UNIVERSAL HEALTH SERVICES, INC. ANNOUNCES FINANCIAL RESULTS FOR THE THREE AND SIX-MONTH PERIODS ENDED JUNE 30, 2025, AND INCREASES 2025 FULL YEAR OPERATING RESULTS FORECAST
Rhea-AI Summary
Universal Health Services (NYSE:UHS) reported strong Q2 2025 financial results and raised its full-year guidance. Net income reached $353.2 million ($5.43 per diluted share), up from $289.2 million in Q2 2024. Net revenues increased 9.6% to $4.284 billion.
The company benefited from $101 million in incremental Medicaid reimbursements, including $58 million from Tennessee's new directed payment program. However, UHS incurred a $25 million pre-tax loss from a newly opened hospital in Washington, D.C.
Based on strong H1 2025 performance, UHS increased its 2025 forecast, projecting net revenues of $17.096-17.312 billion and adjusted EPS of $20.00-21.00. The company continued its stock buyback program, repurchasing 875,000 shares for approximately $150.8 million in Q2 2025.
Positive
- Net income increased 22% year-over-year to $353.2 million in Q2 2025
- Net revenues grew 9.6% to $4.284 billion in Q2 2025
- Received $101 million in incremental Medicaid reimbursements
- Behavioral health services revenue increased 8.9% on same-facility basis
- Strong liquidity with $1.08 billion available borrowing capacity
- Increased 2025 EPS guidance to $20.00-21.00 from previous $18.45-19.95
Negative
- Incurred $25 million pre-tax loss from new Washington D.C. hospital
- Net cash from operations decreased by $167 million to $909 million in H1 2025
- Unfavorable $159 million change in accounts receivable
- Behavioral health adjusted admissions showed minimal growth of 0.4% in Q2 2025
News Market Reaction – UHS
On the day this news was published, UHS gained 5.08%, reflecting a notable positive market reaction. Our momentum scanner triggered 28 alerts that day, indicating elevated trading interest and price volatility. This price movement added approximately $509M to the company's valuation, bringing the market cap to $10.54B at that time. Trading volume was above average at 1.6x the daily average, suggesting increased trading activity.
Data tracked by StockTitan Argus on the day of publication.
Consolidated Results of Operations, As Reported and As Adjusted – Three-month periods ended June 30, 2025 and 2024:
As reflected on the Schedule of Non-GAAP Supplemental Information ("Supplemental Schedule"), our adjusted net income attributable to UHS during the second quarter of 2025 was
Included in our reported and adjusted net income attributable to UHS during the second quarter of 2025, were aggregate net pre-tax incremental reimbursements (net of related provider taxes) of approximately
As reflected on the Supplemental Schedule, included in our reported results during the second quarter of 2025 were: (i) an unrealized after-tax gain of
As reflected on the Supplemental Schedule, included in our reported results during the second quarter of 2024 were: (i) an unrealized after-tax loss of
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
Consolidated Results of Operations, As Reported and As Adjusted – Six-month periods ended June 30, 2025 and 2024:
Reported net income attributable to UHS was
As reflected on the Supplemental Schedule, our adjusted net income attributable to UHS during the first six months of 2025 was
As reflected on the Supplemental Schedule, included in our reported results during the first six months of 2025 were: (i) an unrealized after-tax gain of
As reflected on the Supplemental Schedule, included in our reported results during the first six months of 2024 were: (i) an unrealized after-tax loss of
As calculated on the attached Supplemental Schedule, our EBITDA net of NCI, was
Acute Care Services – Three and six-month periods ended June 30, 2025 and 2024:
During the second quarter of 2025, at our acute care hospitals owned during both periods ("same facility basis"), adjusted admissions (adjusted for outpatient activity) increased by
During the six-month period ended June 30, 2025, at our acute care hospitals on a same facility basis, adjusted admissions increased by
Behavioral Health Care Services – Three and six-month periods ended June 30, 2025 and 2024:
During the second quarter of 2025, at our behavioral health care facilities on a same facility basis, adjusted admissions increased by
During the first six months of 2025, at our behavioral health care facilities on a same facility basis, adjusted admissions decreased by
Net Cash Provided by Operating Activities and Liquidity:
Net Cash Provided by Operating Activities:
During the six-month period ended June 30, 2025, our net cash provided by operating activities was
Liquidity:
As of June 30, 2025, we had
Stock Repurchase Program:
In connection with our stock repurchase program, 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 second quarter of 2025, we have repurchased 875,000 shares at an aggregate cost of approximately
As of June 30, 2025, we had an aggregate available repurchase authorization of approximately
Revised 2025 Operating Results Forecast:
Based upon the operating trends and financial results experienced during the first six months of 2025, as well as the recent approval of a new Medicaid supplemental payment program in
The tables below include our revised full year 2025 operating results forecast, as well as our original 2025 operating results forecast which was previously disclosed on February 26, 2025.
