10-K Filing

UNIVERSAL HEALTH SERVICES INC CIK: 352915 FY 2011

Filing Information

Form Type	10-K
Accession Number	`0001193125-12-081900`
Period End Date	20111231
Filing Date	20120227
Fiscal Year	2011
Fiscal Period	FY
XBRL Instance	uhs-20111231.xml

Filing Contents

This filing contains the following financial statements:

Balance Sheet 88 Income Statement 103 Cash Flow Statement 109 Stockholders Equity 57

Balance Sheet 88 line items

Line Item	Tag	Value	Unit	Period
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$5.46M	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$41.23M	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$9.18M	USD	Point-in-time
Cash and cash equivalents	`CashAndCashEquivalentsAtCarryingValue`	$29.47M	USD	Point-in-time
Accounts receivable, net	`AccountsReceivableNetCurrent`	$969.80M	USD	Point-in-time
Accounts receivable, net	`AccountsReceivableNetCurrent`	$837.82M	USD	Point-in-time
Supplies	`Supplies`	$94.33M	USD	Point-in-time
Supplies	`Supplies`	$96.78M	USD	Point-in-time
Deferred income taxes	`DeferredTaxAssetsLiabilitiesNetCurrent`	$108.32M	USD	Point-in-time
Deferred income taxes	`DeferredTaxAssetsLiabilitiesNetCurrent`	$120.83M	USD	Point-in-time
Other current assets	`OtherAssetsCurrent`	$99.86M	USD	Point-in-time
Other current assets	`OtherAssetsCurrent`	$130.06M	USD	Point-in-time
Assets of facilities held for sale	`AssetsHeldForSaleCurrent`	$48.92M	USD	Point-in-time
Assets of facilities held for sale	`AssetsHeldForSaleCurrent`	$118.60M	USD	Point-in-time
Total current assets	`AssetsCurrent`	$1.36B	USD	Point-in-time
Total current assets	`AssetsCurrent`	$1.33B	USD	Point-in-time
Land	`Land`	$376.57M	USD	Point-in-time
Land	`Land`	$377.98M	USD	Point-in-time
Buildings and improvements	`BuildingsAndImprovementsGross`	$3.06B	USD	Point-in-time
Buildings and improvements	`BuildingsAndImprovementsGross`	$3.24B	USD	Point-in-time
Equipment	`MachineryAndEquipmentGross`	$1.26B	USD	Point-in-time
Equipment	`MachineryAndEquipmentGross`	$1.17B	USD	Point-in-time
Property under capital lease	`CapitalLeasedAssetsGross`	$37.04M	USD	Point-in-time
Property under capital lease	`CapitalLeasedAssetsGross`	$38.71M	USD	Point-in-time
Property and equipment, gross	`PropertyAndEquipmentGrossExcludingConstructionInProgress`	$4.92B	USD	Point-in-time
Property and equipment, gross	`PropertyAndEquipmentGrossExcludingConstructionInProgress`	$4.64B	USD	Point-in-time
Accumulated depreciation	`AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment`	$1.60B	USD	Point-in-time
Accumulated depreciation	`AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment`	$1.82B	USD	Point-in-time
Property and equipment, excluding construction in progress, net	`PropertyAndEquipmentExcludingConstructionInProgressNet`	$3.04B	USD	Point-in-time
Property and equipment, excluding construction in progress, net	`PropertyAndEquipmentExcludingConstructionInProgressNet`	$3.10B	USD	Point-in-time
Construction-in-progress	`ConstructionInProgressGross`	$215.75M	USD	Point-in-time
Construction-in-progress	`ConstructionInProgressGross`	$190.86M	USD	Point-in-time
Property and equipment, net, total	`PropertyPlantAndEquipmentNet`	$3.29B	USD	Point-in-time
Property and equipment, net, total	`PropertyPlantAndEquipmentNet`	$3.25B	USD	Point-in-time
Goodwill	`Goodwill`	$2.63B	USD	Point-in-time
Goodwill	`Goodwill`	$732.68M	USD	Point-in-time
Goodwill	`Goodwill`	$2.59B	USD	Point-in-time
Deferred charges	`DeferredOfferingCosts`	$111.78M	USD	Point-in-time
Deferred charges	`DeferredOfferingCosts`	$108.66M	USD	Point-in-time
Other	`OtherAssetsNoncurrent`	$245.28M	USD	Point-in-time
Other	`OtherAssetsNoncurrent`	$272.98M	USD	Point-in-time
Other assets, total	`AssetsNoncurrent`	$2.94B	USD	Point-in-time
Other assets, total	`AssetsNoncurrent`	$3.01B	USD	Point-in-time
