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Supplemental Condensed Consolidating Statements of Income (Detail) (USD $) In Thousands, unless otherwise specified | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2013 | Sep. 30, 2013 | Jun. 30, 2013 | Mar. 31, 2013 | Dec. 31, 2012 | Sep. 30, 2012 | Jun. 30, 2012 | Mar. 31, 2012 | Dec. 31, 2013 | Dec. 31, 2012 | Dec. 31, 2011
Condensed Financial Statements, Captions [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net revenues before provision for doubtful accounts |  |  |  |  |  |  |  |  | $ 8,411,038 | $ 7,688,071 | $ 7,356,798
Less: Provision for doubtful accounts |  |  |  |  |  |  |  |  | 1,127,216 | 726,671 | 596,576
Net revenues | 1,800,846 | 1,816,369 | 1,834,975 | 1,831,632 | 1,764,927 | 1,680,353 | 1,723,084 | 1,793,036 | 7,283,822 | 6,961,400 | 6,760,222
Operating charges: |  |  |  |  |  |  |  |  |  |  |
Salaries, wages and benefits |  |  |  |  |  |  |  |  | 3,604,620 | 3,440,917 | 3,326,378
Other operating expenses |  |  |  |  |  |  |  |  | 1,468,744 | 1,376,122 | 1,353,693
Supplies expense |  |  |  |  |  |  |  |  | 821,089 | 799,621 | 805,489
Depreciation and amortization |  |  |  |  |  |  |  |  | 337,172 | 302,426 | 287,211
Lease and rental expense |  |  |  |  |  |  |  |  | 97,758 | 94,885 | 90,323
Transaction costs |  |  |  |  |  |  |  |  | 0 | 5,716 | 0
EHR incentive income |  |  |  |  |  |  |  |  | (61,024) | (30,038) | 0
Costs related to extinguishment of debt |  |  |  |  |  |  |  |  | 0 | 29,170 | 0
Operating expenses |  |  |  |  |  |  |  |  | 6,268,359 | 6,018,819 | 5,863,094
Income from operations |  |  |  |  |  |  |  |  | 1,015,463 | 942,581 | 897,128
Interest expense, net |  |  |  |  |  |  |  |  | 146,131 | 178,918 | 200,792
Interest (income) expense, affiliate |  |  |  |  |  |  |  |  | 0 | 0 | 0
Equity in net income of consolidated affiliates |  |  |  |  |  |  |  |  | 0 | 0 | 0
Income before income taxes |  |  |  |  |  |  |  |  | 869,332 | 763,663 | 696,336
Provision for income taxes |  |  |  |  |  |  |  |  | 315,309 | 274,616 | 247,466
Net income | 133,186 | 123,099 | 167,803 | 129,935 | 147,660 | 81,373 | 117,444 | 142,570 | 554,023 | 489,047 | 448,870
Less: Income attributable to noncontrolling interests | 8,665 | 8,512 | 15,962 | 10,151 | 12,199 | 9,556 | 9,883 | 13,963 | 43,290 | 45,601 | 50,703
Net income attributable to UHS | 124,521 | 114,587 | 151,841 | 119,784 | 135,461 | 71,817 | 107,561 | 128,607 | 510,733 | 443,446 | 398,167
Parent |  |  |  |  |  |  |  |  |  |  |
Condensed Financial Statements, Captions [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net revenues before provision for doubtful accounts |  |  |  |  |  |  |  |  | 0 | 0 | 0
Less: Provision for doubtful accounts |  |  |  |  |  |  |  |  | 0 | 0 | 0
Net revenues |  |  |  |  |  |  |  |  | 0 | 0 | 0
Operating charges: |  |  |  |  |  |  |  |  |  |  |
Salaries, wages and benefits |  |  |  |  |  |  |  |  | 0 | 0 | 0
Other operating expenses |  |  |  |  |  |  |  |  | 0 | 0 | 200
Supplies expense |  |  |  |  |  |  |  |  | 0 | 0 | 0
Depreciation and amortization |  |  |  |  |  |  |  |  | 0 | 0 | 0
Lease and rental expense |  |  |  |  |  |  |  |  | 0 | 0 | 0
Transaction costs |  |  |  |  |  |  |  |  |  | 0 |
