-place leases at the time of acquisition.

Land

$

3,892

Buildings and improvements

36,940

Intangible assets

6,943

Other assets

31

Total purchase price

47,806

Liabilities (real property and operating)

(1,229

)

Debt

(6,999

)

Net cash paid

$

39,578

For these MOBs acquired during 2011, we recorded aggregate revenue of $1.8 million during 2011 and aggregate net income of approximately $474,000 (excluding transaction expenses).

In addition, on December 12, 2011, the Trust purchased the minority ownership interests held by third-party members in eleven LLCs in which we previously held noncontrolling majority ownership interests. As a result of these minority ownership purchases, the Trust and our subsidiaries now own 100% of each of these LLCs. The aggregate cash expenditure made by us in connection with the purchase of these membership interests in the various LLCs, including closing costs, was approximately $4.4 million. As a result of these transactions, current accounting standards required that the Trust record each property’s assets and liabilities at their fair values and record a non-cash gain or loss for the difference between the fair values and the equity method carrying value of each investment. The aggregate fair values of these MOBs was allocated to the assets acquired consisting of tangible property ($133.1 million) and identified intangible assets ($20.9 million). As a result of the purchase of these minority interests, we recorded aggregate revenue of $18.3 million during 2012 and $991,000 during 2011. There was no material impact on our net income, other than the gain, as a result of the consolidation of these LLCs subsequent to this transaction.

In the aggregate, the purchase of these membership interests resulted in a $28.6 million gain (net of related transaction costs totaling approximately $300,000) on the fair value recognition resulting from the purchase of minority interests in majority-owned LLCs which is included in our consolidated statements of income for the year ended December 31, 2011. The table below reflects each of the LLCs in which we purchased the minority ownership interests, the location and property owned by the LLC, our previous noncontrolling, majority ownership interest and the noncontrolling, minority ownership interests purchased by us.

Name of LLC:

Property owned by LLC:

City

State

Trust’s

Minority

previous

ownership

ownership

%

%

purchased

653 Town Center Investments

Summerlin Hospital MOB I(1)

Las Vegas

NV

95

%

5

%

653 Town Center Phase II

Summerlin Hospital MOB II(1)

Las Vegas

NV

98

%

2

%

Auburn Medical Properties II

Auburn Medical Office Building II(1)

Auburn

WA

95

%

5

%

ApaMed Properties

Apache Junction Medical Plaza

Apache J.

AZ

85

%

15

%

Banburry Medical Properties

Summerlin Hospital MOB III(1)

Las Vegas

NV

95

%

5

%

BRB/E Building One

BRB Medical Office Building

Kingwood

TX

95

%

5

%

Centennial Medical Properties

Centennial Hills Medical Office Bldg. I(1)

Las Vegas

NV

95

%

5

%

DesMed

Desert Springs Medical Plaza(1)

Las Vegas

NV

99

%

1

%

Gold Shadow Properties

700 Shadow Lane & Goldring MOBs(1)

Las Vegas

NV

98

%

2

%

Spring Valley Medical Properties

Spring Valley Medical Office Building

Las Vegas

NV

95

%

5

%

Spring Valley Medical Properties II

Spring Valley Medical Office Building II

Las Vegas

NV

95

%

5

%

-1

Tenants of this medical office building include subsidiaries of UHS.

Divestitures:

On November 30, 2011 and December 16, 2011, eight LLCs in which we owned various noncontrolling, majority ownership interests, completed the divestitures of medical office buildings and related real property. As partial consideration for the transaction, the buyer assumed certain existing third-party mortgage debt related to the properties. For certain of the LLCs, the sale of the medical office buildings were part of a series of planned like-kind exchange transaction pursuant to Section 1031 of the Internal Revenue Code. The divestiture by the eight LLCs generated approximately $33.8 million of aggregate cash proceeds (a portion of which were sent to qualified third-party intermediaries), net of closing costs and the minority members’ share of the proceeds. In the aggregate, these transactions also resulted in a $35.8 million gain (net of related transaction costs of approximately $500,000) on divestiture which is included in our consolidated statements of income for the year ended December 31, 2011. The following table represents each of the eight LLCs that was a selling party, the location and property owned by the LLC and our former noncontrolling, majority ownership interest:

Name of LLC:

Property owned by LLC:

City

State

Trust’s

Former

Ownership

%

Cobre Properties

Cobre Valley Medical Plaza

Globe

AZ

95

%

Deerval Properties

Deer Valley Medical Office II

Phoenix

AZ

90

%

Deerval Properties II

Deer Valley Medical Office III

Phoenix

AZ

95

%

Deerval Parking Company(a)

Deer Valley Parking Garage

Phoenix

AZ

93

%

DSMB Properties

Desert Samaritan Hospital MOBs

Mesa

AZ

76

%

Litchvan Investments

Papago Medical Park

Phoenix

AZ

89

%

Paseo Medical Properties II

Thunderbird Paseo Medical Plaza I & II

Glendale

AZ

75

%

Willetta Medical Properties(b)

Edwards Medical Plaza

Phoenix

AZ

90

%

(a)

Deerval Parking Company, LLC, which owned the real property of a parking garage located near Deer Valley Medical Office Buildings I & II, was 50% owned by each of Deerval Properties and Deerval Properties II.

(b)

The membership interest of this entity was held by a master LLC in which the Trust held a 90% noncontrolling ownership interest.

Assuming these 2011 acquisitions and divestitures occurred on January 1, 2011, our 2011 pro forma net revenues would have been approximately $49.8 million and our pro forma net income would have been approximately $4.6 million, or $0.37 per diluted share, without giving effect to the gains and transaction costs recorded during 2011. Our 2011 reported (and pro forma) net income included a provision for asset impairment of $5.4 million, or $0.42 per diluted share, as discussed herein.

As of December 31, 2013, our net intangible assets total $20.8 million (net of $13.7 million accumulated amortization) and substantially all of the amount is related to acquired, in-place leases which have a weighted average remaining amortization period of 3.5 years.

Leases

Leases	12 Months Ended
	Dec. 31, 2013
Leases	'
	(4) LEASES
	All of our leases are classified as operating leases with initial terms typically ranging from 3 to 15 years with up to five additional, five-year renewal options. Under the terms of the leases, we earn fixed monthly base rents and pursuant to the leases with subsidiaries of UHS, we may earn periodic bonus rents (see Note 1). The bonus rents from the subsidiaries of UHS, which are based upon each facility’s net revenue in excess of base amounts, are computed and paid on a quarterly basis based upon a computation that compares current quarter revenue to the corresponding quarter in the base year.
	Minimum future base rents from non-cancelable leases, excluding increases resulting from changes in the consumer price index, bonus rents and the impact of straight line rent, are as follows (amounts in thousands):
	2014	$	42,692
	2015		39,631
	2016		36,769
	2017		21,519
	2018		18,860
	Thereafter		46,589
	Total minimum base rents		$206,060
	Some of the leases contain gross terms where operating expenses are included in the base rent amounts. Other leases contain net terms where the operating expenses are assessed separately from the base rentals. The table above contains a mixture of both gross and net leases, and does not include any separately calculated operating expense reimbursements. Under the terms of the hospital leases, the lessees are required to pay all operating costs of the properties including property insurance and real estate taxes. Tenants of the medical office buildings generally are required to pay their pro-rata share of the property’s operating costs.

Debt

Debt	12 Months Ended
	Dec. 31, 2013
Debt	'
	-5		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 December 31, 2013, the applicable margin over the LIBOR rate was 2.00%, the margin over the Base Rate was 1.00%, and the commitment fee was 0.35%.
	At December 31, 2013, we had $93.7 million of outstanding borrowings and $8.7 million of letters of credit outstanding against our revolving credit agreement. We had $47.6 million of available borrowing capacity, net of the outstanding borrowings and letters of credit outstanding as of December 31, 2013. There are no compensating balance requirements. The average amounts outstanding under our revolving credit agreement were $86.3 million in 2013, $75.4 million in 2012 and $67.8 million in 2011 with corresponding effective interest rates, including commitment fees, of 2.2% in 2013, 2.4% in 2012 and 1.8% in 2011. The carrying amount and fair value of borrowings outstanding pursuant to the Credit Agreement was $93.7 million at December 31, 2013.
	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 December 31, 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			December 31,
						2013
	Tangible net worth		$	125,000		$	144,848
	Debt to total capital			< 55	%		36	%
	Debt service coverage ratio			> 4.00x			19.1x
	Debt to cash flow ratio			< 3.50x			2.21x
	We have twelve mortgages, all of which are non-recourse to us, included on our consolidated balance sheet as of December 31, 2013, with a combined outstanding balance of $105.5 million (excluding net debt premium, resulting from fair value recognition of third-party debt of $834,000 at December 31, 2013). The following table summarizes our outstanding mortgages, excluding net debt premium, at December 31, 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 (b)		$	9,188			6.55	%		2014
	Spring Valley Medical Office Building fixed rate mortgage loan			5,122			5.5	%		2015
	Summerlin Hospital Medical Office Building III floating rate mortgage loan			11,347			3.42	%		2016
	Peace Health fixed rate mortgage loan			21,681			5.64	%		2017
	Summerlin Hospital Medical Office Building II fixed rate mortgage loan			12,021			5.5	%		2017
	Auburn Medical II floating rate mortgage loan			7,406			2.92	%		2017
	Medical Center of Western Connecticut fixed rate mortgage loan			4,899			6	%		2017
	Centennial Hills Medical Office Building floating rate mortgage loan			10,938			3.42	%		2018
	Vibra Hospital of Corpus Christi fixed rate mortgage loan			2,983			6.5	%		2019
	BRB Medical Office Building fixed rate mortgage loan			6,840			4.27	%		2022
	700 Shadow Lane and Goldring MOBs fixed rate mortgage loan			6,766			4.54	%		2022
	Tuscan Professional Building fixed rate mortgage loan			6,262			5.56	%		2025
	Total		$	105,453
	(a)	Amortized principal payments are made on a monthly basis.
	(b)	In the event we are unable to refinance this loan on acceptable terms upon its scheduled maturity, we will explore other financing alternatives including potentially utilizing funds borrowed under our revolving credit facility to repay all or a portion of the loan.
	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 $106.4 million as of December 31, 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.
	As of December 31, 2013, our aggregate consolidated scheduled debt repayments (including mortgages) are as follows (amounts in thousands):
	2014		$	11,894
	2015(a)			101,245
	2016			13,098
	2017			43,914
	2018			10,672
	Later			18,330
	Total		$	199,153
	(a)	Includes repayment of $93.7 million of outstanding borrowings under the terms of our $150 million revolving credit agreement.

Dividends_and_Equity_Issuance_

Dividends and Equity Issuance Program	12 Months Ended
	Mar. 05, 2014
Dividends and Equity Issuance Program	'
	-6	DIVIDENDS AND EQUITY ISSUANCE PROGRAM
	Dividends of $2.495 per share were declared and paid in 2013, of which $1.96 per share was ordinary income and $.535 per share was a return of capital distribution. Dividends of $2.46 per share were declared and paid in 2012, of which $1.294 per share was ordinary income and $1.166 per share was total capital gain (total capital gain amount consists of Unrecaptured Section 1250 gain of $.281 per share and 15% rate gain of $.885 per share). Dividends of $2.425 per share were declared and paid in 2011, of which $1.234 per share was ordinary income and $1.191 per share was total capital gain (total capital gain amount consists of Unrecaptured Section 1250 gain of $.716 per share and 15% rate gain of $.475 per share).
	During the fourth quarter of 2013, we entered into an ATM Equity Offering Sales Agreement (“Sales Agreement”) with Merrill Lynch, Pierce, Fenner and Smith Incorporated (“Merrill Lynch”), under which we may offer and sell our common shares of beneficial interest, up to an aggregate sales price of $50 million. The common shares will be offered pursuant to the Registration Statement filed with the Securities and Exchange Commission, which became effective in November, 2012, under which we can offer up to $50 million of our securities pursuant to supplemental prospectuses which we may file from time to time.
	Pursuant to this ATM Program, we issued 154,713 shares at an average price of $41.71 per share during the three-month period ended December 31, 2013, which generated approximately $6.0 million of net cash proceeds, (net of approximately $424,000 consisting of compensation of approximately $161,000 to Merrill Lynch as well as approximately $263,000 of other various fees and expenses), which includes approximately $592,000 of net proceeds receivable at December 31, 2013, which were received by us in January, 2014. The net proceeds receivable is a non-cash item, as presented on the Consolidated Statements of Cash Flows at December 31, 2013.

Incentive_Plans

Incentive Plans	12 Months Ended
	Dec. 31, 2013
Incentive Plans	'
	-7	INCENTIVE PLANS
	We expense the grant-date fair value of stock options and restricted stock awards under the straight-line method over the stated vesting period of the award. We use the Black-Scholes option pricing model for determining the grant-date fair value of our stock options. All of our outstanding stock options have been fully expensed as of December 31, 2011.
	During 2007, upon the expiration of our 1997 Incentive Plan, as discussed below, our Board of Trustees and shareholders approved the Universal Health Realty Income Trust 2007 Restricted Stock Plan (the “2007 Plan”). A total of 75,000 shares were authorized for issuance under this plan and a total of 47,975 shares, net of cancellations, have been issued pursuant to the terms of this plan, 28,870 of which have vested as of December 31, 2013. At December 31, 2013 there are 27,025 shares remaining for issuance under the terms of the 2007 Plan.
	During 2013, there were 8,730 restricted Shares of Beneficial Interest, net of cancellations, issued to the Trustees and officers of the Trust pursuant to the 2007 Plan at a weighted average grant price of $43.54 per share ($380,104 in the aggregate). These restricted shares are scheduled to vest in June of 2015 (the second anniversary of the date of grant).
	During 2012, there were 10,375 restricted Shares of Beneficial Interest, net of cancellations, issued to the Trustees and officers of the Trust pursuant to the 2007 Plan at a weighted average grant price of $39.05 per share ($405,144 in the aggregate). These restricted shares are scheduled to vest in June of 2014 (the second anniversary of the date of grant). Included the restricted stock issuances during 2012 were one-time special compensation awards made to our executive officers in recognition of their efforts and contributions in connection with various acquisitions, divestitures and purchases of third-party minority interests in certain majority-owned LLCs as completed at various times during 2011 and the first quarter of 2012.
	During 2011, there were 7,395 restricted Shares of Beneficial Interest, net of cancellations, issued to the Trustees and officers of the Trust pursuant to the 2007 Plan at a weighted average grant price of $41.90 per share ($309,850 in the aggregate). These restricted shares vested during 2013.
	In connection with these grants, we recorded compensation expense of approximately $375,000, $329,000 and $216,000 during 2013, 2012 and 2011, respectively. The remaining expenses associated with these grants is approximately $354,000 and will be recorded over the remaining weighted average vesting period for outstanding restricted Shares of Beneficial Interest of approximately one year at December 31, 2013.
	Prior to its expiration in 2007, the Universal Health Realty Income Trust 1997 Incentive Plan (the “1997 Plan”) provided for the granting of stock options and dividend equivalents rights (“DERs”) to employees of the Trust, including officers and trustees. Awards granted pursuant to the 1997 Plan prior to its termination date remain exercisable, in accordance with the terms of the outstanding agreements. All stock options were granted with an exercise price equal to the fair market value on the date of the grant. The options granted vested ratably at 25% per year beginning one year after the date of grant, and expire in ten years. DERs on outstanding awards are earned in amounts equal to the cash or stock dividends declared subsequent to the date of grant. We recorded expenses relating to the dividend equivalent rights of approximately $19,000 in 2013 and $18,000 in each of 2012 and 2011. As of December 31, 2013, there were 40,000 options outstanding and exercisable under the 1997 Plan with an average exercise price of $35.65 per share.
	There were no compensation costs recognized during 2013 and 2012, and $12,000 of compensation costs during 2011, related to outstanding stock options and DERs that were granted or have vestings after January 1, 2006. As of December 31, 2011, all of the outstanding stock options and DERs were fully vested and fully expensed. The outstanding stock options have a remaining weighted average life of 2.5 years at December 31, 2013.
	During the fourth quarter of 2008, the Board of Trustees of the Trust approved amendments to the outstanding stock option agreements made pursuant to the 1997 Plan. These original agreements provided for the deferred payment of dividend equivalents on shares covered by the options, with payment tied to the date the options were exercised or expire. In order to meet certain recent changes to tax law requirements, the agreements, as amended, provide for the current payment of dividend equivalents in the years in which dividends are declared and paid or, if later, when the related options become vested. Dividend equivalent rights with respect to 40,000 shares were outstanding at December 31, 2013. Dividend equivalent rights with respect to 43,000 shares were outstanding at December 31, 2012. Dividend equivalent rights with respect to 51,000 shares were outstanding at December 31, 2011. In December of 2013, 2012 and 2011, dividend equivalent rights which were vested and accrued as of each respective date, were paid to officers and Trustees of the Trust amounting to $106,000, $116,000 and $178,000, respectively.
	Stock options to purchase shares of beneficial interest have been granted to eligible individuals, including our officers and trustees. Information with respect to these options, before adjustment to the option price to give effect to the dividend equivalent rights, is summarized as follows:
	Outstanding Options	Number		Exercise		Grant Price Range
		of Shares		Weighted-		(High-Low)
				Average Price
	Balance, January 1, 2011		51,000	$	33.89	$	36.53/$26.09
	Exercised		—		—		—
	Balance, January 1, 2012		51,000	$	33.89	$	36.53/$26.09
	Exercised		8,000		26.76	$	27.65/$26.09
	Balance, January 1, 2013		43,000	$	35.22	$	36.53/$29.44
	Exercised		3,000		29.44	$	29.44/$29.44
	Outstanding options vested and exercisable as of December 31, 2013		40,000	$	35.65	$	36.53/$30.06
	During 2013, there were 3,000 stock options exercised with a total in-the-money value of $46,290. During 2012, there were 8,000 stock options exercised with a total in-the-money value of $148,930. There were no stock options exercised during 2011.
	There were no unvested options as of December 31, 2013.
	The following table provides information about options outstanding and exercisable options at December 31, 2013:
		Options
		Outstanding
		and Exercisable
	Number		40,000
	Weighted average exercise price	$	35.65
	Aggregate intrinsic value	$	176,240
	Weighted average remaining contractual life		2.5
	The weighted average remaining contractual life and weighted average exercise price for options outstanding and the weighted average exercise prices per share for exercisable options at December 31, 2013 were as follows:
		Options Outstanding and
		Exercisable
	Exercise Price	Shares		Weighted		Weighted
				Average		Average
				Exercise		Remaining
				Price Per		Contractual
				Share		Life (in
						Years)
	$30.06 -$34.07		4,000	$	33.07		1
	$34.90 -$34.90		13,000		34.9		1.7
	$36.53 -$36.53		23,000		36.53		3.2
	Total		40,000	$	35.65		2.5

