Universal Health Realty Income Trust (UHT) 10-K 24 Feb 22 2021 FY Annual report Financial data

Document and Entity Information

Document and Entity Information - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2021	Jan. 31, 2022	Jun. 30, 2021
Cover [Abstract]
Document Type	10-K
Amendment Flag	false
Document Period End Date	Dec. 31, 2021
Document Fiscal Year Focus	2021
Document Fiscal Period Focus	FY
Entity Registrant Name	UNIVERSAL HEALTH REALTY INCOME TRUST
Entity Central Index Key	0000798783
Current Fiscal Year End Date	--12-31
Entity Well-known Seasoned Issuer	Yes
Entity Voluntary Filers	No
Entity Filer Category	Large Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Common Stock, Shares Outstanding		13,785,354
Entity Public Float			$ 788.3
Entity Current Reporting Status	Yes
Entity Shell Company	false
Entity File Number	1-9321
Entity Tax Identification Number	23-6858580
Entity Address, Address Line One	Universal Corporate Center
Entity Address, Address Line Two	367 South Gulph Road
Entity Address, Address Line Three	P.O. Box 61558
Entity Address, City or Town	King of Prussia
Entity Address, State or Province	PA
Entity Address, Postal Zip Code	19406-0958
City Area Code	610
Local Phone Number	265-0688
Entity Interactive Data Current	Yes
Entity Incorporation, State or Country Code	MD
Trading Symbol	UHT
Security Exchange Name	NYSE
Title of 12(b) Security	Shares of beneficial interest, $0.01 par value
Document Annual Report	true
Document Transition Report	false
ICFR Auditor Attestation Flag	true
Auditor Name	KPMG LLP
Auditor Firm ID	185
Auditor Location	Philadelphia, Pennsylvania
Documents Incorporated by Reference	Portions of the registrant’s definitive proxy statement for our 2022 Annual Meeting of Shareholders, which will be filed with the Securities and Exchange Commission within 120 days after December 31, 2021 (incorporated by reference under Part III).

CONSOLIDATED BALANCE SHEETS

CONSOLIDATED BALANCE SHEETS - USD ($) $ in Thousands	Dec. 31, 2021		Dec. 31, 2020
Real Estate Investments:
Buildings and improvements and construction in progress	$ 608,836		$ 605,292
Accumulated depreciation	(225,584)	[1]	(216,648)
Real Estate Investment Property, Net, Total	383,252		388,644
Land	54,897		55,157
Net Real Estate Investments	438,149		443,801
Financing receivable from UHS	82,439
Net Real Estate Investments and Financing receivable	520,588		443,801
Investments in and advances to limited liability companies ("LLCs")	10,139		4,278
Other Assets:
Cash and cash equivalents	22,504		5,742
Lease and other receivables from UHS	4,641		3,199
Lease receivable - other	7,109		7,504
Intangible assets (net of accumulated amortization of $14.2 million and $19.5 million, respectively)	9,972		11,742
Right-of-use land assets, net	11,495		8,914
Deferred charges and other assets, net	11,971		8,829
Total Assets	598,419		494,009
Liabilities:
Line of credit borrowings	271,900		236,200
Mortgage notes payable, non-recourse to us, net	56,866		58,895
Accrued interest	346		351
Accrued expenses and other liabilities	12,157		19,802
Ground lease liabilities, net	11,495		8,914
Tenant reserves, deposits and deferred and prepaid rents	10,328		10,842
Total Liabilities	363,092		335,004
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: 2021 - 13,785,345; 2020 - 13,771,287	138		138
Capital in excess of par value	268,515		267,368
Cumulative net income and other	789,559		680,727
Cumulative dividends	(823,998)		(785,413)
Accumulated other comprehensive income/(loss)	1,113		(3,815)
Total Equity	235,327		159,005
Total Liabilities and Equity	$ 598,419		$ 494,009
[1]	The aggregate cost for federal income tax purposes is $672 million (unaudited) with a net book value of $417 million (unaudited).

CONSOLIDATED BALANCE SHEETS (Pa

CONSOLIDATED BALANCE SHEETS (Parenthetical) - USD ($) $ in Millions	Dec. 31, 2021	Dec. 31, 2020
Statement Of Financial Position [Abstract]
Intangible assets, accumulated amortization	$ 14.2	$ 19.5
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	13,785,345	13,771,287
Common shares, outstanding	13,785,345	13,771,287

CONSOLIDATED STATEMENTS OF INCO

CONSOLIDATED STATEMENTS OF INCOME - USD ($) shares in Thousands, $ in Thousands		12 Months Ended
		Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Revenues:
Revenues, Total		$ 84,190	$ 78,010	$ 77,163
Expenses:
Depreciation and amortization		27,478	25,581	25,870
Other operating expenses		23,441	22,284	21,569
Costs and Expenses, Total		55,325	52,006	51,413
Income before equity in income of unconsolidated limited liability companies ("LLCs"), gains on divestitures of real estate assets and interest expense		28,865	26,004	25,750
Equity in income of unconsolidated LLCs		1,796	1,706	1,796
Gains on divestitures of real estate assets		87,314		1,951
Interest expense, net		(8,809)	(8,263)	(10,533)
Net income		$ 109,166	$ 19,447	$ 18,964
Basic earnings per share		$ 7.94	$ 1.42	$ 1.38
Diluted earnings per share		$ 7.92	$ 1.41	$ 1.38
Weighted average number of shares outstanding - Basic		13,757	13,743	13,732
Weighted average number of share equivalents		22	22	20
Weighted average number of shares and equivalents outstanding - Diluted		13,779	13,765	13,752
Non-Related Parties
Revenues:
Lease revenue		$ 52,324	$ 51,562	$ 52,020
Other | Non-Related Parties
Revenues:
Other revenue		1,079	995	1,181
Management Service
Expenses:
Advisory fees to UHS		4,406	4,141	3,974
UHS Facilities
Revenues:
Lease revenue	[1]	29,896	24,571	23,095
UHS Facilities | Other
Revenues:
Other revenue		$ 891	$ 882	$ 867
[1]	Includes bonus rental on UHS hospital facilities of $6,906, $6,116 and $5,551 for the years ended December 31, 2021, 2020 and 2019, respectively.

CONSOLIDATED STATEMENTS OF IN_2

CONSOLIDATED STATEMENTS OF INCOME (Parenthetical) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
UHS Hospital Facilities
Bonus rental	$ 6,906	$ 6,116	$ 5,551

CONSOLIDATED STATEMENTS OF COMP

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Statement Of Income And Comprehensive Income [Abstract]
Net Income	$ 109,166	$ 19,447	$ 18,964
Other comprehensive income/(loss):
Unrealized derivative gain/(loss) on cash flow hedges	4,928	(4,825)	878
Total other comprehensive income/(loss):	4,928	(4,825)	878
Total comprehensive income	$ 114,094	$ 14,622	$ 19,842

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)
Balance at Dec. 31, 2018	$ 198,610	$ 137	$ 266,031	$ 642,316	$ (710,006)	$ 132
Balance, Shares at Dec. 31, 2018		13,747
Shares of Beneficial Interest:
Issued	212	$ 1	211
Issued (in shares)		13
Repurchased	(221)		(221)
Repurchased (in shares)		(3)
Restricted stock-based compensation expense	702		702
Dividends	(37,411)				(37,411)
Comprehensive income:
Net income	18,964			18,964
Unrealized gain/(loss) on interest rate cap	878					878
Subtotal - comprehensive income	(16,876)			18,964		878
Balance at Dec. 31, 2019	181,734	$ 138	266,723	661,280	(747,417)	1,010
Balance, Shares at Dec. 31, 2019		13,757
Shares of Beneficial Interest:
Issued	(32)		(32)
Issued (in shares)		16
Repurchased	(235)		(235)
Repurchased (in shares)		(2)
Restricted stock-based compensation expense	912		912
Dividends	(37,996)				(37,996)
Comprehensive income:
Net income	19,447			19,447
Unrealized gain/(loss) on interest rate cap	(4,825)					(4,825)
Subtotal - comprehensive income	14,622			19,447		(4,825)
Balance at Dec. 31, 2020	159,005	$ 138	267,368	680,727	(785,413)	(3,815)
Balance, Shares at Dec. 31, 2020		13,771
Shares of Beneficial Interest:
Issued	216		216
Issued (in shares)		14
Repurchased	(16)		(16)
Restricted stock-based compensation expense	947		947
Dividends	(38,585)				(38,585)
Comprehensive income:
Net income	109,166			109,166
Net income/(loss) applicable to noncontrolling interest	(334)			(334)
Unrealized gain/(loss) on interest rate cap	4,928					4,928
Subtotal - comprehensive income	113,760			108,832		4,928
Balance at Dec. 31, 2021	$ 235,327	$ 138	$ 268,515	$ 789,559	$ (823,998)	$ 1,113
Balance, Shares at Dec. 31, 2021		13,785

CONSOLIDATED STATEMENTS OF CH_2

CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY (Parenthetical) - $ / shares	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Statement Of Stockholders Equity [Abstract]
Dividend, per share	$ 2.72	$ 2.76	$ 2.80

CONSOLIDATED STATEMENTS OF CASH

CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Cash flows from operating activities:
Net income	$ 109,166	$ 19,447	$ 18,964
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	27,478	25,581	25,870
Amortization related to above/below market leases, net	(183)	(186)	(200)
Amortization of debt premium	(51)	(53)	(53)
Amortization of deferred financing costs	791	764	638
Stock-based compensation expense	947	912	702
Gains on divestitures of real estate assets	(87,314)		(1,951)
Changes in assets and liabilities:
Lease receivables	(843)	(100)	(395)
Accrued expenses and other liabilities	90	(232)	478
Tenant reserves, deposits and deferred and prepaid rents	(1,130)	(367)	(549)
Accrued interest	(5)	(23)	(76)
Leasing costs paid	(1,378)	(969)	(1,084)
Other, net	157	(564)	308
Net cash provided by operating activities	47,725	44,210	42,652
Cash flows from investing activities:
Investments in LLCs	(16,750)	(3,204)	(2,133)
Cash distributions in excess of income from LLCs	418	6,524	318
Advances made to LLCs, net	(3,500)
Additions to real estate investments, net	(14,120)	(28,262)	(12,320)
Deposit on real estate assets	(200)
Net cash paid for acquisition of properties	(12,989)	(2,266)	(5,105)
Net cash paid as part of asset exchange transaction	(2,839)
Cash paid to acquire minority interest in majority-owned LP	(3,092)
Cash proceeds received from divestiture of properties, net	28,119		2,768
Increase in cash and cash equivalents due to recording of LP on a consolidated basis	528
Net cash used in investing activities	(24,425)	(27,208)	(16,472)
Cash flows from financing activities:
Net borrowings on line of credit	35,700	23,250	16,550
Repayments of mortgage notes payable	(2,079)	(1,913)	(4,201)
Financing costs paid	(1,842)	(467)	(35)
Repurchase of common shares		(235)	(221)
Dividends paid	(38,532)	(37,973)	(37,411)
Issuance of shares of beneficial interest, net	215	(32)	212
Net cash used in financing activities	(6,538)	(17,370)	(25,106)
Increase/(decrease) in cash and cash equivalents	16,762	(368)	1,074
Cash and cash equivalents, beginning of year	5,742	6,110	5,036
Cash and cash equivalents, end of year	22,504	5,742	6,110
Supplemental disclosures of cash flow information:
Interest paid	8,076	7,573	10,025
Invoices accrued for construction and improvements	$ 1,594	$ 4,368	$ 1,485

Organization and Summary of Sig

Organization and Summary of Significant Accounting Policies	12 Months Ended
	Dec. 31, 2021
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, behavioral health care hospitals, specialty facilities, free-standing emergency departments, childcare centers and medical/office buildings. As of February 24, 2022, we have seventy-five real estate investments located in twenty-one states consisting of: • six hospital facilities consisting of three acute care hospitals and three behavioral health care hospitals; • four free-standing emergency departments (“FEDs”); • fifty-eight medical/office buildings (“MOBs”), including one under construction and including four owned by unconsolidated limited liability companies (“LLCs”)/limited liability partnerships (“LPs”); • four preschool and childcare centers, and; • three specialty facilities that are currently vacant. We are subject to risks associated with public health threats and epidemics, including the health concerns relating to the COVID-19 pandemic. In March 2020, the World Health Organization declared the COVID-19 outbreak a pandemic and the federal government declared COVID-19 a national emergency. As a result of various policies implemented by the federal and state governments, and varying by individual state, many non-essential businesses in the nation were closed for varying time periods. The COVID-19 vaccination process commenced during the first quarter of 2021. Since that time through the second quarter of 2021, the operators of our acute care hospitals had generally experienced a decline in COVID-19 patients as well as a corresponding recovery in non-COVID patient activity. However, during the third and fourth quarters of 2021, and continuing into the first quarter of 2022, the operators of our acute care hospitals and certain other facilities generally experienced an increase in COVID-19 patients resulting from the Delta and, more recently, the highly transmissible Omicron variants. Booster doses for COVID-19 vaccinations began during the third quarter of 2021, and while we expect the administration of vaccines booster doses will assist in easing the number of COVID-19 patients, the pace at which this is likely to occur is very difficult to predict. Although COVID-19 has not had a material adverse impact on our results of operations through December 31, 2021, we believe that the potentially adverse impact that the pandemic may have on the future operations and financial results of our tenants, and in turn ours, will depend upon many factors, most of which are beyond our, or our tenants’, ability to control or predict. Such factors include, but are not limited to, the length of time and severity of the spread of the pandemic; the volume of cancelled or rescheduled elective procedures and the volume of COVID-19 patients treated by the operators of our hospitals and other healthcare facilities; measures our tenants are taking to respond to the COVID-19 pandemic; the impact of government and administrative regulation, including travel bans and restrictions, shelter-in-place or stay-at-home orders, quarantines, the promotion of social distancing, business shutdowns and limitations on business activity; changes in patient volumes at our tenants’ hospitals and other healthcare facilities due to patients’ general concerns related to the risk of contracting COVID-19 from interacting with the healthcare system; the impact of stimulus on the health care industry and our tenants; changes in patient volumes and payer mix caused by deteriorating macroeconomic conditions (including increases in uninsured and underinsured patients as the result of business closings and layoffs); potential disruptions to clinical staffing and shortages and disruptions related to supplies required for our tenants’ employees and patients, including equipment, pharmaceuticals and medical supplies, particularly personal protective equipment, or PPE; potential increases to expenses incurred by our tenants related to staffing, supply chain or other expenditures; the impact of our indebtedness and the ability to refinance such indebtedness on acceptable terms; disruptions in the financial markets and the business of financial institutions as the result of the COVID-19 pandemic which could impact our ability to access capital or increase associated borrowing costs; and changes in general economic conditions nationally and regionally in the markets our properties are located resulting from the COVID-19 pandemic, including increased unemployment and underemployment levels and reduced consumer spending and confidence. These factors could have a material adverse effect on the future business, financial position and results of operations of the operators of our facilities, and in turn, ours. Bonus rents earned by us on one acute care hospital leased to a wholly-owned subsidiary of Universal Health Services, Inc., is computed based upon a computation that compares the hospital’s current quarter revenue to the corresponding quarter in the base year ; we could therefore experience a significant decline in future bonus rental revenue earned on th is propert y should th is hospital experience significant declines in patient volumes and revenues. Certain factors may result in the inability or unwillingness on the part of some of our tenants to make timely payment of their rent to us at current levels or to seek to amend or terminate their leases which, in turn, would have an adverse effect on our occupancy levels and our revenue and cash flow and the value of our properties, and potentially, our ability to maintain our dividend at current levels. Due to COVID-19 restrictions and its impact on the economy, we may experience a decrease in prospective tenants which could unfavorably impact the volume of new leases, as well as the renewal rate of existing leases. The COVID-19 pandemic could also impact our indebtedness and the ability to refinance such indebtedness on acceptable terms, as well as risks associated with disruptions in the financial markets and the business of financial institutions as the result of the COVID-19 pandemic which could impact us from a financing perspective; and changes in general economic conditions nationally and regionally in the markets our properties are located resulting from the COVID-19 pandemic. Decreases in cash flows and results of operations may have an impact on the inputs and assumptions used in significant accounting estimates, including potential impairments of intangible and long-lived assets. Our future results of operations could be unfavorably impacted by government regulations and 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 rental revenue (on one Universal Health Services, Inc. hospital facility) 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. Purchase Accounting for Acquisition of Investments in Real Estate Purchase accounting is applied to the assets and liabilities related to most real estate investments acquired from third parties. In accordance with current accounting guidance, we account for most of our property acquisitions as acquisitions of assets, which requires the capitalization of acquisition costs to the underlying assets and prohibits the recognition of goodwill or bargain purchase gains. The fair value of most of the real estate acquired is allocated to the acquired tangible assets, consisting primarily of land, building and tenant improvements, and identified intangible assets and liabilities, consisting of the value of above-market and below-market leases, and acquired ground leases, based in each case on their fair values. Loan premiums, in the case of above market rate assumed loans, or loan discounts, in the case of below market assumed loans, are recorded based on the fair value of any loans assumed in connection with acquiring the real estate. Please see additional disclosure below regarding “Financing Assets”. 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. At December 31, 20 2 1 , our net intangible assets total $ m illion (net of $ million accumulated amortization) and primarily consist of the value of in-place leases. At December 31, 20 2 1 , our net intangible value of in-place leases total $ 8.6 million (net of $ million of accumulated amortization) and will be amortized over the remaining lease terms (aggregate weighted average of 4.0 years at December 31, 20 2 1 ) and are expected to result in estimated aggregate amortization expense of, $ 1.9 million, $ million , $ million, $ million and $ 2.8 million for 2022 , 2023 , 2024 , 2025 and 202 6 and thereafter , respectively. Amortization expense on intangible values of in place leases was $ million for the year ended December 31, 202 1 , $ 2.9 million for the year ended December 31, 20 20 and $ million for the year ended De cember 31, 201 9 . The remaining amount of our net intangible assets primarily consists of above-market leases. At December 31, 20 2 1 , our net intangible value of above-market leases total $ million (net of $ of accumulated amortization) and will be amortized over the remaining lease terms ( aggregate weighted average of approximately 5 .6 years at December 31, 20 2 1 ) and are expected to result in estimated aggregate amortization offset to rental revenue of approximately $ in 2 02 2 , $ in 202 3 , $ in 202 4 , $ in 202 5 and $ in 202 6 and thereafter . Amortization offset to rental revenue on intangible values of above-market leases was $ 205,000 , $ and $ for the years ended December 31 , 20 2 1 , 20 20 and 201 9 , respectively . 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 range 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 $23.9 million for the year ended December 31, 2021 and $21.8 million for each of the years ended December 31, 2020 and 2019. Financing Assets As discussed in Note 2 – Relationship with UHS and Related Party Transactions, on December 31, 2021 we entered into an asset purchase and sale agreement with UHS and certain of its affiliates. Pursuant to the agreement, UHS purchased from us the real estate assets of the Inland Valley Campus of Southwest Healthcare System (“Inland Valley”) and transferred to us the real estate assets of Aiken Regional Medical Center (“Aiken”) and Canyon Creek Behavioral Health (“Canyon Creek”). In connection with this transaction, Aiken and Canyon Creek (as lessees), entered into a master lease and individual property leases (with us as lessor) for initial lease terms of approximately twelve years, ending on December 31, 2033. As a result of UHS’ purchase option within the lease agreements of Aiken and Canyon Creek, the transaction is accounted for as a failed sale leaseback in accordance with U.S. GAAP and we have accounted for the transaction with UHS as a financing arrangement. A portion of the monthly lease payment to us from UHS will be recorded to interest income based upon an imputed interest rate and the remainder will reduce the outstanding financing receivable. In connection with this transaction, our Consolidated Balance Sheet at December 31, 2021 reflects a financing receivable of $82.4 million, which is the aggregate fair value of the real estate assets that we received as part of the transaction (Aiken and Canyon Creek). As of December 31, 2021 there are no indicators of impairment and the financing receivable will be assessed for recoverability in accordance with our asset impairment policy. 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. 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. Investments in Limited Liability Companies (“LLCs”) In accordance with U.S. GAAP 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. Distributions received from equity method investees in the consolidated statements of cash flows are classified based upon the nature of the distribution. Returns on investments are presented net of equity in income from unconsolidated investments as cash flows from operating activities. Returns of investments are classified as cash flows from investing activities. During the fourth quarter of 2021, we purchased the third-party 5% ownership interest in Grayson Properties, LP which owns the Texoma Medical Plaza, an MOB located in Denison, Texas, for a purchase price of approximately $3.1 million. We formerly held a non-controlling majority ownership interest in this LP. As a result of our purchase of the minority ownership interest, we now hold 100% of the ownership interest in this LP and we began accounting for this LP on a consolidated basis effective with the minority ownership interest purchase date. The property’s assets and liabilities are recorded at the carrying amount of its previously held interest, plus the incremental cost which was allocated based upon relative fair values. A third-party appraisal was completed to determine the fair value of the property. We do not expect a material impact on our net income as a result of the consolidation of this LP subsequent to the transaction. At December 31, 2021, we have non-controlling equity investments or commitments in four jointly-owned LLCs/LPs which own MOBs. We account for these LLCs/LPs on an unconsolidated basis pursuant to the equity method since they are not variable interest entities which we are the primary beneficiary nor do we have a controlling voting interest. The majority of these entities are joint-ventures between us and non-related parties that 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 funding is typically advanced as equity or member loans. These entities maintain property insurance on the properties. An other-than-temporary impairment of an investment in an unconsolidated 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. 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. To qualify as a REIT, we must meet certain organizational and operational requirements, including a requirement to distribute at least 90% of our annual REIT taxable income to shareholders. As a REIT, we generally will not be subject to federal, state or local income tax on income that we distribute as dividends 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 $672 million (unaudited) and $417 million (unaudited), respectively, at December 31, 2021. The aggregate cost basis and net book value of the properties for federal income tax purposes were approximately $645 million (unaudited) and $406 million (unaudited), respectively, at December 31, 2020. 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, stock-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, which is leased to a related party (see Note 2), generated approximately 10% during 2021, approximately 10% during 2020 and approximately 10% during 2019, of our consolidated revenues. Use 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. Accounting for Lease Concessions Granted in Connection with COVID-19 On April 8, 2020, the Financial Accounting Standards Board ("FASB") held a public meeting and shortly afterwards issued a question-and-answer ("Q&A") document which was intended to provide accounting relief for lease concessions related to the COVID-19 pandemic. The accounting relief permits an entity to choose to forgo the evaluation of the enforceable rights and obligations of a lease contract, which is a requirement of Accounting Standards Codification Topic 842, Leases, which we adopted on January 1, 2019, as long as the total rent payments after the lease concessions are substantially the same, or less than, the total payments previously required by the lease. An entity may account for COVID-19 related lease concessions either (i) as if they were part of the enforceable rights and obligations of the parties under the existing lease contract; or (ii) as a lease modification. To the extent that a rent concession is granted as a deferral of payments, but the total lease payments are substantially the same, lessors are allowed to account for the concession as if no change had been made to the original lease contract. Based on the Q&A, an entity is not required to account for all lease concessions related to the effects of the COVID-19 pandemic under one elected option, however, the entity is required to apply the elected option consistently to leases with similar characteristics and in similar circumstances. The COVID-19 pandemic did not start to adversely impact the economic conditions in the United States until late March 2020 and did not have a material effect on our operations or financial results during the year ended December 31, 2021. Reference Rate Reform In March 2020, the FASB issued an accounting standard classified under FASB ASC Topic 848, “Reference Rate Reform.” The amendments in this update contain practical expedients for reference rate reform related activities that impact debt, leases, derivatives and other contracts. The guidance in ASC 848 is optional and may be elected over time as reference rate reform activities occur. We will evaluate the impact of the guidance and may apply elections as applicable as additional changes in the market occur.

