UHS posts $522M operating income, 11.6% margin in Q3: 9 things to know

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King of Prussia, Pa.-based Universal Health Services reported net income of $373 million (8.3% margin) in third-quarter 2025, up from $258.7 million (6.5% margin) in the same period last year, according to financial results published Oct. 27.

Nine things to know:

  1. UHS reported a third-quarter operating income of $521.7 million (11.6% margin), up from $384.2 million (9.7% margin) in the third quarter of 2024. 
  1. Net revenue grew 13.4% year over year to $4.5 billion in the third quarter, up from $4 billion in the same quarter of 2024. 
  1. Following a strong performance in the first nine months of 2025 and favorable impacts from Medicaid supplemental payments — including a new program in Washington, D.C. — UHS raised its full-year forecast. It now expects 2025 net revenue between $17.306 billion and $17.445 billion, up from the previous range of $17.096 billion to $17.312 billion. 
  1. Acute care services posted an operating income of $338.3 million (13.9% margin) on same-facility revenues of $2.43 billion in third quarter, compared to $206.3 million (9.6% margin) on $2.16 billion in third quarter 2024.
  1. On the same-facility bases, acute care adjusted admissions rose 2% year over year and adjusted patient days grew 0.4%. Net revenue per adjusted admission increased 9.8% and per adjusted patient day rose 11.5%, driving a 12.8% increase in same-facility acute care revenue. 
  1. Behavioral health services reported a third-quarter operating income of $350 million (19.3% margin) on same-facility revenue of $1.81 billion, compared to $312.3 million (18.8% margin) on $1.66 billion in the prior-year period. 
  1. On a same-facility basis, behavioral health adjusted admission grew 0.5% and adjusted patient days rose 1.3%. Net revenue per adjusted admission grew 8.8% and per-adjusted patient day rose 7.9%, resulting in a 9.3% increase in behavioral health revenue year over year. 
  1. UHS had total assets of $15.3 billion and total debt of $4.7 billion, as of Sept. 30. Cash flow from operations for the first nine months totaled $1.29 billion. 
  1. UHS operates 29 inpatient acute care hospitals, 345 inpatient behavioral health facilities, 156 outpatient and ambulatory access points, and a health plan in 39 states, the District of Columbia., the U.K. and Puerto Rico.

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