Universal Health Realty Income Trust (UHT) 10-K 28 Feb 17 2016 FY Annual report Financial data

Document and Entity Information

Document and Entity Information - USD ($)	12 Months Ended
	Dec. 31, 2016	Jan. 31, 2017	Jun. 30, 2016
Document And Entity Information [Abstract]
Document Type	10-K
Amendment Flag	false
Document Period End Date	Dec. 31, 2016
Document Fiscal Year Focus	2,016
Document Fiscal Period Focus	FY
Trading Symbol	UHT
Entity Registrant Name	UNIVERSAL HEALTH REALTY INCOME TRUST
Entity Central Index Key	798,783
Current Fiscal Year End Date	--12-31
Entity Well-known Seasoned Issuer	Yes
Entity Current Reporting Status	Yes
Entity Voluntary Filers	No
Entity Filer Category	Large Accelerated Filer
Entity Common Stock, Shares Outstanding		13,599,104
Entity Public Float			$ 721,622,979

CONSOLIDATED BALANCE SHEETS

CONSOLIDATED BALANCE SHEETS - USD ($) $ in Thousands	Dec. 31, 2016		Dec. 31, 2015
Real Estate Investments:
Buildings and improvements and construction in progress	$ 534,190		$ 469,933
Accumulated depreciation	(138,588)		(121,161)
Real Estate Investment Property, Net, Total	395,602		348,772
Land	51,638		41,724
Net Real Estate Investments	447,240		390,496
Investments in and advances to limited liability companies ("LLCs")	35,593		31,597
Other Assets:
Cash and cash equivalents	3,930		3,894
Base and bonus rent receivable from UHS	2,321		2,116
Rent receivable - other	5,291		4,292
Intangible assets (net of accumulated amortization of $27.1 million and $25.1 million at December 31, 2016 and December 31, 2015, respectively)	23,815		19,757
Deferred charges and other assets, net	6,560		6,351
Total Assets	524,750		458,503
Liabilities:
Line of credit borrowings	201,500		142,150
Mortgage notes payable, non-recourse to us, net	114,217	[1]	110,156
Accrued interest	626		504
Accrued expenses and other liabilities	11,809		6,807
Tenant reserves, deposits and prepaid rents	5,321		3,844
Total Liabilities	333,473		263,461
Equity:
Preferred shares of beneficial interest, $.01 par value; 5,000,000 shares authorized; none issued and outstanding
Common shares, $.01 par value; 95,000,000 shares authorized; issued and outstanding: 2016 - 13,599,055; 2015 - 13,327,020	136		133
Capital in excess of par value	255,656		241,700
Cumulative net income	572,501		555,286
Cumulative dividends	(637,121)		(601,983)
Accumulated other comprehensive income/(loss)	105		(94)
Total Equity	191,277		195,042
Total Liabilities and Equity	$ 524,750		$ 458,503
[1]	All mortgage loans require monthly principal payments through maturity and either fully amortize or include a balloon principal payment upon maturity.

CONSOLIDATED BALANCE SHEETS (Pa

CONSOLIDATED BALANCE SHEETS (Parenthetical) - USD ($) $ in Millions	Dec. 31, 2016	Dec. 31, 2015
Statement Of Financial Position [Abstract]
Intangible assets, accumulated amortization	$ 27.1	$ 25.1
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	0	0
Preferred shares of beneficial interest, outstanding	0	0
Common shares, par value	$ 0.01	$ 0.01
Common shares, shares authorized	95,000,000	95,000,000
Common shares, issued	13,599,055	13,327,020
Common shares, outstanding	13,599,055	13,327,020

CONSOLIDATED STATEMENTS OF INCO

CONSOLIDATED STATEMENTS OF INCOME - USD ($) shares in Thousands, $ in Thousands		12 Months Ended
		Dec. 31, 2016	Dec. 31, 2015	Dec. 31, 2014
Revenues:
Base rental - UHS facilities		$ 16,299	$ 15,955	$ 15,601
Base rental - Non-related parties		37,060	35,157	31,386
Bonus rental - UHS facilities		4,723	4,565	4,607
Tenant reimbursements and other - Non-related parties		8,113	7,490	7,490
Tenant reimbursements and other - UHS facilities		886	783	702
Revenues, Total		67,081	63,950	59,786
Expenses:
Depreciation and amortization		22,956	22,108	20,885
Advisory fees to UHS		3,263	2,810	2,545
Other operating expenses		18,220	18,152	16,882
Transaction costs		528	243	427
Costs and Expenses, Total		44,967	43,313	40,739
Income before equity in income of unconsolidated limited liability companies ("LLCs"), interest expense and gains		22,114	20,637	19,047
Equity in income of unconsolidated LLCs	[1]	4,456	2,536	2,428	[2]
Gain on property exchange			8,742
Gains on fair value recognition resulting from the purchase of minority interests in majority-owned LLCs				25,409
Gain on divestiture of real property				13,043
Interest expense, net		(9,355)	(8,224)	(8,376)
Net income		$ 17,215	$ 23,691	$ 51,551
Basic earnings per share		$ 1.28	$ 1.78	$ 3.99
Diluted earnings per share		$ 1.28	$ 1.78	$ 3.99
Weighted average number of shares outstanding - Basic		13,464	13,293	12,927
Weighted average number of share equivalents		4	8	7
Weighted average number of shares and equivalents outstanding - Diluted		13,468	13,301	12,934
[1]	Our share of net income during 2016, 2015 and 2014, includes interest income earned by us on various advances made to LLCs of approximately $1.2 million, $200,000 and $834,000, respectively.
[2]	As mentioned above, we began to account for six LLCs (Desert Valley Medical Center, Santa Fe Professional Plaza, Rosenberg Children’s Medical Plaza, Sierra San Antonio Medical Plaza, Phoenix Children’s East Valley Care Center and North Valley Medical Plaza) on a consolidated basis as of August 1, 2014. Prior to August 1, 2014, the financial results of these entities were accounted for under the equity method on an unconsolidated basis. The year ended December 31, 2014 includes the financial results of the six mentioned LLCs for seven months ended July 31, 2014.

CONSOLIDATED STATEMENTS OF COMP

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2016	Dec. 31, 2015	Dec. 31, 2014
Statement Of Income And Comprehensive Income [Abstract]
Net Income	$ 17,215	$ 23,691	$ 51,551
Other comprehensive income/(loss):
Unrealized derivative gains/(losses) on interest rate caps	199	(6)	(31)
Total other comprehensive income/(loss):	199	(6)	(31)
Total comprehensive income	$ 17,414	$ 23,685	$ 51,520

CONSOLIDATED STATEMENTS OF CHAN

CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY - USD ($) shares in Thousands, $ in Thousands	Total	Common stock	Capital in excess of par value	Cumulative net income	Cumulative dividends	Accumulated other comprehensive income/(loss)	UHT Shareholders' Equity
Balance at Dec. 31, 2013	$ 165,630	$ 128	$ 220,691	$ 480,044	$ (535,176)	$ (57)	$ 165,630
Balance, Shares at Dec. 31, 2013		12,859
Shares of Beneficial Interest:
Issued (in shares)		443
Issued	19,844	$ 5	19,839				19,844
Partial settlement of dividend equivalent rights	(94)		(94)				(94)
Restricted stock-based compensation expense	399		399				399
Dividends ($2.60/share) in 2016, and ($2.56/share) in 2015 ($2.52/share) in 2014	(32,718)				(32,718)		(32,718)
Comprehensive income:
Net income	51,551			51,551			51,551
Unrealized gain (loss) on interest rate cap	(31)					(31)	(31)
Subtotal - comprehensive income	51,520			51,551		(31)	51,520
Balance at Dec. 31, 2014	204,581	$ 133	240,835	531,595	(567,894)	(88)	204,581
Balance, Shares at Dec. 31, 2014		13,302
Shares of Beneficial Interest:
Issued (in shares)		25
Issued	513		513				513
Partial settlement of dividend equivalent rights	(75)		(75)				(75)
Restricted stock-based compensation expense	427		427				427
Dividends ($2.60/share) in 2016, and ($2.56/share) in 2015 ($2.52/share) in 2014	(34,089)				(34,089)		(34,089)
Comprehensive income:
Net income	23,691			23,691			23,691
Unrealized gain (loss) on interest rate cap	(6)					(6)	(6)
Subtotal - comprehensive income	23,685			23,691		(6)	23,685
Balance at Dec. 31, 2015	195,042	$ 133	241,700	555,286	(601,983)	(94)	195,042
Balance, Shares at Dec. 31, 2015		13,327
Shares of Beneficial Interest:
Issued (in shares)		272
Issued	13,508	$ 3	13,505				13,508
Partial settlement of dividend equivalent rights	(30)		(30)				(30)
Restricted stock-based compensation expense	481		481				481
Dividends ($2.60/share) in 2016, and ($2.56/share) in 2015 ($2.52/share) in 2014	(35,138)				(35,138)		(35,138)
Comprehensive income:
Net income	17,215			17,215			17,215
Unrealized gain (loss) on interest rate cap	199					199	199
Subtotal - comprehensive income	17,414			17,215		199	17,414
Balance at Dec. 31, 2016	$ 191,277	$ 136	$ 255,656	$ 572,501	$ (637,121)	$ 105	$ 191,277
Balance, Shares at Dec. 31, 2016		13,599

CONSOLIDATED STATEMENTS OF CHA7

CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY (Parenthetical) - $ / shares	12 Months Ended
	Dec. 31, 2016	Dec. 31, 2015	Dec. 31, 2014
Statement Of Stockholders Equity [Abstract]
Dividend, per share	$ 2.60	$ 2.56	$ 2.52

CONSOLIDATED STATEMENTS OF CASH

CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)	12 Months Ended
	Dec. 31, 2016	Dec. 31, 2015	Dec. 31, 2014
Cash flows from operating activities:
Net Income	$ 17,215,000	$ 23,691,000	$ 51,551,000
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	23,008,000	22,198,000	20,975,000
Amortization of debt premium	(225,000)	(225,000)	(312,000)
Stock-based compensation expense	481,000	427,000	399,000
Gain on property exchange		(8,742,000)
Gain on divestiture of real property			(13,043,000)
Gains on purchase of minority interests in majority-owned LLCs			(25,409,000)
Changes in assets and liabilities:
Rent receivable	(1,204,000)	(290,000)	(555,000)
Accrued expenses and other liabilities	3,000	(184,000)	(509,000)
Tenant reserves, deposits and prepaid rents	1,377,000	1,781,000	(303,000)
Accrued interest	122,000	(41,000)	(62,000)
Leasing costs	(627,000)	(556,000)	(787,000)
Other, net	583,000	119,000	851,000
Net cash provided by operating activities	40,733,000	38,178,000	32,796,000
Cash flows from investing activities:
Investments in LLCs	(5,454,000)	(667,000)	(1,337,000)
Repayments of advances made to LLCs	851,000	306,000
Advances made to LLCs		(22,795,000)
Cash distributions in excess of income from LLCs	1,362,000	224,000	1,029,000
Cash distribution of refinancing proceeds from LLCs		1,045,000	2,280,000
Additions to real estate investments, net	(11,204,000)	(5,257,000)	(2,866,000)
Cash received for property exchange	0	2,000,000	17,300,000
Deposits on real estate assets		(150,000)	(100,000)
Net cash paid for acquisition of properties	(60,389,000)	(16,765,000)	(15,600,000)
Cash paid to acquire minority interests in majority-owned LLCs		(2,250,000)	(4,744,000)
Net cash used in investing activities	(74,834,000)	(44,309,000)	(4,038,000)
Cash flows from financing activities:
Net borrowings on line of credit	59,350,000	52,400,000
Net repayments on line of credit			(3,950,000)
Proceeds from mortgage notes payable		5,200,000
Repayments of mortgage notes payable	3,230,000	17,826,000	12,327,000
Financing costs paid	(307,000)	(1,114,000)
Dividends paid	(35,138,000)	(34,089,000)	(32,718,000)
Partial settlement of dividends equivalent rights	(30,000)	(75,000)	(94,000)
Issuance of shares of beneficial interest, net	13,492,000	1,668,000	19,274,000
Net cash provided by/(used in) financing activities	34,137,000	6,164,000	(29,815,000)
Increase/(decrease) in cash and cash equivalents	36,000	33,000	(1,057,000)
Increase in cash due to recording of LLCs on a consolidated/unconsolidated basis			1,581,000
Cash and cash equivalents, beginning of period	3,894,000	3,861,000	3,337,000
Cash and cash equivalents, end of period	3,930,000	3,894,000	3,861,000
Supplemental disclosures of cash flow information:
Interest paid	8,895,000	8,025,000	8,268,000
Supplemental disclosures of non-cash transactions:
Financing assumed in acquisition	$ 7,499,000
Property Exchange Transaction:
Net assets acquired in property exchange		9,886,000
Net assets relinquished in property exchange		$ (3,144,000)
Consolidation Of Limited Liability Companies
Supplemental disclosures of non-cash transactions:
Net real estate investments			84,064,000
Cash and cash equivalents			1,581,000
Intangible assets			6,490,000
Rent receivable - other			388,000
Deferred charges and other assets, net			100,000
Investment in LLCs			(28,616,000)
Mortgage notes payable, non-recourse to us			(29,758,000)
Accrued interest			(116,000)
Accrued expenses and other liabilities			(1,245,000)
Tenant reserves, escrows, deposits and prepaid rents			(485,000)
Note payable to previous third-party member			(2,250,000)
Gains on purchases of minority interests in majority-owned LLCs			(25,409,000)
Cash paid for purchase of minority interests in majority-owned LLCs			$ 4,744,000

Organization and Summary of Sig

Organization and Summary of Significant Accounting Policies	12 Months Ended
	Dec. 31, 2016
Accounting Policies [Abstract]
Organization and Summary of Significant Accounting Policies	(1) ORGANIZATION AND 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 currently including acute care hospitals, rehabilitation hospitals, sub-acute facilities, surgery centers, free-standing emergency departments, childcare centers and medical office buildings. As of February 28, 2017, we have sixty-seven real estate investments or commitments located in twenty states consisting of: • six hospital facilities including three acute care, one rehabilitation and two sub-acute; • three free-standing emergency departments (“FEDs”); • fifty-four medical office buildings, including five owned by unconsolidated limited liability companies (“LLCs”)/limited liability partnerships (“LPs”), and; • four preschool and childcare centers. Our future results of operations could be unfavorably impacted by 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 three 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. Management is unable to predict the effect, if any, that these factors may 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 our six hospital facilities, which is paid monthly, is fixed over the term of the respective leases which are scheduled to expire in 2019 (2 hospitals) or 2021 (4 hospitals). In addition, for the three hospital facilities leased to subsidiaries of UHS, bonus rents are paid on a quarterly basis, based upon a computation that compares the hospitals’ current quarter net revenues to the corresponding quarter in the base year. Rental income recorded by our other properties, including our consolidated and unconsolidated 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, stipulated 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. Tenant reimbursements for operating expenses are accrued as revenue in the same period the related expenses are incurred. Real Estate Investments Land, buildings and capital improvements are recorded at cost and stated at cost less accumulated depreciation. Expenditures for maintenance and repairs are charged to operations as incurred. Renovations or replacements, which improve or extend the life of an asset, are capitalized and depreciated over their estimated useful lives. Purchase Accounting for Acquisition of Investments in Real Estate Purchase accounting is applied to the assets and liabilities related to all real estate investments acquired from third parties. In accordance with current accounting guidance , The fair values of the tangible assets of an acquired property are determined based on comparable land sales for land and replacement costs adjusted for physical and market obsolescence for the improvements. The fair values of the tangible assets of an acquired property are also determined by valuing the property as if it were vacant, and the “as-if-vacant” value is then allocated to land, building and tenant improvements based on management’s determination of the relative fair values of these assets. Management determines the as-if-vacant fair value of a property based on assumptions that a market participant would use, which is similar to methods used by independent appraisers. In addition, there is intangible value related to having tenants leasing space in the purchased property, which is referred to as in-place lease value. Such value results primarily from the buyer of a leased property avoiding the costs associated with leasing the property and also avoiding rent losses and unreimbursed operating expenses during the hypothetical lease-up period. Factors considered by management in performing these analyses include an estimate of carrying costs during the expected lease-up periods considering current market conditions and costs to execute similar leases. In estimating carrying costs, management includes real estate taxes, insurance and other operating expenses and estimates of lost rental revenue during the expected lease-up periods based on current market demand. Management also estimates costs to execute similar leases including leasing commissions, tenant improvements, legal and other related costs. The value of in-place leases are amortized to expense over the remaining initial terms of the respective leases. In allocating the fair value of the identified intangible assets and liabilities of an acquired property, above-market and below-market in-place lease values are recorded based on the present value (using an interest rate which reflects the risks associated with the leases acquired) of the difference between (i) the contractual amounts to be paid pursuant to the in-place leases and (ii) estimated fair market lease rates from the perspective of a market participant for the corresponding in-place leases, measured, for above-market leases, over a period equal to the remaining non-cancelable term of the lease and, for below-market leases, over a period equal to the initial term plus any below market fixed rate renewal periods. The capitalized above-market lease values are amortized as a reduction of rental income over the remaining non-cancelable terms of the respective leases. The capitalized below-market lease values, also referred to as acquired lease obligations, are amortized as an increase to rental income over the initial terms of the respective leases. Our intangible assets primarily consist of the value of in-place leases at December 31, 2016, and will be amortized over the remaining lease terms (aggregate weighted average of 4.3 years at December 31, 2016) and is expected to result in estimated aggregate amortization expense of $4.9 million, $3.6 million, $2.9 million $2.7 million and $2.3 million for 2017, 2018, 2019, 2020 and 2021, respectively. Amortization expense on intangible values of in place leases and above-market leases was $5.1 million for the year ended December 31, 2016, $5.5 million for the year ended December 31, 2015 and $6.1 million for the year ended December 31, 2014. 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 $17.4 million for the year ended December 31, 2016, $16.2 million for the year ended December 31, 2015 and $14.4 million for the year ended December 31, 2014. 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 We review each of our properties for indicators that its carrying amount may not be recoverable. Examples of such indicators may include a significant decrease in the market price of the property, a change in the expected holding period for the property, a significant adverse change in how the property is being used or expected to be used based on the underwriting at the time of acquisition, an accumulation of costs significantly in excess of the amount originally expected for the acquisition or development of the property, or a history of operating or cash flow losses of the property. When such impairment indicators exist, we review an estimate of the future undiscounted net cash flows (excluding interest charges) expected to result from the real estate investment’s use and eventual disposition and compare that estimate to the carrying value of the property. We consider factors such as future operating income, trends and prospects, as well as the effects of leasing demand, competition and other factors. If our future undiscounted net cash flow evaluation indicates that we are unable to recover the carrying value of a real estate investment, an impairment loss is recorded to the extent that the carrying value exceeds the estimated fair value of the property. These losses have a direct impact on our net income because recording an impairment loss results in an immediate negative adjustment to net income. The evaluation of anticipated cash flows is highly subjective and is based in part on assumptions regarding future occupancy, rental rates and capital requirements that could differ materially from actual results in future periods. Since cash flows on properties considered to be long-lived assets to be held and used are considered on an undiscounted basis to determine whether the carrying value of a property is recoverable, our strategy of holding properties over the long-term directly decreases the likelihood of their carrying values not being recoverable and therefore requiring the recording of an impairment loss. If our strategy changes or market conditions otherwise dictate an earlier sale date, an impairment loss may be recognized and such loss could be material. If we determine that the asset fails the recoverability test, the affected assets must be reduced to their fair value. We generally estimate the fair value of rental properties utilizing a discounted cash flow analysis that includes projections of future revenues, expenses and capital improvement costs that a market participant would use based on the highest and best use of the asset, which is similar to the income approach that is commonly utilized by appraisers. In certain cases, we may supplement this analysis by obtaining outside broker opinions of value or third party appraisals. In considering whether to classify a property as held for sale, we consider factors such as whether management has committed to a plan to sell the property, the property is available for immediate sale in its present condition for a price that is reasonable in relation to its current value, the sale of the property is probable, and actions required for management to complete the plan indicate that it is unlikely that any significant changes will made to the plan. If all the criteria are met, we classify the property as held for sale. Upon being classified as held for sale, depreciation and amortization related to the property ceases and it is recorded at the lower of its carrying amount or fair value less cost to sell. The assets and related liabilities of the property are classified separately on the consolidated balance sheets for the most recent reporting period. Only those assets held for sale that constitute a strategic shift or that will have a major effect on our operations are classified as discontinued operations. An other than temporary impairment of an investment 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”) In accordance with the Financial Accounting Standards Board’s (“FASB”) standards and guidance relating to accounting for investments and real estate ventures, we account for our unconsolidated investments in LLCs/LPs 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. In the Consolidated Statements of Cash Flows, distributions and equity in net income are presented net as cash flows from operating activities. Cumulative distributions received exceeding cumulative equity in earnings represent returns of investments and are classified as cash flows from investing activities in the Consolidated Statements of Cash Flows. At December 31, 2016, we have non-controlling equity investments or commitments in five jointly-owned LLCs/LPs which own MOBs. We accounted for these LLCs on an unconsolidated basis pursuant to the equity method since they are not variable interest entities and we do not have a controlling voting interest. The majority of these LLCs are joint-ventures between us and non-related parties that manage and hold minority ownership interests in the entities. Each entity 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. These entities maintain property insurance on the properties. 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 $561 million and $385 million, respectively, at December 31, 2016. The aggregate cost basis and net book value of the properties for federal income tax purposes were approximately $489 million and $325 million, respectively, at December 31, 2015. Stock-Based Compensation We expense the grant-date fair value of restricted stock awards over the vesting period. We recognize the grant-date fair value of equity-based compensation and account for these transactions using the fair-value based method. 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. Concentration of Revenues The rental revenue earned pursuant to the lease on McAllen Medical Center generated approximately 11% during each of 2016 and 2015, and 12% during 2014, of our consolidated revenues. U se of Estimates The preparation of financial statements in conformity with generally accepted accounting principles in the United States of America requires us to make estimates and assumptions that affect the amounts reported in our consolidated financial statements and accompanying notes. Actual results could differ from those estimates. New Accounting Standards Except as noted below there were no new accounting pronouncements that impacted, or are expected to impact us. In April 2015, the FASB issued ASU No. 2015-03, Simplifying the Presentation of Debt Issuance Costs, an update to the accounting standard relating to the presentation of debt issuance costs. Under the new guidance, debt issuance costs related to a recognized debt liability will be presented on the balance sheet as a direct deduction from the debt liability. In the event that there is not an associated debt liability recorded in the consolidated financial statements, the debt issuance costs will continue to be recorded on the consolidated balance sheet as an asset until the debt liability is recorded. The new standard became effective for the Trust on January 1, 2016. The adoption of this guidance did not have a material impact on our consolidated financial position or results of operations as the update only related to changes in financial statement presentation. In February 2015, the FASB issued ASU No. 2015-02, Consolidation – Amendments to the Consolidation Analysis, which amends the current consolidation guidance affecting both the variable interest entity (“VIE”) and voting interest entity (“VOE”) consolidation models. The standard does not add or remove any of the characteristics in determining if an entity is a VIE or VOE, but rather enhances the way the Company assesses some of these characteristics. The new standard became effective for the Trust on January 1, 2016 and did not have a material impact on our consolidated financial position or results of operations as none of its existing consolidation conclusions were changed. In August, 2016, the Financial Accounting Standards Board (“FASB”) issued ASU No. 2016-15, Classification of Certain Cash Receipts and Cash Payments, which adds or clarifies guidance of the classification of certain cash receipts and payments in the statement of cash flows with the intent to alleviate diversity in practice for classifying various types of cash flows. This ASU is effective for annual and interim reporting periods beginning after December 15, 2017, with early adoption permitted. We are currently evaluating the impact of this ASU on our statement of cash flows. In February 2016, the FASB In 2014, the FASB issued ASU 2014-09, Revenue From Contracts With Customers In January, 2017, the FASB issued ASU 2017-01, “Business Combinations (Topic 805) - Clarifying the Definition of a Business” to clarify the definition of a business in order to allow for the evaluation of whether transactions should be accounted for as acquisitions or disposals of assets or businesses. ASU 2017-01 will be effective for fiscal years beginning after December 15, 2017, including interim periods within those fiscal years. Early adoption is permitted. The future impact of ASU 2017-01 will be dependent upon the nature of future acquisitions or dispositions made by us, if any.

