Summary of Universal Health Services (UHS) 2025 Conference Call Industry Overview - The discussion primarily revolves around the healthcare services industry, specifically focusing on Medicaid policy changes and their implications for Universal Health Services (UHS) [3][4][5]. Key Points and Arguments 1. **Medicaid Policy Changes**: - The potential negative impacts of the new house bill on Medicaid are perceived to be less severe than initially feared, particularly regarding work requirements aimed at younger, healthier males [3][4]. - The existing direct payment programs (DPP) are expected to face limitations in growth, but UHS anticipates minimal impact on current cash flows from these programs [4][5]. 2. **State-Level Support for DPP**: - States like Florida, Texas, and Mississippi are expected to lobby for the continuation of DPP programs, indicating a strong state-level support that may mitigate deeper cuts [5]. 3. **Tennessee and D.C. Programs**: - The Tennessee Medicaid program is likely to be grandfathered under the new bill, while the D.C. program remains uncertain regarding its approval timeline [6][7]. 4. **Volume and Revenue Growth**: - UHS targets a same-store growth rate of 5-7% for acute care, with expectations of achieving this through a balance of price and volume growth [12][25]. - Behavioral health volumes are expected to ramp up later in the year, with a target of 2.5-3% patient day growth [14][15]. 5. **Pricing Trends in Behavioral Health**: - Strong pricing trends in behavioral health are noted, attributed to limited capacity and labor shortages, allowing UHS to negotiate better rates with payers [17][18]. 6. **Referral Relationships**: - UHS maintains strong referral relationships, which are crucial for sustaining demand in behavioral health despite increased competition [20]. 7. **Bipartisan Support for Behavioral Health**: - There is continued bipartisan support for expanding access to behavioral health care, with a focus on outpatient care [21][22][23]. 8. **Capital Expenditure (CapEx)**: - UHS plans to allocate a significant portion of its $240 million CapEx for new hospital projects, including facilities in Florida and California [31][32]. 9. **Performance of New Facilities**: - The West Henderson hospital achieved EBITDA positivity in its first full quarter, indicating a strong ramp-up compared to typical new hospital performance [35][36]. 10. **Cost Management**: - Professional fees are expected to rise by about 5% due to inflation, with specific pressures noted from emergency room physicians and anesthesiologists [42][43]. Additional Important Content - The impact of tariffs on supply costs appears to be minimal in the short term, with UHS managing supply chain dynamics effectively [27][28]. - Staffing challenges at new facilities are acknowledged, but UHS has experience in managing these dynamics without significant disruption [39][40]. This summary encapsulates the key insights and discussions from the Universal Health Services conference call, highlighting the company's strategic outlook and operational performance within the healthcare services industry.