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Detailed Information for International Reporting Segment (Detail) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 12 Months Ended
Dec. 31, 2011
Sep. 30, 2011
Jun. 30, 2011
Mar. 31, 2011
Dec. 31, 2010
Sep. 30, 2010
Jun. 30, 2010
Mar. 31, 2010
Dec. 31, 2011
Dec. 31, 2010
Dec. 31, 2009
Segment Reporting Information [Line Items]                      
Regulated waste management service revenues $ 446,557 $ 420,924 $ 410,441 $ 398,126 $ 393,489 $ 362,988 $ 347,734 $ 335,177 $ 1,676,048 $ 1,439,388 $ 1,177,736
Income before income taxes                 372,324 331,853 277,688
Income taxes                 134,981 121,396 101,299
Net income                 237,343 210,457 176,389
Less: net income attributable to noncontrolling interests                 2,592 2,578 698
Net income attributable to Stericycle, Inc. 64,288 59,247 55,542 55,674 49,980 56,686 53,094 48,119 234,751 207,879 175,691
International countries
                     
Segment Reporting Information [Line Items]                      
Net interest expense                 8,584 5,736 5,280
Income before income taxes                 56,168 54,367 45,611
Income taxes                 14,999 16,331 13,186
Net income                 41,169 38,036 32,425
Less: net income attributable to noncontrolling interests                 2,592 2,578 698
Net income attributable to Stericycle, Inc.                 38,577 35,458 31,727
Depreciation and amortization                 25,357 18,116 10,566
Capital expenditures                 17,031 14,583 10,431
International countries | Regulated waste management services
                     
Segment Reporting Information [Line Items]                      
Regulated waste management service revenues                 $ 463,937 $ 355,823 $ 265,142