Total assets	`Assets`	$7.53B	USD	Point-in-time
Total assets	`Assets`	$7.67B	USD	Point-in-time
Current maturities of long-term debt	`LongTermDebtCurrent`	$3.45M	USD	Point-in-time
Current maturities of long-term debt	`LongTermDebtCurrent`	$2.48M	USD	Point-in-time
Accounts payable	`AccountsPayableCurrent`	$252.49M	USD	Point-in-time
Accounts payable	`AccountsPayableCurrent`	$228.04M	USD	Point-in-time
Liabilities of facilities held for sale	`LiabilitiesOfAssetsHeldForSale`	$2.33M	USD	Point-in-time
Liabilities of facilities held for sale	`LiabilitiesOfAssetsHeldForSale`	$3.52M	USD	Point-in-time
Compensation and related benefits	`EmployeeRelatedLiabilitiesCurrent`	$249.43M	USD	Point-in-time
Compensation and related benefits	`EmployeeRelatedLiabilitiesCurrent`	$233.58M	USD	Point-in-time
Interest	`InterestPayableCurrent`	$14.16M	USD	Point-in-time
Interest	`InterestPayableCurrent`	$10.62M	USD	Point-in-time
Taxes other than income	`AccruedIncomeTaxesCurrent`	$35.17M	USD	Point-in-time
Taxes other than income	`AccruedIncomeTaxesCurrent`	$45.36M	USD	Point-in-time
Other	`OtherAccruedLiabilitiesCurrent`	$268.08M	USD	Point-in-time
Other	`OtherAccruedLiabilitiesCurrent`	$314.52M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$826.30M	USD	Point-in-time
Total current liabilities	`LiabilitiesCurrent`	$836.93M	USD	Point-in-time
Other noncurrent liabilities	`OtherLiabilitiesNoncurrent`	$401.91M	USD	Point-in-time
Other noncurrent liabilities	`OtherLiabilitiesNoncurrent`	$380.65M	USD	Point-in-time
Long-term debt	`LongTermDebtNoncurrent`	$3.65B	USD	Point-in-time
Long-term debt	`LongTermDebtNoncurrent`	$3.91B	USD	Point-in-time
Deferred income taxes	`DeferredTaxAssetsLiabilitiesNetNoncurrent`	$-209.59M	USD	Point-in-time
Deferred income taxes	`DeferredTaxAssetsLiabilitiesNetNoncurrent`	$-173.35M	USD	Point-in-time
Commitments and contingencies (Note 8)	`CommitmentsAndContingencies`	-	USD	Point-in-time
Commitments and contingencies (Note 8)	`CommitmentsAndContingencies`	-	USD	Point-in-time
Reedemable noncontrolling interest	`TemporaryEquityRedemptionValue`	$218.27M	USD	Point-in-time
Reedemable noncontrolling interest	`TemporaryEquityRedemptionValue`	$211.76M	USD	Point-in-time
Cumulative dividends	`CumulativeDividends`	$128.05M	USD	Point-in-time
Cumulative dividends	`CumulativeDividends`	$147.51M	USD	Point-in-time
Retained earnings	`RetainedEarningsAccumulatedDeficit`	$2.13B	USD	Point-in-time
Retained earnings	`RetainedEarningsAccumulatedDeficit`	$2.49B	USD	Point-in-time
Accumulated other comprehensive loss	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$-51.17M	USD	Point-in-time
Accumulated other comprehensive loss	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$-21.25M	USD	Point-in-time
Accumulated other comprehensive loss	`AccumulatedOtherComprehensiveIncomeLossNetOfTax`	$-20.14M	USD	Point-in-time
Universal Health Services, Inc. common stockholders' equity	`StockholdersEquity`	$1.98B	USD	Point-in-time
Universal Health Services, Inc. common stockholders' equity	`StockholdersEquity`	$2.30B	USD	Point-in-time
Noncontrolling interest	`MinorityInterest`	$45.00M	USD	Point-in-time
Noncontrolling interest	`MinorityInterest`	$50.77M	USD	Point-in-time
Total Equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$2.35B	USD	Point-in-time
Total Equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.58B	USD	Point-in-time
Total Equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$2.02B	USD	Point-in-time
Total Equity	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.79B	USD	Point-in-time
Total liabilities and stockholders' equity	`LiabilitiesAndStockholdersEquity`	$7.67B	USD	Point-in-time
Total liabilities and stockholders' equity	`LiabilitiesAndStockholdersEquity`	$7.53B	USD	Point-in-time