Revised Forecast | Original Forecast | ||||
For the Year Ended | For the Year Ended | ||||
December 31, 2025 | December 31, 2025 | ||||
Low | High | Low | High | ||
Net revenues | |||||
Adjusted EBITDA, net of NCI | |||||
Adjusted EPS – diluted | |||||
- Our revised 2025 forecasted net revenues are estimated to be approximately
to$17.09 6 billion , representing a change of$17.31 2 billion0.4% to -0.3% as compared to our original range of 2025 forecasted net revenues. - Our revised 2025 forecasted Adjusted EBITDA, net of NCI, is estimated to be approximately
to$2.45 8 billion , representing increases of$2.54 3 billion4.3% to2.4% over our original range of 2025 forecasted Adjusted EBITDA, net of NCI. - Our revised 2025 forecasted Adjusted EPS-diluted is estimated to be
per share to$20.00 per share, representing increases of$21.00 8.4% to5.3% over our original 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 10:00 a.m. eastern time on July 29, 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
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
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 March 31, 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.
- 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 March 31, 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
Universal Health Services, Inc. | |||||||
Consolidated Statements of Income | |||||||
(in thousands, except per share amounts) | |||||||
(unaudited) | |||||||
Three months | Six months | ||||||
ended June 30, | ended June 30, | ||||||
2025 | 2024 | 2025 | 2024 | ||||
Net revenues | |||||||
Operating charges: | |||||||
Salaries, wages and benefits | 2,014,951 | 1,856,372 | 3,966,055 | 3,698,996 | |||
Other operating expenses | 1,162,566 | 1,043,116 | 2,268,318 | 2,075,286 | |||
Supplies expense | 418,785 | 388,063 | 821,666 | 791,636 | |||
Depreciation and amortization | 152,004 | 147,480 | 300,349 | 288,483 | |||
Lease and rental expense | 35,240 | 36,175 | 72,053 | 71,625 | |||
3,783,546 | 3,471,206 | 7,428,441 | 6,926,026 | ||||
Income from operations | 500,270 | 436,398 | 955,095 | 825,160 | |||
Interest expense, net | 35,364 | 48,899 | 75,420 | 101,725 | |||
Other (income) expense, net | (8,479) | 5,493 | (14,138) | 5,343 | |||
Income before income taxes | 473,385 | 382,006 | 893,813 | 718,092 | |||
Provision for income taxes | 110,773 | 87,676 | 209,573 | 157,940 | |||
Net income | 362,612 | 294,330 | 684,240 | 560,152 | |||
Less: Net income (loss) attributable to | |||||||
noncontrolling interests ("NCI") | 9,394 | 5,178 | 14,342 | 9,166 | |||
Net income attributable to UHS | |||||||
Basic earnings per share attributable to UHS (a) | |||||||
Diluted earnings per share attributable to UHS (a) | |||||||
Universal Health Services, Inc. | |||||||
Footnotes to Consolidated Statements of Income | |||||||
(in thousands, except per share amounts) | |||||||
(unaudited) | |||||||
Three months | Six months | ||||||
(a) Earnings per share calculation: | ended June 30, | ended June 30, | |||||
2025 | 2024 | 2025 | 2024 | ||||
Basic and diluted: | |||||||
Net income attributable to UHS | |||||||
Less: Net income attributable to unvested restricted share grants | 0 | (5) | 0 | (50) | |||
Net income attributable to UHS - basic and diluted | |||||||
Weighted average number of common shares - basic | 64,356 | 66,878 | 64,663 | 67,041 | |||
Basic earnings per share attributable to UHS: | |||||||
Weighted average number of common shares | 64,356 | 66,878 | 64,663 | 67,041 | |||
