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UNIVERSAL HEALTH SERVICES, INC. ANNOUNCES 2023 FOURTH QUARTER AND FULL YEAR FINANCIAL RESULTS AND 2024 OPERATING RESULTS FORECAST

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Universal Health Services, Inc. (UHS) reports a rise in net income and revenues for the fourth quarter of 2023 compared to 2022. Adjusted net income shows a slight decrease. The company's EBITDA and adjusted EBITDA also display growth. For the full year 2023, UHS shows an increase in net income and revenues compared to 2022. The company's operating activities provide positive cash flow, with an increase in liquidity. UHS has an ongoing stock repurchase program and a forecast for 2024 indicates expected growth in net revenues and earnings.
Positive
  • UHS reported a net income of $216.4 million for Q4 2023, up from $174.8 million in Q4 2022.
  • Net revenues increased by 7.4% to $3.704 billion in Q4 2023 compared to $3.447 billion in Q4 2022.
  • Adjusted net income for Q4 2023 was $214.9 million, slightly lower than $217.1 million in Q4 2022.
  • EBITDA for Q4 2023 was $476.9 million, up from $419.0 million in Q4 2022.
  • Adjusted EBITDA for Q4 2023 was $473.4 million, showing growth from $471.7 million in Q4 2022.
  • For the full year 2023, UHS reported a net income of $717.8 million, higher than $675.6 million in 2022.
  • Net revenues increased by 6.6% to $14.282 billion in 2023 compared to $13.399 billion in 2022.
  • Net cash provided by operating activities increased to $1.268 billion in 2023 from $996 million in 2022.
  • UHS had $701 million in available borrowing capacity as of December 31, 2023.
  • The company had an aggregate remaining repurchase authorization of approximately $947 million as of January 1, 2023.
  • UHS repurchased 1.13 million shares in Q4 2023 at an aggregate cost of approximately $157.3 million.
  • The 2024 forecasted range for UHS includes net revenues between $15.411 billion and $15.706 billion.
  • Adjusted EBITDA for 2024 is expected to be between $1.931 billion and $2.019 billion.
  • EPS-diluted for 2024 is forecasted to be between $13.00 and $14.00 per share.
  • Capital expenditures for 2024 are projected to be between $850 million and $1.000 billion.
Negative
  • None.

Insights

The disclosed financial results from Universal Health Services, Inc. show a robust increase in net income and net revenues for both the fourth quarter and the full year of 2023. The growth in net revenues of 7.4% for the quarter and 6.6% for the year is indicative of the company's ability to expand its revenue streams in a competitive healthcare market. EBITDA, a measure of a company's operating performance, increased significantly, suggesting improved operational efficiency and profitability.

The reported increase in adjusted admissions and patient days for both acute care and behavioral health care services reflects an uptrend in service demand, which could be attributed to demographic trends, such as an aging population, or an enhanced service offering. The improvement in net revenue per adjusted admission and patient day, particularly in behavioral health care services, indicates effective pricing strategies and possibly an enhanced mix of services with higher reimbursement rates.

The performance of Universal Health Services in the acute and behavioral health care segments provides insights into broader market trends. The reported increases in adjusted admissions and patient days suggest a growing demand for health care services, potentially driven by greater awareness of mental health and the ongoing needs of an aging population. The ability to increase net revenue per admission and patient day is particularly noteworthy in the context of a healthcare industry that often faces pressure from insurance providers to lower costs.

The company's stock repurchase program, with significant repurchases made in 2023, signals confidence in the company's valuation and future prospects. This could be interpreted as a positive sign by investors, suggesting that the company believes its stock is undervalued or that it is strategically deploying capital to increase shareholder value.

The increase in net cash provided by operating activities by $272 million is a strong indicator of the company's liquidity and cash flow health. A favorable change in working capital accounts and a reduction in accounts receivable reflect efficient cash management and operational improvements. These factors are critical for the company's ability to invest in growth opportunities and manage debt obligations.

The forecast for 2024, with an expected increase in net revenues and EBITDA, suggests optimism about the company's future performance. However, the exclusions mentioned in the forecast, such as unrealized gains/losses and potential legal settlements, highlight the uncertainty and risks inherent in the healthcare industry. These factors could have material impacts on the company's financial position and should be carefully monitored by stakeholders.

Consolidated Results of Operations, As Reported and As Adjusted  – Three-month periods ended December 31, 2023 and 2022:

KING OF PRUSSIA, Pa., Feb. 27, 2024 /PRNewswire/ -- Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income attributable to UHS was $216.4 million, or $3.16 per diluted share, during the fourth quarter of 2023, as compared to $174.8 million, or $2.43 per diluted share, during the fourth quarter of 2022. Net revenues increased by 7.4% to $3.704 billion during the fourth quarter of 2023, as compared to $3.447 billion during the fourth quarter of 2022.

As reflected on the Schedule of Non-GAAP Supplemental Information ("Supplemental Schedule"), our adjusted net income attributable to UHS during the fourth quarter of 2023 was $214.9 million, or $3.13 per diluted share, as compared to $217.1 million, or $3.02 per diluted share, during the fourth quarter of 2022. 

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 recently approved Mississippi Hospital Access Program covering the period of July 1, 2023 through December 31, 2023.  Included in our reported and adjusted net income attributable to UHS during the fourth quarter of 2022, was an aggregate favorable after-tax impact of approximately $19.6 million, or $.27 per diluted share, recorded in connection with $26.0 million of commercial insurance proceeds received during the quarter in connection with the following: (i) $15.7 million related to a business interruption and property damage claim at one of our behavioral health care facilities, and; (ii) $10.3 million related to a previously incurred information technology incident.     

