7Baggers

Universal Health Services, Inc
(NYSE:UHS) 

UHS stock logo

Universal Health Services, Inc., through its subsidiaries, owns and operates acute care hospitals, and outpatient and behavioral health care facilities. The company operates through Acute Care Hospital Services and Behavioral Health Care Services segments. Its hospitals offer general and specialty s...

Founded: 1979
Full Time Employees: 90,000
Sector: Healthcare
Industry: Medical Care Facilities

Share this website to your friends
• Market Cap:
• Exchange:
• Shs Outstanding:
• Employees:
• Beta:
• Return on Equity (ROE) ttm:
• Return on Assets (ROA) ttm:
• EPS ttm:
• Book value per Share:
• Cash per Share:
• Current ast per Share:
• P/E ttm:
• P/E forward:
• P/E ttm high:
• P/E ttm low:
• P/S ttm:
• P/B ttm:
• P/FCF ttm:
• PEG ratio:
• Cash Ratio ttm:
• Quick Ratio ttm:
• Current Ratio ttm:
• Gross Mgn ttm:
• EBITDA Mgn ttm:
• Operating Mgn ttm:
• Net Income Mgn ttm:
• Trailing Div yield:
• Forward Div yield:
• Payout Ratio ttm:
• Ex-Dividend date:
• Target Price High:
• Target Price Low:
• Target Price Mean:
• Number of Analysts:
• Debt Ratio ttm:
• Debt to Equity ttm:
• Total Net Debt:
At a glance:
Bull Thesis:
Bear Thesis:
Main Competitors:
Moat:
Income Statements:
Quarterly
Annual
    Unit: USD2026-03-31 2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 2009-09-30 2009-06-30 2009-03-31 2007-09-30 2007-06-30 2004-09-30 
                                                                            
      net revenues
    4,495,182,000 4,486,048,000 4,495,245,000 4,283,816,000 4,099,720,000 4,113,722,000 3,963,027,000 3,907,604,000 3,843,582,000 3,703,546,000 3,562,774,000 3,548,138,000 3,467,518,000 3,446,980,000 3,336,027,000 3,323,407,000 3,292,956,000 3,275,251,000 3,155,999,000 3,197,880,000 3,012,987,000 3,086,935,000 2,912,541,000 2,729,754,000 2,829,667,000 2,896,247,000 2,822,453,000 2,855,168,000 2,804,391,000 2,754,496,000 2,648,913,000 2,681,353,000 2,687,516,000 2,642,787,000 2,541,864,000 2,612,356,000 2,612,858,000 2,475,685,000 2,409,872,000 2,430,855,000 2,449,798,000 2,315,239,000 2,227,655,000 2,275,204,000 2,225,353,000 2,107,581,000 2,017,758,000 2,019,821,000 1,920,166,000 1,800,846,000 1,816,369,000 1,834,975,000 1,831,632,000 1,764,927,000 1,680,353,000 1,729,803,000 1,825,289,000 1,838,774,000 1,848,662,000 1,902,234,000 1,910,528,000 1,559,453,000 1,323,264,000 1,338,315,000 1,347,153,000 1,291,211,000 1,295,109,000 1,303,640,000 1,312,419,000 1,180,217,000 1,178,976,000 1,012,868 
      operating charges:
                                                                            
      salaries, wages and benefits
    2,088,229,000 2,046,629,000 2,071,898,000 2,014,951,000 1,951,104,000 1,907,383,000 1,912,308,000 1,856,372,000 1,842,624,000 1,799,008,000 1,784,870,000 1,770,271,000 1,753,335,000 1,701,083,000 1,677,431,000 1,691,472,000 1,692,270,000 1,621,788,000 1,556,448,000 1,487,935,000 1,497,773,000 1,466,070,000 1,406,348,000 1,308,010,000 1,432,669,000 1,431,640,000 1,408,226,000 1,383,481,000 1,365,546,000 1,331,704,000 1,316,710,000 1,305,974,000 1,300,148,000 1,254,851,000 1,251,528,000 1,236,294,000 1,237,964,000 1,156,729,000 1,149,729,000 1,130,933,000 1,148,139,000 1,079,394,000 1,057,226,000 1,044,064,000 1,031,703,000 994,593,000 953,583,000 961,920,000 935,365,000 901,778,000 903,212,000 897,334,000 902,296,000 875,865,000 838,075,000 856,878,000 889,506,000 851,207,000 845,818,000 852,078,000 845,864,000 707,882,000 572,742,000 563,552,000 578,926,000 562,931,000 558,244,000 541,950,000 541,297,000 510,917,000 498,579,000 415,371 
      other operating expenses
    1,283,928,000 1,297,207,000 1,294,721,000 1,162,566,000 1,105,752,000 1,142,901,000 1,090,197,000 1,043,116,000 1,032,170,000 998,732,000 941,219,000 938,314,000 878,951,000 919,673,000 837,241,000 867,885,000 820,934,000 802,279,000 754,072,000 769,810,000 709,708,000 690,560,000 666,665,000 625,747,000 689,790,000 644,393,000 762,174,000 672,564,000 644,780,000 717,942,000 651,442,000 624,484,000 620,819,000 624,986,000 628,523,000 632,193,000 607,360,000 614,490,000 597,270,000 585,995,000 561,584,000 548,745,000 529,383,000 535,711,000 505,966,000 459,707,000 512,794,000 428,720,000 381,760,000 368,626,000 393,549,000 325,562,000 381,007,000 317,074,000 362,687,000 347,412,000 359,541,000 331,041,000 350,358,000 354,835,000 349,446,000 250,758,000 258,388,000 249,114,000 247,028,000 235,016,000 253,792,000 232,894,000 273,221,000 265,534,000 238,093,000 238,475 
      supplies expense
    426,543,000 422,760,000 414,583,000 418,785,000 402,881,000 405,900,000 390,250,000 388,063,000 403,573,000 393,878,000 378,667,000 380,294,000 379,989,000 381,936,000 366,337,000 354,993,000 371,073,000 374,157,000 367,834,000 338,033,000 347,110,000 351,324,000 335,409,000 283,572,000 317,827,000 324,090,000 313,936,000 305,857,000 307,463,000 300,791,000 285,201,000 289,733,000 292,929,000 284,854,000 268,089,000 274,539,000 277,614,000 263,872,000 257,793,000 254,422,000 255,250,000 252,109,000 242,259,000 240,979,000 238,741,000 233,413,000 222,708,000 223,774,000 215,798,000 207,108,000 206,995,000 202,344,000 204,642,000 204,697,000 191,747,000 198,100,000 209,532,000 206,230,000 202,817,000 205,594,000 207,170,000 189,327,000 180,024,000 179,926,000 183,816,000 177,219,000 171,652,000 176,411,000 173,967,000 162,342,000 169,246,000 138,446 
      depreciation and amortization
    155,426,000 163,334,000 155,060,000 152,004,000 148,345,000 146,781,000 149,567,000 147,480,000 141,003,000 145,481,000 137,195,000 143,744,000 141,621,000 148,353,000 145,874,000 143,850,000 143,784,000 133,363,000 134,462,000 133,985,000 131,403,000 133,930,000 125,961,000 126,208,000 124,394,000 127,656,000 121,528,000 121,168,000 120,040,000 118,075,000 112,286,000 109,581,000 113,103,000 113,638,000 110,217,000 113,112,000 110,798,000 107,436,000 103,712,000 101,411,000 104,049,000 102,921,000 99,442,000 97,257,000 98,998,000 98,118,000 93,456,000 90,691,000 93,359,000 88,707,000 86,971,000 81,682,000 79,812,000 80,619,000 77,032,000 73,078,000 73,820,000 75,477,000 75,166,000 73,234,000 71,351,000 60,849,000 55,530,000 54,025,000 53,511,000 51,279,000 51,205,000 51,085,000 51,134,000 46,548,000 45,406,000 42,893 
      lease and rental expense
    38,196,000 38,886,000 37,295,000 35,240,000 36,813,000 38,268,000 36,540,000 36,175,000 35,450,000 35,251,000 35,466,000 35,387,000 34,922,000 34,551,000 33,264,000 31,773,000 32,038,000 30,015,000 28,375,000 29,149,000 31,324,000 31,092,000 28,488,000 28,186,000 28,293,000 27,489,000 27,660,000 26,535,000 26,125,000 26,162,000 26,110,000 27,119,000 26,703,000 25,714,000 26,197,000 26,027,000 25,189,000 24,267,000 23,799,000 24,806,000 24,452,000 24,342,000 24,544,000 23,196,000 22,891,000 23,337,000 23,860,000 23,458,000 23,338,000 25,107,000 23,904,000 24,082,000 24,665,000 23,979,000 23,481,000 24,003,000 23,862,000 22,182,000 23,076,000 23,339,000 23,168,000 22,413,000 18,429,000 18,185,000 17,934,000 18,035,000 17,253,000 17,587,000 17,072,000 17,920,000 16,605,000 17,948 
      operating charges: - sum
    3,992,322,000 3,968,816,000 3,973,557,000 3,783,546,000 3,644,895,000 3,641,233,000 3,578,862,000 3,471,206,000 3,454,820,000 3,372,350,000 3,277,417,000 3,268,010,000 3,188,818,000 3,185,596,000 3,060,147,000 3,089,973,000 3,060,099,000                                                     1,113,794,000 1,072,026,000  
      income from operations
    502,860,000 517,232,000 521,688,000 500,270,000 454,825,000 472,489,000 384,165,000 436,398,000 388,762,000 331,196,000 285,357,000 280,128,000 278,700,000 261,384,000 275,880,000 233,434,000 232,857,000 313,649,000 314,808,000 438,968,000 295,669,000 413,959,000 349,670,000 358,031,000 236,694,000 340,979,000 188,929,000 345,563,000 340,437,000 259,822,000 257,164,000 324,462,000 333,814,000 338,744,000 257,310,000 330,191,000 353,933,000 314,230,000 277,569,000 333,288,000 356,324,000 321,792,000 275,157,000 335,392,000 327,054,000 322,286,000 176,611,000 293,432,000 270,976,000 242,601,000 224,886,000 304,054,000 243,922,000 274,509,000 168,712,000 230,332,000 269,028,000 208,950,000 195,528,000 232,237,000 260,413,000 130,716,000 104,684,000 129,749,000 140,548,000        
      yoy
    10.56% 9.47% 35.80% 14.64% 16.99% 42.66% 34.63% 55.79% 39.49% 26.71% 3.44% 20.00% 19.69% -16.66% -12.37% -46.82% -21.24% -24.23% -9.97% 22.61% 24.92% 21.40% 85.08% 3.61% -30.47% 31.24% -26.53% 6.50% 1.98% -23.30% -0.06% -1.74% -5.68% 7.80% -7.30% -0.93% -0.67% -2.35% 0.88% -0.63% 8.95% -0.15% 55.80% 14.30% 20.69% 32.85% -21.47% -3.49% 11.09% -11.62% 33.30% 32.01% -9.33% 31.38% -13.71% -0.82% 3.31% 59.85% 86.78% 78.99% 85.28%            
      qoq
    -2.78% -0.85% 4.28% 9.99% -3.74% 22.99% -11.97% 12.25% 17.38% 16.06% 1.87% 0.51% 6.62% -5.25% 18.18% 0.25% -25.76% -0.37% -28.28% 48.47% -28.58% 18.39% -2.34% 51.26% -30.58% 80.48% -45.33% 1.51% 31.03% 1.03% -20.74% -2.80% -1.46% 31.65% -22.07% -6.71% 12.64% 13.21% -16.72% -6.46% 10.73% 16.95% -17.96% 2.55% 1.48% 82.48% -39.81% 8.29% 11.70% 7.88% -26.04% 24.65% -11.14% 62.71% -26.75% -14.38% 28.75% 6.86% -15.81% -10.82% 99.22% 24.87% -19.32% -7.68%         
      interest expense
    37,133,000 42,217,000 38,431,000 35,364,000 40,056,000 39,724,000 44,660,000 48,899,000 52,826,000 53,589,000 53,378,000 48,831,000 50,876,000 43,887,000 35,653,000 25,676,000 21,673,000 19,217,000 21,199,000 21,299,000 21,957,000 19,886,000 24,575,000 25,473,000 36,351,000 39,159,000 41,447,000 42,487,000 39,640,000 39,874,000 39,506,000 38,000,000 37,576,000 36,786,000 36,956,000 35,920,000 35,507,000 32,882,000 32,129,000 30,442,000 29,600,000 28,643,000 27,130,000 27,684,000 30,037,000 31,225,000 32,133,000 35,087,000 35,193,000 35,643,000 32,314,000 38,236,000 39,938,000 41,113,000 45,207,000 45,888,000 46,710,000 46,115,000 48,452,000 49,808,000 56,417,000 41,468,000 11,478,000 12,277,000 12,377,000 10,513,000 10,780,000 11,879,000 12,638,000 12,881,000 13,040,000 10,683 
      other expense
    -3,389,000 -106,427,000 -13,629,000 -8,479,000 -5,659,000 -5,546,000 -2,028,000 5,493,000 -150,000 -3,516,000 11,472,000 6,602,000 13,723,000 -4,838,000 6,015,000 -1,972,000 11,201,000 -12,316,000 6,719,000 -9,129,000 835,000 -8,305,000 1,831,000                                                  
      income before income taxes
    469,116,000 581,442,000 496,886,000 473,385,000 420,428,000 438,311,000 341,533,000 382,006,000 336,086,000 281,123,000 220,507,000 224,695,000 214,101,000 222,335,000 234,212,000 209,730,000 199,983,000 306,748,000 286,890,000 426,798,000 272,877,000 402,378,000 323,264,000 335,658,000 190,783,000 321,158,000 138,075,000 310,808,000 296,296,000 207,450,000 229,067,000 301,770,000 296,238,000 301,958,000 220,354,000 294,271,000 318,426,000 281,348,000 245,440,000 302,846,000 326,724,000 293,149,000 248,027,000 307,708,000 297,017,000 291,061,000 144,478,000 258,345,000 235,783,000 206,958,000 192,572,000 265,818,000 203,984,000 233,396,000 123,505,000 184,444,000 222,318,000 162,835,000 147,076,000 182,429,000 203,996,000 84,712,250 93,206,000 117,472,000 128,171,000     43,758,000 85,235,000 61,375 
      provision for income taxes
    110,438,000 133,605,000 117,781,000 110,773,000 98,800,000 101,264,000 75,623,000 87,676,000 70,264,000 61,501,000 52,499,000 55,393,000 51,726,000 51,966,000 57,401,000 50,949,000 48,962,000 72,837,000 67,515,000 101,522,000 63,807,000 94,644,000 79,172,000                                               14,756,000 33,193,000 22,625 
      net income
    358,678,000 447,837,000 379,105,000 362,612,000 321,628,000 337,047,000 265,910,000 294,330,000 265,822,000 219,622,000 168,008,000 169,302,000 162,375,000 170,369,000 176,811,000 158,781,000 151,021,000 233,911,000 219,375,000 325,276,000 209,070,000 307,734,000 244,092,000 256,504,000 144,460,000 248,010,000 100,870,000 241,265,000 237,398,000 163,622,000 174,881,000 230,711,000 228,669,000 225,035,000 145,362,000 190,388,000 210,527,000 178,738,000 157,265,000 195,449,000 215,719,000 191,317,000 163,654,000 201,404,000 194,323,000 190,492,000 96,038,000 166,614,000 151,852,000 133,186,000 123,099,000 167,803,000 129,935,000 147,660,000 81,373,000 117,444,000 142,570,000 108,007,000 94,842,000 116,034,000 129,987,000 50,816,000 65,802,000 76,415,000 82,762,000 304,011,935 59,054 93,977 82,034 28,854,000 52,071,000 37,845 
      yoy
    11.52% 32.87% 42.57% 23.20% 20.99% 53.47% 58.27% 73.85% 63.71% 28.91% -4.98% 6.63% 7.52% -27.17% -19.40% -51.19% -27.77% -23.99% -10.13% 26.81% 44.73% 24.08% 141.99% 6.32% -39.15% 51.57% -42.32% 4.57% 3.82% -27.29% 20.31% 21.18% 8.62% 25.90% -7.57% -2.59% -2.41% -6.57% -3.90% -2.96% 11.01% 0.43% 70.41% 20.88% 27.97% 43.03% -21.98% -0.71% 16.87% -9.80% 51.28% 42.88% -8.86% 36.71% -14.20% 1.22% 9.68% 112.55% 44.13% 51.85% 57.06% -83.28% 111326.83% 81212.45% 100787.44% 953.62% -99.89% 148.32%     
      qoq
    -19.91% 18.13% 4.55% 12.74% -4.57% 26.75% -9.66% 10.72% 21.04% 30.72% -0.76% 4.27% -4.69% -3.64% 11.36% 5.14% -35.44% 6.63% -32.56% 55.58% -32.06% 26.07% -4.84% 77.56% -41.75% 145.87% -58.19% 1.63% 45.09% -6.44% -24.20% 0.89% 1.61% 54.81% -23.65% -9.57% 17.79% 13.65% -19.54% -9.40% 12.75% 16.90% -18.74% 3.64% 2.01% 98.35% -42.36% 9.72% 14.01% 8.19% -26.64% 29.14% -12.00% 81.46% -30.71% -17.62% 32.00% 13.88% -18.26% -10.73% 155.80% -22.77% -13.89% -7.67% -72.78% 514703.29% -37.16% 14.56% -99.72% -44.59% 137490.17%  
      less: net income attributable to noncontrolling interests
    9,996,000 1,896,000 6,148,000 9,394,000 4,948,000 4,650,000 7,196,000 5,178,000 3,988,000 3,244,000 1,019,000 -2,011,000 -740,000 -4,451,000 -6,003,000 -5,281,000 -2,892,000 -5,213,000 1,024,000 252,000 -21,000 -974,000 2,813,000 4,575,000 2,423,000 2,834,000 3,680,000 2,945,000 3,230,000 5,547,000 3,135,000 4,659,000 4,837,000 5,426,000 4,117,000 4,994,000 4,472,000                                    
      net income attributable to uhs
    348,682,000 445,941,000 372,957,000 353,218,000 316,680,000 332,397,000 258,714,000 289,152,000 261,834,000 216,378,000 166,989,000 171,313,000 163,115,000 174,820,000 182,814,000 164,062,000 153,913,000 239,124,000 218,351,000 325,024,000 209,091,000 308,708,000 241,279,000 251,929,000 142,037,000 245,176,000 97,190,000 238,320,000 234,168,000 158,075,000 171,746,000 226,052,000 223,832,000 219,609,000 141,245,000 185,394,000 206,055,000 174,208,000 151,865,000 185,577,000 190,759,000 173,749,000 150,287,000 182,193,000 174,299,000 172,797,000 82,797,000 151,671,000 138,078,000 124,521,000 114,587,000 151,841,000 119,784,000 135,461,000 71,817,000 107,561,000 128,607,000 95,271,000 85,054,000 103,649,000 114,193,000 37,182,000 55,610,000 65,572,000 71,819,000 60,865,000 51,074,000 80,893,000 67,541,000    
      basic earnings per share attributable to uhs
    5.71 7.15 5.92 5.49 4.87 5.05 3.89 4.32 3.9 3.17 2.42 2.44 2.31 2.45 2.52 2.22 2.05 3.03 2.65 3.85 2.46 3.62 2.84 2.97 1.64 2.8 1.1 2.67 2.57 1.72 1.85 2.4 2.37 2.32 1.48 1.93 2.13 1.79 1.56 1.91 1.95 1.77 1.52 1.84 1.76 1.75 0.84 1.53 1.4 1.27 1.17 1.55 1.23 1.39 0.74 1.11 1.33 0.99 0.87 1.06 1.17 0.498 0.57 0.68 0.74        
      diluted earnings per share attributable to uhs
    5.65 7.03 5.86 5.43 4.8 4.94 3.8 4.26 3.82 3.14 2.4 2.42 2.28 2.43 2.5 2.2 2.02 2.99 2.6 3.79 2.43 3.59 2.82 2.95 1.64 2.78 1.1 2.66 2.57 1.71 1.84 2.39 2.36 2.31 1.47 1.91 2.12 1.78 1.54 1.89 1.93 1.74 1.48 1.8 1.73 1.71 0.82 1.51 1.38 1.25 1.15 1.53 1.21 1.38 0.73 1.1 1.31 0.98 0.86 1.04 1.15 0.49 0.57 0.67 0.73        
      weighted-average number of common shares - basic
    61,071  62,974 64,356 64,970  66,537 66,878 67,204  68,867 70,073 70,535  72,595 73,682 75,030  82,262 84,224 84,782  84,672 84,632 86,212  87,952 89,136 90,776  92,849 93,842 94,226  95,246 96,247 96,585  97,118 97,109 97,607  98,858 99,004 98,910  99,052 98,872 98,572  98,151  97,711  96,817  96,593  97,397 97,563 97,381      48,887 48,850 49,206  53,499 57,791 
      add: other share equivalents
    597 84 689 635 1,067 45 1,571 1,042 1,278 -21 757 766 952 -29 465 753 1,011 -102 1,411 1,400 1,014 111 575 427 243 47 403 99 191 15 481 439 457 -98 731 795 787 -85 1,203 1,280 1,288 -90 2,301 1,923 1,737 75 1,981 1,363 1,585 170 1,436 1,178 860 -120 794 1,038 1,198 -123 1,201 1,695 1,487 47 1,158 1,351 911        
      weighted-average number of common shares and equivalents - diluted
    61,668  63,663 64,991 66,037  68,108 67,920 68,482  69,624 70,839 71,487  73,060 74,435 76,041  83,673 85,624 85,796  85,247 85,059 86,455  88,355 89,235 90,967  93,330 94,281 94,683  95,977 97,042 97,372  98,321 98,389 98,895  101,159 100,927 100,647  101,033 100,235 100,157  99,587  98,571  97,611  97,791  98,598 99,258 98,868      49,252 49,052 49,206  53,728 64,910 
      other income
                           -3,100,000 9,560,000 -19,338,000 9,407,000 -7,732,000 4,501,000 12,498,000 -11,409,000 -15,308,000                                         
      benefit from income taxes
                           79,154,000 46,323,000 73,148,000 37,205,000 69,543,000 58,898,000 43,828,000 54,186,000 71,059,000 67,569,000 76,923,000 74,992,000 103,883,000 107,899,000 102,610,000 88,175,000 107,397,000 111,005,000 101,832,000 84,373,000 106,304,000 102,694,000 100,569,000 48,440,000 91,731,000 83,931,000 73,772,000 69,473,000 98,015,000 74,049,000 85,736,000 42,132,000 67,000,000 79,748,000 54,828,000 52,234,000 66,395,000 74,009,000 38,432,000 27,404,000 41,057,000 45,409,000 39,167,000 32,043,000 57,187,000 42,078,000    
      net revenues before benefit from doubtful accounts
                                     2,849,971,000 2,775,790,000 2,827,709,000 2,825,472,000 2,638,436,000 2,610,911,000 2,638,848,000 2,619,593,000 2,512,872,000 2,439,071,000 2,452,680,000 2,380,101,000 2,264,629,000 2,175,554,000 2,195,776,000 2,128,350,000 2,116,288,000 2,134,740,000 2,081,662,000 2,078,348,000 1,969,395,000 1,869,263,000 1,914,463,000 1,977,003,000                
      less: benefit from doubtful accounts
                                     207,184,000 233,926,000 215,353,000 212,614,000 162,751,000 201,039,000 207,993,000 169,795,000 197,633,000 211,416,000 177,476,000 154,748,000 157,048,000 157,796,000 175,955,000 208,184,000 315,442,000 318,371,000 246,687,000 246,716,000 204,468,000 188,910,000 184,660,000 151,714,000                
      electronic health records incentive income
                                             -14,064,000 -356,000 -1,395,000  -23,873,000 -1,425,000 -2,174,000 -430,000 -33,081,000 -23,148,000 -83,000 -4,712,000                    
      less: income attributable to noncontrolling interests
                                         10,058,000 5,400,000 9,872,000 24,960,000 13,150,500 13,367,000 19,211,000 20,024,000 10,489,500 13,241,000 14,943,000 13,774,000 8,656,250 8,512,000 15,962,000 10,151,000 8,350,500 9,556,000 9,883,000 13,963,000 9,491,750 9,788,000 12,385,000 15,794,000 7,994,500 10,192,000 10,843,000 10,943,000        
      costs related to extinguishment of debt
                                                  36,171,000        29,170,000                  
      weighted-average number of common shares—basic
     63,581    66,554    69,321    73,118    82,519    85,061    88,762    93,276    95,652    97,208    98,797    98,826    98,033  98,033  96,821  96,691  97,199    96,786 96,777 96,703 96,539 97,794    53,481   
      weighted-average number of common shares and equivalents—diluted
     64,462    67,896    70,125    73,832    83,692    85,587    89,040    93,750    96,325    98,380    100,694    100,544    99,361  99,211  97,711  97,729  98,537    97,973 97,935 98,054 97,450 98,275    53,629   
      ehr incentive income
                                                         -3,126,500 -10,551,000                  
      benefit from doubtful accounts
                                                             143,687,000 155,899,000 160,917,000 153,116,000 144,288,000 133,467,000 143,764,000 125,390,000 127,869,000 141,086,000 120,670,000 118,978,000    
      income from continuing operations before interest expense and income taxes
                                                                     100,417,500 101,877,000 163,043,000 136,750,000    
      income from continuing operations before income taxes
                                                                     108,349,000 91,097,000 151,164,000 124,112,000    
      income from continuing operations
                                                                     69,182,000 59,054,000 93,977,000 82,034,000 29,002,000 52,042,000 38,750 
      income from continuing operations attributable to minority interests
                                                                     8,889,250 7,980,000 13,084,000 14,493,000    
      income from continuing operations attributable to uhs
                                                                     49,877,000 51,074,000 80,893,000 67,541,000    
      income from discontinued operations, net of income tax expense
                                                                            
