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Relationship with Universal Health Realty Income Trust and Related Party Transactions - Additional Information (Detail) (USD $)
3 Months Ended
Mar. 31, 2013
Mar. 31, 2012
Dec. 31, 2012
Relationship with Universal Health Realty Income Trust
     
Related Party Transaction [Line Items]      
Trust outstanding shares held, percentage 6.20%    
Advisory fee earned $ 571,000 $ 515,000  
Pre-tax share of income from the Trust 300,000 300,000  
Carrying value of investment in Trust 8,800,000   9,300,000
Market value of investment in Trust 45,400,000   39,900,000
Rent expense under operating leases 4,100,000 4,100,000  
Non-controlling ownership interests by subsidiaries 100.00%    
Chief Executive Officer
     
Related Party Transaction [Line Items]      
Estimated payments to acquire life insurance policies 25,000,000    
Estimated death benefit proceeds 33,000,000    
Chief Executive Officer | Trust Owned by Chief Executive Officer
     
Related Party Transaction [Line Items]      
Estimated payments to acquire life insurance policies $ 8,000,000