UHS
Universal Health ServicesBDocument history
Earnings documents stored for UHS.
Investor releaseQuarter not tagged2026-08-26Why Is Universal Health Services (UHS) Up 5.7% Since Last Earnings Report?
Zacks
Why Is Universal Health Services (UHS) Up 5.7% Since Last Earnings Report?
A month has gone by since the last earnings report for Universal Health Services (UHS). Shares have added about 5.7% in that time frame, outperforming the S&P 500. But investors have to be wondering, will the recent positive trend continue leading up to its next earnings release, or is Universal Health Services due for a pullback? Before we dive into how investors and analysts have reacted as of late, let's take a quick look at the most recent earnings report in order to get a better handle on the important drivers. UHS Beats Q2 Earnings and Revenue Estimates Despite Cost Pressures Universal Health Services reported second-quarter 2026 adjusted earnings per share (EPS) of $5.98, which beat the Zacks Consensus Estimate by 5.7%. The bottom line rose 10.1% year over year. Net revenues of $4.6 billion improved 8.3% year over year. The top line beat the consensus mark by 2.6%. The strong quarterly results were driven by healthy revenue growth across both the Acute Care and Behavioral Health segments. Higher adjusted admissions, increased patient days and improved unit revenues on a same-facility basis supported performance in both businesses. However, the upside was partly offset by elevated operating costs. Adjusted EBITDA, net of NCI, rose 5.4% year over year to $677.9 million, and beat our estimate of $647.5 million. Total operating costs were $4.1 billion, which escalated 8.9% year over year due to higher salaries, wages and benefits, supplies expense, and other operating expenses. The metric came slightly higher than our estimate of $4 billion. Acute Care Hospital Services On a same-facility basis, UHS' acute care business delivered solid volume and higher unit revenues in the second quarter of 2026. Adjusted admissions (adjusted for outpatient activity) increased 2.9% year over year, while adjusted patient days grew 3.1%. Net revenue per adjusted admission increased 3.0%, and net revenue per adjusted patient day rose 2.8%. Net revenues from Universal Health's acute care services increased 8.2% on a same-facility basis. Behavioral Health Care Services Behavioral health care also posted solid same-facility revenue growth, supported by modest volume gains and higher unit revenues. Adjusted admissions inched up 0.5% on a same-facility basis, while adjusted patient days increased 1.4%. Net revenue per adjusted admission improved 7.1%, and net revenue per adjuste…Read full documentShow less
A month has gone by since the last earnings report for Universal Health Services (UHS). Shares have added about 5.7% in that time frame, outperforming the S&P 500. But investors have to be wondering, will the recent positive trend continue leading up to its next earnings release, or is Universal Health Services due for a pullback? Before we dive into how investors and analysts have reacted as of late, let's take a quick look at the most recent earnings report in order to get a better handle on the important drivers. UHS Beats Q2 Earnings and Revenue Estimates Despite Cost Pressures Universal Health Services reported second-quarter 2026 adjusted earnings per share (EPS) of $5.98, which beat the Zacks Consensus Estimate by 5.7%. The bottom line rose 10.1% year over year. Net revenues of $4.6 billion improved 8.3% year over year. The top line beat the consensus mark by 2.6%. The strong quarterly results were driven by healthy revenue growth across both the Acute Care and Behavioral Health segments. Higher adjusted admissions, increased patient days and improved unit revenues on a same-facility basis supported performance in both businesses. However, the upside was partly offset by elevated operating costs. Adjusted EBITDA, net of NCI, rose 5.4% year over year to $677.9 million, and beat our estimate of $647.5 million. Total operating costs were $4.1 billion, which escalated 8.9% year over year due to higher salaries, wages and benefits, supplies expense, and other operating expenses. The metric came slightly higher than our estimate of $4 billion. Acute Care Hospital Services On a same-facility basis, UHS' acute care business delivered solid volume and higher unit revenues in the second quarter of 2026. Adjusted admissions (adjusted for outpatient activity) increased 2.9% year over year, while adjusted patient days grew 3.1%. Net revenue per adjusted admission increased 3.0%, and net revenue per adjusted patient day rose 2.8%. Net revenues from Universal Health's acute care services increased 8.2% on a same-facility basis. Behavioral Health Care Services Behavioral health care also posted solid same-facility revenue growth, supported by modest volume gains and higher unit revenues. Adjusted admissions inched up 0.5% on a same-facility basis, while adjusted patient days increased 1.4%. Net revenue per adjusted admission improved 7.1%, and net revenue per adjusted patient day increased 6.1%. Net revenues from UHS' behavioral health care services grew 7.4% on a same-facility basis. Universal Health exited the second quarter with cash and cash equivalents of $138.8 million, which improved from the 2025-end level of $137.8 million. As part of its $1.5 billion revolving credit facility, net of outstanding borrowings and letters of credit, UHS had approximately $1.3 billion of available borrowing capacity at the end of the second quarter. Total assets of $15.9 billion increased from the 2025-end figure of $15.5 billion. Long-term debt amounted to $4.1 billion, which increased from $4 billion as of 2025-end. Current maturities of long-term debt totaled $771.9 million. Total equity of $7.6 billion advanced from the 2025-end figure of $7.3 billion. UHS generated operating cash flow of $844.9 million in the first six months of 2026, down 7.1% from the year-ago period’s level. Universal Health repurchased shares worth approximately $320.3 million during the second quarter of 2026. The remaining authorization under its share repurchase program was approximately $977.6 million as of June 30, 2026. Management now expects net revenues of $18.501-$18.762 billion compared with its earlier guidance of $18.417-$18.789 billion. The midpoint of the revised guidance implies 7.3% growth from the 2025 figure of $17.365 billion. Adjusted EBITDA, net of NCI, is now projected to be in the range of $2.610-$2.717 billion, down from the previous forecast of $2.641-$2.789 billion. The midpoint of the revised range indicates 2.8% growth from the 2025 level of $2.59 billion. Adjusted EPS is now expected to be in the band of $22.28-$23.65 compared with the prior outlook of $22.64-$24.52. The midpoint suggests 5.6% growth from the 2025 figure of $21.74. Capital expenditures are still expected to be between $950 million and $1.1 billion, on par with the previous guidance. In the past month, investors have witnessed a downward trend in estimates revision. The consensus estimate has shifted -5.42% due to these changes. Currently, Universal Health Services has a average Growth Score of C, though it is lagging a lot on the Momentum Score front with an F. However, the stock has a grade of A on the value side, putting it in the top quintile for value investors. Overall, the stock has an aggregate VGM Score of B. If you aren't focused on one strategy, this score is the one you should be interested in. Estimates have been broadly trending downward for the stock, and the magnitude of these revisions indicates a downward shift. Notably, Universal Health Services has a Zacks Rank #3 (Hold). We expect an in-line return from the stock in the next few months. Universal Health Services belongs to the Zacks Medical - Hospital industry. Another stock from the same industry, Community Health Systems (CYH), has gained 6.5% over the past month. More than a month has passed since the company reported results for the quarter ended June 2026. Community Health Systems reported revenues of $2.83 billion in the last reported quarter, representing a year-over-year change of -9.8%. EPS of -$0.19 for the same period compares with -$0.05 a year ago. For the current quarter, Community Health Systems is expected to post a loss of $0.22 per share, indicating a change of -117.3% from the year-ago quarter. The Zacks Consensus Estimate has changed -3.2% over the last 30 days. Community Health Systems has a Zacks Rank #3 (Hold) based on the overall direction and magnitude of estimate revisions. Additionally, the stock has a VGM Score of C. Want the latest recommendations from Zacks Investment Research? Today, you can download 7 Best Stocks for the Next 30 Days. Click to get this free report Universal Health Services, Inc. (UHS) : Free Stock Analysis Report Community Health Systems, Inc. (CYH) : Free Stock Analysis Report This article originally published on Zacks Investment Research (zacks.com). Zacks Investment Research
Investor releaseQuarter not tagged2026-08-17Can Tenet Healthcare's Hospital Growth Keep Earnings Momentum Going?
Zacks
Can Tenet Healthcare's Hospital Growth Keep Earnings Momentum Going?
Tenet Healthcare Corporation’s THC second-quarter 2026 results show why its Hospital Operations segment remains an important earnings driver. Despite pressure from weaker exchange enrollment, the segment delivered stronger volumes, better revenue per patient and meaningful margin improvement, giving investors a reason to remain optimistic about the earnings outlook. Hospital adjusted admissions increased 2.6% year over year, while revenue per adjusted admission rose 3.3%. This combination is encouraging because THC is benefiting from both healthy patient demand and a better mix of services. The improvement in revenue per admission reflects its focus on higher-acuity care, while stronger commercial revenues are helping support top-line growth. The hospital segment is translating this momentum into stronger profitability. Hospital adjusted EBITDA jumped 22.3% to $762 million, significantly faster than revenue growth, while the margin expanded to 18% from 15.6% a year ago. This suggests its cost-management efforts are helping convert operational growth into stronger profits. However, exchange weakness remains a caution. Exchange revenues fell 17% in the second quarter of 2026 and are expected to remain under pressure. Still, continued volume growth, better acuity and cost discipline should help offset some of that weakness. The company’s $2.67-$2.81 billion 2026 Hospital adjusted EBITDA guidance signals confidence in continued underlying improvement, positioning the segment as a potential near-term tailwind for THC’s earnings. Tenet is not the only one benefiting from healthy demand for hospital care. Healthcare peers, including Universal Health Services, Inc. UHS and HCA Healthcare, Inc. HCA, also reported solid hospital volume and revenue growth in the second quarter of 2026. Universal Health delivered strong hospital performance, with acute-care adjusted admissions rising 2.9%. UHS’ net revenue per adjusted admission increased 3.0%, while same-facility acute-care revenues grew 8.2%, reflecting continued strength across its hospital operations. HCA Healthcare posted solid hospital growth in the second quarter of 2026, with same-facility equivalent admissions increasing 2.7%. HCA’s revenue per equivalent admission also rose 6.4%, pointing to healthy demand and a favorable patient mix. Shares of Tenet Healthcare have gained 56.4% over the past year compared wit…Read full documentShow less
Tenet Healthcare Corporation’s THC second-quarter 2026 results show why its Hospital Operations segment remains an important earnings driver. Despite pressure from weaker exchange enrollment, the segment delivered stronger volumes, better revenue per patient and meaningful margin improvement, giving investors a reason to remain optimistic about the earnings outlook. Hospital adjusted admissions increased 2.6% year over year, while revenue per adjusted admission rose 3.3%. This combination is encouraging because THC is benefiting from both healthy patient demand and a better mix of services. The improvement in revenue per admission reflects its focus on higher-acuity care, while stronger commercial revenues are helping support top-line growth. The hospital segment is translating this momentum into stronger profitability. Hospital adjusted EBITDA jumped 22.3% to $762 million, significantly faster than revenue growth, while the margin expanded to 18% from 15.6% a year ago. This suggests its cost-management efforts are helping convert operational growth into stronger profits. However, exchange weakness remains a caution. Exchange revenues fell 17% in the second quarter of 2026 and are expected to remain under pressure. Still, continued volume growth, better acuity and cost discipline should help offset some of that weakness. The company’s $2.67-$2.81 billion 2026 Hospital adjusted EBITDA guidance signals confidence in continued underlying improvement, positioning the segment as a potential near-term tailwind for THC’s earnings. Tenet is not the only one benefiting from healthy demand for hospital care. Healthcare peers, including Universal Health Services, Inc. UHS and HCA Healthcare, Inc. HCA, also reported solid hospital volume and revenue growth in the second quarter of 2026. Universal Health delivered strong hospital performance, with acute-care adjusted admissions rising 2.9%. UHS’ net revenue per adjusted admission increased 3.0%, while same-facility acute-care revenues grew 8.2%, reflecting continued strength across its hospital operations. HCA Healthcare posted solid hospital growth in the second quarter of 2026, with same-facility equivalent admissions increasing 2.7%. HCA’s revenue per equivalent admission also rose 6.4%, pointing to healthy demand and a favorable patient mix. Shares of Tenet Healthcare have gained 56.4% over the past year compared with the industry's 28% growth over the same period. Image Source: Zacks Investment Research From a valuation standpoint, THC trades at a forward price-to-earnings ratio of 13.43X, up from the industry average of 11.28X. THC carries a Value Scoreof A. Image Source: Zacks Investment Research The Zacks Consensus Estimate for THC’s 2026 earnings is pegged at $20.16 per share, implying a 20.1% jump from the year-ago period’s level. Image Source: Zacks Investment Research THC currently carries a Zacks Rank #1 (Strong Buy). You can see the complete list of today’s Zacks #1 Rank stocks here. Want the latest recommendations from Zacks Investment Research? Today, you can download 7 Best Stocks for the Next 30 Days. Click to get this free report Tenet Healthcare Corporation (THC) : Free Stock Analysis Report Universal Health Services, Inc. (UHS) : Free Stock Analysis Report HCA Healthcare, Inc. (HCA) : Free Stock Analysis Report This article originally published on Zacks Investment Research (zacks.com). Zacks Investment Research
Investor releaseQuarter not tagged2026-08-10Will Lower PDS Margin Affect Aveanna Healthcare's Q2 Earnings?
Zacks
Will Lower PDS Margin Affect Aveanna Healthcare's Q2 Earnings?