As reflected on the Supplemental Schedule, included in our reported results were unrealized after-tax gains of $1.5 million, or $.03 per diluted share ($1.9 million pre-tax), during the fourth quarter of 2023, and $1.8 million, or $.02 per diluted share ($2.3 million pre-tax) during the fourth quarter of 2022. These unrealized gains, which are included in "Other (income) expense, net", resulted from increases in the market value of certain equity securities.  In addition, as discussed below, included in our reported results during the fourth quarter of 2022 was an unfavorable after-tax impact of $44.1 million, or $.61 per diluted share, resulting from a provision for asset impairment ($57.6 million pre-tax which is included in other operating expenses) recorded to write-down the asset value of an acute care hospital, as discussed below.   

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 $476.9 million during the fourth quarter of 2023, as compared to $419.0 million during the fourth quarter of 2022. Our adjusted earnings before interest, taxes, depreciation & amortization ("Adjusted EBITDA net of NCI"), which excludes the impact of other (income) expense, net, and provision for asset impairment (during the fourth quarter of 2022), was $473.4 million during the fourth quarter of 2023, as compared to $471.7 million during the fourth quarter of 2022.

Consolidated Results of Operations, As Reported and As Adjusted  – Twelve-month periods ended December 31, 2023 and 2022:

Reported net income attributable to UHS was $717.8 million, or $10.23 per diluted share, during the full year 2023, as compared to $675.6 million, or $9.14 per diluted share, during 2022. Net revenues increased by 6.6% to $14.282 billion during the full year of 2023, as compared to $13.399 billion during 2022.

As reflected on the Supplemental Schedule, our adjusted net income attributable to UHS during the twelve-month period ended December 31, 2023, was $739.4 million, or $10.54 per diluted share, as compared to $730.2 million, or $9.88 per diluted share, during the twelve-month period ended December 31, 2022. 

As reflected on the Supplemental Schedule, included in our reported results were unrealized after-tax losses of $21.6 million, or $.31 per diluted share ($28.2 million pre-tax), during 2023, and $10.6 million, or $.14 per diluted share ($13.8 million pre-tax) during 2022. These unrealized losses, which are included in "Other (income) expense, net", resulted from decreases in the market value of certain equity securities.  In addition, included in our reported results during the full year of 2022 was an unfavorable after-tax impact of $44.1 million, or $.60 per diluted share, resulting from a provision for asset impairment, ($57.6 million pre-tax which is included in other operating expenses), as discussed below. 

As calculated on the attached Supplemental Schedule, our earnings before interest, taxes, depreciation & amortization ("EBITDA net of NCI"), was $1.714 billion during 2023, as compared to $1.594 billion during 2022. Our adjusted earnings before interest, taxes, depreciation & amortization ("Adjusted EBITDA net of NCI"), which excludes the impact of other (income) expense, net, and provision for asset impairment (during 2022), was $1.742 billion during 2023, as compared to $1.662 billion during 2022.

Acute Care Services – Three and twelve-month periods ended December 31, 2023 and 2022:

During the fourth quarter of 2023, at our acute care hospitals owned during both periods ("same facility basis"), adjusted admissions (adjusted for outpatient activity) increased by 5.6% while adjusted patient days increased by 4.3%, as compared to the fourth quarter of 2022. At these facilities, during the fourth quarter of 2023, net revenue per adjusted admission increased by 3.7% while net revenue per adjusted patient day increased by 5.0%, as compared to the fourth quarter of 2022. Net revenues generated from our acute care services, on a same facility basis, increased by 9.7% during the fourth quarter of 2023, as compared to the fourth quarter of 2022.

 During the twelve-month period ended December 31, 2023, at our acute care hospitals on a same facility basis, adjusted admissions increased by 7.6% while adjusted patient days increased by 4.7%, as compared to the year ended December 31, 2022. At these facilities, during the full year of 2023, net revenue per adjusted admission decreased by 0.6% while net revenue per adjusted patient day increased by 2.2%, as compared to 2022. Net revenues generated from our acute care services, on a same facility basis, increased by 7.6% during the full year of 2023, as compared to 2022.

Behavioral Health Care Services – Three and twelve-month periods ended December 31, 2023 and 2022:

During the fourth quarter of 2023, at our behavioral health care facilities on a same facility basis, adjusted admissions increased by 1.4% while adjusted patient days increased by 1.1%, as compared to the fourth quarter of 2022. At these facilities, during the fourth quarter of 2023, net revenue per adjusted admission increased by 5.8% and net revenue per adjusted patient day increased by 6.1%, as compared to the fourth quarter of 2022. Net revenues generated from our behavioral health care services, on a same facility basis, increased by 7.2% during the fourth quarter of 2023, as compared to the fourth quarter of 2022.

During the twelve-month period ended December 31, 2023, at our behavioral health care facilities on a same facility basis, adjusted admissions increased by 3.2% while adjusted patient days increased by 2.1%, as compared to the comparable period of 2022. At these facilities, during the full year of 2023, net revenue per adjusted admission increased by 4.7% and net revenue per adjusted patient day increased by 5.9%, as compared to 2022. Net revenues generated from our behavioral health care services, on a same facility basis, increased by 8.0% during 2023, as compared to 2022.