Relationship with UHS and Relat

Relationship with UHS and Related Party Transactions	12 Months Ended
	Dec. 31, 2021
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 certain properties from subsidiaries of UHS and immediately leasing the properties back to the respective subsidiaries. The base rentals and lease and renewal terms for each of the hospitals leased to subsidiaries of UHS as of January 1, 2022 are provided below. The base rents are paid monthly. The lease on McAllen Medical Center also provides for bonus rent which is paid quarterly based upon a computation that compares the hospital’s current quarter revenue to a corresponding quarter in the base year. The hospital leases with subsidiaries of UHS, with the exception of the lease on Clive Behavioral Health Hospital (which is operated by UHS in a joint venture with an unrelated third party), are unconditionally guaranteed by UHS and are cross-defaulted with one another. The combined revenues generated from the leases on the three acute care and one behavioral health care hospital facilities leased to subsidiaries of UHS at December 31, 2021, (McAllen Medical Center, Wellington Regional Medical Center, Inland Valley Campus of Southwest Healthcare and Clive Behavioral Health), before giving effect to the December 31, 2021 asset purchase and sale agreement with UHS and certain of its affiliates as discussed below, accounted for approximately 23% of our consolidated revenue for the five years ended December 31, 2021 (approximately 25%, 22% and 22% for the years ended December 31, 2021, 2020 and 2019 respectively). In addition to these four UHS hospital facilities, we have twenty properties consisting of MOBs (including one under construction) and FEDs that are either wholly or jointly-owned by us that include, or will include, tenants which are subsidiaries of UHS. The aggregate revenues generated from UHS-related tenants comprised approximately 32% of our consolidated revenue for the five years ended December 31, 2021 (approximately 37%, 33% and 31% for the years ended December 31, 2021, 2020 and 2019, respectively). On December 31, 2021, we • a wholly-owned subsidiary of UHS purchased from us, the real estate assets of the Inland Valley Campus of Southwest Healthcare System located in Wildomar, California, at its fair market value of $79.6 million. • two o Aiken Regional Medical Center (“Aiken”), located in Aiken, South Carolina (which includes an acute care hospital and a behavioral health pavilion), at its fair-market value of approximately $57.7 million, and; o Canyon Creek Behavioral Health (“Canyon Creek”), located in Temple, Texas, at its fair-market value of approximately $24.7 million. • in connection with this transaction, since the fair-market value of Aiken and Canyon Creek, which totaled approximately $82.4 million in the aggregate, exceeded the $79.6 million fair-market value of the Inland Valley Campus of Southwest Healthcare System, we paid approximately $2.8 million in cash to UHS. This transaction generated a gain of approximately $68.4 million which is included in our consolidated statement of income for the year ended December 31, 2021. We have accounted for the asset sale and purchase agreement with UHS as a financing arrangement and our Consolidated Balance Sheet at December 31, 2021 reflects a financing receivable for the $82.4 million fair market value of the real estate assets that we received as part of the transaction. Additionally, we structured the purchase and sale of the above-mentioned properties as a like-kind exchange of property under the provisions of Section 1031 of the Internal Revenue Code of 1986, as amended. Also on December 31, 2021, Aiken and Canyon Creek (as lessees), entered into a master lease and individual property leases (with us as lessor), for initial lease terms on each property of approximately twelve years, ending on December 31, 2033. Subject to the terms of the master lease, Aiken and Canyon Creek have the right to renew their leases, at the then current fair market rent (as defined in the master lease), for seven, five-year st Pursuant to the terms of the lease on the Inland Valley Campus, we earned $4.5 million of lease revenue during the year ended December 31, 2021 (consisting of $2.6 million in base rental and $1.9 million in bonus rental) and $4.4 million during the year ended December 31, 2020 (consisting of $2.6 million in base rental and $1.8 million in bonus rental). Pursuant to the terms of the master leases by and among us and certain subsidiaries of UHS, dated December 24, 1986 and December 31, 2021 (the “Master Leases”), which govern the leases of McAllen Medical Center, Wellington Regional Medical Center (governed by the Master Lease dated December 24, 1986), Aiken Regional Medical Center and Canyon Creek Behavioral Health (governed by the Master Lease dated December 31, 2021), all of which are hospital properties that are wholly-owned subsidiaries of UHS, UHS has the option, among other things, 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 from us at their appraised fair market value upon any of the following: (i) at the end of the lease terms or any renewal terms; (ii) upon one month’s notice should a change of control of the Trust occur, or; (iii) within the time period as specified in the leases in the event that UHS provides notice to us of their intent to offer a substitution property/properties in exchange for one (or more) of the four wholly-owned UHS hospital facilities leased from us, should we be unable to reach an agreement with UHS on the properties to be substituted. 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. A wholly-owned subsidiary of UHS is the managing, majority member in a joint-venture with an unrelated third-party that operates, and leases from us, Clive Behavioral Health. This 100-bed behavioral health care facility is located in Clive, Iowa and was completed and opened in late December, 2020 and the hospital lease commenced on December 31, 2020. Pursuant to the terms of the lease, we earned $2.5 million of lease revenue during the year ended December 31, 2021. B st The table below details the existing lease terms and renewal options for each of the hospital leases that are related to UHS as of January 1, 2022, consisting of three acute care hospitals and three behavioral health hospitals: Hospital Name Annual Minimum Rent End of Lease Term Renewal Term (years) McAllen Medical Center $ 5,485,000 December, 2026 5 (a) Wellington Regional Medical Center $ 6,319,000 December, 2026 5 (b) Aiken Regional Medical Center/Aurora Pavilion Behavioral Health Services $ 3,895,000 December, 2033 35 (c) Canyon Creek Behavioral Health $ 1,670,000 December, 2033 35 (c) Clive Behavioral Health Hospital $ 2,628,000 December, 2040 50 (d) (a) UHS has one (b) UHS has one (c) UHS has seven (d) The UHS-related joint venture has five Upon the December 31, 2021 expiration of the lease on Wellington Regional Medical Center located in West Palm Beach, Florida, a wholly-owned subsidiary of UHS exercised its fair market value renewal option and renewed the lease for a 5-year term scheduled to expire on December 31, 2026. Effective January 1, 2022, the annual fair market value lease rate for this hospital, which is payable to us monthly, is $6.3 million (there is no longer a bonus rental component of the lease payment). Beginning on January 1, 2023, and thereafter on each January 1 st Management cannot predict whether the leases with wholly-owned 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. In January, 2022, we entered into a ground lease and master flex-lease agreement with a wholly-owned subsidiary of UHS with the intent to develop, construct and own the real property of Sierra Medical Plaza I, an MOB located in Reno, Nevada, consisting of approximately 86,000 rentable square feet. This MOB will be located on the campus of the Northern Nevada Sierra Medical Center, a newly constructed hospital that is owned and operated by a wholly-owned subsidiary of UHS, which is scheduled to be completed and opened during the first quarter of 2022. Construction of this MOB, for which we have engaged a non-related third party to act as construction manager, commenced in January, 2022. The cost of the MOB is estimated to be approximately $34 million. The master flex lease agreement, which is subject to reduction based upon the execution of third-party leases, is for approximately 68% of the rentable square feet of the MOB. During the fourth quarter of 2021, we purchased the 5% minority ownership interest held by a third-party member in Grayson Properties, LP which owns the Texoma Medical Plaza, an MOB located in Denison, Texas for approximately $3.1 million. The MOB is located on the campus of Texoma Medical Center, a hospital that is owned and operated by a wholly-owned subsidiary of UHS. A third-party appraisal was completed to determine the fair value of the property. As a result of this minority ownership purchase during the fourth quarter of 2021, we own 100% of the LP and are therefore consolidating this LP effective with the purchase date. We do not expect a material impact on our net income as a result of the consolidation of this LP subsequent to the transaction. Please see Note 5 for additional disclosure surrounding this transaction. In May, 2021, we acquired the Fire Mesa office building located in Las Vegas, Nevada for a purchase price of approximately $12.9 million. The building is 100% leased under the terms of a triple net lease by a wholly-owned subsidiary of UHS. The initial lease is scheduled to expire on August 31, 2027 and has two five-year renewal options. As discussed in Note 4, the acquisition of this office building is part of a series of planned tax-deferred like-kind exchange transactions pursuant to Section 1031 of the Internal Revenue Code, as amended. In September 2019, we entered into an agreement whereby we own a 95% non-controlling ownership interest in Grayson Properties II L.P., which developed, constructed, owns and operates the Texoma Medical Plaza II, an MOB located in Denison, Texas. This MOB, which was substantially completed in December 2020, is located on the campus of Texoma Medical Center, a hospital that is owned and operated by a wholly-owned subsidiary of UHS. A 10-year master flex lease was executed with the wholly-owned subsidiary of UHS for over 50% of the rentable square feet of the MOB and commenced in December 2020 upon the issuance of the certificate of occupancy. We account for this LP on an unconsolidated basis pursuant to the equity method since it is not a variable interest entity and we do not have a controlling voting interest. We are the lessee on twelve ground leases with subsidiaries of UHS (for consolidated and unconsolidated investments). The remaining lease terms on the ground leases with subsidiaries of UHS range from approximately 28 years to approximately 77 years. The annual aggregate lease payments on these properties are approximately $508,000 for the year ended 2021 and $508,000 for each of the years ended 2022, 2023, 2024 and 2025, and an aggregate of $29.0 million thereafter. See Note 4 for further disclosure around our lease accounting. Officers and Employees: Our officers are all employees of a wholly-owned subsidiary of UHS and although as of December 31, 2021 we had no salaried employees, our officers do typically receive annual stock-based compensation awards in the form of restricted stock or restricted stock units. 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. Advisory Agreement: UHS of Delaware, Inc. (the “Advisor”), a wholly-owned subsidiary of UHS, serves as Advisor to us under an advisory agreement dated December 24, 1986, and as amended and restated as of January 1, 2019 (the “Advisory Agreement”). 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. The Advisory Agreement was renewed for 2022 with the same terms as the Advisory Agreement in place during 2021 and 2020. Our advisory fee for 2021, 2020 and 2019 was computed at 0.70% of our average invested real estate assets, as derived from our consolidated balance sheet. Based upon a review of our advisory fee and other general and administrative expenses, as compared to an industry peer group, the advisory fee computation remained unchanged for 2021, as compared to 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, lease receivables, deferred charges and other assets. The advisory fee is payable quarterly, subject to adjustment at year-end based upon our audited financial statements. Advisory fees incurred and paid (or payable) to UHS amounted to $4.4 million during 2021, $4.1 million during 2020 and $4.0 million during 2019 and were based upon average invested real estate assets of $629 million, $592 million and $568 million during 2021, 2020 and 2019, respectively. Share Ownership: 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 aggregate revenues generated from UHS-related tenants comprised approximately 32% of our consolidated revenue for the five years ended December 31, 2021 (approximately 37%, 33% and 31% for the years ended December 31, 2021, 2020 and 2019, 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.

Purchase and Sale Transaction,

Purchase and Sale Transaction, Acquisitions, Divestitures and New Construction	12 Months Ended
	Dec. 31, 2021
Business Combinations [Abstract]
Purchase and Sale Transaction, Acquisitions, Divestitures and New Construction	(3) PURCHASE AND SALE TRANSACTION, ACQUISITIONS, DIVESTITURES AND NEW CONSTRUCTION During 2021, we completed various transactions as described and noted below utilizing qualified third-party intermediaries, as part of a series of anticipated tax-deferred like-kind exchange transactions pursuant to Section 1031 of the Internal Revenue Code, as amended . Subsequent to 2021: In January, 2022, as part of the series of like-kind exchange transactions mentioned above, we acquired the 140 Thomas Johnson Drive medical office building, located in Frederick, Maryland for a purchase price of approximately $8.0 million. The building is 100% leased to three tenants under the terms of triple-net leases. Approximately 72% of the rentable square feet of this MOB is leased pursuant to a 15-year lease, with a remaining lease term of approximately 14 years at the time of purchase, with three, five-year 2021: Asset Purchase and Sale Agreement with UHS: As previously disclosed on Form 8-K, as filed on January 4, 2022, on December 31, 2021, we entered into an asset purchase and sale agreement, with UHS and certain of its affiliates pursuant to the terms of which: • a wholly-owned subsidiary of UHS purchased from us, the real estate assets of the Inland Valley Campus of Southwest Healthcare System located in Wildomar, California, at its fair market value of $79.6 million. • two o Aiken Regional Medical Center (“Aiken”), located in Aiken, South Carolina (which includes an acute care hospital and a behavioral health pavilion), at its fair-market value of approximately $57.7 million, and; o Canyon Creek Behavioral Health (“Canyon Creek”), located in Temple, Texas, at its fair-market value of approximately $24.7 million. • in connection with this transaction, since the fair-market value of Aiken and Canyon Creek, which totaled approximately $82.4 million in the aggregate, exceeded the $79.6 million fair-market value of the Inland Valley Campus of Southwest Healthcare System, we paid approximately $2.8 million in cash to UHS. This transaction generated a gain of approximately $68.4 million which is included in our consolidated statement of income for the year ended December 31, 2021. We have accounted for the asset sale and purchase agreement with UHS as a financing arrangement and our Consolidated Balance Sheet at December 31, 2021 reflects a financing receivable for the $82.4 million fair market value of the real estate assets that we received as part of the transaction. Additionally, we structured the purchase and sale of the above-mentioned properties as a like-kind exchange of property under the provisions of Section 1031 of the Internal Revenue Code of 1986, as amended. Also on December 31, 2021, Aiken and Canyon Creek (as lessees), entered into a master lease and individual property leases (with us as lessor), for initial lease terms on each property of approximately twelve years, ending on December 31, 2033. Subject to the terms of the master lease, Aiken and Canyon Creek have the right to renew their leases, at the then current fair market rent (as defined in the master lease), for seven, five-year st Acquisition: In May, 2021, as a part of the series of tax-deferred like-kind exchange transactions mentioned above, we acquired the Fire Mesa office building located in Las Vegas, Nevada for a purchase price of approximately $12.9 million. The building is 100% leased under the terms of a triple net lease with a wholly-owned subsidiary of UHS. The lease on this building is scheduled to expire on August 31, 2027 and has two five-year Divestitures: In November, 2021, as a part of the series of tax-deferred like-kind exchange transactions mentioned above, we sold the Auburn Medical Office Building II, a medical office building located in Auburn, Washington, for a sale price of approximately $24.9 million, net of closing costs. At December 31, 2021, approximately $15.2 million of cash related to the sale proceeds is held by the qualified third-party intermediary that we utilized for the series of anticipated tax-deferred like-kind exchange transactions, as mentioned above. This divestiture generated a gain of approximately $17.6 million which is included in our consolidated statement of income for the year ended December 31, 2021. In June, 2021, as a part of the series of tax-deferred like-kind exchange transactions mentioned above, we sold the Children’s Clinic at Springdale, a medical office building located in Springdale, Arkansas for a sale price of approximately $3.2 million, net of closing costs. This divestiture resulted in a gain of approximately $1.3 million which is included in our consolidated statement of income for the year ended December 31, 2021. New Construction of Medical Office Building: In January, 2022, we entered into a ground lease and master flex-lease agreement with a wholly-owned subsidiary of UHS with the intent to develop, construct and own the real property of Sierra Medical Plaza I, an MOB located in Reno, Nevada, consisting of approximately 86,000 rentable square feet. This MOB will be located on the campus of the Northern Nevada Sierra Medical Center, a newly constructed hospital that is owned and operated by a wholly-owned subsidiary of UHS, which is scheduled to be completed and opened during the first quarter of 2022. Construction of this MOB, for which we have engaged a non-related third party to act as construction manager, commenced in January, 2022. The cost of the MOB is estimated to be approximately $34 million. A wholly-owned subsidiary of UHS has entered into a master flex lease agreement, which is subject to reduction based upon the execution of third-party leases, for approximately 68% of the rentable square feet of the MOB. 2020: New Construction: In September 2019, we entered into an agreement whereby we own a 95% non-controlling ownership interest in Grayson Properties II L.P., which developed, constructed, owns and operates the Texoma Medical Plaza II, an MOB located in Denison, Texas. This MOB, which was substantially completed in December 2020, is located on the campus of Texoma Medical Center, a hospital that is owned and operated by a wholly-owned subsidiary of UHS. A 10-year master flex lease was executed with the wholly-owned subsidiary of UHS for over 50% of the rentable square feet of the MOB and commenced in December 2020 upon the issuance of the certificate of occupancy. This L.P. entered into a $13.1 million third-party construction loan, non-recourse to us, which is scheduled to mature in June 2025 In late July 2019, Des Moines Medical Properties, LLC, a wholly-owned subsidiary of ours, entered into an agreement to build and lease a newly constructed UHS-related behavioral health care hospital located in Clive, Iowa. The lease on this facility, which is triple net and has an initial term of 20 years with five 10-year renewal options, was executed with Clive Behavioral Health, LLC, a joint venture between a wholly-owned subsidiary of UHS and Catholic Health Initiatives - Iowa, Corp. (“JV”). Construction of this hospital, for which we engaged a wholly-owned subsidiary of UHS to act as project manager for an aggregate fee of approximately $750,000, was substantially completed in December 2020 and the property received a temporary certificate of occupancy on December 31, 2020, at which time the hospital lease commenced. Pursuant to the lease on this facility, the JV has the option to, among other things, renew the lease at the terms specified in the lease agreement by providing notice to us at least 270 days prior to the termination of the then current term. The JV also has the right to purchase the leased facility from us at its appraised fair market value upon either of the following: (i) by providing notice at least 270 days prior to the end of the lease terms or any renewal terms, or; (ii) upon 30 days’ notice anytime within 12 months of a change of control of the Trust (UHS also has this right should the JV decline to exercise its purchase right). Additionally, the JV has rights of first offer to purchase the facility prior to any third-party sale. Acquisition: On December 28, 2020, we acquired the Sand Point Medical Properties building located in Escanaba, Michigan for a purchase price of approximately $2.2 million. The building is 100% leased under the terms of a 15-year double net lease (“NN”) with a remaining initial lease term of approximately 14 years at the time of purchase, with three, five-year Disposition: There were no dispositions during 2020. 2019: Acquisition: In late November 2019, we acquired the Bellin Health Family Medicine Center located in Escanaba, Michigan for a purchase price of approximately $5.1 million. The building is 100% leased under the terms of a triple net lease with a remaining initial lease term of approximately eight years at the time of purchase, with four, five-year Dispositions: In December 2019, we sold the Kings Crossing II medical office building, located in Kingwood, Texas for a sale price of approximately $2.5 million, net of closing costs. This divestiture resulted in a gain of approximately $1.7 million which is included in our consolidated statement of income for the year ended December 31, 2019. During the first quarter of 2019, we sold a parcel of land located at one of our buildings for approximately $250,000. This divestiture generated approximately $250,000 of cash proceeds to us, net of closing costs, and resulted in a gain of approximately $250,000 which is included in our consolidated statement of income for the year ended December 31, 2019.

Lease Accounting

Lease Accounting	12 Months Ended
	Dec. 31, 2021
Leases [Abstract]
Lease Accounting	(4) LEASE ACCOUNTING We adopted the lease standard ASC 842 on January 1, 2019 and applied it to leases that were in place on the effective date as both a lessor and lessee. Our results for reporting periods beginning January 1, 2019 are presented under the ASC 842 lease standard. We adopted ASC 842 effective January 1, 2019 under the modified retrospective approach and elected the optional transition method to apply the provisions of ASC 842 as of the adoption date, rather than the earliest period presented. We elected to apply certain adoption related practical expedients for all leases that commenced prior to the election date. This practical expedient allowed us to not separate expenses reimbursed by our customers (“tenant reimbursements”) from the associated rental revenue if certain criteria were met. As Lessor: We lease most of We recognize the total minimum lease payments provided for under the operating leases on a straight-line basis over the lease term. Generally, under the terms of our leases, the majority of our rental expenses, including common area maintenance, real estate taxes and insurance, are recovered from our customers. We record amounts reimbursed by customers in the period that the applicable expenses are incurred, which is generally ratably throughout the term of the lease. have elected the package of practical expedients that allows lessors to not separate lease and non-lease components by class of underlying asset. This practical expedient allowed us to not separate expenses reimbursed by our customers (“tenant reimbursements”) from the associated rental revenue if certain criteria were met. We assessed these criteria and concluded that the timing and pattern of transfer for rental revenue and the associated tenant reimbursements are the same, and for the leases that qualify as operating leases, we accounted for and presented rental revenue and tenant reimbursements as a single component under Lease revenue in our consolidated statements of income for the twelve months ended December 31, 2021, 2020 and 2019. On December 31, 2021, as a result of the asset purchase and sale transaction with UHS, the real estate assets of two wholly-owned subsidiaries of UHS were transferred to us (Aiken and Canyon Creek). As discussed in Note 1, these assets are accounted for as financing arrangements and our Consolidated Balance Sheet at December 31, 2021 reflects a financing receivable for the $82.4 million fair value of the real estate assets that we received. The monthly lease payments received from the wholly-owned subsidiaries of UHS will be recorded to interest income and reduce the outstanding financing receivable. Lease revenue will not be impacted by the lease payments received related to these two properties. The components of the “Lease revenue – UHS facilities” and “Lease revenue – Non-related parties” captions for the years ended 2021, 2020 and 2019 are disaggregated below (in thousands). Base rents are primarily stated rent amounts provided for under the leases that are recognized on a straight-line basis over the term of the lease. Bonus rents and tenant reimbursements represent amounts where tenants are contractually obligated to pay an amount that is variable in nature. Year Ended December 31, 2021 2020 2019 UHS Facilities: Base rents $ 21,498 $ 17,302 $ 16,660 Bonus rents 6,906 6,116 5,551 Tenant reimbursements 1,492 1,153 884 Lease Revenue - UHS facilities $ 29,896 $ 24,571 $ 23,095 Non-related parties: Base rents $ 41,880 $ 41,562 $ 42,295 Tenant reimbursements 10,444 10,000 9,725 Lease Revenue - Non-related parties $ 52,324 $ 51,562 $ 52,020 Disclosures Related to Certain Hospital Facilities: Lease Renewal: Wellington Regional Medical Center: Upon the December 31, 2021 expiration of the lease on this acute care hospital located in West Palm Beach, Florida, a wholly-owned subsidiary of UHS exercised its fair market value renewal option and renewed the lease for a 5-year term scheduled to expire on December 31, 2026. Effective January 1, 2022, the annual fair market value lease rate for this hospital, which is payable to us monthly, is $6.3 million (there is no longer a bonus rental component of the lease payment). Beginning on January 1, 2023, and thereafter on each January 1 st Asset Purchase and Sale Agreement: Southwest Healthcare System, Inland Valley Campus, Aiken Regional Medical Center and Canyon Creek Behavioral Health: On December 31, 2021, a wholly-owned subsidiary of UHS entered into an asset purchase and sale agreement with us. Pursuant to the agreement: (i) a wholly-owned subsidiary of UHS purchased the real estate assets of the Inland Valley Campus of Southwest Healthcare System (“Inland Valley”) from us at its fair market value of $79.6 million; (ii) UHS transferred the real estate assets of two properties to us at their fair market values, consisting of Aiken Regional Medical Center (“Aiken”), which includes an acute care hospital and a behavioral health pavilion, at its fair market value of $57.7 million, and Canyon Creek Behavioral Health (“Canyon Creek”) at its fair market value of $24.7 million, and; (iii) we paid approximately $2.8 million in cash to UHS since the aggregate fair market value of Aiken and Canyon Creek ($82.4 million) exceeded the fair market value of Inland Valley ($79.6 million). The transaction is accounted for as a failed sale leaseback and is therefore recorded as a financing arrangement instead of a real estate investment on our Consolidated Balance Sheet at December 31, 2021. The aggregate annual rental during 2022, pursuant to the leases for Aiken and Canyon Creek (payable to us on a monthly basis), amounts to approximately $5.6 million (there is no bonus rental component on either of these leases) and as mentioned above, the lease payments received by us for these two facilities will be recorded as interest income and reduce the outstanding $82.4 million financing receivable that is recorded on our Consolidated Balance Sheet at December 31, 2021. Pursuant to the terms of the lease on the Inland Valley Campus, we earned $4.5 million of lease revenue during the year ended December 31, 2021 (consisting of $2.6 million in base rental and $1.9 million in bonus rental) and $4.4 million during the year ended December 31, 2020 (consisting of $2.6 million in base rental and $1.8 million in bonus rental). Vacant Properties: Evansville, Indiana, Corpus Christi, Texas and Chicago, Illinois: The leases on two specialty facilities, located in Evansville, Indiana, and Corpus Christi, Texas, expired on May 31, 2019 and June 1, 2019, respectively. Each facility has remained vacant since 2019. The lease on the 4058 W. Melrose specialty facility, located in Chicago, Illinois, expired on December 31, 2021 and the facility is currently vacant. Pursuant to the terms of the lease on the 4058 W. Melrose property, we earned approximately $1.6 million of lease revenue during each of the years ended December 31, 2021 and 2020, and approximately $1.5 million during the year ended December 31, 2019. The aggregate annual operating expenses (excluding depreciation and amortization expense) incurred by us in connection with the Evansville, Indiana, and Corpus Christi, Texas, facilities amounted to $737,000 during 2021. The former tenant was responsible for the operating expenses of the Chicago, Illinois, property during 2021. The 2022 aggregate operating expenses for the three vacant specialty facilities, including the facility in Illinois, are estimated to be approximately $2.5 million annually. Future operating expenses related to these three facilities will be incurred by us during the time they remain owned and vacant. We continue to market each of these properties to potential interested parties. However, should the properties continue to remain vacant for an extended period of time, or should we experience a decrease in the lease rates on a future leases, as compared to the previous leases, or incur substantial renovations costs to make the properties suitable for another operator/tenant, our future results of operations could be materially unfavorably impacted. 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): For the year ended December 31, Amount 2022 $ 66,397 2023 61,045 2024 53,385 2025 48,659 2026 44,520 Thereafter 146,870 Total minimum base rents $ 420,876 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. ASU 2016-02 requires that lessors expense certain initial direct costs, which were capitalized under the previous leasing standard, as incurred. ASU 2016-02 also requires that only the incremental costs of signing a lease be capitalized, which was consistent to our historical practice. As Lessee: We are the lessee with various third parties, including subsidiaries of UHS, in connection with ground leases for land at fourteen of our consolidated properties. Our right-of-use land assets represent our right to use the land for the lease term and our lease liabilities represent our obligation to make lease payments arising from the leases. Right-of-use assets and lease liabilities were recognized upon adoption of Topic 842 based on the present value of lease payments over the lease term. We utilized our estimated incremental borrowing rate, which was derived from information available as of January 1, 2019, in determining the present value of lease payments. As of December 31, 2021, our consolidated balance sheet includes right-of-use land assets of approximately $11.5 million and ground lease liabilities of approximately $11.5 million. The components of lease expense payments were as follows (in thousands): Year Ended December 31, 2021 2020 Operating lease cost $ 508 $ 480 Total lease cost $ 508 $ 480 During the years ended December 31, 2021 and 2020, the cash paid for amounts included in the measurement of lease liabilities related to our operating leases was approximately $508,000 and $480,000, respectively, which is included as an operating cash outflow within the consolidated statement of cash flows and included in other operating expenses within the consolidated statements of income. The operating lease expense of $508,000 for 2021 includes the impact of a ground lease related to a previously unconsolidated LLC that we began consolidating during 2021, as well as the impact of a ground lease on an MOB that was divested during 2021. As of and during the year ended December 31, 2020, we did not enter into any lease agreements for our consolidated properties set to commence in the future and there were no newly leased assets for which a right-of-use asset was recorded in exchange for a new lease liability. Supplemental balance sheet information related to leases was as follows (in thousands): December 31, 2021 Operating Leases Right-of-use land assets-operating leases $ 11,495 Total lease liabilities $ 11,495 Weighted Average remaining lease term, years Operating leases 57.9 Weighted Average discount rate Operating leases 5.07 % As of December 31, 2021, we are the lessee with various third parties, including subsidiaries of UHS, in connection with ground leases for land at fourteen of our consolidated properties. Total consolidated amounts expensed relating to the applicable leases in 2021, 2020 and 2019 was approximately $508,000, $480,000 and $480,000, respectively. The following table summarizes fixed, future minimum rental payments, excluding variable costs, which are discounted by our incremental borrowing rate to calculate the lease liabilities for our operating leases in which we are the lessee. We do not include renewal options in the lease term for calculating the lease liability unless we are reasonably certain we will exercise the option. Maturities of lease liabilities are as follows (amounts in thousands): Year ended December 31: 2022 $ 618 2023 618 2024 618 2025 618 2026 618 Later years 32,491 Total undiscounted lease payments $ 35,581 Less imputed interest 24,086 Total $ 11,495