Relationship with UHS and Relat

Relationship with UHS and Related Party Transactions	12 Months Ended
	Dec. 31, 2016
Related Party Transactions [Abstract]
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 renewal terms for each of the three hospital facilities leased to subsidiaries of UHS 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 three hospital 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 27% of our total revenue for the five years ended December 31, 2016 (approximately 24%, 25% and 28% for the years ended December 31, 2016, 2015 and 2014, respectively). The decrease during 2016 and 2015 as compared to 2014 is due primarily to the 2016 and 2015 acquisitions, which are unrelated to UHS, as well as the divestiture of The Bridgeway which, as discussed below, occurred on December 31, 2014. 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 21% of the combined consolidated and unconsolidated revenue for the five years ended December 31, 2016 (approximately 19%, 20% and 22% for the years ended December 31, 2016, 2015 and 2014). In addition, we have seventeen MOBs, or free-standing emergency departments (“FEDs”), that are either wholly or jointly-owned by us, that 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. 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 three leased hospital properties listed below at their appraised fair market value. Additionally, 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. The leases related to the hospital facilities of UHS are guaranteed by UHS and cross-defaulted with one another. In June, 2016, three wholly-owned subsidiaries of UHS provided the required notice to us, exercising the 5-year renewal options on the leases related to our acute care hospitals noted in the table below. The renewals extended the lease terms on these facilities, at existing lease rates, to December, 2021. The table below details the existing lease terms and renewal options for our three acute care hospitals operated by wholly-owned subsidiaries of UHS: Hospital Name Annual Minimum Rent End of Lease Term Renewal Term (years) McAllen Medical Center $ 5,485,000 December, 2021 10 (a) Wellington Regional Medical Center $ 3,030,000 December, 2021 10 (b) Southwest Healthcare System, Inland Valley Campus $ 2,648,000 December, 2021 10 (b) (a) UHS has two 5-year renewal options at existing lease rates (through 2031). (b) UHS has two 5-year renewal options at fair market value lease rates (2022 through 2031). 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. In addition, if subsidiaries of UHS exercise their options to purchase the respective leased hospital or FED facilities upon expiration of the lease terms, our future revenues could decrease if we were unable to earn a favorable rate of return on the sale proceeds received, as compared to the rental revenue currently earned pursuant to these leases. During the first quarter of 2016, we committed to invest up to $21.1 million in the development and construction of the Henderson Medical Plaza, an MOB located on the campus of the Henderson Hospital. Henderson Hospital, which is owned and operated by a subsidiary of UHS, is a newly constructed, 130-bed acute care hospital that was completed and opened during the fourth quarter of 2016. Henderson Medical Plaza, which contains approximately 78,800 rentable square feet, is scheduled to be completed and opened during the first quarter of 2017. A ground lease has been executed between the limited liability company that owns the MOB and a subsidiary of UHS, the terms of which include a seventy-five year lease term with two, ten-year renewal options at the lessee’s option at an adjusting lease rate. We have invested $9.5 million on the development and construction of this MOB as of December 31, 2016. During the first quarter of 2015, we purchased from wholly-owned subsidiaries of UHS, the real property of two newly-constructed and recently opened FEDs located in Weslaco and Mission, Texas. Each FED consists of approximately 13,600 square feet and is operated by wholly-owned subsidiaries of UHS. In connection with these acquisitions, ten-year lease agreements with six, 5-year renewal terms were executed with UHS for each FED. The first four, 5-year renewal terms (covering years 2025 through 2044) include 2% annual lease rate increases, computed on a cumulative and compounded basis, and the last two, 5-year renewal terms (covering the years 2045 through 2054) will be at the then fair market value lease rates. These leases are cross-defaulted with one another. UHS has the option to purchase the leased properties upon the expiration of the fixed term and each five-year extended term at the fair market value at that time. The aggregate acquisition cost of these facilities was approximately $12.8 million, and the aggregate rental revenue earned by us at the commencement of the leases is approximately $900,000 annually. During the third quarter of 2014, a wholly-owned subsidiary of UHS provided notification to us that, upon expiration of The Bridgeway’s lease term which occurred in December, 2014, it intended to exercise its option to purchase the real property of the facility. Pursuant to the terms of the lease, we and the wholly-owned subsidiary of UHS were both required to obtain independent appraisals of the property to determine its fair market value. On December 31, 2014, The Bridgeway, a 103-bed behavioral health facility located in North Little Rock, Arkansas, was sold to UHS for $17.3 million. A gain on divestiture of real property of approximately $13.0 million is included in our results of operations for the twelve-month period ended December 31, 2014. Prior to its divestiture in 2014, our revenues, net cash provided by operating activities and funds from operations included approximately $1.1 million earned annually in connection with The Bridgeway’s lease. 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. Our advisory fee was 0.70% during each of 2016, 2015 and 2014 of our average invested real estate assets, as derived from our consolidated balance sheet. In December of 2016, 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 2017 pursuant to the same terms as the Advisory Agreement in place during the last three years. 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 2016, 2015 or 2014 since the incentive fee requirements were not achieved. Advisory fees incurred and paid (or payable) to UHS amounted to $3.3 million during 2016, $2.8 million during 2015 and $2.5 million during 2014 and were based upon average invested real estate assets of $466 million, $401 million and $363 million during 2016, 2015 and 2014, respectively. Officers and Employees: Our officers are all employees of a wholly-owned subsidiary of UHS and although as of December 31, 2016 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 compensation awards in the form of restricted stock and/or cash bonuses. Share Ownership: As of December 31, 2016 and 2015, UHS owned 5.8% and 5.9%, respectively, of our outstanding shares of beneficial interest. SEC reporting requirements of UHS: UHS is subject to the reporting requirements of the Securities and Exchange Commission (“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 24%, 25% and 28% of our consolidated revenues for the years ended December 31, 2016, 2015 and 2014, respectively, and since a subsidiary of UHS is our Advisor, you are encouraged to obtain the publicly available filings for Universal Health Services, Inc. from the SEC’s website. These filings are the sole responsibility of UHS and are not incorporated by reference herein.

New Construction, Acquisitions,

New Construction, Acquisitions, Dispositions and Property Exchange Transaction	12 Months Ended
	Dec. 31, 2016
Business Combinations [Abstract]
New Construction, Acquisitions, Dispositions and Property Exchange Transaction	(3) NEW CONSTRUCTION, ACQUISITIONS, DISPOSITIONS AND PROPERTY EXCHANGE TRANSACTION New Construction: During the first quarter of 2016, we committed to invest up to $21.1 million in the development and construction of the Henderson Medical Plaza, an MOB located on the campus of the Henderson Hospital. Henderson Hospital, which is owned and operated by a subsidiary of UHS, is a newly constructed, 130-bed acute care hospital that was completed and opened during the fourth quarter of 2016. Henderson Medical Plaza, which contains approximately 78,800 rentable square feet, is scheduled to be completed and opened during the first quarter of 2017. A ground lease has been executed between the limited liability company that owns the MOB and a subsidiary of UHS, the terms of which include a seventy-five year lease term with two, ten-year renewal options at the lessee’s option at an adjusting lease rate. We have invested $9.5 million on the development and construction for this MOB as of December 31, 2016. 2016: Acquisitions: During 2016, we paid approximately $60.4 million in cash, and assumed approximately $7.1 million of third-party debt that is non-recourse to us, to: • purchase the 2704 North Tenaya Way MOB located in Las Vegas, Nevada, during the fourth quarter for a total purchase price of approximately $15.3 million, including the assumption of approximately $7.1 million of third-party debt that is non-recourse to us. The property consists of approximately 45,000 rentable square feet and is fully occupied pursuant to the terms of a triple-net lease with a remaining lease term of approximately 7.1 years at the time of acquisition. • purchase the Frederick Memorial Hospital Crestwood, an MOB located in Frederick, Maryland, during the third quarter for approximately $24.3 million. The property, which consists of approximately 62,300 rentable square feet, is fully occupied pursuant to the terms of triple-net leases with an average remaining lease term of approximately 12 years at the time of acquisition. • purchase the Chandler Corporate Center III located in Chandler, Arizona, during the second quarter for approximately $18.0 million. The property, which consists of 82,000 rentable square feet, is currently 92% occupied by one tenant pursuant to the terms of a twelve year escalating triple-net lease, with a ten year fair-market value renewal option. The lease had a remaining lease term of approximately 11.3 years at the time of acquisition. • purchase the Madison Professional Office Building located in Madison, Alabama, during the first quarter for approximately $10.1 million, including a $150,000 deposit paid in 2015. This multi-tenant property consists of approximately 30,100 rentable square feet and is fully occupied with an average remaining lease term of approximately 6.2 years at the time of acquisition. The aggregate purchase price for these acquisitions was allocated to the assets acquired and liabilities assumed consisting of tangible property and intangible assets and liabilities, based on the fair value estimated or finalized at acquisition as detailed in the table below. Previous reported estimated purchase price allocations that have been finalized in the fourth quarter did not have a material impact on our consolidated financial statements. The intangible assets include the value of in-place leases at the properties at the time of acquisition as well as the above market lease values. The value of the in-place leases will be amortized over the average remaining lease terms of approximately 6 to 12 years at the time of acquisition (aggregate weighted average of 8.0 years at December 31, 2016). The above/below market leases, which are reflected below as intangible assets/below-market intangibles will be amortized over the remaining term of the respective leases. The estimated aggregate allocation is as follows: Land $9,914 Buildings and improvements 50,117 Intangible assets 9,211 Below-market lease intangibles (1,287) Deposit paid in 2015………………………………………...……………………………….. (150) Debt (including fair value adjustment of $362)…...……..……………………………….….. (7,499) Financing fees paid on debt acquired……………...……..……………………………….….. 83 Net cash paid $60,389 For these properties acquired during 2016, we recorded aggregate net revenue of approximately $2.4 million since the date of acquisition. The aggregate net losses generated by these properties since the date of acquisition, including the cost of borrowings and advisory fee expenses was approximately $134,000. Assuming the 2016 acquisitions occurred on January 1, 2015, our unaudited pro forma net revenues for the year ended December 31, 2015 would have been approximately $67.8 million and our unaudited pro forma net income for the year ended December 31, 2015 would have been approximately $22.4 million, or $1.68 per diluted share. The Chandler Corporate Center III was not operational during the first nine months of 2015. Assuming these acquisitions occurred on January 1, 2016, our unaudited pro forma net revenues for the year ended December 31, 2016, would have been approximately $70.2 million and our unaudited pro forma net income for the year ended December 31, 2016 would have been approximately $16.7 million, or $1.24 per diluted share. As of December 31, 2016, our net intangible assets total $23.8 million (net of $27.1 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 4.3 years. Divestitures: There were no divestitures during 2016. 2015: Property Exchange Transaction: In May, 2015, in exchange for the real property of Sheffield Medical Building (“Sheffield”), a 73,446 square foot MOB located in Atlanta, Georgia, we received $2 million in cash and the real property of two MOBs located in Sandy Springs and Vinings, Georgia, from an unrelated third party. In connection with the two MOBs acquired in this transaction, triple net, master lease agreements applicable to 100% of the combined 36,700 rentable square feet of these properties were executed with the counterparty. These master lease agreements have initial terms of 15 years and provide for 3% annual rent increases. We recorded an $8.7 million gain which is included in our Consolidated Statements of Income for the year ended December 31, 2015, representing the difference between recorded net book value of Sheffield and the fair values of the properties exchanged, combined with the cash proceeds received. Acquisitions: In February, 2015, we purchased the Haas Medical Office Park, two single story buildings having an aggregate of approximately 16,000 rentable square feet, located in Ottumwa, Iowa, for approximately $4.1 million. In January and February of 2015, we purchased from wholly-owned subsidiaries of UHS, the real property of two newly-constructed and recently opened FEDs located in Weslaco and Mission, Texas, for an aggregate acquisition cost of approximately $12.8 million. Each FED consists of approximately 13,600 square feet and is operated by wholly-owned subsidiaries of UHS. In connection with these acquisitions, ten-year lease agreements with six 5-year renewal terms were executed with UHS for each FED. In connection with the lease agreements, the lessee shall have the option to purchase the leased property upon the expiration of the fixed term and each five-year extended term at the fair market value at that time. The aggregate purchase price for these three MOBs and two FEDs was allocated to the assets acquired and liabilities assumed 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 MOBs at the time of acquisition which will be amortized over the average remaining lease term of approximately 15.0 years at the time of acquisition (aggregate weighted average of 13.4 years at December 31, 2016) for each of the MOBs located in Sandy Springs and Vinings, Georgia and approximately 10.4 years at the time of acquisition (aggregate weighted average of 8.6 years at December 31, 2016) for the Haas Medical Office Park. Land $7,050 Buildings and improvements 17,518 Intangible assets 2,182 Cash received- exchange transaction 2,000 Other liabilities (116) Deposit paid in 2014 (100) Net book value of property divested in exchange transaction (3,027) Gain on exchange transaction (8,742) Net cash paid $16,765 2014: Acquisitions: In August, 2014, we purchased the Hanover Emergency Center, a 22,000 rentable square feet, free-standing, full service emergency and imaging center, located in Mechanicsville, VA, for approximately $8.6 million. The single-tenant property is occupied pursuant to the terms of a 10-year lease with HCA Health Services of Virginia, Inc. In January, 2014, we paid an aggregate of $7.2 million, (including a $150,000 deposit made in 2013), to purchase the following in a single transaction: (i) The Children’s Clinic at Springdale – a 9,800 square foot, single-tenant medical office building located in Springdale, Arkansas, and; (ii) The Northwest Medical Center at Sugar Creek – a 13,700 square foot, multi-tenant medical office building located in Bentonville, Arkansas. The aggregate purchase price for these clinics and MOB 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 clinics and MOB at the time of acquisition which will be amortized over the average remaining lease term of approximately 9.8 years at the time of acquisition (aggregate weighted average of 7.5 years at December 31, 2016) for the Hanover Emergency Center and approximately 9.7 years at the time of acquisition (aggregate weighted average of 6.7 years at December 31, 2016) for the Arkansas facilities. Land $3,010 Buildings and improvements 10,664 Intangible assets 2,076 Deposit paid in 2013 (150) Net cash paid $15,600 Additionally, during January and August, 2014, we spent an aggregate of $7.0 million, including $4.7 million in cash plus an additional $2.3 million in the form of a note payable to the previous third-party member (which was fully repaid in January, 2015) to purchase the minority ownership interests held by third party members in eight LLCs (as noted in the table below) in which we previously held various non-controlling majority ownership interests ranging from 85% to 95%. Name of LLC/LP Ownership prior to minority interest purchase Property Owned by LLC Effective Date Palmdale Medical Properties 95% Palmdale Medical Plaza January Sparks Medical Properties 95% Vista Medical Terrace & Sparks MOB January DVMC Properties 90% Desert Valley Medical Center August 1, 2014 Santa Fe Scottsdale 90% Santa Fe Professional Plaza August 1, 2014 PCH Medical Properties 85% Rosenberg Children’s Medical Plaza August 1, 2014 Sierra Medical Properties 95% Sierra San Antonio Medical Plaza August 1, 2014 PCH Southern Properties 95% Phoenix August 1, 2014 3811 Bell Medical Properties 95% 3811 E. Bell August 1, 2014 As a result of these minority ownership purchases, we now own 100% of each of these LLCs, which own medical office buildings, and began accounting for each on a consolidated basis at the effective date as noted in the table above. Pursuant to current accounting standards, at the effective date, we were required to record each property’s assets and liabilities at their fair values which resulted in the recording of a $25.4 million non-cash gain, which is included in our Consolidated Statement of Income for the twelve months ended December 31, 2014, representing the difference between the fair values and the equity method carrying value of each investment. The calculated fair value, categorized in level 3 of the fair value hierarchy and 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. Each 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. The capitalization rate and discount rate ranged from 7%-8.75% and 8%-9.75%, respectively. The aggregate purchase price for these MOBs was allocated to net tangible property ($84.0 million), identified intangible assets ($6.5 million), and long term debt ($29.8 million). Substantially all of the intangible assets include the value of the in-place leases at these MOBs at the time of acquisition which will be amortized over the combined average remaining lease term of approximately 4.7 years at the time of acquisition (aggregate weighted average of 4.0 years at December 31, 2016) for the August, 2014 transactions and 5.3 years at the time of acquisition (aggregate weighted average of 3.9 years at December 31, 2016) for the January, 2014 transactions. Other than the increased depreciation and amortization expense resulting from the amortization of the intangible assets recorded in connection with these transactions, there was no material impact on our net income as a result of the consolidation of these LLCs. Divestitures: In December, 2014, upon expiration of The Bridgeway’s lease term, a wholly-owned subsidiary of UHS exercised its option to purchase the real property of the facility. The sale of The Bridgeway, a 103-bed behavioral health facility located in North Little Rock, Arkansas, generated $17.3 million of sale proceeds. Pursuant to the terms of the lease, we and the wholly-owned subsidiary of UHS were both required to obtain independent appraisals of the property to determine its fair market value of $17.3 million. A $13.0 gain is included in our Consolidated Statement of Income for the twelve months ended December 31, 2014, representing the difference between the fair market value and the book value of this property.

Leases

Leases	12 Months Ended
	Dec. 31, 2016
Leases [Abstract]
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 related to properties included in our financial statements on a consolidated basis, excluding increases resulting from changes in the consumer price index, bonus rents and the impact of straight line rent adjustments, are as follows (amounts in thousands): 2017 $ 54,922 2018 49,885 2019 44,647 2020 39,742 2021 35,837 Thereafter 64,932 Total minimum base rents $ 289,965 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 and Financial Instruments

