EX-99.1 2 uhs-ex99_1.htm EX-99.1 EX-99.1

Exhibit 99.1

FOR IMMEDIATE RELEASE

April 28, 2025

 

CONTACT:

Steve Filton

 

Chief Financial Officer

 

610-768-3300

 

 

UNIVERSAL HEALTH SERVICES, INC.

ANNOUNCES 2025 FIRST QUARTER FINANCIAL RESULTS

 

Consolidated Results of Operations, As Reported and As Adjusted – Three-month periods ended March 31, 2025 and 2024:

KING OF PRUSSIA, PA – Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income attributable to UHS was $316.7 million, or $4.80 per diluted share, during the first quarter of 2025, as compared to $261.8 million, or $3.82 per diluted share, during the first quarter of 2024. Net revenues increased by 6.7% to $4.100 billion during the first quarter of 2025, as compared to $3.844 billion during the first quarter of 2024.

As reflected on the Schedule of Non-GAAP Supplemental Information (“Supplemental Schedule”), our adjusted net income attributable to UHS during the first quarter of 2025 was $319.5 million, or $4.84 per diluted share, as compared to $253.1 million, or $3.70 per diluted share, during the first quarter of 2024.

As reflected on the Supplemental Schedule, included in our reported results during the first quarter of 2025 were: (i) an unrealized after-tax loss of $3.3 million, or $.05 per diluted share ($4.3 million pre-tax), resulting from a decrease in the market value of certain equity securities (included in “Other (income) expense, net”), and; (ii) a favorable net after-tax impact of $0.5 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 first quarter of 2024 were: (i) a favorable after-tax impact of $9.2 million, or $.13 per diluted share, resulting from the tax benefit recorded in connection with employee share-based payments pursuant to ASU 2016-09, and; (ii) an unrealized after-tax loss of $0.4 million, or $.01 per diluted share ($0.6 million pre-tax), resulting from a decrease in the market value of certain equity securities.

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 $603.9 million during the first quarter of 2025, as compared to $525.9 million during the first 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 $598.2 million during the first quarter of 2025, as compared to $525.8 million during the first quarter of 2024.

Acute Care Services – Three-month periods ended March 31, 2025 and 2024:

During the first quarter of 2025, at our acute care hospitals owned during both periods (“same facility basis”), adjusted admissions (adjusted for outpatient activity) increased by 2.4% while adjusted patient days increased by 0.3%, as compared to the first quarter of 2024. At these facilities, during the first quarter of 2025, net revenue per adjusted admission increased by 2.5% while net revenue per adjusted patient day increased by 4.7%, as compared to the first quarter of 2024. Net revenues generated from our acute care services, on a same facility basis, increased by 6.5% during the first quarter of 2025, as compared to the first quarter of 2024.

Behavioral Health Care Services – Three-month periods ended March 31, 2025 and 2024:

During the first quarter of 2025, at our behavioral health care facilities on a same facility basis, adjusted admissions decreased by 1.6% while adjusted patient days decreased by 0.3%, as compared to the first quarter


of 2024. At these facilities, during the first quarter of 2025, net revenue per adjusted admission increased by 7.2% and net revenue per adjusted patient day increased by 5.8%, as compared to the first quarter of 2024. Net revenues generated from our behavioral health care services, on a same facility basis, increased by 5.5% during the first quarter of 2025, as compared to the first quarter of 2024.

Net Cash Provided by Operating Activities and Liquidity:

Net Cash Provided by Operating Activities:

During the three-month period ended March 31, 2025, our net cash provided by operating activities was $360 million as compared to $396 million during the first quarter of 2024. The $36 million net decrease in our net cash provided by operating activities consisted of: (i) a favorable change of $69 million resulting from an increase in net income plus/minus depreciation and amortization expense, stock-based compensation expense and gains on sales of assets and businesses; (ii) an unfavorable change of $144 million in accounts receivable due, in part, to delays in receipt of funds in connection with certain Medicaid supplement payment programs in various states (approximately $82 million of which related to the Nevada state directed payment program which was approved by the Centers for Medicare and Medicaid Services in April, 2025, retroactive to January 1, 2025); (iii) a favorable change of $20 million in other assets and deferred charges; (iv) a favorable change of $16 million in accrued and deferred income taxes, and; (v) $3 million of other combined net favorable changes.

