UNIVERSAL HEALTH SERVICES, INC. ANNOUNCES 2024 FIRST QUARTER FINANCIAL RESULTS

Consolidated Results of Operations, As Reported and As Adjusted - Three-month periods ended March 31, 2024 and 2023:

KING OF PRUSSIA, Pa., April 24, 2024 /PRNewswire/ -- Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income attributable to UHS was $261.8 million, or $3.82 per diluted share, during the first quarter of 2024, as compared to $163.1 million, or $2.28 per diluted share, during the first quarter of 2023. Net revenues increased by 10.8% to $3.844 billion during the first quarter of 2024, as compared to $3.468 billion during the first quarter of 2023.

As reflected on the Schedule of Non-GAAP Supplemental Information ("Supplemental Schedule"), our adjusted net income attributable to UHS during the first quarter of 2024 was $253.1 million, or $3.70 per diluted share, as compared to $167.6 million, or $2.34 per diluted share, during the first quarter of 2023.

As reflected on the Supplemental Schedule, included in our reported results during the first quarter of 2024 were: (i) a favorable after-tax impact of $9.2 million, or $.13 per diluted share, resulting from the tax benefit recorded in connection with employee share-based payments (pursuant to "ASU 2016-09", Compensation - Stock Compensation: Improvements to Employee Share-Based Payment Accounting), and; (ii) an unrealized after-tax loss of $0.4 million, or $.01 per diluted share ($0.6 million pre-tax), resulting from a decrease in the market value of certain equity securities (included in "Other (income) expense, net"). Our reported results during the first quarter of 2023 included an unrealized after-tax loss of $4.5 million, or $.06 per diluted share, ($5.8 million pre-tax) resulting from a decrease in the market value of certain equity securities.

As calculated on the attached Supplemental Schedule, our earnings before interest, taxes, depreciation & amortization ("EBITDA net of NCI", NCI is net income attributable to noncontrolling interests), was $525.9 million during the first quarter of 2024, as compared to $407.3 million during the first quarter of 2023. Our adjusted earnings before interest, taxes, depreciation & amortization ("Adjusted EBITDA net of NCI"), which excludes the impact of other (income) expense, net, was $525.8 million during the first quarter of 2024, as compared to $421.1 million during the first quarter of 2023.

Acute Care Services - Three-month periods ended March 31, 2024 and 2023:

During the first quarter of 2024, at our acute care hospitals owned during both periods ("same facility basis"), adjusted admissions (adjusted for outpatient activity) increased by 4.5% while adjusted patient days increased by 3.4%, as compared to the first quarter of 2023. At these facilities, during the first quarter of 2024, net revenue per adjusted admission increased by 4.6% while net revenue per adjusted patient day increased by 5.8%, as compared to the first quarter of 2023. Net revenues generated from our acute care services, on a same facility basis, increased by 9.6% during the first quarter of 2024, as compared to the first quarter of 2023.

Behavioral Health Care Services - Three-month periods ended March 31, 2024 and 2023:

During the first quarter of 2024, at our behavioral health care facilities on a same facility basis, adjusted admissions decreased by 0.8% while adjusted patient days increased by 2.0%, as compared to the first quarter of 2023. At these facilities, during the first quarter of 2024, net revenue per adjusted admission increased by 11.2% and net revenue per adjusted patient day increased by 8.2%, as compared to the first quarter of 2023. Net revenues generated from our behavioral health care services, on a same facility basis, increased by 10.4% during the first quarter of 2024, as compared to the first quarter of 2023.

Net Cash Provided by Operating Activities and Liquidity:

Net Cash Provided by Operating Activities:

During the three-month period ended March 31, 2024, our net cash provided by operating activities was $396 million as compared to $291 million during the first three months of 2023. The $106 million net increase in our net cash provided by operating activities consisted of: (i) a favorable change of $98 million resulting from an increase in net income plus/minus depreciation and amortization expense, stock-based compensation expense and gains on sales of assets and businesses; (ii) a favorable change of $86 million in other working capital accounts due primarily to the timing of disbursements for other accrued liabilities; (iii) an unfavorable change of $59 million in accounts receivable; (iv) an unfavorable change of $45 million in other assets and deferred charges, and; (v) $26 million of other combined net favorable changes.

