Universal Health Services, Inc. Announces Financial Results for the Three and Nine-Month Periods Ended September 30, 2026

Consolidated Results of Operations, As Reported and As Adjusted – Three-month periods ended September 30, 2026 and 2025:

KING OF PRUSSIA, Pa., Oct. 27, 2026 (GLOBE NEWSWIRE) — Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income attributable to UHS was $308.7 million, or $5.22 per diluted share, during the third quarter of 2026, as compared to $373.0 million, or $5.86 per diluted share, during the third quarter of 2025. Net revenues increased by 5.3% to $4.733 billion during the third quarter of 2026, as compared to $4.495 billion during the third quarter of 2025.

Included in our operating results during the third quarter of 2026, was an aggregate net favorable pre-tax impact of approximately $21 million recorded in connection with the following items which were not included in our 2026 operating results forecast, as previously disclosed on July 27, 2026: (i) a favorable net pre-tax impact of $47 million (net of related provider taxes) recorded in connection with increases in amounts received from Medicaid supplemental payment programs in various states (consisting primarily of Washington, D.C. and California), partially offset by; (ii) an unfavorable pre-tax impact of $26 million resulting from an increase to our reserves for self-insured professional and general liability claims due primarily to the tentative settlement agreement reached during the third quarter of 2026 in the matter discussed below in Legal Proceedings Update.

Included in our operating results during the third quarter of 2025, was an aggregate net favorable pre-tax impact of approximately $55 million recorded in connection with the following: (i) $90 million of pre-tax reimbursements (net of related provider taxes), covering the period of October 1, 2024 through September 30, 2025, in connection with a Medicaid state directed payment program in Washington, D.C., and; (ii) a $35 million pre-tax charge incurred to increase our reserves for self-insured professional and general liabilities resulting from unfavorable claims’ trends.

As reflected on the Schedule of Non-GAAP Supplemental Information (“Supplemental Schedule”), there were no adjustments applicable to our operating results during the third quarter of 2026.

As reflected on the Supplemental Schedule, included in our reported results during the third quarter of 2025 were: (i) an unrealized after-tax gain of $10.0 million, or $.16 per diluted share ($13.1 million pre-tax), resulting from an increase in the market value of certain equity securities that were sold during the fourth quarter of 2025 (included in “Other (income) expense, net”), and; (ii) a favorable net after-tax impact of $0.6 million, or $.01 per diluted share, resulting from the net tax benefit recorded in connection with “ASU 2016-09”, Compensation – Stock Compensation: Improvements to Employee Share-Based Payment Accounting, net of the impact of executive compensation limitations pursuant to IRC section 162(m). After giving effect to these items, our adjusted net income during the third quarter of 2025 was $362.3 million, or $5.69 per diluted share.

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 $640.4 million during the third quarter of 2026, as compared to $684.2 million during the third quarter of 2025. Our adjusted earnings before interest, taxes, depreciation & amortization (“Adjusted EBITDA net of NCI”), which excludes the impact of other (income) expense, net, was $624.6 million during the third quarter of 2026, as compared to $670.6 million during the third quarter of 2025.

Consolidated Results of Operations, As Reported and As Adjusted – Nine-month periods ended September 30, 2026 and 2025:

Reported net income attributable to UHS was $1.016 billion, or $16.86 per diluted share, during the first nine months of 2026, as compared to $1.043 billion, or $16.07 per diluted share, during the comparable period of 2025. Net revenues increased by 7.7% to $13.867 billion during the first nine months of 2026, as compared to $12.879 billion during the comparable period of 2025.

As reflected on the Supplemental Schedule, our adjusted net income during the first nine months of 2026 was $1.014 billion, or $16.83 per diluted share, as compared to $1.030 billion, or $15.87 per diluted share, during the comparable period of 2025.

As reflected on the Supplemental Schedule, included in our reported results during the first nine months of 2026 was a favorable net after-tax impact of $2.2 million, or $.03 per diluted share, resulting from the net tax benefit recorded in connection with ASU 2016-09. Included in our reported results during the first nine months of 2025 were the following: (i) an unrealized after-tax gain of $11.3 million, or $.17 per diluted share ($14.7 million pre-tax), resulting from an increase in the market value of certain equity securities that were sold during the fourth quarter of 2025, and; (ii) a favorable net after-tax impact of $1.9 million, or $.03 per diluted share, resulting from the net tax benefit recorded in connection with ASU 2016-09.

As calculated on the attached Supplemental Schedule, our EBITDA net of NCI, was $1.972 billion during the first nine months of 2026, as compared to $1.939 billion during the comparable period of 2025. Our Adjusted EBITDA net of NCI, which excludes the impact of other (income) expense, net, was $1.951 billion during the first nine months of 2026, as compared to $1.912 billion during the comparable period of 2025.

Acute Care Services – Three and nine-month periods ended September 30, 2026 and 2025:

During the third quarter of 2026, at our acute care hospitals owned during both periods (“same facility basis”), adjusted admissions (adjusted for outpatient activity) and adjusted patient days each increased by 4.9%, as compared to the third quarter of 2025. At these facilities, during the third quarter of 2026, net revenue per adjusted admission and net revenue per adjusted patient day each decreased by 1.7%, as compared to the third quarter of 2025. Net revenues generated from our acute care services, on a same facility basis, increased by 4.7% during the third quarter of 2026, as compared to the third quarter of 2025.