Add: Other share equivalents | 635 | 1,042 | 851 | 1,160 | |||
Weighted average number of common shares and equiv. - diluted | 64,991 | 67,920 | 65,514 | 68,201 | |||
Diluted earnings per share attributable to UHS: | |||||||
Universal Health Services, Inc. | |||||||
Schedule of Non-GAAP Supplemental Information ("Supplemental Schedule") | |||||||
For the Three Months ended June 30, 2025 and 2024 | |||||||
(in thousands, except per share amounts) | |||||||
(unaudited) | |||||||
Calculation of Earnings/Adjusted Earnings Before Interest, Taxes, Depreciation and | |||||||
Three months ended | % Net | Three months ended | % Net | ||||
June 30, 2025 | revenues | June 30, 2024 | revenues | ||||
Net income attributable to UHS | |||||||
Depreciation and amortization | 152,004 | 147,480 | |||||
Interest expense, net | 35,364 | 48,899 | |||||
Provision for income taxes | 110,773 | 87,676 | |||||
EBITDA net of NCI | 15.2 % | 14.7 % | |||||
Other (income) expense, net | (8,479) | 5,493 | |||||
Adjusted EBITDA net of NCI | 15.0 % | 14.8 % | |||||
Net revenues | |||||||
Calculation of Adjusted Net Income Attributable to UHS | |||||||
Three months ended | Three months ended | ||||||
June 30, 2025 | June 30, 2024 | ||||||
Per | Per | ||||||
Amount | Diluted Share | Amount | Diluted Share | ||||
Net income attributable to UHS | |||||||
Plus/minus after-tax adjustments: | |||||||
Unrealized (gain) loss on equity securities | (4,534) | (0.07) | 5,869 | 0.09 | |||
Impact of ASU 2016-09, net | (796) | (0.01) | (2,456) | (0.04) | |||
Subtotal adjustments | (5,330) | (0.08) | 3,413 | 0.05 | |||
Adjusted net income attributable to UHS | |||||||
Universal Health Services, Inc. | |||||||
Schedule of Non-GAAP Supplemental Information ("Supplemental Schedule") | |||||||
For the Six Months ended June 30, 2025 and 2024 | |||||||
(in thousands, except per share amounts) | |||||||
(unaudited) | |||||||
Calculation of Earnings/Adjusted Earnings Before Interest, Taxes, Depreciation and | |||||||
Six months ended | % Net | Six months ended | % Net | ||||
June 30, 2025 | revenues | June 30, 2024 | revenues | ||||
Net income attributable to UHS | |||||||
Depreciation and amortization | 300,349 | 288,483 | |||||
Interest expense, net | 75,420 | 101,725 | |||||
Provision for income taxes | 209,573 | 157,940 | |||||
EBITDA net of NCI | 15.0 % | 14.2 % | |||||
Other (income) expense, net | (14,138) | 5,343 | |||||
Adjusted EBITDA net of NCI | 14.8 % | 14.2 % | |||||
Net revenues | |||||||
Calculation of Adjusted Net Income Attributable to UHS | |||||||
Six months ended | Six months ended | ||||||
June 30, 2025 | June 30, 2024 | ||||||
Per | Per | ||||||
Amount | Diluted Share | Amount | Diluted Share | ||||
Net income attributable to UHS | |||||||
Plus/minus after-tax adjustments: | |||||||
Unrealized (gain) loss on equity securities | (1,249) | (0.02) | 6,313 | 0.09 | |||
Impact of ASU 2016-09, net | (1,257) | (0.02) | (11,612) | (0.17) | |||
Subtotal adjustments | (2,506) | (0.04) | (5,299) | (0.08) | |||
Adjusted net income attributable to UHS | |||||||
Universal Health Services, Inc. | ||||||
Condensed Consolidated Balance Sheets | ||||||
(in thousands) | ||||||
(unaudited) | ||||||
June 30, | December 31, | |||||
2025 | 2024 | |||||
Assets | ||||||
Current assets: | ||||||
Cash and cash equivalents | $ | 137,595 | $ | 125,983 | ||
Accounts receivable, net | 2,302,247 | 2,177,751 | ||||
Supplies | 222,783 | 220,940 | ||||
Other current assets | 327,357 | 291,614 | ||||
