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Relationship with Universal Health Realty Income Trust and Related Party Transactions - Additional Information (Detail)
3 Months Ended 12 Months Ended
Mar. 31, 2018
USD ($)
Hospital
Facility
Mar. 31, 2017
USD ($)
Hospital
Dec. 31, 2013
Dec. 31, 2017
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 1,100,000 $ 1,200,000    
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%      
Advisory fee earned $ 900,000 900,000    
Pre-tax share of income from the Trust 284,000 1,800,000    
Carrying value of investment in Trust 8,500,000     $ 8,200,000
Market value of investment in Trust $ 47,300,000     59,200,000
Lease renewal period, years 5 years      
Rent expense under operating leases $ 4,000,000 $ 4,000,000    
Notice period on renewal of lease 90 days      
Period of rights of refusal to leased facilities 180 days      
Number of hospital facilities | Hospital 3 3    
Number of free-standing emergency departments to be acquired | Facility 2      
Relationship with Universal Health Realty Income Trust | Minimum        
Related Party Transaction [Line Items]        
Lease initial terms 13 years      
Non-controlling ownership interests by subsidiaries 95.00%      
Relationship with Universal Health Realty Income Trust | Maximum        
Related Party Transaction [Line Items]        
Lease initial terms 15 years      
Non-controlling ownership interests by subsidiaries 100.00%      
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 $ 35,000,000     $ 33,000,000