Summarized_Financial_Informati

Summarized Financial Information of Equity Affiliates	12 Months Ended
	Dec. 31, 2013
Summarized Financial Information of Equity Affiliates	'
	-8		SUMMARIZED FINANCIAL INFORMATION OF EQUITY AFFILIATES
	As of December 31, 2013, we have non-controlling equity investments or commitments in thirteen LLCs which own medical office buildings. As of December 31, 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.
	Additionally, we have 100% ownership interests in eleven LLCs as of December 31, 2013 that were accounted for under the equity method through December 11, 2011 as previously disclosed. These eleven LLCs were subsequently consolidated into the results of operations effective December 12, 2011.
	The following property table represents the thirteen LLCs which were accounted for under the equity method as of December 31, 2013:
	Name of LLC/LP		Ownership			Property Owned by LLC
	DVMC Properties(g.)			90	%	Desert Valley Medical Center
	Suburban Properties			33	%	Suburban Medical Plaza II
	Santa Fe Scottsdale			90	%	Santa Fe Professional Plaza
	Brunswick Associates(g.)			74	%	Mid Coast Hospital MOB
	PCH Medical Properties(g.)			85	%	Rosenberg Children’s Medical Plaza
	Arlington Medical Properties(b.)(g.)			75	%	Saint Mary’s Professional Office Building
	Sierra Medical Properties			95	%	Sierra San Antonio Medical Plaza
	PCH Southern Properties(g.)			95	%	Phoenix Children’s East Valley Care Center
	Sparks Medical Properties(a.)(f.)(g.)			95	%	Vista Medical Terrace & The Sparks Medical Building
	Grayson Properties(a.)(c.)(g.)			95	%	Texoma Medical Plaza
	3811 Bell Medical Properties			95	%	North Valley Medical Plaza
	FTX MOB Phase II(d.)(g.)			95	%	Forney Medical Plaza II
	Palmdale Medical Properties(a.)(e.)(f.)(g)			95	%	Palmdale Medical Plaza
	(a.)	Tenants of this medical office building include or will include subsidiaries of UHS.
	(b.)	We have committed to invest up to $6.3 million in equity and debt financing, of which $5.2 million has been funded as of December 31, 2013, in exchange for a 75% non-controlling equity interest in an LLC that owns and operates the Saint Mary’s Professional Office Building.
	(c.)	We have committed to invest up to $4.4 million in equity and debt financing, of which $2.1 million has been funded as of December 31, 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 was completed and opened in April, 2013. We have committed to invest up to $2.5 million in equity and debt financing, $1.1 million of which has been funded as of December 31, 2013.
	(e.)	We began to account for this LLC on an unconsolidated basis pursuant to the equity method as of July 1, 2013, as discussed above.
	(f.)	Effective January 1, 2014, we purchased the third-party minority ownership interest (5%) in this LLC. As a result of our purchase of the minority ownership interest, as of January 1, 2014 we hold 100% of the ownership interest in this LLC and will begin accounting for it on a consolidated basis effective January 1, 2014.
	(g.)	As disclosed below, as of December 31, 2013, this LLC has a third-party loan outstanding, which is non-recourse to us.
	On December 12, 2011, the Trust purchased the minority ownership interests held by third-party members in eleven LLCs in which we previously held noncontrolling majority ownership interests. As a result of these minority ownership purchases, the Trust and our subsidiaries now own 100% of each of these LLCs. The aggregate cash expenditure made by us in connection with the purchase of these membership interests in the various LLCs, including closing costs, was approximately $4.4 million. As a result of these transactions, accounting standards required that we record each property’s assets and liabilities at their fair values and record a non-cash gain or loss for the difference between the fair values and the equity method carrying value of each investment. In the aggregate, the purchase of these membership interests resulted in a $28.6 million gain on fair value recognition resulting from the purchase of the minority interests which is included in our consolidated statements of income for the year ended December 31, 2011. On December 12, 2011, we began consolidating the financial data of these eleven LLCs in our consolidated financial statements. The following property table represents these eleven LLCs (the summarized financial data for these eleven LLCs through December 11, 2011, are included in the financial tables below, which summarize the combined statements of income and combined balance sheets for the LLCs accounted for under the equity method):
	Name of LLC		Previous			Property Owned by LLC
			Ownership
	653 Town Center Investments(a.)			95	%	Summerlin Hospital Medical Office Building I
	653 Town Center Phase II(a.)			98	%	Summerlin Hospital Medical Office Building II
	ApaMed Properties			85	%	Apache Junction Medical Plaza
	Auburn Medical Properties II(a.)			95	%	Auburn Medical Office Building II
	Banburry Medical Properties(a.)			95	%	Summerlin Hospital Medical Office Building III
	BRB/E Building One			95	%	BRB Medical Office Building
	Centennial Medical Properties(a.)			95	%	Centennial Hills Medical Office Building I
	DesMed(a.)			99	%	Desert Springs Medical Plaza
	Gold Shadow Properties(a.)			98	%	700 Shadow Lane & Goldring Medical Office Buildings
	Spring Valley Medical Properties			95	%	Spring Valley Medical Office Building
	Spring Valley Medical Properties II			95	%	Spring Valley Hospital Medical Office Building II
	(a.)	Tenants of this medical office building include or will include subsidiaries of UHS.
	On November 30, 2011 and December 16, 2011, eight LLCs in which we owned various noncontrolling, majority ownership interests, completed the divestitures of medical office buildings and related real property. As partial consideration for the transaction, the buyer assumed certain existing third-party mortgage debt related to the properties. For certain of the LLCs, the sale of the medical office buildings were part of a series of planned like-kind exchange transaction pursuant to Section 1031 of the Internal Revenue Code. The divestiture by the eight LLCs generated approximately $33.8 million of aggregate cash proceeds (a portion of which were sent to qualified third-party intermediaries), net of closing costs and the minority members’ share of the proceeds. In the aggregate, these transactions also resulted in a $35.8 million gain on divestiture which is included in our consolidated statements of income for the year ended December 31, 2011. The following property table represents the eight LLCs that divested medical office buildings on November 30, 2011 and December 16, 2011 (the summarized financial data for these eight LLCs through the date of divestiture are included in the financial tables below, which summarize the combined statements of income and combined balance sheets for the LLCs accounted for under the equity method):
	Name of LLC		Ownership			Property Owned by LLC
	DSMB Properties			76	%	Desert Samaritan Hospital MOBs
	Litchvan Investments			89	%	Papago Medical Park
	Paseo Medical Properties II			75	%	Thunderbird Paseo Medical Plaza I & II
	Willetta Medical Properties			90	%	Edwards Medical Plaza
	Deerval Properties(a.)			90	%	Deer Valley Medical Office II
	Deerval Properties II(a.)			95	%	Deer Valley Medical Office Building III
	Deerval Parking Company(a.)			(a.	)	Deer Valley Parking Garage
	Cobre Properties			95	%	Cobre Valley Medical Plaza
	(a.)	Deerval Parking Company, LLC, which owned the real property of a parking garage located near Deer Valley Medical Office Buildings II and III, was 50% owned by each of Deerval Properties and Deerval Properties II.
	The following property table represents the two LLCs that divested medical office buildings on February 3, 2012 and October 10, 2012 (the summarized financial data for these two LLCs through the date of divestiture are included in the financial tables below, which summarize the combined statements of income and combined balance sheets for the LLCs accounted for under the equity method):
	Name of LLC		Ownership			Property Owned by LLC
	Canyon Healthcare Properties			95	%	Canyon Springs Medical Plaza
	575 Hardy Investors			90	%	Centinela Medical Building Complez
	The following financial tables represent summarized financial information related to the LLCs that we accounted for under the equity method during 2013, including the financial information of the divested LLCs through their divestiture date. The 2011 table includes financial information of the divested LLCs through their divestiture date, as well as the LLCs in which we held majority noncontrolling ownership interests through December 11, 2011.
	Below are the combined statements of income for the LLCs accounted for under the equity method. The years ended December 31, 2012 and 2011 include the prorated amounts for the LLCs that were divested through their divestiture dates, or in which we purchased the minority ownership interests, for the period in which they were accounted for under the equity method:
			For the Year Ended December 31,
			2013(b.)			2012(a.)		2011(a.)
			(amounts in thousands)
	Revenues		$	21,001		$	21,448	$	57,932
	Operating expenses			8,705			8,974		25,503
	Depreciation and amortization			4,039			4,140		13,066
Interest, net			6,353			6,056		17,630
Net income before gains on divestitures		$	1,904		$	2,278	$	1,733
Our share of net income before gains on divestitures(c.)		$	2,095		$	2,365	$	3,058
Our share of gains on divestitures		$	—		$	8,520	$	35,835
(a.)	As mentioned above, beginning in the fourth quarter of 2011, eleven of our LLCs that were previously recorded on unconsolidated basis became wholly-owned by us and are included in our financial results on a consolidated basis. Additionally, during the fourth quarter of 2011, the first quarter of 2012 and the fourth quarter of 2012, eleven LLCs in which we previously owned various noncontrolling, majority ownership interests, completed divestitures of medical office buildings and related real property. Our share of the financial results of the divested entities were previously accounted for on an unconsolidated basis under the equity method.
(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, 2103. Prior to July 1, 2013, the financial results of this entity were accounted for on a consolidated basis. Included in the 2013 amounts reflected on the table above are the financial results for Palmdale Medical Plaza for the six-month period of July 1, 2013 through December 31, 2013.
(c.)	Our share of net income during 2013, 2012 and 2011, includes interest income earned by us on various advances made to LLCs of approximately $1.9 million, $1.5 million and $2.6 million, respectively.
Below are the combined balance sheets for the LLCs that were accounted for under the equity method as of December 31, 2013 and 2012:
		December 31,
		2013(a.)			2012
		(amounts in thousands)
Net property, including CIP		$	119,547		$	106,150
Other assets			9,479			9,850
Total assets		$	129,026		$	116,000
Liabilities		$	5,336		$	5,368
Mortgage notes payable, non-recourse to us			80,112			77,511
Advances payable to us			22,911			12,658
Equity			20,667			20,463
Total liabilities and equity		$	129,026		$	116,000
Our share of equity and advances to LLCs		$	39,201		$	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 December 31, 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):
2014		$	14,174
2015			41,492
2016			578
2017			11,829
2018			12,039
Total		$	80,112
Name of LLC		Mortgage			Maturity Date
		Balance(b.)
Grayson Properties(a.)		$	12,540			2014
Brunswick Associates			7,941			2015
Arlington Medical Properties			24,052			2015
DVMC Properties			3,970			2015
Palmdale Medical Properties			6,162			2015
FTX MOB Phase II(c.)			5,596			2017
PCH Southern Properties			6,614			2017
Sparks Medical Properties			4,603			2018
PCH Medical Properties			8,634			2018
		$	80,112
(a.)	We believe the terms of this loan are within current market underwriting criteria. At this time, we expect to refinance this loan during 2014 for three to ten year terms at the then current market interest rates. In the unexpected event that we are unable to refinance this loan on reasonable terms, we will explore other financing alternatives, including, among other things, potentially increasing our equity investment in the property utilizing funds borrowed under our revolving credit facility.
(b.)	All mortgage loans, other than construction loans, require monthly principal payments through maturity and include a balloon principal payment upon maturity.
(c.)	Construction loan.
Pursuant to the operating agreements of the jointly-owned 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, in which we have invested or advanced a total of $16.3 million at December 31, 2013, are not covered by earthquake insurance since earthquake insurance is no longer available at rates which are economical in relation to the risks covered.

SEGMENT_REPORTING

SEGMENT REPORTING	12 Months Ended
	Dec. 31, 2013
SEGMENT REPORTING	'
	-9	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.

Quarterly_Results

Quarterly Results	12 Months Ended
	Dec. 31, 2013
Quarterly Results	'
	-10		QUARTERLY RESULTS (unaudited)
			2013 (a.)
			First		Second		Third		Fourth		Total
			Quarter		Quarter		Quarter		Quarter
			(amounts in thousands, except per share amounts)
	Revenues		$	13,885	$	13,502	$	13,448	$	13,445	$	54,280
	Net income		$	3,427	$	2,941	$	3,303	$	3,498	$	13,169
	Total basic earnings per share		$	0.27	$	0.23	$	0.26	$	0.27	$	1.04
	Total diluted earnings per share		$	0.27	$	0.23	$	0.26	$	0.27	$	1.04
			2012
			First		Second		Third		Fourth		Total
			Quarter		Quarter		Quarter		Quarter
			(amounts in thousands, except per share amounts)
	Revenues		$	13,351	$	13,666	$	13,610	$	13,323	$	53,950
	Net income before gains		$	2,139	$	2,467	$	2,986	$	3,365	$	10,957
	Net gains on divestiture of properties owned by unconsolidated LLCs(b.)			7,375		—		—		1,145		8,520
	Net income		$	9,514	$	2,467	$	2,986	$	4,510	$	19,477
	Total basic earnings per share		$	0.75	$	0.19	$	0.24	$	0.36	$	1.54
	Total diluted earnings per share		$	0.75	$	0.19	$	0.24	$	0.36	$	1.54
	(a.)	We began reflecting the operating results 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 recorded on a consolidated basis. The revenues for the first and second quarters of 2013, as reflected above, include the revenue for Palmdale Medical Plaza. There was no material impact to our net income as a result of the deconsolidation of this property.
	(b.)	During the first and fourth quarters of 2012, as previously discussed in Note 3, two LLCs in which we owned various noncontrolling, majority ownership interests, completed the divestitures of medical office buildings. As a result, the net income amounts presented for 2012 include amounts only up to the divested date for each of these two LLCs. In the aggregate, these divestitures resulted in an $8.5 million gain which is included in our consolidated statements of income for the year ended December 31, 2012.

Real_Estate_and_Accumulated_De

Real Estate and Accumulated Depreciation	12 Months Ended
	Mar. 05, 2014
Real Estate and Accumulated Depreciation	'
	Schedule III
	Universal Health Realty Income Trust
	Real Estate and Accumulated Depreciation — December 31, 2013
	(amounts in thousands)
	Description		Initial Cost											Gross amount at								Accumulated		Date of		Date		Average
														which carried								Depreciation		Completion		Acquired		Depreciable
														at end of period								as of Dec. 31,		of Construction,				Life
																						2013		Acquisition or
																								Significant
			Encumbrance			Land		Building			Adjustments to			Land		Building &		CIP		Total				improvement
			(e.)					&			Basis (a.)					Improvements
								Improv.
	Inland Valley Regional			—		$	2,050	$	10,701		$	14,596		$	2,050	$	25,297		—	$	27,347	$	10,464		2007		1986		43 Years
	Medical Center
	Wildomar, California
	McAllen Medical Center			—			4,720		31,442			10,189			6,281		40,070		—		46,351		23,440		1994		1986		42 Years
	McAllen, Texas
	Wellington Regional Medical Center			—			1,190		14,652			17,370			1,663		31,549		—		33,212		15,182		2006		1986		42 Years
	West Palm Beach, Florida
	The Bridgeway			—			150		5,395			4,571			150		9,966		—		10,116		5,554		2006		1986		35 Years
	North Little Rock, Arkansas
	HealthSouth Deaconess Rehabilitation Hospital Evansville, Indiana			—			500		6,945			1,062			500		8,007		—		8,507		4,867		1993		1989		40 Years
	Kindred Hospital Chicago Central			—			158		6,404			1,838			158		8,242		—		8,400		8,245		1993		1986		25 Years
	Chicago, Illinois
	Family Doctor’s Medical Office Building			—			54		1,526			494			54		2,020		—		2,074		854		1991		1995		45 Years
	Shreveport, Louisiana
	Kelsey-Seybold Clinic at King’s Crossing			—			439		1,618			870			439		2,488		—		2,927		958		1995		1995		45 Years
	Professional Center at King’s Crossing			—			439		1,837			183			439		2,020		—		2,459		832		1995		1995		45 Years
	Kingwood, Texas
	Chesterbrook Academy			—			307		996			—			307		996		—		1,303		391		1996		1996		45 Years
	Audubon, Pennsylvania
	Chesterbrook Academy			—			250		744			—			250		744		—		994		292		1991		1996		45 Years
	New Britain, Pennsylvania
	Chesterbrook Academy			—			180		815			—			180		815		—		995		320		1992		1996		45 Years
	Uwchlan, Pennsylvania
	Chesterbrook Academy			—			195		749			—			195		749		—		944		294		1992		1996		45 Years
	Newtown, Pennsylvania
	The Southern Crescent Center I (b.)			—			1,130		5,092			(2,304	)		1,130		2,788		—		3,918		2,141		1994		1996		45 Years
	The Southern Crescent Center II (b.)			—			—		—			5,015			806		4,209		—		5,015		1,742		2000		1998		35 Years
	Riverdale, Georgia
	The Cypresswood Professional Center			—			573		3,842			573			573		4,415		—		4,988		2,212		1997		1997		35 Years
	Spring ,Texas
	701 South Tonopah Building			—			—		1,579			68			—		1,647		—		1,647		858		1999		1999		25 Years
	Las Vegas, Nevada
	Sheffield Medical			—			1,760		9,766			(7,327	)		736		3,463		—		4,199		936		1999		1999		25 Years
	Building (c.)
	Atlanta, Georgia
	Medical Center of Western Connecticut—Bldg. 73 Danbury, Connecticut			4,899			1,151		5,176			430			1,151		5,606		—		6,757		2,678		2000		2000		30 Years
	Vibra Hospital of Corpus Christi			2,983			1,104		5,508			—			1,104		5,508		—		6,612		928		2008		2008		35 Years
	Corpus Christi, Texas
	Apache Junction Medical Plaza (d.)			—			240		3,590			27			240		3,617		—		3,857		283		2004		2004		30 Years
	Apache Junction, AZ
	Auburn Medical Office Building (d.)			7,406			—		10,200			159			—		10,359		—		10,359		694		2009		2009		36 Years
	Auburn, WA
	BRB Medical Office Building (d.)			6,840			430		8,970			24			430		8,994		—		9,424		591		2010		2010		37 Years
	Kingwood, Texas
	Centennial Hills Medical Office Building (d.)			10,938			—		19,890			743			—		20,633		—		20,633		1,412		2006		2006		34 Years
	Las Vegas, NV
	Desert Springs Medical Plaza (d.)			—			1,200		9,560			200			1,200		9,760		—		10,960		772		1998		1998		30 Years
	Las Vegas, NV
	700 Shadow Lane & Goldring MOB (d.)			6,766			400		11,300			968			400		12,268		—		12,668		931		2003		2003		30 Years
	Las Vegas, NV
	Spring Valley Hospital MOB I (d.)			5,122			—		9,500			111			—		9,611		—		9,611		664		2004		2004		35 Years
Las Vegas, NV
Spring Valley Hospital MOB II (d.)			—			—		9,800			8			—		9,808		—		9,808		693		2006		2006		34 Years
Las Vegas, NV
Summerlin Hospital MOB I (d.)
Las Vegas, NV			9,188			460		15,440			451			460		15,891		—		16,351		1,251		1999		1999		30 Years
Summerlin Hospital MOB II (d.)			12,021			370		16,830			731			370		17,561		—		17,931		1,345		2000		2000		30 Years
Las Vegas, NV
Summerlin Hospital MOB III (d.)			11,347			—		14,900			1,443			—		16,343		—		16,343		1,044		2009		2009		36 Years
Las Vegas, NV
Emory at Dunwoody			—			782		3,455			—			782		3,455		—		4,237		264		2011		2011		35 Years
Dunwoody, GA
Forney Medical Plaza			—			910		11,960			31			910		11,991		—		12,901		1,149		2011		2011		35 Years
Forney, TX
Lake Pointe Medical Arts			—			1,100		9,000			41			1,100		9,041		—		10,141		772		2011		2011		35 Years
Rowlett, TX
Tuscan Medical Properties			6,262			1,100		12,525			—			1,100		12,525		—		13,625		869		2011		2011		35 Years
Irving, TX
Peace Health Medical Clinic Bellingham, WA			21,681			1,900		24,910			—			1,900		24,910		—		26,810		1,701		2012		2012		35 Years
NW Texas Prof Tower			—			—		7,180			—			—		7,180		—		7,180		244		2012		2012		35 Years
Amarillo, TX
Ward Eagle Office Village Farmington Hills, MI			—		$	220		3,220			—			220		3,220		—		3,440		44		2013		2013		35 Years
5004 Poole Road			—		$	96		529			—			96		529		—		625		10		2013		2013		35 Years
Denison, TX
TOTALS		$	105,453		$	25,558	$	317,546		$	52,565		$	27,374	$	368,295	$	0	$	395,669	$	97,921
a.	Costs capitalized/divested subsequent to acquisition.
b.	During 2008, a $4.6 million provision for asset impairment was recorded in connection with the real estate assets of Southern Crescent Center I & Southern Crescent Center II.
c.	During 2011, a $5.4 million provision for asset impairment was recorded in connection with the real estate assets of Sheffield Medical Building.
d.	During 2011, we purchased the third-party minority interests in these properties in which we previously held noncontrolling majority owned interests. Since that time, these properties are wholly-owned.
e.	Consists of outstanding balances as of December 31, 2013 on third-party debt that is non-recourse to us. Excludes net debt premium of $834,000.
UNIVERSAL HEALTH REALTY INCOME TRUST
NOTES TO SCHEDULE III
31-Dec-13
(amounts in thousands)
-1	RECONCILIATION OF REAL ESTATE PROPERTIES
The following table reconciles the Real Estate Properties from January 1, 2011 to December 31, 2013:
		2013			2012		2011
Balance at January 1,		$	401,474		$	363,498	$	199,940
Impact of deconsolidation of an LLC(a.)			(13,185	)		—		—
Impact of consolidation of eleven LLCs(b.)			—			—		133,080
Property additions			3,415			3,985		1,157
Acquisitions			4,065			33,991		40,832
Disposals			(100	)		—		—
Provision for asset impairment(c.)			—			—		(11,511	)
Balance at December 31,		$	395,669		$	401,474	$	363,498
-2	RECONCILIATION OF ACCUMULATED DEPRECIATION
The following table reconciles the Accumulated Depreciation from January 1, 2011 to December 31, 2013:
		2013			2012		2011
Balance at January 1,		$	87,088		$	74,865	$	74,683
Impact of deconsolidation of an LLC(a.)			(1,588	)		—		—
Provision for asset impairment(c.)			—			—		(6,157	)
Current year depreciation expense			12,464			12,223		6,339
Other			(43	)		—		—
Balance at December 31,		$	97,921		$	87,088	$	74,865
(a.)	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 on an unconsolidated basis under the equity method.
(b.)	On December 12, 2011, the Trust purchased the minority ownership interests held by third-party members in eleven LLCs in which we previously held noncontrolling majority ownership interests. As a result of these minority ownership purchases, the Trust and our subsidiaries now own 100% of each of these LLCs and the financial results are included in our consolidated financial statements.
(c.)	During the fourth quarter of 2011, we recorded an asset impairment charge of $5.4 million ($11.5 million gross assets net of $6.1 million of accumulated depreciation) in connection with the Sheffield Medical Building located in Atlanta, Georgia.