Total current assets | 2,989,982 | 2,816,288 | ||||
Property and equipment | 13,237,622 | 12,643,283 | ||||
Less: accumulated depreciation | (6,354,633) | (6,071,058) | ||||
6,882,989 | 6,572,225 | |||||
Other assets: | ||||||
Goodwill | 3,977,976 | 3,932,879 | ||||
Deferred income taxes | 147,680 | 118,449 | ||||
Right of use assets-operating leases | 389,836 | 418,719 | ||||
Deferred charges | 9,535 | 9,404 | ||||
Other | 587,579 | 601,785 | ||||
Total Assets | $ | 14,985,577 | $ | 14,469,749 | ||
Liabilities and Stockholders' Equity | ||||||
Current liabilities: | ||||||
Current maturities of long-term debt | $ | 40,897 | $ | 40,059 | ||
Accounts payable and other liabilities | 2,197,635 | 2,081,479 | ||||
Operating lease liabilities | 73,168 | 74,649 | ||||
Federal and state taxes | 5,371 | 14,219 | ||||
Total current liabilities | 2,317,071 | 2,210,406 | ||||
Other noncurrent liabilities | 629,492 | 655,806 | ||||
Operating lease liabilities noncurrent | 351,932 | 376,239 | ||||
Long-term debt | 4,542,000 | 4,464,482 | ||||
Redeemable noncontrolling interest | 2,042 | 13,293 | ||||
UHS common stockholders' equity | 7,030,048 | 6,666,207 | ||||
Noncontrolling interest | 112,992 | 83,316 | ||||
Total equity | 7,143,040 | 6,749,523 | ||||
Total Liabilities and Stockholders' Equity | $ | 14,985,577 | $ | 14,469,749 | ||
Universal Health Services, Inc. | |||
Consolidated Statements of Cash Flows | |||
(in thousands) | |||
(unaudited) | |||
Six months | |||
ended June 30, | |||
2025 | 2024 | ||
Cash Flows from Operating Activities: | |||
Net income | |||
Adjustments to reconcile net income to net | |||
cash provided by operating activities: | |||
Depreciation & amortization | 300,349 | 288,483 | |
Loss (gain) on sales of assets and businesses | 2,833 | (3,725) | |
Stock-based compensation expense | 45,707 | 46,162 | |
Changes in assets & liabilities, net of effects from | |||
acquisitions and dispositions: | |||
Accounts receivable | (92,636) | 66,174 | |
Accrued interest | (4,532) | 3,310 | |
Accrued and deferred income taxes | (55,913) | 26,970 | |
Other working capital accounts | 25,324 | 39,686 | |
Other assets and deferred charges | (22,404) | (3,030) | |
Other | 16,143 | 14,277 | |
Accrued insurance expense, net of commercial premiums paid | 94,696 | 102,222 | |
Payments made in settlement of self-insurance claims, net of commercial insurance reimbursements | (84,781) | (64,994) | |
Net cash provided by operating activities | 909,026 | 1,075,687 | |
Cash Flows from Investing Activities: | |||
Property and equipment additions | (505,040) | (449,933) | |
Proceeds received from sales of assets and businesses | 2,980 | 5,428 | |
Acquisition of businesses and property | (8,314) | 0 | |
(Outflows) inflows from foreign exchange contracts that hedge our net | (66,402) | 6,830 | |
(Increase) decrease in capital reserves of commercial insurance subsidiary | (462) | 196 | |
Net cash used in investing activities | (577,238) | (437,479) | |
Cash Flows from Financing Activities: | |||
Repayments of long-term debt | (18,548) | (382,675) | |
Additional borrowings | 94,601 | 12,038 | |
Repurchase of common shares | (378,542) | (237,987) | |
Dividends paid | (26,434) | (27,006) | |
Issuance of common stock | 8,137 | 7,227 | |
Profit distributions to noncontrolling interests | (9,621) | (5,089) | |
Purchase (sale) of ownership interests by (from) minority members | 11,336 | 5,025 | |
Net cash used in financing activities | (319,071) | (628,467) | |