Net Cash Provided by Operating Activities and Liquidity:

Net Cash Provided by Operating Activities:

During the twelve-month period ended December 31, 2023, our net cash provided by operating activities was $1.268 billion as compared to $996 million during the full year of 2022. Included in the $272 million net increase in our net cash provided by operating activities was a favorable change of $114 million in other working capital accounts due primarily to the timing of disbursements for accrued compensation and certain other accrued liabilities, as well as a favorable change of $76 million in accounts receivable.  

Liquidity:

As of December 31, 2023, we had $701 million of aggregate available borrowing capacity pursuant to our $1.2 billion revolving credit facility, net of outstanding borrowings and letters of credit.       

Stock Repurchase Program:

As of January 1, 2023, we had an aggregate remaining repurchase authorization of approximately $947 million pursuant to our stock repurchase program. Pursuant to the terms of 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.

During the fourth quarter of 2023, we have repurchased 1.13 million shares at an aggregate cost of approximately $157.3 million (approximately $139 per share) pursuant to the program. During the full year of 2023, we have repurchased approximately 3.86 million shares at an aggregate cost of approximately $524.5 million (approximately $136 per share) pursuant to the program.

As of December 31, 2023, we had an aggregate available repurchase authorization of approximately $423 million.

2024 Operating Results Forecast:

Reflected below is our 2024 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 2024 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 - 2024 Operating Results Forecast schedule as included herein for additional information and a reconciliation of our 2024 forecasted range of net income attributable to UHS to our 2024 forecasted range of Adjusted EBITDA net of NCI. 

For the Year Ended

December 31, 2024



       Low

       High

Net revenues

$15.411 billion

$15.706 billion

Adjusted EBITDA net of NCI

$1.931 billion

$2.019 billion 

EPS-diluted

$13.00 per share

$14.00 per share

Capital expenditures

$850 million

$1.000 billion

Our 2024 operating results forecast contains a number of assumptions including, but not limited to, the following:

  • The 2024 forecasted amounts exclude 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, and other potential material items including, but not limited to, reserves for various matters including settlements, legal judgments and lawsuits, potential impacts of non-ordinary course acquisitions, divestitures, joint ventures or other strategic transactions, costs related to extinguishment of debt, gains/losses on sales of assets and businesses, impairments of goodwill, long-lived and intangible assets, other amounts that may be reflected in the current 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 $15.411 billion to $15.706 billion representing an increase of 7.9% to 10.0% over our 2023 net revenues of $14.282 billion.
  • Our Adjusted EBITDA net of NCI is estimated to be approximately $1.931 billion to $2.019 billion representing an increase of 10.9% to 15.9% over our 2023 Adjusted EBITDA net of NCI of $1.742 billion.
  • Our EPS-diluted range is estimated to be $13.00 per diluted share to $14.00 per diluted share, representing an increase of 23.3% to 32.8% over our adjusted net income attributable to UHS of $10.54 per diluted share for the year ended December 31, 2023, as calculated on the attached Supplemental Schedule.
  • Our 2024 operating results forecast includes approximately $158 million of net reimbursements (net of related provider taxes) expected to be earned pursuant to the previously disclosed Nevada State Directed Payment program ("SDP").
    • The Medicaid managed care component of the Nevada SDP, our annual net reimbursements from which are expected to approximate $140 million during 2024, was approved by the Centers for Medicare and Medicaid Services ("CMS") in late December, 2023, with an effective date of January 1, 2024. This component of the Nevada SDP requires annual approval by CMS and is subject to reconciliation by Nevada's Division of Health Care Financing and Policy based on actual Medicaid managed care utilization during 2024. There can be no assurance that the Medicaid managed care component of the Nevada SDP will continue for any period after December 31, 2024, or that it will not be modified.
    • The Medicaid fee for service upper payment limit component of the Nevada SDP, our annual net reimbursements from which are expected to approximate $18 million during 2024, was approved by CMS during the fourth quarter of 2023, with an effective date of July 1, 2023.

Provision for Asset Impairment (recorded during the fourth quarter of 2022):

Our financial statements for the three and twelve-month periods ended December 31, 2022, included a pre-tax provision for asset impairment of $57.6 million, which is included in other operating expenses on the accompanying consolidated statements of income. In March of 2023, we discontinued all inpatient operations at Desert Springs Hospital Medical Center, an acute care facility located in Las Vegas, Nevada. Since that time, we have continued providing emergency department services within a portion of the existing facility while we construct a new free-standing emergency department on the hospital's campus. The provision for asset impairment recorded during the fourth quarter of 2022 reduced the asset values of the facility's real estate and equipment to their estimated fair values.      

Conference call information:

We will hold a conference call for investors and analysts at 9:00 a.m. eastern time on February 28, 2024. 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. has built an impressive record of achievement and performance. Growing steadily since our inception into an esteemed Fortune 500 corporation, our annual revenues during 2023 were $14.282 billion. UHS ranked #311 on the Fortune 500; and #434 on Forbes' list of America's Largest Public Companies. 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 96,700 employees and, through its subsidiaries, operates 27 inpatient acute care hospitals, 333 inpatient behavioral health facilities, 48 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, 2023), 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.
  • The nationwide shortage of nurses and other clinical staff and support personnel experienced by healthcare providers in the past has been a significant operating issue facing us and other healthcare providers. In the past, the staffing shortage has, at times, required us to hire expensive temporary personnel and/or enhance wages and benefits to recruit and retain nurses and other clinical staff and support personnel. At certain facilities, particularly within our behavioral health care segment, there have been occasions when we were unable to fill all vacant positions and, consequently, we were required to limit patient volumes. The staffing shortage has required us to enhance wages and benefits to recruit and retain nurses and other clinical staff and support personnel or required us to hire expensive temporary personnel. Many of these factors, which had a material unfavorable impact on our results of operations during 2022, moderated to a certain degree during 2023.
  • The increase in interest rates has substantially increased our borrowings costs and reduced our ability to access the capital markets on favorable terms. Additional increases in interest rates could have a significant unfavorable impact on our future results of operations and the resulting effect on the capital markets could adversely affect our ability to carry out our strategy.

