XML 21 R28.htm IDEA: XBRL DOCUMENT
v2.4.0.8

Commitments and Contingencies - Additional Information (Detail) | 1 Months Ended | 9 Months Ended |  |  | 3 Months Ended | 12 Months Ended | 1 Months Ended | 3 Months Ended | 9 Months Ended |  |  |  |  |  |  |  |  |
--- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Aug. 31, 2014 | Sep. 30, 2014 USD ($) | Dec. 31, 2013 USD ($) | Sep. 30, 2014 Letters of Credit and Surety Bonds USD ($) | Sep. 30, 2014 Self Insurance Programs Letters of Credit and Surety Bonds USD ($) | Sep. 30, 2014 Other Debt Guarantees Letters of Credit and Surety Bonds USD ($) | Jun. 30, 2013 Professional And General Liability USD ($) | Dec. 31, 2012 Professional And General Liability | Dec. 31, 2011 Professional And General Liability | Nov. 30, 2010 Cygnet Health Care Limited Facility Patient | Sep. 30, 2014 Cygnet Health Care Limited Facility | Sep. 30, 2014 Cygnet Health Care Limited GBP (£) | Nov. 30, 2010 Professional Liability Cygnet Health Care Limited GBP (£) | Nov. 30, 2010 General Liability Cygnet Health Care Limited GBP (£) | Nov. 30, 2010 General and Professional Liability Insurance Policies Psychiatric Solutions Inc USD ($) | Oct. 31, 2012 General and Professional Liability Insurance Policies Behavioral Health Facilities Acquired from Ascend Health Corporation USD ($) | Sep. 30, 2014 Wind Storms Maximum USD ($) | Sep. 30, 2014 Wind Storms Minimum | Sep. 30, 2014 Earthquake USD ($) | Sep. 30, 2014 Earthquake Maximum USD ($) | Sep. 30, 2014 Illinois USD ($) | Dec. 31, 2013 Illinois USD ($) | Sep. 30, 2014 Illinois Uncompensated Care Program Revenues USD ($) | Sep. 30, 2014 Illinois Disproportionate Share Hospital Program Revenues USD ($) | Sep. 30, 2014 Location 2 USD ($) | Sep. 30, 2014 Location 2 Flood USD ($) | Sep. 30, 2014 Location 1 USD ($) | Sep. 30, 2014 Location 1 Flood USD ($) | Sep. 30, 2014 UNITED STATES Earthquake Maximum USD ($) | Sep. 30, 2014 UNITED STATES Earthquake Minimum | Sep. 30, 2014 PUERTO RICO Earthquake USD ($) | Nov. 30, 2010 Subsidiaries Professional Liability Maximum USD ($) | Nov. 30, 2010 Subsidiaries General Liability Maximum USD ($) | Sep. 30, 2014 Subsidiaries General and Professional Liability Insurance Policies | Sep. 30, 2014 Subsidiaries General and Professional Liability Insurance Policies Maximum USD ($) | Dec. 31, 2013 Subsidiaries General and Professional Liability Insurance Policies Maximum USD ($) | Sep. 30, 2014 Subsidiaries General and Professional Liability Insurance Policies Minimum USD ($)
Commitments and Contingencies Disclosure [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Self-insured for professional and general liability |  | $ 209,000,000 | $ 206,000,000 |  |  |  |  |  |  |  |  |  | £ 10,000,000 | £ 25,000,000 | $ 3,000,000 | $ 10,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 10,000,000 | $ 3,000,000 |  |  |  |
Purchased several excess policies through commercial insurance carriers per occurrence |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 250,000,000 | 200,000,000 |
Percentage of liability for claims paid under commercially insured coverage |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 10.00% |  |  |
Liability for claims paid under commercially insured coverage |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 60,000,000 |  | 10,000,000
Minimum Insurance Deductible |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 100,000 |  |  | 250,000 |  |  |  |  |  | 250,000 |  | 50,000 |  |  |  |  |  |  |  |  |  |
Number of patients |  |  |  |  |  |  |  |  |  | 16 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of facilities |  |  |  |  |  |  |  |  |  | 18 | 18 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of nursing homes |  |  |  |  |  |  |  |  |  | 2 | 2 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Reduction in professional and general liability self-insurance reserves relating to prior years |  |  |  |  |  |  | 65,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Weighting given to company-specific metrics |  |  |  |  |  |  |  | 100.00% | 75.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
General industry metrics |  |  |  |  |  |  |  | 0.00% | 25.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Self-insured for professional and general liability, current |  | 44,000,000 | 44,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Compensation liability claims |  | 66,000,000 | 64,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Compensation and related benefits |  | 34,000,000 | 34,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Commercial property insurance policies covering catastrophic losses |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 1,000,000,000 |  |  | 250,000,000 |  |  |  |  |  |  |  |  | 100,000,000 |  | 25,000,000 |  |  |  |  |  |
Percentage of insurance deductible |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 5.00% | 3.00% |  |  |  |  |  |  |  |  |  |  | 5.00% | 1.00% |  |  |  |  |  |  |
Maximum insurance deductible |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 250,000 |  | 500,000 |  |  | 25,000 |  |  |  |  |  |
Property insurance |  |  |  |  |  |  |  |  |  |  |  | 180,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Accounts receivable, net |  | 1,239,478,000 | 1,116,961,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 33,000,000 | 49,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Accounts receivable net greater than sixty days Past due |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 10,000,000 | 28,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Accounts receivable |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 107,000,000 | 72,000,000 | 62,000,000 | 45,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |
Off-balance sheet contingent obligation |  |  |  | 94,000,000 | 73,000,000 | 21,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Payment suspension period increased | 180 days |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Payments for legal settlements |  | 65,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Pre-tax charges related to settlement costs |  | 49,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Commercial insurance recoveries |  | $ 16,000,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |

X
- Definition Accounts receivable net greater than sixty days Past due. + References No definition available. + Details
Name: | uhs_AccountsReceivableNetGreaterThanSixtyDaysPastDue
Namespace Prefix: | uhs_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Details
Name: | uhs_CommitmentsAndContingenciesDisclosureLineItems
Namespace Prefix: | uhs_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition General industry metrics + References No definition available. + Details
Name: | uhs_GeneralIndustryMetrics
Namespace Prefix: | uhs_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | duration

X
- Definition Liability for Claims Paid Under Commercially Insured Coverage + References No definition available. + Details
Name: | uhs_LiabilityForClaimsPaidUnderCommerciallyInsuredCoverage
Namespace Prefix: | uhs_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Loss Contingency, Estimate of Possible Loss, Maximum Insurance Deductible + References No definition available. + Details
Name: | uhs_LossContingencyEstimateOfPossibleLossMaximumInsuranceDeductible
Namespace Prefix: | uhs_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition Loss Contingency Estimate Of Possible Loss Minimum Insurance Deductible + References No definition available. + Details
Name: | uhs_MinimumInsuranceDeductible
Namespace Prefix: | uhs_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition Number of Facilities + References No definition available. + Details
Name: | uhs_NumberOfFacilities
Namespace Prefix: | uhs_
Data Type: | xbrli:integerItemType
Balance Type: | na
Period Type: | duration

X
- Definition Number Of Nursing Centres + References No definition available. + Details
Name: | uhs_NumberOfNursingCentres
Namespace Prefix: | uhs_
Data Type: | xbrli:integerItemType
Balance Type: | na
Period Type: | duration

X
- Definition Number of Patients + References No definition available. + Details
Name: | uhs_NumberOfPatients
Namespace Prefix: | uhs_
Data Type: | xbrli:integerItemType
Balance Type: | na
Period Type: | instant

X
- Definition Payment, Period + References No definition available. + Details
Name: | uhs_PaymentPeriod
Namespace Prefix: | uhs_
Data Type: | xbrli:durationItemType
Balance Type: | na
Period Type: | duration

X
- Definition Percentage of Insurance Deductible + References No definition available. + Details
Name: | uhs_PercentageOfInsuranceDeductible
Namespace Prefix: | uhs_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | instant

X
- Definition Percentage of Liability for Claims Paid Under Commercially Insured Coverage + References No definition available. + Details
Name: | uhs_PercentageOfLiabilityForClaimsPaidUnderCommerciallyInsuredCoverage
Namespace Prefix: | uhs_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | instant

X
- Definition Pre Tax Charges Related To Settlement Costs + References No definition available. + Details
Name: | uhs_PreTaxChargesRelatedToSettlementCosts
Namespace Prefix: | uhs_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Reduction in professional and general liability self insurance reserves relating to prior years + References No definition available. + Details
Name: | uhs_ReductionInProfessionalAndGeneralLiabilitySelfInsuranceReservesRelatingToPriorYears
Namespace Prefix: | uhs_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition Self Insured Amount Per Occurrence + References No definition available. + Details
Name: | uhs_SelfInsuredAmountPerOccurrence
Namespace Prefix: | uhs_
Data Type: | xbrli:monetaryItemType
Balance Type: | na
Period Type: | instant

X
- Definition Weighting given to company-specific metrics + References No definition available. + Details
Name: | uhs_WeightingGivenToCompanySpecificMetrics
Namespace Prefix: | uhs_
Data Type: | num:percentItemType
Balance Type: | na
Period Type: | duration