During the first nine months of 2026, on a same facility basis, adjusted admissions increased by 2.6% and adjusted patient days increased by 2.9%, as compared to the comparable period of 2025. At these facilities, during the first nine months of 2026, net revenue per adjusted admission increased by 2.4% while net revenue per adjusted patient day increased by 2.1%, as compared to the comparable period of 2025. Net revenues generated from our acute care services, on a same facility basis, increased by 7.0% during the first nine months of 2026, as compared to the comparable period of 2025.

Behavioral Health Care Services – Three and nine-month periods ended September 30, 2026 and 2025:

During the third quarter of 2026, at our behavioral health care facilities on a same facility basis, adjusted admissions increased by 2.5% while adjusted patient days increased by 2.1%, as compared to the third quarter of 2025. At these facilities, during the third quarter of 2026, net revenue per adjusted admission increased by 1.7% and net revenue per adjusted patient day increased by 2.1%, as compared to the third quarter of 2025. Net revenues generated from our behavioral health care services, on a same facility basis, increased by 4.0% during the third quarter of 2026, as compared to the third quarter of 2025.

During the first nine months of 2026, at our behavioral health care facilities on a same facility basis, adjusted admissions increased by 1.4% while adjusted patient days increased by 1.7%, as compared to the comparable period of 2025. At these facilities, during the first nine months of 2026, net revenue per adjusted admission increased by 4.9% and net revenue per adjusted patient day increased by 4.7%, as compared to the comparable period of 2025. Net revenues generated from our behavioral health care services, on a same facility basis, increased by 6.2% during the first nine months of 2026, as compared to the comparable period of 2025.

Net Cash Provided by Operating Activities and Capital Resources:

Net Cash Provided by Operating Activities:

During the nine-month period ended September 30, 2026, our net cash provided by operating activities increased by 14.9% to $1.481 billion as compared to $1.290 billion during the first nine months of 2025.

The $192 million net increase in our net cash provided by operating activities consisted of: (i) an unfavorable change of $179 million in other working capital accounts due primarily to the timing of accrued expenses and accounts payable disbursements; (ii) a favorable change of $178 million in accounts receivable; (iii) a favorable change of $90 million in accrued insurance expense, net of payments made in settlement of self-insured claims; (iv) a favorable change of $77 million in accrued and deferred income taxes, and; (v) $26 million of other combined net favorable changes.

Capital Resources:

As of September 30, 2026, pursuant to the terms of our $1.5 billion revolving credit facility, we had $1.187 billion of available borrowing capacity, net of outstanding borrowings ($310 million) and letters of credit ($3 million). 

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 third quarter of 2026, we have repurchased 1.35 million shares at an aggregate cost of approximately $242.1 million (average price of approximately $179 per share). During the first nine months of 2026, we have repurchased 3.915 million shares at an aggregate cost of approximately $689.6 million (average price of approximately $176 per share).

As of September 30, 2026, we had an aggregate available repurchase authorization of approximately $735.4 million pursuant to our stock repurchase program.

Conference call information:

We will hold a conference call for investors and analysts at 8:00 a.m. eastern time on October 28, 2026. 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. Supplemental financial disclosures related to our financial results are available on our website.

Legal Proceedings Update:

The disclosure below provides an update for recent developments related to the matter referenced which has been previously disclosed in various Forms 10-Q and 10-K, as filed with the Securities and Exchange Commission, most recently our Form 10-Q for the quarterly period ended June 30, 2026.

K.E.E., et al., Plaintiffs v. Cumberland Hospital, LLC d/b/a Cumberland Hospital for Children and Adolescents, et al. (and related lawsuits)

Cumberland Hospital for Children and Adolescents (“Cumberland”), an indirect subsidiary of Universal Health Services, Inc. (the “Company”) and UHS of Delaware, Inc. (“UHS Delaware”), our administrative services company, are defendants in multi-plaintiff lawsuits filed in the Circuit Court for Richmond, Virginia (the “Cumberland Litigation”). The lawsuits relate to allegations of, among other things, inappropriate sexual contact during medical examinations by Dr. Daniel Davidow, an independent contractor and the former medical director for Cumberland. 

The claims asserted by three of the plaintiffs in the Cumberland Litigation were consolidated for trial in September 2024. There are approximately 53 additional claimants making similar allegations with claims pending in the Cumberland Litigation. The Company and UHS Delaware were dismissed from the September 2024 trial on the first three plaintiffs’ claims. In late September 2024, a jury entered a verdict finding Dr. Davidow and Cumberland liable and awarded these three plaintiffs combined compensatory damages of $60 million for all liability theories, an additional combined $180 million in trebled damages for violation of the Virginia Consumer Protection Act, and an additional combined $120 million in punitive damages. Based upon Virginia law, the Court reduced the punitive damage amount to a combined maximum of $1.05 million ($350,000 per plaintiff).

In August 2026, we reached a tentative settlement agreement, which is subject to execution of final release agreements and certain court approvals (as necessary), to resolve all of the outstanding claims related to the current claimants in the Cumberland Litigation. Pursuant to the tentative settlement agreement, the terms of the aggregate settlement are confidential. We believe a substantial portion of the tentative aggregate settlement amount, and related expenses, is covered by our commercial excess insurance and the remainder is covered by our reserves recorded in connection with the Cumberland Litigation.   

