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Reconciliation of Real Estate Properties and Accumulated Depreciation (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
SEC Schedule, 12-28, Real Estate Companies, Investment in Real Estate and Accumulated Depreciation Disclosure [Abstract]      
Beginning balance $ 663,733 $ 660,449 $ 627,395
Impact of consolidation of an LP [1]   19,771  
Additions [2] 22,555 11,346 31,145
Acquisitions 11,802 12,071 1,919
Disposals/Divestitures [3] (121) (39,904) (10)
Ending balance 697,969 [4] 663,733 660,449
Beginning balance 225,584 216,648 194,888
Impact of consolidation of an LP [1]   4,847  
Disposals/Divestitures [3] (121) (19,796) (10)
Depreciation expense 23,309 23,885 21,770
Ending balance $ 248,772 $ 225,584 $ 216,648
[1] During the fourth quarter of 2021, we purchased the 5% minority ownership interest held by a third-party member in an LP in which we previously held a non-controlling majority ownership interest. As a result of this minority interest purchase, we now own 100% of the LP and the financial results are included in our consolidated financial statements.
[2] Included in the additions for 2022 and 2021 are approximately $18.0 million and $2.9 million related to the construction of a new MOB, 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. Included in the additions for 2020 are approximately $25.1 million related to the construction of Clive Behavioral Health, located in Clive, Iowa, for which construction was substantially completed in December 2020.
[3] 2021 includes the sale of the Auburn Medical Office Building II, the sale of the Children’s Clinic at Springdale as well as the exchange of Inland Valley Campus of Southwest Healthcare System, located in Wildomar, CA.
[4] The aggregate cost for federal income tax purposes is $681 million (unaudited) with a net book value of $406 million (unaudited).