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Condensed Consolidated Statements of Cash Flows (USD $)
In Thousands, unless otherwise specified
 3 Months Ended
Mar. 31, 2015
Mar. 31, 2014
Cash Flows from Operating Activities:    
Net income $ 194,323us-gaap_ProfitLoss $ 151,852us-gaap_ProfitLoss
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation & amortization 98,998us-gaap_DepreciationAndAmortization 93,359us-gaap_DepreciationAndAmortization
Stock-based compensation expense 10,829us-gaap_ShareBasedCompensation 7,152us-gaap_ShareBasedCompensation
Gains on sales of assets and businesses, net of losses 0us-gaap_GainLossOnDispositionOfAssets (10,134)us-gaap_GainLossOnDispositionOfAssets
Changes in assets & liabilities, net of effects from acquisitions and dispositions:    
Accounts receivable (96,972)us-gaap_IncreaseDecreaseInAccountsReceivable (95,633)us-gaap_IncreaseDecreaseInAccountsReceivable
Accrued interest 1,117us-gaap_IncreaseDecreaseInAccruedInterestReceivableNet 11,063us-gaap_IncreaseDecreaseInAccruedInterestReceivableNet
Accrued and deferred income taxes 79,050uhs_IncreaseDecreaseInDeferredIncomeTaxesAndAccruedIncomeTaxesPayable 65,321uhs_IncreaseDecreaseInDeferredIncomeTaxesAndAccruedIncomeTaxesPayable
Other working capital accounts (29,829)us-gaap_IncreaseDecreaseInOtherOperatingCapitalNet (34,999)us-gaap_IncreaseDecreaseInOtherOperatingCapitalNet
Other assets and deferred charges (234)us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets 9,982us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
Other 17,807us-gaap_IncreaseDecreaseInOtherOperatingLiabilities (3,833)us-gaap_IncreaseDecreaseInOtherOperatingLiabilities
Accrued insurance expense, net of commercial premiums paid 22,748us-gaap_IncreaseDecreaseInSelfInsuranceReserve 21,302us-gaap_IncreaseDecreaseInSelfInsuranceReserve
Payments made in settlement of self-insurance claims (26,562)us-gaap_IncreaseDecreaseInInsuranceSettlementsReceivable (20,793)us-gaap_IncreaseDecreaseInInsuranceSettlementsReceivable
Net cash provided by operating activities 271,275us-gaap_NetCashProvidedByUsedInOperatingActivities 194,639us-gaap_NetCashProvidedByUsedInOperatingActivities
Cash Flows from Investing Activities:    
Property and equipment additions, net of disposals (89,276)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment (92,387)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
Proceeds received from sale of assets and businesses 0us-gaap_ProceedsFromSaleOfProductiveAssets 11,450us-gaap_ProceedsFromSaleOfProductiveAssets
Acquisition of property and businesses (34,500)us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired (3,301)us-gaap_PaymentsToAcquireBusinessesNetOfCashAcquired
Costs incurred for purchase and implementation of electronic health records application 0us-gaap_PaymentsToAcquireOtherProductiveAssets (6,504)us-gaap_PaymentsToAcquireOtherProductiveAssets
Net cash provided by (used in) investing activities (123,776)us-gaap_NetCashProvidedByUsedInInvestingActivities (90,742)us-gaap_NetCashProvidedByUsedInInvestingActivities
Cash Flows from Financing Activities:    
Reduction of long-term debt (158,871)us-gaap_RepaymentsOfLongTermDebt (109,054)us-gaap_RepaymentsOfLongTermDebt
Additional borrowings 20,800us-gaap_ProceedsFromLinesOfCredit 11,900us-gaap_ProceedsFromLinesOfCredit
Repurchase of common shares (28,767)us-gaap_PaymentsForRepurchaseOfCommonStock (13,993)us-gaap_PaymentsForRepurchaseOfCommonStock
Dividends paid (9,899)us-gaap_PaymentsOfDividends (4,933)us-gaap_PaymentsOfDividends
Issuance of common stock 1,768us-gaap_ProceedsFromIssuanceOfCommonStock 1,445us-gaap_ProceedsFromIssuanceOfCommonStock
Excess income tax benefits related to stock-based compensation 20,807us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities 11,750us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
Profit distributions to noncontrolling interests (2,413)us-gaap_PaymentsOfDividendsMinorityInterest (1,989)us-gaap_PaymentsOfDividendsMinorityInterest
Proceeds received from sale/leaseback of real property 12,551us-gaap_SaleLeasebackTransactionGrossProceedsFinancingActivities 0us-gaap_SaleLeasebackTransactionGrossProceedsFinancingActivities
Net cash (used in) provided by financing activities (144,024)us-gaap_NetCashProvidedByUsedInFinancingActivities (104,874)us-gaap_NetCashProvidedByUsedInFinancingActivities
Effect of exchange rate changes on cash and cash equivalents (466)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents 0us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents
Increase (decrease) in cash and cash equivalents 3,009us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease (977)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents, beginning of period 32,069us-gaap_CashAndCashEquivalentsAtCarryingValue 17,238us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents, end of period 35,078us-gaap_CashAndCashEquivalentsAtCarryingValue 16,261us-gaap_CashAndCashEquivalentsAtCarryingValue
Supplemental Disclosures of Cash Flow Information:    
Interest paid 27,158us-gaap_InterestPaidNet 18,893us-gaap_InterestPaidNet
Income taxes paid, net of refunds 2,876us-gaap_IncomeTaxesPaidNet 6,764us-gaap_IncomeTaxesPaidNet
Noncash purchases of property and equipment $ 33,082us-gaap_NoncashOrPartNoncashAcquisitionFixedAssetsAcquired1 $ 49,533us-gaap_NoncashOrPartNoncashAcquisitionFixedAssetsAcquired1