0000352915false00003529152025-02-262025-02-26

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 8-K

 

CURRENT REPORT

Pursuant to Section 13 OR 15(d)

of The Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): February 26, 2025

 

UNIVERSAL HEALTH SERVICES, INC.

(Exact name of registrant as specified in its charter)

Delaware

1-10765

23-2077891

(State or other jurisdiction of

(Commission

(I.R.S. Employer

Incorporation or Organization)

File Number)

Identification No.)

UNIVERSAL CORPORATE CENTER

367 SOUTH GULPH ROAD

KING OF PRUSSIA, Pennsylvania 19406

(Address of principal executive office) (Zip Code)

Registrant’s telephone number, including area code (610) 768-3300

Not Applicable

(Former name or former address, if changed since last report)

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instructions A.2. below):

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

Securities registered pursuant to Section 12(b) of the Act:

Title of each class

Trading Symbol(s)

Name of each exchange on which registered

Class B Common Stock

UHS

New York Stock Exchange

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§ 230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§ 240.12b-2 of this chapter).

Emerging growth company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

 

 


 

Item 2.02 Results of Operations and Financial Condition

On February 26, 2025, Universal Health Services, Inc. issued the press release attached hereto as Exhibit 99.1.

 

Item 9.01 Financial Statements and Exhibits

(d) Exhibits.

 

 

 

99.1

Universal Health Services, Inc., press release, dated February 26, 2025.

104

Cover Page Interactive Data File (embedded within the Inline XBRL document).

 

 

 

Exhibit Index

Exhibit No.

Exhibit

 

 

99.1

Universal Health Services, Inc., press release, dated February 26, 2025.

104

Cover Page Interactive Data File (embedded within the Inline XBRL document).

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

Universal Health Services, Inc.

 

By:

/s/ Steve Filton

Name: Steve Filton

Title: Executive Vice President and

            Chief Financial Officer

Date: February 27, 2025

 

 

 


Exhibit 99.1

FOR IMMEDIATE RELEASE

February 26, 2025

 

CONTACT:

Steve Filton

 

Chief Financial Officer

 

610-768-3300

 

 

UNIVERSAL HEALTH SERVICES, INC.

ANNOUNCES 2024 FOURTH QUARTER AND FULL YEAR FINANCIAL RESULTS

AND 2025 OPERATING RESULTS FORECAST

 

Consolidated Results of Operations, As Reported and As Adjusted – Three-month periods ended December 31, 2024 and 2023:

KING OF PRUSSIA, PA – Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income attributable to UHS was $332.4 million, or $4.96 per diluted share, during the fourth quarter of 2024, as compared to $216.4 million, or $3.16 per diluted share, during the fourth quarter of 2023. Net revenues increased by 11.1% to $4.114 billion during the fourth quarter of 2024, as compared to $3.704 billion during the fourth quarter of 2023.

As reflected on the Schedule of Non-GAAP Supplemental Information (“Supplemental Schedule”), our adjusted net income attributable to UHS during the fourth quarter of 2024 was $329.9 million, or $4.92 per diluted share, as compared to $214.9 million, or $3.13 per diluted share, during the fourth quarter of 2023.

As reflected on the Supplemental Schedule, included in our reported results during the fourth quarter of 2024 were: (i) an unrealized after-tax gain of $2.1 million, or $.03 per diluted share ($2.7 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 $407,000, or $.01 per diluted share, resulting from the net tax benefit recorded pursuant to “ASU 2016-09”, Compensation – Stock Compensation: Improvements to Employee Share-Based Payment Accounting.

Included in our reported and adjusted net income attributable to UHS during the fourth quarter of 2023, were net incremental reimbursements (net of related provider taxes) of approximately $17.8 million, or $.20 per diluted share, recorded in connection with the Mississippi Hospital Access Program covering the period of July 1, 2023, through December 31, 2023. In addition, as reflected on the Supplemental Schedule, included in our reported results during the fourth quarter of 2023, was an unrealized after-tax gain of $1.5 million, or $.03 per diluted share ($1.9 million pre-tax), resulting from an increase 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 $620.2 million during the fourth quarter of 2024, as compared to $476.9 million during the fourth quarter of 2023. Our adjusted earnings before interest, taxes, depreciation & amortization (“Adjusted EBITDA net of NCI”), which excludes the impact of other (income) expense, net, was $614.6 million during the fourth quarter of 2024, as compared to $473.4 million during the fourth quarter of 2023.

Consolidated Results of Operations, As Reported and As Adjusted – Twelve-month periods ended December 31, 2024 and 2023:

Reported net income attributable to UHS was $1.142 billion, or $16.82 per diluted share, during the full year 2024, as compared to $717.8 million, or $10.23 per diluted share, during 2023. Net revenues increased by 10.8% to $15.828 billion during the full year of 2024, as compared to $14.282 billion during 2023.

As reflected on the Supplemental Schedule, our adjusted net income attributable to UHS during the twelve-month period ended December 31, 2024, was $1.128 billion, or $16.61 per diluted share, as compared to $739.4 million, or $10.54 per diluted share, during the twelve-month period ended December 31, 2023.


As reflected on the Supplemental Schedule, included in our reported results during the full year of 2024 were: (i) an unrealized after-tax loss of $2.0 million, or $.03 per diluted share ($2.6 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 $15.9 million, or $.24 per diluted share, resulting from the above-mentioned net tax benefit recorded in connection with ASU 2016-09, 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 2023 was an unrealized after-tax loss of $21.6 million, or $.31 per diluted share ($28.2 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”), was $2.248 billion during the full year of 2024, as compared to $1.714 billion during the full year of 2023. Our adjusted earnings before interest, taxes, depreciation & amortization (“Adjusted EBITDA net of NCI”), which excludes the impact of other (income) expense, net, was $2.246 billion during the full year of 2024, as compared to $1.742 billion during the full year of 2023.

Acute Care Services – Three and twelve-month periods ended December 31, 2024 and 2023:

During the fourth quarter of 2024, at our acute care hospitals owned during both periods (“same facility basis”), adjusted admissions (adjusted for outpatient activity) increased by 2.2% while adjusted patient days increased by 0.1%, as compared to the fourth quarter of 2023. At these facilities, during the fourth quarter of 2024, net revenue per adjusted admission increased by 5.3% while net revenue per adjusted patient day increased by 7.5%, as compared to the fourth quarter of 2023. Net revenues generated from our acute care services, on a same facility basis, increased by 8.7% during the fourth quarter of 2024, as compared to the fourth quarter of 2023.