Summary_of_Significant_Account1

Summary of Significant Accounting Policies (Policies)	12 Months Ended
	Dec. 31, 2013
Nature of Operations	'
	Nature of Operations
	Universal Health Realty Income Trust and subsidiaries (the “Trust”) is organized as a Maryland real estate investment trust. We invest in healthcare and human service related facilities including acute care hospitals, behavioral healthcare facilities, rehabilitation hospitals, sub-acute facilities, surgery centers, childcare centers and medical office buildings. As of February 28, 2014, we have fifty-eight real estate investments or commitments located in sixteen states consisting of:
		•	seven hospital facilities including three acute care, one behavioral healthcare, one rehabilitation and two sub-acute;
		•	forty-seven medical office buildings, including eleven owned by unconsolidated limited liability companies (“LLCs”), and;
		•	four preschool and childcare centers.
	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.
	Management is unable to predict the effect, if any, that the factors discussed above will have on the operating results of our lessees or on their ability to meet their obligations under the terms of their leases with us. Management’s estimate of future cash flows from our leased properties could be materially affected in the near term, if certain of the leases are not renewed or renewed with less favorable terms at the end of their lease terms.
Revenue Recognition	'
	Revenue Recognition
	Our revenues consist primarily of rentals received from tenants, which are comprised of minimum rent (base rentals), bonus rentals and reimbursements from tenants for their pro-rata share of expenses such as common area maintenance costs, real estate taxes and utilities.
	The minimum rent for all hospital facilities is fixed over the initial term or renewal term of the respective leases. Rental income recorded by our consolidated and unconsolidated medical office buildings (“MOBs”) relating to leases in excess of one year in length is recognized 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 acquisitions 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. Bonus rents are recognized when earned based upon increases in each facility’s net revenue in excess of stipulated amounts. Bonus rentals are determined and paid each quarter based upon a computation that compares the respective facility’s current quarter’s net revenue to the corresponding quarter in the base year. Tenant reimbursements for operating expenses are accrued as revenue in the same period the related expenses are incurred.
Real Estate Investments	'
	Real Estate Investments
	On the date of acquisition, the purchase price of a property is allocated to the property’s land, buildings and intangible assets based upon our estimates of their fair values. Intangible assets include the value of in-place leases, above market leases and leasehold interest in land at the time of acquisition. Substantially all of our intangible assets consist of the value of in-place leases at December 31, 2013, and will be amortized over the remaining lease terms (aggregate weighted average of 3.5 years) and will result in an estimated aggregate amortization expense of $4.6 million, $3.9 million, $3.4 million $2.9 million and $1.7 million for 2014, 2015, 2016, 2017 and 2018, respectively. Amortization expense on intangible values of in place leases was $6.0 million for the year ended December 31, 2013, $7.8 million for the year ended December 31, 2012 and $836,000 for the year ended December 31, 2011. Depreciation is computed using the straight-line method over the estimated useful lives of the buildings and capital improvements. The estimated original useful lives of our buildings ranges from 25-45 years and the estimated original useful lives of capital improvements ranges from 3-35 years. On a consolidated basis, depreciation expense was $12.5 million for the year ended December 31, 2013, $12.2 million for the year ended December 31, 2012 and $6.3 million for the year ended December 31, 2011.
Cash and Cash Equivalents	'
	Cash and Cash Equivalents
	We consider all highly liquid investment instruments with original maturities of three months or less to be cash equivalents.
Asset Impairment	'
	Asset Impairment
	Real estate investments and related intangible assets are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of the property might not be recoverable. A property to be held and used is considered impaired only if management’s estimate of the aggregate future cash flows, less estimated capital expenditures, to be generated by the property, undiscounted and without interest charges, are less than the carrying value of the property. This estimate takes into consideration factors such as expected future operating income, trends and prospects, as well as the effects of demand, competition, local market conditions and other factors.
	The determination of undiscounted cash flows requires significant estimates by management, including the expected course of action at the balance sheet date that would lead to such cash flows. Subsequent changes in estimated undiscounted cash flows arising from changes in anticipated action to be taken with respect to the property could impact the determination of whether an impairment exists and whether the effects could materially impact our net income. To the extent estimated undiscounted cash flows are less than the carrying value of the property, the loss will be measured as the excess of the carrying amount of the property over the fair value of the property.
	Assessment of the recoverability by us of certain lease related costs must be made when we have reason to believe that a tenant might not be able to perform under the terms of the lease as originally expected. This requires us to make estimates as to the recoverability of such costs. If we determine that the intangible assets are not recoverable from future cash flows, the excess of carrying value of the intangible asset over its estimated fair value is charged to income.
	During the fourth quarter of 2011, we recorded an asset impairment charge of $5.4 million in connection with an MOB located on a medical campus in Atlanta, Georgia. The asset impairment charge was recorded after evaluation of property and location-specific factors including pressure on rental and occupancy rates caused, in part, by the impact of continued unfavorable economic conditions in the market as well as competitive pressures caused by increased capacity added to the market. The fair value of this property was determined based upon the present value of the expected future cash flows.
	An other than temporary impairment of an investment/advance in an LLC is recognized when the carrying value of the investment is not considered recoverable based on evaluation of the severity and duration of the decline in value, including projected declines in cash flow. To the extent impairment has occurred, the excess carrying value of the asset over its estimated fair value is charged to income.
Investments in Limited Liability Companies ("LLCs")	'
	Investments in Limited Liability Companies (“LLCs”)
	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 the primary beneficiary. In accordance with the FASB’s 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 December 31, 2013, we have non-controlling equity investments or commitments in thirteen LLCs which own medical office buildings (including Palmdale Medical Properties, LLC and Sparks Medical Properties, LLC which, as discussed below, we purchased the minority ownership interests effective January 1, 2014 and now hold 100% of the ownership interests of these entities). As of December 31, 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 discussed below, 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 its inception in 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. The expiration of the master lease and related deconsolidation did not have a material impact on our net income and funds from operations during the second half of 2013.
	As a result of master lease arrangements between UHS and various LLCs in which we hold or held majority non-controlling ownership interests, we have consolidated or deconsolidated these LLCs as required in accordance with the FASB’s standards and guidance.
	Effective January 1, 2014, we purchased the third-party minority ownership interests in two LLCs (Palmdale Medical Properties and Sparks Medical Properties) in which we formerly held non-controlling majority ownership interest. As a result of our purchase of the minority ownership interests, we now hold 100% of the ownership interests in these LLCs which own MOBs and will begin accounting for them on a consolidated basis effective January 1, 2014. Each of the property’s assets and liabilities will be recorded at their fair values (see Note 3 to the consolidated financial statements for additional disclosure). We do not expect these transactions or the expected related aggregate gain (to be recorded during the first quarter of 2014) to have a material impact on our future results of operations.
	In addition, effective December 12, 2011, as a result of our purchases of third-party minority ownership interests in eleven LLCs in which we formerly held non-controlling majority ownership interests, we now hold 100% of the ownership interest in these LLCs which own MOBs and are accounted for on a consolidated basis, as discussed herein (see Notes 3 and 8 to the consolidated financial statements for additional disclosure).
Federal Income Taxes	'
	Federal Income Taxes
	No provision has been made for federal income tax purposes since we qualify as a real estate investment trust under Sections 856 to 860 of the Internal Revenue Code of 1986, and intend to continue to remain so qualified. As such, we are exempt from federal income taxes and we are required to distribute at least 90% of our real estate investment taxable income to our shareholders.
	We are subject to a federal excise tax computed on a calendar year basis. The excise tax equals 4% of the amount by which 85% of our ordinary income plus 95% of any capital gain income for the calendar year exceeds cash distributions during the calendar year, as defined. No provision for excise tax has been reflected in the financial statements as no tax was due.
	Earnings and profits, which determine the taxability of dividends to shareholders, will differ from net income reported for financial reporting purposes due to the differences for federal tax purposes in the cost basis of assets and in the estimated useful lives used to compute depreciation and the recording of provision for impairment losses.
	The aggregate gross cost basis and net book value of the properties for federal income tax purposes are approximately $382 million and $256 million, respectively, at December 31, 2013.
Stock-Based Compensation	'
	Stock-Based Compensation
	We expense the grant-date fair value of stock options and restricted stock awards over the vesting period. We recognize the grant-date fair value of stock options and other equity-based compensation and account for these transactions using the fair-value based method. We use the Black-Scholes model as our option pricing model for determining the grant-date fair value of our stock options.
	The expense associated with share-based compensation arrangements is a non-cash charge. In the Consolidated Statements of Cash Flows, share-based compensation expense is an adjustment to reconcile net income to cash provided by operating activities.
Fair Value	'
	Fair Value
	Fair value is a market-based measurement, not an entity-specific measurement and determined based upon the assumptions that market participants would use in pricing the asset or liability. As a basis for considering market participant assumptions in fair value measurements, accounting requirements establish a fair value hierarchy that distinguishes between market participant assumptions based on market data obtained from sources independent of the reporting entity (observable inputs that are classified within Level 1 and 2 of the hierarchy) and the reporting entity’s own assumptions about market participant assumptions (unobservable inputs classified within Level 3 of the hierarchy). In instances when it is necessary to establish the fair value of our real estate investments and investments in LLCs we use unobservable inputs which are typically based on our own assumptions.
	The fair value of our real estate investments, components of real estate investments and debt assumed in conjunction with acquisition and impairment activity, are considered to be Level 3 valuations as they are primarily based upon an income capitalization approach. Significant inputs into the models used to determine fair value of real estate investments and components of real estate investments include future cash flow projections, holding period, terminal capitalization rate and discount rates. Additionally the fair value of land takes into consideration comparable sales, as adjusted for site specific factors. The fair value of real estate investments is based upon significant judgments made by management, and accordingly, we typically obtain assistance from third party valuation specialists. Significant inputs into the models used to determine the fair value of assumed mortgages included the outstanding balance, term, stated interest rate and current market rate of the mortgage.
	The carrying amounts reported in the balance sheet for cash, receivables, and short-term borrowings approximate their fair values due to the short-term nature of these instruments. Accordingly, these items are excluded from the fair value disclosures included elsewhere in these notes to the consolidated financial statements.
	See Note 3-Acquisitions and Dispositions, for disclosure related to the $28.6 million net gain recorded during 2011 in connection with the fair value recognition of the assets and liabilities, including third-party debt, resulting from the purchase of minority ownership interests in majority-owned LLCs.
Use of Estimates	'
	Use of Estimates
	The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates.
New Accounting Standards	'
	New Accounting Standards
	Except as noted below, there were no new accounting pronouncements during 2013 that impacted, or are expected to impact, us.
	In February, 2013, the Financial Accounting Standards Board issued an Accounting Standards Update on reporting of amounts reclassified out of accumulated other comprehensive income. This guidance, which is effective for fiscal years beginning after December 31, 2012, required companies to provide information about amounts reclassified out of accumulated other comprehensive income by component (the respective line items of the income statement). The adoption of this standard did not have a material impact on our consolidated financial position or results of operations.
	In July 2013, the Financial Accounting Standards Board (FASB) issued guidance allowing the use of the Fed Funds Effective Swap Rate (or Overnight Index Swap Rate) as a benchmark interest rate for hedge accounting purposes in addition to interest rates on direct Treasury obligations of the United States government and the LIBOR. In addition, the guidance removes the restriction on using different benchmark rates for similar hedges. The guidance became effective on a prospective basis for qualifying new or redesignated hedging relationships entered into on or after July 17, 2013, and did not have a material impact in the consolidated financial results.

Relationship_with_UHS_and_Rela1

Relationship with UHS and Related Party Transactions (Tables)	12 Months Ended
	Dec. 31, 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		Renewal
				Minimum		Lease Term		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).

Acquisitions_and_Dispositions_

Acquisitions and Dispositions (Tables)	12 Months Ended
	Dec. 31, 2013
Unobservable Quantitative Inputs and Assumption used to Acquired Properties Categorized in Level Three	'
	The following table summarizes significant unobservable quantitative inputs and assumptions used for the 2012 acquired properties categorized in Level 3 of the fair value hierarchy:
	Assets(b.)		Fair Value at			Valuation Technique	Unobservable inputs	Range
			December 31, 2012
	PeaceHealth Medical Clinic (a.)(c.)		$	30,400,000		Income Capitalization Approach	Capitalization Rate		7.5	%
							Discount Rate		8.5	%
	Northwest Texas Professional Office Tower		$	9,600,000		Income Capitalization Approach	Capitalization Rate		8.6	%
							Discount Rate		9.5	%
	(a.)	The fair value of the land was estimated based upon the sales comparison approach.
	(b.)	Based upon preliminary appraisals.
	(c.)	Debt is recorded at its current estimated fair value based upon significant inputs including outstanding loan balance, term, stated interest rate and current market rate of the mortgage.
2012 Acquisitions	'
Allocation of Purchase Price to Assets Acquired and Liabilities Assumed	'
	Land		$	1,900
	Buildings and improvements			32,090
	Intangible assets			6,020
	Other assets			799
	Liabilities (real property and operating)			(144	)
	Deposit paid in 2011			(534	)
	Debt (including fair value adjustment of $799)			(23,240	)
	Net cash paid		$	16,891
2013 Acquisitions	'
Allocation of Purchase Price to Assets Acquired and Liabilities Assumed	'
	Substantially all of the intangible assets include the value of the in-place leases at Ward Eagle Office Village at the time of acquisition which will be amortized over the average remaining lease term of approximately 9.8 years.
	Land		$	316
	Buildings and improvements			3,749
	Intangible assets			610
	Other assets			21
	Liabilities (real property and operating)			(11	)
	Net cash paid		$	4,685
2011 Acquisitions	'
Allocation of Purchase Price to Assets Acquired and Liabilities Assumed	'
	Intangible assets include the value of the in-place leases at the time of acquisition.
	Land		$	3,892
	Buildings and improvements			36,940
	Intangible assets			6,943
	Other assets			31
	Total purchase price			47,806
	Liabilities (real property and operating)			(1,229	)
	Debt			(6,999	)
	Net cash paid		$	39,578