General Information, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures:

Headquartered in King of Prussia, PA, UHS is one of the nation’s largest and most respected providers of hospital and healthcare services, with annual revenues of approximately $17.4 billion during 2025. Through its subsidiaries, UHS employs more than 102,000 employees and, as of September 30, 2026, operated 30 inpatient acute care facilities, 388 inpatient behavioral health facilities, 169 outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in 40 states, Washington, D.C., Puerto Rico, Ireland and the United Kingdom. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500® corporation perennially recognized by multiple esteemed national rating entities.  Our strategy includes investing in talented staff, facilities, technology and innovation across broad care continuums to deliver favorable patient outcomes and contribute to the overall health and wellbeing of the patients we are privileged to serve. A wholly-owned subsidiary of UHS also acts as the advisor to Universal Health Realty Income Trust, a real estate investment trust (NYSE: UHT). For additional information, please 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 2-Forward Looking Statements and Risk Factors in our Form 10-Q for the quarter ended June 30, 2026 and in Item 1A–Risk Factors, and Item 7-Forward-Looking Statements and Risk Factors, in our Form 10-K for the year ended December 31, 2025), may cause the results to differ materially from those anticipated in the forward-looking statements. These statements are subject to risks and uncertainties and therefore actual results may differ materially. Readers should not place undue reliance on such forward-looking statements which reflect management’s view only as of the date hereof. We undertake no obligation to revise or update any forward-looking statements, or to make any other forward-looking statements, whether as a result of new information, future events or otherwise.

Many of the factors that could affect our future results are beyond our control or ability to predict, including, but not limited to:

  • A significant portion of our revenues are derived from federal and state government programs including the Medicare and Medicaid programs. Payments from these programs are subject to statutory and regulatory changes, administrative rulings, interpretations and determinations, requirements for utilization review, and federal and state funding restrictions. Changes to these programs could materially affect program payments which could materially impact our results of operations. In addition, we receive substantial reimbursement from multiple states in connection with various supplemental Medicaid payment programs. Failure to renew these programs beyond their scheduled termination dates, failure of the public hospitals to provide the necessary Inter-Governmental Transfers for the states’ share of the Medicaid disproportionate share hospital programs, and the failure of our hospitals that currently receive supplemental Medicaid revenues to qualify for future funds under these programs could cause our actual results of operations for the year ended December 31, 2026 to differ materially from our 2026 operating results forecast.
  • Legislation adopted on July 4, 2025, attaches work and community service requirements to eligibility for Medicaid benefits that will have the effect of limiting Medicaid enrollment and expenditures. That legislation also places limits on provider fees used to increase federal Medicaid funding to states and eliminated certain exchange premium tax credits beyond 2025. As these provisions become effective over the next several years, they may be expected to reduce our revenues and likely increase the level of uncompensated care provided by our facilities.
  • The increase in interest rates during the past few years has increased our interest expense significantly thereby reducing our free cash flow. As such, the effects of increased borrowing rates have adversely impacted our results of operations, financial condition and cash flows. We cannot predict future changes to interest rates, however, significant increases in our borrowing rates could have a material unfavorable impact on our future results of operations and our ability to access the capital markets on favorable terms.
  • Changes in laws or policies governing the terms of foreign trade, and in particular, increased trade restrictions, tariffs or taxes on imports from where our products or materials are made (either directly or through our suppliers) could have an impact on our competitive position, business operations and financial results.
  • The outcome of known and unknown litigation, liabilities and other claims asserted against us and/or our subsidiaries.
  • The ability to successfully integrate and realize the benefits and synergies from our acquisition of Talkspace, Inc. which was completed in August 2026.

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 may neutralize the effect of material items impacting our net income attributable to UHS, such as, changes in the value of certain non-marketable securities (in connection with our minority ownership in a healthcare generative artificial intelligence company), the impact of ASU 2016-09, and other potential material items that are nonrecurring or non-operational in nature including, but not limited to, impairments of goodwill, long-lived and intangible assets, reserves for various matters including settlements, legal judgments and lawsuits, costs related to extinguishment of debt, gains/losses on sales of assets and businesses, potential impacts of non-ordinary acquisitions, divestitures, joint ventures or other strategic transactions, 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 filings with the Securities and Exchange Commission including our Report on Form 10-Q for the quarter ended June 30, 2026 and our Report on Form 10-K for the year ended December 31, 2025. Since the items that may be 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.

CONTACT: Darren Lehrich
  Vice President-Investor Relations
  610-382-3310
  Darren.Lehrich@uhsinc.com

Universal Health Services, Inc.  
Consolidated Statements of Income  
(in thousands, except per share amounts)  
(unaudited)  
                 
  Three months   Nine months  
  ended September 30,   ended September 30,  
    2026       2025       2026       2025    
                 
Net revenues $ 4,733,352     $ 4,495,245     $ 13,866,546     $ 12,878,781    
                 
Operating charges:                
Salaries, wages and benefits   2,210,461       2,071,898       6,438,999       6,037,953    
Other operating expenses   1,425,781       1,294,721       4,061,667       3,563,039    
Supplies expense   426,500       414,583       1,276,300       1,236,249    
Depreciation and amortization   174,845       155,060       497,609       455,409    
Lease and rental expense   41,316       37,295       117,987       109,348    
    4,278,903       3,973,557       12,392,562       11,401,998    
                 
Income from operations   454,449       521,688       1,473,984       1,476,783    
                 
Interest expense, net   56,277       38,431       133,322       113,851    
Other (income) expense, net   (15,738 )     (13,629 )     (21,490 )     (27,767 )  
                 
Income before income taxes   413,910       496,886       1,362,152       1,390,699    
                 
Provision for income taxes   100,577       117,781       325,551       327,354    
                 
Net income   313,333       379,105       1,036,601       1,063,345    
                 
Less: Net income (loss) attributable to                
noncontrolling interests (“NCI”)   4,649       6,148       20,788       20,490    
                 
Net income attributable to UHS $ 308,684     $ 372,957     $ 1,015,813     $ 1,042,855    
                 