      basic earnings per share attributable to uhs:
                                                                            
      from continuing operations
                                                                     -1.4 1.04 1.65 1.37 0.54 0.97 0.67 
      from discontinued operations
                                                                           -0.02 
      total basic earnings per share
                                                                     -1.4 1.04 1.65  0.54 0.97 0.65 
      diluted earnings per share attributable to uhs:
                                                                            
      total diluted earnings per share
                                                                     -1.4 1.03 1.64  0.54 0.97 0.62 
      other share equivalents
                                                                     47.25 365 202  148 229 542 
      net income attributable to uhs and minority interest:
                                                                            
      net income attributable to minority interest
                                                                     8,889.25 7,980 13,084     
      basic and diluted earnings per share attributable to uhs:
                                                                            
      total basic and diluted earnings per share
                                                                        1.37    
      net income attributable to minority interests
                                                                        14,493    
      provision for doubtful accounts
                                                                         110,451,000 103,039,000 82,028 
      hurricane related expenses
                                                                         82,000 1,058,000  
      hurricane insurance recoveries
                                                                            
      income before interest expense, hurricane insurance recoveries in excess of expenses, minority interests and income taxes
                                                                         66,423,000 106,950,000  
      hurricane insurance recoveries in excess of expenses
                                                                            
      minority interests in earnings of consolidated entities
                                                                         9,784,000 8,675,000 5,649 
      loss from discontinued operations, net of income taxes
                                                                         -148,000   
      basic earnings per share:
                                                                            
      diluted earnings per share:
                                                                            
      add: shares for conversion of convertible debentures
                                                                           6,577 
      income from discontinued operations, net of income taxes
                                                                          29,000  
      income before interest expense, minority interests and income taxes
                                                                           77,707 
      income from discontinued operations, net of income tax expense of 519 and (2,603) during the three months ended september 30, 2004 and 2003 and (246) and (983) during the nine months ended september 30, 2004 and 2003, respectively
                                                                           -905 
    Balance Sheets:
    Quarterly
    Annual
      Unit: USD2026-03-31 2025-12-31 2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 2009-09-30 2009-06-30 2009-03-31 2008-09-30 2008-06-30 2008-03-31 2007-09-30 2007-06-30 2007-03-31 2006-12-31 2006-09-30 2006-06-30 2006-03-31 2005-09-30 2005-06-30 2005-03-31 2004-09-30 2004-06-30 2004-03-31 2003-09-30 2003-06-30 2003-03-31 2002-12-31 2002-09-30 
                                                                                                
        assets
                                                                                                
        current assets:
                                                                                                