Summarized_Financial_Informati1

Summarized Financial Information of Equity Affiliates (Tables)	12 Months Ended
	Dec. 31, 2013
Limited Liability Companies Accounted for Under Equity Method	'
	The following property table represents the thirteen LLCs which were accounted for under the equity method as of December 31, 2013:
	Name of LLC/LP		Ownership			Property Owned by LLC
	DVMC Properties(g.)			90	%	Desert Valley Medical Center
	Suburban Properties			33	%	Suburban Medical Plaza II
	Santa Fe Scottsdale			90	%	Santa Fe Professional Plaza
	Brunswick Associates(g.)			74	%	Mid Coast Hospital MOB
	PCH Medical Properties(g.)			85	%	Rosenberg Children’s Medical Plaza
	Arlington Medical Properties(b.)(g.)			75	%	Saint Mary’s Professional Office Building
	Sierra Medical Properties			95	%	Sierra San Antonio Medical Plaza
	PCH Southern Properties(g.)			95	%	Phoenix Children’s East Valley Care Center
	Sparks Medical Properties(a.)(f.)(g.)			95	%	Vista Medical Terrace & The Sparks Medical Building
	Grayson Properties(a.)(c.)(g.)			95	%	Texoma Medical Plaza
	3811 Bell Medical Properties			95	%	North Valley Medical Plaza
	FTX MOB Phase II(d.)(g.)			95	%	Forney Medical Plaza II
	Palmdale Medical Properties(a.)(e.)(f.)(g)			95	%	Palmdale Medical Plaza
	(a.)	Tenants of this medical office building include or will include subsidiaries of UHS.
	(b.)	We have committed to invest up to $6.3 million in equity and debt financing, of which $5.2 million has been funded as of December 31, 2013, in exchange for a 75% non-controlling equity interest in an LLC that owns and operates the Saint Mary’s Professional Office Building.
	(c.)	We have committed to invest up to $4.4 million in equity and debt financing, of which $2.1 million has been funded as of December 31, 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 was completed and opened in April, 2013. We have committed to invest up to $2.5 million in equity and debt financing, $1.1 million of which has been funded as of December 31, 2013.
	(e.)	We began to account for this LLC on an unconsolidated basis pursuant to the equity method as of July 1, 2013, as discussed above.
	(f.)	Effective January 1, 2014, we purchased the third-party minority ownership interest (5%) in this LLC. As a result of our purchase of the minority ownership interest, as of January 1, 2014 we hold 100% of the ownership interest in this LLC and will begin accounting for it on a consolidated basis effective January 1, 2014.
	(g.)	As disclosed below, as of December 31, 2013, this LLC has a third-party loan outstanding, which is non-recourse to us.
	On December 12, 2011, we began consolidating the financial data of these eleven LLCs in our consolidated financial statements. The following property table represents these eleven LLCs (the summarized financial data for these eleven LLCs through December 11, 2011, are included in the financial tables below, which summarize the combined statements of income and combined balance sheets for the LLCs accounted for under the equity method):
	Name of LLC		Previous			Property Owned by LLC
			Ownership
	653 Town Center Investments(a.)			95	%	Summerlin Hospital Medical Office Building I
	653 Town Center Phase II(a.)			98	%	Summerlin Hospital Medical Office Building II
	ApaMed Properties			85	%	Apache Junction Medical Plaza
	Auburn Medical Properties II(a.)			95	%	Auburn Medical Office Building II
	Banburry Medical Properties(a.)			95	%	Summerlin Hospital Medical Office Building III
	BRB/E Building One			95	%	BRB Medical Office Building
	Centennial Medical Properties(a.)			95	%	Centennial Hills Medical Office Building I
	DesMed(a.)			99	%	Desert Springs Medical Plaza
	Gold Shadow Properties(a.)			98	%	700 Shadow Lane & Goldring Medical Office Buildings
	Spring Valley Medical Properties			95	%	Spring Valley Medical Office Building
	Spring Valley Medical Properties II			95	%	Spring Valley Hospital Medical Office Building II
	(a.)	Tenants of this medical office building include or will include subsidiaries of UHS.
	The following property table represents the eight LLCs that divested medical office buildings on November 30, 2011 and December 16, 2011 (the summarized financial data for these eight LLCs through the date of divestiture are included in the financial tables below, which summarize the combined statements of income and combined balance sheets for the LLCs accounted for under the equity method):
	Name of LLC		Ownership			Property Owned by LLC
	DSMB Properties			76	%	Desert Samaritan Hospital MOBs
	Litchvan Investments			89	%	Papago Medical Park
	Paseo Medical Properties II			75	%	Thunderbird Paseo Medical Plaza I & II
	Willetta Medical Properties			90	%	Edwards Medical Plaza
	Deerval Properties(a.)			90	%	Deer Valley Medical Office II
	Deerval Properties II(a.)			95	%	Deer Valley Medical Office Building III
	Deerval Parking Company(a.)			(a.	)	Deer Valley Parking Garage
	Cobre Properties			95	%	Cobre Valley Medical Plaza
	(a.)	Deerval Parking Company, LLC, which owned the real property of a parking garage located near Deer Valley Medical Office Buildings II and III, was 50% owned by each of Deerval Properties and Deerval Properties II.
	The following property table represents the two LLCs that divested medical office buildings on February 3, 2012 and October 10, 2012 (the summarized financial data for these two LLCs through the date of divestiture are included in the financial tables below, which summarize the combined statements of income and combined balance sheets for the LLCs accounted for under the equity method):
	Name of LLC		Ownership			Property Owned by LLC
	Canyon Healthcare Properties			95	%	Canyon Springs Medical Plaza
	575 Hardy Investors			90	%	Centinela Medical Building Complez
Equity Method Investments Summarized Income	'
	The years ended December 31, 2012 and 2011 include the prorated amounts for the LLCs that were divested through their divestiture dates, or in which we purchased the minority ownership interests, for the period in which they were accounted for under the equity method:
			For the Year Ended December 31,
			2013(b.)			2012(a.)				2011(a.)
			(amounts in thousands)
	Revenues		$	21,001		$	21,448			$	57,932
	Operating expenses			8,705			8,974				25,503
	Depreciation and amortization			4,039			4,140				13,066
	Interest, net			6,353			6,056				17,630
	Net income before gains on divestitures		$	1,904		$	2,278			$	1,733
	Our share of net income before gains on divestitures(c.)		$	2,095		$	2,365			$	3,058
	Our share of gains on divestitures		$	—		$	8,520			$	35,835
	(a.)	As mentioned above, beginning in the fourth quarter of 2011, eleven of our LLCs that were previously recorded on unconsolidated basis became wholly-owned by us and are included in our financial results on a consolidated basis. Additionally, during the fourth quarter of 2011, the first quarter of 2012 and the fourth quarter of 2012, eleven LLCs in which we previously owned various noncontrolling, majority ownership interests, completed divestitures of medical office buildings and related real property. Our share of the financial results of the divested entities were previously accounted for on an unconsolidated basis under the equity method.
	(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, 2103. Prior to July 1, 2013, the financial results of this entity were accounted for on a consolidated basis. Included in the 2013 amounts reflected on the table above are the financial results for Palmdale Medical Plaza for the six-month period of July 1, 2013 through December 31, 2013.
	(c.)	Our share of net income during 2013, 2012 and 2011, includes interest income earned by us on various advances made to LLCs of approximately $1.9 million, $1.5 million and $2.6 million, respectively.
Combined Balance Sheets of Limited Liabilities Accounted for under Equity Method	'
	Below are the combined balance sheets for the LLCs that were accounted for under the equity method as of December 31, 2013 and 2012:
			December 31,
			2013(a.)			2012
			(amounts in thousands)
	Net property, including CIP		$	119,547		$	106,150
	Other assets			9,479			9,850
	Total assets		$	129,026		$	116,000
	Liabilities		$	5,336		$	5,368
	Mortgage notes payable, non-recourse to us			80,112			77,511
	Advances payable to us			22,911			12,658
	Equity			20,667			20,463
	Total liabilities and equity		$	129,026		$	116,000
	Our share of equity and advances to LLCs		$	39,201		$	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 LLCs, Accounted Under Equity Method	'
	As of December 31, 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):
	2014		$	14,174
	2015			41,492
	2016			578
	2017			11,829
	2018			12,039
	Total		$	80,112
	Name of LLC		Mortgage			Maturity Date
			Balance(b.)
	Grayson Properties(a.)		$	12,540			2014
	Brunswick Associates			7,941			2015
	Arlington Medical Properties			24,052			2015
	DVMC Properties			3,970			2015
	Palmdale Medical Properties			6,162			2015
	FTX MOB Phase II(c.)			5,596			2017
	PCH Southern Properties			6,614			2017
	Sparks Medical Properties			4,603			2018
	PCH Medical Properties			8,634			2018
			$	80,112
	(a.)	We believe the terms of this loan are within current market underwriting criteria. At this time, we expect to refinance this loan during 2014 for three to ten year terms at the then current market interest rates. In the unexpected event that we are unable to refinance this loan on reasonable terms, we will explore other financing alternatives, including, among other things, potentially increasing our equity investment in the property utilizing funds borrowed under our revolving credit facility.
	(b.)	All mortgage loans, other than construction loans, require monthly principal payments through maturity and include a balloon principal payment upon maturity.
	(c.)	Construction loan.
Purchased minority ownership interest	'
Limited Liability Companies Accounted for Under Equity Method	'
	The table below reflects each of the LLCs in which we purchased the minority ownership interests, the location and property owned by the LLC, our previous noncontrolling, majority ownership interest and the noncontrolling, minority ownership interests purchased by us.
	Name of LLC:		Property owned by LLC:		City	State		Trust’s				Minority
								previous				ownership
								ownership				%
								%				purchased
	653 Town Center Investments		Summerlin Hospital MOB I(1)		Las Vegas	NV			95	%			5	%
	653 Town Center Phase II		Summerlin Hospital MOB II(1)		Las Vegas	NV			98	%			2	%
	Auburn Medical Properties II		Auburn Medical Office Building II(1)		Auburn	WA			95	%			5	%
	ApaMed Properties		Apache Junction Medical Plaza		Apache J.	AZ			85	%			15	%
	Banburry Medical Properties		Summerlin Hospital MOB III(1)		Las Vegas	NV			95	%			5	%
	BRB/E Building One		BRB Medical Office Building		Kingwood	TX			95	%			5	%
	Centennial Medical Properties		Centennial Hills Medical Office Bldg. I(1)		Las Vegas	NV			95	%			5	%
	DesMed		Desert Springs Medical Plaza(1)		Las Vegas	NV			99	%			1	%
	Gold Shadow Properties		700 Shadow Lane & Goldring MOBs(1)		Las Vegas	NV			98	%			2	%
	Spring Valley Medical Properties		Spring Valley Medical Office Building		Las Vegas	NV			95	%			5	%
	Spring Valley Medical Properties II		Spring Valley Medical Office Building II		Las Vegas	NV			95	%			5	%
	-1	Tenants of this medical office building include subsidiaries of UHS.
Selling parties	'
Limited Liability Companies Accounted for Under Equity Method	'
	The following table represents each of the eight LLCs that was a selling party, the location and property owned by the LLC and our former noncontrolling, majority ownership interest:
	Name of LLC:		Property owned by LLC:		City	State		Trust’s
								Former
								Ownership
								%
	Cobre Properties		Cobre Valley Medical Plaza		Globe	AZ			95	%
	Deerval Properties		Deer Valley Medical Office II		Phoenix	AZ			90	%
	Deerval Properties II		Deer Valley Medical Office III		Phoenix	AZ			95	%
	Deerval Parking Company(a)		Deer Valley Parking Garage		Phoenix	AZ			93	%
	DSMB Properties		Desert Samaritan Hospital MOBs		Mesa	AZ			76	%
	Litchvan Investments		Papago Medical Park		Phoenix	AZ			89	%
	Paseo Medical Properties II		Thunderbird Paseo Medical Plaza I & II		Glendale	AZ			75	%
	Willetta Medical Properties(b)		Edwards Medical Plaza		Phoenix	AZ			90	%
	(a)	Deerval Parking Company, LLC, which owned the real property of a parking garage located near Deer Valley Medical Office Buildings I & II, was 50% owned by each of Deerval Properties and Deerval Properties II.
	(b)	The membership interest of this entity was held by a master LLC in which the Trust held a 90% noncontrolling ownership interest.

Leases_Tables

Leases (Tables)	12 Months Ended
	Dec. 31, 2013
Schedule of Minimum Future Base Rents from Non-Cancelable Leases	'
	Minimum future base rents from non-cancelable leases, excluding increases resulting from changes in the consumer price index, bonus rents and the impact of straight line rent, are as follows (amounts in thousands):
	2014	$	42,692
	2015		39,631
	2016		36,769
	2017		21,519
	2018		18,860
	Thereafter		46,589
	Total minimum base rents		$206,060

Debt_Tables

Debt (Tables)	12 Months Ended
	Dec. 31, 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			December 31,
						2013
	Tangible net worth		$	125,000		$	144,848
	Debt to total capital			< 55	%		36	%
	Debt service coverage ratio			> 4.00x			19.1x
	Debt to cash flow ratio			< 3.50x			2.21x
Outstanding Mortgages	'
	The following table summarizes our outstanding mortgages, excluding net debt premium, at December 31, 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 (b)		$	9,188			6.55	%		2014
	Spring Valley Medical Office Building fixed rate mortgage loan			5,122			5.5	%		2015
	Summerlin Hospital Medical Office Building III floating rate mortgage loan			11,347			3.42	%		2016
	Peace Health fixed rate mortgage loan			21,681			5.64	%		2017
	Summerlin Hospital Medical Office Building II fixed rate mortgage loan			12,021			5.5	%		2017
	Auburn Medical II floating rate mortgage loan			7,406			2.92	%		2017
	Medical Center of Western Connecticut fixed rate mortgage loan			4,899			6	%		2017
	Centennial Hills Medical Office Building floating rate mortgage loan			10,938			3.42	%		2018
	Vibra Hospital of Corpus Christi fixed rate mortgage loan			2,983			6.5	%		2019
	BRB Medical Office Building fixed rate mortgage loan			6,840			4.27	%		2022
	700 Shadow Lane and Goldring MOBs fixed rate mortgage loan			6,766			4.54	%		2022
	Tuscan Professional Building fixed rate mortgage loan			6,262			5.56	%		2025
	Total		$	105,453
	(a)	Amortized principal payments are made on a monthly basis.
	(b)	In the event we are unable to refinance this loan on acceptable terms upon its scheduled maturity, we will explore other financing alternatives including potentially utilizing funds borrowed under our revolving credit facility to repay all or a portion of the loan.
Aggregate Consolidated Scheduled Debt Repayments	'
	As of December 31, 2013, our aggregate consolidated scheduled debt repayments (including mortgages) are as follows (amounts in thousands):
	2014		$	11,894
	2015(a)			101,245
	2016			13,098
	2017			43,914
	2018			10,672
	Later			18,330
	Total		$	199,153
	(a)	Includes repayment of $93.7 million of outstanding borrowings under the terms of our $150 million revolving credit agreement.

Incentive_Plans_Tables

Incentive Plans (Tables)	12 Months Ended
	Dec. 31, 2013
Options Before Adjustment to Option Price to Give Effect to Dilutive Equivalent Rights	'
	Information with respect to these options, before adjustment to the option price to give effect to the dividend equivalent rights, is summarized as follows:
	Outstanding Options	Number		Exercise		Grant Price Range
		of Shares		Weighted-		(High-Low)
				Average Price
	Balance, January 1, 2011		51,000	$	33.89	$	36.53/$26.09
	Exercised		—		—		—
	Balance, January 1, 2012		51,000	$	33.89	$	36.53/$26.09
	Exercised		8,000		26.76	$	27.65/$26.09
	Balance, January 1, 2013		43,000	$	35.22	$	36.53/$29.44
	Exercised		3,000		29.44	$	29.44/$29.44
	Outstanding options vested and exercisable as of December 31, 2013		40,000	$	35.65	$	36.53/$30.06
Information about Options Outstanding and Exercisable Options	'
	The following table provides information about options outstanding and exercisable options at December 31, 2013:
		Options
		Outstanding
		and Exercisable
	Number		40,000
	Weighted average exercise price	$	35.65
	Aggregate intrinsic value	$	176,240
	Weighted average remaining contractual life		2.5
Weighted Average Remaining Contractual Life and Weighted Average Exercise Price for Options Outstanding and to Options Exercisable	'
	The weighted average remaining contractual life and weighted average exercise price for options outstanding and the weighted average exercise prices per share for exercisable options at December 31, 2013 were as follows:
		Options Outstanding and
		Exercisable
	Exercise Price	Shares		Weighted		Weighted
				Average		Average
				Exercise		Remaining
				Price Per		Contractual
				Share		Life (in
						Years)
	$30.06 -$34.07		4,000	$	33.07		1
	$34.90 -$34.90		13,000		34.9		1.7
	$36.53 -$36.53		23,000		36.53		3.2
	Total		40,000	$	35.65		2.5

Quarterly_Results_Tables

Quarterly Results (Tables)	12 Months Ended
	Dec. 31, 2013
Quarterly Results for Operating Activities	'
			2013 (a.)
			First		Second		Third		Fourth		Total
			Quarter		Quarter		Quarter		Quarter
			(amounts in thousands, except per share amounts)
	Revenues		$	13,885	$	13,502	$	13,448	$	13,445	$	54,280
	Net income		$	3,427	$	2,941	$	3,303	$	3,498	$	13,169
	Total basic earnings per share		$	0.27	$	0.23	$	0.26	$	0.27	$	1.04
	Total diluted earnings per share		$	0.27	$	0.23	$	0.26	$	0.27	$	1.04
			2012
			First		Second		Third		Fourth		Total
			Quarter		Quarter		Quarter		Quarter
			(amounts in thousands, except per share amounts)
	Revenues		$	13,351	$	13,666	$	13,610	$	13,323	$	53,950
	Net income before gains		$	2,139	$	2,467	$	2,986	$	3,365	$	10,957
	Net gains on divestiture of properties owned by unconsolidated LLCs(b.)			7,375		—		—		1,145		8,520
	Net income		$	9,514	$	2,467	$	2,986	$	4,510	$	19,477
	Total basic earnings per share		$	0.75	$	0.19	$	0.24	$	0.36	$	1.54
	Total diluted earnings per share		$	0.75	$	0.19	$	0.24	$	0.36	$	1.54
	(a.)	We began reflecting the operating results 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 recorded on a consolidated basis. The revenues for the first and second quarters of 2013, as reflected above, include the revenue for Palmdale Medical Plaza. There was no material impact to our net income as a result of the deconsolidation of this property.
	(b.)	During the first and fourth quarters of 2012, as previously discussed in Note 3, two LLCs in which we owned various noncontrolling, majority ownership interests, completed the divestitures of medical office buildings. As a result, the net income amounts presented for 2012 include amounts only up to the divested date for each of these two LLCs. In the aggregate, these divestitures resulted in an $8.5 million gain which is included in our consolidated statements of income for the year ended December 31, 2012.

Summary_of_Significant_Account2

Summary of Significant Accounting Policies - Additional Information (Detail) (USD $)

3 Months Ended

12 Months Ended

12 Months Ended

12 Months Ended

12 Months Ended

Dec. 31, 2011

Dec. 31, 2013

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2008

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Jan. 01, 2014

Dec. 31, 2013

Jan. 01, 2014

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Entity

Minimum

Maximum

Hospitals

Hospitals

Hospitals

Hospitals

Hospitals

Medical office buildings

Medical office buildings

Preschool and childcare Centers

Buildings

Buildings

Capital Improvements

Capital Improvements

Limited Liability Companies

Limited Liability Companies

Palmdale Medical Properties and Sparks Medical Properties

Palmdale Medical Properties and Sparks Medical Properties

In Place Leases

Gross

Net

Property

Property

Acute Care

Behavioral Healthcare

Rehabilitation

Sub-acute

Property

Majority-Owned Subsidiary, Unconsolidated

Property

Minimum

Maximum

Minimum

Maximum

Property

Subsequent Event

Subsequent Event

Property

Property

Property

Property

Property

Property

Significant Accounting Policies [Line Items]

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Number of real estate investments

'

58

'

'

'

'

'

7

3

1

1

2

47

11

4

'

'

'

'

'

'

'

'

'

'

'

Number of states that real estate investments are located

'

16

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Intangible asset, useful life

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'3 years 6 months

'

'

Amortization expense, intangible assets

'

$6,000,000

$7,800,000

$836,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Intangible assets, estimated aggregate amortization expenses for 2014

'

4,600,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Intangible assets, estimated aggregate amortization expenses for 2015

'

3,900,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Intangible assets, estimated aggregate amortization expenses for 2016

'

3,400,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Intangible assets, estimated aggregate amortization expenses for 2017

'

2,900,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Intangible assets, estimated aggregate amortization expenses for 2018

'

1,700,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Estimated original useful lives of property plant and equipment

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'25 years

'45 years

'3 years

'35 years

'

'

'

'

'

'

'

Depreciation expense

'

12,500,000

12,200,000

6,300,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Asset impairment charge

5,354,000

0

0

5,354,000

4,600,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Non-controlling equity interest, ownership percentage

'

'

'

'

'

33.00%

95.00%

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Number of real estate investments

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

13

'

'

2

'

'

'

Percentage of minority ownership interests by parent

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

100.00%

'

100.00%

'

'

'

Effective date of acquisition

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

1-Jan-14

'

1-Jan-14

'

'

'

'

Non-controlling equity interests in LLCs after acquisition

'

100.00%

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Number of limited liability companies, purchased through third party minority ownership interests

'

11

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Percentage of real estate investment taxable income that should be distributed to remain exempt from federal income taxes

'

'

'

'

'

90.00%

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Federal excise tax rate when amount of 85% of ordinary income plus 95% of any capital gain income exceeds cash distributions

'

4.00%

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Gross cost basis and net book value of properties for federal income tax purposes

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

382,000,000

256,000,000

Net gain on fair value recognition resulting from the purchase of minority interests in majority-owned LLCs

'

'

'

$28,600,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Relationship_with_UHS_and_Rela2

Relationship with UHS and Related Party Transactions - Additional Information (Detail) (USD $)

12 Months Ended

12 Months Ended

12 Months Ended

12 Months Ended

In Millions, unless otherwise specified

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2012

Dec. 31, 2013

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2013

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Jan. 01, 2014

Dec. 31, 2013

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2013

Dec. 31, 2013

Prior annual advisory fee before 1/1/13 amendment

After Amendment

Minimum

Maximum

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

The Bridgeway

Palmdale Medical Properties and Sparks Medical Properties

Palmdale Medical Properties and Sparks Medical Properties

Universal Health Services of Delaware Inc

Universal Health Services of Delaware Inc

Universal Health Services of Delaware Inc

Universal Health Services of Delaware Inc

Texoma Medical Properties

Property

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

Minimum

Maximum

For five years ended December 31, 2013

For five years ended December 31, 2013

Subsequent Event

Minimum

Times

Total revenue

Combined, including 100% revenue generated from unconsolidated LLCs

Property

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%

30.00%

55.00%

22.00%

21.00%

19.00%

'

'

41.00%

20.00%

'

'

'

'

'

'

'

'

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

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Acquisition of Third-party minority ownership interest

'The decrease during 2013 and 2012 as compared to 2011 is due primarily to the December, 2011 purchase of the third-party minority ownership interests in eleven LLCs in which we previously held noncontrolling majority ownership interests (we began recording the financial results of the entities in our financial statements on a consolidated basis at that time) and various acquisitions of medical office buildings ("MOBs") and clinics completed during 2011 and the first quarter of 2012.