Effect of exchange rate changes on cash, cash equivalents and restricted cash | 3,931 | (392) | |
Increase in cash, cash equivalents and restricted cash | 16,648 | 9,349 | |
Cash, cash equivalents and restricted cash, beginning of period | 224,752 | 214,470 | |
Cash, cash equivalents and restricted cash, end of period | |||
Supplemental Disclosures of Cash Flow Information: | |||
Interest paid | |||
6,921 | |||
Income taxes paid, net of refunds | |||
Noncash purchases of property and equipment | |||
Universal Health Services, Inc. | |||||||||
Supplemental Statistical Information | |||||||||
(unaudited) | |||||||||
% Change | % Change | ||||||||
3 Months ended | 6 Months ended | ||||||||
Same Facility: | 6/30/2025 | 6/30/2025 | |||||||
Acute Care Hospitals (1) | |||||||||
Revenues | 7.9 % | 7.2 % | |||||||
Adjusted Admissions | 2.0 % | 2.2 % | |||||||
Adjusted Patient Days | 1.1 % | 0.7 % | |||||||
Revenue Per Adjusted Admission | 3.8 % | 3.2 % | |||||||
Revenue Per Adjusted Patient Day | 4.7 % | 4.7 % | |||||||
Behavioral Health Hospitals (1) | |||||||||
Revenues | 8.9 % | 7.3 % | |||||||
Adjusted Admissions | 0.4 % | -0.6 % | |||||||
Adjusted Patient Days | 1.2 % | 0.4 % | |||||||
Revenue Per Adjusted Admission | 8.6 % | 7.9 % | |||||||
Revenue Per Adjusted Patient Day | 7.8 % | 6.8 % | |||||||
UHS Consolidated | Second Quarter Ended | Six Months Ended | |||||||
6/30/2025 | 6/30/2024 | 6/30/2025 | 6/30/2024 | ||||||
Revenues | |||||||||
EBITDA net of NCI | |||||||||
EBITDA Margin net of NCI | 15.2 % | 14.7 % | 15.0 % | 14.2 % | |||||
Adjusted EBITDA net of NCI | |||||||||
Adjusted EBITDA Margin net of NCI | 15.0 % | 14.8 % | 14.8 % | 14.2 % | |||||
Cash Flow From Operations | |||||||||
Capital Expenditures | |||||||||
Days Sales Outstanding | 50 | 51 | |||||||
Debt | |||||||||
UHS' Shareholders Equity | |||||||||
Debt / Total Capitalization | 39.5 % | 41.2 % | |||||||
Debt / EBITDA net of NCI (2) | 1.91 | 2.29 | |||||||
Debt / Adjusted EBITDA net of NCI (2) | 1.92 | 2.27 | |||||||
Debt / Cash From Operations (2) | 2.41 | 2.69 | |||||||
(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 Six months ended | ||||||||||||||||
June 30, 2025 and 2024 | ||||||||||||||||
(in thousands) | ||||||||||||||||
(unaudited) | ||||||||||||||||
Same Facility Basis - Acute Care Hospital Services | ||||||||||||||||
Three months ended | Three months ended | Six months ended | Six months ended | |||||||||||||
June 30, 2025 | June 30, 2024 | June 30, 2025 | June 30, 2024 | |||||||||||||
Amount | % of Net | Amount | % of Net | Amount | % of Net | Amount | % of Net | |||||||||
Net revenues | 100.0 % | 100.0 % | 100.0 % | 100.0 % | ||||||||||||
Operating charges: | ||||||||||||||||
Salaries, wages and benefits | 905,960 | 39.9 % | 858,559 | 40.8 % | 1,800,061 | 39.9 % | 1,719,645 | 40.8 % | ||||||||
Other operating expenses | 646,546 | 28.5 % | 579,981 | 27.6 % | 1,276,571 | 28.3 % | 1,157,563 | 27.5 % | ||||||||
Supplies expense | 352,075 | 15.5 % | 331,901 | 15.8 % | 695,545 | 15.4 % | 679,031 | 16.1 % | ||||||||
Depreciation and amortization | 89,190 | 3.9 % | 94,337 | 4.5 % | 177,274 | 3.9 % | 184,620 | 4.4 % | ||||||||
Lease and rental expense | 24,101 | 1.1 % | 24,314 | 1.2 % | 49,172 | 1.1 % | 48,147 | 1.1 % | ||||||||
Subtotal-operating expenses | 2,017,872 | 88.8 % | 1,889,092 | 89.7 % | 3,998,623 | 88.5 % | 3,789,006 | 89.9 % | ||||||||
Income from operations | 254,444 | 11.2 % | 216,097 | 10.3 % | 517,755 | 11.5 % | 424,228 | 10.1 % | ||||||||