        cash and cash equivalents
      119,028,000 137,797,000 112,895,000 137,595,000 126,753,000 125,983,000 106,077,000 128,786,000 112,093,000 119,439,000 80,768,000 79,451,000 109,969,000 102,818,000 74,571,000 132,658,000 105,999,000 115,301,000 189,743,000 199,017,000 764,502,000 1,224,490,000 1,101,230,000 539,622,000 54,619,000 61,268,000 58,905,000 61,297,000 62,726,000 105,220,000 83,721,000 76,886,000 73,053,000 74,423,000 65,424,000 66,446,000 62,974,000 33,747,000 61,744,000 56,273,000 54,590,000 61,228,000 39,523,000 42,464,000 35,078,000 32,069,000 39,711,000 14,732,000 16,261,000 17,238,000 12,122,000 12,558,000 17,395,000 23,471,000 25,652,000 32,941,000 41,999,000 41,229,000 39,147,000 34,816,000 52,076,000 29,474,000 9,629,000 12,337,000 6,865,000 9,180,000 13,630,000 10,623,000 9,423,000 7,805,000 6,211,000 8,916,000 13,574,000 12,663,000 11,215,000 14,939,000 14,817,000 124,350,000 8,211,000 82,156,000 114,747,000 54,188,000 34,554,000 36,335,000 38,381 28,261 26,704 32,416 17,750,000 15,794 
        accounts receivable
      2,745,090,000 2,602,434,000 2,585,335,000 2,302,247,000 2,411,524,000 2,177,751,000 2,214,268,000 2,156,811,000 2,299,425,000 2,238,265,000 2,234,343,000 2,103,478,000 2,032,184,000 2,017,722,000 1,902,472,000 1,835,238,000 1,754,877,000 1,746,635,000 1,764,214,000 1,787,931,000 1,668,650,000 1,728,928,000 1,540,747,000 1,438,697,000 1,486,829,000 1,560,847,000 1,544,077,000 1,601,352,000 1,602,405,000 1,509,909,000 1,543,348,000 1,557,298,000 1,569,803,000 1,500,898,000 1,452,018,000 1,456,999,000 1,447,802,000 1,439,553,000 1,315,827,000 1,344,916,000 1,374,737,000 1,302,429,000 1,328,300,000 1,360,973,000 1,383,964,000 1,282,735,000 1,239,478,000 1,186,012,000 1,212,594,000 1,116,961,000 1,166,514,000 1,149,477,000 1,149,402,000 1,067,197,000 1,042,535,000 1,019,929,000 1,116,634,000 969,802,000 945,193,000 913,742,000 940,803,000 837,820,000 609,083,000 618,855,000 648,831,000 602,559,000 596,232,000 605,870,000 652,854,000 628,973,000 710,065,000 699,740,000 631,527,000 647,852,000 667,282,000 595,009,000 584,764,000 546,344,000 547,800,000 505,366,000 550,437,000 624,181,000 580,010,000 575,365,000 602,159 482,818 472,829 510,149 474,763,000 472,316 
        supplies
      229,415,000 232,110,000 226,655,000 222,783,000 221,991,000 220,940,000 220,062,000 218,780,000 216,058,000 216,988,000 214,587,000 215,380,000 216,236,000 218,517,000 217,818,000 209,569,000 208,302,000 206,839,000 202,824,000 195,141,000 193,961,000 190,417,000 176,105,000 167,626,000 162,597,000 159,889,000 156,285,000 153,574,000 149,928,000 148,206,000 144,471,000 140,797,000 137,246,000 136,177,000 135,849,000 130,698,000 126,481,000 125,365,000 121,616,000 117,710,000 116,725,000 116,037,000 112,718,000 109,117,000 108,269,000 108,115,000 104,390,000 104,280,000 102,276,000 101,781,000 101,249,000 100,324,000 98,974,000 99,000,000 97,013,000 96,882,000 96,974,000 96,775,000 95,777,000 95,550,000 95,129,000 94,330,000 84,708,000 84,683,000 83,822,000 84,272,000 80,726,000 78,885,000 77,022,000 72,636,000 72,947,000 73,382,000 70,874,000 68,562,000 67,638,000 64,532,000 64,352,000 54,043,000 53,556,000 50,895,000 54,479,000 61,503,000 63,679,000 63,066,000 64,571 53,658 58,929 60,018 58,217,000 58,597 
        other current assets
      406,168,000 435,574,000 333,077,000 327,357,000 317,106,000 291,614,000 261,549,000 236,317,000 243,352,000 236,658,000 223,303,000 226,405,000 200,710,000 198,283,000 261,698,000 258,760,000 232,724,000 194,781,000 186,518,000 183,216,000 157,052,000 138,034,000 143,072,000 150,842,000 130,301,000 133,930,000 171,360,000 148,809,000 145,382,000 174,467,000 169,713,000 105,546,000 104,624,000 86,504,000 101,896,000 109,017,000 94,817,000 82,706,000 88,712,000 85,005,000 89,386,000 103,490,000 81,459,000 71,548,000 80,524,000 77,654,000 143,311,000 117,498,000 97,685,000 76,446,000 90,771,000 86,733,000 94,147,000 87,936,000 93,022,000 99,534,000 91,622,000 99,859,000 95,862,000 91,223,000 81,079,000 130,060,000 52,091,000 38,985,000 36,863,000 27,270,000 35,365,000 31,182,000 32,392,000 25,300,000 27,099,000 31,710,000 30,172,000 28,178,000 25,835,000 19,113,000 20,779,000 28,047,000 25,608,000 31,290,000 33,784,000 36,039,000 30,806,000 25,108,000 41,543 31,743 33,539 30,863 30,823,000 28,377 
        total current assets
      3,499,701,000 3,407,915,000 3,257,962,000 2,989,982,000 3,077,374,000 2,816,288,000 2,801,956,000 2,740,694,000 2,870,928,000 2,811,350,000 2,753,001,000 2,624,714,000 2,559,099,000 2,537,340,000 2,456,559,000 2,436,225,000 2,301,902,000 2,263,556,000 2,343,299,000 2,365,305,000 2,784,165,000 3,281,869,000 2,961,154,000 2,296,787,000 1,834,346,000 1,915,934,000 1,930,627,000 1,965,032,000 1,960,441,000 1,937,802,000 1,941,253,000 1,880,527,000 1,884,726,000 1,798,002,000 1,755,187,000 1,763,160,000 1,732,074,000 1,681,371,000 1,587,899,000 1,606,753,000 1,635,438,000 1,718,304,000 1,696,554,000 1,708,959,000 1,717,237,000 1,615,138,000 1,622,094,000 1,529,881,000 1,543,113,000 1,432,329,000 1,503,280,000 1,483,980,000 1,501,351,000 1,407,496,000 1,488,424,000 1,456,446,000 1,463,145,000 1,364,905,000 1,371,949,000 1,368,106,000 1,401,184,000 1,331,116,000 1,078,903,000 822,219,000 837,856,000 796,197,000 794,990,000 787,073,000 832,520,000 777,800,000 843,988,000 836,232,000 806,880,000 801,783,000 807,643,000 728,506,000 712,892,000 779,040,000 658,579,000 774,676,000 762,775,000 776,969,000 728,168,000 711,772,000 764,786 599,835 610,876 654,578 606,576,000 602,853 
        property and equipment
      13,609,793,000  13,449,399,000 13,237,622,000 12,905,358,000  12,448,230,000 12,239,814,000 11,955,109,000  11,610,188,000 11,441,608,000 11,251,315,000  11,103,596,000 11,057,885,000 10,929,292,000  10,515,812,000 10,361,669,000 10,119,037,000  9,652,778,000 9,398,890,000 9,232,949,000  8,967,340,000 8,859,104,000 8,733,367,000  8,459,668,000 8,281,347,000 8,144,555,000  7,769,073,000 7,604,631,000 7,470,405,000  6,928,440,000 6,722,246,000 6,655,292,000  6,515,914,000 6,371,767,000 6,301,410,000  6,105,090,000 5,901,163,000 5,789,393,000  5,610,076,000 5,519,819,000 5,447,227,000  5,240,909,000 5,172,407,000 5,185,774,000  5,008,607,000 4,917,119,000 4,880,795,000  3,869,644,000 3,818,209,000 3,771,362,000  3,644,113,000 3,549,211,000 3,446,127,000 3,229,735,000 3,184,216,000 3,112,402,000 2,971,787,000 2,883,289,000 2,788,136,000  2,559,370,000 2,470,850,000 2,415,905,000 2,164,355,000 2,202,369,000 2,310,052,000 2,287,912,000 2,237,148,000 2,214,395 2,032,485 1,989,265 1,935,438  1,824,457 
        less: accumulated depreciation
      -6,546,146,000  -6,476,366,000 -6,354,633,000 -6,208,744,000  -6,005,664,000 -5,905,061,000 -5,770,371,000  -5,523,135,000 -5,413,892,000 -5,297,174,000  -5,167,198,000 -5,087,166,000 -5,010,825,000  -4,828,108,000 -4,731,772,000 -4,623,435,000  -4,403,941,000 -4,294,341,000 -4,190,658,000  -4,008,931,000 -3,914,406,000 -3,818,529,000  -3,623,049,000 -3,528,248,000 -3,444,003,000  -3,252,934,000 -3,162,756,000 -3,073,869,000  -2,900,273,000 -2,819,773,000 -2,774,740,000  -2,739,822,000 -2,685,730,000 -2,610,630,000  -2,456,116,000 -2,386,484,000 -2,321,221,000  -2,185,175,000 -2,116,414,000 -2,051,441,000  -1,924,833,000 -1,875,492,000 -1,881,538,000  -1,757,976,000 -1,698,776,000 -1,640,993,000  -1,552,164,000 -1,510,592,000 -1,467,874,000  -1,386,112,000 -1,345,692,000 -1,300,845,000 -1,214,445,000 -1,194,311,000 -1,153,137,000 -1,077,280,000 -1,042,442,000 -1,012,665,000  -949,480,000 -921,673,000 -905,712,000 -852,004,000 -851,307,000 -853,353,000 -837,948,000 -803,363,000 -795,434 -750,226 -738,479 -713,267  -670,205 
        other assets:
                                                                                                
        goodwill
      3,980,656,000 3,990,213,000 3,989,370,000 3,977,976,000 3,948,178,000 3,932,879,000 3,965,492,000 3,942,372,000 3,928,120,000 3,932,407,000 3,912,122,000 3,929,722,000 3,913,906,000 3,909,456,000 3,874,021,000 3,912,382,000 3,949,788,000 3,962,624,000 3,888,999,000 3,903,266,000 3,886,973,000 3,882,715,000 3,854,265,000 3,836,020,000 3,836,566,000 3,869,760,000 3,827,867,000 3,843,429,000 3,856,664,000 3,844,628,000 3,852,851,000 3,815,203,000 3,843,126,000 3,825,157,000 3,821,610,000 3,803,386,000 3,787,515,000 3,784,106,000 3,615,085,000 3,585,892,000 3,594,901,000 3,596,114,000 3,388,378,000 3,316,945,000 3,297,436,000 3,291,213,000 3,296,358,000 3,089,172,000 3,053,666,000 3,049,016,000 3,039,169,000 3,041,346,000 3,041,326,000 3,036,765,000 2,594,740,000 2,610,637,000 2,629,765,000 2,627,602,000 2,605,951,000 2,607,283,000 2,596,292,000 2,589,914,000 732,340,000 732,754,000 733,626,000 732,685,000 732,685,000 733,887,000 733,882,000 749,839,000 748,305,000 749,839,000 753,846,000 745,769,000 737,868,000 719,991,000 695,246,000 686,561,000 686,728,000 535,848,000 531,959,000 619,404,000 652,160,000 648,695,000 587,180 431,365 433,962 429,123 410,320,000 408,500 
        deferred income taxes
      68,339,000 70,517,000 145,319,000 147,680,000 133,244,000 118,449,000 121,904,000 107,963,000 94,853,000 85,626,000 99,580,000 109,773,000 90,918,000 68,397,000 55,789,000 51,548,000 47,549,000 45,707,000 48,591,000 34,945,000 23,514,000 22,689,000 19,936,000 20,241,000 17,482,000 16,189,000 19,199,000 15,747,000 5,350,000 5,280,000 2,944,000 2,967,000 3,072,000 3,007,000 1,340,000 1,301,000 1,255,000 1,234,000 2,748,000 2,849,000 178,947,000 135,120,000 134,554,000 124,857,000 109,402,000 114,565,000 95,204,000 107,359,000 114,297,000 119,903,000 132,624,000 134,888,000 120,691,000 104,461,000 123,131,000 122,795,000 115,916,000 108,324,000 103,031,000 121,441,000 118,671,000 120,834,000 66,420,000 51,109,000 39,895,000 51,336,000 47,457,000 38,933,000 39,249,000 32,215,000 27,666,000 22,484,000 48,810,000 29,062,000 35,673,000 34,913,000 28,180,000 26,256,000 23,404,000 21,478,000 9,328,000 50,935,000 19,119,000 11,898,000 18,132 3,355 18,875 21,132 25,023,000 27,769 
        right of use assets-operating leases
      375,316,000 374,239,000 382,430,000 389,836,000 409,458,000 418,719,000 421,441,000 425,407,000 422,268,000 433,962,000 443,924,000 446,618,000 458,189,000 454,650,000 457,209,000 360,791,000 368,921,000 367,477,000 309,387,000 317,231,000 326,703,000 336,513,000 330,172,000 335,388,000 341,264,000 326,518,000 329,328,000 332,135,000 342,032,000                                                              
        deferred charges
      9,234,000 9,272,000 9,363,000 9,535,000 9,186,000 9,404,000 9,705,000 6,858,000 6,871,000 6,974,000 7,062,000 5,858,000 5,987,000 6,264,000 6,336,000 6,188,000 6,310,000 6,525,000 6,721,000 4,865,000 4,782,000 4,985,000 5,136,000 6,390,000 5,936,000 6,373,000 6,926,000 7,533,000 8,207,000 8,772,000 6,933,000 8,081,000 8,882,000 9,787,000 10,385,000 11,720,000 12,562,000 13,520,000 14,138,000 15,319,000 16,235,000 35,357,000 35,113,000 36,927,000 38,761,000 40,319,000 41,910,000 48,976,000 53,521,000 57,881,000 62,619,000 66,910,000 71,218,000 75,888,000 87,092,000 106,095,000 105,870,000 111,780,000 116,229,000 120,378,000 125,644,000 108,660,000 13,841,000 8,864,000 9,316,000 8,643,000 9,666,000 10,318,000 11,440,000 9,578,000 11,495,000 7,755,000 6,824,000 7,088,000 6,977,000 7,262,000 6,173,000 5,981,000 9,799,000 10,305,000 10,505,000 13,350,000 15,185,000 15,418,000 14,489 14,198 14,294 14,795 14,390,000 15,340 
        other
      684,249,000 667,340,000 586,447,000 587,579,000 601,376,000 601,785,000 590,784,000 513,381,000 538,354,000 572,754,000 570,728,000 587,908,000 573,719,000 599,623,000 592,588,000 558,250,000 551,509,000 573,379,000 562,152,000 557,126,000 574,590,000 574,984,000 556,258,000 549,124,000 542,541,000 516,778,000 522,045,000 644,076,000 633,745,000 621,058,000 632,985,000 609,540,000 583,159,000 554,038,000 534,699,000 531,045,000 518,317,000 506,615,000 425,602,000 430,493,000 437,883,000 448,360,000 310,741,000 329,691,000 340,141,000 348,084,000 352,256,000 365,364,000 312,913,000 330,328,000 321,774,000 321,612,000 306,827,000 298,459,000 294,734,000 288,555,000 280,265,000 272,978,000 261,171,000 251,643,000 250,152,000 245,279,000 125,150,000 118,303,000 115,025,000 111,700,000 106,167,000 102,079,000 112,193,000 115,242,000 124,900,000 133,191,000 136,871,000 136,193,000 139,229,000 136,198,000 124,826,000 124,862,000 119,748,000 109,845,000 107,124,000 117,345,000 132,825,000 144,282,000 133,367 108,191 113,758 120,361 124,656,000 75,004 
        total assets
      15,681,142,000 15,527,593,000 15,343,924,000 14,985,577,000 14,875,430,000 14,469,749,000 14,353,848,000 14,071,428,000 14,046,132,000 13,967,602,000 13,873,470,000 13,732,309,000 13,555,959,000 13,494,188,000 13,378,900,000 13,296,103,000 13,144,446,000 13,093,543,000 12,846,853,000 12,812,635,000 13,096,329,000 13,476,879,000 12,975,758,000 12,148,499,000 11,620,426,000 11,668,250,000 11,594,401,000 11,752,650,000 11,721,277,000 11,265,480,000 11,273,585,000 11,069,417,000 11,023,517,000 10,761,828,000 10,639,360,000 10,552,487,000 10,448,259,000 10,317,802,000                                                     
        liabilities and stockholders’ equity
                                                                                                