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 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, 2023. 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,


2023


2022


2023


2022









Net revenues

$3,703,546


$3,446,980


$14,281,976


$13,399,370









Operating charges:








   Salaries, wages and benefits

1,799,008


1,701,083


7,107,484


6,762,256

   Other operating expenses

998,732


919,673


3,757,216


3,445,733

   Supplies expense

393,878


381,936


1,532,828


1,474,339

   Depreciation and amortization

145,481


148,353


568,041


581,861

   Lease and rental expense

35,251


34,551


141,026


131,626


3,372,350


3,185,596


13,106,595


12,395,815









Income from operations

331,196


261,384


1,175,381


1,003,555









Interest expense, net

53,589


43,887


206,674


126,889

Other (income) expense, net

(3,516)


(4,838)


28,281


10,406









Income before income taxes

281,123


222,335


940,426


866,260









Provision for income taxes

61,501


51,966


221,119


209,278









Net income

219,622


170,369


719,307


656,982









Less:  Net income (loss) attributable to








noncontrolling interests ("NCI")

3,244


(4,451)


1,512


(18,627)









Net income attributable to UHS

$216,378


$174,820


$717,795


$675,609

































Basic earnings per share attributable to UHS (a)

$3.19


$2.45


$10.35


$9.23









Diluted earnings per share attributable to UHS (a)

$3.16


$2.43


$10.23


$9.14

 

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,


2023


2022


2023


2022

Basic and diluted:








Net income attributable to UHS

$216,378


$174,820


$717,795


$675,609

Less: Net income attributable to unvested restricted share grants

(66)


(156)


(308)


(748)

Net income attributable to UHS - basic and diluted

$216,312


$174,664


$717,487


$674,861









Weighted average number of common shares - basic

67,809


71,165


69,321


73,118









Basic earnings per share attributable to UHS:

$3.19


$2.45


$10.35


$9.23









Weighted average number of common shares

67,809


71,165


69,321


73,118

Add: Other share equivalents

741


627


804


714

Weighted average number of common shares and equiv. - diluted

68,550


71,792


70,125


73,832









Diluted earnings per share attributable to UHS:

$3.16


$2.43


$10.23


$9.14

 

Universal Health Services, Inc.

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

For the Three Months ended December 31, 2023 and 2022

(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, 2023


revenues


December 31, 2022


revenues









Net income attributable to UHS

$216,378




$174,820



   Depreciation and amortization

145,481




148,353



   Interest expense, net

53,589




43,887



   Provision for income taxes

61,501




51,966



EBITDA net of NCI

$476,949


12.9 %


$419,026


12.2 %









Other (income) expense, net

(3,516)




(4,838)



Provision for asset impairment

-




57,550



Adjusted EBITDA net of NCI

$473,433


12.8 %


$471,738


13.7 %









Net revenues

$3,703,546




$3,446,980











































Calculation of Adjusted Net Income Attributable to UHS










Three months ended


Three months ended


December 31, 2023


December 31, 2022




Per




Per


Amount


Diluted Share


Amount


Diluted Share









Net income attributable to UHS

$216,378


$3.16


$174,820


$2.43

Plus/minus after-tax adjustments:








Unrealized gain on equity securities

(1,470)


(0.03)


(1,778)


(0.02)

Provision for asset impairment

-


-


44,055


0.61

Subtotal adjustments

(1,470)


(0.03)


42,277


0.59

Adjusted net income attributable to UHS

$214,908


$3.13


$217,097


$3.02

 

Universal Health Services, Inc.

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

For the Twelve Months ended December 31, 2023 and 2022

(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, 2023


revenues


December 31, 2022


revenues









Net income attributable to UHS

$717,795




$675,609



   Depreciation and amortization

568,041




581,861



   Interest expense, net

206,674




126,889



   Provision for income taxes

221,119




209,278



EBITDA net of NCI

$1,713,629


12.0 %


$1,593,637


11.9 %









Other (income) expense, net

28,281




10,406



Provision for asset impairment

-




57,550



Adjusted EBITDA net of NCI

$1,741,910


12.2 %


$1,661,593


12.4 %









Net revenues

$14,281,976




$13,399,370











































Calculation of Adjusted Net Income Attributable to UHS










Twelve months ended


Twelve months ended


December 31, 2023


December 31, 2022




Per




Per


Amount


Diluted Share


Amount


Diluted Share









Net income attributable to UHS

$717,795


$10.23


$675,609


$9.14

Plus/minus after-tax adjustments:








Unrealized loss on equity securities

21,570


0.31


10,580


0.14

Provision for asset impairment

-


-


44,055


0.60

Subtotal adjustments

21,570


0.31


54,635


0.74

Adjusted net income attributable to UHS

$739,365


$10.54


$730,244


$9.88

 

Universal Health Services, Inc.