X
- Definition For an unclassified balance sheet, the amount due from customers or clients for goods or services that have been delivered or sold in the normal course of business, reduced to their estimated net realizable fair value by an allowance established by the entity of the amount it deems uncertain of collection. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 02 -Paragraph 3 -Article 5 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 942 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.9-03.9) -URI http://asc.fasb.org/extlink&oid=6876686&loc=d3e534808-122878 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-03.5) -URI http://asc.fasb.org/extlink&oid=6879938&loc=d3e572229-122910 + Details
Name: | us-gaap_AccountsReceivableNet
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition Amount due from customers or clients, within one year of the balance sheet date (or the normal operating cycle, whichever is longer), for goods or services (including trade receivables) that have been delivered or sold in the normal course of business, reduced to the estimated net realizable fair value by an allowance established by the entity of the amount it deems uncertain of collection. + 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 210.5-02.3-4) -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 3 -Subparagraph a(1) -Article 5 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 02 -Paragraph 4 -Article 5 + Details
Name: | us-gaap_AccountsReceivableNetCurrent
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition Aggregate carrying value as of the balance sheet date of the liabilities for all deferred compensation arrangements payable within one year (or the operating cycle, if longer). Represents currently earned compensation under compensation arrangements that is not actually paid until a later date. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 710 -SubTopic 10 -Section 30 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=6409875&loc=d3e20028-108363 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 710 -SubTopic 10 -Section 25 -Paragraph 9 -URI http://asc.fasb.org/extlink&oid=6409733&loc=d3e19512-108361 + Details
Name: | us-gaap_DeferredCompensationLiabilityCurrent
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition The fair value of financial liabilities, which are not recognized in the financial statements (off-balance sheet) because they fail to meet some other criterion for recognition. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 825 -SubTopic 10 -Section 50 -Paragraph 10 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=35750535&loc=d3e13433-108611 + Details
Name: | us-gaap_FairValueDisclosureOffbalanceSheetRisksAmountLiability
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition The amount of estimated liability as of the balance sheet date for the specific conflagration, earthquake, windstorm, explosion, or similar event. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 40 -Section 50 -Paragraph 3 -URI http://asc.fasb.org/extlink&oid=6482485&loc=d3e14764-158437 + Details
Name: | us-gaap_LiabilityForCatastropheClaimsCarryingAmount
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition The amount needed to reflect the estimated ultimate cost of settling claims relating to insured events that have occurred on or before the balance sheet date, whether or not reported to the insurer at that date. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 40 -Section 50 -Paragraph 3 -Subparagraph (a),(b),(c) -URI http://asc.fasb.org/extlink&oid=6482485&loc=d3e14764-158437 + Details
Name: | us-gaap_LiabilityForClaimsAndClaimsAdjustmentExpense
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Amount of receivable related to a loss contingency accrual. For example, an insurance recovery receivable. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 460 -SubTopic 10 -Section 50 -Paragraph 3 -URI http://asc.fasb.org/extlink&oid=6851643&loc=d3e12053-110248 + Details
Name: | us-gaap_LossContingencyReceivable
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | instant

X
- Definition The amount of cash paid for the settlement of litigation or for other legal issues during the period. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 25 -Subparagraph (g) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3536-108585 + Details
Name: | us-gaap_PaymentsForLegalSettlements
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

X
- Definition Carrying amount (including both current and noncurrent portions) of accrued known and estimated losses incurred as of the balance sheet date for which no insurance coverage exists, and for which a claim has been made or is probable of being asserted, typically arising from workmen's compensation-type of incidents and personal injury to nonemployees from accidents on the entity's property. + 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 210.5-02.24) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 + Details
Name: | us-gaap_SelfInsuranceReserve
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Carrying amount of accrued known and estimated losses incurred as of the balance sheet date for which no insurance coverage exists, and for which a claim has been made or is probable of being asserted, typically arising from workmen's compensation-type of incidents and personal injury to nonemployees from accidents on the entity's property that are expected to be paid within one year (or the normal operating cycle, if longer). + References No definition available. + Details
Name: | us-gaap_SelfInsuranceReserveCurrent
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Definition Amount of property-casualty insurance premium revenue earned on insurance policies. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 235 -Section S99 -Paragraph 3 -Subparagraph (SX 210.12-18) -URI http://asc.fasb.org/extlink&oid=34713774&loc=d3e575016-122915 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 18 -Article 12 + Details
Name: | us-gaap_SupplementalInformationForPropertyCasualtyInsuranceUnderwritersEarnedPremiums
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration