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Schedule III Real Estate and Accumulated Depreciation (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1],[2] $ 44,953      
Initial Cost, Land [2] 53,791      
Initial Cost, Building & Improvements [2] 502,803      
Adjustments to Basis [2],[3] 117,894      
Land [2] 56,631      
Buildings and Improvements [2] 617,857      
CIP [2] 23,481      
Total 697,969 [2] $ 663,733 $ 660,449 $ 627,395
Accumulated Depreciation 248,772 [2] $ 225,584    
McAllen Medical Center McAllen, Texas        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] 0      
Initial Cost, Land 4,720      
Initial Cost, Building & Improvements 31,442      
Adjustments to Basis [3] 10,189      
Land 6,281      
Buildings and Improvements 40,070      
CIP 0      
Total 46,351      
Accumulated Depreciation $ 31,947      
Date of Completion of Construction, Acquisition or Significant Improvement 1994      
Date Acquired 1986      
Average Depreciable Life 42 years      
Wellington Regional Medical Center West Palm Beach, Florida        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 1,190      
Initial Cost, Building & Improvements 14,652      
Adjustments to Basis [3] 17,370      
Land 1,663      
Buildings and Improvements 31,549      
CIP 0      
Total 33,212      
Accumulated Depreciation $ 23,661      
Date of Completion of Construction, Acquisition or Significant Improvement 2006      
Date Acquired 1986      
Average Depreciable Life 42 years      
Evansville Facility Evansville Indiana        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 500      
Initial Cost, Building & Improvements 6,945      
Adjustments to Basis [3] 1,062      
Land 500      
Buildings and Improvements 8,007      
CIP 0      
Total 8,507      
Accumulated Depreciation $ 6,694      
Date of Completion of Construction, Acquisition or Significant Improvement 1993      
Date Acquired 1989      
Average Depreciable Life 40 years      
4058 W. Melrose Specialty Facility, Chicago, Illinois        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 158      
Initial Cost, Building & Improvements 6,404      
Adjustments to Basis [3] 1,838      
Land 158      
Buildings and Improvements 8,242      
CIP 0      
Total 8,400      
Accumulated Depreciation $ 8,242      
Date of Completion of Construction, Acquisition or Significant Improvement 1993      
Date Acquired 1986      
Average Depreciable Life 25 years      
Family Doctor Medical Office Building Shreveport Louisiana        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 54      
Initial Cost, Building & Improvements 1,526      
Adjustments to Basis [3] 549      
Land 54      
Buildings and Improvements 2,075      
CIP 0      
Total 2,129      
Accumulated Depreciation $ 1,291      
Date of Completion of Construction, Acquisition or Significant Improvement 1991      
Date Acquired 1995      
Average Depreciable Life 45 years      
Professional Buildings at Kings Crossing Texas        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1],[4] $ 0      
Initial Cost, Land [4] 439      
Initial Cost, Building & Improvements [4] 1,837      
Adjustments to Basis [3],[4] (297)      
Land [4] 439      
Buildings and Improvements [4] 1,540      
CIP [4] 0      
Total [4] 1,979      
Accumulated Depreciation [4] $ 559      
Date of Completion of Construction, Acquisition or Significant Improvement [4] 1995      
Date Acquired [4] 1995      
Average Depreciable Life [4] 45 years      
Chesterbrook Academy Audubon, Pennsylvania        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 307      
Initial Cost, Building & Improvements 996      
Adjustments to Basis [3] 0      
Land 307      
Buildings and Improvements 996      
CIP 0      
Total 1,303      
Accumulated Depreciation $ 586      
Date of Completion of Construction, Acquisition or Significant Improvement 1996      
Date Acquired 1996      
Average Depreciable Life 45 years      
Chesterbrook Academy New Britain, Pennsylvania        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 250      
Initial Cost, Building & Improvements 744      
Adjustments to Basis [3] 0      
Land 250      
Buildings and Improvements 744      
CIP 0      
Total 994      
Accumulated Depreciation $ 446      
