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Long-term debt and cash flow hedges - Additional Information (Detail) (USD $)
3 Months Ended 12 Months Ended 3 Months Ended 0 Months Ended 1 Months Ended 0 Months Ended
Mar. 31, 2015
Mar. 31, 2014
Mar. 31, 2011
Derivative
Dec. 31, 2010
Derivative
Dec. 31, 2014
Aug. 07, 2014
Aug. 30, 2014
Aug. 01, 2014
Jul. 31, 2014
Oct. 31, 2013
Jun. 30, 2008
Jun. 30, 2006
Debt Instrument [Line Items]                        
Reduction of long-term debt $ 158,871,000us-gaap_RepaymentsOfLongTermDebt $ 109,054,000us-gaap_RepaymentsOfLongTermDebt                    
Rate adjustment to weighted average federal funds rate for credit facility borrowings 0.50%uhs_RateAdjustmentToFederalFundsRateWeightedAverage                      
Rate adjustment to one month Eurodollar rate on credit facility borrowings 1.00%uhs_RateAdjustmentToOneMonthEurodollarRateOnCreditFacilityBorrowings                      
Accounts receivable securitization program credit facility, amount outstanding 325,000,000us-gaap_PrincipalAmountOutstandingOnLoansSecuritized                      
Long-term debt 3,051,571,000us-gaap_LongTermDebtNoncurrent       3,210,215,000us-gaap_LongTermDebtNoncurrent              
Fair value of debt 3,200,000,000us-gaap_LongTermDebtFairValue                      
Number of additional forward starting interest rate swaps     6uhs_NumberOfAdditionalForwardStartingInterestRateSwaps 4uhs_NumberOfAdditionalForwardStartingInterestRateSwaps                
Revolving Credit Facility                        
Debt Instrument [Line Items]                        
Line of credit facility, borrowing capacity 800,000,000us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity
/ us-gaap_CreditFacilityAxis
= us-gaap_RevolvingCreditFacilityMember
                     
Line of credit facility amount outstanding 0us-gaap_LineOfCredit
/ us-gaap_CreditFacilityAxis
= us-gaap_RevolvingCreditFacilityMember
                     
Current applicable margins 1.50%uhs_InterestRateMarginAdjustmentPercentage
/ us-gaap_CreditFacilityAxis
= us-gaap_RevolvingCreditFacilityMember
                     
Line of credit facility, available borrowing capacity 739,000,000us-gaap_LineOfCreditFacilityRemainingBorrowingCapacity
/ us-gaap_CreditFacilityAxis
= us-gaap_RevolvingCreditFacilityMember
                     
Letters of credit, outstanding 40,000,000us-gaap_LettersOfCreditOutstandingAmount
/ us-gaap_CreditFacilityAxis
= us-gaap_RevolvingCreditFacilityMember
                     
Term Loan A                        
Debt Instrument [Line Items]                        
Current applicable margins 1.50%uhs_InterestRateMarginAdjustmentPercentage
/ us-gaap_CreditFacilityAxis
= uhs_TermLoanFacilityMember
                     
Term Loan A | Quarterly installment payments commence in the fourth quarter of 2014 through September, 2016                        
Debt Instrument [Line Items]                        
Scheduled principal payments made         11,000,000us-gaap_DebtInstrumentPeriodicPaymentPrincipal
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= uhs_TermLoanFacilityMember
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= uhs_GroupThreeMember
             
Term Loan A | Quarterly installment payments after September, 2016                        
Debt Instrument [Line Items]                        
Scheduled principal payments made         22,000,000us-gaap_DebtInstrumentPeriodicPaymentPrincipal
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= uhs_TermLoanFacilityMember
/ us-gaap_StatementScenarioAxis
= uhs_GroupFourMember
             
Term Loan B Facility                        
Debt Instrument [Line Items]                        
Reduction of long-term debt           550,000,000us-gaap_RepaymentsOfLongTermDebt
/ us-gaap_CreditFacilityAxis
= uhs_TermLoanBFacilityMember
           
