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Amneal Pharmaceuticals

Universal Health Services Announces 2024 Fourth Quarter And Full Year Financial Results And 2025 Operating Results Forecast

February 26, 2025 | Last Trade: US$161.52 4.46 2.84
  • Consolidated Results of Operations, As Reported and As Adjusted  – Three-month periods ended December 31, 2024 and 2023:

KING OF PRUSSIA, Pa., Feb. 26, 2025 /PRNewswire/ -- 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.

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

(a) Earnings per share calculation:

ended December 31,

 

ended December 31,

 

2024

 

2023

 

2024

 

2023

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 

       

3 Months ended

 

12 Months ended

Same Facility:

      

12/31/2024

 

12/31/2024

          

Acute Care Hospitals

         

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 Hospitals

         

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

 

Twelve Months 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

(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

 

6,670

 

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.

Astria Therapeutics

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