During the twelve-month period ended December 31, 2024, at our acute care hospitals on a same facility basis, adjusted admissions increased by 2.9% while adjusted patient days increased by 1.8%, as compared to the year ended December 31, 2023. At these facilities, during the full year of 2024, net revenue per adjusted admission increased by 5.1% while net revenue per adjusted patient day increased by 6.3%, as compared to 2023. Net revenues generated from our acute care services, on a same facility basis, increased by 8.5% during the full year of 2024, as compared to 2023.

Behavioral Health Care Services – Three and twelve-month periods ended December 31, 2024 and 2023:

During the fourth quarter of 2024, at our behavioral health care facilities on a same facility basis, adjusted admissions increased by 2.0% while adjusted patient days increased by 1.6%, as compared to the fourth quarter of 2023. At these facilities, during the fourth quarter of 2024, net revenue per adjusted admission increased by 8.7% and net revenue per adjusted patient day increased by 9.1%, as compared to the fourth quarter of 2023. Net revenues generated from our behavioral health care services, on a same facility basis, increased by 11.1% during the fourth quarter of 2024, as compared to the fourth quarter of 2023.

During the twelve-month period ended December 31, 2024, at our behavioral health care facilities on a same facility basis, adjusted admissions increased by 0.7% while adjusted patient days increased by 1.7%, as compared to the comparable period of 2023. At these facilities, during the full year of 2024, net revenue per adjusted admission increased by 9.8% and net revenue per adjusted patient day increased by 8.8%, as compared to 2023. Net revenues generated from our behavioral health care services, on a same facility basis, increased by 10.7% during 2024, as compared to 2023.

Net Cash Provided by Operating Activities and Liquidity:

Net Cash Provided by Operating Activities:

During the twelve-month period ended December 31, 2024, our net cash provided by operating activities was $2.067 billion as compared to $1.268 billion during the full year of 2023. The $799 million net increase in our net cash provided by operating activities consisted of: (i) a favorable change of $472 million resulting from an increase in net income plus/minus depreciation and amortization expense, stock-based compensation expense, gains on sales of assets and businesses and costs related to the extinguishment of debt; (ii) a favorable change of $250 million in accounts receivable due, in part, to a decrease in our days sales outstanding to 50


days at December 31, 2024, as compared to 57 days at December 31, 2023; (iii) a favorable change of $94 million in other working capital accounts due primarily to the timing of disbursements for certain accrued liabilities; (iv) an unfavorable change of $61 million in other assets and deferred charges; (v) a favorable change of $56 million in accrued and deferred income taxes, and; (vi) $12 million of other combined net unfavorable changes.

Liquidity:

As of December 31, 2024, we had $1.17 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 fourth quarter of 2024, we have repurchased approximately 1.25 million shares at an aggregate cost of approximately $249.6 million (average price of approximately $199 per share). During the full year of 2024, we have repurchased approximately 2.98 million shares at an aggregate cost of approximately $598.5 million (average price of approximately $201 per share).

As of December 31, 2024, we had an aggregate available repurchase authorization of approximately $824.4 million pursuant to our stock repurchase program.

2025 Operating Results Forecast:

Reflected below is our 2025 forecasted range for consolidated net revenues, 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”), net income attributable to UHS per diluted share (“EPS-diluted”) and capital expenditures.

Our 2025 forecasted range of net income attributable to UHS, and EPS-diluted, exclude certain items as described below because we do not believe we can forecast those items with sufficient accuracy. 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 Operating Results Forecast schedule as included herein for additional information and a reconciliation of our 2025 forecasted range of net income attributable to UHS to our 2025 forecasted range of Adjusted EBITDA net of NCI.

For the Year Ended

December 31, 2025

       Low

       High

Net revenues

$17.020 billion

$17.364 billion

Adjusted EBITDA net of NCI

$2.357 billion

$2.484 billion

EPS-diluted

$18.45 per share

$19.95 per share

Capital expenditures

$850 million

$1.000 billion

Our 2025 operating results forecast contains a number of assumptions including, but not limited to, the following:

The 2025 forecasted amounts 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, 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, 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.
Our net revenues are estimated to be approximately $17.020 billion to $17.364 billion representing an increase of 7.5% to 9.7% over our 2024 net revenues of $15.828 billion.
Our Adjusted EBITDA net of NCI is estimated to be approximately $2.357 billion to $2.484 billion representing an increase of 4.9% to 10.6% over our 2024 Adjusted EBITDA net of NCI of $2.246 billion.
Our EPS-diluted range is estimated to be $18.45 per diluted share to $19.95 per diluted share, representing an increase of 11.1% to 20.1% over our adjusted net income attributable to UHS of $16.61 per diluted share for the year ended December 31, 2024, as calculated on the attached Supplemental Schedule.

Conference call information:

We will hold a conference call for investors and analysts at 10:00 a.m. eastern time on February 27, 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 $15.828 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 99,000 employees and, through its subsidiaries, operates 28 inpatient acute care hospitals, 331 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;
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, 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. 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

 

 

Twelve months

 

 

 

ended December 31,

 

 

ended December 31,

 

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Net revenues

 

$

4,113,722

 

 

 

3,703,546

 

 

$

15,827,935

 

 

 

14,281,976

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating charges:

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

 

1,907,383

 

 

 

1,799,008

 

 

 

7,518,687

 

 

 

7,107,484

 

Other operating expenses

 

 

1,142,901

 

 

 

998,732

 

 

 

4,308,384

 

 

 

3,757,216

 

Supplies expense

 

 

405,900

 

 

 

393,878

 

 

 

1,587,786

 

 

 

1,532,828

 

Depreciation and amortization

 

 

146,781

 

 

 

145,481

 

 

 

584,831

 

 

 

568,041

 

Lease and rental expense

 

 

38,268

 

 

 

35,251

 

 

 

146,433

 

 

 

141,026

 

 

 

3,641,233

 

 

 

3,372,350

 

 

 

14,146,121

 

 

 

13,106,595

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Income from operations

 

 

472,489

 

 

 

331,196

 

 

 

1,681,814

 

 

 

1,175,381

 

Interest expense, net

 

 

39,724

 

 

 

53,589

 

 

 

186,109

 

 

 

206,674

 

Other (income) expense, net

 

 

(5,546

)

 

 

(3,516

)

 

 

(2,231

)

 

 

28,281

 

Income before income taxes

 

 

438,311

 

 

 

281,123

 

 

 

1,497,936

 

 

 

940,426

 

Provision for income taxes

 

 

101,264

 

 

 

61,501

 

 

 

334,827

 

 

 

221,119

 

Net income

 

 

337,047

 

 

 

219,622

 

 

 

1,163,109

 

 

 

719,307

 

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

 

 

4,650

 

 

 

3,244

 

 

 

21,012

 

 

 

1,512

 

Net income attributable to UHS

 

$

332,397

 

 

$

216,378

 

 

$

1,142,097

 

 

$

717,795

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic earnings per share attributable to UHS (a)

 

$

5.07

 

 

$

3.19

 

 

$

17.16

 

 

$

10.35

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Diluted earnings per share attributable to UHS (a)

 

$

4.96

 

 

$

3.16

 

 

$

16.82

 

 

$

10.23

 

 


Universal Health Services, Inc.