Aveanna Healthcare Holdings Inc. AVAH is set to report second-quarter 2026 results on Aug. 13, before the opening bell. The Zacks Consensus Estimate for the to-be-reported quarter’s earnings is currently pegged at 17 cents per share on revenues of $647.08 million. The second-quarter earnings estimate has witnessed one upward revision and no downward movement over the past 60 days. However, the bottom-line projection indicates a year-over-year decrease of 5.6%. But the Zacks Consensus Estimate for quarterly revenues suggests year-over-year growth of 9.8%. Image Source: Zacks Investment Research For full-year 2026, the Zacks Consensus Estimate for Aveanna Healthcare’s revenues is pegged at $2.65 billion, implying a rise of 8.8% year over year. The consensus mark for 2026 earnings per share is pegged at 73 cents, indicating a jump of 21.7% on a year-over-year basis. Aveanna Healthcare beat the consensus estimate for earnings in each of the trailing four quarters, with the average surprise being 129.4%, as you can see below. Aveanna Healthcare Holdings Inc. price-eps-surprise | Aveanna Healthcare Holdings Inc. Quote Our proven model does not conclusively predict an earnings beat for the company this time around as well. The combination of a positive Earnings ESP and a Zacks Rank #1 (Strong Buy), 2 (Buy), or 3 (Hold) increases the odds of an earnings beat. That’s not the case here. AVAH has an Earnings ESP of 0.00% and carries a Zacks Rank #2. You can uncover the best stocks to buy or sell before they’re reported with our Earnings ESP Filter. You can see the complete list of today’s Zacks #1 Rank stocks here. The Zacks Consensus Estimate for revenues from the PDS segment indicates 9.1% year-over-year growth. AVAH is expected to have witnessed a 9.5% increase in hours, while the revenue rate is likely to have declined 0.4% from the year-ago level. Gross margin from the PDS segment is expected to have declined 8.5% year over year. Higher cost of revenues are also expected to have increased total expenses, partly offset by lower corporate expenses. These factors are likely to have weighed on the bottom line. The consensus estimate for the HHH unit’s revenues signals a 9.5% increase from the year-ago period. Unique patients served (UPS) are expected to have increased 3.9%, while the revenue rate is likely to have risen 2.5%. Gross margin from the segment is expected…Read full documentShow less
Aveanna Healthcare Holdings Inc. AVAH is set to report second-quarter 2026 results on Aug. 13, before the opening bell. The Zacks Consensus Estimate for the to-be-reported quarter’s earnings is currently pegged at 17 cents per share on revenues of $647.08 million. The second-quarter earnings estimate has witnessed one upward revision and no downward movement over the past 60 days. However, the bottom-line projection indicates a year-over-year decrease of 5.6%. But the Zacks Consensus Estimate for quarterly revenues suggests year-over-year growth of 9.8%. Image Source: Zacks Investment Research For full-year 2026, the Zacks Consensus Estimate for Aveanna Healthcare’s revenues is pegged at $2.65 billion, implying a rise of 8.8% year over year. The consensus mark for 2026 earnings per share is pegged at 73 cents, indicating a jump of 21.7% on a year-over-year basis. Aveanna Healthcare beat the consensus estimate for earnings in each of the trailing four quarters, with the average surprise being 129.4%, as you can see below. Aveanna Healthcare Holdings Inc. price-eps-surprise | Aveanna Healthcare Holdings Inc. Quote Our proven model does not conclusively predict an earnings beat for the company this time around as well. The combination of a positive Earnings ESP and a Zacks Rank #1 (Strong Buy), 2 (Buy), or 3 (Hold) increases the odds of an earnings beat. That’s not the case here. AVAH has an Earnings ESP of 0.00% and carries a Zacks Rank #2. You can uncover the best stocks to buy or sell before they’re reported with our Earnings ESP Filter. You can see the complete list of today’s Zacks #1 Rank stocks here. The Zacks Consensus Estimate for revenues from the PDS segment indicates 9.1% year-over-year growth. AVAH is expected to have witnessed a 9.5% increase in hours, while the revenue rate is likely to have declined 0.4% from the year-ago level. Gross margin from the PDS segment is expected to have declined 8.5% year over year. Higher cost of revenues are also expected to have increased total expenses, partly offset by lower corporate expenses. These factors are likely to have weighed on the bottom line. The consensus estimate for the HHH unit’s revenues signals a 9.5% increase from the year-ago period. Unique patients served (UPS) are expected to have increased 3.9%, while the revenue rate is likely to have risen 2.5%. Gross margin from the segment is expected to have increased 7.7%. Revenues from the MS segment are expected to have increased 6.5% year over year in the second quarter. Gross margin from the segment is also likely to have improved 5.1%. Companies in the broader Medical space, like Encompass Health Corporation EHC, The Ensign Group, Inc. ENSG and Universal Health Services, Inc. UHS, have already reported their results for the June quarter, and here’s how they have performed. Encompass Health reported second-quarter adjusted EPS of $1.55, which beat the Zacks Consensus Estimate by 4.7% and increased 10.7% year over year. Its results were primarily driven by strong growth in net patient revenue per discharge, supported by solid discharge volumes and contributions from capacity expansion. However, the upside was partly offset by EHC’s elevated operating expenses. Ensign reported second-quarter 2026 adjusted EPS of $1.92, which beat the Zacks Consensus Estimate by 6.7% and improved 20.8% year over year. ENSG’s strong results were driven by higher occupancy, improved patient days and contributions from acquired and transitioning facilities, along with growth in rental income. The positives were partly offset by higher expenses. Universal Health Services reported second-quarter 2026 adjusted EPS of $5.98, which beat the Zacks Consensus Estimate by 5.7%. The bottom line rose 10.1% year over year. The strong quarterly results were driven by healthy revenue growth across both the Acute Care and Behavioral Health segments. Higher adjusted admissions, increased patient days and improved unit revenues on a same-facility basis supported performance in both businesses. However, the upside was partly offset by UHS’ elevated operating costs. Want the latest recommendations from Zacks Investment Research? Today, you can download 7 Best Stocks for the Next 30 Days. Click to get this free report Aveanna Healthcare Holdings Inc. (AVAH) : Free Stock Analysis Report Universal Health Services, Inc. (UHS) : Free Stock Analysis Report The Ensign Group, Inc. (ENSG) : Free Stock Analysis Report Encompass Health Corporation (EHC) : Free Stock Analysis Report This article originally published on Zacks Investment Research (zacks.com). Zacks Investment Research
Investor releaseQuarter not tagged2026-08-05Is Universal Health Services (UHS) Undervalued After Its Buyback Completion And Q2 2026 Earnings?
Simply Wall St.
Is Universal Health Services (UHS) Undervalued After Its Buyback Completion And Q2 2026 Earnings?
Make better investment decisions with Simply Wall St's easy, visual tools that give you a competitive edge. Universal Health Services (UHS) is back in focus after the company completed a long running share repurchase program and released its second quarter 2026 earnings, prompting investors to reassess the stock. See our latest analysis for Universal Health Services. Over the past year Universal Health Services has delivered a 1 year total shareholder return of 2.36%, while the share price is down 23.65% year to date and recently traded at $167.87. This suggests recent momentum has been weak despite longer term gains. If this share repurchase and earnings update has you reviewing your healthcare exposure, it can also be a good moment to look at other opportunities in technology enabled care and 41 healthcare AI stocks Universal Health Services appears to be a solid operator with sizeable acute and behavioral health businesses and a long-running buyback now completed. After the recent share price slide and fresh earnings, is that strength already fully reflected in the valuation? Against the last close at $167.87, the most followed narrative pegs Universal Health Services at a higher fair value, built on very specific growth and margin assumptions. Read the complete narrative. Read the complete narrative. Want to see what sits behind that fair value gap? The narrative focuses on measured revenue growth, steady earnings and a leaner share count. It highlights which assumptions have the greatest impact on the model. Result: Fair Value of $205.24 (UNDERVALUED) Have a read of the narrative in full and understand what's behind the forecasts. However, Universal Health Services still faces meaningful risks around Medicaid policy changes and persistent workforce shortages, which could pressure margins and challenge this undervalued narrative. Find out about the key risks to this Universal Health Services narrative. With both risks and potential rewards in play for Universal Health Services, it makes sense to move quickly and test the assumptions against the latest data. To weigh those trade-offs in one place, review the 3 key rewards and 2 important warning signs If you are reassessing Universal Health Services today, do not stop there. Give yourself more options by lining up a few fresh ideas side by side. Zero in on value driven opportunities by scanning companies…Read full documentShow less
Make better investment decisions with Simply Wall St's easy, visual tools that give you a competitive edge. Universal Health Services (UHS) is back in focus after the company completed a long running share repurchase program and released its second quarter 2026 earnings, prompting investors to reassess the stock. See our latest analysis for Universal Health Services. Over the past year Universal Health Services has delivered a 1 year total shareholder return of 2.36%, while the share price is down 23.65% year to date and recently traded at $167.87. This suggests recent momentum has been weak despite longer term gains. If this share repurchase and earnings update has you reviewing your healthcare exposure, it can also be a good moment to look at other opportunities in technology enabled care and 41 healthcare AI stocks Universal Health Services appears to be a solid operator with sizeable acute and behavioral health businesses and a long-running buyback now completed. After the recent share price slide and fresh earnings, is that strength already fully reflected in the valuation? Against the last close at $167.87, the most followed narrative pegs Universal Health Services at a higher fair value, built on very specific growth and margin assumptions. Read the complete narrative. Read the complete narrative. Want to see what sits behind that fair value gap? The narrative focuses on measured revenue growth, steady earnings and a leaner share count. It highlights which assumptions have the greatest impact on the model. Result: Fair Value of $205.24 (UNDERVALUED) Have a read of the narrative in full and understand what's behind the forecasts. However, Universal Health Services still faces meaningful risks around Medicaid policy changes and persistent workforce shortages, which could pressure margins and challenge this undervalued narrative. Find out about the key risks to this Universal Health Services narrative. With both risks and potential rewards in play for Universal Health Services, it makes sense to move quickly and test the assumptions against the latest data. To weigh those trade-offs in one place, review the 3 key rewards and 2 important warning signs If you are reassessing Universal Health Services today, do not stop there. Give yourself more options by lining up a few fresh ideas side by side. Zero in on value driven opportunities by scanning companies that currently look mispriced using the 52 high quality undervalued stocks. Strengthen your income potential by reviewing companies with reliable cash flows through the 7 dividend fortresses. Sleep easier at night by focusing on businesses with healthier finances using the 82 resilient stocks with low risk scores. This article by Simply Wall St is general in nature. We provide commentary based on historical data and analyst forecasts only using an unbiased methodology and our articles are not intended to be financial advice. It does not constitute a recommendation to buy or sell any stock, and does not take account of your objectives, or your financial situation. We aim to bring you long-term focused analysis driven by fundamental data. Note that our analysis may not factor in the latest price-sensitive company announcements or qualitative material. Simply Wall St has no position in any stocks mentioned. Companies discussed in this article include UHS. Have feedback on this article? Concerned about the content? Get in touch with us directly. Alternatively, email [email protected]
Investor releaseQuarter not tagged2026-08-035 Revealing Analyst Questions From Universal Health Services’s Q2 Earnings Call
StockStory
5 Revealing Analyst Questions From Universal Health Services’s Q2 Earnings Call
Universal Health Services delivered an 8.3% year-over-year increase in revenue for Q2 2026, surpassing Wall Street’s revenue expectations. Management pointed to a rebound in both acute care and behavioral health volumes, supported by investments in expanding capacity and disciplined expense management. President and CEO Marc D. Miller highlighted the opening of new hospital beds and the Alan B. Miller Medical Center in Florida as bolstering demand response, and noted that professional and general liability reserves were increased during the quarter to reflect higher claim severity industry-wide. While acute care admissions and surgical volumes rebounded, CFO Steve G. Filton cautioned that same facility volume growth was slightly moderated to reflect observed trends, adding, “We are just trying to be practically reflective of our first half performance.” Is now the time to buy UHS? Find out in our full research report (it’s free). Revenue: $4.64 billion vs analyst estimates of $4.59 billion (8.3% year-on-year growth, 1.1% beat) Adjusted EPS: $5.98 vs analyst expectations of $6.01 (in line) Adjusted EBITDA: $684 million vs analyst estimates of $686.3 million (14.7% margin, in line) Adjusted EPS guidance for the full year is $22.97 at the midpoint, missing analyst estimates by 1.8% EBITDA guidance for the full year is $2.66 billion at the midpoint, below analyst estimates of $2.70 billion Operating Margin: 11.1%, in line with the same quarter last year Same-Store Sales rose 8.2% year on year (2% in the same quarter last year) Market Capitalization: $10.2 billion While we enjoy listening to the management’s commentary, our favorite part of earnings calls is the analyst questions. Those are unscripted and can often highlight topics that management teams would rather avoid or topics where the answer is complicated. Here is what has caught our attention. Ann Hynes (Mizuho): asked about the drivers behind acute care volume moderation. CFO Steve G. Filton explained that shifts toward alternate care settings like ambulatory surgery centers are impacting volume growth but emphasized continued satisfaction with overall volume trends. Andrew Mok (Barclays): questioned the drivers of expected EBITDA growth acceleration in the second half of the year. Filton highlighted the ramp-up of new bed additions, Cedar Hill hospital’s path to breakeven, and labor cost moderation as…Read full documentShow less
Universal Health Services delivered an 8.3% year-over-year increase in revenue for Q2 2026, surpassing Wall Street’s revenue expectations. Management pointed to a rebound in both acute care and behavioral health volumes, supported by investments in expanding capacity and disciplined expense management. President and CEO Marc D. Miller highlighted the opening of new hospital beds and the Alan B. Miller Medical Center in Florida as bolstering demand response, and noted that professional and general liability reserves were increased during the quarter to reflect higher claim severity industry-wide. While acute care admissions and surgical volumes rebounded, CFO Steve G. Filton cautioned that same facility volume growth was slightly moderated to reflect observed trends, adding, “We are just trying to be practically reflective of our first half performance.” Is now the time to buy UHS? Find out in our full research report (it’s free). Revenue: $4.64 billion vs analyst estimates of $4.59 billion (8.3% year-on-year growth, 1.1% beat) Adjusted EPS: $5.98 vs analyst expectations of $6.01 (in line) Adjusted EBITDA: $684 million vs analyst estimates of $686.3 million (14.7% margin, in line) Adjusted EPS guidance for the full year is $22.97 at the midpoint, missing analyst estimates by 1.8% EBITDA guidance for the full year is $2.66 billion at the midpoint, below analyst estimates of $2.70 billion Operating Margin: 11.1%, in line with the same quarter last year Same-Store Sales rose 8.2% year on year (2% in the same quarter last year) Market Capitalization: $10.2 billion While we enjoy listening to the management’s commentary, our favorite part of earnings calls is the analyst questions. Those are unscripted and can often highlight topics that management teams would rather avoid or topics where the answer is complicated. Here is what has caught our attention. Ann Hynes (Mizuho): asked about the drivers behind acute care volume moderation. CFO Steve G. Filton explained that shifts toward alternate care settings like ambulatory surgery centers are impacting volume growth but emphasized continued satisfaction with overall volume trends. Andrew Mok (Barclays): questioned the drivers of expected EBITDA growth acceleration in the second half of the year. Filton highlighted the ramp-up of new bed additions, Cedar Hill hospital’s path to breakeven, and labor cost moderation as key factors. Matthew Dale Gillmor (KeyBanc): asked about the future of the Florida DPP program and opportunities for other supplemental payments. Filton said future program impacts are uncertain and not included in current guidance, and that other state programs are unlikely to be material in the near term. Jason Cassorla (Guggenheim Partners): inquired about behavioral health volume growth and the impact of headcount expansion. Filton noted that outpatient growth has been slower than anticipated, with the Talkspace acquisition expected to accelerate this area after integration. AJ Rice (UBS): asked about the long-term impact of reductions in Medicaid supplemental payments under the One Big Beautiful Bill Act. Filton outlined steps to improve productivity, invest in technology, and focus on less Medicaid-dependent service lines to mitigate the impact. In the quarters ahead, our team will monitor (1) the ramp-up of newly added hospital beds and the Alan B. Miller Medical Center’s performance, (2) the pace and success of integrating Talkspace and expanding virtual behavioral health offerings, and (3) progress on expense controls and managing liability reserve increases. The durability of supplemental Medicaid funding and evolving payer mix trends will also be critical indicators. Universal Health Services currently trades at $168.50, up from $159.31 just before the earnings. Is there an opportunity in the stock? The answer lies in our full research report (it’s free for active Edge members). ALSO WORTH WATCHING: Top 5 Momentum Stocks. The best time to own a great stock is when the market is finally noticing it. These aren’t just high-quality businesses. Something is happening with them right now. Elite fundamentals meet near-term momentum — both boxes checked at the same time. Find out which stocks our AI platform is flagging this week. See this week’s Strong Momentum stocks — FREE. Get Our Strong Momentum Stocks for Free HERE. Stocks that have made our list include now familiar names such as Nvidia (+1,460% between June 2020 and June 2025) as well as under-the-radar businesses like the once-small-cap company Comfort Systems (+1,154% between June 2020 and June 2025). Find your next big winner with StockStory today.