Liquidity:

As of March 31, 2025, we had $1.02 billion of aggregate available borrowing capacity pursuant to our $1.3 billion revolving credit facility, net of outstanding borrowings and letters of credit.

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 first quarter of 2025, we have repurchased approximately 1.0 million shares at an aggregate cost of approximately $180.6 million (average price of approximately $181 per share).

As of March 31, 2025, we had an aggregate available repurchase authorization of approximately $643.7 million pursuant to our stock repurchase program.

Conference call information:

We will hold a conference call for investors and analysts at 9:00 a.m. eastern time on April 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 $15.8 billion. UHS ranked #299 on the Fortune 500; and #399 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, 334 inpatient behavioral health facilities, 60 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. It 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 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, if adopted, 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, failure of our hospitals that currently receive supplemental Medicaid revenues to qualify for future funds under these programs, the adoption of certain proposed reductions of federal funding for Medicaid, or reductions in other reimbursements, could cause our actual results of operations for the year ended December 31, 2025 to differ materially from our 2025 operating results forecast.
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 on Form 8-K on September 30, 2024, Form 10-Q for the quarterly period ended September 30, 2024 and Form 10-K for the year ended December 31, 2024; and the matter related to the Pavilion Behavioral Health System (“Pavilion”), located in Champaign, Illinois, as previously disclosed on Forms 8-K on April 1, 2024, September 30, 2024 and October 11, 2024, Forms 10-Q for the quarterly periods ended March 31, 2024, June 30, 2024 and September 30, 2024 and Form 10-K for the year ended December 31, 2024. We have reached an agreement in principle with respect to the Pavilion matter which is subject to the execution of a final settlement agreement and court approval of that agreement. Although the terms of

the settlement are confidential, we expect that the settlement, if finalized and approved by the court, will be covered by our commercial excess insurance and our existing reserves for that matter. 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-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.

(more)

 


 

Universal Health Services, Inc.

 

Consolidated Statements of Income

 

(in thousands, except per share amounts)

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

Three months

 

 

 

ended March 31,

 

 

 

2025

 

 

2024

 

Net revenues

 

$

4,099,720

 

 

 

3,843,582

 

 

 

 

 

 

 

 

Operating charges:

 

 

 

 

 

 

Salaries, wages and benefits

 

 

1,951,104

 

 

 

1,842,624

 

Other operating expenses

 

 

1,105,752

 

 

 

1,032,170

 

Supplies expense

 

 

402,881

 

 

 

403,573

 

Depreciation and amortization

 

 

148,345

 

 

 

141,003

 

Lease and rental expense

 

 

36,813

 

 

 

35,450

 

 

 

3,644,895

 

 

 

3,454,820

 

 

 

 

 

 

 

 

Income from operations

 

 

454,825

 

 

 

388,762

 

Interest expense, net

 

 

40,056

 

 

 

52,826

 

Other (income) expense, net

 

 

(5,659

)

 

 

(150

)

Income before income taxes

 

 

420,428

 

 

 

336,086

 

Provision for income taxes

 

 

98,800

 

 

 

70,264

 

Net income

 

 

321,628

 

 

 

265,822

 

Less: Net income (loss) attributable to noncontrolling interests ("NCI")

 

 

4,948

 

 

 

3,988

 

Net income attributable to UHS

 

$

316,680

 

 

$

261,834

 

 

 

 

 

 

 

Basic earnings per share attributable to UHS (a)

 

$

4.87

 

 

$

3.90

 

 

 

 

 

 

 

 

Diluted earnings per share attributable to UHS (a)

 

$

4.80

 

 

$

3.82

 

 


Universal Health Services, Inc.

 

Footnotes to Consolidated Statements of Income

 

(in thousands, except per share amounts)

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

Three months

 

 

 

ended March 31,

 

 

 

2025

 

 

2024

 

(a) Earnings per share calculation:

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic and diluted:

 

 

 

 

 

 

Net income attributable to UHS

 

$

316,680

 

 

$

261,834

 

Less: Net income attributable to unvested restricted share grants

 

 

0

 

 

 

(45

)

Net income attributable to UHS - basic and diluted

 

$

316,680

 

 

$

261,789

 

 

 

 

 

 

 

Weighted average number of common shares - basic

 

 

64,970

 

 

 

67,204

 

 

 

 

 

 

 

Basic earnings per share attributable to UHS:

 

$

4.87

 

 

$

3.90

 

 

 

 

 

 

 

Weighted average number of common shares

 

 

64,970

 

 

 

67,204

 

Add: Other share equivalents

 

 

1,067

 

 

 

1,278

 

Weighted average number of common shares and equiv. - diluted

 

 

66,037

 

 

 

68,482

 

 

 

 

 

 

 

Diluted earnings per share attributable to UHS:

 

$

4.80

 

 

$

3.82

 

 


Universal Health Services, Inc.

 

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

 

For the Three Months ended March 31, 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

 

 

March 31, 2025

 

 

revenues

 

 

March 31, 2024

 

 

revenues

 

Net income attributable to UHS

$

316,680

 

 

 

 

 

$

261,834

 

 

 

 

   Depreciation and amortization

 

148,345

 

 

 

 

 

 

141,003

 

 

 

 

   Interest expense, net

 

40,056

 

 

 

 

 

 

52,826

 

 

 

 

   Provision for income taxes

 

98,800

 

 

 

 

 

 

70,264

 

 

 

 

EBITDA net of NCI

$

603,881

 

 

 

14.7

%

 

$

525,927

 

 

 

13.7

%

Other (income) expense, net

 

(5,659

)

 

 

 

 

 

(150

)

 

 

 

Adjusted EBITDA net of NCI

$

598,222

 

 

 

14.6

%

 

$

525,777

 

 

 

13.7

%

 

 

 

 

 

 

 

 

 

 

 

 

Net revenues

$

4,099,720

 

 

 

 

 

$

3,843,582

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Calculation of Adjusted Net Income Attributable to UHS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

Three months ended

 

 

March 31, 2025

 

 

March 31, 2024

 

 

 

 

 

Per

 

 

 

 

 

Per

 

 

Amount

 

 

Diluted Share

 

 

Amount

 

 

Diluted Share

 

Net income attributable to UHS

$

316,680

 

 

$

4.80

 

 

$

261,834

 

 

$

3.82

 

Plus/minus after-tax adjustments:

 

 

 

 

 

 

 

 

 

 

 

Unrealized loss on equity securities

 

3,285

 

 

 

0.05

 

 

 

444

 

 

 

0.01

 

Impact of ASU 2016-09, net

 

(461

)

 

 

(0.01

)

 

 

(9,156

)

 

 

(0.13

)

Subtotal adjustments

 

2,824

 

 

 

0.04

 

 

 

(8,712

)

 

 

(0.12

)

Adjusted net income attributable to UHS

$

319,504

 

 

$

4.84

 

 

$

253,122

 

 

$

3.70

 

 

 


Universal Health Services, Inc.

 

Condensed Consolidated Balance Sheets

 

(in thousands)

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

March 31,

 

 

December 31,

 

 

 

2025

 

 

2024

 

Assets

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

Cash and cash equivalents

 

$

126,753

 

 

$

125,983

 

Accounts receivable, net

 

 

2,411,524

 

 

 

2,177,751

 

Supplies

 

 

221,991

 

 

 

220,940

 

Other current assets

 

 

317,106

 

 

 

291,614

 

Total current assets

 

 

3,077,374

 

 

 

2,816,288

 

 

 

 

 

 

 

Property and equipment

 

 

12,905,358

 

 

 

12,643,283

 

Less: accumulated depreciation

 

 

(6,208,744

)

 

 

(6,071,058

)

 

 

6,696,614

 

 

 

6,572,225

 

Other assets:

 

 

 

 

 

 

Goodwill

 

 

3,948,178

 

 

 

3,932,879

 

Deferred income taxes

 

 

133,244

 

 

 

118,449

 

Right of use assets-operating leases

 

 

409,458

 

 

 

418,719

 

Deferred charges

 

 

9,186

 

 

 

9,404

 

Other

 

 

601,376

 

 

 

601,785

 

Total Assets

 

$

14,875,430

 

 

$

14,469,749

 

 

 

 

 

 

 

Liabilities and Stockholders' Equity

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

Current maturities of long-term debt

 

$

40,410

 

 

$

40,059

 

Accounts payable and other liabilities

 

 

2,092,451

 

 

 

2,081,479

 

Operating lease liabilities

 

 

75,929

 

 

 

74,649

 

Federal and state taxes

 

 