        current liabilities:
                                                                                                
        current maturities of long-term debt
      756,240,000 748,158,000 740,186,000 40,897,000 40,410,000 40,059,000 38,351,000 127,508,000 127,477,000 126,686,000 126,555,000 111,357,000 96,235,000 81,447,000 66,307,000 66,205,000 48,486,000 48,409,000 44,961,000 107,370,000 107,281,000 331,998,000 94,504,000 82,085,000 69,521,000 87,550,000 78,077,000 91,833,000 71,991,000 63,446,000 342,425,000 126,302,000 126,248,000 545,619,000 112,757,000 126,109,000 126,064,000 105,895,000 91,246,000 94,802,000 488,262,000 62,722,000 84,883,000 73,807,000 89,023,000 68,319,000 81,477,000 77,686,000 103,641,000 99,312,000 88,292,000 73,579,000 1,712,000 2,589,000 2,499,000 2,497,000 2,512,000 2,479,000 2,511,000 2,541,000 3,033,000 3,449,000 401,673,000 2,032,000 1,526,000 2,573,000 2,918,000 8,730,000 8,725,000 8,260,000 2,814,000 3,774,000 3,329,000 3,014,000 2,851,000 1,938,000 3,137,000 3,646,000 3,999,000 3,873,000 3,994,000 16,113,000 11,924,000 13,193,000 12,528 11,225 11,935 11,092 8,253,000 3,495 
        accounts payable and other liabilities
      2,356,343,000  2,332,418,000 2,197,635,000 2,092,451,000  1,896,234,000 1,926,295,000 1,830,178,000  1,783,460,000 1,843,379,000 1,636,102,000  1,795,004,000 1,861,467,000 1,976,389,000  1,845,465,000 1,765,773,000 1,779,700,000  1,591,258,000 1,371,698,000                                                                   
        operating lease liabilities
      72,904,000 73,237,000 73,334,000 73,168,000 75,929,000 74,649,000 72,801,000 71,982,000 71,014,000 71,600,000 72,655,000 73,649,000 73,189,000 67,776,000 70,146,000 63,630,000 65,607,000 64,484,000 60,853,000 60,595,000 60,812,000 59,796,000 57,219,000 56,629,000 57,772,000 56,442,000 55,080,000 56,447,000 56,136,000                                                              
        federal and state taxes
      58,591,000  13,252,000 5,371,000 121,462,000  3,802,000 23,422,000 46,667,000  7,145,000 6,962,000 57,858,000  7,743,000 396,000 55,734,000  16,163,000 33,315,000 102,266,000  7,335,000 126,431,000 34,779,000  570,000 479,000 44,628,000  252,000 193,000 86,996,000   13,724,000 108,823,000  5,108,000 3,991,000 49,794,000  8,697,000 24,423,000 65,106,000    51,905,000  9,257,000 16,619,000 75,087,000  6,774,000 12,893,000 75,305,000  31,472,000 8,983,000 9,155,000   3,298,000 25,716,000   16,098,000 44,211,000   22,708,000  57,000 21,693,000  161,280,000 169,161,000 128,974,000 96,914,000 77,814,000 51,963,000 9,795,000 11,270,000 30,095 11,683 5,205 37,876 12,062,000 910 
        total current liabilities
      3,244,078,000 3,239,601,000 3,159,190,000 2,317,071,000 2,330,252,000 2,210,406,000 2,011,188,000 2,149,207,000 2,075,336,000 2,013,347,000 1,989,815,000 2,035,347,000 1,863,384,000 1,914,419,000 1,939,200,000 1,991,698,000 2,146,216,000 1,984,109,000 1,968,817,000 1,968,810,000 2,239,379,000 2,481,039,000 2,634,222,000 2,259,169,000 1,689,951,000 1,563,390,000 1,621,769,000 1,544,269,000 1,656,766,000 1,448,738,000 1,778,269,000 1,447,544,000 1,579,577,000 1,848,034,000 1,397,497,000 1,322,229,000 1,517,427,000 1,317,373,000 1,279,479,000 1,268,034,000 1,685,440,000 1,100,406,000 1,196,196,000 1,194,311,000 1,255,272,000 1,182,827,000 1,165,464,000 1,115,873,000 1,110,448,000 1,059,888,000 1,024,317,000 1,049,150,000 964,069,000 894,058,000 838,348,000 883,612,000 891,990,000 836,933,000 832,894,000 784,535,000 837,182,000 826,299,000 1,013,426,000 558,124,000 610,270,000 582,817,000 631,951,000 586,299,000 644,363,000 566,243,000 507,258,000 547,329,000 557,911,000 494,139,000 522,104,000 502,451,000 628,519,000 599,375,000 614,749,000 526,308,000 483,581,000 531,325,000 463,739,000 473,897,000 483,875 392,855 372,435 388,750 370,413,000 361,072 
        other noncurrent liabilities
      532,678,000 527,827,000 589,854,000 629,492,000 681,654,000 655,806,000 660,247,000 569,687,000 551,257,000 584,007,000 587,829,000 571,206,000 532,080,000 487,669,000 500,119,000 496,639,000 475,006,000 464,759,000 545,282,000 522,007,000 476,377,000 458,549,000 488,457,000 374,616,000 387,669,000 329,932,000 338,871,000 369,229,000 364,334,000 361,809,000 319,113,000 311,518,000 311,900,000 306,304,000 298,252,000 282,732,000 272,680,000 275,167,000 296,155,000 306,561,000 295,684,000 278,834,000 292,441,000 279,281,000 277,617,000 268,555,000 280,797,000 276,462,000 282,173,000 284,589,000 320,214,000 310,948,000 379,723,000 395,355,000 408,535,000 393,928,000 403,071,000 401,908,000 428,436,000 402,737,000 376,844,000 380,649,000 353,386,000 346,310,000 367,747,000 375,580,000 396,678,000 389,572,000 403,325,000 362,421,000 353,069,000 349,369,000 353,328,000 342,872,000 353,157,000 340,815,000 347,813,000 335,302,000 300,716,000 259,033,000 254,199,000 251,352,000 221,931,000 229,476,000 229,961 211,484 226,347 219,310 206,238,000 130,087 
        operating lease liabilities noncurrent
      344,555,000 340,715,000 346,467,000 351,932,000 368,518,000 376,239,000 377,644,000 379,580,000 374,380,000 382,559,000 388,550,000 387,709,000 396,488,000 395,522,000 392,582,000 300,197,000 305,643,000 304,624,000 250,754,000 258,823,000 267,707,000 278,303,000 274,236,000 279,747,000 284,008,000 270,076,000 274,248,000 275,688,000 286,101,000                                                              
        long-term debt
      3,952,118,000 4,004,393,000 3,950,934,000 4,542,000,000 4,609,272,000 4,464,482,000 4,618,060,000 4,416,731,000 4,734,328,000 4,785,783,000 4,796,074,000 4,605,075,000 4,707,321,000 4,726,533,000 4,638,356,000 4,599,204,000 4,250,689,000 4,141,879,000 3,709,316,000 3,486,222,000 3,505,822,000 3,524,253,000 3,514,673,000 3,449,940,000 3,735,799,000 3,896,577,000 3,870,294,000 4,057,121,000 3,821,938,000 3,935,187,000 3,683,919,000 3,864,162,000 3,795,087,000 3,494,390,000 3,927,396,000 3,988,912,000 3,772,515,000 4,030,230,000 3,542,923,000 3,499,375,000 2,792,144,000 3,387,303,000 3,009,954,000 2,961,515,000 3,051,571,000 3,210,215,000 3,373,341,000 3,070,311,000 3,109,158,000 3,209,762,000 3,411,635,000 3,473,106,000 3,668,762,000 3,727,431,000 3,440,962,000 3,458,509,000 3,581,844,000 3,651,428,000 3,685,230,000 3,750,928,000 3,850,859,000 3,912,102,000 614,923,000 881,344,000 891,615,000 956,429,000 852,270,000 913,148,000 938,844,000 935,461,000 1,050,491,000 1,041,308,000 900,628,000 951,060,000 910,424,000 821,363,000 464,806,000 465,284,000 603,533,000 528,302,000 525,849,000 684,397,000 828,766,000 849,587,000 895,882 632,526 690,184 730,600 680,514,000 658,065 
        redeemable noncontrolling interests
      73,380,000  66,982,000 59,569,000 13,324,000  5,623,000 5,418,000 4,987,000  4,719,000 4,213,000 4,269,000  4,563,000 4,449,000 4,314,000  4,886,000 4,693,000 4,470,000  4,177,000 4,287,000 3,953,000  4,061,000 3,986,000 3,843,000  6,389,000 6,341,000 6,081,000  7,037,000 6,974,000 8,848,000  9,280,000 8,782,000 261,492,000  250,213,000 250,533,000 254,843,000  231,473,000 231,545,000 228,107,000  218,080,000 233,417,000 234,724,000  234,056,000 226,537,000 228,928,000  213,131,000 214,679,000 223,819,000  202,929,000 205,463,000                           
        equity:
                                                                                                
        uhs common stockholders’ equity
      7,464,857,000  7,169,693,000 7,030,048,000 6,785,604,000  6,605,696,000 6,485,372,000 6,256,697,000  6,064,915,000 6,087,182,000 6,012,108,000  5,855,353,000 5,814,660,000 5,867,872,000  6,274,021,000 6,480,100,000 6,513,862,000  5,962,788,000 5,688,647,000 5,413,209,000  5,389,215,000 5,393,089,000 5,482,415,000  5,363,745,000 5,317,583,000 5,215,646,000  4,865,212,000 4,812,854,000 4,735,962,000  4,394,703,000 4,302,978,000 4,289,218,000  4,133,099,000 4,061,756,000 3,906,963,000  3,603,204,000 3,546,134,000 3,392,119,000  3,110,778,000 2,991,457,000 2,834,907,000  2,608,782,000 2,536,884,000 2,427,312,000  2,221,382,000 2,186,107,000 2,094,393,000  1,943,572,000  1,821,755,000  1,728,194,000 1,677,996,000 1,596,544,000                      
        noncontrolling interest
      66,242,000 62,996,000 60,804,000 55,465,000 86,806,000 83,316,000 75,390,000 65,433,000 49,147,000 47,714,000 41,568,000 41,577,000 40,309,000 44,768,000 48,727,000 89,256,000 94,706,000 103,389,000 93,777,000 91,980,000 87,977,000 84,821,000 72,310,000 72,925,000 71,834,000 74,766,000 74,730,000 71,362,000 69,896,000 76,531,000 75,385,000 72,627,000 70,376,000 61,922,000 64,998,000 64,973,000 65,359,000 64,374,000 68,413,000 64,949,000 62,084,000 59,514,000 60,617,000 60,054,000 57,427,000 55,134,000 54,122,000 53,174,000 52,036,000 50,250,000 51,693,000 52,357,000 51,748,000 52,604,000 54,691,000 52,775,000 51,491,000 50,766,000 47,638,000 47,059,000 44,710,000 44,999,000 44,565,000  244,799,000 238,475,000                         
        total equity
      7,531,099,000 7,338,788,000 7,230,497,000 7,085,513,000 6,872,410,000 6,749,523,000 6,681,086,000 6,550,805,000 6,305,844,000 6,196,715,000 6,106,483,000 6,128,759,000 6,052,417,000 5,965,350,000 5,904,080,000 5,903,916,000 5,962,578,000 6,193,053,000 6,367,798,000 6,572,080,000 6,601,839,000 6,401,967,000 6,035,098,000 5,761,572,000 5,485,043,000 5,578,871,000 5,463,945,000 5,464,451,000 5,552,311,000 5,465,793,000 5,439,130,000 5,390,210,000 5,286,022,000 5,051,436,000 4,930,210,000 4,877,827,000 4,801,321,000 4,597,594,000 4,463,116,000 4,367,927,000 4,351,302,000 4,309,161,000 4,193,716,000 4,121,810,000 3,964,390,000 3,791,080,000 3,657,326,000 3,599,308,000 3,444,155,000 3,300,229,000 3,162,471,000 3,043,814,000 2,886,655,000 2,765,949,000 2,663,473,000 2,589,659,000 2,478,803,000 2,347,118,000 2,269,020,000 2,233,166,000 2,139,103,000 2,023,771,000 1,988,137,000 1,930,130,000 2,066,554,000 1,989,546,000 1,968,402,000 1,928,051,000 1,837,518,000                      
        total liabilities and stockholders’ equity
      15,681,142,000 15,527,593,000 15,343,924,000 14,985,577,000 14,875,430,000 14,469,749,000 14,353,848,000 14,071,428,000 14,046,132,000 13,967,602,000 13,873,470,000 13,732,309,000 13,555,959,000 13,494,188,000 13,378,900,000 13,296,103,000 13,144,446,000 13,093,543,000 12,846,853,000 12,812,635,000 13,096,329,000 13,476,879,000 12,975,758,000 12,148,499,000 11,620,426,000 11,668,250,000 11,594,401,000 11,752,650,000 11,721,277,000 11,265,480,000 11,273,585,000 11,069,417,000 11,023,517,000 10,761,828,000 10,639,360,000 10,552,487,000 10,448,259,000 10,317,802,000                                                     
        land
       759,281,000    745,706,000    737,226,000    727,313,000    732,717,000    665,000,000    613,842,000    565,607,000    520,447,000    492,731,000    451,717,000    435,632,000    388,190,000    387,248,000    377,984,000    376,567,000    219,057,000          201,783,000             154,804,000  
        buildings and improvements
       8,076,327,000    7,671,206,000    7,139,980,000    6,756,228,000    6,509,629,000    6,030,183,000    5,646,508,000    5,387,646,000    4,952,856,000    4,676,752,000    4,181,576,000    3,948,501,000    3,593,055,000    3,366,146,000    3,244,117,000    3,057,313,000    2,098,164,000          1,356,437,000             978,655,000  
        equipment
       3,393,692,000    3,260,350,000    3,066,339,000    2,936,992,000    2,759,934,000    2,607,692,000    2,430,463,000    2,251,822,000    2,000,305,000    1,820,468,000    1,659,485,000    1,648,718,000    1,496,707,000    1,344,643,000    1,256,165,000    1,165,635,000    1,013,245,000          780,019,000             586,096,000  
        property under finance lease
       129,012,000    125,018,000    101,318,000    102,494,000    102,940,000                                                                         
        property and equipment - sum
       12,358,312,000    11,802,280,000    11,044,863,000    10,523,027,000                                                                             
        accumulated depreciation
       -6,481,714,000    -6,071,058,000    -5,652,518,000    -5,167,394,000    -4,896,427,000    -4,512,764,000    -4,089,679,000    -3,715,515,000    -3,349,289,000    -2,983,481,000    -2,694,591,000    -2,532,341,000    -2,249,733,000    -1,986,110,000    -1,818,180,000    -1,601,005,000    -1,423,580,000          -980,124,000             -687,430,000  
        construction-in-progress
       1,131,499,000    841,003,000    732,184,000    562,825,000    665,482,000    507,402,000    376,982,000    314,360,000    402,778,000    278,718,000    192,126,000    138,397,000    186,314,000    242,472,000    190,857,000    215,746,000    367,855,000          295,965,000             92,816,000  
        other assets: - sum
       5,111,581,000    5,081,236,000    5,031,723,000    5,038,390,000                                                                             
        accounts payable
       750,134,000    632,001,000    613,974,000    636,601,000    658,900,000    570,523,000    446,957,000    445,652,000    441,984,000    439,672,000    366,238,000    336,447,000    276,911,000    247,033,000    228,043,000    252,487,000    194,969,000          190,159,000             170,471,000  
        accrued liabilities
                                                                                                