Income Statement 103 line items

Line Item	Tag	Value	Unit	Period
Net revenues	`HealthCareOrganizationRevenue`	$5.57B	USD	Annual
Net revenues	`HealthCareOrganizationRevenue`	$7.50B	USD	Annual
Net revenues	`HealthCareOrganizationRevenue`	$5.20B	USD	Annual
Salaries, wages and benefits	`LaborAndRelatedExpense`	$2.20B	USD	Annual
Salaries, wages and benefits	`LaborAndRelatedExpense`	$3.39B	USD	Annual
Salaries, wages and benefits	`LaborAndRelatedExpense`	$2.42B	USD	Annual
Other operating expenses	`OtherCostAndExpenseOperating`	$1.01B	USD	Annual
Other operating expenses	`OtherCostAndExpenseOperating`	$1.39B	USD	Annual
Other operating expenses	`OtherCostAndExpenseOperating`	$994.92M	USD	Annual
Supplies expense	`SuppliesExpense`	$821.81M	USD	Annual
Supplies expense	`SuppliesExpense`	$733.09M	USD	Annual
Supplies expense	`SuppliesExpense`	$699.25M	USD	Annual
Provision for doubtful accounts	`ProvisionForDoubtfulAccounts`	$613.62M	USD	Annual
Provision for doubtful accounts	`ProvisionForDoubtfulAccounts`	$546.91M	USD	Annual
Provision for doubtful accounts	`ProvisionForDoubtfulAccounts`	$508.60M	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$295.23M	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$223.91M	USD	Annual
Depreciation and amortization	`DepreciationAndAmortization`	$204.70M	USD	Annual
Lease and rental expense	`LeaseAndRentalExpense`	$69.95M	USD	Annual
Lease and rental expense	`LeaseAndRentalExpense`	$76.96M	USD	Annual
Lease and rental expense	`LeaseAndRentalExpense`	$91.77M	USD	Annual
Transaction costs	`TransactionCosts`	$53.22M	USD	Annual
Transaction costs	`TransactionCosts`	-	USD	Annual
Transaction costs	`TransactionCosts`	-	USD	Annual
Total operating expenses	`OperatingExpenses`	$4.68B	USD	Annual
Total operating expenses	`OperatingExpenses`	$5.06B	USD	Annual
Total operating expenses	`OperatingExpenses`	$6.60B	USD	Annual
Income from operations	`OperatingIncomeLoss`	$520.53M	USD	Annual
Income from operations	`OperatingIncomeLoss`	$505.70M	USD	Annual
Income from operations	`OperatingIncomeLoss`	$897.13M	USD	Annual
Interest expense, net	`InterestExpense`	$200.79M	USD	Annual
Interest expense, net	`InterestExpense`	$77.60M	USD	Annual
Interest expense, net	`InterestExpense`	$45.81M	USD	Annual
Income before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments`	$428.10M	USD	Annual
Income before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments`	$696.34M	USD	Annual
Income before income taxes	`IncomeLossFromContinuingOperationsBeforeIncomeTaxesMinorityInterestAndIncomeLossFromEquityMethodInvestments`	$474.72M	USD	Annual
Provision for income taxes	`IncomeTaxExpenseBenefit`	$152.30M	USD	Annual
Provision for income taxes	`IncomeTaxExpenseBenefit`	$247.47M	USD	Annual
Provision for income taxes	`IncomeTaxExpenseBenefit`	$170.47M	USD	Annual
Net income	`ProfitLoss`	$108.01M	USD	1 Quarter
Net income	`ProfitLoss`	$65.80M	USD	1 Quarter
Net income	`ProfitLoss`	$50.82M	USD	1 Quarter
Net income	`ProfitLoss`	$275.80M	USD	Annual
Net income	`ProfitLoss`	$82.76M	USD	1 Quarter
Net income	`ProfitLoss`	$304.25M	USD	Annual
Net income	`ProfitLoss`	$116.03M	USD	1 Quarter
Net income	`ProfitLoss`	$94.84M	USD	1 Quarter
Net income	`ProfitLoss`	$76.42M	USD	1 Quarter
Net income	`ProfitLoss`	$448.87M	USD	Annual
Net income	`ProfitLoss`	$129.99M	USD	1 Quarter
Less: Net income attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$50.70M	USD	Annual
Less: Net income attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$9.79M	USD	1 Quarter
Less: Net income attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$15.79M	USD	1 Quarter
Less: Net income attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$12.38M	USD	1 Quarter
Less: Net income attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$10.19M	USD	1 Quarter
Less: Net income attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$10.84M	USD	1 Quarter
Less: Net income attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$13.63M	USD	1 Quarter
Less: Net income attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$45.61M	USD	Annual