Date of Completion of Construction, Acquisition or Significant Improvement 1991      
Date Acquired 1996      
Average Depreciable Life 45 years      
Chesterbrook Academy Uwchlan, Pennsylvania        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 180      
Initial Cost, Building & Improvements 815      
Adjustments to Basis [3] 0      
Land 180      
Buildings and Improvements 815      
CIP 0      
Total 995      
Accumulated Depreciation $ 479      
Date of Completion of Construction, Acquisition or Significant Improvement 1992      
Date Acquired 1996      
Average Depreciable Life 45 years      
Chesterbrook Academy Newtown, Pennsylvania        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 195      
Initial Cost, Building & Improvements 749      
Adjustments to Basis [3] 0      
Land 195      
Buildings and Improvements 749      
CIP 0      
Total 944      
Accumulated Depreciation $ 447      
Date of Completion of Construction, Acquisition or Significant Improvement 1992      
Date Acquired 1996      
Average Depreciable Life 45 years      
The Southern Crescent Center I        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1],[5] $ 0      
Initial Cost, Land [5] 1,130      
Initial Cost, Building & Improvements [5] 5,092      
Adjustments to Basis [3],[5] (1,979)      
Land [5] 1,130      
Buildings and Improvements [5] 3,113      
CIP [5] 0      
Total [5] 4,243      
Accumulated Depreciation [5] $ 2,773      
Date of Completion of Construction, Acquisition or Significant Improvement [5] 1994      
Date Acquired [5] 1996      
Average Depreciable Life [5] 45 years      
The Southern Crescent Center II Riverdale, Georgia        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1],[5] $ 0      
Initial Cost, Land [5] 0      
Initial Cost, Building & Improvements [5] 0      
Adjustments to Basis [3],[5] 5,424      
Land [5] 806      
Buildings and Improvements [5] 4,618      
CIP [5] 0      
Total [5] 5,424      
Accumulated Depreciation [5] $ 3,544      
Date of Completion of Construction, Acquisition or Significant Improvement [5] 2000      
Date Acquired [5] 1998      
Average Depreciable Life [5] 35 years      
The Cypresswood Professional Center Spring, Texas        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1],[6] $ 0      
Initial Cost, Land [6] 573      
Initial Cost, Building & Improvements [6] 3,842      
Adjustments to Basis [3],[6] (2,509)      
Land [6] 573      
Buildings and Improvements [6] 1,333      
CIP [6] 0      
Total [6] 1,906      
Accumulated Depreciation [6] $ 431      
Date of Completion of Construction, Acquisition or Significant Improvement [6] 1997      
Date Acquired [6] 1997      
Average Depreciable Life [6] 35 years      
701 South Tonopah Building Las Vegas, Nevada        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1],[7] $ 0      
Initial Cost, Land [7] 0      
Initial Cost, Building & Improvements [7] 1,579      
Adjustments to Basis [3],[7] 68      
Land [7] 0      
Buildings and Improvements [7] 1,647      
CIP [7] 0      
Total [7] 1,647      
Accumulated Depreciation [7] $ 1,534      
Date of Completion of Construction, Acquisition or Significant Improvement [7] 1999      
Date Acquired [7] 1999      
Average Depreciable Life [7] 25 years      
Danbury Medical Plaza Danbury, Connecticut        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 1,151      
Initial Cost, Building & Improvements 5,176      
Adjustments to Basis [3] 1,576      
Land 1,151      
Buildings and Improvements 6,752      
CIP 0      
Total 7,903      
Accumulated Depreciation $ 4,725      
Date of Completion of Construction, Acquisition or Significant Improvement 2000      
Date Acquired 2000      
Average Depreciable Life 30 years      
Corpus Christi Facility Corpus Christi, Texas        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 1,104      
Initial Cost, Building & Improvements 5,508      
Adjustments to Basis [3] 0      
Land 1,104      
Buildings and Improvements 5,508      
CIP 0      
Total 6,612      
Accumulated Depreciation $ 2,344      
Date of Completion of Construction, Acquisition or Significant Improvement 2008      
Date Acquired 2008      
Average Depreciable Life 35 years      
