v3.26.1
Summary of Details of Hospitals Leased from Trust (Detail) - USD ($)
3 Months Ended 6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Jun. 30, 2026
Jun. 30, 2025
Property Subject to or Available for Operating Lease [Line Items]        
Annual Minimum Rent $ 38,475,000 $ 35,240,000 $ 76,671,000 $ 72,053,000
McAllen Medical Center        
Property Subject to or Available for Operating Lease [Line Items]        
Annual Minimum Rent     $ 5,485,000  
End of Lease Term     2026-12  
Renewal Term (years) [1]     5 years  
Wellington Regional Medical Center        
Property Subject to or Available for Operating Lease [Line Items]        
Annual Minimum Rent     $ 6,975,000  
End of Lease Term     2026-12  
Renewal Term (years) [2]     5 years  
Aiken Regional Medical Center/Aurora Pavilion Behavioral Health Services        
Property Subject to or Available for Operating Lease [Line Items]        
Annual Minimum Rent     $ 4,257,000  
End of Lease Term     2033-12  
Renewal Term (years) [3]     35 years  
Canyon Creek Behavioral Health        
Property Subject to or Available for Operating Lease [Line Items]        
Annual Minimum Rent     $ 1,925,000  
End of Lease Term     2033-12  
Renewal Term (years) [3]     35 years  
Clive Behavioral Health Hospital        
Property Subject to or Available for Operating Lease [Line Items]        
Annual Minimum Rent     $ 2,930,000  
End of Lease Term     2040-12  
Renewal Term (years) [4]     50 years  
[1] We have one 5-year renewal option at existing lease rates (through 2031).
[2] We have one 5-year renewal option at fair market value lease rates (through 2031). On each January 1st through 2026, the annual rent will increase by 2.5% on a cumulative and compounded basis.
[3] We have seven 5-year renewal options at fair market value lease rates (2034 through 2068). On each January 1st through 2033, the annual rent will increase by 2.25% on a cumulative and compounded basis.
[4] This facility is operated by a joint venture in which we are the managing, majority member and an unrelated third-party holds a minority ownership interest. The joint venture has three, 10-year renewal options at computed lease rates as stipulated in the lease (2041 through 2070) and two additional, 10-year renewal options at fair market value lease rates (2071 through 2090). In each January through 2040 (and potentially through 2070 if three, 10-year renewal options are exercised), the annual rental will increase by 2.75% on a cumulative and compounded basis.

In addition, certain of our subsidiaries are tenants in several medical office buildings (“MOBs”) and two free-standing emergency departments ("FED") owned by the Trust or by limited liability companies in which the Trust holds 95% to 100% of the ownership interest. The current lease terms on these two FEDs, which are located in Weslaco and Mission, Texas, are scheduled to end on January 31, 2030. Pursuant to terms of the leases, the lease rates are scheduled to increase 2% per year through the end of the lease terms. Our subsidiaries have four, 5-year renewal options remaining on each of these FEDs, with the first three renewal options

(covering the years 2030 through 2044) providing for 2% annual increases to the lease rates, and the remaining two, 5-year renewal options (covering the years 2045 through 2054) providing for lease rates at the then fair market value. These leases are cross-defaulted with one another and our subsidiaries have the option to purchase the leased properties upon the expiration of each five-year extended term at the fair market value at that time.

In October, 2025, a ground lease and a master flex lease were executed between a wholly-owned subsidiary of ours and the Trust. On this land, the Trust intends to develop, construct and own the real property of the Miller Medical Plaza, a MOB located in Palm Beach Gardens, Florida. This multi-tenant MOB, consisting of 80,000 rentable square feet, is scheduled to be completed in December, 2026. The MOB will be located on the campus of the Alan B. Miller Medical Center, a newly constructed acute care hospital owned and operated by a wholly-owned subsidiary of ours, which was completed and opened during the second quarter of 2026. The 10-year master flex lease agreement, which is subject to reduction based on the execution of third-party leases with the Trust, was executed for approximately 75% of the rentable square feet of the MOB. The Trust has engaged a wholly-owned subsidiary of UHS to act as project manager, and construction of the MOB commenced in February, 2026.