                 
Basic earnings per share attributable to UHS (a) $ 5.25     $ 5.92     $ 16.98     $ 16.27    
                 
Diluted earnings per share attributable to UHS (a) $ 5.22     $ 5.86     $ 16.86     $ 16.07    
                 
Universal Health Services, Inc.
Footnotes to Consolidated Statements of Income
(in thousands, except per share amounts)
(unaudited)
               
  Three months   Nine months
(a) Earnings per share calculation: ended September 30,   ended September 30,
    2026     2025     2026     2025
Basic and diluted:              
Net income attributable to UHS – basic and diluted $ 308,684   $ 372,957   $ 1,015,813   $ 1,042,855
               
Weighted average number of common shares – basic   58,795     62,974     59,841     64,100
               
Basic earnings per share attributable to UHS: $ 5.25   $ 5.92   $ 16.98   $ 16.27
               
Weighted average number of common shares   58,795     62,974     59,841     64,100
Add: Other share equivalents   350     689     400     797
Weighted average number of common shares and equiv. – diluted   59,145     63,663     60,241     64,897
               
Diluted earnings per share attributable to UHS: $ 5.22   $ 5.86   $ 16.86   $ 16.07
               
Universal Health Services, Inc.  
Schedule of Non-GAAP Supplemental Information (“Supplemental Schedule”)
For the Three Months ended September 30, 2026 and 2025  
(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  
  September 30, 2026   revenues   September 30, 2025   revenues  
                 
Net income attributable to UHS $ 308,684         $ 372,957        
Depreciation and amortization   174,845           155,060        
Interest expense, net   56,277           38,431        
Provision for income taxes   100,577           117,781        
EBITDA net of NCI $ 640,383       13.5 %   $ 684,229       15.2 %  
                 
Other (income) expense, net   (15,738 )         (13,629 )      
Adjusted EBITDA net of NCI $ 624,645       13.2 %   $ 670,600       14.9 %  
                 
Net revenues $ 4,733,352         $ 4,495,245        
                 
                 
                 
Calculation of Adjusted Net Income Attributable to UHS  
                 
  Three months ended   Three months ended  
  September 30, 2026   September 30, 2025  
      Per       Per  
  Amount   Diluted Share Amount   Diluted Share
                 
Net income attributable to UHS $ 308,684     $ 5.22     $ 372,957     $ 5.86    
Plus/minus after-tax adjustments:                
Unrealized gain on equity securities   –       –       (10,043 )     (0.16 )  
Impact of ASU 2016-09, net   –       –       (623 )     (0.01 )  
Subtotal adjustments   –       –       (10,666 )     (0.17 )  
Adjusted net income attributable to UHS $ 308,684     $ 5.22     $ 362,291     $ 5.69    
                 
Universal Health Services, Inc.  
Schedule of Non-GAAP Supplemental Information (“Supplemental Schedule”)
For the Nine Months ended September 30, 2026 and 2025  
(in thousands, except per share amounts)  
(unaudited)  
                 
Calculation of Earnings/Adjusted Earnings Before Interest, Taxes, Depreciation and Amortization (“EBITDA/Adjusted EBITDA net of NCI”)  
                 
  Nine months ended   % Net   Nine months ended   % Net  
  September 30, 2026   revenues   September 30, 2025   revenues  
                 
Net income attributable to UHS $ 1,015,813         $ 1,042,855        
Depreciation and amortization   497,609           455,409        
Interest expense, net   133,322           113,851        
Provision for income taxes   325,551           327,354        
EBITDA net of NCI $ 1,972,295       14.2 %   $ 1,939,469       15.1 %  
                 
Other (income) expense, net   (21,490 )         (27,767 )      
Adjusted EBITDA net of NCI $ 1,950,805       14.1 %   $ 1,911,702       14.8 %  
                 
Net revenues $ 13,866,546         $ 12,878,781        
                 
                 
                 
Calculation of Adjusted Net Income Attributable to UHS  
                 
  Nine months ended   Nine months ended  
  September 30, 2026   September 30, 2025  
      Per       Per  
  Amount   Diluted Share Amount   Diluted Share
                 
Net income attributable to UHS $ 1,015,813     $ 16.86     $ 1,042,855     $ 16.07    
Plus/minus after-tax adjustments:                
Unrealized gain on equity securities   –       –       (11,292 )     (0.17 )  
Impact of ASU 2016-09, net   (2,164 )     (0.03 )     (1,880 )     (0.03 )  
Subtotal adjustments   (2,164 )     (0.03 )     (13,172 )     (0.20 )  
Adjusted net income attributable to UHS $ 1,013,649     $ 16.83     $ 1,029,683     $ 15.87    
                 
Universal Health Services, Inc.  
Condensed Consolidated Balance Sheets  
(in thousands)  
(unaudited)  
               
      September 30,     December 31,  
      2026       2025    
Assets              
Current assets:              
Cash and cash equivalents   $ 168,749     $ 137,797    
Accounts receivable, net     2,813,703       2,602,434    
Supplies     235,557       232,110    
Other current assets     462,155       435,574    
Total current assets     3,680,164       3,407,915    
               
Property and equipment     14,051,199       13,489,811    
Less: accumulated depreciation     (6,833,095 )     (6,481,714 )  
      7,218,104       7,008,097    
               
Other assets:              
Goodwill     4,736,949       3,990,213    
Deferred income taxes     95,986       70,517    
Right of use assets-operating leases     421,597       374,239    
Deferred charges     9,220       9,272    
Other     1,023,746       667,340    
Total Assets   $ 17,185,766     $ 15,527,593    
               