Debt and Financial Instruments	12 Months Ended
	Dec. 31, 2016
Debt Disclosure [Abstract]
Debt and Financial Instruments	(5) DEBT AND FINANCIAL INSTRUMENTS Debt: Management routinely monitors and analyzes the Trust’s capital structure in an effort to maintain the targeted balance among capital resources including the level of borrowings pursuant to our $250 million revolving credit facility, the level of borrowings pursuant to non-recourse mortgage debt secured by the real property of our properties and our level of equity including consideration of additional equity issuances pursuant to our at-the-market equity issuance program. This ongoing analysis considers factors such as the current debt market and interest rate environment, the current/projected occupancy and financial performance of our properties, the current loan-to-value ratio of our properties, the Trust’s current stock price, the capital resources required for anticipated acquisitions and the expected capital to be generated by anticipated divestitures. This analysis, together with consideration of the Trust’s current balance of revolving credit facility borrowings, non-recourse mortgage borrowings and equity, assists management in deciding which capital resource to utilize when events such as refinancing of specific debt components occur or additional funds are required to finance the Trust’s growth. On March 27, 2015, we entered into a $185 million revolving credit agreement (“Credit Agreement”) which was amended on May 24, 2016 to, among other things, increase the borrowing capacity to $250 million. The amended Credit Agreement, which is scheduled to mature in March, 2019, includes a $40 million sub limit for letters of credit and a $20 million sub limit for swingline/short-term loans. The Credit Agreement also provides a one-time option to extend the maturity date for an additional one year period, and an option to increase the total facility borrowing capacity up to an additional $50 million, subject to lender agreement. Borrowings under the Credit Agreement are guaranteed by certain subsidiaries of the Trust. In addition, borrowings under the Credit Agreement are secured by first priority security interests in and liens on all equity interests in the Trust’s wholly-owned subsidiaries. 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 1.50% to 2.00% or at the Base Rate plus an applicable margin ranging from 0.50% to 1.00%. The Credit Agreement defines “Base Rate” as the greatest of: (a) the administrative agent’s prime rate; (b) the federal funds effective rate plus 1/2 of 1%, and; (c) one month LIBOR plus 1%. A commitment fee of 0.20% to 0.40% (depending on our total leverage ratio) will be charged on the average unused portion of the revolving credit commitments. The margins over LIBOR, Base Rate and the commitment fee are based upon our ratio of debt to total capital. At December 31, 2016, the applicable margin over the LIBOR rate was 1.625%, the margin over the Base Rate was 0.625%, and the commitment fee was 0.25%. At December 31, 2016, we had $201.5 million of outstanding borrowings and $2.7 million of letters of credit outstanding against our revolving credit agreement. The carrying amount and fair value of borrowings outstanding pursuant to the Credit Agreement was $201.5 million at December 31, 2016. We had $45.8 million of available borrowing capacity, net of the outstanding borrowings and letters of credit outstanding as of December 31, 2016. There are no compensating balance requirements. The average amount outstanding under our revolving credit agreement (which as amended in May, 2016 to an increased borrowing capacity of $250 million, as discussed above) was $164.2 million in 2016, with a corresponding effective interest rate, including commitment fees, of 2.3%. The average amount outstanding under our revolving credit agreement was $114.3 million in 2015 with a corresponding effective interest rate, including commitment fees, of 2.1%. The average amount outstanding under our previous revolving credit agreement (which was replaced in March, 2015, as discussed above), was $104.6 million in 2014 with a corresponding effective interest rate, including commitment fees, of 2.4%. The Credit Agreement contains customary affirmative and negative covenants, including limitations on certain indebtedness, liens, acquisitions and other investments, fundamental changes, asset dispositions and dividends and other distributions. The Credit Agreement also contains restrictive covenants regarding the Trust’s ratio of total debt to total assets, the fixed charge coverage ratio, the ratio of total secured debt to total asset value, the ratio of total unsecured debt to total unencumbered asset value, and minimum net worth, as well as customary events of default, the occurrence of which may trigger an acceleration of amounts outstanding under the Credit Agreement. We are in compliance with all of the covenants at December 31, 2016. 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 2016 Tangible net worth $ 125,000 $ 167,462 Total leverage < 60 % 48.6 % Secured leverage < 30 % 18.1 % Unencumbered leverage < 60 % 50.3 % Fixed charge coverage > 1.50x 3.6x As indicated on the following table, we have fifteen mortgages, all of which are non-recourse to us, included on our consolidated balance sheet as of December 31, 2016 (amounts in thousands): Facility Name Outstanding Balance (in thousands)(a.) Interest Rate Maturity Date Summerlin Hospital Medical Office Building III floating rate mortgage loan (b.) $ 10,384 3.88 % March, 2017 Peace Health fixed rate mortgage loan (b.) 20,309 5.64 % April, 2017 Auburn Medical II floating rate mortgage loan (b.) 6,726 3.37 % April, 2017 Medical Center of Western Connecticut fixed rate mortgage loan (b.) 4,535 6.00 % June, 2017 Summerlin Hospital Medical Office Building II fixed rate mortgage loan (b.) 11,092 5.50 % October, 2017 Phoenix Children’s East Valley Care Center fixed rate mortgage loan (b.) 6,202 5.88 % December, 2017 Centennial Hills Medical Office Building floating rate mortgage loan 10,040 3.88 % January, 2018 Sparks Medical Building/Vista Medical Terrace floating rate mortgage loan 4,231 3.88 % February, 2018 Rosenberg Children’s Medical Plaza fixed rate mortgage loan 8,146 4.85 % May, 2018 Vibra Hospital-Corpus Christi fixed rate mortgage loan 2,723 6.50 % July, 2019 700 Shadow Lane and Goldring MOBs fixed rate mortgage loan 6,248 4.54 % June, 2022 BRB Medical Office Building fixed rate mortgage loan 6,316 4.27 % December, 2022 Desert Valley Medical Center fixed rate mortgage loan 5,081 3.62 % January, 2023 2704 North Tenaya Way fixed rate mortgage loan 7,137 4.95 % November, 2023 Tuscan Professional Building fixed rate mortgage loan 4,992 5.56 % June, 2025 Total, excluding net debt premium and net financing fees 114,162 Less net financing fees (381 ) Plus net debt premium 436 Total mortgage notes payable, non-recourse to us, net $ 114,217 (a.) All mortgage loans require monthly principal payments through maturity and either fully amortize or include a balloon principal payment upon maturity. (b.) This loan is scheduled to mature within the next twelve months, at which time we will decide whether to refinance pursuant to a new mortgage loan or by utilizing borrowings under our Credit Agreement. 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 $115.7 million as of December 31, 2016. We consider these to be “Level 2” in the fair value hierarchy as outlined in the authoritative guidance for disclosures in connection with debt instruments. 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. At December 31, 2015, we had fourteen mortgages, all of which were non-recourse to us, included in our consolidated balance sheet. The combined outstanding balance of these fourteen mortgages was $110.3 million (excluding net debt premium of $298,000 and net of net financing fees of $398,000 at December 31, 2015), and had a combined fair value of approximately $112.4 million at December 31, 2015. We consider these to be “Level 2” in the fair value hierarchy as outlined in the authoritative guidance for disclosures in connection with debt instruments. As of December 31, 2016, our aggregate consolidated scheduled debt repayments (including mortgages) are as follows (amounts in thousands): 2017 $ 61,115 2018 23,043 2019 (a.) 205,251 2020 1,292 2021 1,356 Later 23,605 Total $ 315,662 (a) Includes repayment of $201.5 million of outstanding borrowings under the terms of our $250 million revolving credit agreement. Financial Instruments: During the third quarter of 2013, we entered into an interest rate cap on a total notional amount of $10 million whereby we paid a premium of $136,000. During the first quarter of 2014, we entered into two additional interest rate cap agreements on a total notional amount of $20 million whereby we paid premiums of $134,500. In exchange for the premium payments, the counterparties agreed to pay us the difference between 1.50% and one-month LIBOR if one-month LIBOR rises above 1.50% during the term of the cap. From inception through December 31, 2016, no payments have been made to us by the counterparties pursuant to the terms of these caps which expired in January, 2017. During the second quarter of 2016, we entered into an interest rate cap on the total notional amount of $30 million whereby we paid a premium of $115,000. In exchange for the premium payment, the counterparties agreed to pay us the difference between 1.50% and one-month LIBOR if one-month LIBOR rises above 1.50% during the term of the cap. This interest rate cap became effective in January, 2017, coinciding with the expiration of the above-mentioned interest rate caps and expires in March, 2019. During the third quarter of 2016, we entered into an additional interest rate cap agreement on a total notional amount of $30 million whereby we paid a premium of $55,000. In exchange for the premium payment, the counterparties agreed to pay us the difference between 1.5% and one-month LIBOR if one-month LIBOR rises above 1.5% during the term of the cap. This interest rate cap became effective in October, 2016 and expires in March, 2019.

Dividends and Equity Issuance P

Dividends and Equity Issuance Program	12 Months Ended
	Dec. 31, 2016
Equity [Abstract]
Dividends and Equity Issuance Program	(6) DIVIDENDS AND EQUITY ISSUANCE PROGRAM Dividends: During each of the last three years, dividends were declared and paid by us as follows: • 2016: • 2015: • 2014: Equity Issuance Program: During the second quarter of 2016, we recommenced our at-the-market (“ATM”) equity issuance program, pursuant to the terms of which we may sell, from time-to-time, common shares of our beneficial interest up to an aggregate sales price of approximately $23.3 million to or through Merrill Lynch, Pierce, Fenner and Smith, Incorporated (“Merrill Lynch”), as sales agent and/or principal. The common shares were offered pursuant to the Registration Statement filed with the Securities and Exchange Commission, which became effective during the fourth quarter of 2015. Pursuant to the ATM Program, during the twelve months ended December 31, 2016, there were 249,016 shares issued at an average price of $55.30 per share (all of which were issued during the second quarter), which generated approximately $13.2 million of cash net proceeds (net of approximately $558,000, consisting of compensation of $344,000 to Merrill Lynch, as well as $214,000 of other various fees and expenses). As of December 31, 2016, we had approximately $9.5 million of gross proceeds still available for issuance under the program. Since inception of this ATM program through December 31, 2016, we have issued 829,916 shares at an average price of $48.77 per share, which generated approximately $38.8 million of net proceeds (net of approximately $1.7 million, consisting of compensation of $1.0 million to Merrill Lynch as well as $680,000 of other various fees and expenses). We have, and intend, to use the proceeds generated pursuant to the ATM program to reduce amounts outstanding under our revolving credit agreement. After such repayment of debt, we may re-borrow funds under our revolving credit agreement for general operating purposes, including working capital, capital expenditures, acquisitions, dividend payments and the refinance of third-party debt. There were no shares issued pursuant to an ATM program during 2015. During 2014, pursuant to an ATM equity issuance program in effect at that time, which is now expired, we issued 426,187 shares at an average price of $47.51 per share, which generated approximately $19.5 million of net proceeds, approximately $1.1 million of which were received in early January, 2015 (net of approximately $700,000, consisting of compensation of $506,000 to Merrill Lynch, as well as $195,000 of other various fees and expenses).

Incentive Plans

Incentive Plans	12 Months Ended
	Dec. 31, 2016
Postemployment Benefits [Abstract]
Incentive Plans	(7) INCENTIVE PLANS 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 which was amended and restated in 2016 (the “2007 Plan”). An aggregate of 125,000 shares were authorized for issuance under this plan and a total of 77,285 shares, net of cancellations, have been issued pursuant to the terms of this plan, 57,825 of which have vested as of December 31, 2016. At December 31, 2016 there are 47,715 shares remaining for issuance under the terms of the 2007 Plan. During 2016, there were 9,730 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 $56.34 per share ($548,188 in the aggregate). These restricted shares are scheduled to vest in June of 2018 (the second anniversary of the date of grant). During 2015, there were 9,730 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 $47.75 per share ($464,608 in the aggregate). These restricted shares are scheduled to vest in June of 2017 (the second anniversary of the date of grant). During 2014, there were 9,850 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 $43.21 per share ($425,619 in the aggregate). These restricted shares vested in June of 2016 (the second anniversary of the date of grant). We expense the grant-date fair value restricted stock awards under the straight-line method over the stated vesting period of the award. In connection with these grants, we recorded compensation expense of approximately $481,000, $427,000 and $399,000 during 2016, 2015 and 2014, respectively. The remaining expenses associated with these grants is approximately $485,000 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, 2016. 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 remained 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 expired in ten years. DERs on outstanding awards were earned in amounts equal to the cash or stock dividends declared subsequent to the date of grant. As of December 31, 2016, there were no options outstanding under the 1997 Plan. The net expense recorded in connection with the DERs did not have a material impact on our consolidated financial statements during each of the years ended December 31, 2016, 2015 and 2014. 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 changes to tax law requirements, the agreements, as amended, provided for the current payment of dividend equivalents in the years in which dividends were declared and paid or, if later, when the related options became vested. There were no DERs were outstanding at December 31, 2016. DERs with respect to 23,000 shares and 36,000 shares were outstanding at December 31, 2015 and 2014, respectively. In December of 2016, 2015 and 2014, DERs which were vested and accrued as of each respective date, were paid to officers and Trustees of the Trust amounting to approximately $30,000, $75,000 and $94,000, 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 of Shares Exercise Weighted- Average Price Grant Price (High-Low) Balance, January 1, 2014 40,000 $ 35.65 $36.53/$30.06 Exercised (4,000 ) 33.07 $30.06/$34.07 Balance, January 1, 2015 36,000 $ 35.94 $34.90/$36.53 Exercised (13,000 ) 34.90 $34.90/$34.90 Balance, January 1, 2016 23,000 $ 36.53 $36.53/$36.53 Exercised (23,000 ) 36.53 $36.53/$36.53 Outstanding options vested and exercisable as of December 31, 2016 — N/A N/A During 2016, there were 23,000 stock options exercised with a total in-the-money value of $520,420. During 2015, there were 13,000 stock options exercised with a total in-the-money value of $154,500. During 2014, there were 4,000 stock options exercised with a total in-the-money value of $44,160. There are no options outstanding at December 31, 2016.

Summarized Financial Informatio

Summarized Financial Information of Equity Affiliates	12 Months Ended
	Dec. 31, 2016
Equity Method Investments And Joint Ventures [Abstract]
Summarized Financial Information of Equity Affiliates	(8) SUMMARIZED FINANCIAL INFORMATION OF EQUITY AFFILIATES In accordance with the Financial Accounting Standards Board’s (“FASB”) standards and guidance relating to accounting for investments and real estate ventures, we account for our unconsolidated investments in LLCs/LPs 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. In the Consolidated Statements of Cash Flows, distributions and equity in net income are presented net as cash flows from operating activities. Cumulative distributions received exceeding cumulative equity in earnings represent returns of investments and are classified as cash flows from investing activities in the Consolidated Statements of Cash Flows. At December 31, 2016, we have non-controlling equity investments or commitments in five jointly-owned LLCs/LPs which own MOBs. As of December 31, 2016, we accounted for these LLCs/LPs on an unconsolidated basis pursuant to the equity method since they are not variable interest entities and we do not have a controlling voting interest. The majority of these entities are joint-ventures between us and non-related parties that manage and hold minority ownership interests in the entities. Each entity 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. These entities maintain property insurance on the properties. Effective February 1, 2016, we purchased an additional 10% ownership interest in the Arlington Medical Properties, LLC from the third-party minority member for approximately $4.8 million in cash, subject to certain agreed upon terms and conditions. Including this additional ownership interest, we currently own 85% of this LLC which is accounted for on an unconsolidated basis pursuant to the equity method. Effective August 1, 2014, we purchased the minority ownership interests, ranging from 5% to 15%, held by third-party members in six LLCs in which we previously held noncontrolling majority ownership interests, as noted in the table below. As a result of these minority ownership purchases, we now own 100% of each of these LLCs and began to account for them on a consolidated basis effective August 1, 2014. Prior to August 1, 2014, these LLCs were accounted for on an unconsolidated basis pursuant to the equity method. Name of LLC/LP Ownership prior to minority interest purchase Property Owned by LLC Effective Date DVMC Properties 90 % Desert Valley Medical Center August 1, 2014 Santa Fe Scottsdale 90 % Santa Fe Professional Plaza August 1, 2014 PCH Medical Properties 85 % Rosenberg Children’s Medical Plaza August 1, 2014 Sierra Medical Properties 95 % Sierra San Antonio Medical Plaza August 1, 2014 PCH Southern Properties 95 % Phoenix Children’s East Valley Care Center August 1, 2014 3811 Bell Medical Properties 95 % North Valley Medical Plaza August 1, 2014 The following property table represents the five LLCs or LPs in which we own a noncontrolling interest and were accounted for under the equity method as of December 31, 2016: Name of LLC/LP Ownership Property Owned by LLC Suburban Properties 33 % St. Matthews Medical Plaza II Brunswick Associates (a.) 74 % Mid Coast Hospital MOB Arlington Medical Properties (b.) 85 % Saint Mary’s Professional Office Building Grayson Properties (c.) 95 % Texoma Medical Plaza FTX MOB Phase II (d.) 95 % Forney Medical Plaza II (a.) This LLC has a third-party term loan of $8.6 million, which is non-recourse to us, outstanding as of December 31, 2016. (b.) We have funded $5.2 million in equity as of December 31, 2016 and are committed to invest an additional $623,000. During the fourth quarter of 2015, we advanced this LLC a member loan, the funds of which were utilized to repay its $22.8 million outstanding third-party mortgage loan on its scheduled maturity date. The member loan has an interest rate of 5.29% and is scheduled to mature in January, 2018. Additionally, pursuant to the terms and conditions of an agreement executed in February, 2016, we purchased an additional 10% of the ownership interest in this LLC from the existing third-party member for approximately $4.8 million in cash, thereby increasing our ownership interest to 85%. (c.) We have funded $2.8 million in equity as of December 31, 2016, and are committed to fund an additional $149,000. This building is on the campus of a UHS hospital and has tenants that include subsidiaries of UHS. This LP has a third-party term loan of $14.4 million, which is non-recourse to us, outstanding as of December 31, 2016 (d.) We have committed to invest up to $2.5 million in equity and debt financing and are committed to invest an additional $369,000. This LP has a third-party term loan of $5.3 million, which is non-recourse to us, outstanding as of December 31, 2016. Below are the combined statements of income for the LLCs/LPs accounted for under the equity method at December 31, 2016, 2015 and 2014. The data for the year ended December 31, 2014 includes the financial results for the six above-mentioned LLCs in which we purchased the minority ownership interests in August, 2014 for the period of January through July of 2014 (during which they were accounted for under the equity method). For the Year Ended December 31, 2016 2015 2014(b.) (amounts in thousands) Revenues $ 15,252 $ 14,347 $ 17,292 Operating expenses 5,439 5,605 6,769 Depreciation and amortization 2,554 2,398 2,968 Interest, net 2,565 2,578 4,261 Net income $ 4,694 $ 3,766 $ 3,294 Our share of net income (a.) $ 4,456 $ 2,536 $ 2,428 (a.) Our share of net income during 2016, 2015 and 2014, includes interest income earned by us on various advances made to LLCs of approximately $1.2 million, $200,000 and $834,000, respectively. (b.) As mentioned above, we began to account for six LLCs (Desert Valley Medical Center, Santa Fe Professional Plaza, Rosenberg Children’s Medical Plaza, Sierra San Antonio Medical Plaza, Phoenix Children’s East Valley Care Center and North Valley Medical Plaza) on a consolidated basis as of August 1, 2014. Prior to August 1, 2014, the financial results of these entities were accounted for under the equity method on an unconsolidated basis. The year ended December 31, 2014 includes the financial results of the six mentioned LLCs for seven months ended July 31, 2014. Below are the combined balance sheets for the five LLCs that were accounted for under the equity method as of December 31, 2016 and 2015: December 31, 2016 2015 (amounts in thousands) Net property, including CIP $ 60,970 $ 61,668 Other assets 4,598 5,264 Total assets $ 65,568 $ 66,932 Other liabilities $ 3,334 $ 2,538 Mortgage notes payable, non-recourse to us 28,367 28,895 Advances payable to us (a.) 21,638 22,489 Equity 12,229 13,010 Total liabilities and equity $ 65,568 $ 66,932 Our share of equity in and advances to LLCs reflected as: Investments in LLCs $ 13,955 $ 9,108 Advances to LLCs 21,638 22,489 Investments in and advances to LLCs before amounts included in accrued expenses and other liabilities 35,593 31,597 Amounts included in accrued expenses and other liabilities (1,862 ) (1,105 ) Our share of equity in and advances to LLCs, net $ 33,731 $ 30,492 (a) Consists of a 5.29% member loan which is scheduled to mature in January, 2018. As of December 31, 2016, 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): 2017 $ 5,727 2018 445 2019 466 2020 484 2021 13,582 2022 and thereafter 7,663 Total $ 28,367 Mortgage Loan Balance (a.) Name of LLC/LP 12/31/2016 12/31/2015 Maturity Date FTX MOB Phase II (4.75% fixed rate mortgage loan) $ 5,301 $ 5,427 August, Grayson Properties (5.034% fixed rate mortgage loan) 14,438 14,670 September, 2021 Brunswick Associates (3.64% fixed rate mortgage loan) 8,628 8,798 December, 2024 $ 28,367 $ 28,895 (a) All mortgage loans require monthly principal payments through maturity and include a balloon principal payment upon maturity. (b) This loan is scheduled to mature within the next twelve months, at which time it will be refinanced pursuant to: (i) a new third-party mortgage loan; (ii) a member loan extended from us to the LLC, or; (iii) equity contributions to the LLC by us and the third-party member. Funds required from us to the LLC for either the member loan or our share of an equity contribution would likely be borrowed under our Credit Agreement. Pursuant to the operating and/or partnership agreements of the five LLCs/LPs in which we continue to hold non-controlling ownership interests, the third-party member and the Trust, at any time, potentially subject to certain conditions, 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 to 90 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 to 90 days of the acceptance by the Non-Offering Member.

Segment Reporting

Segment Reporting	12 Months Ended
	Dec. 31, 2016
Segment Reporting [Abstract]
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, 2016
Quarterly Financial Information Disclosure [Abstract]
Quarterly Results	(10) QUARTERLY RESULTS (unaudited) 2016 First Quarter Second Quarter Third Quarter Fourth Quarter Total (amounts in thousands, except per share amounts) Revenues $ 16,226 $ 16,461 $ 16,801 $ 17,593 $ 67,081 Net income $ 4,428 $ 4,523 $ 3,818 $ 4,446 $ 17,215 Total basic earnings per share $ 0.33 $ 0.34 $ 0.28 $ 0.33 $ 1.28 Total diluted earnings per share $ 0.33 $ 0.34 $ 0.28 $ 0.33 $ 1.28 2015 First Quarter Second Quarter Third Quarter Fourth Quarter Total (amounts in thousands, except per share amounts) Revenues $ 16,202 $ 16,049 $ 15,686 $ 16,013 $ 63,950 Net income before gains $ 3,696 $ 3,262 $ 3,639 $ 4,352 $ 14,949 Gain on property exchange — 8,742 — — $ 8,742 Net income $ 3,696 $ 12,004 $ 3,639 $ 4,352 $ 23,691 Total basic earnings per share $ 0.28 $ 0.90 $ 0.27 $ 0.33 $ 1.78 Total diluted earnings per share $ 0.28 $ 0.90 $ 0.27 $ 0.33 $ 1.78

