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Computation of Basic and Diluted Earnings Per Share (Detail) - USD ($)
$ / shares in Units, shares in Thousands, $ in Thousands
3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Basic and Diluted:    
Net Income (Loss) $ 316,680 $ 261,834
Less: Net income attributable to unvested restricted share grants   (45)
Net income attributable to UHS - basic 316,680 261,789
Net income attributable to UHS - diluted $ 316,680 $ 261,789
Weighted average number of common shares - basic 64,970 67,204
Net effect of dilutive stock options and grants based on the treasury stock method 1,067 1,278
Weighted average number of common shares and equivalents - diluted 66,037 68,482
Earnings per basic share attributable to UHS: $ 4.87 $ 3.90
Earnings per diluted share attributable to UHS: $ 4.80 $ 3.82