        compensation and related benefits
       681,583,000    622,625,000    549,470,000    470,858,000    466,353,000    410,165,000    380,117,000    343,384,000    304,668,000    275,288,000    245,117,000    323,425,000    278,206,000    259,646,000    233,583,000    249,429,000    157,509,000          107,607,000             82,900,000  
        interest
       26,197,000    30,250,000    17,436,000    16,243,000    14,408,000    9,458,000    19,486,000    19,277,000    23,755,000    23,050,000    13,284,000    13,977,000    9,577,000    10,774,000    10,622,000    14,160,000    5,791,000          3,414,000             3,690,000  
        taxes other than income
       267,898,000    161,683,000    154,186,000    110,889,000    160,793,000    152,227,000    71,605,000    56,218,000    85,800,000    68,199,000    60,255,000    112,119,000    59,473,000    49,829,000    45,359,000    35,175,000    23,614,000          18,371,000             25,068,000  
        current federal and state income taxes
       1,930,000    14,219,000    2,046,000    4,608,000    10,720,000    44,423,000    2,515,000    2,428,000    18,334,000    2,149,000    3,987,000    1,446,000    7,127,000    1,062,000            1,627,000          9,204,000               
        commitments and contingencies
                                                                                                
        redeemable noncontrolling interest
       70,620,000    13,293,000    5,191,000    4,695,000    5,119,000    4,569,000    4,333,000    4,292,000    6,702,000    9,319,000    242,509,000    239,552,000    218,107,000    234,303,000    218,266,000                                 
        class a common stock, voting, .01 par value...
       66,000    66,000    66,000    66,000    66,000    66,000    66,000    66,000    66,000    66,000    66,000    66,000    66,000    66,000    66,000    67,000    67,000          33,000             33,000  
        class b common stock, limited voting, .01 par value...
       538,000    577,000    599,000    637,000    698,000    778,000    794,000    841,000    869,000    893,000    910,000    914,000    910,000    903,000    893,000    897,000    896,000          502,000             553,000  
        class c common stock, voting, .01 par value...
       7,000    7,000    7,000    7,000    7,000    7,000    7,000    7,000    7,000    7,000    7,000    7,000    7,000    7,000    7,000    7,000    7,000          3,000             3,000  
        class d common stock, limited voting, .01 par value...
                                                                                                
        cumulative dividends
       -765,357,000    -713,705,000    -659,890,000    -604,127,000    -545,487,000    -479,503,000    -462,159,000    -409,156,000    -371,814,000    -333,603,000    -294,728,000    -255,196,000    -225,531,000    -205,910,000    -147,515,000    -128,049,000    -108,627,000          -58,602,000 -54,247,000 -49,777,000 -45,443,000 -36,854,000 -32,387,000 -27,917,000 -18,628,000 -13,947,000 -9,294      
        retained earnings
       7,992,755,000    7,372,061,000    6,798,930,000    6,533,667,000    6,604,089,000    6,747,678,000    5,933,504,000    5,793,262,000    5,353,209,000    4,891,274,000    4,566,521,000    4,015,387,000    3,499,337,000    2,962,433,000    2,494,076,000    2,125,989,000    1,879,981,000          1,483,981,000 1,485,285,000 1,371,341,000 1,310,169,000 1,279,675,000 1,335,654,000 1,281,595,000 1,183,012,000 1,145,167,000 1,096,877 1,004,226 955,165 904,215 851,425,000 807,535 
        accumulated other comprehensive income
       47,783,000    7,201,000    9,289,000    -9,668,000    30,291,000    48,120,000    31,893,000    4,242,000    7,177,000                                              -9,273,000 -9,723,000 -1,275,000 1,009,000 342,000 -593      
        universal health services, inc. common stockholders’ equity
       7,275,792,000    6,666,207,000    6,149,001,000    5,920,582,000    6,089,664,000    6,317,146,000    5,504,105,000    5,389,262,000    4,989,514,000    4,533,220,000    4,249,647,000    3,735,946,000    3,249,979,000    2,713,345,000    2,296,352,000    1,978,772,000    1,751,071,000                         
        deferred grant revenue
                                                                                                
        medicare accelerated payments and deferred cares act and other grants
               5,375,000    2,397,000    6,000 1,375,000 1,757,000 189,320,000 376,151,000 878,480,000                                                                    
        medicare accelerated payments and deferred cares act noncurrent
                           322,617,000                                                                     
        medicare accelerated payments noncurrent
                                                                                                
        property under capital lease
                           75,611,000    38,582,000    44,020,000    44,740,000    45,768,000    45,665,000    40,782,000    27,636,000    27,836,000    37,037,000    38,711,000    40,497,000          31,005,000             42,346,000  
        legal reserves
                           12,625,000 5,426,000 145,227,000 145,227,000 144,509,000 144,120,000 141,750,000 128,294,000 129,150,000                                                             
        medicare accelerated payments and deferred governmental stimulus grants
                             477,099,000                                                                   
        accounts payable and accrued liabilities
                              1,382,652,000  1,343,922,000 1,253,760,000 1,355,717,000  1,435,592,000 1,321,049,000 1,366,333,000  1,284,740,000 1,182,396,000 1,282,540,000  1,183,125,000 1,169,241,000 1,147,384,000  1,102,616,000 1,096,081,000 1,101,143,000  1,083,987,000 1,038,187,000 954,902,000  926,768,000 958,952,000 886,434,000  810,963,000 852,256,000 814,173,000  796,041,000 768,997,000 821,413,000  611,753,000 552,794,000 583,028,000  629,033,000 561,471,000 591,427,000 553,762,000 504,444,000 520,847,000 554,582,000 491,068,000 497,560,000  464,102,000 426,568,000 481,776,000 425,521,000 401,773,000 463,027,000 442,020,000 444,322,000 431,870 369,947 355,295 339,782  356,667 
        accumulated other comprehensive loss
                                           -25,417,000    -23,129,000    -25,232,000    -24,810,000    -44,154,000    -51,175,000    -20,139,000    -21,253,000          -8,194,000 -8,672,000 -8,587,000 -10,721,000       -19,263 -14,145 -18,041 -18,690,000 -10,161 
        assets of facilities held for sale
                                                          20,742,000 25,431,000    48,916,000 92,939,000   118,598,000    21,580,000              1,782,000  1,058,000  10,258,000 46,438      
        liabilities of facilities held for sale
                                                          836,000 850,000    2,329,000 2,870,000   3,516,000                    222,000  5,112,000 9,382      
        current assets held for sale
                                                            107,071,000 84,365,000    111,334,000 113,426,000   16,250,000 21,580,000  21,580,000 21,580,000 21,580,000 10,871,000                     
        current liabilities held for sale
                                                            18,112,000 15,966,000    4,014,000 3,581,000         4,221,000                     
        reedemable noncontrolling interest
                                                                   211,761,000                             
        restricted cash
                                                                    256,972,000                            
        uhs common stockholders' equity
                                                                     1,887,365,000                           
        noncontrolling interests
                                                                     42,765,000                           
        minority interest
                                                                        240,208,000 250,055,000 240,974,000              187,170,000 184,616,000 178,419 158,858 145,398 139,070  133,303 
        other noncurrent assets held for sale
                                                                           30,587,000                     
        minority interests
                                                                           232,555,000 225,598,000 223,090,000 203,412,000 199,773,000 187,373,000 174,061,000 187,041,000 179,252,000 170,222,000 161,404,000 168,849,000 190,863,000       134,339,000  
        common stockholders’ equity
                                                                           1,566,314,000 1,544,474,000 1,487,212,000  1,514,774,000 1,461,195,000                
        deferred and prepaid income taxes
                                                                              60,733,000 44,528,000                 
        common stockholders' equity
                                                                              1,534,839,000                  
        common stockholders’ equity:
                                                                                                
        deferred compensation
                                                                                 -15,259,000 -8,558,000 -10,246,000  -10,096,000 -12,314,000          
        class a common stock
                                                                                  33,000 33,000 33,000 33,000 33,000 33,000 33,000 33,000 33 33 33 33  38 
        class b common stock
                                                                                  523,000 551,000 505,000 509,000 520,000 544,000 547,000 545,000 545 543 541 548  562 
        class c common stock, 335,800 shares outstanding in 2006 and 335,800 in 2005
                                                                                  3,000 3,000 3,000            
        class d common stock, 25,313 shares outstanding in 2006 and 25,626 in 2005
                                                                                                
        capital in excess of par
                                                                                  82,078,000 227,650,000             
        class d common stock, 25,321 shares outstanding in 2006 and 25,626 in 2005
                                                                                                
        class d common stock, 25,619 shares outstanding in 2006 and 25,626 in 2005
                                                                                                
        hurricane insurance recoveries receivable
                                                                                     81,709,000           
        class c common stock, 335,800 shares outstanding in 2005 and 335,800 in 2004
                                                                                     3,000 3,000 3,000         
        class d common stock, 26,546 shares outstanding in 2005 and 27,401 in 2004
                                                                                                
        class d common stock, 26,956 shares outstanding in 2005 and 27,401 in 2004
                                                                                                
        class d common stock, 27,096 shares outstanding in 2005 and 27,401 in 2004
                                                                                                
        capital in excess of par, net of deferred compensation of 16,418 in 2005 and 1,659 in 2004
                                                                                       21,912,000         
        class c common stock, 335,800 shares outstanding in 2004, 335,800 in 2003
                                                                                        3,000 3,000      
        class d common stock, 27,859 shares outstanding in 2004, 31,259 in 2003
                                                                                                
        capital in excess of par, net of deferred compensation of 6,464 in 2004 and 9,456 in 2003
                                                                                        48,401,000        
        class d common stock, 28,747 shares outstanding in 2004, 31,259 in 2003
                                                                                                
        capital in excess of par, net of deferred compensation of 7,322 in 2004 and 9,456 in 2003
                                                                                         46,800,000       
        class d common stock, 30,339 shares outstanding in 2004, 31,259 in 2003
                                                                                                
        capital in excess of par, net of deferred compensation of 9,309 in 2004 and 9,456 in 2003
                                                                                          45,758      
        class c common stock, 335,800 shares outstanding in 2003, 335,800 in 2002
                                                                                             
        class d common stock, 32,923 shares outstanding in 2003, 35,506 in 2002
                                                                                                
        capital in excess of par, net of deferred compensation of 10,586 in 2003 and 14,247 in 2002
                                                                                           38,997     
        class d common stock, 33,492 shares outstanding in 2003, 35,506 in 2002
                                                                                                
        capital in excess of par, net of deferred compensation of 11,387 in 2003 and 14,247 in 2002
                                                                                            34,835    
        class d common stock, 35,143 shares outstanding in 2003, 35,506 in 2002
                                                                                                
        capital in excess of par, net of deferred compensation of 12,309 in 2003 and 14,247 in 2002
                                                                                             63,231   
        current assets
                                                                                                
        funds restricted for construction
                                                                                                
        other assets
                                                                                                
        liabilities and common stockholders’ equity
                                                                                                
        current liabilities
                                                                                                
        capital in excess of par value, net of deferred compensation of 14,247 in 2002 and 203 in 2001
                                                                                              84,135,000  
        class c common stock, 387,848 shares outstanding in 2002, 387,848 in 2001
                                                                                               
        class d common stock, 36,202 shares outstanding in 2002, 39,109 in 2001
                                                                                                
        capital in excess of par, net of deferred compensation of 15,580 in 2002 and 203 in 2001
                                                                                               148,943 
      Cashflow Statements:
      Quarterly
      Annual
        Unit: USD2025-09-30 2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-12-31 2020-09-30 2020-06-30 2020-03-31 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2014-12-31 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2011-12-31 2011-09-30 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 2009-09-30 2009-06-30 2009-03-31 2008-09-30 2008-06-30 2008-03-31 2007-09-30 2007-06-30 2007-03-31 2006-12-31 2006-09-30 2006-06-30 2006-03-31 2005-09-30 2005-06-30 2005-03-31 2004-06-30 2004-03-31 2003-09-30 2003-06-30 2003-03-31 2002-12-31 
                                                                                      
          cash flows from operating activities:
                                                                                      