Apache Junction Medical Plaza Apache Junction, AZ        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 240      
Initial Cost, Building & Improvements 3,590      
Adjustments to Basis [3] 1,414      
Land 240      
Buildings and Improvements 5,004      
CIP 0      
Total 5,244      
Accumulated Depreciation $ 2,747      
Date of Completion of Construction, Acquisition or Significant Improvement 2004      
Date Acquired 2004      
Average Depreciable Life 30 years      
BRB Medical Office Building Kingwood, Texas        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 430      
Initial Cost, Building & Improvements 8,970      
Adjustments to Basis [3] 1,311      
Land 430      
Buildings and Improvements 10,281      
CIP 0      
Total 10,711      
Accumulated Depreciation $ 3,326      
Date of Completion of Construction, Acquisition or Significant Improvement 2010      
Date Acquired 2010      
Average Depreciable Life 37 years      
Centennial Hills Medical Office Building Las Vegas, NV        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1],[7] $ 0      
Initial Cost, Land [7] 0      
Initial Cost, Building & Improvements [7] 19,890      
Adjustments to Basis [3],[7] 3,606      
Land [7] 0      
Buildings and Improvements [7] 23,496      
CIP [7] 16      
Total [7] 23,512      
Accumulated Depreciation [7] $ 9,352      
Date of Completion of Construction, Acquisition or Significant Improvement [7] 2006      
Date Acquired [7] 2006      
Average Depreciable Life [7] 34 years      
Desert Springs Medical Plaza Las Vegas, NV        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 1,200      
Initial Cost, Building & Improvements 9,560      
Adjustments to Basis [3] 2,781      
Land 1,200      
Buildings and Improvements 12,341      
CIP 0      
Total 13,541      
Accumulated Depreciation $ 5,531      
Date of Completion of Construction, Acquisition or Significant Improvement 1998      
Date Acquired 1998      
Average Depreciable Life 30 years      
700 Shadow Lane & Goldring MOBs Las Vegas, NV        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 400      
Initial Cost, Building & Improvements 11,300      
Adjustments to Basis [3] 5,767      
Land 400      
Buildings and Improvements 17,067      
CIP 865      
Total 18,332      
Accumulated Depreciation $ 7,794      
Date of Completion of Construction, Acquisition or Significant Improvement 2003      
Date Acquired 2003      
Average Depreciable Life 30 years      
Spring Valley Hospital MOB II Las Vegas, NV        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1],[7] $ 0      
Initial Cost, Land [7] 0      
Initial Cost, Building & Improvements [7] 9,800      
Adjustments to Basis [3],[7] 2,212      
Land [7] 0      
Buildings and Improvements [7] 12,012      
CIP [7] 52      
Total [7] 12,064      
Accumulated Depreciation [7] $ 4,568      
Date of Completion of Construction, Acquisition or Significant Improvement [7] 2006      
Date Acquired [7] 2006      
Average Depreciable Life [7] 34 years      
Spring Valley Hospital MOB I Las Vegas, NV        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1],[7] $ 0      
Initial Cost, Land [7] 0      
Initial Cost, Building & Improvements [7] 9,500      
Adjustments to Basis [3],[7] 1,728      
Land [7] 0      
Buildings and Improvements [7] 11,228      
CIP [7] 136      
Total [7] 11,364      
Accumulated Depreciation [7] $ 4,570      
Date of Completion of Construction, Acquisition or Significant Improvement [7] 2004      
Date Acquired [7] 2004      
Average Depreciable Life [7] 35 years      
Summerlin Hospital MOB I Las Vegas, NV        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 460      
Initial Cost, Building & Improvements 15,440      
Adjustments to Basis [3] 2,176      
Land 460      
Buildings and Improvements 17,616      
CIP 233      
Total 18,309      
Accumulated Depreciation $ 7,848      
Date of Completion of Construction, Acquisition or Significant Improvement 1999      
Date Acquired 1999      
Average Depreciable Life 30 years      
Summerlin Hospital MOB II Las Vegas, NV        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 370      
Initial Cost, Building & Improvements 16,830      
Adjustments to Basis [3] 1,841      
Land 370      
Buildings and Improvements 18,671      
CIP 483      
Total 19,524      
