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UNIVERSAL HEALTH SERVICES, INC. ANNOUNCES FINANCIAL RESULTS FOR THE THREE AND NINE-MONTH PERIODS ENDED SEPTEMBER 30, 2025, INCREASES 2025 FULL YEAR OPERATING RESULTS FORECAST AND ANNOUNCES $1.5 BILLION INCREASE TO STOCK REPURCHASE PROGRAM AUTHORIZATION

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Universal Health Services (NYSE: UHS) reported strong third-quarter 2025 results and raised full-year guidance on October 27, 2025. Q3 net income attributable to UHS was $373.0 million ($5.86 diluted) and net revenues rose 13.4% to $4.495 billion. Adjusted Q3 EBITDA net of NCI was $670.6 million. For the first nine months, net income was $1.043 billion and net revenues were $12.879 billion, up 9.9% year-over-year. The Board authorized a $1.5 billion increase to the stock repurchase program, bringing available authorization to $1.759 billion.

The company raised its 2025 revised forecast to $17.306–$17.445B net revenues and Adjusted EPS $21.50–$22.10, citing operating trends and a new Washington, D.C. Medicaid payment program.

Universal Health Services (NYSE: UHS) ha riportato risultati solidi del terzo trimestre 2025 e ha rivisto al rialzo la guidance per l’intero anno il 27 ottobre 2025. U3 net income attribuibile a UHS è stato di 373,0 milioni di dollari (diluito 5,86 $) e net revenues sono aumentati del 13,4% a 4,495 miliardi di dollari. Adjusted Q3 EBITDA net of NCI è stato di 670,6 milioni di dollari. Nei primi nove mesi, l’utile netto è stato di 1,043 miliardi di dollari e le entrate nette hanno totalizzato 12,879 miliardi, in aumento del 9,9% rispetto all’anno precedente. Il Consiglio ha autorizzato un Aumento di 1,5 miliardo di dollari del programma di riacquisto azioni, portando l’autorizzazione disponibile a 1,759 miliardi di dollari.

La società ha innalzato la sua previsione 2025 rivista a 17,306–17,445 miliardi di entrate nette e EPS rettificato 21,50–22,10, citando tendenze operative e un nuovo programma di pagamento Medicaid a Washington, D.C.

Universal Health Services (NYSE: UHS) reportó resultados sólidos del tercer trimestre de 2025 y elevó las previsiones para todo el año el 27 de octubre de 2025. El ingreso neto del 3T atribuible a UHS fue de 373,0 millones de dólares (5,86 dólares por acción diluido) y los ingresos netos aumentaron un 13,4% hasta 4,495 mil millones de dólares. El EBITDA ajustado del 3T neto de NCI fue de 670,6 millones de dólares. En los primeros nueve meses, el ingreso neto fue de 1,043 mil millones y los ingresos netos fueron de 12,879 mil millones, un aumento del 9,9% interanual. La Junta autorizó un aumento de 1,5 mil millones al programa de recompra de acciones, llevando la autorización disponible a 1,759 mil millones de dólares.

La compañía elevó su pronóstico revisado para 2025 a 17,306–17,445 mil millones de ingresos netos y EPS ajustado 21,50–22,10, citando tendencias operativas y un nuevo programa de pago Medicaid en Washington, D.C.

Universal Health Services (NYSE: UHS) 는 2025년 3분기 실적이 견조했고 2025년 전년 대비 가이던스도 상향했다고 2025년 10월 27일 발표했다. 3분기 순이익은 UHS 귀속분으로 373.0백만 달러(희석 주당 5.86달러)였고 순매출은 13.4% 증가한 44.95억 달러였다. 조정된 3분기 EBITDA(일부 NCI 차감)은 6.706억 달러였다. 누적 9개월 기준으로 순이익은 10.43억 달러, 순매출은 128.79억 달러로 전년 대비 9.9% 증가했다. 이사회는 주식 환매 프로그램에 대해 15억 달러 증가를 승인해 가용 한도가 175.9억 달러가 되었다.

회사는 2025년 전망치를 매출액 173.06억–174.45억 달러의 순매출과 조정 주당순이익 21.50–22.10으로 상향했으며, 운영 추세와 워싱턴 D.C. 메디케이드 지급 프로그램을 언급했다.

Universal Health Services (NYSE: UHS) a publié des résultats solides pour le troisième trimestre 2025 et a relevé les prévisions annuelles le 27 octobre 2025. Le résultat net du T3 attribuable à UHS s’est élevé à 373,0 millions de dollars (5,86 dollars dilués par action) et les revenus nets ont augmenté de 13,4 % à 4,495 milliards de dollars. L’EBITDA ajusté du T3 net de NCI était de 670,6 millions de dollars. Pour les neuf premiers mois, le résultat net était de 1,043 milliard de dollars et les revenus nets de 12,879 milliards de dollars, en hausse de 9,9 % sur un an. Le conseil d’administration a autorisé une augmentation de 1,5 milliard de dollars du programme de rachat d’actions, portant l’autorisation disponible à 1,759 milliard de dollars.

L’entreprise a relevé ses prévisions révisées pour 2025 à 17,306–17,445 milliards de dollars de revenus nets et EPS ajusté 21,50–22,10, citant les tendances opérationnelles et un nouveau programme de paiement Medicaid à Washington, D.C.

Universal Health Services (NYSE: UHS) meldete starke Ergebnisse im dritten Quartal 2025 und hob die Jahresprognose am 27. Oktober 2025 an. Q3-Nettoeinkommen zugunsten von UHS betrug 373,0 Mio. USD (verwässerter Betrag 5,86 USD) und Nettoeinnahmen stiegen um 13,4 % auf 4,495 Mrd. USD. Adjusted Q3 EBITDA nach NCI betrug 670,6 Mio. USD. In den ersten neun Monaten betrug das Nettoeinkommen 1,043 Mrd. USD und die Nettoeinnahmen 12,879 Mrd. USD, ein Anstieg von 9,9 % gegenüber dem Vorjahr. Der Vorstand genehmigte eine Erhöhung des Aktienrückkaufprogramms um 1,5 Mrd. USD, wodurch die verfügbare Autorisierung auf 1,759 Mrd. USD steigt.

Das Unternehmen hob seine überarbeitete Prognose für 2025 auf 173,06–174,45 Mrd. USD Nettoeinnahmen und angepasstes EPS 21,50–22,10 an, und verwies auf Betriebstrends sowie ein neues Medicaid-Zahlungsprogramm in Washington, D.C.

Universal Health Services (NYSE: UHS) أبلغت عن نتائج قوية للربع الثالث من 2025 ورفعت التوجيه للسنة كاملة في 27 أكتوبر 2025. صافي دخل الربع الثالث العائد لـ UHS كان 373.0 مليون دولار (5.86 دولار للسهم المخفف) والإيرادات الصافية ارتفعت 13.4% إلى 4.495 مليار دولار. EBITDA المعدلة للربع الثالث بعد خصم NCI كانت 670.6 مليون دولار. خلال الأشهر التسعة الأولى، كان صافي الدخل 1.043 مليار دولار والإيرادات الصافية 12.879 مليار دولار، بزيادة 9.9% على أساس سنوي. وافق المجلس على زيادة قدرها 1.5 مليار دولار في برنامج إعادة شراء الأسهم، ليصل الإذن المتاح إلى 1.759 مليار دولار.

رفعت الشركة توقعاتها المعدلة لعام 2025 إلى 17.306–17.445 مليار دولار من الإيرادات الصافية و EPS المعدل 21.50–22.10، مشيرة إلى اتجاهات التشغيل وبرنامج دفع Medicaid الجديد في واشنطن العاصمة.

