10-Q 1 uhs-10q_20220930.htm 10-Q uhs-10q_20220930.htm
false Q3 0000352915 --12-31 true P7Y P5Y P5Y P35Y P35Y P50Y http://fasb.org/us-gaap/2022#OtherAssetsMiscellaneousNoncurrent http://fasb.org/us-gaap/2022#OtherAssetsMiscellaneousNoncurrent http://fasb.org/us-gaap/2022#OtherAssetsMiscellaneousNoncurrent 0000352915 2022-01-01 2022-09-30 xbrli:shares 0000352915 us-gaap:CommonClassAMember 2022-10-31 0000352915 us-gaap:CommonClassBMember 2022-10-31 0000352915 us-gaap:CommonClassCMember 2022-10-31 0000352915 uhs:CommonClassDMember 2022-10-31 iso4217:USD 0000352915 2022-07-01 2022-09-30 0000352915 2021-07-01 2021-09-30 0000352915 2021-01-01 2021-09-30 iso4217:USD xbrli:shares 0000352915 2022-09-30 0000352915 2021-12-31 0000352915 uhs:RedeemableInterestMember 2022-06-30 0000352915 us-gaap:CommonStockMember us-gaap:CommonClassAMember 2022-06-30 0000352915 us-gaap:CommonStockMember us-gaap:CommonClassBMember 2022-06-30 0000352915 us-gaap:CommonStockMember us-gaap:CommonClassCMember 2022-06-30 0000352915 us-gaap:CommonStockMember uhs:CommonClassDMember 2022-06-30 0000352915 us-gaap:RetainedEarningsUnappropriatedMember 2022-06-30 0000352915 us-gaap:RetainedEarningsAppropriatedMember 2022-06-30 0000352915 us-gaap:AccumulatedOtherComprehensiveIncomeMember 2022-06-30 0000352915 us-gaap:ParentMember 2022-06-30 0000352915 us-gaap:NoncontrollingInterestMember 2022-06-30 0000352915 2022-06-30 0000352915 us-gaap:CommonStockMember us-gaap:CommonClassBMember 2022-07-01 2022-09-30 0000352915 us-gaap:RetainedEarningsAppropriatedMember 2022-07-01 2022-09-30 0000352915 us-gaap:ParentMember 2022-07-01 2022-09-30 0000352915 us-gaap:RetainedEarningsUnappropriatedMember 2022-07-01 2022-09-30 0000352915 us-gaap:NoncontrollingInterestMember 2022-07-01 2022-09-30 0000352915 uhs:RedeemableInterestMember 2022-07-01 2022-09-30 0000352915 us-gaap:AccumulatedOtherComprehensiveIncomeMember 2022-07-01 2022-09-30 0000352915 uhs:RedeemableInterestMember 2022-09-30 0000352915 us-gaap:CommonStockMember us-gaap:CommonClassAMember 2022-09-30 0000352915 us-gaap:CommonStockMember us-gaap:CommonClassBMember 2022-09-30 0000352915 us-gaap:CommonStockMember us-gaap:CommonClassCMember 2022-09-30 0000352915 us-gaap:CommonStockMember uhs:CommonClassDMember 2022-09-30 0000352915 us-gaap:RetainedEarningsUnappropriatedMember 2022-09-30 0000352915 us-gaap:RetainedEarningsAppropriatedMember 2022-09-30 0000352915 us-gaap:AccumulatedOtherComprehensiveIncomeMember 2022-09-30 0000352915 us-gaap:ParentMember 2022-09-30 0000352915 us-gaap:NoncontrollingInterestMember 2022-09-30 0000352915 uhs:RedeemableInterestMember 2021-12-31 0000352915 us-gaap:CommonStockMember us-gaap:CommonClassAMember 2021-12-31 0000352915 us-gaap:CommonStockMember us-gaap:CommonClassBMember 2021-12-31 0000352915 us-gaap:CommonStockMember us-gaap:CommonClassCMember 2021-12-31 0000352915 us-gaap:CommonStockMember uhs:CommonClassDMember 2021-12-31 0000352915 us-gaap:RetainedEarningsUnappropriatedMember 2021-12-31 0000352915 us-gaap:RetainedEarningsAppropriatedMember 