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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Cash Flows from Operating Activities:    
Net income attributable to UHS $ 1,063,345 $ 826,062
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation & amortization 455,409 438,050
Loss (gain) on sales of assets and businesses 2,833 (5,124)
Costs related to extinguishment of debt   3,158
Stock-based compensation expense 70,586 72,727
Changes in assets & liabilities, net of effects from acquisitions and dispositions:    
Accounts receivable (294,210) 11,703
Accrued interest 7,052 (1,762)
Accrued and deferred income taxes (39,287) (10,949)
Other working capital accounts 20,415 1,329
Other assets and deferred charges (29,629) (5,621)
Other, net 19,114 25,732
Accrued insurance expense, net of commercial premiums paid 177,054 175,104
Payments made in settlement of self-insurance claims, net of commercial insurance reimbursements (162,978) (121,745)
Net cash provided by operating activities 1,289,704 1,408,664
Cash Flows from Investing Activities:    
Property and equipment additions (733,932) (697,865)
Proceeds received from sales of assets and businesses 2,980 30,219
Acquisition of businesses and property (47,772) 0
Outflows from foreign exchange contracts that hedge our net U.K. investment (49,351) (35,667)
Costs incurred for purchase and development of enterprise resource planning application (18,676) 0
Decrease in capital reserves of commercial insurance subsidiary 100 197
Net cash used in investing activities (846,651) (703,116)
Cash Flows from Financing Activities:    
Repayments of long-term debt (27,791) (2,471,515)
Additional borrowings 208,986 2,210,248
Financing costs (382) (9,992)
Repurchase of common shares (615,941) (420,588)
Dividends paid (38,902) (40,302)
Issuance of common stock 12,119 10,864
Profit distributions to noncontrolling interests (10,409) (5,791)
Purchase (sale) of ownership interests by (from) minority member 18,728 8,959
Net cash used in financing activities (453,592) (718,117)
Effect of exchange rate changes on cash, cash equivalents and restricted cash 2,390 2,696
Decrease in cash, cash equivalents and restricted cash (8,149) (9,873)
Cash, cash equivalents and restricted cash, beginning of period 224,752 214,470
Cash, cash equivalents and restricted cash, end of period 216,603 204,597
Supplemental Disclosures of Cash Flow Information:    
Interest paid 103,050 144,378
Income taxes paid, net of refunds 355,968 236,975
Noncash purchases of property and equipment $ 146,650 $ 87,333