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Relationship with Universal Health Realty Income Trust and Related Party Transactions - Additional Information (Detail)
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2015
USD ($)
Mar. 31, 2015
USD ($)
Facility
RenewalOption
Sep. 30, 2014
USD ($)
Sep. 30, 2015
USD ($)
Sep. 30, 2014
USD ($)
Dec. 31, 2014
USD ($)
Related Party Transaction [Line Items]            
Lease renewal period, years       5 years    
Notice period on renewal of lease       90 days    
Period of rights of refusal to leased facilities       180 days    
Chief Executive Officer            
Related Party Transaction [Line Items]            
Estimated payments to acquire life insurance policies       $ 25,000,000    
Payments to acquire life insurance policies       1,300,000 $ 1,300,000  
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 5.90%     5.90%    
Advisory fee earned $ 700,000   $ 700,000 $ 2,100,000 1,900,000  
Pre-tax share of income from the Trust 100,000   1,700,000 1,100,000 2,100,000  
Share of aggregate gain on fair value recognition included in the share of trust     1,600,000   1,600,000  
Carrying value of investment in Trust 9,000,000     9,000,000   $ 9,300,000
Market value of investment in Trust 37,000,000     37,000,000   37,900,000
Aggregate construction cost/sales proceeds   $ 13,000,000        
Aggregate rent expense paid   $ 900,000       1,100,000
Estimated purchase price of The Bridgeway's real property           $ 17,300,000
Rent expense under operating leases $ 4,000,000   $ 4,000,000 $ 12,000,000 $ 12,000,000  
Non-controlling ownership interests by subsidiaries 100.00%     100.00%    
Relationship with Universal Health Realty Income Trust | Texas            
Related Party Transaction [Line Items]            
Number of free-standing emergency departments to be acquired | Facility   2        
Lease agreement term   10 years        
Number of renewal options at existing lease rates | RenewalOption   6        
Renewal options term at existing lease rates   5 years        
Renewal options term at fair market lease rates   5 years        
Minimum            
Related Party Transaction [Line Items]            
Lease initial terms       13 years    
Minimum | Chief Executive Officer            
Related Party Transaction [Line Items]            
Estimated death benefit proceeds       $ 33,000,000    
Maximum            
Related Party Transaction [Line Items]            
Lease initial terms       15 years