Accumulated Depreciation $ 8,065      
Date of Completion of Construction, Acquisition or Significant Improvement 2000      
Date Acquired 2000      
Average Depreciable Life 30 years      
Summerlin Hospital MOB III Las Vegas, NV        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1],[7] $ 12,558      
Initial Cost, Land [7] 0      
Initial Cost, Building & Improvements [7] 14,900      
Adjustments to Basis [3],[7] 2,743      
Land [7] 0      
Buildings and Improvements [7] 17,643      
CIP [7] 0      
Total [7] 17,643      
Accumulated Depreciation [7] $ 6,188      
Date of Completion of Construction, Acquisition or Significant Improvement [7] 2009      
Date Acquired [7] 2009      
Average Depreciable Life [7] 36 years      
Emory at Dunwoody Building Dunwoody, GA        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 782      
Initial Cost, Building & Improvements 3,455      
Adjustments to Basis [3] 0      
Land 782      
Buildings and Improvements 3,455      
CIP 0      
Total 4,237      
Accumulated Depreciation $ 1,421      
Date of Completion of Construction, Acquisition or Significant Improvement 2011      
Date Acquired 2011      
Average Depreciable Life 35 years      
Forney Medical Plaza Forney, TX        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 910      
Initial Cost, Building & Improvements 11,960      
Adjustments to Basis [3] 214      
Land 910      
Buildings and Improvements 12,174      
CIP 0      
Total 13,084      
Accumulated Depreciation $ 4,909      
Date of Completion of Construction, Acquisition or Significant Improvement 2011      
Date Acquired 2011      
Average Depreciable Life 35 years      
Lake Pointe Medical Arts Building Rowlett, TX        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 1,100      
Initial Cost, Building & Improvements 9,000      
Adjustments to Basis [3] 1,058      
Land 1,100      
Buildings and Improvements 10,058      
CIP 0      
Total 11,158      
Accumulated Depreciation $ 3,609      
Date of Completion of Construction, Acquisition or Significant Improvement 2011      
Date Acquired 2011      
Average Depreciable Life 35 years      
Tuscan Professional Building Irving, TX        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 1,719      
Initial Cost, Land 1,100      
Initial Cost, Building & Improvements 12,525      
Adjustments to Basis [3] 2,037      
Land 1,100      
Buildings and Improvements 14,562      
CIP 639      
Total 16,301      
Accumulated Depreciation $ 6,081      
Date of Completion of Construction, Acquisition or Significant Improvement 2011      
Date Acquired 2011      
Average Depreciable Life 35 years      
Peace Health Medical Clinic Bellingham, WA        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 1,900      
Initial Cost, Building & Improvements 24,910      
Adjustments to Basis [3] 921      
Land 1,900      
Buildings and Improvements 25,831      
CIP 0      
Total 27,731      
Accumulated Depreciation $ 9,157      
Date of Completion of Construction, Acquisition or Significant Improvement 2012      
Date Acquired 2012      
Average Depreciable Life 35 years      
Northwest Texas Professional Office Tower Amarillo TX        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1],[7] $ 0      
Initial Cost, Land [7] 0      
Initial Cost, Building & Improvements [7] 7,180      
Adjustments to Basis [3],[7] 1,390      
Land [7] 0      
Buildings and Improvements [7] 8,570      
CIP [7] 0      
Total [7] 8,570      
Accumulated Depreciation [7] $ 2,805      
Date of Completion of Construction, Acquisition or Significant Improvement [7] 2012      
Date Acquired [7] 2012      
Average Depreciable Life [7] 35 years      
Ward Eagle Office Village Farmington Hills MI        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 220      
Initial Cost, Building & Improvements 3,220      
Adjustments to Basis [3] 106      
Land 220      
Buildings and Improvements 3,326      
CIP 0      
Total 3,546      
Accumulated Depreciation $ 1,137      
Date of Completion of Construction, Acquisition or Significant Improvement 2013      
Date Acquired 2013      
Average Depreciable Life 35 years      
5004 Poole Road Medical Office Building Denison, TX        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 96      
