UNIVERSAL HEALTH SERVICES INC
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UHS Q4 2025 request
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| Metric | Q4 2025 | Q4 2024 | YoY |
|---|---|---|---|
| Revenue | 4,486,048 | 4,113,722 | +9.1% |
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| Investment Advice · Relationship with Universal Health Realty Income Trust | 1.4 | 1.4 | -0.0% |
| Managed Care (HMO and PPOs) | 1,247,621 | 1,140,229 | +9.4% |
| Managed Care (HMO and PPOs) · Acute Care Hospital Services | 835,530 | 734,235 | +13.8% |
| Managed Care (HMO and PPOs) · Behavioral Health Services | 412,091 | 405,994 | +1.5% |
| Managed Medicaid | 632,232 | 574,949 | +10.0% |
| Managed Medicaid · Acute Care Hospital Services | 175,897 | 155,008 | +13.5% |
| Managed Medicaid · Behavioral Health Services | 456,335 | 419,941 | +8.7% |
| Managed Medicare | 524,196 | 472,024 | +11.1% |
| Managed Medicare · Acute Care Hospital Services | 422,230 | 374,237 | +12.8% |
| Managed Medicare · Behavioral Health Services | 101,966 | 97,787 | +4.3% |
| Medicaid | 749,674 | 676,478 | +10.8% |
| Medicaid · Acute Care Hospital Services | 353,690 | 338,484 | +4.5% |
| Medicaid · Behavioral Health Services | 395,984 | 337,994 | +17.2% |
| Medicare | 478,535 | 425,200 | +12.5% |
| Medicare · Acute Care Hospital Services | 396,322 | 352,353 | +12.5% |
| Medicare · Behavioral Health Services | 82,213 | 72,847 | +12.9% |
| Other Non-patient Revenue | 289,758 | 307,311 | -5.7% |
| Other Non-patient Revenue · Acute Care Hospital Services | 224,859 | 248,692 | -9.6% |
| Other Non-patient Revenue · All Other Segments | 2,953 | 2,641 | +11.8% |
| Other Non-patient Revenue · Behavioral Health Services | 61,946 | 55,978 | +10.7% |
| Other Patient Revenue and Adjustments, Net | 301,136 | 288,038 | +4.5% |
| Other Patient Revenue and Adjustments, Net · Acute Care Hospital Services | 137,051 | 123,693 | +10.8% |
| Other Patient Revenue and Adjustments, Net · Behavioral Health Services | 164,085 | 164,345 | -0.2% |
| UK Revenue | 262,896 | 229,493 | +14.6% |
| UK Revenue · Acute Care Hospital Services | 0 | 0 | — |
| UK Revenue · Behavioral Health Services | 262,896 | 229,493 | +14.6% |
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| Acute Care Hospital Services | 2,545,579 | 2,326,702 | +9.4% |
| Acute Care Hospital Services · Operating Segments | 2,545,579 | 2,326,702 | +9.4% |
| All Other Segments | 2,953 | 2,641 | +11.8% |
| Behavioral Health Services | 1,937,516 | 1,784,379 | +8.6% |
| Behavioral Health Services · Operating Segments | 1,937,516 | 1,784,379 | +8.6% |
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| Corporate Non Segment | 2,953 | 2,641 | +11.8% |
| Material Reconciling Items | 2,953 | 2,641 | +11.8% |
| Operating Segments | 4,483,095 | 4,111,081 | +9.0% |
| Labor And Related Expense | 2,046,629 | 1,907,383 | +7.3% |
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| Acute Care Hospital Services · Material Reconciling Items | 976,301 | 903,457 | +8.1% |
| Behavioral Health Services · Material Reconciling Items | 992,582 | 908,789 | +9.2% |
| Other Cost And Expense Operating | 1,297,207 | 1,142,901 | +13.5% |
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| Acute Care Hospital Services · Material Reconciling Items | 1,217,201 | 1,111,031 | +9.6% |
| Behavioral Health Services · Material Reconciling Items | 502,346 | 461,621 | +8.8% |
