Consolidated Results of Operations, As Reported and As Adjusted – Three-month periods ended September 30, 2026 and 2025:
Included in our operating results during the third quarter of 2026, was an aggregate net favorable pre-tax impact of approximately
Included in our operating results during the third quarter of 2025, was an aggregate net favorable pre-tax impact of approximately
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
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
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
As reflected on the Supplemental Schedule, our adjusted net income during the first nine months of 2026 was
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
As calculated on the attached Supplemental Schedule, our EBITDA net of NCI, was
Acute Care Services – Three and nine-month periods ended
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
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
The
Capital Resources:
As of
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
As of
Conference call information:
We will hold a conference call for investors and analysts at
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
K.E.E., et al., Plaintiffs v.
The claims asserted by three of the plaintiffs in the Cumberland Litigation were consolidated for trial in
In
General Information, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures:
Headquartered in
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
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 inAugust 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
| CONTACT: | |
| Vice President-Investor Relations | |
| 610-382-3310 | |
| Darren.Lehrich@uhsinc.com |
| Consolidated Statements of Income | ||||||||||||||||
| (in thousands, except per share amounts) | ||||||||||||||||
| (unaudited) | ||||||||||||||||
| Three months | Nine months | |||||||||||||||
| ended | ended | |||||||||||||||
| 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 | ||||||||
| Footnotes to Consolidated Statements of Income | |||||||||||
| (in thousands, except per share amounts) | |||||||||||
| (unaudited) | |||||||||||
| Three months | Nine months | ||||||||||
| (a) Earnings per share calculation: | ended | ended | |||||||||
| 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 | |||
| Schedule of Non-GAAP Supplemental Information ("Supplemental Schedule") | ||||||||||||||||
| For the Three Months ended | ||||||||||||||||
| (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 | |||||||||||||
| revenues | 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 | |||||||||||||||
| 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 | ||||||||
| Schedule of Non-GAAP Supplemental Information ("Supplemental Schedule") | ||||||||||||||||
| For the Nine Months ended | ||||||||||||||||
| (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 | |||||||||||||
| revenues | 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 | |||||||||||||||
| 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 | ||||||||
| Condensed Consolidated Balance Sheets | |||||||||
| (in thousands) | |||||||||
| (unaudited) | |||||||||
| 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: | |||||||||
| 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 | |||||
| Consolidated Statements of Cash Flows | ||||||||
| (in thousands) | ||||||||
| (unaudited) | ||||||||
| Nine months | ||||||||
| ended | ||||||||
| 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 | ||||
| Supplemental Statistical Information | ||||||||||||||||||
| (unaudited) | ||||||||||||||||||
| % Change | % Change | |||||||||||||||||
| 3 Months ended | 9 Months ended | |||||||||||||||||
| Same Facility: | ||||||||||||||||||
| Acute Care Hospitals (1) | ||||||||||||||||||
| Revenues | 4.7 | % | 7.0 | % | ||||||||||||||
| Adjusted Admissions | 4.9 | % | 2.6 | % | ||||||||||||||
| Adjusted | 4.9 | % | 2.9 | % | ||||||||||||||
| Revenue Per Adjusted Admission | -1.7 | % | 2.4 | % | ||||||||||||||
| Revenue Per Adjusted | -1.7 | % | 2.1 | % | ||||||||||||||
| Behavioral Health Hospitals (1) | ||||||||||||||||||
| Revenues | 4.0 | % | 6.2 | % | ||||||||||||||
| Adjusted Admissions | 2.5 | % | 1.4 | % | ||||||||||||||
| Adjusted | 2.1 | % | 1.7 | % | ||||||||||||||
| Revenue Per Adjusted Admission | 1.7 | % | 4.9 | % | ||||||||||||||
| Revenue Per Adjusted | 2.1 | % | 4.7 | % | ||||||||||||||
| UHS Consolidated | Third Quarter Ended | Nine Months Ended | ||||||||||||||||
| 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 | ||||||||||||||||||
| (2) Latest 4 quarters. | ||||||||||||||||||
| Acute Care Hospital Services | |||||||||||||||||||||||||||||
| For the Three and Nine Months ended | |||||||||||||||||||||||||||||
| (in thousands) | |||||||||||||||||||||||||||||
| (unaudited) | |||||||||||||||||||||||||||||
| Same Facility Basis - Acute Care Hospital Services | |||||||||||||||||||||||||||||
| Three months ended | Three months ended | Nine months ended | Nine months ended | ||||||||||||||||||||||||||
| 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 | ||||||||||||||||||||||||||
| 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 | |||||||||||||||||||||||||||||
| 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 | |||||||||||||||||||||||||||||
| 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. | |||||||||||||||||||||||||||||
| Behavioral Health Care Services | |||||||||||||||||
| For the Three and Nine Months ended | |||||||||||||||||
| (in thousands) | |||||||||||||||||
| (unaudited) | |||||||||||||||||
| Same Facility Basis - Behavioral Health Care Services | |||||||||||||||||
| Three months ended | Three months ended | Nine months ended | Nine months ended | ||||||||||||||
| Amount | % of Net Revenues | Amount | % of Net Revenues | Amount | % of Net Revenues | Amount | % of Net Revenues | ||||||||||
| Net revenues | 100.0% | 100.0% | 100.0% | 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 | 18.1% | 19.2% | 20.2% | 20.3% | |||||||||||||
| All Behavioral Health Care Services | |||||||||||||||||
| Three months ended | Three months ended | Nine months ended | Nine months ended | ||||||||||||||
| Amount | % of Net Revenues | Amount | % of Net Revenues | Amount | % of Net Revenues | Amount | % of Net Revenues | ||||||||||
| Net revenues | 100.0% | 100.0% | 100.0% | 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 | 16.1% | 18.6% | 18.5% | 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 | |||||||||||||||||
| 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 | |||||||||||||||||
| 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. | |||||||||||||||||
| Selected Hospital Statistics | |||||||||||||||||||||||
| For the Three Months ended | |||||||||||||||||||||||
| (unaudited) | |||||||||||||||||||||||
| AS REPORTED: | |||||||||||||||||||||||
| ACUTE | BEHAVIORAL HEALTH | ||||||||||||||||||||||
| % change | % 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 | ||||||||||||||||||||||
| % change | % 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 | |||||||||||||||||||||||
| Selected Hospital Statistics | |||||||||||||||||||||||
| For the Nine Months ended | |||||||||||||||||||||||
| (unaudited) | |||||||||||||||||||||||
| AS REPORTED: | |||||||||||||||||||||||
| ACUTE | BEHAVIORAL HEALTH | ||||||||||||||||||||||
| % change | % 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 | ||||||||||||||||||||||
| % change | % 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 | |||||||||||||||||||||||
Source: 