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v2.4.1.9

Consolidated Statements of Cash Flows (USD $) In Thousands, unless otherwise specified | 12 Months Ended
--- | ---
Dec. 31, 2014 | Dec. 31, 2013 | Dec. 31, 2012
Cash Flows from Operating Activities: |  |  |
Net income | $ 604,996 us-gaap_ProfitLoss | $ 554,023 us-gaap_ProfitLoss | $ 489,047 us-gaap_ProfitLoss
Adjustments to reconcile net income to net cash provided by operating activities: |  |  |
Depreciation & amortization | 375,624 us-gaap_DepreciationDepletionAndAmortization | 337,356 us-gaap_DepreciationDepletionAndAmortization | 308,690 us-gaap_DepreciationDepletionAndAmortization
Gains on sales of assets and businesses, net of losses | (7,837)us-gaap_GainLossOnDispositionOfAssets1 | (3,114)us-gaap_GainLossOnDispositionOfAssets1 | (27,085)us-gaap_GainLossOnDispositionOfAssets1
Stock based compensation expense | 31,092 us-gaap_ShareBasedCompensation | 27,783 us-gaap_ShareBasedCompensation | 22,518 us-gaap_ShareBasedCompensation
Costs related to extinguishment of debt | 19,730 us-gaap_PaymentsOfDebtExtinguishmentCosts | 0 us-gaap_PaymentsOfDebtExtinguishmentCosts | 29,170 us-gaap_PaymentsOfDebtExtinguishmentCosts
Changes in assets & liabilities, net of effects from acquisitions and dispositions: |  |  |
Accounts receivable | (105,708)us-gaap_IncreaseDecreaseInAccountsReceivable | (49,708)us-gaap_IncreaseDecreaseInAccountsReceivable | (71,068)us-gaap_IncreaseDecreaseInAccountsReceivable
Accrued interest | 4,400 us-gaap_IncreaseDecreaseInAccruedInterestReceivableNet | (1,197)us-gaap_IncreaseDecreaseInAccruedInterestReceivableNet | 152 us-gaap_IncreaseDecreaseInAccruedInterestReceivableNet
Accrued and deferred income taxes | 33,920 uhs_IncreaseDecreaseInDeferredIncomeTaxesAndAccruedIncomeTaxesPayable | 34,861 uhs_IncreaseDecreaseInDeferredIncomeTaxesAndAccruedIncomeTaxesPayable | (5,666)uhs_IncreaseDecreaseInDeferredIncomeTaxesAndAccruedIncomeTaxesPayable
Other working capital accounts | 73,912 us-gaap_IncreaseDecreaseInOtherOperatingCapitalNet | 26,234 us-gaap_IncreaseDecreaseInOtherOperatingCapitalNet | 28,554 us-gaap_IncreaseDecreaseInOtherOperatingCapitalNet
Other assets and deferred charges | 13,667 us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets | 8,984 us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets | 30,976 us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
Other | 2,449 us-gaap_IncreaseDecreaseInOtherOperatingLiabilities | 23,485 us-gaap_IncreaseDecreaseInOtherOperatingLiabilities | 6,367 us-gaap_IncreaseDecreaseInOtherOperatingLiabilities
Accrued insurance expense, net of commercial premiums paid | 59,276 us-gaap_IncreaseDecreaseInSelfInsuranceReserve | (3,821)us-gaap_IncreaseDecreaseInSelfInsuranceReserve | 62,660 us-gaap_IncreaseDecreaseInSelfInsuranceReserve
Payments made in settlement of self-insurance claims | (69,645)us-gaap_IncreaseDecreaseInInsuranceSettlementsReceivable | (70,645)us-gaap_IncreaseDecreaseInInsuranceSettlementsReceivable | (75,084)us-gaap_IncreaseDecreaseInInsuranceSettlementsReceivable
Net cash provided by operating activities | 1,035,876 us-gaap_NetCashProvidedByUsedInOperatingActivities | 884,241 us-gaap_NetCashProvidedByUsedInOperatingActivities | 799,231 us-gaap_NetCashProvidedByUsedInOperatingActivities
Cash Flows from Investing Activities: |  |  |
Property and equipment additions, net of disposals | (391,150)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment | (358,493)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment | (363,192)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
Acquisition of property and businesses | (431,386)us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired | (12,636)us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired | (527,847)us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired
Proceeds received from sales of assets and businesses | 15,178 us-gaap_ProceedsFromSaleOfProductiveAssets | 37,482 us-gaap_ProceedsFromSaleOfProductiveAssets | 149,311 us-gaap_ProceedsFromSaleOfProductiveAssets
Costs incurred for purchase and implementation of electronic health records application | (13,488)us-gaap_PaymentsToAcquireOtherProductiveAssets | (49,811)us-gaap_PaymentsToAcquireOtherProductiveAssets | (54,362)us-gaap_PaymentsToAcquireOtherProductiveAssets
Increase in insurance subsidiary investments | (12,000)us-gaap_IncreaseDecreaseInRestrictedCash | 0 us-gaap_IncreaseDecreaseInRestrictedCash | 0 us-gaap_IncreaseDecreaseInRestrictedCash
Return of Deposit on terminated purchase agreement | 0 us-gaap_PaymentsForProceedsFromOtherInvestingActivities | 0 us-gaap_PaymentsForProceedsFromOtherInvestingActivities | 6,500 us-gaap_PaymentsForProceedsFromOtherInvestingActivities
Net cash provided by (used in) investing activities | (832,846)us-gaap_NetCashProvidedByUsedInInvestingActivities | (383,458)us-gaap_NetCashProvidedByUsedInInvestingActivities | (789,590)us-gaap_NetCashProvidedByUsedInInvestingActivities
Cash Flows from Financing Activities: |  |  |
Reduction of long-term debt | (879,129)us-gaap_RepaymentsOfLongTermDebt | (440,224)us-gaap_RepaymentsOfLongTermDebt | (849,647)us-gaap_RepaymentsOfLongTermDebt
Additional borrowings | 830,000 us-gaap_ProceedsFromLinesOfCredit | 15,761 us-gaap_ProceedsFromLinesOfCredit | 913,500 us-gaap_ProceedsFromLinesOfCredit
