XML 91 R76.htm IDEA: XBRL DOCUMENT
v3.20.4

Commitments and Contingencies - Schedule of Changes in General and Professional Liability and Workers Compensation Reserves (Detail) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2020 | Dec. 31, 2019 | Dec. 31, 2018
Commitments and Contingencies Disclosure [Line Items] |  |  |
Beginning balance | $ 322,824 | $ 314,941 | $ 298,222
Plus: Accrued insurance expense, net of commercial premiums paid | 159,223 | 105,672 | 92,863
Less: Payments made in settlement of self-insured claims | (113,083) | (97,789) | (76,144)
Ending balance | 368,964 | 322,824 | 314,941
General and Professional Liability |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |
Beginning balance | 241,820 | 243,051 | 228,691
Plus: Accrued insurance expense, net of commercial premiums paid | 91,518 | 56,452 | 54,387
Less: Payments made in settlement of self-insured claims | (69,559) | (57,683) | (40,027)
Ending balance | 263,779 | 241,820 | 243,051
Workers’ Compensation |  |  |
Commitments and Contingencies Disclosure [Line Items] |  |  |
Beginning balance | 81,004 | 71,890 | 69,531
Plus: Accrued insurance expense, net of commercial premiums paid | 67,705 | 49,220 | 38,476
Less: Payments made in settlement of self-insured claims | (43,524) | (40,106) | (36,117)
Ending balance | $ 105,185 | $ 81,004 | $ 71,890

X
- Definition Commitments and contingencies disclosure. + References No definition available. + Details
Name: | uhs_CommitmentsAndContingenciesDisclosureLineItems
Namespace Prefix: | uhs_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition Payments made in settlement of self insured claims. + References No definition available. + Details
Name: | uhs_PaymentsMadeInSettlementOfSelfInsuredClaims
Namespace Prefix: | uhs_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

X
- Definition The increase (decrease) during the period in the carrying amount of accrued known and estimated losses incurred 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/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=121586364&loc=d3e3602-108585 + Details
Name: | us-gaap_IncreaseDecreaseInSelfInsuranceReserve
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
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://fasb.org/us-gaap/role/ref/legacyRef -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=120391452&loc=d3e13212-122682 + Details
Name: | us-gaap_SelfInsuranceReserve
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | instant

X
- Details
Name: | us-gaap_ScheduleOfMalpracticeInsuranceTypeAndTierIdentifierAxis=uhs_GeneralAndProfessionalLiabilityMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |

X
- Details
Name: | us-gaap_ScheduleOfMalpracticeInsuranceTypeAndTierIdentifierAxis=uhs_WorkersCompensationReservesMember
Namespace Prefix: |
Data Type: | na
Balance Type: |
Period Type: |