Less: Net income attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$12.74M	USD	1 Quarter
Less: Net income attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$10.94M	USD	1 Quarter
Less: Net income attributable to noncontrolling interests	`NetIncomeLossAttributableToNoncontrollingInterest`	$43.87M	USD	Annual
Net income attributable to UHS	`NetIncomeLoss`	$260.37M	USD	Annual
Net income attributable to UHS	`NetIncomeLoss`	$65.57M	USD	1 Quarter
Net income attributable to UHS	`NetIncomeLoss`	$114.19M	USD	1 Quarter
Net income attributable to UHS	`NetIncomeLoss`	$103.65M	USD	1 Quarter
Net income attributable to UHS	`NetIncomeLoss`	$85.05M	USD	1 Quarter
Net income attributable to UHS	`NetIncomeLoss`	$230.18M	USD	Annual
Net income attributable to UHS	`NetIncomeLoss`	$398.17M	USD	Annual
Net income attributable to UHS	`NetIncomeLoss`	$71.82M	USD	1 Quarter
Net income attributable to UHS	`NetIncomeLoss`	$37.18M	USD	1 Quarter
Net income attributable to UHS	`NetIncomeLoss`	$95.27M	USD	1 Quarter
Net income attributable to UHS	`NetIncomeLoss`	$55.61M	USD	1 Quarter
Basic earnings per share attributable to UHS	`EarningsPerShareBasic`	$0.68	USD	1 Quarter
Basic earnings per share attributable to UHS	`EarningsPerShareBasic`	$0.74	USD	1 Quarter
Basic earnings per share attributable to UHS	`EarningsPerShareBasic`	$2.65	USD	Annual
Basic earnings per share attributable to UHS	`EarningsPerShareBasic`	$4.09	USD	Annual
Basic earnings per share attributable to UHS	`EarningsPerShareBasic`	$0.87	USD	1 Quarter
Basic earnings per share attributable to UHS	`EarningsPerShareBasic`	$0.57	USD	1 Quarter
Basic earnings per share attributable to UHS	`EarningsPerShareBasic`	$0.99	USD	1 Quarter
Basic earnings per share attributable to UHS	`EarningsPerShareBasic`	$1.17	USD	1 Quarter
Basic earnings per share attributable to UHS	`EarningsPerShareBasic`	$0.38	USD	1 Quarter
Basic earnings per share attributable to UHS	`EarningsPerShareBasic`	$2.37	USD	Annual
Basic earnings per share attributable to UHS	`EarningsPerShareBasic`	$1.06	USD	1 Quarter
Diluted earnings per share attributable to UHS	`EarningsPerShareDiluted`	$2.34	USD	Annual
Diluted earnings per share attributable to UHS	`EarningsPerShareDiluted`	$1.04	USD	1 Quarter
Diluted earnings per share attributable to UHS	`EarningsPerShareDiluted`	$1.15	USD	1 Quarter
Diluted earnings per share attributable to UHS	`EarningsPerShareDiluted`	$4.04	USD	Annual
Diluted earnings per share attributable to UHS	`EarningsPerShareDiluted`	$0.73	USD	1 Quarter
Diluted earnings per share attributable to UHS	`EarningsPerShareDiluted`	$0.57	USD	1 Quarter
Diluted earnings per share attributable to UHS	`EarningsPerShareDiluted`	$0.67	USD	1 Quarter
Diluted earnings per share attributable to UHS	`EarningsPerShareDiluted`	$2.64	USD	Annual
Diluted earnings per share attributable to UHS	`EarningsPerShareDiluted`	$0.38	USD	1 Quarter
Diluted earnings per share attributable to UHS	`EarningsPerShareDiluted`	$0.98	USD	1 Quarter
Diluted earnings per share attributable to UHS	`EarningsPerShareDiluted`	$0.86	USD	1 Quarter
Weighted average number of common shares-basic	`WeightedAverageNumberOfSharesOutstandingBasic`	97.79M	shares	Annual
Weighted average number of common shares-basic	`WeightedAverageNumberOfSharesOutstandingBasic`	96.79M	shares	Annual
Weighted average number of common shares-basic	`WeightedAverageNumberOfSharesOutstandingBasic`	97.20M	shares	Annual
Add: Other share equivalents	`WeightedAverageNumberDilutedSharesOutstandingAdjustment`	1.34M	shares	Annual
Add: Other share equivalents	`WeightedAverageNumberDilutedSharesOutstandingAdjustment`	1.19M	shares	Annual
Add: Other share equivalents	`WeightedAverageNumberDilutedSharesOutstandingAdjustment`	481,000.00	shares	Annual
Weighted average number of common shares and equivalents-diluted	`WeightedAverageNumberOfDilutedSharesOutstanding`	97.97M	shares	Annual
Weighted average number of common shares and equivalents-diluted	`WeightedAverageNumberOfDilutedSharesOutstanding`	98.28M	shares	Annual
Weighted average number of common shares and equivalents-diluted	`WeightedAverageNumberOfDilutedSharesOutstanding`	98.54M	shares	Annual

