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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)