Liabilities and Stockholders’ Equity              
Current liabilities:              
Current maturities of long-term debt   $ 79,813     $ 748,158    
Accounts payable and other liabilities     2,521,448       2,416,276    
Operating lease liabilities     79,824       73,237    
Federal and state taxes     6,271       1,930    
Total current liabilities     2,687,356       3,239,601    
               
Other noncurrent liabilities     736,430       527,827    
Operating lease liabilities noncurrent     389,154       340,715    
Deferred income taxes     3,232       5,649    
Long-term debt     5,627,528       4,004,393    
               
Redeemable noncontrolling interest     74,213       70,620    
               
UHS common stockholders’ equity     7,596,849       7,275,792    
Noncontrolling interest     71,004       62,996    
Total equity     7,667,853       7,338,788    
               
Total Liabilities and Stockholders’ Equity   $ 17,185,766     $ 15,527,593    
               
Universal Health Services, Inc.  
Consolidated Statements of Cash Flows  
(in thousands)  
(unaudited)  
  Nine months  
  ended September 30,  
    2026       2025    
         
Cash Flows from Operating Activities:        
Net income $ 1,036,601     $ 1,063,345    
Adjustments to reconcile net income to net        
cash provided by operating activities:        
Depreciation & amortization   497,609       455,409    
Stock-based compensation expense   71,777       70,586    
(Gain) loss on sales of assets and businesses   (6,315 )     2,833    
Changes in assets & liabilities, net of effects from        
acquisitions and dispositions:        
Accounts receivable   (116,437 )     (294,210 )  
Accrued interest   18,841       7,052    
Accrued and deferred income taxes   37,744       (39,287 )  
Other working capital accounts   (158,676 )     20,415    
Other assets and deferred charges   (11,309 )     (29,629 )  
Other, net   7,792       19,114    
Accrued insurance expense, net of commercial premiums paid   256,664       177,054    
Payments made in settlement of self-insurance claims, net of commercial insurance reimbursements   (152,804 )     (162,978 )  
Net cash provided by operating activities   1,481,487       1,289,704    
         
Cash Flows from Investing Activities:        
Property and equipment additions   (659,732 )     (733,932 )  
Proceeds received from sales of assets and businesses   17,884       2,980    
Acquisition of businesses and property   (1,002,852 )     (47,772 )  
Inflows (outflows) from foreign exchange hedge contracts   16,217       (49,351 )  
Costs incurred for purchase and development of enterprise resource planning application   (15,535 )     (18,676 )  
Decrease in capital reserves of commercial insurance subsidiary   85       100    
Net cash used in investing activities   (1,643,933 )     (846,651 )  
         
Cash Flows from Financing Activities:        
Repayments of long-term debt   (828,487 )     (27,791 )  
Additional borrowings   1,800,040       208,986    
Financing costs   (15,261 )     (382 )  
Repurchase of common shares   (729,863 )     (615,941 )  
Dividends paid   (36,552 )     (38,902 )  
Issuance of common stock   12,936       12,119    
Profit distributions to noncontrolling interests   (13,333 )     (10,409 )  
Purchase of ownership interests by minority members, net   4,865       18,728    
Net cash provided by (used in) financing activities   194,345       (453,592 )  
         
Effect of exchange rate changes on cash and cash equivalents   (639 )     2,390    
Increase (decrease) in cash, cash equivalents and restricted cash   31,260       (8,149 )  
Cash, cash equivalents and restricted cash, beginning of period   271,322       224,752    
Cash, cash equivalents and restricted cash, end of period $ 302,582     $ 216,603    
         
Supplemental Disclosures of Cash Flow Information:        
Interest paid $ 110,379     $ 103,050    
Income taxes paid, net of refunds $ 290,239     $ 355,968    
Noncash purchases of property and equipment $ 78,068     $ 146,650    
         
Universal Health Services, Inc.  
Supplemental Statistical Information  
(unaudited)  
                     
                     
              % Change   % Change  
              3 Months ended   9 Months ended
Same Facility:             9/30/2026   9/30/2026  
                     
Acute Care Hospitals (1)                    
Revenues               4.7 %     7.0 %  
Adjusted Admissions               4.9 %     2.6 %  
Adjusted Patient Days               4.9 %     2.9 %  
Revenue Per Adjusted Admission               -1.7 %     2.4 %  
Revenue Per Adjusted Patient Day             -1.7 %     2.1 %  
                     
Behavioral Health Hospitals (1)                    
Revenues               4.0 %     6.2 %  
Adjusted Admissions               2.5 %     1.4 %  
Adjusted Patient Days               2.1 %     1.7 %  
Revenue Per Adjusted Admission               1.7 %     4.9 %  
Revenue Per Adjusted Patient Day             2.1 %     4.7 %  
                     
UHS Consolidated     Third Quarter Ended   Nine Months Ended  
      9/30/2026   9/30/2025   9/30/2026   9/30/2025  
                     
Revenues     $ 4,733,352     $ 4,495,245     $ 13,866,546     $ 12,878,781    
EBITDA net of NCI     $ 640,383     $ 684,229     $ 1,972,295     $ 1,939,469    
EBITDA Margin net of NCI       13.5 %     15.2 %     14.2 %     15.1 %  
Adjusted EBITDA net of NCI     $ 624,645     $ 670,600     $ 1,950,805     $ 1,911,702    
Adjusted EBITDA Margin net of NCI     13.2 %     14.9 %     14.1 %     14.8 %  
                     