Real Estate and Accumulated Dep

Real Estate and Accumulated Depreciation	12 Months Ended
	Dec. 31, 2016
Real Estate And Accumulated Depreciation Disclosure [Abstract]
Real Estate and Accumulated Depreciation	Schedule III Universal Health Realty Income Trust Real Estate and Accumulated Depreciation — December 31, 2016 (amounts in thousands) Gross amount at Date of which carried Completion of Initial Cost at end of period Accumulated Construction, Description Encumbrance (c.) Land Building & Improv. Adjustments to Basis (a.) Land Building & Improvements CIP Total Depreciation as of Dec. 31, 2016 Acquisition or Significant improvement Date Acquired Average Depreciable Life Inland Valley Regional Medical Center Wildomar, California — $ 2,050 $ 10,701 $ 14,596 $ 2,050 $ 25,297 $ 27,347 $ 12,596 2007 1986 43 Years McAllen Medical Center McAllen, Texas — 4,720 31,442 10,189 6,281 40,070 46,351 26,276 1994 1986 42 Years Wellington Regional Medical Center West Palm Beach, Florida — 1,190 14,652 17,370 1,663 31,549 33,212 18,410 2006 1986 42 Years HealthSouth Deaconess Rehabilitation Hospital Evansville, Indiana — 500 6,945 1,062 500 8,007 8,507 5,475 1993 1989 40 Years Kindred Chicago Central Hospital Central Chicago, Illinois — 158 6,404 1,838 158 8,242 8,400 8,242 1993 1986 25 Years Family Doctor’s Medical Office Building Shreveport, Louisiana — 54 1,526 494 54 2,020 2,074 997 1991 1995 45 Years Kelsey-Seybold Clinic at King's Crossing Kingwood, Texas — 439 1,618 878 439 2,496 2,935 1,352 1995 1995 45 Years Professional Buildings at King's Crossing Kingwood, Texas — 439 1,837 251 439 2,088 9 2,536 1,008 1995 1995 45 Years Chesterbrook Academy Audubon, Pennsylvania — 307 996 — 307 996 1,303 456 1996 1996 45 Years Chesterbrook Academy New Britain, Pennsylvania — 250 744 — 250 744 994 343 1991 1996 45 Years Chesterbrook Academy Uwchlan, Pennsylvania — 180 815 — 180 815 995 374 1992 1996 45 Years Chesterbrook Academy Newtown, Pennsylvania — 195 749 — 195 749 944 345 1992 1996 45 Years The Southern Crescent Center (b.) Riverdale, Georgia — 1,130 5,092 (2,271 ) 1,130 2,821 3,951 2,419 1994 1996 45 Years The Southern Crescent Center II (b.) Riverdale, Georgia — — — 4,981 806 4,175 4,981 2,278 2000 1998 35 Years The Cypresswood Professional Center Spring, Texas — 573 3,842 813 573 4,655 5,228 2,770 1997 1997 35 Years 701 South Tonopah Building Las Vegas, Nevada — — 1,579 68 — 1,647 1,647 1,077 1999 1999 25 Years Medical Center of Western Connecticut Danbury, Connecticut 4,535 1,151 5,176 544 1,151 5,720 6,871 3,349 2000 2000 30 Years Vibra Hospital of Corpus Christi Corpus Christi, Texas 2,723 1,104 5,508 — 1,104 5,508 6,612 1,400 2008 2008 35 Years Apache Junction Medical Plaza Apache Junction, AZ — 240 3,590 1,159 240 4,749 4,989 1,009 2004 2004 30 Years Auburn Medical Office Building II Auburn, WA 6,726 — 10,200 176 — 10,376 10,376 1,716 2009 2009 36 Years BRB Medical Office Building Kingwood, Texas 6,316 430 8,970 32 430 9,002 9,432 1,471 2010 2010 37 Years Centennial Hills Medical Office Building Las Vegas, NV 10,040 — 19,890 1,299 — 21,189 86 21,275 3,733 2006 2006 34 Years Desert Springs Medical Plaza Las Vegas, NV — 1,200 9,560 1,081 1,200 10,641 11,841 2,175 1998 1998 30 Years 700 Shadow Lane & Goldring MOBs Las Vegas, NV 6,248 400 11,300 3,012 400 14,312 288 15,000 2,742 2003 2003 30 Years Spring Valley Hospital MOB I Las Vegas, NV — — 9,500 709 — 10,209 22 10,231 1,865 2004 2004 35 Years Schedule III Universal Health Realty Income Trust Real Estate and Accumulated Depreciation — December 31, 2016 (continued) (amounts in thousands) Gross amount at Date of which carried Completion of Initial Cost at end of period Accumulated Construction, Description Encumbrance (c.) Land Building & Improv. Adjustments to Basis (a.) Land Building & Improvements CIP Total Depreciation as of Dec. 31, 2016 Acquisition or Significant improvement Date Acquired Average Depreciable Life Spring Valley Hospital MOB II Las Vegas, NV — — 9,800 488 — 10,288 10,288 1,860 2006 2006 34 Years Summerlin Hospital MOB I Las Vegas, NV — 460 15,440 824 460 16,264 113 16,837 3,282 1999 1999 30 Years Summerlin Hospital MOB II Las Vegas, NV 11,092 370 16,830 1,275 370 18,105 53 18,528 3,523 2000 2000 30 Years Summerlin Hospital MOB III Las Vegas, NV 10,384 — 14,900 2,137 — 17,037 17,037 2,698 2009 2009 36 Years Emory at Dunwoody Building Dunwoody, GA — 782 3,455 — 782 3,455 4,237 658 2011 2011 35 Years Forney Medical Plaza Forney, TX — 910 11,960 55 910 12,015 1 12,926 2,565 2011 2011 35 Years Lake Pointe Medical Arts Building Rowlett, TX — 1,100 9,000 31 1,100 9,031 1 10,132 1,687 2011 2011 35 Years Tuscan Professional Building Irving, TX 4,992 1,100 12,525 244 1,100 12,769 13,869 2,176 2011 2011 35 Years Peace Health Medical Clinic Bellingham, WA 20,309 1,900 24,910 — 1,900 24,910 26,810 4,201 2012 2012 35 Years Northwest Texas Professional Office Tower Amarillo, TX — — 7,180 — — 7,180 7,180 967 2012 2012 35 Years Ward Eagle Office Village Farmington Hills, MI — 220 3,220 — 220 3,220 3,440 406 2013 2013 35 Years 5004 Poole Road MOB Denison, TX — 96 529 — 96 529 625 63 2013 2013 35 Years Desert Valley Medical Center (d.) Phoenix, AZ 5,081 2,280 4,624 400 2,280 5,024 1 7,305 506 1996 1996 30 Years Hanover Emergency Center Mechanicsville, VA — 1,300 6,224 — 1,300 6,224 7,524 490 2014 2014 35 Years Haas Medical Office Park Ottumwa, IA — — 3,571 — — 3,571 3,571 222 2015 2015 35 Years Mission Free-standing Emergency Department Mission, TX — 1,441 4,696 1,441 4,696 6,137 301 2015 2015 35 Years North Valley Medical Plaza (d.) Phoenix, AZ — 930 6,929 60 930 6,989 360 8,279 652 2010 2010 30 Years Northwest Medical Center at Sugar Creek Bentonville, AR — 1,100 2,870 — 1,100 2,870 3,970 270 2014 2014 35 Years The Children’s Clinic at Springdale Springdale, AR — 610 1,570 — 610 1,570 2,180 172 2014 2014 35 Years Rosenberg Children’s Medical Plaza (d.) Phoenix, AZ 8,146 — 23,302 34 — 23,336 23,336 1,897 2001 2001 35 Years Phoenix Children’s East (d.) Valley Care Center Phoenix, AZ 6,202 1,050 10,900 — 1,050 10,900 11,950 884 2006 2006 35 Years Palmdale Medical Plaza (d.) Palmdale, CA — — 10,555 1,701 — 12,256 12,256 1,175 2008 2008 34 Years Piedmont-Roswell Physician Center Sandy Springs, GA — 2,338 2,128 — 2,338 2,128 4,466 151 2015 2015 30 Years Piedmont-Vinings Physician Center Vinings, GA — 1,348 2,418 — 1,348 2,418 3,766 166 2015 2015 30 Years Santa Fe Professional Plaza (d.) Scottsdale, AZ — 1,090 1,960 312 1,090 2,272 36 3,398 236 1999 1999 30 Years Sierra San Antonio Medical Plaza (d.) Fontana, CA — — 11,538 206 — 11,744 9 11,753 1,074 2006 2006 30 Years Vista Medical Terrace & Sparks MOB (d.) Sparks, NV 4,231 — 9,276 569 — 9,845 28 9,873 1,280 2008 2008 30 Years Weslaco Free-standing Emergency Dept Weslaco ,TX — 1,749 4,879 — 1,749 4,879 6,628 321 2015 2015 35 Years Chandler Corporate Center III Chandler, AZ — 2,328 14,131 — 2,328 14,131 16,459 352 2016 2016 35 Years Frederick Crestwood MOB Frederick, MD — 2,258 18,973 — 2,258 18,973 21,231 216 2016 2016 35 Years Madison Professional Office Building Madison, AL — 2,296 6,411 — 2,296 6,411 8,707 215 2016 2016 35 Years Tenaya Medical Office Building Las Vegas, NV 7,137 3,032 10,602 — 3,032 10,602 13,634 44 2016 2016 35 Years Henderson Medical Plaza (e.) Henderson, NV — — — — — — 9,464 9,464 2017 TOTALS $ 114,162 $ 48,798 $ 459,942 $ 66,617 $ 51,638 $ 523,719 $ 10,471 $ 585,828 $ 138,588 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. Consists of outstanding balances as of December 31, 2016 on third-party debt that is non-recourse to us. d. During 2014, 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. Henderson Medical Plaza is scheduled to be completed and opened during the first quarter of 2017. UNIVERSAL HEALTH REALTY INCOME TRUST NOTES TO SCHEDULE III DECEMBER 31, 2016 (amounts in thousands) (1) RECONCILIATION OF REAL ESTATE PROPERTIES The following table reconciles the Real Estate Properties from January 1, 2014 to December 31, 2016: 2016 2015 2014 Balance at January 1, $ 511,657 $ 486,589 $ 395,669 Impact of consolidation of eight LLCs (a.) — — 84,064 Additions (b.) 14,186 4,972 3,298 Acquisitions 60,031 24,568 13,674 Disposals/Divestitures (46 ) (4,472 ) (10,116 ) Balance at December 31, $ 585,828 $ 511,657 $ 486,589 (2) RECONCILIATION OF ACCUMULATED DEPRECIATION The following table reconciles the Accumulated Depreciation from January 1, 2014 to December 31, 2016: 2016 2015 2014 Balance at January 1, $ 121,161 $ 106,480 $ 97,921 Disposals/Divestitures (9 ) (1,568 ) (5,859 ) Depreciation expense 17,436 16,249 14,413 Other — — 5 Balance at December 31, $ 138,588 $ 121,161 $ 106,480 (a) During 2014, the Trust purchased the minority ownership interests held by third-party members in eight LLCs (January and August, 2014) 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. (b) Includes $9.5 million of CIP related to Henderson Medical Plaza, which is scheduled to be completed and opened during the first quarter of 2017.

Organization and Summary of S20

Organization and Summary of Significant Accounting Policies (Policies)	12 Months Ended
	Dec. 31, 2016
Accounting Policies [Abstract]
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 currently including acute care hospitals, rehabilitation hospitals, sub-acute facilities, surgery centers, free-standing emergency departments, childcare centers and medical office buildings. As of February 28, 2017, we have sixty-seven real estate investments or commitments located in twenty states consisting of: • six hospital facilities including three acute care, one rehabilitation and two sub-acute; • three free-standing emergency departments (“FEDs”); • fifty-four medical office buildings, including five owned by unconsolidated limited liability companies (“LLCs”)/limited liability partnerships (“LPs”), and; • four preschool and childcare centers. Our future results of operations could be unfavorably impacted by 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 three 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. Management is unable to predict the effect, if any, that these factors may 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 our six hospital facilities, which is paid monthly, is fixed over the term of the respective leases which are scheduled to expire in 2019 (2 hospitals) or 2021 (4 hospitals). In addition, for the three hospital facilities leased to subsidiaries of UHS, bonus rents are paid on a quarterly basis, based upon a computation that compares the hospitals’ current quarter net revenues to the corresponding quarter in the base year. Rental income recorded by our other properties, including our consolidated and unconsolidated 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, stipulated 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. Tenant reimbursements for operating expenses are accrued as revenue in the same period the related expenses are incurred.
Real Estate Investments	Real Estate Investments Land, buildings and capital improvements are recorded at cost and stated at cost less accumulated depreciation. Expenditures for maintenance and repairs are charged to operations as incurred. Renovations or replacements, which improve or extend the life of an asset, are capitalized and depreciated over their estimated useful lives.
Purchase Accounting for Acquisition of Investments in Real Estate	Purchase Accounting for Acquisition of Investments in Real Estate Purchase accounting is applied to the assets and liabilities related to all real estate investments acquired from third parties. In accordance with current accounting guidance , The fair values of the tangible assets of an acquired property are determined based on comparable land sales for land and replacement costs adjusted for physical and market obsolescence for the improvements. The fair values of the tangible assets of an acquired property are also determined by valuing the property as if it were vacant, and the “as-if-vacant” value is then allocated to land, building and tenant improvements based on management’s determination of the relative fair values of these assets. Management determines the as-if-vacant fair value of a property based on assumptions that a market participant would use, which is similar to methods used by independent appraisers. In addition, there is intangible value related to having tenants leasing space in the purchased property, which is referred to as in-place lease value. Such value results primarily from the buyer of a leased property avoiding the costs associated with leasing the property and also avoiding rent losses and unreimbursed operating expenses during the hypothetical lease-up period. Factors considered by management in performing these analyses include an estimate of carrying costs during the expected lease-up periods considering current market conditions and costs to execute similar leases. In estimating carrying costs, management includes real estate taxes, insurance and other operating expenses and estimates of lost rental revenue during the expected lease-up periods based on current market demand. Management also estimates costs to execute similar leases including leasing commissions, tenant improvements, legal and other related costs. The value of in-place leases are amortized to expense over the remaining initial terms of the respective leases. In allocating the fair value of the identified intangible assets and liabilities of an acquired property, above-market and below-market in-place lease values are recorded based on the present value (using an interest rate which reflects the risks associated with the leases acquired) of the difference between (i) the contractual amounts to be paid pursuant to the in-place leases and (ii) estimated fair market lease rates from the perspective of a market participant for the corresponding in-place leases, measured, for above-market leases, over a period equal to the remaining non-cancelable term of the lease and, for below-market leases, over a period equal to the initial term plus any below market fixed rate renewal periods. The capitalized above-market lease values are amortized as a reduction of rental income over the remaining non-cancelable terms of the respective leases. The capitalized below-market lease values, also referred to as acquired lease obligations, are amortized as an increase to rental income over the initial terms of the respective leases. Our intangible assets primarily consist of the value of in-place leases at December 31, 2016, and will be amortized over the remaining lease terms (aggregate weighted average of 4.3 years at December 31, 2016) and is expected to result in estimated aggregate amortization expense of $4.9 million, $3.6 million, $2.9 million $2.7 million and $2.3 million for 2017, 2018, 2019, 2020 and 2021, respectively. Amortization expense on intangible values of in place leases and above-market leases was $5.1 million for the year ended December 31, 2016, $5.5 million for the year ended December 31, 2015 and $6.1 million for the year ended December 31, 2014. 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 $17.4 million for the year ended December 31, 2016, $16.2 million for the year ended December 31, 2015 and $14.4 million for the year ended December 31, 2014.
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 We review each of our properties for indicators that its carrying amount may not be recoverable. Examples of such indicators may include a significant decrease in the market price of the property, a change in the expected holding period for the property, a significant adverse change in how the property is being used or expected to be used based on the underwriting at the time of acquisition, an accumulation of costs significantly in excess of the amount originally expected for the acquisition or development of the property, or a history of operating or cash flow losses of the property. When such impairment indicators exist, we review an estimate of the future undiscounted net cash flows (excluding interest charges) expected to result from the real estate investment’s use and eventual disposition and compare that estimate to the carrying value of the property. We consider factors such as future operating income, trends and prospects, as well as the effects of leasing demand, competition and other factors. If our future undiscounted net cash flow evaluation indicates that we are unable to recover the carrying value of a real estate investment, an impairment loss is recorded to the extent that the carrying value exceeds the estimated fair value of the property. These losses have a direct impact on our net income because recording an impairment loss results in an immediate negative adjustment to net income. The evaluation of anticipated cash flows is highly subjective and is based in part on assumptions regarding future occupancy, rental rates and capital requirements that could differ materially from actual results in future periods. Since cash flows on properties considered to be long-lived assets to be held and used are considered on an undiscounted basis to determine whether the carrying value of a property is recoverable, our strategy of holding properties over the long-term directly decreases the likelihood of their carrying values not being recoverable and therefore requiring the recording of an impairment loss. If our strategy changes or market conditions otherwise dictate an earlier sale date, an impairment loss may be recognized and such loss could be material. If we determine that the asset fails the recoverability test, the affected assets must be reduced to their fair value. We generally estimate the fair value of rental properties utilizing a discounted cash flow analysis that includes projections of future revenues, expenses and capital improvement costs that a market participant would use based on the highest and best use of the asset, which is similar to the income approach that is commonly utilized by appraisers. In certain cases, we may supplement this analysis by obtaining outside broker opinions of value or third party appraisals. In considering whether to classify a property as held for sale, we consider factors such as whether management has committed to a plan to sell the property, the property is available for immediate sale in its present condition for a price that is reasonable in relation to its current value, the sale of the property is probable, and actions required for management to complete the plan indicate that it is unlikely that any significant changes will made to the plan. If all the criteria are met, we classify the property as held for sale. Upon being classified as held for sale, depreciation and amortization related to the property ceases and it is recorded at the lower of its carrying amount or fair value less cost to sell. The assets and related liabilities of the property are classified separately on the consolidated balance sheets for the most recent reporting period. Only those assets held for sale that constitute a strategic shift or that will have a major effect on our operations are classified as discontinued operations. An other than temporary impairment of an investment 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”) In accordance with the Financial Accounting Standards Board’s (“FASB”) standards and guidance relating to accounting for investments and real estate ventures, we account for our unconsolidated investments in LLCs/LPs 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. In the Consolidated Statements of Cash Flows, distributions and equity in net income are presented net as cash flows from operating activities. Cumulative distributions received exceeding cumulative equity in earnings represent returns of investments and are classified as cash flows from investing activities in the Consolidated Statements of Cash Flows. At December 31, 2016, we have non-controlling equity investments or commitments in five jointly-owned LLCs/LPs which own MOBs. We accounted for these LLCs on an unconsolidated basis pursuant to the equity method since they are not variable interest entities and we do not have a controlling voting interest. The majority of these LLCs are joint-ventures between us and non-related parties that manage and hold minority ownership interests in the entities. Each entity 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. These entities maintain property insurance on the properties.
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 $561 million and $385 million, respectively, at December 31, 2016. The aggregate cost basis and net book value of the properties for federal income tax purposes were approximately $489 million and $325 million, respectively, at December 31, 2015.
Stock-Based Compensation	Stock-Based Compensation We expense the grant-date fair value of restricted stock awards over the vesting period. We recognize the grant-date fair value of equity-based compensation and account for these transactions using the fair-value based method. 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.
Concentration of Revenues	Concentration of Revenues The rental revenue earned pursuant to the lease on McAllen Medical Center generated approximately 11% during each of 2016 and 2015, and 12% during 2014, of our consolidated revenues.
Use of Estimates	U se of Estimates The preparation of financial statements in conformity with generally accepted accounting principles in the United States of America requires us to make estimates and assumptions that affect the amounts reported in our consolidated financial statements and accompanying notes. Actual results could differ from those estimates.
New Accounting Standards	New Accounting Standards Except as noted below there were no new accounting pronouncements that impacted, or are expected to impact us. In April 2015, the FASB issued ASU No. 2015-03, Simplifying the Presentation of Debt Issuance Costs, an update to the accounting standard relating to the presentation of debt issuance costs. Under the new guidance, debt issuance costs related to a recognized debt liability will be presented on the balance sheet as a direct deduction from the debt liability. In the event that there is not an associated debt liability recorded in the consolidated financial statements, the debt issuance costs will continue to be recorded on the consolidated balance sheet as an asset until the debt liability is recorded. The new standard became effective for the Trust on January 1, 2016. The adoption of this guidance did not have a material impact on our consolidated financial position or results of operations as the update only related to changes in financial statement presentation. In February 2015, the FASB issued ASU No. 2015-02, Consolidation – Amendments to the Consolidation Analysis, which amends the current consolidation guidance affecting both the variable interest entity (“VIE”) and voting interest entity (“VOE”) consolidation models. The standard does not add or remove any of the characteristics in determining if an entity is a VIE or VOE, but rather enhances the way the Company assesses some of these characteristics. The new standard became effective for the Trust on January 1, 2016 and did not have a material impact on our consolidated financial position or results of operations as none of its existing consolidation conclusions were changed. In August, 2016, the Financial Accounting Standards Board (“FASB”) issued ASU No. 2016-15, Classification of Certain Cash Receipts and Cash Payments, which adds or clarifies guidance of the classification of certain cash receipts and payments in the statement of cash flows with the intent to alleviate diversity in practice for classifying various types of cash flows. This ASU is effective for annual and interim reporting periods beginning after December 15, 2017, with early adoption permitted. We are currently evaluating the impact of this ASU on our statement of cash flows. In February 2016, the FASB In 2014, the FASB issued ASU 2014-09, Revenue From Contracts With Customers In January, 2017, the FASB issued ASU 2017-01, “Business Combinations (Topic 805) - Clarifying the Definition of a Business” to clarify the definition of a business in order to allow for the evaluation of whether transactions should be accounted for as acquisitions or disposals of assets or businesses. ASU 2017-01 will be effective for fiscal years beginning after December 15, 2017, including interim periods within those fiscal years. Early adoption is permitted. The future impact of ASU 2017-01 will be dependent upon the nature of future acquisitions or dispositions made by us, if any.

Relationship with UHS and Rel21

Relationship with UHS and Related Party Transactions (Tables)	12 Months Ended
	Dec. 31, 2016
Related Party Transactions [Abstract]
Existing Lease Terms and Renewal Options for Each of UHS Hospital Facilities	The table below details the existing lease terms and renewal options for our three acute care hospitals operated by wholly-owned subsidiaries of UHS: Hospital Name Annual Minimum Rent End of Lease Term Renewal Term (years) McAllen Medical Center $ 5,485,000 December, 2021 10 (a) Wellington Regional Medical Center $ 3,030,000 December, 2021 10 (b) Southwest Healthcare System, Inland Valley Campus $ 2,648,000 December, 2021 10 (b) (a) UHS has two 5-year renewal options at existing lease rates (through 2031). (b) UHS has two 5-year renewal options at fair market value lease rates (2022 through 2031).

