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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, 2018
Mar. 31, 2017
Basic and Diluted:    
Net income attributable to UHS $ 223,832 $ 206,055
Less: Net income attributable to unvested restricted share grants (104) (94)
Net income attributable to UHS – basic and diluted $ 223,728 $ 205,961
Weighted average number of common shares - basic 94,226 96,585
Net effect of dilutive stock options and grants based on the treasury stock method 457 787
Weighted average number of common shares and equivalents - diluted 94,683 97,372
Earnings per basic share attributable to UHS: $ 2.37 $ 2.13
Earnings per diluted share attributable to UHS: $ 2.36 $ 2.12