Initial Cost, Building & Improvements 529      
Adjustments to Basis [3] 0      
Land 96      
Buildings and Improvements 529      
CIP 0      
Total 625      
Accumulated Depreciation $ 170      
Date of Completion of Construction, Acquisition or Significant Improvement 2013      
Date Acquired 2013      
Average Depreciable Life 35 years      
Desert Valley Medical Center Phoenix AZ        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 4,194      
Initial Cost, Land 2,280      
Initial Cost, Building & Improvements 4,624      
Adjustments to Basis [3] 1,208      
Land 2,280      
Buildings and Improvements 5,832      
CIP 0      
Total 8,112      
Accumulated Depreciation $ 2,280      
Date of Completion of Construction, Acquisition or Significant Improvement 1996      
Date Acquired 1996      
Average Depreciable Life 30 years      
Hanover Emergency Center Mechanicsville, VA        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 1,300      
Initial Cost, Building & Improvements 6,224      
Adjustments to Basis [3] 0      
Land 1,300      
Buildings and Improvements 6,224      
CIP 0      
Total 7,524      
Accumulated Depreciation $ 1,744      
Date of Completion of Construction, Acquisition or Significant Improvement 2014      
Date Acquired 2014      
Average Depreciable Life 35 years      
Haas Medical Office Park Ottumwa, IA        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1],[8] $ 0      
Initial Cost, Land [8] 0      
Initial Cost, Building & Improvements [8] 3,571      
Adjustments to Basis [3],[8] 0      
Land [8] 0      
Buildings and Improvements [8] 3,571      
CIP [8] 0      
Total [8] 3,571      
Accumulated Depreciation [8] $ 944      
Date of Completion of Construction, Acquisition or Significant Improvement [8] 2015      
Date Acquired [8] 2015      
Average Depreciable Life [8] 35 years      
South Texas ER at Mission, Mission, TX        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 1,441      
Initial Cost, Building & Improvements 4,696      
Adjustments to Basis [3] 0      
Land 1,441      
Buildings and Improvements 4,696      
CIP 0      
Total 6,137      
Accumulated Depreciation $ 1,247      
Date of Completion of Construction, Acquisition or Significant Improvement 2015      
Date Acquired 2015      
Average Depreciable Life 35 years      
North Valley Medical Plaza Phoenix, AZ        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 930      
Initial Cost, Building & Improvements 6,929      
Adjustments to Basis [3] 2,333      
Land 930      
Buildings and Improvements 9,262      
CIP 9      
Total 10,201      
Accumulated Depreciation $ 3,455      
Date of Completion of Construction, Acquisition or Significant Improvement 2010      
Date Acquired 2010      
Average Depreciable Life 30 years      
Northwest Medical Center at Sugar Creek, Bentonville, AR        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 1,100      
Initial Cost, Building & Improvements 2,870      
Adjustments to Basis [3] 0      
Land 1,100      
Buildings and Improvements 2,870      
CIP 0      
Total 3,970      
Accumulated Depreciation $ 864      
Date of Completion of Construction, Acquisition or Significant Improvement 2014      
Date Acquired 2014      
Average Depreciable Life 35 years      
Rosenberg Children's Medical Plaza, Phoenix, AZ        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1],[8] $ 12,027      
Initial Cost, Land [8] 0      
Initial Cost, Building & Improvements [8] 23,302      
Adjustments to Basis [3],[8] 158      
Land [8] 0      
Buildings and Improvements [8] 23,460      
CIP [8] 0      
Total [8] 23,460      
Accumulated Depreciation [8] $ 6,653      
Date of Completion of Construction, Acquisition or Significant Improvement [8] 2001      
Date Acquired [8] 2001      
Average Depreciable Life [8] 35 years      
Phoenix Children's East Valley Care Center, Phoenix, AZ        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 8,203      
Initial Cost, Land 1,050      
Initial Cost, Building & Improvements 10,900      
Adjustments to Basis [3] 0      
Land 1,050      
Buildings and Improvements 10,900      
CIP 0      
Total 11,950      
Accumulated Depreciation $ 3,080      
Date of Completion of Construction, Acquisition or Significant Improvement 2006      