Universal Health Services (NYSE: UHS) 于2025年10月27日公布了2025年第三季度的强劲业绩并上调全年指引。第三季度归属于UHS的净利润为3.73亿美元(摊薄每股收益5.86美元),净收入增长13.4%至44.95亿美元。扣除NCI后的第三季度经调整EBITDA为6.706亿美元。前九个月净利润为10.43亿美元,净收入为128.79亿美元,同比增长9.9%。董事会批准将股票回购计划增加15亿美元,使可用授权金额增至17.59亿美元。

公司将2025年展望上调至173.06亿–174.45亿美元的净收入,以及调整后每股收益(Adjusted EPS)21.50–22.10美元,指出运营趋势和华盛顿特区的新Medicaid支付计划。

Positive
  • Q3 net revenues +13.4% to $4.495B
  • Q3 adjusted EBITDA net of NCI $670.6M (vs $526.5M)
  • Nine‑month net income $1.043B; revenues $12.879B (+9.9%)
  • Board authorized $1.5B increase to buyback program (total $1.759B)
  • Raised 2025 adjusted EPS guidance to $21.50–$22.10
Negative
  • Net cash provided by operations down $119M to $1.290B YTD
  • $35M pre-tax reserve charge for self-insured liabilities
  • Available revolving credit capacity $965M as of Sept 30, 2025

Insights

UHS reported stronger third-quarter results, raised its full‑year operating forecast, and approved a $1.5 billion stock repurchase increase.

Consolidated third‑quarter net income attributable to UHS was $373.0 million ($5.86 per diluted share) on net revenues of $4.495 billion, up 13.4% year‑over‑year; adjusted EBITDA net of NCI rose to $670.6 million for the quarter. The board authorized a $1.5 billion increase to the repurchase program, bringing available authorization to $1.759 billion. For the full year the company raised its operating forecast to net revenues of $17.306 billion$17.445 billion and adjusted EPS‑diluted to $21.50$22.10.

These outcomes improve cash return to shareholders and show operating momentum driven by higher revenue per admission and patient day across acute and behavioral segments. Key dependencies include receipt of the $90 million Medicaid reimbursement tied to Washington, D.C., which the company expects to receive in Q4, and the $35 million reserve charge for adverse claims trends which reduced reported results. Monitor near‑term liquidity and execution: the conference call on Oct. 28, 2025, fourth‑quarter receipt of the Medicaid payment, third‑party reimbursement developments, and actual share repurchase activity relative to the new authorization over the next 12 months.

Consolidated Results of Operations, As Reported and As Adjusted  – Three-month periods ended September 30, 2025 and 2024:

KING OF PRUSSIA, Pa., Oct. 27, 2025 /PRNewswire/ -- Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income attributable to UHS was $373.0 million, or $5.86 per diluted share, during the third quarter of 2025, as compared to $258.7 million, or $3.80 per diluted share, during the third quarter of 2024. Net revenues increased by 13.4% to $4.495 billion during the third quarter of 2025, as compared to $3.963 billion during the third quarter of 2024.

As reflected on the Schedule of Non-GAAP Supplemental Information ("Supplemental Schedule"), our adjusted net income attributable to UHS during the third quarter of 2025 was $362.3 million, or $5.69 per diluted share, as compared to $252.5 million, or $3.71 per diluted share, during the third quarter of 2024. 

Included in our reported and adjusted net income attributable to UHS during the third quarter of 2025 were the following items which were not included in our 2025 operating results forecast, as previously disclosed on July 28, 2025: (i) $90 million of pre-tax reimbursements (net of related provider taxes), covering the period of October 1, 2024 through September 30, 2025, in connection with a recently approved Medicaid state directed payment program in Washington, D.C., and; (ii) a $35 million pre-tax charge incurred to increase our reserves for self-insured professional and general liabilities resulting from unfavorable claims' trends.

As reflected on the Supplemental Schedule, included in our reported results during the third quarter of 2025 were: (i) an unrealized after-tax gain of $10.0 million, or $.16 per diluted share ($13.1 million pre-tax), resulting from an increase in the market value of certain equity securities (included in "Other (income) expense, net"), and; (ii) a favorable net after-tax impact of $0.6 million, or $.01 per diluted share, resulting from the net tax benefit recorded in connection with "ASU 2016-09", Compensation – Stock Compensation: Improvements to Employee Share-Based Payment Accounting, net of the impact of executive compensation limitations pursuant to IRC section 162(m).    

As reflected on the Supplemental Schedule, included in our reported results during the third quarter of 2024 were: (i) an unrealized after-tax gain of $2.3 million, or $.03 per diluted share ($3.0 million pre-tax), resulting from an increase in the market value of certain equity securities, and; (ii) a favorable after-tax impact of $3.9 million, or $.06 per diluted share, resulting from the tax benefit recorded in connection ASU 2016-09.     

As calculated on the attached Supplemental Schedule, our earnings before interest, taxes, depreciation & amortization ("EBITDA net of NCI", NCI is net income attributable to noncontrolling interests), was $684.2 million during the third quarter of 2025, as compared to $528.6 million during the third quarter of 2024. Our adjusted earnings before interest, taxes, depreciation & amortization ("Adjusted EBITDA net of NCI"), which excludes the impact of other (income) expense, net, was $670.6 million during the third quarter of 2025, as compared to $526.5 million during the third quarter of 2024.

Consolidated Results of Operations, As Reported and As Adjusted  – Nine-month periods ended September 30, 2025 and 2024:

Reported net income attributable to UHS was $1.043 billion, or $16.07 per diluted share, during the first nine months of 2025, as compared to $809.7 million, or $11.88 per diluted share, during the comparable period of 2024. Net revenues increased by 9.9% to $12.879 billion during the first nine months of 2025, as compared to $11.714 billion during the comparable period of 2024.

As reflected on the Supplemental Schedule, our adjusted net income attributable to UHS during the first nine months of 2025 was $1.030 billion, or $15.87 per diluted share, as compared to $798.2 million, or $11.71 per diluted share, during the comparable period of 2024. 

As reflected on the Supplemental Schedule, included in our reported results during the first nine months of 2025 were: (i) an unrealized after-tax gain of $11.3 million, or $.17 per diluted share ($14.7 million pre-tax), resulting from an increase in the market value of certain equity securities, and; (ii) a favorable net after-tax impact of $1.9 million, or $.03 per diluted share, resulting from the net tax benefit recorded in connection with ASU 2016-09.     

As reflected on the Supplemental Schedule, included in our reported results during the first nine months of 2024 were: (i) an unrealized after-tax loss of $4.0 million, or $.06 per diluted share ($5.3 million pre-tax), resulting from a decrease in the market value of certain equity securities, and; (ii) a favorable after-tax impact of $15.5 million, or $.23 per diluted share, resulting from the tax benefit recorded in connection with ASU 2016-09. 

As calculated on the attached Supplemental Schedule, our EBITDA net of NCI, was $1.939 billion during the first nine months of 2025, as compared to $1.628 billion during the comparable period of 2024. Our Adjusted EBITDA net of NCI, was $1.912 billion during the first nine months of 2025, as compared to $1.631 billion during the comparable period of 2024.

Acute Care Services – Three and nine-month periods ended September 30, 2025 and 2024:

During the third quarter of 2025, at our acute care hospitals owned during both periods ("same facility basis"), adjusted admissions (adjusted for outpatient activity) increased by 2.0% while adjusted patient days increased by 0.4%, as compared to the third quarter of 2024. At these facilities, during the third quarter of 2025, net revenue per adjusted admission increased by 9.8% while net revenue per adjusted patient day increased by 11.5%, as compared to the third quarter of 2024. Net revenues generated from our acute care services, on a same facility basis, increased by 12.8% during the third quarter of 2025, as compared to the third quarter of 2024.

