Relationship with Universal Health Realty Income Trust and Other Related Party Transactions - Additional Information (Detail)	1 Months Ended		3 Months Ended	12 Months Ended
	Apr. 30, 2022 Bed	Jan. 31, 2022 USD ($) SquareFoot	Dec. 31, 2013	Dec. 31, 2022 USD ($) Hospital Bed Facility $ / shares		Dec. 31, 2021 USD ($) Bed Hospital $ / shares	Dec. 31, 2020 USD ($) Hospital
Related Party Transaction [Line Items]
Net revenues				$ 13,399,370,000		$ 12,642,117,000	$ 11,558,897,000
Lessee, operating lease, existence of option to extend [true false]				true
Lease and rental				$ 131,626,000		118,863,000	116,059,000
Number of hospital facilities | Hospital				5
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				1,000,000.0		1,000,000.0	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
Acute Care Hospital Services
Related Party Transaction [Line Items]
Net revenues				$ 7,646,749,000	[1]	7,108,254,000	$ 6,337,304,000
Number of beds available in acute care hospital | Bed				282
Asset Purchase and Sale Agreement | Subsidiaries
Related Party Transaction [Line Items]
Gain on sale of real estate assets						$ 4,000,000.0
Minimum
Related Party Transaction [Line Items]
Lease initial terms				5 years
Real estate leases option to extend lease term				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
Real estate leases option to extend lease term				10 years
Relationship with Universal Health Realty Income Trust
Related Party Transaction [Line Items]
Percentage of advisory fee on average invested real estate assets				0.70%		0.70%	0.70%
Pre-tax share of income from the Trust				$ 1,200,000		$ 6,200,000	$ 1,100,000
Dividends received from the Trust				2,200,000		2,200,000	$ 2,200,000
Proceeds from transactions including asset purchase and sale transaction						5,000,000.0
Carrying value of investment in Trust				8,400,000		9,400,000
Market value of investment in Trust				37,600,000		46,800,000
Number of beds available in acute care hospital | Bed	158
Financial liability included in debt				80,900,000		$ 82,400,000
Lease and rental				$ 20,200,000
Number of hospital facilities | Hospital				4		3	3
Notice period on renewal of lease				90 days
Period of rights of refusal to leased facilities				180 days
Number of free-standing emergency departments to be acquired | Facility				2
Number of square feet to be constructed | SquareFoot		86,000
Percentage of master lease rentable square feet		68.00%
Relationship with Universal Health Realty Income Trust | Other Related Party Transactions
Related Party Transaction [Line Items]
Trust outstanding shares held, percentage				5.70%
Relationship with Universal Health Realty Income Trust | McAllen Medical Center, Wellington Regional Medical Center and Inland Valley Campus of Southwest Healthcare System
Related Party Transaction [Line Items]
Lease and rental						$ 17,700,000	$ 17,100,000
Relationship with Universal Health Realty Income Trust | Aiken, South Carolina | Behavioral Health Care Facility
Related Party Transaction [Line Items]
Number of bed available in behavioral health care facility | Bed				100
Lease and rental				$ 2,600,000		$ 2,500,000
Notice period on renewal of lease				270 days
Period of rights of refusal to leased facilities				30 days
Relationship with Universal Health Realty Income Trust | Aiken Regional Medical Center
Related Party Transaction [Line Items]
Lease rent receivable				$ 3,900,000
Relationship with Universal Health Realty Income Trust | Canyon Creek Behavioral Health
Related Party Transaction [Line Items]
Lease rent receivable				$ 1,800,000
Relationship with Universal Health Realty Income Trust | Aiken Regional Medical Center and Canyon Creek Behavioral Health
Related Party Transaction [Line Items]
Lease initial terms						5 years
Initial lease term on property						12 years
Lease expiration date						Dec. 31, 2033
Lessee, operating lease, existence of option to extend [true false]						true
Real estate leases option to extend lease term						7 years
Number of facilities leased | Facility				2
Lease rent receivable				$ 5,700,000
Percentage of annual rental increase on cumulative and compound basis				2.25%
Relationship with Universal Health Realty Income Trust | Aiken Regional Medical Center and Canyon Creek Behavioral Health | Bonus Rental
Related Party Transaction [Line Items]
Lease revenue				$ 0
Relationship with Universal Health Realty Income Trust | Asset Purchase and Sale Agreement | Subsidiaries
Related Party Transaction [Line Items]
Cash received for sale of real estate asset						$ 4,100,000
Gain on sale of real estate assets						68,400,000
Relationship with Universal Health Realty Income Trust | Asset Purchase and Sale Agreement | Subsidiaries | Inland Valley Campus of Southwest Healthcare System | Wildomar, California
Related Party Transaction [Line Items]
Fair market value of real estate assets received						79,600,000
Relationship with Universal Health Realty Income Trust | Asset Purchase and Sale Agreement | Subsidiaries | Aiken Regional Medical Center | Aiken South Carolina
Related Party Transaction [Line Items]
Fair market value of real estate assets sold						$ 57,700,000
Relationship with Universal Health Realty Income Trust | Asset Purchase and Sale Agreement | Subsidiaries | Aiken Regional Medical Center | Aiken South Carolina | Acute Care Hospital Services
Related Party Transaction [Line Items]
Number of beds available in acute care hospital | Bed						211
Relationship with Universal Health Realty Income Trust | Asset Purchase and Sale Agreement | Subsidiaries | Aiken Regional Medical Center | Aiken South Carolina | Behavioral Health Care Facility
Related Party Transaction [Line Items]
Number of bed available in behavioral health care facility | Bed						62
Relationship with Universal Health Realty Income Trust | Asset Purchase and Sale Agreement | Subsidiaries | Canyon Creek Behavioral Health | Temple, Texas
Related Party Transaction [Line Items]
Fair market value of real estate assets sold						$ 26,000,000.0
Relationship with Universal Health Realty Income Trust | Asset Purchase and Sale Agreement | Subsidiaries | Aiken Regional Medical Center and Canyon Creek Behavioral Health
Related Party Transaction [Line Items]
Fair market value of real estate assets sold						83,700,000
Relationship with Universal Health Realty Income Trust | Minimum
Related Party Transaction [Line Items]
Lease and rental		$ 1,300,000
Relationship with Universal Health Realty Income Trust | Minimum | Limited Liability Companies
Related Party Transaction [Line Items]
Non-controlling ownership interests				95.00%
Relationship with Universal Health Realty Income Trust | Maximum | Limited Liability Companies
Related Party Transaction [Line Items]
Non-controlling ownership interests				100.00%
Relationship with Universal Health Realty Income Trust | Advisory Fee
Related Party Transaction [Line Items]
Net revenues				$ 5,100,000		$ 4,400,000	$ 4,100,000
Premier, Inc.
Related Party Transaction [Line Items]
Cash dividend declared per share | $ / shares				$ 0.82		$ 0.78
Premier, Inc. | Other (Income) Expense, Net
Related Party Transaction [Line Items]
Dividend				$ 1,800,000		$ 1,700,000
Premier, Inc. | Other (Income) Expense, Net | Accounting Standards Update 2016-01
Related Party Transaction [Line Items]
Unrealized gain (loss)				(14,000,000)		14,000,000
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				$ 78,000,000		$ 92,000,000

[1] Included in our 2022 acute care hospital services operating segment income (loss) before allocation of corporate overhead and income taxes is a pre-tax $58 million provision for asset impairment charge to reduce the carrying value of real property assets.