Cash Flow Statement 109 line items

Line Item	Tag	Value	Unit	Period
Net income	`ProfitLoss`	$108.01M	USD	1 Quarter
Net income	`ProfitLoss`	$65.80M	USD	1 Quarter
Net income	`ProfitLoss`	$50.82M	USD	1 Quarter
Net income	`ProfitLoss`	$275.80M	USD	Annual
Net income	`ProfitLoss`	$82.76M	USD	1 Quarter
Net income	`ProfitLoss`	$304.25M	USD	Annual
Net income	`ProfitLoss`	$116.03M	USD	1 Quarter
Net income	`ProfitLoss`	$94.84M	USD	1 Quarter
Net income	`ProfitLoss`	$76.42M	USD	1 Quarter
Net income	`ProfitLoss`	$448.87M	USD	Annual
Net income	`ProfitLoss`	$129.99M	USD	1 Quarter
Depreciation & amortization	`DepreciationDepletionAndAmortization`	$224.00M	USD	Annual
Depreciation & amortization	`DepreciationDepletionAndAmortization`	$295.86M	USD	Annual
Depreciation & amortization	`DepreciationDepletionAndAmortization`	$204.70M	USD	Annual
Gains on sales of assets and businesses, net of losses	`GainLossOnDispositionOfAssets`	$452.00K	USD	Annual
Gains on sales of assets and businesses, net of losses	`GainLossOnDispositionOfAssets`	$1.35M	USD	Annual
Gains on sales of assets and businesses, net of losses	`GainLossOnDispositionOfAssets`	$1.99M	USD	Annual
Stock based compensation expense	`ShareBasedCompensation`	$16.80M	USD	Annual
Stock based compensation expense	`ShareBasedCompensation`	$18.23M	USD	Annual
Stock based compensation expense	`ShareBasedCompensation`	$13.10M	USD	Annual
Accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$-22.73M	USD	Annual
Accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$1.40M	USD	Annual
Accounts receivable	`IncreaseDecreaseInAccountsReceivable`	$134.84M	USD	Annual
Construction management and other receivable	`ConstructionManagementAndOtherReceivable`	$29.52M	USD	Annual
Accrued interest	`IncreaseDecreaseInAccruedInterestReceivableNet`	$-357.00K	USD	Annual
Accrued interest	`IncreaseDecreaseInAccruedInterestReceivableNet`	$-8.41M	USD	Annual
Accrued interest	`IncreaseDecreaseInAccruedInterestReceivableNet`	$3.58M	USD	Annual
Accrued and deferred income taxes	`AccruedAndDeferredIncomeTaxes`	$85.79M	USD	Annual
Accrued and deferred income taxes	`AccruedAndDeferredIncomeTaxes`	$14.93M	USD	Annual
Accrued and deferred income taxes	`AccruedAndDeferredIncomeTaxes`	$132.00K	USD	Annual
Other working capital accounts	`IncreaseDecreaseInOtherOperatingCapitalNet`	$18.83M	USD	Annual
Other working capital accounts	`IncreaseDecreaseInOtherOperatingCapitalNet`	$26.44M	USD	Annual
Other working capital accounts	`IncreaseDecreaseInOtherOperatingCapitalNet`	$28.38M	USD	Annual
Other assets and deferred charges	`IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets`	$-11.54M	USD	Annual
Other assets and deferred charges	`IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets`	$-6.70M	USD	Annual
Other assets and deferred charges	`IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets`	$-37.16M	USD	Annual
Other	`IncreaseDecreaseInOtherOperatingLiabilities`	$-1.39M	USD	Annual
Other	`IncreaseDecreaseInOtherOperatingLiabilities`	$812.00K	USD	Annual
Other	`IncreaseDecreaseInOtherOperatingLiabilities`	$755.00K	USD	Annual
Accrued insurance expense, net of commercial premiums paid	`AccruedInsuranceExpenseNetOfCommercialPremiumsPaid`	$83.61M	USD	Annual
Accrued insurance expense, net of commercial premiums paid	`AccruedInsuranceExpenseNetOfCommercialPremiumsPaid`	$44.31M	USD	Annual