EHR incentive income |  |  |  |  |  |  |  |  | 0 | 0 |
Costs related to extinguishment of debt |  |  |  |  |  |  |  |  |  | 29,170 |
Operating expenses |  |  |  |  |  |  |  |  | 0 | 29,170 | 200
Income from operations |  |  |  |  |  |  |  |  | 0 | (29,170) | (200)
Interest expense, net |  |  |  |  |  |  |  |  | 139,793 | 172,467 | 195,404
Interest (income) expense, affiliate |  |  |  |  |  |  |  |  | 0 | 0 | 0
Equity in net income of consolidated affiliates |  |  |  |  |  |  |  |  | (597,020) | (567,906) | (518,797)
Income before income taxes |  |  |  |  |  |  |  |  | 457,227 | 366,269 | 323,193
Provision for income taxes |  |  |  |  |  |  |  |  | (53,506) | (77,177) | (74,974)
Net income |  |  |  |  |  |  |  |  | 510,733 | 443,446 | 398,167
Less: Income attributable to noncontrolling interests |  |  |  |  |  |  |  |  | 0 | 0 | 0
Net income attributable to UHS |  |  |  |  |  |  |  |  | 510,733 | 443,446 | 398,167
Guarantors |  |  |  |  |  |  |  |  |  |  |
Condensed Financial Statements, Captions [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net revenues before provision for doubtful accounts |  |  |  |  |  |  |  |  | 5,658,699 | 5,152,816 | 4,917,358
Less: Provision for doubtful accounts |  |  |  |  |  |  |  |  | 657,106 | 411,538 | 340,121
Net revenues |  |  |  |  |  |  |  |  | 5,001,593 | 4,741,278 | 4,577,237
Operating charges: |  |  |  |  |  |  |  |  |  |  |
Salaries, wages and benefits |  |  |  |  |  |  |  |  | 2,573,205 | 2,452,187 | 2,371,961
Other operating expenses |  |  |  |  |  |  |  |  | 972,170 | 899,274 | 923,579
Supplies expense |  |  |  |  |  |  |  |  | 510,078 | 496,848 | 499,200
Depreciation and amortization |  |  |  |  |  |  |  |  | 236,958 | 210,867 | 207,981
Lease and rental expense |  |  |  |  |  |  |  |  | 62,518 | 59,596 | 60,768
Transaction costs |  |  |  |  |  |  |  |  |  | 5,716 |
EHR incentive income |  |  |  |  |  |  |  |  | (43,027) | (14,284) |
Costs related to extinguishment of debt |  |  |  |  |  |  |  |  |  | 0 |
Operating expenses |  |  |  |  |  |  |  |  | 4,311,902 | 4,110,204 | 4,063,489
Income from operations |  |  |  |  |  |  |  |  | 689,691 | 631,074 | 513,748
Interest expense, net |  |  |  |  |  |  |  |  | 3,365 | 3,749 | 3,212
Interest (income) expense, affiliate |  |  |  |  |  |  |  |  | 84,640 | 93,363 | 87,205
Equity in net income of consolidated affiliates |  |  |  |  |  |  |  |  | (141,004) | (141,983) | (157,009)
Income before income taxes |  |  |  |  |  |  |  |  | 742,690 | 675,945 | 580,340
Provision for income taxes |  |  |  |  |  |  |  |  | 262,346 | 237,072 | 198,091
Net income |  |  |  |  |  |  |  |  | 480,344 | 438,873 | 382,249
Less: Income attributable to noncontrolling interests |  |  |  |  |  |  |  |  | 0 | 0 | 0
Net income attributable to UHS |  |  |  |  |  |  |  |  | 480,344 | 438,873 | 382,249
Non Guarantors |  |  |  |  |  |  |  |  |  |  |
Condensed Financial Statements, Captions [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net revenues before provision for doubtful accounts |  |  |  |  |  |  |  |  | 2,780,983 | 2,562,781 | 2,465,916
Less: Provision for doubtful accounts |  |  |  |  |  |  |  |  | 470,110 | 315,133 | 256,455
Net revenues |  |  |  |  |  |  |  |  | 2,310,873 | 2,247,648 | 2,209,461
Operating charges: |  |  |  |  |  |  |  |  |  |  |
