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Summary of Details of Hospitals Leased from Trust (Detail) - USD ($) | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2022 | Sep. 30, 2021 | Sep. 30, 2022 | Sep. 30, 2021
Property Subject to or Available for Operating Lease [Line Items] |  |  |  |  |
Lease and rental expense |  | $ 33,264,000 | $ 28,375,000 | $ 97,075,000 | $ 88,848,000
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) | [3] |  |  | 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) | [3] |  |  | 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) | [4] |  |  | 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
[3] | We have seven 5-year renewal options at fair market value lease rates (2034 through 2068).
[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 values lease rates (2071 through 2090). Beginning in January, 2022, and thereafter 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.

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