Liquidity:

As of March 31, 2024, we had $733 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:

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 first quarter of 2024, we have repurchased 700,000 shares at an aggregate cost of approximately $125.1 million (approximately $179 per share) pursuant to the program. As of March 31, 2024, we had an aggregate available repurchase authorization of approximately $298 million.

Conference call information:

We will hold a conference call for investors and analysts at 9:00 a.m. eastern time on April 25, 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. (the "Company") has built an impressive record of achievement and performance. Growing steadily since our inception into an esteemed Fortune 500 corporation, our annual revenues during 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 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.
    --  The outcome of known and unknown litigation, liabilities and other
        claims asserted against us and/or our subsidiaries, including, but not
        limited to, the March 28, 2024, jury award (of compensatory damages of
        $60 million and punitive damages of $475 million) against The Pavilion
        Behavioral Health System (the "Pavilion), an indirect subsidiary of the
        Company, as previously disclosed on Form 8-K, as filed with the
        Securities and Exchange Commission on April 1, 2024. While the Pavilion
        has professional liability insurance to cover a portion of these
        amounts, the resolution of this matter may have a material adverse
        effect on the Company.

We believe that adjusted net income attributable to UHS, adjusted net income attributable to UHS per diluted share, EBITDA net of NCI and Adjusted EBITDA net of NCI, which are non-GAAP financial measures ("GAAP" is Generally Accepted Accounting Principles in the United States of America), are helpful to our investors as measures of our operating performance. In addition, we believe that, when applicable, comparing and discussing our financial results based on these measures, as calculated, is helpful to our investors since it neutralizes the effect of material items impacting our net income attributable to UHS, such as, changes in the market value of shares of certain equity securities, the impact of ASU 2016-09 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


                                                                                        ended March 31,


                                                                                     2024              2023





       Net revenues                                                           $3,843,582        $3,467,518





       
              Operating charges:



          Salaries, wages and benefits                                         1,842,624         1,753,335



          Other operating expenses                                             1,032,170           878,951



          Supplies expense                                                       403,573           379,989



          Depreciation and amortization                                          141,003           141,621



          Lease and rental expense                                                35,450            34,922


                                                                                3,454,820         3,188,818





       Income from operations                                                    388,762           278,700





       Interest expense, net                                                      52,826            50,876



       Other (income) expense, net                                                 (150)           13,723





       Income before income taxes                                                336,086           214,101





       Provision for income taxes                                                 70,264            51,726





       Net income                                                                265,822           162,375





       Less:  Net income (loss) attributable to



       noncontrolling interests ("NCI")                                            3,988             (740)





       Net income attributable to UHS                                           $261,834          $163,115











       Basic earnings per share attributable to UHS (a)                            $3.90             $2.31





       Diluted earnings per share attributable to UHS (a)                          $3.82             $2.28



       
                
                  
                    Universal Health Services, Inc.

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                  Footnotes to Consolidated Statements of Income

    ---


       (in thousands, except per share amounts)



       (unaudited)




                                                                                              Three months



       
                (a) Earnings per share calculation:                                      ended March 31,


                                                                                         2024            2023



       Basic and diluted:



       Net income attributable to UHS                                               $261,834        $163,115



       Less: Net income attributable to unvested restricted share grants                (45)          (129)



       Net income attributable to UHS - basic and diluted                           $261,789        $162,986





       Weighted average number of common shares - basic                               67,204          70,535





       Basic earnings per share attributable to UHS:                                   $3.90           $2.31





       Weighted average number of common shares                                       67,204          70,535



       Add: Other share equivalents                                                    1,278             952



       Weighted average number of common shares and equiv. - diluted                  68,482          71,487





       Diluted earnings per share attributable to UHS:                                 $3.82           $2.28



              
                
                  
                    Universal Health Services, Inc.