During the nine-month period ended September 30, 2025, at our acute care hospitals on a same facility basis, adjusted admissions increased by 2.1% while adjusted patient days increased by 0.6%, as compared to the comparable period of 2024. At these facilities, during the first nine months of 2025, net revenue per adjusted admission increased by 5.4% while net revenue per adjusted patient day increased by 7.0%, as compared to the comparable period of 2024. Net revenues generated from our acute care services, on a same facility basis, increased by 9.1% during the first nine months of 2025, as compared to the comparable period of 2024.

Behavioral Health Care Services – Three and nine-month periods ended September 30, 2025 and 2024:

During the third quarter of 2025, at our behavioral health care facilities on a same facility basis, adjusted admissions increased by 0.5% while adjusted patient days increased by 1.3%, as compared to the third quarter of 2024. At these facilities, during the third quarter of 2025, net revenue per adjusted admission increased by 8.8% and net revenue per adjusted patient day increased by 7.9%, as compared to the third quarter of 2024. Net revenues generated from our behavioral health care services, on a same facility basis, increased by 9.3% during the third quarter of 2025, as compared to the third quarter of 2024.

During the first nine months of 2025, at our behavioral health care facilities on a same facility basis, adjusted admissions decreased by 0.2% while adjusted patient days increased by 0.7%, as compared to the comparable period of 2024. At these facilities, during the first nine months of 2025, net revenue per adjusted admission increased by 8.2% and net revenue per adjusted patient day increased by 7.2%, as compared to the comparable period of 2024. Net revenues generated from our behavioral health care services, on a same facility basis, increased by 7.9% during the first nine months of 2025, as compared to the comparable period of 2024.

Net Cash Provided by Operating Activities and Liquidity:

Net Cash Provided by Operating Activities:

During the nine-month period ended September 30, 2025, our net cash provided by operating activities was $1.290 billion as compared to $1.409 billion during the first nine months of 2024. The $119 million net decrease in our net cash provided by operating activities consisted of: (i) a favorable change of $257 million resulting from an increase in net income plus/minus depreciation and amortization expense, stock-based compensation expense and gains/losses on sales of assets and businesses, offset by; (ii) an unfavorable change of $306 million in accounts receivable (which includes the above-mentioned $90 million of net reimbursements recorded during the third quarter of 2025, which we expect will be received during the fourth quarter of 2025, in connection with a recently approved Medicaid state directed payment program in Washington, D.C.); (iii) an unfavorable change of $41 million in payments made in settlement of self-insurance claims, net of commercial insurance reimbursements, and; (iv) an unfavorable change of $28 million in accrued and deferred income taxes.  

Liquidity:

As of September 30, 2025, we had $965 million of aggregate available borrowing capacity pursuant to our $1.3 billion revolving credit facility, net of outstanding borrowings and letters of credit.      

Increased Authorization to Stock Repurchase Program:

On October 27, 2025, our Board of Directors authorized a $1.5 billion increase to our stock repurchase program. Pursuant to this program, which including today's increased authorization has a current aggregate available repurchase authorization of $1.759 billion, shares of our Class B Common Stock may be repurchased, from time to time as conditions allow, on the open market or in negotiated private transactions. 

Pursuant to this program, during the third quarter of 2025, we have repurchased 1.315 million shares at an aggregate cost of approximately $234.3 million (average price of approximately $178 per share). During the first nine months of 2025, we have repurchased 3.190 million shares at an aggregate cost of approximately $565.8 million (average price of approximately $177 per share).

Revised 2025 Operating Results Forecast:

Based upon the operating trends and financial results experienced during the first nine months of 2025, as well as the recent approval of a new Medicaid supplemental payment program in Washington, D.C., as indicated on the Revised Forecast table below, we are increasing our operating results forecast range for consolidated net revenues, adjusted earnings before interest, taxes, depreciation & amortization, and the impacts of other income/expense and net income attributable to noncontrolling interests ("Adjusted EBITDA, net of NCI"), and adjusted net income attributable to UHS per diluted share ("Adjusted EPS-diluted") for the year ended December 31, 2025.

The tables below include our revised full year 2025 operating results forecast, as well as our previously revised 2025 operating results forecast which was disclosed on July 28, 2025.


Revised Forecast


Previous Forecast


For the Year Ended


For the Year Ended


December 31, 2025


December 31, 2025


Low

High


Low

High

Net revenues

$17.306 billion

$17.445 billion


$17.096 billion

$17.312 billion

Adjusted EBITDA, net of NCI

$2.569 billion

$2.619 billion


$2.458 billion

$2.543 billion

Adjusted EPS – diluted

$21.50 per share

$22.10 per share


$20.00 per share

$21.00 per share

  • The midpoint of our revised 2025 forecasted net revenues represents an increase of 1.0% over the midpoint our previous range of 2025 forecasted net revenues. 
  • The midpoint of our revised 2025 forecasted Adjusted EBITDA, net of NCI, represents an increase of 3.9% over the midpoint of our previous range of 2025 forecasted Adjusted EBITDA, net of NCI.
  • The midpoint of our revised 2025 forecasted Adjusted EPS-diluted represents an increase of 6.4% over the midpoint of our previous range of 2025 forecasted Adjusted EPS-diluted. 

Because we do not believe we can forecast certain items with sufficient accuracy, our 2025 revised forecasted range of Adjusted EBITDA, net of NCI, net income attributable to UHS, and Adjusted EPS-diluted, exclude the impact of future items, if applicable, that are nonrecurring or non-operational in nature including items such as changes in the market value of shares of certain equity securities, the impact of ASU 2016-09, and other potential material items that are nonrecurring or non-operational in nature including, but not limited to, impairments of goodwill, long-lived and intangible assets, reserves for various matters including settlements, legal judgments and lawsuits, costs related to extinguishment of debt, gains/losses on sales of assets and businesses, potential impacts of non-ordinary acquisitions, divestitures, joint ventures or other strategic transactions, other amounts that may be reflected in the current or prior year financial statements that relate to prior periods, and the impact of share repurchases that differ from our forecasted assumptions. It is also subject to certain conditions including those as set forth below in General Information, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures. Adjusted EBITDA net of NCI, is a non-GAAP financial measure and should not be considered a measure of financial performance under GAAP. We believe Adjusted EBITDA net of NCI is helpful to our investors as a measure of our operating performance. Please see the Supplemental Non-GAAP Disclosures - 2025 Revised Operating Results Forecast schedule as included herein for additional information and a reconciliation of our 2025 revised forecasted range of adjusted net income attributable to UHS to our 2025 revised forecasted range of Adjusted EBITDA net of NCI. 

Conference call information:

We will hold a conference call for investors and analysts at 9:00 a.m. eastern time on October 28, 2025. A live webcast of the call will be available on our website at www.uhs.com. To participate via telephone, please register in advance at this link. Upon registration, all telephone participants will receive a confirmation email detailing how to join the conference call, including the dial-in number along with a unique passcode and registrant ID that can be used to access the call. A replay of the call will be available for one full year following the live call.

General Information, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures:

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (the "Company") has built an impressive record of achievement and performance. Growing steadily since our inception into an esteemed Fortune 500 corporation, our annual revenues during 2024 were $15.8 billion. UHS ranked #271 on the Fortune 500; and #355 on Forbes' list of America's Largest Public Companies. In 2025, UHS was again recognized as one of the World's Most Admired Companies by Fortune

Our operating philosophy is as effective today as it was upon the Company's founding in 1979, enabling us to provide compassionate care to our patients and their loved ones.  Our strategy includes building or acquiring high quality hospitals in rapidly growing markets, investing in the people and equipment needed to allow each facility to thrive, and becoming the leading healthcare provider in each community we serve.

Headquartered in King of Prussia, PA, UHS has approximately 99,300 employees and, through its subsidiaries, operates 29 inpatient acute care hospitals, 345 inpatient behavioral health facilities, 156 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 39 states, Washington, D.C., the United Kingdom and Puerto Rico. We have changed the method of our outpatient behavioral health care facility counts during the third quarter of 2025 and substantially all of the increase from prior periods relates to that change in convention.

A wholly-owned subsidiary of UHS acts as the advisor to Universal Health Realty Income Trust, a real estate investment trust (NYSE:UHT).  For additional information visit www.uhs.com.

This press release contains forward-looking statements based on current management expectations.  Numerous factors, including those disclosed herein, those related to healthcare industry trends and those detailed in our filings with the Securities and Exchange Commission (as set forth in Item 2-Forward Looking Statements and Risk Factors in our Form 10-Q for the quarter ended June 30, 2025 and in Item 1A-Risk Factors, and Item 7-Forward-Looking Statements and Risk Factors, in our Form 10-K for the year ended December 31, 2024), may cause the results to differ materially from those anticipated in the forward-looking statements.  These statements are subject to risks and uncertainties and therefore actual results may differ materially.  Readers should not place undue reliance on such forward-looking statements which reflect management's view only as of the date hereof.  We undertake no obligation to revise or update any forward-looking statements, or to make any other forward-looking statements, whether as a result of new information, future events or otherwise. 

Many of the factors that could affect our future results are beyond our control or ability to predict, including, but not limited to:

  • A significant portion of our revenues are derived from federal and state government programs including the Medicare and Medicaid programs. Payments from these programs are subject to statutory and regulatory changes, administrative rulings, interpretations and determinations, requirements for utilization review, and federal and state funding restrictions.  Changes to these programs could materially affect program payments which could materially impact our results of operations. In addition, we receive substantial reimbursement from multiple states in connection with various supplemental Medicaid payment programs. Failure to renew these programs beyond their scheduled termination dates, failure of the public hospitals to provide the necessary Inter-Governmental Transfers for the states' share of the Medicaid disproportionate share hospital programs, and the failure of our hospitals that currently receive supplemental Medicaid revenues to qualify for future funds under these programs could cause our actual results of operations for the year ended December 31, 2025 to differ materially from our 2025 revised operating results forecast.
  • Legislation adopted on July 4, 2025, attaches work and community service requirements to eligibility for Medicaid benefits that will have the effect of limiting Medicaid enrollment and expenditures. That legislation also places limits on provider fees used to increase federal Medicaid funding to states and eliminates certain exchange premium tax credits beyond 2025. As these provisions become effective over the next several years, they may be expected to reduce our revenues and likely increase the level of uncompensated care provided by our facilities.
  • Potential unfavorable effects that the shutdown of the federal government, and/or the impact of any related negotiated agreements to end the shutdown, may have on our future results of operations and financial condition.  
  • The increase in interest rates during the past few years has increased our interest expense significantly thereby reducing our free cash flow. As such, although interest rates have moderated more recently, the effects of increased borrowing rates have adversely impacted our results of operations, financial condition and cash flows. We cannot predict future changes to interest rates, however, significant increases in our borrowing rates could have a material unfavorable impact on our future results of operations and our ability to access the capital markets on favorable terms.
  • Changes in laws or policies governing the terms of foreign trade, and in particular, increased trade restrictions, tariffs or taxes on imports from where our products or materials are made (either directly or through our suppliers) could have an impact on our competitive position, business operations and financial results.      
  • The outcome of known and unknown litigation, liabilities and other claims asserted against us and/or our subsidiaries, including, but not limited to, the matters related to Cumberland Hospital for Children and Adolescents, located in New Kent, Virginia, as previously disclosed in various filings including, most recently, our Form 10-Q for the quarterly period ended June 30, 2025, and the verdict in Washoe County, Nevada, against certain subsidiaries of ours, as previously disclosed on Form 8-K as filed on September 29, 2025. Although we can make no assurances regarding the ultimate outcome of these matters, or what damages will ultimately be awarded, the final resolution of these matters could have a material adverse effect on the Company.

We believe that adjusted net income attributable to UHS, adjusted net income attributable to UHS per diluted share, EBITDA net of NCI and Adjusted EBITDA net of NCI, which are non-GAAP financial measures ("GAAP" is Generally Accepted Accounting Principles in the United States of America), are helpful to our investors as measures of our operating performance. In addition, we believe that, when applicable, comparing and discussing our financial results based on these measures, as calculated, is helpful to our investors since it neutralizes the effect of material items impacting our net income attributable to UHS, such as, changes in the market value of shares of certain equity securities, the impact of ASU 2016-09, net of the impact of executive compensation limitations pursuant to IRC section 162(m), and other potential material items that are nonrecurring or non-operational in nature including, but not limited to, impairments of goodwill, long-lived and intangible assets, reserves for various matters including settlements, legal judgments and lawsuits, costs related to extinguishment of debt, gains/losses on sales of assets and businesses, potential impacts of non-ordinary acquisitions, divestitures, joint ventures or other strategic transactions, and other amounts that may be reflected in the current or prior year financial statements that relate to prior periods. To obtain a complete understanding of our financial performance these measures should be examined in connection with net income attributable to UHS, as determined in accordance with GAAP, and as presented in the condensed consolidated financial statements and notes thereto in this report or in our other filings with the Securities and Exchange Commission including our Report on Form 10-Q for the quarter ended June 30, 2025 and our Report on Form 10-K for the year ended December 31, 2024. Since the items included or excluded from these measures are significant components in understanding and assessing financial performance under GAAP, these measures should not be considered to be alternatives to net income as a measure of our operating performance or profitability. Since these measures, as presented, are not determined in accordance with GAAP and are thus susceptible to varying calculations, they may not be comparable to other similarly titled measures of other companies. Investors are encouraged to use GAAP measures when evaluating our financial performance.

Universal Health Services, Inc.

Consolidated Statements of Income

(in thousands, except per share amounts)

(unaudited)










Three months


Nine months


ended September 30,


ended September 30,


2025


2024


2025


2024









Net revenues

$4,495,245


$3,963,027


$12,878,781


$11,714,213









Operating charges:








   Salaries, wages and benefits

2,071,898


1,912,308


6,037,953


5,611,304

   Other operating expenses

1,294,721


1,090,197


3,563,039


3,165,483

   Supplies expense

414,583


390,250


1,236,249


1,181,886

   Depreciation and amortization

155,060


149,567


455,409


438,050

   Lease and rental expense

37,295


36,540


109,348


108,165


3,973,557


3,578,862


11,401,998


10,504,888









Income from operations

521,688


384,165


1,476,783


1,209,325









Interest expense, net

38,431


44,660


113,851


146,385

Other (income) expense, net

(13,629)


(2,028)


(27,767)


3,315









Income before income taxes

496,886


341,533


1,390,699


1,059,625









Provision for income taxes

117,781


75,623


327,354


233,563









Net income

379,105


265,910


1,063,345


826,062









Less:  Net income (loss) attributable to








noncontrolling interests ("NCI")

6,148


7,196


20,490


16,362









Net income attributable to UHS

$372,957


$258,714


$1,042,855


$809,700

















Basic earnings per share attributable to UHS (a)

$5.92


$3.89


$16.27


$12.11









Diluted earnings per share attributable to UHS (a)

$5.86


$3.80


$16.07


$11.88

 

Universal Health Services, Inc.

Footnotes to Consolidated Statements of Income

(in thousands, except per share amounts)

(unaudited)










Three months


Nine months

(a) Earnings per share calculation:

ended September 30,


ended September 30,


2025


2024


2025


2024

Basic and diluted:








Net income attributable to UHS

$372,957


$258,714


$1,042,855


$809,700

Less: Net income attributable to unvested restricted share grants

0


0


0


(50)

Net income attributable to UHS - basic and diluted

$372,957


$258,714


$1,042,855


$809,650









Weighted average number of common shares - basic

62,974


66,537


64,100


66,873









Basic earnings per share attributable to UHS:

$5.92


$3.89


$16.27


$12.11









Weighted average number of common shares

62,974


66,537


64,100


66,873

Add: Other share equivalents

689


1,571


797


1,297

Weighted average number of common shares and equiv. - diluted

63,663


68,108


64,897


68,170









Diluted earnings per share attributable to UHS:

$5.86


$3.80


$16.07


$11.88

 

Universal Health Services, Inc.

