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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Cash Flows from Operating Activities:    
Net income attributable to UHS $ 684,240 $ 560,152
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation & amortization 300,349 288,483
Loss (gain) on sales of assets and businesses 2,833 (3,725)
Stock-based compensation expense 45,707 46,162
Changes in assets & liabilities, net of effects from acquisitions and dispositions:    
Accounts receivable (92,636) 66,174
Accrued interest (4,532) 3,310
Accrued and deferred income taxes (55,913) 26,970
Other working capital accounts 25,324 39,686
Other assets and deferred charges (22,404) (3,030)
Other, net 16,143 14,277
Accrued insurance expense, net of commercial premiums paid 94,696 102,222
Payments made in settlement of self-insurance claims, net of commercial insurance reimbursements (84,781) (64,994)
Net cash provided by operating activities 909,026 1,075,687
Cash Flows from Investing Activities:    
Property and equipment additions (505,040) (449,933)
Proceeds received from sales of assets and businesses 2,980 5,428
Acquisition of businesses and property (8,314)  
(Outflows) inflows from foreign exchange contracts that hedge our net U.K. investment (66,402) 6,830
(Increase) decrease in capital reserves of commercial insurance subsidiary (462) 196
Net cash used in investing activities (577,238) (437,479)
Cash Flows from Financing Activities:    
Repayments of long-term debt (18,548) (382,675)
Additional borrowings 94,601 12,038
Repurchase of common shares (378,542) (237,987)
Dividends paid (26,434) (27,006)
Issuance of common stock 8,137 7,227
Profit distributions to noncontrolling interests (9,621) (5,089)
Purchase (sale) of ownership interests by (from) minority member 11,336 5,025
Net cash used in financing activities (319,071) (628,467)
Effect of exchange rate changes on cash, cash equivalents and restricted cash 3,931 (392)
Increase in cash, cash equivalents and restricted cash 16,648 9,349
Cash, cash equivalents and restricted cash, beginning of period 224,752 214,470
Cash, cash equivalents and restricted cash, end of period 241,400 223,819
Supplemental Disclosures of Cash Flow Information:    
Interest paid 77,448 95,902
Income taxes paid, net of refunds 251,786 131,499
Noncash purchases of property and equipment $ 148,887 $ 108,260