New Construction, Acquisition22

New Construction, Acquisitions, Dispositions and Property Exchange Transaction (Tables)	12 Months Ended
	Dec. 31, 2016
Purchased Minority Ownership Interests	Additionally, during January and August, 2014, we spent an aggregate of $7.0 million, including $4.7 million in cash plus an additional $2.3 million in the form of a note payable to the previous third-party member (which was fully repaid in January, 2015) to purchase the minority ownership interests held by third party members in eight LLCs (as noted in the table below) in which we previously held various non-controlling majority ownership interests ranging from 85% to 95%. Name of LLC/LP Ownership prior to minority interest purchase Property Owned by LLC Effective Date Palmdale Medical Properties 95% Palmdale Medical Plaza January Sparks Medical Properties 95% Vista Medical Terrace & Sparks MOB January DVMC Properties 90% Desert Valley Medical Center August 1, 2014 Santa Fe Scottsdale 90% Santa Fe Professional Plaza August 1, 2014 PCH Medical Properties 85% Rosenberg Children’s Medical Plaza August 1, 2014 Sierra Medical Properties 95% Sierra San Antonio Medical Plaza August 1, 2014 PCH Southern Properties 95% Phoenix August 1, 2014 3811 Bell Medical Properties 95% 3811 E. Bell August 1, 2014
2016 Acquisitions
Allocation of Purchase Price to Assets Acquired and Liabilities Assumed	The aggregate purchase price for these acquisitions was allocated to the assets acquired and liabilities assumed consisting of tangible property and intangible assets and liabilities, based on the fair value estimated or finalized at acquisition as detailed in the table below. Land $9,914 Buildings and improvements 50,117 Intangible assets 9,211 Below-market lease intangibles (1,287) Deposit paid in 2015………………………………………...……………………………….. (150) Debt (including fair value adjustment of $362)…...……..……………………………….….. (7,499) Financing fees paid on debt acquired……………...……..……………………………….….. 83 Net cash paid $60,389
2015 Acquisitions
Allocation of Purchase Price to Assets Acquired and Liabilities Assumed	The aggregate purchase price for these three MOBs and two FEDs was allocated to the assets acquired and liabilities assumed consisting of tangible property and identified intangible assets, based on their respective fair values at acquisition as detailed in the table below. Land $7,050 Buildings and improvements 17,518 Intangible assets 2,182 Cash received- exchange transaction 2,000 Other liabilities (116) Deposit paid in 2014 (100) Net book value of property divested in exchange transaction (3,027) Gain on exchange transaction (8,742) Net cash paid $16,765
2014 Acquisitions
Allocation of Purchase Price to Assets Acquired and Liabilities Assumed	The aggregate purchase price for these clinics and MOB 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. Land $3,010 Buildings and improvements 10,664 Intangible assets 2,076 Deposit paid in 2013 (150) Net cash paid $15,600

Leases (Tables)

Leases (Tables)	12 Months Ended
	Dec. 31, 2016
Leases [Abstract]
Schedule of Minimum Future Base Rents from Non-Cancelable Leases	Minimum future base rents from non-cancelable leases related to properties included in our financial statements on a consolidated basis, excluding increases resulting from changes in the consumer price index, bonus rents and the impact of straight line rent adjustments, are as follows (amounts in thousands): 2017 $ 54,922 2018 49,885 2019 44,647 2020 39,742 2021 35,837 Thereafter 64,932 Total minimum base rents $ 289,965

Debt and Financial Instruments

Debt and Financial Instruments (Tables)	12 Months Ended
	Dec. 31, 2016
Debt Disclosure [Abstract]
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 2016 Tangible net worth $ 125,000 $ 167,462 Total leverage < 60 % 48.6 % Secured leverage < 30 % 18.1 % Unencumbered leverage < 60 % 50.3 % Fixed charge coverage > 1.50x 3.6x
Outstanding Mortgages, Excluding Net Debt Premium	Facility Name Outstanding Balance (in thousands)(a.) Interest Rate Maturity Date Summerlin Hospital Medical Office Building III floating rate mortgage loan (b.) $ 10,384 3.88 % March, 2017 Peace Health fixed rate mortgage loan (b.) 20,309 5.64 % April, 2017 Auburn Medical II floating rate mortgage loan (b.) 6,726 3.37 % April, 2017 Medical Center of Western Connecticut fixed rate mortgage loan (b.) 4,535 6.00 % June, 2017 Summerlin Hospital Medical Office Building II fixed rate mortgage loan (b.) 11,092 5.50 % October, 2017 Phoenix Children’s East Valley Care Center fixed rate mortgage loan (b.) 6,202 5.88 % December, 2017 Centennial Hills Medical Office Building floating rate mortgage loan 10,040 3.88 % January, 2018 Sparks Medical Building/Vista Medical Terrace floating rate mortgage loan 4,231 3.88 % February, 2018 Rosenberg Children’s Medical Plaza fixed rate mortgage loan 8,146 4.85 % May, 2018 Vibra Hospital-Corpus Christi fixed rate mortgage loan 2,723 6.50 % July, 2019 700 Shadow Lane and Goldring MOBs fixed rate mortgage loan 6,248 4.54 % June, 2022 BRB Medical Office Building fixed rate mortgage loan 6,316 4.27 % December, 2022 Desert Valley Medical Center fixed rate mortgage loan 5,081 3.62 % January, 2023 2704 North Tenaya Way fixed rate mortgage loan 7,137 4.95 % November, 2023 Tuscan Professional Building fixed rate mortgage loan 4,992 5.56 % June, 2025 Total, excluding net debt premium and net financing fees 114,162 Less net financing fees (381 ) Plus net debt premium 436 Total mortgage notes payable, non-recourse to us, net $ 114,217 (a.) All mortgage loans require monthly principal payments through maturity and either fully amortize or include a balloon principal payment upon maturity. (b.) This loan is scheduled to mature within the next twelve months, at which time we will decide whether to refinance pursuant to a new mortgage loan or by utilizing borrowings under our Credit Agreement.
Aggregate Consolidated Scheduled Debt Repayments	As of December 31, 2016, our aggregate consolidated scheduled debt repayments (including mortgages) are as follows (amounts in thousands): 2017 $ 61,115 2018 23,043 2019 (a.) 205,251 2020 1,292 2021 1,356 Later 23,605 Total $ 315,662 (a) Includes repayment of $201.5 million of outstanding borrowings under the terms of our $250 million revolving credit agreement.

Incentive Plans (Tables)

Incentive Plans (Tables)	12 Months Ended
	Dec. 31, 2016
Postemployment Benefits [Abstract]
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 of Shares Exercise Weighted- Average Price Grant Price (High-Low) Balance, January 1, 2014 40,000 $ 35.65 $36.53/$30.06 Exercised (4,000 ) 33.07 $30.06/$34.07 Balance, January 1, 2015 36,000 $ 35.94 $34.90/$36.53 Exercised (13,000 ) 34.90 $34.90/$34.90 Balance, January 1, 2016 23,000 $ 36.53 $36.53/$36.53 Exercised (23,000 ) 36.53 $36.53/$36.53 Outstanding options vested and exercisable as of December 31, 2016 — N/A N/A

Summarized Financial Informat26

Summarized Financial Information of Equity Affiliates (Tables)	12 Months Ended
	Dec. 31, 2016
Equity Method Investments And Joint Ventures [Abstract]
Limited Liability Companies Accounted for Under Equity Method	Prior to August 1, 2014, these LLCs were accounted for on an unconsolidated basis pursuant to the equity method. Name of LLC/LP Ownership prior to minority interest purchase Property Owned by LLC Effective Date DVMC Properties 90 % Desert Valley Medical Center August 1, 2014 Santa Fe Scottsdale 90 % Santa Fe Professional Plaza August 1, 2014 PCH Medical Properties 85 % Rosenberg Children’s Medical Plaza August 1, 2014 Sierra Medical Properties 95 % Sierra San Antonio Medical Plaza August 1, 2014 PCH Southern Properties 95 % Phoenix Children’s East Valley Care Center August 1, 2014 3811 Bell Medical Properties 95 % North Valley Medical Plaza August 1, 2014 The following property table represents the five LLCs or LPs in which we own a noncontrolling interest and were accounted for under the equity method as of December 31, 2016: Name of LLC/LP Ownership Property Owned by LLC Suburban Properties 33 % St. Matthews Medical Plaza II Brunswick Associates (a.) 74 % Mid Coast Hospital MOB Arlington Medical Properties (b.) 85 % Saint Mary’s Professional Office Building Grayson Properties (c.) 95 % Texoma Medical Plaza FTX MOB Phase II (d.) 95 % Forney Medical Plaza II (a.) This LLC has a third-party term loan of $8.6 million, which is non-recourse to us, outstanding as of December 31, 2016. (b.) We have funded $5.2 million in equity as of December 31, 2016 and are committed to invest an additional $623,000. During the fourth quarter of 2015, we advanced this LLC a member loan, the funds of which were utilized to repay its $22.8 million outstanding third-party mortgage loan on its scheduled maturity date. The member loan has an interest rate of 5.29% and is scheduled to mature in January, 2018. Additionally, pursuant to the terms and conditions of an agreement executed in February, 2016, we purchased an additional 10% of the ownership interest in this LLC from the existing third-party member for approximately $4.8 million in cash, thereby increasing our ownership interest to 85%. (c.) We have funded $2.8 million in equity as of December 31, 2016, and are committed to fund an additional $149,000. This building is on the campus of a UHS hospital and has tenants that include subsidiaries of UHS. This LP has a third-party term loan of $14.4 million, which is non-recourse to us, outstanding as of December 31, 2016 (d.) We have committed to invest up to $2.5 million in equity and debt financing and are committed to invest an additional $369,000. This LP has a third-party term loan of $5.3 million, which is non-recourse to us, outstanding as of December 31, 2016.
Condensed Combined Statements of Income (Unaudited) for Limited Liability Companies Accounted for Under Equity Method	Below are the combined statements of income for the LLCs/LPs accounted for under the equity method at December 31, 2016, 2015 and 2014. For the Year Ended December 31, 2016 2015 2014(b.) (amounts in thousands) Revenues $ 15,252 $ 14,347 $ 17,292 Operating expenses 5,439 5,605 6,769 Depreciation and amortization 2,554 2,398 2,968 Interest, net 2,565 2,578 4,261 Net income $ 4,694 $ 3,766 $ 3,294 Our share of net income (a.) $ 4,456 $ 2,536 $ 2,428 (a.) Our share of net income during 2016, 2015 and 2014, includes interest income earned by us on various advances made to LLCs of approximately $1.2 million, $200,000 and $834,000, respectively. (b.) As mentioned above, we began to account for six LLCs (Desert Valley Medical Center, Santa Fe Professional Plaza, Rosenberg Children’s Medical Plaza, Sierra San Antonio Medical Plaza, Phoenix Children’s East Valley Care Center and North Valley Medical Plaza) on a consolidated basis as of August 1, 2014. Prior to August 1, 2014, the financial results of these entities were accounted for under the equity method on an unconsolidated basis. The year ended December 31, 2014 includes the financial results of the six mentioned LLCs for seven months ended July 31, 2014.
Condensed Combined Balance Sheets (Unaudited) for LLCs Accounted for Under Equity Method	Below are the combined balance sheets for the five LLCs that were accounted for under the equity method as of December 31, 2016 and 2015: December 31, 2016 2015 (amounts in thousands) Net property, including CIP $ 60,970 $ 61,668 Other assets 4,598 5,264 Total assets $ 65,568 $ 66,932 Other liabilities $ 3,334 $ 2,538 Mortgage notes payable, non-recourse to us 28,367 28,895 Advances payable to us (a.) 21,638 22,489 Equity 12,229 13,010 Total liabilities and equity $ 65,568 $ 66,932 Our share of equity in and advances to LLCs reflected as: Investments in LLCs $ 13,955 $ 9,108 Advances to LLCs 21,638 22,489 Investments in and advances to LLCs before amounts included in accrued expenses and other liabilities 35,593 31,597 Amounts included in accrued expenses and other liabilities (1,862 ) (1,105 ) Our share of equity in and advances to LLCs, net $ 33,731 $ 30,492 (a) Consists of a 5.29% member loan which is scheduled to mature in January, 2018.
Aggregate Principal Amounts due on Mortgage and Construction Notes Payable by Unconsolidated LLC's Accounted Under Equity Method	As of December 31, 2016, 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): 2017 $ 5,727 2018 445 2019 466 2020 484 2021 13,582 2022 and thereafter 7,663 Total $ 28,367 Mortgage Loan Balance (a.) Name of LLC/LP 12/31/2016 12/31/2015 Maturity Date FTX MOB Phase II (4.75% fixed rate mortgage loan) $ 5,301 $ 5,427 August, Grayson Properties (5.034% fixed rate mortgage loan) 14,438 14,670 September, 2021 Brunswick Associates (3.64% fixed rate mortgage loan) 8,628 8,798 December, 2024 $ 28,367 $ 28,895 (a) All mortgage loans require monthly principal payments through maturity and include a balloon principal payment upon maturity. (b) This loan is scheduled to mature within the next twelve months, at which time it will be refinanced pursuant to: (i) a new third-party mortgage loan; (ii) a member loan extended from us to the LLC, or; (iii) equity contributions to the LLC by us and the third-party member. Funds required from us to the LLC for either the member loan or our share of an equity contribution would likely be borrowed under our Credit Agreement.

Quarterly Results (Tables)

Quarterly Results (Tables)	12 Months Ended
	Dec. 31, 2016
Quarterly Financial Information Disclosure [Abstract]
Quarterly Results for Operating Activities	2016 First Quarter Second Quarter Third Quarter Fourth Quarter Total (amounts in thousands, except per share amounts) Revenues $ 16,226 $ 16,461 $ 16,801 $ 17,593 $ 67,081 Net income $ 4,428 $ 4,523 $ 3,818 $ 4,446 $ 17,215 Total basic earnings per share $ 0.33 $ 0.34 $ 0.28 $ 0.33 $ 1.28 Total diluted earnings per share $ 0.33 $ 0.34 $ 0.28 $ 0.33 $ 1.28 2015 First Quarter Second Quarter Third Quarter Fourth Quarter Total (amounts in thousands, except per share amounts) Revenues $ 16,202 $ 16,049 $ 15,686 $ 16,013 $ 63,950 Net income before gains $ 3,696 $ 3,262 $ 3,639 $ 4,352 $ 14,949 Gain on property exchange — 8,742 — — $ 8,742 Net income $ 3,696 $ 12,004 $ 3,639 $ 4,352 $ 23,691 Total basic earnings per share $ 0.28 $ 0.90 $ 0.27 $ 0.33 $ 1.78 Total diluted earnings per share $ 0.28 $ 0.90 $ 0.27 $ 0.33 $ 1.78

Organization and Summary of S28

Organization and Summary of Significant Accounting Policies - Additional Information (Detail) $ in Millions	12 Months Ended			60 Months Ended
	Dec. 31, 2016USD ($)Property	Dec. 31, 2015USD ($)	Dec. 31, 2014USD ($)	Dec. 31, 2016USD ($)Property	Feb. 28, 2017PropertyState
Significant Accounting Policies [Line Items]
Intangible assets, estimated aggregate amortization expenses for 2017 | $	$ 4.9			$ 4.9
Intangible assets, estimated aggregate amortization expenses for 2018 | $	3.6			3.6
Intangible assets, estimated aggregate amortization expenses for 2019 | $	2.9			2.9
Intangible assets, estimated aggregate amortization expenses for 2020 | $	2.7			2.7
Intangible assets, estimated aggregate amortization expenses for 2021 | $	2.3			2.3
Amortization expense, intangible assets | $	5.1	$ 5.5	$ 6.1
Depreciation expense | $	$ 17.4	16.2	$ 14.4
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 of properties for federal income tax purposes | $	$ 561	489		561
Net book value of the properties for federal income tax purposes | $	$ 385	$ 325		$ 385
In Place Leases
Significant Accounting Policies [Line Items]
Intangible asset, useful life	4 years 3 months 18 days
Minimum
Significant Accounting Policies [Line Items]
Percentage of real estate investment taxable income that should be distributed to remain exempt from federal income taxes	90.00%
Minimum | 5 Unconsolidated Limited Liability Companies / Limited Partner
Significant Accounting Policies [Line Items]
Non-controlling equity interest, ownership percentage	33.00%			33.00%
Maximum | 5 Unconsolidated Limited Liability Companies / Limited Partner
Significant Accounting Policies [Line Items]
Non-controlling equity interest, ownership percentage	95.00%			95.00%
Buildings | Minimum
Significant Accounting Policies [Line Items]
Estimated original useful lives of property plant and equipment	25 years
Buildings | Maximum
Significant Accounting Policies [Line Items]
Estimated original useful lives of property plant and equipment	45 years
Capital Improvements | Minimum
Significant Accounting Policies [Line Items]
Estimated original useful lives of property plant and equipment	3 years
Capital Improvements | Maximum
Significant Accounting Policies [Line Items]
Estimated original useful lives of property plant and equipment	35 years
Universal Health Services, Inc | Customer Concentration Risk | Revenues
Significant Accounting Policies [Line Items]
Percentage of rental revenue	24.00%	25.00%	28.00%	27.00%
Universal Health Services, Inc | Hospital Facilities Leased
Significant Accounting Policies [Line Items]
Number of real estate investments	3			3
McAllen Medical Center | Customer Concentration Risk | Revenues
Significant Accounting Policies [Line Items]
Percentage of rental revenue	11.00%	11.00%	12.00%
Medical office buildings | Limited Liability Companies
Significant Accounting Policies [Line Items]
Number of real estate investments	5			5
Hospital facilities expire in 2019
Significant Accounting Policies [Line Items]
Number of real estate investments	2			2
Lease expiration year	2,019
Hospital facilities expire in 2021
Significant Accounting Policies [Line Items]
Number of real estate investments	4			4
Lease expiration year	2,021
Subsequent Event
Significant Accounting Policies [Line Items]
Number of real estate investments					67
Number of states that real estate investments are located | State					20
Subsequent Event | Hospitals
Significant Accounting Policies [Line Items]
Number of real estate investments					6
Subsequent Event | Hospitals | Acute Care
Significant Accounting Policies [Line Items]
Number of real estate investments					3
Subsequent Event | Hospitals | Rehabilitation
Significant Accounting Policies [Line Items]
Number of real estate investments					1
Subsequent Event | Hospitals | Sub-acute
Significant Accounting Policies [Line Items]
Number of real estate investments					2
Subsequent Event | Mission and Weslaco Freestanding Emergency Departments
Significant Accounting Policies [Line Items]
Number of real estate investments					3
Subsequent Event | Medical office buildings
Significant Accounting Policies [Line Items]
Number of real estate investments					54
Subsequent Event | Medical office buildings | Majority Owned Subsidiary Unconsolidated
Significant Accounting Policies [Line Items]
Number of real estate investments					5
Subsequent Event | Medical office buildings | Limited Liability Companies (“LLCs”)/ Limited Liability Partnerships (“LPs”)
Significant Accounting Policies [Line Items]
Number of real estate investments					5
Subsequent Event | Preschool and childcare Centers
Significant Accounting Policies [Line Items]
Number of real estate investments					4

Relationship with UHS and Rel29

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

1 Months Ended

2 Months Ended

3 Months Ended

12 Months Ended

60 Months Ended

Jun. 30, 2016Subsidiary

Dec. 31, 2014USD ($)

Feb. 28, 2015ft²PropertyTime

Mar. 31, 2016USD ($)Time

Mar. 31, 2015USD ($)ft²Property

Dec. 31, 2016USD ($)PropertyTimeOption

Dec. 31, 2015USD ($)

Dec. 31, 2014USD ($)

Dec. 31, 2013USD ($)

Dec. 31, 2012USD ($)

Dec. 31, 2016USD ($)PropertyTimeOption

Mar. 31, 2017ft²

Related Party Transaction [Line Items]

Proceeds from sale of real property

$ 0

$ 2,000,000

$ 17,300,000

Annual advisory fee as percentage of average invested real estate assets

0.70%

0.70%

0.70%

0.70%

0.70%

Advisory fee

$ 3,263,000

$ 2,810,000

$ 2,545,000

The Bridgeway

Related Party Transaction [Line Items]

Extended lease terms at existing lease rates

2014-12

2014-12

Proceeds from sale of real property

$ 17,300,000

$ 17,300,000

Gain on divestiture of property

13,000,000

Amount of annual lease earned

$ 1,100,000

$ 1,100,000

$ 1,100,000

Wholly Owned Subsidiaries Of U H S Real Property Of Two Newly Constructed And Recently Opened F E Ds Located In Weslaco And Mission Texas

Related Party Transaction [Line Items]

Number of term renewal options | Time

6

Additional renewal terms

5 years

5 years

Number of real properties purchased | Property

2

2

Lease agreement period

10 years

10 years

Wholly Owned Subsidiaries Of U H S Real Property Of Two Newly Constructed And Recently Opened F E Ds Located In Weslaco And Mission Texas | Recently Opened Free Standing Emergency Departments | Weslaco

Related Party Transaction [Line Items]

Area of acquired building | ft²

13,600

13,600

Wholly Owned Subsidiaries Of U H S Real Property Of Two Newly Constructed And Recently Opened F E Ds Located In Weslaco And Mission Texas | Recently Opened Free Standing Emergency Departments | Mission

Related Party Transaction [Line Items]

Area of acquired building | ft²

13,600

13,600

Mission and Weslaco Freestanding Emergency Departments

Related Party Transaction [Line Items]

Estimated acquisition cost of free-standing emergency departments

$ 12,800,000

Estimated rental revenues

$ 900,000

Mission and Weslaco Freestanding Emergency Departments | First four renewal options

Related Party Transaction [Line Items]

Percentage increase in annual lease rate

2.00%

Minimum | Mission and Weslaco Freestanding Emergency Departments | First four renewal options

Related Party Transaction [Line Items]

Additional renewal terms, covering year

2,025

Minimum | Mission and Weslaco Freestanding Emergency Departments | Last two renewal options

Related Party Transaction [Line Items]

Additional renewal terms, covering year

2,045

Minimum | 5 Unconsolidated Limited Liability Companies

Related Party Transaction [Line Items]

Non-controlling equity interest, ownership percentage

33.00%

33.00%

Maximum

Related Party Transaction [Line Items]

Number of term renewal options | Option

5

5

Maximum | Mission and Weslaco Freestanding Emergency Departments | First four renewal options

Related Party Transaction [Line Items]

Additional renewal terms, covering year

2,044

Maximum | Mission and Weslaco Freestanding Emergency Departments | Last two renewal options

Related Party Transaction [Line Items]

Additional renewal terms, covering year

2,054

Maximum | 5 Unconsolidated Limited Liability Companies

Related Party Transaction [Line Items]

Non-controlling equity interest, ownership percentage

95.00%

95.00%

Universal Health Services, Inc

Related Party Transaction [Line Items]

Number of term renewal options | Time

6

6

Additional renewal terms

5 years

Number of medical office buildings and free standing emergency departments | Property

17

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

Number of wholly-owned subsidiaries | Subsidiary

3

Extended lease terms at existing lease rates

2021-12

Number of renewal options at existing lease rates | Time

3

Percentage ownership of outstanding shares

5.80%

5.90%

5.80%

Universal Health Services, Inc | Henderson Medical Plaza

Related Party Transaction [Line Items]

Number of term renewal options | Time

2

Additional renewal terms

10 years

Maximum amount of investment for development and construction

$ 21,100,000

Ground lease agreement period

75 years

Amount invested in MOB under construction

$ 9,500,000

$ 9,500,000

$ 9,500,000

Universal Health Services, Inc | Scenario, Forecast | Henderson Medical Plaza

Related Party Transaction [Line Items]

Net rentable area | ft²

78,800

Universal Health Services, Inc | Customer Concentration Risk | Revenues

Related Party Transaction [Line Items]

Percentage of revenues generated from leases

24.00%

25.00%

28.00%

27.00%

Universal Health Services, Inc | Customer Concentration Risk | Combined consolidated and unconsolidated revenue

Related Party Transaction [Line Items]

Percentage of revenues generated from leases

19.00%

20.00%

22.00%

21.00%

Universal Health Services, Inc | Hospital Facilities Leased

Related Party Transaction [Line Items]

Number of hospital facilities leased | Property

3

3

Universal Health Services, Inc | Minimum

Related Party Transaction [Line Items]

Initial lease terms

13 years

Universal Health Services, Inc | Maximum

Related Party Transaction [Line Items]

Initial lease terms

15 years

Universal Health Services of Delaware Inc

Related Party Transaction [Line Items]

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

20.00%

20.00%

Incentive fees

$ 0

$ 0

$ 0

Advisory fee

3,300,000

2,800,000

2,500,000

Average invested real estate assets

$ 466,000,000

$ 401,000,000

$ 363,000,000

Universal Health Services of Delaware Inc | Minimum

Related Party Transaction [Line Items]

Percentage of equity to be exceeded for incentive distribution

15.00%

15.00%

Existing Lease Terms and Renewa

Existing Lease Terms and Renewal Options for Each of UHS Hospital Facilities (Detail)	12 Months Ended
	Dec. 31, 2016USD ($)
McAllen Medical Center
Operating Leased Assets [Line Items]
Annual Minimum Rent	$ 5,485,000
End of Lease Term	2021-12
Renewal Term (years)	10 years	[1]
Wellington Regional Medical Center
Operating Leased Assets [Line Items]
Annual Minimum Rent	$ 3,030,000
End of Lease Term	2021-12
Renewal Term (years)	10 years	[2]
Southwest Healthcare System, Inland Valley Campus
Operating Leased Assets [Line Items]
Annual Minimum Rent	$ 2,648,000
End of Lease Term	2021-12
Renewal Term (years)	10 years	[2]
[1]	UHS has two 5-year renewal options at existing lease rates (through 2031).
[2]	UHS has two 5-year renewal options at fair market value lease rates (2022 through 2031).

