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Long-Term Debt and Financing Matters - Senior Secured Credit Facilities (Details)
$ in Thousands
12 Months Ended
Sep. 18, 2024
Jul. 19, 2024
Jun. 26, 2024
USD ($)
Aug. 24, 2021
USD ($)
Dec. 31, 2024
USD ($)
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Jul. 08, 2021
USD ($)
Debt Instrument [Line Items]                
Repayments of long-term debt         $ 108,371 $ 13,645 $ 17,287  
2021 Term Loan B Facility | Senior secured term loan facility                
Debt Instrument [Line Items]                
Sales threshold, percentage         1      
Sales threshold 1st step down, percentage         0.50      
Sales threshold 2nd step down, percentage         0      
Revolving Credit Facility | 2021 ABL Credit Agreement | Secured Overnight Financing Rate (SOFR) | Non-UT Health East Texas Borrowers | Minimum                
Debt Instrument [Line Items]                
Variable rate         1.50%      
Revolving Credit Facility | 2021 ABL Credit Agreement | Secured Overnight Financing Rate (SOFR) | Non-UT Health East Texas Borrowers | Maximum                
Debt Instrument [Line Items]                
Variable rate         2.00%      
Revolving Credit Facility | 2021 ABL Credit Agreement | Secured Overnight Financing Rate (SOFR) | UT Health East Texas Borrowers | Minimum                
Debt Instrument [Line Items]                
Variable rate         2.50%      
Revolving Credit Facility | 2021 ABL Credit Agreement | Secured Overnight Financing Rate (SOFR) | UT Health East Texas Borrowers | Maximum                
Debt Instrument [Line Items]                
Variable rate         3.00%      
Revolving Credit Facility | 2021 ABL Credit Agreement | Base Rate | Non-UT Health East Texas Borrowers | Minimum                
Debt Instrument [Line Items]                
Variable rate         0.50%      
Revolving Credit Facility | 2021 ABL Credit Agreement | Base Rate | Non-UT Health East Texas Borrowers | Maximum                
Debt Instrument [Line Items]                
Variable rate         1.00%      
Revolving Credit Facility | 2021 ABL Credit Agreement | Base Rate | UT Health East Texas Borrowers | Minimum                
Debt Instrument [Line Items]                
Variable rate         1.50%      
Revolving Credit Facility | 2021 ABL Credit Agreement | Base Rate | UT Health East Texas Borrowers | Maximum                
Debt Instrument [Line Items]                
Variable rate         2.00%      
Senior secured term loan facility | 2021 Term Loan B Facility                
Debt Instrument [Line Items]                
Initial principal amount     $ 877,500 $ 900,000        
Percent of principal       0.0025        
Repayments of long-term debt     100,000          
Reduction of interest rate, basis points 0.0050 0.0025            
Insurance and condemnation threshold, percentage         1      
Insurance and condemnation threshold, 1st step down, percentage         0.50      
Insurance and condemnation threshold, 2nd step down, percentage         0      
Cash flow threshold, percentage         0.50      
Cash flow threshold, 1st step down, percentage         0.25      
Cash flow threshold, 2nd step down, percentage         0      
Senior secured term loan facility | 2021 Term Loan B Facility | Secured Overnight Financing Rate (SOFR)                
Debt Instrument [Line Items]                
Variable rate 2.75% 3.25%     3.50%      
Senior secured term loan facility | 2021 Term Loan B Facility | Base Rate                
Debt Instrument [Line Items]                
Variable rate 1.75% 2.25%   2.75% 2.50%      
Senior secured term loan facility | 2021 Term Loan B Facility | 2021 ABL Credit Agreement                
Debt Instrument [Line Items]                
Interest rate         1.00%      
Senior secured term loan facility | 2021 Term Loan B Facility | 2021 ABL Credit Agreement | Secured Overnight Financing Rate (SOFR)                
Debt Instrument [Line Items]                
Variable rate         0.50%      
Senior secured term loan facility | 2021 Term Loan B Facility | 2021 ABL Credit Agreement | Fed Funds Effective Rate Overnight Index Swap Rate                
Debt Instrument [Line Items]                
Variable rate         0.50%      
Senior secured term loan facility | Revolving Credit Facility | 2021 ABL Credit Agreement                
Debt Instrument [Line Items]                
Debt instrument term       5 years        
Maximum borrowing capacity     $ 325,000   $ 325,000     $ 225,000
Minimum fixed charge coverage ratio         1.00      
Interest rate         1.00%      
Senior secured term loan facility | Revolving Credit Facility | 2021 ABL Credit Agreement | Maximum                
Debt Instrument [Line Items]                
Interest rate         0.00%      
Senior secured term loan facility | Revolving Credit Facility | 2021 ABL Credit Agreement | Non-UT Health East Texas Borrowers                
Debt Instrument [Line Items]                
Maximum borrowing capacity         $ 275,000      
Senior secured term loan facility | Revolving Credit Facility | 2021 ABL Credit Agreement | UT Health East Texas Borrowers                
Debt Instrument [Line Items]                
Maximum borrowing capacity         $ 50,000      
Senior secured term loan facility | Revolving Credit Facility | 2021 ABL Credit Agreement | Fed Funds Effective Rate Overnight Index Swap Rate                
Debt Instrument [Line Items]                
Variable rate         0.50%