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Computation of Basic and Diluted Earnings Per Share (Detail) - USD ($)
$ / shares in Units, shares in Thousands, $ in Thousands
3 Months Ended
Mar. 31, 2019
Mar. 31, 2018
Basic and Diluted:    
Net income attributable to UHS $ 234,168 $ 223,832
Less: Net income attributable to unvested restricted share grants (515) (104)
Net income attributable to UHS – basic and diluted $ 233,653 $ 223,728
Weighted average number of common shares - basic 90,776 94,226
Net effect of dilutive stock options and grants based on the treasury stock method 191 457
Weighted average number of common shares and equivalents - diluted 90,967 94,683
Earnings per basic share attributable to UHS: $ 2.57 $ 2.37
Earnings per diluted share attributable to UHS: $ 2.57 $ 2.36