 

Footnotes to Consolidated Statements of Income

 

(in thousands, except per share amounts)

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months

 

 

Twelve months

 

 

 

ended December 31,

 

 

ended December 31,

 

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

(a) Earnings per share calculation:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic and diluted:

 

 

 

 

 

 

 

 

 

 

 

 

Net income attributable to UHS

 

$

332,397

 

 

$

216,378

 

 

$

1,142,097

 

 

$

717,795

 

Less: Net income attributable to unvested restricted share grants

 

 

0

 

 

 

(66

)

 

 

(50

)

 

 

(308

)

Net income attributable to UHS - basic and diluted

 

$

332,397

 

 

$

216,312

 

 

$

1,142,047

 

 

$

717,487

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average number of common shares - basic

 

 

65,597

 

 

 

67,809

 

 

 

66,554

 

 

 

69,321

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic earnings per share attributable to UHS:

 

$

5.07

 

 

$

3.19

 

 

$

17.16

 

 

$

10.35

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average number of common shares

 

 

65,597

 

 

 

67,809

 

 

 

66,554

 

 

 

69,321

 

Add: Other share equivalents

 

 

1,477

 

 

 

741

 

 

 

1,342

 

 

 

804

 

Weighted average number of common shares and equiv. - diluted

 

 

67,074

 

 

 

68,550

 

 

 

67,896

 

 

 

70,125

 

 

 

 

 

 

 

 

 

 

 

 

 

Diluted earnings per share attributable to UHS:

 

$

4.96

 

 

$

3.16

 

 

$

16.82

 

 

$

10.23

 

 


Universal Health Services, Inc.

 

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

 

For the Three Months ended December 31, 2024 and 2023

 

(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

 

 

December 31, 2024

 

 

revenues

 

 

December 31, 2023

 

 

revenues

 

Net income attributable to UHS

$

332,397

 

 

 

 

 

$

216,378

 

 

 

 

   Depreciation and amortization

 

146,781

 

 

 

 

 

 

145,481

 

 

 

 

   Interest expense, net

 

39,724

 

 

 

 

 

 

53,589

 

 

 

 

   Provision for income taxes

 

101,264

 

 

 

 

 

 

61,501

 

 

 

 

EBITDA net of NCI

$

620,166

 

 

 

15.1

%

 

$

476,949

 

 

 

12.9

%

Other (income) expense, net

 

(5,546

)

 

 

 

 

 

(3,516

)

 

 

 

Adjusted EBITDA net of NCI

$

614,620

 

 

 

14.9

%

 

$

473,433

 

 

 

12.8

%

 

 

 

 

 

 

 

 

 

 

 

 

Net revenues

$

4,113,722

 

 

 

 

 

$

3,703,546

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Calculation of Adjusted Net Income Attributable to UHS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

Three months ended

 

 

December 31, 2024

 

 

December 31, 2023

 

 

 

 

 

Per

 

 

 

 

 

Per

 

 

Amount

 

 

Diluted Share

 

 

Amount

 

 

Diluted Share

 

Net income attributable to UHS

$

332,397

 

 

$

4.96

 

 

$

216,378

 

 

$

3.16

 

Plus/minus after-tax adjustments:

 

 

 

 

 

 

 

 

 

 

 

Unrealized gain on equity securities

 

(2,053

)

 

 

(0.03

)

 

 

(1,470

)

 

 

(0.03

)

Impact of ASU 2016-09, net

 

(407

)

 

 

(0.01

)

 

 

-

 

 

 

-

 

Subtotal adjustments

 

(2,460

)

 

 

(0.04

)

 

 

(1,470

)

 

 

(0.03

)

Adjusted net income attributable to UHS

$

329,937

 

 

$

4.92

 

 

$

214,908

 

 

$

3.13

 

 


Universal Health Services, Inc.

 

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

 

For the Twelve Months ended December 31, 2024 and 2023

 

(in thousands, except per share amounts)

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Twelve months ended

 

 

% Net

 

 

Twelve months ended

 

 

% Net

 

 

December 31, 2024

 

 

revenues

 

 

December 31, 2023

 

 

revenues

 

Net income attributable to UHS

$

1,142,097

 

 

 

 

 

$

717,795

 

 

 

 

   Depreciation and amortization

 

584,831

 

 

 

 

 

 

568,041

 

 

 

 

   Interest expense, net

 

186,109

 

 

 

 

 

 

206,674

 

 

 

 

   Provision for income taxes

 

334,827

 

 

 

 

 

 

221,119

 

 

 

 

EBITDA net of NCI

$

2,247,864

 

 

 

14.2

%

 

$

1,713,629

 

 

 

12.0

%

Other (income) expense, net

 

(2,231

)

 

 

 

 

 

28,281

 

 

 

 

Adjusted EBITDA net of NCI

$

2,245,633

 

 

 

14.2

%

 

$

1,741,910

 

 

 

12.2

%

 

 

 

 

 

 

 

 

 

 

 

 

Net revenues

$

15,827,935

 

 

 

 

 

$

14,281,976

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Calculation of Adjusted Net Income Attributable to UHS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Twelve months ended

 

 

Twelve months ended

 

 

December 31, 2024

 

 

December 31, 2023

 

 

 

 

 

Per

 

 

 

 

 

Per

 

 

Amount

 

 

Diluted Share

 

 

Amount

 

 

Diluted Share

 

Net income attributable to UHS

$

1,142,097

 

 

$

16.82

 

 

$

717,795

 

 

$

10.23

 

Plus/minus after-tax adjustments:

 

 

 

 

 

 

 

 

 

 

 

Unrealized loss on equity securities

$

1,985

 

 

 

0.03

 

 

 

21,570

 

 

 

0.31

 

Impact of ASU 2016-09, net

 

(15,947

)

 

 

(0.24

)

 

 

-

 

 

 

-

 

Subtotal adjustments

 

(13,962

)

 

 

(0.21

)

 

 

21,570

 

 

 

0.31

 

Adjusted net income attributable to UHS

$

1,128,135

 

 

$

16.61

 

 

$

739,365

 

 

$

10.54

 

 


Universal Health Services, Inc.