Condensed Consolidated Balance Sheets

(in thousands)

(unaudited)











December 31,



December 31,




2023



2022

Assets







Current assets:







    Cash and cash equivalents


$

119,439


$

102,818

    Accounts receivable, net



2,238,265



2,017,722

    Supplies



216,988



218,517

    Other current assets



236,658



198,283

          Total current assets



2,811,350



2,537,340








Property and equipment



11,777,047



11,085,852

Less: accumulated depreciation



(5,652,518)



(5,167,394)




6,124,529



5,918,458








Other assets:







    Goodwill



3,932,407



3,909,456

    Deferred income taxes



85,626



68,397

    Right of use assets-operating leases



433,962



454,650

    Deferred charges



6,974



6,264

    Other



572,754



599,623

Total Assets


$

13,967,602


$

13,494,188








Liabilities and Stockholders' Equity







Current liabilities:







    Current maturities of long-term debt


$

126,686


$

81,447

    Accounts payable and other liabilities



1,813,015



1,760,588

    Operating lease liabilities



71,600



67,776

    Federal and state taxes



2,046



4,608

          Total current liabilities



2,013,347



1,914,419








Other noncurrent liabilities



584,007



487,669

Operating lease liabilities noncurrent



382,559



395,522

Long-term debt



4,785,783



4,726,533








Redeemable noncontrolling interest



5,191



4,695








UHS common stockholders' equity



6,149,001



5,920,582

Noncontrolling interest



47,714



44,768

          Total equity



6,196,715



5,965,350








Total Liabilities and Stockholders' Equity


$

13,967,602


$

13,494,188

 

Universal Health Services, Inc.

Consolidated Statements of Cash Flows

(in thousands)

(unaudited)


Twelve months


ended December 31,


2023


2022





Cash Flows from Operating Activities:




  Net income

$719,307


$656,982

  Adjustments to reconcile net income to net 




cash provided by operating activities:




Depreciation & amortization

568,041


581,861

(Gain) loss on sale of assets and businesses

(6,250)


584

Stock-based compensation expense

87,720


85,378

Provision for asset impairment

0


57,550

  Changes in assets & liabilities, net of effects from




acquisitions and dispositions:




   Accounts receivable

(182,444)


(258,338)

   Accrued interest

1,193


1,835

   Accrued and deferred income taxes 

(43,450)


(29,510)

   Other working capital accounts 

(32,321)


(146,692)

   Medicare accelerated payments and deferred CARES Act and other grants

2,978


2,391

   Other assets and deferred charges

48,517


19,918

   Other 

39,133


(8,676)

   Accrued insurance expense, net of commercial premiums paid

183,462


174,723

   Payments made in settlement of self-insurance claims

(118,089)


(141,983)

          Net cash provided by operating activities

1,267,797


996,023





Cash Flows from Investing Activities:




   Property and equipment additions

(743,055)


(734,001)

   Proceeds received from sales of assets and businesses

24,187


12,001

   Acquisition of businesses and property

(3,728)


(20,309)

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

(40,695)


94,913

   Decrease in capital reserves of commercial insurance subsidiary 

16


100

          Net cash used in investing activities

(763,275)


(647,296)





Cash Flows from Financing Activities:




   Repayments of long-term debt

(85,480)


(89,367)

   Additional borrowings

185,100


705,321

   Financing costs

(308)


(3,164)

   Repurchase of common shares

(547,363)


(832,918)

   Dividends paid

(55,480)


(58,449)

   Issuance of common stock

13,654


14,068

   Profit distributions to noncontrolling interests

(6,830)


(5,391)

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

2,762


(48,500)

          Net cash used in financing activities

(493,945)


(318,400)





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

3,056


(8,424)

Increase in cash, cash equivalents and restricted cash

13,633


21,903

Cash, cash equivalents and restricted cash, beginning of period

200,837


178,934

Cash, cash equivalents and restricted cash, end of period

$214,470


$200,837





Supplemental Disclosures of Cash Flow Information:




  Interest paid

$200,446


$120,136





  Income taxes paid, net of refunds

$257,896


$250,759





  Noncash purchases of property and equipment

$66,899


$72,064

 

Universal Health Services, Inc.

Supplemental Statistical Information

(unaudited)




























 % Change 


 % Change 








3 Months ended


12 Months ended

Same Facility:







12/31/2023


12/31/2023











Acute Care Hospitals










Revenues







9.7 %


7.6 %

Adjusted Admissions







5.6 %


7.6 %

Adjusted Patient Days







4.3 %


4.7 %

Revenue Per Adjusted Admission







3.7 %


-0.6 %

Revenue Per Adjusted Patient Day







5.0 %


2.2 %











Behavioral Health Hospitals










Revenues







7.2 %


8.0 %

Adjusted Admissions







1.4 %


3.2 %

Adjusted Patient Days







1.1 %


2.1 %

Revenue Per Adjusted Admission







5.8 %


4.7 %

Revenue Per Adjusted Patient Day







6.1 %


5.9 %











UHS Consolidated



Fourth Quarter Ended


Twelve Months Ended




12/31/2023


12/31/2022


12/31/2023


12/31/2022











Revenues



$3,703,546


$3,446,980


$14,281,976


$13,399,370

EBITDA net of NCI



$476,949


$419,026


$1,713,629


$1,593,637

EBITDA Margin net of NCI



12.9 %


12.2 %


12.0 %


11.9 %

Adjusted EBITDA net of NCI



$473,433


$471,738


$1,741,910


$1,661,593

Adjusted EBITDA Margin net of NCI


12.8 %


13.7 %


12.2 %


12.4 %











Cash Flow From Operations



$452,431


$297,304


$1,267,797


$996,023

Capital Expenditures  



$206,390


$164,446


$743,055


$734,001

Days Sales Outstanding







57


55





















Debt 







$4,912,469


$4,807,980

UHS' Shareholders Equity







$6,149,001


$5,920,582

Debt / Total Capitalization







44.4 %


44.8 %

Debt / EBITDA net of NCI (1)







2.87


3.02

Debt / Adjusted EBITDA net of NCI (1)






2.82


2.89

Debt / Cash From Operations (1)







3.87


4.83











(1) Latest 4 quarters.