Debt and Financial Instruments

Debt and Financial Instruments	12 Months Ended
	Dec. 31, 2021
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 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 ATM 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 agreement 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 July 2, 2021, we entered into an amended and restated revolving credit agreement (“Credit Agreement”) to amend and restate the previously existing $350 million credit agreement, as amended and dated June 5, 2020 (“Prior Credit Agreement”). Among other things, under the Credit Agreement, our aggregate revolving credit commitment was increased to $375 million from $350 million. The Credit Agreement, which is scheduled to mature on July 2, 2025, provides for a revolving credit facility in an aggregate principal amount of $375 million, including a $40 million sublimit for letters of credit and a $30 million sublimit for swingline/short-term loans. Under the terms of the Credit Agreement, we may request that the revolving line of credit be increased by up to an additional $50 million. Borrowings under the new facility are guaranteed by certain subsidiaries of the Trust. In addition, borrowings under the new facility are secured by first priority security interests in and liens on all equity interests in most of the Trust’s wholly-owned subsidiaries. Borrowings under the Credit Agreement will bear interest annually at a rate equal to, at our option, at either LIBOR (for one, three, or six months) or the Base Rate, plus in either case, a specified margin depending on our ratio of debt to total capital, as determined by the formula set forth in the Credit Agreement. The applicable margin ranges from 1.10% to 1.35% for LIBOR loans and 0.10% to 0.35% for Base Rate loans. The initial applicable margin is 1.25% for LIBOR loans and 0.25% for Base Rate loans. 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%. The Trust will also pay a quarterly commitment fee ranging from 0.15% to 0.35% (depending on the Trust’s ratio of debt to asset value) of the average daily unused portion of the revolving credit commitments. The Credit Agreement also provides for options to extend the maturity date and borrowing availability for two additional six-month periods. The margins over LIBOR, Base Rate and the facility fee are based upon our total leverage ratio. At December 31, 2021, the applicable margin over the LIBOR rate was %, the margin over the Base Rate was % and the facility fee was 0.25%. At December 31, 2021, we had $271.9 million of outstanding borrowings and $3.2 million of letters of credit outstanding under our Credit Agreement. We had $99.9 million of available borrowing capacity, net of the outstanding borrowings and letters of credit outstanding as of December 31, 2021. The carrying amount and fair value of borrowings outstanding pursuant to the Credit Agreement was $271.9 million at December 31, 2021. There are no compensating balance requirements. The average amount outstanding under our Credit Agreement during the years ended December 31, 2021, 2020 and 2019 was $253.5 million, $219.1 million and $198.3 million, respectively, with corresponding effective interest rates of 2.2%, 2.4% and 3.7%, respectively, including commitment fees and interest rate swaps/caps. The following table includes a summary of the required compliance ratios at December 31, 2021 and 2020, giving effect to the covenants contained in the Credit Agreements in effect on the respective dates (dollar amounts in thousands): December 31, 2021 December 31, 2020 Covenant UHT Covenant UHT Tangible net worth $ 125,000 $ 225,355 $ 125,000 $ 147,263 Total leverage < 60 % 43.1 % < 60 % 44.8 % Secured leverage < 30 % 7.4 % < 30 % 8.6 % Unencumbered leverage < 60 % 41.9 % < 60 % 41.4 % Fixed charge coverage > 1.50x 4.8x > 1.50x 4.7x As indicated on the following table, we have various mortgages, all of which are non-recourse to us and are not cross-collateralized, included on our consolidated balance sheet as of December 31, 2021 and 2020 (amounts in thousands): As of 12/31/2021 As of 12/31/2020 Facility Name Interest Rate Maturity Date Outstanding Balance (in thousands)(a.) Outstanding Balance (in thousands) 700 Shadow Lane and Goldring MOBs fixed rate mortgage loan (b.) 4.54 % June, 2022 $ 5,210 $ 5,437 BRB Medical Office Building fixed rate mortgage loan (b.) 4.27 % December, 2022 5,280 5,505 Desert Valley Medical Center fixed rate mortgage loan (b.) 3.62 % January, 2023 4,356 4,511 2704 North Tenaya Way fixed rate mortgage loan 4.95 % November, 2023 6,418 6,576 Summerlin Hospital Medical Office Building III fixed rate mortgage loan 4.03 % April, 2024 12,806 13,043 Tuscan Professional Building fixed rate mortgage loan 5.56 % June, 2025 2,343 2,933 Phoenix Children’s East Valley Care Center fixed rate mortgage loan 3.95 % January, 2030 8,466 8,718 Rosenberg Children's Medical Plaza fixed rate mortgage loan 4.42 % September, 2033 12,273 12,508 Total, excluding net debt premium and net financing fees 57,152 59,231 Less net financing fees (376 ) (477 ) Plus net debt premium 90 141 Total mortgage notes payable, non-recourse to us, net $ 56,866 $ 58,895 (c.) All mortgage loans require monthly principal payments through maturity and either fully amortize or include a balloon principal payment upon maturity. (d.) 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 outstanding as of December 31, 2021 had a combined carrying value of approximately $57.2 million and a combined fair value of approximately $59.4 million. At December 31, 2020, we had various mortgages, all of which were non-recourse to us, included in our consolidated balance sheet. The combined outstanding balance of these various mortgages was $59.2 million and these mortgages had a combined fair value of approximately $62.0 million. The fair value of our debt was computed based upon quotes received from financial institutions. We consider these to be “level 2” in the fair value hierarchy as outlined in the authoritative guidance for disclosure 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. As of December 31, 2021, our aggregate consolidated scheduled debt repayments (including mortgages) are as follows (amounts in thousands): 2022 $ 12,197 2023 11,892 2024 13,550 2025 (a.) 272,839 2026 601 Later 17,973 Total $ 329,052 (a.) Includes assumed repayment of $271.9 million of outstanding borrowings under the terms of our $375 million revolving credit agreement scheduled to mature in July, 2025 Financial Instruments: In March 2020, we entered into an In January 2020, we entered into an During the third quarter of 2019, we entered into an We measure our interest rate swaps at fair value on a recurring basis. The fair value of our interest rate swaps is based on quotes from third parties. We consider those inputs to be “level 2” in the fair value hierarchy as outlined in the authoritative guidance for disclosures in connection with derivative instruments and hedging activities. At December 31, 2021, the fair value of our interest rate swaps was a net asset of $1.1 million which is included in deferred charges and other assets on the accompanying consolidated balance sheet. During the twelve months of 2021, we paid or accrued approximately $1.3 million in net payments made to the counterparty by us, adjusted for accruals, pursuant to the terms of the swaps. From inception of the swap agreements through December 31, 2021 we paid or accrued approximately $1.9 million in net payments made to the counterparty by us pursuant to the terms of the swap (consisting of approximately $198,000 in payments or accruals made to us by the counterparty, offset by approximately $2.1 million of payments due to the counterparty from us). During the twelve months of 2020, we paid or accrued approximately $733,000 in net payments made to the counterparty by us, adjusted for accruals, pursuant to the terms of the swaps (consisting of approximately $824,000 in payments, adjusted for accruals, or accruals made to the counterparty by us, offset by approximately $91,000 of payments paid to us by the counterparty). Cash flow hedges are accounted for by recording the fair value of the derivative instrument on the balance sheet as either an asset or a liability, with a corresponding amount recorded in accumulated other comprehensive income (“AOCI”) within shareholders’ equity. Amounts are classified from AOCI to the income statement in the period or periods the hedged transaction affects earnings. During the second quarter of 2016, we entered into an March 2019 During the third quarter of 2016, we entered into an March, 2019

Dividends and Equity Issuance P

Dividends and Equity Issuance Program	12 Months Ended
	Dec. 31, 2021
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: • 2021: $2.80 per share of which $2.51 per share was ordinary income, $.16 per share was non-dividend distributions and $.13 per share was total capital gain (total capital gain amount includes Unrecaptured Section 1250 gain of $.04 per share). • 2020: $2.76 per share of which $2.43 per share was ordinary income and $.33 per share was non-dividend distributions (there was no capital gain and no Unrecaptured Section 1250 gain in 2020). • 2019: $2.72 per share of which $2.48 per share was ordinary income and $.24 per share was total capital gain (there was no Unrecaptured Section 1250 gain in 2019). Equity Issuance Program: During the second quarter of 2020, we commenced an 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 $100 million to or through our agent banks. The common shares will be offered pursuant to the Registration Statement filed with the Securities and Exchange Commission, which became effective in June 2020. No shares were issued pursuant to this ATM equity program during the twelve months ended December 31, 2021. Since inception, pursuant to this ATM equity program, we have issued 2,704 shares at an average price of $101.30 per share, which generated approximately $270,000 of net proceeds (net of compensation to BofA Securities, Inc. of approximately $4,000). Additionally, as of December 31, 2021, we have paid or incurred approximately $508,000 in various fees and expenses related to the commencement of our ATM program.

Incentive Plans

Incentive Plans	12 Months Ended
	Dec. 31, 2021
Postemployment Benefits [Abstract]
Incentive Plans	(7) INCENTIVE PLANS During 2007, our Board of Trustees and shareholders approved the Universal Health Realty Income Trust 2007 Restricted Stock Plan which was amended and restated in 2020 and 2016 (the “2007 Plan”). An aggregate of 175,000 shares (as amended in 2020) were authorized for issuance under this plan and a total of 127,805 shares, net of cancellations, have been issued pursuant to the terms of this plan, 106,275 of which have vested as of December 31, 2021. At December 31, 2021 there are 47,195 shares remaining for issuance under the terms of the 2007 Plan. During 2021, there were 10,765 restricted Shares of Beneficial Interest, net of cancellations, issued to the Trustees, officers and other personnel of the Trust pursuant to the 2007 Plan at a weighted average grant price of $71.69 per share (approximately $772,000 in the aggregate). These restricted shares are scheduled to vest in June of 2023 (the second anniversary date of the grant). Pursuant to the restricted shares issued during 2021, dividends on unvested stock will be deferred and accumulated prior to the vesting of the shares and paid, in either cash and/or stock, in the aggregate on the vesting date on the shares that ultimately vest. During 2020, there were 10,765 restricted Shares of Beneficial Interest, net of cancellations, issued to the Trustees, officers and other personnel of the Trust pursuant to the 2007 Plan at a weighted average grant price of $96.74 per share ($1.0 million in the aggregate). These restricted shares are scheduled to vest in June of 2022 (the second anniversary date of the grant). Pursuant to the restricted shares issued during 2020, dividends on unvested stock will be deferred and accumulated prior to the vesting of the shares and paid, in either cash and/or stock, in the aggregate on the vesting date on the shares that ultimately vest. During 2019, there were 10,980 restricted Shares of Beneficial Interest, net of cancellations, issued to the Trustees, officers and other personnel of the Trust pursuant to the 2007 Plan at a weighted average grant price of $84.24 per share ($924,955 in the aggregate). These restricted shares vested in June of 2021 (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 $947,000, $912,000 and $702,000 during 2021, 2020 and 2019, respectively. The remaining expense associated with these grants is approximately $769,000 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, 2021. There were no stock options outstanding or exercised during 2021, 2020 or 2019.

Summarized Financial Informatio

Summarized Financial Information of Equity Affiliates	12 Months Ended
	Dec. 31, 2021
Equity Method Investments And Joint Ventures [Abstract]
Summarized Financial Information of Equity Affiliates	(8) SUMMARIZED FINANCIAL INFORMATION OF EQUITY AFFILIATES In accordance with U. S. GAAP 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. Distributions received from equity method investees in the consolidated statements of cash flows are classified based on the nature of the distribution. Returns on investments are presented net of equity in income from unconsolidated investments as cash flows from operating activities. Returns of investment are classified as cash flows from investing activities. At December 31, 2021, we have non-controlling equity investments or commitments in four jointly-owned LLCs/LPs which own MOBs. As of December 31, 2021, we accounted for these LLCs/LPs on an unconsolidated basis pursuant to the equity method since they are not variable interest entities which we are the primary beneficiary nor do we have a controlling voting interest. The majority of these entities are joint-ventures between us and non-related parties that 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 funding is typically advanced as equity or member loans. These entities maintain property insurance on the properties. During the fourth quarter of 2021, we purchased the 5% minority ownership interest, held by the third-party member in Grayson Properties LP which owns the Texoma Medical Plaza, in which we previously held a noncontrolling majority ownership interest. As a result of this minority ownership purchase, we now own 100% of the LP and began to account for it on a consolidated basis effective November 1, 2021. Prior to November 1, 2021, the LP was accounted for on an unconsolidated basis pursuant to the equity method. The following property table represents the four LLCs or LPs in which we own a non-controlling interest and were accounted for under the equity method as of December 31, 2021: Name of LLC/LP Ownership Property Owned by LLC/LP Suburban Properties 33 % St. Matthews Medical Plaza II Brunswick Associates (a.)(b.) 74 % Mid Coast Hospital MOB FTX MOB Phase II (c.) 95 % Forney Medical Plaza II Grayson Properties II (d.)(e.) 95 % Texoma Medical Plaza II (a.) This LLC refinanced its fixed rate mortgage during the fourth quarter of 2020 (as reflected in the mortgage loan table below) and has a third-party term loan of $8.9 million, which is non-recourse to us, outstanding as of December 31, 2021. (b.) W e are the lessee with a third party on a ground lease for land . (c.) During the first quarter of 2021, this LP paid off its $4.7 million mortgage loan, upon maturity, utilizing pro rata equity contributions from the limited partners as well as a $3.5 million member loan from us to the LP which was funded utilizing borrowings from our revolving credit agreement. (d.) Construction on this MOB was substantially completed in December 2020. The MOB is located in Denison, Texas on the campus of a hospital owned and operated by a wholly-owned subsidiary of UHS. We have committed to invest up to $4.8 million in equity and debt financing, $1.8 million of which has been funded as of December 31, 2021. This LLP entered into a $13.1 million third-party construction loan, which is non-recourse to us and has an outstanding balance of $13.1 million as of December 31, 2021. The LP developed constructed, owns and operates the Texoma Medical Plaza II. (e.) We are the lessee with a UHS-related party for the land related to this property. Below are the combined statements of income for the four LLCs/LPs accounted for under the equity method at December 31, 2021 and the four LLCs/LPs accounted for under the equity method as of December 31, 2020 and 2019. The 2020 and 2019 periods do not include the newly constructed Texoma Medical Plaza II that was substantially completed in December, 2020. The data for the year ended December 31, 2021 includes financial results for the above-mentioned Texoma Medical Plaza in which we purchased the minority ownership interest during the fourth quarter of 2021, for the period of January through October of 2021 only (during which it was accounted for under the equity method). For the Year Ended December 31, 2021 2020 2019 (amounts in thousands) Revenues $ 10,575 $ 9,973 $ 10,063 Operating expenses 4,093 3,979 4,046 Depreciation and amortization 2,198 1,827 1,758 Interest, net 1,721 1,296 1,295 Net income $ 2,563 $ 2,871 $ 2,964 Our share of net income $ 1,796 $ 1,706 $ 1,796 Below are the combined balance sheets for the four LLCs/LPs that were accounted for under the equity method as of December 31, 2021 (excludes the balance sheet for the above-mentioned Texoma Medical Plaza in which we purchased the minority ownership interest during the fourth quarter of 2021 and began accounting for this LP on a consolidated basis on November 1, 2021) and the five LLCs/LPs that were accounted for under the equity method as of December 31, 2020 (including Texoma Medical Plaza I): December 31, 2021 2020 (amounts in thousands) Net property, including construction in progress $ 30,983 $ 42,374 Other assets (a.) 4,574 8,818 Total assets $ 35,557 $ 51,192 Other liabilities (a.) $ 2,797 $ 9,402 Mortgage notes payable, non-recourse to us 22,068 39,735 Advances payable to us (b.) 3,500 — Equity 7,192 2,055 Total liabilities and equity $ 35,557 $ 51,192 Investments in LLCs before amounts included in accrued expenses and other liabilities 10,139 4,278 Amounts included in accrued expenses and other liabilities (1,784 ) (3,020 ) Our share of equity in LLCs, net $ 8,355 $ 1,258 (a.) Other assets and other liabilities as of December 31, 2021 and 2020 include approximately $656,000 and $4.3 million, respectively, of right-of-use land assets and right-of-use land liabilities related to ground leases whereby the LLC/LP is the lessee, with third parties, including subsidiaries of UHS. (b.) Consists of a 7.25% member loan to FTX MOB Phase II, LP with a maturity date of March 1, 2023. As of December 31, 2021, 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): 2022 $ 265 2023 597 2024 613 2025 12,704 2026 293 2027 and thereafter 7,596 Total $ 22,068 Mortgage Loan Balance (a.) Name of LLC/LP 12/31/2021 12/31/2020 Maturity Date FTX MOB Phase II (5.00% fixed rate mortgage loan) (b.) $ - $ 4,777 February, Grayson Properties (5.034% fixed rate mortgage loan) (c.) — 13,372 September, 2021 Brunswick Associates (2.80% fixed rate mortgage loan) 8,993 9,250 December, 2030 Grayson Properties II (3.70% fixed rate construction loan) (d.) 13,075 12,336 June, 2025 $ 22,068 $ 39,735 (a.) All mortgage loans require monthly principal payments through maturity and include a balloon principal payment upon maturity. (b.) Upon maturity in February, 2021 this LP paid off this mortgage loan utilizing pro rata equity contribution from the limited partners as well as a $3.5 million member loan from us to the LP which was funded utilizing borrowings from our revolving credit agreement. (c.) Upon maturity in September, 2021 this LP paid off its mortgage utilizing an equity contribution from us, which was funded utilizing borrowings from our revolving credit agreement. (d.) This construction loan has a maximum balance of $13.1 million and requires interest on the outstanding principal balance to be paid on a monthly basis through December 1, 2022. Monthly principal and interest payments are scheduled to commence on January 1, 2023. Pursuant to the operating and/or partnership agreements of the four 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, 2021
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. No individual property meets the requirements necessary to be considered its own reportable segment.