Cash Flow From Operations     $ 636,556     $ 380,678     $ 1,481,487     $ 1,289,704    
Capital Expenditures     $ 214,942     $ 228,892     $ 659,732     $ 733,932    
Days Sales Outstanding               55       55    
                     
                     
Debt             $ 5,707,341     $ 4,691,120    
UHS’ Shareholders Equity             $ 7,596,849     $ 7,169,693    
Debt / Total Capitalization               42.9 %     39.6 %  
Debt / EBITDA net of NCI (2)               2.07       1.83    
Debt / Adjusted EBITDA net of NCI (2)             2.17       1.86    
Debt / Cash From Operations (2)               2.78       2.41    
                     
(1) Prior year amounts related to certain facilities previously included in our Behavioral Health Care Services’ results have been reclassified into our Acute Care Hospital Services’ results as of January 1, 2025 to conform with current year presentation.  
(2) Latest 4 quarters.  
                     
Universal Health Services, Inc.  
Acute Care Hospital Services  
For the Three and Nine Months ended  
September 30, 2026 and 2025  
(in thousands)  
(unaudited)  
                                   
Same Facility Basis – Acute Care Hospital Services
                                   
    Three months ended   Three months ended   Nine months ended   Nine months ended  
    September 30, 2026   September 30, 2025   September 30, 2026   September 30, 2025  
    Amount   % of Net Revenues   Amount   % of Net Revenues   Amount   % of Net Revenues   Amount   % of Net Revenues  
Net revenues   $ 2,610,702     100.0 %   $ 2,492,536     100.0 %   $ 7,588,636     100.0 %   $ 7,093,193     100.0 %  
Operating charges:                                  
Salaries, wages and benefits     1,044,653     40.0 %     973,522     39.1 %     2,989,221     39.4 %     2,825,945     39.8 %  
Other operating expenses     776,378     29.7 %     722,724     29.0 %     2,283,559     30.1 %     2,033,495     28.7 %  
Supplies expense     363,780     13.9 %     354,698     14.2 %     1,091,408     14.4 %     1,064,615     15.0 %  
Depreciation and amortization     103,340     4.0 %     97,388     3.9 %     302,133     4.0 %     288,747     4.1 %  
Lease and rental expense     28,533     1.1 %     25,543     1.0 %     81,230     1.1 %     75,127     1.1 %  
Subtotal-operating expenses     2,316,684     88.7 %     2,173,875     87.2 %     6,747,551     88.9 %     6,287,929     88.6 %  
Income from operations     294,018     11.3 %     318,661     12.8 %     841,085     11.1 %     805,264     11.4 %  
Interest expense, net     1,302     0.0 %     528     0.0 %     3,589     0.0 %     1,177     0.0 %  
Other (income) expense, net     (9,338 )   (0.4 )%     (678 )   (0.0 )%     (13,082 )   (0.2 )%     (10,261 )   (0.1 )%  
Income before income taxes   $ 302,054     11.6 %   $ 318,811     12.8 %   $ 850,578     11.2 %   $ 814,348     11.5 %  
                                   
                                   
All Acute Care Hospital Services  
                                   
    Three months ended   Three months ended   Nine months ended   Nine months ended  
    September 30, 2026   September 30, 2025   September 30, 2026   September 30, 2025  
    Amount   % of Net Revenues   Amount   % of Net Revenues   Amount   % of Net Revenues   Amount   % of Net Revenues  
Net revenues   $ 2,764,072     100.0 %   $ 2,630,065     100.0 %   $ 7,984,207     100.0 %   $ 7,391,716     100.0 %  
Operating charges:                                  
Salaries, wages and benefits     1,054,866     38.2 %     973,680     37.0 %     3,027,576     37.9 %     2,827,912     38.3 %  
Other operating expenses     930,909     33.7 %     878,746     33.4 %     2,676,638     33.5 %     2,352,957     31.8 %  
Supplies expense     365,597     13.2 %     354,697     13.5 %     1,097,029     13.7 %     1,064,486     14.4 %  
Depreciation and amortization     108,924     3.9 %     97,389     3.7 %     311,865     3.9 %     288,751     3.9 %  
Lease and rental expense     28,675     1.0 %     25,543     1.0 %     81,417     1.0 %     75,127     1.0 %  
Subtotal-operating expenses     2,488,971     90.0 %     2,330,055     88.6 %     7,194,525     90.1 %     6,609,233     89.4 %  
Income from operations     275,101     10.0 %     300,010     11.4 %     789,682     9.9 %     782,483     10.6 %  
Interest expense, net     1,302     0.0 %     528     0.0 %     3,589     0.0 %     1,177     0.0 %  
Other (income) expense, net     (9,329 )   (0.3 )%     (623 )   (0.0 )%     (12,446 )   (0.2 )%     (9,806 )   (0.1 )%  
Income before income taxes   $ 283,128     10.2 %   $ 300,105     11.4 %   $ 798,539     10.0 %   $ 791,112     10.7 %  
                                   
                                   
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, 2025 and our Form 10-Q for the quarter ended June 30, 2026.
                                   
Prior year amounts related to certain facilities previously included in our Behavioral Health Care Services’ results have been reclassified into our Acute Care Hospital Services’ results as of January 1, 2025 to conform with current year presentation.
                                   
