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Supplemental Condensed Consolidating Balance Sheet (Detail) (USD $) In Thousands, unless otherwise specified | Dec. 31, 2013 | Dec. 31, 2012 | Dec. 31, 2011 | Dec. 31, 2010
--- | --- | --- | --- | ---
Current assets: |  |  |  |
Cash and cash equivalents | $ 17,238 | $ 23,471 | $ 41,229 | $ 29,474
Accounts receivable, net | 1,116,961 | 1,067,197 |  |
Supplies | 101,781 | 99,000 |  |
Deferred income taxes | 119,903 | 104,461 |  |
Other current assets | 76,446 | 87,936 |  |
Current assets held for sale | 0 | 25,431 |  |
Total current assets | 1,432,329 | 1,407,496 |  |
Investments in subsidiaries | 0 | 0 |  |
Intercompany receivable | 0 | 0 |  |
Intercompany note receivable | 0 | 0 |  |
Property and equipment | 5,691,902 | 5,368,345 |  |
Less: accumulated depreciation | (2,249,733) | (1,986,110) |  |
Property Equipment, net | 3,442,169 | 3,382,235 |  |
Other assets: |  |  |  |
Goodwill | 3,049,016 | 3,036,765 | 2,627,602 |
Deferred charges | 57,881 | 75,888 |  |
Other | 330,328 | 298,459 |  |
Total assets | 8,311,723 | 8,200,843 | 7,665,245 |
Current liabilities: |  |  |  |
Current maturities of long-term debt | 99,312 | 2,589 |  |
Accounts payable and accrued liabilities | 953,449 | 889,557 |  |
Current liabilities held for sale | 0 | 850 |  |
Federal and state taxes | 7,127 | 1,062 |  |
Total current liabilities | 1,059,888 | 894,058 |  |
Intercompany payable | 0 | 0 |  |
Other noncurrent liabilities | 284,589 | 395,355 |  |
Long-term debt | 3,209,762 | 3,727,431 |  |
Intercompany note payable | 0 | 0 |  |
Deferred income taxes | 239,148 | 183,747 |  |
Redeemable noncontrolling interests | 218,107 | 234,303 |  |
UHS common stockholders' equity | 3,249,979 | 2,713,345 |  |
Noncontrolling interest | 50,250 | 52,604 |  |
Total equity | 3,300,229 | 2,765,949 | 2,347,118 | 2,023,771
Liabilities and Equity, Total | 8,311,723 | 8,200,843 |  |
Parent |  |  |  |
Current assets: |  |  |  |
Cash and cash equivalents | 0 | 0 | 0 | 0
Accounts receivable, net | 0 | 7,154 |  |
Supplies | 0 | 0 |  |
Deferred income taxes | 76,719 | 61,364 |  |
Other current assets | 0 | 2,188 |  |
Current assets held for sale |  | 0 |  |
Total current assets | 76,719 | 70,706 |  |
Investments in subsidiaries | 6,378,499 | 5,781,479 |  |
Intercompany receivable | 226,592 | 644,105 |  |
Intercompany note receivable | 0 | 0 |  |
Property and equipment | 0 | 0 |  |
Less: accumulated depreciation | 0 | 0 |  |
Property Equipment, net | 0 | 0 |  |
Other assets: |  |  |  |
Goodwill | 0 | 820 |  |
Deferred charges | 49,866 | 67,831 |  |
Other | 8,411 | 9,645 |  |
Total assets | 6,740,087 | 6,574,586 |  |
Current liabilities: |  |  |  |
Current maturities of long-term debt | 97,403 | 0 |  |
Accounts payable and accrued liabilities | 28,099 | 10,985 |  |
Current liabilities held for sale |  | 0 |  |
Federal and state taxes | 4,963 | 0 |  |
Total current liabilities | 130,465 | 10,985 |  |
Intercompany payable | 0 | 0 |  |
Other noncurrent liabilities | 7,591 | 46,048 |  |
Long-term debt | 3,168,819 | 3,676,940 |  |
Intercompany note payable | 0 | 0 |  |
Deferred income taxes | 183,233 | 127,268 |  |
Redeemable noncontrolling interests | 0 | 0 |  |
UHS common stockholders' equity | 3,249,979 | 2,713,345 |  |
Noncontrolling interest | 0 | 0 |  |
Total equity | 3,249,979 | 2,713,345 |  |
Liabilities and Equity, Total | 6,740,087 | 6,574,586 |  |
Guarantors |  |  |  |
Current assets: |  |  |  |
Cash and cash equivalents | 7,990 | 11,949 | 33,221 | 21,385
Accounts receivable, net | 799,898 | 741,983 |  |
Supplies | 63,562 | 61,100 |  |
Deferred income taxes | 43,184 | 43,555 |  |
Other current assets | 63,786 | 75,117 |  |
Current assets held for sale |  | 0 |  |
Total current assets | 978,420 | 933,704 |  |
Investments in subsidiaries | 1,476,911 | 1,326,920 |  |
Intercompany receivable | 0 | 0 |  |
Intercompany note receivable | 0 | 0 |  |
Property and equipment | 4,093,914 | 3,867,471 |  |
Less: accumulated depreciation | (1,478,758) | (1,288,975) |  |
Property Equipment, net | 2,615,156 | 2,578,496 |  |
Other assets: |  |  |  |
Goodwill | 2,552,190 | 2,554,531 |  |
Deferred charges | 5,577 | 5,839 |  |