Real Estate and Accumulated Dep

Real Estate and Accumulated Depreciation	12 Months Ended
	Dec. 31, 2021
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, 2021 (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, 2021 Acquisition or Significant improvement Date Acquired Average Depreciable Life McAllen Medical Center McAllen, Texas — 4,720 31,442 10,189 6,281 40,070 46,351 31,002 1994 1986 42 Years Wellington Regional Medical Center West Palm Beach, Florida — 1,190 14,652 17,370 1,663 31,549 33,212 22,914 2006 1986 42 Years Evansville Facility Evansville, Indiana — 500 6,945 1,062 500 8,007 8,507 6,490 1993 1989 40 Years 4058 W. Melrose Facility 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 1,235 1991 1995 45 Years Professional Buildings at King’s Crossing Kingwood, Texas (d.) — 439 1,837 (297 ) 439 1,540 1,979 436 1995 1995 45 Years Chesterbrook Academy Audubon, Pennsylvania — 307 996 — 307 996 1,303 564 1996 1996 45 Years Chesterbrook Academy New Britain, Pennsylvania — 250 744 — 250 744 994 429 1991 1996 45 Years Chesterbrook Academy Uwchlan, Pennsylvania — 180 815 — 180 815 995 462 1992 1996 45 Years Chesterbrook Academy Newtown, Pennsylvania — 195 749 — 195 749 944 430 1992 1996 45 Years The Southern Crescent Center I (b.) — 1,130 5,092 (2,060 ) 1,130 3,032 4,162 2,667 1994 1996 45 Years The Southern Crescent Center II (b.) Riverdale, Georgia — — — 5,338 806 4,532 5,338 3,426 2000 1998 35 Years The Cypresswood Professional Center Spring, Texas (e.) — 573 3,842 (2,509 ) 573 1,333 1,906 338 1997 1997 35 Years 701 South Tonopah Building Las Vegas, Nevada (f.) — — 1,579 68 — 1,647 1,647 1,461 1999 1999 25 Years Danbury Medical Plaza Danbury, Connecticut — 1,151 5,176 1,382 1,151 6,558 7,709 4,474 2000 2000 30 Years Corpus Christi Facility Corpus Christi, Texas — 1,104 5,508 — 1,104 5,508 6,612 2,187 2008 2008 35 Years Apache Junction Medical Plaza Apache Junction, AZ — 240 3,590 1,414 240 5,004 5,244 2,575 2004 2004 30 Years BRB Medical Office Building Kingwood, Texas 5,280 430 8,970 575 430 9,545 9,975 2,956 2010 2010 37 Years Centennial Hills Medical Office Building Las Vegas, NV (f.) — — 19,890 3,388 — 23,278 16 23,294 8,498 2006 2006 34 Years Desert Springs Medical Plaza Las Vegas, NV — 1,200 9,560 2,772 1,200 12,332 13,532 4,925 1998 1998 30 Years 700 Shadow Lane & Goldring MOBs Las Vegas, NV 5,210 400 11,300 5,251 400 16,551 784 17,735 6,936 2003 2003 30 Years Spring Valley Hospital MOB I Las Vegas, NV (f.) — — 9,500 1,695 — 11,195 34 11,229 4,187 2004 2004 35 Years Spring Valley Hospital MOB II Las Vegas, NV (f.) — — 9,800 2,191 — 11,991 22 12,013 4,066 2006 2006 34 Years Summerlin Hospital MOB I Las Vegas, NV — 460 15,440 2,031 460 17,471 205 18,136 7,213 1999 1999 30 Years Schedule III Universal Health Realty Income Trust Real Estate and Accumulated Depreciation — December 31, 2021 (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, 2021 Acquisition or Significant improvement Date Acquired Average Depreciable Life Summerlin Hospital MOB II Las Vegas, NV — 370 16,830 1,763 370 18,593 197 19,160 7,440 2000 2000 30 Years Summerlin Hospital MOB III Las Vegas, NV (f.) 12,806 — 14,900 2,671 — 17,571 38 17,609 5,631 2009 2009 36 Years Emory at Dunwoody Building Dunwoody, GA — 782 3,455 — 782 3,455 4,237 1,314 2011 2011 35 Years Forney Medical Plaza Forney, TX — 910 11,960 179 910 12,139 115 13,164 4,590 2011 2011 35 Years Lake Pointe Medical Arts Building Rowlett, TX — 1,100 9,000 434 1,100 9,434 10,534 3,295 2011 2011 35 Years Tuscan Professional Building Irving, TX 2,343 1,100 12,525 2,013 1,100 14,538 5 15,643 5,478 2011 2011 35 Years Peace Health Medical Clinic Bellingham, WA — 1,900 24,910 921 1,900 25,831 27,731 8,398 2012 2012 35 Years Northwest Texas Professional Office Tower Amarillo, TX (f.) — — 7,180 1,390 — 8,570 8,570 2,395 2012 2012 35 Years Ward Eagle Office Village Farmington Hills, MI — 220 3,220 106 220 3,326 3,546 1,013 2013 2013 35 Years 5004 Poole Road MOB Denison, TX — 96 529 — 96 529 625 152 2013 2013 35 Years Desert Valley Medical Center Phoenix, AZ 4,356 2,280 4,624 1,203 2,280 5,827 8,107 1,978 1996 1996 30 Years Hanover Emergency Center Mechanicsville, VA — 1,300 6,224 — 1,300 6,224 7,524 1,535 2014 2014 35 Years Haas Medical Office Park Ottumwa, IA (g.) — — 3,571 — — 3,571 3,571 824 2015 2015 35 Years South Texas ER at Mission Mission, TX — 1,441 4,696 — 1,441 4,696 6,137 1,089 2015 2015 35 Years North Valley Medical Plaza Phoenix, AZ — 930 6,929 2,265 930 9,194 16 10,140 2,951 2010 2010 30 Years Northwest Medical Center at Sugar Creek Bentonville, AR — 1,100 2,870 — 1,100 2,870 3,970 768 2014 2014 35 Years Rosenberg Children’s Medical Plaza Phoenix, AZ (g.) 12,273 — 23,302 148 — 23,450 23,450 5,855 2001 2001 35 Years Phoenix Children’s East Valley Care Center Phoenix, AZ 8,466 1,050 10,900 — 1,050 10,900 11,950 2,714 2006 2006 35 Years Palmdale Medical Plaza Palmdale, CA (f.) — — 10,555 1,847 — 12,402 2 12,404 3,504 2008 2008 34 Years Piedmont-Roswell Physician Center Sandy Springs, GA — 2,338 2,128 — 2,338 2,128 4,466 613 2015 2015 30 Years Piedmont-Vinings Physician Center Vinings, GA — 1,348 2,418 — 1,348 2,418 3,766 673 2015 2015 30 Years Santa Fe Professional Plaza Scottsdale, AZ — 1,090 1,960 639 1,090 2,599 7 3,696 912 1999 1999 30 Years Sierra San Antonio Medical Plaza Fontana, CA (g.) — — 11,538 876 — 12,414 3 12,417 3,777 2006 2006 30 Years Vista Medical Terrace & Sparks MOB Sparks, NV (f.) — — 9,276 2,163 — 11,439 11,439 3,939 2008 2008 2008 Schedule III Universal Health Realty Income Trust Real Estate and Accumulated Depreciation — December 31, 2021 (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, 2021 Acquisition or Significant improvement Date Acquired Average Depreciable Life South Texas ER at Weslaco Weslaco ,TX — 1,749 4,879 — 1,749 4,879 6,628 1,140 2015 2015 35 Years Chandler Corporate Center III Chandler, AZ — 2,328 14,131 — 2,328 14,131 16,459 3,798 2016 2016 35 Years Frederick Crestwood MOB Frederick, MD — 2,265 18,731 — 2,265 18,731 20,996 3,833 2016 2016 35 Years Madison Professional Office Building Madison, AL — 2,296 6,411 10 2,296 6,421 8,717 1,505 2016 2016 35 Years Tenaya Medical Office Building Las Vegas, NV 6,418 3,032 10,602 — 3,032 10,602 13,634 2,048 2016 2016 35 Years Henderson Medical Plaza Henderson, NV (f.) — — 10,718 8,478 — 19,196 1,343 20,539 5,363 2017 2017 35 Years Hamburg Medical Building Hamburg, PA — 696 3,406 — 696 3,406 4,102 612 2017 2017 35 Years Las Palmas Del Sol Emergency Center - West El Paso, TX — 801 5,029 — 801 5,029 5,830 806 2017 2017 35 Years Beaumont Medical Sleep Center Building Southfield, MI — 254 2,968 — 254 2,968 3,222 427 2018 2018 35 Years Clive Behavioral Health Clive, IA — 1,330 — 33,954 1,330 33,954 35,284 1,419 2020 2019 35 Years Bellin Health Family Medical Center Escanaba, MI — 605 3,906 — 605 3,906 4,511 334 2019 2019 35 Years Sand Point Medical Properties Escanaba, MI — 265 1,654 — 265 1,654 1,919 68 2020 2020 35 Years 2700 Fire Mesa, LLC Las Vegas, NV 2,400 9,671 2,400 9,671 12,071 302 2021 2021 35 Years Texoma Medical Plaza Denison, TX (f)(h) — 19,771 45 — 19,816 19,816 4,978 2021 2021 39 Years Sierra Medical Plaza I Reno, NV (f)(i) — — — — — 2,858 2,858 0 2022 2021 TOTALS (j.) $ 57,152 $ 52,057 $ 492,734 $ 113,297 $ 54,897 $ 603,191 $ 5,645 $ 663,733 $ 225,584 a. Consists of costs subsequent to acquisition that were capitalized, divested or written down in connection with asset impairments and hurricane related damage. 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, 2021 on third-party debt that is non-recourse to us. d. Carrying value of depreciable assets were written down to zero as a result of substantial damage from Hurricane Harvey during the third quarter of 2017. e. Carrying value of depreciable assets were written down as a result of substantial damage from Hurricane Harvey during the third quarter of 2017. f. We are the lessee with a UHS-related party on a ground lease for land. g. We are the lessee with a third party on a ground lease for land. h. We purchased the 5% minority interest held by a third party during the fourth quarter of 2021. As a result of the minority interest purchase, we own 100% of the LP. i . New construction project for an MOB that will be located on the campus of a UHS wholly-owned hospital that is also under construction at December 31, 2021. j. The aggregate cost for federal income tax purposes is $672 million (unaudited) with a net book value of $417 million (unaudited). In addition to the real estate properties listed in the table above, as part of an asset purchase and sale agreement with UHS, as discussed herein, a wholly-owned subsidiary of UHS purchased the real estate assets of the Inland Valley Campus of Southwest Healthcare System from us, and transferred the real estate assets of two wholly-owned subsidiaries of UHS (Aiken Regional Medical Center and Canyon Creek Behavioral Health). The real estate assets received from UHS are recorded as a financing receivable from UHS on our Consolidated Balance Sheet at December 31, 2021. Please see Note 2 and Note 3 for additional disclosure. UNIVERSAL HEALTH REALTY INCOME TRUST NOTES TO SCHEDULE III DECEMBER 31, 2021 (amounts in thousands) (1) RECONCILIATION OF REAL ESTATE PROPERTIES The following table reconciles the Real Estate Properties from January 1, 2019 to December 31, 2021: 2021 2020 2019 Balance at January 1, $ 660,449 $ 627,395 $ 611,046 Impact of consolidation of an LP (a.) 19,771 - - Additions (b.) 11,346 31,145 12,882 Acquisitions 12,071 1,919 4,510 Disposals/Divestitures (c.) (39,904 ) (10 ) (1,043 ) Balance at December 31, $ 663,733 $ 660,449 $ 627,395 (2) RECONCILIATION OF ACCUMULATED DEPRECIATION The following table reconciles the Accumulated Depreciation from January 1, 2019 to December 31, 2021: 2021 2020 2019 Balance at January 1, $ 216,648 $ 194,888 $ 173,316 Impact of consolidation of an LP (a.) 4,847 - - Disposals/Divestitures (c.) (19,796 ) (10 ) (220 ) Depreciation expense 23,885 21,770 21,792 Balance at December 31, $ 225,584 $ 216,648 $ 194,888 (a.) During the fourth quarter of 2021, we purchased the 5% minority ownership interest held by a third-party member in an LP in which we previously held a non-controlling majority ownership interest. As a result of this minority interest purchase, we now own 100% of the LP and the financial results are included in our consolidated financial statements. (b.) Included in the additions for 2021 are approximately $2.9 million related to the construction of a new medical office building located in Reno, Nevada. Included in the additions for 2020 are approximately $25.1 million related to the construction of Clive Behavioral Health, located in Clive, Iowa, for which construction was substantially completed in December 2020. Included in the additions for 2019 are approximately $6.9 million (including the land purchase) also related to the construction of Clive Behavioral Health which was substantially completed in December, 2020. (c.) 2021 includes the sale of the Auburn Medical Office Building II, the sale of the Children’s Clinic at Springdale as well as the exchange of Inland Valley Campus of Southwest Healthcare System, located in Wildomar, CA. 2019 includes the sale of the Kings Crossing II medical office building, as well as the sale of a parcel of land located at one of our buildings.

Organization and Summary of S_2

Organization and Summary of Significant Accounting Policies (Policies)	12 Months Ended
	Dec. 31, 2021
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, behavioral health care hospitals, specialty facilities, free-standing emergency departments, childcare centers and medical/office buildings. As of February 24, 2022, we have seventy-five real estate investments located in twenty-one states consisting of: • six hospital facilities consisting of three acute care hospitals and three behavioral health care hospitals; • four free-standing emergency departments (“FEDs”); • fifty-eight medical/office buildings (“MOBs”), including one under construction and including four owned by unconsolidated limited liability companies (“LLCs”)/limited liability partnerships (“LPs”); • four preschool and childcare centers, and; • three specialty facilities that are currently vacant. We are subject to risks associated with public health threats and epidemics, including the health concerns relating to the COVID-19 pandemic. In March 2020, the World Health Organization declared the COVID-19 outbreak a pandemic and the federal government declared COVID-19 a national emergency. As a result of various policies implemented by the federal and state governments, and varying by individual state, many non-essential businesses in the nation were closed for varying time periods. The COVID-19 vaccination process commenced during the first quarter of 2021. Since that time through the second quarter of 2021, the operators of our acute care hospitals had generally experienced a decline in COVID-19 patients as well as a corresponding recovery in non-COVID patient activity. However, during the third and fourth quarters of 2021, and continuing into the first quarter of 2022, the operators of our acute care hospitals and certain other facilities generally experienced an increase in COVID-19 patients resulting from the Delta and, more recently, the highly transmissible Omicron variants. Booster doses for COVID-19 vaccinations began during the third quarter of 2021, and while we expect the administration of vaccines booster doses will assist in easing the number of COVID-19 patients, the pace at which this is likely to occur is very difficult to predict. Although COVID-19 has not had a material adverse impact on our results of operations through December 31, 2021, we believe that the potentially adverse impact that the pandemic may have on the future operations and financial results of our tenants, and in turn ours, will depend upon many factors, most of which are beyond our, or our tenants’, ability to control or predict. Such factors include, but are not limited to, the length of time and severity of the spread of the pandemic; the volume of cancelled or rescheduled elective procedures and the volume of COVID-19 patients treated by the operators of our hospitals and other healthcare facilities; measures our tenants are taking to respond to the COVID-19 pandemic; the impact of government and administrative regulation, including travel bans and restrictions, shelter-in-place or stay-at-home orders, quarantines, the promotion of social distancing, business shutdowns and limitations on business activity; changes in patient volumes at our tenants’ hospitals and other healthcare facilities due to patients’ general concerns related to the risk of contracting COVID-19 from interacting with the healthcare system; the impact of stimulus on the health care industry and our tenants; changes in patient volumes and payer mix caused by deteriorating macroeconomic conditions (including increases in uninsured and underinsured patients as the result of business closings and layoffs); potential disruptions to clinical staffing and shortages and disruptions related to supplies required for our tenants’ employees and patients, including equipment, pharmaceuticals and medical supplies, particularly personal protective equipment, or PPE; potential increases to expenses incurred by our tenants related to staffing, supply chain or other expenditures; the impact of our indebtedness and the ability to refinance such indebtedness on acceptable terms; disruptions in the financial markets and the business of financial institutions as the result of the COVID-19 pandemic which could impact our ability to access capital or increase associated borrowing costs; and changes in general economic conditions nationally and regionally in the markets our properties are located resulting from the COVID-19 pandemic, including increased unemployment and underemployment levels and reduced consumer spending and confidence. These factors could have a material adverse effect on the future business, financial position and results of operations of the operators of our facilities, and in turn, ours. Bonus rents earned by us on one acute care hospital leased to a wholly-owned subsidiary of Universal Health Services, Inc., is computed based upon a computation that compares the hospital’s current quarter revenue to the corresponding quarter in the base year ; we could therefore experience a significant decline in future bonus rental revenue earned on th is propert y should th is hospital experience significant declines in patient volumes and revenues. Certain factors may result in the inability or unwillingness on the part of some of our tenants to make timely payment of their rent to us at current levels or to seek to amend or terminate their leases which, in turn, would have an adverse effect on our occupancy levels and our revenue and cash flow and the value of our properties, and potentially, our ability to maintain our dividend at current levels. Due to COVID-19 restrictions and its impact on the economy, we may experience a decrease in prospective tenants which could unfavorably impact the volume of new leases, as well as the renewal rate of existing leases. The COVID-19 pandemic could also impact our indebtedness and the ability to refinance such indebtedness on acceptable terms, as well as risks associated with disruptions in the financial markets and the business of financial institutions as the result of the COVID-19 pandemic which could impact us from a financing perspective; and changes in general economic conditions nationally and regionally in the markets our properties are located resulting from the COVID-19 pandemic. Decreases in cash flows and results of operations may have an impact on the inputs and assumptions used in significant accounting estimates, including potential impairments of intangible and long-lived assets. Our future results of operations could be unfavorably impacted by government regulations and 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 rental revenue (on one Universal Health Services, Inc. hospital facility) 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.
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 most real estate investments acquired from third parties. In accordance with current accounting guidance, we account for most of our property acquisitions as acquisitions of assets, which requires the capitalization of acquisition costs to the underlying assets and prohibits the recognition of goodwill or bargain purchase gains. The fair value of most of the real estate acquired is allocated to the acquired tangible assets, consisting primarily of land, building and tenant improvements, and identified intangible assets and liabilities, consisting of the value of above-market and below-market leases, and acquired ground leases, based in each case on their fair values. Loan premiums, in the case of above market rate assumed loans, or loan discounts, in the case of below market assumed loans, are recorded based on the fair value of any loans assumed in connection with acquiring the real estate. Please see additional disclosure below regarding “Financing Assets”. 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. At December 31, 20 2 1 , our net intangible assets total $ m illion (net of $ million accumulated amortization) and primarily consist of the value of in-place leases. At December 31, 20 2 1 , our net intangible value of in-place leases total $ 8.6 million (net of $ million of accumulated amortization) and will be amortized over the remaining lease terms (aggregate weighted average of 4.0 years at December 31, 20 2 1 ) and are expected to result in estimated aggregate amortization expense of, $ 1.9 million, $ million , $ million, $ million and $ 2.8 million for 2022 , 2023 , 2024 , 2025 and 202 6 and thereafter , respectively. Amortization expense on intangible values of in place leases was $ million for the year ended December 31, 202 1 , $ 2.9 million for the year ended December 31, 20 20 and $ million for the year ended De cember 31, 201 9 . The remaining amount of our net intangible assets primarily consists of above-market leases. At December 31, 20 2 1 , our net intangible value of above-market leases total $ million (net of $ of accumulated amortization) and will be amortized over the remaining lease terms ( aggregate weighted average of approximately 5 .6 years at December 31, 20 2 1 ) and are expected to result in estimated aggregate amortization offset to rental revenue of approximately $ in 2 02 2 , $ in 202 3 , $ in 202 4 , $ in 202 5 and $ in 202 6 and thereafter . Amortization offset to rental revenue on intangible values of above-market leases was $ 205,000 , $ and $ for the years ended December 31 , 20 2 1 , 20 20 and 201 9 , respectively . 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 range 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 $23.9 million for the year ended December 31, 2021 and $21.8 million for each of the years ended December 31, 2020 and 2019.
Financing Assets	Financing Assets As discussed in Note 2 – Relationship with UHS and Related Party Transactions, on December 31, 2021 we entered into an asset purchase and sale agreement with UHS and certain of its affiliates. Pursuant to the agreement, UHS purchased from us the real estate assets of the Inland Valley Campus of Southwest Healthcare System (“Inland Valley”) and transferred to us the real estate assets of Aiken Regional Medical Center (“Aiken”) and Canyon Creek Behavioral Health (“Canyon Creek”). In connection with this transaction, Aiken and Canyon Creek (as lessees), entered into a master lease and individual property leases (with us as lessor) for initial lease terms of approximately twelve years, ending on December 31, 2033. As a result of UHS’ purchase option within the lease agreements of Aiken and Canyon Creek, the transaction is accounted for as a failed sale leaseback in accordance with U.S. GAAP and we have accounted for the transaction with UHS as a financing arrangement. A portion of the monthly lease payment to us from UHS will be recorded to interest income based upon an imputed interest rate and the remainder will reduce the outstanding financing receivable. In connection with this transaction, our Consolidated Balance Sheet at December 31, 2021 reflects a financing receivable of $82.4 million, which is the aggregate fair value of the real estate assets that we received as part of the transaction (Aiken and Canyon Creek). As of December 31, 2021 there are no indicators of impairment and the financing receivable will be assessed for recoverability in accordance with our asset impairment policy.
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. 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.
Investments in Limited Liability Companies ("LLCs")	Investments in Limited Liability Companies (“LLCs”) In accordance with U.S. GAAP 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. Distributions received from equity method investees in the consolidated statements of cash flows are classified based upon the nature of the distribution. Returns on investments are presented net of equity in income from unconsolidated investments as cash flows from operating activities. Returns of investments are classified as cash flows from investing activities. During the fourth quarter of 2021, we purchased the third-party 5% ownership interest in Grayson Properties, LP which owns the Texoma Medical Plaza, an MOB located in Denison, Texas, for a purchase price of approximately $3.1 million. We formerly held a non-controlling majority ownership interest in this LP. As a result of our purchase of the minority ownership interest, we now hold 100% of the ownership interest in this LP and we began accounting for this LP on a consolidated basis effective with the minority ownership interest purchase date. The property’s assets and liabilities are recorded at the carrying amount of its previously held interest, plus the incremental cost which was allocated based upon relative fair values. A third-party appraisal was completed to determine the fair value of the property. We do not expect a material impact on our net income as a result of the consolidation of this LP subsequent to the transaction. At December 31, 2021, we have non-controlling equity investments or commitments in four jointly-owned LLCs/LPs which own MOBs. We account for these LLCs/LPs on an unconsolidated basis pursuant to the equity method since they are not variable interest entities which we are the primary beneficiary nor do we have a controlling voting interest. The majority of these entities are joint-ventures between us and non-related parties that 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 funding is typically advanced as equity or member loans. These entities maintain property insurance on the properties. An other-than-temporary impairment of an investment in an unconsolidated 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.
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. To qualify as a REIT, we must meet certain organizational and operational requirements, including a requirement to distribute at least 90% of our annual REIT taxable income to shareholders. As a REIT, we generally will not be subject to federal, state or local income tax on income that we distribute as dividends 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 $672 million (unaudited) and $417 million (unaudited), respectively, at December 31, 2021. The aggregate cost basis and net book value of the properties for federal income tax purposes were approximately $645 million (unaudited) and $406 million (unaudited), respectively, at December 31, 2020.
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, stock-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, which is leased to a related party (see Note 2), generated approximately 10% during 2021, approximately 10% during 2020 and approximately 10% during 2019, of our consolidated revenues.
Use of Estimates	Use 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. Accounting for Lease Concessions Granted in Connection with COVID-19 On April 8, 2020, the Financial Accounting Standards Board ("FASB") held a public meeting and shortly afterwards issued a question-and-answer ("Q&A") document which was intended to provide accounting relief for lease concessions related to the COVID-19 pandemic. The accounting relief permits an entity to choose to forgo the evaluation of the enforceable rights and obligations of a lease contract, which is a requirement of Accounting Standards Codification Topic 842, Leases, which we adopted on January 1, 2019, as long as the total rent payments after the lease concessions are substantially the same, or less than, the total payments previously required by the lease. An entity may account for COVID-19 related lease concessions either (i) as if they were part of the enforceable rights and obligations of the parties under the existing lease contract; or (ii) as a lease modification. To the extent that a rent concession is granted as a deferral of payments, but the total lease payments are substantially the same, lessors are allowed to account for the concession as if no change had been made to the original lease contract. Based on the Q&A, an entity is not required to account for all lease concessions related to the effects of the COVID-19 pandemic under one elected option, however, the entity is required to apply the elected option consistently to leases with similar characteristics and in similar circumstances. The COVID-19 pandemic did not start to adversely impact the economic conditions in the United States until late March 2020 and did not have a material effect on our operations or financial results during the year ended December 31, 2021. Reference Rate Reform In March 2020, the FASB issued an accounting standard classified under FASB ASC Topic 848, “Reference Rate Reform.” The amendments in this update contain practical expedients for reference rate reform related activities that impact debt, leases, derivatives and other contracts. The guidance in ASC 848 is optional and may be elected over time as reference rate reform activities occur. We will evaluate the impact of the guidance and may apply elections as applicable as additional changes in the market occur.