Line of credit facility, maturity year           2016            
New Senior Secured Notes                        
Debt Instrument [Line Items]                        
Senior notes, repayment terms Interest is payable on the New Senior Secured Notes on February 1 and August 1 of each year                      
Senior notes, interest payment, commencement date Feb. 01, 2015                      
One Point Nine One Percent Forward Starting Interest Rate Swaps                        
Debt Instrument [Line Items]                        
Average fixed rate payable on interest rate swap     1.91%us-gaap_DerivativeAverageFixedInterestRate
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= uhs_OnePointNineOnePercentForwardStartingInterestRateSwapsMember
                 
Two Point Five Zero Percent Forward Starting Interest Rate Swaps                        
Debt Instrument [Line Items]                        
Maturity date of interest rate cash flow hedges     Dec. 01, 2014                  
Fixed rate payable on interest rate swap     2.50%us-gaap_DerivativeFixedInterestRate
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= uhs_TwoPointFiveZeroPercentForwardStartingInterestRateSwapsMember
                 
One Point Nine Six Percent Forward Starting Interest Rate Swaps                        
Debt Instrument [Line Items]                        
Maturity date of interest rate cash flow hedges     Dec. 01, 2013                  
One Point Three Two Percent Forward Starting Interest Rate Swaps                        
Debt Instrument [Line Items]                        
Maturity date of interest rate cash flow hedges     Dec. 01, 2012                  
Two Point Three Eight Percent Forward Starting Interest Rate Swaps                        
Debt Instrument [Line Items]                        
Maturity date of interest rate cash flow hedges       May 01, 2015                
Fixed rate payable on interest rate swap       2.38%us-gaap_DerivativeFixedInterestRate
/ us-gaap_DerivativeInstrumentRiskAxis
= uhs_TwoPointThreeEightPercentForwardStartingInterestRateSwapsMember
               
Interest Rate Swap                        
Debt Instrument [Line Items]                        
Fair value of our interest rate swaps, liability 2,000,000us-gaap_InterestRateCashFlowHedgeLiabilityAtFairValue
/ us-gaap_DerivativeInstrumentRiskAxis
= us-gaap_InterestRateSwapMember
      6,000,000us-gaap_InterestRateCashFlowHedgeLiabilityAtFairValue
/ us-gaap_DerivativeInstrumentRiskAxis
= us-gaap_InterestRateSwapMember
             
Cash Flow Hedging | Forward Starting Interest Rate Swaps                        
Debt Instrument [Line Items]                        
Notional amount of interest rate cash flow hedges     425,000,000invest_DerivativeNotionalAmount
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= uhs_ForwardStartingInterestRateSwapsMember
/ us-gaap_DerivativeInstrumentsGainLossByHedgingRelationshipAxis
= us-gaap_CashFlowHedgingMember
                 
Cash Flow Hedging | One Point Nine One Percent Forward Starting Interest Rate Swaps                        
Debt Instrument [Line Items]                        
Notional amount of interest rate cash flow hedges     225,000,000invest_DerivativeNotionalAmount
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= us-gaap_CashFlowHedgingMember
                 
Cash Flow Hedging | Two Point Five Zero Percent Forward Starting Interest Rate Swaps                        
Debt Instrument [Line Items]                        
Notional amount of interest rate cash flow hedges     100,000,000invest_DerivativeNotionalAmount
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= us-gaap_CashFlowHedgingMember
                 
Cash Flow Hedging | One Point Nine Six Percent Forward Starting Interest Rate Swaps                        
Debt Instrument [Line Items]                        
Notional amount of interest rate cash flow hedges     25,000,000invest_DerivativeNotionalAmount
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= uhs_OnePointNineSixPercentForwardStartingInterestRateSwapsMember
/ us-gaap_DerivativeInstrumentsGainLossByHedgingRelationshipAxis
= us-gaap_CashFlowHedgingMember
                 