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| Corporate Non Segment | 119,485 | 111,874 | +6.8% |
| Supplies Expense | 422,760 | 405,900 | +4.2% |
| Depreciation And Amortization | 163,334 | 146,781 | +11.3% |
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| Acute Care Hospital Services · Material Reconciling Items | 100,398 | 89,297 | +12.4% |
| Behavioral Health Services · Material Reconciling Items | 60,503 | 55,164 | +9.7% |
| Operating Lease Expense | 38,886 | 38,268 | +1.6% |
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| Relationship with Universal Health Realty Income Trust | 5.7 | 5.2 | +9.6% |
| Operating Expenses | 3,968,816 | 3,641,233 | +9.0% |
| Operating Income | 517,232 | 472,489 | +9.5% |
| Interest Expense | 42,217 | 39,724 | +6.3% |
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| Corporate Non Segment | 36,443 | 35,797 | +1.8% |
| Other Non-Operating Income (Expense) | -106,427 | -5,546 | -1819.0% |
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| Acute Care Hospital Services · Material Reconciling Items | -11,727 | -951 | -1133.1% |
| Behavioral Health Services · Material Reconciling Items | -206 | -1,139 | +81.9% |
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| Corporate Non Segment | -94,494 | -3,456 | -2634.2% |
| Income Before Taxes | 581,442 | 438,311 | +32.7% |
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| Acute Care Hospital Services · Material Reconciling Items | 258,298 | 220,892 | +16.9% |
| Behavioral Health Services · Material Reconciling Items | 381,625 | 358,993 | +6.3% |
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| Corporate Non Segment | 581,442 | 438,311 | +32.7% |
| Material Reconciling Items | 639,923 | 579,885 | +10.4% |
| Income Tax Expense (Benefit) | 133,605 | 101,264 | +31.9% |
| Net Income | 447,837 | 337,047 | +32.9% |
| Net Income Loss Attributable To Noncontrolling Interest | 1,896 | 4,650 | -59.2% |
| Net Income | 445,941 | 332,397 | +34.2% |
| EPS (Basic) | 7.15 | 5.05 | +41.6% |
| EPS (Diluted) | 7.03 | 4.94 | +42.3% |
| Wtd Avg Shares (Basic) | -519 | -319 | -62.7% |
| Weighted Average Number Diluted Shares Outstanding Adjustment | 84 | 45 | +86.7% |
| Wtd Avg Shares (Diluted) | -435 | -274 | -58.8% |
| Comprehensive Income | 445,441 | 301,425 | +47.8% |
| Net Income Loss Available To Common Stockholders Basic | 445,941 | 332,397 | +34.2% |
| Interest Income Expense Net (Q) | — | — | — |
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| Acute Care Hospital Services · Material Reconciling Items | 5,108 | 2,976 | +71.6% |
| Behavioral Health Services · Material Reconciling Items | 666 | 951 | -30.0% |
Balance Sheet
| Metric | Q4 2025 | Q4 2024 | YoY |
|---|---|---|---|
| Current Assets | |||
| Cash & Cash Equivalents | 137,797 | 125,983 | +9.4% |
| Accounts Receivable | 2,602,434 | 2,177,751 | +19.5% |
| Supplies | 232,110 | 220,940 | +5.1% |
| Other Assets Current | 435,574 | 291,614 | +49.4% |
| Total Current Assets | 3,407,915 | 2,816,288 | +21.0% |
| Non-Current Assets | |||
| Property, Plant & Equipment | 7,008,097 | 6,572,225 | +6.6% |
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| Finance Lease | 76,686 | 80,672 | -4.9% |
| Goodwill | 3,990,213 | 3,932,879 | +1.5% |
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| Acute Care Services | 529,880 | 529,880 | 0.0% |
| Behavioral Health Services | 3,460,333 | 3,402,999 | +1.7% |
| Deferred Tax Assets | 70,517 | 118,449 | -40.5% |