Date Acquired 2006      
Average Depreciable Life 35 years      
Palmdale Medical Plaza, Palmdale, CA        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1],[7] $ 0      
Initial Cost, Land [7] 0      
Initial Cost, Building & Improvements [7] 10,555      
Adjustments to Basis [3],[7] 1,847      
Land [7] 0      
Buildings and Improvements [7] 12,402      
CIP [7] 30      
Total [7] 12,432      
Accumulated Depreciation [7] $ 3,967      
Date of Completion of Construction, Acquisition or Significant Improvement [7] 2008      
Date Acquired [7] 2008      
Average Depreciable Life [7] 34 years      
Piedmont-Roswell Physician Center Sandy Springs, GA        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 2,338      
Initial Cost, Building & Improvements 2,128      
Adjustments to Basis [3] 0      
Land 2,338      
Buildings and Improvements 2,128      
CIP 0      
Total 4,466      
Accumulated Depreciation $ 706      
Date of Completion of Construction, Acquisition or Significant Improvement 2015      
Date Acquired 2015      
Average Depreciable Life 30 years      
Piedmont-Vinings Physician Center Vinings, GA        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 1,348      
Initial Cost, Building & Improvements 2,418      
Adjustments to Basis [3] 0      
Land 1,348      
Buildings and Improvements 2,418      
CIP 0      
Total 3,766      
Accumulated Depreciation $ 775      
Date of Completion of Construction, Acquisition or Significant Improvement 2015      
Date Acquired 2015      
Average Depreciable Life 30 years      
Santa Fe Professional Plaza Scottsdale, AZ        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 1,090      
Initial Cost, Building & Improvements 1,960      
Adjustments to Basis [3] 670      
Land 1,090      
Buildings and Improvements 2,630      
CIP 0      
Total 3,720      
Accumulated Depreciation $ 1,042      
Date of Completion of Construction, Acquisition or Significant Improvement 1999      
Date Acquired 1999      
Average Depreciable Life 30 years      
Sierra San Antonio Medical Plaza Fontana, CA        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1],[8] $ 0      
Initial Cost, Land [8] 0      
Initial Cost, Building & Improvements [8] 11,538      
Adjustments to Basis [3],[8] 876      
Land [8] 0      
Buildings and Improvements [8] 12,414      
CIP [8] 0      
Total [8] 12,414      
Accumulated Depreciation [8] $ 4,330      
Date of Completion of Construction, Acquisition or Significant Improvement [8] 2006      
Date Acquired [8] 2006      
Average Depreciable Life [8] 30 years      
Vista Medical Terrace & Sparks MOB Sparks, NV        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1],[7] $ 0      
Initial Cost, Land [7] 0      
Initial Cost, Building & Improvements [7] 9,276      
Adjustments to Basis [3],[7] 2,249      
Land [7] 0      
Buildings and Improvements [7] 11,525      
CIP [7] 64      
Total [7] 11,589      
Accumulated Depreciation [7] $ 4,488      
Date of Completion of Construction, Acquisition or Significant Improvement [7] 2008      
Date Acquired [7] 2008      
Average Depreciable Life [7] 30 years      
South Texas E R At Weslaco Weslaco T X        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 1,749      
Initial Cost, Building & Improvements 4,879      
Adjustments to Basis [3] 0      
Land 1,749      
Buildings and Improvements 4,879      
CIP 0      
Total 6,628      
Accumulated Depreciation $ 1,304      
Date of Completion of Construction, Acquisition or Significant Improvement 2015      
Date Acquired 2015      
Average Depreciable Life 35 years      
Chandler Corporate Center III Chandler, AZ        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 2,328      
Initial Cost, Building & Improvements 14,131      
Adjustments to Basis [3] 0      
Land 2,328      
Buildings and Improvements 14,131      
CIP 0      
Total 16,459      
Accumulated Depreciation $ 4,487      
Date of Completion of Construction, Acquisition or Significant Improvement 2016      
Date Acquired 2016      
Average Depreciable Life 35 years      
Frederick Crestwood Mob Frederick, MD        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 2,265      
Initial Cost, Building & Improvements 18,731      
