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Relationship with Universal Health Realty Income Trust and Other Related Party Transactions - Additional Information (Detail) - USD ($)
3 Months Ended 12 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Related Party Transaction [Line Items]          
Net revenues $ 3,843,582,000 $ 3,467,518,000      
Acute Care Hospital Services          
Related Party Transaction [Line Items]          
Net revenues $ 2,185,081,000 $ 1,973,532,000      
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% 0.70% 0.70%
Pre-tax share of income from the Trust $ 300,000 $ 300,000      
Dividends received from the Trust 571,000 563,000      
Carrying value of investment in Trust 6,700,000   $ 7,000,000.0    
Market value of investment in Trust $ 28,900,000   $ 34,100,000    
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 | Advisory Fee          
Related Party Transaction [Line Items]          
Net revenues $ 1,300,000 $ 1,300,000