Existing Lease Terms and Rene31

Existing Lease Terms and Renewal Options for Each of UHS Hospital Facilities (Parenthetical) (Detail) - Universal Health Services, Inc	12 Months Ended
	Dec. 31, 2016TimeRenewalOption
Operating Leased Assets [Line Items]
Number of renewal options at existing lease rates	3
McAllen Medical Center
Operating Leased Assets [Line Items]
Number of renewal options at existing lease rates	2
Renewal options term at existing lease rates	5 years
Renewal options at existing lease rates expiration year	2,031
Wellington Regional Medical Center And Southwest Healthcare System
Operating Leased Assets [Line Items]
Number of renewal options at fair market value lease rates | RenewalOption	2
Renewal options term at fair market value lease rates	5 years
Wellington Regional Medical Center And Southwest Healthcare System | Minimum
Operating Leased Assets [Line Items]
Renewal options at fair market value lease rates expiration year	2,022
Wellington Regional Medical Center And Southwest Healthcare System | Maximum
Operating Leased Assets [Line Items]
Renewal options at fair market value lease rates expiration year	2,031

New Construction, Acquisition32

New Construction, Acquisitions, Dispositions and Property Exchange Transaction - Additional Information (Detail)

1 Months Ended

2 Months Ended

3 Months Ended

8 Months Ended

12 Months Ended

May 31, 2015USD ($)ft²Property

Feb. 28, 2015USD ($)ft²TimeBuilding

Dec. 31, 2014USD ($)

Aug. 31, 2014USD ($)ft²Property

Jan. 31, 2014USD ($)ft²

Feb. 28, 2015USD ($)ft²PropertyTime

Dec. 31, 2016USD ($)ft²TimeOption

Sep. 30, 2016USD ($)ft²

Jun. 30, 2016USD ($)ft²

Mar. 31, 2016USD ($)ft²Time

Jun. 30, 2015USD ($)

Mar. 31, 2015ft²Property

Aug. 31, 2014USD ($)ft²Property

Dec. 31, 2016USD ($)ft²TimeOption$ / shares

Dec. 31, 2015USD ($)$ / shares

Dec. 31, 2014USD ($)

Dec. 31, 2013USD ($)

Mar. 31, 2017ft²

Aug. 01, 2014Property

Business Acquisitions And Dispositions [Line Items]

Total cash paid

$ 60,400,000

Non-recourse third-party debt

$ 7,100,000

$ 7,100,000

Lessor Leasing Arrangements, Operating Leases, Renewal Term

5 years

Deposits on real estate assets

$ 150,000

$ 100,000

Acquired intangible assets include in-place leases amortization period

8 years

Business combination recorded aggregate net revenue

$ 2,400,000

Business combination aggregate net losses generated by properties including cost of borrowings and advisory fee expenses

134,000

Business acquisition, unaudited pro forma net revenues

70,200,000

67,800,000

Business Acquisition, unaudited pro forma net income

$ 16,700,000

$ 22,400,000

Business Acquisition, unaudited pro forma diluted per share | $ / shares

$ 1.24

$ 1.68

Net intangible assets

23,800,000

$ 23,800,000

Intangible assets, accumulated amortization

$ 27,100,000

27,100,000

$ 25,100,000

Cash received for property exchange transaction

$ 0

2,000,000

17,300,000

Gain on property exchange

$ 8,742,000

8,742,000

Aggregate purchase price in connection with the purchase of minority ownership interests

$ 7,000,000

$ 7,000,000

Cash paid for purchase of minority interests in majority-owned LLCs

4,700,000

2,250,000

$ 4,744,000

Payment for acquisition, notes payable

$ 2,300,000

$ 2,300,000

Maturity date, notes payable

Jan. 5, 2015

Percentage of minority ownership interests by parent

100.00%

100.00%

Gain from the remeasurement of fair value

$ 25,409,000

Purchase price allocation, tangible property

$ 84,000,000

84,000,000

Purchase price allocation, identifiable intangible assets

6,500,000

6,500,000

Purchase price allocation, long term debt

29,800,000

29,800,000

The Bridgeway

Business Acquisitions And Dispositions [Line Items]

Cash received for property exchange transaction

17,300,000

$ 17,300,000

Extended lease terms at existing lease rates

2014-12

2014-12

Property at fair value

$ 17,300,000

$ 17,300,000

Gain on divestiture of property

$ 13,000,000

Piedmont Roswell Physician Center Sandy Springs GA

Business Acquisitions And Dispositions [Line Items]

Acquired intangible assets include in-place leases amortization period

15 years

13 years 4 months 24 days

Piedmont Vinings Physician Center Vinings GA

Business Acquisitions And Dispositions [Line Items]

Acquired intangible assets include in-place leases amortization period

15 years

13 years 4 months 24 days

Minimum

Business Acquisitions And Dispositions [Line Items]

Acquired intangible assets include in-place leases amortization period

6 years

Lease agreement period

3 years

Ownership prior to minority interest purchase

85.00%

85.00%

Capitalization Rate

7.00%

Discount rate

8.00%

Maximum

Business Acquisitions And Dispositions [Line Items]

Number of term renewal options | Option

5

5

Acquired intangible assets include in-place leases amortization period

12 years

Lease agreement period

15 years

Ownership prior to minority interest purchase

95.00%

95.00%

Capitalization Rate

8.75%

Discount rate

9.75%

In Place Leases

Business Acquisitions And Dispositions [Line Items]

Renewal Term (years)

4 years 3 months 18 days

Acquired intangible assets include in-place leases amortization period

4 years 3 months 18 days

2704 North Tenaya Way

Business Acquisitions And Dispositions [Line Items]

Net rentable area | ft²

45,000

45,000

Non-recourse third-party debt

$ 7,100,000

$ 7,100,000

Total purchase price

$ 15,300,000

2704 North Tenaya Way | Lease Agreements

Business Acquisitions And Dispositions [Line Items]

Renewal Term (years)

7 years 1 month 6 days

Frederick Memorial Hospital Crestwood

Business Acquisitions And Dispositions [Line Items]

Net rentable area | ft²

62,300

Total purchase price

$ 24,300,000

Frederick Memorial Hospital Crestwood | Lease Agreements

Business Acquisitions And Dispositions [Line Items]

Renewal Term (years)

12 years

Chandler Corporate Center III

Business Acquisitions And Dispositions [Line Items]

Net rentable area | ft²

82,000

Total purchase price

$ 18,000,000

Occupied percentage of property

92.00%

Lease rent escalation period

12 years

Lessor Leasing Arrangements, Operating Leases, Renewal Term

10 years

Chandler Corporate Center III | Lease Agreements

Business Acquisitions And Dispositions [Line Items]

Renewal Term (years)

11 years 3 months 18 days

Madison Professional Office Building

Business Acquisitions And Dispositions [Line Items]

Net rentable area | ft²

30,100

Total purchase price

$ 10,100,000

Deposits on real estate assets

150,000

Madison Professional Office Building | Lease Agreements

Business Acquisitions And Dispositions [Line Items]

Renewal Term (years)

6 years 2 months 12 days

Haas Medical Office Park

Business Acquisitions And Dispositions [Line Items]

Net rentable area | ft²

16,000

16,000

Total purchase price

$ 4,100,000

Acquired intangible assets include in-place leases amortization period

10 years 4 months 24 days

8 years 7 months 6 days

Number of Buildings purchased | Building

2

Wholly Owned Subsidiaries Of U H S Real Property Of Two Newly Constructed And Recently Opened F E Ds Located In Weslaco And Mission Texas

Business Acquisitions And Dispositions [Line Items]

Number of term renewal options | Time

6

6

Additional renewal terms

5 years

5 years

Total purchase price

$ 12,800,000

Number of real properties purchased | Property

2

2

Lease agreement period

10 years

10 years

Wholly Owned Subsidiaries Of U H S Real Property Of Two Newly Constructed And Recently Opened F E Ds Located In Weslaco And Mission Texas | Recently Opened Free Standing Emergency Departments | Weslaco

Business Acquisitions And Dispositions [Line Items]

Area of acquired building | ft²

13,600

13,600

13,600

Wholly Owned Subsidiaries Of U H S Real Property Of Two Newly Constructed And Recently Opened F E Ds Located In Weslaco And Mission Texas | Recently Opened Free Standing Emergency Departments | Mission

Business Acquisitions And Dispositions [Line Items]

Area of acquired building | ft²

13,600

13,600

13,600

Hanover Emergency Center

Business Acquisitions And Dispositions [Line Items]

Net rentable area | ft²

22,000

22,000

Total purchase price

$ 8,600,000

Acquired intangible assets include in-place leases amortization period

9 years 9 months 18 days

7 years 6 months

Hanover Emergency Center | Lease Agreements

Business Acquisitions And Dispositions [Line Items]

Renewal Term (years)

10 years

Children's Clinic and Northwest Medical Center

Business Acquisitions And Dispositions [Line Items]

Total purchase price

$ 7,200,000

Deposits on real estate assets

$ 150,000

Acquired intangible assets include in-place leases amortization period

9 years 8 months 12 days

6 years 8 months 12 days

Children's Clinic

Business Acquisitions And Dispositions [Line Items]

Area of acquired building | ft²

9,800

Northwest Medical Center

Business Acquisitions And Dispositions [Line Items]

Area of acquired building | ft²

13,700

August 1, 2014 Acquisitions

Business Acquisitions And Dispositions [Line Items]

Acquired intangible assets include in-place leases amortization period

4 years 8 months 12 days

4 years

January 1, 2014 Acquisitions

Business Acquisitions And Dispositions [Line Items]

Acquired intangible assets include in-place leases amortization period

5 years 3 months 18 days

3 years 10 months 24 days

Universal Health Services, Inc

Business Acquisitions And Dispositions [Line Items]

Number of term renewal options | Time

6

6

Additional renewal terms

5 years

Extended lease terms at existing lease rates

2021-12

Limited Liability Companies

Business Acquisitions And Dispositions [Line Items]

Number of real estate investments | Property

8

8

6

Henderson Medical Plaza | Universal Health Services, Inc

Business Acquisitions And Dispositions [Line Items]

Maximum amount of investment for development and construction

$ 21,100,000

Ground lease agreement period

75 years

Number of term renewal options | Time

2

Additional renewal terms

10 years

Amount invested in MOB under construction

$ 9,500,000

$ 9,500,000

$ 9,500,000

Henderson Medical Plaza | Universal Health Services, Inc | Scenario, Forecast

Business Acquisitions And Dispositions [Line Items]

Net rentable area | ft²

78,800

Sheffield Medical Building

Business Acquisitions And Dispositions [Line Items]

Net rentable area | ft²

36,700

Cash received for property exchange transaction

$ 2,000,000

Area of disposed building | ft²

73,446

Number of assets acquired | Property

2

Percentage of rentable area covered by the agreement

100.00%

Lease agreement period

15 years

Percentage of annual rent increase

3.00%

Gain on property exchange

$ 8,700,000

Allocation of Purchase Price to

Allocation of Purchase Price to Assets Acquired and Liabilities Assumed (Detail) - USD ($) $ in Thousands	Dec. 31, 2016	Dec. 31, 2015	Dec. 31, 2014	Aug. 31, 2014
Business Acquisition [Line Items]
Intangible assets			$ 6,500
Debt (including fair value adjustment of $362)			(29,800)
Net cash paid				$ 7,000
2016 Acquisitions
Business Acquisition [Line Items]
Land	$ 9,914
Buildings and improvements	50,117
Intangible assets	9,211
Below-market lease intangibles	(1,287)
Deposit paid	(150)
Debt (including fair value adjustment of $362)	(7,499)
Financing fees paid on debt acquired	83
Net cash paid	$ 60,389
2015 Acquisitions
Business Acquisition [Line Items]
Land		$ 7,050
Buildings and improvements		17,518
Intangible assets		2,182
Cash received- exchange transaction		2,000
Other liabilities		(116)
Deposit paid		(100)
Net book value of property divested in exchange transaction		(3,027)
Gain on exchange transaction		(8,742)
Net cash paid		$ 16,765
2014 Acquisitions
Business Acquisition [Line Items]
Land			3,010
Buildings and improvements			10,664
Intangible assets			2,076
Deposit paid			(150)
Net cash paid			$ 15,600

Allocation of Purchase Price 34

Allocation of Purchase Price to Assets Acquired and Liabilities Assumed (Parenthetical) (Detail) $ in Thousands	Dec. 31, 2016USD ($)
2016 Acquisitions
Business Acquisition [Line Items]
Debt fair value adjustment	$ 362

Purchased Minority Ownership In

Purchased Minority Ownership Interest (Detail)	12 Months Ended
	Dec. 31, 2016	Aug. 01, 2014
Palmdale Medical Properties
Business Acquisition [Line Items]
Ownership prior to minority interest purchase	95.00%
Property Owned by LLC	Palmdale Medical Plaza
Effective Date	Jan. 1, 2014
Sparks Medical Properties
Business Acquisition [Line Items]
Ownership prior to minority interest purchase	95.00%
Property Owned by LLC	Vista Medical Terrace & Sparks MOB
Effective Date	Jan. 1, 2014
DVMC Properties
Business Acquisition [Line Items]
Ownership prior to minority interest purchase	90.00%	90.00%
Property Owned by LLC	Desert Valley Medical Center
Effective Date	Aug. 1, 2014
Santa Fe Scottsdale
Business Acquisition [Line Items]
Ownership prior to minority interest purchase	90.00%	90.00%
Property Owned by LLC	Santa Fe Professional Plaza
Effective Date	Aug. 1, 2014
PCH Medical Properties
Business Acquisition [Line Items]
Ownership prior to minority interest purchase	85.00%	85.00%
Property Owned by LLC	Rosenberg Children’s Medical Plaza
Effective Date	Aug. 1, 2014
Sierra Medical Properties
Business Acquisition [Line Items]
Ownership prior to minority interest purchase	95.00%	95.00%
Property Owned by LLC	Sierra San Antonio Medical Plaza
Effective Date	Aug. 1, 2014
PCH Southern Properties
Business Acquisition [Line Items]
Ownership prior to minority interest purchase	95.00%	95.00%
Property Owned by LLC	Phoenix Children’s East Valley Care Center
Effective Date	Aug. 1, 2014
3811 Bell Medical Properties
Business Acquisition [Line Items]
Ownership prior to minority interest purchase	95.00%	95.00%
Property Owned by LLC	3811 E. Bell
Effective Date	Aug. 1, 2014

Leases - Additional Information

Leases - Additional Information (Detail)	12 Months Ended
	Dec. 31, 2016Option
Leases Disclosure [Line Items]
Renewal option term	5 years
Minimum
Leases Disclosure [Line Items]
Operating Lease Terms	3 years
Maximum
Leases Disclosure [Line Items]
Operating Lease Terms	15 years
Number of term renewal options	5

Schedule of Minimum Future Base

Schedule of Minimum Future Base Rents from Non-cancelable Leases (Detail) $ in Thousands	Dec. 31, 2016USD ($)
Leases [Abstract]
2,017	$ 54,922
2,018	49,885
2,019	44,647
2,020	39,742
2,021	35,837
Thereafter	64,932
Total minimum base rents	$ 289,965

Debt and Financial Instrument38

Debt and Financial Instruments - Additional Information (Detail)		Dec. 31, 2016USD ($)MortgageLoan	Mar. 27, 2015USD ($)Option	Sep. 30, 2016USD ($)Derivative	Jun. 30, 2016USD ($)Derivative	Mar. 31, 2014USD ($)Derivative	Sep. 30, 2013USD ($)Derivative	Dec. 31, 2016USD ($)MortgageLoan	Dec. 31, 2015USD ($)MortgageLoan	Dec. 31, 2014USD ($)	May 31, 2016USD ($)	May 24, 2016USD ($)
Debt Instrument [Line Items]
Outstanding borrowing											$ 250,000,000
Proceeds from Lines of Credit								$ 59,350,000	$ 52,400,000
Outstanding borrowings under revolving credit agreement		$ 201,500,000						201,500,000	142,150,000
Outstanding borrowings under letter of credit		2,700,000						2,700,000
Available borrowing capacity		$ 45,800,000						45,800,000
Average amounts outstanding under our revolving credit agreement								$ 164,200,000	$ 114,300,000	$ 104,600,000
Effective interest rate		2.30%						2.30%	2.10%	2.40%
Line of credit, fair value of borrowings outstanding		$ 201,500,000						$ 201,500,000
Number of non-recourse mortgages | MortgageLoan		15						15
Balance of Non Recourse Mortgages	[1]	$ 114,162,000						$ 114,162,000
Mortgage and other notes payable, non-recourse to us, debt premium	[1]	436,000						436,000
Financing fees net	[1]	381,000						381,000
Interest Rate Cap
Debt Instrument [Line Items]
Number of interest rate cap agreements | Derivative				1	1	2	1
Notional amount				$ 30,000,000	$ 30,000,000	$ 20,000,000	$ 10,000,000
Premium paid				$ 55,000	$ 115,000	$ 134,500	$ 136,000
Expiration date of interest rate cap				Mar. 31, 2019	Mar. 31, 2019	Jan. 31, 2017	Jan. 31, 2017
Level 2
Debt Instrument [Line Items]
Number of non-recourse mortgages | MortgageLoan									14
Mortgage loan fair value		115,700,000						115,700,000	$ 112,400,000
Balance of Non Recourse Mortgages									110,300,000
Mortgage and other notes payable, non-recourse to us, debt premium									298,000
Financing fees net									$ 398,000
LIBOR | Interest Rate Cap
Debt Instrument [Line Items]
Derivative instruments, LIBOR rate				1.50%	1.50%	1.50%	1.50%
Revolving Credit Facility
Debt Instrument [Line Items]
Outstanding borrowing		$ 250,000,000						$ 250,000,000
Credit Agreement
Debt Instrument [Line Items]
Outstanding borrowing			$ 185,000,000									$ 250,000,000
Unsecured revolving amended credit agreement terminated date			2019-03
Number of additional one year extension options | Option			1
Proceeds from Lines of Credit			$ 50,000,000
Credit facility, Interest Rate Terms								One, two, three, or six month LIBOR plus an applicable margin ranging from 1.50% to 2.00% or at the Base Rate plus an applicable margin ranging from 0.50% to 1.00%.
Base rate description								The greatest of: (a) the administrative agent’s prime rate; (b) the federal funds effective rate plus 1/2 of 1%, and; (c) one month LIBOR plus 1%.
Fee payable on unused portion of commitment		0.25%
Credit Agreement | LIBOR
Debt Instrument [Line Items]
Margin points added to the reference rate		1.625%
Credit Agreement | Base Rate
Debt Instrument [Line Items]
Margin points added to the reference rate		0.625%
Credit Agreement | Swingline/Short-Term Loans
Debt Instrument [Line Items]
Outstanding borrowing			20,000,000
Credit Agreement | Letters of Credit
Debt Instrument [Line Items]
Outstanding borrowing			$ 40,000,000
Credit Agreement | Minimum
Debt Instrument [Line Items]
Fee payable on unused portion of commitment			0.20%
Credit Agreement | Minimum | LIBOR
Debt Instrument [Line Items]
Margin points added to the reference rate			1.50%
Margin points added to the base rate			1.00%
Credit Agreement | Minimum | Base Rate
Debt Instrument [Line Items]
Margin points added to the reference rate			0.50%
Credit Agreement | Minimum | Federal Funds Effective Rate
Debt Instrument [Line Items]
Margin points added to the base rate			0.50%
Credit Agreement | Maximum
Debt Instrument [Line Items]
Fee payable on unused portion of commitment			0.40%
Credit Agreement | Maximum | LIBOR
Debt Instrument [Line Items]
Margin points added to the reference rate			2.00%
Credit Agreement | Maximum | Base Rate
Debt Instrument [Line Items]
Margin points added to the reference rate			1.00%
[1]	All mortgage loans require monthly principal payments through maturity and either fully amortize or include a balloon principal payment upon maturity.

Summary of Required Compliance

Summary of Required Compliance Ratios in Connection with Terms of Credit Agreement (Detail) $ in Thousands	12 Months Ended
	Dec. 31, 2016USD ($)
Debt Instrument [Line Items]
Covenant, Tangible net worth	$ 125,000
Tangible net worth	$ 167,462
Total leverage	48.60%
Secured leverage	18.10%
Unencumbered leverage	50.30%
Fixed charge coverage	3.60%
Maximum
Debt Instrument [Line Items]
Covenant, Total leverage	60.00%
Covenant, Secured leverage	30.00%
Covenant, Unencumbered leverage	60.00%
Minimum
Debt Instrument [Line Items]
Covenant, Fixed charge coverage	1.50%

Summary of Outstanding Mortgage

Summary of Outstanding Mortgages, Excluding Net Debt Premium (Detail) - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2016		Dec. 31, 2015
Debt Instrument [Line Items]
Outstanding Balance	[1]	$ 114,162
Less net financing fees	[1]	(381)
Plus net debt premium	[1]	436
Total mortgage notes payable, non-recourse to us, net		114,217	[1]	$ 110,156
Summerlin Hospital Medical Office Building III floating rate mortgage loan
Debt Instrument [Line Items]
Outstanding Balance	[1],[2]	$ 10,384
Debt Instrument Interest Rate Stated Percentage	[2]	3.88%
Maturity Date	[2]	2017-03
Peace Health fixed rate mortgage loan
Debt Instrument [Line Items]
Outstanding Balance	[1],[2]	$ 20,309
Debt Instrument Interest Rate Stated Percentage	[2]	5.64%
Maturity Date	[2]	2017-04
Auburn Medical II floating rate mortgage loan
Debt Instrument [Line Items]
Outstanding Balance	[1],[2]	$ 6,726
Debt Instrument Interest Rate Stated Percentage	[2]	3.37%
Maturity Date	[2]	2017-04
Medical Center of Western Connecticut fixed rate mortgage loan
Debt Instrument [Line Items]
Outstanding Balance	[1],[2]	$ 4,535
Debt Instrument Interest Rate Stated Percentage	[2]	6.00%
Maturity Date	[2]	2017-06
Summerlin Hospital Medical Office Building II fixed rate mortgage loan
Debt Instrument [Line Items]
Outstanding Balance	[1],[2]	$ 11,092
Debt Instrument Interest Rate Stated Percentage	[2]	5.50%
Maturity Date	[2]	2017-10
Phoenix Children's East Valley Care Center Fixed Rate Mortgage Loan
Debt Instrument [Line Items]
Outstanding Balance	[1],[2]	$ 6,202
Debt Instrument Interest Rate Stated Percentage	[2]	5.88%
Maturity Date	[2]	2017-12
Centennial Hills Medical Office Building floating rate mortgage loan
Debt Instrument [Line Items]
Outstanding Balance	[1]	$ 10,040
Debt Instrument Interest Rate Stated Percentage		3.88%
Maturity Date		2018-01
Sparks Medical Building/Vista Medical Terrace Floating Rate Mortgage Loan
Debt Instrument [Line Items]
Outstanding Balance	[1]	$ 4,231
Debt Instrument Interest Rate Stated Percentage		3.88%
Maturity Date		2018-02
Rosenberg Children's Medical Plaza Fixed Rate Mortgage Loan
Debt Instrument [Line Items]
Outstanding Balance	[1]	$ 8,146
Debt Instrument Interest Rate Stated Percentage		4.85%
Maturity Date		2018-05
Vibra Hospital-Corpus Christi fixed rate mortgage loan
Debt Instrument [Line Items]
Outstanding Balance	[1]	$ 2,723
Debt Instrument Interest Rate Stated Percentage		6.50%
Maturity Date		2019-07
700 Shadow Lane and Goldring MOBs fixed rate mortgage loan
Debt Instrument [Line Items]
Outstanding Balance	[1]	$ 6,248
Debt Instrument Interest Rate Stated Percentage		4.54%
Maturity Date		2022-06
BRB Medical Office Building fixed rate mortgage loan
Debt Instrument [Line Items]
Outstanding Balance	[1]	$ 6,316
Debt Instrument Interest Rate Stated Percentage		4.27%
Maturity Date		2022-12
Desert Valley Medical Center Floating Rate Mortgage Loan
Debt Instrument [Line Items]
Outstanding Balance	[1]	$ 5,081
Debt Instrument Interest Rate Stated Percentage		3.62%
Maturity Date		2023-01
2704 North Tenaya Way fixed rate mortgage loan
Debt Instrument [Line Items]
Outstanding Balance	[1]	$ 7,137
Debt Instrument Interest Rate Stated Percentage		4.95%
Maturity Date		2023-11
Tuscan Professional Building fixed rate mortgage loan
Debt Instrument [Line Items]
Outstanding Balance	[1]	$ 4,992
Debt Instrument Interest Rate Stated Percentage		5.56%
Maturity Date		2025-06
[1]	All mortgage loans require monthly principal payments through maturity and either fully amortize or include a balloon principal payment upon maturity.
[2]	This loan is scheduled to mature within the next twelve months, at which time we will decide whether to refinance pursuant to a new mortgage loan or by utilizing borrowings under our Credit Agreement.