121,462

 

 

 

14,219

 

Total current liabilities

 

 

2,330,252

 

 

 

2,210,406

 

 

 

 

 

 

 

Other noncurrent liabilities

 

 

681,654

 

 

 

655,806

 

Operating lease liabilities noncurrent

 

 

368,518

 

 

 

376,239

 

Long-term debt

 

 

4,609,272

 

 

 

4,464,482

 

 

 

 

 

 

 

Redeemable noncontrolling interest

 

 

13,324

 

 

 

13,293

 

 

 

 

 

 

 

UHS common stockholders' equity

 

 

6,785,604

 

 

 

6,666,207

 

Noncontrolling interest

 

 

86,806

 

 

 

83,316

 

Total equity

 

 

6,872,410

 

 

 

6,749,523

 

 

 

 

 

 

 

Total Liabilities and Stockholders' Equity

 

$

14,875,430

 

 

$

14,469,749

 

 


Universal Health Services, Inc.

 

Consolidated Statements of Cash Flows

 

(in thousands)

 

(unaudited)

 

 

Three months

 

 

ended March 31,

 

 

2025

 

 

2024

 

Cash Flows from Operating Activities:

 

 

 

 

 

Net income

$

321,628

 

 

$

265,822

 

Adjustments to reconcile net income to net cash provided by operating activities:

 

 

 

 

 

Depreciation & amortization

 

148,345

 

 

 

141,003

 

Gains on sales of assets and businesses

 

0

 

 

 

(3,725

)

Stock-based compensation expense

 

21,595

 

 

 

19,630

 

Changes in assets & liabilities, net of effects from acquisitions and dispositions:

 

 

 

 

 

Accounts receivable

 

(218,374

)

 

 

(74,446

)

Accrued interest

 

11,086

 

 

 

3,453

 

Accrued and deferred income taxes

 

88,641

 

 

 

72,193

 

Other working capital accounts

 

(42,824

)

 

 

(33,291

)

Other assets and deferred charges

 

(489

)

 

 

(20,307

)

Other

 

3,811

 

 

 

8,897

 

Accrued insurance expense, net of commercial premiums paid

 

47,334

 

 

 

51,112

 

Payments made in settlement of self-insurance claims

 

(20,705

)

 

 

(33,935

)

Net cash provided by operating activities

 

360,048

 

 

 

396,406

 

Cash Flows from Investing Activities:

 

 

 

 

 

Property and equipment additions

 

(239,026

)

 

 

(208,539

)

Proceeds received from sales of assets and businesses

 

0

 

 

 

5,428

 

Acquisition of businesses and property

 

(8,314

)

 

 

0

 

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

 

(23,695

)

 

 

8,319

 

(Increase) decrease in capital reserves of commercial insurance subsidiary

 

(264

)

 

 

155

 

Net cash used in investing activities

 

(271,299

)

 

 

(194,637

)

Cash Flows from Financing Activities:

 

 

 

 

 

Repayments of long-term debt

 

(9,113

)

 

 

(63,905

)

Additional borrowings

 

152,454

 

 

 

12,038

 

Repurchase of common shares

 

(223,385

)

 

 

(142,084

)

Dividends paid

 

(13,534

)

 

 

(13,601

)

Issuance of common stock

 

3,658

 

 

 

3,241

 

Profit distributions to noncontrolling interests

 

(5,912

)

 

 

(4,480

)

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

 

4,412

 

 

 

(156

)

Net cash used in financing activities

 

(91,420

)

 

 

(208,947

)

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

 

1,645

 

 

 

(492

)

Decrease in cash, cash equivalents and restricted cash

 

(1,026

)

 

 

(7,670

)

Cash, cash equivalents and restricted cash, beginning of period

 

224,752

 

 

 

214,470

 

Cash, cash equivalents and restricted cash, end of period

$

223,726

 

 

$

206,800

 

Supplemental Disclosures of Cash Flow Information:

 

 

 

 

 

Interest paid

$

27,718

 

 

$

48,116

 

Income taxes paid, net of refunds

$

5,638

 

 

$

2,671

 

Noncash purchases of property and equipment

$

116,196

 

 

$

60,125

 

 


Universal Health Services, Inc.