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

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

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Lease term scheduled end date

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'2014-12

'

'

'

'

'

'

'

Number of real estate investments

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

2

'

'

'

'

'

Non-controlling interest percentage

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

100.00%

'

'

'

'

95.00%

Effective date of acquisition

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

1-Jan-14

'

'

'

'

'

'

Committed investment in equity, funded

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

$2.10

Committed investment in equity and debt financing

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

2.3

Third-party term loan

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

12.5

Advisory agreement expiration date of each year

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'--12-31

'

'

'

'

Annual advisory fee as percentage of of average invested real estate assets

'

0.65%

0.70%

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

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

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

20.00%

'

'

'

'

Percentage of equity to be exceeded for incentive distribution

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

15.00%

'

Advisory fee

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

2.4

2.1

2

'

'

Average invested real estate assets

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

$338

$326

$309

'

'

Percentage ownership of outstanding shares

'

'

'

'

'

6.10%

6.20%

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Existing_Lease_Terms_and_Renew

Existing Lease Terms and Renewal Options for Each of UHS Hospital Facilities (Detail) (USD $)	12 Months Ended
	Dec. 31, 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)	12 Months Ended
	Dec. 31, 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

Acquisitions_and_Dispositions_1

Acquisitions and Dispositions - Additional Information (Detail) (USD $)

0 Months Ended

3 Months Ended

12 Months Ended

1 Months Ended

12 Months Ended

1 Months Ended

12 Months Ended

12 Months Ended

12 Months Ended

1 Months Ended

12 Months Ended

1 Months Ended

12 Months Ended

0 Months Ended

12 Months Ended

Jan. 31, 2011

Dec. 31, 2012

Mar. 31, 2012

Dec. 31, 2011

Dec. 31, 2013

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2008

Dec. 31, 2013

Dec. 31, 2012

Feb. 29, 2012

Feb. 29, 2012

Dec. 31, 2012

Oct. 31, 2012

Oct. 31, 2012

Dec. 31, 2012

Jan. 31, 2014

Jan. 31, 2014

Jan. 31, 2014

Dec. 31, 2013

Dec. 31, 2013

Jan. 01, 2014

Aug. 31, 2013

Jun. 30, 2013

Dec. 31, 2013

Apr. 30, 2013

Jul. 31, 2011

Jan. 31, 2012

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2012

Jun. 30, 2011

Dec. 31, 2011

Dec. 31, 2011

Dec. 31, 2013

Dec. 31, 2012

Dec. 12, 2011

Dec. 31, 2012

Dec. 31, 2011

In Place Leases

Canyon Healthcare Properties

Canyon Healthcare Properties

Canyon Healthcare Properties

Canyon Healthcare Properties

575 Hardy Investor

575 Hardy Investor

575 Hardy Investor

Children's Clinic at Springdale

Northwest Medical Center at Sugar Creek

2014 Acquisitions

Palmdale Medical Properties and Sparks Medical Properties

Palmdale Medical Properties and Sparks Medical Properties

Palmdale Medical Properties and Sparks Medical Properties

Ward Eagle Office Village Medical Office Building

5004 Poole Road medical office building

2013 Acquisitions

Forney Medical Plaza

Forney Medical Plaza

Peace Health Medical Clinic

Northwest Texas Professional Office Tower

2011 Acquisitions

Medical office buildings

Lake Pointe Medical Arts

Tuscan

Emory

2012 Acquisitions

2012 Acquisitions

Limited Liability Companies

Limited Liability Companies

Limited Liability Companies

Canyon Springs Medical Plaza

Canyon Springs Medical Plaza

Centinela Medical Building Complex

Centinela Medical Building Complex

Subsequent Event

Subsequent Event

Subsequent Event

First Quarter 2014

Subsequent Event

sqft

sqft

sqft

sqft

sqft

sqft

sqft

sqft

sqft

sqft

sqft

Property

Business Acquisitions and Dispositions [Line Items]

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Area of acquired building

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

9,800

16,700

'

'

'

'

'

'

'

'

50,946

99,000

72,000

'

'

50,974

53,000

50,344

'

'

'

'

'

Total purchase price

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

$7,200,000

'

'

'

$4,100,000

$625,000

$4,700,000

'

$15,000,000

$30,400,000

$9,600,000

$47,806,000

'

$12,200,000

$15,500,000

$5,100,000

'

$40,000,000

'

'

'

Number of real estate investments

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

2

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Percentage of minority ownership interests by parent

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

100.00%

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Effective date of acquisition

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

1-Jan-14

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Aggregate cash payment made for acquisitions

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

170,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

4,400,000

'

4,400,000

Net rentable area

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

16,300

4,400

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Intangible assets amortization period, years

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'9 years 9 months 18 days

'

'

'

'

'

'

'

'

'

'4 years 10 months 24 days

'7 years

'

'

'

Non-controlling ownership interest

'

'

'

'

'

'

'

'

'

95.00%

95.00%

'

'

90.00%

'

'

'

'

'

'

'

'

'

'

'

95.00%

'

'

'

'

'

'

'

'

'

'

'

'

'

Rentable medical office building

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

30,000

'

'

'

'

'

'

'

'

'

'

'

'

'

Weighted average remaining lease term

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'6 years 2 months 12 days

'10 years

'5 years 1 month 6 days

'

'

'6 years 6 months

'4 years 3 months 18 days

'13 years 6 months

'

'

'

'

'

Aggregate revenue from acquired entity

'

'

'

'

'

'

1,800,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

2,700,000

'

'

'

'

'

'

18,300,000

991,000

Aggregate net income from acquired entity

'

'

'

'

'

'

474,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

232,000

'

'

'

'

'

'

'

'

Transaction Expenses

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

680,000

'

'

'

'

'

'

'

'

Cash proceeds from divestiture, net of closing costs and minority members' share

'

'

'

'

'

'

33,800,000

'

'

'

'

8,100,000

'

'

12,200,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Gain on divestiture of property owned by an unconsolidated LLC, net

'

1,145,000

[1]

7,375,000

[1]

'

0

8,520,000

[1],[2]

35,835,000

[2]

'

'

'

'

'

7,400,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Repayment of previously provided member loan

'

'

'

'

'

'

'

'

'

'

'

'

'

'

8,000,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Gain related to divestiture

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

1,100,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Acquired aggregate revenue

49,800,000

'

'

'

'

55,400,000

54,000,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Acquired aggregate net income

4,600,000

'

'

'

'

11,600,000

4,100,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Business Acquisition Pro Forma Earnings Per Share, Diluted

$0.37

'

'

'

'

$0.92

$0.32

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Provision for asset impairment

'

'

'

5,354,000

0

0

5,354,000

4,600,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Provision for asset impairment, per diluted shares

'

'

'

'

'

'

$0.42

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Third-Party Financing

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

7,000,000

'

'

'

'

'

'

Purchase price allocation, tangible property

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

40,900,000

'

'

'

'

'

'

133,100,000

'

'

Purchase price allocated to Intangible property

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

610,000

'

'

'

'

6,943,000

'

'

'

'

'

6,020,000

20,900,000

'

'

Percentage of ownership interest owned

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

100.00%

'

'

Net gain on fair value recognition resulting from purchase of minority interests in majority-owned LLCs

'

'

'

'

'

'

28,600,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

28,600,000

Business acquisition, transaction costs

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

300,000

Transaction costs, divestiture

'

'

'

'

'

'

500,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Net intangible assets

'

'

'

'

20,800,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Intangible assets, accumulated amortization

'

$8,200,000

'

'

$13,700,000

$8,200,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Weighted average remaining amortization period

'

'

'

'

'

'

'

'

'3 years 6 months

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

[1]

During the first and fourth quarters of 2012, as previously discussed in Note 3, two LLCs in which we owned various noncontrolling, majority ownership interests, completed the divestitures of medical office buildings. As a result, the net income amounts presented for 2012 include amounts only up to the divested date for each of these two LLCs. In the aggregate, these divestitures resulted in an $8.5 million gain which is included in our consolidated statements of income for the year ended December 31, 2012.

[2]

As mentioned above, beginning in the fourth quarter of 2011, eleven of our LLCs that were previously recorded on unconsolidated basis became wholly-owned by us and are included in our financial results on a consolidated basis. Additionally, during the fourth quarter of 2011, the first quarter of 2012 and the fourth quarter of 2012, eleven LLCs in which we previously owned various noncontrolling, majority ownership interests, completed divestitures of medical office buildings and related real property. Our share of the financial results of the divested entities were previously accounted for on an unconsolidated basis under the equity method.

Allocation_of_Purchase_Price_t

Allocation of Purchase Price to Assets Acquired and Liabilities Assumed (Detail) (USD $)	Dec. 31, 2011	Dec. 31, 2012	Dec. 31, 2013
	2011 Acquisitions	2012 Acquisitions	2013 Acquisitions
Business Acquisition [Line Items]	'	'	'
Land	$3,892,000	$1,900,000	$316,000
Buildings and improvements	36,940,000	32,090,000	3,749,000
Intangible assets	6,943,000	6,020,000	610,000
Other assets	31,000	799,000	21,000
Total purchase price	47,806,000	40,000,000	4,700,000
Liabilities (real property and operating)	-1,229,000	-144,000	-11,000
Deposit paid in 2011	'	-534,000	'
Net cash paid	'	'	4,685,000
Debt	-6,999,000	-23,240,000	'
Net cash paid	$39,578,000	$16,891,000	'

Allocation_of_Purchase_Price_t1

Allocation of Purchase Price to Assets Acquired and Liabilities Assumed (Parenthetical) (Detail) (2012 Acquisitions, USD $)	Dec. 31, 2012
In Thousands, unless otherwise specified
2012 Acquisitions	'
Business Acquisition [Line Items]	'
Debt, fair value adjustment	$799

Unobservable_Quantitative_Inpu

Unobservable Quantitative Inputs and Assumption used to Acquired Properties Categorized in Level Three (Detail) (Fair Value, Inputs, Level 3, USD $)	12 Months Ended
	Dec. 31, 2012
Peace Health Medical Clinic	'
Quantitative Information About Significant Unobservable Inputs [Line Items]	'
Assets	'PeaceHealth Medical Clinic	[1],[2]
Fair Value of Assets	$30,400,000	[1],[2]
Valuation Technique	'Income Capitalization Approach	[1],[2]
Unobservable inputs	'Capitalization Rate	[1],[2]
Capitalization rate	7.50%	[1],[2]
Discount rate	8.50%	[1],[2]
Northwest Texas Professional Office Tower	'
Quantitative Information About Significant Unobservable Inputs [Line Items]	'
Assets	'Professional Office Tower
Fair Value of Assets	$9,600,000
Valuation Technique	'Income Capitalization Approach
Unobservable inputs	'Capitalization Rate
Capitalization rate	8.60%
Discount rate	9.50%
[1]	The fair value of the land was estimated based upon the sales comparison approach.
[2]	Debt is recorded at its current estimated fair value based upon significant inputs including outstanding loan balance, term, stated interest rate and current market rate of the mortgage.

Purchased_Minority_Ownership_I

Purchased Minority Ownership Interests, Location and Previous Property Owner (Detail)	12 Months Ended
	Dec. 31, 2013
653 Town Center Investments	'
Business Acquisition, Contingent Consideration [Line Items]	'
Property Owned by LLC	'Summerlin Hospital MOB I	[1]
City	'Las Vegas
State	'NV
Trust's previous ownership	95.00%
Minority ownership % purchased	5.00%
653 Town Center Phase II	'
Business Acquisition, Contingent Consideration [Line Items]	'
Property Owned by LLC	'Summerlin Hospital MOB II	[1]
City	'Las Vegas
State	'NV
Trust's previous ownership	98.00%
Minority ownership % purchased	2.00%
Auburn Medical Properties II	'
Business Acquisition, Contingent Consideration [Line Items]	'
Property Owned by LLC	'Auburn Medical Office Building II	[1]
City	'Auburn
State	'WA
Trust's previous ownership	95.00%
Minority ownership % purchased	5.00%
ApaMed Properties	'
Business Acquisition, Contingent Consideration [Line Items]	'
Property Owned by LLC	'Apache Junction Medical Plaza
City	'Apache J.
State	'AZ
Trust's previous ownership	85.00%
Minority ownership % purchased	15.00%
Banburry Medical Properties	'
Business Acquisition, Contingent Consideration [Line Items]	'
Property Owned by LLC	'Summerlin Hospital MOB III	[1]
City	'Las Vegas
State	'NV
Trust's previous ownership	95.00%
Minority ownership % purchased	5.00%
BRB/E Building One	'
Business Acquisition, Contingent Consideration [Line Items]	'
Property Owned by LLC	'BRB Medical Office Building
City	'Kingwood
State	'TX
Trust's previous ownership	95.00%
Minority ownership % purchased	5.00%
Centennial Medical Properties	'
Business Acquisition, Contingent Consideration [Line Items]	'
Property Owned by LLC	'Centennial Hills Medical Office Bldg. I	[1]
City	'Las Vegas
State	'NV
Trust's previous ownership	95.00%
Minority ownership % purchased	5.00%
DesMed	'
Business Acquisition, Contingent Consideration [Line Items]	'
Property Owned by LLC	'Desert Springs Medical Plaza	[1]
City	'Las Vegas
State	'NV
Trust's previous ownership	99.00%
Minority ownership % purchased	1.00%
Gold Shadow Properties	'
Business Acquisition, Contingent Consideration [Line Items]	'
Property Owned by LLC	'700 Shadow Lane & Goldring MOBs	[1]
City	'Las Vegas
State	'NV
Trust's previous ownership	98.00%
Minority ownership % purchased	2.00%
Spring Valley Medical Properties	'
Business Acquisition, Contingent Consideration [Line Items]	'
Property Owned by LLC	'Spring Valley Medical Office Building
City	'Las Vegas
State	'NV
Trust's previous ownership	95.00%
Minority ownership % purchased	5.00%
Spring Valley Medical Properties II	'
Business Acquisition, Contingent Consideration [Line Items]	'
Property Owned by LLC	'Spring Valley Medical Office Building II
City	'Las Vegas
State	'NV
Trust's previous ownership	95.00%
Minority ownership % purchased	5.00%
[1]	Tenants of this medical office building include subsidiaries of UHS.

Eight_Limited_Liability_Compan

Eight Limited Liability Companies that Completed Divestitures of Property (Detail)	12 Months Ended
	Dec. 31, 2011
Deerval Properties	'
Investment [Line Items]	'
Property Owned by LLC	'Deer Valley Medical Office II	[1]
City	'Phoenix
State	'AZ
Trust's Former Ownership %	90.00%	[1]
Deerval Properties II	'
Investment [Line Items]	'
Property Owned by LLC	'Deer Valley Medical Office III	[1]
City	'Phoenix
State	'AZ
Trust's Former Ownership %	95.00%	[1]
Cobre Properties	'
Investment [Line Items]	'
Property Owned by LLC	'Cobre Valley Medical Plaza
City	'Globe
State	'AZ
Trust's Former Ownership %	95.00%
Deerval Parking Company	'
Investment [Line Items]	'
Property Owned by LLC	'Deer Valley Parking Garage	[1],[2]
City	'Phoenix	[2]
State	'AZ	[2]
Trust's Former Ownership %	93.00%	[2]
DSMB Properties	'
Investment [Line Items]	'
Property Owned by LLC	'Desert Samaritan Hospital MOBs
City	'Mesa
State	'AZ
Trust's Former Ownership %	76.00%
Litchvan Investments	'
Investment [Line Items]	'
Property Owned by LLC	'Papago Medical Park
City	'Phoenix
State	'AZ
Trust's Former Ownership %	89.00%
Paseo Medical Properties II	'
Investment [Line Items]	'
Property Owned by LLC	'Thunderbird Paseo Medical Plaza I & II
City	'Glendale
State	'AZ
Trust's Former Ownership %	75.00%
Willetta Medical Properties	'
Investment [Line Items]	'
Property Owned by LLC	'Edwards Medical Plaza	[3]
City	'Phoenix	[3]
State	'AZ	[3]
Trust's Former Ownership %	90.00%	[3]
[1]	Deerval Parking Company, LLC, which owned the real property of a parking garage located near Deer Valley Medical Office Buildings II and III, was 50% owned by each of Deerval Properties and Deerval Properties II.
[2]	Deerval Parking Company, LLC, which owned the real property of a parking garage located near Deer Valley Medical Office Buildings I & II, was 50% owned by each of Deerval Properties and Deerval Properties II.
[3]	The membership interest of this entity was held by a master LLC in which the Trust held a 90% noncontrolling ownership interest.