Aggregate Consolidated Schedule

Aggregate Consolidated Scheduled Debt Repayment (Detail) $ in Thousands	Dec. 31, 2016USD ($)
Debt Disclosure [Abstract]
2,017	$ 61,115
2,018	23,043
2,019	205,251	[1]
2,020	1,292
2,021	1,356
Later	23,605
Total	$ 315,662
[1]	Includes repayment of $201.5 million of outstanding borrowings under the terms of our $250 million revolving credit agreement.

Aggregate Consolidated Schedu42

Aggregate Consolidated Scheduled Debt Repayment (Parenthetical) (Detail) - USD ($)	Dec. 31, 2016	May 31, 2016	Dec. 31, 2015
Schedule Of Equity Method Investments [Line Items]
Line of credit borrowings	$ 201,500,000		$ 142,150,000
Outstanding borrowing		$ 250,000,000
New Revolving Credit Facility Agreement
Schedule Of Equity Method Investments [Line Items]
Outstanding borrowing	$ 250,000,000

Dividends and Equity Issuance43

Dividends and Equity Issuance Program - Additional Information (Detail) - USD ($)	Jan. 31, 2015	Jun. 30, 2016	Dec. 31, 2016	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2016
Dividends and Equity Issuance [Line Items]
Declared and paid dividends, per share			$ 2.60	$ 2.56	$ 2.52
Ordinary income per share			2	2.17	1.478
Capital gain per share			$ 0.60	$ 0.39	$ 1.042
Securities, aggregate sales price		$ 23,300,000
At-The-Market (ATM) Equity Issuance Program
Dividends and Equity Issuance [Line Items]
Share issued		249,016	249,016	0	426,187	829,916
Average sale price per share		$ 55.30	$ 55.30		$ 47.51	$ 48.77
Net cash proceeds from stock issued	$ 1,100,000		$ 13,200,000		$ 19,500,000	$ 38,800,000
Payment of stock issuance cost			558,000		700,000	1,700,000
Payments for stock issuance			344,000		506,000	1,000,000
Gross proceeds available for issuance			9,500,000			9,500,000
At-The-Market (ATM) Equity Issuance Program | Other Expense
Dividends and Equity Issuance [Line Items]
Payments for stock issuance			$ 214,000		$ 195,000	$ 680,000
Capital gain
Dividends and Equity Issuance [Line Items]
Unrecaptured Section 1250 gain dividends per share					$ 0.305

Incentive Plans - Additional In

Incentive Plans - Additional Information (Detail) - USD ($)	12 Months Ended
	Dec. 31, 2016	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Equity Incentive Plan [Line Items]
Number of options outstanding	0	23,000	36,000	40,000
Dividend equivalent rights, outstanding	0	23,000	36,000
Dividend equivalent rights paid to officers and Trustees	$ 30,000	$ 75,000	$ 94,000
Number of stock options exercised during the period, shares	23,000	13,000	4,000
Value of stock options exercised during the period	$ 520,420	$ 154,500	$ 44,160
Incentive Plan 2007
Equity Incentive Plan [Line Items]
Number of shares authorized for issuance	125,000
Shares issued, net of cancellation	77,285
Number of shares vested	57,825
Number of shares remaining for issuance	47,715
Restricted shares issued, net of cancellation	9,730	9,730	9,850
Restricted shares issued, weighted average grant price	$ 56.34	$ 47.75	$ 43.21
Restricted shares of beneficial interest, net of cancellations, issued, value	$ 548,188	$ 464,608	$ 425,619
Restricted shares, Vesting Period	2018-06	2017-06	2016-06
Compensation expenses	$ 481,000	$ 427,000	$ 399,000
Compensation expenses remained to be recognized in future	$ 485,000
Compensation expenses not yet recognized, period of recognition	1 year
1997 Plan
Equity Incentive Plan [Line Items]
Options granted, vesting percentage per year starting from one year from date of grant	25.00%
Options, expiration period	10 years
Number of options outstanding	0

Options Before Adjustment to Op

Options Before Adjustment to Option Price to Give Effect to Dilutive Equivalence (Detail) - $ / shares	12 Months Ended
	Dec. 31, 2016	Dec. 31, 2015	Dec. 31, 2014
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of Shares, Outstanding Options, Beginning balance	23,000	36,000	40,000
Number of Shares, Outstanding Options, Exercised	(23,000)	(13,000)	(4,000)
Number of Shares, Outstanding Options, Ending balance	0	23,000	36,000
Exercise Weighted-Average Price, Outstanding Options, Beginning balance	$ 36.53	$ 35.94	$ 35.65
Exercise Weighted-Average Price, Outstanding Options, Exercised	36.53	34.90	33.07
Exercise Weighted-Average Price, Outstanding Options, Ending balance		36.53	35.94
Maximum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Grant Price, Outstanding Options, Beginning balance	36.53	34.90	36.53
Grant Price, Outstanding Options, Exercised	36.53	34.90	30.06
Grant Price, Outstanding Options, Ending balance		36.53	34.90
Minimum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Grant Price, Outstanding Options, Beginning balance	36.53	36.53	30.06
Grant Price, Outstanding Options, Exercised	$ 36.53	34.90	34.07
Grant Price, Outstanding Options, Ending balance		$ 36.53	$ 36.53

Summarized Financial Informat46

Summarized Financial Information of Equity Affiliates - Additional Information (Detail) $ in Millions	12 Months Ended
	Dec. 31, 2016USD ($)Property	Dec. 31, 2014	Aug. 31, 2014Property	Aug. 01, 2014Property
Schedule Of Equity Method Investments [Line Items]
Percentage of minority ownership interests by parent		100.00%
Limited Liability Companies | Medical office buildings
Schedule Of Equity Method Investments [Line Items]
Number of real estate investments	5
Limited Liability Companies
Schedule Of Equity Method Investments [Line Items]
Number of real estate investments			8	6
Limited Liability Companies | Palmdale Medical Properties and Sparks Medical Properties
Schedule Of Equity Method Investments [Line Items]
Percentage of minority ownership interests by parent				100.00%
Minimum
Schedule Of Equity Method Investments [Line Items]
Percentage of minority ownership purchased from third-party members				5.00%
Number of days for Non-Offering Member either to purchase or sell its entire ownership interest to or from Offering Member	60 days
Maximum
Schedule Of Equity Method Investments [Line Items]
Percentage of minority ownership purchased from third-party members				15.00%
Number of days for Non-Offering Member either to purchase or sell its entire ownership interest to or from Offering Member	90 days
5 Unconsolidated Limited Liability Companies / Limited Partner | Minimum
Schedule Of Equity Method Investments [Line Items]
Non-controlling equity interest, ownership percentage	33.00%
5 Unconsolidated Limited Liability Companies / Limited Partner | Maximum
Schedule Of Equity Method Investments [Line Items]
Non-controlling equity interest, ownership percentage	95.00%
Arlington Medical Properties
Schedule Of Equity Method Investments [Line Items]
Non-controlling equity interest, ownership percentage	85.00%
Percentage of minority ownership purchased from third-party members	10.00%
Business acquisition additional consideration | $	$ 4.8

Limited Liability Companies Acc

Limited Liability Companies Accounted for Under Equity Method (Detail)		12 Months Ended
		Dec. 31, 2016	Aug. 01, 2014
Arlington Medical Properties
Schedule Of Equity Method Investments [Line Items]
Ownership		85.00%
Equity Method Investments | Suburban Properties
Schedule Of Equity Method Investments [Line Items]
Property Owned by LLC		St. Matthews Medical Plaza II
Ownership		33.00%
Equity Method Investments | Brunswick Associates
Schedule Of Equity Method Investments [Line Items]
Property Owned by LLC	[1]	Mid Coast Hospital MOB
Ownership	[1]	74.00%
Equity Method Investments | Arlington Medical Properties
Schedule Of Equity Method Investments [Line Items]
Property Owned by LLC	[2]	Saint Mary’s Professional Office Building
Ownership	[2]	85.00%
Equity Method Investments | Grayson Properties
Schedule Of Equity Method Investments [Line Items]
Property Owned by LLC	[3]	Texoma Medical Plaza
Ownership	[3]	95.00%
Equity Method Investments | FTX MOB Phase II limited partnership
Schedule Of Equity Method Investments [Line Items]
Property Owned by LLC	[4]	Forney Medical Plaza II
Ownership	[4]	95.00%
DVMC Properties
Schedule Of Equity Method Investments [Line Items]
Ownership prior to minority interest purchase		90.00%	90.00%
Property Owned by LLC		Desert Valley Medical Center
Effective Date		Aug. 1, 2014
Santa Fe Scottsdale
Schedule Of Equity Method Investments [Line Items]
Ownership prior to minority interest purchase		90.00%	90.00%
Property Owned by LLC		Santa Fe Professional Plaza
Effective Date		Aug. 1, 2014
PCH Medical Properties
Schedule Of Equity Method Investments [Line Items]
Ownership prior to minority interest purchase		85.00%	85.00%
Property Owned by LLC		Rosenberg Children’s Medical Plaza
Effective Date		Aug. 1, 2014
Sierra Medical Properties
Schedule Of Equity Method Investments [Line Items]
Ownership prior to minority interest purchase		95.00%	95.00%
Property Owned by LLC		Sierra San Antonio Medical Plaza
Effective Date		Aug. 1, 2014
PCH Southern Properties
Schedule Of Equity Method Investments [Line Items]
Ownership prior to minority interest purchase		95.00%	95.00%
Property Owned by LLC		Phoenix Children’s East Valley Care Center
Effective Date		Aug. 1, 2014
3811 Bell Medical Properties
Schedule Of Equity Method Investments [Line Items]
Ownership prior to minority interest purchase		95.00%	95.00%
Property Owned by LLC		North Valley Medical Plaza
Effective Date		Aug. 1, 2014
[1]	This LLC has a third-party term loan of $8.6 million, which is non-recourse to us, outstanding as of December 31, 2016.
[2]	We have funded $5.2 million in equity as of December 31, 2016 and are committed to invest an additional $623,000. During the fourth quarter of 2015, we advanced this LLC a member loan, the funds of which were utilized to repay its $22.8 million outstanding third-party mortgage loan on its scheduled maturity date. The member loan has an interest rate of 5.29% and is scheduled to mature in January, 2018. Additionally, pursuant to the terms and conditions of an agreement executed in February, 2016, we purchased an additional 10% of the ownership interest in this LLC from the existing third-party member for approximately $4.8 million in cash, thereby increasing our ownership interest to 85%.
[3]	We have funded $2.8 million in equity as of December 31, 2016, and are committed to fund an additional $149,000. This building is on the campus of a UHS hospital and has tenants that include subsidiaries of UHS. This LP has a third-party term loan of $14.4 million, which is non-recourse to us, outstanding as of December 31, 2016
[4]	We have committed to invest up to $2.5 million in equity and debt financing and are committed to invest an additional $369,000. This LP has a third-party term loan of $5.3 million, which is non-recourse to us, outstanding as of December 31, 2016.

Limited Liability Companies A48

Limited Liability Companies Accounted for Under Equity Method (Parenthetical) (Detail) - USD ($)	3 Months Ended	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2016	Dec. 31, 2015
Schedule Of Equity Method Investments [Line Items]
Proceeds from Lines of Credit		$ 59,350,000	$ 52,400,000
Brunswick Associates
Schedule Of Equity Method Investments [Line Items]
Third-party term loan		8,600,000
Arlington Medical Properties
Schedule Of Equity Method Investments [Line Items]
Committed investment in equity and debt financing, funded		5,200,000
Commitment to investment		$ 623,000
Proceeds from Lines of Credit	$ 22,800,000
Loan interest rate fixed percentage		5.29%
Maturity date		2018-01
Percentage of minority ownership purchased from third-party members		10.00%
Business acquisition additional consideration		$ 4,800,000
Cash payment made purchased addition of ownership interest		85.00%
Grayson Properties
Schedule Of Equity Method Investments [Line Items]
Third-party term loan		$ 14,400,000
Committed investment in equity and debt financing, funded		2,800,000
Commitment to investment		149,000
FTX MOB Phase II limited partnership
Schedule Of Equity Method Investments [Line Items]
Third-party term loan		5,300,000
Commitment to investment		2,500,000
Additional commitment to investment		$ 369,000

Condensed Combined Statement of

Condensed Combined Statement of Income for Limited Liabilities Accounted for under Equity Method (Detail) - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2016	Dec. 31, 2015	Dec. 31, 2014	[1]
Equity Method Investments And Joint Ventures [Abstract]
Revenues		$ 15,252	$ 14,347	$ 17,292
Operating expenses		5,439	5,605	6,769
Depreciation and amortization		2,554	2,398	2,968
Interest, net		2,565	2,578	4,261
Net income		4,694	3,766	3,294
Our share of net income	[2]	$ 4,456	$ 2,536	$ 2,428
[1]	As mentioned above, we began to account for six LLCs (Desert Valley Medical Center, Santa Fe Professional Plaza, Rosenberg Children’s Medical Plaza, Sierra San Antonio Medical Plaza, Phoenix Children’s East Valley Care Center and North Valley Medical Plaza) on a consolidated basis as of August 1, 2014. Prior to August 1, 2014, the financial results of these entities were accounted for under the equity method on an unconsolidated basis. The year ended December 31, 2014 includes the financial results of the six mentioned LLCs for seven months ended July 31, 2014.
[2]	Our share of net income during 2016, 2015 and 2014, includes interest income earned by us on various advances made to LLCs of approximately $1.2 million, $200,000 and $834,000, respectively.

Condensed Combined Statement 50

Condensed Combined Statement of Income for Limited Liabilities Accounted for under Equity Method (Parenthetical) (Detail) - USD ($)	12 Months Ended
	Dec. 31, 2016	Dec. 31, 2015	Dec. 31, 2014
Equity Method Investments And Joint Ventures [Abstract]
Interest income earned on various advances made to LLCs	$ 1,200,000	$ 200,000	$ 834,000

Condensed Combined Balance Shee

Condensed Combined Balance Sheets of Limited Liabilities Accounted for under Equity Method (Detail) - USD ($) $ in Thousands		Dec. 31, 2016	Dec. 31, 2015
Equity Method Investments And Joint Ventures [Abstract]
Net property, including CIP		$ 60,970	$ 61,668
Other assets		4,598	5,264
Total assets		65,568	66,932
Other liabilities		3,334	2,538
Mortgage notes payable, non-recourse to us		28,367	28,895
Advances payable to us	[1]	21,638	22,489
Equity		12,229	13,010
Total liabilities and equity		65,568	66,932
Our share of equity in and advances to LLCs reflected as:
Investments in LLCs		13,955	9,108
Advances to LLCs		21,638	22,489
Investments in and advances to LLCs before amounts included in accrued expenses and other liabilities		35,593	31,597
Amounts included in accrued expenses and other liabilities		(1,862)	(1,105)
Our share of equity in and advances to LLCs, net		$ 33,731	$ 30,492
[1]	Consists of a 5.29% member loan which is scheduled to mature in January, 2018.

Condensed Combined Balance Sh52

Condensed Combined Balance Sheets of Limited Liabilities Accounted for under Equity Method (Parenthetical) (Detail) - 5.29% Member Loan	12 Months Ended
	Dec. 31, 2016
Schedule Of Equity Method Investments [Line Items]
Loan interest rate fixed percentage	5.29%
Maturity date	2018-01

Aggregate Principal Amounts Due

Aggregate Principal Amounts Due on Mortgage Notes Payable by Unconsolidated LLCs, Accounted Under Equity Method (Detail) - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2016	Dec. 31, 2015
Schedule Of Equity Method Investments [Line Items]
2,017		$ 61,115
2,018		23,043
2,019	[1]	205,251
2,020		1,292
2,021		1,356
2022 and thereafter		23,605
Total		315,662
Mortgage Loan Balance		28,367	$ 28,895
Equity Method Investments
Schedule Of Equity Method Investments [Line Items]
2,017		5,727
2,018		445
2,019		466
2,020		484
2,021		13,582
2022 and thereafter		7,663
Total		28,367
Mortgage Loan Balance	[2]	28,367	28,895
Equity Method Investments | FTX MOB Phase II
Schedule Of Equity Method Investments [Line Items]
Mortgage Loan Balance	[2]	$ 5,301	5,427
Maturity Date	[3]	2017-08
Equity Method Investments | Grayson Properties
Schedule Of Equity Method Investments [Line Items]
Mortgage Loan Balance	[2]	$ 14,438	14,670
Maturity Date		2021-09
Equity Method Investments | Brunswick Associates
Schedule Of Equity Method Investments [Line Items]
Mortgage Loan Balance	[2]	$ 8,628	$ 8,798
Maturity Date		2024-12
[1]	Includes repayment of $201.5 million of outstanding borrowings under the terms of our $250 million revolving credit agreement.
[2]	All mortgage loans require monthly principal payments through maturity and include a balloon principal payment upon maturity.
[3]	This loan is scheduled to mature within the next twelve months, at which time it will be refinanced pursuant to: (i) a new third-party mortgage loan; (ii) a member loan extended from us to the LLC, or; (iii) equity contributions to the LLC by us and the third-party member.  Funds required from us to the LLC for either the member loan or our share of an equity contribution would likely be borrowed under our Credit Agreement.