Schedule of Non-GAAP Supplemental Information ("Supplemental Schedule")

For the Three Months ended September 30, 2025 and 2024

(in thousands, except per share amounts)

(unaudited)

























Calculation of Earnings/Adjusted Earnings Before Interest, Taxes, Depreciation and Amortization
("EBITDA/Adjusted EBITDA net of NCI")










Three months ended


% Net


Three months ended


% Net


September 30, 2025


revenues


September 30, 2024


revenues









Net income attributable to UHS

$372,957




$258,714



   Depreciation and amortization

155,060




149,567



   Interest expense, net

38,431




44,660



   Provision for income taxes

117,781




75,623



EBITDA net of NCI

$684,229


15.2 %


$528,564


13.3 %









Other (income) expense, net

(13,629)




(2,028)



Adjusted EBITDA net of NCI

$670,600


14.9 %


$526,536


13.3 %









Net revenues

$4,495,245




$3,963,027



















Calculation of Adjusted Net Income Attributable to UHS










Three months ended


Three months ended


September 30, 2025


September 30, 2024




Per




Per


Amount


Diluted Share


Amount


Diluted Share









Net income attributable to UHS

$372,957


$5.86


$258,714


$3.80

Plus/minus after-tax adjustments:








Unrealized (gain) loss on equity securities

(10,043)


(0.16)


(2,275)


(0.03)

Impact of ASU 2016-09, net

(623)


(0.01)


(3,928)


(0.06)

Subtotal adjustments

(10,666)


(0.17)


(6,203)


(0.09)

Adjusted net income attributable to UHS

$362,291


$5.69


$252,511


$3.71

 

Universal Health Services, Inc.

Schedule of Non-GAAP Supplemental Information ("Supplemental Schedule")

For the Nine Months ended September 30, 2025 and 2024

(in thousands, except per share amounts)

(unaudited)

























Calculation of Earnings/Adjusted Earnings Before Interest, Taxes, Depreciation and Amortization
("EBITDA/Adjusted EBITDA net of NCI")










Nine months ended


% Net


Nine months ended


% Net


September 30, 2025


revenues


September 30, 2024


revenues









Net income attributable to UHS

$1,042,855




$809,700



   Depreciation and amortization

455,409




438,050



   Interest expense, net

113,851




146,385



   Provision for income taxes

327,354




233,563



EBITDA net of NCI

$1,939,469


15.1 %


$1,627,698


13.9 %









Other (income) expense, net

(27,767)




3,315



Adjusted EBITDA net of NCI

$1,911,702


14.8 %


$1,631,013


13.9 %









Net revenues

$12,878,781




$11,714,213



















Calculation of Adjusted Net Income Attributable to UHS










Nine months ended


Nine months ended


September 30, 2025


September 30, 2024




Per




Per


Amount


Diluted Share


Amount


Diluted Share









Net income attributable to UHS

$1,042,855


$16.07


$809,700


$11.88

Plus/minus after-tax adjustments:








Unrealized (gain) loss on equity securities

(11,292)


(0.17)


4,038


0.06

Impact of ASU 2016-09, net

(1,880)


(0.03)


(15,540)


(0.23)

Subtotal adjustments

(13,172)


(0.20)


(11,502)


(0.17)

Adjusted net income attributable to UHS

$1,029,683


$15.87


$798,198


$11.71

 

Universal Health Services, Inc.

Condensed Consolidated Balance Sheets

(in thousands)

(unaudited)











September 30,



December 31,




2025



2024

Assets







Current assets:







    Cash and cash equivalents


$

112,895


$

125,983

    Accounts receivable, net



2,585,335



2,177,751

    Supplies



226,655



220,940

    Other current assets



333,077



291,614

          Total current assets



3,257,962



2,816,288








Property and equipment



13,449,399



12,643,283

Less: accumulated depreciation



(6,476,366)



(6,071,058)




6,973,033



6,572,225








Other assets:







    Goodwill



3,989,370



3,932,879

    Deferred income taxes



145,319



118,449

    Right of use assets-operating leases



382,430



418,719

    Deferred charges



9,363



9,404

    Other



586,447



601,785

Total Assets


$

15,343,924


$

14,469,749








Liabilities and Stockholders' Equity







Current liabilities:







    Current maturities of long-term debt


$

740,186


$

40,059

    Accounts payable and other liabilities



2,332,418



2,081,479

    Operating lease liabilities



73,334



74,649

    Federal and state taxes



13,252



14,219

          Total current liabilities



3,159,190



2,210,406








Other noncurrent liabilities



589,854



655,806

Operating lease liabilities noncurrent



346,467



376,239

Long-term debt



3,950,934



4,464,482








Redeemable noncontrolling interest



66,982



13,293








UHS common stockholders' equity



7,169,693



6,666,207

Noncontrolling interest



60,804



83,316

          Total equity



7,230,497



6,749,523








Total Liabilities and Stockholders' Equity


$

15,343,924


$

14,469,749

 

Universal Health Services, Inc.

Consolidated Statements of Cash Flows

(in thousands)

(unaudited)


Nine months


ended September 30,


2025


2024





Cash Flows from Operating Activities:




  Net income

$1,063,345


$826,062

  Adjustments to reconcile net income to net 




cash provided by operating activities:




Depreciation & amortization

455,409


438,050

Loss (gain) on sales of assets and businesses

2,833


(5,124)

Costs related to extinguishment of debt

0


3,158

Stock-based compensation expense

70,586


72,727

  Changes in assets & liabilities, net of effects from




acquisitions and dispositions:




   Accounts receivable

(294,210)


11,703

   Accrued interest

7,052


(1,762)

   Accrued and deferred income taxes 

(39,287)


(10,949)

   Other working capital accounts 

20,415


1,329

   Other assets and deferred charges

(29,629)


(5,621)

   Other, net 

19,114


25,732

   Accrued insurance expense, net of commercial premiums paid

177,054


175,104

   Payments made in settlement of self-insurance claims, net of commercial insurance reimbursements

(162,978)


(121,745)

          Net cash provided by operating activities

1,289,704


1,408,664





Cash Flows from Investing Activities:




   Property and equipment additions

(733,932)


(697,865)

   Proceeds received from sales of assets and businesses

2,980


30,219

   Acquisition of businesses and property

(47,772)


0

   Outflows from foreign exchange contracts that hedge our net U.K. investment

(49,351)


(35,667)

   Costs incurred for purchase and development of enterprise resource planning application

(18,676)


0

   Decrease in capital reserves of commercial insurance subsidiary 

100


197

          Net cash used in investing activities

(846,651)


(703,116)





Cash Flows from Financing Activities:




   Repayments of long-term debt

(27,791)


(2,471,515)

   Additional borrowings

208,986


2,210,248

   Financing costs

(382)


(9,992)

   Repurchase of common shares

(615,941)


(420,588)

   Dividends paid

(38,902)


(40,302)

   Issuance of common stock

12,119


10,864

   Profit distributions to noncontrolling interests

(10,409)


(5,791)

   Purchase (sale) of ownership interests by (from) minority members

18,728


8,959

          Net cash used in financing activities

(453,592)


(718,117)





   Effect of exchange rate changes on cash, cash equivalents and restricted cash

2,390


2,696

Decrease in cash, cash equivalents and restricted cash

(8,149)


(9,873)

Cash, cash equivalents and restricted cash, beginning of period

224,752


214,470

Cash, cash equivalents and restricted cash, end of period

$216,603


$204,597





Supplemental Disclosures of Cash Flow Information:




  Interest paid

$103,050


$144,378





  Income taxes paid, net of refunds

$355,968


$236,975





  Noncash purchases of property and equipment

$146,650


$87,333

 

Universal Health Services, Inc.