Accrued insurance expense, net of commercial premiums paid	`AccruedInsuranceExpenseNetOfCommercialPremiumsPaid`	$19.74M	USD	Annual
Payments made in settlement of self-insurance claims	`PaymentsMadeInSettlementOfSelfInsuranceClaims`	$50.17M	USD	Annual
Payments made in settlement of self-insurance claims	`PaymentsMadeInSettlementOfSelfInsuranceClaims`	$82.63M	USD	Annual
Payments made in settlement of self-insurance claims	`PaymentsMadeInSettlementOfSelfInsuranceClaims`	$55.78M	USD	Annual
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$501.34M	USD	Annual
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$541.26M	USD	Annual
Net cash provided by operating activities	`NetCashProvidedByUsedInOperatingActivities`	$718.25M	USD	Annual
Property and equipment additions, net of disposals	`PaymentsToAcquirePropertyPlantAndEquipment`	$285.68M	USD	Annual
Property and equipment additions, net of disposals	`PaymentsToAcquirePropertyPlantAndEquipment`	$379.75M	USD	Annual
Property and equipment additions, net of disposals	`PaymentsToAcquirePropertyPlantAndEquipment`	$239.27M	USD	Annual
Acquisition of property and businesses	`PaymentsToAcquireBuildings`	$-29.47M	USD	Annual
Acquisition of property and businesses	`PaymentsToAcquireBuildings`	$-1.96B	USD	Annual
Acquisition of property and businesses	`PaymentsToAcquireBuildings`	$-12.50M	USD	Annual
Proceeds received from sales of assets and businesses	`ProceedsFromSaleOfOtherProductiveAssets`	$67.59M	USD	Annual
Proceeds received from sales of assets and businesses	`ProceedsFromSaleOfOtherProductiveAssets`	$9.77M	USD	Annual
Proceeds received from sales of assets and businesses	`ProceedsFromSaleOfOtherProductiveAssets`	$21.46M	USD	Annual
Costs incurred for purchase and implementation of electronic health records application	`HealthCareOrganizationExpensesNet`	$-7.96M	USD	Annual
Costs incurred for purchase and implementation of electronic health records application	`HealthCareOrganizationExpensesNet`	$-17.97M	USD	Annual
Costs incurred for purchase and implementation of electronic health records application	`HealthCareOrganizationExpensesNet`	$-38.25M	USD	Annual
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-2.19B	USD	Annual
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-285.81M	USD	Annual
Net cash used in investing activities	`NetCashProvidedByUsedInInvestingActivities`	$-390.43M	USD	Annual
Reduction of long-term debt	`RepaymentsOfLongTermDebt`	$381.52M	USD	Annual
Reduction of long-term debt	`RepaymentsOfLongTermDebt`	$66.50M	USD	Annual
Reduction of long-term debt	`RepaymentsOfLongTermDebt`	$1.39B	USD	Annual
Additional borrowings	`AdditionalBorrowingsInFinancingActivities`	$3.27B	USD	Annual
Additional borrowings	`AdditionalBorrowingsInFinancingActivities`	$26.07M	USD	Annual
Additional borrowings	`AdditionalBorrowingsInFinancingActivities`	$98.10M	USD	Annual
Financing costs	`PaymentsOfFinancingCosts`	-	USD	Annual
Financing costs	`PaymentsOfFinancingCosts`	$23.61M	USD	Annual
Financing costs	`PaymentsOfFinancingCosts`	$101.81M	USD	Annual
Repurchase of common shares	`PaymentsForRepurchaseOfCommonStock`	$60.48M	USD	Annual
Repurchase of common shares	`PaymentsForRepurchaseOfCommonStock`	$63.29M	USD	Annual