 

Condensed Consolidated Balance Sheets

 

(in thousands)

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

December 31,

 

 

December 31,

 

 

 

2024

 

 

2023

 

Assets

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

Cash and cash equivalents

 

$

125,983

 

 

$

119,439

 

Accounts receivable, net

 

 

2,177,751

 

 

 

2,238,265

 

Supplies

 

 

220,940

 

 

 

216,988

 

Other current assets

 

 

291,614

 

 

 

236,658

 

Total current assets

 

 

2,816,288

 

 

 

2,811,350

 

 

 

 

 

 

 

Property and equipment

 

 

12,643,283

 

 

 

11,777,047

 

Less: accumulated depreciation

 

 

(6,071,058

)

 

 

(5,652,518

)

 

 

6,572,225

 

 

 

6,124,529

 

Other assets:

 

 

 

 

 

 

Goodwill

 

 

3,932,879

 

 

 

3,932,407

 

Deferred income taxes

 

 

118,449

 

 

 

85,626

 

Right of use assets-operating leases

 

 

418,719

 

 

 

433,962

 

Deferred charges

 

 

9,404

 

 

 

6,974

 

Other

 

 

601,785

 

 

 

572,754

 

Total Assets

 

$

14,469,749

 

 

$

13,967,602

 

 

 

 

 

 

 

Liabilities and Stockholders' Equity

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

Current maturities of long-term debt

 

$

40,059

 

 

$

126,686

 

Accounts payable and other liabilities

 

 

2,081,479

 

 

 

1,813,015

 

Operating lease liabilities

 

 

74,649

 

 

 

71,600

 

Federal and state taxes

 

 

14,219

 

 

 

2,046

 

Total current liabilities

 

 

2,210,406

 

 

 

2,013,347

 

 

 

 

 

 

 

Other noncurrent liabilities

 

 

655,806

 

 

 

584,007

 

Operating lease liabilities noncurrent

 

 

376,239

 

 

 

382,559

 

Long-term debt

 

 

4,464,482

 

 

 

4,785,783

 

 

 

 

 

 

 

Redeemable noncontrolling interest

 

 

13,293

 

 

 

5,191

 

 

 

 

 

 

 

UHS common stockholders' equity

 

 

6,666,207

 

 

 

6,149,001

 

Noncontrolling interest

 

 

83,316

 

 

 

47,714

 

Total equity

 

 

6,749,523

 

 

 

6,196,715

 

 

 

 

 

 

 

Total Liabilities and Stockholders' Equity

 

$

14,469,749

 

 

$

13,967,602

 

 


Universal Health Services, Inc.

 

Consolidated Statements of Cash Flows

 

(in thousands)

 

(unaudited)

 

 

Twelve months

 

 

ended December 31,

 

 

2024

 

 

2023

 

Cash Flows from Operating Activities:

 

 

 

 

 

Net income

$

1,163,109

 

 

$

719,307

 

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

 

 

 

 

 

Depreciation & amortization

 

584,831

 

 

 

568,041

 

Gains on sales of assets and businesses

 

(9,920

)

 

 

(6,250

)

Stock-based compensation expense

 

99,349

 

 

 

87,720

 

Costs related to extinguishment of debt

 

3,158

 

 

 

0

 

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

 

 

 

 

 

Accounts receivable

 

67,355

 

 

 

(182,444

)

Accrued interest

 

12,814

 

 

 

1,193

 

Accrued and deferred income taxes

 

12,651

 

 

 

(43,450

)

Other working capital accounts

 

61,897

 

 

 

(32,321

)

Deferred grant revenue

 

0

 

 

 

2,978

 

Other assets and deferred charges

 

(12,163

)

 

 

48,517

 

Other

 

21,811

 

 

 

39,133

 

Accrued insurance expense, net of commercial premiums paid

 

254,394

 

 

 

183,462

 

Payments made in settlement of self-insurance claims

 

(192,185

)

 

 

(118,089

)

Net cash provided by operating activities

 

2,067,101

 

 

 

1,267,797

 

Cash Flows from Investing Activities:

 

 

 

 

 

Property and equipment additions

 

(943,810

)

 

 

(743,055

)

Acquisition of businesses and property

 

(18,998

)

 

 

(3,728

)

Inflows (outflows) from foreign exchange contracts that hedge our net U.K. investment

 

12,860

 

 

 

(40,695

)

Proceeds received from sales of assets and businesses

 

38,563

 

 

 

24,187

 

Decrease in capital reserves of commercial insurance subsidiary

 

276

 

 

 

16

 

Net cash used in investing activities

 

(911,109

)

 

 

(763,275

)

Cash Flows from Financing Activities:

 

 

 

 

 

Repayments of long-term debt

 

(2,640,001

)

 

 

(85,480

)

Additional borrowings

 

2,210,248

 

 

 

185,100

 

Financing costs

 

(12,566

)

 

 

(308

)

Repurchase of common shares

 

(670,754

)

 

 

(547,363

)

Dividends paid

 

(53,346

)

 

 

(55,480

)

Issuance of common stock

 

15,070

 

 

 

13,654

 

Profit distributions to noncontrolling interests

 

(6,508

)

 

 

(6,830

)

Sale of ownership interests to minority members

 

12,980

 

 

 

2,762

 

Net cash used in financing activities

 

(1,144,877

)

 

 

(493,945

)

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

 

(833

)

 

 

3,056

 

Increase in cash, cash equivalents and restricted cash

 

10,282

 

 

 

13,633

 

Cash, cash equivalents and restricted cash, beginning of period

 

214,470

 

 

 

200,837

 

Cash, cash equivalents and restricted cash, end of period

$

224,752

 

 

$

214,470

 

Supplemental Disclosures of Cash Flow Information:

 

 

 

 

 

Interest paid

$

168,274

 

 

$

200,446

 

Income taxes paid, net of refunds

$

325,430

 

 

$

257,896

 

Noncash purchases of property and equipment

$

118,109

 

 

$

66,899

 

 


Universal Health Services, Inc.