2021-12-31 0000352915 us-gaap:AccumulatedOtherComprehensiveIncomeMember 2021-12-31 0000352915 us-gaap:ParentMember 2021-12-31 0000352915 us-gaap:NoncontrollingInterestMember 2021-12-31 0000352915 us-gaap:CommonStockMember us-gaap:CommonClassBMember 2022-01-01 2022-09-30 0000352915 us-gaap:RetainedEarningsAppropriatedMember 2022-01-01 2022-09-30 0000352915 us-gaap:ParentMember 2022-01-01 2022-09-30 0000352915 us-gaap:RetainedEarningsUnappropriatedMember 2022-01-01 2022-09-30 0000352915 us-gaap:NoncontrollingInterestMember 2022-01-01 2022-09-30 0000352915 uhs:RedeemableInterestMember 2022-01-01 2022-09-30 0000352915 us-gaap:AccumulatedOtherComprehensiveIncomeMember 2022-01-01 2022-09-30 0000352915 uhs:RedeemableInterestMember 2021-06-30 0000352915 us-gaap:CommonStockMember us-gaap:CommonClassAMember 2021-06-30 0000352915 us-gaap:CommonStockMember us-gaap:CommonClassBMember 2021-06-30 0000352915 us-gaap:CommonStockMember us-gaap:CommonClassCMember 2021-06-30 0000352915 us-gaap:CommonStockMember uhs:CommonClassDMember 2021-06-30 0000352915 us-gaap:RetainedEarningsUnappropriatedMember 2021-06-30 0000352915 us-gaap:RetainedEarningsAppropriatedMember 2021-06-30 0000352915 us-gaap:AccumulatedOtherComprehensiveIncomeMember 2021-06-30 0000352915 us-gaap:ParentMember 2021-06-30 0000352915 us-gaap:NoncontrollingInterestMember 2021-06-30 0000352915 2021-06-30 0000352915 us-gaap:RetainedEarningsAppropriatedMember 2021-07-01 2021-09-30 0000352915 us-gaap:ParentMember 2021-07-01 2021-09-30 0000352915 us-gaap:CommonStockMember us-gaap:CommonClassBMember 2021-07-01 2021-09-30 0000352915 us-gaap:RetainedEarningsUnappropriatedMember 2021-07-01 2021-09-30 0000352915 us-gaap:NoncontrollingInterestMember 2021-07-01 2021-09-30 0000352915 uhs:RedeemableInterestMember 2021-07-01 2021-09-30 0000352915 us-gaap:AccumulatedOtherComprehensiveIncomeMember 2021-07-01 2021-09-30 0000352915 uhs:RedeemableInterestMember 2021-09-30 0000352915 us-gaap:CommonStockMember us-gaap:CommonClassAMember 2021-09-30 0000352915 us-gaap:CommonStockMember us-gaap:CommonClassBMember 2021-09-30 0000352915 us-gaap:CommonStockMember us-gaap:CommonClassCMember 2021-09-30 0000352915 us-gaap:CommonStockMember uhs:CommonClassDMember 2021-09-30 0000352915 us-gaap:RetainedEarningsUnappropriatedMember 2021-09-30 0000352915 us-gaap:RetainedEarningsAppropriatedMember 2021-09-30 0000352915 us-gaap:AccumulatedOtherComprehensiveIncomeMember 2021-09-30 0000352915 us-gaap:ParentMember 2021-09-30 0000352915 us-gaap:NoncontrollingInterestMember 2021-09-30 0000352915 2021-09-30 0000352915 uhs:RedeemableInterestMember 2020-12-31 0000352915 us-gaap:CommonStockMember us-gaap:CommonClassAMember 2020-12-31 0000352915 us-gaap:CommonStockMember us-gaap:CommonClassBMember 2020-12-31 0000352915 us-gaap:CommonStockMember us-gaap:CommonClassCMember 2020-12-31 0000352915 us-gaap:CommonStockMember uhs:CommonClassDMember 2020-12-31 0000352915 us-gaap:RetainedEarningsUnappropriatedMember 2020-12-31 0000352915 us-gaap:RetainedEarningsAppropriatedMember 