Aggregate Principal Amounts D54

Aggregate Principal Amounts Due on Mortgage Notes Payable by Unconsolidated LLCs, Accounted Under Equity Method (Parenthetical) (Detail)	Dec. 31, 2016
4.75% Fixed Rate Mortgage Loan | FTX MOB Phase II
Schedule Of Equity Method Investments [Line Items]
Loan interest rate fixed percentage	4.75%
5.034% Fixed Rate Mortgage Loan | Grayson Properties
Schedule Of Equity Method Investments [Line Items]
Loan interest rate fixed percentage	5.034%
3.64% Fixed Rate Mortgage Loan | Brunswick Associates
Schedule Of Equity Method Investments [Line Items]
Loan interest rate fixed percentage	3.64%

Segment Reporting - Additional

Segment Reporting - Additional Information (Detail)	12 Months Ended
	Dec. 31, 2016Segment
Segment Reporting [Abstract]
Number of reportable segments	1

Quarterly Results (Detail)

Quarterly Results (Detail) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended								12 Months Ended
	Dec. 31, 2016	Sep. 30, 2016	Jun. 30, 2016	Mar. 31, 2016	Dec. 31, 2015	Sep. 30, 2015	Jun. 30, 2015	Mar. 31, 2015	Dec. 31, 2016	Dec. 31, 2015	Dec. 31, 2014
Quarterly Financial Information Disclosure [Abstract]
Revenues	$ 17,593	$ 16,801	$ 16,461	$ 16,226	$ 16,013	$ 15,686	$ 16,049	$ 16,202	$ 67,081	$ 63,950	$ 59,786
Net income before gains					4,352	3,639	3,262	3,696		14,949
Gain on property exchange							8,742			8,742
Net income	$ 4,446	$ 3,818	$ 4,523	$ 4,428	$ 4,352	$ 3,639	$ 12,004	$ 3,696	$ 17,215	$ 23,691	$ 51,551
Total basic earnings per share	$ 0.33	$ 0.28	$ 0.34	$ 0.33	$ 0.33	$ 0.27	$ 0.90	$ 0.28	$ 1.28	$ 1.78	$ 3.99
Total diluted earnings per share	$ 0.33	$ 0.28	$ 0.34	$ 0.33	$ 0.33	$ 0.27	$ 0.90	$ 0.28	$ 1.28	$ 1.78	$ 3.99

Schedule III Real Estate and Ac

Schedule III Real Estate and Accumulated Depreciation (Detail) - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2016	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Real Estate and Accumulated Depreciation [Line Items]
Encumbrance	[1]	$ 114,162
Initial Cost, Land		48,798
Initial Cost, Building & Improvements		459,942
Adjustments to Basis	[2]	66,617
Land		51,638
Buildings and Improvements		523,719
CIP		10,471
Total		585,828	$ 511,657	$ 486,589	$ 395,669
Accumulated Depreciation		138,588	$ 121,161
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	[2]	14,596
Land		2,050
Buildings and Improvements		25,297
Total		27,347
Accumulated Depreciation		$ 12,596
Date of Completion of Construction, Acquisition or Significant Improvement		2,007
Date Acquired		1,986
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	[2]	10,189
Land		6,281
Buildings and Improvements		40,070
Total		46,351
Accumulated Depreciation		$ 26,276
Date of Completion of Construction, Acquisition or Significant Improvement		1,994
Date Acquired		1,986
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	[2]	17,370
Land		1,663
Buildings and Improvements		31,549
Total		33,212
Accumulated Depreciation		$ 18,410
Date of Completion of Construction, Acquisition or Significant Improvement		2,006
Date Acquired		1,986
Average Depreciable Life		42 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	[2]	1,062
Land		500
Buildings and Improvements		8,007
Total		8,507
Accumulated Depreciation		$ 5,475
Date of Completion of Construction, Acquisition or Significant Improvement		1,993
Date Acquired		1,989
Average Depreciable Life		40 years
Kindred Chicago Central Hospital Central Chicago, Illinois
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 158
Initial Cost, Building & Improvements		6,404
Adjustments to Basis	[2]	1,838
Land		158
Buildings and Improvements		8,242
Total		8,400
Accumulated Depreciation		$ 8,242
Date of Completion of Construction, Acquisition or Significant Improvement		1,993
Date Acquired		1,986
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	[2]	494
Land		54
Buildings and Improvements		2,020
Total		2,074
Accumulated Depreciation		$ 997
Date of Completion of Construction, Acquisition or Significant Improvement		1,991
Date Acquired		1,995
Average Depreciable Life		45 years
Kelsey-Seybold Clinic at King's Crossing Kingwood, Texas
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 439
Initial Cost, Building & Improvements		1,618
Adjustments to Basis	[2]	878
Land		439
Buildings and Improvements		2,496
Total		2,935
Accumulated Depreciation		$ 1,352
Date of Completion of Construction, Acquisition or Significant Improvement		1,995
Date Acquired		1,995
Average Depreciable Life		45 years
Professional Buildings 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	[2]	251
Land		439
Buildings and Improvements		2,088
CIP		9
Total		2,536
Accumulated Depreciation		$ 1,008
Date of Completion of Construction, Acquisition or Significant Improvement		1,995
Date Acquired		1,995
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		$ 456
Date of Completion of Construction, Acquisition or Significant Improvement		1,996
Date Acquired		1,996
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		$ 343
Date of Completion of Construction, Acquisition or Significant Improvement		1,991
Date Acquired		1,996
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		$ 374
Date of Completion of Construction, Acquisition or Significant Improvement		1,992
Date Acquired		1,996
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		$ 345
Date of Completion of Construction, Acquisition or Significant Improvement		1,992
Date Acquired		1,996
Average Depreciable Life		45 years
The Southern Crescent Center Riverdale, Georgia
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land	[3]	$ 1,130
Initial Cost, Building & Improvements	[3]	5,092
Adjustments to Basis	[2],[3]	(2,271)
Land	[3]	1,130
Buildings and Improvements	[3]	2,821
Total	[3]	3,951
Accumulated Depreciation	[3]	$ 2,419
Date of Completion of Construction, Acquisition or Significant Improvement	[3]	1,994
Date Acquired	[3]	1,996
Average Depreciable Life	[3]	45 years
The Southern Crescent Center II Riverdale, Georgia
Real Estate and Accumulated Depreciation [Line Items]
Adjustments to Basis	[2],[3]	$ 4,981
Land	[3]	806
Buildings and Improvements	[3]	4,175
Total	[3]	4,981
Accumulated Depreciation	[3]	$ 2,278
Date of Completion of Construction, Acquisition or Significant Improvement	[3]	2,000
Date Acquired	[3]	1,998
Average Depreciable Life	[3]	35 years
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	[2]	813
Land		573
Buildings and Improvements		4,655
Total		5,228
Accumulated Depreciation		$ 2,770
Date of Completion of Construction, Acquisition or Significant Improvement		1,997
Date Acquired		1,997
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	[2]	68
Buildings and Improvements		1,647
Total		1,647
Accumulated Depreciation		$ 1,077
Date of Completion of Construction, Acquisition or Significant Improvement		1,999
Date Acquired		1,999
Average Depreciable Life		25 years
Medical Center of Western Connecticut Danbury, Connecticut
Real Estate and Accumulated Depreciation [Line Items]
Encumbrance	[1]	$ 4,535
Initial Cost, Land		1,151
Initial Cost, Building & Improvements		5,176
Adjustments to Basis	[2]	544
Land		1,151
Buildings and Improvements		5,720
Total		6,871
Accumulated Depreciation		$ 3,349
Date of Completion of Construction, Acquisition or Significant Improvement		2,000
Date Acquired		2,000
Average Depreciable Life		30 years
Vibra Hospital of Corpus Christi Corpus Christi, Texas
Real Estate and Accumulated Depreciation [Line Items]
Encumbrance	[1]	$ 2,723
Initial Cost, Land		1,104
Initial Cost, Building & Improvements		5,508
Land		1,104
Buildings and Improvements		5,508
Total		6,612
Accumulated Depreciation		$ 1,400
Date of Completion of Construction, Acquisition or Significant Improvement		2,008
Date Acquired		2,008
Average Depreciable Life		35 years
Apache Junction Medical Plaza Apache Junction, AZ
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 240
Initial Cost, Building & Improvements		3,590
Adjustments to Basis	[2]	1,159
Land		240
Buildings and Improvements		4,749
Total		4,989
Accumulated Depreciation		$ 1,009
Date of Completion of Construction, Acquisition or Significant Improvement		2,004
Date Acquired		2,004
Average Depreciable Life		30 years
Auburn Medical Office Building II Auburn, WA
Real Estate and Accumulated Depreciation [Line Items]
Encumbrance	[1]	$ 6,726
Initial Cost, Building & Improvements		10,200
Adjustments to Basis	[2]	176
Buildings and Improvements		10,376
Total		10,376
Accumulated Depreciation		$ 1,716
Date of Completion of Construction, Acquisition or Significant Improvement		2,009
Date Acquired		2,009
Average Depreciable Life		36 years
BRB Medical Office Building Kingwood, Texas
Real Estate and Accumulated Depreciation [Line Items]
Encumbrance	[1]	$ 6,316
Initial Cost, Land		430
Initial Cost, Building & Improvements		8,970
Adjustments to Basis	[2]	32
Land		430
Buildings and Improvements		9,002
Total		9,432
Accumulated Depreciation		$ 1,471
Date of Completion of Construction, Acquisition or Significant Improvement		2,010
Date Acquired		2,010
Average Depreciable Life		37 years
Centennial Hills Medical Office Building Las Vegas, NV
Real Estate and Accumulated Depreciation [Line Items]
Encumbrance	[1]	$ 10,040
Initial Cost, Building & Improvements		19,890
Adjustments to Basis	[2]	1,299
Buildings and Improvements		21,189
CIP		86
Total		21,275
Accumulated Depreciation		$ 3,733
Date of Completion of Construction, Acquisition or Significant Improvement		2,006
Date Acquired		2,006
Average Depreciable Life		34 years
Desert Springs Medical Plaza Las Vegas, NV
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 1,200
Initial Cost, Building & Improvements		9,560
Adjustments to Basis	[2]	1,081
Land		1,200
Buildings and Improvements		10,641
Total		11,841
Accumulated Depreciation		$ 2,175
Date of Completion of Construction, Acquisition or Significant Improvement		1,998
Date Acquired		1,998
Average Depreciable Life		30 years
700 Shadow Lane & Goldring MOBs Las Vegas, NV
Real Estate and Accumulated Depreciation [Line Items]
Encumbrance	[1]	$ 6,248
Initial Cost, Land		400
Initial Cost, Building & Improvements		11,300
Adjustments to Basis	[2]	3,012
Land		400
Buildings and Improvements		14,312
CIP		288
Total		15,000
Accumulated Depreciation		$ 2,742
Date of Completion of Construction, Acquisition or Significant Improvement		2,003
Date Acquired		2,003
Average Depreciable Life		30 years
Spring Valley Hospital MOB I Las Vegas, NV
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Building & Improvements		$ 9,500
Adjustments to Basis	[2]	709
Buildings and Improvements		10,209
CIP		22
Total		10,231
Accumulated Depreciation		$ 1,865
Date of Completion of Construction, Acquisition or Significant Improvement		2,004
Date Acquired		2,004
Average Depreciable Life		35 years
Spring Valley Hospital MOB II Las Vegas, NV
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Building & Improvements		$ 9,800
Adjustments to Basis	[2]	488
Buildings and Improvements		10,288
Total		10,288
Accumulated Depreciation		$ 1,860
Date of Completion of Construction, Acquisition or Significant Improvement		2,006
Date Acquired		2,006
Average Depreciable Life		34 years
Summerlin Hospital MOB I Las Vegas, NV
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 460
Initial Cost, Building & Improvements		15,440
Adjustments to Basis	[2]	824
Land		460
Buildings and Improvements		16,264
CIP		113
Total		16,837
Accumulated Depreciation		$ 3,282
Date of Completion of Construction, Acquisition or Significant Improvement		1,999
Date Acquired		1,999
Average Depreciable Life		30 years
Summerlin Hospital MOB II Las Vegas, NV
Real Estate and Accumulated Depreciation [Line Items]
Encumbrance	[1]	$ 11,092
Initial Cost, Land		370
Initial Cost, Building & Improvements		16,830
Adjustments to Basis	[2]	1,275
Land		370
Buildings and Improvements		18,105
CIP		53
Total		18,528
Accumulated Depreciation		$ 3,523
Date of Completion of Construction, Acquisition or Significant Improvement		2,000
Date Acquired		2,000
Average Depreciable Life		30 years
Summerlin Hospital MOB III Las Vegas, NV
Real Estate and Accumulated Depreciation [Line Items]
Encumbrance	[1]	$ 10,384
Initial Cost, Building & Improvements		14,900
Adjustments to Basis	[2]	2,137
Buildings and Improvements		17,037
Total		17,037
Accumulated Depreciation		$ 2,698
Date of Completion of Construction, Acquisition or Significant Improvement		2,009
Date Acquired		2,009
Average Depreciable Life		36 years
Emory at Dunwoody Building 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		$ 658
Date of Completion of Construction, Acquisition or Significant Improvement		2,011
Date Acquired		2,011
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	[2]	55
Land		910
Buildings and Improvements		12,015
CIP		1
Total		12,926
Accumulated Depreciation		$ 2,565
Date of Completion of Construction, Acquisition or Significant Improvement		2,011
Date Acquired		2,011
Average Depreciable Life		35 years
Lake Pointe Medical Arts Building Rowlett, TX
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 1,100
Initial Cost, Building & Improvements		9,000
Adjustments to Basis	[2]	31
Land		1,100
Buildings and Improvements		9,031
CIP		1
Total		10,132
Accumulated Depreciation		$ 1,687
Date of Completion of Construction, Acquisition or Significant Improvement		2,011
Date Acquired		2,011
Average Depreciable Life		35 years
Tuscan Professional Building Irving, TX
Real Estate and Accumulated Depreciation [Line Items]
Encumbrance	[1]	$ 4,992
Initial Cost, Land		1,100
Initial Cost, Building & Improvements		12,525
Adjustments to Basis	[2]	244
Land		1,100
Buildings and Improvements		12,769
Total		13,869
Accumulated Depreciation		$ 2,176
Date of Completion of Construction, Acquisition or Significant Improvement		2,011
Date Acquired		2,011
Average Depreciable Life		35 years
Peace Health Medical Clinic Bellingham, WA
Real Estate and Accumulated Depreciation [Line Items]
Encumbrance	[1]	$ 20,309
Initial Cost, Land		1,900
Initial Cost, Building & Improvements		24,910
Land		1,900
Buildings and Improvements		24,910
Total		26,810
Accumulated Depreciation		$ 4,201
Date of Completion of Construction, Acquisition or Significant Improvement		2,012
Date Acquired		2,012
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		$ 967
Date of Completion of Construction, Acquisition or Significant Improvement		2,012
Date Acquired		2,012
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		$ 406
Date of Completion of Construction, Acquisition or Significant Improvement		2,013
Date Acquired		2,013
Average Depreciable Life		35 years
5004 Poole Road Medical Office Building Denison, TX
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		$ 63
Date of Completion of Construction, Acquisition or Significant Improvement		2,013
Date Acquired		2,013
Average Depreciable Life		35 years
Desert Valley Medical Center Phoenix AZ
Real Estate and Accumulated Depreciation [Line Items]
Encumbrance	[1],[4]	$ 5,081
Initial Cost, Land	[4]	2,280
Initial Cost, Building & Improvements	[4]	4,624
Adjustments to Basis	[2],[4]	400
Land	[4]	2,280
Buildings and Improvements	[4]	5,024
CIP	[4]	1
Total	[4]	7,305
Accumulated Depreciation	[4]	$ 506
Date of Completion of Construction, Acquisition or Significant Improvement	[4]	1,996
Date Acquired	[4]	1,996
Average Depreciable Life	[4]	30 years
Hanover Emergency Center Mechanicsville, VA
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 1,300
Initial Cost, Building & Improvements		6,224
Land		1,300
Buildings and Improvements		6,224
Total		7,524
Accumulated Depreciation		$ 490
Date of Completion of Construction, Acquisition or Significant Improvement		2,014
Date Acquired		2,014
Average Depreciable Life		35 years
Haas Medical Office Park Ottumwa, IA
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Building & Improvements		$ 3,571
Buildings and Improvements		3,571
Total		3,571
Accumulated Depreciation		$ 222
Date of Completion of Construction, Acquisition or Significant Improvement		2,015
Date Acquired		2,015
Average Depreciable Life		35 years
Mission Free standing Emergency Department Mission, TX
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 1,441
Initial Cost, Building & Improvements		4,696
Land		1,441
Buildings and Improvements		4,696
Total		6,137
Accumulated Depreciation		$ 301
Date of Completion of Construction, Acquisition or Significant Improvement		2,015
Date Acquired		2,015
Average Depreciable Life		35 years
North Valley Medical Plaza Phoenix, AZ
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land	[4]	$ 930
Initial Cost, Building & Improvements	[4]	6,929
Adjustments to Basis	[2],[4]	60
Land	[4]	930
Buildings and Improvements	[4]	6,989
CIP	[4]	360
Total	[4]	8,279
Accumulated Depreciation	[4]	$ 652
Date of Completion of Construction, Acquisition or Significant Improvement	[4]	2,010
Date Acquired	[4]	2,010
Average Depreciable Life	[4]	30 years
Northwest Medical Center at Sugar Creek, Bentonville, AR
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 1,100
Initial Cost, Building & Improvements		2,870
Land		1,100
Buildings and Improvements		2,870
Total		3,970
Accumulated Depreciation		$ 270
Date of Completion of Construction, Acquisition or Significant Improvement		2,014
Date Acquired		2,014
Average Depreciable Life		35 years
The Children's Clinic at Springdale, Springdale, AR
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 610
Initial Cost, Building & Improvements		1,570
Land		610
Buildings and Improvements		1,570
Total		2,180
Accumulated Depreciation		$ 172
Date of Completion of Construction, Acquisition or Significant Improvement		2,014
Date Acquired		2,014
Average Depreciable Life		35 years
Rosenberg Children's Medical Plaza, Phoenix, AZ
Real Estate and Accumulated Depreciation [Line Items]
Encumbrance	[1],[4]	$ 8,146
Initial Cost, Building & Improvements	[4]	23,302
Adjustments to Basis	[2],[4]	34
Buildings and Improvements	[4]	23,336
Total	[4]	23,336
Accumulated Depreciation	[4]	$ 1,897
Date of Completion of Construction, Acquisition or Significant Improvement	[4]	2,001
Date Acquired	[4]	2,001
Average Depreciable Life	[4]	35 years
Phoenix Children's East Valley Care Center, Phoenix, AZ
Real Estate and Accumulated Depreciation [Line Items]
Encumbrance	[1],[4]	$ 6,202
Initial Cost, Land	[4]	1,050
Initial Cost, Building & Improvements	[4]	10,900
Land	[4]	1,050
Buildings and Improvements	[4]	10,900
Total	[4]	11,950
Accumulated Depreciation	[4]	$ 884
Date of Completion of Construction, Acquisition or Significant Improvement	[4]	2,006
Date Acquired	[4]	2,006
Average Depreciable Life	[4]	35 years
Palmdale Medical Plaza, Palmdale, CA
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Building & Improvements	[4]	$ 10,555
Adjustments to Basis	[2],[4]	1,701
Buildings and Improvements	[4]	12,256
Total	[4]	12,256
Accumulated Depreciation	[4]	$ 1,175
Date of Completion of Construction, Acquisition or Significant Improvement	[4]	2,008
Date Acquired	[4]	2,008
Average Depreciable Life	[4]	34 years
Piedmont-Roswell Physician Center Sandy Springs, GA
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 2,338
Initial Cost, Building & Improvements		2,128
Land		2,338
Buildings and Improvements		2,128
Total		4,466
Accumulated Depreciation		$ 151
Date of Completion of Construction, Acquisition or Significant Improvement		2,015
Date Acquired		2,015
Average Depreciable Life		30 years
Piedmont-Vinings Physician Center Vinings, GA
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 1,348
Initial Cost, Building & Improvements		2,418
Land		1,348
Buildings and Improvements		2,418
Total		3,766
Accumulated Depreciation		$ 166
Date of Completion of Construction, Acquisition or Significant Improvement		2,015
Date Acquired		2,015
Average Depreciable Life		30 years
Santa Fe Professional Plaza Scottsdale, AZ
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land	[4]	$ 1,090
Initial Cost, Building & Improvements	[4]	1,960
Adjustments to Basis	[2],[4]	312
Land	[4]	1,090
Buildings and Improvements	[4]	2,272
CIP	[4]	36
Total	[4]	3,398
Accumulated Depreciation	[4]	$ 236
Date of Completion of Construction, Acquisition or Significant Improvement	[4]	1,999
Date Acquired	[4]	1,999
Average Depreciable Life	[4]	30 years
Sierra San Antonio Medical Plaza Fontana, CA
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Building & Improvements	[4]	$ 11,538
Adjustments to Basis	[2],[4]	206
Buildings and Improvements	[4]	11,744
CIP	[4]	9
Total	[4]	11,753
Accumulated Depreciation	[4]	$ 1,074
Date of Completion of Construction, Acquisition or Significant Improvement	[4]	2,006
Date Acquired	[4]	2,006
Average Depreciable Life	[4]	30 years
Vista Medical Terrace & Sparks MOB Sparks, NV
Real Estate and Accumulated Depreciation [Line Items]
Encumbrance	[1],[4]	$ 4,231
Initial Cost, Building & Improvements	[4]	9,276
Adjustments to Basis	[2],[4]	569
Buildings and Improvements	[4]	9,845
CIP	[4]	28
Total	[4]	9,873
Accumulated Depreciation	[4]	$ 1,280
Date of Completion of Construction, Acquisition or Significant Improvement	[4]	2,008
Date Acquired	[4]	2,008
Average Depreciable Life	[4]	30 years
Weslaco Free-standing Emergency Dept Weslaco, TX
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 1,749
Initial Cost, Building & Improvements		4,879
Land		1,749
Buildings and Improvements		4,879
Total		6,628
Accumulated Depreciation		$ 321
Date of Completion of Construction, Acquisition or Significant Improvement		2,015
Date Acquired		2,015
Average Depreciable Life		35 years
Chandler Corporate Center III Chandler, AZ
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 2,328
Initial Cost, Building & Improvements		14,131
Land		2,328
Buildings and Improvements		14,131
Total		16,459
Accumulated Depreciation		$ 352
Date of Completion of Construction, Acquisition or Significant Improvement		2,016
Date Acquired		2,016
Average Depreciable Life		35 years
Frederick Crestwood MOB Frederick, MD
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 2,258
Initial Cost, Building & Improvements		18,973
Land		2,258
Buildings and Improvements		18,973
Total		21,231
Accumulated Depreciation		$ 216
Date of Completion of Construction, Acquisition or Significant Improvement		2,016
Date Acquired		2,016
Average Depreciable Life		35 years
Madison Professional Office Building Madison, AL
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 2,296
Initial Cost, Building & Improvements		6,411
Land		2,296
Buildings and Improvements		6,411
Total		8,707
Accumulated Depreciation		$ 215
Date of Completion of Construction, Acquisition or Significant Improvement		2,016
Date Acquired		2,016
Average Depreciable Life		35 years
Tenaya Medical Office Building Las Vegas, NV
Real Estate and Accumulated Depreciation [Line Items]
Encumbrance	[1]	$ 7,137
Initial Cost, Land		3,032
Initial Cost, Building & Improvements		10,602
Land		3,032
Buildings and Improvements		10,602
Total		13,634
Accumulated Depreciation		$ 44
Date of Completion of Construction, Acquisition or Significant Improvement		2,016
Date Acquired		2,016
Average Depreciable Life		35 years
Henderson Medical Plaza Henderson, NV
Real Estate and Accumulated Depreciation [Line Items]
CIP	[5]	$ 9,464
Total	[5]	$ 9,464
Date of Completion of Construction, Acquisition or Significant Improvement	[5]	2,017
[1]	Consists of outstanding balances as of December 31, 2016 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 2014, 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.
[5]	Henderson Medical Plaza is scheduled to be completed and opened during the first quarter of 2017.

Schedule III Real Estate and 58

Schedule III Real Estate and Accumulated Depreciation (Parenthetical) (Detail) $ in Millions	12 Months Ended
	Dec. 31, 2008USD ($)
Real Estate And Accumulated Depreciation Disclosure [Abstract]
Provision for asset impairment	$ 4.6

Reconciliation of Real Estate P

Reconciliation of Real Estate Properties and Accumulated Depreciation (Detail) - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2016	Dec. 31, 2015	Dec. 31, 2014
Real Estate And Accumulated Depreciation Disclosure [Abstract]
Beginning balance		$ 511,657	$ 486,589	$ 395,669
Impact of consolidation of eight LLCs	[1]			84,064
Additions	[2]	14,186	4,972	3,298
Acquisitions		60,031	24,568	13,674
Disposals/Divestitures		(46)	(4,472)	(10,116)
Ending balance		585,828	511,657	486,589
Beginning balance		121,161	106,480	97,921
Disposals/Divestitures		(9)	(1,568)	(5,859)
Depreciation expense		17,436	16,249	14,413
Other				5
Ending balance		$ 138,588	$ 121,161	$ 106,480
[1]	During 2014, the Trust purchased the minority ownership interests held by third-party members in eight LLCs (January and August, 2014) 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.
[2]	Includes $9.5 million of CIP related to Henderson Medical Plaza, which is scheduled to be completed and opened during the first quarter of 2017.

Reconciliation of Real Estate60

Reconciliation of Real Estate Properties and Accumulated Depreciation (Parenthetical) (Detail) - USD ($) $ in Thousands	Mar. 31, 2017	Dec. 31, 2016	Dec. 31, 2014
Real Estate and Accumulated Depreciation [Line Items]
Percentage of minority ownership interests by parent			100.00%
CIP		$ 10,471
Henderson Medical Plaza | Scenario, Forecast
Real Estate and Accumulated Depreciation [Line Items]
CIP	$ 9,500
Universal Health Services
Real Estate and Accumulated Depreciation [Line Items]
Percentage of minority ownership interests by parent			100.00%