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Supplemental Condensed Consolidating Comprehensive Income (Detail) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 12 Months Ended
Dec. 31, 2013
Sep. 30, 2013
Jun. 30, 2013
Mar. 31, 2013
Dec. 31, 2012
Sep. 30, 2012
Jun. 30, 2012
Mar. 31, 2012
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
Comprehensive Income (Loss) [Line Items]                      
Net income $ 133,186 $ 123,099 $ 167,803 $ 129,935 $ 147,660 $ 81,373 $ 117,444 $ 142,570 $ 554,023 $ 489,047 $ 448,870
Other comprehensive income (loss):                      
Unrealized derivative gains (losses) on cash flow hedges                 16,963 6,677 (37,477)
Amortization of terminated hedge                 (336) (336) (336)
Minimum Pension Liability                 14,657 4,986 (12,397)
Other comprehensive income (loss) before tax                 31,284 11,327 (50,210)
Income tax (benefit) expense related to items of other comprehensive income                 11,940 4,306 (19,174)
Total other comprehensive income, net of tax                 19,344 7,021 (31,036)
Comprehensive income                 573,367 496,068 417,834
Less: Comprehensive income attributable to noncontrolling interests                 43,290 45,601 50,703
Comprehensive income attributable to UHS                 530,077 450,467 367,131
Parent
                     
Comprehensive Income (Loss) [Line Items]                      
Net income                 510,733 443,446 398,167
Other comprehensive income (loss):                      
Unrealized derivative gains (losses) on cash flow hedges                 16,963 6,677 (37,477)
Amortization of terminated hedge                 (336) (336) (336)
Minimum Pension Liability                 14,657 4,986 (12,397)
Other comprehensive income (loss) before tax                 31,284 11,327 (50,210)
Income tax (benefit) expense related to items of other comprehensive income                 11,940 4,306 (19,174)
Total other comprehensive income, net of tax                 19,344 7,021 (31,036)
Comprehensive income                 530,077 450,467 367,131
Less: Comprehensive income attributable to noncontrolling interests                 0 0 0
Comprehensive income attributable to UHS                 530,077 450,467 367,131
Guarantors
                     
Comprehensive Income (Loss) [Line Items]                      
Net income                 480,344 438,873 382,249
Other comprehensive income (loss):                      
Unrealized derivative gains (losses) on cash flow hedges                 0 0 0
Amortization of terminated hedge                 0 0 0
Minimum Pension Liability                 14,657 4,986 (12,397)
Other comprehensive income (loss) before tax                 14,657 4,986 (12,397)
Income tax (benefit) expense related to items of other comprehensive income                 5,670 1,898 (4,691)
Total other comprehensive income, net of tax                 8,987 3,088 (7,706)
Comprehensive income                 489,331 441,961 374,543
Less: Comprehensive income attributable to noncontrolling interests                 0 0 0
Comprehensive income attributable to UHS                 489,331 441,961 374,543
Non Guarantors
                     
Comprehensive Income (Loss) [Line Items]                      
Net income                 300,970 316,617 344,260
Other comprehensive income (loss):                      
Unrealized derivative gains (losses) on cash flow hedges                 0 0 0
Amortization of terminated hedge                 0 0 0
Minimum Pension Liability                 0 0 0
Other comprehensive income (loss) before tax                 0 0 0
Income tax (benefit) expense related to items of other comprehensive income                 0 0 0
Total other comprehensive income, net of tax                 0 0 0
Comprehensive income                 300,970 316,617 344,260
Less: Comprehensive income attributable to noncontrolling interests                 43,290 45,601 50,703
Comprehensive income attributable to UHS                 257,680 271,016 293,557
Consolidating Adjustments
                     
Comprehensive Income (Loss) [Line Items]                      
Net income                 (738,024) (709,889) (675,806)
Other comprehensive income (loss):                      
Unrealized derivative gains (losses) on cash flow hedges                 0 0 0
Amortization of terminated hedge                 0 0 0
Minimum Pension Liability                 (14,657) (4,986) 12,397
Other comprehensive income (loss) before tax                 (14,657) (4,986) 12,397
Income tax (benefit) expense related to items of other comprehensive income                 (5,670) (1,898) 4,691
Total other comprehensive income, net of tax                 (8,987) (3,088) 7,706
Comprehensive income                 (747,011) (712,977) (668,100)
Less: Comprehensive income attributable to noncontrolling interests                 0 0 0
Comprehensive income attributable to UHS                 $ (747,011) $ (712,977) $ (668,100)