Other | 251,365 | 209,558 |  |
Total assets | 7,879,619 | 7,609,048 |  |
Current liabilities: |  |  |  |
Current maturities of long-term debt | 916 | 990 |  |
Accounts payable and accrued liabilities | 837,354 | 740,484 |  |
Current liabilities held for sale |  | 0 |  |
Federal and state taxes | 2,164 | 900 |  |
Total current liabilities | 840,434 | 742,374 |  |
Intercompany payable | 758,003 | 1,004,643 |  |
Other noncurrent liabilities | 199,104 | 243,478 |  |
Long-term debt | 5,337 | 5,372 |  |
Intercompany note payable | 982,568 | 1,007,453 |  |
Deferred income taxes | 55,915 | 56,801 |  |
Redeemable noncontrolling interests | 0 | 0 |  |
UHS common stockholders' equity | 5,038,258 | 4,548,927 |  |
Noncontrolling interest | 0 | 0 |  |
Total equity | 5,038,258 | 4,548,927 |  |
Liabilities and Equity, Total | 7,879,619 | 7,609,048 |  |
Non Guarantors |  |  |  |
Current assets: |  |  |  |
Cash and cash equivalents | 9,248 | 11,522 | 8,008 | 8,089
Accounts receivable, net | 317,063 | 318,060 |  |
Supplies | 38,219 | 37,900 |  |
Deferred income taxes | 0 | 322 |  |
Other current assets | 12,660 | 10,631 |  |
Current assets held for sale |  | 25,431 |  |
Total current assets | 377,190 | 403,866 |  |
Investments in subsidiaries | 0 | 0 |  |
Intercompany receivable | 531,411 | 360,538 |  |
Intercompany note receivable | 982,568 | 1,007,453 |  |
Property and equipment | 1,597,988 | 1,500,874 |  |
Less: accumulated depreciation | (770,975) | (697,135) |  |
Property Equipment, net | 827,013 | 803,739 |  |
Other assets: |  |  |  |
Goodwill | 496,826 | 481,414 |  |
Deferred charges | 2,438 | 2,218 |  |
Other | 70,552 | 79,256 |  |
Total assets | 3,287,998 | 3,138,484 |  |
Current liabilities: |  |  |  |
Current maturities of long-term debt | 993 | 1,599 |  |
Accounts payable and accrued liabilities | 87,996 | 138,088 |  |
Current liabilities held for sale |  | 850 |  |
Federal and state taxes | 0 | 620 |  |
Total current liabilities | 88,989 | 141,157 |  |
Intercompany payable | 0 | 0 |  |
Other noncurrent liabilities | 77,894 | 105,829 |  |
Long-term debt | 35,606 | 45,119 |  |
Intercompany note payable | 0 | 0 |  |
Deferred income taxes | 0 | 0 |  |
Redeemable noncontrolling interests | 218,107 | 234,303 |  |
UHS common stockholders' equity | 2,817,152 | 2,559,472 |  |
Noncontrolling interest | 50,250 | 52,604 |  |
Total equity | 2,867,402 | 2,612,076 |  |
Liabilities and Equity, Total | 3,287,998 | 3,138,484 |  |
Consolidating Adjustments |  |  |  |
Current assets: |  |  |  |
Cash and cash equivalents | 0 | 0 | 0 | 0
Accounts receivable, net | 0 | 0 |  |
Supplies | 0 | 0 |  |
Deferred income taxes | 0 | (780) |  |
Other current assets | 0 | 0 |  |
Current assets held for sale |  | 0 |  |
Total current assets | 0 | (780) |  |
Investments in subsidiaries | (7,855,410) | (7,108,399) |  |
Intercompany receivable | (758,003) | (1,004,643) |  |
Intercompany note receivable | (982,568) | (1,007,453) |  |
Property and equipment | 0 | 0 |  |
Less: accumulated depreciation | 0 | 0 |  |
Property Equipment, net | 0 | 0 |  |
Other assets: |  |  |  |
Goodwill | 0 | 0 |  |
Deferred charges | 0 | 0 |  |
Other | 0 | 0 |  |
Total assets | (9,595,981) | (9,121,275) |  |
Current liabilities: |  |  |  |
Current maturities of long-term debt | 0 | 0 |  |
Accounts payable and accrued liabilities | 0 | 0 |  |
Current liabilities held for sale |  | 0 |  |
Federal and state taxes | 0 | (458) |  |
Total current liabilities | 0 | (458) |  |
Intercompany payable | (758,003) | (1,004,643) |  |
Other noncurrent liabilities | 0 | 0 |  |
Long-term debt | 0 | 0 |  |
Intercompany note payable | (982,568) | (1,007,453) |  |
Deferred income taxes | 0 | (322) |  |
Redeemable noncontrolling interests | 0 | 0 |  |
UHS common stockholders' equity | (7,855,410) | (7,108,399) |  |
Noncontrolling interest | 0 | 0 |  |
Total equity | (7,855,410) | (7,108,399) |  |
Liabilities and Equity, Total | $ (9,595,981) | $ (9,121,275) |  |