| Operating Lease Right-of-Use Assets | 374,239 | 418,719 | -10.6% |
| Other Assets Miscellaneous Noncurrent | 667,340 | 601,785 | +10.9% |
| Other Non-Current Assets | 5,111,581 | 5,081,236 | +0.6% |
| Total Assets | 15,527,593 | 14,469,749 | +7.3% |
| Intangible Assets | 75,876 | 76,273 | -0.5% |
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| Certification Marks | 7,973 | 7,987 | -0.2% |
| Contract Relationships and Other | 10,677 | 11,060 | -3.5% |
| Licensing Agreements | 57,226 | 57,226 | 0.0% |
| Other Assets | |||
| Finance Lease Right Of Use Asset Before Accumulated Amortization | 129,012 | 125,018 | +3.2% |
| Property And Equipment Gross Excluding Construction In Progress | 12,358,312 | 11,802,280 | +4.7% |
| Accumulated Depreciation Depletion And Amortization Property Plant And Equipment | -6,481,714 | -6,071,058 | -6.8% |
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| Finance Lease | -52,326 | -44,346 | -18.0% |
| Property And Equipment Excluding Construction In Progress Net | 5,876,598 | 5,731,222 | +2.5% |
| Deferred Costs | 9,272 | 9,404 | -1.4% |
| Current Liabilities | |||
| Current Portion of Long-Term Debt | 748,158 | 40,059 | +1767.6% |
| Accounts Payable | 750,134 | 632,001 | +18.7% |
| Employee Related Liabilities Current | 681,583 | 622,625 | +9.5% |
| Interest Payable Current | 26,197 | 30,250 | -13.4% |
| Accrual For Taxes Other Than Income Taxes Current | 267,898 | 161,683 | +65.7% |
| Operating Lease Liability Current | 73,237 | 74,649 | -1.9% |
| Other Accrued Liabilities Current | 690,464 | 634,920 | +8.7% |
| Accrued Income Taxes Current | 1,930 | 14,219 | -86.4% |
| Total Current Liabilities | 3,239,601 | 2,210,406 | +46.6% |
| Non-Current Liabilities | |||
| Other Non-Current Liabilities | 527,827 | 655,806 | -19.5% |
| Operating Lease Liabilities | 340,715 | 376,239 | -9.4% |
| Deferred Tax Liabilities | 5,649 | 0 | — |
| Long-Term Debt | 4,004,393 | 4,464,482 | -10.3% |
| Long-Term Debt | 4,752,551 | 4,504,541 | +5.5% |
| Other Liabilities | |||
| Temporary Equity Carrying Amount Including Portion Attributable To Noncontrolling Interests | 70,620 | 13,293 | +431.3% |
| Stockholders' Equity | |||
| Common Stock (Q) | — | — | — |
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| Class D | 0 | 0 | — |
| Common Class A | 66 | 66 | 0.0% |
| Common Class B | 538 | 577 | -6.8% |
| Common Class C | 7 | 7 | 0.0% |
| Cumulative Dividends | -765,357 | -713,705 | -7.2% |
| Retained Earnings | 7,992,755 | 7,372,061 | +8.4% |
| Accumulated Other Comprehensive Income | 47,783 | 7,201 | +563.6% |
| Total Stockholders' Equity | 7,275,792 | 6,666,207 | +9.1% |
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| Accumulated Defined Benefit Plans Adjustment | 1,897 | -394 | +581.5% |
| Accumulated Other Comprehensive Income | 47,783 | 7,201 | +563.6% |
| Accumulated Translation Adjustment | 45,886 | 7,595 | +504.2% |
| Minority Interest | 62,996 | 83,316 | -24.4% |
| Stockholders Equity Including Portion Attributable To Noncontrolling Interest | 7,338,788 | 6,749,523 | +8.7% |
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| Accumulated Other Comprehensive Income | 47,783 | 7,201 | +563.6% |
| Common Stock · Common Class A | 66 | 66 | 0.0% |
| Common Stock · Common Class B | 538 | 577 | -6.8% |
| Common Stock · Common Class C | 7 | 7 | 0.0% |
| Noncontrolling Interest | 62,996 | 83,316 | -24.4% |