Adjustments to Basis [3] 0      
Land 2,265      
Buildings and Improvements 18,731      
CIP 0      
Total 20,996      
Accumulated Depreciation $ 4,557      
Date of Completion of Construction, Acquisition or Significant Improvement 2016      
Date Acquired 2016      
Average Depreciable Life 35 years      
Madison Professional Office Building Madison, AL        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 2,296      
Initial Cost, Building & Improvements 6,411      
Adjustments to Basis [3] 0      
Land 2,296      
Buildings and Improvements 6,411      
CIP 0      
Total 8,707      
Accumulated Depreciation $ 1,736      
Date of Completion of Construction, Acquisition or Significant Improvement 2016      
Date Acquired 2016      
Average Depreciable Life 35 years      
Tenaya Medical Office Building Las Vegas, NV        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 6,252      
Initial Cost, Land 3,032      
Initial Cost, Building & Improvements 10,602      
Adjustments to Basis [3] 0      
Land 3,032      
Buildings and Improvements 10,602      
CIP 0      
Total 13,634      
Accumulated Depreciation $ 2,449      
Date of Completion of Construction, Acquisition or Significant Improvement 2016      
Date Acquired 2016      
Average Depreciable Life 35 years      
Hendserson Medical Plaza Henderson NV        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1],[7] $ 0      
Initial Cost, Land [7] 0      
Initial Cost, Building & Improvements [7] 10,718      
Adjustments to Basis [3],[7] 9,891      
Land [7] 0      
Buildings and Improvements [7] 20,609      
CIP [7] 73      
Total [7] 20,682      
Accumulated Depreciation [7] $ 6,944      
Date of Completion of Construction, Acquisition or Significant Improvement [7] 2017      
Date Acquired [7] 2017      
Average Depreciable Life [7] 35 years      
Hamburg Medical Building Hamburg PA        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 696      
Initial Cost, Building & Improvements 3,406      
Adjustments to Basis [3] 0      
Land 696      
Buildings and Improvements 3,406      
CIP 0      
Total 4,102      
Accumulated Depreciation $ 749      
Date of Completion of Construction, Acquisition or Significant Improvement 2017      
Date Acquired 2017      
Average Depreciable Life 35 years      
Las Palmas Del Sol Emergency Center West El Paso, TX        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 801      
Initial Cost, Building & Improvements 5,029      
Adjustments to Basis [3] 0      
Land 801      
Buildings and Improvements 5,029      
CIP 0      
Total 5,830      
Accumulated Depreciation $ 993      
Date of Completion of Construction, Acquisition or Significant Improvement 2017      
Date Acquired 2017      
Average Depreciable Life 35 years      
Beaumont Sleep Centrer Southfield, MI        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 254      
Initial Cost, Building & Improvements 2,968      
Adjustments to Basis [3] 0      
Land 254      
Buildings and Improvements 2,968      
CIP 0      
Total 3,222      
Accumulated Depreciation $ 547      
Date of Completion of Construction, Acquisition or Significant Improvement 2018      
Date Acquired 2018      
Average Depreciable Life 35 years      
Clive Behavioral Health Clive IA        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 1,330      
Initial Cost, Building & Improvements 0      
Adjustments to Basis [3] 33,954      
Land 1,330      
Buildings and Improvements 33,954      
CIP 0      
Total 35,284      
Accumulated Depreciation $ 2,839      
Date of Completion of Construction, Acquisition or Significant Improvement 2020      
Date Acquired 2019      
Average Depreciable Life 35 years      
Bellin Health Family Medical Center Escanaba MI        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 605      
Initial Cost, Building & Improvements 3,906      
Adjustments to Basis [3] 0      
Land 605      
Buildings and Improvements 3,906      
CIP 0      
Total 4,511      
Accumulated Depreciation $ 493      
Date of Completion of Construction, Acquisition or Significant Improvement 2019      
Date Acquired 2019      
Average Depreciable Life 35 years      
Sand Point Medical Properties Escanaba, MI        
Real Estate and Accumulated Depreciation [Line Items]        