    ---


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

    ---


              
                
                  For the Three Months ended March 31, 2024 and 2023

    ---


              (in thousands, except per share amounts)



              (unaudited)









              
                
                  
                    Calculation of Earnings/Adjusted Earnings Before Interest, Taxes, Depreciation and Amortization
    ("EBITDA/Adjusted EBITDA net of NCI")

    ---



                                                                                                      Three months                    % Net                      Three months
                                                                                                          ended                                                      ended       % Net


                                                                                                     March 31, 2024                   revenues                  March 31, 2023   revenues





              Net income attributable to UHS                                                              $261,834                                                    $163,115



                 Depreciation and amortization                                                             141,003                                                     141,621



                 Interest expense, net                                                                      52,826                                                      50,876



                 Provision for income taxes                                                                 70,264                                                      51,726



              EBITDA net of NCI                                                                           $525,927                      13.7 %                        $407,338      11.7 %





              Other (income) expense, net                                                                    (150)                                                     13,723



              Adjusted EBITDA net of NCI                                                                  $525,777                      13.7 %                        $421,061      12.1 %





              Net revenues                                                                              $3,843,582                                                  $3,467,518













              
                
                  
                    Calculation of Adjusted Net Income Attributable to UHS

    ---



                                                                                          
              Three months ended                           
             Three months ended


                                                                                          
              March 31, 2024                               
             March 31, 2023


                                                                                                                                       Per                                        Per


                                                                                              
              Amount                       Diluted             
             Amount       Diluted
                                                                                                                                        Share                                      Share





              Net income attributable to UHS                                                              $261,834                       $3.82                         $163,115       $2.28



              Plus/minus after-tax adjustments:



              Unrealized loss on equity securities                                                             444                        0.01                            4,461        0.06



              Impact of ASU 2016-09                                                                        (9,156)                     (0.13)



              Subtotal adjustments                                                                         (8,712)                     (0.12)                           4,461        0.06



              Adjusted net income attributable to UHS                                                     $253,122                       $3.70                         $167,576       $2.34



       
                
                  
                    Universal Health Services, Inc.

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                  Condensed Consolidated Balance Sheets

    ---


       (in thousands)



       (unaudited)




                                                                                             March 31,       December 31,


                                                                                                  2024                2023



       Assets



       Current assets:



           Cash and cash equivalents                                                   $
         112,093    $
           119,439



           Accounts receivable, net                                                         2,299,425           2,238,265



           Supplies                                                                           216,058             216,988



           Other current assets                                                               243,352             236,658



                 Total current assets                                                       2,870,928           2,811,350





       Property and equipment                                                              11,955,109          11,777,047



       Less: accumulated depreciation                                                     (5,770,371)        (5,652,518)


                                                                                             6,184,738           6,124,529





       Other assets:



           Goodwill                                                                         3,928,120           3,932,407



           Deferred income taxes                                                               94,853              85,626



           Right of use assets-operating leases                                               422,268             433,962



           Deferred charges                                                                     6,871               6,974



           Other                                                                              538,354             572,754



       Total Assets                                                                 $
         14,046,132 $
           13,967,602





       Liabilities and Stockholders' Equity



       Current liabilities:



           Current maturities of long-term debt                                        $
         127,477    $
           126,686



           Accounts payable and other liabilities                                           1,830,178           1,813,015



           Operating lease liabilities                                                         71,014              71,600



           Federal and state taxes                                                             46,667               2,046



                 Total current liabilities                                                  2,075,336           2,013,347





       Other noncurrent liabilities                                                           551,257             584,007



       Operating lease liabilities noncurrent                                                 374,380             382,559



       Long-term debt                                                                       4,734,328           4,785,783





       Redeemable noncontrolling interest                                                       4,987               5,191





       UHS common stockholders' equity                                                      6,256,697           6,149,001



       Noncontrolling interest                                                                 49,147              47,714



                 Total equity                                                               6,305,844           6,196,715





       Total Liabilities and Stockholders' Equity                                   $
         14,046,132 $
           13,967,602



       
                
                  
                    Universal Health Services, Inc.