Relationship with UHS and Rel_2

Relationship with UHS and Related Party Transactions (Tables)	12 Months Ended
	Dec. 31, 2021
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 each of the hospital leases that are related to UHS as of January 1, 2022, consisting of three acute care hospitals and three behavioral health hospitals: Hospital Name Annual Minimum Rent End of Lease Term Renewal Term (years) McAllen Medical Center $ 5,485,000 December, 2026 5 (a) Wellington Regional Medical Center $ 6,319,000 December, 2026 5 (b) Aiken Regional Medical Center/Aurora Pavilion Behavioral Health Services $ 3,895,000 December, 2033 35 (c) Canyon Creek Behavioral Health $ 1,670,000 December, 2033 35 (c) Clive Behavioral Health Hospital $ 2,628,000 December, 2040 50 (d) (a) UHS has one (b) UHS has one (c) UHS has seven (d) The UHS-related joint venture has five

Lease Accounting (Tables)

Lease Accounting (Tables)	12 Months Ended
	Dec. 31, 2021
Leases [Abstract]
Components of the "Lease Revenue - UHS facilities" and "Lease Revenue - Non-related Parties" Captions	The components of the “Lease revenue – UHS facilities” and “Lease revenue – Non-related parties” captions for the years ended 2021, 2020 and 2019 are disaggregated below (in thousands). Base rents are primarily stated rent amounts provided for under the leases that are recognized on a straight-line basis over the term of the lease. Bonus rents and tenant reimbursements represent amounts where tenants are contractually obligated to pay an amount that is variable in nature. Year Ended December 31, 2021 2020 2019 UHS Facilities: Base rents $ 21,498 $ 17,302 $ 16,660 Bonus rents 6,906 6,116 5,551 Tenant reimbursements 1,492 1,153 884 Lease Revenue - UHS facilities $ 29,896 $ 24,571 $ 23,095 Non-related parties: Base rents $ 41,880 $ 41,562 $ 42,295 Tenant reimbursements 10,444 10,000 9,725 Lease Revenue - Non-related parties $ 52,324 $ 51,562 $ 52,020
Schedule of Minimum Future Base Rents from Non-Cancelable Leases (Topic 842)	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): For the year ended December 31, Amount 2022 $ 66,397 2023 61,045 2024 53,385 2025 48,659 2026 44,520 Thereafter 146,870 Total minimum base rents $ 420,876
Components of Lease Expense Payments	The components of lease expense payments were as follows (in thousands): Year Ended December 31, 2021 2020 Operating lease cost $ 508 $ 480 Total lease cost $ 508 $ 480
Schedule of Supplemental Balance Sheet Information Related to Leases	Supplemental balance sheet information related to leases was as follows (in thousands): December 31, 2021 Operating Leases Right-of-use land assets-operating leases $ 11,495 Total lease liabilities $ 11,495 Weighted Average remaining lease term, years Operating leases 57.9 Weighted Average discount rate Operating leases 5.07 %
Schedule of Maturities of lease liabilities	. Maturities of lease liabilities are as follows (amounts in thousands): Year ended December 31: 2022 $ 618 2023 618 2024 618 2025 618 2026 618 Later years 32,491 Total undiscounted lease payments $ 35,581 Less imputed interest 24,086 Total $ 11,495

Debt and Financial Instruments

Debt and Financial Instruments (Tables)	12 Months Ended
	Dec. 31, 2021
Debt Disclosure [Abstract]
Summary of Required Compliance Ratios Giving Effect to New Covenants in Credit Agreements	The following table includes a summary of the required compliance ratios at December 31, 2021 and 2020, giving effect to the covenants contained in the Credit Agreements in effect on the respective dates (dollar amounts in thousands): December 31, 2021 December 31, 2020 Covenant UHT Covenant UHT Tangible net worth $ 125,000 $ 225,355 $ 125,000 $ 147,263 Total leverage < 60 % 43.1 % < 60 % 44.8 % Secured leverage < 30 % 7.4 % < 30 % 8.6 % Unencumbered leverage < 60 % 41.9 % < 60 % 41.4 % Fixed charge coverage > 1.50x 4.8x > 1.50x 4.7x
Outstanding Mortgages, Excluding Net Debt Premium	As indicated on the following table, we have various mortgages, all of which are non-recourse to us and are not cross-collateralized, included on our consolidated balance sheet as of December 31, 2021 and 2020 (amounts in thousands): As of 12/31/2021 As of 12/31/2020 Facility Name Interest Rate Maturity Date Outstanding Balance (in thousands)(a.) Outstanding Balance (in thousands) 700 Shadow Lane and Goldring MOBs fixed rate mortgage loan (b.) 4.54 % June, 2022 $ 5,210 $ 5,437 BRB Medical Office Building fixed rate mortgage loan (b.) 4.27 % December, 2022 5,280 5,505 Desert Valley Medical Center fixed rate mortgage loan (b.) 3.62 % January, 2023 4,356 4,511 2704 North Tenaya Way fixed rate mortgage loan 4.95 % November, 2023 6,418 6,576 Summerlin Hospital Medical Office Building III fixed rate mortgage loan 4.03 % April, 2024 12,806 13,043 Tuscan Professional Building fixed rate mortgage loan 5.56 % June, 2025 2,343 2,933 Phoenix Children’s East Valley Care Center fixed rate mortgage loan 3.95 % January, 2030 8,466 8,718 Rosenberg Children's Medical Plaza fixed rate mortgage loan 4.42 % September, 2033 12,273 12,508 Total, excluding net debt premium and net financing fees 57,152 59,231 Less net financing fees (376 ) (477 ) Plus net debt premium 90 141 Total mortgage notes payable, non-recourse to us, net $ 56,866 $ 58,895 (c.) All mortgage loans require monthly principal payments through maturity and either fully amortize or include a balloon principal payment upon maturity. (d.) 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, 2021, our aggregate consolidated scheduled debt repayments (including mortgages) are as follows (amounts in thousands): 2022 $ 12,197 2023 11,892 2024 13,550 2025 (a.) 272,839 2026 601 Later 17,973 Total $ 329,052 (a.) Includes assumed repayment of $271.9 million of outstanding borrowings under the terms of our $375 million revolving credit agreement scheduled to mature in July, 2025

Summarized Financial Informat_2

Summarized Financial Information of Equity Affiliates (Tables)	12 Months Ended
	Dec. 31, 2021
Equity Method Investments And Joint Ventures [Abstract]
Limited Liability Companies Accounted for Under Equity Method	The following property table represents the four LLCs or LPs in which we own a non-controlling interest and were accounted for under the equity method as of December 31, 2021: Name of LLC/LP Ownership Property Owned by LLC/LP Suburban Properties 33 % St. Matthews Medical Plaza II Brunswick Associates (a.)(b.) 74 % Mid Coast Hospital MOB FTX MOB Phase II (c.) 95 % Forney Medical Plaza II Grayson Properties II (d.)(e.) 95 % Texoma Medical Plaza II (a.) This LLC refinanced its fixed rate mortgage during the fourth quarter of 2020 (as reflected in the mortgage loan table below) and has a third-party term loan of $8.9 million, which is non-recourse to us, outstanding as of December 31, 2021. (b.) W e are the lessee with a third party on a ground lease for land . (c.) During the first quarter of 2021, this LP paid off its $4.7 million mortgage loan, upon maturity, utilizing pro rata equity contributions from the limited partners as well as a $3.5 million member loan from us to the LP which was funded utilizing borrowings from our revolving credit agreement. (d.) Construction on this MOB was substantially completed in December 2020. The MOB is located in Denison, Texas on the campus of a hospital owned and operated by a wholly-owned subsidiary of UHS. We have committed to invest up to $4.8 million in equity and debt financing, $1.8 million of which has been funded as of December 31, 2021. This LLP entered into a $13.1 million third-party construction loan, which is non-recourse to us and has an outstanding balance of $13.1 million as of December 31, 2021. The LP developed constructed, owns and operates the Texoma Medical Plaza II. (e.) We are the lessee with a UHS-related party for the land related to this property.
Combined Statements of Income for LLCs/LPs Accounted Under Equity Method	Below are the combined statements of income for the four LLCs/LPs accounted for under the equity method at December 31, 2021 and the four LLCs/LPs accounted for under the equity method as of December 31, 2020 and 2019. The 2020 and 2019 periods do not include the newly constructed Texoma Medical Plaza II that was substantially completed in December, 2020. The data for the year ended December 31, 2021 includes financial results for the above-mentioned Texoma Medical Plaza in which we purchased the minority ownership interest during the fourth quarter of 2021, for the period of January through October of 2021 only (during which it was accounted for under the equity method). For the Year Ended December 31, 2021 2020 2019 (amounts in thousands) Revenues $ 10,575 $ 9,973 $ 10,063 Operating expenses 4,093 3,979 4,046 Depreciation and amortization 2,198 1,827 1,758 Interest, net 1,721 1,296 1,295 Net income $ 2,563 $ 2,871 $ 2,964 Our share of net income $ 1,796 $ 1,706 $ 1,796
Combined Balance Sheets for LLCs/LPs Accounted Under Equity Method	Below are the combined balance sheets for the four LLCs/LPs that were accounted for under the equity method as of December 31, 2021 (excludes the balance sheet for the above-mentioned Texoma Medical Plaza in which we purchased the minority ownership interest during the fourth quarter of 2021 and began accounting for this LP on a consolidated basis on November 1, 2021) and the five LLCs/LPs that were accounted for under the equity method as of December 31, 2020 (including Texoma Medical Plaza I): December 31, 2021 2020 (amounts in thousands) Net property, including construction in progress $ 30,983 $ 42,374 Other assets (a.) 4,574 8,818 Total assets $ 35,557 $ 51,192 Other liabilities (a.) $ 2,797 $ 9,402 Mortgage notes payable, non-recourse to us 22,068 39,735 Advances payable to us (b.) 3,500 — Equity 7,192 2,055 Total liabilities and equity $ 35,557 $ 51,192 Investments in LLCs before amounts included in accrued expenses and other liabilities 10,139 4,278 Amounts included in accrued expenses and other liabilities (1,784 ) (3,020 ) Our share of equity in LLCs, net $ 8,355 $ 1,258 (a.) Other assets and other liabilities as of December 31, 2021 and 2020 include approximately $656,000 and $4.3 million, respectively, of right-of-use land assets and right-of-use land liabilities related to ground leases whereby the LLC/LP is the lessee, with third parties, including subsidiaries of UHS. (b.) Consists of a 7.25% member loan to FTX MOB Phase II, LP with a maturity date of March 1, 2023.
Aggregate Principal Amounts due on Mortgage and Construction Notes Payable by Unconsolidated LLC's Accounted Under Equity Method	As of December 31, 2021, 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): 2022 $ 265 2023 597 2024 613 2025 12,704 2026 293 2027 and thereafter 7,596 Total $ 22,068 Mortgage Loan Balance (a.) Name of LLC/LP 12/31/2021 12/31/2020 Maturity Date FTX MOB Phase II (5.00% fixed rate mortgage loan) (b.) $ - $ 4,777 February, Grayson Properties (5.034% fixed rate mortgage loan) (c.) — 13,372 September, 2021 Brunswick Associates (2.80% fixed rate mortgage loan) 8,993 9,250 December, 2030 Grayson Properties II (3.70% fixed rate construction loan) (d.) 13,075 12,336 June, 2025 $ 22,068 $ 39,735 (a.) All mortgage loans require monthly principal payments through maturity and include a balloon principal payment upon maturity. (b.) Upon maturity in February, 2021 this LP paid off this mortgage loan utilizing pro rata equity contribution from the limited partners as well as a $3.5 million member loan from us to the LP which was funded utilizing borrowings from our revolving credit agreement. (c.) Upon maturity in September, 2021 this LP paid off its mortgage utilizing an equity contribution from us, which was funded utilizing borrowings from our revolving credit agreement. (d.) This construction loan has a maximum balance of $13.1 million and requires interest on the outstanding principal balance to be paid on a monthly basis through December 1, 2022. Monthly principal and interest payments are scheduled to commence on January 1, 2023.

Organization and Summary of S_3

Organization and Summary of Significant Accounting Policies - Additional Information (Detail)	3 Months Ended	12 Months Ended
	Dec. 31, 2021USD ($)PropertyHospital	Dec. 31, 2021USD ($)PropertyHospital	Dec. 31, 2020USD ($)	Dec. 31, 2019USD ($)	Feb. 24, 2022PropertyState
Significant Accounting Policies [Line Items]
Net intangible assets	$ 9,972,000	$ 9,972,000	$ 11,742,000
Intangible assets, accumulated amortization	14,200,000	14,200,000	19,500,000
Depreciation expense		23,900,000	21,800,000	$ 21,800,000
Purchase price		$ 3,092,000
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 (Unaudited)	672,000,000	$ 672,000,000	645,000,000
Net book value of the properties for federal income tax purposes (Unaudited)	$ 417,000,000	$ 417,000,000	406,000,000
Grayson Properties
Significant Accounting Policies [Line Items]
Minority ownership interest held by a third-party	5.00%	5.00%
Purchase price	$ 3,100,000
Ownership percentage upon completion of the minority ownership purchase	100.00%	100.00%
Aiken Regional Medical Center and Canyon Creek Behavioral Health
Significant Accounting Policies [Line Items]
Initial lease term on property	12 years	12 years
Fair market value of real estate assets received		$ 82,400,000
Minimum
Significant Accounting Policies [Line Items]
Percentage of annual REIT taxable income that should be distributed to remain exempt from federal income taxes		90.00%
Minimum | 4 Unconsolidated Limited Liability Companies / Limited Partner
Significant Accounting Policies [Line Items]
Non-controlling equity interest, ownership percentage	33.00%	33.00%
Maximum | 4 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
In Place Leases
Significant Accounting Policies [Line Items]
Net intangible assets	$ 8,600,000	$ 8,600,000
Intangible assets, accumulated amortization	13,200,000	13,200,000
Intangible assets, estimated aggregate amortization expenses for 2022	1,900,000	1,900,000
Intangible assets, estimated aggregate amortization expenses for 2023	1,600,000	1,600,000
Intangible assets, estimated aggregate amortization expenses for 2024	1,200,000	1,200,000
Intangible assets, estimated aggregate amortization expenses for 2025	1,100,000	1,100,000
Intangible assets, estimated aggregate amortization expenses for 2026 and thereafter	2,800,000	2,800,000
Amortization expense, intangible assets		2,600,000	2,900,000	3,300,000
Above-Market Leases
Significant Accounting Policies [Line Items]
Net intangible assets	1,100,000	1,100,000
Intangible assets, accumulated amortization	982,000	982,000
Intangible assets, estimated aggregate amortization expenses for 2022	199,000	199,000
Intangible assets, estimated aggregate amortization expenses for 2023	196,000	196,000
Intangible assets, estimated aggregate amortization expenses for 2024	168,000	168,000
Intangible assets, estimated aggregate amortization expenses for 2025	168,000	168,000
Intangible assets, estimated aggregate amortization expenses for 2026 and thereafter	$ 402,000	402,000
Amortization expense, intangible assets		$ 205,000	$ 202,000	$ 189,000
Corona Virus Disease2019 Outbreak [Member]
Significant Accounting Policies [Line Items]
Number of real estate investments | Hospital	1	1
Number of acute care hospitals | Hospital	1	1
McAllen Medical Center | Customer Concentration Risk | Revenues
Significant Accounting Policies [Line Items]
Percentage of rental revenue		10.00%	10.00%	10.00%
Medical office buildings | Limited Liability Companies
Significant Accounting Policies [Line Items]
Number of real estate investments | Property	4	4
Number of acute care hospitals | Property	4	4
Subsequent Event
Significant Accounting Policies [Line Items]
Number of real estate investments | Property					75
Number of states that real estate investments are located | State					21
Number of acute care hospitals | Property					75
Subsequent Event | Hospitals
Significant Accounting Policies [Line Items]
Number of real estate investments | Property					6
Number of acute care hospitals | Property					6
Subsequent Event | Hospitals | Acute Care
Significant Accounting Policies [Line Items]
Number of real estate investments | Property					3
Number of acute care hospitals | Property					3
Subsequent Event | Hospitals | Behavioral health
Significant Accounting Policies [Line Items]
Number of real estate investments | Property					3
Number of acute care hospitals | Property					3
Subsequent Event | Mission and Weslaco Freestanding Emergency Departments
Significant Accounting Policies [Line Items]
Number of real estate investments | Property					4
Number of acute care hospitals | Property					4
Subsequent Event | Medical office buildings
Significant Accounting Policies [Line Items]
Number of real estate investments | Property					58
Number of acute care hospitals | Property					58
Subsequent Event | Medical office buildings | Majority Owned Subsidiary Unconsolidated
Significant Accounting Policies [Line Items]
Number of real estate investments | Property					1
Number of acute care hospitals | Property					1
Subsequent Event | Medical office buildings | Limited Liability Companies ("LLCs")/ Limited Liability Partnerships ("LPs")
Significant Accounting Policies [Line Items]
Number of real estate investments | Property					4
Number of acute care hospitals | Property					4
Subsequent Event | Preschool and childcare Centers
Significant Accounting Policies [Line Items]
Number of real estate investments | Property					4
Number of acute care hospitals | Property					4
Subsequent Event | Specialty Currently Vacant
Significant Accounting Policies [Line Items]
Number of real estate investments | Property					3
Number of acute care hospitals | Property					3

Relationship with UHS and Rel_3

Relationship with UHS and Related Party Transactions - Additional Information (Detail)		Jan. 01, 2022Hospital	Jan. 31, 2022USD ($)ft²	Jan. 31, 2022USD ($)ft²	May 31, 2021USD ($)Time	Sep. 30, 2019	Dec. 31, 2021USD ($)PropertyHospitalSubsidiaryTimeFacilityBedRenewalOptionLease	Dec. 31, 2020USD ($)	Dec. 31, 2019USD ($)	Dec. 31, 2021USD ($)HospitalTimeLease
Related Party Transaction [Line Items]
Number of bed facility | Bed							100
Aggregate lease payments for 2021							$ 618,000			$ 618,000
Aggregate lease payments for 2022							618,000			618,000
Aggregate lease payments for 2023							618,000			618,000
Aggregate lease payments for 2024							618,000			618,000
Aggregate lease payments for 2025							618,000			618,000
Aggregate lease payments for thereafter							$ 32,491,000			$ 32,491,000
Annual advisory fee as percentage of average invested real estate assets							0.70%	0.70%	0.70%	0.70%
Grayson Properties
Related Party Transaction [Line Items]
Minority ownership interest held by a third-party							5.00%			5.00%
Ownership percentage upon completion of the minority ownership purchase							100.00%			100.00%
Minority ownership interest							$ 3,100,000			$ 3,100,000
Southwest Healthcare System Inland Valley Campus
Related Party Transaction [Line Items]
Lease revenue								$ 4,400,000
Southwest Healthcare System Inland Valley Campus | Bonus Rents
Related Party Transaction [Line Items]
Lease revenue								1,800,000
Southwest Healthcare System Inland Valley Campus | Base Rents
Related Party Transaction [Line Items]
Lease revenue								2,600,000
Palm Beach, Florida | Wellington Regional Medical Center
Related Party Transaction [Line Items]
Lessee operating lease, existence of option to extend							true
Monthly lease rent receivable							$ 6,300,000			$ 6,300,000
Lease revenue							$ 5,500,000	5,100,000
Percentage of annual rental increase on cumulative and compound basis							2.50%
Operating lease renewal term							5 years			5 years
Palm Beach, Florida | Wellington Regional Medical Center | Bonus Rents
Related Party Transaction [Line Items]
Lease revenue							$ 2,500,000	2,100,000
Palm Beach, Florida | Wellington Regional Medical Center | Base Rents
Related Party Transaction [Line Items]
Lease revenue							3,000,000	3,000,000
Denison Texas | Grayson Properties Two L P
Related Party Transaction [Line Items]
Non-controlling equity interest, ownership percentage						95.00%
Aiken Regional Medical Center
Related Party Transaction [Line Items]
Monthly lease rent receivable							3,900,000			$ 3,900,000
Canyon Creek Behavioral Health
Related Party Transaction [Line Items]
Monthly lease rent receivable							1,700,000			$ 1,700,000
Aiken Regional Medical Center and Canyon Creek Behavioral Health
Related Party Transaction [Line Items]
Fair market value of real estate assets received							$ 82,400,000
Initial lease term on property							12 years			12 years
Lease expiration date							Dec. 31, 2033
Lessee operating lease, existence of option to extend							true
Number of term renewal options | Time							7			7
Lease renewal term							5 years			5 years
Number of facilities leased | Facility							2
Monthly lease rent receivable							$ 5,600,000			$ 5,600,000
Lease revenue							$ 0
Percentage of annual rental increase on cumulative and compound basis							2.25%
Aiken Regional Medical Center and Canyon Creek Behavioral Health | Bonus Rents
Related Party Transaction [Line Items]
Monthly lease rent receivable							$ 5,600,000			$ 5,600,000
Lease revenue							0
Aiken Regional Medical Center and Canyon Creek Behavioral Health | Southwest Healthcare System Inland Valley Campus
Related Party Transaction [Line Items]
Lease revenue							4,500,000	4,400,000
Aiken Regional Medical Center and Canyon Creek Behavioral Health | Southwest Healthcare System Inland Valley Campus | Bonus Rents
Related Party Transaction [Line Items]
Lease revenue							1,900,000	1,800,000
Aiken Regional Medical Center and Canyon Creek Behavioral Health | Southwest Healthcare System Inland Valley Campus | Base Rents
Related Party Transaction [Line Items]
Lease revenue							$ 2,600,000	2,600,000
Universal Health Services, Inc
Related Party Transaction [Line Items]
Number of acute care hospital leased | Hospital							3			3
Number of behavioral health care hospital leased | Hospital							1			1
Number of hospital facilities leased | Hospital							4
Number of medical office buildings and free standing emergency departments | Property							20
Number of term renewal options | Time					2
Lease revenue	[1]						$ 29,896,000	$ 24,571,000	$ 23,095,000
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
Percentage of rentable square feet						50.00%
Master flex lease term						10 years
Number of ground leases | Lease							12			12
Aggregate lease payments for 2021							$ 508,000			$ 508,000
Aggregate lease payments for 2022							508,000			508,000
Aggregate lease payments for 2023							508,000			508,000
Aggregate lease payments for 2024							508,000			508,000
Aggregate lease payments for 2025							508,000			508,000
Aggregate lease payments for thereafter							$ 29,000,000			$ 29,000,000
Percentage ownership of outstanding shares							5.70%	5.70%		5.70%
Universal Health Services, Inc | Minimum
Related Party Transaction [Line Items]
Remaining lease terms on ground leases								28 years
Universal Health Services, Inc | Maximum
Related Party Transaction [Line Items]
Remaining lease terms on ground leases								77 years
Universal Health Services, Inc | Bonus Rents
Related Party Transaction [Line Items]
Lease revenue							$ 6,906,000	$ 6,116,000	5,551,000
Universal Health Services, Inc | Base Rents
Related Party Transaction [Line Items]
Lease revenue							$ 21,498,000	17,302,000	16,660,000
Universal Health Services, Inc | Acute Care Hospitals | Subsequent Event
Related Party Transaction [Line Items]
Number of hospitals operating lease terms of existing and renewal options | Hospital		3
Universal Health Services, Inc | Behavioral Health Hospitals | Subsequent Event
Related Party Transaction [Line Items]
Number of hospitals operating lease terms of existing and renewal options | Hospital		3
Universal Health Services, Inc | Wellington Regional Medical Center | Subsequent Event
Related Party Transaction [Line Items]
Renewal options term at fair market value lease rates		5 years
Renewal options at fair market value lease rates expiration year		2031
Universal Health Services, Inc | Clive, Iowa | Clive Behavioral Health
Related Party Transaction [Line Items]
Lessee operating lease, existence of option to extend							true
Number of term renewal options | Time							5			5
Lease revenue							$ 2,500,000
Percentage of annual rental increase on cumulative and compound basis							2.75%
Option to renew lease, notice period prior to termination date of current term							270 days
Initial lease term on property							20 years
Number of lease renewal option exercised | RenewalOption							3
Renewal option term							10 years
Number of additional renewal options at fair market value lease rates | RenewalOption							2
Renewal options term at fair market value lease rates							10 years
Period to purchase respective leased facilities prior to end of lease term or renewal terms							270 days
Universal Health Services, Inc | Clive, Iowa | Clive Behavioral Health | Minimum
Related Party Transaction [Line Items]
Renewal options at fair market value lease rates expiration year							2071
Universal Health Services, Inc | Clive, Iowa | Clive Behavioral Health | Maximum
Related Party Transaction [Line Items]
Renewal options at fair market value lease rates expiration year							2090
Universal Health Services, Inc | Palm Beach, Florida | Wellington Regional Medical Center
Related Party Transaction [Line Items]
Lessee operating lease, existence of option to extend							true
Monthly lease rent receivable							$ 6,300,000			$ 6,300,000
Lease revenue							$ 5,500,000	5,100,000
Percentage of annual rental increase on cumulative and compound basis							2.50%
Operating lease renewal term							5 years			5 years
Universal Health Services, Inc | Palm Beach, Florida | Wellington Regional Medical Center | Bonus Rents
Related Party Transaction [Line Items]
Lease revenue							$ 2,500,000	2,100,000
Universal Health Services, Inc | Palm Beach, Florida | Wellington Regional Medical Center | Base Rents
Related Party Transaction [Line Items]
Lease revenue							$ 3,000,000	3,000,000
Universal Health Services, Inc | Subsidiary
Related Party Transaction [Line Items]
Number of wholly-owned subsidiaries | Subsidiary							2
Financing receivable							$ 82,400,000			$ 82,400,000
Universal Health Services, Inc | Asset Purchase and Sale Agreement | Subsidiary
Related Party Transaction [Line Items]
Cash received for sale of real estate asset							2,800,000
Gain on sale of real estate assets							68,400,000
Universal Health Services, Inc | Asset Purchase and Sale Agreement | Subsidiary | Inland Valley Campus of Southwest Healthcare System
Related Party Transaction [Line Items]
Fair market value of real estate asset sold							79,600,000
Universal Health Services, Inc | Asset Purchase and Sale Agreement | Subsidiary | Inland Valley Campus of Southwest Healthcare System | Wildomar, California
Related Party Transaction [Line Items]
Fair market value of real estate asset sold							79,600,000
Universal Health Services, Inc | Asset Purchase and Sale Agreement | Subsidiary | Aiken Regional Medical Center
Related Party Transaction [Line Items]
Fair market value of real estate assets received							57,700,000
Universal Health Services, Inc | Asset Purchase and Sale Agreement | Subsidiary | Aiken Regional Medical Center | Aiken, South Carolina
Related Party Transaction [Line Items]
Fair market value of real estate assets received							57,700,000
Universal Health Services, Inc | Asset Purchase and Sale Agreement | Subsidiary | Canyon Creek Behavioral Health
Related Party Transaction [Line Items]
Fair market value of real estate asset sold							24,700,000
Universal Health Services, Inc | Asset Purchase and Sale Agreement | Subsidiary | Canyon Creek Behavioral Health | Temple, Texas
Related Party Transaction [Line Items]
Fair market value of real estate assets received							$ 24,700,000
Universal Health Services, Inc | Asset Purchase and Sale Agreement | Subsidiary | Aiken Regional Medical Center and Canyon Creek Behavioral Health
Related Party Transaction [Line Items]
Number of wholly-owned subsidiaries | Subsidiary							2
Fair market value of real estate assets received							$ 82,400,000
Universal Health Services, Inc | Ground Lease and Master Flex-lease Agreement | Reno, Nevada | Sierra Medical Plaza I | Subsequent Event
Related Party Transaction [Line Items]
Rentable square feet | ft²			86,000	86,000
Cost of medical office building			$ 34,000,000	$ 34,000,000
Percentage of rentable square feet			68.00%	68.00%
Fire Mesa Office Building
Related Party Transaction [Line Items]
Lease expiration date					Aug. 31, 2027
Payment to acquire business					$ 12,900,000
Lease percentage					100.00%
Universal Health Services of Delaware Inc
Related Party Transaction [Line Items]
Advisory fee							$ 4,400,000	$ 4,100,000	$ 4,000,000
Cost, Product and Service [Extensible List]							Management Service	Management Service	Management Service
Average invested real estate assets							$ 629,000,000	$ 592,000,000	$ 568,000,000
Customer Concentration Risk | Revenues | Universal Health Services, Inc
Related Party Transaction [Line Items]
Percentage of revenues generated from leases and tenants							25.00%	22.00%	22.00%	23.00%
Customer Concentration Risk | Revenues | Universal Health Services, Inc | Tenants
Related Party Transaction [Line Items]
Percentage of revenues generated from leases and tenants							37.00%	33.00%	31.00%	32.00%
[1]	Includes bonus rental on UHS hospital facilities of $6,906, $6,116 and $5,551 for the years ended December 31, 2021, 2020 and 2019, respectively.