Encumbrance [1] $ 0      
Initial Cost, Land 265      
Initial Cost, Building & Improvements 1,654      
Adjustments to Basis [3] 0      
Land 265      
Buildings and Improvements 1,654      
CIP 0      
Total 1,919      
Accumulated Depreciation $ 136      
Date of Completion of Construction, Acquisition or Significant Improvement 2020      
Date Acquired 2020      
Average Depreciable Life 35 years      
2700 Fire Mesa, LLC Las Vegas, NV        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 2,400      
Initial Cost, Building & Improvements 9,671      
Land 2,400      
Buildings and Improvements 9,671      
CIP 0      
Total 12,071      
Accumulated Depreciation $ 756      
Date of Completion of Construction, Acquisition or Significant Improvement 2021      
Date Acquired 2021      
Average Depreciable Life 35 years      
Texoma Medical Plaza Denison, TX        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land [7],[9] $ 0      
Initial Cost, Building & Improvements [7],[9] 19,771      
Adjustments to Basis [3],[7],[9] 112      
Land [7],[9] 0      
Buildings and Improvements [7],[9] 19,883      
CIP [7],[9] 0      
Total [7],[9] 19,883      
Accumulated Depreciation [7],[9] $ 5,868      
Date of Completion of Construction, Acquisition or Significant Improvement [7],[9] 2021      
Date Acquired [7],[9] 2021      
Average Depreciable Life [7],[9] 39 years      
Sierra Medical Plaza I Reno, NV        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land [7],[10] $ 0      
Initial Cost, Building & Improvements [7],[10] 0      
Adjustments to Basis [3],[7],[10] 0      
Land [7],[10] 0      
Buildings and Improvements [7],[10] 0      
CIP [7],[10] 20,881      
Total [7],[10] 20,881      
Accumulated Depreciation [7],[10] $ 0      
Date of Completion of Construction, Acquisition or Significant Improvement [7],[10] 2023      
Date Acquired [7],[10] 2021      
Beaumont Heart & Vascular Dearborn, MI        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 537      
Initial Cost, Building & Improvements 4,434      
Land 537      
Buildings and Improvements 4,434      
CIP 0      
Total 4,971      
Accumulated Depreciation $ 157      
Date of Completion of Construction, Acquisition or Significant Improvement 2022      
Date Acquired 2022      
Average Depreciable Life 35 years      
140 Thomas Johnson Drive Frederick, MD        
Real Estate and Accumulated Depreciation [Line Items]        
Initial Cost, Land $ 1,197      
Initial Cost, Building & Improvements 5,635      
Adjustments to Basis [3] 0      
Land 1,197      
Buildings and Improvements 5,635      
CIP 0      
Total 6,832      
Accumulated Depreciation $ 201      
Date of Completion of Construction, Acquisition or Significant Improvement 2022      
Date Acquired 2022      
Average Depreciable Life 35 years      
[1] Consists of outstanding balances as of December 31, 2022 on third-party debt that is non-recourse to us.
[2] The aggregate cost for federal income tax purposes is $681 million (unaudited) with a net book value of $406 million (unaudited).
[3] Consists of costs subsequent to acquisition that were capitalized, divested or written down in connection with asset impairments and hurricane related damage.
[4] Carrying value of depreciable assets were written down to zero as a result of substantial damage from Hurricane Harvey during the third quarter of 2017.
[5] During 2008, a $4.6 million provision for asset impairment was recorded in connection with the real estate assets of Southern Crescent Center I & Southern Crescent Center II.
[6] Carrying value of depreciable assets were written down as a result of substantial damage from Hurricane Harvey during the third quarter of 2017.
[7] We are the lessee with a UHS-related party on a ground lease for land.
[8] We are the lessee with a third party on a ground lease for land.
[9] We purchased the 5% minority interest held by a third party during the fourth quarter of 2021. As a result of the minority interest purchase, we own 100% of the LP.
[10] New construction project related to a new MOB located in Reno, Nevada, which is anticipated to be completed in March, 2023 and is located on the campus of a UHS wholly-owned hospital that was completed and opened in April, 2022.