Salaries, wages and benefits |  |  |  |  |  |  |  |  | 1,031,415 | 988,730 | 954,417
Other operating expenses |  |  |  |  |  |  |  |  | 523,382 | 502,592 | 454,601
Supplies expense |  |  |  |  |  |  |  |  | 311,011 | 302,773 | 306,289
Depreciation and amortization |  |  |  |  |  |  |  |  | 100,214 | 91,559 | 79,230
Lease and rental expense |  |  |  |  |  |  |  |  | 37,076 | 37,071 | 31,344
Transaction costs |  |  |  |  |  |  |  |  |  | 0 |
EHR incentive income |  |  |  |  |  |  |  |  | (17,997) | (15,754) |
Costs related to extinguishment of debt |  |  |  |  |  |  |  |  |  | 0 |
Operating expenses |  |  |  |  |  |  |  |  | 1,985,101 | 1,906,971 | 1,825,881
Income from operations |  |  |  |  |  |  |  |  | 325,772 | 340,677 | 383,580
Interest expense, net |  |  |  |  |  |  |  |  | 2,973 | 2,702 | 2,176
Interest (income) expense, affiliate |  |  |  |  |  |  |  |  | (84,640) | (93,363) | (87,205)
Equity in net income of consolidated affiliates |  |  |  |  |  |  |  |  | 0 | 0 | 0
Income before income taxes |  |  |  |  |  |  |  |  | 407,439 | 431,338 | 468,609
Provision for income taxes |  |  |  |  |  |  |  |  | 106,469 | 114,721 | 124,349
Net income |  |  |  |  |  |  |  |  | 300,970 | 316,617 | 344,260
Less: Income attributable to noncontrolling interests |  |  |  |  |  |  |  |  | 43,290 | 45,601 | 50,703
Net income attributable to UHS |  |  |  |  |  |  |  |  | 257,680 | 271,016 | 293,557
Consolidating Adjustments |  |  |  |  |  |  |  |  |  |  |
Condensed Financial Statements, Captions [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net revenues before provision for doubtful accounts |  |  |  |  |  |  |  |  | (28,644) | (27,526) | (26,476)
Less: Provision for doubtful accounts |  |  |  |  |  |  |  |  | 0 | 0 | 0
Net revenues |  |  |  |  |  |  |  |  | (28,644) | (27,526) | (26,476)
Operating charges: |  |  |  |  |  |  |  |  |  |  |
Salaries, wages and benefits |  |  |  |  |  |  |  |  | 0 | 0 | 0
Other operating expenses |  |  |  |  |  |  |  |  | (26,808) | (25,744) | (24,687)
Supplies expense |  |  |  |  |  |  |  |  | 0 | 0 | 0
Depreciation and amortization |  |  |  |  |  |  |  |  | 0 | 0 | 0
Lease and rental expense |  |  |  |  |  |  |  |  | (1,836) | (1,782) | (1,789)
Transaction costs |  |  |  |  |  |  |  |  |  | 0 |
EHR incentive income |  |  |  |  |  |  |  |  | 0 | 0 |
Costs related to extinguishment of debt |  |  |  |  |  |  |  |  |  | 0 |
Operating expenses |  |  |  |  |  |  |  |  | (28,644) | (27,526) | (26,476)
Income from operations |  |  |  |  |  |  |  |  | 0 | 0 | 0
Interest expense, net |  |  |  |  |  |  |  |  | 0 | 0 | 0
Interest (income) expense, affiliate |  |  |  |  |  |  |  |  | 0 | 0 | 0
Equity in net income of consolidated affiliates |  |  |  |  |  |  |  |  | 738,024 | 709,889 | 675,806
Income before income taxes |  |  |  |  |  |  |  |  | (738,024) | (709,889) | (675,806)
Provision for income taxes |  |  |  |  |  |  |  |  | 0 | 0 | 0
Net income |  |  |  |  |  |  |  |  | (738,024) | (709,889) | (675,806)
Less: Income attributable to noncontrolling interests |  |  |  |  |  |  |  |  | 0 | 0 | 0
Net income attributable to UHS |  |  |  |  |  |  |  |  | $ (738,024) | $ (709,889) | $ (675,806)

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