 

Universal Health Services, Inc.

Acute Care Hospital Services

For the Three and Twelve Months ended

December 31, 2023 and 2022

(in thousands)



































Same Facility Basis - Acute Care Hospital Services




































Three months ended


Three months ended


Twelve months ended


Twelve months ended



December 31, 2023


December 31, 2022


December 31, 2023


December 31, 2022



Amount


% of Net
Revenues 


Amount


% of Net
Revenues 


Amount


% of Net
Revenues 


Amount


% of Net
Revenues 

Net revenues


$2,032,535


100.0 %


$1,852,000


100.0 %


$7,840,740


100.0 %


$7,284,868


100.0 %

Operating charges:

















Salaries, wages and benefits


869,942


42.8 %


812,340


43.9 %


3,363,213


42.9 %


3,225,039


44.3 %

Other operating expenses


559,282


27.5 %


481,164


26.0 %


2,144,102


27.3 %


1,863,414


25.6 %

Supplies expense


338,790


16.7 %


321,747


17.4 %


1,303,018


16.6 %


1,226,294


16.8 %

Depreciation and amortization


93,287


4.6 %


94,919


5.1 %


358,308


4.6 %


369,493


5.1 %

Lease and rental expense


23,930


1.2 %


23,159


1.3 %


95,565


1.2 %


85,915


1.2 %

Subtotal-operating expenses


1,885,231


92.8 %


1,733,329


93.6 %


7,264,206


92.6 %


6,770,155


92.9 %

Income from operations


147,304


7.2 %


118,671


6.4 %


576,534


7.4 %


514,713


7.1 %

Interest expense, net


(643)


(0.0) %


(241)


(0.0) %


(2,501)


(0.0) %


1,109


0.0 %

Other (income) expense, net


931


0.0 %


687


0.0 %


6,099


0.1 %


1,493


0.0 %

Income before income taxes


$147,016


7.2 %


$118,225


6.4 %


$572,936


7.3 %


$512,111


7.0 %




















































All Acute Care Hospital Services




































Three months ended


Three months ended


Twelve months ended


Twelve months ended



December 31, 2023


December 31, 2022


December 31, 2023


December 31, 2022



Amount


% of Net
Revenues


Amount


% of Net
Revenues 


Amount


% of Net
Revenues


Amount


% of Net
Revenues 

Net revenues


$2,087,503


100.0 %


$1,939,239


100.0 %


$8,081,402


100.0 %


$7,646,749


100.0 %

Operating charges:

















Salaries, wages and benefits


871,182


41.7 %


834,647


43.0 %


3,406,060


42.1 %


3,332,535


43.6 %

Other operating expenses


615,810


29.5 %


596,152


30.7 %


2,347,560


29.0 %


2,146,196


28.1 %

Supplies expense


338,732


16.2 %


329,129


17.0 %


1,317,917


16.3 %


1,264,688


16.5 %

Depreciation and amortization


93,479


4.5 %


97,557


5.0 %


367,644


4.5 %


383,115


5.0 %

Lease and rental expense


23,960


1.1 %


23,330


1.2 %


96,589


1.2 %


86,654


1.1 %

Subtotal-operating expenses


1,943,163


93.1 %


1,880,815


97.0 %


7,535,770


93.2 %


7,213,188


94.3 %

Income from operations


144,340


6.9 %


58,424


3.0 %


545,632


6.8 %


433,561


5.7 %

Interest expense, net


(643)


(0.0) %


(241)


(0.0) %


(2,501)


(0.0) %


1,109


0.0 %

Other (income) expense, net


867


0.0 %


1,982


0.1 %


7,788


0.1 %


2,788


0.0 %

Income before income taxes


$144,116


6.9 %


$56,683


2.9 %


$540,345


6.7 %


$429,664


5.6 %


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, 2023.




















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; (ii) the impact of an asset impairment recorded in the three and twelve months ended December 31, 2022, and; (iv) 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, 2023 and 2022

(in thousands)



































Same Facility - Behavioral Health Care Services




































Three months ended


Three months ended


Twelve months ended


Twelve months ended



December 31, 2023


December 31, 2022


December 31, 2023


December 31, 2022



Amount


% of Net
Revenues 


Amount


% of Net
Revenues 


Amount


% of Net
Revenues 


Amount


% of Net
Revenues 

Net revenues


$1,558,805


100.0 %


$1,453,766


100.0 %


$6,048,883


100.0 %


$5,598,764


100.0 %

Operating charges:

















Salaries, wages and benefits


852,069


54.7 %


794,776


54.7 %


3,343,222


55.3 %


3,088,108


55.2 %

Other operating expenses


296,915


19.0 %


262,606


18.1 %


1,163,365


19.2 %


1,078,918


19.3 %

Supplies expense


55,674


3.6 %


53,446


3.7 %


216,879


3.6 %


210,903


3.8 %

Depreciation and amortization


48,066


3.1 %


47,435


3.3 %


187,105


3.1 %


184,684


3.3 %

Lease and rental expense


11,143


0.7 %


10,689


0.7 %


43,785


0.7 %


41,951


0.7 %

Subtotal-operating expenses


1,263,867


81.1 %


1,168,952


80.4 %


4,954,356


81.9 %


4,604,564


82.2 %

Income from operations


294,938


18.9 %


284,814


19.6 %


1,094,527


18.1 %


994,200


17.8 %

Interest expense, net


1,108


0.1 %


1,212


0.1 %


4,434


0.1 %


5,169


0.1 %

Other (income) expense, net


(1,132)