Supplemental Statistical Information

(unaudited)

 

 

 

 

 

 

 

 

 

 

% Change

 

% Change

Same Facility:

 

 

 

 

Three Months ended

 

Year ended

 

 

 

 

 

12/31/2024

 

12/31/2024

Acute Care Services

 

 

 

 

 

 

 

Revenues

 

 

 

 

8.7%

 

8.5%

Adjusted Admissions

 

 

 

 

2.2%

 

2.9%

Adjusted Patient Days

 

 

 

 

0.1%

 

1.8%

Revenue Per Adjusted Admission

 

 

 

 

5.3%

 

5.1%

Revenue Per Adjusted Patient Day

 

 

 

 

7.5%

 

6.3%

 

 

 

 

 

 

 

 

Behavioral Health Care Services

 

 

 

 

 

 

 

Revenues

 

 

 

 

11.1%

 

10.7%

Adjusted Admissions

 

 

 

 

2.0%

 

0.7%

Adjusted Patient Days

 

 

 

 

1.6%

 

1.7%

Revenue Per Adjusted Admission

 

 

 

 

8.7%

 

9.8%

Revenue Per Adjusted Patient Day

 

 

 

 

9.1%

 

8.8%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UHS Consolidated

Fourth quarter ended

 

Year ended

 

12/31/2024

 

12/31/2023

 

12/31/2024

 

12/31/2023

Revenues

$4,113,722

 

$3,703,546

 

$15,827,935

 

$14,281,976

EBITDA net of NCI

$620,166

 

$476,949

 

$2,247,864

 

$1,713,629

EBITDA Margin net of NCI

15.1%

 

12.9%

 

14.2%

 

12.0%

Adjusted EBITDA net of NCI

$614,620

 

$473,433

 

$2,245,633

 

$1,741,910

Adjusted EBITDA Margin net of NCI

14.9%

 

12.8%

 

14.2%

 

12.2%

 

 

 

 

 

 

 

Cash Flow From Operations

$658,437

 

$452,431

 

$2,067,101

 

$1,267,797

Capital Expenditures

$245,945

 

$206,390

 

$943,810

 

$743,055

Days Sales Outstanding

 

 

 

 

50

 

57

 

 

 

 

 

 

 

Debt

 

 

 

 

$4,504,541

 

$4,912,469

UHS' Shareholders Equity

 

 

 

 

$6,666,207

 

$6,149,001

Debt / Total Capitalization

 

 

 

 

40.3%

 

44.4%

Debt / EBITDA net of NCI (1)

 

 

 

 

2.00

 

2.87

Debt / Adjusted EBITDA net of NCI (1)

 

 

 

 

2.01

 

2.82

Debt / Cash From Operations (1)

 

 

 

 

2.18

 

3.87

 

 

 

 

 

 

 

 

(1) Latest 4 quarters.

 

 

 

 

 

 

 

 


Universal Health Services, Inc.

Acute Care Hospital Services

For the Three and Twelve Months ended

December 31, 2024 and 2023

(in thousands)

(unaudited)

 

Same Facility Basis - Acute Care Hospital Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

Three months ended

 

 

Twelve months ended

 

 

Twelve months ended

 

 

 

December 31, 2024

 

 

December 31, 2023

 

 

December 31, 2024

 

 

December 31, 2023

 

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

Net revenues

 

$

2,210,767

 

 

 

100.0

%

 

$

2,034,152

 

 

 

100.0

%

 

$

8,565,845

 

 

 

100.0

%

 

$

7,892,167

 

 

 

100.0

%

Operating charges:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

 

893,101

 

 

 

40.4

%

 

 

870,680

 

 

 

42.8

%

 

 

3,502,645

 

 

 

40.9

%

 

 

3,387,843

 

 

 

42.9

%

Other operating expenses

 

 

623,513

 

 

 

28.2

%

 

 

559,985

 

 

 

27.5

%

 

 

2,378,512

 

 

 

27.8

%

 

 

2,164,069

 

 

 

27.4

%

Supplies expense

 

 

347,034

 

 

 

15.7

%

 

 

338,815

 

 

 

16.7

%

 

 

1,358,636

 

 

 

15.9

%

 

 

1,315,527

 

 

 

16.7

%

Depreciation and amortization

 

 

86,845

 

 

 

3.9

%

 

 

93,421

 

 

 

4.6

%

 

 

364,907

 

 

 

4.3

%

 

 

367,067

 

 

 

4.7

%

Lease and rental expense

 

 

26,422

 

 

 

1.2

%

 

 

23,970

 

 

 

1.2

%

 

 

98,730

 

 

 

1.2

%

 

 

96,429

 

 

 

1.2

%

Subtotal-operating expenses

 

 

1,976,915

 

 

 

89.4

%

 

 

1,886,871

 

 

 

92.8

%

 

 

7,703,430

 

 

 

89.9

%

 

 

7,330,935

 

 

 

92.9

%

Income from operations

 

 

233,852

 

 

 

10.6

%

 

 

147,281

 

 

 

7.2

%

 

 

862,415

 

 

 

10.1

%

 

 

561,232

 

 

 

7.1

%

Interest expense, net

 

 

2,976

 

 

 

0.1

%

 

 

(643

)

 

 

(0.0

)%

 

 

6,339

 

 

 

0.1

%

 

 

(2,501

)

 

 

(0.0

)%

Other (income) expense, net

 

 

(775

)

 

 

(0.0

)%

 

 

1,277

 

 

 

0.1

%

 

 

(2,123

)

 

 

(0.0

)%

 

 

7,000

 

 

 

0.1

%

Income before income taxes

 

$

231,651

 

 

 

10.5

%

 

$

146,647

 

 

 

7.2

%

 

$

858,199

 

 

 

10.0

%

 

$

556,733

 

 

 

7.1

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

All Acute Care Hospital Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

Three months ended

 

 

Twelve months ended

 

 

Twelve months ended

 

 

 

December 31, 2024

 

 

December 31, 2023

 

 

December 31, 2024

 

 

December 31, 2023

 

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

Net revenues

 

$

2,318,320

 

 

 

100.0

%

 

$

2,087,503

 

 

 

100.0

%

 

$

8,922,327

 

 

 

100.0

%

 

$

8,081,402

 

 

 

100.0

%

Operating charges:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

 

899,241

 

 

 

38.8

%

 

 

871,182

 

 

 

41.7

%

 

 

3,511,359

 

 

 

39.4

%

 

 

3,406,060

 

 

 

42.1

%

Other operating expenses

 

 

734,189

 

 

 

31.7

%

 

 

615,810

 

 

 

29.5

%

 

 

2,743,420

 

 

 

30.7

%

 

 

2,347,560

 

 

 

29.0

%

Supplies expense

 

 

348,551

 

 

 

15.0

%

 

 

338,732

 

 

 

16.2

%

 

 

1,360,011

 

 

 

15.2

%

 

 

1,317,917

 

 

 

16.3

%

Depreciation and amortization

 

 

89,048

 

 

 

3.8

%

 

 

93,479

 

 

 

4.5

%

 

 

368,096

 

 