Supplemental Statistical Information

(unaudited)




























 % Change 


 % Change 








3 Months ended


9 Months ended

Same Facility:







9/30/2025


9/30/2025











Acute Care Hospitals (1)










Revenues







12.8 %


9.1 %

Adjusted Admissions







2.0 %


2.1 %

Adjusted Patient Days







0.4 %


0.6 %

Revenue Per Adjusted Admission







9.8 %


5.4 %

Revenue Per Adjusted Patient Day







11.5 %


7.0 %











Behavioral Health Hospitals (1)










Revenues







9.3 %


7.9 %

Adjusted Admissions







0.5 %


-0.2 %

Adjusted Patient Days







1.3 %


0.7 %

Revenue Per Adjusted Admission







8.8 %


8.2 %

Revenue Per Adjusted Patient Day







7.9 %


7.2 %











UHS Consolidated



Third Quarter Ended


Nine Months Ended




9/30/2025


9/30/2024


9/30/2025


9/30/2024











Revenues



$4,495,245


$3,963,027


$12,878,781


$11,714,213

EBITDA net of NCI



$684,229


$528,564


$1,939,469


$1,627,698

EBITDA Margin net of NCI



15.2 %


13.3 %


15.1 %


13.9 %

Adjusted EBITDA net of NCI



$670,600


$526,536


$1,911,702


$1,631,013

Adjusted EBITDA Margin net of NCI


14.9 %


13.3 %


14.8 %


13.9 %











Cash Flow From Operations



$380,678


$332,977


$1,289,704


$1,408,664

Capital Expenditures  



$228,892


$247,932


$733,932


$697,865

Days Sales Outstanding







55


52





















Debt 







$4,691,120


$4,656,411

UHS' Shareholders Equity







$7,169,693


$6,605,696

Debt / Total Capitalization







39.6 %


41.3 %

Debt / EBITDA net of NCI (2)







1.83


2.21

Debt / Adjusted EBITDA net of NCI (2)






1.86


2.21

Debt / Cash From Operations (2)







2.41


2.50


(1) Prior year amounts related to certain facilities previously included in our Behavioral Health Care Services' results have been reclassified into our Acute Care Hospital Services' results as of May 1, 2024 to conform with current year presentation.

(2) Latest 4 quarters.










 

Universal Health Services, Inc.

Acute Care Hospital Services

For the Three and Nine months ended

September 30, 2025 and 2024

(in thousands)

(unaudited)


















Same Facility Basis - Acute Care Hospital Services




































Three months ended


Three months ended


Nine months ended


Nine months ended



September 30, 2025


September 30, 2024


September 30, 2025


September 30, 2024



Amount


% of Net
Revenues 


Amount


% of Net
Revenues 


Amount


% of Net
Revenues 


Amount


% of Net
Revenues 

Net revenues


$2,433,065


100.0 %


$2,156,034


100.0 %


$6,949,443


100.0 %


$6,369,268


100.0 %

Operating charges:

















Salaries, wages and benefits


939,607


38.6 %


898,260


41.7 %


2,739,668


39.4 %


2,617,905


41.1 %

Other operating expenses


695,141


28.6 %


600,217


27.8 %


1,971,712


28.4 %


1,757,780


27.6 %

Supplies expense


344,742


14.2 %


333,063


15.4 %


1,040,287


15.0 %


1,012,094


15.9 %

Depreciation and amortization


90,012


3.7 %


93,977


4.4 %


267,286


3.8 %


278,597


4.4 %

Lease and rental expense


25,284


1.0 %


24,205


1.1 %


74,456


1.1 %


72,352


1.1 %

Subtotal-operating expenses


2,094,786


86.1 %


1,949,722


90.4 %


6,093,409


87.7 %


5,738,728


90.1 %

Income from operations


338,279


13.9 %


206,312


9.6 %


856,034


12.3 %


630,540


9.9 %

Interest expense, net 


319


0.0 %


1,077


0.0 %


968


0.0 %


3,363


0.1 %

Other (income) expense, net 


(678)


(0.0) %


(590)


(0.0) %


(10,261)


(0.1) %


(1,107)


(0.0) %

Income before income taxes


$338,638


13.9 %


$205,825


9.5 %


$865,327


12.5 %


$628,284


9.9 %




















































All Acute Care Hospital Services




































Three months ended


Three months ended


Nine months ended


Nine months ended



September 30, 2025


September 30, 2024


September 30, 2025


September 30, 2024



Amount


% of Net
Revenues


Amount


% of Net
Revenues 


Amount


% of Net
Revenues


Amount


% of Net
Revenues 

Net revenues


$2,630,065


100.0 %


$2,253,819


100.0 %


$7,380,328


100.0 %


$6,617,586


100.0 %

Operating charges:

















Salaries, wages and benefits


973,680


37.0 %


899,375


39.9 %


2,821,509


38.2 %


2,620,069


39.6 %

Other operating expenses


878,746


33.4 %


700,558


31.1 %


2,351,206


31.9 %


2,011,301


30.4 %

Supplies expense


354,697


13.5 %


333,036


14.8 %


1,064,075


14.4 %


1,011,917


15.3 %

Depreciation and amortization


97,389


3.7 %


94,747


4.2 %


288,406


3.9 %


279,420


4.2 %

Lease and rental expense


25,543


1.0 %


24,492


1.1 %


75,121


1.0 %


72,641


1.1 %

Subtotal-operating expenses


2,330,055


88.6 %


2,052,208


91.1 %


6,600,317


89.4 %


5,995,348


90.6 %

Income from operations


300,010


11.4 %


201,611


8.9 %


780,011


10.6 %


622,238


9.4 %

Interest expense, net 


528


0.0 %


1,077


0.0 %


1,177


0.0 %


3,363


0.1 %

Other (income) expense, net 


(623)


(0.0) %


(527)


(0.0) %


(9,806)


(0.1) %


(354)


(0.0) %

Income before income taxes


$300,105


11.4 %


$201,061


8.9 %


$788,640


10.7 %


$619,229


9.4 %


We believe that providing our results on a "Same Facility" basis (which is a non-GAAP measure), which includes the operating results for facilities and businesses operated in both the current year and prior year periods, is helpful to our investors as a measure of our operating performance. Our Same Facility results also neutralize (if applicable), the effect of material items that are nonrecurring or non-operational in nature including items such as, but not limited to, reserves for various matters, settlements, legal judgments and lawsuits, cost related to extinguishment of debt, gains/losses on sales of assets and businesses, impairments of goodwill, long-lived and intangible assets and other amounts that may be reflected in the current or prior year financial statements that relate to prior periods. Our Same Facility basis results exclude from net revenues and other operating expenses, provider tax assessments incurred in each period. However, these provider tax assessments are included in net revenues and other operating expenses as reflected in the table under All Acute Care Hospital Services. The provider tax assessments had no impact on the income before income taxes as reflected on the above tables since the amounts offset between net revenues and other operating expenses. To obtain a complete understanding of our financial performance, the Same Facility results should be examined in connection with our net income as determined in accordance with GAAP and as presented herein and the condensed consolidated financial statements and notes thereto as contained in our Form 10-K for the year ended December 31, 2024 and our Form 10-Q for the quarter ended June 30, 2025.




















Prior year amounts related to certain facilities previously included in our Behavioral Health Care Services' results have been reclassified into our Acute Care Hospital Services' results as of May 1, 2024 to conform with current year presentation.




