(0.1) %


(4,921)


(0.3) %


(3,426)


(0.1) %


(6,343)


(0.1) %

Income before income taxes


$294,962


18.9 %


$288,523


19.8 %


$1,093,519


18.1 %


$995,374


17.8 %




















































All Behavioral Health Care Services




































Three months ended


Three months ended


Twelve months ended


Twelve months ended



December 31, 2023


December 31, 2022


December 31, 2023


December 31, 2022



Amount


% of Net
Revenues


Amount


% of Net
Revenues 


Amount


% of Net
Revenues


Amount


% of Net
Revenues 

Net revenues


$1,615,543


100.0 %


$1,494,543


100.0 %


$6,190,921


100.0 %


$5,729,758


100.0 %

Operating charges:

















Salaries, wages and benefits


854,670


52.9 %


796,455


53.3 %


3,353,008


54.2 %


3,107,216


54.2 %

Other operating expenses


353,353


21.9 %


302,908


20.3 %


1,303,311


21.1 %


1,201,563


21.0 %

Supplies expense


55,713


3.4 %


53,471


3.6 %


217,310


3.5 %


211,786


3.7 %

Depreciation and amortization


49,180


3.0 %


47,752


3.2 %


189,297


3.1 %


186,555


3.3 %

Lease and rental expense


11,194


0.7 %


11,065


0.7 %


44,028


0.7 %


43,868


0.8 %

Subtotal-operating expenses


1,324,110


82.0 %


1,211,651


81.1 %


5,106,954


82.5 %


4,750,988


82.9 %

Income from operations


291,433


18.0 %


282,892


18.9 %


1,083,967


17.5 %


978,770


17.1 %

Interest expense, net


1,102


0.1 %


1,217


0.1 %


4,558


0.1 %


5,323


0.1 %

Other (income) expense, net


(1,132)


(0.1) %


(4,921)


(0.3) %


(4,271)


(0.1) %


(6,843)


(0.1) %

Income before income taxes


$291,463


18.0 %


$286,596


19.2 %


$1,083,680


17.5 %


$980,290


17.1 %


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, lawsuits and reserves established in connection with the government's investigation of our behavioral health care facilities, 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 in the condensed consolidated financial statements and notes thereto as contained in our Form 10-K for the year ended December 31, 2023.




















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 as well as the results of certain facilities that were closed or restructured during the past year.

 

Universal Health Services, Inc.

Selected Hospital Statistics

For the Three Months ended

December 31, 2023 and 2022



























AS REPORTED:









































ACUTE


BEHAVIORAL HEALTH



12/31/23


12/31/22


%  change


12/31/23


12/31/22


%  change














Hospitals owned and leased


27


28


-3.6 %


333


331


0.6 %

Average licensed beds


6,674


6,987


-4.5 %


24,194


24,228


-0.1 %

Average available beds


6,502


6,815


-4.6 %


24,094


24,128


-0.1 %

Patient days


403,117


401,363


0.4 %


1,600,740


1,560,526


2.6 %

Average daily census


4,381.7


4,362.6


0.4 %


17,399.3


16,962.2


2.6 %

Occupancy-licensed beds


65.7 %


62.4 %


5.1 %


71.9 %


70.0 %


2.7 %

Occupancy-available beds


67.4 %


64.0 %


5.3 %


72.2 %


70.3 %


2.7 %

Admissions


82,918


81,314


2.0 %


118,487


112,272


5.5 %

Length of stay


4.9


4.9


-1.5 %


13.5


13.9


-2.8 %














Inpatient revenue


$11,408,639


$10,182,914


12.0 %


$2,647,158


$2,536,091


4.4 %

Outpatient revenue


7,566,625


6,452,816


17.3 %


275,128


257,601


6.8 %

Total patient revenue


18,975,264


16,635,730


14.1 %


2,922,286


2,793,692


4.6 %

Other revenue


234,117


203,952


14.8 %


83,153


82,734


0.5 %

Gross revenue


19,209,381


16,839,682


14.1 %


3,005,439


2,876,426


4.5 %

Total deductions


17,121,878


14,900,443


14.9 %


1,389,896


1,381,883


0.6 %

Net revenue 


$2,087,503


$1,939,239


7.6 %


$1,615,543


$1,494,543


8.1 %



























SAME FACILITY:




























ACUTE


BEHAVIORAL HEALTH



12/31/23


12/31/22


%  change


12/31/23


12/31/22


%  change














Hospitals owned and leased


27


27


0.0 %


331


331


0.0 %

Average licensed beds


6,674


6,705


-0.5 %


24,031


24,102


-0.3 %

Average available beds


6,502


6,533


-0.5 %


23,931


24,002


-0.3 %

Patient days


403,117


387,228


4.1 %


1,563,374


1,549,906


0.9 %

Average daily census


4,381.7


4,209.0


4.1 %


16,993.2


16,846.8


0.9 %

Occupancy-licensed beds


65.7 %


62.8 %


4.6 %


70.7 %


69.9 %


1.2 %

Occupancy-available beds


67.4 %


64.4 %


4.6 %


71.0 %


70.2 %


1.2 %

Admissions


82,918


78,639


5.4 %


112,712


111,427


1.2 %

Length of stay


4.9


4.9


-1.3 %


13.9


13.9


-0.3 %

 

Universal Health Services, Inc.