 

4.1

%

 

 

367,644

 

 

 

4.5

%

Lease and rental expense

 

 

26,422

 

 

 

1.1

%

 

 

23,960

 

 

 

1.1

%

 

 

99,060

 

 

 

1.1

%

 

 

96,589

 

 

 

1.2

%

Subtotal-operating expenses

 

 

2,097,451

 

 

 

90.5

%

 

 

1,943,163

 

 

 

93.1

%

 

 

8,081,946

 

 

 

90.6

%

 

 

7,535,770

 

 

 

93.2

%

Income from operations

 

 

220,869

 

 

 

9.5

%

 

 

144,340

 

 

 

6.9

%

 

 

840,381

 

 

 

9.4

%

 

 

545,632

 

 

 

6.8

%

Interest expense, net

 

 

2,976

 

 

 

0.1

%

 

 

(643

)

 

 

(0.0

)%

 

 

6,339

 

 

 

0.1

%

 

 

(2,501

)

 

 

(0.0

)%

Other (income) expense, net

 

 

(951

)

 

 

(0.0

)%

 

 

867

 

 

 

0.0

%

 

 

(1,305

)

 

 

(0.0

)%

 

 

7,788

 

 

 

0.1

%

Income before income taxes

 

$

218,844

 

 

 

9.4

%

 

$

144,116

 

 

 

6.9

%

 

$

835,347

 

 

 

9.4

%

 

$

540,345

 

 

 

6.7

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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 and Twelve Months ended

December 31, 2024 and 2023

(in thousands)

(unaudited)

 

Same Facility - Behavioral Health Care Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

Three months ended

 

 

Twelve months ended

 

 

Twelve months ended

 

 

 

December 31, 2024

 

 

December 31, 2023

 

 

December 31, 2024

 

 

December 31, 2023

 

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

Net revenues

 

$

1,727,857

 

 

 

100.0

%

 

$

1,555,700

 

 

 

100.0

%

 

$

6,700,469

 

 

 

100.0

%

 

$

6,050,491

 

 

 

100.0

%

Operating charges:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

 

911,047

 

 

 

52.7

%

 

 

851,507

 

 

 

54.7

%

 

 

3,590,985

 

 

 

53.6

%

 

 

3,346,357

 

 

 

55.3

%

Other operating expenses

 

 

328,339

 

 

 

19.0

%

 

 

299,035

 

 

 

19.2

%

 

 

1,262,446

 

 

 

18.8

%

 

 

1,168,806

 

 

 

19.3

%

Supplies expense

 

 

58,201

 

 

 

3.4

%

 

 

55,509

 

 

 

3.6

%

 

 

229,795

 

 

 

3.4

%

 

 

216,880

 

 

 

3.6

%

Depreciation and amortization

 

 

55,050

 

 

 

3.2

%

 

 

48,879

 

 

 

3.1

%

 

 

204,144

 

 

 

3.0

%

 

 

188,237

 

 

 

3.1

%

Lease and rental expense

 

 

11,560

 

 

 

0.7

%

 

 

11,135

 

 

 

0.7

%

 

 

46,468

 

 

 

0.7

%

 

 

43,819

 

 

 

0.7

%

Subtotal-operating expenses

 

 

1,364,197

 

 

 

79.0

%

 

 

1,266,065

 

 

 

81.4

%

 

 

5,333,838

 

 

 

79.6

%

 

 

4,964,099

 

 

 

82.0

%

Income from operations

 

 

363,660

 

 

 

21.0

%

 

 

289,635

 

 

 

18.6

%

 

 

1,366,631

 

 

 

20.4

%

 

 

1,086,392

 

 

 

18.0

%

Interest expense, net

 

 

951

 

 

 

0.1

%

 

 

1,102

 

 

 

0.1

%

 

 

4,027

 

 

 

0.1

%

 

 

4,557

 

 

 

0.1

%

Other (income) expense, net

 

 

(1,139

)

 

 

(0.1

)%

 

 

(1,132

)

 

 

(0.1

)%

 

 

(3,480

)

 

 

(0.1

)%

 

 

(3,426

)

 

 

(0.1

)%

Income before income taxes

 

$

363,848

 

 

 

21.1

%

 

$

289,665

 

 

 

18.6

%

 

$

1,366,084

 

 

 

20.4

%

 

$

1,085,261

 

 

 

17.9

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

All Behavioral Health Care Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

Three months ended

 

 

Twelve months ended

 

 

Twelve months ended

 

 

 

December 31, 2024

 

 

December 31, 2023

 

 

December 31, 2024

 

 

December 31, 2023

 

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

Net revenues

 

$

1,792,761

 

 

 

100.0

%

 

$

1,615,543

 

 

 

100.0

%

 

$

6,895,051

 

 

 

100.0

%

 

$

6,190,921

 

 

 

100.0

%

Operating charges:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

 

913,005

 

 

 

50.9

%

 

 

854,670

 

 

 

52.9

%

 

 

3,603,123

 

 

 

52.3

%

 

 

3,353,008

 

 

 

54.2

%

Other operating expenses

 

 

393,496

 

 

 

21.9

%

 

 

353,353

 

 

 

21.9

%

 

 

1,447,503

 

 

 

21.0

%

 

 

1,303,311

 

 

 

21.1

%

Supplies expense

 

 

58,243

 

 

 

3.2

%

 

 

55,713

 

 

 

3.4

%

 

 

230,274

 

 

 

3.3

%

 

 

217,310

 

 

 

3.5

%

Depreciation and amortization

 

 

55,413

 

 

 

3.1

%

 

 

49,180

 

 

 

3.0

%

 

 

206,362

 

 

 

3.0

%

 

 

189,297

 

 

 

3.1

%

Lease and rental expense

 

 

11,751

 

 

 

0.7

%

 

 

11,194

 

 

 

0.7

%

 

 

46,986

 

 

 

0.7

%

 

 

44,028

 

 

 

0.7

%

Subtotal-operating expenses

 

 

1,431,908

 

 

 

79.9

%

 

 

1,324,110

 

 

 

82.0

%

 

 

5,534,248

 

 

 

80.3

%

 

 

5,106,954

 

 

 

82.5

%

Income from operations

 

 

360,853

 

 

 

20.1

%

 

 

291,433

 

 

 

18.0

%

 

 

1,360,803

 

 

 

19.7

%

 

 

1,083,967

 

 

 

17.5

%

Interest expense, net

 

 

951

 

 

 

0.1

%

 

 

1,102

 

 

 

0.1

%

 

 

4,027

 

 

 

0.1

%

 

 

4,558

 

 

 

