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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, 2020
Sep. 30, 2020
Jun. 30, 2020
Mar. 31, 2020
Dec. 31, 2019
Sep. 30, 2019
Jun. 30, 2019
Mar. 31, 2019
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Basic and diluted:                      
Net Income $ 307,734 $ 244,092 $ 256,504 $ 144,460 $ 248,010 $ 100,870 $ 241,265 $ 237,398 $ 952,790 $ 827,543 $ 797,883
Less: Net income attributable to noncontrolling interest $ 974 $ (2,813) $ (4,575) $ (2,423) $ (2,834) $ (3,680) $ (2,945) $ (3,230) (8,837) (12,689) (18,178)
Less: Net income attributable to unvested restricted share grants                 (2,981) (2,028) (1,091)
Net income attributable to UHS—basic and diluted                 $ 940,972 $ 812,826 $ 778,614
Basic earnings per share attributable to UHS:                      
Weighted average number of common shares—basic                 85,061 88,762 93,276
Total basic earnings per share $ 3.63 $ 2.84 $ 2.97 $ 1.64 $ 2.81 $ 1.10 $ 2.67 $ 2.57 $ 11.06 $ 9.16 $ 8.35
Diluted earnings per share attributable to UHS:                      
Weighted average number of common shares—basic                 85,061 88,762 93,276
Net effect of dilutive stock options and grants based on the treasury stock method                 526 278 474
Weighted average number of common shares and equivalents—diluted                 85,587 89,040 93,750
Total diluted earnings per share $ 3.60 $ 2.82 $ 2.95 $ 1.64 $ 2.79 $ 1.10 $ 2.66 $ 2.57 $ 10.99 $ 9.13 $ 8.31