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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 12 Months Ended
Dec. 31, 2019
Sep. 30, 2019
Jun. 30, 2019
Mar. 31, 2019
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Basic and diluted:                      
Net Income $ 248,010 $ 100,870 $ 241,265 $ 237,398 $ 163,622 $ 174,881 $ 230,711 $ 228,669 $ 827,543 $ 797,883 $ 771,312
Less: Net income attributable to noncontrolling interest $ (2,834) $ (3,680) $ (2,945) $ (3,230) $ (5,547) $ (3,135) $ (4,659) $ (4,837) (12,689) (18,178) (19,009)
Less: Net income attributable to unvested restricted share grants                 (2,028) (1,091) (362)
Net income attributable to UHS—basic and diluted                 $ 812,826 $ 778,614 $ 751,941
Basic earnings per share attributable to UHS:                      
Weighted average number of common shares—basic                 88,762 93,276 95,652
Total basic earnings per share $ 2.81 $ 1.10 $ 2.67 $ 2.57 $ 1.71 $ 1.85 $ 2.40 $ 2.37 $ 9.16 $ 8.35 $ 7.86
Diluted earnings per share attributable to UHS:                      
Weighted average number of common shares—basic                 88,762 93,276 95,652
Net effect of dilutive stock options and grants based on the treasury stock method                 278 474 673
Weighted average number of common shares and equivalents—diluted                 89,040 93,750 96,325
Total diluted earnings per share $ 2.79 $ 1.10 $ 2.66 $ 2.57 $ 1.70 $ 1.84 $ 2.39 $ 2.36 $ 9.13 $ 8.31 $ 7.81