Supplemental Statistical Information

(unaudited)

 

 

 

 

 

 

 

% Change

Same Facility:

 

 

Three Months ended

 

 

 

3/31/2025

Acute Care Services

 

 

 

Revenues

 

 

6.5%

Adjusted Admissions

 

 

2.4%

Adjusted Patient Days

 

 

0.3%

Revenue Per Adjusted Admission

 

 

2.5%

Revenue Per Adjusted Patient Day

 

 

4.7%

 

 

 

 

Behavioral Health Care Services

 

 

 

Revenues

 

 

5.5%

Adjusted Admissions

 

 

-1.6%

Adjusted Patient Days

 

 

-0.3%

Revenue Per Adjusted Admission

 

 

7.2%

Revenue Per Adjusted Patient Day

 

 

5.8%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UHS Consolidated

Three Months ended

 

3/31/2025

 

3/31/2024

Revenues

$4,099,720

 

$3,843,582

EBITDA net of NCI

$603,881

 

$525,927

EBITDA Margin net of NCI

14.7%

 

13.7%

Adjusted EBITDA net of NCI

$598,222

 

$525,777

Adjusted EBITDA Margin net of NCI

14.6%

 

13.7%

 

 

 

Cash Flow From Operations

$360,048

 

$396,406

Capital Expenditures

$239,026

 

$208,539

Days Sales Outstanding

53

 

54

 

 

 

Debt

$4,649,682

 

$4,861,805

UHS' Shareholders Equity

$6,785,604

 

$6,256,697

Debt / Total Capitalization

40.7%

 

43.7%

Debt / EBITDA net of NCI (1)

2.00

 

2.65

Debt / Adjusted EBITDA net of NCI (1)

2.01

 

2.63

Debt / Cash From Operations (1)

2.29

 

3.54

 

 

 

 

(1) Latest 4 quarters.

 

 

 

 


Universal Health Services, Inc.

Acute Care Hospital Services

For the Three Months ended

March 31, 2025 and 2024

(in thousands)

(unaudited)

 

Same Facility Basis - Acute Care Hospital Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

Three months ended

 

 

 

March 31, 2025

 

 

March 31, 2024

 

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

Net revenues

 

$

2,244,062

 

 

 

100.0

%

 

$

2,108,045

 

 

 

100.0

%

Operating charges:

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

 

894,101

 

 

 

39.8

%

 

 

861,086

 

 

 

40.8

%

Other operating expenses

 

 

630,025

 

 

 

28.1

%

 

 

577,582

 

 

 

27.4

%

Supplies expense

 

 

343,470

 

 

 

15.3

%

 

 

347,130

 

 

 

16.5

%

Depreciation and amortization

 

 

88,084

 

 

 

3.9

%

 

 

90,283

 

 

 

4.3

%

Lease and rental expense

 

 

25,071

 

 

 

1.1

%

 

 

23,833

 

 

 

1.1

%

Subtotal-operating expenses

 

 

1,980,751

 

 

 

88.3

%

 

 

1,899,914

 

 

 

90.1

%

Income from operations

 

 

263,311

 

 

 

11.7

%

 

 

208,131

 

 

 

9.9

%

Interest expense, net

 

 

2,262

 

 

 

0.1

%

 

 

1,300

 

 

 

0.1

%

Other (income) expense, net

 

 

(8,572

)

 

 

(0.4

)%

 

 

160

 

 

 

0.0

%

Income before income taxes

 

$

269,621

 

 

 

12.0

%

 

$

206,671

 

 

 

9.8

%

 

 

 

 

 

 

 

 

 

 

 

 

 

All Acute Care Hospital Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

Three months ended

 

 

 

March 31, 2025

 

 

March 31, 2024

 

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

Net revenues

 

$

2,349,229

 

 

 

100.0

%

 

$

2,185,081

 

 

 

100.0

%

Operating charges:

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

 

910,724

 

 

 

38.8

%

 

 

861,547

 

 

 

39.4

%

Other operating expenses

 

 

715,340

 

 

 

30.4

%

 

 

654,983

 

 

 

30.0

%

Supplies expense

 

 

348,393

 

 

 

14.8

%

 

 

347,004

 

 

 

15.9

%

Depreciation and amortization

 

 

94,647

 

 

 

4.0

%

 

 

90,312

 

 

 

4.1

%

Lease and rental expense

 

 

25,339

 

 

 

1.1

%

 

 

23,833

 

 

 

1.1

%

Subtotal-operating expenses

 

 

2,094,443

 

 

 

89.2

%

 

 

1,977,679

 

 

 

90.5

%

Income from operations

 

 

254,786

 

 

 

10.8

%

 

 

207,402

 

 

 

9.5

%

Interest expense, net

 

 

2,262

 

 

 

0.1

%

 

 

1,300

 

 

 

0.1

%

Other (income) expense, net

 

 

(8,267

)

 

 

(0.4

)%

 

 

634

 

 

 

0.0

%

Income before income taxes

 

$

260,791

 

 

 

11.1

%

 

$

205,468

 

 

 

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.