Eight_Limited_Liability_Compan1

Eight Limited Liability Companies that Completed Divestitures of Property (Parenthetical) (Detail)	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2011
Investment [Line Items]	'	'
Noncontrolling ownership interest of Trust in Master LLC	90.00%	'
Deerval Parking Company | Deerval Properties	'	'
Investment [Line Items]	'	'
Percentage of joint venture ownership	50.00%	50.00%
Deerval Parking Company | Deerval Properties II	'	'
Investment [Line Items]	'	'
Percentage of joint venture ownership	50.00%	50.00%

Leases_Additional_Information_

Leases - Additional Information (Detail)	12 Months Ended
	Dec. 31, 2013
Leases Disclosure [Line Items]	'
Renewal option term	'5 years
Minimum	'
Leases Disclosure [Line Items]	'
Maximum term of a lease	'3 years
Maximum	'
Leases Disclosure [Line Items]	'
Maximum term of a lease	'15 years

Schedule_of_minimum_future_bas

Schedule of minimum future base rents from non-cancelable leases (Detail) (USD $)	Dec. 31, 2013
In Thousands, unless otherwise specified
Leases Future Minimum Payments [Line Items]	'
2014	$42,692
2015	39,631
2016	36,769
2017	21,519
2018	18,860
Thereafter	46,589
Total minimum base rents	$206,060

Debt_Additional_Information_De

Debt - Additional Information (Detail) (USD $)	12 Months Ended
	Dec. 31, 2013		Dec. 31, 2012	Dec. 31, 2011
	MortgageLoan
Debt [Line Items]	'		'	'
Outstanding borrowings under revolving credit agreement	$93,700,000		'	'
Outstanding borrowings under letter of credit	8,700,000		'	'
Available borrowing capacity	47,600,000		'	'
Average amounts outstanding under our revolving credit agreement	86,300,000		75,400,000	67,800,000
Effective interest rate	2.20%		2.40%	1.80%
Line of credit, fair value of borrowings outstanding	93,700,000		'	'
Percentage of increase dividends in excess of cash available for distribution	95.00%		'	'
Balance of Non Recourse Mortgages	105,453,000	[1]	'	'
Net debt premiums	834,000		'	'
Number of non-recourse mortgages	12		'	'
Mortgage loan fair value	106,400,000		'	'
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	0.35%		'	'
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	2.00%		'	'
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	1.00%		'	'
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 $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013
Debt Instrument [Line Items]	'
Covenant, Tangible net worth	$125,000
Tangible net worth	$144,848
Debt to total capital	36.00%
Debt service coverage ratio	19.1
Debt to cash flow ratio	2.21
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	4

Summary_Of_Outstanding_Mortgag

Summary Of Outstanding Mortgages (Detail) (USD $)	Dec. 31, 2013
In Thousands, unless otherwise specified
Debt Disclosure [Line Items]	'
Outstanding Balance	$105,453	[1]
Summerlin Hospital Medical Office Building I fixed rate mortgage loan	'
Debt Disclosure [Line Items]	'
Outstanding Balance	9,188	[1],[2]
Interest Rate	6.55%	[2]
Maturity Date	'2014	[2]
Spring Valley Medical Office Building fixed rate mortgage loan	'
Debt Disclosure [Line Items]	'
Outstanding Balance	5,122	[1]
Interest Rate	5.50%
Maturity Date	'2015
Summerlin Hospital Medical Office Building III floating rate mortgage loan	'
Debt Disclosure [Line Items]	'
Outstanding Balance	11,347	[1]
Interest Rate	3.42%
Maturity Date	'2016
Peace Health fixed rate mortgage loan	'
Debt Disclosure [Line Items]	'
Outstanding Balance	21,681	[1]
Interest Rate	5.64%
Maturity Date	'2017
Summerlin Hospital Medical Office Building II fixed rate mortgage loan	'
Debt Disclosure [Line Items]	'
Outstanding Balance	12,021	[1]
Interest Rate	5.50%
Maturity Date	'2017
Auburn Medical II floating rate mortgage loan	'
Debt Disclosure [Line Items]	'
Outstanding Balance	7,406	[1]
Interest Rate	2.92%
Maturity Date	'2017
Medical Center of Western Connecticut fixed rate mortgage loan	'
Debt Disclosure [Line Items]	'
Outstanding Balance	4,899	[1]
Interest Rate	6.00%
Maturity Date	'2017
Centennial Hills Medical Office Building fixed rate mortgage loan	'
Debt Disclosure [Line Items]	'
Outstanding Balance	10,938	[1]
Interest Rate	3.42%
Maturity Date	'2018
Vibra Hospital of Corpus Christi Fixed Rate Mortgage Loan	'
Debt Disclosure [Line Items]	'
Outstanding Balance	2,983	[1]
Interest Rate	6.50%
Maturity Date	'2019
BRB Medical Office Building fixed rate mortgage loan	'
Debt Disclosure [Line Items]	'
Outstanding Balance	6,840	[1]
Interest Rate	4.27%
Maturity Date	'2022
700 Shadow Lane and Goldring MOBs fixed rate mortgage loan	'
Debt Disclosure [Line Items]	'
Outstanding Balance	6,766	[1]
Interest Rate	4.54%
Maturity Date	'2022
Tuscan Professional Building fixed rate mortgage loan	'
Debt Disclosure [Line Items]	'
Outstanding Balance	$6,262	[1]
Interest Rate	5.56%
Maturity Date	'2025
[1]	Amortized principal payments are made on a monthly basis.
[2]	In the event we are unable to refinance this loan on acceptable terms upon its scheduled maturity, we will explore other financing alternatives including potentially utilizing funds borrowed under our revolving credit facility to repay all or a portion of the loan.

Aggregate_Consolidated_Schedul

Aggregate Consolidated Scheduled Debt Repayment (Detail) (USD $)	Dec. 31, 2013
In Thousands, unless otherwise specified
Schedule of Equity Method Investments [Line Items]	'
2014	$11,894
2015	101,245	[1]
2016	13,098
2017	43,914
2018	10,672
Later	18,330
Total	$199,153
[1]	Includes repayment of $93.7 million of outstanding borrowings under the terms of our $150 million revolving credit agreement.

Aggregate_Consolidated_Schedul1

Aggregate Consolidated Scheduled Debt Repayment (Parenthetical) (Detail) (USD $)	Dec. 31, 2013
In Millions, unless otherwise specified
Schedule of Equity Method Investments [Line Items]	'
Repayment of outstanding borrowings	$93.70
Revolving credit agreement value	$150

Dividends_and_Equity_Issuance_1

Dividends and Equity Issuance Program - Additional Information (Detail) (USD $)

12 Months Ended

3 Months Ended

12 Months Ended

Dec. 31, 2013

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2013

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2013

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2012

Dec. 31, 2011

At-The-Market (ATM) Equity Issuance Program

At-The-Market (ATM) Equity Issuance Program

At-The-Market (ATM) Equity Issuance Program

Ordinary income

Ordinary income

Ordinary income

Capital gain

Capital gain

Capital gain

Capital gain

Capital gain

Capital gain

Capital gain

Compensation to Merrill Lynch

Other expense

Unrecaptured Section 1250 gain

Unrecaptured Section 1250 gain

15% rate gain

15% rate gain

Dividends [Line Items]

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Declared and paid dividends, per share

$2.50

$2.46

$2.42

'

'

'

'

'

'

'

'

'

'

'

'

'

Declared and paid dividends, per share

'

'

'

'

'

'

$1.96

$1.29

$1.23

'

'

'

'

'

'

'

Capital gain per share

'

'

'

'

'

'

'

'

'

$0.54

$1.17

$1.19

'

'

'

'

Declared and paid dividends, per share

'

'

'

'

'

'

'

'

'

'

$0.28

$0.72

'

'

'

'

Declared and paid dividends, per share

'

'

'

'

'

'

'

'

'

'

'

'

15.00%

15.00%

'

'

Declared and paid dividends, per share

'

'

'

'

'

'

'

'

'

'

'

'

'

'

$0.89

$0.48

Securities, aggregate sales price

$50,000,000

'

'

'

'

'

'

'

'

'

'

'

'

'

'

'

Share issued

'

'

'

154,713

'

'

'

'

'

'

'

'

'

'

'

'

Average sale price per share

'

'

'

$41.71

'

'

'

'

'

'

'

'

'

'

'

'

Net cash proceeds from stock issued

'

'

'

6,000,000

'

'

'

'

'

'

'

'

'

'

'

'

Payment of stock issuance cost

'

'

'

424,000

161,000

263,000

'

'

'

'

'

'

'

'

'

'

Net proceeds receivable

'

'

'

$592,000

'

'

'

'

'

'

'

'

'

'

'

'

Incentive_Plans_Additional_Inf

Incentive Plans - Additional Information (Detail) (USD $)	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Equity Incentive Plan [Line Items]	'	'	'
Compensation expenses	$0	$0	$12,000
Outstanding stock options, remaining weighted average life	'2 years 6 months	'	'
Dividend equivalent rights, outstanding	40,000	43,000	51,000
Dividend equivalent rights paid to officers and Trustees	106,000	116,000	178,000
Number of stock options exercised during the period, shares	3,000	8,000	'
Value of stock options exercised during the period	46,290	148,930	'
Number of unvested options during the period	0	'	'
Incentive Plan 2007	'	'	'
Equity Incentive Plan [Line Items]	'	'	'
Number of shares authorized for issuance	75,000	'	'
Shares issued, net of cancellation	47,975	'	'
Number of shares vested	28,870	'	'
Number of shares remaining for issuance	27,025	'	'
Restricted shares issued, net of cancellation	8,730	10,375	7,395
Restricted shares issued, weighted average grant price	$43.54	$39.05	$41.90
Restricted shares of beneficial interest, net of cancellations, issued, value	380,104	405,144	309,850
Restricted shares, Vesting Period	'2015-06	'2014-06	'
Compensation expenses	375,000	329,000	216,000
Compensation expenses remained to be recognized in future	354,000	'	'
Compensation expenses not yet recognized, period of recognition	'1 year	'	'
1997 Plan	'	'	'
Equity Incentive Plan [Line Items]	'	'	'
Compensation expenses	$19,000	$18,000	$18,000
Options granted, vesting percentage per year starting from one year from date of grant	25.00%	'	'
Options, expiration period	'10 years	'	'
Options outstanding and exercisable	40,000	'	'
Options outstanding and exercisable, average price per share	$35.65	'	'

Options_Before_Adjustment_to_O

Options Before Adjustment to Option Price to Give Effect to Dilutive Equivalent Rights (Detail) (USD $)	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2010
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]	'	'	'
Number of shares outstanding options, beginning balance	43,000	51,000	51,000
Number of shares outstanding options, exercised	3,000	8,000	'
Number of shares outstanding options, ending balance	40,000	43,000	51,000
Exercise weighted average price, outstanding option beginning balance	$35.22	$33.89	$33.89
Exercise weighted average price, outstanding option Exercised	$29.44	$26.76	'
Exercise weighted average price, outstanding option Ending balance	$35.65	$35.22	$33.89
Maximum	'	'	'
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]	'	'	'
Grant price, Beginning balance	$36.53	$36.53	$36.53
Grant price, Exercised	$29.44	$27.65	'
Grant price, ending Balance	'	$36.53	$36.53
Grant price, vested and exercisable	$36.53	'	'
Minimum	'	'	'
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]	'	'	'
Grant price, Beginning balance	$29.44	$26.09	$26.09
Grant price, Exercised	$29.44	$26.09	'
Grant price, ending Balance	'	$29.44	$26.09
Grant price, vested and exercisable	$30.06	'	'

Options_Outstanding_and_Exerci

Options Outstanding and Exercisable Options (Detail) (USD $)	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]	'	'	'	'
Number	40,000	43,000	51,000	51,000
Weighted average exercise price	$35.65	$35.22	$33.89	$33.89
Aggregate intrinsic value	$176,240	'	'	'
Weighted average remaining contractual life	'2 years 6 months	'	'	'

Weighted_Average_Remaining_Con

Weighted Average Remaining Contractual Life and Weighted Average Exercise Price for Options Outstanding and Exercisable (Detail) (USD $)	12 Months Ended
	Dec. 31, 2013
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]	'
Options outstanding and Exercisable, shares	40,000
Options outstanding and Exercisable, weighted average exercise price per share	$35.65
Options outstanding and Exercisable, weighted average remaining contractual life (in Years)	'2 years 6 months
Price Range 1	'
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]	'
Range of exercise prices, lower limit	$30.06
Range of exercise prices, upper limit	$34.07
Options outstanding and Exercisable, shares	4,000
Options outstanding and Exercisable, weighted average exercise price per share	$33.07
Options outstanding and Exercisable, weighted average remaining contractual life (in Years)	'1 year
Price Range 2	'
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]	'
Range of exercise prices, lower limit	$34.90
Range of exercise prices, upper limit	$34.90
Options outstanding and Exercisable, shares	13,000
Options outstanding and Exercisable, weighted average exercise price per share	$34.90
Options outstanding and Exercisable, weighted average remaining contractual life (in Years)	'1 year 8 months 12 days
Price Range 3	'
Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items]	'
Range of exercise prices, lower limit	$36.53
Range of exercise prices, upper limit	$36.53
Options outstanding and Exercisable, shares	23,000
Options outstanding and Exercisable, weighted average exercise price per share	$36.53
Options outstanding and Exercisable, weighted average remaining contractual life (in Years)	'3 years 2 months 12 days

Summarized_Financial_Informati2

Summarized Financial Information of Equity Affiliates - Additional Information (Detail) (USD $)

3 Months Ended

12 Months Ended

0 Months Ended

12 Months Ended

Dec. 31, 2012

Mar. 31, 2012

Dec. 31, 2013

Dec. 31, 2012

Dec. 31, 2011

Dec. 31, 2008

Dec. 12, 2011

Dec. 31, 2011

Entity

Limited Liability Companies

Limited Liability Companies

Entity

Schedule of Equity Method Investments [Line Items]

'

'

'

'

'

'

'

'

Number of limited liability companies where company has investments or commitments

'

'

13

'

'

'

'

'

Number of limited liability companies, third party minority ownership interests, purchased

'

'

11

'

'

'

'

11

Ownership interests in LLCs after acquisition

'

'

100.00%

'

'

'

'

100.00%

Aggregate cash expenditure made on purchasing LLCs

'

'

'

'

'

'

$4,400,000

$4,400,000

Net gain on fair value recognition resulting from the purchase of minority interests in majority-owned LLCs

'

'

'

'

28,600,000

'

'

28,600,000

Cash proceeds received from divestiture of property owned by eight LLCs, net

'

'

0

12,175,000

33,836,000

'

'

'

Gain on divestitures of properties owned by unconsolidated LLCs, net

1,145,000

[1]

7,375,000

[1]

0

8,520,000

[1],[2]

35,835,000

[2]

'

'

'

Number of days for Non-Offering Member either to purchase or sell its entire ownership interest to or from Offering Member

'

'

'

'

'

'60 days

'

'

Investment or advance in two LLCs which own properties in California

'

'

$16,300,000

'

'

'

'

'

[1]

During the first and fourth quarters of 2012, as previously discussed in Note 3, two LLCs in which we owned various noncontrolling, majority ownership interests, completed the divestitures of medical office buildings. As a result, the net income amounts presented for 2012 include amounts only up to the divested date for each of these two LLCs. In the aggregate, these divestitures resulted in an $8.5 million gain which is included in our consolidated statements of income for the year ended December 31, 2012.

[2]

As mentioned above, beginning in the fourth quarter of 2011, eleven of our LLCs that were previously recorded on unconsolidated basis became wholly-owned by us and are included in our financial results on a consolidated basis. Additionally, during the fourth quarter of 2011, the first quarter of 2012 and the fourth quarter of 2012, eleven LLCs in which we previously owned various noncontrolling, majority ownership interests, completed divestitures of medical office buildings and related real property. Our share of the financial results of the divested entities were previously accounted for on an unconsolidated basis under the equity method.

Limited_Liability_Companies_Ac

Limited Liability Companies Accounted for Under Equity Method (Detail) (Equity Method Investments)	12 Months Ended
	Dec. 31, 2013
DVMC Properties	'
Schedule of Equity Method Investments [Line Items]	'
Ownership	90.00%	[1]
Property Owned by LLC	'Desert Valley Medical Center	[1]
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%	[1]
Property Owned by LLC	'Mid Coast Hospital MOB	[1]
PCH Medical Properties	'
Schedule of Equity Method Investments [Line Items]	'
Ownership	85.00%	[1]
Property Owned by LLC	'Rosenberg Children's Medical Plaza	[1]
Arlington Medical Properties	'
Schedule of Equity Method Investments [Line Items]	'
Ownership	75.00%	[1],[2]
Property Owned by LLC	'Saint Mary's Professional Office Building	[1],[2]
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%	[1]
Property Owned by LLC	'Phoenix Children's East Valley Care Center	[1]
Sparks Medical Properties	'
Schedule of Equity Method Investments [Line Items]	'
Ownership	95.00%	[1],[3],[4]
Property Owned by LLC	'Vista Medical Terrace & The Sparks Medical Building	[1],[3],[4]
Grayson Properties	'
Schedule of Equity Method Investments [Line Items]	'
Ownership	95.00%	[1],[3],[5]
Property Owned by LLC	'Texoma Medical Plaza	[1],[3],[5]
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%	[1],[6]
Property Owned by LLC	'Forney Medical Plaza II	[1],[6]
Palmdale Medical Plaza	'
Schedule of Equity Method Investments [Line Items]	'
Ownership	95.00%	[1],[3],[4],[7]
Property Owned by LLC	'Palmdale Medical Plaza	[1],[3],[4],[7]
[1]	As disclosed below, as of December 31, 2013, this LLC has a third-party loan outstanding, which is non-recourse to us.
[2]	We have committed to invest up to $6.3 million in equity and debt financing, of which $5.2 million has been funded as of December 31, 2013, in exchange for a 75% non-controlling equity interest in an LLC that owns and operates the Saint Mary's Professional Office Building.
[3]	Tenants of this medical office building include or will include subsidiaries of UHS.
[4]	Effective January 1, 2014, we purchased the third-party minority ownership interest (5%) in this LLC. As a result of our purchase of the minority ownership interest, as of January 1, 2014 we hold 100% of the ownership interest in this LLC and will begin accounting for it on a consolidated basis effective January 1, 2014.
[5]	We have committed to invest up to $4.4 million in equity and debt financing, of which $2.1 million has been funded as of December 31, 2013.
[6]	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 was completed and opened in April, 2013. We have committed to invest up to $2.5 million in equity and debt financing, $1.1 million of which has been funded as of December 31, 2013.
[7]	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 $)	Dec. 31, 2013	Dec. 31, 2013	Dec. 31, 2013	Dec. 31, 2013	Jan. 01, 2014
In Millions, unless otherwise specified	Grayson Properties	FTX MOB Phase II limited partnership	Palmdale Medical Properties and Sparks Medical Properties	Arlington Medical Properties	Subsequent Event
					Palmdale Medical Properties and Sparks Medical Properties
Schedule of Equity Method Investments [Line Items]	'	'	'	'	'
Committed investment in equity and debt financing	$4.40	$2.50	'	$6.30	'
Committed investment in equity and debt financing, funded	$2.10	$1.10	'	$5.20	'
Non-controlling interest percentage	'	'	'	75.00%	100.00%
Percentage of ownership interest purchased	'	'	'	'	5.00%
Effective date of acquisition	'	'	1-Jan-14	'	'

Limited_Liability_Companies_wh

Limited Liability Companies where Minority Ownership Interests Purchased and Consolidated (Detail) (Consolidated Properties)	12 Months Ended
	Dec. 31, 2011
653 Town Center Investments	'
Investment [Line Items]	'
Previous ownership	95.00%	[1]
Property Owned by LLC	'Summerlin Hospital Medical Office Building I	[1]
653 Town Center Phase II	'
Investment [Line Items]	'
Previous ownership	98.00%	[1]
Property Owned by LLC	'Summerlin Hospital Medical Office Building II	[1]
ApaMed Properties	'
Investment [Line Items]	'
Previous ownership	85.00%
Property Owned by LLC	'Apache Junction Medical Plaza
Auburn Medical Properties II	'
Investment [Line Items]	'
Previous ownership	95.00%	[1]
Property Owned by LLC	'Auburn Medical Office Building II	[1]
Banburry Medical Properties	'
Investment [Line Items]	'
Previous ownership	95.00%	[1]
Property Owned by LLC	'Summerlin Hospital Medical Office Building III	[1]
BRB/E Building One	'
Investment [Line Items]	'
Previous ownership	95.00%
Property Owned by LLC	'BRB Medical Office Building
Centennial Medical Properties	'
Investment [Line Items]	'
Previous ownership	95.00%	[1]
Property Owned by LLC	'Centennial Hills Medical Office Building I	[1]
DesMed	'
Investment [Line Items]	'
Previous ownership	99.00%	[1]
Property Owned by LLC	'Desert Springs Medical Plaza	[1]
Gold Shadow Properties	'
Investment [Line Items]	'
Previous ownership	98.00%	[1]
Property Owned by LLC	'700 Shadow Lane & Goldring Medical Office Buildings	[1]
Spring Valley Medical Properties	'
Investment [Line Items]	'
Previous ownership	95.00%
Property Owned by LLC	'Spring Valley Medical Office Building
Spring Valley Medical Properties II	'
Investment [Line Items]	'
Previous ownership	95.00%
Property Owned by LLC	'Spring Valley Hospital Medical Office Building II
[1]	Tenants of this medical office building include or will include subsidiaries of UHS.

