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Quarterly Results (Detail) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2016
Sep. 30, 2016
Jun. 30, 2016
Mar. 31, 2016
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Quarterly Financial Information Disclosure [Abstract]                      
Net revenues $ 2,642,787 $ 2,541,864 $ 2,612,356 $ 2,612,858 $ 2,475,685 $ 2,409,872 $ 2,430,855 $ 2,449,798 $ 10,409,865 $ 9,766,210 $ 9,043,451
Net income 225,035 145,362 190,388 210,527 178,738 157,265 195,449 215,719 771,312 747,171 750,698
Less: Net income attributable to noncontrolling interests 5,426 4,117 4,994 4,472 4,530 5,400 9,872 24,960 19,009 44,762 70,170
Net income attributable to UHS $ 219,609 $ 141,245 $ 185,394 $ 206,055 $ 174,208 $ 151,865 $ 185,577 $ 190,759 $ 752,303 $ 702,409 $ 680,528
Total basic earnings per share $ 2.32 $ 1.48 $ 1.93 $ 2.13 $ 1.80 $ 1.56 $ 1.91 $ 1.95 $ 7.86 $ 7.22 $ 6.89
Total diluted earnings per share $ 2.31 $ 1.47 $ 1.91 $ 2.12 $ 1.78 $ 1.54 $ 1.89 $ 1.93 $ 7.81 $ 7.14 $ 6.76