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<!-- DFIN New ActiveDisclosure (SM) XBRL Linkbase Document - http://www.dfinsolutions.com/ -->
<!-- Creation Date :2023-02-27T14:33:59.8474+00:00 -->
<!-- Copyright (c) 2023 Donnelly Financial Solutions, Inc. All Rights Reserved. -->
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  </link:definitionLink>
  <link:definitionLink xlink:type="extended" xlink:role="http://www.universalhealthservices/20221231/taxonomy/role/Role_DisclosureSummaryOfChangesInCarryingAmountOfGoodwillDetail">
    <link:loc xlink:type="locator" xlink:href="https://xbrl.fasb.org/us-gaap/2022/elts/us-gaap-2022.xsd#us-gaap_GoodwillLineItems" xlink:label="us-gaap_GoodwillLineItems"/>
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    <link:loc xlink:type="locator" xlink:href="https://xbrl.fasb.org/us-gaap/2022/elts/us-gaap-2022.xsd#us-gaap_Goodwill" xlink:label="us-gaap_Goodwill"/>
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    <link:loc xlink:type="locator" xlink:href="uhs-20221231.xsd#uhs_AcuteCareServicesMember" xlink:label="uhs_AcuteCareServicesMember"/>
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