Existing Lease Terms and Renewa

Existing Lease Terms and Renewal Options for Each of UHS Hospital Facilities (Detail) - Universal Health Services, Inc - Subsequent Event	Jan. 01, 2022USD ($)
McAllen Medical Center
Operating Leased Assets [Line Items]
Annual Minimum Rent	$ 5,485,000
End of Lease Term	2026-12
Renewal Term (years)	5 years	[1]
Wellington Regional Medical Center
Operating Leased Assets [Line Items]
Annual Minimum Rent	$ 6,319,000
End of Lease Term	2026-12
Renewal Term (years)	5 years	[2]
Aiken Regional Medical Center/Aurora Pavilion Behavioral Health Services
Operating Leased Assets [Line Items]
Annual Minimum Rent	$ 3,895,000
End of Lease Term	2033-12
Renewal Term (years)	35 years	[3]
Canyon Creek Behavioral Health
Operating Leased Assets [Line Items]
Annual Minimum Rent	$ 1,670,000
End of Lease Term	2033-12
Renewal Term (years)	35 years	[3]
Clive Behavioral Health Hospital
Operating Leased Assets [Line Items]
Annual Minimum Rent	$ 2,628,000
End of Lease Term	2040-12
Renewal Term (years)	50 years	[4]
[1]	UHS has one
[2]	UHS has one
[3]	UHS has seven
[4]	The UHS-related joint venture has five

Existing Lease Terms and Rene_2

Existing Lease Terms and Renewal Options for Each of UHS Hospital Facilities (Parenthetical) (Detail) - Universal Health Services, Inc - Subsequent Event	Jan. 01, 2022TimeRenewalOption
McAllen Medical Center
Operating Leased Assets [Line Items]
Number of renewal option at existing lease rates | Time	1
Renewal option term at existing lease rates	5 years
Renewal option at existing lease rates expiration year	2031
Wellington Regional Medical Center
Operating Leased Assets [Line Items]
Number of renewal options at fair market value lease rates	1
Renewal options term at fair market value lease rates	5 years
Renewal options at fair market value lease rates expiration year	2031
Aiken Regional Medical Center and Canyon Creek Behavioral Health
Operating Leased Assets [Line Items]
Number of renewal options at fair market value lease rates	7
Renewal options term at fair market value lease rates	5 years
Aiken Regional Medical Center and Canyon Creek Behavioral Health | Minimum
Operating Leased Assets [Line Items]
Renewal options at fair market value lease rates expiration year	2034
Aiken Regional Medical Center and Canyon Creek Behavioral Health | Maximum
Operating Leased Assets [Line Items]
Renewal options at fair market value lease rates expiration year	2068
Clive Behavioral Health Hospital
Operating Leased Assets [Line Items]
Number of renewal options at fair market value lease rates	5
Renewal options term at fair market value lease rates	10 years
Clive Behavioral Health Hospital | Minimum | First Three Year Renewal Options
Operating Leased Assets [Line Items]
Renewal options at lease rate stipulated in lease expiration year	2041
Clive Behavioral Health Hospital | Minimum | Last Two Year Renewal Options
Operating Leased Assets [Line Items]
Renewal options at fair market value lease rates expiration year	2071
Clive Behavioral Health Hospital | Maximum | First Three Year Renewal Options
Operating Leased Assets [Line Items]
Renewal options at lease rate stipulated in lease expiration year	2070
Clive Behavioral Health Hospital | Maximum | Last Two Year Renewal Options
Operating Leased Assets [Line Items]
Renewal options at fair market value lease rates expiration year	2090

Purchase and Sale Transaction_2

Purchase and Sale Transaction, Acquisitions, Divestitures and New Construction - Additional Information (Detail)

Dec. 28, 2020USD ($)Time

Jan. 31, 2022USD ($)ft²TimeTenant

Jan. 31, 2022USD ($)ft²Time

Nov. 30, 2021USD ($)

Jun. 30, 2021USD ($)

May 31, 2021USD ($)Time

Dec. 31, 2019USD ($)

Nov. 30, 2019USD ($)Time

Sep. 30, 2019

Jul. 31, 2019USD ($)Time

Mar. 31, 2019USD ($)

Dec. 31, 2021USD ($)SubsidiaryTimeFacility

Dec. 31, 2020USD ($)Disposition

Dec. 31, 2019USD ($)

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Gains on divestitures of real estate assets

$ 87,314,000

$ 1,951,000

Outstanding loan balance

$ 13,100,000

Construction loan scheduled maturity

Jun. 30, 2025

Number of dispositions | Disposition

0

Grayson Properties Two L P

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Construction loan

$ 13,100,000

Funded commitment to investment in equity and debt financing

1,800,000,000

Grayson Properties Two L P | Maximum

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Commitment to investment

4,800,000

Auburn Medical Office Building II

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Sale price net of closing costs

$ 24,900,000

Gains on divestitures of real estate assets

15,200,000

Cash from sale proceeds held by qualified third party intermediary

17,600,000

Medical office buildings

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Sale price net of closing costs

$ 3,200,000

Gains on divestitures of real estate assets

1,300,000

Kings Crossing II Medical Office Building

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Sale price net of closing costs

$ 2,500,000

Gains on divestitures of real estate assets

1,700,000

Parcel of Land

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Sale price net of closing costs

$ 250,000

Gains on divestitures of real estate assets

250,000

Net cash proceeds received from divestiture

$ 250,000

250,000

Beaumont Medical Sleep Center Building

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Number of term renewal options | Time

3

Total purchase price

$ 2,200,000

Percentage of building area leased

100.00%

Renewal options period

5 years

Double net lease agreement period

15 years

Initial lease terms

14 years

Bellin Health Family Medicine Center

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Number of term renewal options | Time

4

Total purchase price

$ 5,100,000

Percentage of building area leased

100.00%

Renewal options period

5 years

Initial lease terms

8 years

Aiken Regional Medical Center

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Monthly lease rent receivable

3,900,000

Canyon Creek Behavioral Health

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Monthly lease rent receivable

$ 1,700,000

Aiken Regional Medical Center and Canyon Creek Behavioral Health

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Initial lease term on property

12 years

Number of term renewal options | Time

7

Fair market value of real estate assets received

$ 82,400,000

Lease expiration date

Dec. 31, 2033

Lessee operating lease, existence of option to extend

true

Lease renewal term

5 years

Number of facilities leased | Facility

2

Monthly lease rent receivable

$ 5,600,000

Lease revenue

$ 0

Percentage of annual rental increase on cumulative and compound basis

2.25%

Aiken Regional Medical Center and Canyon Creek Behavioral Health | Bonus Rents

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Monthly lease rent receivable

$ 5,600,000

Lease revenue

0

Universal Health Services, Inc

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Percentage of rentable square feet

50.00%

Number of term renewal options | Time

2

Lease revenue

[1]

$ 29,896,000

$ 24,571,000

23,095,000

Master flex lease term

10 years

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

90 days

Universal Health Services, Inc | Fire Mesa Office Building

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Total purchase price

$ 12,900,000

Percentage of building area leased

100.00%

Renewal options period

5 years

Universal Health Services, Inc | Bonus Rents

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Lease revenue

$ 6,906,000

6,116,000

5,551,000

Universal Health Services, Inc | Base Rents

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Lease revenue

$ 21,498,000

17,302,000

$ 16,660,000

Universal Health Services, Inc | Subsidiary

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Number of wholly-owned subsidiaries | Subsidiary

2

Financing receivable

$ 82,400,000

Third-Party Tenant

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Construction loan

13,100,000

Universal Health Services, Inc and Catholic Health Initiatives

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Number of term renewal options | Time

5

Initial lease term on property

20 years

Renewal option term

10 years

Project manager's aggregate fee

$ 750,000

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

270 days

Period to purchase respective leased facilities prior to end of lease term or renewal terms

270 days

Asset Purchase and Sale Agreement | Universal Health Services, Inc | Subsidiary

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Cash received for sale of real estate asset

2,800,000

Gain on sale of real estate assets

68,400,000

Asset Purchase and Sale Agreement | Universal Health Services, Inc | Subsidiary | Inland Valley Campus of Southwest Healthcare System

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Fair market value of real estate asset sold

79,600,000

Asset Purchase and Sale Agreement | Universal Health Services, Inc | Subsidiary | Aiken Regional Medical Center

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Fair market value of real estate assets received

57,700,000

Asset Purchase and Sale Agreement | Universal Health Services, Inc | Subsidiary | Canyon Creek Behavioral Health

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Fair market value of real estate asset sold

$ 24,700,000

Asset Purchase and Sale Agreement | Universal Health Services, Inc | Subsidiary | Aiken Regional Medical Center and Canyon Creek Behavioral Health

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Number of wholly-owned subsidiaries | Subsidiary

2

Fair market value of real estate assets received

$ 82,400,000

Wildomar, California | Asset Purchase and Sale Agreement | Universal Health Services, Inc | Subsidiary | Inland Valley Campus of Southwest Healthcare System

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Fair market value of real estate asset sold

79,600,000

Aiken, South Carolina | Asset Purchase and Sale Agreement | Universal Health Services, Inc | Subsidiary | Aiken Regional Medical Center

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Fair market value of real estate assets received

57,700,000

Temple, Texas | Asset Purchase and Sale Agreement | Universal Health Services, Inc | Subsidiary | Canyon Creek Behavioral Health

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Fair market value of real estate assets received

24,700,000

Denison Texas | Grayson Properties Two L P

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Non-controlling equity interest, ownership percentage

95.00%

Denison Texas | Grayson Properties Two L P | Maximum

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Commitment to investment

4,800,000

140 Thomas Johnson Drive Medical Office Building | Frederick, Maryland | Subsequent Event

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Payment to acquire business

$ 8,000,000

Percentage of lease

100.00%

Number of tenants | Tenant

3

Percentage of rentable square feet

72.00%

Initial lease term on property

15 years

15 years

Remaining lease term

14 years

Number of term renewal options | Time

3

3

Renewal Term (years)

5 years

5 years

Southwest Healthcare System Inland Valley Campus

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Lease revenue

4,400,000

Southwest Healthcare System Inland Valley Campus | Bonus Rents

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Lease revenue

1,800,000

Southwest Healthcare System Inland Valley Campus | Base Rents

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Lease revenue

2,600,000

Southwest Healthcare System Inland Valley Campus | Aiken Regional Medical Center and Canyon Creek Behavioral Health

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Lease revenue

4,500,000

4,400,000

Southwest Healthcare System Inland Valley Campus | Aiken Regional Medical Center and Canyon Creek Behavioral Health | Bonus Rents

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Lease revenue

1,900,000

1,800,000

Southwest Healthcare System Inland Valley Campus | Aiken Regional Medical Center and Canyon Creek Behavioral Health | Base Rents

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Lease revenue

$ 2,600,000

$ 2,600,000

Sierra Medical Plaza I | Reno, Nevada | Subsequent Event | Ground Lease and Master Flex-lease Agreement | Universal Health Services, Inc

Purchase And Sale Transaction Acquisitions Divestitures And New Construction [Line Items]

Percentage of rentable square feet

68.00%

68.00%

Rentable square feet | ft²

86,000

86,000

Cost of medical office building

$ 34,000,000

$ 34,000,000

[1]

Includes bonus rental on UHS hospital facilities of $6,906, $6,116 and $5,551 for the years ended December 31, 2021, 2020 and 2019, respectively.

Lease Accounting - Additional I

Lease Accounting - Additional Information (Detail)		12 Months Ended
		Dec. 31, 2021USD ($)PropertySubsidiaryFacilityLeaseLand	Dec. 31, 2020USD ($)	Dec. 31, 2019USD ($)
Leases Disclosure [Line Items]
Number of properties | Property		2
Number of facilities | Facility		3
Lessee in connection with ground leases for land | Land		14
Right-of-use land assets		$ 11,495,000	$ 8,914,000
Ground lease liabilities		11,495,000	8,914,000
Measurement of lease liabilities related to operating leases		508,000	480,000
Operating lease expense		$ 508,000	480,000	$ 480,000
Wellington Regional Medical Center | Palm Beach, Florida
Leases Disclosure [Line Items]
Lessee operating lease, existence of option to extend		true
Operating lease renewal term		5 years
Monthly lease rent receivable		$ 6,300,000
Percentage of annual rental increase on cumulative and compound basis		2.50%
Lease revenue		$ 5,500,000	5,100,000
Wellington Regional Medical Center | Base Rents | Palm Beach, Florida
Leases Disclosure [Line Items]
Lease revenue		3,000,000	3,000,000
Wellington Regional Medical Center | Bonus Rents | Palm Beach, Florida
Leases Disclosure [Line Items]
Lease revenue		$ 2,500,000	2,100,000
Southwest Healthcare System Inland Valley Campus
Leases Disclosure [Line Items]
Lease revenue			4,400,000
Southwest Healthcare System Inland Valley Campus | Base Rents
Leases Disclosure [Line Items]
Lease revenue			2,600,000
Southwest Healthcare System Inland Valley Campus | Bonus Rents
Leases Disclosure [Line Items]
Lease revenue			1,800,000
Evansville Rehabilitation Hospital Evansville, Indiana
Leases Disclosure [Line Items]
Lease expiration date		May 31, 2019
Corpus Christi Corpus Christi Texas
Leases Disclosure [Line Items]
Lease expiration date		Jun. 1, 2019
4058 W. Melrose Specialty Facility, Chicago, Illinois
Leases Disclosure [Line Items]
Lease revenue		$ 1,600,000	1,600,000	1,500,000
Lease expiration date		Dec. 31, 2021
Operating expenses excluding depreciation and amortization expense		$ 2,500,000
Number of vacant specialty facilities | Facility		3
Evansville Rehabilitation Hospital Evansville, Indiana and Corpus Christi Facility Corpus Christi, Texas
Leases Disclosure [Line Items]
Operating expenses excluding depreciation and amortization expense		$ 737,000
Aiken Regional Medical Center and Canyon Creek Behavioral Health
Leases Disclosure [Line Items]
Fair market value of real estate assets received		$ 82,400,000
Lessee operating lease, existence of option to extend		true
Monthly lease rent receivable		$ 5,600,000
Percentage of annual rental increase on cumulative and compound basis		2.25%
Lease revenue		$ 0
Number of facilities leased | Facility		2
Outstanding financing receivable		$ 82,400,000
Lease expiration date		Dec. 31, 2033
Aiken Regional Medical Center and Canyon Creek Behavioral Health | Bonus Rents
Leases Disclosure [Line Items]
Monthly lease rent receivable		$ 5,600,000
Lease revenue		0
Aiken Regional Medical Center and Canyon Creek Behavioral Health | Southwest Healthcare System Inland Valley Campus
Leases Disclosure [Line Items]
Lease revenue		4,500,000	4,400,000
Aiken Regional Medical Center and Canyon Creek Behavioral Health | Southwest Healthcare System Inland Valley Campus | Base Rents
Leases Disclosure [Line Items]
Lease revenue		2,600,000	2,600,000
Aiken Regional Medical Center and Canyon Creek Behavioral Health | Southwest Healthcare System Inland Valley Campus | Bonus Rents
Leases Disclosure [Line Items]
Lease revenue		1,900,000	1,800,000
Aiken Regional Medical Center
Leases Disclosure [Line Items]
Monthly lease rent receivable		3,900,000
Canyon Creek Behavioral Health
Leases Disclosure [Line Items]
Monthly lease rent receivable		1,700,000
Universal Health Services, Inc
Leases Disclosure [Line Items]
Lease revenue	[1]	29,896,000	24,571,000	23,095,000
Universal Health Services, Inc | Base Rents
Leases Disclosure [Line Items]
Lease revenue		21,498,000	17,302,000	16,660,000
Universal Health Services, Inc | Bonus Rents
Leases Disclosure [Line Items]
Lease revenue		$ 6,906,000	6,116,000	$ 5,551,000
Universal Health Services, Inc | Wellington Regional Medical Center | Palm Beach, Florida
Leases Disclosure [Line Items]
Lessee operating lease, existence of option to extend		true
Operating lease renewal term		5 years
Monthly lease rent receivable		$ 6,300,000
Percentage of annual rental increase on cumulative and compound basis		2.50%
Lease revenue		$ 5,500,000	5,100,000
Universal Health Services, Inc | Wellington Regional Medical Center | Base Rents | Palm Beach, Florida
Leases Disclosure [Line Items]
Lease revenue		3,000,000	3,000,000
Universal Health Services, Inc | Wellington Regional Medical Center | Bonus Rents | Palm Beach, Florida
Leases Disclosure [Line Items]
Lease revenue		$ 2,500,000	$ 2,100,000
Universal Health Services, Inc | Subsidiary
Leases Disclosure [Line Items]
Number of wholly-owned subsidiaries | Subsidiary		2
Financing Arrangements
Leases Disclosure [Line Items]
Number of lease property | Lease		2
Asset Purchase and Sale Agreement | Universal Health Services, Inc | Subsidiary
Leases Disclosure [Line Items]
Cash received for sale of real estate asset		$ 2,800,000
Asset Purchase and Sale Agreement | Universal Health Services, Inc | Subsidiary | Aiken Regional Medical Center and Canyon Creek Behavioral Health
Leases Disclosure [Line Items]
Number of wholly-owned subsidiaries | Subsidiary		2
Fair market value of real estate assets received		$ 82,400,000
Asset Purchase and Sale Agreement | Universal Health Services, Inc | Subsidiary | Inland Valley Campus of Southwest Healthcare System
Leases Disclosure [Line Items]
Fair market value of real estate asset sold		79,600,000
Asset Purchase and Sale Agreement | Universal Health Services, Inc | Subsidiary | Aiken Regional Medical Center
Leases Disclosure [Line Items]
Fair market value of real estate assets received		57,700,000
Asset Purchase and Sale Agreement | Universal Health Services, Inc | Subsidiary | Canyon Creek Behavioral Health
Leases Disclosure [Line Items]
Fair market value of real estate asset sold		$ 24,700,000
[1]	Includes bonus rental on UHS hospital facilities of $6,906, $6,116 and $5,551 for the years ended December 31, 2021, 2020 and 2019, respectively.

Lease Accounting - Components o

Lease Accounting - Components of the "Lease Revenue - UHS facilities" and "Lease Revenue - Non-related Parties" Captions (Detail) - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Non-Related Parties
Leases Disclosure [Line Items]
Lease revenue		$ 52,324	$ 51,562	$ 52,020
Non-Related Parties | Base Rents
Leases Disclosure [Line Items]
Lease revenue		41,880	41,562	42,295
Non-Related Parties | Tenant Reimbursements
Leases Disclosure [Line Items]
Lease revenue		10,444	10,000	9,725
Universal Health Services, Inc
Leases Disclosure [Line Items]
Lease revenue	[1]	29,896	24,571	23,095
Universal Health Services, Inc | Base Rents
Leases Disclosure [Line Items]
Lease revenue		21,498	17,302	16,660
Universal Health Services, Inc | Bonus Rents
Leases Disclosure [Line Items]
Lease revenue		6,906	6,116	5,551
Universal Health Services, Inc | Tenant Reimbursements
Leases Disclosure [Line Items]
Lease revenue		$ 1,492	$ 1,153	$ 884
[1]	Includes bonus rental on UHS hospital facilities of $6,906, $6,116 and $5,551 for the years ended December 31, 2021, 2020 and 2019, respectively.