Interest expense, net | (1,613) | (0.1) % | 986 | 0.0 % | 649 | 0.0 % | 2,286 | 0.1 % | ||||||||
Other (income) expense, net | (1,011) | (0.0) % | (677) | (0.0) % | (9,583) | (0.2) % | (517) | (0.0) % | ||||||||
Income before income taxes | 11.3 % | 10.3 % | 11.7 % | 10.0 % | ||||||||||||
All Acute Care Hospital Services | ||||||||||||||||
Three months ended | Three months ended | Six months ended | Six months ended | |||||||||||||
June 30, 2025 | June 30, 2024 | June 30, 2025 | June 30, 2024 | |||||||||||||
Amount | % of Net | Amount | % of Net | Amount | % of Net | Amount | % of Net | |||||||||
Net revenues | 100.0 % | 100.0 % | 100.0 % | 100.0 % | ||||||||||||
Operating charges: | ||||||||||||||||
Salaries, wages and benefits | 937,105 | 39.0 % | 859,147 | 39.4 % | 1,847,829 | 38.9 % | 1,720,694 | 39.4 % | ||||||||
Other operating expenses | 757,120 | 31.5 % | 655,760 | 30.1 % | 1,472,460 | 31.0 % | 1,310,743 | 30.0 % | ||||||||
Supplies expense | 360,985 | 15.0 % | 331,877 | 15.2 % | 709,378 | 14.9 % | 678,881 | 15.6 % | ||||||||
Depreciation and amortization | 96,370 | 4.0 % | 94,361 | 4.3 % | 191,017 | 4.0 % | 184,673 | 4.2 % | ||||||||
Lease and rental expense | 24,239 | 1.0 % | 24,316 | 1.1 % | 49,578 | 1.0 % | 48,149 | 1.1 % | ||||||||
Subtotal-operating expenses | 2,175,819 | 90.6 % | 1,965,461 | 90.2 % | 4,270,262 | 89.9 % | 3,943,140 | 90.4 % | ||||||||
Income from operations | 225,215 | 9.4 % | 213,225 | 9.8 % | 480,001 | 10.1 % | 420,627 | 9.6 % | ||||||||
Interest expense, net | (1,613) | (0.1) % | 986 | 0.0 % | 649 | 0.0 % | 2,286 | 0.1 % | ||||||||
Other (income) expense, net | (916) | (0.0) % | (461) | (0.0) % | (9,183) | (0.2) % | 173 | 0.0 % | ||||||||
Income before income taxes | 9.5 % | 9.8 % | 10.3 % | 9.6 % | ||||||||||||
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 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 March 31, 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 Six months ended | ||||||||||||||||
June 30, 2025 and 2024 | ||||||||||||||||
(in thousands) | ||||||||||||||||
(unaudited) | ||||||||||||||||
Same Facility Basis - Behavioral Health Care Services | ||||||||||||||||
Three months ended | Three months ended | Six months ended | Six months ended | |||||||||||||
June 30, 2025 | June 30, 2024 | June 30, 2025 | June 30, 2024 | |||||||||||||
Amount | % of Net | Amount | % of Net | Amount | % of Net | Amount | % of Net | |||||||||
Net revenues | 100.0 % | 100.0 % | 100.0 % | 100.0 % | ||||||||||||
Operating charges: | ||||||||||||||||
Salaries, wages and benefits | 974,476 | 53.3 % | 890,855 | 53.1 % | 1,900,013 | 53.8 % | 1,759,511 | 53.4 % | ||||||||
Other operating expenses | 330,508 | 18.1 % | 307,502 | 18.3 % | 651,954 | 18.5 % | 621,503 | 18.9 % | ||||||||
Supplies expense | 58,183 | 3.2 % | 56,777 | 3.4 % | 113,562 | 3.2 % | 113,486 | 3.4 % | ||||||||
Depreciation and amortization | 52,963 | 2.9 % | 50,183 | 3.0 % | 104,331 | 3.0 % | 97,780 | 3.0 % | ||||||||
Lease and rental expense | 10,695 | 0.6 % | 11,403 | 0.7 % | 21,822 | 0.6 % | 22,857 | 0.7 % | ||||||||
Subtotal-operating expenses | 1,426,825 | 78.1 % | 1,316,720 | 78.5 % | 2,791,682 | 79.0 % | 2,615,137 | 79.4 % | ||||||||
Income from operations | 400,694 | 21.9 % | 361,156 | 21.5 % | 741,699 | 21.0 % | 678,980 | 20.6 % | ||||||||
Interest expense, net | 1,105 | 0.1 % | 1,008 | 0.1 % | 2,179 | 0.1 % | 2,035 | 0.1 % | ||||||||
Other (income) expense, net | (837) | (0.0) % | (871) | (0.1) % | (1,662) | (0.0) % | (1,547) | (0.0) % | ||||||||
