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Relationship with Universal Health Realty Income Trust and Related Party Transactions - Additional Information (Detail) (USD $)
9 Months Ended 3 Months Ended 9 Months Ended 3 Months Ended 3 Months Ended
Sep. 30, 2014
Chief Executive Officer
Sep. 30, 2014
Chief Executive Officer
Minimum
Sep. 30, 2014
Chief Executive Officer
Trust Owned by Chief Executive Officer
Sep. 30, 2014
Relationship with Universal Health Realty Income Trust
Sep. 30, 2013
Relationship with Universal Health Realty Income Trust
Sep. 30, 2014
Relationship with Universal Health Realty Income Trust
Sep. 30, 2013
Relationship with Universal Health Realty Income Trust
Dec. 31, 2013
Relationship with Universal Health Realty Income Trust
Mar. 31, 2015
Relationship with Universal Health Realty Income Trust
Scenario, Forecast
Texas
Facility
Sep. 30, 2014
Relationship with Universal Health Realty Income Trust
Minimum
Mar. 31, 2015
Relationship with Universal Health Realty Income Trust
Minimum
Scenario, Forecast
Sep. 30, 2014
Relationship with Universal Health Realty Income Trust
Maximum
Mar. 31, 2015
Relationship with Universal Health Realty Income Trust
Maximum
Scenario, Forecast
Related Party Transaction [Line Items]                          
Trust outstanding shares held, percentage       6.10%   6.10%              
Advisory fee earned       $ 700,000 $ 600,000 $ 1,900,000 $ 1,800,000            
Pre-tax share of income from the Trust       1,700,000 86,000 2,100,000 599,000            
Share of aggregate gain on fair value recognition included in the share of trust       1,600,000   1,600,000              
Non-controlling ownership interests by subsidiaries       100.00%   100.00%              
Carrying value of investment in Trust       9,000,000   9,000,000   8,000,000          
Market value of investment in Trust       33,000,000   33,000,000   32,000,000          
Rent expense under operating leases       4,000,000 4,000,000 12,000,000 12,000,000            
Estimated purchase price of The Bridgeway's real property                   17,000,000   17,500,000  
Number of free-standing emergency departments to be acquired                 2        
Aggregate construction cost/sales proceeds                     12,500,000   13,000,000
Aggregate rent expense paid                     850,000   900,000
Estimated payments to acquire life insurance policies 25,000,000   8,000,000                    
Estimated death benefit proceeds   $ 33,000,000