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Summary of Details of Hospitals Leased from Trust (Detail) - USD ($) | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2022 | Jun. 30, 2021 | Jun. 30, 2022 | Jun. 30, 2021
Property Subject to or Available for Operating Lease [Line Items] |  |  |  |  |
Lease and rental expense |  | $ 31,773,000 | $ 29,149,000 | $ 63,811,000 | $ 60,473,000
McAllen Medical Center |  |  |  |  |
Property Subject to or Available for Operating Lease [Line Items] |  |  |  |  |
Lease and rental expense |  |  |  | $ 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] |  |  |  |  |
Lease and rental expense |  |  |  | $ 6,319,000 |
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] |  |  |  |  |
Lease and rental expense |  |  |  | $ 3,895,000 |
End of Lease Term |  |  |  | 2033-12 |
Renewal Term (years) |  |  |  | 35 years |
Canyon Creek Behavioral Health |  |  |  |  |
Property Subject to or Available for Operating Lease [Line Items] |  |  |  |  |
Lease and rental expense |  |  |  | $ 1,670,000 |
End of Lease Term |  |  |  | 2033-12 |
Renewal Term (years) |  |  |  | 35 years |
Clive Behavioral Health Hospital |  |  |  |  |
Property Subject to or Available for Operating Lease [Line Items] |  |  |  |  |
Lease and rental expense |  |  |  | $ 2,628,000 |
End of Lease Term |  |  |  | 2040-12 |
Renewal Term (years) |  |  |  | 50 years |
[1] | We have one 5-year renewal option at existing lease rates (through 2031).
[2] | We have one 5-year renewal options at fair market value lease rates (through 2031). Upon the December 31, 2021 expiration of the lease on Wellington Regional Medical Center, a wholly-owned subsidiary of ours exercised its fair market value renewal option and renewed the lease for a 5-year term scheduled to expire on December 31, 2026. Effective January 1, 2022, the annual fair market value lease rate for this hospital is $6.3 million (there is no longer a bonus rental component of the lease payment). Beginning on January 1, 2023, and thereafter on each January 1st through 2026, the annual rent will increase by 2.50% on a cumulative and compounded basis

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- Definition Amount of operating lease expense. Excludes sublease income. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 842 -SubTopic 20 -Section 45 -Paragraph 4 -Subparagraph (b) -URI https://asc.fasb.org/extlink&oid=123391704&loc=SL77918638-209977 + Details
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