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Computation of Basic and Diluted Earnings Per Share for classes A, B, C and D Common Stockholders (Detail) - USD ($)
$ / shares in Units, shares in Thousands, $ in Thousands
3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Basic and Diluted:    
Net income attributable to UHS $ 206,055 $ 190,759
Less: Net income attributable to unvested restricted share grants (94) (89)
Net income attributable to UHS – basic and diluted $ 205,961 $ 190,670
Weighted average number of common shares - basic 96,585 97,607
Net effect of dilutive stock options and grants based on the treasury stock method 787 1,288
Weighted average number of common shares and equivalents - diluted 97,372 98,895
Earnings per basic share attributable to UHS: $ 2.13 $ 1.95
Earnings per diluted share attributable to UHS: $ 2.12 $ 1.93