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- Definition Total investments in (A) an entity in which the entity has significant influence, but does not have control, (B) subsidiaries that are not required to be consolidated and are accounted for using the equity and or cost method, and (C) an entity in which the reporting entity shares control of the entity with another party or group. Includes long-term advances receivable from a party that is affiliated with the reporting entity by means of direct or indirect ownership. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.12) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 + Details
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- Definition Total obligations incurred as part of normal operations that are expected to be paid during the following twelve months or within one business cycle, if longer. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.21) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 02 -Paragraph 21 -Article 5 + Details
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- Definition Liability (such as a mortgage) related to a disposal group that is held for sale and anticipated to be sold in less than one year. The liability is expected to be discharged as part of the plan of sale for the asset. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-03.15) -URI http://asc.fasb.org/extlink&oid=6879938&loc=d3e572229-122910 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 205 -SubTopic 20 -Section 45 -Paragraph 10 -URI http://asc.fasb.org/extlink&oid=6892542&loc=d3e1107-107759 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 205 -SubTopic 20 -Section 50 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=6360339&loc=d3e1436-107760 + Details
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- Definition Amount of long-term debt, after unamortized discount or premium, scheduled to be repaid within one year or the normal operating cycle, if longer. Includes, but not limited to, notes payable, bonds payable, debentures, mortgage loans and commercial paper. Excludes capital lease obligations. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.19,20) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 02 -Paragraph 20 -Article 5 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 02 -Paragraph 19 -Article 5 + Details
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- Definition Carrying amount of long-term debt, net of unamortized discount or premium, excluding amounts to be repaid within one year or the normal operating cycle, if longer (current maturities). Includes, but not limited to, notes payable, bonds payable, debentures, mortgage loans and commercial paper. Excludes capital lease obligations. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 02 -Paragraph 22 -Article 5 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.22) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 + Details
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- Definition Total of all stockholders' equity (deficit) items, net of receivables from officers, directors, owners, and affiliates of the entity which is directly or indirectly attributable to that ownership interest in subsidiary equity which is not attributable to the parent (that is, noncontrolling interest, previously referred to as minority interest). + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.31) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 02 -Paragraph 27 -Article 5 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 03 -Paragraph 20 -Article 7 + Details
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- Definition Aggregate carrying amount, as of the balance sheet date, of current assets not separately disclosed in the balance sheet. Current assets are expected to be realized or consumed within one year (or the normal operating cycle, if longer). + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.8) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 02 -Paragraph 8 -Article 5 + Details
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- Definition Amount before accumulated depreciation, depletion and amortization of physical assets used in the normal conduct of business and not intended for resale. Examples include, but are not limited to, land, buildings, machinery and equipment, office equipment, and furniture and fixtures. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 360 -SubTopic 10 -Section 50 -Paragraph 1 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=6391035&loc=d3e2868-110229 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.13) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 + Details