| Parent | 7,275,792 | 6,666,207 | +9.1% |
| Retained Earnings Appropriated | 7,992,755 | 7,372,061 | +8.4% |
| Retained Earnings Unappropriated | -765,357 | -713,705 | -7.2% |
| Total Liabilities & Equity | 15,527,593 | 14,469,749 | +7.3% |
| Land | 759,281 | 745,706 | +1.8% |
| Buildings And Improvements Gross | 8,076,327 | 7,671,206 | +5.3% |
| Machinery And Equipment Gross | 3,393,692 | 3,260,350 | +4.1% |
| Construction In Progress Gross | 1,131,499 | 841,003 | +34.5% |
Cash Flow Statement
| Metric | YTD Q4 2025 | YTD Q4 2024 | YoY |
|---|---|---|---|
| Operating Activities | |||
| Depreciation For Discontinued Operations And Amortization | 163,334 | 146,781 | +11.3% |
| Stock-Based Compensation | 25,102 | 26,622 | -5.7% |
| Gain Loss On Sale Of Assets And Business | 5,135 | -4,796 | +207.1% |
| Change in Accounts Receivable | -23,775 | 55,652 | -142.7% |
| Increase Decrease In Accrued Interest Receivable Net | -11,105 | 14,576 | -176.2% |
| Increase Decrease In Deferred Income Taxes And Accrued Income Taxes Payable | 17,846 | 23,600 | -24.4% |
| Increase Decrease In Other Operating Capital Net | 78,774 | 60,568 | +30.1% |
| Change in Prepaid & Other Assets | 1,030 | -6,542 | +115.7% |
| Increase Decrease In Other Operating Liabilities | 586 | -3,921 | +114.9% |
| Increase Decrease In Self Insurance Reserve | 59,717 | 79,290 | -24.7% |
| Increase Decrease In Self Insurance Settlement Net Of Reimbursements | -96,497 | -70,440 | -37.0% |
| Net Cash from Operations | 574,693 | 658,437 | -12.7% |
| Investing Activities | |||
| Capital Expenditures | -281,220 | -245,945 | -14.3% |
| Proceeds From Sale Of Assets And Business | 12,883 | 8,344 | +54.4% |
| Payments To Acquire Businesses Net Of Cash Acquired | -32 | -18,998 | +99.8% |
| Payments For Proceeds From Hedge Investing Activities | -2,862 | 48,527 | -105.9% |
| Payment For Proceeds From Purchase Development Of Enterprise Resource Planning Application | -6,019 | 0 | — |
| Increase Decrease In Capital Reserves Of Commercial Insurance Subsidiary | 42 | 79 | -46.8% |
| Net Cash from Investing | -223,966 | -207,993 | -7.7% |
| Financing Activities | |||
| Repayments Of Long Term Debt | -15,713 | -168,486 | +90.7% |
| Proceeds From Lines Of Credit | 76,550 | 0 | — |
| Payments Of Financing Costs | 0 | -2,574 | +100.0% |
| Share Repurchases | -352,010 | -250,166 | -40.7% |
| Payments Of Dividends Common Stock | -12,365 | -13,044 | +5.2% |
| Proceeds From Issuance Of Common Stock | 4,610 | 4,206 | +9.6% |
| Payments Of Dividends Minority Interest | -1,325 | -717 | -84.8% |
| Proceeds From Payments To Minority Shareholders | 4,118 | 4,021 | +2.4% |
| Net Cash from Financing | -296,135 | -426,760 | +30.6% |
| Supplemental | |||
| Interest Paid | 52,991 | 23,896 | +121.8% |
| Income Taxes Paid | 114,897 | 88,455 | +29.9% |
| Noncash Or Part Noncash Acquisition Fixed Assets Acquired1 | -72,227 | 30,776 | -334.7% |
| Other Cash Flow | |||
| Restricted Cash | 133,525 | 98,769 | +35.2% |
| Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents | 271,322 | 224,752 | +20.7% |
| Effect Of Exchange Rate On Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations | 127 | -3,529 | +103.6% |
| Net Change in Cash | 54,719 | 20,155 | +171.5% |
| Cash Cash Equivalents Restricted Cash And Restricted Cash Equivalents Including Disposal Group And Discontinued Operations | 271,322 | 224,752 | +20.7% |
Values in thousands USD. Source: SEC EDGAR 10-K filing.