Income before income taxes | 21.9 % | 21.5 % | 21.0 % | 20.6 % | ||||||||||||
All Behavioral Health Care Services | ||||||||||||||||
Three months ended | Three months ended | Six months ended | Six months ended | |||||||||||||
June 30, 2025 | June 30, 2024 | June 30, 2025 | June 30, 2024 | |||||||||||||
Amount | % of Net | Amount | % of Net | Amount | % of Net | Amount | % of Net | |||||||||
Net revenues | 100.0 % | 100.0 % | 100.0 % | 100.0 % | ||||||||||||
Operating charges: | ||||||||||||||||
Salaries, wages and benefits | 977,156 | 52.0 % | 895,494 | 51.9 % | 1,905,322 | 52.5 % | 1,767,690 | 52.3 % | ||||||||
Other operating expenses | 383,841 | 20.4 % | 351,579 | 20.4 % | 747,425 | 20.6 % | 698,847 | 20.7 % | ||||||||
Supplies expense | 58,401 | 3.1 % | 57,084 | 3.3 % | 113,848 | 3.1 % | 114,008 | 3.4 % | ||||||||
Depreciation and amortization | 53,259 | 2.8 % | 50,478 | 2.9 % | 104,667 | 2.9 % | 98,350 | 2.9 % | ||||||||
Lease and rental expense | 10,964 | 0.6 % | 11,760 | 0.7 % | 22,333 | 0.6 % | 23,278 | 0.7 % | ||||||||
Subtotal-operating expenses | 1,483,621 | 78.9 % | 1,366,395 | 79.2 % | 2,893,595 | 79.8 % | 2,702,173 | 79.9 % | ||||||||
Income from operations | 396,455 | 21.1 % | 359,637 | 20.8 % | 734,130 | 20.2 % | 679,926 | 20.1 % | ||||||||
Interest expense, net | 1,104 | 0.1 % | 1,008 | 0.1 % | 2,179 | 0.1 % | 2,035 | 0.1 % | ||||||||
Other (income) expense, net | (837) | (0.0) % | (871) | (0.1) % | (1,662) | (0.0) % | (1,547) | (0.0) % | ||||||||
Income before income taxes | 21.1 % | 20.8 % | 20.2 % | 20.1 % | ||||||||||||
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 March 31, 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 | ||||||||||||
June 30, 2025 and 2024 | ||||||||||||
(unaudited) | ||||||||||||
AS REPORTED: | ||||||||||||
ACUTE | BEHAVIORAL HEALTH | |||||||||||
6/30/25 | 6/30/24 | % change | 6/30/25 | 6/30/24 | % change | |||||||
Hospitals owned and leased | 29 | 27 | 7.4 % | 331 | 332 | -0.3 % | ||||||
Average licensed beds | 7,112 | 6,750 | 5.4 % | 24,301 | 24,326 | -0.1 % | ||||||
Average available beds | 6,940 | 6,578 | 5.5 % | 24,201 | 24,226 | -0.1 % | ||||||
Patient days | 410,246 | 395,868 | 3.6 % | 1,623,458 | 1,613,648 | 0.6 % | ||||||
Average daily census | 4,508.2 | 4,350.2 | 3.6 % | 17,840.2 | 17,732.4 | 0.6 % | ||||||
Occupancy-licensed beds | 63.4 % | 64.4 % | -1.6 % | 73.4 % | 72.9 % | 0.7 % | ||||||
Occupancy-available beds | 65.0 % | 66.1 % | -1.8 % | 73.7 % | 73.2 % | 0.7 % | ||||||
Admissions | 86,823 | 82,744 | 4.9 % | 118,974 | 118,912 | 0.1 % | ||||||
Length of stay | 4.7 | 4.8 | -2.1 % | 13.6 | 13.6 | 0.0 % | ||||||
Inpatient revenue | 12.4 % | 8.1 % | ||||||||||
Outpatient revenue | 9,638,377 | 8,634,202 | 11.6 % | 295,178 | 286,240 | 3.1 % | ||||||
Total patient revenue | 23,518,116 | 20,979,778 | 12.1 % | 3,295,540 | 3,060,879 | 7.7 % | ||||||
Other revenue | 285,688 | 234,356 | 21.9 % | 93,544 | 82,196 | 13.8 % | ||||||
Gross revenue | 23,803,804 | 21,214,134 | 12.2 % | 3,389,084 | 3,143,075 | 7.8 % | ||||||
Total deductions | 21,402,770 | 19,035,448 | 12.4 % | 1,509,008 | 1,417,043 | 6.5 % | ||||||
Net revenue | 10.2 % | 8.9 % | ||||||||||
SAME FACILITY: | ||||||||||||
ACUTE | BEHAVIORAL HEALTH | |||||||||||
6/30/25 | 6/30/24 | % change | 6/30/25 | 6/30/24 | % change | |||||||
Hospitals owned and leased | 27 | 27 | 0.0 % | 335 | 335 | 0.0 % | ||||||
Average licensed beds | 6,820 | 6,750 | 1.0 % | 24,130 | 23,861 | 1.1 % | ||||||
Average available beds | 6,648 | 6,578 | 1.1 % | 24,030 | 23,761 | 1.1 % | ||||||