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- Definition Total of all stockholders' equity (deficit) items, net of receivables from officers, directors, owners, and affiliates of the entity which are attributable to the parent. The amount of the economic entity's stockholders' equity attributable to the parent excludes the amount of stockholders' equity which is allocable to that ownership interest in subsidiary equity which is not attributable to the parent (noncontrolling interest, minority interest). This excludes temporary equity and is sometimes called permanent equity. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 310 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SAB TOPIC 4.E) -URI http://asc.fasb.org/extlink&oid=27010918&loc=d3e74512-122707 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Staff Accounting Bulletin (SAB) -Number Topic 4 -Section E Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.29-31) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 02 -Paragraph 29, 30, 31 -Article 5 + Details
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- Definition Amount of stockholders' equity (deficit), net of receivables from officers, directors, owners, and affiliates of the entity, attributable to both the parent and noncontrolling interests. Amount excludes temporary equity. Alternate caption for the concept is permanent equity. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 45 -Paragraph 15 -URI http://asc.fasb.org/extlink&oid=7656940&loc=SL4568447-111683 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 45 -Paragraph 16 -URI http://asc.fasb.org/extlink&oid=7656940&loc=SL4568740-111683 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 55 -Paragraph 4I -URI http://asc.fasb.org/extlink&oid=31814832&loc=SL4590271-111686 + Details
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- Definition Amount of consideration paid in advance for supplies that provide economic benefits within a future period of one year or the normal operating cycle, if longer. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section 45 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=28358313&loc=d3e6787-107765 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section 45 -Paragraph 1 -Subparagraph (g)(7) -URI http://asc.fasb.org/extlink&oid=28358313&loc=d3e6676-107765 + Details
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- Definition The aggregate amount to be paid by the entity upon redemption of the security that is classified as temporary equity. Temporary equity is a security with redemption features that are outside the control of the issuer, is not classified as an asset or liability in conformity with GAAP, and is not mandatorily redeemable. Includes any type of security that is redeemable at a fixed or determinable price or on a fixed or determinable date or dates, is redeemable at the option of the holder, or has conditions for redemption which are not solely within the control of the issuer. If convertible, the issuer does not control the actions or events necessary to issue the maximum number of shares that could be required to be delivered under the conversion option if the holder exercises the option to convert the stock to another class of equity. If the security is a warrant or a rights issue, the warrant or rights issue is considered to be temporary equity if the issuer cannot demonstrate that it would be able to deliver upon the exercise of the option by the holder in all cases. Includes stock with put option held by ESOP and stock redeemable by holder only in the event of a change in control of the issuer. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.27(b)) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 02 -Paragraph 28 -Subparagraph b -Article 5 + Details
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