XML 29 R28.htm IDEA: XBRL DOCUMENT v3.20.1
Relationship with Universal Health Realty Income Trust and Related Party Transactions - Additional Information (Detail)
3 Months Ended 12 Months Ended
Mar. 31, 2020
USD ($)
Hospital
Facility
SquareFoot
Bed
Lease
Dec. 31, 2019
USD ($)
Sep. 30, 2019
SquareFoot
Mar. 31, 2019
USD ($)
Hospital
Dec. 31, 2013
Dec. 31, 2019
USD ($)
Dec. 31, 2018
Dec. 31, 2017
Related Party Transaction [Line Items]                
Net revenues $ 2,829,667,000     $ 2,804,391,000        
Number of hospital facilities | Hospital 3              
Number of third party tenant rentable square feet | SquareFoot 26,000              
Number of flex lease commitment rentable square feet | SquareFoot 20,000              
Chief Executive Officer                
Related Party Transaction [Line Items]                
Estimated payments to acquire life insurance policies $ 28,000,000              
Payments to acquire life insurance policies, net 1,100,000         $ 1,100,000    
Chief Executive Officer | Trust Owned by CEO                
Related Party Transaction [Line Items]                
Estimated payments to acquire life insurance policies $ 9,000,000              
Joint Venture Agreement                
Related Party Transaction [Line Items]                
Lease initial terms 20 years              
Lease renewal period, years 10 years              
Number of beds | Bed 108              
Number of triple net lease | Lease 5              
Number of square foot to be constructed | SquareFoot 80,000              
Expected aggregate fee $ 750,000              
Estimated project cost 37,500,000              
Estimated initial annual rent $ 2,700,000              
Expected project to begin and be completed year 2020              
Minimum                
Related Party Transaction [Line Items]                
Lease initial terms 5 years              
Minimum | Chief Executive Officer                
Related Party Transaction [Line Items]                
Estimated death benefit proceeds $ 37,000,000              
Maximum                
Related Party Transaction [Line Items]                
Lease initial terms 10 years              
Maximum | Joint Venture Agreement                
Related Party Transaction [Line Items]                
Expected project to begin and be completed year 2021              
Relationship with Universal Health Realty Income Trust                
Related Party Transaction [Line Items]                
Trust outstanding shares held, percentage 5.70%              
Percentage of advisory fee on average invested real estate assets 0.70%     0.70%   0.70% 0.70% 0.70%
Pre-tax share of income from the Trust $ 300,000     $ 300,000        
Dividends received from the Trust 540,000     531,000        
Carrying value of investment in Trust 6,200,000 $ 6,400,000       $ 6,400,000    
Market value of investment in Trust $ 79,400,000 92,400,000       $ 92,400,000    
Lease initial terms 10 years              
Lease renewal period, years 5 years              
Rent expense under operating leases $ 4,000,000     $ 4,000,000        
Notice period on renewal of lease 90 days              
Period of rights of refusal to leased facilities 180 days              
Number of hospital facilities | Hospital 3     3        
Number of free-standing emergency departments to be acquired | Facility 2              
Number of square feet to be constructed | SquareFoot     75,000          
Percentage of master lease rentable square feet 50.00%              
Annual Minimum Rent $ 644,000              
Relationship with Universal Health Realty Income Trust | Minimum                
Related Party Transaction [Line Items]                
Lease initial terms 13 years              
Relationship with Universal Health Realty Income Trust | Minimum | Limited Liability Companies                
Related Party Transaction [Line Items]                
Non-controlling ownership interests by subsidiaries 95.00%              
Relationship with Universal Health Realty Income Trust | Maximum                
Related Party Transaction [Line Items]                
Lease initial terms 15 years              
Relationship with Universal Health Realty Income Trust | Maximum | Limited Liability Companies                
Related Party Transaction [Line Items]                
Non-controlling ownership interests by subsidiaries 100.00%              
Relationship with Universal Health Realty Income Trust | Advisory Fee                
Related Party Transaction [Line Items]                
Net revenues $ 1,000,000.0     $ 1,000,000.0        
Premier, Inc. | Other (Income) Expense, Net | ASU 2016-01                
Related Party Transaction [Line Items]                
Unrealized gain 9,000,000              
Premier, Inc. | Group Purchasing Organization Agreement | Restricted Stock                
Related Party Transaction [Line Items]                
Shares vesting period         7 years      
Shares vesting period start year         2014      
Shares vesting period end year         2020      
Market value of retained vested shares $ 61,000,000 $ 70,000,000