0.1

%

Other (income) expense, net

 

 

(1,139

)

 

 

(0.1

)%

 

 

(1,132

)

 

 

(0.1

)%

 

 

(3,547

)

 

 

(0.1

)%

 

 

(4,271

)

 

 

(0.1

)%

Income before income taxes

 

$

361,041

 

 

 

20.1

%

 

$

291,463

 

 

 

18.0

%

 

$

1,360,323

 

 

 

19.7

%

 

$

1,083,680

 

 

 

17.5

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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

 

December 31, 2024 and 2023

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AS REPORTED:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACUTE

 

 

BEHAVIORAL HEALTH

 

 

12/31/24

 

 

12/31/23

 

 

% change

 

 

12/31/24

 

 

12/31/23

 

 

% change

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hospitals owned and leased

 

 

28

 

 

 

27

 

 

 

3.7

%

 

 

331

 

 

 

333

 

 

 

-0.6

%

Average licensed beds

 

 

6,707

 

 

 

6,674

 

 

 

0.5

%

 

 

24,220

 

 

 

24,285

 

 

 

-0.3

%

Average available beds

 

 

6,535

 

 

 

6,502

 

 

 

0.5

%

 

 

24,120

 

 

 

24,185

 

 

 

-0.3

%

Patient days

 

 

402,288

 

 

 

403,117

 

 

 

-0.2

%

 

 

1,588,205

 

 

 

1,575,040

 

 

 

0.8

%

Average daily census

 

 

4,372.7

 

 

 

4,381.7

 

 

 

-0.2

%

 

 

17,263.1

 

 

 

17,120.0

 

 

 

0.8

%

Occupancy-licensed beds

 

 

65.2

%

 

 

65.7

%

 

 

-0.7

%

 

 

71.3

%

 

 

70.5

%

 

 

1.1

%

Occupancy-available beds

 

 

66.9

%

 

 

67.4

%

 

 

-0.7

%

 

 

71.6

%

 

 

70.8

%

 

 

1.1

%

Admissions

 

 

84,245

 

 

 

82,918

 

 

 

1.6

%

 

 

115,435

 

 

 

113,604

 

 

 

1.6

%

Length of stay

 

 

4.8

 

 

 

4.9

 

 

 

-1.8

%

 

 

13.8

 

 

 

13.9

 

 

 

-0.8

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Inpatient revenue

 

$

12,488,383

 

 

$

11,408,639

 

 

 

9.5

%

 

$

2,754,078

 

 

$

2,647,158

 

 

 

4.0

%

Outpatient revenue

 

 

8,645,327

 

 

 

7,566,625

 

 

 

14.3

%

 

 

285,076

 

 

 

275,128

 

 

 

3.6

%

Total patient revenue

 

 

21,133,710

 

 

 

18,975,264

 

 

 

11.4

%

 

 

3,039,154

 

 

 

2,922,286

 

 

 

4.0

%

Other revenue

 

 

251,226

 

 

 

234,117

 

 

 

7.3

%

 

 

83,795

 

 

 

83,153

 

 

 

0.8

%

Gross revenue

 

 

21,384,936

 

 

 

19,209,381

 

 

 

11.3

%

 

 

3,122,949

 

 

 

3,005,439

 

 

 

3.9

%

Total deductions

 

 

19,066,616

 

 

 

17,121,878

 

 

 

11.4

%

 

 

1,330,188

 

 

 

1,389,896

 

 

 

-4.3

%

Net revenue

 

$

2,318,320

 

 

$

2,087,503

 

 

 

11.1

%

 

$

1,792,761

 

 

$

1,615,543

 

 

 

11.0

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SAME FACILITY:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACUTE

 

 

BEHAVIORAL HEALTH

 

 

 

12/31/24

 

 

12/31/23

 

 

% change

 

 

12/31/24

 

 

12/31/23

 

 

% change

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hospitals owned and leased

 

 

27

 

 

 

27

 

 

 

0.0

%

 

 

330

 

 

 

330

 

 

 

0.0

%

Average licensed beds

 

 

6,657

 

 

 

6,674

 

 

 

-0.3

%

 

 

24,094

 

 

 

23,821

 

 

 

1.1

%

Average available beds

 

 

6,485

 

 

 

6,502

 

 

 

-0.3

%

 

 

23,994

 

 

 

23,721

 

 

 

1.2

%

Patient days

 

 

401,166

 

 

 

403,107

 

 

 

-0.5

%

 

 

1,578,242

 

 

 

1,550,485

 

 

 

1.8

%

Average daily census

 

 

4,360.5

 

 

 

4,381.6

 

 

 

-0.5

%

 

 

17,154.8

 

 

 

16,853.1

 

 

 

1.8

%

Occupancy-licensed beds

 

 

65.5

%

 

 

65.7

%

 

 

-0.2

%

 

 

71.2

%

 

 

70.7

%

 

 

0.6

%

Occupancy-available beds

 

 

67.2

%

 

 

67.4

%

 

 

-0.2

%

 

 

71.5

%

 

 

71.0

%

 

 

0.6

%

Admissions

 

 

83,943

 

 

 

82,918

 

 

 

1.2

%

 

 

114,684

 

 

 

112,232

 

 

 

2.2

%

Length of stay

 

 

4.8

 

 

 

4.9

 

 

 

-1.7

%

 

 

13.8

 

 

 

13.8

 

 

 

-0.4

%

 


Universal Health Services, Inc.

 

Selected Hospital Statistics

 

For the Twelve Months Ended

 

December 31, 2024 and 2023

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AS REPORTED:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACUTE

 

 

BEHAVIORAL HEALTH

 

 

12/31/24

 

 

12/31/23

 

 

% change

 

 

12/31/24

 

 

12/31/23

 

 

% change

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hospitals owned and leased

 

 

28

 

 

 

27

 

 

 

3.7

%

 

 

331

 

 

 

333

 

 

 

-0.6

%

Average licensed beds

 

 

6,670

 

 

 

6,691

 

 

 

-0.3

%

 

 

24,367

 

 

 

24,224

 

 

 

0.6

%

Average available beds

 

 

6,498

 

 

 

6,519

 

 

 

-0.3

%

 

 

24,280

 

 

 

24,124

 

 

 

0.6

%

Patient days

 

 

1,601,579

 

 

 

1,576,074

 

 

 

1.6

%

 

 

6,446,651

 

 

 

6,336,927

 

 

 

1.7

%

Average daily census

 

 

4,375.9

 

 

 

4,318.0

 

 

 

1.3

%

 

 

17,613.8

 

 

 

17,361.4

 

 

 

1.5

%

Occupancy-licensed beds

 