Financing costs | (14,976)us-gaap_PaymentsOfFinancingCosts | (231)us-gaap_PaymentsOfFinancingCosts | (8,283)us-gaap_PaymentsOfFinancingCosts
Repurchase of common shares | (100,749)us-gaap_PaymentsForRepurchaseOfCommonStock | (27,201)us-gaap_PaymentsForRepurchaseOfCommonStock | (19,154)us-gaap_PaymentsForRepurchaseOfCommonStock
Dividends paid | (29,665)us-gaap_PaymentsOfDividends | (19,621)us-gaap_PaymentsOfDividends | (58,395)us-gaap_PaymentsOfDividends
Issuance of common stock | 6,863 us-gaap_ProceedsFromIssuanceOfCommonStock | 5,708 us-gaap_ProceedsFromIssuanceOfCommonStock | 5,435 us-gaap_ProceedsFromIssuanceOfCommonStock
Excess income tax benefits related to stock based compensation | 33,912 us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities | 20,121 us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities | 16,040 us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
Profit distributions to noncontrolling interests | (33,680)us-gaap_PaymentsOfDividendsMinorityInterest | (61,329)us-gaap_PaymentsOfDividendsMinorityInterest | (26,895)us-gaap_PaymentsOfDividendsMinorityInterest
Net cash (used in) provided by financing activities | (187,424)us-gaap_NetCashProvidedByUsedInFinancingActivities | (507,016)us-gaap_NetCashProvidedByUsedInFinancingActivities | (27,399)us-gaap_NetCashProvidedByUsedInFinancingActivities
Effect of exchange rate changes on cash and cash equivalents | (775)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents | 0 us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents | 0 us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents
Increase (decrease) in cash and cash equivalents | 14,831 us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease | (6,233)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease | (17,758)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents, beginning of period | 17,238 us-gaap_CashAndCashEquivalentsAtCarryingValue | 23,471 us-gaap_CashAndCashEquivalentsAtCarryingValue | 41,229 us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents, end of period | 32,069 us-gaap_CashAndCashEquivalentsAtCarryingValue | 17,238 us-gaap_CashAndCashEquivalentsAtCarryingValue | 23,471 us-gaap_CashAndCashEquivalentsAtCarryingValue
Supplemental Disclosures of Cash Flow Information: |  |  |
Interest paid, including early redemption premium and original issue discount write-off in 2014 | 130,279 us-gaap_InterestPaidNet | 131,259 us-gaap_InterestPaidNet | 157,415 us-gaap_InterestPaidNet
Income taxes paid, net of refunds | 258,612 us-gaap_IncomeTaxesPaidNet | 259,896 us-gaap_IncomeTaxesPaidNet | 264,824 us-gaap_IncomeTaxesPaidNet
Noncash purchases of property and equipment | $ 35,469 us-gaap_NoncashOrPartNoncashAcquisitionFixedAssetsAcquired1 | $ 36,212 us-gaap_NoncashOrPartNoncashAcquisitionFixedAssetsAcquired1 | $ 34,896 us-gaap_NoncashOrPartNoncashAcquisitionFixedAssetsAcquired1

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- Definition The amount of fixed assets that an Entity acquires in a noncash (or part noncash) acquisition. Noncash is defined as information about all investing and financing activities of an enterprise during a period that affect recognized assets or liabilities but that do not result in cash receipts or cash payments in the period. "Part noncash" refers to that portion of the transaction not resulting in cash receipts or cash payments in the period. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 50 -Paragraph 5 -URI http://asc.fasb.org/extlink&oid=6367179&loc=d3e4332-108586 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 50 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=6367179&loc=d3e4313-108586 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 50 -Paragraph 3 -URI http://asc.fasb.org/extlink&oid=6367179&loc=d3e4304-108586 + Details
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- Definition The net cash outflow or inflow from other investing activities. This element is used when there is not a more specific and appropriate element in the taxonomy. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Investing Activities -URI http://asc.fasb.org/extlink&oid=6516133 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 8 -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3095-108585 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 9 -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3098-108585 + Details
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- Definition The cash outflow to reacquire common stock during the period. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Financing Activities -URI http://asc.fasb.org/extlink&oid=6513228 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3291-108585 + Details
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- Definition The cash outflow for incremental, external costs directly pertaining to an early extinguishment of debt, including legal costs and prepayment penalties, and excluding interest and repayment of debt principal. + References No definition available. + Details
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- Definition Cash outflow in the form of capital distributions and dividends to common shareholders, preferred shareholders and noncontrolling interests. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Financing Activities -URI http://asc.fasb.org/extlink&oid=6513228 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3291-108585 + Details