Cash Flow Hedging | One Point Three Two Percent Forward Starting Interest Rate Swaps                        
Debt Instrument [Line Items]                        
Notional amount of interest rate cash flow hedges     75,000,000invest_DerivativeNotionalAmount
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/ us-gaap_DerivativeInstrumentsGainLossByHedgingRelationshipAxis
= us-gaap_CashFlowHedgingMember
                 
Cash Flow Hedging | Two Point Three Eight Percent Forward Starting Interest Rate Swaps                        
Debt Instrument [Line Items]                        
Notional amount of interest rate cash flow hedges       600,000,000invest_DerivativeNotionalAmount
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= uhs_TwoPointThreeEightPercentForwardStartingInterestRateSwapsMember
/ us-gaap_DerivativeInstrumentsGainLossByHedgingRelationshipAxis
= us-gaap_CashFlowHedgingMember
               
One Month Eurodollar Rate Plus Index Based Loans | Minimum | Revolving Credit Facility                        
Debt Instrument [Line Items]                        
Consolidated leverage ratio 0.50%uhs_ConsolidatedLeverageRatio
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/ us-gaap_RangeAxis
= us-gaap_MinimumMember
/ us-gaap_VariableRateAxis
= uhs_OneMonthEurodollarRatePlusIndexBasedLoansMember
                     
One Month Eurodollar Rate Plus Index Based Loans | Minimum | Term Loan A                        
Debt Instrument [Line Items]                        
Consolidated leverage ratio 0.50%uhs_ConsolidatedLeverageRatio
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= us-gaap_MinimumMember
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= uhs_OneMonthEurodollarRatePlusIndexBasedLoansMember
                     
One Month Eurodollar Rate Plus Index Based Loans | Maximum | Revolving Credit Facility                        
Debt Instrument [Line Items]                        
Consolidated leverage ratio 1.25%uhs_ConsolidatedLeverageRatio
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/ us-gaap_RangeAxis
= us-gaap_MaximumMember
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= uhs_OneMonthEurodollarRatePlusIndexBasedLoansMember
                     
One Month Eurodollar Rate Plus Index Based Loans | Maximum | Term Loan A                        
Debt Instrument [Line Items]                        
Consolidated leverage ratio 1.25%uhs_ConsolidatedLeverageRatio
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= us-gaap_MaximumMember
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= uhs_OneMonthEurodollarRatePlusIndexBasedLoansMember
                     
One Two Three Six Month Eurodollar Rate Plus Index Based Loans | Minimum | Revolving Credit Facility                        
Debt Instrument [Line Items]                        
Consolidated leverage ratio 1.50%uhs_ConsolidatedLeverageRatio
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/ us-gaap_RangeAxis
= us-gaap_MinimumMember
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= uhs_OneTwoThreeSixMonthEurodollarRatePlusIndexBasedLoansMember
                     
One Two Three Six Month Eurodollar Rate Plus Index Based Loans | Minimum | Term Loan A                        
Debt Instrument [Line Items]                        
Consolidated leverage ratio 1.50%uhs_ConsolidatedLeverageRatio
/ us-gaap_CreditFacilityAxis
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/ us-gaap_RangeAxis
= us-gaap_MinimumMember
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One Two Three Six Month Eurodollar Rate Plus Index Based Loans | Maximum | Revolving Credit Facility                        
Debt Instrument [Line Items]                        
Consolidated leverage ratio 2.25%uhs_ConsolidatedLeverageRatio
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One Two Three Six Month Eurodollar Rate Plus Index Based Loans | Maximum | Term Loan A                        
Debt Instrument [Line Items]                        
Consolidated leverage ratio 2.25%uhs_ConsolidatedLeverageRatio
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= uhs_TermLoanFacilityMember
/ us-gaap_RangeAxis
= us-gaap_MaximumMember
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= uhs_OneTwoThreeSixMonthEurodollarRatePlusIndexBasedLoansMember
                     
ABR-based loans                        
Debt Instrument [Line Items]                        
Current applicable margins 0.50%uhs_InterestRateMarginAdjustmentPercentage
/ us-gaap_VariableRateAxis
= uhs_AbrBasedLoansMember
                     