2020-12-31 0000352915 us-gaap:AccumulatedOtherComprehensiveIncomeMember 2020-12-31 0000352915 us-gaap:ParentMember 2020-12-31 0000352915 us-gaap:NoncontrollingInterestMember 2020-12-31 0000352915 2020-12-31 0000352915 us-gaap:CommonStockMember us-gaap:CommonClassBMember 2021-01-01 2021-09-30 0000352915 us-gaap:RetainedEarningsAppropriatedMember 2021-01-01 2021-09-30 0000352915 us-gaap:ParentMember 2021-01-01 2021-09-30 0000352915 us-gaap:RetainedEarningsUnappropriatedMember 2021-01-01 2021-09-30 0000352915 uhs:RedeemableInterestMember 2021-01-01 2021-09-30 0000352915 us-gaap:NoncontrollingInterestMember 2021-01-01 2021-09-30 0000352915 us-gaap:AccumulatedOtherComprehensiveIncomeMember 2021-01-01 2021-09-30 0000352915 2021-01-01 2021-03-31 0000352915 2021-04-01 2021-06-30 0000352915 uhs:MedicareAcceleratedAndAdvancePaymentProgramMember 2021-03-01 2021-03-31 xbrli:pure 0000352915 uhs:UniversalHealthRealtyIncomeTrustMember uhs:OtherRelatedPartyTransactionsMember 2022-09-30 0000352915 uhs:UniversalHealthRealtyIncomeTrustMember us-gaap:InvestmentAdviceMember 2022-07-01 2022-09-30 0000352915 uhs:UniversalHealthRealtyIncomeTrustMember us-gaap:InvestmentAdviceMember 2021-07-01 2021-09-30 0000352915 uhs:UniversalHealthRealtyIncomeTrustMember us-gaap:InvestmentAdviceMember 2022-01-01 2022-09-30 0000352915 uhs:UniversalHealthRealtyIncomeTrustMember us-gaap:InvestmentAdviceMember 2021-01-01 2021-09-30 0000352915 uhs:UniversalHealthRealtyIncomeTrustMember 2022-01-01 2022-09-30 0000352915 uhs:UniversalHealthRealtyIncomeTrustMember 2021-01-01 2021-09-30 0000352915 uhs:UniversalHealthRealtyIncomeTrustMember 2021-01-01 2021-12-31 0000352915 uhs:UniversalHealthRealtyIncomeTrustMember 2020-01-01 2020-12-31 0000352915 uhs:UniversalHealthRealtyIncomeTrustMember 2019-01-01 2019-12-31 0000352915 uhs:UniversalHealthRealtyIncomeTrustMember 2022-07-01 2022-09-30 0000352915 uhs:UniversalHealthRealtyIncomeTrustMember 2021-07-01 2021-09-30 0000352915 uhs:UniversalHealthRealtyIncomeTrustMember 2022-09-30 0000352915 uhs:UniversalHealthRealtyIncomeTrustMember 2021-12-31 0000352915 uhs:AssetPurchaseAndSaleAgreementMember uhs:UniversalHealthRealtyIncomeTrustMember srt:SubsidiariesMember uhs:InlandValleyCampusOfSouthwestHealthcareSystemMember uhs:WildomarCaliforniaMember 2021-01-01 2021-12-31 0000352915 uhs:AssetPurchaseAndSaleAgreementMember uhs:UniversalHealthRealtyIncomeTrustMember srt:SubsidiariesMember uhs:AikenRegionalMedicalCenterMember uhs:AikenSouthCarolinaMember 2021-01-01 2021-12-31 0000352915 uhs:AssetPurchaseAndSaleAgreementMember uhs:UniversalHealthRealtyIncomeTrustMember srt:SubsidiariesMember uhs:CanyonCreekBehavioralHealthMember uhs:TempleTexasMember 2021-01-01 2021-12-31 0000352915 uhs:AssetPurchaseAndSaleAgreementMember uhs:UniversalHealthRealtyIncomeTrustMember srt:SubsidiariesMember uhs:AikenRegionalMedicalCenterAndCanyonCreekBehavioralHealthMember 2021-01-01 2021-12-31 0000352915 uhs:AssetPurchaseAndSaleAgreementMember uhs:UniversalHealthRealtyIncomeTrustMember