Universal Health Services Reports Strong Q2 2025 Results, Raises Full-Year Guidance on Medicaid Boost

UHS
October 02, 2025

Universal Health Services announced its second-quarter 2025 financial results on July 28, 2025, reporting a net income attributable to UHS of $353.2 million, or $5.43 per diluted share, compared to $289.2 million, or $4.26 per diluted share, in Q2 2024. Net revenues increased by 9.6% to $4.284 billion.

Adjusted net income attributable to UHS was $347.9 million, or $5.35 per diluted share, exceeding Wall Street estimates. The results included aggregate net pre-tax incremental reimbursements of approximately $101 million from Medicaid supplemental payment programs, with $58 million from the newly approved Tennessee program and $43 million from existing state programs.

A new 142-bed acute care hospital in Washington, D.C., opened in April 2025, incurring a pre-tax loss of approximately $25 million in Q2. This new facility, along with the Medicaid reimbursements, was not included in the original 2025 operating results forecast.

The Acute Care segment's same-facility net revenues increased by 7.9%, driven by a 2.0% rise in adjusted admissions. The Behavioral Health segment also saw same-facility net revenues increase by 8.9%, with adjusted patient days up 1.2% and net revenue per adjusted patient day increasing by 7.8%.

Net cash provided by operating activities for the first six months of 2025 decreased to $909 million from $1.076 billion in the comparable 2024 period, primarily due to an unfavorable $159 million change in accounts receivable. Despite this, liquidity remained sound with $1.08 billion of available borrowing capacity.

Based on these results, UHS increased its full-year 2025 operating results forecast. Revised net revenues are projected between $17.096 billion and $17.312 billion, and adjusted diluted EPS is now expected to be $20.00 to $21.00 per share, up from the prior range of $18.45 to $19.95. Adjusted EBITDA, net of NCI, was also raised to $2.458 billion - $2.543 billion.

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