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Business and Summary of Significant Accounting Policies (Tables) | 12 Months Ended
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Dec. 31, 2013
Uncompensated Care | The following table shows the amounts recorded at our acute care hospitals for charity care and uninsured discounts, based on charges at established rates, for the years ended December 31, 2013, 2012 and 2011:
|  | (dollar amounts in thousands) |
|  | 2013 |  |  | 2012 |  |  | 2011 |
|  | Amount |  |  | % |  |  | Amount |  |  | % |  |  | Amount |  |  | % |
Charity care |  | $ | 593,474 |  |  |  | 59 | % |  | $ | 778,268 |  |  |  | 74 | % |  | $ | 804,301 |  |  |  | 84 | %
Uninsured discounts |  |  | 405,296 |  |  |  | 41 | % |  |  | 267,304 |  |  |  | 26 | % |  |  | 151,447 |  |  |  | 16 | %
Total uncompensated care |  | $ | 998,770 |  |  |  | 100 | % |  | $ | 1,045,572 |  |  |  | 100 | % |  | $ | 955,748 |  |  |  | 100 | %
Estimated Cost of Providing Uncompensated Care | The estimated cost of providing uncompensated care, as reflected below, were based on a calculation which multiplied the percentage of operating expenses for our acute care hospitals to gross charges for those hospitals by the above-mentioned total uncompensated care amounts. The percentage of cost to gross charges is calculated based on the total operating expenses for our acute care facilities divided by gross patient service revenue for those facilities. An increase in the level of uninsured patients to our facilities and the resulting adverse trends in the provision for doubtful accounts and uncompensated care provided could have a material unfavorable impact on our future operating results.
|  | (amounts in thousands) |
|  | 2013 |  |  | 2012 |  |  | 2011 |
Estimated cost of providing charity care |  | $ | 95,675 |  |  | $ | 131,890 |  |  | $ | 145,350 |
Estimated cost of providing uninsured discounts related care |  |  | 65,338 |  |  |  | 45,299 |  |  |  | 27,363 |
Estimated cost of providing uncompensated care |  | $ | 161,013 |  |  | $ | 177,189 |  |  | $ | 172,713 |
Changes in Carrying Amount of Goodwill | Changes in the carrying amount of goodwill for the two years ended December 31, 2013 were as follows (in thousands):
|  | Acute Care Services |  |  | Behavioral Health Services |  |  | Total Consolidated |
Balance, January 1, 2012 |  | $ | 389,484 |  |  | $ | 2,238,118 |  |  | $ | 2,627,602 |
Goodwill acquired during the period |  |  | 11,110 |  |  |  | 434,551 |  |  |  | 445,661 |
Goodwill divested during the period |  |  | (17,450 | ) |  |  | (1,902 | ) |  |  | (19,352 | )
Adjustments to goodwill (a) |  |  | (448 | ) |  |  | (16,698 | ) |  |  | (17,146 | )
Balance, January 1, 2013 |  |  | 382,696 |  |  |  | 2,654,069 |  |  |  | 3,036,765 |
Adjustments to goodwill (b) |  |  | 315 |  |  |  | 11,936 |  |  |  | 12,251 |
Balance, December 31, 2013 |  | $ | 383,011 |  |  | $ | 2,666,005 |  |  | $ | 3,049,016 |
(a) | The reduction to the Behavioral Health Services’ goodwill consists primarily of a reclassification to “assets of facilities held for sale” and represents the goodwill attributable to Peak Behavioral Health Services which we agreed to divest pursuant to our agreement with the Federal Trade Commission in connection with our acquisition of Ascend Health Corporation in October, 2012. Adjustments to prior year purchase price allocations for Acute Care and Behavioral Health Services are also included.
(b) | The increase in the Behavioral Health Services’ goodwill consists primarily of an amount that was reclassified from other assets.
Amounts Recognized in AOCI | The amounts recognized in AOCI for the two years ended December 31, 2013 were as follows (in thousands):
|  | Net Unrealized Gains (Losses) on Effective Cash Flow Hedges |  |  | Minimum Pension Liability |  |  | Total AOCI |
Balance, January 1, 2012, net of income tax |  | $ | (28,460 | ) |  | $ | (22,715 | ) |  | $ | (51,175 | )
2012 activity: |  |  |  |  |  |  |  |  |  |  |  |
Pre-tax amount |  |  | 6,341 |  |  |  | 4,986 |  |  |  | 11,327 |
Income tax effect |  |  | (2,408 | ) |  |  | (1,898 | ) |  |  | (4,306 | )
Change, net of income tax |  |  | 3,933 |  |  |  | 3,088 |  |  |  | 7,021 |
Balance, January 1, 2013, net of income tax |  |  | (24,527 | ) |  |  | (19,627 | ) |  |  | (44,154 | )
2013 activity: |  |  |  |  |  |  |  |  |  |  |  |
Pre-tax amount |  |  | 16,627 |  |  |  | 14,657 |  |  |  | 31,284 |
Income tax effect |  |  | (6,270 | ) |  |  | (5,670 | ) |  |  | (11,940 | )
Change, net of income tax |  |  | 10,357 |  |  |  | 8,987 |  |  |  | 19,344 |
Balance, December 31, 2013, net of income tax |  | $ | (14,170 | ) |  | $ | (10,640 | ) |  | $ | (24,810 | )
Computation of Basic and Diluted Earnings Per Share | The following table sets forth the computation of basic and diluted earnings per share, for the periods indicated:
|  | Twelve Months Ended December 31, |
|  | 2013 |  |  | 2012 |  |  | 2011 |
Basic and diluted: |  |  |  |  |  |  |  |  |  |  |  |
Net Income |  | $ | 554,023 |  |  | $ | 489,047 |  |  | $ | 448,870 |
Less: Net income attributable to noncontrolling interest |  |  | (43,290 | ) |  |  | (45,601 | ) |  |  | (50,703 | )
Less: Net income attributable to unvested restricted share grants |  |  | (294 | ) |  |  | (497 | ) |  |  | (521 | )
Net income attributable to UHS—basic and diluted |  | $ | 510,439 |  |  | $ | 442,949 |  |  | $ | 397,646 |
Basic earnings per share attributable to UHS: |  |  |  |  |  |  |  |  |  |  |  |
Weighted average number of common shares—basic |  |  | 98,033 |  |  |  | 96,821 |  |  |  | 97,199 |
Total basic earnings per share |  | $ | 5.21 |  |  | $ | 4.57 |  |  | $ | 4.09 |
Diluted earnings per share attributable to UHS: |  |  |  |  |  |  |  |  |  |  |  |
Weighted average number of common shares |  |  | 98,033 |  |  |  | 96,821 |  |  |  | 97,199 |
Net effect of dilutive stock options and grants based on the treasury stock method |  |  | 1,328 |  |  |  | 890 |  |  |  | 1,338 |
Weighted average number of common shares and equivalents—diluted |  |  | 99,361 |  |  |  | 97,711 |  |  |  | 98,537 |
Total diluted earnings per share |  | $ | 5.14 |  |  | $ | 4.53 |  |  | $ | 4.04 |

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