Repurchase of common shares	`PaymentsForRepurchaseOfCommonStock`	$11.53M	USD	Annual
Dividends paid	`PaymentsOfDividends`	$16.71M	USD	Annual
Dividends paid	`PaymentsOfDividends`	$19.47M	USD	Annual
Dividends paid	`PaymentsOfDividends`	$19.42M	USD	Annual
Issuance of common stock	`ProceedsFromIssuanceOfCommonStock`	$3.59M	USD	Annual
Issuance of common stock	`ProceedsFromIssuanceOfCommonStock`	$3.29M	USD	Annual
Issuance of common stock	`ProceedsFromIssuanceOfCommonStock`	$4.78M	USD	Annual
Profit distributions to noncontrolling interests	`PaymentsOfDividendsMinorityInterest`	$32.46M	USD	Annual
Profit distributions to noncontrolling interests	`PaymentsOfDividendsMinorityInterest`	$29.87M	USD	Annual
Profit distributions to noncontrolling interests	`PaymentsOfDividendsMinorityInterest`	$38.50M	USD	Annual
Proceeds from sale of noncontrolling interests in majority owned business	`ProceedsFromSaleOfInterestInCorporateUnit`	$600.00K	USD	Annual
Capital contributions from noncontrolling interests	`ProceedsFromPaymentsToMinorityShareholders`	$121.00K	USD	Annual
Purchase of noncontrolling interests in majority owned businesses	`MinorityInterestDecreaseFromRedemptions`	$600.00K	USD	Annual
Purchase of noncontrolling interests in majority owned businesses	`MinorityInterestDecreaseFromRedemptions`	-	USD	Annual
Purchase of noncontrolling interests in majority owned businesses	`MinorityInterestDecreaseFromRedemptions`	$229.00K	USD	Annual
Net cash (used in) provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$1.71B	USD	Annual
Net cash (used in) provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$-147.11M	USD	Annual
Net cash (used in) provided by financing activities	`NetCashProvidedByUsedInFinancingActivities`	$-420.69M	USD	Annual
Increase in cash and cash equivalents	`CashAndCashEquivalentsPeriodIncreaseDecrease`	$11.76M	USD	Annual
Increase in cash and cash equivalents	`CashAndCashEquivalentsPeriodIncreaseDecrease`	$20.29M	USD	Annual
Increase in cash and cash equivalents	`CashAndCashEquivalentsPeriodIncreaseDecrease`	$3.72M	USD	Annual
Cash and cash equivalents, beginning of period	`CashAndCashEquivalentsAtCarryingValue`	$5.46M	USD	Point-in-time
Cash and cash equivalents, beginning of period	`CashAndCashEquivalentsAtCarryingValue`	$41.23M	USD	Point-in-time
Cash and cash equivalents, beginning of period	`CashAndCashEquivalentsAtCarryingValue`	$9.18M	USD	Point-in-time
Cash and cash equivalents, beginning of period	`CashAndCashEquivalentsAtCarryingValue`	$29.47M	USD	Point-in-time
Cash and cash equivalents, end of period	`CashAndCashEquivalentsAtCarryingValue`	$5.46M	USD	Point-in-time
Cash and cash equivalents, end of period	`CashAndCashEquivalentsAtCarryingValue`	$41.23M	USD	Point-in-time
Cash and cash equivalents, end of period	`CashAndCashEquivalentsAtCarryingValue`	$9.18M	USD	Point-in-time
Cash and cash equivalents, end of period	`CashAndCashEquivalentsAtCarryingValue`	$29.47M	USD	Point-in-time
Interest paid	`InterestPaidNet`	$76.90M	USD	Annual
Interest paid	`InterestPaidNet`	$57.02M	USD	Annual
Interest paid	`InterestPaidNet`	$176.33M	USD	Annual
Income taxes paid, net of refunds	`IncomeTaxesPaidNet`	$152.09M	USD	Annual
Income taxes paid, net of refunds	`IncomeTaxesPaidNet`	$163.03M	USD	Annual
Income taxes paid, net of refunds	`IncomeTaxesPaidNet`	$155.37M	USD	Annual

