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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, 2017
USD ($)
Hospital
Facility
Sep. 30, 2016
USD ($)
Hospital
Dec. 31, 2013
Sep. 30, 2017
USD ($)
Hospital
Facility
Sep. 30, 2016
USD ($)
Hospital
Dec. 31, 2016
USD ($)
Chief Executive Officer            
Related Party Transaction [Line Items]            
Estimated payments to acquire life insurance policies       $ 28,000,000    
Payments to acquire life insurance policies       1,200,000 $ 1,300,000  
Chief Executive Officer | Trust Owned by CEO            
Related Party Transaction [Line Items]            
Estimated payments to acquire life insurance policies       9,000,000    
Minimum | Chief Executive Officer            
Related Party Transaction [Line Items]            
Estimated death benefit proceeds       $ 37,000,000    
Relationship with Universal Health Realty Income Trust            
Related Party Transaction [Line Items]            
Trust outstanding shares held, percentage 5.70%     5.70%    
Advisory fee earned $ 900,000 $ 800,000   $ 2,600,000 2,400,000  
Pre-tax share of income from the Trust 236,000 250,000   2,300,000 750,000  
Carrying value of investment in Trust 8,400,000     8,400,000   $ 7,700,000
Market value of investment in Trust 59,500,000     59,500,000   51,700,000
Rent expense under operating leases $ 4,000,000 $ 4,000,000   $ 12,000,000 $ 12,000,000  
Number of hospital facilities | Hospital 3 3   3 3  
Number of free-standing emergency departments to be acquired | Facility 2     2    
Lease renewal period, years       5 years    
Notice period on renewal of lease       90 days    
Period of rights of refusal to leased facilities       180 days    
Relationship with Universal Health Realty Income Trust | Minimum            
Related Party Transaction [Line Items]            
Non-controlling ownership interests by subsidiaries 95.00%     95.00%    
Lease initial terms       13 years    
Relationship with Universal Health Realty Income Trust | Maximum            
Related Party Transaction [Line Items]            
Non-controlling ownership interests by subsidiaries 100.00%     100.00%    
Lease initial terms       15 years    
Premier, Inc. | Group Purchasing Organization Agreement | Restricted Stock            
Related Party Transaction [Line Items]            
Shares vesting period     7 years      
Shares vesting period start year     2014      
Shares vesting period end year     2020      
Market value of retained vested shares       $ 24,000,000   $ 23,000,000