Investor releaseQuarter not tagged2026-07-29Acadia Healthcare Q2 Earnings Beat Estimates on Higher Admissions
Zacks
Acadia Healthcare Q2 Earnings Beat Estimates on Higher Admissions
Acadia Healthcare Company, Inc. ACHC reported adjusted second-quarter earnings of 38 cents per share, which beat the Zacks Consensus Estimate by 15.2%. However, the bottom line declined 54% year over year. Total revenues declined 0.4% year over year to $865.8 million. The top line surpassed the Zacks Consensus Estimate by 2.5%. The better-than-expected quarterly results reflected strong patient demand, as admissions increased and same-facility patient days improved. Residential Treatment Facilities also delivered double-digit revenue growth. However, lower revenue per patient day, a shorter average length of stay and higher operating expenses weighed on profitability. Acadia Healthcare Company, Inc. price-consensus-eps-surprise-chart | Acadia Healthcare Company, Inc. Quote Acute Inpatient Psychiatric Facilities revenues totaled $494.6 million, which remained flat year over year but beat the Zacks Consensus Estimate by 4.3%. Specialty Treatment Facilities' revenues declined 8.4% year over year to $133.5 million. Comprehensive Treatment Facilities revenues amounted to $141.2 million, flat year over year. Residential Treatment Facilities revenues increased 11.6% to $96.5 million. Same-facility revenues of $856.4 million edged down 0.1% year over year but beat the Zacks Consensus Estimate by 3.6%. Patient days increased 0.8%, while revenue per patient day declined 0.8%. Admissions grew 6.4% year over year. The average length of stay decreased 5.3% year over year and missed the consensus estimate by 3.2%. Overall facility patient days remained flat year over year, while admissions increased 6.3%. Revenue per patient day declined 0.4% year over year, and the average length of stay decreased 5.9%. Total operating expenses increased 7.3% year over year to $727.6 million, primarily due to higher salaries, wages and benefits, professional fees, supplies and other operating expenses. Total adjusted EBITDA declined 26% year over year to $149.2 million. During the quarter, the company added 240 licensed beds from newly constructed facilities. Acadia Healthcare exited the second quarter with cash and cash equivalents of $171.3 million, which increased from the 2025-end level of $133.2 million. It had remaining borrowing capacity of $669.8 million under its $1 billion revolving credit facility at the end of the second quarter. Total assets of $5.5 billion increased 0.3% fr…Read full documentShow less
Acadia Healthcare Company, Inc. ACHC reported adjusted second-quarter earnings of 38 cents per share, which beat the Zacks Consensus Estimate by 15.2%. However, the bottom line declined 54% year over year. Total revenues declined 0.4% year over year to $865.8 million. The top line surpassed the Zacks Consensus Estimate by 2.5%. The better-than-expected quarterly results reflected strong patient demand, as admissions increased and same-facility patient days improved. Residential Treatment Facilities also delivered double-digit revenue growth. However, lower revenue per patient day, a shorter average length of stay and higher operating expenses weighed on profitability. Acadia Healthcare Company, Inc. price-consensus-eps-surprise-chart | Acadia Healthcare Company, Inc. Quote Acute Inpatient Psychiatric Facilities revenues totaled $494.6 million, which remained flat year over year but beat the Zacks Consensus Estimate by 4.3%. Specialty Treatment Facilities' revenues declined 8.4% year over year to $133.5 million. Comprehensive Treatment Facilities revenues amounted to $141.2 million, flat year over year. Residential Treatment Facilities revenues increased 11.6% to $96.5 million. Same-facility revenues of $856.4 million edged down 0.1% year over year but beat the Zacks Consensus Estimate by 3.6%. Patient days increased 0.8%, while revenue per patient day declined 0.8%. Admissions grew 6.4% year over year. The average length of stay decreased 5.3% year over year and missed the consensus estimate by 3.2%. Overall facility patient days remained flat year over year, while admissions increased 6.3%. Revenue per patient day declined 0.4% year over year, and the average length of stay decreased 5.9%. Total operating expenses increased 7.3% year over year to $727.6 million, primarily due to higher salaries, wages and benefits, professional fees, supplies and other operating expenses. Total adjusted EBITDA declined 26% year over year to $149.2 million. During the quarter, the company added 240 licensed beds from newly constructed facilities. Acadia Healthcare exited the second quarter with cash and cash equivalents of $171.3 million, which increased from the 2025-end level of $133.2 million. It had remaining borrowing capacity of $669.8 million under its $1 billion revolving credit facility at the end of the second quarter. Total assets of $5.5 billion increased 0.3% from the 2025-end figure. Long-term debt amounted to $2.4 billion, which declined from $2.5 billion as of Dec. 31, 2025. The current portion of long-term debt was $32.5 million. Total equity of $2 billion increased from the 2025-end level of $1.9 billion. Net cash provided by operating activities totaled $223.6 million in the first six months of 2026 compared with $145.0 million in the prior-year period. The company did not buy back shares in the second quarter of 2026. Acadia Healthcare updated its 2026 guidance. The company now expects revenues to be in the range of $3.40-$3.45 billion compared with the previous guidance of $3.37-$3.45 billion. Adjusted EBITDA is now projected to be in the band of $590-$615 million compared with the previous outlook of $580-$615 million. Adjusted EPS is now expected to be $1.45-$1.60 compared with the earlier guidance of $1.35-$1.60. Management also raised its operating cash flow forecast to $350-$400 million from $285-$325 million. Capital expenditures are now expected to be $235-$255 million, down from the prior guidance of $255-$280 million. Management previously guided for the addition of 400-600 licensed beds in 2026. Acadia Healthcare currently has a Zacks Rank #3 (Hold). You can see the complete list of today’s Zacks #1 Rank (Strong Buy) stocks here. Here are some stocks from the broader Medical space that have also reported their quarterly results: Tenet Healthcare Corporation THC, UnitedHealth Group Incorporated UNH and Universal Health Services, Inc. UHS. Here's how they have performed: Tenet Healthcare reported second-quarter 2026 adjusted earnings per share of $6.12, which surpassed the Zacks Consensus Estimate by 50%. The bottom line increased 52.2% year over year. THC’s net operating revenues advanced 6.8% year over year to $5.63 billion. The top line surpassed the consensus mark by 4.4%. The quarterly results were driven by strong same-facility revenue growth, higher patient acuity, disciplined expense management and higher Medicaid supplemental revenues. However, the gains were partly offset by an unfavorable payer mix due to lower exchange admissions. UnitedHealth Group reported second-quarter 2026 adjusted earnings per share of $6.38, which beat the Zacks Consensus Estimate of $4.94. The bottom line rose 56.4% year over year. Revenues rose 0.4% year over year to $112 billion. The top line beat the consensus mark by 1.7%. UNH’s strong quarterly results were aided by growth in commercial fee-based membership and the strength in Optum Insight. Medical cost management, pricing discipline and benefit design changes also contributed to the upside. However, weaker performance at Optum Health and Optum Rx, along with declining risk-based membership, partially offset these gains. Universal Health Services reported second-quarter 2026 adjusted earnings per share of $5.98, which beat the Zacks Consensus Estimate by 5.7%. The bottom line rose 10.1% year over year. Net revenues of $4.6 billion improved 8.3% year over year. The top line beat the consensus mark by 2.6%. UHS’ strong quarterly results were driven by healthy revenue growth across both the Acute Care and Behavioral Health segments. Higher adjusted admissions, increased patient days and improved unit revenues on a same-facility basis supported performance in both businesses. However, the upside was partly offset by elevated operating costs. Want the latest recommendations from Zacks Investment Research? Today, you can download 7 Best Stocks for the Next 30 Days. Click to get this free report Acadia Healthcare Company, Inc. (ACHC) : Free Stock Analysis Report UnitedHealth Group Incorporated (UNH) : Free Stock Analysis Report Universal Health Services, Inc. (UHS) : Free Stock Analysis Report Tenet Healthcare Corporation (THC) : Free Stock Analysis Report This article originally published on Zacks Investment Research (zacks.com). Zacks Investment Research
Investor releaseQuarter not tagged2026-07-28Universal Health Services Inc (UHS) Q2 2026 Earnings Call Highlights: Strong EPS Growth Amid ...
GuruFocus.com
Universal Health Services Inc (UHS) Q2 2026 Earnings Call Highlights: Strong EPS Growth Amid ...
This article first appeared on GuruFocus. Adjusted EPS: $5.98 for Q2 2026, 12% year-over-year growth. Adjusted EBITDA less NCI: $678 million for Q2 2026, 5% year-over-year growth. Same-Facility Acute Care Adjusted Admissions: Increased 2.9% compared to Q2 2025. Same-Facility Acute Care Net Revenue: Increased 8.2% in Q2 2026. Same-Facility Behavioral Health Net Revenue: Increased 7.4% in Q2 2026. Same-Facility Behavioral Health Adjusted Patient Days: Increased 1.4% compared to Q2 2025. Cash from Operating Activities: $44.3 million in Q2 2026, down from $549 million in Q2 2025. Capital Expenditures: $228 million in Q2 2026. Share Repurchase: $320 million in Q2 2026, acquiring 1.89 million shares. Total Debt: $4.85 billion as of June 30, 2026. Net Leverage: 1.8 times as of June 30, 2026. Warning! GuruFocus has detected 10 Warning Signs with HRI. Is UHS fairly valued? Test your thesis with our free DCF calculator. Release Date: July 28, 2026 For the complete transcript of the earnings call, please refer to the full earnings call transcript. Universal Health Services Inc (NYSE:UHS) reported a 12% year-over-year growth in adjusted EPS for Q2 2026. The company added 177 licensed beds across three hospitals, representing a 2.5% increase in bed capacity. UHS experienced a strong reception for the newly opened Alan B. Miller Medical Center in Palm Beach Gardens, Florida. The integration planning for the pending Talkspace acquisition is progressing well, expected to enhance UHS's outpatient market presence. UHS accelerated its share repurchase activity to $320 million in Q2 2026, reflecting confidence in its financial position and share value. Q2 adjusted EBITDA less NCI fell short of internal expectations due to higher professional and general liability reserves and slower ramp-up at new facilities. The San Antonio behavioral health facility is incurring operating losses due to the recertification process, impacting financial performance. UHS adjusted its full-year volume guidance downward for both Acute Care and Behavioral Health segments due to lower-than-expected growth. The company is facing increased professional and general liability expenses, reflecting industry-wide trends of higher claim severity. Exchange volumes declined approximately 15% compared to Q2 2025, leading to an increase in self-pay volumes and impacting financial projections. Q: My question is f…Read full documentShow less
This article first appeared on GuruFocus. Adjusted EPS: $5.98 for Q2 2026, 12% year-over-year growth. Adjusted EBITDA less NCI: $678 million for Q2 2026, 5% year-over-year growth. Same-Facility Acute Care Adjusted Admissions: Increased 2.9% compared to Q2 2025. Same-Facility Acute Care Net Revenue: Increased 8.2% in Q2 2026. Same-Facility Behavioral Health Net Revenue: Increased 7.4% in Q2 2026. Same-Facility Behavioral Health Adjusted Patient Days: Increased 1.4% compared to Q2 2025. Cash from Operating Activities: $44.3 million in Q2 2026, down from $549 million in Q2 2025. Capital Expenditures: $228 million in Q2 2026. Share Repurchase: $320 million in Q2 2026, acquiring 1.89 million shares. Total Debt: $4.85 billion as of June 30, 2026. Net Leverage: 1.8 times as of June 30, 2026. Warning! GuruFocus has detected 10 Warning Signs with HRI. Is UHS fairly valued? Test your thesis with our free DCF calculator. Release Date: July 28, 2026 For the complete transcript of the earnings call, please refer to the full earnings call transcript. Universal Health Services Inc (NYSE:UHS) reported a 12% year-over-year growth in adjusted EPS for Q2 2026. The company added 177 licensed beds across three hospitals, representing a 2.5% increase in bed capacity. UHS experienced a strong reception for the newly opened Alan B. Miller Medical Center in Palm Beach Gardens, Florida. The integration planning for the pending Talkspace acquisition is progressing well, expected to enhance UHS's outpatient market presence. UHS accelerated its share repurchase activity to $320 million in Q2 2026, reflecting confidence in its financial position and share value. Q2 adjusted EBITDA less NCI fell short of internal expectations due to higher professional and general liability reserves and slower ramp-up at new facilities. The San Antonio behavioral health facility is incurring operating losses due to the recertification process, impacting financial performance. UHS adjusted its full-year volume guidance downward for both Acute Care and Behavioral Health segments due to lower-than-expected growth. The company is facing increased professional and general liability expenses, reflecting industry-wide trends of higher claim severity. Exchange volumes declined approximately 15% compared to Q2 2025, leading to an increase in self-pay volumes and impacting financial projections. Q: My question is focused on your Acute Care volume change. Is that non-ACA-related, meaning you're seeing some pressure just in your base business? And if that's the case, can you provide a little bit more detail on what you think is happening? A: Yes. As we said, we're trying to be reflective of our first half performance. Acute Care volumes trended in the 2% adjusted admission range for the first half. We're seeing a continued shift of certain elective and outpatient procedures into alternate site settings, such as ASCs and freestanding imaging. However, we're pleased with our Acute Care volume growth and surgical volumes in Q2, which rebounded. We slightly lowered the midpoint of our admission growth for the back half of the year to be respectful of the first half performance. Q: When we contemplate all the puts and takes to the guidance revision for this year, it looks like underlying EBITDA growth accelerates several hundred basis points in the back half. Can you walk us through the drivers of that back half acceleration? A: We identified several positive developments for the second half. We added 177 beds across three markets in our acute facilities, representing a 2.5% increase in bed capacity. Cedar Hill is expected to reach breakeven, providing a positive swing. In Behavioral Health, head count and labor cost growth are expected to moderate. Additionally, we anticipate more normal growth trends in Nevada, particularly in the fourth quarter, which had softer trends last year. Q: For the Florida DPP program, I heard that you booked the 2025 portion in the second quarter. If this program is renewed for fiscal 2026, would the sizing of the 2026 program be about the same? Are there more opportunities with DPP to be recognized during 2026? A: We're not certain about the impact of the 2026 approved program, which is why we haven't recorded any benefit in 2026 or included it in our guidance. If approved, we will record it. Other states are contemplating new or expanded programs, but none are expected to be material or included in our guidance. Q: Can you discuss behavioral volumes, particularly after the head count increases you've had over the past few quarters? Is there anything changing on the demand front? A: The 1% to 2% change in our estimated volume range is consistent with recent quarters. We anticipated slightly higher growth based on outpatient demand, but outpatient is growing at about the same rate as inpatient. We've added head count to accommodate more outpatient capacity, but it's growing slower than expected. The Talkspace acquisition is expected to accelerate outpatient growth by providing a virtual option for outpatient care. Q: Can you talk about the emergent versus elective surgeries that you saw in Q2 and split out between inpatient and outpatient? What do you think the demand setup is for that in the back half of the year? A: We don't necessarily track elective versus nonelective surgeries. Overall surgical volume was down 0.8% in the quarter, with an increase in inpatient surgeries and a slight decline in outpatient surgeries. We've been focused on investing in revenue-producing equipment, which seems to have a positive impact. We continue to invest in ambulatory surgery centers and expand our outpatient surgical capacity. Q: Sounds like you had fairly strong same-store ED volumes, but a little less growth in inpatient admissions and surgical procedures. Anything in particular driving that slightly lower ED conversion to inpatient rate? A: This is not a new phenomenon. Many patients use hospital ERs as their primary care doctors, leading to visits that are not traditionally emergent. While we continue to see acutely ill patients in our ERs, we also see patients coming for what are traditionally more like PCP visits. Q: You gave some comments about your payer mix. Are you seeing any meaningful shift in your uncompensated care burden? A: The decline in exchange volumes was offset almost on a direct one-for-one basis by an increase in self-pay volumes. We assumed a small percentage of those losing exchange coverage would replace it with other commercial coverage, but that didn't seem to be true. This phenomenon led to a $10 million increase in our exchange impact projection. Q: Can you give a little more color on Cedar Hill? What are the drags, and how does that affect the ramp for the 177 new beds you talked about adding? A: Cedar Hill was built in an underserved area with significant demand, but it lacks an established physician base. We're building up the physician component, and we expect the facility to reach breakeven by the end of the year. The 177 new beds added at existing facilities with demonstrated demand will ramp up much faster. For the complete transcript of the earnings call, please refer to the full earnings call transcript.
Investor releaseQuarter not tagged2026-07-28Universal Health Services, Inc. Q2 2026 Earnings Call Summary
Moby
Universal Health Services, Inc. Q2 2026 Earnings Call Summary
Our analysts just identified a stock with the potential to be the next Nvidia. Tell us how you invest and we'll show you why it's our #1 pick. Tap here. Acute care volumes rebounded in Q2 with broad-based geographic growth, though surgical volumes remained slightly muted due to shifts toward alternate site settings. Management attributed a shortfall in internal EBITDA expectations to higher professional liability reserves and operational challenges at specific facilities in D.C. and Texas. The company added 177 licensed beds across three hospitals, representing a 2.5% increase in same-facility capacity to meet strong regional demand. Behavioral health performance was supported by consistent volume trends and improved labor management, with headcount growth moderating to 2%. Strategic focus remains on building an end-to-end behavioral health continuum, highlighted by the pending Talkspace acquisition to accelerate virtual outpatient presence. A significant $100 million out-of-period benefit from the Florida DPP program provided a one-time boost not originally included in the annual outlook. Management accelerated share repurchases to $320 million in Q2, citing a share price dislocation as a compelling opportunity to deploy capital. Full-year EBITDA guidance was lowered by $50 million at the midpoint to reflect higher liability reserves and slower-than-expected ramps at de novo facilities. Volume guidance for both segments was fine-tuned downward by 50-100 basis points to align with year-to-date trends while maintaining a healthy demand outlook. The Cedar Hill facility in D.C. is now expected to reach breakeven in Q4 2026, a delay from previous assumptions of positive second-half earnings. Management anticipates a $50 million impact from the San Antonio behavioral facility, which will operate at a loss until recertification is achieved in 2027. Guidance assumes a $150 million increase in Medicaid supplemental funding, partially offsetting $200 million in adverse operational items. Professional and general liability expense estimates were increased by $50 million for the year due to industry-wide trends in claim severity. The San Antonio behavioral hospital stopped receiving reimbursement in April 2026; it will incur $5 million to $10 million in quarterly losses until recertified. Health insurance exchange volumes declined 15%, with management noting a near one…Read full documentShow less
Our analysts just identified a stock with the potential to be the next Nvidia. Tell us how you invest and we'll show you why it's our #1 pick. Tap here. Acute care volumes rebounded in Q2 with broad-based geographic growth, though surgical volumes remained slightly muted due to shifts toward alternate site settings. Management attributed a shortfall in internal EBITDA expectations to higher professional liability reserves and operational challenges at specific facilities in D.C. and Texas. The company added 177 licensed beds across three hospitals, representing a 2.5% increase in same-facility capacity to meet strong regional demand. Behavioral health performance was supported by consistent volume trends and improved labor management, with headcount growth moderating to 2%. Strategic focus remains on building an end-to-end behavioral health continuum, highlighted by the pending Talkspace acquisition to accelerate virtual outpatient presence. A significant $100 million out-of-period benefit from the Florida DPP program provided a one-time boost not originally included in the annual outlook. Management accelerated share repurchases to $320 million in Q2, citing a share price dislocation as a compelling opportunity to deploy capital. Full-year EBITDA guidance was lowered by $50 million at the midpoint to reflect higher liability reserves and slower-than-expected ramps at de novo facilities. Volume guidance for both segments was fine-tuned downward by 50-100 basis points to align with year-to-date trends while maintaining a healthy demand outlook. The Cedar Hill facility in D.C. is now expected to reach breakeven in Q4 2026, a delay from previous assumptions of positive second-half earnings. Management anticipates a $50 million impact from the San Antonio behavioral facility, which will operate at a loss until recertification is achieved in 2027. Guidance assumes a $150 million increase in Medicaid supplemental funding, partially offsetting $200 million in adverse operational items. Professional and general liability expense estimates were increased by $50 million for the year due to industry-wide trends in claim severity. The San Antonio behavioral hospital stopped receiving reimbursement in April 2026; it will incur $5 million to $10 million in quarterly losses until recertified. Health insurance exchange volumes declined 15%, with management noting a near one-for-one shift from exchange coverage to self-pay/uninsured status. The company is proactively managing exposure to 2028 Medicaid reimbursement reductions (OBBBA) by shifting toward Medicare-centric outpatient services. One stock. Nvidia-level potential. 30M+ investors trust Moby to find it first. Get the pick. Tap here. Growth will be driven by the ramp-up of 177 new beds added in Q2 and the expected breakeven of the Cedar Hill facility by year-end. Management expects continued moderation in labor cost growth and more favorable year-over-year comparisons in the Nevada market. Talkspace addresses geographic and therapist capacity limitations that previously hindered the 'step-down' business from inpatient to outpatient care. The acquisition provides access to over 6,000 virtual therapists, allowing UHS to capture demand where patients prefer virtual alternatives. UHS is seeing inflationary pressures of 7% to 9% in professional fees for hospital-based physicians like anesthesiologists and radiologists. The company is mitigating these costs by reducing reliance on expensive locums coverage and putting certain physician contracts out to bid. Management is investing in AI and revenue cycle technology to improve productivity ahead of scheduled 2028 reimbursement ratchets. Strategic emphasis is shifting toward service lines that are less Medicaid-centric to diversify the payer mix.