    ---


       
                
                  Consolidated Statements of Cash Flows

    ---


       (in thousands)



       (unaudited)


                                                                                                                   Three months


                                                                                                                   ended March 31,


                                                                                                      2024       2023





       
                Cash Flows from Operating Activities:



         Net income                                                                              $265,822   $162,375



       
                  Adjustments to reconcile net income to net



       
                cash provided by operating activities:



       Depreciation & amortization                                                                141,003    141,621



       Gains on sale of assets and businesses                                                     (3,725)     (295)



       Stock-based compensation expense                                                            19,630     20,964



       
                  Changes in assets & liabilities, net of effects from



       
                acquisitions and dispositions:



          Accounts receivable                                                                    (74,446)  (15,723)



          Accrued interest                                                                          3,453      (662)



          Accrued and deferred income taxes                                                        72,193     46,576



          Other working capital accounts                                                         (33,291) (119,605)



          Medicare accelerated payments and deferred CARES Act and other grants                         0        136



          Other assets and deferred charges                                                      (20,307)    24,727



          Other                                                                                     8,897      7,030



          Accrued insurance expense, net of commercial premiums paid                               51,112     42,545



          Payments made in settlement of self-insurance claims                                   (33,935)  (18,936)



                 Net cash provided by operating activities                                        396,406    290,753





       
                Cash Flows from Investing Activities:



          Property and equipment additions                                                      (208,539)  (168,752)



          Proceeds received from sales of assets and businesses                                     5,428      9,259



          Inflows (outflows) from foreign exchange contracts that hedge our net U.K. investment     8,319   (18,818)



          Decrease in capital reserves of commercial insurance subsidiary                             155          0



                 Net cash used in investing activities                                          (194,637)  (178,311)





       
                Cash Flows from Financing Activities:



          Repayments of long-term debt                                                           (63,905)  (16,489)



          Additional borrowings                                                                    12,038     11,300



          Financing costs                                                                               0      (292)



          Repurchase of common shares                                                           (142,084)   (85,039)



          Dividends paid                                                                         (13,601)  (14,214)



          Issuance of common stock                                                                  3,241      2,988



          Profit distributions to noncontrolling interests                                        (4,480)   (4,145)



          (Purchase) sale of ownership interests by (from) minority members                         (156)         0



                 Net cash used in financing activities                                          (208,947)  (105,891)





          Effect of exchange rate changes on cash, cash equivalents and restricted cash             (492)     1,650



       (Decrease) increase in cash, cash equivalents and restricted cash                          (7,670)     8,201



       Cash, cash equivalents and restricted cash, beginning of period                            214,470    200,837



       Cash, cash equivalents and restricted cash, end of period                                 $206,800   $209,038





       
                Supplemental Disclosures of Cash Flow Information:



         Interest paid                                                                            $48,116    $50,279





         Income taxes paid, net of refunds                                                         $2,671     $2,360





         Noncash purchases of property and equipment                                              $60,125    $61,341



       
                
                  
                    Universal Health Services, Inc.

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                  Supplemental Statistical Information

    ---


       (unaudited)






                                                                                                              % Change


                                                                                                          3 Months ended



       
                Same Facility:                                                                            3/31/2024





       
                Acute Care Hospitals



       Revenues                                                                                                   9.6 %



       Adjusted Admissions                                                                                        4.5 %



       Adjusted Patient Days                                                                                      3.4 %



       Revenue Per Adjusted Admission                                                                             4.6 %



       Revenue Per Adjusted Patient Day                                                                           5.8 %





       
                Behavioral Health Hospitals



       Revenues                                                                                                  10.4 %



       Adjusted Admissions                                                                                       -0.8 %



       Adjusted Patient Days                                                                                      2.0 %