 

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 Months ended

March 31, 2025 and 2024

(in thousands)

(unaudited)

 

Same Facility - Behavioral Health Care Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

Three months ended

 

 

 

March 31, 2025

 

 

March 31, 2024

 

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

Net revenues

 

$

1,705,862

 

 

 

100.0

%

 

$

1,616,241

 

 

 

100.0

%

Operating charges:

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

 

925,537

 

 

 

54.3

%

 

 

868,656

 

 

 

53.7

%

Other operating expenses

 

 

321,446

 

 

 

18.8

%

 

 

314,001

 

 

 

19.4

%

Supplies expense

 

 

55,379

 

 

 

3.2

%

 

 

56,709

 

 

 

3.5

%

Depreciation and amortization

 

 

51,368

 

 

 

3.0

%

 

 

47,597

 

 

 

2.9

%

Lease and rental expense

 

 

11,127

 

 

 

0.7

%

 

 

11,454

 

 

 

0.7

%

Subtotal-operating expenses

 

 

1,364,857

 

 

 

80.0

%

 

 

1,298,417

 

 

 

80.3

%

Income from operations

 

 

341,005

 

 

 

20.0

%

 

 

317,824

 

 

 

19.7

%

Interest expense, net

 

 

1,074

 

 

 

0.1

%

 

 

1,027

 

 

 

0.1

%

Other (income) expense, net

 

 

(825

)

 

 

(0.0

)%

 

 

(676

)

 

 

(0.0

)%

Income before income taxes

 

$

340,756

 

 

 

20.0

%

 

$

317,473

 

 

 

19.6

%

 

 

 

 

 

 

 

 

 

 

 

 

 

All Behavioral Health Care Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

Three months ended

 

 

 

March 31, 2025

 

 

March 31, 2024

 

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

Net revenues

 

$

1,747,649

 

 

 

100.0

%

 

$

1,656,067

 

 

 

100.0

%

Operating charges:

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

 

928,166

 

 

 

53.1

%

 

 

872,196

 

 

 

52.7

%

Other operating expenses

 

 

363,584

 

 

 

20.8

%

 

 

347,268

 

 

 

21.0

%

Supplies expense

 

 

55,447

 

 

 

3.2

%

 

 

56,924

 

 

 

3.4

%

Depreciation and amortization

 

 

51,408

 

 

 

2.9

%

 

 

47,872

 

 

 

2.9

%

Lease and rental expense

 

 

11,369

 

 

 

0.7

%

 

 

11,518

 

 

 

0.7

%

Subtotal-operating expenses

 

 

1,409,974

 

 

 

80.7

%

 

 

1,335,778

 

 

 

80.7

%

Income from operations

 

 

337,675

 

 

 

19.3

%

 

 

320,289

 

 

 

19.3

%

Interest expense, net

 

 

1,075

 

 

 

0.1

%

 

 

1,027

 

 

 

0.1

%

Other (income) expense, net

 

 

(825

)

 

 

(0.0

)%

 

 

(676

)

 

 

(0.0

)%

Income before income taxes

 

$

337,425

 

 

 

19.3

%

 

$

319,938

 

 

 

19.3

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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.

