Core Insights - Universal Health Services, Inc. (UHS) reported first-quarter 2025 adjusted earnings per share (EPS) of $4.84, exceeding the Zacks Consensus Estimate by 11% and reflecting a year-over-year increase of 30.8% [1] - Net revenues for the quarter reached nearly $4.1 billion, marking a 6.7% year-over-year growth, although it fell short of the consensus estimate by 1.1% [1] Financial Performance - Adjusted EBITDA net of NCI was $598.2 million, up 13.8% year over year, surpassing the estimate of $559.3 million [3] - Total operating costs increased by 5.5% year over year to $3.6 billion, driven by higher salaries, wages, benefits, and other operating expenses [3] - Cash and cash equivalents at the end of the first quarter stood at $126.8 million, slightly up from $126 million at the end of 2024 [6] - Total assets increased to $14.9 billion from $14.5 billion at the end of 2024 [6] - Long-term debt rose to $4.6 billion from $4.5 billion as of December 31, 2024 [7] - Cash flows from operations were $360 million, down 9.2% from the previous year [7] Segment Performance - Acute Care Hospital Services saw adjusted admissions rise by 2.4% on a same-facility basis, with net revenues increasing by 6.5% [4] - Behavioral Health Care Services experienced a 1.6% decline in adjusted admissions on a same-facility basis, but net revenues increased by 5.5% [5] Share Repurchase and Guidance - UHS repurchased shares worth $180.6 million in the first quarter, with a remaining repurchase capacity of approximately $643.7 million [8] - The company anticipates 2025 net revenues between $17.02 billion and $17.36 billion, indicating an 8.6% improvement from 2024 [10] - Adjusted EBITDA is projected to be in the range of $2.36 billion to $2.48 billion, suggesting a 7.8% growth from 2024 [10] - EPS is expected to be between $18.45 and $19.95, implying a 15.6% increase from 2024 [10]

Core Viewpoint - Universal Health Services, Inc. (UHS) is expected to report first-quarter 2025 results on April 28, 2025, with earnings estimated at $4.36 per share and revenues of $4.14 billion, reflecting year-over-year growth of 17.8% and 7.8% respectively [1][2] Financial Performance - The Zacks Consensus Estimate for UHS's revenues in 2025 is $17.12 billion, indicating an 8.1% year-over-year increase, while the EPS estimate for the current year is $18.94, suggesting a 14% rise year-over-year [2] - UHS has beaten consensus earnings estimates in three of the last four quarters, with an average surprise of 15.5% [2] Earnings Prediction - The current model does not predict a definitive earnings beat for UHS, as it has an Earnings ESP of -0.83% despite holding a Zacks Rank of 1 (Strong Buy) [3] Revenue Segments - The Acute Care Hospital Services segment is projected to generate net revenues of $2.3 billion, reflecting a 7.4% year-over-year growth, with same-facility adjusted admissions expected to grow by 1.6% [6] - The Behavioral Health Care Services segment is estimated to achieve net revenues of $1.8 billion, indicating an 8.2% increase from the prior year, with adjusted patient days expected to rise by 2.8% [8] Cost Pressures - UHS's margins may face pressure due to rising total expenses, particularly from increased salaries, wages, and benefits, which are anticipated to rise by 7.3% year-over-year, alongside supply expenses expected to increase nearly 2% [9]