Short Term on Demand Credit Facility | Revolving Credit Facility                        
Debt Instrument [Line Items]                        
Line of credit facility amount outstanding 21,000,000us-gaap_LineOfCredit
/ us-gaap_CreditFacilityAxis
= us-gaap_RevolvingCreditFacilityMember
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= uhs_ShortTermOnDemandCreditFacilityMember
                     
Letter of Credit | Revolving Credit Facility                        
Debt Instrument [Line Items]                        
Line of credit facility, borrowing capacity 125,000,000us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity
/ us-gaap_CreditFacilityAxis
= us-gaap_RevolvingCreditFacilityMember
/ us-gaap_ShortTermDebtTypeAxis
= us-gaap_LetterOfCreditMember
                     
Amendment of Credit Facility                        
Debt Instrument [Line Items]                        
Line of credit facility, starting date             Aug. 07, 2014          
Line of credit facility, maturity             2019-08          
Accounts receivable securitization program credit facility, borrowing capacity               360,000,000uhs_SecuritizedBorrowingsCreditFacilityBorrowingCapacity
/ uhs_LineOfCreditFacilityTerminatedAgreementsAxis
= uhs_AmendmentOfCreditFacilityMember
  275,000,000uhs_SecuritizedBorrowingsCreditFacilityBorrowingCapacity
/ uhs_LineOfCreditFacilityTerminatedAgreementsAxis
= uhs_AmendmentOfCreditFacilityMember
   
Amendment of Credit Facility | Revolving Credit Facility                        
Debt Instrument [Line Items]                        
Line of credit facility, borrowing capacity             800,000,000us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity
/ us-gaap_CreditFacilityAxis
= us-gaap_RevolvingCreditFacilityMember
/ uhs_LineOfCreditFacilityTerminatedAgreementsAxis
= uhs_AmendmentOfCreditFacilityMember
         
Amendment of Credit Facility | Term Loan A                        
Debt Instrument [Line Items]                        
Line of credit facility, borrowing capacity             1,775,000,000us-gaap_LineOfCreditFacilityMaximumBorrowingCapacity
/ us-gaap_CreditFacilityAxis
= uhs_TermLoanFacilityMember
/ uhs_LineOfCreditFacilityTerminatedAgreementsAxis
= uhs_AmendmentOfCreditFacilityMember
         
Line of credit facility amount outstanding 1,753,000,000us-gaap_LineOfCredit
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= uhs_TermLoanFacilityMember
/ uhs_LineOfCreditFacilityTerminatedAgreementsAxis
= uhs_AmendmentOfCreditFacilityMember
                     
Accounts Receivable Securitization Facility                        
Debt Instrument [Line Items]                        
Accounts receivable securitization program, additional capacity 35,000,000us-gaap_DebtInstrumentUnusedBorrowingCapacityAmount
/ us-gaap_DebtInstrumentAxis
= uhs_AccountsReceivableSecuritizationFacilityMember
                     
Accounts Receivable Securitization Facility | Amendment of Credit Facility                        
Debt Instrument [Line Items]                        
Line of credit facility, starting date               Aug. 01, 2014        
Line of credit facility, maturity               2016-10        
3.750% Senior Secured Notes due 2019                        
Debt Instrument [Line Items]                        
Senior notes, issued           300,000,000us-gaap_DebtInstrumentFaceAmount
/ us-gaap_DebtInstrumentAxis
= uhs_ThreePointSevenFiveZeroPercentSeniorSecuredNotesDueTwoThousandNineteenMember
           
Senior notes, interest rate           3.75%us-gaap_DebtInstrumentInterestRateStatedPercentage
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= uhs_ThreePointSevenFiveZeroPercentSeniorSecuredNotesDueTwoThousandNineteenMember
           