Selected Hospital Statistics

For the Twelve Months ended

December 31, 2023 and 2022



























AS REPORTED:









































ACUTE


BEHAVIORAL HEALTH



12/31/23


12/31/22


%  change


12/31/23


12/31/22


%  change














Hospitals owned and leased


27


28


-3.6 %


333


331


0.6 %

Average licensed beds


6,691


6,923


-3.4 %


24,224


24,259


-0.1 %

Average available beds


6,519


6,751


-3.4 %


24,124


24,159


-0.1 %

Patient days


1,576,074


1,569,611


0.4 %


6,336,927


6,230,124


1.7 %

Average daily census


4,318.0


4,300.3


0.4 %


17,361.4


17,068.8


1.7 %

Occupancy-licensed beds


64.5 %


62.1 %


3.9 %


71.7 %


70.4 %


1.9 %

Occupancy-available beds


66.2 %


63.7 %


4.0 %


72.0 %


70.7 %


1.9 %

Admissions


322,218


311,537


3.4 %


472,307


459,245


2.8 %

Length of stay


4.9


5.0


-2.9 %


13.4


13.6


-1.1 %














Inpatient revenue


$44,687,035


$40,004,670


11.7 %


$10,648,996


$10,116,566


5.3 %

Outpatient revenue


29,858,874


24,813,718


20.3 %


1,087,595


1,031,370


5.5 %

Total patient revenue


74,545,909


64,818,388


15.0 %


11,736,591


11,147,936


5.3 %

Other revenue


948,994


806,587


17.7 %


303,546


292,018


3.9 %

Gross revenue


75,494,903


65,624,975


15.0 %


12,040,137


11,439,954


5.2 %

Total deductions


67,413,501


57,978,226


16.3 %


5,849,216


5,710,196


2.4 %

Net revenue 


$8,081,402


$7,646,749


5.7 %


$6,190,921


$5,729,758


8.0 %



























SAME FACILITY:




























ACUTE


BEHAVIORAL HEALTH



12/31/23


12/31/22


%  change


12/31/23


12/31/22


%  change














Hospitals owned and leased


27


27


0.0 %


331


331


0.0 %

Average licensed beds


6,604


6,640


-0.5 %


24,016


24,014


0.0 %

Average available beds


6,432


6,468


-0.6 %


23,916


23,914


0.0 %

Patient days


1,564,390


1,512,013


3.5 %


6,289,388


6,175,143


1.9 %

Average daily census


4,286.0


4,142.5


3.5 %


17,231.2


16,918.2


1.9 %

Occupancy-licensed beds


64.9 %


62.4 %


4.0 %


71.7 %


70.5 %


1.8 %

Occupancy-available beds


66.6 %


64.0 %


4.0 %


72.0 %


70.7 %


1.8 %

Admissions


319,829


300,507


6.4 %


468,131


454,441


3.0 %

Length of stay


4.9


5.0


-2.8 %


13.4


13.6


-1.1 %

 

Universal Health Services, Inc.

Supplemental Non-GAAP Disclosures

2024 Operating Results Forecast

(in thousands, except per share amounts)
























Forecast For The Year Ending December 31, 2024






% Net




% Net




Low


revenues


High


revenues

Net revenues



$15,411,000




$15,706,000













Net income attributable to UHS (a)



$865,709




$932,123













 Depreciation and amortization



605,204




605,204



 Interest expense



196,338




196,338



 Other (income) expense, net



(11,133)




(11,133)



 Provision for income taxes



274,883




295,971



Adjusted EBITDA net of NCI (b)



$1,931,001


12.5 %


$2,018,503


12.9 %











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

$13.00




$14.00













Shares used in computing diluted earnings per share

66,594




66,594




(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, and other potential material items including, but not limited to, reserves for various matters including settlements, legal judgments and lawsuits, potential impacts of non-ordinary course acquisitions, divestitures, joint ventures or other strategic transactions, costs related to extinguishment of debt, gains/losses on sales of assets and businesses, impairments of goodwill, long-lived and intangible assets, other amounts that may be reflected in the current 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.

 

Cision View original content:https://www.prnewswire.com/news-releases/universal-health-services-inc-announces-2023-fourth-quarter-and-full-year-financial-results-and-2024-operating-results-forecast-302073308.html

SOURCE Universal Health Services, Inc.

FAQ

What was UHS's reported net income for the fourth quarter of 2023?

UHS reported a net income of $216.4 million for the fourth quarter of 2023.

How much did UHS's net revenues increase by in the fourth quarter of 2023?

UHS's net revenues increased by 7.4% to $3.704 billion in the fourth quarter of 2023 compared to the same period in 2022.

What was UHS's adjusted net income for the fourth quarter of 2023?

UHS's adjusted net income for the fourth quarter of 2023 was $214.9 million.

What was UHS's EBITDA for the fourth quarter of 2023?

UHS's EBITDA for the fourth quarter of 2023 was $476.9 million.

How many shares did UHS repurchase in the fourth quarter of 2023?

UHS repurchased 1.13 million shares in the fourth quarter of 2023.

What is the projected range for UHS's net revenues in 2024?

The projected range for UHS's net revenues in 2024 is between $15.411 billion and $15.706 billion.

Universal Health Services, Inc. Class B

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