Investor releaseQuarter not tagged2026-07-28UHS Beats Q2 Earnings and Revenue Estimates Despite Cost Pressures
Zacks
UHS Beats Q2 Earnings and Revenue Estimates Despite Cost Pressures
Universal Health Services, Inc. UHS reported second-quarter 2026 adjusted earnings per share (EPS) of $5.98, which beat the Zacks Consensus Estimate by 5.7%. The bottom line rose 10.1% year over year. Net revenues of $4.6 billion improved 8.3% year over year. The top line beat the consensus mark by 2.6%. The strong quarterly results were driven by healthy revenue growth across both the Acute Care and Behavioral Health segments. Higher adjusted admissions, increased patient days and improved unit revenues on a same-facility basis supported performance in both businesses. However, the upside was partly offset by elevated operating costs. Universal Health Services, Inc. price-consensus-eps-surprise-chart | Universal Health Services, Inc. Quote Adjusted EBITDA, net of NCI, rose 5.4% year over year to $677.9 million, and beat our estimate of $647.5 million. Total operating costs were $4.1 billion, which escalated 8.9% year over year due to higher salaries, wages and benefits, supplies expense, and other operating expenses. The metric came slightly higher than our estimate of $4 billion. On a same-facility basis, UHS' acute care business delivered solid volume and higher unit revenues in the second quarter of 2026. Adjusted admissions (adjusted for outpatient activity) increased 2.9% year over year, while adjusted patient days grew 3.1%. Net revenue per adjusted admission increased 3.0%, and net revenue per adjusted patient day rose 2.8%. Net revenues from Universal Health's acute care services increased 8.2% on a same-facility basis. Behavioral health care also posted solid same-facility revenue growth, supported by modest volume gains and higher unit revenues. Adjusted admissions inched up 0.5% on a same-facility basis, while adjusted patient days increased 1.4%. Net revenue per adjusted admission improved 7.1%, and net revenue per adjusted patient day increased 6.1%. Net revenues from UHS' behavioral health care services grew 7.4% on a same-facility basis. Universal Health exited the second quarter with cash and cash equivalents of $138.8 million, which improved from the 2025-end level of $137.8 million. As part of its $1.5 billion revolving credit facility, net of outstanding borrowings and letters of credit, UHS had approximately $1.3 billion of available borrowing capacity at the end of the second quarter. Total assets of $15.9 billion increased from the 202…Read full documentShow less
Universal Health Services, Inc. UHS reported second-quarter 2026 adjusted earnings per share (EPS) of $5.98, which beat the Zacks Consensus Estimate by 5.7%. The bottom line rose 10.1% year over year. Net revenues of $4.6 billion improved 8.3% year over year. The top line beat the consensus mark by 2.6%. The strong quarterly results were driven by healthy revenue growth across both the Acute Care and Behavioral Health segments. Higher adjusted admissions, increased patient days and improved unit revenues on a same-facility basis supported performance in both businesses. However, the upside was partly offset by elevated operating costs. Universal Health Services, Inc. price-consensus-eps-surprise-chart | Universal Health Services, Inc. Quote Adjusted EBITDA, net of NCI, rose 5.4% year over year to $677.9 million, and beat our estimate of $647.5 million. Total operating costs were $4.1 billion, which escalated 8.9% year over year due to higher salaries, wages and benefits, supplies expense, and other operating expenses. The metric came slightly higher than our estimate of $4 billion. On a same-facility basis, UHS' acute care business delivered solid volume and higher unit revenues in the second quarter of 2026. Adjusted admissions (adjusted for outpatient activity) increased 2.9% year over year, while adjusted patient days grew 3.1%. Net revenue per adjusted admission increased 3.0%, and net revenue per adjusted patient day rose 2.8%. Net revenues from Universal Health's acute care services increased 8.2% on a same-facility basis. Behavioral health care also posted solid same-facility revenue growth, supported by modest volume gains and higher unit revenues. Adjusted admissions inched up 0.5% on a same-facility basis, while adjusted patient days increased 1.4%. Net revenue per adjusted admission improved 7.1%, and net revenue per adjusted patient day increased 6.1%. Net revenues from UHS' behavioral health care services grew 7.4% on a same-facility basis. Universal Health exited the second quarter with cash and cash equivalents of $138.8 million, which improved from the 2025-end level of $137.8 million. As part of its $1.5 billion revolving credit facility, net of outstanding borrowings and letters of credit, UHS had approximately $1.3 billion of available borrowing capacity at the end of the second quarter. Total assets of $15.9 billion increased from the 2025-end figure of $15.5 billion. Long-term debt amounted to $4.1 billion, which increased from $4 billion as of 2025-end. Current maturities of long-term debt totaled $771.9 million. Total equity of $7.6 billion advanced from the 2025-end figure of $7.3 billion. UHS generated operating cash flow of $844.9 million in the first six months of 2026, down 7.1% from the year-ago period’s level. Universal Health repurchased shares worth approximately $320.3 million during the second quarter of 2026. The remaining authorization under its share repurchase program was approximately $977.6 million as of June 30, 2026. Management now expects net revenues of $18.501-$18.762 billion compared with the earlier guidance of $18.417-$18.789 billion. The midpoint of the revised guidance implies 7.3% growth from the 2025 figure of $17.365 billion. Adjusted EBITDA, net of NCI, is now projected to be in the range of $2.610-$2.717 billion, down from the previous forecast of $2.641-$2.789 billion. The midpoint of the revised range indicates 2.8% growth from the 2025 level of $2.59 billion. Adjusted EPS is now expected to be in the band of $22.28-$23.65 compared with the prior outlook of $22.64-$24.52. The midpoint suggests 5.6% growth from the 2025 figure of $21.74. Capital expenditures are still expected to be between $950 million and $1.1 billion, on par with the previous guidance. UHS currently has a Zacks Rank #4 (Sell). You can see the complete list of today’s Zacks #1 Rank (Strong Buy) stocks here. Here are some stocks from the broader Medical space that have also reported their quarterly results: Tenet Healthcare Corporation THC, Elevance Health, Inc. ELV and UnitedHealth Group Incorporated UNH. Here's how they have performed: Tenet Healthcare reported second-quarter 2026 adjusted earnings per share of $6.12, which surpassed the Zacks Consensus Estimate by 50%. The bottom line increased 52.2% year over year. THC’s net operating revenues advanced 6.8% year over year to $5.63 billion. The top line surpassed the consensus mark by 4.4%. The quarterly results were driven by strong same-facility revenue growth, higher patient acuity, disciplined expense management and higher Medicaid supplemental revenues. However, the gains were partly offset by an unfavorable payer mix due to lower exchange admissions. Elevance Health reported second-quarter 2026 adjusted earnings per share of $7.45, which surpassed the Zacks Consensus Estimate by 20.6%. However, the bottom line declined 15.7% year over year. Operating revenues advanced 0.8% year over year to $49.8 billion. The top line beat the consensus mark by 2.9%. ELV’s quarterly results were primarily driven by higher premium yields in the Health Benefits segment and increased CarelonRx product revenues. The gains were partly offset by a decline in overall medical membership and higher operating expenses. UnitedHealth Group reported second-quarter 2026 adjusted earnings per share of $6.38, which beat the Zacks Consensus Estimate of $4.94. The bottom line rose 56.4% year over year. Revenues rose 0.4% year over year to $112 billion. The top line beat the consensus mark by 1.7%. UNH’s strong quarterly results were aided by growth in commercial fee-based membership and the strength in Optum Insight. Medical cost management, pricing discipline and benefit design changes also contributed to the upside. However, weaker performance at Optum Health and Optum Rx, along with declining risk-based membership, partially offset these gains. Want the latest recommendations from Zacks Investment Research? Today, you can download 7 Best Stocks for the Next 30 Days. Click to get this free report Universal Health Services, Inc. (UHS) : Free Stock Analysis Report UnitedHealth Group Incorporated (UNH) : Free Stock Analysis Report Tenet Healthcare Corporation (THC) : Free Stock Analysis Report Elevance Health, Inc. (ELV) : Free Stock Analysis Report This article originally published on Zacks Investment Research (zacks.com). Zacks Investment Research
Investor releaseQuarter not tagged2026-07-28Universal Health Services Q2 Earnings Call Highlights
MarketBeat
Universal Health Services Q2 Earnings Call Highlights
Interested in Universal Health Services, Inc.? Here are five stocks we like better. UHS reported solid second-quarter results, with adjusted EPS up 12% to $5.98 and adjusted EBITDA rising 5% to $678 million, helped by a $100 million Florida Medicaid payment benefit. Excluding that benefit, results missed internal expectations due to liability reserves, Texas facility costs and a slower Cedar Hill ramp-up. Acute-care admissions increased 2.9% and behavioral-health revenue rose 7.4%, but UHS lowered its full-year volume-growth outlook for both segments as elective procedures shift to alternate settings and outpatient behavioral demand remains moderate. The company also expects to complete its Talkspace acquisition in mid-August. UHS reduced its 2026 adjusted EBITDA guidance to $2.61 billion-$2.72 billion, despite higher anticipated Medicaid supplemental funding, because of roughly $200 million in adverse items. The company repurchased $320 million of stock during the quarter and expects to meet or exceed its $800 million-$900 million 2026 buyback target. 3 Oversold Healthcare Stocks to Buy After Jobs Data Universal Health Services (NYSE:UHS) reported second-quarter adjusted earnings per share of $5.98, up 12% from a year earlier, while adjusted EBITDA less noncontrolling interests rose 5% to $678 million. The company said results benefited from a $100 million out-of-period Florida directed payment program benefit that had not been included in its original outlook. Excluding that Florida benefit, Chief Financial Officer Steve Filton said quarterly adjusted EBITDA fell short of internal expectations, citing approximately $63 million in costs and operational pressures. Those items included $28 million of higher professional and general liability reserves, about $20 million related to a Texas behavioral health facility undergoing recertification, and roughly $15 million from a slower-than-expected ramp at Cedar Hill Regional Medical Center GW Health in Washington, D.C. → Volatility Is Back and These 3 Market Tollbooths Are Best Positioned to Profit HCA Healthcare: Temporary Setbacks, Long-Term Strength Same-facility adjusted admissions in the acute-care business increased 2.9% year over year during the second quarter, improving from first-quarter trends and reflecting broad-based geographic gains. Emergency department visits rose 4%, while surgeries declined 0.8%,…Read full documentShow less
Interested in Universal Health Services, Inc.? Here are five stocks we like better. UHS reported solid second-quarter results, with adjusted EPS up 12% to $5.98 and adjusted EBITDA rising 5% to $678 million, helped by a $100 million Florida Medicaid payment benefit. Excluding that benefit, results missed internal expectations due to liability reserves, Texas facility costs and a slower Cedar Hill ramp-up. Acute-care admissions increased 2.9% and behavioral-health revenue rose 7.4%, but UHS lowered its full-year volume-growth outlook for both segments as elective procedures shift to alternate settings and outpatient behavioral demand remains moderate. The company also expects to complete its Talkspace acquisition in mid-August. UHS reduced its 2026 adjusted EBITDA guidance to $2.61 billion-$2.72 billion, despite higher anticipated Medicaid supplemental funding, because of roughly $200 million in adverse items. The company repurchased $320 million of stock during the quarter and expects to meet or exceed its $800 million-$900 million 2026 buyback target. 3 Oversold Healthcare Stocks to Buy After Jobs Data Universal Health Services (NYSE:UHS) reported second-quarter adjusted earnings per share of $5.98, up 12% from a year earlier, while adjusted EBITDA less noncontrolling interests rose 5% to $678 million. The company said results benefited from a $100 million out-of-period Florida directed payment program benefit that had not been included in its original outlook. Excluding that Florida benefit, Chief Financial Officer Steve Filton said quarterly adjusted EBITDA fell short of internal expectations, citing approximately $63 million in costs and operational pressures. Those items included $28 million of higher professional and general liability reserves, about $20 million related to a Texas behavioral health facility undergoing recertification, and roughly $15 million from a slower-than-expected ramp at Cedar Hill Regional Medical Center GW Health in Washington, D.C. → Volatility Is Back and These 3 Market Tollbooths Are Best Positioned to Profit HCA Healthcare: Temporary Setbacks, Long-Term Strength Same-facility adjusted admissions in the acute-care business increased 2.9% year over year during the second quarter, improving from first-quarter trends and reflecting broad-based geographic gains. Emergency department visits rose 4%, while surgeries declined 0.8%, although Filton said surgical trends improved modestly from recent quarters. The company reported growth in higher-acuity inpatient service lines including urology, neurology and cardiology. Payer mix continued to favor Medicare and managed Medicare, with modest managed-care volume growth excluding exchange coverage and slightly lower Medicaid volumes. → This Tiny AI Supplier Could Be More Important Than the Chipmakers Tenet Healthcare Stock Sees Strong Gains from Acute Care Boom However, UHS reduced its full-year same-facility acute-care adjusted-admission growth outlook to 1.5% to 2.5%, from its earlier 2% to 3% range. Filton said the revision reflected first-half performance, as certain elective and outpatient procedures continue to shift to alternate care settings such as ambulatory surgery centers and freestanding imaging facilities. Same-facility acute-care revenue increased 8.2%, or 5.9% excluding the company’s health plan. Revenue per adjusted admission rose 3.0% on a reported basis and 2.7% after excluding out-of-period Medicaid supplemental benefits. Labor costs per adjusted admission increased 2.7%, while supply expense per adjusted admission declined 2.5%. Contract labor represented 2.5% of acute-care revenue, down 20 basis points from the prior year. → 2 Stocks Built to Thrive If Inflation Refuses to Fade President and CEO Marc Miller said UHS added 177 licensed beds at three acute-care hospitals during the quarter, representing a 2.5% increase in same-facility bed capacity. The company also opened the Alan B. Miller Medical Center in Palm Beach Gardens, Florida, in May and received Joint Commission accreditation for the de novo hospital in July. In behavioral health, same-facility net revenue increased 7.4%, supported by a 6.1% increase in revenue per adjusted patient day and a 1.4% increase in adjusted patient days. Same-facility segment EBITDA rose 9.0%, or 5.7% excluding the net benefit from out-of-period supplemental payments. UHS narrowed its behavioral-health volume outlook to growth of 1% to 2% for the full year, compared with its prior 2% to 3% expectation. Filton said outpatient demand has been growing at roughly the same pace as inpatient demand, rather than at the faster rate the company had anticipated. The company expects to complete its acquisition of Talkspace in mid-August. Miller said the transaction is intended to expand UHS’s outpatient behavioral-health presence through national virtual services, complementing its inpatient, residential and in-person outpatient offerings. Filton said Talkspace’s network of more than 6,000 therapists could help UHS provide follow-up care to patients discharged from inpatient facilities, including patients who live far from a UHS location or lack local therapist access. UHS also continues to work toward recertification of its San Antonio behavioral health facility. The company stopped receiving reimbursement from government and managed-care payers at the end of April and does not expect reimbursement to resume until certification is regained, which it anticipates in 2027. The facility generated approximately $10 million in pretax losses during the second quarter, including staff severance costs, and UHS expects losses of $5 million to $10 million per quarter for the remainder of 2026. UHS now forecasts approximately 7% revenue growth, 3% adjusted EBITDA less noncontrolling interests growth and 6% adjusted EPS growth at the midpoint for 2026. Its updated adjusted EBITDA less noncontrolling interests guidance range is $2.61 billion to $2.72 billion, representing a reduction of about $50 million at the midpoint from the prior outlook. The revised forecast includes an estimated $150 million increase in net Medicaid supplemental funding for the year, including the $100 million Florida benefit recognized in the second quarter and an anticipated $25 million Texas ATLAS program benefit in the third quarter. That benefit is offset by approximately $200 million in adverse items that were not initially contemplated. Approximately $50 million of impact from the Texas behavioral health facility, including lost budgeted earnings and expected operating losses. A $50 million reduction in the expected year-over-year benefit from Cedar Hill, which is now projected to reach breakeven in the fourth quarter rather than earlier in the year. A $50 million increase in full-year professional and general liability expense, reflecting higher claim severity identified through a third-party actuarial review. Approximately $50 million of impact from lower volume assumptions in both operating segments. Exchange volumes declined about 15% from the prior-year quarter, producing an estimated $20 million second-quarter impact. UHS now expects the full-year pretax effect from exchange trends to be approximately $85 million, in the upper half of its original guidance range. Filton said the decline in exchange enrollment was nearly offset one-for-one by increased self-pay volume. Cash generated from operating activities totaled $44.3 million in the second quarter, compared with $549 million a year earlier. Capital expenditures were $228 million, reflecting the Florida hospital opening and capacity expansions. UHS repurchased 1.89 million shares for $320 million during the quarter, up from $127 million in the first quarter. As of June 30, the company had $978 million remaining under its repurchase authorization. Miller said the company views its recent share-price weakness as an opportunity to retire shares, and Filton said UHS expects to meet or exceed its initial plan to repurchase $800 million to $900 million of stock during 2026. The company ended the quarter with $139 million in cash, $4.85 billion in total debt and net leverage of 1.8 times. It also had $1.27 billion of additional borrowing capacity available under its revolving credit facility. Universal Health Services, Inc (NYSE: UHS) is one of the largest diversified health care management companies in the United States, offering a broad spectrum of services through its acute care hospital and behavioral health segments. The company operates general acute care hospitals, surgical hospitals and ambulatory centers, as well as inpatient and outpatient behavioral health facilities. Its network provides emergency and specialized medicine, diagnostic imaging, laboratory services, advanced surgical care and rehabilitation, complemented by a comprehensive array of behavioral services including psychiatric treatment, addiction programs and developmental disabilities care. In the acute care segment, UHS's facilities deliver services ranging from emergency department treatment and intensive care to maternity care and outpatient surgery. 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TranscriptFY2026 Q22026-07-28FY2026 Q2 earnings call transcript
Earnings source - 97 paragraphs
FY2026 Q2 earnings call transcript
Good day. Thank you for standing by. Welcome to the Q2 2026 Universal Health Services Earnings Conference Call. At this time, all participants are in a listen only mode. After the speaker's presentation, there'll be a question and answer session. To ask a question during the session, you'll need to press star one one on your telephone. You will then hear an automated message advising your hand is raised. To withdraw your question, please press star one one again. Please be advised that today's conference is being recorded. I would now like to turn the conference over to your speaker for today, Darren Lehrich. Please go ahead.
