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Relationship with Universal Health Realty Income Trust and Other Related Party Transactions - Additional Information (Detail)
1 Months Ended 3 Months Ended 12 Months Ended
Jan. 31, 2022
USD ($)
Bed
SquareFoot
Dec. 31, 2020
USD ($)
$ / shares
Sep. 30, 2020
$ / shares
Dec. 31, 2013
Dec. 31, 2021
USD ($)
Hospital
Facility
Bed
$ / shares
Dec. 31, 2020
USD ($)
Hospital
Dec. 31, 2019
USD ($)
Hospital
Related Party Transaction [Line Items]              
Net revenues         $ 12,642,117,000 $ 11,558,897,000 $ 11,378,259,000
Lessee, operating lease, existence of option to extend [true false]         true    
Lease and rental expense         $ 118,863,000 116,059,000 107,809,000
Number of hospital facilities | Hospital         5    
Chief Executive Officer              
Related Party Transaction [Line Items]              
Estimated payments to acquire life insurance policies         $ 28,000,000    
Payments to acquire life insurance policies, net         1,000,000.0 1,100,000 1,100,000
Chief Executive Officer | Trust Owned by CEO              
Related Party Transaction [Line Items]              
Estimated payments to acquire life insurance policies         9,000,000    
Acute Care Hospital Services              
Related Party Transaction [Line Items]              
Net revenues         7,108,254,000 $ 6,337,304,000 $ 6,164,560,000
Asset Purchase and Sale Agreement | Subsidiaries              
Related Party Transaction [Line Items]              
Gain on sale of real estate assets         $ 4,000,000.0    
Minimum              
Related Party Transaction [Line Items]              
Lease initial terms         5 years    
Real estate leases option to extend lease term         5 years    
Minimum | Chief Executive Officer              
Related Party Transaction [Line Items]              
Estimated death benefit proceeds         $ 37,000,000    
Maximum              
Related Party Transaction [Line Items]              
Lease initial terms         10 years    
Real estate leases option to extend lease term         10 years    
Relationship with Universal Health Realty Income Trust              
Related Party Transaction [Line Items]              
Trust outstanding shares held, percentage         5.70%    
Percentage of advisory fee on average invested real estate assets         0.70% 0.70% 0.70%
Pre-tax share of income from the Trust         $ 6,200,000 $ 1,100,000 $ 1,100,000
Dividends received from the Trust         2,200,000 2,200,000 $ 2,100,000
Proceeds from transactions including asset purchase and sale transaction         5,000,000.0    
Carrying value of investment in Trust   $ 5,400,000     9,400,000 5,400,000  
Market value of investment in Trust   $ 50,600,000     $ 46,800,000 $ 50,600,000  
Lease renewal period, years         5 years    
Financial liability included in debt         $ 82,400,000    
Number of hospital facilities | Hospital         3 3 3
Notice period on renewal of lease         90 days    
Period of rights of refusal to leased facilities         180 days    
Number of free-standing emergency departments to be acquired | Facility         2    
Relationship with Universal Health Realty Income Trust | Subsequent Event              
Related Party Transaction [Line Items]              
Number of beds available in acute care hospital | Bed 170            
Number of square feet to be constructed | SquareFoot 86,000            
Percentage of master lease rentable square feet 68.00%            
Relationship with Universal Health Realty Income Trust | McAllen Medical Center, Wellington Regional Medical Center and Inland Valley Campus of Southwest Healthcare System              
Related Party Transaction [Line Items]              
Lease and rental expense         $ 17,700,000 $ 17,100,000 $ 16,400,000
Relationship with Universal Health Realty Income Trust | Aiken, South Carolina | Behavioral Health Care Facility              
Related Party Transaction [Line Items]              
Number of bed available in behavioral health care facility | Bed         100    
Lease and rental expense         $ 2,500,000    
Notice period on renewal of lease         270 days    
Period of rights of refusal to leased facilities         30 days    
Relationship with Universal Health Realty Income Trust | Aiken Regional Medical Center              
Related Party Transaction [Line Items]              
Lease rent receivable         $ 3,900,000    
Relationship with Universal Health Realty Income Trust | Canyon Creek Behavioral Health              
Related Party Transaction [Line Items]              
Lease rent receivable         $ 1,700,000    