Stockholders Equity 57 line items

Line Item	Tag	Value	Unit	Period
Amortization of terminated hedge, income tax effect	`OtherComprehensiveIncomeReclassificationAdjustmentOnDerivativesIncludedInNetIncomeTax`	$120.00K	USD	Annual
Amortization of terminated hedge, income tax effect	`OtherComprehensiveIncomeReclassificationAdjustmentOnDerivativesIncludedInNetIncomeTax`	$126.00K	USD	Annual
Amortization of terminated hedge, income tax effect	`OtherComprehensiveIncomeReclassificationAdjustmentOnDerivativesIncludedInNetIncomeTax`	$120.00K	USD	Annual
Unrealized derivative losses on cash flow hedges, income tax effect	`OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodTax`	$14.36M	USD	Annual
Unrealized derivative losses on cash flow hedges, income tax effect	`OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodTax`	$899.00K	USD	Annual
Unrealized derivative losses on cash flow hedges, income tax effect	`OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodTax`	$528.00K	USD	Annual
Minimum pension liability, income tax effect	`OtherComprehensiveIncomeMinimumPensionLiabilityNetAdjustmentTax`	$5.67M	USD	Annual
Minimum pension liability, income tax effect	`OtherComprehensiveIncomeMinimumPensionLiabilityNetAdjustmentTax`	$-281.00K	USD	Annual
Minimum pension liability, income tax effect	`OtherComprehensiveIncomeMinimumPensionLiabilityNetAdjustmentTax`	$4.69M	USD	Annual
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$2.35B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.58B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$2.02B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.79B	USD	Point-in-time
Issued/(converted) including tax benefits from exercise of stock options	`EmployeeServiceShareBasedCompensationTaxBenefitRealizedFromExerciseOfStockOptions`	$12.63M	USD	Annual
Issued/(converted) including tax benefits from exercise of stock options	`EmployeeServiceShareBasedCompensationTaxBenefitRealizedFromExerciseOfStockOptions`	$3.29M	USD	Annual
Issued/(converted) including tax benefits from exercise of stock options	`EmployeeServiceShareBasedCompensationTaxBenefitRealizedFromExerciseOfStockOptions`	$10.89M	USD	Annual
Repurchased	`StockRepurchasedDuringPeriodValue`	$-11.53M	USD	Annual
Repurchased	`StockRepurchasedDuringPeriodValue`	$-63.29M	USD	Annual
Repurchased	`StockRepurchasedDuringPeriodValue`	$-60.48M	USD	Annual
Restricted share-based compensation expense	`RestrictedStockExpense`	$1.96M	USD	Annual
Restricted share-based compensation expense	`RestrictedStockExpense`	$3.14M	USD	Annual
Restricted share-based compensation expense	`RestrictedStockExpense`	$3.17M	USD	Annual
Dividends paid	`Dividends`	$16.71M	USD	Annual
Dividends paid	`Dividends`	$19.47M	USD	Annual
Dividends paid	`Dividends`	$19.42M	USD	Annual
Stock option expense	`StockOptionPlanExpense`	$15.81M	USD	Annual
Stock option expense	`StockOptionPlanExpense`	$9.94M	USD	Annual
Stock option expense	`StockOptionPlanExpense`	$13.32M	USD	Annual
Distributions to noncontrolling interests	`MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders`	$-6.74M	USD	Annual
Distributions to noncontrolling interests	`MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders`	$-7.42M	USD	Annual
Distributions to noncontrolling interests	`MinorityInterestDecreaseFromDistributionsToNoncontrollingInterestHolders`	$-8.66M	USD	Annual
Capital contributions from noncontrolling interests	`MinorityInterestIncreaseFromStockIssuance`	$121.00K	USD	Annual
Capital contributions from noncontrolling interests	`MinorityInterestIncreaseFromStockIssuance`	-	USD	Annual
Purchase of noncontrolling interests in majority owned businesses	`MinorityInterestDecreaseFromRedemptions`	$600.00K	USD	Annual
Purchase of noncontrolling interests in majority owned businesses	`MinorityInterestDecreaseFromRedemptions`	-	USD	Annual
Purchase of noncontrolling interests in majority owned businesses	`MinorityInterestDecreaseFromRedemptions`	$229.00K	USD	Annual
Other	`MinorityInterestInNetIncomeLossOtherMinorityInterests`	$-2.16M	USD	Annual
Other	`MinorityInterestInNetIncomeLossOtherMinorityInterests`	-	USD	Annual
Net income	`NetIncomeExcludingRedeemableNoncontrollingInterests`	$270.06M	USD	Annual
Net income	`NetIncomeExcludingRedeemableNoncontrollingInterests`	$411.35M	USD	Annual
Net income	`NetIncomeExcludingRedeemableNoncontrollingInterests`	$241.92M	USD	Annual
Amortization of terminated hedge (net of income tax effect)	`OtherComprehensiveIncomeReclassificationAdjustmentOnDerivativesIncludedInNetIncomeNetOfTax`	$-216.00K	USD	Annual
Amortization of terminated hedge (net of income tax effect)	`OtherComprehensiveIncomeReclassificationAdjustmentOnDerivativesIncludedInNetIncomeNetOfTax`	$-216.00K	USD	Annual
Amortization of terminated hedge (net of income tax effect)	`OtherComprehensiveIncomeReclassificationAdjustmentOnDerivativesIncludedInNetIncomeNetOfTax`	$-216.00K	USD	Annual
Unrealized derivative losses on cash flow hedges (net of income tax effect)	`OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodNetOfTax`	$868.00K	USD	Annual
Unrealized derivative losses on cash flow hedges (net of income tax effect)	`OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodNetOfTax`	$1.48M	USD	Annual
Unrealized derivative losses on cash flow hedges (net of income tax effect)	`OtherComprehensiveIncomeUnrealizedGainLossOnDerivativesArisingDuringPeriodNetOfTax`	$-23.11M	USD	Annual
Minimum pension liability (net of income tax effect)	`OtherComprehensiveIncomeMinimumPensionLiabilityNetAdjustmentNetOfTax`	$9.18M	USD	Annual
Minimum pension liability (net of income tax effect)	`OtherComprehensiveIncomeMinimumPensionLiabilityNetAdjustmentNetOfTax`	$462.00K	USD	Annual
Minimum pension liability (net of income tax effect)	`OtherComprehensiveIncomeMinimumPensionLiabilityNetAdjustmentNetOfTax`	$-7.71M	USD	Annual
Subtotal-comprehensive income	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$243.03M	USD	Annual
Subtotal-comprehensive income	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$380.31M	USD	Annual
Subtotal-comprehensive income	`ComprehensiveIncomeNetOfTaxIncludingPortionAttributableToNoncontrollingInterest`	$280.50M	USD	Annual
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$2.35B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.58B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$2.02B	USD	Point-in-time
Balance	`StockholdersEquityIncludingPortionAttributableToNoncontrollingInterest`	$1.79B	USD	Point-in-time

Data is extracted from SEC EDGAR XBRL filings. Values shown are as reported in the filing.