Thank you. Good morning. Welcome to Universal Health Services Q2 2026 Earnings Conference Call. I'm Darren Lehrich, Vice President of Investor Relations. With me this morning are our President and CEO, Marc Miller, and our Chief Financial Officer, Steve Filton. Marc and Steve will provide some prepared remarks. Then we will open it up for Q&A. During today's conference call, we will be using words such as believes, expects, anticipates, estimates, and similar words that represent forecasts, projections, and forward-looking statements. For anyone not familiar with the risks and uncertainties inherent in these forward-looking statements, we recommend a careful reading of the section on risk factors and forward-looking statements and risk factors Form 10-K for the year ended December 31st, 2025, and our Form 10-Q for the quarter ended March 31st, 2026.
In addition, we may reference during today's call measures such as EBITDA, adjusted EBITDA, adjusted EBITDA net of NCI, and adjusted net income attributable to UHS, which are non-GAAP financial measures. Information and reconciliations of these non-GAAP financial measures to net income attributable to UHS can be found in yesterday's press release and our supplemental materials on our website. With that, let me now turn it over to Marc for some introductory remarks.
Thanks, Darren. Good morning. Thank you for joining today's call. I'm pleased to share some operational and strategic highlights from the Q2 before Steve discusses financial highlights. Overall, our Q2 of 2026 featured a rebound in acute care volumes, behavioral health volumes that were consistent with recent trends, continued expense management, and exchange trends that progressed in line with our expectations. During the quarter, we also benefit from the approval of the Florida DPP program for 2025, which was not contemplated in our original outlook. From an operational perspective, I want to highlight the investments we are making to expand capacity in the communities that we serve.
We continue to see favorable demand trends across our markets, supporting confidence in the long-term need for capacity in both inpatient and outpatient service lines in our acute care and behavioral health segments, allowing us to extend our footprint with access points that are convenient to our patients and help further align us with physician stakeholders. In acute care, we added 177 licensed beds in three hospitals during the Q2. These new beds represent a 2.5% increase to our same facility bed capacity and position us to respond to strong demand in these communities. In May, we officially opened the Alan B. Miller Medical Center in Palm Beach Gardens, Florida, and we are very pleased to have achieved Joint Commission accreditation for this de novo hospital in July, reflecting sound execution by our local team.
We've experienced a strong reception from the Palm Beach Gardens community and are excited to serve this fast-growing area of Florida with the newest and one of the most advanced medical campuses in the region. Within our behavioral health segments, we continue to make strong progress in our integration planning for the pending Talkspace acquisition, which we expect to close in mid-August of this year. Talkspace represents not only a unique opportunity for us to accelerate our presence in the outpatient market, but also creates the nation's first end-to-end continuum of behavioral healthcare services from acute inpatient and residential services, inpatient, in-person outpatient care, and soon with Talkspace, virtual services nationally.
As Steve will detail shortly, we've increased our professional and general liability reserves and now assume higher anticipated operating losses at our de novo hospital in Washington, D.C., as well as San Antonio, Texas Behavioral Hospital that we are in the process of recertifying in order to reestablish much needed mental health services capacity in that region of Texas. Accountability and delivery of high quality care are at the core of our purpose. We are deeply committed to excellence and to addressing any instances that fall short. Overall, the broad portfolio continues to perform well operationally and clinically. We have a 46-year track record of strong quality and safety performance across both our behavioral health and acute care divisions.
Before passing it over to Steve, I want to make a brief comment about our share repurchase activity during the Q2, which accelerated to $320 million as compared to $127 million in the Q1 of 2026. The recent dislocation in our share price represents a compelling opportunity to deploy capital and retire UHS shares at heavily discounted levels. Given the strength of our balance sheet and the confidence we have in our ability to generate cash flow, we intend to remain highly active with our share repurchase program at these levels. In closing, I want to thank the UHS team for their focus on quality patient care and for their ability to adapt in such a dynamic 2026 operating environment.
I want to emphasize that our strategy remains steadfast: to invest in high-growth markets, expand access to care, operate efficiently, and create long-term value for patients, employees, and shareholders. I remain very optimistic about our long-term outlook, given the quality and strength of our portfolio, the experience of our management team, and the underlying demand characteristics of the markets that we serve. With that, I'll now turn the call over to Steve G. Filton for more details on the quarter.
Thanks, Marc. I will highlight a few financial and operational trends before opening the call up to questions. The company reported adjusted EPS of $5.98 for the Q2 of 2026, representing growth of 12% on a year-over-year basis. Q2 adjusted EBITDA less NCI was $678 million, representing growth of 5% on a year-over-year basis. When excluding the $100 million out of period Florida DPP benefit not contemplated in our guidance, our Q2 adjusted EBITDA less NCI fell short of our internal expectations, primarily attributable to three items approximating $63 million, including $28 million attributable to higher professional and general liability reserves, approximately $20 million attributable to the San Antonio Behavioral Facility, and approximately $15 million attributable to a continued slower ramp-up of our Cedar Hill Regional Medical Center GW Health de novo facility in Washington, D.C.
At the segment level, on a same-facility basis, adjusted admissions at our acute care hospitals increased 2.9% as compared to the Q2 of 2025. Volume performance improved sequentially from the Q1 of 2026 and was broad-based geographically. Same-facility acute care emergency department visits increased 4%, while same-facility surgeries decreased 0.8% as compared to the Q2 of 2025. Although surgical volumes continue to be somewhat muted, the trend in the Q2 improved slightly compared to the past several quarters. From a service line perspective, we experienced positive trends in certain higher acuity inpatient service lines, notably urology, neurology, and cardiology as compared to last year's Q2. Payer mix trends remain consistent with recent quarters, with stronger growth in Medicare and Managed Medicare, modest growth in managed care volumes, excluding the exchanges, and slightly lower Medicaid volumes.
Year-to-date, same-store facility acute care adjusted admissions growth through the Q2 of 2026 was 1.4%, and we believe it's appropriate to fine-tune our volume guidance for the full year to a range of 1.5%-2.5%, or 50 basis points lower at the midpoint of our prior range to reflect the year-to-date trends. On a same-facility basis, net revenue in our acute care segment during the Q2 of 2026 increased 8.2% and increased 5.9%, excluding the impact of our health plan. Acute care same-facility revenue per adjusted admission increased by 3.0% during the Q2 of 2026 on a reported basis and increased 2.7% after excluding net out-of-period Medicaid supplemental benefits from both periods. Acute care rate growth continues to track in line with our expectations overall. Operating expenses were well managed across labor, supply, and other expense categories.
Same-facility acute care salaries, wages, and benefits expense per adjusted admission increased 2.7%, and supply expense per adjusted admission decreased 2.5% over last year's Q2. Contract labor was 2.5% of acute care segment revenue, or 20 basis points lower year-over-year. Other operating expenses increased primarily due to our health plan, which experienced revenue growth of approximately 35%. For the Q2 of 2026, our acute care performance resulted in 8.2% same-facility segment EBITDA growth. Excluding the out-of-period supplemental program benefit from both periods, Q2 2026 same-facility acute care segment EBITDA increased 6.3% on a year-over-year basis.
In our acute care segment, the net out-of-period benefit related to supplemental payments was approximately $7 million, comprised of approximately $23 million in the Q2 of 2026 from the Florida program, as compared to approximately $16 million of out-of-period amounts in the Q2 of 2025 related to other state programs. With respect to health insurance exchange trends during the Q2 of 2026, we estimate an impact of approximately $20 million, which was in line with our expectations. Exchange volumes declined approximately 15% as compared to the Q2 of 2025. The reduction in the number of exchange volumes corresponds to the increase in self-pay volumes during the Q2. Based on the trends during the first half of 2026, we expect the full year pre-tax impact to be within the upper half of our originally contemplated guidance range, or approximately $85 million.
While the first half decline in exchange volumes was below the 25%+ range in our original forecast, we believe our impact estimate is supported by the trends we have observed year-to-date in our business and other dynamics, such as shifts in the metal tier that are playing out within the exchange market. As it relates to our acute care de novo hospitals, our Palm Beach Gardens facility opened in May, and Q2 start-up losses at this facility were in line with our expectations. In Washington, D.C., Cedar Hill Regional Medical Center entered the same facility hospital group in the Q2 and continued to ramp at a slower than expected pace. Q2 performance at Cedar Hill represented an improvement of approximately $15 million year-over-year, although results there were similar to our Q1.
Turning to our behavioral health segment results during the Q2 of 2026, same facility net revenue increased 7.4%, supported by a 6.1% increase in same facility revenue per adjusted patient day and a 1.4% increase in same facility adjusted patient days as compared to the Q2 of 2025. Year-to-date, same facility adjusted patient day growth through the Q2 of 2026 was 1.5%, and we believe it's appropriate to fine-tune our volume guidance for the full year to a range of 1.0%-2.0%, or 100 basis points lower than the prior range at the midpoint to reflect year-to-date trends and an outlook for second half volumes to be similar to Q2 performance. Same facility behavioral health segment EBITDA increased 9.0% in the Q2 of 2026.
Excluding the net benefit from out-of-period supplemental payments, same facility revenue per adjusted patient day increased 5.3%, and same facility segment EBITDA increased 5.7% on a year-over-year basis. In our behavioral health segment, the net out-of-period benefit related to supplemental payments was approximately $18 million, comprised of approximately $77 million in the Q2 of 2026 from the Florida program, as compared to approximately $59 million of out-of-period amount in the Q2 of 2025, related primarily to the Tennessee program. For the Q2 of 2026, behavioral health segment facilities, salaries, wages, and benefits per adjusted patient day increased 4.8% on a year-over-year basis, showing improvement on a sequential basis as headcount moderated further to 2% growth.
In California, based on our success in hiring and training, we remain on track with the $35 million impact that we contemplated in our original 2026 outlook with respect to the state's nurse staffing ratio requirements that went into effect June 1. As it relates to our behavioral health hospital in Texas that is in the process of getting recertified, we stopped receiving reimbursement at the end of April and do not expect to receive reimbursement from government or managed care sources until we regain certification, which we anticipate in 2027. The facility will operate in the meantime with limited patient census, and therefore, we will incur operating losses and the facility will be excluded from our same facility performance. During the Q2 of 2026, pre-tax losses at this facility totaled approximately $10 million, including staff severance costs.
We expect operating losses to run between $5 million and $10 million per quarter for the balance of 2026. During calendar year 2025, this facility's EBITDA was approximately $25 million. Moving on to cash flow and balance sheet highlights. Q2 cash generated from operating activities was $44.3 million, as compared to $549 million during the same period last year. During the Q2 of 2026, we spent $228 million on capital expenditures, reflecting the de novo hospital opening and bed capacity expansions Marc referred to earlier. During the Q2 of 2026, we acquired 1.89 million of our shares at a total cost of $320 million. As of June 30, 2026, we had $978 million of repurchase authorization available pursuant to our stock buyback program, and we expect to remain active with share repurchase throughout 2026.
From a balance sheet perspective, we end the quarter with cash of $139 million, total debt of $4.85 billion, and net leverage of 1.8 times. As of June 30, 2026, we had $1.27 billion of additional borrowing capacity available pursuant to our revolving credit facility. Turning to our outlook for 2026, we are updating our financial operating forecast to reflect year-to-date performance and recent developments. The components of our updated 2026 guidance compared to our previous forecast can be found in our Q2 earnings press release and our supplemental earnings material. Our updated guidance represents approximately 7% revenue growth, 3% EBITDA less NCI growth, and 6% EPS growth at the midpoint.
Focusing my remarks specifically on adjusted EBITDA less NCI, our updated 2026 forecast is in a range of $2.61 billion-$2.72 billion, representing a decrease of approximately $50 million from our prior outlook at the $2.66 billion midpoint. At a high level, we include approximately $150 million of additional Medicaid supplemental net benefit for the full year that is offset by approximately $200 million of adverse items not originally contemplated in our outlook. The primary drivers of these factors are as follows. First, we now expect the net benefit for Medicaid supplemental funding to be approximately $1.5 billion for the year, or an increase of approximately $150 million from our prior outlook.
This $150 million is comprised primarily of the $100 million net benefit from Florida recognized in the Q2, growth in other programs during the first half of 2026, and approximately $25 million related to the Texas ATLAS program that we expect to record in the Q3. It is worth noting that more than 1/5 of the one and a half billion total is derived from state-based programs not subject to the reductions in the OBBA legislation. Second, we now include $50 million of impact associated with the Texas Behavioral Health facility that is in the process of being recertified. This includes the loss of approximately $30 million in earnings originally budgeted for this year, and approximately $20 million of operating losses assumed for the full year while we work towards recertification.
