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Quarterly Results (Detail) - USD ($)
$ / shares in Units, $ in Thousands
 3 Months Ended 12 Months Ended
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Quarterly Financial Information Disclosure [Abstract]                      
Net revenues $ 2,754,496 $ 2,648,913 $ 2,681,353 $ 2,687,516 $ 2,642,787 $ 2,541,864 $ 2,612,356 $ 2,612,858 $ 10,772,278 $ 10,409,865 $ 9,766,210
Net income 163,622 174,881 230,711 228,669 225,035 145,362 190,388 210,527 797,883 771,312 747,171
Less: Net income attributable to noncontrolling interests 5,547 3,135 4,659 4,837 5,426 4,117 4,994 4,472 18,178 19,009 44,762
Net income attributable to UHS $ 158,075 $ 171,746 $ 226,052 $ 223,832 $ 219,609 $ 141,245 $ 185,394 $ 206,055 $ 779,705 $ 752,303 $ 702,409
Earnings per share attributable to UHS-Basic:                      
Total basic earnings per share $ 1.71 $ 1.85 $ 2.40 $ 2.37 $ 2.32 $ 1.48 $ 1.93 $ 2.13 $ 8.35 $ 7.86 $ 7.22
Earnings per share attributable to UHS-Diluted:                      
Total diluted earnings per share $ 1.70 $ 1.84 $ 2.39 $ 2.36 $ 2.31 $ 1.47 $ 1.91 $ 2.12 $ 8.31 $ 7.81 $ 7.14