The All Acute Care Hospital Services table summarizes the results of operations for all our acute care operations during the periods presented. These amounts include: (i) our acute care results on a same facility basis, as indicated above; (ii) the impact of provider tax assessments which increased net revenues and other operating expenses but had no impact on income before income taxes, and; (iii) certain other amounts including the results of facilities acquired or opened during the last twelve months.
Universal Health Services, Inc.  
Behavioral Health Care Services  
For the Three and Nine Months ended  
September 30, 2026 and 2025  
(in thousands)  
(unaudited)  
                                   
Same Facility Basis – Behavioral Health Care Services  
                                   
    Three months ended   Three months ended   Nine months ended   Nine months ended  
    September 30, 2026   September 30, 2025   September 30, 2026   September 30, 2025  
    Amount   % of Net Revenues   Amount   % of Net Revenues   Amount   % of Net Revenues   Amount   % of Net Revenues  
Net revenues   $1,857,445   100.0%   $1,786,231   100.0%   $5,605,292   100.0%   $5,276,686   100.0%  
Operating charges:                                  
Salaries, wages and benefits   1,032,001   55.6%   975,934   54.6%   3,044,335   54.3%   2,854,754   54.1%  
Other operating expenses   361,742   19.5%   342,491   19.2%   1,051,744   18.8%   987,686   18.7%  
Supplies expense   60,459   3.3%   58,016   3.2%   176,804   3.2%   169,968   3.2%  
Depreciation and amortization   58,984   3.2%   53,787   3.0%   170,904   3.0%   156,539   3.0%  
Lease and rental expense   12,271   0.7%   11,167   0.6%   35,630   0.6%   32,457   0.6%  
Subtotal-operating expenses   1,525,457   82.1%   1,441,395   80.7%   4,479,417   79.9%   4,201,404   79.6%  
Income from operations   331,988   17.9%   344,836   19.3%   1,125,875   20.1%   1,075,282   20.4%  
Interest expense, net   1,009   0.1%   1,244   0.1%   3,369   0.1%   3,423   0.1%  
Other (income) expense, net   (5,909)   (0.3)%   733   0.0%   (7,775)   (0.1)%   (929)   (0.0)%  
Income before income taxes   $336,888   18.1%   $342,859   19.2%   $1,130,281   20.2%   $1,072,788   20.3%  
                                   
                                   
All Behavioral Health Care Services
                                   
    Three months ended   Three months ended   Nine months ended   Nine months ended  
    September 30, 2026   September 30, 2025   September 30, 2026   September 30, 2025  
    Amount   % of Net Revenues   Amount   % of Net Revenues   Amount   % of Net Revenues   Amount   % of Net Revenues  
Net revenues   $1,966,427   100.0%   $1,860,259   100.0%   $5,873,644   100.0%   $5,476,596   100.0%  
Operating charges:                                  
Salaries, wages and benefits   1,057,054   53.8%   995,570   53.5%   3,098,752   52.8%   2,894,489   52.9%  
Other operating expenses   460,853   23.4%   390,783   21.0%   1,296,503   22.1%   1,136,457   20.8%  
Supplies expense   61,022   3.1%   59,696   3.2%   178,284   3.0%   173,133   3.2%  
Depreciation and amortization   63,522   3.2%   55,294   3.0%   179,051   3.0%   159,616   2.9%  
Lease and rental expense   12,568   0.6%   11,652   0.6%   36,295   0.6%   33,979   0.6%  
Subtotal-operating expenses   1,655,019   84.2%   1,512,995   81.3%   4,788,885   81.5%   4,397,674   80.3%  
Income from operations   311,408   15.8%   347,264   18.7%   1,084,759   18.5%   1,078,922   19.7%  
Interest expense, net   1,214   0.1%   1,265   0.1%   3,759   0.1%   3,444   0.1%  
Other (income) expense, net   (5,909)   (0.3)%   733   0.0%   (7,775)   (0.1)%   (929)   (0.0)%  
Income before income taxes   $316,103   16.1%   $345,266   18.6%   $1,088,775   18.5%   $1,076,407   19.7%  
                                   
   
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 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, 2025 and our Form 10-Q for the quarter ended June 30, 2026.
   
Prior year amounts related to certain facilities previously included in our Behavioral Health Care Services’ results have been reclassified into our Acute Care Hospital Services’ results as of January 1, 2025 to conform with current year presentation.
   
The All Behavioral Health Care Services table summarizes the results of operations for all our behavioral health care facilities during the periods presented. These amounts include: (i) our behavioral health results on a same facility basis, as indicated above; (ii) the impact of provider tax assessments which increased net revenues and other operating expenses but had no impact on income before income taxes, and; (iii) certain other amounts including the results of facilities acquired/divested or opened/closed or had changes in governmental certifications/licensure status during the last twelve months.
Universal Health Services, Inc.  
Selected Hospital Statistics  
For the Three Months ended  
September 30, 2026 and 2025  
(unaudited)  
                           
AS REPORTED:                          
                           
    ACUTE   BEHAVIORAL HEALTH  
    9/30/26   9/30/25   % change 9/30/26   9/30/25   % change
                           
Hospitals owned and leased     30       29     3.4 %     388       345     12.5 %  
Average licensed beds     7,519       7,161     5.0 %     24,715       24,398     1.3 %  
Average available beds     7,347       6,989     5.1 %     24,615       24,298     1.3 %  
Patient days     429,842       412,353     4.2 %     1,654,546       1,639,882     0.9 %  
Average daily census     4,672.2       4,482.1     4.2 %     17,984.2       17,824.8     0.9 %  
Occupancy-licensed beds     62.1 %     62.6 %   -0.7 %     72.8 %     73.1 %   -0.4 %  
Occupancy-available beds     63.6 %     64.1 %   -0.8 %     73.1 %     73.4 %   -0.4 %  
Admissions     90,722       86,984     4.3 %     121,428       120,655     0.6 %  
Length of stay     4.7       4.7     -0.1 %     13.6       13.6     0.3 %  
                           