 

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

 

March 31, 2025 and 2024

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AS REPORTED:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACUTE

 

 

BEHAVIORAL HEALTH

 

 

03/31/25

 

 

03/31/24

 

 

% change

 

 

03/31/25

 

 

03/31/24

 

 

% change

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hospitals owned and leased

 

 

28

 

 

 

27

 

 

 

3.7

%

 

 

334

 

 

 

333

 

 

 

0.3

%

Average licensed beds

 

 

6,854

 

 

 

6,657

 

 

 

3.0

%

 

 

24,223

 

 

 

24,378

 

 

 

-0.6

%

Average available beds

 

 

6,682

 

 

 

6,485

 

 

 

3.0

%

 

 

24,123

 

 

 

24,278

 

 

 

-0.6

%

Patient days

 

 

420,687

 

 

 

415,327

 

 

 

1.3

%

 

 

1,596,888

 

 

 

1,608,992

 

 

 

-0.8

%

Average daily census

 

 

4,674.3

 

 

 

4,564.0

 

 

 

2.4

%

 

 

17,743.2

 

 

 

17,681.2

 

 

 

0.4

%

Occupancy-licensed beds

 

 

68.2

%

 

 

68.6

%

 

 

-0.5

%

 

 

73.2

%

 

 

72.5

%

 

 

1.0

%

Occupancy-available beds

 

 

70.0

%

 

 

70.4

%

 

 

-0.6

%

 

 

73.6

%

 

 

72.8

%

 

 

1.0

%

Admissions

 

 

86,652

 

 

 

83,581

 

 

 

3.7

%

 

 

117,788

 

 

 

119,930

 

 

 

-1.8

%

Length of stay

 

 

4.9

 

 

 

5.0

 

 

 

-2.0

%

 

 

13.6

 

 

 

13.4

 

 

 

1.5

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Inpatient revenue

 

$

14,301,609

 

 

$

12,910,102

 

 

 

10.8

%

 

$

2,861,570

 

 

$

2,754,684

 

 

 

3.9

%

Outpatient revenue

 

 

9,327,284

 

 

 

8,346,289

 

 

 

11.8

%

 

 

274,546

 

 

 

278,528

 

 

 

-1.4

%

Total patient revenue

 

 

23,628,893

 

 

 

21,256,391

 

 

 

11.2

%

 

 

3,136,116

 

 

 

3,033,212

 

 

 

3.4

%

Other revenue

 

 

280,437

 

 

 

246,251

 

 

 

13.9

%

 

 

88,385

 

 

 

80,211

 

 

 

10.2

%

Gross revenue

 

 

23,909,330

 

 

 

21,502,642

 

 

 

11.2

%

 

 

3,224,501

 

 

 

3,113,423

 

 

 

3.6

%

Total deductions

 

 

21,560,101

 

 

 

19,317,561

 

 

 

11.6

%

 

 

1,476,852

 

 

 

1,457,356

 

 

 

1.3

%

Net revenue

 

$

2,349,229

 

 

$

2,185,081

 

 

 

7.5

%

 

$

1,747,649

 

 

$

1,656,067

 

 

 

5.5

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SAME FACILITY:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACUTE

 

 

BEHAVIORAL HEALTH

 

 

 

03/31/25

 

 

03/31/24

 

 

% change

 

 

03/31/25

 

 

03/31/24

 

 

% change

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hospitals owned and leased

 

 

27

 

 

 

27

 

 

 

0.0

%

 

 

333

 

 

 

333

 

 

 

0.0

%

Average licensed beds

 

 

6,704

 

 

 

6,657

 

 

 

0.7

%

 

 

24,097

 

 

 

23,914

 

 

 

0.8

%

Average available beds

 

 

6,532

 

 

 

6,485

 

 

 

0.7

%

 

 

23,997

 

 

 

23,814

 

 

 

0.8

%

Patient days

 

 

414,738

 

 

 

415,327

 

 

 

-0.1

%

 

 

1,586,691

 

 

 

1,584,255

 

 

 

0.2

%

Average daily census

 

 

4,608.2

 

 

 

4,564.0

 

 

 

1.0

%

 

 

17,629.9

 

 

 

17,409.4

 

 

 

1.3

%

Occupancy-licensed beds

 

 

68.7

%

 

 

68.6

%

 

 

0.3

%

 

 

73.2

%

 

 

72.8

%

 

 

0.5

%

Occupancy-available beds

 

 

70.5

%

 

 

70.4

%

 

 

0.2

%

 

 

73.5

%

 

 

73.1

%

 

 

0.5

%

Admissions

 

 

85,244

 

 

 

83,581

 

 

 

2.0

%

 

 

117,075

 

 

 

118,408

 

 

 

-1.1

%

Length of stay

 

 

4.9

 

 

 

5.0

 

 

 

-2.0

%

 

 

13.6

 

 

 

13.4

 

 

 

1.5

%