          net income
        379,105,000 362,612,000 321,628,000 337,047,000 265,910,000 294,330,000 265,822,000 219,622,000 168,008,000 169,302,000 162,375,000 170,369,000 176,811,000 158,781,000 151,021,000 233,911,000 219,375,000 325,276,000 209,070,000 307,734,000 244,092,000 256,504,000 144,460,000 248,010,000 100,870,000 241,265,000 237,398,000 163,622,000 174,881,000 230,711,000 228,669,000 225,035,000 145,362,000 190,388,000 210,527,000 178,738,000 157,265,000 195,449,000 215,719,000 191,317,000 163,654,000 190,492,000 151,852,000 133,186,000 123,099,000 167,803,000 129,935,000 147,660,000 81,373,000 108,007,000 94,842,000 50,816,000 65,802,000 76,415,000 82,762,000     36,997,000 54,240,000 61,663,000 28,854,000 52,071,000 49,508,000 34,170,000 113,945,000 60,259,000 51,084,000 8,319,000 158,843,000 61,409,000 94,473,000 46,183 49,061 50,950 52,790 175,229,529 
          adjustments to reconcile net income to net cash from operating activities:
                                                                                      
          depreciation & amortization
        155,060,000 152,004,000 148,345,000 146,781,000 149,567,000 147,480,000 141,003,000 145,481,000 137,195,000 143,744,000 141,621,000 148,353,000 145,874,000 143,850,000 143,784,000 133,363,000 134,462,000 133,985,000 131,403,000 133,930,000 125,961,000 126,208,000 124,394,000 127,656,000 121,528,000 121,168,000 120,040,000 118,074,000 112,286,000 109,582,000 113,134,000 113,756,000 110,217,000 113,112,000 110,798,000 107,436,000 103,712,000 101,411,000 104,049,000 102,921,000 99,442,000 98,118,000 93,359,000 88,708,000 86,971,000 81,754,000 79,923,000 81,049,000 78,938,000 75,653,000 75,259,000 60,931,000 55,530,000 54,025,000 53,511,000 51,279,000 51,205,000 51,084,000 51,135,000 49,332,000 48,009,000 47,370,000 46,529,000 45,406,000 43,482,000 43,334,000 40,961,000 40,369,000 39,030,000 38,705,000 40,252,000 45,506,000 81,399,000 40,706 35,799 35,513 34,537  
          loss on sales of assets and businesses
                                                                                     
          costs related to extinguishment of debt
                                                                                  
          stock-based compensation expense
        24,879,000 24,112,000 21,595,000 26,622,000 26,565,000 26,532,000 19,630,000 22,018,000 22,640,000 22,098,000 20,964,000 22,637,000 21,101,000 22,585,000 19,055,000 18,138,000 18,517,000 19,009,000 18,022,000 15,909,000 15,974,000 15,907,000 18,047,000 17,264,000 17,491,000 17,085,000 17,591,000 15,936,000 15,929,000 15,016,000 19,700,000 13,900,000 13,785,000 13,705,000 15,348,000 11,751,000 11,665,000 11,489,000 13,204,000 9,826,000 9,671,000 8,379,000 7,152,000  6,493,000 6,468,000 7,111,000  5,193,000  4,769,000  4,351,000 4,262,000 4,065,000                        
          changes in assets & liabilities, net of effects from acquisitions and dispositions:
                                                                                      
          accounts receivable
        -201,574,000 125,738,000 -218,374,000 55,652,000 -54,471,000 140,620,000 -74,446,000 10,664,000 -111,030,000 -66,355,000 -15,723,000 -103,196,000 -65,413,000 -74,656,000 -15,073,000 20,206,000 6,824,000 -92,754,000 56,851,000 -191,336,000 -85,859,000 61,531,000 69,763,000 -4,724,000 63,997,000 290,000 -101,619,000 31,890,000 -10,074,000 8,471,000 -72,526,000 -34,809,000 9,149,000 6,303,000 -5,362,000 -81,045,000 38,893,000 34,233,000 -79,962,000 15,063,000 34,136,000 -7,515,000 -95,633,000 49,553,000 -17,037,000 -365,000 -81,859,000 15,753,000 -22,884,000 -31,138,000 -26,039,000 29,477,000 9,772,000 29,976,000 -46,499,000 -22,149,000 16,355,000 49,286,000 -44,894,000 65,393,000 -11,276,000 -63,587,000 18,932,000 21,016,000 -57,307,000 -8,420,000 -38,514,000 1,456,000 -48,074,000 38,043,000 19,602,000 -65,960,000 -39,323,000 -71,645 -11,852 40,224 -20,762 -34,955,583 
          accrued interest
        11,584,000 -15,618,000 11,086,000 14,576,000 -5,072,000 -143,000 3,453,000 1,133,000 167,000 555,000 -662,000 1,306,000 -800,000 1,149,000 180,000 1,236,000 5,173,000 -11,592,000 10,133,000 498,000 -8,335,000 2,221,000 -4,412,000 3,171,000 -3,910,000 3,635,000 -2,687,000 1,330,000 -6,007,000 6,408,000 -6,209,000 6,452,000 -5,958,000 6,334,000 -6,123,000 6,463,000 -5,855,000 8,470,000 688,000 -396,000 1,223,000 -2,147,000 11,063,000 -11,573,000 -2,823,000 1,702,000 11,497,000 -11,749,000 -3,972,000 -16,720,000 15,452,000 -29,000 10,194,000 -10,114,000 8,357,000 -10,355,000 10,606,000 -10,385,000 10,491,000 10,479,000 -8,188,000 8,999,000 -205,000 -274,000 9,534,000 -6,723,000 8,007,000 -3,825,000 3,337,000 3,716,000 -3,413,000 4,147,000 28,000 4,510 1,988 -2,065 2,329 636,949 
          accrued and deferred income taxes
        16,626,000 -144,554,000 88,641,000 23,600,000 -37,919,000 -45,223,000 72,193,000 -10,210,000 -545,000 -79,271,000 46,576,000 -24,610,000 29,360,000 -81,808,000 47,548,000 -1,303,000 -25,958,000 -80,538,000 53,769,000 11,688,000 -118,802,000 71,507,000 45,200,000 28,520,000 -36,868,000 -69,137,000 52,291,000 -887,000 -10,625,000 -104,214,000 61,674,000 13,772,000 -14,648,000 -107,798,000 102,269,000 9,881,000 -5,810,000 -73,134,000 91,131,000 -21,826,000 -23,438,000 52,312,000 65,321,000 13,943,000 2,553,000 -50,525,000 68,890,000 10,634,000 -4,215,000 -17,157,000 47,529,000 2,788,000 -6,602,000 -33,434,000 37,380,000 4,106,000 2,890,000 -20,128,000 28,062,000 -6,706,000 -28,013,000 31,301,000 994,000 -34,741,000 27,373,000 -148,183,000 -20,450,000 30,077,000 27,118,000   32,084,000 16,004,000 25,667 26,537 -29,561 31,288 7,346,710 
          other working capital accounts
        -4,909,000 68,148,000 -42,824,000 60,568,000 -38,357,000 72,977,000 -33,291,000 32,741,000 -85,278,000 139,821,000 -119,605,000 27,211,000 -75,092,000 -162,119,000 63,308,000 -6,090,000 49,056,000 -79,103,000 82,663,000 38,601,000 59,583,000 -47,568,000 73,929,000 -50,598,000 60,180,000 -77,796,000 107,878,000 -64,461,000 80,180,000 -50,055,000 59,032,000 -38,894,000 117,444,000 -160,592,000 66,877,000 -50,498,000 1,672,000 24,343,000 98,972,000 -71,538,000 -43,119,000 14,299,000 -34,999,000 15,921,000 -22,108,000 72,206,000 -39,785,000 71,470,000 -29,831,000 45,960,000 -25,925,000 -53,134,000 42,450,000 -13,364,000 -2,389,000 -59,262,000 41,933,000 -8,080,000 6,581,000 17,610,000 -9,446,000 27,777,000 47,683,000 -13,690,000 13,565,000 9,933,000 14,859,000 -37,337,000 30,635,000 -4,027,000 22,288,000 25,197,000 42,350,000 16,310 425 22,554 -35,087 23,660,600 
          other assets and deferred charges
        -7,225,000 -21,915,000 -489,000 -6,542,000 -2,591,000 17,277,000 -20,307,000 -468,000 16,239,000 8,019,000 24,727,000 -2,301,000 -8,059,000 4,236,000 26,042,000 -5,299,000 -5,275,000 -28,746,000 -17,000 -5,826,000 -3,824,000 -5,989,000 11,084,000 -42,442,000 16,570,000 2,438,000 -3,771,000 5,704,000 -22,989,000 -8,706,000 -5,438,000 -6,809,000 -1,871,000 -12,172,000 -7,755,000 -14,220,000 -3,302,000 -2,346,000 -5,803,000 2,000 2,555,000 -2,201,000 9,982,000 -4,441,000 4,356,000 2,407,000 6,662,000 5,017,000 12,093,000 16,945,000 8,690,000 27,281,000 -8,872,000 -2,639,000 -4,231,000 -4,974,000 -128,000 5,746,000 -1,902,000 496,000 14,470,000 1,351,000 3,820,000 -972,000 -2,811,000 -4,419,000 7,799,000 -1,895,000 1,039,000 -806,000 -11,897,000 15,451,000 -2,259,000 7,310 5,642 2,169 9,783 -5,110,153 
          other
        2,971,000 12,332,000 3,811,000 -3,921,000 11,455,000 5,380,000 8,897,000 25,416,000 -1,754,000 8,441,000 7,030,000 14,682,000 -7,595,000 -11,743,000 -4,020,000 -91,682,000 4,555,000 2,429,000 2,623,000 -6,264,000 123,090,000 -4,621,000 -3,038,000 64,168,000 -6,778,000 -11,389,000 -38,298,000 41,607,000 4,132,000 56,518,000 -37,642,000 12,100,000 -31,253,000 -23,182,000 -229,000 23,099,000 5,990,000 31,139,000 20,911,000 10,155,000 10,977,000 9,449,000 -3,833,000 17,693,000 1,709,000 2,479,000 1,604,000 534,000 3,783,000 -5,533,000 678,000 5,368,000 -43,000 -349,000 -4,164,000 -6,786,000 4,214,000 4,400,000 -1,073,000 6,937,000 7,124,000 -1,714,000 6,163,000 2,801,000 -4,041,000 3,713,000 3,529,000 3,177,000 4,707,000 3,076,000 384,000 3,733,000 1,386,000 5,035 -5,078 -4,181 -1,097 -6,193,212 
          accrued insurance expense, net of commercial premiums paid
        82,358,000 47,362,000 47,334,000 79,290,000 72,882,000 51,110,000 51,112,000 42,048,000 46,257,000 52,612,000 42,545,000 39,815,000 37,338,000 55,885,000 41,685,000 45,513,000 36,623,000 68,612,000 35,467,000 45,652,000 32,555,000 31,457,000 49,559,000 29,427,000 24,426,000 27,421,000 24,398,000 23,477,000 23,131,000 23,130,000 23,125,000 21,781,000 21,911,000 36,896,000 22,007,000 18,589,000 21,818,000 21,615,000 22,616,000 15,180,000 25,204,000 1,547,000 21,302,000 -2,415,000 21,184,000 -45,552,000 22,962,000 -4,092,000 24,511,000 12,426,000 23,706,000 -13,031,000 17,279,000 -3,469,000 18,960,000 12,993,000 17,998,000 -6,691,000 20,014,000 19,384,000 19,367,000 19,376,000 21,880,000 324,000 23,071,000 15,078,000 20,205,000 18,644,000 22,529,000 20,414,000 21,083,000 21,862,000 39,307,000 19,024 15,328 15,241 15,399 58,274,059 
          payments made in settlement of self-insurance claims, net of commercial insurance reimbursements
        -78,197,000                                                                              
          net cash from operating activities
        380,678,000 548,978,000 360,048,000 658,437,000 332,977,000 679,281,000 396,406,000 452,431,000 161,665,000 362,948,000 290,753,000 297,304,000 220,672,000 32,614,000 445,433,000 322,020,000 442,227,000 47,653,000 71,795,000 142,012,000 766,788,000 949,307,000 502,062,000 389,159,000 425,224,000 233,185,000 390,901,000 365,405,000 346,227,000 265,210,000 364,051,000 304,316,000 344,673,000 50,584,000 483,008,000 188,369,000 298,923,000 336,955,000 464,227,000 224,399,000 264,896,000 346,322,000 194,639,000 292,509,000 185,730,000 218,239,000 187,763,000 280,265,000 162,144,000 155,749,000 206,726,000 101,745,000 180,229,000 83,653,000 135,717,000 49,030,000 187,695,000 144,578,000 152,002,000 197,477,000 66,790,000 131,676,000 163,805,000 60,000,000 98,976,000 -80,781,000 60,948,000 78,732,000 110,340,000 126,005,000 95,826,000 134,612,000 224,675,000 95,126 103,224 129,412 80,766 331,013,819 
          capital expenditures
        -2,237,000 32,691,000 116,196,000 30,776,000 -20,927,000 48,135,000 60,125,000 -41,513,000 7,951,000 39,120,000 61,341,000 -25,200,000 -15,156,000 21,690,000 90,730,000 93,806,000 -22,551,000 35,855,000 60,124,000 -1,548,000 -3,629,000 21,096,000 58,935,000 -20,038,000 11,629,000 -64,000 71,987,000 -11,258,000 -2,810,000 7,034,000 84,708,000 17,538,000 1,869,000 6,662,000 56,427,000 20,383,000 2,572,000 -4,627,000 47,374,000 11,858,000 2,740,000 
          free cash flows
        378,441,000 581,669,000 476,244,000 689,213,000 312,050,000 727,416,000 456,531,000 410,918,000 169,616,000 402,068,000 352,094,000 272,104,000 205,516,000 54,304,000 536,163,000 415,826,000 419,676,000 83,508,000 131,919,000 140,464,000 763,159,000 970,403,000 560,997,000 369,121,000 436,853,000 233,121,000 462,888,000 354,147,000 343,417,000 272,244,000 448,759,000 321,854,000 346,542,000 57,246,000 539,435,000 208,752,000 301,495,000 332,328,000 511,601,000 236,257,000 267,636,000 346,322,000 194,639,000 292,509,000 185,730,000 218,239,000 187,763,000 280,265,000 162,144,000 155,749,000 206,726,000 101,745,000 180,229,000 83,653,000 135,717,000 49,030,000 187,695,000 144,578,000 152,002,000 197,477,000 66,790,000 131,676,000 163,805,000 60,000,000 98,976,000 -80,781,000 60,948,000 78,732,000 110,340,000 126,005,000 95,826,000 134,612,000 224,675,000 95,126 103,224 129,412 80,766 331,013,819 
          cash flows from investing activities:
                                                                                      