Schedule of Minimum Future Base

Schedule of Minimum Future Base Rents from Non-Cancelable Leases (Topic 842) (Detail) $ in Thousands	Dec. 31, 2021USD ($)
Leases [Abstract]
2022	$ 66,397
2023	61,045
2024	53,385
2025	48,659
2026	44,520
Thereafter	146,870
Total minimum base rents	$ 420,876

Components of Lease Expense Pay

Components of Lease Expense Payments (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020
Leases [Abstract]
Operating lease cost	$ 508	$ 480
Total lease cost	$ 508	$ 480

Schedule of Supplemental Balanc

Schedule of Supplemental Balance Sheet Information Related to Leases (Detail) - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
Operating Leases
Right-of-use land assets, net	$ 11,495	$ 8,914
Ground lease liabilities, net	$ 11,495	$ 8,914
Weighted Average remaining lease term, years
Operating leases	57 years 10 months 24 days
Weighted Average discount rate
Operating leases	5.07%

Schedule of Maturities of lease

Schedule of Maturities of lease liabilities (Detail) - USD ($) $ in Thousands	Dec. 31, 2021	Dec. 31, 2020
Leases [Abstract]
2022	$ 618
2023	618
2024	618
2025	618
2026	618
Later years	32,491
Total undiscounted lease payments	35,581
Less imputed interest	24,086
Ground lease liabilities, net	$ 11,495	$ 8,914

Debt and Financial Instrument_2

Debt and Financial Instruments - Additional Information (Detail)

Jul. 02, 2021USD ($)

Mar. 27, 2018USD ($)Option

Mar. 31, 2020

Jan. 31, 2020USD ($)Derivative

Sep. 30, 2019USD ($)Derivative

Mar. 31, 2019USD ($)

Sep. 30, 2016USD ($)Derivative

Jun. 30, 2016USD ($)Derivative

Dec. 31, 2021USD ($)

Dec. 31, 2020USD ($)

Dec. 31, 2019USD ($)

Dec. 31, 2018USD ($)

Mar. 31, 2019USD ($)

Mar. 31, 2019USD ($)

Debt Instrument [Line Items]

Net borrowings on line of credit

$ 35,700,000

$ 23,250,000

$ 16,550,000

Proceeds from lines of credit

35,700,000

23,250,000

16,550,000

Outstanding borrowings under revolving credit agreement

271,900,000

236,200,000

Letters Of Credit Outstanding Amount

3,200,000

5,600,000

Available borrowing capacity

99,900,000

108,200,000

Compensating Balance Amount

0

Line of credit, fair value of borrowings outstanding

271,900,000

236,200,000

Average amounts outstanding under our revolving credit agreement

$ 253,500,000

$ 219,100,000

$ 198,300,000

Effective interest rate

2.20%

2.40%

3.70%

Interest Rate Swap

Debt Instrument [Line Items]

Number of interest rate cap agreements | Derivative

1

1

Notional amount

$ 35,000,000

$ 50,000,000

Derivative instruments, fixed rate

1.4975%

1.144%

Expiration date of interest rate

Sep. 16, 2024

Sep. 16, 2024

Derivative interest rate cap, net payment received or accrued from counterparties

$ 1,300,000

Interest Rate Swap | Cash Flow Hedging

Debt Instrument [Line Items]

Number of interest rate cap agreements | Derivative

1

Notional amount

$ 55,000,000

Derivative instruments, fixed rate

0.565%

0.565%

Expiration date of interest rate

Mar. 25, 2027

Interest Rate Cap

Debt Instrument [Line Items]

Number of interest rate cap agreements | Derivative

1

1

Notional amount

$ 30,000,000

$ 30,000,000

Expiration date of interest rate

Mar. 31, 2019

Mar. 31, 2019

Derivative interest rate cap, payment received or accrued from counterparties

$ 61,000

$ 144,000

$ 205,000

$ 205,000

Premium paid

$ 55,000

$ 115,000

Level 2

Debt Instrument [Line Items]

Mortgage debt

57,200,000

$ 59,200,000

Mortgage loan fair value

59,400,000

62,000,000

Liability derivatives, fair value

1,100,000

Derivative interest rate cap, net payment received or accrued from counterparties

1,900,000

Derivative interest rate cap, payment received or accrued from counterparties

198,000

Derivative interest rate cap, offset due to counterparties

$ 2,100,000

Level 2 | Interest Rate Swap

Debt Instrument [Line Items]

Derivative interest rate cap, net payment received or accrued from counterparties

733,000

Derivative interest rate cap, payment received or accrued from counterparties

824,000

Derivative interest rate cap, offset due to counterparties

$ 91,000

London Interbank Offered Rate (LIBOR)

Debt Instrument [Line Items]

Margin points added to the reference rate

1.25%

London Interbank Offered Rate (LIBOR) | Interest Rate Cap

Debt Instrument [Line Items]

Derivative instruments, LIBOR rate

1.50%

1.50%

Base Rate

Debt Instrument [Line Items]

Margin points added to the reference rate

0.25%

Credit Agreement

Debt Instrument [Line Items]

Outstanding borrowing

$ 350,000,000

$ 375,000,000

Net borrowings on line of credit

350,000,000

$ 50,000,000

Unsecured revolving amended credit agreement terminated date

Jul. 2, 2025

Proceeds from lines of credit

350,000,000

$ 50,000,000

Increase in borrowing capacity

$ 375,000,000

Number of additional six month extension options | Option

2

Credit Agreement | Swingline/Short-Term Loans

Debt Instrument [Line Items]

Outstanding borrowing

$ 30,000,000

Credit Agreement | Letters of Credit

Debt Instrument [Line Items]

Outstanding borrowing

$ 40,000,000

Revolving A Facility

Debt Instrument [Line Items]

Credit facility, Interest Rate Terms

Borrowings under the Credit Agreement will bear interest annually at a rate equal to, at our option, at either LIBOR (for one, three, or six months) or the Base Rate, plus in either case, a specified margin depending on our ratio of debt to total capital, as determined by the formula set forth in the Credit Agreement. The applicable margin ranges from 1.10% to 1.35% for LIBOR loans and 0.10% to 0.35% for Base Rate loans.

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%.

Revolving A Facility | Minimum

Debt Instrument [Line Items]

Facility fee payable on commitment

0.15%

Revolving A Facility | Minimum | London Interbank Offered Rate (LIBOR)

Debt Instrument [Line Items]

Margin points added to the reference rate

1.10%

Margin points added to the base rate

1.00%

Revolving A Facility | Minimum | Base Rate

Debt Instrument [Line Items]

Margin points added to the reference rate

0.10%

Revolving A Facility | Minimum | Federal Funds Effective Rate

Debt Instrument [Line Items]

Margin points added to the base rate

0.50%

Revolving A Facility | Maximum

Debt Instrument [Line Items]

Facility fee payable on commitment

0.35%

Revolving A Facility | Maximum | London Interbank Offered Rate (LIBOR)

Debt Instrument [Line Items]

Margin points added to the reference rate

1.35%

Revolving A Facility | Maximum | Base Rate

Debt Instrument [Line Items]

Margin points added to the reference rate

0.35%

Revolving B Facility

Debt Instrument [Line Items]

Facility fee payable on commitment

0.25%

Revolving B Facility | London Interbank Offered Rate (LIBOR)

Debt Instrument [Line Items]

Margin points added to the reference rate

1.25%

Revolving B Facility | Base Rate

Debt Instrument [Line Items]

Margin points added to the reference rate

0.25%

Summary of Required Compliance

Summary of Required Compliance Ratios in Connection with Terms of Credit Agreements (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020
Debt Instrument [Line Items]
Covenant, Tangible net worth	$ 125,000	$ 125,000
Tangible net worth	$ 225,355	$ 147,263
Total leverage	43.10%	44.80%
Secured leverage	7.40%	8.60%
Unencumbered leverage	41.90%	41.40%
Fixed charge coverage	4.80%	4.70%
Maximum
Debt Instrument [Line Items]
Covenant, Total leverage	60.00%	60.00%
Covenant, Secured leverage	30.00%	30.00%
Covenant, Unencumbered leverage	60.00%	60.00%
Minimum
Debt Instrument [Line Items]
Covenant, Fixed charge coverage	1.50%	1.50%

Summary of Outstanding Mortgage

Summary of Outstanding Mortgages, Excluding Net Debt Premium (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021		Dec. 31, 2020
Debt Instrument [Line Items]
Outstanding Balance	$ 57,152		$ 59,231
Less net financing fees	(376)		(477)
Plus net debt premium	90		141
Total mortgage notes payable, non-recourse to us, net	$ 56,866		58,895
Seven Hundred Shadow Lane And Goldring Medical Office Building Fixed Rate Mortgage Loan
Debt Instrument [Line Items]
Debt Instrument Interest Rate Stated Percentage	4.54%
Maturity Date	2022-06
Outstanding Balance	$ 5,210	[1]	5,437
B R B Medical Office Building Fixed Rate Mortgage Loan
Debt Instrument [Line Items]
Debt Instrument Interest Rate Stated Percentage	4.27%
Maturity Date	2022-12
Outstanding Balance	$ 5,280	[1]	5,505
Desert Valley Medical Center Fixed Rate Mortgage Loan
Debt Instrument [Line Items]
Debt Instrument Interest Rate Stated Percentage	3.62%
Maturity Date	2023-01
Outstanding Balance	$ 4,356	[1]	4,511
2704 North Tenaya Way Fixed Rate Mortgage Loan
Debt Instrument [Line Items]
Debt Instrument Interest Rate Stated Percentage	4.95%
Maturity Date	2023-11
Outstanding Balance	$ 6,418	[1]	6,576
Phoenix Children East Valley Care Center Fixed Rate Mortgage Loan
Debt Instrument [Line Items]
Debt Instrument Interest Rate Stated Percentage	3.95%
Maturity Date	2030-01
Outstanding Balance	$ 8,466	[1]	8,718
Summerlin Hospital Medical Office Building III Fixed Rate Mortgage Loan
Debt Instrument [Line Items]
Debt Instrument Interest Rate Stated Percentage	4.03%
Maturity Date	2024-04
Outstanding Balance	$ 12,806	[1]	13,043
Tuscan Professional Building Fixed Rate Mortgage Loan
Debt Instrument [Line Items]
Debt Instrument Interest Rate Stated Percentage	5.56%
Maturity Date	2025-06
Outstanding Balance	$ 2,343	[1]	2,933
Rosenberg Children's Medical Plaza Fixed Rate Mortgage Loan
Debt Instrument [Line Items]
Debt Instrument Interest Rate Stated Percentage	4.42%
Maturity Date	2033-09
Outstanding Balance	$ 12,273	[1]	$ 12,508
[1]	All mortgage loans require monthly principal payments through maturity and either fully amortize or include a balloon principal payment upon maturity.

Aggregate Consolidated Schedule

Aggregate Consolidated Scheduled Debt Repayment (Detail) $ in Thousands	Dec. 31, 2021USD ($)
Debt Disclosure [Abstract]
2022	$ 12,197
2023	11,892
2024	13,550	[1]
2025	272,839
2026	601
Later	17,973
Total	$ 329,052
[1]	Includes assumed repayment of $271.9 million of outstanding borrowings under the terms of our $375 million revolving credit agreement scheduled to mature in July, 2025

Aggregate Consolidated Schedu_2

Aggregate Consolidated Scheduled Debt Repayment (Parenthetical) (Detail) - USD ($)	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020
Schedule Of Equity Method Investments [Line Items]
Line of credit borrowings	$ 271,900,000	$ 236,200,000
New Revolving Credit Facility Agreement
Schedule Of Equity Method Investments [Line Items]
Outstanding borrowing	$ 375,000,000
Maturity date	Jul. 31, 2025

Dividends and Equity Issuance_2

Dividends and Equity Issuance Program - Additional Information (Detail) - USD ($)	12 Months Ended			18 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2021	Jun. 30, 2020
Dividends and Equity Issuance [Line Items]
Declared and paid dividends, per share	$ 2.80	$ 2.76	$ 2.72
Ordinary income per share	2.51	2.43	2.48
Capital gain per share	$ 0.16	$ 0.33	$ 0.24
At-The-Market Equity Issuance Program (ATM)
Dividends and Equity Issuance [Line Items]
Aggregate sales of threshold amount					$ 100,000,000
Share issued	0			2,704
Average sale price per share	$ 101.30
Net cash proceeds from stock issued	$ 270,000
Payments of stock issuance cost	4,000
At-The-Market Equity Issuance Program (ATM) | Other Expenses
Dividends and Equity Issuance [Line Items]
Payments for stock issuance	$ 508,000
Capital gain
Dividends and Equity Issuance [Line Items]
Capital gain per share	$ 0.13
Unrecaptured Section 1250 gain dividends per share	$ 0.04

Incentive Plans - Additional In

Incentive Plans - Additional Information (Detail) - USD ($)	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Equity Incentive Plan [Line Items]
Number of options outstanding	0	0	0
Number of stock options exercised	0	0	0
Incentive Plan 2007
Equity Incentive Plan [Line Items]
Number of shares authorized for issuance	175,000
Shares issued, net of cancellation	127,805
Number of shares vested	106,275
Number of shares remaining for issuance	47,195
Restricted shares issued, net of cancellation	10,765	10,765	10,980
Restricted shares issued, weighted average grant price	$ 71.69	$ 96.74	$ 84.24
Restricted shares of beneficial interest, net of cancellations, issued, value	$ 772,000	$ 1,000,000	$ 924,955
Restricted shares, Vesting Period	2023-06	2022-06	2021-06
Compensation expense	$ 947,000	$ 912,000	$ 702,000
Compensation expense remained to be recognized in future	$ 769,000
Compensation expense not yet recognized, period of recognition	1 year

Summarized Financial Informat_3

Summarized Financial Information of Equity Affiliates - Additional Information (Detail)	12 Months Ended
	Dec. 31, 2021Property
Grayson Properties
Schedule Of Equity Method Investments [Line Items]
Minority ownership interest held by a third-party	5.00%
Ownership percentage upon completion of the minority ownership purchase	100.00%
Limited Liability Companies | Medical office buildings
Schedule Of Equity Method Investments [Line Items]
Number of real estate investments	4
Minimum
Schedule Of Equity Method Investments [Line Items]
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]
Number of days for Non-Offering Member either to purchase or sell its entire ownership interest to or from Offering Member	90 days
4 Unconsolidated Limited Liability Companies / Limited Partner | Minimum
Schedule Of Equity Method Investments [Line Items]
Non-controlling equity interest, ownership percentage	33.00%
4 Unconsolidated Limited Liability Companies / Limited Partner | Maximum
Schedule Of Equity Method Investments [Line Items]
Non-controlling equity interest, ownership percentage	95.00%

Limited Liability Companies Acc

Limited Liability Companies Accounted for Under Equity Method (Detail) - Equity Method Investments	12 Months Ended
	Dec. 31, 2021
Suburban Properties
Schedule Of Equity Method Investments [Line Items]
Ownership	33.00%
Property Owned by LLC/LP	St. Matthews Medical Plaza II
Brunswick Associates
Schedule Of Equity Method Investments [Line Items]
Ownership	74.00%	[1],[2]
Property Owned by LLC/LP	Mid Coast Hospital MOB	[1],[2]
FTX MOB Phase II limited partnership
Schedule Of Equity Method Investments [Line Items]
Ownership	95.00%	[3]
Property Owned by LLC/LP	Forney Medical Plaza II	[3]
Grayson Properties Two L P
Schedule Of Equity Method Investments [Line Items]
Ownership	95.00%	[4],[5]
Property Owned by LLC/LP	Texoma Medical Plaza II	[4],[5]
[1]	W e are the lessee with a third party on a ground lease for land .
[2]	This LLC refinanced its fixed rate mortgage during the fourth quarter of 2020 (as reflected in the mortgage loan table below) and has a third-party term loan of $8.9 million, which is non-recourse to us, outstanding as of December 31, 2021.
[3]	During the first quarter of 2021, this LP paid off its $4.7 million mortgage loan, upon maturity, utilizing pro rata equity contributions from the limited partners as well as a $3.5 million member loan from us to the LP which was funded utilizing borrowings from our revolving credit agreement.
[4]	Construction on this MOB was substantially completed in December 2020. The MOB is located in Denison, Texas on the campus of a hospital owned and operated by a wholly-owned subsidiary of UHS.  We have committed to invest up to $4.8 million in equity and debt financing, $1.8 million of which has been funded as of December 31, 2021. This LLP entered into a $13.1 million third-party construction loan, which is non-recourse to us and has an outstanding balance of $13.1 million as of December 31, 2021.  The LP developed constructed, owns and operates the Texoma Medical Plaza II.
[5]	We are the lessee

Limited Liability Companies A_2

Limited Liability Companies Accounted for Under Equity Method (Parenthetical) (Detail) - USD ($) $ in Millions	3 Months Ended
	Mar. 31, 2021	Dec. 31, 2021
Brunswick Associates
Schedule Of Equity Method Investments [Line Items]
Third-party term loan		$ 8.9
FTX MOB Phase II limited partnership
Schedule Of Equity Method Investments [Line Items]
Repayment Of Loan	$ 4.7
Member loan used to repay mortgage loan	$ 3.5
Grayson Properties II
Schedule Of Equity Method Investments [Line Items]
Construction loan		13.1
Construction loan outstanding balance		13.1
Grayson Properties II | Maximum
Schedule Of Equity Method Investments [Line Items]
Commitment to investment		4.8
Grayson Properties II | Maximum | Denison Texas
Schedule Of Equity Method Investments [Line Items]
Commitment to investment		$ 4.8

Combined Statements of Income f

Combined Statements of Income for LLCs/LPs Accounted Under Equity Method (Detail) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Schedule Of Equity Method Investments [Line Items]
Revenues	$ 84,190	$ 78,010	$ 77,163
Net income	109,166	19,447	18,964
Our share of net income	1,796	1,706	1,796
Equity Method Investment, Nonconsolidated Investee or Group of Investees
Schedule Of Equity Method Investments [Line Items]
Revenues	10,575	9,973	10,063
Operating expenses	4,093	3,979	4,046
Depreciation and amortization	2,198	1,827	1,758
Interest, net	1,721	1,296	1,295
Net income	2,563	2,871	2,964
Our share of net income	$ 1,796	$ 1,706	$ 1,796

Combined Balance Sheets for LLC

Combined Balance Sheets for LLCs/LPs Accounted Under Equity Method (Detail) - USD ($) $ in Thousands		Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Schedule Of Equity Method Investments [Line Items]
Total Assets		$ 598,419	$ 494,009
Equity		235,327	159,005	$ 181,734	$ 198,610
Total Liabilities and Equity		598,419	494,009
Investments in LLCs before amounts included in accrued expenses and other liabilities		10,139	4,278
Equity Method Investment, Nonconsolidated Investee or Group of Investees
Schedule Of Equity Method Investments [Line Items]
Net property, including construction in progress		30,983	42,374
Other assets	[1]	4,574	8,818
Total Assets		35,557	51,192
Other liabilities	[1]	2,797	9,402
Mortgage notes payable, non-recourse to us		22,068	39,735
Advances payable to us	[2]	3,500
Equity		7,192	2,055
Total Liabilities and Equity		35,557	51,192
Investments in LLCs before amounts included in accrued expenses and other liabilities		10,139	4,278
Amounts included in accrued expenses and other liabilities		(1,784)	(3,020)
Our share of equity in LLCs, net		$ 8,355	$ 1,258
[1]	Other assets and other liabilities as of December 31, 2021 and 2020 include approximately $656,000 and $4.3 million, respectively, of right-of-use land assets and right-of-use land liabilities related to ground leases whereby the LLC/LP is the lessee, with third parties, including subsidiaries of UHS.
[2]	Consists of a 7.25% member loan to FTX MOB Phase II, LP with a maturity date of March 1, 2023.

Combined Balance Sheets for L_2

Combined Balance Sheets for LLCs/LPs Accounted Under Equity Method (Parenthetical) (Detail) - USD ($)	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020
Schedule Of Equity Method Investments [Line Items]
Right-of-use land assets	$ 11,495,000	$ 8,914,000
Right-of-use land liabilities	11,495,000	8,914,000
Limited Liability Companies
Schedule Of Equity Method Investments [Line Items]
Right-of-use land assets	656,000	4,300,000
Right-of-use land liabilities	$ 656,000	$ 4,300,000
FTX MOB Phase II limited partnership
Schedule Of Equity Method Investments [Line Items]
Maturity Date	2023-03

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, 2021	Dec. 31, 2020
Schedule Of Equity Method Investments [Line Items]
2022		$ 12,197
2023		11,892
2024	[1]	13,550
2025		272,839
2026		601
2027 and thereafter		17,973
Total		329,052
Equity Method Investments
Schedule Of Equity Method Investments [Line Items]
2022		265
2023		597
2024		613
2025		12,704
2026		293
2027 and thereafter		7,596
Total		22,068
Mortgage Loan Balance	[2]	$ 22,068	$ 39,735
Equity Method Investments | FTX MOB Phase II
Schedule Of Equity Method Investments [Line Items]
Mortgage Loan Balance	[2],[3]		4,777
Maturity Date	[2],[3]	2021-02
Equity Method Investments | Grayson Properties
Schedule Of Equity Method Investments [Line Items]
Mortgage Loan Balance	[2],[4]		13,372
Maturity Date	[2],[4]	2021-09
Equity Method Investments | Brunswick Associates
Schedule Of Equity Method Investments [Line Items]
Mortgage Loan Balance	[2]	$ 8,993	9,250
Maturity Date	[2]	2030-12
Equity Method Investments | Grayson Properties II
Schedule Of Equity Method Investments [Line Items]
Mortgage Loan Balance	[2],[5]	$ 13,075	$ 12,336
Maturity Date	[2],[5]	2025-06
[1]	Includes assumed repayment of $271.9 million of outstanding borrowings under the terms of our $375 million revolving credit agreement scheduled to mature in July, 2025
[2]	All mortgage loans require monthly principal payments through maturity and include a balloon principal payment upon maturity.
[3]	Upon maturity in February, 2021 this LP paid off this mortgage loan utilizing pro rata equity contribution from the limited partners as well as a $3.5 million member loan from us to the LP which was funded utilizing borrowings from our revolving credit agreement.
[4]	Upon maturity in September, 2021 this LP paid off its mortgage utilizing an equity contribution from us, which was funded utilizing borrowings from our revolving credit agreement.
[5]	This construction loan has a maximum balance of $13.1 million and requires interest on the outstanding principal balance to be paid on a monthly basis through December 1, 2022.  Monthly principal and interest payments are scheduled to commence on January 1, 2023.

Aggregate Principal Amounts d_2

Aggregate Principal Amounts due on Mortgage and Construction Notes Payable by Unconsolidated LLC's Accounted Under Equity Method (Parenthetical) (Detail) $ in Millions	Dec. 31, 2021USD ($)
FTX MOB Phase II limited partnership
Schedule Of Equity Method Investments [Line Items]
Member loan used to repay mortgage loan	$ 3.5
Grayson Properties II
Schedule Of Equity Method Investments [Line Items]
Construction loan	$ 13.1

Segment Reporting - Additional

Segment Reporting - Additional Information (Detail)	12 Months Ended
	Dec. 31, 2021Segment
Segment Reporting [Abstract]
Number of reportable segments	1

