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Summary of Details of Hospitals Leased from Trust (Detail) - USD ($) | 3 Months Ended
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Mar. 31, 2023 | Mar. 31, 2022
Property Subject to or Available for Operating Lease [Line Items] |  |  |
Lease and rental expense |  | $ 34,922,000 | $ 32,038,000
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 |  | $ 6,477,000 |
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 |  | $ 3,982,000 |
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 |  | $ 1,800,000 |
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 |  | $ 2,701,000 |
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). 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. The annual rental will increase by 2.5% on a cumulative and compounded basis on January 1 st of each year through 2026.
[3] | We have seven 5-year renewal options at fair market value lease rates (2034 through 2068). On January 1 st of each year 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.

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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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