Approximately $20 million of this impact was in the Q2, and the remaining $30 million is expected to impact the second half of 2026. Third, we are adjusting the year-over-year tailwind related to Cedar Hill Regional Medical Center in Washington, D.C., from $50 million to $20 million. Our original guidance assumed Cedar Hill would be break even during the first half and have positive earnings in the second half of 2026, which would have yielded a $50 million de novo tailwind, net of anticipated startup losses at the Palm Beach Gardens de novo hospital. The $50 million difference in our guidance now assumes Cedar Hill will reach break even during the Q4, and therefore approximately $20 million of start-up losses at our Florida hospital will not be contained by second-half operating gains at Cedar Hill as originally contemplated in our prior outlook.
Approximately $20 million of this impact was in the first half of 2026, and the remaining $30 million is expected to impact the second half of 2026. Fourth, we are increasing our professional and general liability expense estimate for the full year by approximately $50 million, of which $28 million was recognized during the Q2 of 2026, and the remainder represents increases to our quarterly expense going forward. It is important to point out that the increase to our reserve and additional expense for the balance of 2026 is split somewhat evenly between our acute care and behavioral health segments and reflects industry-wide trends generally associated with higher claim severity across all healthcare settings. The PLGL adjustments are in connection with our semi-annual third-party actuarial review process conducted during the Q2.
Finally, we are fine-tuning other aspects of the 2026 outlook, including the same facility volume assumptions for both segments, which result in an EBITDA less NCI impact of approximately $50 million. As mentioned earlier, we now expect acute care adjusted admissions to be in a range of 1.5%-2.5%, and behavioral health adjusted patient days to be in a range of 1%-2%, as compared to our prior range of 2%-3% for both segments. We believe centering our same facility volume outlook at approximately 2% for acute care and 1.5% for behavioral health still reflects a healthy demand environment while being respectful of our more recent performance. Operator, that concludes our prepared remarks. We're pleased to answer questions at this time.
Thank you. We will now open the call to questions and answers. To allow as many people as possible to submit a question, please limit yourself to one question and one follow-up. We also ask that you wait for your name and company to be announced before proceeding with your question. If you would like to ask a question, please press star one on your telephone. You'll hear the automated message advising your hand is raised. If you would like to remove yourself from the queue, press star one again. One moment while we compile the Q&A roster. Our first question of the day will be coming from the line of Ann Hynes of Mizuho. Please go ahead. Hello, Ann, your line is open.
Sorry about that. I was on mute. My question is focused on the acute care volume change. Is that non-ACA related, meaning you're seeing some pressure just in your base business? If that's the case, can you just provide a little bit more detail on what you think is happening? Thanks.
Yep. I think as we said, Ann, in our remarks, we're just trying to be practically reflective of our first half performance. Acute care volumes sort of trended in that 2% adjusted admission range for the first half. I think we're seeing continued shift of certain elective and outpatient procedures into alternate site settings, ASCs, freestanding imaging, et cetera. I think that's the primary contribution. We're pleased overall with our acute care volume growth in Q2, pleased with the surgical volumes in Q2, which both overall volumes and surgical volumes rebounded in Q2. Feel good about that, but felt like we were being, I think as our comments indicated, sort of respectful of the first half performance by slightly lowering the midpoint of our admission growth for the back half of the year.
Next question. Our next question is coming from the line of Andrew Mok of Barclays. Please go ahead.
Hi, good morning. When we contemplate all the puts and takes to the guidance revision for this year, it looks like underlying EBITDA growth accelerates several hundred basis points in the back half. Can you walk us through the drivers of that back half acceleration? Thanks.
Sure, Andrew. I think, as we contemplated the revised guidance, it felt like we identified a number of positive developments that should occur during the Q2. One, which we referenced in our prepared remarks, was the new capacity. We added 177 beds across three markets in our acute facilities during the Q2. Those projects will continue to ramp up as the year goes on. The initial openings of all three of those projects, I think, indicated strong demand, we're very positive about that. Those beds, again, I think as Marc mentioned in his comments, represent about a 2.5% increase in our bed capacity. That's one item. I think both Marc and I mentioned that Cedar Hill, that benefit will continue to grow as the year goes on. If you recall, we lost $25 million in the Q3 of last year at Cedar Hill.
We're expecting Cedar Hill to be at break even this year, that's another positive swing there. In behavioral health, I think I said in my comments that our headcount growth was 3% in the Q1, moderated to 2% in the Q2. We expect the headcount and labor cost growth to continue to moderate during the second half. Finally, our comparison in the second half in Nevada, particularly in the Q4, had seasonally softer trends during 2025. We continue to see more normal growth trends in Nevada during 2026. That's another opportunity for accelerated growth in the back half of the year.
Great. Thank you.
Thank you. One moment, please, for the next question. Our next question will be coming from the line of Matthew Gilmore of KeyBanc. Please go ahead.
Hey, thanks for the question. For the Florida DPP program, I heard that you booked the 2025 portion in the Q2. If this program is renewed for fiscal 2026, would the sizing of the 2026 program be about the same? I think bigger picture, just wanted to better understand if there are more opportunities with DPPs to be recognized during 2026.
I think the answer, Matthew, is we're not certain what the impact of a 2026 approved program would be, which is partly why we have not either recorded any benefit in 2026 nor included it in our guidance. Obviously, if the program is approved, we will record it, and we'll be benefited by that. As far as other programs, there was a recent approval of a California program that we've been recording. I don't think we think that has a material impact on us. There are a couple of other states that are contemplating either new programs or expanded programs. I don't know that any of them, at this point, would be material, and certainly none of them are included in our guidance.
Got it. As a quick follow-up, Steve, can you give us a sense for how we should think about the ramp of the facility in San Antonio once it gets the CMS certification back in 2027?
Yeah, that's hard to do at this point, Matthew. Obviously, we don't know when the facility would or could be recertified. We don't know if it would be recertified with certain sort of conditions, as to its ramp, et cetera. As we go through the process of getting surveyed, of dealing with the regulatory environment, as we learn more about it, we'll be relaying that to you all, both in terms of timing and ramp expectations, et cetera. The one thing that I will say is just reiterate what Marc said, that is, we've had a lot of support from the broad San Antonio community. The beds at Laurel Ridge Treatment Center represent about half of the behavioral beds in the market, they are sorely missed in the community by the population, by referral sources, et cetera.
Our hope would be, and our expectation, that the demand will be there when and if we get recertified, and we would be prepared to ramp up relatively quickly and efficiently. We'll continue to keep you posted on the timing of that.
Thank you.
Thank you. One moment for the next question. Our next question will be coming from the line of Jason Cassorla of Guggenheim Partners. Please go ahead.
Great. Thanks. Good morning. Maybe just hoping you can discuss behavioral volumes, just how that 1.4% compared to your internal expectations, I guess particularly after the headcount increases you've had over the past few quarters. Anything changing on the demand front? Or is this very much more the same as you've flagged before around outpatient preference or outpatient shifts? Just any thoughts on the behavioral health volume demand environment would be helpful too. Thanks.
Yeah. Jason, in the case of behavioral, I think the 1%-2% change to our estimated volume range is very consistent with what we have been running for now a number of quarters. I think we had originally anticipated a slightly higher growth rate, largely based on increases in outpatient demand. I think to date, outpatient has been growing at about the same rate as inpatient. To your point, we've added some headcount in order to allow us to accommodate more outpatient capacity. I think it's just growing a little bit slower than we originally imagined.
As we, I think, talked about in the last couple of calls, we do expect the acquisition of Talkspace to be a significant accelerant to our outpatient growth, really providing our patients this virtual option for outpatient treatment and outpatient care that we really weren't able to offer before in any sort of sizable way. Obviously the Talkspace acquisition won't be completed till August. It'll take a little bit of time to complete that integration fully. But feel like at that point in time, we may revisit our outlook, particularly for outpatient growth. Yeah, I think the change that we made was largely really just to recognize that that's kind of the environment that we've been operating in for some time.
Got it. Thanks. Very helpful. If I could follow up, I just wanted to ask about the malpractice reserve headwinds. It looks like increases to those reserves have had a 2%-3% annual EBITDA headwind over the past few years. I guess just stepping back, do you think these types of hefty increases will be simply structural moving forward? Are there any developments that could give some sort of visibility into a deceleration in those costs? Any thoughts around that would be helpful. Thanks.
Difficult for us to predict, Jason. What I would say is we include in our guidance and in our budget, the amounts from our third-party actuaries. We do not independently come up with those numbers. Of course, we have, on a twice a year basis, a third-party actuarial review of where our expense and reserves stand. To your point, they've been increasing. As we said in our prepared remarks, I think the main reason they've been increasing has been an overall increase in the severity of claims across healthcare providers of all sorts, including acute and behavioral. I do not think this is anything UHS specific. In terms of the things that we do to control that, obviously internally, we have significant risk management programs to reduce the number of negative outcomes, et cetera, and are very focused on that.
In terms of the broader sort of environment where cases are just worth more, both in settlements and in verdicts, difficult for us to control that. There is a significant amount of lobbying going on by the industry, for malpractice and tort reform at both the state and federal levels, very difficult to predict how that will turn out.
Got it. Thank you.
Thank you. One moment for the next question. Our next question is coming from the line of Pito Chickering of Deutsche Bank. Please go ahead.
Yeah. Good morning, guys. A question on surgical volumes. Can you talk about the emergent versus elective surgeries that you saw in the 2Q and split out between inpatient and outpatient? What do you think the demand setup is for that in the back half of the year?
Peter, we don't necessarily track elective versus non-elective surgeries. What we said in our prepared remarks was overall surgical volume was down 0.8% in the quarter. That's a bit of an improvement from the Q1 sequentially. On a blended basis, it reflects an increase in inpatient surgeries and a slight decline in outpatient surgeries. What I would say is that surgical performance or our surgical volumes seem to be a little bit better than some of our peers. Always hard to know exactly why that is. I will say that internally, we've been very focused in the last several quarters, maybe the last year, in an environment where we are otherwise, I think, trying to be very tight on expense control and capital spending.
We've been very focused on investing in those equipment and other investments that will be revenue producing, whether that's robotics, whether that's more advanced imaging equipment, et cetera, it feels like that is having some positive impact, we're pleased with that.
A follow-up there. I guess, were there any areas within specific sort of weaknesses because you don't track emergent versus elective? I guess just overall, are there any sort of categories that were sort of stronger or weaker within the quarter? You talk about this in a script, but how should we think about the continued focus from CMS to push outpatient procedures into the ASC and kind of how do you guys combat that and how do you view, I guess sort of medium-term outpatient surgical growth? Thanks.
Yeah. We didn't necessarily comment specifically on surgeries, but we talked about service line growth in areas like urology and neurology and cardiology. I would suggest that those are areas where procedural volumes were strong as well. Obviously, the shift to outpatient is nothing new as you know, Pito. We combat that in a number of ways. We continue to invest in Ambulatory Surgery Centers where they're appropriate and where they make economic sense. We certainly have at least one ASC in every single one of our markets, and in many cases, multiple ASCs. We continue to expand and like I said, invest in our own outpatient surgical capacity, whether that's physical capacity, building more OR suites or whether that's investing in equipment responsive to the needs of our proceduralists.
We continue to do that, and I think, obviously based on the Q2 performance, I would say do it effectively. The shift to outpatient certainly is going to continue and we'll continue to pursue the initiatives that we've been pursuing to counter that.
Great. Thanks so much.
Thank you. One moment for the next question. Our next question is coming from the line of Ryan Langston of TD Cowen. Please go ahead.
Thanks. Sounds like you had fairly strong same-store ED volumes, Steve. I think I heard you say around 4%, a little less growth in inpatient admissions and surgical procedures. Anything in particular driving that sort of slightly lower ED conversion to inpatient rate?
No. I think, Ryan, again, that's not a new phenomenon. I think the issue is that, for a good portion of the population who don't have their own primary care doctors, they use hospital ERs as their primary care doctors, as a consequence, those visits are not necessarily sort of traditionally emergent. While we continue to see a lot of acutely ill patients in our ERs, we also continue to see patients who are coming there for what traditionally had been more like a PCP visit.
Got it. Just quick follow-up. Appreciate the comments and the share repurchase and prepared remarks. Any way to size how much of the $978 million authorization you may use through the rest of the year and maybe how much you've repurchased quarter to date? Thanks.
Yeah. We're not in the practice of sort of reporting share repurchase on an intra-quarter basis. I think we went into the year with the notion that we'd repurchase somewhere in the $800 million-$900 million worth of shares. We'll certainly meet that, if not exceed that. We don't have a specific plan, we'll continue to monitor the market. As Marc indicated in his comments, we view the current share dislocation price as a compelling opportunity. We'll continue to be active. We'll continue to evaluate it against other capital deployment opportunities we might have. Again, in this environment, we certainly are committed to remaining an active acquirer of our own shares.
Thank you. One moment for the next question. Next question is coming from the line of A.J. Rice of UBS. Please go ahead.
Hi. Thanks, everyone. First, this is something we get asked a lot about, I'll throw it out. I know it's out there, you sort of sized your EBITDA from supplemental payments. Obviously, in 2028, they'll start to ratchet down somewhat, because of the One Big Beautiful Bill Act. Are you doing anything to sort of think about that? I know there's a chance that Congress could act and delay it, the implementation, how do you think about how that might impact your long-term growth rate? I know there's technology investments you're doing and other things like that. Just wondering how you think about that, are there things you're doing now to prepare to offset that?
A.J., that's a pretty comprehensive question. I'm going to try and answer it at a high level. Probably can explore it in more detail in some other setting. One, I think Marc talked about the fact that, my comments as well, that there was, I think from our perspective, strong expense management in the quarter. A number of initiatives to control productivity, make it more efficient. Supply expense on the acute side on a per adjusted admission basis was actually down in the quarter. All those initiatives leading to that, I think strong expense outcomes will continue, we will build on those and compound those. I think in previous calls, we've talked about significant amount of investments in technology, both AI and non-AI technology that is leading us to productivity improvements, to improvements in our revenue cycle management.