Schedule III Real Estate and Ac

Schedule III Real Estate and Accumulated Depreciation (Detail) - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2021		Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Real Estate and Accumulated Depreciation [Line Items]
Encumbrance	[1],[2]	$ 57,152
Initial Cost, Land	[2]	52,057
Initial Cost, Building & Improvements	[2]	492,734
Adjustments to Basis	[2],[3]	113,297
Land	[2]	54,897
Buildings and Improvements	[2]	603,191
CIP	[2]	5,645
Total		663,733	[2]	$ 660,449	$ 627,395	$ 611,046
Accumulated Depreciation		225,584	[2]	$ 216,648
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	[3]	10,189
Land		6,281
Buildings and Improvements		40,070
Total		46,351
Accumulated Depreciation		$ 31,002
Date of Completion of Construction, Acquisition or Significant Improvement		1994
Date Acquired		1986
Average Depreciable Life		42 years
Wellington Regional Medical Center West Palm Beach, Florida
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 1,190
Initial Cost, Building & Improvements		14,652
Adjustments to Basis	[3]	17,370
Land		1,663
Buildings and Improvements		31,549
Total		33,212
Accumulated Depreciation		$ 22,914
Date of Completion of Construction, Acquisition or Significant Improvement		2006
Date Acquired		1986
Average Depreciable Life		42 years
Evansville Facility Evansville Indiana
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 500
Initial Cost, Building & Improvements		6,945
Adjustments to Basis	[3]	1,062
Land		500
Buildings and Improvements		8,007
Total		8,507
Accumulated Depreciation		$ 6,490
Date of Completion of Construction, Acquisition or Significant Improvement		1993
Date Acquired		1989
Average Depreciable Life		40 years
4058 W. Melrose Specialty Facility, Chicago, Illinois
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 158
Initial Cost, Building & Improvements		6,404
Adjustments to Basis	[3]	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		1993
Date Acquired		1986
Average Depreciable Life		25 years
Family Doctor 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	[3]	494
Land		54
Buildings and Improvements		2,020
Total		2,074
Accumulated Depreciation		$ 1,235
Date of Completion of Construction, Acquisition or Significant Improvement		1991
Date Acquired		1995
Average Depreciable Life		45 years
Professional Buildings at Kings Crossing Texas
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land	[4]	$ 439
Initial Cost, Building & Improvements	[4]	1,837
Adjustments to Basis	[3],[4]	(297)
Land	[4]	439
Buildings and Improvements	[4]	1,540
Total	[4]	1,979
Accumulated Depreciation	[4]	$ 436
Date of Completion of Construction, Acquisition or Significant Improvement	[4]	1995
Date Acquired	[4]	1995
Average Depreciable Life	[4]	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		$ 564
Date of Completion of Construction, Acquisition or Significant Improvement		1996
Date Acquired		1996
Average Depreciable Life		45 years
Chesterbrook Academy New Britain, Pennsylvania
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 250
Initial Cost, Building & Improvements		744
Land		250
Buildings and Improvements		744
Total		994
Accumulated Depreciation		$ 429
Date of Completion of Construction, Acquisition or Significant Improvement		1991
Date Acquired		1996
Average Depreciable Life		45 years
Chesterbrook Academy Uwchlan, Pennsylvania
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 180
Initial Cost, Building & Improvements		815
Land		180
Buildings and Improvements		815
Total		995
Accumulated Depreciation		$ 462
Date of Completion of Construction, Acquisition or Significant Improvement		1992
Date Acquired		1996
Average Depreciable Life		45 years
Chesterbrook Academy Newtown, Pennsylvania
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 195
Initial Cost, Building & Improvements		749
Land		195
Buildings and Improvements		749
Total		944
Accumulated Depreciation		$ 430
Date of Completion of Construction, Acquisition or Significant Improvement		1992
Date Acquired		1996
Average Depreciable Life		45 years
The Southern Crescent Center I
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land	[5]	$ 1,130
Initial Cost, Building & Improvements	[5]	5,092
Adjustments to Basis	[3],[5]	(2,060)
Land	[5]	1,130
Buildings and Improvements	[5]	3,032
Total	[5]	4,162
Accumulated Depreciation	[5]	$ 2,667
Date of Completion of Construction, Acquisition or Significant Improvement	[5]	1994
Date Acquired	[5]	1996
Average Depreciable Life	[5]	45 years
The Southern Crescent Center II Riverdale, Georgia
Real Estate and Accumulated Depreciation [Line Items]
Adjustments to Basis	[3],[5]	$ 5,338
Land	[5]	806
Buildings and Improvements	[5]	4,532
Total	[5]	5,338
Accumulated Depreciation	[5]	$ 3,426
Date of Completion of Construction, Acquisition or Significant Improvement	[5]	2000
Date Acquired	[5]	1998
Average Depreciable Life	[5]	35 years
The Cypresswood Professional Center Spring, Texas
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land	[6]	$ 573
Initial Cost, Building & Improvements	[6]	3,842
Adjustments to Basis	[3],[6]	(2,509)
Land	[6]	573
Buildings and Improvements	[6]	1,333
Total	[6]	1,906
Accumulated Depreciation	[6]	$ 338
Date of Completion of Construction, Acquisition or Significant Improvement	[6]	1997
Date Acquired	[6]	1997
Average Depreciable Life	[6]	35 years
701 South Tonopah Building Las Vegas, Nevada
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Building & Improvements	[7]	$ 1,579
Adjustments to Basis	[3],[7]	68
Buildings and Improvements	[7]	1,647
Total	[7]	1,647
Accumulated Depreciation	[7]	$ 1,461
Date of Completion of Construction, Acquisition or Significant Improvement	[7]	1999
Date Acquired	[7]	1999
Average Depreciable Life	[7]	25 years
Danbury Medical Plaza Danbury, Connecticut
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 1,151
Initial Cost, Building & Improvements		5,176
Adjustments to Basis	[3]	1,382
Land		1,151
Buildings and Improvements		6,558
Total		7,709
Accumulated Depreciation		$ 4,474
Date of Completion of Construction, Acquisition or Significant Improvement		2000
Date Acquired		2000
Average Depreciable Life		30 years
Corpus Christi Facility Corpus Christi, Texas
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 1,104
Initial Cost, Building & Improvements		5,508
Land		1,104
Buildings and Improvements		5,508
Total		6,612
Accumulated Depreciation		$ 2,187
Date of Completion of Construction, Acquisition or Significant Improvement		2008
Date Acquired		2008
Average Depreciable Life		35 years
Apache Junction Medical Plaza Apache Junction, AZ
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 240
Initial Cost, Building & Improvements		3,590
Adjustments to Basis	[3]	1,414
Land		240
Buildings and Improvements		5,004
Total		5,244
Accumulated Depreciation		$ 2,575
Date of Completion of Construction, Acquisition or Significant Improvement		2004
Date Acquired		2004
Average Depreciable Life		30 years
BRB Medical Office Building Kingwood, Texas
Real Estate and Accumulated Depreciation [Line Items]
Encumbrance	[1]	$ 5,280
Initial Cost, Land		430
Initial Cost, Building & Improvements		8,970
Adjustments to Basis	[3]	575
Land		430
Buildings and Improvements		9,545
Total		9,975
Accumulated Depreciation		$ 2,956
Date of Completion of Construction, Acquisition or Significant Improvement		2010
Date Acquired		2010
Average Depreciable Life		37 years
Centennial Hills Medical Office Building Las Vegas, NV
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Building & Improvements	[7]	$ 19,890
Adjustments to Basis	[3],[7]	3,388
Buildings and Improvements	[7]	23,278
CIP	[7]	16
Total	[7]	23,294
Accumulated Depreciation	[7]	$ 8,498
Date of Completion of Construction, Acquisition or Significant Improvement	[7]	2006
Date Acquired	[7]	2006
Average Depreciable Life	[7]	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	[3]	2,772
Land		1,200
Buildings and Improvements		12,332
Total		13,532
Accumulated Depreciation		$ 4,925
Date of Completion of Construction, Acquisition or Significant Improvement		1998
Date Acquired		1998
Average Depreciable Life		30 years
700 Shadow Lane & Goldring MOBs Las Vegas, NV
Real Estate and Accumulated Depreciation [Line Items]
Encumbrance	[1]	$ 5,210
Initial Cost, Land		400
Initial Cost, Building & Improvements		11,300
Adjustments to Basis	[3]	5,251
Land		400
Buildings and Improvements		16,551
CIP		784
Total		17,735
Accumulated Depreciation		$ 6,936
Date of Completion of Construction, Acquisition or Significant Improvement		2003
Date Acquired		2003
Average Depreciable Life		30 years
Spring Valley Hospital MOB II Las Vegas, NV
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Building & Improvements	[7]	$ 9,800
Adjustments to Basis	[3],[7]	2,191
Buildings and Improvements	[7]	11,991
CIP	[7]	22
Total	[7]	12,013
Accumulated Depreciation	[7]	$ 4,066
Date of Completion of Construction, Acquisition or Significant Improvement	[7]	2006
Date Acquired	[7]	2006
Average Depreciable Life	[7]	34 years
Spring Valley Hospital MOB I Las Vegas, NV
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Building & Improvements	[7]	$ 9,500
Adjustments to Basis	[3],[7]	1,695
Buildings and Improvements	[7]	11,195
CIP	[7]	34
Total	[7]	11,229
Accumulated Depreciation	[7]	$ 4,187
Date of Completion of Construction, Acquisition or Significant Improvement	[7]	2004
Date Acquired	[7]	2004
Average Depreciable Life	[7]	35 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	[3]	2,031
Land		460
Buildings and Improvements		17,471
CIP		205
Total		18,136
Accumulated Depreciation		$ 7,213
Date of Completion of Construction, Acquisition or Significant Improvement		1999
Date Acquired		1999
Average Depreciable Life		30 years
Summerlin Hospital MOB II Las Vegas, NV
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 370
Initial Cost, Building & Improvements		16,830
Adjustments to Basis	[3]	1,763
Land		370
Buildings and Improvements		18,593
CIP		197
Total		19,160
Accumulated Depreciation		$ 7,440
Date of Completion of Construction, Acquisition or Significant Improvement		2000
Date Acquired		2000
Average Depreciable Life		30 years
Summerlin Hospital MOB III Las Vegas, NV
Real Estate and Accumulated Depreciation [Line Items]
Encumbrance	[1],[7]	$ 12,806
Initial Cost, Building & Improvements	[7]	14,900
Adjustments to Basis	[3],[7]	2,671
Buildings and Improvements	[7]	17,571
CIP	[7]	38
Total	[7]	17,609
Accumulated Depreciation	[7]	$ 5,631
Date of Completion of Construction, Acquisition or Significant Improvement	[7]	2009
Date Acquired	[7]	2009
Average Depreciable Life	[7]	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		$ 1,314
Date of Completion of Construction, Acquisition or Significant Improvement		2011
Date Acquired		2011
Average Depreciable Life		35 years
Forney Medical Plaza Forney, TX
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 910
Initial Cost, Building & Improvements		11,960
Adjustments to Basis	[3]	179
Land		910
Buildings and Improvements		12,139
CIP		115
Total		13,164
Accumulated Depreciation		$ 4,590
Date of Completion of Construction, Acquisition or Significant Improvement		2011
Date Acquired		2011
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	[3]	434
Land		1,100
Buildings and Improvements		9,434
Total		10,534
Accumulated Depreciation		$ 3,295
Date of Completion of Construction, Acquisition or Significant Improvement		2011
Date Acquired		2011
Average Depreciable Life		35 years
Tuscan Professional Building Irving, TX
Real Estate and Accumulated Depreciation [Line Items]
Encumbrance	[1]	$ 2,343
Initial Cost, Land		1,100
Initial Cost, Building & Improvements		12,525
Adjustments to Basis	[3]	2,013
Land		1,100
Buildings and Improvements		14,538
CIP		5
Total		15,643
Accumulated Depreciation		$ 5,478
Date of Completion of Construction, Acquisition or Significant Improvement		2011
Date Acquired		2011
Average Depreciable Life		35 years
Peace Health Medical Clinic Bellingham, WA
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 1,900
Initial Cost, Building & Improvements		24,910
Adjustments to Basis	[3]	921
Land		1,900
Buildings and Improvements		25,831
Total		27,731
Accumulated Depreciation		$ 8,398
Date of Completion of Construction, Acquisition or Significant Improvement		2012
Date Acquired		2012
Average Depreciable Life		35 years
Northwest Texas Professional Office Tower Amarillo TX
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Building & Improvements	[7]	$ 7,180
Adjustments to Basis	[3],[7]	1,390
Buildings and Improvements	[7]	8,570
Total	[7]	8,570
Accumulated Depreciation	[7]	$ 2,395
Date of Completion of Construction, Acquisition or Significant Improvement	[7]	2012
Date Acquired	[7]	2012
Average Depreciable Life	[7]	35 years
Ward Eagle Office Village Farmington Hills MI
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 220
Initial Cost, Building & Improvements		3,220
Adjustments to Basis	[3]	106
Land		220
Buildings and Improvements		3,326
Total		3,546
Accumulated Depreciation		$ 1,013
Date of Completion of Construction, Acquisition or Significant Improvement		2013
Date Acquired		2013
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		$ 152
Date of Completion of Construction, Acquisition or Significant Improvement		2013
Date Acquired		2013
Average Depreciable Life		35 years
Desert Valley Medical Center Phoenix AZ
Real Estate and Accumulated Depreciation [Line Items]
Encumbrance	[1]	$ 4,356
Initial Cost, Land		2,280
Initial Cost, Building & Improvements		4,624
Adjustments to Basis	[3]	1,203
Land		2,280
Buildings and Improvements		5,827
Total		8,107
Accumulated Depreciation		$ 1,978
Date of Completion of Construction, Acquisition or Significant Improvement		1996
Date Acquired		1996
Average Depreciable Life		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		$ 1,535
Date of Completion of Construction, Acquisition or Significant Improvement		2014
Date Acquired		2014
Average Depreciable Life		35 years
Haas Medical Office Park Ottumwa, IA
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Building & Improvements	[8]	$ 3,571
Buildings and Improvements	[8]	3,571
Total	[8]	3,571
Accumulated Depreciation	[8]	$ 824
Date of Completion of Construction, Acquisition or Significant Improvement	[8]	2015
Date Acquired	[8]	2015
Average Depreciable Life	[8]	35 years
South Texas ER at Mission, 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		$ 1,089
Date of Completion of Construction, Acquisition or Significant Improvement		2015
Date Acquired		2015
Average Depreciable Life		35 years
North Valley Medical Plaza Phoenix, AZ
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 930
Initial Cost, Building & Improvements		6,929
Adjustments to Basis	[3]	2,265
Land		930
Buildings and Improvements		9,194
CIP		16
Total		10,140
Accumulated Depreciation		$ 2,951
Date of Completion of Construction, Acquisition or Significant Improvement		2010
Date Acquired		2010
Average Depreciable Life		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		$ 768
Date of Completion of Construction, Acquisition or Significant Improvement		2014
Date Acquired		2014
Average Depreciable Life		35 years
Rosenberg Children's Medical Plaza, Phoenix, AZ
Real Estate and Accumulated Depreciation [Line Items]
Encumbrance	[1],[8]	$ 12,273
Initial Cost, Building & Improvements	[8]	23,302
Adjustments to Basis	[3],[8]	148
Buildings and Improvements	[8]	23,450
Total	[8]	23,450
Accumulated Depreciation	[8]	$ 5,855
Date of Completion of Construction, Acquisition or Significant Improvement	[8]	2001
Date Acquired	[8]	2001
Average Depreciable Life	[8]	35 years
Phoenix Children's East Valley Care Center, Phoenix, AZ
Real Estate and Accumulated Depreciation [Line Items]
Encumbrance	[1]	$ 8,466
Initial Cost, Land		1,050
Initial Cost, Building & Improvements		10,900
Land		1,050
Buildings and Improvements		10,900
Total		11,950
Accumulated Depreciation		$ 2,714
Date of Completion of Construction, Acquisition or Significant Improvement		2006
Date Acquired		2006
Average Depreciable Life		35 years
Palmdale Medical Plaza, Palmdale, CA
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Building & Improvements	[7]	$ 10,555
Adjustments to Basis	[3],[7]	1,847
Buildings and Improvements	[7]	12,402
CIP	[7]	2
Total	[7]	12,404
Accumulated Depreciation	[7]	$ 3,504
Date of Completion of Construction, Acquisition or Significant Improvement	[7]	2008
Date Acquired	[7]	2008
Average Depreciable Life	[7]	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		$ 613
Date of Completion of Construction, Acquisition or Significant Improvement		2015
Date Acquired		2015
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		$ 673
Date of Completion of Construction, Acquisition or Significant Improvement		2015
Date Acquired		2015
Average Depreciable Life		30 years
Santa Fe Professional Plaza Scottsdale, AZ
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 1,090
Initial Cost, Building & Improvements		1,960
Adjustments to Basis	[3]	639
Land		1,090
Buildings and Improvements		2,599
CIP		7
Total		3,696
Accumulated Depreciation		$ 912
Date of Completion of Construction, Acquisition or Significant Improvement		1999
Date Acquired		1999
Average Depreciable Life		30 years
Sierra San Antonio Medical Plaza Fontana, CA
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Building & Improvements	[8]	$ 11,538
Adjustments to Basis	[3],[8]	876
Buildings and Improvements	[8]	12,414
CIP	[8]	3
Total	[8]	12,417
Accumulated Depreciation	[8]	$ 3,777
Date of Completion of Construction, Acquisition or Significant Improvement	[8]	2006
Date Acquired	[8]	2006
Average Depreciable Life	[8]	30 years
Vista Medical Terrace & Sparks MOB Sparks, NV
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Building & Improvements	[7]	$ 9,276
Adjustments to Basis	[3],[7]	2,163
Buildings and Improvements	[7]	11,439
Total	[7]	11,439
Accumulated Depreciation	[7]	$ 3,939
Date of Completion of Construction, Acquisition or Significant Improvement	[7]	2008
Date Acquired	[7]	2008
Average Depreciable Life	[7]	30 years
South Texas E R At Weslaco Weslaco T X
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		$ 1,140
Date of Completion of Construction, Acquisition or Significant Improvement		2015
Date Acquired		2015
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		$ 3,798
Date of Completion of Construction, Acquisition or Significant Improvement		2016
Date Acquired		2016
Average Depreciable Life		35 years
Frederick Crestwood Mob Frederick, MD
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 2,265
Initial Cost, Building & Improvements		18,731
Land		2,265
Buildings and Improvements		18,731
Total		20,996
Accumulated Depreciation		$ 3,833
Date of Completion of Construction, Acquisition or Significant Improvement		2016
Date Acquired		2016
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
Adjustments to Basis	[3]	10
Land		2,296
Buildings and Improvements		6,421
Total		8,717
Accumulated Depreciation		$ 1,505
Date of Completion of Construction, Acquisition or Significant Improvement		2016
Date Acquired		2016
Average Depreciable Life		35 years
Tenaya Medical Office Building Las Vegas, NV
Real Estate and Accumulated Depreciation [Line Items]
Encumbrance	[1]	$ 6,418
Initial Cost, Land		3,032
Initial Cost, Building & Improvements		10,602
Land		3,032
Buildings and Improvements		10,602
Total		13,634
Accumulated Depreciation		$ 2,048
Date of Completion of Construction, Acquisition or Significant Improvement		2016
Date Acquired		2016
Average Depreciable Life		35 years
Hendserson Medical Plaza Henderson NV
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Building & Improvements	[7]	$ 10,718
Adjustments to Basis	[3],[7]	8,478
Buildings and Improvements	[7]	19,196
CIP	[7]	1,343
Total	[7]	20,539
Accumulated Depreciation	[7]	$ 5,363
Date of Completion of Construction, Acquisition or Significant Improvement	[7]	2017
Date Acquired	[7]	2017
Average Depreciable Life	[7]	35 years
Hamburg Medical Building Hamburg PA
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 696
Initial Cost, Building & Improvements		3,406
Land		696
Buildings and Improvements		3,406
Total		4,102
Accumulated Depreciation		$ 612
Date of Completion of Construction, Acquisition or Significant Improvement		2017
Date Acquired		2017
Average Depreciable Life		35 years
Las Palmas Del Sol Emergency Center West El Paso, TX
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 801
Initial Cost, Building & Improvements		5,029
Land		801
Buildings and Improvements		5,029
Total		5,830
Accumulated Depreciation		$ 806
Date of Completion of Construction, Acquisition or Significant Improvement		2017
Date Acquired		2017
Average Depreciable Life		35 years
Beaumont Sleep Centrer Southfield, MI
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 254
Initial Cost, Building & Improvements		2,968
Land		254
Buildings and Improvements		2,968
Total		3,222
Accumulated Depreciation		$ 427
Date of Completion of Construction, Acquisition or Significant Improvement		2018
Date Acquired		2018
Average Depreciable Life		35 years
Clive Behavioral Health Clive IA
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 1,330
Adjustments to Basis	[3]	33,954
Land		1,330
Buildings and Improvements		33,954
Total		35,284
Accumulated Depreciation		$ 1,419
Date of Completion of Construction, Acquisition or Significant Improvement		2020
Date Acquired		2019
Average Depreciable Life		35 years
Bellin Health Family Medical Center Escanaba MI
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 605
Initial Cost, Building & Improvements		3,906
Land		605
Buildings and Improvements		3,906
Total		4,511
Accumulated Depreciation		$ 334
Date of Completion of Construction, Acquisition or Significant Improvement		2019
Date Acquired		2019
Average Depreciable Life		35 years
Sand Point Medical Properties Escanaba, MI
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 265
Initial Cost, Building & Improvements		1,654
Land		265
Buildings and Improvements		1,654
Total		1,919
Accumulated Depreciation		$ 68
Date of Completion of Construction, Acquisition or Significant Improvement		2020
Date Acquired		2020
Average Depreciable Life		35 years
2700 Fire Mesa, LLC Las Vegas, NV
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Land		$ 2,400
Initial Cost, Building & Improvements		9,671
Land		2,400
Buildings and Improvements		9,671
Total		12,071
Accumulated Depreciation		$ 302
Date of Completion of Construction, Acquisition or Significant Improvement		2021
Date Acquired		2021
Average Depreciable Life		35 years
Texoma Medical Plaza Denison, TX
Real Estate and Accumulated Depreciation [Line Items]
Initial Cost, Building & Improvements	[7],[9]	$ 19,771
Adjustments to Basis	[3],[7],[9]	45
Buildings and Improvements	[7],[9]	19,816
Total	[7],[9]	19,816
Accumulated Depreciation	[7],[9]	$ 4,978
Date of Completion of Construction, Acquisition or Significant Improvement	[7],[9]	2021
Date Acquired	[7],[9]	2021
Average Depreciable Life	[7],[9]	39 years
Sierra Medical Plaza I Reno, NV
Real Estate and Accumulated Depreciation [Line Items]
CIP	[7],[10]	$ 2,858
Total	[7],[10]	2,858
Accumulated Depreciation	[7],[10]	$ 0
Date of Completion of Construction, Acquisition or Significant Improvement	[7],[10]	2022
Date Acquired	[7],[10]	2021
[1]	Consists of outstanding balances as of December 31, 2021 on third-party debt that is non-recourse to us.
[2]	The aggregate cost for federal income tax purposes is $672 million (unaudited) with a net book value of $417 million (unaudited).
[3]	Consists of costs subsequent to acquisition that were capitalized, divested or written down in connection with asset impairments and hurricane related damage.
[4]	Carrying value of depreciable assets were written down to zero as a result of substantial damage from Hurricane Harvey during the third quarter of 2017.
[5]	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.
[6]	Carrying value of depreciable assets were written down as a result of substantial damage from Hurricane Harvey during the third quarter of 2017.
[7]	We are the lessee with a UHS-related party on a ground lease for land.
[8]	W e are the lessee with a third party on a ground lease for land .
[9]	We purchased the 5% minority interest held by a third party during the fourth quarter of 2021.  As a result of the minority interest purchase, we own 100% of the LP.
[10]	New construction project for an MOB that will be located on the campus of a UHS wholly-owned hospital that is also under construction at December 31, 2021.

Schedule III Real Estate and _2

Schedule III Real Estate and Accumulated Depreciation (Parenthetical) (Detail) - USD ($) $ in Millions	3 Months Ended	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2008	Dec. 31, 2020
Real Estate and Accumulated Depreciation [Line Items]
Provision for asset impairment		$ 4.6
Aggregate cost of properties for federal income tax purposes	$ 672		$ 645
Net book value of the properties for federal income tax purposes	$ 417		$ 406
LP
Real Estate and Accumulated Depreciation [Line Items]
Purchase of minority ownership interest percentage	5.00%
Grayson Properties
Real Estate and Accumulated Depreciation [Line Items]
Ownership percentage upon completion of the minority ownership purchase	100.00%

Reconciliation of Real Estate P

Reconciliation of Real Estate Properties and Accumulated Depreciation (Detail) - USD ($) $ in Thousands		12 Months Ended
		Dec. 31, 2021		Dec. 31, 2020	Dec. 31, 2019
Real Estate And Accumulated Depreciation Disclosure [Abstract]
Beginning balance		$ 660,449		$ 627,395	$ 611,046
Impact of consolidation of an LP	[1]	19,771
Additions	[2]	11,346		31,145	12,882
Acquisitions		12,071		1,919	4,510
Disposals/Divestitures	[3]	(39,904)		(10)	(1,043)
Ending balance		663,733	[4]	660,449	627,395
Beginning balance		216,648		194,888	173,316
Impact of consolidation of an LP	[1]	4,847
Disposals/Divestitures	[3]	(19,796)		(10)	(220)
Depreciation expense		23,885		21,770	21,792
Ending balance		$ 225,584		$ 216,648	$ 194,888
[1]	During the fourth quarter of 2021, we purchased the 5% minority ownership interest held by a third-party member in an LP in which we previously held a non-controlling majority ownership interest.  As a result of this minority interest purchase, we now own 100% of the LP and the financial results are included in our consolidated financial statements.
[2]	Included in the additions for 2021 are approximately $2.9 million related to the construction of a new medical office building located in Reno, Nevada. Included in the additions for 2020 are approximately $25.1 million related to the construction of Clive Behavioral Health, located in Clive, Iowa, for which construction was substantially completed in December 2020. Included in the additions for 2019 are approximately $6.9 million (including the land purchase) also related to the construction of Clive Behavioral Health which was substantially completed in December, 2020.
[3]	2021 includes the sale of the Auburn Medical Office Building II, the sale of the Children’s Clinic at Springdale as well as the exchange of Inland Valley Campus of Southwest Healthcare System, located in Wildomar, CA.  2019 includes the sale of the Kings Crossing II medical office building, as well as the sale of a parcel of land located at one of our buildings.
[4]	The aggregate cost for federal income tax purposes is $672 million (unaudited) with a net book value of $417 million (unaudited).

Reconciliation of Real Estate_2

Reconciliation of Real Estate Properties and Accumulated Depreciation (Parenthetical) (Detail) - USD ($) $ in Thousands		3 Months Ended	12 Months Ended
		Dec. 31, 2021	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Real Estate and Accumulated Depreciation [Line Items]
Additions	[1]		$ 11,346	$ 31,145	$ 12,882
LP
Real Estate and Accumulated Depreciation [Line Items]
Purchase of minority ownership interest percentage		5.00%
Grayson Properties
Real Estate and Accumulated Depreciation [Line Items]
Ownership percentage upon completion of the minority ownership purchase		100.00%	100.00%
New Medical Office Building
Real Estate and Accumulated Depreciation [Line Items]
Additions			$ 2,900
Clive Behavioral Health
Real Estate and Accumulated Depreciation [Line Items]
Additions				$ 25,100	$ 6,900
[1]	Included in the additions for 2021 are approximately $2.9 million related to the construction of a new medical office building located in Reno, Nevada. Included in the additions for 2020 are approximately $25.1 million related to the construction of Clive Behavioral Health, located in Clive, Iowa, for which construction was substantially completed in December 2020. Included in the additions for 2019 are approximately $6.9 million (including the land purchase) also related to the construction of Clive Behavioral Health which was substantially completed in December, 2020.