Limited_Liability_Companies_th

Limited Liability Companies that Divested Medical Office Buildings (Detail)

12 Months Ended

12 Months Ended

Dec. 31, 2011

Dec. 31, 2011

Dec. 31, 2011

Dec. 31, 2011

Dec. 31, 2011

Dec. 31, 2011

Dec. 31, 2011

Dec. 31, 2011

Dec. 31, 2012

Feb. 29, 2012

Dec. 31, 2012

DSMB Properties

Litchvan Investments

Paseo Medical Properties II

Willetta Medical Properties

Deerval Properties

Deerval Properties II

Deerval Parking Company

Cobre Properties

Canyon Healthcare Properties

Canyon Healthcare Properties

575 Hardy Investors

Schedule of Equity Method Investments [Line Items]

'

'

'

'

'

'

'

'

'

'

'

Ownership

76.00%

89.00%

75.00%

90.00%

[1]

90.00%

[2]

95.00%

[2]

93.00%

[3]

95.00%

'

'

'

Property Owned by LLC

'Desert Samaritan Hospital MOBs

'Papago Medical Park

'Thunderbird Paseo Medical Plaza I & II

'Edwards Medical Plaza

[1]

'Deer Valley Medical Office II

[2]

'Deer Valley Medical Office III

[2]

'Deer Valley Parking Garage

[2],[3]

'Cobre Valley Medical Plaza

'

'

'

Non-controlling ownership interests

'

'

'

'

'

'

'

'

95.00%

95.00%

90.00%

Property Owned by LLC

'

'

'

'

'

'

'

'

'Canyon Springs Medical Plaza

'

'Centinela Medical Building Complez

[1]

The membership interest of this entity was held by a master LLC in which the Trust held a 90% noncontrolling ownership interest.

[2]

Deerval Parking Company, LLC, which owned the real property of a parking garage located near Deer Valley Medical Office Buildings II and III, was 50% owned by each of Deerval Properties and Deerval Properties II.

[3]

Deerval Parking Company, LLC, which owned the real property of a parking garage located near Deer Valley Medical Office Buildings I & II, was 50% owned by each of Deerval Properties and Deerval Properties II.

Limited_Liability_Companies_th1

Limited Liability Companies that Divested Medical Office Buildings (Parenthetical) (Detail) (Deerval Parking Company)	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2011
Deerval Properties	'	'
Schedule of Equity Method Investments [Line Items]	'	'
Percentage of joint venture ownership	50.00%	50.00%
Deerval Properties II	'	'
Schedule of Equity Method Investments [Line Items]	'	'
Percentage of joint venture ownership	50.00%	50.00%

Combined_Statement_of_Income_f

Combined Statement of Income for Limited Liabilities Accounted for under Equity Method (Detail) (USD $)	3 Months Ended				12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2012		Mar. 31, 2012		Dec. 31, 2013		Dec. 31, 2012		Dec. 31, 2011
Schedule of Equity Method Investments [Line Items]	'		'		'		'		'
Revenues	'		'		$21,001	[1]	$21,448	[2]	$57,932	[2]
Operating expenses	'		'		8,705	[1]	8,974	[2]	25,503	[2]
Depreciation and amortization	'		'		4,039	[1]	4,140	[2]	13,066	[2]
Interest, net	'		'		6,353	[1]	6,056	[2]	17,630	[2]
Net income before gains on divestitures	'		'		1,904	[1]	2,278	[2]	1,733	[2]
Our share of net income before gains on divestitures	'		'		2,095	[1],[3]	2,365	[2],[3]	3,058	[2],[3]
Our share of gains on divestitures	$1,145	[4]	$7,375	[4]	$0		$8,520	[2],[4]	$35,835	[2]
[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, 2103. Prior to July 1, 2013, the financial results of this entity were accounted for on a consolidated basis. Included in the 2013 amounts reflected on the table above are the financial results for Palmdale Medical Plaza for the six-month period of July 1, 2013 through December 31, 2013.
[2]	As mentioned above, beginning in the fourth quarter of 2011, eleven of our LLCs that were previously recorded on unconsolidated basis became wholly-owned by us and are included in our financial results on a consolidated basis. Additionally, during the fourth quarter of 2011, the first quarter of 2012 and the fourth quarter of 2012, eleven LLCs in which we previously owned various noncontrolling, majority ownership interests, completed divestitures of medical office buildings and related real property. Our share of the financial results of the divested entities were previously accounted for on an unconsolidated basis under the equity method.
[3]	Our share of net income during 2013, 2012 and 2011, includes interest income earned by us on various advances made to LLCs of approximately $1.9 million, $1.5 million and $2.6 million, respectively.
[4]	During the first and fourth quarters of 2012, as previously discussed in Note 3, two LLCs in which we owned various noncontrolling, majority ownership interests, completed the divestitures of medical office buildings. As a result, the net income amounts presented for 2012 include amounts only up to the divested date for each of these two LLCs. In the aggregate, these divestitures resulted in an $8.5 million gain which is included in our consolidated statements of income for the year ended December 31, 2012.

Combined_Statement_of_Income_f1

Combined Statement of Income for Limited Liabilities Accounted for under Equity Method (Parenthetical) (Detail) (USD $)	12 Months Ended
In Millions, unless otherwise specified	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Schedule of Equity Method Investments [Line Items]	'	'	'
Interest income earned on various advances made to LLCs	$1.90	$1.50	$2.60

Combined_Balance_Sheets_of_Lim

Combined Balance Sheets of Limited Liabilities Accounted for under Equity Method (Detail) (USD $)	Dec. 31, 2013		Dec. 31, 2012
In Thousands, unless otherwise specified
Schedule of Equity Method Investments [Line Items]	'		'
Net property, including CIP	$119,547	[1]	$106,150
Other assets	9,479	[1]	9,850
Total assets	129,026	[1]	116,000
Liabilities	5,336	[1]	5,368
Mortgage notes payable, non-recourse to us	80,112	[1]	77,511
Advances payable to us	22,911	[1]	12,658
Equity	20,667	[1]	20,463
Total liabilities and equity	129,026	[1]	116,000
Our share of equity and advances to LLCs	$39,201	[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) (USD $)	Dec. 31, 2013
In Thousands, unless otherwise specified
Schedule of Equity Method Investments [Line Items]	'
2014	$11,894
2015	101,245	[1]
2016	13,098
2017	43,914
2018	10,672
Mortgage Balance	199,153
Equity Method Investments	'
Schedule of Equity Method Investments [Line Items]	'
2014	14,174
2015	41,492
2016	578
2017	11,829
2018	12,039
Mortgage Balance	80,112	[2]
Equity Method Investments | Grayson Properties	'
Schedule of Equity Method Investments [Line Items]	'
Mortgage Balance	12,540	[2],[3]
Maturity Date	'2014	[3]
Equity Method Investments | Brunswick Associates	'
Schedule of Equity Method Investments [Line Items]	'
Mortgage Balance	7,941	[2]
Maturity Date	'2015
Equity Method Investments | Arlington Medical Properties	'
Schedule of Equity Method Investments [Line Items]	'
Mortgage Balance	24,052	[2]
Maturity Date	'2015
Equity Method Investments | DVMC Properties	'
Schedule of Equity Method Investments [Line Items]	'
Mortgage Balance	3,970	[2]
Maturity Date	'2015
Equity Method Investments | Palmdale Medical Plaza	'
Schedule of Equity Method Investments [Line Items]	'
Mortgage Balance	6,162	[2]
Maturity Date	'2015
Equity Method Investments | FTX MOB Phase II	'
Schedule of Equity Method Investments [Line Items]	'
Mortgage Balance	5,596	[2],[4]
Maturity Date	'2017	[4]
Equity Method Investments | PCH Southern Properties	'
Schedule of Equity Method Investments [Line Items]	'
Mortgage Balance	6,614	[2]
Maturity Date	'2017
Equity Method Investments | Sparks Medical Properties	'
Schedule of Equity Method Investments [Line Items]	'
Mortgage Balance	4,603	[2]
Maturity Date	'2018
Equity Method Investments | PCH Medical Properties	'
Schedule of Equity Method Investments [Line Items]	'
Mortgage Balance	$8,634	[2]
Maturity Date	'2018
[1]	Includes repayment of $93.7 million of outstanding borrowings under the terms of our $150 million revolving credit agreement.
[2]	All mortgage loans, other than construction loans, require monthly principal payments through maturity and include a balloon principal payment upon maturity.
[3]	We believe the terms of this loan are within current market underwriting criteria. At this time, we expect to refinance this loan during 2014 for three to ten year terms at the then current market interest rates. In the unexpected event that we are unable to refinance this loan on reasonable terms, we will explore other financing alternatives, including, among other things, potentially increasing our equity investment in the property utilizing funds borrowed under our revolving credit facility.
[4]	Construction loan.

Aggregate_Principal_Amounts_Du1

Aggregate Principal Amounts Due on Mortgage Notes Payable by Unconsolidated LLCs, Accounted Under Equity Method (Parenthetical) (Detail) (Sierra Medical Properties)	12 Months Ended
	Dec. 31, 2013
Schedule of Equity Method Investments [Line Items]	'
Refinance of loan term	'Refinance these loans during 2014 for three to ten year terms
Minimum	'
Schedule of Equity Method Investments [Line Items]	'
Refinancing of loan, expected term in years	'3 years
Maximum	'
Schedule of Equity Method Investments [Line Items]	'
Refinancing of loan, expected term in years	'10 years

Segment_Reporting_Additional_I

Segment Reporting - Additional Information (Detail)	12 Months Ended
	Dec. 31, 2013
	Segment
Segment Reporting Information [Line Items]	'
Number of reportable segments	1

Quarterly_Results_Detail

Quarterly Results (Detail) (USD $)	3 Months Ended														12 Months Ended
In Thousands, except Per Share data, unless otherwise specified	Dec. 31, 2013		Sep. 30, 2013		Jun. 30, 2013		Mar. 31, 2013		Dec. 31, 2012		Sep. 30, 2012	Jun. 30, 2012	Mar. 31, 2012		Dec. 31, 2013		Dec. 31, 2012		Dec. 31, 2011
Quarterly Financial Information [Line Items]	'		'		'		'		'		'	'	'		'		'		'
Revenues	$13,445	[1]	$13,448	[1]	$13,502	[1]	$13,885	[1]	$13,323		$13,610	$13,666	$13,351		$54,280	[1]	$53,950		'
Net income before gains	'		'		'		'		3,365		2,986	2,467	2,139		'		10,957		'
Net gains on divestiture of properties owned by unconsolidated LLCs	'		'		'		'		1,145	[2]	'	'	7,375	[2]	0		8,520	[2],[3]	35,835	[3]
Net income	$3,498	[1]	$3,303	[1]	$2,941	[1]	$3,427	[1]	$4,510		$2,986	$2,467	$9,514		$13,169	[1]	$19,477		$73,794
Total basic earnings per share	$0.27	[1]	$0.26	[1]	$0.23	[1]	$0.27	[1]	$0.36		$0.24	$0.19	$0.75		$1.04	[1]	$1.54		$5.84
Total diluted earnings per share	$0.27	[1]	$0.26	[1]	$0.23	[1]	$0.27	[1]	$0.36		$0.24	$0.19	$0.75		$1.04	[1]	$1.54		$5.83
[1]	We began reflecting the operating results 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 recorded on a consolidated basis. The revenues for the first and second quarters of 2013, as reflected above, include the revenue for Palmdale Medical Plaza. There was no material impact to our net income as a result of the deconsolidation of this property.
[2]	During the first and fourth quarters of 2012, as previously discussed in Note 3, two LLCs in which we owned various noncontrolling, majority ownership interests, completed the divestitures of medical office buildings. As a result, the net income amounts presented for 2012 include amounts only up to the divested date for each of these two LLCs. In the aggregate, these divestitures resulted in an $8.5 million gain which is included in our consolidated statements of income for the year ended December 31, 2012.
[3]	As mentioned above, beginning in the fourth quarter of 2011, eleven of our LLCs that were previously recorded on unconsolidated basis became wholly-owned by us and are included in our financial results on a consolidated basis. Additionally, during the fourth quarter of 2011, the first quarter of 2012 and the fourth quarter of 2012, eleven LLCs in which we previously owned various noncontrolling, majority ownership interests, completed divestitures of medical office buildings and related real property. Our share of the financial results of the divested entities were previously accounted for on an unconsolidated basis under the equity method.

Quarterly_Results_Parenthetica

Quarterly Results (Parenthetical) (Detail) (USD $)	3 Months Ended				12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2012		Mar. 31, 2012		Dec. 31, 2013	Dec. 31, 2012		Dec. 31, 2011
Quarterly Financial Information [Line Items]	'		'		'	'		'
Gain on divestitures of properties owned by unconsolidated LLCs, net	$1,145	[1]	$7,375	[1]	$0	$8,520	[1],[2]	$35,835	[2]
[1]	During the first and fourth quarters of 2012, as previously discussed in Note 3, two LLCs in which we owned various noncontrolling, majority ownership interests, completed the divestitures of medical office buildings. As a result, the net income amounts presented for 2012 include amounts only up to the divested date for each of these two LLCs. In the aggregate, these divestitures resulted in an $8.5 million gain which is included in our consolidated statements of income for the year ended December 31, 2012.
[2]	As mentioned above, beginning in the fourth quarter of 2011, eleven of our LLCs that were previously recorded on unconsolidated basis became wholly-owned by us and are included in our financial results on a consolidated basis. Additionally, during the fourth quarter of 2011, the first quarter of 2012 and the fourth quarter of 2012, eleven LLCs in which we previously owned various noncontrolling, majority ownership interests, completed divestitures of medical office buildings and related real property. Our share of the financial results of the divested entities were previously accounted for on an unconsolidated basis under the equity method.