Patient days | 400,910 | 395,868 | 1.3 % | 1,612,948 | 1,590,252 | 1.4 % | ||||||
Average daily census | 4,405.6 | 4,350.2 | 1.3 % | 17,724.7 | 17,475.3 | 1.4 % | ||||||
Occupancy-licensed beds | 64.6 % | 64.4 % | 0.2 % | 73.5 % | 73.2 % | 0.3 % | ||||||
Occupancy-available beds | 66.3 % | 66.1 % | 0.2 % | 73.8 % | 73.5 % | 0.3 % | ||||||
Admissions | 84,529 | 82,744 | 2.2 % | 118,170 | 117,423 | 0.6 % | ||||||
Length of stay | 4.7 | 4.8 | -2.1 % | 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 Six Months ended | ||||||||||||
June 30, 2025 and 2024 | ||||||||||||
(unaudited) | ||||||||||||
AS REPORTED: | ||||||||||||
ACUTE | BEHAVIORAL HEALTH | |||||||||||
6/30/25 | 6/30/24 | % change | 6/30/25 | 6/30/24 | % change | |||||||
Hospitals owned and leased | 29 | 27 | 7.4 % | 338 | 332 | 1.8 % | ||||||
Average licensed beds | 6,983 | 6,704 | 4.2 % | 24,263 | 24,353 | -0.4 % | ||||||
Average available beds | 6,811 | 6,532 | 4.3 % | 24,163 | 24,253 | -0.4 % | ||||||
Patient days | 830,935 | 811,192 | 2.4 % | 3,220,352 | 3,222,638 | -0.1 % | ||||||
Average daily census | 4,590.8 | 4,457.1 | 3.0 % | 17,792.0 | 17,706.8 | 0.5 % | ||||||
Occupancy-licensed beds | 65.7 % | 66.5 % | -1.1 % | 73.3 % | 72.7 % | 0.9 % | ||||||
Occupancy-available beds | 67.4 % | 68.2 % | -1.2 % | 73.6 % | 73.0 % | 0.9 % | ||||||
Admissions | 173,475 | 166,325 | 4.3 % | 236,762 | 238,842 | -0.9 % | ||||||
Length of stay | 4.8 | 4.9 | -2.0 % | 13.6 | 13.5 | 0.7 % | ||||||
Inpatient revenue | 11.6 % | 6.0 % | ||||||||||
Outpatient revenue | 18,965,661 | 16,980,491 | 11.7 % | 569,724 | 564,768 | 0.9 % | ||||||
Total patient revenue | 47,147,009 | 42,236,169 | 11.6 % | 6,431,656 | 6,094,091 | 5.5 % | ||||||
Other revenue | 566,125 | 480,607 | 17.8 % | 181,929 | 162,407 | 12.0 % | ||||||
Gross revenue | 47,713,134 | 42,716,776 | 11.7 % | 6,613,585 | 6,256,498 | 5.7 % | ||||||
Total deductions | 42,962,871 | 38,353,009 | 12.0 % | 2,985,860 | 2,874,399 | 3.9 % | ||||||
Net revenue | 8.9 % | 7.3 % | ||||||||||
SAME FACILITY: | ||||||||||||
ACUTE | BEHAVIORAL HEALTH | |||||||||||
6/30/25 | 6/30/24 | % change | 6/30/25 | 6/30/24 | % change | |||||||
Hospitals owned and leased | 27 | 27 | 0.0 % | 335 | 335 | 0.0 % | ||||||
Average licensed beds | 6,762 | 6,704 | 0.9 % | 24,114 | 23,888 | 0.9 % | ||||||
Average available beds | 6,590 | 6,532 | 0.9 % | 24,014 | 23,788 | 1.0 % | ||||||
Patient days | 815,640 | 811,192 | 0.5 % | 3,199,646 | 3,174,499 | 0.8 % | ||||||
Average daily census | 4,506.3 | 4,457.1 | 1.1 % | 17,677.6 | 17,442.3 | 1.3 % | ||||||
Occupancy-licensed beds | 66.6 % | 66.5 % | 0.2 % | 73.3 % | 73.0 % | 0.4 % | ||||||
Occupancy-available beds | 68.4 % | 68.2 % | 0.2 % | 73.6 % | 73.3 % | 0.4 % | ||||||
Admissions | 169,773 | 166,325 | 2.1 % | 235,245 | 235,831 | -0.2 % | ||||||
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 | ||||||||||
Adjusted net income attributable to UHS (a) | ||||||||||
Depreciation and amortization | 622,675 | 622,675 | ||||||||
Interest expense | 147,155 | 147,155 | ||||||||
Other (income) expense, net | (18,408) | (18,408) | ||||||||
Provision for income taxes | 407,795 | 428,237 | ||||||||
Adjusted EBITDA net of NCI (b) | 14.4 % | 14.7 % | ||||||||
Adjusted net income attributable to UHS, per diluted share (a) | ||||||||||
Shares used in computing diluted earnings per share | 64,922 | 64,922 | ||||||||
(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. | ||||||||||
SOURCE Universal Health Services, Inc.