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Relationship with Universal Health Realty Income Trust and Related Party Transactions - Additional Information (Detail) (USD $)
3 Months Ended 6 Months Ended
Jun. 30, 2013
Jun. 30, 2012
Jun. 30, 2013
Jun. 30, 2012
Dec. 31, 2012
Relationship with Universal Health Realty Income Trust
         
Related Party Transaction [Line Items]          
Trust outstanding shares held, percentage 6.20%   6.20%    
Advisory fee earned $ 585,000 $ 520,000 $ 1,200,000 $ 1,000,000  
Pre-tax share of income from the Trust 213,000 591,000 513,000 891,000  
Carrying value of investment in Trust 8,800,000   8,800,000   9,300,000
Market value of investment in Trust 34,000,000   34,000,000   39,900,000
Rent expense under operating leases 3,900,000 4,100,000 8,000,000 8,300,000  
Non-controlling ownership interests by subsidiaries 100.00%   100.00%    
Chief Executive Officer
         
Related Party Transaction [Line Items]          
Estimated payments to acquire life insurance policies     25,000,000    
Estimated death benefit proceeds     33,000,000    
Chief Executive Officer | Trust Owned by Chief Executive Officer
         
Related Party Transaction [Line Items]          
Estimated payments to acquire life insurance policies     $ 8,000,000