       Revenue Per Adjusted Admission                                                                            11.2 %



       Revenue Per Adjusted Patient Day                                                                           8.2 %





       
                UHS Consolidated                                                 First Quarter Ended


                                                                                      3/31/2024                3/31/2023





       Revenues                                                                     $3,843,582                $3,467,518



       EBITDA net of NCI                                                              $525,927                  $407,338



       EBITDA Margin net of NCI                                                         13.7 %                   11.7 %



       Adjusted EBITDA net of NCI                                                     $525,777                  $421,061



       Adjusted EBITDA Margin net of NCI                                                13.7 %                   12.1 %





       Cash Flow From Operations                                                      $396,406                  $290,753



       Capital Expenditures                                                           $208,539                  $168,752



       Days Sales Outstanding                                                               54                        53







       Debt                                                                         $4,861,805                $4,803,556



       UHS' Shareholders Equity                                                     $6,256,697                $6,012,108



       Debt / Total Capitalization                                                      43.7 %                   44.4 %



       Debt / EBITDA net of NCI (1)                                                       2.65                      2.94



       Debt / Adjusted EBITDA net of NCI (1)                                            2.63                      2.82



       Debt / Cash From Operations (1)                                                    3.54                      5.71





       (1) Latest 4 quarters.



       
                
                  
                    Universal Health Services, Inc.

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                  Acute Care Hospital Services

    ---


       For the Three months ended



       March 31, 2024 and 2023



       (in thousands)



       (unaudited)




                                                     Same Facility Basis -Acute Care Hospital Services

    ---



                                                                                                                  Three months ended                           Three months ended


                                                                                                                    March 31, 2024                               March 31, 2023


                                                                                                           Amount                         % of Net     Amount                          % of Net
                                                                                                                                     Revenues                                     Revenues



       Net revenues                                                                                   $2,107,434                           100.0 % $1,922,464                            100.0 %



       Operating charges:



       Salaries, wages and benefits                                                                      860,676                            40.8 %    826,975                             43.0 %



       Other operating expenses                                                                          577,076                            27.4 %    504,617                             26.2 %



       Supplies expense                                                                                  347,095                            16.5 %    325,371                             16.9 %



       Depreciation and amortization                                                                      90,120                             4.3 %     93,007                              4.8 %



       Lease and rental expense                                                                           23,793                             1.1 %     23,995                              1.2 %



       Subtotal-operating expenses                                                                     1,898,760                            90.1 %  1,773,965                             92.3 %



       Income from operations                                                                            208,674                             9.9 %    148,499                              7.7 %



       Interest expense, net                                                                               1,300                             0.1 %      (577)                           (0.0) %



       Other (income) expense, net                                                                          (81)                          (0.0) %      6,213                              0.3 %



       Income before income taxes                                                                       $207,455                             9.8 %   $142,863                              7.4 %









       
                
                  
                    All Acute Care Hospital Services

    ---



                                                                                                                  Three months ended                           Three months ended


                                                                                                                    March 31, 2024                               March 31, 2023


                                                                                                           Amount                         % of Net     Amount                          % of Net
                                                                                                                                     Revenues                                     Revenues



       Net revenues                                                                                   $2,185,081                           100.0 % $1,973,532                            100.0 %



       Operating charges:



       Salaries, wages and benefits                                                                      861,547                            39.4 %    843,960                             42.8 %



       Other operating expenses                                                                          654,983                            30.0 %    544,300                             27.6 %



       Supplies expense                                                                                  347,004                            15.9 %    328,060                             16.6 %



       Depreciation and amortization                                                                      90,312                             4.1 %     93,326                              4.7 %



       Lease and rental expense                                                                           23,833                             1.1 %     24,154                              1.2 %



       Subtotal-operating expenses                                                                     1,977,679                            90.5 %  1,833,800                             92.9 %



       Income from operations                                                                            207,402                             9.5 %    139,732                              7.1 %



       Interest expense, net                                                                               1,300                             0.1 %      (577)                           (0.0) %



       Other (income) expense, net                                                                           634                             0.0 %      7,013                              0.4 %



       Income before income taxes                                                                       $205,468                             9.4 %   $133,296                              6.8 %



     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, and; (iii) certain other amounts including the results
      of facilities acquired or opened during the last twelve months.