          property and equipment additions
        -228,892,000 -266,014,000 -239,026,000 -245,945,000 -247,932,000 -241,394,000 -208,539,000 -206,390,000 -200,001,000 -167,912,000 -168,752,000 -164,446,000 -161,593,000 -207,960,000 -200,002,000 -189,634,000 -183,814,000                                                          -68,811 -58,077 -40,342 -200,773,316 
          proceeds received from sales of assets and businesses
          8,344,000 24,791,000 5,428,000 499,000 14,429,000 9,259,000 1,769,000 10,232,000 4,282,000   317,000 1,411,000   1,953,000    12,663,000 839,000                              2,235,000        252,547,000 124,589,000 68,777,000 425     
          acquisition of businesses and property
        -39,458,000 -8,314,000       -1,643,000 -6,181,000   -66,024,000     -51,041,000                                                          
          outflows from foreign exchange contracts that hedge our net u.k. investment
                                                                                      
          costs incurred for purchase and development of enterprise resource planning application
                                                                                      
          decrease in capital reserves of commercial insurance subsidiary
        562,000 -198,000 -264,000 79,000 1,000 41,000 155,000     100,000 100,000                                                            
          net cash from investing activities
        -269,413,000 -305,939,000 -271,299,000 -207,993,000 -265,637,000 -242,842,000 -194,637,000 -238,847,000 -176,419,000 -169,698,000 -178,311,000 -248,390,000 -73,326,000 -156,620,000 -168,960,000 -254,756,000 -176,009,000 -221,374,000 -262,327,000 -227,859,000 -277,888,000 -161,796,000 -135,019,000 -275,757,000 -116,254,000 -128,889,000 -167,510,000 -158,238,000 -239,433,000 -189,449,000 -226,278,000 -156,695,000 -163,194,000 -129,884,000 -174,626,000 -654,833,000 -257,144,000 -128,483,000 -146,757,000 -462,948,000 -244,857,000 -125,054,000 -90,742,000 -97,152,000 -109,654,000 -70,978,000 -105,674,000 -503,147,000 -124,569,000 -77,610,000 -82,580,000 -1,780,821,000 -296,622,000 -56,958,000 -59,682,000 -95,464,000 -94,759,000 -114,035,000 -78,219,000 -68,427,000 -74,867,000 -79,516,000 -100,743,000 -93,055,000 -182,221,000 -144,278,000 -20,168,000 -46,985,000 -66,938,000 -86,906,000 201,620,000 61,444,000 -191,632,000 -107,676 -57,213 -56,877 -82,846 -195,406,066 
          cash flows from financing activities:
                                                                                      
          repayments of long-term debt
        -9,243,000 -9,435,000 -9,113,000 -168,486,000 -2,088,840,000 -318,770,000 -63,905,000 -31,471,000 39,548,000 -77,068,000 -16,489,000 104,748,000 32,739,000 -214,888,000 -11,966,000 -10,980,000                                                               
          additional borrowings
        114,385,000 -57,853,000 152,454,000 2,198,210,000 12,038,000 20,100,000   11,300,000 5,321,000 582,600,000 117,400,000 342,600,000 2,905,796,000   -1,598,000 797,744,000 5,453,000 24,120,000 -162,100,000 168,500,000 8,700,000 708,847,000 51,900,000 10,000,000 20,500,000 -2,024,000 21,524,000 21,600,000    14,400,000 218,100,000 11,100,000 -139,800,000 11,900,000 14,261,000 -9,500,000 1,500,000 9,500,000 7,500,000  62,100,000 3,016,146,000    25,899,000     33,180,000 53,729,000 31,607,000 84,664,000 245,708,000   -291,000 8,114,000     38,738  
          financing costs
           -2,574,000    -15,000 -1,000 -292,000 -623,000 -154,000   -803,000    -2,044,000        -13,013,000 -20,000   -42,000    -119,000 -1,596,000 -10,690,000 -44,000   -1,563,000      -26,000  -49,000 -25,000 -96,799,000              -395,000            
          repurchase of common shares
        -237,399,000 -155,157,000 -223,385,000 -250,166,000 -182,601,000 -95,903,000 -142,084,000 -162,024,000 -175,583,000 -124,717,000 -85,039,000 -109,534,000 -158,202,000 -199,677,000 -365,505,000 -450,210,000 -402,585,000 -360,616,000 -7,464,000 -6,621,000 -44,000 -27,962,000 -172,092,000 -182,528,000 -93,327,000 -350,864,000 -143,785,000 -136,169,000 -126,472,000 -125,343,000 -9,441,000 -121,531,000 -95,407,000 -118,296,000 -29,167,000 -56,203,000 -58,038,000 -68,097,000 -171,042,000 -79,920,000 -61,705,000 -37,457,000 -13,993,000 -5,015,000 -813,000 -7,346,000 -14,027,000 -9,478,000 -6,749,000 -15,950,000 -38,369,000 -7,565,000 -260,000 -1,546,000 -2,157,000 -47,821,000 -30,000 -712,000 -14,725,000 -14,620,000 -17,000 -89,799,000 -11,045,000 -53,000 -3,288,000 -130,029,000 -149,335,000 -69,442,000 -1,566,000 -66,911,000 -156,271,000 -1,255,000 -350,000 -350 -733 -30,822 -22,517 -76,606,497 
          dividends paid
        -12,468,000 -12,900,000 -13,534,000 -13,044,000 -13,296,000 -13,405,000 -13,601,000 -13,516,000 -13,701,000 -14,049,000 -14,214,000 -14,257,000 -14,551,000 -14,766,000 -14,875,000 -15,612,000 -16,440,000 -16,826,000 -17,018,000 -17,344,000 -17,447,000 -17,603,000 -8,872,000 -9,081,000 -9,256,000 -9,282,000 -9,382,000 -9,422,000 -9,435,000 -9,496,000 -9,618,000 -9,662,000 -9,678,000 -9,713,000 -9,727,000 -9,757,000 -9,836,000 -9,892,000 -9,871,000 -4,933,000 -4,915,000 -4,911,000 -4,925,000 -4,870,000 -43,876,000 -4,846,000 -4,828,000 -4,875,000 -4,867,000 -4,862,000 -4,859,000 -4,834,000 -4,885,000 -3,931,000 -3,928,000 -3,962,000 -4,051,000 -4,024,000 -4,072,000 -4,296,000 -4,311,000 -4,310,000 -4,355,000 -4,470,000 -4,334,000 -4,286,000 -4,467,000 -4,470,000 -4,645,000 -9,303,000 -4,650     
          issuance of common stock
        3,982,000 4,479,000 3,658,000 4,206,000 3,637,000 3,986,000 3,241,000 3,813,000 3,243,000 3,610,000 2,988,000 3,669,000 3,738,000 3,158,000 3,503,000 3,264,000 3,666,000 3,085,000 3,357,000 3,030,000 3,436,000 2,850,000 3,002,000 2,558,000 2,977,000 2,545,000 2,726,000 2,459,000 2,778,000 2,414,000 2,545,000 2,617,000 2,710,000 2,387,000 2,540,000 3,124,000 2,017,000 2,031,000 2,331,000 2,411,000 1,991,000 1,956,000 1,445,000 1,612,000 1,361,000 1,503,000 1,232,000 1,607,000 1,253,000 1,183,000 1,188,000 -1,610,000 1,371,000 2,206,000 1,627,000 1,722,000 218,000 683,000 667,000 600,000 58,000 1,093,000 -403,000 1,329,000 115,000 1,432,000 1,567,000 1,054,000 1,584,000 856,000 10,672,000 771,000 1,795,000 1,431    2,945,214 
          profit distributions to noncontrolling interests
        -788,000 -3,709,000 -5,912,000 -717,000 -702,000 -609,000 -4,480,000 -1,572,000 -523,000 -590,000 -4,145,000 35,000 -103,000 -34,000 -5,289,000 -1,336,000 -127,000 -1,092,000 -4,525,000 -4,630,000 -6,290,000 -3,150,000 -5,735,000 -3,972,000 -237,000 -1,336,000 -10,314,000 -6,352,000 -329,000 -3,697,000 -4,217,000 -8,789,000 -4,494,000 -7,312,000 -4,118,000 -8,530,000 -1,438,000 -56,208,000 -3,407,000 -26,255,000 -12,670,000 -8,606,000 -1,989,000 -10,081,000 -24,514,000 -16,660,000 -10,074,000 -13,208,000 -122,000 -4,535,000 -10,761,000 -8,898,000 -11,222,000 -7,713,000 -4,623,000                        
          purchase (sale) of ownership interests by (from) minority member
        7,392,000 6,924,000 4,412,000                                                                            
          net cash from financing activities
        -134,521,000 -227,651,000 -91,420,000 -426,760,000 -89,650,000 -419,520,000 -208,947,000 -182,316,000 17,970,000 -223,708,000 -105,891,000 -15,373,000 -178,994,000 154,006,000 -278,039,000 -132,930,000 -274,147,000 -391,996,000 -269,877,000 217,667,000 71,784,000 -302,496,000 -371,814,000 -164,790,000 -309,848,000 -104,104,000 -266,294,000 -184,011,000 -98,924,000 -68,556,000 -140,711,000 -138,784,000 -183,048,000 82,119,000 -279,440,000 437,994,000 -35,467,000 -205,287,000 -323,188,000 261,267,000 -22,091,000 -228,257,000 -104,874,000 -190,241,000 -76,512,000 -152,098,000 -88,165,000 220,701,000 -44,864,000 -76,057,000 -119,815,000 1,698,921,000 113,685,000 -21,223,000 -78,350,000 41,984,000 -89,929,000 -29,343,000 -69,820,000 -127,456,000 5,372,000 -59,598,000 -62,151,000   225,181,000 -150,313,000 84,392,000 -43,154,000 -71,690,000 -236,887,000 -174,993,000 -31,571,000 16,068 -44,454 -78,247 16,746 -140,698,699 
          effect of exchange rate changes on cash, cash equivalents and restricted cash
        -1,541,000 2,286,000 1,645,000  3,088,000 100,000 -492,000  -1,884,000 727,000 1,650,000  -4,882,000 -3,225,000 -2,232,000  -1,342,000 237,000 423,000  933,000 34,000 -1,673,000  -986,000 -1,067,000 794,000  -604,000 -2,995,000 1,857,000                                                
          decrease in cash, cash equivalents and restricted cash
          -1,026,000            -3,798,000    -459,986,000    -6,444,000    -42,109,000                                                    
          cash, cash equivalents and restricted cash, beginning of period
        224,752,000 214,470,000 200,837,000 178,934,000 1,279,154,000 105,667,000 199,685,000 167,297,000                                                
          cash, cash equivalents and restricted cash, end of period
        -24,797,000 17,674,000 223,726,000 20,155,000 -19,222,000 17,019,000 206,800,000 33,831,000 1,332,000 -29,731,000 209,038,000 35,456,000 -36,530,000 26,775,000 175,136,000 -65,483,000 -9,271,000 -565,480,000 819,168,000 133,265,000 561,617,000 485,049,000 99,223,000 -49,170,000 -1,864,000 -875,000 157,576,000 21,993,000 7,266,000 4,210,000 166,216,000                                                
          supplemental disclosures of cash flow information:
                                                                                      
          interest paid
        25,602,000 49,730,000 27,718,000 23,896,000 48,476,000 47,786,000 48,116,000 51,199,000 51,950,000 47,018,000 50,279,000 41,144,000 35,196,000 23,408,000 20,388,000 16,888,000 15,078,000 32,220,000 11,421,000 19,019,000 31,777,000 22,319,000 39,483,000 34,707,000 44,076,000 37,573,000 41,050,000 36,131,000 43,272,000 29,351,000 41,539,000 28,091,000 40,677,000 27,361,000 39,404,000  29,325,000 26,425,000 27,133,000    18,893,000 42,829,000 34,363,000 31,085,000 22,982,000 52,855,000 42,402,000 55,616,000 18,499,000 43,316,000 3,801,000 24,301,000 5,482,000 24,661,000 3,634,000 24,757,000 3,966,000 4,863,000 22,928,000 6,407,000 15,775,000 15,034,000 5,182,000 17,401,000 54,000 16,404,000 1,615,000 -2,771,000 10,975,000 4,422,000 15,796,000 3,187 3,396 8,936 4,367 23,189,067 
          income taxes paid, net of refunds
        104,182,000 246,148,000 5,638,000 88,455,000 105,476,000 128,828,000 2,671,000 66,707,000 57,349,000 131,480,000 2,360,000 68,668,000 36,643,000 141,025,000 4,423,000 76,602,000 96,397,000 181,325,000 8,654,000 77,787,000 194,066,000 7,611,000 6,783,000 39,324,000 75,894,000 140,317,000 5,087,000 46,351,000 65,356,000 179,381,000 2,749,000 64,970,000 89,671,000 210,961,000 5,253,000 85,437,000 93,227,000 156,854,000 9,093,000 106,534,000 107,487,000 46,464,000 6,764,000 41,606,000 65,737,000 147,645,000 4,908,000 76,925,000 46,328,000 73,761,000 5,736,000 38,567,000 33,578,000 73,211,000 6,732,000 34,939,000 29,487,000 77,158,000 13,784,000 27,638,000 62,627,000 7,642,000 12,484,000 67,710,000 3,700,000 168,053,000 85,853,000 5,961,000 3,598,000 1,703,000 53,923,000 4,272,000 40,494,000 1,498 3,754 56,341 656 94,337,274 
          noncash purchases of property and equipment
        -2,237,000 32,691,000 116,196,000 30,776,000 -20,927,000 48,135,000 60,125,000 -41,513,000 7,951,000 39,120,000 61,341,000 -25,200,000 -15,156,000 21,690,000 90,730,000 93,806,000 -22,551,000 35,855,000 60,124,000 -1,548,000 -3,629,000 21,096,000 58,935,000 -20,038,000 11,629,000 -64,000 71,987,000 -11,258,000 -2,810,000 7,034,000 84,708,000 17,538,000 1,869,000 6,662,000 56,427,000 20,383,000 2,572,000 -4,627,000 47,374,000 11,858,000 2,740,000                                      
          (outflows) inflows from foreign exchange contracts that hedge our net u.k. investment
         -42,707,000 -23,695,000     -32,972,000 23,582,000 -12,487,000 -18,818,000                                                                    
          increase in cash, cash equivalents and restricted cash
             17,019,000 -7,670,000 33,831,000 1,332,000 -29,731,000 8,201,000     -65,483,000 -9,271,000    561,617,000    -1,864,000    7,266,000 4,210,000 -1,081,000                                                
          gain on sales of assets and businesses
                                                                                      