3.750% Senior Secured Notes due 2019 | New Senior Secured Notes                        
Debt Instrument [Line Items]                        
Senior notes, issued           300,000,000us-gaap_DebtInstrumentFaceAmount
/ us-gaap_CreditFacilityAxis
= uhs_NewSeniorSecuredCreditFacilityMember
/ us-gaap_DebtInstrumentAxis
= uhs_ThreePointSevenFiveZeroPercentSeniorSecuredNotesDueTwoThousandNineteenMember
           
Senior notes, interest rate           3.75%us-gaap_DebtInstrumentInterestRateStatedPercentage
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= uhs_NewSeniorSecuredCreditFacilityMember
/ us-gaap_DebtInstrumentAxis
= uhs_ThreePointSevenFiveZeroPercentSeniorSecuredNotesDueTwoThousandNineteenMember
           
Senior notes, maturity date Aug. 01, 2019                      
4.750% Senior Secured Notes due 2022                        
Debt Instrument [Line Items]                        
Senior notes, issued           300,000,000us-gaap_DebtInstrumentFaceAmount
/ us-gaap_DebtInstrumentAxis
= uhs_FourPointSevenFiveZeroPercentSeniorSecuredNotesDueTwoThousandTwentyTwoMember
           
Senior notes, interest rate           4.75%us-gaap_DebtInstrumentInterestRateStatedPercentage
/ us-gaap_DebtInstrumentAxis
= uhs_FourPointSevenFiveZeroPercentSeniorSecuredNotesDueTwoThousandTwentyTwoMember
           
4.750% Senior Secured Notes due 2022 | New Senior Secured Notes                        
Debt Instrument [Line Items]                        
Senior notes, issued           300,000,000us-gaap_DebtInstrumentFaceAmount
/ us-gaap_CreditFacilityAxis
= uhs_NewSeniorSecuredCreditFacilityMember
/ us-gaap_DebtInstrumentAxis
= uhs_FourPointSevenFiveZeroPercentSeniorSecuredNotesDueTwoThousandTwentyTwoMember
           
Senior notes, interest rate           4.75%us-gaap_DebtInstrumentInterestRateStatedPercentage
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= uhs_NewSeniorSecuredCreditFacilityMember
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Senior notes, maturity date Aug. 01, 2022                      
Senior Notes 7.125%                        
Debt Instrument [Line Items]                        
Senior notes, issued                       250,000,000us-gaap_DebtInstrumentFaceAmount
/ us-gaap_DebtInstrumentAxis
= uhs_SeniorNotesSevenPointOneTwoFivePercentMember
Senior notes, interest rate                       7.125%us-gaap_DebtInstrumentInterestRateStatedPercentage
/ us-gaap_DebtInstrumentAxis
= uhs_SeniorNotesSevenPointOneTwoFivePercentMember
Senior notes, repayment terms Interest on the 7.125% Notes is payable semiannually in arrears on June 30th and December 30th of each year.                      
Senior notes, maturity date Jun. 30, 2016                      
Line of credit facility additional borrowing capacity                     150,000,000uhs_LineOfCreditFacilityAdditionalBorrowingCapacity
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7.00% Senior Unsecured Notes                        
Debt Instrument [Line Items]                        
Reduction of long-term debt                 250,000,000us-gaap_RepaymentsOfLongTermDebt
/ us-gaap_DebtInstrumentAxis
= uhs_SeniorUnsecuredNotesSevenPointZeroZeroPercentMember
     
Senior notes, interest rate                 7.00%us-gaap_DebtInstrumentInterestRateStatedPercentage
/ us-gaap_DebtInstrumentAxis
= uhs_SeniorUnsecuredNotesSevenPointZeroZeroPercentMember
     
Debt instrument redemption, date Jul. 31, 2014               Jul. 31, 2014      
Unsecured notes make-whole redemption price                 104.56%us-gaap_DebtInstrumentRedemptionPricePercentage
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Senior notes, maturity date Oct. 01, 2018                      
Write-off deferred charges, original issue discount and make-whole premiums paid                 $ 11,000,000us-gaap_AmortizationOfFinancingCostsAndDiscounts
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