       
                
                  
                    Universal Health Services, Inc.

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                  Behavioral Health Care Services

    ---


       For the Three months ended



       March 31, 2024 and 2023



       (in thousands)



       (unaudited)




                                                     Same Facility -Behavioral Health Care Services

    ---



                                                                                                               Three months ended                           Three months ended


                                                                                                                 March 31, 2024                               March 31, 2023


                                                                                                        Amount                         % of Net     Amount                          % of Net
                                                                                                                                  Revenues                                     Revenues



       Net revenues                                                                                $1,616,312                           100.0 % $1,463,723                            100.0 %



       Operating charges:



       Salaries, wages and benefits                                                                   868,876                            53.8 %    808,938                             55.3 %



       Other operating expenses                                                                       312,285                            19.3 %    278,722                             19.0 %



       Supplies expense                                                                                56,766                             3.5 %     52,485                              3.6 %



       Depreciation and amortization                                                                   47,108                             2.9 %     45,332                              3.1 %



       Lease and rental expense                                                                        11,446                             0.7 %     10,598                              0.7 %



       Subtotal-operating expenses                                                                  1,296,481                            80.2 %  1,196,075                             81.7 %



       Income from operations                                                                         319,831                            19.8 %    267,648                             18.3 %



       Interest expense, net                                                                            1,027                             0.1 %      1,210                              0.1 %



       Other (income) expense, net                                                                      (676)                          (0.0) %      (576)                           (0.0) %



       Income before income taxes                                                                    $319,480                            19.8 %   $267,014                             18.2 %









       
                
                  
                    All Behavioral Health Care Services

    ---



                                                                                                               Three months ended                           Three months ended


                                                                                                                 March 31, 2024                               March 31, 2023


                                                                                                        Amount                         % of Net     Amount                          % of Net
                                                                                                                                  Revenues                                     Revenues



       Net revenues                                                                                $1,656,067                           100.0 % $1,490,489                            100.0 %



       Operating charges:



       Salaries, wages and benefits                                                                   872,196                            52.7 %    809,786                             54.3 %



       Other operating expenses                                                                       347,268                            21.0 %    305,232                             20.5 %



       Supplies expense                                                                                56,924                             3.4 %     52,488                              3.5 %



       Depreciation and amortization                                                                   47,872                             2.9 %     45,619                              3.1 %



       Lease and rental expense                                                                        11,518                             0.7 %     10,668                              0.7 %



       Subtotal-operating expenses                                                                  1,335,778                            80.7 %  1,223,793                             82.1 %



       Income from operations                                                                         320,289                            19.3 %    266,696                             17.9 %



       Interest expense, net                                                                            1,027                             0.1 %      1,211                              0.1 %



       Other (income) expense, net                                                                      (676)                          (0.0) %      (871)                           (0.1) %



       Income before income taxes                                                                    $319,938                            19.3 %   $266,356                             17.9 %



     We believe that providing our results on a "Same Facility" basis (which is a non-GAAP measure), which includes the operating results for facilities and businesses operated in both the current year and prior year periods, is helpful to our investors as a measure of our operating performance. Our Same Facility results also neutralize (if applicable), the effect of material items that are nonrecurring or non-operational in nature including
      items such as, but not limited to, reserves for various matters, settlements, legal judgments and lawsuits, cost related to extinguishment of debt, gains/losses on sales of assets and businesses, impairments of goodwill, long-lived and intangible assets and other amounts that may be reflected in the current or prior year financial statements that relate to prior periods. Our Same Facility basis results exclude from net revenues and other
      operating expenses, provider tax assessments incurred in each period. However, these provider tax assessments are included in net revenues and other operating expenses as reflected in the table under All Behavioral Health Care Services. The provider tax assessments had no impact on the income before income taxes as reflected on the above tables since the amounts offset between net revenues and other operating expenses. To obtain a complete
      understanding of our financial performance, the Same Facility results should be examined in connection with our net income as determined in accordance with GAAP and as presented herein and the condensed consolidated financial statements and notes thereto as contained in our Form 10-K for the year ended December 31, 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.