Schedule_III_Real_Estate_and_A

Schedule III Real Estate and Accumulated Depreciation (Detail) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013		Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2010
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Encumbrance	$105,453	[1]	'	'	'
Initial Cost, Land	25,558		'	'	'
Initial Cost, Building & Improvements	317,546		'	'	'
Adjustments to Basis	52,565	[2]	'	'	'
Land	27,374		'	'	'
Buildings and Improvements	368,295		'	'	'
CIP	0		'	'	'
Total	395,669		401,474	363,498	199,940
Accumulated Depreciation	97,921		87,088	'	'
Inland Valley Regional Medical Center Wildomar, California	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Initial Cost, Land	2,050		'	'	'
Initial Cost, Building & Improvements	10,701		'	'	'
Adjustments to Basis	14,596	[2]	'	'	'
Land	2,050		'	'	'
Buildings and Improvements	25,297		'	'	'
Total	27,347		'	'	'
Accumulated Depreciation	10,464		'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'2007		'	'	'
Date Acquired	'1986		'	'	'
Average Depreciable Life	'43 years		'	'	'
McAllen Medical Center McAllen, Texas	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Initial Cost, Land	4,720		'	'	'
Initial Cost, Building & Improvements	31,442		'	'	'
Adjustments to Basis	10,189	[2]	'	'	'
Land	6,281		'	'	'
Buildings and Improvements	40,070		'	'	'
Total	46,351		'	'	'
Accumulated Depreciation	23,440		'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'1994		'	'	'
Date Acquired	'1986		'	'	'
Average Depreciable Life	'42 years		'	'	'
Wellington Regional Medical Center West Palm Beach, Florida	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Initial Cost, Land	1,190		'	'	'
Initial Cost, Building & Improvements	14,652		'	'	'
Adjustments to Basis	17,370	[2]	'	'	'
Land	1,663		'	'	'
Buildings and Improvements	31,549		'	'	'
Total	33,212		'	'	'
Accumulated Depreciation	15,182		'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'2006		'	'	'
Date Acquired	'1986		'	'	'
Average Depreciable Life	'42 years		'	'	'
The Bridgeway North Little Rock, Arkansas	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Initial Cost, Land	150		'	'	'
Initial Cost, Building & Improvements	5,395		'	'	'
Adjustments to Basis	4,571	[2]	'	'	'
Land	150		'	'	'
Buildings and Improvements	9,966		'	'	'
Total	10,116		'	'	'
Accumulated Depreciation	5,554		'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'2006		'	'	'
Date Acquired	'1986		'	'	'
Average Depreciable Life	'35 years		'	'	'
HealthSouth Deaconess Rehabilitation Hospital Evansville, Indiana	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Initial Cost, Land	500		'	'	'
Initial Cost, Building & Improvements	6,945		'	'	'
Adjustments to Basis	1,062	[2]	'	'	'
Land	500		'	'	'
Buildings and Improvements	8,007		'	'	'
Total	8,507		'	'	'
Accumulated Depreciation	4,867		'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'1993		'	'	'
Date Acquired	'1989		'	'	'
Average Depreciable Life	'40 years		'	'	'
Kindred Hospital Chicago Central Chicago, Illinois	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Initial Cost, Land	158		'	'	'
Initial Cost, Building & Improvements	6,404		'	'	'
Adjustments to Basis	1,838	[2]	'	'	'
Land	158		'	'	'
Buildings and Improvements	8,242		'	'	'
Total	8,400		'	'	'
Accumulated Depreciation	8,245		'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'1993		'	'	'
Date Acquired	'1986		'	'	'
Average Depreciable Life	'25 years		'	'	'
Family Doctor's Medical Office Building Shreveport, Louisiana	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Initial Cost, Land	54		'	'	'
Initial Cost, Building & Improvements	1,526		'	'	'
Adjustments to Basis	494	[2]	'	'	'
Land	54		'	'	'
Buildings and Improvements	2,020		'	'	'
Total	2,074		'	'	'
Accumulated Depreciation	854		'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'1991		'	'	'
Date Acquired	'1995		'	'	'
Average Depreciable Life	'45 years		'	'	'
Kelsey-Seybold Clinic at King's Crossing	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Initial Cost, Land	439		'	'	'
Initial Cost, Building & Improvements	1,618		'	'	'
Adjustments to Basis	870	[2]	'	'	'
Land	439		'	'	'
Buildings and Improvements	2,488		'	'	'
Total	2,927		'	'	'
Accumulated Depreciation	958		'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'1995		'	'	'
Date Acquired	'1995		'	'	'
Average Depreciable Life	'45 years		'	'	'
Professional Center at King's Crossing Kingwood, Texas	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Initial Cost, Land	439		'	'	'
Initial Cost, Building & Improvements	1,837		'	'	'
Adjustments to Basis	183	[2]	'	'	'
Land	439		'	'	'
Buildings and Improvements	2,020		'	'	'
Total	2,459		'	'	'
Accumulated Depreciation	832		'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'1995		'	'	'
Date Acquired	'1995		'	'	'
Average Depreciable Life	'45 years		'	'	'
Chesterbrook Academy Audubon, Pennsylvania	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Initial Cost, Land	307		'	'	'
Initial Cost, Building & Improvements	996		'	'	'
Land	307		'	'	'
Buildings and Improvements	996		'	'	'
Total	1,303		'	'	'
Accumulated Depreciation	391		'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'1996		'	'	'
Date Acquired	'1996		'	'	'
Average Depreciable Life	'45 years		'	'	'
Chesterbrook Academy New Britain, Pennsylvania	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Initial Cost, Land	250		'	'	'
Initial Cost, Building & Improvements	744		'	'	'
Land	250		'	'	'
Buildings and Improvements	744		'	'	'
Total	994		'	'	'
Accumulated Depreciation	292		'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'1991		'	'	'
Date Acquired	'1996		'	'	'
Average Depreciable Life	'45 years		'	'	'
Chesterbrook Academy Uwchlan, Pennsylvania	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Initial Cost, Land	180		'	'	'
Initial Cost, Building & Improvements	815		'	'	'
Land	180		'	'	'
Buildings and Improvements	815		'	'	'
Total	995		'	'	'
Accumulated Depreciation	320		'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'1992		'	'	'
Date Acquired	'1996		'	'	'
Average Depreciable Life	'45 years		'	'	'
Chesterbrook Academy Newtown, Pennsylvania	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Initial Cost, Land	195		'	'	'
Initial Cost, Building & Improvements	749		'	'	'
Land	195		'	'	'
Buildings and Improvements	749		'	'	'
Total	944		'	'	'
Accumulated Depreciation	294		'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'1992		'	'	'
Date Acquired	'1996		'	'	'
Average Depreciable Life	'45 years		'	'	'
The Southern Crescent Center I	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Initial Cost, Land	1,130	[3]	'	'	'
Initial Cost, Building & Improvements	5,092	[3]	'	'	'
Adjustments to Basis	-2,304	[2],[3]	'	'	'
Land	1,130	[3]	'	'	'
Buildings and Improvements	2,788	[3]	'	'	'
Total	3,918	[3]	'	'	'
Accumulated Depreciation	2,141	[3]	'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'1994	[3]	'	'	'
Date Acquired	'1996	[3]	'	'	'
Average Depreciable Life	'45 years	[3]	'	'	'
The Southern Crescent Center II Riverdale, Georgia	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Adjustments to Basis	5,015	[2],[3]	'	'	'
Land	806	[3]	'	'	'
Buildings and Improvements	4,209	[3]	'	'	'
Total	5,015	[3]	'	'	'
Accumulated Depreciation	1,742	[3]	'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'2000	[3]	'	'	'
Date Acquired	'1998	[3]	'	'	'
Average Depreciable Life	'35 years	[3]	'	'	'
The Cypresswood Professional Center Spring,Texas	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Initial Cost, Land	573		'	'	'
Initial Cost, Building & Improvements	3,842		'	'	'
Adjustments to Basis	573	[2]	'	'	'
Land	573		'	'	'
Buildings and Improvements	4,415		'	'	'
Total	4,988		'	'	'
Accumulated Depreciation	2,212		'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'1997		'	'	'
Date Acquired	'1997		'	'	'
Average Depreciable Life	'35 years		'	'	'
701 South Tonopah Building Las Vegas, Nevada	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Initial Cost, Building & Improvements	1,579		'	'	'
Adjustments to Basis	68	[2]	'	'	'
Buildings and Improvements	1,647		'	'	'
Total	1,647		'	'	'
Accumulated Depreciation	858		'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'1999		'	'	'
Date Acquired	'1999		'	'	'
Average Depreciable Life	'25 years		'	'	'
Sheffield Medical Building Atlanta, Georgia	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Initial Cost, Land	1,760	[4]	'	'	'
Initial Cost, Building & Improvements	9,766	[4]	'	'	'
Adjustments to Basis	-7,327	[2],[4]	'	'	'
Land	736	[4]	'	'	'
Buildings and Improvements	3,463	[4]	'	'	'
Total	4,199	[4]	'	'	'
Accumulated Depreciation	936	[4]	'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'1999	[4]	'	'	'
Date Acquired	'1999	[4]	'	'	'
Average Depreciable Life	'25 years	[4]	'	'	'
Medical Center of Western Connecticut - Bldg. 73 Danbury, Connecticut	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Encumbrance	4,899	[1]	'	'	'
Initial Cost, Land	1,151		'	'	'
Initial Cost, Building & Improvements	5,176		'	'	'
Adjustments to Basis	430	[2]	'	'	'
Land	1,151		'	'	'
Buildings and Improvements	5,606		'	'	'
Total	6,757		'	'	'
Accumulated Depreciation	2,678		'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'2000		'	'	'
Date Acquired	'2000		'	'	'
Average Depreciable Life	'30 years		'	'	'
Vibra Hospital of Corpus Christi Corpus Christi, Texas	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Encumbrance	2,983	[1]	'	'	'
Initial Cost, Land	1,104		'	'	'
Initial Cost, Building & Improvements	5,508		'	'	'
Land	1,104		'	'	'
Buildings and Improvements	5,508		'	'	'
Total	6,612		'	'	'
Accumulated Depreciation	928		'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'2008		'	'	'
Date Acquired	'2008		'	'	'
Average Depreciable Life	'35 years		'	'	'
Apache Junction Medical Plaza Apache Junction, AZ	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Initial Cost, Land	240	[5]	'	'	'
Initial Cost, Building & Improvements	3,590	[5]	'	'	'
Adjustments to Basis	27	[2],[5]	'	'	'
Land	240	[5]	'	'	'
Buildings and Improvements	3,617	[5]	'	'	'
Total	3,857	[5]	'	'	'
Accumulated Depreciation	283	[5]	'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'2004	[5]	'	'	'
Date Acquired	'2004	[5]	'	'	'
Average Depreciable Life	'30 years	[5]	'	'	'
Auburn Medical Office Building Auburn, WA	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Encumbrance	7,406	[1],[5]	'	'	'
Initial Cost, Building & Improvements	10,200	[5]	'	'	'
Adjustments to Basis	159	[2],[5]	'	'	'
Buildings and Improvements	10,359	[5]	'	'	'
Total	10,359	[5]	'	'	'
Accumulated Depreciation	694	[5]	'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'2009	[5]	'	'	'
Date Acquired	'2009	[5]	'	'	'
Average Depreciable Life	'36 years	[5]	'	'	'
BRB Medical Office Building Kingwood, Texas	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Encumbrance	6,840	[1],[5]	'	'	'
Initial Cost, Land	430	[5]	'	'	'
Initial Cost, Building & Improvements	8,970	[5]	'	'	'
Adjustments to Basis	24	[2],[5]	'	'	'
Land	430	[5]	'	'	'
Buildings and Improvements	8,994	[5]	'	'	'
Total	9,424	[5]	'	'	'
Accumulated Depreciation	591	[5]	'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'2010	[5]	'	'	'
Date Acquired	'2010	[5]	'	'	'
Average Depreciable Life	'37 years	[5]	'	'	'
Centennial Hills Medical Office Building Las Vegas, NV	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Encumbrance	10,938	[1],[5]	'	'	'
Initial Cost, Building & Improvements	19,890	[5]	'	'	'
Adjustments to Basis	743	[2],[5]	'	'	'
Buildings and Improvements	20,633	[5]	'	'	'
Total	20,633	[5]	'	'	'
Accumulated Depreciation	1,412	[5]	'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'2006	[5]	'	'	'
Date Acquired	'2006	[5]	'	'	'
Average Depreciable Life	'34 years	[5]	'	'	'
Desert Springs Medical Plaza Las Vegas, NV	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Initial Cost, Land	1,200	[5]	'	'	'
Initial Cost, Building & Improvements	9,560	[5]	'	'	'
Adjustments to Basis	200	[2],[5]	'	'	'
Land	1,200	[5]	'	'	'
Buildings and Improvements	9,760	[5]	'	'	'
Total	10,960	[5]	'	'	'
Accumulated Depreciation	772	[5]	'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'1998	[5]	'	'	'
Date Acquired	'1998	[5]	'	'	'
Average Depreciable Life	'30 years	[5]	'	'	'
700 Shadow Lane & Goldring MOB Las Vegas, NV	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Encumbrance	6,766	[1],[5]	'	'	'
Initial Cost, Land	400	[5]	'	'	'
Initial Cost, Building & Improvements	11,300	[5]	'	'	'
Adjustments to Basis	968	[2],[5]	'	'	'
Land	400	[5]	'	'	'
Buildings and Improvements	12,268	[5]	'	'	'
Total	12,668	[5]	'	'	'
Accumulated Depreciation	931	[5]	'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'2003	[5]	'	'	'
Date Acquired	'2003	[5]	'	'	'
Average Depreciable Life	'30 years	[5]	'	'	'
Spring Valley Hospital MOB I Las Vegas, NV	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Encumbrance	5,122	[1],[5]	'	'	'
Initial Cost, Building & Improvements	9,500	[5]	'	'	'
Adjustments to Basis	111	[2],[5]	'	'	'
Buildings and Improvements	9,611	[5]	'	'	'
Total	9,611	[5]	'	'	'
Accumulated Depreciation	664	[5]	'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'2004	[5]	'	'	'
Date Acquired	'2004	[5]	'	'	'
Average Depreciable Life	'35 years	[5]	'	'	'
Spring Valley Hospital MOB II Las Vegas, NV	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Initial Cost, Building & Improvements	9,800	[5]	'	'	'
Adjustments to Basis	8	[2],[5]	'	'	'
Buildings and Improvements	9,808	[5]	'	'	'
Total	9,808	[5]	'	'	'
Accumulated Depreciation	693	[5]	'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'2006	[5]	'	'	'
Date Acquired	'2006	[5]	'	'	'
Average Depreciable Life	'34 years	[5]	'	'	'
Summerlin Hospital MOB Las Vegas, NV	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Encumbrance	9,188	[1],[5]	'	'	'
Initial Cost, Land	460	[5]	'	'	'
Initial Cost, Building & Improvements	15,440	[5]	'	'	'
Adjustments to Basis	451	[2],[5]	'	'	'
Land	460	[5]	'	'	'
Buildings and Improvements	15,891	[5]	'	'	'
Total	16,351	[5]	'	'	'
Accumulated Depreciation	1,251	[5]	'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'1999	[5]	'	'	'
Date Acquired	'1999	[5]	'	'	'
Average Depreciable Life	'30 years	[5]	'	'	'
Summerlin Hospital MOB II Las Vegas, NV	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Encumbrance	12,021	[1],[5]	'	'	'
Initial Cost, Land	370	[5]	'	'	'
Initial Cost, Building & Improvements	16,830	[5]	'	'	'
Adjustments to Basis	731	[2],[5]	'	'	'
Land	370	[5]	'	'	'
Buildings and Improvements	17,561	[5]	'	'	'
Total	17,931	[5]	'	'	'
Accumulated Depreciation	1,345	[5]	'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'2000	[5]	'	'	'
Date Acquired	'2000	[5]	'	'	'
Average Depreciable Life	'30 years	[5]	'	'	'
Summerlin Hospital MOB III Las Vegas, NV	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Encumbrance	11,347	[1],[5]	'	'	'
Initial Cost, Building & Improvements	14,900	[5]	'	'	'
Adjustments to Basis	1,443	[2],[5]	'	'	'
Buildings and Improvements	16,343	[5]	'	'	'
Total	16,343	[5]	'	'	'
Accumulated Depreciation	1,044	[5]	'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'2009	[5]	'	'	'
Date Acquired	'2009	[5]	'	'	'
Average Depreciable Life	'36 years	[5]	'	'	'
Emory at Dunwoody Dunwoody, GA	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Initial Cost, Land	782		'	'	'
Initial Cost, Building & Improvements	3,455		'	'	'
Land	782		'	'	'
Buildings and Improvements	3,455		'	'	'
Total	4,237		'	'	'
Accumulated Depreciation	264		'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'2011		'	'	'
Date Acquired	'2011		'	'	'
Average Depreciable Life	'35 years		'	'	'
Forney Medical Plaza Forney, TX	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Initial Cost, Land	910		'	'	'
Initial Cost, Building & Improvements	11,960		'	'	'
Adjustments to Basis	31	[2]	'	'	'
Land	910		'	'	'
Buildings and Improvements	11,991		'	'	'
Total	12,901		'	'	'
Accumulated Depreciation	1,149		'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'2011		'	'	'
Date Acquired	'2011		'	'	'
Average Depreciable Life	'35 years		'	'	'
Lake Pointe Medical Arts Rowlett, TX	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Initial Cost, Land	1,100		'	'	'
Initial Cost, Building & Improvements	9,000		'	'	'
Adjustments to Basis	41	[2]	'	'	'
Land	1,100		'	'	'
Buildings and Improvements	9,041		'	'	'
Total	10,141		'	'	'
Accumulated Depreciation	772		'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'2011		'	'	'
Date Acquired	'2011		'	'	'
Average Depreciable Life	'35 years		'	'	'
Tuscan Medical Properties Irving, TX	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Encumbrance	6,262	[1]	'	'	'
Initial Cost, Land	1,100		'	'	'
Initial Cost, Building & Improvements	12,525		'	'	'
Land	1,100		'	'	'
Buildings and Improvements	12,525		'	'	'
Total	13,625		'	'	'
Accumulated Depreciation	869		'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'2011		'	'	'
Date Acquired	'2011		'	'	'
Average Depreciable Life	'35 years		'	'	'
Peace Health Medical Clinic	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Encumbrance	21,681	[1]	'	'	'
Initial Cost, Land	1,900		'	'	'
Initial Cost, Building & Improvements	24,910		'	'	'
Land	1,900		'	'	'
Buildings and Improvements	24,910		'	'	'
Total	26,810		'	'	'
Accumulated Depreciation	1,701		'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'2012		'	'	'
Date Acquired	'2012		'	'	'
Average Depreciable Life	'35 years		'	'	'
Northwest Texas Professional Office Tower	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Initial Cost, Building & Improvements	7,180		'	'	'
Buildings and Improvements	7,180		'	'	'
Total	7,180		'	'	'
Accumulated Depreciation	244		'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'2012		'	'	'
Date Acquired	'2012		'	'	'
Average Depreciable Life	'35 years		'	'	'
Ward Eagle Office Village Medical Office Building	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Initial Cost, Land	220		'	'	'
Initial Cost, Building & Improvements	3,220		'	'	'
Land	220		'	'	'
Buildings and Improvements	3,220		'	'	'
Total	3,440		'	'	'
Accumulated Depreciation	44		'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'2013		'	'	'
Date Acquired	'2013		'	'	'
Average Depreciable Life	'35 years		'	'	'
5004 Poole Road medical office building	'		'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'		'	'	'
Initial Cost, Land	96		'	'	'
Initial Cost, Building & Improvements	529		'	'	'
Land	96		'	'	'
Buildings and Improvements	529		'	'	'
Total	625		'	'	'
Accumulated Depreciation	$10		'	'	'
Date of Completion of Construction, Acquisition or Significant Improvement	'2013		'	'	'
Date Acquired	'2013		'	'	'
Average Depreciable Life	'35 years		'	'	'
[1]	Consists of outstanding balances as of December 31, 2013 on third-party debt that is non-recourse to us.
[2]	Costs capitalized/divested subsequent to acquisition.
[3]	During 2008, a $4.6 million provision for asset impairment was recorded in connection with the real estate assets of Southern Crescent Center I & Southern Crescent Center II.
[4]	During 2011, a $5.4 million provision for asset impairment was recorded in connection with the real estate assets of Sheffield Medical Building.
[5]	During 2011, we purchased the third-party minority interests in these properties in which we previously held noncontrolling majority owned interests. Since that time, these properties are wholly-owned.

Schedule_III_Real_Estate_and_A1

Schedule III Real Estate and Accumulated Depreciation (Parenthetical) (Detail) (USD $)	3 Months Ended	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2011	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2008
Real Estate and Accumulated Depreciation [Line Items]	'	'	'	'	'
Provision for asset impairment	$5,354	$0	$0	$5,354	$4,600
Net debt premium	'	$834	$1,300	'	'

Reconciliation_of_Real_Estate_

Reconciliation of Real Estate Properties and Accumulated Depreciation (Detail) (USD $)	12 Months Ended
In Thousands, unless otherwise specified	Dec. 31, 2013		Dec. 31, 2012	Dec. 31, 2011
Real Estate and Accumulated Depreciation [Line Items]	'		'	'
Beginning balance	$401,474		$363,498	$199,940
Impact of deconsolidation of an LLC	-13,185	[1]	'	'
Impact of consolidation of eleven LLCs	'		'	133,080	[2]
Property additions	3,415		3,985	1,157
Acquisitions	4,065		33,991	40,832
Disposals	-100		'	'
Provision for asset impairment	'		'	-11,511	[3]
Ending balance	395,669		401,474	363,498
Beginning balance	87,088		74,865	74,683
Impact of deconsolidation of two LLCs	-1,588	[1]	'	'
Provision for asset impairment	'		'	-6,157	[3]
Current year depreciation expense	12,464		12,223	6,339
Other	-43		'	'
Ending balance	$97,921		$87,088	$74,865
[1]	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 on an unconsolidated basis under the equity method.
[2]	On December 12, 2011, the Trust purchased the minority ownership interests held by third-party members in eleven LLCs in which we previously held noncontrolling majority ownership interests. As a result of these minority ownership purchases, the Trust and our subsidiaries now own 100% of each of these LLCs and the financial results are included in our consolidated financial statements.
[3]	During the fourth quarter of 2011, we recorded an asset impairment charge of $5.4 million ($11.5 million gross assets net of $6.1 million of accumulated depreciation) in connection with the Sheffield Medical Building located in Atlanta, Georgia.

Reconciliation_of_Real_Estate_1

Reconciliation of Real Estate Properties and Accumulated Depreciation (Parenthetical) (Detail) (USD $)	3 Months Ended	12 Months Ended
	Dec. 31, 2011	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011	Dec. 31, 2008
Real Estate and Accumulated Depreciation [Line Items]	'	'	'	'	'
Asset impairment charge	$5,354,000	$0	$0	$5,354,000	$4,600,000
Impaired asset, gross value	11,500,000	'	'	11,500,000	'
Sheffield Medical Building Atlanta, Georgia	'	'	'	'	'
Real Estate and Accumulated Depreciation [Line Items]	'	'	'	'	'
Impaired asset, accumulated depreciation	$6,100,000	'	'	'	'