The All Acute Care Hospital Services table summarizes the results of operations for all our acute care operations during the periods presented. These amounts include: (i) our acute care results on a same facility basis, as indicated above; (ii) the impact of provider tax assessments which increased net revenues and other operating expenses but had no impact on income before income taxes, and; (iii) certain other amounts including the results of facilities acquired or opened during the last twelve months.

 

Universal Health Services, Inc.

Behavioral Health Care Services

For the Three and Nine months ended

September 30, 2025 and 2024

(in thousands)

(unaudited)


















Same Facility Basis - Behavioral Health Care Services


































Three months ended


Three months ended


Nine months ended


Nine months ended



September 30, 2025


September 30, 2024


September 30, 2025


September 30, 2024



Amount


% of Net
Revenues 


Amount


% of Net
Revenues 


Amount


% of Net
Revenues 


Amount


% of Net
Revenues 

Net revenues


$1,813,502


100.0 %


$1,659,264


100.0 %


$5,346,883


100.0 %


$4,953,381


100.0 %

Operating charges:

















Salaries, wages and benefits


990,740


54.6 %


910,044


54.8 %


2,890,753


54.1 %


2,669,555


53.9 %

Other operating expenses


347,370


19.2 %


316,234


19.1 %


999,325


18.7 %


937,738


18.9 %

Supplies expense


59,400


3.3 %


57,345


3.5 %


172,962


3.2 %


170,831


3.4 %

Depreciation and amortization


54,493


3.0 %


51,855


3.1 %


158,824


3.0 %


149,635


3.0 %

Lease and rental expense


11,494


0.6 %


11,526


0.7 %


33,316


0.6 %


34,383


0.7 %

Subtotal-operating expenses


1,463,497


80.7 %


1,347,004


81.2 %


4,255,180


79.6 %


3,962,142


80.0 %

Income from operations


350,005


19.3 %


312,260


18.8 %


1,091,703


20.4 %


991,239


20.0 %

Interest expense, net 


1,246


0.1 %


1,041


0.1 %


3,425


0.1 %


3,076


0.1 %

Other (income) expense, net 


(236)


(0.0) %


(794)


(0.0) %


(1,898)


(0.0) %


(2,341)


(0.0) %

Income before income taxes


$348,995


19.2 %


$312,013


18.8 %


$1,090,176


20.4 %


$990,504


20.0 %




















































All Behavioral Health Care Services




































Three months ended


Three months ended


Nine months ended


Nine months ended



September 30, 2025


September 30, 2024


September 30, 2025


September 30, 2024



Amount


% of Net
Revenues


Amount


% of Net
Revenues 


Amount


% of Net
Revenues


Amount


% of Net
Revenues 

Net revenues


$1,860,259


100.0 %


$1,706,612


100.0 %


$5,487,984


100.0 %


$5,088,711


100.0 %

Operating charges:

















Salaries, wages and benefits


995,570


53.5 %


914,477


53.6 %


2,900,892


52.9 %


2,682,167


52.7 %

Other operating expenses


390,783


21.0 %


353,089


20.7 %


1,138,209


20.7 %


1,051,937


20.7 %

Supplies expense


59,696


3.2 %


57,566


3.4 %


173,544


3.2 %


171,574


3.4 %

Depreciation and amortization


55,294


3.0 %


52,227


3.1 %


159,961


2.9 %


150,577


3.0 %

Lease and rental expense


11,652


0.6 %


11,954


0.7 %


33,985


0.6 %


35,232


0.7 %

Subtotal-operating expenses


1,512,995


81.3 %


1,389,313


81.4 %


4,406,591


80.3 %


4,091,487


80.4 %

Income from operations


347,264


18.7 %


317,299


18.6 %


1,081,393


19.7 %


997,224


19.6 %

Interest expense, net 


1,265


0.1 %


1,041


0.1 %


3,444


0.1 %


3,076


0.1 %

Other (income) expense, net 


733


0.0 %


(861)


(0.1) %


(929)


(0.0) %


(2,408)


(0.0) %

Income before income taxes


$345,266


18.6 %


$317,119


18.6 %


$1,078,878


19.7 %


$996,556


19.6 %


We believe that providing our results on a "Same Facility" basis (which is a non-GAAP measure), which includes the operating results for facilities and businesses operated in both the current year and prior year periods, is helpful to our investors as a measure of our operating performance. Our Same Facility results also neutralize (if applicable), the effect of material items that are nonrecurring or non-operational in nature including items such as, but not limited to, reserves for various matters, settlements, legal judgments and lawsuits, cost related to extinguishment of debt, gains/losses on sales of assets and businesses, impairments of goodwill, long-lived and intangible assets and other amounts that may be reflected in the current or prior year financial statements that relate to prior periods. Our Same Facility basis results exclude from net revenues and other operating expenses, provider tax assessments incurred in each period. However, these provider tax assessments are included in net revenues and other operating expenses as reflected in the table under All Behavioral Health Care Services. The provider tax assessments had no impact on the income before income taxes as reflected on the above tables since the amounts offset between net revenues and other operating expenses. To obtain a complete understanding of our financial performance, the Same Facility results should be examined in connection with our net income as determined in accordance with GAAP and as presented herein and the condensed consolidated financial statements and notes thereto as contained in our Form 10-K for the year ended December 31, 2024 and our Form 10-Q for the quarter ended June 30, 2025.




Prior year amounts related to certain facilities previously included in our Behavioral Health Care Services' results have been reclassified into our Acute Care Hospital Services' results as of May 1, 2024 to conform with current year presentation.




The All Behavioral Health Care Services table summarizes the results of operations for all our behavioral health care facilities during the periods presented. These amounts include: (i) our behavioral health results on a same facility basis, as indicated above; (ii) the impact of provider tax assessments which increased net revenues and other operating expenses but had no impact on income before income taxes, and; (iii) certain other amounts including the results of facilities acquired or opened during the last twelve months. 

 

Universal Health Services, Inc.

Selected Hospital Statistics

For the Three Months ended

September 30, 2025 and 2024

(unaudited)














AS REPORTED:




























ACUTE


BEHAVIORAL HEALTH



9/30/25


9/30/24


%  change


9/30/25


9/30/24


%  change














Hospitals owned and leased


29


27


7.4 %


345


334


3.3 %

Average licensed beds


7,161


6,797


5.4 %


24,398


24,306


0.4 %

Average available beds


6,989


6,625


5.5 %


24,298


24,206


0.4 %

Patient days


412,353


401,479


2.7 %


1,639,882


1,622,411


1.1 %

Average daily census


4,482.1


4,363.9


2.7 %


17,824.8


17,634.9


1.1 %

Occupancy-licensed beds


62.6 %


64.2 %


-2.5 %


73.1 %


72.6 %


0.7 %

Occupancy-available beds


64.1 %


65.9 %


-2.6 %


73.4 %


72.9 %


0.7 %

Admissions


86,984


83,149


4.6 %


120,655


120,003


0.5 %

Length of stay


4.7


4.8


-2.1 %


13.6


13.5


0.7 %














Inpatient revenue


$13,935,095


$12,293,443


13.4 %


$3,063,186


$2,819,421


8.6 %

Outpatient revenue


9,827,354


8,573,731


14.6 %


282,966


267,721


5.7 %

Total patient revenue


23,762,449


20,867,174


13.9 %


3,346,152


3,087,142


8.4 %

Other revenue


315,779


266,833


18.3 %


99,370


84,759


17.2 %

Gross revenue


24,078,228


21,134,007


13.9 %


3,445,522


3,171,901


8.6 %

Total deductions


21,448,163


18,880,188


13.6 %


1,585,263


1,465,289


8.2 %

Net revenue 


$2,630,065


$2,253,819


16.7 %


$1,860,259


$1,706,612


9.0 %



























SAME FACILITY:




























ACUTE


BEHAVIORAL HEALTH



9/30/25


9/30/24


%  change


9/30/25


9/30/24


%  change














Hospitals owned and leased


27


27


0.0 %


334


334


0.0 %

Average licensed beds


6,869


6,797


1.1 %


24,069


23,965


0.4 %

Average available beds


6,697


6,625


1.1 %


23,969


23,865


0.4 %

Patient days


401,148


401,479


-0.1 %


1,623,202


1,603,808


1.2 %

Average daily census


4,360.3


4,363.9


-0.1 %


17,643.5


17,432.7


1.2 %

Occupancy-licensed beds


63.5 %


64.2 %


-1.1 %


73.3 %


72.7 %


0.8 %

Occupancy-available beds


65.1 %


65.9 %


-1.2 %


73.6 %


73.0 %


0.8 %

Admissions


84,368


83,149


1.5 %


119,608


118,638


0.8 %

Length of stay


4.8


4.8


0.0 %


13.6


13.5


0.7 %


Prior year amounts related to certain facilities previously included in our Behavioral Health Care Services' results have been reclassified into our Acute Care Hospital Services' results as of May 1, 2024 to conform with current year presentation.

