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Relationship with Universal Health Realty Income Trust and Other Related Party Transactions - Additional Information (Detail) - USD ($)
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Related Party Transaction [Line Items]              
Net revenues $ 3,963,027,000 $ 3,562,774,000 $ 11,714,213,000 $ 10,578,430,000      
Acute Care Hospital Services              
Related Party Transaction [Line Items]              
Net revenues 2,245,517,000 2,017,288,000 $ 6,604,007,000 5,993,899,000      
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%
Pre-tax share of income from the Trust 300,000 100,000 $ 914,000 670,000      
Dividends received from the Trust 575,000 567,000 1,700,000 1,700,000      
Carrying value of investment in Trust 6,200,000   6,200,000   $ 7,000,000    
Market value of investment in Trust $ 36,000,000.0   $ 36,000,000.0   $ 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%   5.70%        
Relationship with Universal Health Realty Income Trust | Advisory Fee              
Related Party Transaction [Line Items]              
Net revenues $ 1,400,000 $ 1,300,000 $ 4,100,000 $ 4,000,000