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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, 2014
Jun. 30, 2013
Jun. 30, 2014
Jun. 30, 2013
Dec. 31, 2013
Chief Executive Officer
         
Related Party Transaction [Line Items]          
Estimated payments to acquire life insurance policies     $ 25,000,000    
Chief Executive Officer | Minimum
         
Related Party Transaction [Line Items]          
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    
Relationship with Universal Health Realty Income Trust
         
Related Party Transaction [Line Items]          
Trust outstanding shares held, percentage 6.10%   6.10%    
Advisory fee earned 600,000 600,000 1,200,000 1,200,000  
Pre-tax share of income from the Trust 100,000 200,000 400,000 500,000  
Carrying value of investment in Trust 8,000,000   8,000,000   8,000,000
Market value of investment in Trust 34,000,000   34,000,000   32,000,000
Rent expense under operating leases $ 4,000,000 $ 4,000,000 $ 8,000,000 $ 8,000,000  
Non-controlling ownership interests by subsidiaries 100.00%   100.00%