 

65.6

%

 

 

64.5

%

 

 

1.7

%

 

 

72.3

%

 

 

71.7

%

 

 

0.9

%

Occupancy-available beds

 

 

67.3

%

 

 

66.2

%

 

 

1.7

%

 

 

72.5

%

 

 

72.0

%

 

 

0.8

%

Admissions

 

 

331,415

 

 

 

322,218

 

 

 

2.9

%

 

 

476,584

 

 

 

472,307

 

 

 

0.9

%

Length of stay

 

 

4.8

 

 

 

4.9

 

 

 

-1.9

%

 

 

13.5

 

 

 

13.4

 

 

 

0.6

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Inpatient revenue

 

$

50,010,778

 

 

$

44,687,035

 

 

 

11.9

%

 

$

11,129,548

 

 

$

10,648,996

 

 

 

4.5

%

Outpatient revenue

 

 

34,198,778

 

 

 

29,858,874

 

 

 

14.5

%

 

 

1,118,336

 

 

 

1,087,595

 

 

 

2.8

%

Total patient revenue

 

 

84,209,556

 

 

 

74,545,909

 

 

 

13.0

%

 

 

12,247,884

 

 

 

11,736,591

 

 

 

4.4

%

Other revenue

 

 

998,650

 

 

 

948,994

 

 

 

5.2

%

 

 

330,977

 

 

 

303,546

 

 

 

9.0

%

Gross revenue

 

 

85,208,206

 

 

 

75,494,903

 

 

 

12.9

%

 

 

12,578,861

 

 

 

12,040,137

 

 

 

4.5

%

Total deductions

 

 

76,285,879

 

 

 

67,413,501

 

 

 

13.2

%

 

 

5,683,810

 

 

 

5,849,216

 

 

 

-2.8

%

Net revenue

 

$

8,922,327

 

 

$

8,081,402

 

 

 

10.4

%

 

$

6,895,051

 

 

$

6,190,921

 

 

 

11.4

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SAME FACILITY:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACUTE

 

 

BEHAVIORAL HEALTH

 

 

 

12/31/24

 

 

12/31/23

 

 

% change

 

 

12/31/24

 

 

12/31/23

 

 

% change

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hospitals owned and leased

 

 

27

 

 

 

27

 

 

 

0.0

%

 

 

330

 

 

 

330

 

 

 

0.0

%

Average licensed beds

 

 

6,657

 

 

 

6,644

 

 

 

0.2

%

 

 

24,165

 

 

 

24,000

 

 

 

0.7

%

Average available beds

 

 

6,485

 

 

 

6,472

 

 

 

0.2

%

 

 

24,065

 

 

 

23,900

 

 

 

0.7

%

Patient days

 

 

1,600,445

 

 

 

1,569,792

 

 

 

2.0

%

 

 

6,397,790

 

 

 

6,277,015

 

 

 

1.9

%

Average daily census

 

 

4,372.8

 

 

 

4,300.8

 

 

 

1.7

%

 

 

17,480.3

 

 

 

17,197.3

 

 

 

1.6

%

Occupancy-licensed beds

 

 

65.7

%

 

 

64.7

%

 

 

1.5

%

 

 

72.3

%

 

 

71.7

%

 

 

1.0

%

Occupancy-available beds

 

 

67.4

%

 

 

66.5

%

 

 

1.5

%

 

 

72.6

%

 

 

72.0

%

 

 

0.9

%

Admissions

 

 

331,113

 

 

 

321,155

 

 

 

3.1

%

 

 

472,798

 

 

 

468,260

 

 

 

1.0

%

Length of stay

 

 

4.8

 

 

 

4.9

 

 

 

-2.0

%

 

 

13.5

 

 

 

13.4

 

 

 

0.7

%

 


Universal Health Services, Inc.

Supplemental Non-GAAP Disclosures

2025 Operating Results Forecast

(in thousands, except per share amounts)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Forecast For The Year Ending December 31, 2025

 

 

 

 

 

 

 

% Net

 

 

 

 

 

% Net

 

 

 

 

 

Low

 

 

revenues

 

 

High

 

 

revenues

 

 

Net revenues

 

 

$

17,020,000

 

 

 

 

 

$

17,364,000

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income attributable to UHS (a)

$

1,199,798

 

 

 

 

 

$

1,297,005

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 Depreciation and amortization

 

 

 

639,574

 

 

 

 

 

 

639,574

 

 

 

 

 

 Interest expense

 

 

 

150,253

 

 

 

 

 

 

150,253

 

 

 

 

 

 Other (income) expense, net

 

 

 

(9,902

)

 

 

 

 

 

(9,902

)

 

 

 

 

 Provision for income taxes

 

 

 

376,809

 

 

 

 

 

 

407,338

 

 

 

 

 

Adjusted EBITDA net of NCI (b)

$

2,356,532

 

 

 

13.8

%

 

$

2,484,268

 

 

 

14.3

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income attributable to UHS, per diluted share (a)

$

18.45

 

 

 

 

 

$

19.95

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Shares used in computing diluted earnings per share

 

65,017

 

 

 

 

 

 

65,017

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(a) Forecasted 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, net of the impact of executive compensation limitations pursuant to IRC section 162(m), 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. Forecasted 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.

 


v3.25.0.1
Document and Entity Information
Feb. 26, 2025
Cover [Abstract]  
Document Type 8-K
Amendment Flag false
Document Period End Date Feb. 26, 2025
Entity Registrant Name UNIVERSAL HEALTH SERVICES, INC.
Entity Central Index Key 0000352915
Entity Emerging Growth Company false
Entity File Number 1-10765
Entity Incorporation, State or Country Code DE
Entity Tax Identification Number 23-2077891
Entity Address, Address Line One UNIVERSAL CORPORATE CENTER
Entity Address, Address Line Two 367 SOUTH GULPH ROAD
Entity Address, City or Town KING OF PRUSSIA
Entity Address, State or Province PA
Entity Address, Postal Zip Code 19406
City Area Code 610
Local Phone Number 768-3300
Written Communications false
Soliciting Material false
Pre-commencement Tender Offer false
Pre-commencement Issuer Tender Offer false
Title of each class Class B Common Stock
Trading Symbol UHS
Security Exchange Name NYSE

Universal Health Services (NYSE:UHS)
Gráfico Histórico do Ativo
De Jan 2025 até Fev 2025 Click aqui para mais gráficos Universal Health Services.
Universal Health Services (NYSE:UHS)
Gráfico Histórico do Ativo
De Fev 2024 até Fev 2025 Click aqui para mais gráficos Universal Health Services.