       
                
                  
                    Universal Health Services, Inc.

    ---


       
                
                  Selected Hospital Statistics

    ---


       For the Three Months ended



       March 31, 2024 and 2023


                                                                                              
     (unaudited)





       
                AS REPORTED:






                                                              
              
                ACUTE                                 BEHAVIORAL HEALTH


                                                                                      3/31/24           3/31/23  % change           3/31/24   3/31/23    % change





       Hospitals owned and leased                                                         27                 27      0.0 %               333        331        0.6 %



       Average licensed beds                                                           6,657              6,798     -2.1 %            24,378     24,232        0.6 %



       Average available beds                                                          6,485              6,626     -2.1 %            24,278     24,132        0.6 %



       Patient days                                                                  415,327            404,253      2.7 %         1,608,992  1,572,571        2.3 %



       Average daily census                                                          4,564.0            4,491.7      1.6 %          17,681.2   17,473.0        1.2 %



       Occupancy-licensed beds                                                        68.6 %            66.1 %     3.8 %            72.5 %    72.1 %       0.6 %



       Occupancy-available beds                                                       70.4 %            67.8 %     3.8 %            72.8 %    72.4 %       0.6 %



       Admissions                                                                     83,581             80,126      4.3 %           119,930    120,560       -0.5 %



       Length of stay                                                                    5.0                5.0      0.0 %              13.4       13.0        3.1 %





       Inpatient revenue                                                         $12,910,102        $11,401,491     13.2 %        $2,754,684 $2,627,990        4.8 %



       Outpatient revenue                                                          8,346,289          7,296,116     14.4 %           278,528    272,371        2.3 %



       Total patient revenue                                                      21,256,391         18,697,607     13.7 %         3,033,212  2,900,361        4.6 %



       Other revenue                                                                 246,251            221,993     10.9 %            80,211     65,318       22.8 %



       Gross revenue                                                              21,502,642         18,919,600     13.7 %         3,113,423  2,965,679        5.0 %



       Total deductions                                                           19,317,561         16,946,068     14.0 %         1,457,356  1,475,190       -1.2 %



       Net revenue                                                                $2,185,081         $1,973,532     10.7 %        $1,656,067 $1,490,489       11.1 %







       
                SAME FACILITY:




                                                              
              
                ACUTE                                 BEHAVIORAL HEALTH


                                                                                      3/31/24           3/31/23  % change           3/31/24   3/31/23    % change





       Hospitals owned and leased                                                         27                 27      0.0 %               331        331        0.0 %



       Average licensed beds                                                           6,657              6,610      0.7 %            24,124     24,106        0.1 %



       Average available beds                                                          6,485              6,438      0.7 %            24,024     24,006        0.1 %



       Patient days                                                                  415,327            397,998      4.4 %         1,596,431  1,562,130        2.2 %



       Average daily census                                                          4,564.0            4,422.2      3.2 %          17,543.2   17,357.0        1.1 %



       Occupancy-licensed beds                                                        68.6 %            66.9 %     2.5 %            72.7 %    72.0 %       1.0 %



       Occupancy-available beds                                                       70.4 %            68.7 %     2.5 %            73.0 %    72.3 %       1.0 %



       Admissions                                                                     83,581             79,063      5.7 %           118,897    119,615       -0.6 %



       Length of stay                                                                    5.0                5.0      0.0 %              13.4       13.1        2.3 %

View original content:https://www.prnewswire.com/news-releases/universal-health-services-inc-announces-2024-first-quarter-financial-results-302126643.html

SOURCE Universal Health Services, Inc.