Inpatient revenue   $ 15,763,396     $ 13,935,095     13.1 %   $ 3,356,016     $ 3,063,186     9.6 %  
Outpatient revenue     11,370,036       9,827,354     15.7 %     344,838       282,966     21.9 %  
Total patient revenue     27,133,432       23,762,449     14.2 %     3,700,854       3,346,152     10.6 %  
Other revenue     378,328       315,779     19.8 %     105,977       99,370     6.6 %  
Gross revenue     27,511,760       24,078,228     14.3 %     3,806,831       3,445,522     10.5 %  
Total deductions     24,747,688       21,448,163     15.4 %     1,840,404       1,585,263     16.1 %  
Net revenue   $ 2,764,072     $ 2,630,065     5.1 %   $ 1,966,427     $ 1,860,259     5.7 %  
                           
                           
SAME FACILITY:                          
                           
    ACUTE   BEHAVIORAL HEALTH  
    9/30/26   9/30/25   % change 9/30/26   9/30/25   % change
                           
Hospitals owned and leased     29       29     0.0 %     341       341     0.0 %  
Average licensed beds     7,363       7,161     2.8 %     23,706       23,635     0.3 %  
Average available beds     7,191       6,989     2.9 %     23,606       23,535     0.3 %  
Patient days     428,858       412,353     4.0 %     1,623,726       1,589,558     2.1 %  
Average daily census     4,661.5       4,482.1     4.0 %     17,649.2       17,277.8     2.1 %  
Occupancy-licensed beds     63.3 %     62.6 %   1.1 %     74.5 %     73.1 %   1.8 %  
Occupancy-available beds     64.8 %     64.1 %   1.1 %     74.8 %     73.4 %   1.8 %  
Admissions     90,414       86,984     3.9 %     120,168       117,107     2.6 %  
Length of stay     4.7       4.7     0.1 %     13.5       13.6     -0.5 %  
                           
                           
Prior year amounts related to certain facilities previously included in our Behavioral Health Care Services’ results have been reclassified into our Acute Care Hospital Services’ results as of January 1, 2025 to conform with current year presentation.  
                           
Universal Health Services, Inc.  
Selected Hospital Statistics  
For the Nine Months ended  
September 30, 2026 and 2025  
(unaudited)  
                           
AS REPORTED:                          
                           
    ACUTE   BEHAVIORAL HEALTH  
    9/30/26   9/30/25   % change 9/30/26   9/30/25   % change
                           
Hospitals owned and leased     30       29     3.4 %     388       345     12.5 %  
Average licensed beds     7,373       7,105     3.8 %     24,624       24,246     1.6 %  
Average available beds     7,201       6,933     3.9 %     24,524       24,146     1.6 %  
Patient days     1,280,916       1,254,271     2.1 %     4,905,510       4,849,272     1.2 %  
Average daily census     4,692.0       4,594.4     2.1 %     17,968.9       17,762.9     1.2 %  
Occupancy-licensed beds     63.6 %     64.7 %   -1.6 %     73.0 %     73.3 %   -0.4 %  
Occupancy-available beds     65.2 %     66.3 %   -1.7 %     73.3 %     73.6 %   -0.4 %  
Admissions     267,260       262,352     1.9 %     355,776       355,524     0.1 %  
Length of stay     4.8       4.8     0.2 %     13.8       13.6     1.1 %  
                           
Inpatient revenue   $ 47,313,330     $ 42,140,253     12.3 %   $ 9,924,833     $ 8,901,308     11.5 %  
Outpatient revenue     33,377,475       28,793,716     15.9 %     983,819       851,989     15.5 %  
Total patient revenue     80,690,805       70,933,969     13.8 %     10,908,652       9,753,297     11.8 %  
Other revenue     1,069,466       881,912     21.3 %     298,188       281,291     6.0 %  
Gross revenue     81,760,271       71,815,881     13.8 %     11,206,840       10,034,588     11.7 %  
Total deductions     73,776,064       64,424,165     14.5 %     5,333,196       4,557,992     17.0 %  
Net revenue   $ 7,984,207     $ 7,391,716     8.0 %   $ 5,873,644     $ 5,476,596     7.2 %  
                           
                           
SAME FACILITY:                          
                           
    ACUTE   BEHAVIORAL HEALTH  
    9/30/26   9/30/25   % change 9/30/26   9/30/25   % change
                           
Hospitals owned and leased     29       29     0.0 %     341       341     0.0 %  
Average licensed beds     7,239       7,105     1.9 %     23,809       23,714     0.4 %  
Average available beds     7,067       6,933     1.9 %     23,709       23,614     0.4 %  
Patient days     1,274,419       1,254,271     1.6 %     4,814,191       4,736,987     1.6 %  
Average daily census     4,668.2       4,594.4     1.6 %     17,634.4       17,351.6     1.6 %  
Occupancy-licensed beds     64.5 %     64.7 %   -0.3 %     74.1 %     73.2 %   1.2 %  
Occupancy-available beds     66.1 %     66.3 %   -0.3 %     74.4 %     73.5 %   1.2 %  
Admissions     265,756       262,352     1.3 %     351,347       346,589     1.4 %  
Length of stay     4.8       4.8     0.3 %     13.7       13.7     0.3 %  
                           
                           
Prior year amounts related to certain facilities previously included in our Behavioral Health Care Services’ results have been reclassified into our Acute Care Hospital Services’ results as of January 1, 2025 to conform with current year presentation.  
                           

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