 

Universal Health Services, Inc.

Selected Hospital Statistics

For the Nine Months ended

September 30, 2025 and 2024

(unaudited)














AS REPORTED:




























ACUTE


BEHAVIORAL HEALTH



9/30/25


9/30/24


%  change


9/30/25


9/30/24


%  change














Hospitals owned and leased


29


27


7.4 %


345


334


3.3 %

Average licensed beds


7,043


6,735


4.6 %


24,308


24,335


-0.1 %

Average available beds


6,871


6,563


4.7 %


24,208


24,235


-0.1 %

Patient days


1,243,297


1,212,669


2.5 %


4,860,246


4,845,060


0.3 %

Average daily census


4,554.2


4,425.8


2.9 %


17,803.1


17,682.7


0.7 %

Occupancy-licensed beds


64.7 %


65.7 %


-1.6 %


73.2 %


72.7 %


0.8 %

Occupancy-available beds


66.3 %


67.4 %


-1.7 %


73.5 %


73.0 %


0.8 %

Admissions


260,459


249,474


4.4 %


357,417


358,845


-0.4 %

Length of stay


4.8


4.9


-2.0 %


13.6


13.5


0.7 %














Inpatient revenue


$42,116,443


$37,549,121


12.2 %


$8,925,118


$8,348,744


6.9 %

Outpatient revenue


28,793,015


25,554,222


12.7 %


852,690


832,489


2.4 %

Total patient revenue


70,909,458


63,103,343


12.4 %


9,777,808


9,181,233


6.5 %

Other revenue


881,904


747,440


18.0 %


281,299


247,166


13.8 %

Gross revenue


71,791,362


63,850,783


12.4 %


10,059,107


9,428,399


6.7 %

Total deductions


64,411,034


57,233,197


12.5 %


4,571,123


4,339,688


5.3 %

Net revenue 


$7,380,328


$6,617,586


11.5 %


$5,487,984


$5,088,711


7.8 %



























SAME FACILITY:




























ACUTE


BEHAVIORAL HEALTH



9/30/25


9/30/24


%  change


9/30/25


9/30/24


%  change














Hospitals owned and leased


27


27


0.0 %


334


334


0.0 %

Average licensed beds


6,798


6,735


0.9 %


24,099


23,913


0.8 %

Average available beds


6,626


6,563


1.0 %


23,999


23,813


0.8 %

Patient days


1,216,788


1,212,669


0.3 %


4,822,845


4,778,313


0.9 %

Average daily census


4,457.1


4,425.8


0.7 %


17,666.1


17,439.1


1.3 %

Occupancy-licensed beds


65.6 %


65.7 %


-0.2 %


73.3 %


72.9 %


0.5 %

Occupancy-available beds


67.3 %


67.4 %


-0.3 %


73.6 %


73.2 %


0.5 %

Admissions


254,141


249,474


1.9 %


354,853


354,469


0.1 %

Length of stay


4.8


4.9


-2.0 %


13.6


13.5


0.7 %


Prior year amounts related to certain facilities previously included in our Behavioral Health Care Services' results have been reclassified into our Acute Care Hospital Services' results as of May 1, 2024 to conform with current year presentation.

 

Universal Health Services, Inc.

Supplemental Non-GAAP Disclosures

2025 Revised Operating Results Forecast

(in thousands, except per share amounts)
























Revised Forecast For The Year Ending December 31, 2025






% Net




% Net




Low


revenues


High


revenues

Net revenues



$17,306,000




$17,445,000













Adjusted net income attributable to UHS (a)


$1,382,259




$1,420,335













 Depreciation and amortization



617,346




617,346



 Interest expense



151,883




151,883



 Other (income) expense, net



(16,389)




(16,389)



 Provision for income taxes



434,352




446,316



Adjusted EBITDA net of NCI (b)



$2,569,451


14.8 %


$2,619,491


15.0 %











Adjusted net income attributable to UHS, per diluted share (a)

$21.50




$22.10













Shares used in computing diluted earnings per share

64,282




64,282




(a) Adjusted net income attributable to UHS/per diluted share exclude the following items because we do not believe we can forecast these items with sufficient accuracy. Such items include: the impact of future items, if applicable, that are nonrecurring or non-operational in nature including items such as pre-tax unrealized gains/losses resulting from changes in the market value of shares of certain equity securities, the impact of ASU 2016-09, and other potential material items including, but not limited to, impairments of goodwill, long-lived and intangible assets, reserves for various matters including settlements, legal judgments and lawsuits, costs related to extinguishment of debt, gains/losses on sales of assets and businesses, potential impacts of non-ordinary acquisitions, divestitures, joint ventures or other strategic transactions, other amounts that may be reflected in the current or prior year financial statements that relate to prior periods, and the impact of share repurchases that differ from our forecasted assumptions. Adjusted net income attributable to UHS/per diluted share is also subject to certain conditions including those as set forth in General Information, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures.












(b) Adjusted EBITDA net of NCI is a non-GAAP financial measure and should not be considered a measure of financial performance under GAAP.  We believe Adjusted EBITDA net of NCI is helpful to our investors as a measure of operating performance.

 

Cision View original content:https://www.prnewswire.com/news-releases/universal-health-services-inc-announces-financial-results-for-the-three-and-nine-month-periods-ended-september-30--2025--increases-2025-full-year-operating-results-forecast-and-announces-1-5-billion-increase-to-stock-repurchase-302595717.html

SOURCE Universal Health Services, Inc.

FAQ

What did UHS report for Q3 2025 net income and EPS?

UHS reported Q3 2025 net income attributable to UHS of $373.0M, or $5.86 per diluted share.

How much did UHS raise its 2025 adjusted EPS guidance on Oct 27, 2025?

UHS raised its 2025 adjusted EPS guidance to a range of $21.50–$22.10 per diluted share (revised Oct 27, 2025).

What is the size of UHS's increased stock repurchase authorization and available total?

The Board authorized a $1.5 billion increase, bringing the aggregate available repurchase authorization to $1.759 billion.

How many shares has UHS repurchased in 2025 year-to-date and at what cost?

Through the first nine months of 2025 UHS repurchased 3.190 million shares at an aggregate cost of approximately $565.8 million (avg ~$177/share).

What revised full-year 2025 net revenue range did UHS provide on Oct 27, 2025?

UHS revised 2025 net revenue guidance to a range of $17.306B–$17.445B for the year ending Dec 31, 2025.

Why did UHS cite Washington, D.C. in its revised 2025 forecast?

UHS referenced a recently approved Washington, D.C. Medicaid state directed payment program that contributed to the revised 2025 forecast and a $90M pre-tax reimbursement recorded in Q3.
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