          payments made in settlement of self-insurance claims
          -20,705,000 -70,440,000 -56,751,000 -31,059,000 -33,935,000 -37,228,000 -29,257,000 -32,668,000 -18,936,000 -53,982,000 -29,935,000 -28,635,000 -29,431,000 -31,433,000 -17,574,000 -23,754,000 -18,741,000 -28,695,000 -20,356,000 -37,110,000 -26,924,000 -29,735,000 -23,931,000 -21,795,000 -22,320,000 -22,924,000 -14,617,000 -19,841,000 -18,765,000 -21,968,000 -19,465,000 -12,410,000 -25,349,000 -21,825,000 -27,125,000 -15,714,000 -17,298,000 -23,727,000 -14,372,000 -16,411,000 -20,793,000 -15,636,000 -17,971,000 -19,953,000 -17,085,000 -16,200,000 -11,070,000 -36,869,000 -12,399,000 -12,843,000 -9,632,000 -17,511,000 -10,187,000 -12,576,000 -13,383,000 -14,154,000 -15,669,000 -12,363,000 -11,882,000 -13,766,000 -10,626,000 -10,229,000 -12,170,000 -13,586,000 -8,205,000 -10,375,000 -12,690,000  -7,871,000 -11,548,000 -24,091,000 -6,544 -7,008 -7,970 -15,148 -31,110,464 
          provision for asset impairment
                       7,196,000                                                              
          deferred grant revenue
                                                                                      
          inflows (outflows) from foreign exchange contracts that hedge our net u.k. investment
             -1,489,000 8,319,000       63,825,000 20,710,000   -7,223,000 -14,264,000    51,691,000   40,468,000 12,895,000                                                    
          effect of exchange rate changes on cash and cash equivalents
                                       162,000 547,000 653,000 285,000 473,000 -841,000 -1,502,000 -920,000 -1,013,000 -889,000 -653,000                                     
          gains on sale of assets and businesses
            -1,399,000                                                                          
          medicare accelerated payments and deferred cares act and other grants
               1,214,000 -977,000 2,605,000 136,000 -530,000 -2,418,000 5,089,000 250,000 -1,369,000 -382,000 -187,563,000 -509,448,000 -179,712,000                                                           
          sale of ownership interests to minority members
            3,934,000                                                                          
          gain on sale of assets and businesses
              -3,725,000                      -1,810,000 -703,000                                                
          purchase of ownership interests from minority members
              -156,000                                                                        
          costs incurred for purchase and implementation of information technology applications
                         -671,000 -575,000 2,443,000 -924,000 -2,564,000 -1,857,000 -3,178,000 -4,347,000 -4,215,000 -9,678,000 -10,756,000 -1,400,000                                                  
          loss on sale of assets and businesses
                -5,955,000 -295,000  -500,000 1,084,000     -37,000                                                          
          purchase (sale) of ownership interests by (from) minority members
                1,000    -47,782,000 -1,307,000                                                                
          sale of ownership interests from minority members
                                                                                      
          investment in, and advances to, joint ventures and other
                          -129,000  -712,000 466,000 -751,000  -11,070,000 -879,000                                                    
          inflows from foreign exchange contracts that hedge our net u.k. investment
                            -34,576,000                                                          
          costs incurred for purchase of information technology applications, net of refunds
                                                                                      
          purchase of ownership interests by minority member
                                                                                      
          purchase of ownership interests by (from) minority members
                                                                                      
          reduction of long-term debt
                         -26,955,000 -251,830,000 211,023,000 -714,258,000 -274,234,000 -185,098,000 11,033,000 -39,558,000 85,923,000 -114,540,000 -730,527,000 -17,499,000 58,206,000 -140,676,000 420,000 -97,851,000 214,958,000 -260,633,000 355,788,000 28,380,000 -676,680,000 -166,671,000 139,205,000 48,287,000 -36,586,000 -109,054,000 -205,993,000 -38,135,000 -126,170,000 -69,926,000 278,182,000 -932,143,000 -113,978,000 -66,973,000 -1,197,486,000 -116,626,000 -9,611,000 -68,363,000 77,345,000 -66,488,000 -25,556,000 -51,800,000 -109,584,000      106,906,000 -980,000 -101,938,000 -38,886,000  -86,491,000 -176,799,000 -23,713,000  -56,425   -106,309,105 
          purchase of ownership interests by minority members
                         3,830,000 7,603,000                                                            
          property and equipment additions, net of disposals
                          -247,459,000 -184,651,000 -192,046,000 -170,508,000 -184,102,000 -153,848,000 -156,327,000 -154,072,000 -169,848,000 -143,613,000 -151,097,000 -181,211,000 -189,041,000 -138,813,000 -156,241,000 -118,114,000 -144,338,000 -123,776,000 -148,448,000 -120,501,000 -127,214,000 -109,743,000 -98,998,000 -81,789,000 -92,387,000 -78,742,000 -103,807,000 -80,025,000 -95,919,000 -81,001,000 -99,840,000 -90,278,000 -79,164,000 -61,524,000 -56,110,000 -59,064,000 -62,576,000 -100,923,000 -95,577,000 -105,029,000 -78,219,000 -83,818,000 -74,311,000 -81,751,000 -78,779,000 -85,238,000 -99,349,000 -108,132,000 -80,335,000 -69,470,000 -83,203,000 -62,496,000 -50,927,000 -57,920,000 -118,018,000 -70,436     
          loss on sales of assets and businesses, net of losses
                                                                                      
          acquisition of property and businesses
                                   -2,448,000 -87,085,000 -20,931,000 -3,268,000 -1,778,000 -17,832,000 -477,582,000 -108,696,000 -7,982,000 -19,543,000 -350,552,000 -148,603,000  -3,301,000 -11,316,000   -502,755,000 -13,616,000 -20,867,000             -21,964,000 -7,817,000 -73,378,000  -31,404,000            
          investment in, and advances to, joint venture and other
                                                                                      
          increase in cash and cash equivalents
                                       8,999,000 -1,022,000 3,472,000 29,227,000 -27,997,000 5,471,000 1,683,000 -6,638,000 21,705,000 -2,941,000 -7,642,000     -6,076,000 -2,181,000 -7,289,000 2,082,000 4,331,000 19,845,000 -2,708,000 5,472,000 -2,315,000 -4,450,000 3,007,000 1,200,000 3,963,000    911,000 1,448,000 -3,724,000 122,000 -109,533,000 116,139,000 248,000 -32,591,000 60,559,000 21,063,000   1,557 -5,712 14,666 -5,090,946 
          right-of-use assets obtained in exchange for lease obligations
                            9,899,000 8,668,000 29,112,000 19,404,000 5,124,000 3,348,000 355,981,000                                                    
          medicare accelerated payments and deferred governmental stimulus grants
                                                                                      
          gains on sales of assets and businesses, net of losses
                                               -2,578,000  -10,134,000 -141,000 -696,000                            -2,338,000      
          benefit from asset impairment
                                                                            19,561,000 3,105,000       
          decrease (increase) in capital reserves of commercial insurance subsidiary
                                   100,000                                                
          capital contributions from minority members
                                                                                      
          benefit from intangible asset impairment
                                                                                      
          excess income tax benefits related to stock-based compensation
                                            1,160,000 24,245,000 11,002,000  798,000  11,750,000                                    
          investment in and advances to joint venture
                                                                                      
          acquisition of noncontrolling interests in majority owned businesses
                                                                                    
          investment in, and advances to, joint venture
                                    149,000 -5,384,000 -8,675,000                                                
          costs incurred for purchase and implementation of information technology application
                                      -8,570,000  -6,953,000 -9,992,000 -9,456,000                                            
          increase in capital reserves of commercial insurance subsidiary
                                       -4,100,000 -3,000,000                                            
          proceeds received from sale/leaseback of real property
                                                                                    
          cash and cash equivalents, beginning of period
                                       33,747,000 61,228,000 17,238,000 23,471,000 9,180,000 5,460,000 16,354,000 14,939,000 7,963,000 33,125,000   17,750 22,825,152 
          cash and cash equivalents, end of period
                                       8,999,000 -1,022,000 3,472,000 62,974,000 -27,997,000 5,471,000 1,683,000 54,590,000 21,705,000 -2,941,000 -7,642,000 16,261,000 5,116,000 -436,000 -4,837,000 17,395,000 -2,181,000 -7,289,000 2,082,000 4,331,000 19,845,000 -2,708,000 5,472,000 6,865,000 -4,450,000 3,007,000 1,200,000 9,423,000 1,594,000 -2,705,000 8,916,000 911,000 1,448,000 11,215,000 122,000 -109,533,000 116,139,000 8,211,000 -32,591,000 60,559,000 54,188,000   1,557 -5,712 32,416 17,734,206 
          excess income tax benefits related to stock based compensation
                                                                                      
          interest paid, including early redemption premium and original issue discount write-off in 2014
                                               27,188,000  31,609,000                                     
          proceeds received from sale of assets and businesses
                                                  11,450,000  3,110,000 27,351,000 6,657,000  2,733,000  21,641,000                            
          additional borrowings and related funds
                                            3,761,000                                          
          costs incurred for purchase and implementation of electronic health records application
                                                 -2,284,000 -6,504,000 -7,458,000 -8,957,000 -16,984,000 -16,412,000 -12,508,000 -13,846,000 -10,375,000 -16,458,000                            
          increase in insurance subsidiary investments
                                                                                      
          write-off of deferred financing costs related to extinguishment of debt
                                                                                      
          return of deposit on terminated purchase agreement
                                                                                    
          supplemental disclosures of noncash investing and financing activities:
                                                                                      
          see notes 2, 4 and 7
                                                                                      
          cash paid/reserved related to acquisition of property and businesses
                                                                                      
          decrease in cash and cash equivalents
                                                  -977,000  -436,000               1,594,000 -2,705,000 -7,438,000                 
          stock based compensation expense
                                                                                      
          gain on sales of assets and businesses, net of losses
                                                      -2,092,000                                
          proceeds from sale of noncontrolling interests in majority owned business
                                                                                      
          (gain) loss on sale of assets
                                                                                      
          construction management and other receivable
                                                               15,822,000 -7,306,000 3,526,000 17,477,000                    
          capital contributions from noncontrolling interests
                                                                                      
          purchase of noncontrolling interests in majority owned businesses
                                                                                      
          gain on sale of assets
                                                                      -2,200,000              
          restricted cash related to bond issuance held in escrow pending completion of psi acquisition
                                                                                      
          proceeds from sale of noncontrolling interest in majority owned business
                                                            300,000                          
          net gain on sale of assets
                                                                                     
          benefit from settlements
                                                                                      
          settlement proceeds received related to prior year acquisition, net of expenses
                                                                                     
          investment in joint-venture
                                                                   825,000                   
          proceeds received from sale of assets
                                                            16,460,000                          
          acquisition of property and business
                                                                                     
          gains on sale of asset
                                                              -1,848,000                        
          proceeds received from sale of asset
                                                              2,894,000                        
          net income attributable to uhs
                                                                51,074,000 80,893,000 67,541,000                    
          minority interest in earnings of consolidated entities
                                                                12,237,000 9,081,000 14,239,000                    
          settlement proceeds received related to prior year acquisitions, net of expenses
                                                                                      
          purchase of minority ownership interests in majority owned businesses
                                                                                      
          profit distributions related to minority interests in majority owned businesses
                                                                                      
          capital contributions from minority member
                                                                   199,000   3,858,000 5,931,000 2,340,000 5,519,000 3,300,000            
          minority interest in earnings of consolidated entities, net of distributions
                                                                   1,902,000 401,000 12,906,000 -219,000 -1,712,000 10,972,000 313,000 4,489,000   -7,445,000 7,375,000 5,293,000 11,742,000 5,279 -3,005 4,027 3,581  
          proceeds received from sales of assets
                                                                      5,268,000              
          acquisition of assets and businesses
                                                                            -11,735,000          
          purchase of minority ownership interest in majority owned business
                                                                      -14,762,000              
          additional borrowings, net of financing costs
                                                                                19,637    39,271,689 
          construction management receivable
                                                                                      
          accretion of discount on convertible debentures
                                                                         2,791,000 3,573,000 3,500,000 2,816,000 3,428,000 5,997,000 3,291 3,224 2,505 3,159 10,894,486 
          hurricane insurance recoveries
                                                                           -25,000,000 -22,291,000          
          hurricane related expenses
                                                                         8,898,000             
          hurricane insurance recoveries received
                                                                         91,571,000 25,000,000 28,000,000          
          net cash received for termination of derivatives
                                                                                    
          net provided by financing activities
                                                                        79,521,000              
          hurricane insurance recoveries accrued
                                                                                      
          hurricane insurance recoveries received for operating expenses
                                                                                      
          reversal of restricted stock grant amortization
                                                                                      
          payment of hurricane related expenses
                                                                                      
          acquisition of businesses
                                                                             -24,410,000 -5,225,000 -142,391,000  -2,814 -45,482  
          purchase of assets previously leased
                                                                                      
          supplemental disclosures of noncash investing and financing activities: see notes 2, 4 and 7
                                                                                      
          hurricane insurance recoveries, net of proceeds received for operating expenses
                                                                                      
          gains on sales of assets and businesses
                                                                               -9,095,000       
          minority interests in earnings of consolidated entities, net of distributions
                                                                            10,343,000          
          financing costs on new revolving credit facility
                                                                             -36,000 -1,179,000       
          gains on sales of assets and businesses, net of accrued income taxes
                                                                                     
          accrued and deferred income taxes, excluding income taxes on gains on sales of assets and businesses
                                                                             3,163,000         
          repayment of long-term debt
                                                                                      
          property write-down due to hurricane damage
                                                                                      
          increase in cash
                                                                                1,472,000 3,518     
          cash, beginning of period
                                                                                34,863,000 34,863     
          cash, end of period
                                                                                36,335,000 38,381     
          gross inpatient revenues
                                                                                1,687,108,000 1,811,781     
          gross outpatient revenues
                                                                                649,442,000 649,675     
          total net revenues
                                                                                751,598,000 781,366     
          operating income/
                                                                                115,366,000      
          total assets as of 6/30/04
                                                                                2,051,465,000      
          licensed beds
                                                                                6,314,000 6,528     
          available beds
                                                                                5,363,000 5,577     
          patient days
                                                                                320,285,000 352,064     
          admissions
                                                                                68,831,000 73,413     
          average length of stay
                                                                                4,700 4.8     
          acquisition of business
                                                                                 -37,665     
          operating income
                                                                                 112,479     
          total assets as of 3/31/04
                                                                                 2,106,923     
          issuance of common stock, net of issuance costs
                                                                                  1,239 431 525  
          proceeds received from divestitures
                                                                                   1,200 2,978  
          gains on foreign exchange and derivative transactions
                                                                                    -6  
          depreciation and amortization
                                                                                      
          losses on foreign exchange, derivative transactions & debt extinguishment
                                                                                      
          benefit from insurance settlements and other non-cash charges
                                                                                      
          changes in assets and liabilities, net of effect from acquisitions and dispositions:
                                                                                      
          increase in working capital at acquired facilities
                                                                                      
          proceeds received from merger, sale or disposition of assets
                                                                                      
          investment in business
                                                                                      
          net cash paid related to termination of interest rate swap, foreign currency and early extinguishment of debt
                                                                                      
          losses on foreign exchange and derivative transactions