We've undertaken a significant review of our entire revenue cycle management on the acute side with the aid of a third-party consultant. That has yielded some significant and measurable results and improvements. We're currently just beginning a similar process on the behavioral side, where there are equal opportunities. The third very broad piece is, as we think about the OBB pressures which are largely on the Medicaid revenue reimbursement, particularly in the behavioral business, we are looking at a lot of different ways to manage our exposure to Medicare. The emphasis on outpatient growth in behavioral is a result of an acknowledgment that that's where the demand is growing, and we want to treat people where they want to be treated and where their insurers want them to be treated.
Also, we acknowledge that outpatient revenue and behavioral tends to be much more Medicare-centric and managed care-centric than Medicaid-centric. All those issues, all of them consume a fair amount of focus and time, are ways in which we're anticipating and trying to stay ahead of those OBB reductions that are scheduled to start beginning in 2028.
Maybe just to follow up, a more specific question around results. You gave some comments about your payer mix, it doesn't sound like the public exchange impact is as materially different as we saw for some of the other peers. Are you seeing any uptick? You didn't really mention uncompensated care in your comments on payer mix. Are you seeing any meaningful shift in your uncompensated care burden?
What was fairly apparent in the Q2, A.J., was that the decline in exchange volumes was offset almost on a direct one-for-one basis to an increase in self-pay volume. It felt like virtually everyone who lost their exchange coverage became an uninsured patient. We had assumed in our original assumptions that a small percentage of those folks, maybe 10%-20% of them, would replace their exchange coverage with other commercial coverage. We felt more likely, coverage through their employers. That didn't seem to be true, probably that phenomena is what gave rise to the $10 million increase in our exchange impact projection from $75 million-$85 million. That's been the primary sort of observation about self-pay and its relationship to the exchange subsidies lapsing.
Thank you. One moment for the next question. Our next question is coming from the line of Craig Hettenbach of Morgan Stanley. Please go ahead.
Yes, thank you. Just following up on the comments of the kind of advanced integration planning of Talkspace ahead of that closure in a few weeks here. Anything else you would add in terms of things that you think you'll be able to hit the ground running, and how you're thinking about that outpatient ramp, next 12, 18 months?
Yeah. What we've talked about, I think in previous calls, Craig, is that one of the things that, or maybe a couple of things that limit our ability to capture, particularly the step-down business. That is the business that's created by patients who are discharged from our inpatient facilities but require certain amounts of follow-up care. There are often limitations that prevent them from getting that care from us, and they tend to really fall into two categories. One is geographic. They may live two hours from our facility and while they were willing to come there as an inpatient, making that trek two days, three days, five days a week as an outpatient is more difficult. If we can offer them a virtual alternative, or even another in-person alternative through our Thousand Branches initiative, that's helpful to us.
The other is simply, oftentimes, we just don't have the available therapist capacity to offer those follow-up services. One of the great advantages of Talkspace is that they have a panel of over 6,000 therapists that can be available to our patients once the acquisition is completed. I think, those two items really kind of cemented our view that the Talkspace acquisition should help accelerate our growth in outpatient.
Got it. Just following up on the acute side, you mentioned kind of the new capacity, 177 new licensed beds. Any update on the freestanding emergency rooms in terms of investments there? You also kind of talked about ASC, kind of at least one in each market. Just curious about the outpatient investments that you're making.
Yeah. Our investments in freestanding emergency departments have really been among our best investments in the last, I want to say, five-year period. We have, unfortunately, I don't have the data right in front of me, but somewhere around 40 FEDs currently operating with probably another 5-10 in some form or stage of development. Again, I think those facilities are Just as I talked about in the sense of behavioral outpatient, we're treating patients where they want to be treated in the most cost-efficient setting. Again, we have found that patient demand for these freestanding EDs is significant. Payers are receptive to them. Care is being delivered more efficiently. Again, as I said, one of our best investments over the last decade or so.
Got it. Thank you.
Thank you. One moment for the next question. Next question is coming from the line of Ben Hendrix of RBC Capital Markets. Please go ahead.
Great. Thank you very much. We've heard some of your peers talk about higher professional fees, specifically higher subsidies related to radiology, anesthesiology, hospitalists, et cetera, amid service line mix shifts. I was wondering if you could elaborate on what you're seeing in that department. Thanks.
The comment that we've made about professional fees, both in our guidance and in our actual results, is that we did see significant increases in professional fees, I think as did many of our peers, in the back half of 2023 and into 2024. I think beginning in 2025 and now into 2026, what's embedded in our guidance is generally an inflationary, maybe slightly higher than inflationary uptick in professional fees. Maybe something in the 7%, 8%, 9% increase range annually. That's, I think, relatively reflective of our experience in 2026 and I think what we would continue to expect to see. I will say, we're getting that pressure, and we feel that pressure.
We're responding to it in many different ways, in some cases by hiring the hospital-based physicians, in putting those contracts out to bid, and trying to control the amount of locums coverage we have to use, which is very expensive. It is a challenge for our operators, but I think they've responded well. As I said, are keeping the increase to a manageable level in the upper single digits.
Thank you.
Thank you. One moment for the next question. Our next question is coming from the line of Andrew Cooper of Raymond James. Please go ahead.
Hey, everyone. Thanks for the questions. A lot covered already. Maybe just one, want to touch on Cedar Hill. If you could give a little bit more color on what the drags are, whether it's demand versus cost, just the friction of getting up and fully running. Then what does that mean for the way we think about-- I know new bed additions are different, but how we think about the ramp for these 177 beds you talked about adding, and maybe a little bit more color on where those are geographically.
Sure. As far as Cedar Hill goes, I think the issue is, in partnership with the District of Columbia, who built the Cedar Hill facility, the notion was they built it in an underserved area of the district in Ward 7 and 8. We think, and they thought, that the demand there would be significant, and it has been. I think as reflected in our emergency room volumes, almost from the outset from the day we opened, we had a busy emergency room. What I think has been lacking in the Cedar Hill region is an established physician base, primary physicians, specialists, et cetera, who just have generally been treating those patients in other facilities across the district. We've been building up the physician component in that region. It takes some time, and then patients have to sort of reorient their utilization practices, et cetera.
That's occurring, and that's why I think we have the view that by the end of this year, the facility will be at breakeven. It's just taken a little bit longer than we thought. I think our long-term view of the prospects of that hospital remain quite positive because we believe that that population really needs a hospital facility and will use it fully as all the physician components are in place. As far as its comparison and relevance to the 177 beds that we added, I think it's really not related. The 177 beds we added at Lakewood Ranch Medical Center in Florida and Henderson Hospital in Las Vegas and the Rancho Springs Medical Center in Southern California are all additions to existing facilities where there was already demonstrated demand. It just really requires a ramp-up, hiring of staff, et cetera.
I think the ramp-ups and the opening of those beds will occur much, much faster.
Okay, great. That's helpful. And maybe somewhat related, and it's been touched on a little bit, but curious if you could give a little bit more on the way you're thinking about capital allocation and how it's changed when you look at the current environment, some of the potential challenges in the state Medicaid supplemental programs and work requirements next year, et cetera. Does that change the focus from whether it's acute facilities that are de novo versus bed additions, outpatient and the freestanding EDs? Just what's the latest thinking on where the best use of the dollar is today?
Yeah. I think if you look at the way the capital's been allocated over the last several years, for us, it's had an emphasis on organic capital spending versus, let's say, M&A, we have not done, especially prior to Talkspace, a lot of external M&A. Obviously, the focus has shifted more to outpatient. I think we're doing more investment in outpatient. We've already talked about some of those things on the call. Freestanding EDs on the acute side of the business, freestanding outpatient behavioral clinics, what we describe as our Thousand Branches initiative on the behavioral side. Yeah, there's been that shift. We've been a very active acquirer of shares as well because that's been a compelling investment for us.
I don't really see it changing dramatically or changing dramatically in response to OB3 or any of the other sort of regulatory changes other than what we already discussed, which is emphasis on outpatient, emphasis on services and service lines that are probably somewhat less Medicaid-centric, perhaps, than we've invested in historically.
Great. I'll stop there. Thank you.
Thank you. One moment for the next question. Our next question is coming from the line of Benjamin Rossi of JPMorgan. Please go ahead.
Great. Thanks for the question. Sticking to the de novo discussion, just this time on the Florida facility. You previously mentioned that facility would carry startup losses that offset the improvements to Cedar Hill. For Florida specifically, with the changes at Cedar Hill, where are you today on your initial census trajectory, the staffing readiness, and ability to ramp with expectations? Then is that facility eligible for the Florida DPP under the approved program for 2025, and does that at all change your thoughts on that ramp? Thanks.
The Florida DPP program, as you said, was a 2025 program. The new hospital was not open in 2025, so that's sort of a moot point. I think we said in our comments, the hospital's drag in Q2 was about $15 million. That was very consistent with our expectations. The hospital got its Medicare certification in, I believe, late June, opened in July. We're seeing patients. The volumes are building. We have every expectation that, and our guidance presumes, that it will perform consistent with our initial expectations and the expectations in our original guidance.
Great. Just a quick follow-up on denial trends. How do denial rates and net yield trend during Q2, and are you expecting these denial trends to improve or worsen during the back half of the year? Thanks.
Yeah, I think as we've said in previous quarters, I'm not sure we're seeing any significant change in denials, payer behavior, patient status changes. Payers continue to be aggressive in the way that they approve treatments and that they process claims. As my comments previously indicate, we've been pretty aggressive in investing in our own revenue cycle initiatives, both people process and technology. Feel like we're at least trying to stay even with the payers, and again, as reflected in things like denials and patient status changes, not seeing huge changes.
Thank you. That does conclude today's Q&A session. I would like to turn the call back to Darren Lehrich for our closing remarks. Please go ahead.
Yeah. Thanks, everyone, for participating in the call today and for your interest in UHS. Have a great rest of your day.
This concludes today's programming. Thank you so much for joining. You may now disconnect.
Investor releaseQuarter not tagged2026-07-27Universal Health Services (UHS) Reports Q2 Earnings: What Key Metrics Have to Say
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Universal Health Services (UHS) Reports Q2 Earnings: What Key Metrics Have to Say
Universal Health Services (UHS) reported $4.64 billion in revenue for the quarter ended June 2026, representing a year-over-year increase of 8.3%. EPS of $5.98 for the same period compares to $5.35 a year ago. The reported revenue represents a surprise of +2.62% over the Zacks Consensus Estimate of $4.52 billion. With the consensus EPS estimate being $5.66, the EPS surprise was +5.65%. While investors closely watch year-over-year changes in headline numbers -- revenue and earnings -- and how they compare to Wall Street expectations to determine their next course of action, some key metrics always provide a better insight into a company's underlying performance. As these metrics influence top- and bottom-line performance, comparing them to the year-ago numbers and what analysts estimated helps investors project a stock's price performance more accurately. Here is how Universal Health Services performed in the just reported quarter in terms of the metrics most widely monitored and projected by Wall Street analysts: Admissions - Acute - Same facility basis: 88,562 versus 86,913 estimated by two analysts on average. Admissions - Behavioral health: 116,857 versus 122,248 estimated by two analysts on average. Net Revenues- Behavioral health services: $2.03 billion versus the four-analyst average estimate of $1.98 billion. The reported number represents a year-over-year change of +7.7%. Net Revenues- Acute care hospital services: $2.61 billion versus the four-analyst average estimate of $2.55 billion. The reported number represents a year-over-year change of +8.7%. Operating Income- All Behavioral Health Care Services: $411.13 million versus $392.94 million estimated by three analysts on average. Operating Income- All Acute Care Hospital Services: $227.97 million versus $264.64 million estimated by three analysts on average. View all Key Company Metrics for Universal Health Services here>>> Shares of Universal Health Services have returned +6.9% over the past month versus the Zacks S&P 500 composite's +0.8% change. The stock currently has a Zacks Rank #4 (Sell), indicating that it could underperform the broader market in the near term. Want the latest recommendations from Zacks Investment Research? Today, you can download 7 Best Stocks for the Next 30 Days. Click to get this free report Universal Health Services, Inc. (UHS) : Free Stock Analysis Report This article…Read full documentShow less
Universal Health Services (UHS) reported $4.64 billion in revenue for the quarter ended June 2026, representing a year-over-year increase of 8.3%. EPS of $5.98 for the same period compares to $5.35 a year ago. The reported revenue represents a surprise of +2.62% over the Zacks Consensus Estimate of $4.52 billion. With the consensus EPS estimate being $5.66, the EPS surprise was +5.65%. While investors closely watch year-over-year changes in headline numbers -- revenue and earnings -- and how they compare to Wall Street expectations to determine their next course of action, some key metrics always provide a better insight into a company's underlying performance. As these metrics influence top- and bottom-line performance, comparing them to the year-ago numbers and what analysts estimated helps investors project a stock's price performance more accurately. Here is how Universal Health Services performed in the just reported quarter in terms of the metrics most widely monitored and projected by Wall Street analysts: Admissions - Acute - Same facility basis: 88,562 versus 86,913 estimated by two analysts on average. Admissions - Behavioral health: 116,857 versus 122,248 estimated by two analysts on average. Net Revenues- Behavioral health services: $2.03 billion versus the four-analyst average estimate of $1.98 billion. The reported number represents a year-over-year change of +7.7%. Net Revenues- Acute care hospital services: $2.61 billion versus the four-analyst average estimate of $2.55 billion. The reported number represents a year-over-year change of +8.7%. Operating Income- All Behavioral Health Care Services: $411.13 million versus $392.94 million estimated by three analysts on average. Operating Income- All Acute Care Hospital Services: $227.97 million versus $264.64 million estimated by three analysts on average. View all Key Company Metrics for Universal Health Services here>>> Shares of Universal Health Services have returned +6.9% over the past month versus the Zacks S&P 500 composite's +0.8% change. The stock currently has a Zacks Rank #4 (Sell), indicating that it could underperform the broader market in the near term. Want the latest recommendations from Zacks Investment Research? Today, you can download 7 Best Stocks for the Next 30 Days. Click to get this free report Universal Health Services, Inc. (UHS) : Free Stock Analysis Report This article originally published on Zacks Investment Research (zacks.com). Zacks Investment Research

