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Detailed Information for Reporting Segment (Detail) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 12 Months Ended
Mar. 31, 2012
Mar. 31, 2011
Dec. 31, 2011
Segment Reporting Information [Line Items]      
Revenues $ 460,077 $ 398,126  
Income before income taxes 103,030 90,962  
Income taxes 37,715 34,376  
Net income 65,315 56,586 237,343
Less: net income attributable to noncontrolling interests 458 912  
Net income attributable to Stericycle, Inc. 64,857 55,674  
United States
     
Segment Reporting Information [Line Items]      
Revenues 329,189 290,612  
Net interest expense 10,334 9,685  
Income before income taxes 87,057 72,301  
Income taxes 34,447 29,150  
Net income attributable to Stericycle, Inc. 52,610 43,151  
Depreciation and amortization 10,556 9,449  
United States | Regulated waste management services
     
Segment Reporting Information [Line Items]      
Revenues 293,425 254,807  
United States | Regulated returns and recall management services
     
Segment Reporting Information [Line Items]      
Revenues 35,764 35,805  
International countries
     
Segment Reporting Information [Line Items]      
Net interest expense 2,340 1,503  
Income before income taxes 15,973 18,661  
Income taxes 3,268 5,226  
Net income 12,705 13,435  
Less: net income attributable to noncontrolling interests 458 912  
Net income attributable to Stericycle, Inc. 12,247 12,523  
Depreciation and amortization 7,162 5,654  
International countries | Regulated waste management services
     
Segment Reporting Information [Line Items]      
Revenues $ 130,888 $ 107,514