Relationship with Universal Health Realty Income Trust | Aiken Regional Medical Center and Canyon Creek Behavioral Health              
Related Party Transaction [Line Items]              
Lease initial terms         5 years    
Initial lease term on property         12 years    
Lease expiration date         Dec. 31, 2033    
Lessee, operating lease, existence of option to extend [true false]         true    
Real estate leases option to extend lease term         7 years    
Number of facilities leased | Facility         2    
Lease rent receivable         $ 5,600,000    
Percentage of annual rental increase on cumulative and compound basis         2.25%    
Relationship with Universal Health Realty Income Trust | Aiken Regional Medical Center and Canyon Creek Behavioral Health | Bonus Rental              
Related Party Transaction [Line Items]              
Lease revenue         $ 0    
Relationship with Universal Health Realty Income Trust | Asset Purchase and Sale Agreement | Subsidiaries              
Related Party Transaction [Line Items]              
Cash received for sale of real estate asset         2,800,000    
Gain on sale of real estate assets         68,400,000    
Relationship with Universal Health Realty Income Trust | Asset Purchase and Sale Agreement | Subsidiaries | Inland Valley Campus of Southwest Healthcare System | Wildomar, California              
Related Party Transaction [Line Items]              
Fair market value of real estate assets received         79,600,000    
Relationship with Universal Health Realty Income Trust | Asset Purchase and Sale Agreement | Subsidiaries | Aiken Regional Medical Center | Aiken South Carolina              
Related Party Transaction [Line Items]              
Fair market value of real estate assets sold         $ 57,700,000    
Relationship with Universal Health Realty Income Trust | Asset Purchase and Sale Agreement | Subsidiaries | Aiken Regional Medical Center | Aiken South Carolina | Acute Care Hospital Services              
Related Party Transaction [Line Items]              
Number of beds available in acute care hospital | Bed         211    
Relationship with Universal Health Realty Income Trust | Asset Purchase and Sale Agreement | Subsidiaries | Aiken Regional Medical Center | Aiken South Carolina | Behavioral Health Care Facility              
Related Party Transaction [Line Items]              
Number of bed available in behavioral health care facility | Bed         62    
Relationship with Universal Health Realty Income Trust | Asset Purchase and Sale Agreement | Subsidiaries | Canyon Creek Behavioral Health | Temple, Texas              
Related Party Transaction [Line Items]              
Fair market value of real estate assets sold         $ 24,700,000    
Relationship with Universal Health Realty Income Trust | Asset Purchase and Sale Agreement | Subsidiaries | Aiken Regional Medical Center and Canyon Creek Behavioral Health              
Related Party Transaction [Line Items]              
Fair market value of real estate assets sold         $ 82,400,000    
Relationship with Universal Health Realty Income Trust | Minimum              
Related Party Transaction [Line Items]              
Lease initial terms         13 years    
Relationship with Universal Health Realty Income Trust | Minimum | Subsequent Event              
Related Party Transaction [Line Items]              
Lease and rental expense $ 1,300,000            
Relationship with Universal Health Realty Income Trust | Minimum | Limited Liability Companies              
Related Party Transaction [Line Items]              
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    
Relationship with Universal Health Realty Income Trust | Maximum | Limited Liability Companies              
Related Party Transaction [Line Items]              
Non-controlling ownership interests by subsidiaries         100.00%    
Relationship with Universal Health Realty Income Trust | Advisory Fee              
Related Party Transaction [Line Items]              
Net revenues         $ 4,400,000 4,100,000 $ 4,000,000.0
Premier, Inc.              
Related Party Transaction [Line Items]              
Cash dividend declared per share | $ / shares   $ 0.19 $ 0.19   $ 0.78    
Premier, Inc. | Other (Income) Expense, Net              
Related Party Transaction [Line Items]              
Dividend         $ 1,700,000 800,000  
Premier, Inc. | Other (Income) Expense, Net | Accounting Standards Update 2016-01              
Related Party Transaction [Line Items]              
Unrealized gain (loss)         14,000,000    
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         $ 92,000,000 $ 78,000,000