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- Definition Amount of cash outflow in the form of ordinary dividends provided by the non-wholly owned subsidiary to noncontrolling interests. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Financing Activities -URI http://asc.fasb.org/extlink&oid=6513228 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3291-108585 + Details
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- Definition The cash outflow for loan and debt issuance costs. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Financing Activities -URI http://asc.fasb.org/extlink&oid=6513228 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3291-108585 + Details
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- Definition The cash outflow associated with the acquisition of a business, net of the cash acquired from the purchase. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Investing Activities -URI http://asc.fasb.org/extlink&oid=6516133 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3213-108585 + Details
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- Definition The cash outflow for acquisition of or capital improvements on other tangible or intangible assets not otherwise defined in the taxonomy. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Investing Activities -URI http://asc.fasb.org/extlink&oid=6516133 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3213-108585 + Details
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- Definition The cash outflow associated with the acquisition of long-lived, physical assets that are used in the normal conduct of business to produce goods and services and not intended for resale; includes cash outflows to pay for construction of self-constructed assets. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Investing Activities -URI http://asc.fasb.org/extlink&oid=6516133 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 13 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3213-108585 + Details
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- Definition The cash inflow from the additional capital contribution to the entity. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Financing Activities -URI http://asc.fasb.org/extlink&oid=6513228 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3255-108585 + Details
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- Definition Amount of cash inflow from contractual arrangement with the lender, including but not limited to, letter of credit, standby letter of credit and revolving credit arrangements. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 235 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.4-08.(f)) -URI http://asc.fasb.org/extlink&oid=26873400&loc=d3e23780-122690 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 08 -Paragraph f -Article 4 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Financing Activities -URI http://asc.fasb.org/extlink&oid=6513228 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3255-108585 + Details
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- Definition The cash inflow from the sale of property, plant and equipment (capital expenditures), software, and other intangible assets. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Investing Activities -URI http://asc.fasb.org/extlink&oid=6516133 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 12 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3179-108585 + Details
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- Definition The consolidated profit or loss for the period, net of income taxes, including the portion attributable to the noncontrolling interest. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 55 -Paragraph 4K -URI http://asc.fasb.org/extlink&oid=35736750&loc=SL4591552-111686 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 45 -Paragraph 19 -URI http://asc.fasb.org/extlink&oid=7656940&loc=SL4569616-111683 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 50 -Paragraph 1A -Subparagraph (a),(c) -URI http://asc.fasb.org/extlink&oid=18733093&loc=SL4573702-111684 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 55 -Paragraph 4J -URI http://asc.fasb.org/extlink&oid=35736750&loc=SL4591551-111686 + Details
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- Definition The cash outflow for debt initially having maturity due after one year or beyond the normal operating cycle, if longer. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3291-108585 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Financing Activities -URI http://asc.fasb.org/extlink&oid=6513228 + Details
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- Definition The aggregate amount of noncash, equity-based employee remuneration. This may include the value of stock or unit options, amortization of restricted stock or units, and adjustment for officers' compensation. As noncash, this element is an add back when calculating net cash generated by operating activities using the indirect method. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3602-108585 + Details
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