srt:SubsidiariesMember 2021-01-01 2021-12-31 0000352915 uhs:AikenRegionalMedicalCenterAndCanyonCreekBehavioralHealthMember uhs:UniversalHealthRealtyIncomeTrustMember 2022-01-01 2022-09-30 0000352915 uhs:AikenRegionalMedicalCenterMember uhs:UniversalHealthRealtyIncomeTrustMember 2022-01-01 2022-09-30 0000352915 uhs:CanyonCreekBehavioralHealthMember uhs:UniversalHealthRealtyIncomeTrustMember 2022-01-01 2022-09-30 0000352915 uhs:AikenRegionalMedicalCenterAndCanyonCreekBehavioralHealthMember uhs:UniversalHealthRealtyIncomeTrustMember uhs:BonusRentalMember 2022-01-01 2022-09-30 uhs:Facility uhs:Hospital uhs:Bed 0000352915 uhs:UniversalHealthRealtyIncomeTrustMember uhs:CliveIowaMember uhs:BehavioralHealthCareFacilityMember 2022-01-01 2022-09-30 0000352915 uhs:UniversalHealthRealtyIncomeTrustMember uhs:CliveIowaMember uhs:BehavioralHealthCareFacilityMember 2022-07-01 2022-09-30 0000352915 uhs:UniversalHealthRealtyIncomeTrustMember uhs:CliveIowaMember uhs:BehavioralHealthCareFacilityMember 2021-07-01 2021-09-30 0000352915 uhs:UniversalHealthRealtyIncomeTrustMember uhs:CliveIowaMember uhs:BehavioralHealthCareFacilityMember 2021-01-01 2021-09-30 0000352915 uhs:McAllenMedicalCenterMember 2022-01-01 2022-09-30 0000352915 uhs:WellingtonRegionalMedicalCenterMember 2022-01-01 2022-09-30 0000352915 uhs:AikenRegionalMedicalCenterAuroraPavilionBehavioralHealthServicesMember 2022-01-01 2022-09-30 0000352915 uhs:CanyonCreekBehavioralHealthMember 2022-01-01 2022-09-30 0000352915 uhs:CliveBehavioralHealthHospitalMember 2022-01-01 2022-09-30 uhs:RenewalOption 0000352915 srt:MaximumMember uhs:McAllenMedicalCenterMember 2022-01-01 2022-09-30 0000352915 srt:MaximumMember uhs:WellingtonRegionalMedicalCenterMember 2022-01-01 2022-09-30 0000352915 uhs:WellingtonRegionalMedicalCenterMember 2022-09-30 0000352915 srt:MinimumMember uhs:AikenRegionalMedicalCenterAuroraPavilionBehavioralHealthServicesMember 2022-01-01 2022-09-30 0000352915 srt:MaximumMember uhs:AikenRegionalMedicalCenterAuroraPavilionBehavioralHealthServicesMember 2022-01-01 2022-09-30 0000352915 srt:MinimumMember uhs:CanyonCreekBehavioralHealthMember 2022-01-01 2022-09-30 0000352915 srt:MaximumMember uhs:CanyonCreekBehavioralHealthMember 2022-01-01 2022-09-30 0000352915 srt:MinimumMember uhs:CliveBehavioralHealthHospitalMember 2022-01-01 2022-09-30 0000352915 srt:MaximumMember uhs:CliveBehavioralHealthHospitalMember 2022-01-01 2022-09-30 0000352915 srt:MinimumMember uhs:UniversalHealthRealtyIncomeTrustMember uhs:LimitedLiabilityCompaniesMember 2022-09-30 0000352915 srt:MaximumMember uhs:UniversalHealthRealtyIncomeTrustMember uhs:LimitedLiabilityCompaniesMember 2022-09-30 uhs:SquareFoot 0000352915 uhs:UniversalHealthRealtyIncomeTrustMember 2022-01-01 2022-01-31 0000352915 srt:MinimumMember uhs:UniversalHealthRealtyIncomeTrustMember 2022-01-01 2022-01-31 0000352915 srt:ChiefExecutiveOfficerMember 2022-01-01 2022-09-30 0000352915 uhs:TrustOwnedByChiefExecutiveOfficerMember srt:ChiefExecutiveOfficerMember 2022-01-01 2022-09-30 0000352915 srt:MinimumMember srt:ChiefExecutiveOfficerMember 2022-01-01 2022-09-30 0000352915 srt:ChiefExecutiveOfficerMember 2021-01-01 2021-12-31 0000352915 srt:ChiefExecutiveOfficerMember srt:ScenarioForecastMember 2022-01-01 2022-12-31 0000352915 us-gaap:RestrictedStockMember uhs:GroupPurchasingOrganizationAgreementMember uhs:PremierIncMember 2013-10-01 2013-12-31 0000352915 us-gaap:RestrictedStockMember uhs:GroupPurchasingOrganizationAgreementMember uhs:PremierIncMember 2022-01-01 2022-09-30 0000352915 us-gaap:RestrictedStockMember uhs:GroupPurchasingOrganizationAgreementMember uhs:PremierIncMember 2021-01-01 2021-12-31 0000352915 uhs:PremierIncMember us-gaap:OtherOperatingIncomeExpenseMember 2022-07-01 2022-09-30 0000352915 uhs:PremierIncMember us-gaap:OtherOperatingIncomeExpenseMember 2021-07-01 2021-09-30 0000352915 uhs:PremierIncMember us-gaap:OtherOperatingIncomeExpenseMember 2022-01-01 2022-09-30 0000352915 uhs:PremierIncMember us-gaap:OtherOperatingIncomeExpenseMember 2021-01-01 2021-09-30 0000352915 uhs:AcuteCareFacilityMember stpr:TX uhs:OutsideOwnersMember 2022-09-30 0000352915 uhs:BehavioralHealthCareFacilityMember country:AZ uhs:OutsideOwnersMember 2022-09-30 0000352915 uhs:BehavioralHealthCareFacilityMember stpr:PA uhs:OutsideOwnersMember 2022-09-30 0000352915 uhs:BehavioralHealthCareFacilityMember stpr:OH uhs:OutsideOwnersMember 2022-09-30 0000352915 uhs:AcuteCareFacilityMember stpr:NV uhs:OutsideOwnersMember 2022-09-30 0000352915 uhs:BehavioralHealthCareFacilityMember stpr:WA uhs:OutsideOwnersMember 2022-09-30 0000352915 uhs:BehavioralHealthCareFacilityMember stpr:MO uhs:OutsideOwnersMember 2022-09-30 0000352915 uhs:BehavioralHealthCareFacilityMember stpr:IA uhs:OutsideOwnersMember 2022-09-30 0000352915 uhs:BehavioralHealthCareFacilityMember stpr:MI uhs:OutsideOwnersMember 2022-09-30 0000352915 stpr:DC uhs:HospitalMember 2022-09-30 0000352915 stpr:DC uhs:HospitalMember 2022-08-31 0000352915 stpr:DC 2022-08-01 2022-08-31 0000352915 uhs:TrancheATermLoanMember 2022-09-30 0000352915 uhs:TrancheATermLoanMember 2022-01-01 2022-09-30 0000352915 us-gaap:RevolvingCreditFacilityMember 2021-08-24 0000352915 us-gaap:RevolvingCreditFacilityMember 2022-01-01 2022-09-30 0000352915 us-gaap:RevolvingCreditFacilityMember 2021-08-23 2021-08-24 0000352915 us-gaap:RevolvingCreditFacilityMember 2018-10-23 0000352915 us-gaap:RevolvingCreditFacilityMember 2022-09-30 0000352915 us-gaap:RevolvingCreditFacilityMember us-gaap:LetterOfCreditMember 2022-09-30 0000352915 uhs:TrancheATermLoanMember 2022-03-31 0000352915 uhs:TrancheATermLoanMember 2021-08-01 2021-08-31 0000352915 uhs:TrancheATermLoanMember 2022-01-01 2022-06-30 0000352915 uhs:TrancheBTermLoanMember 2022-09-30 0000352915 uhs:TrancheATermLoanMember uhs:GroupSevenMember 2022-01-01 2022-09-30 0000352915 uhs:TrancheATermLoanMember uhs:GroupEightMember 2022-01-01 2022-09-30 0000352915 srt:MinimumMember uhs:TermLoanAFacilityMember uhs:OneMonthLIBORRatePlusIndexBasedLoansMember 2022-09-30 0000352915 srt:MaximumMember uhs:TermLoanAFacilityMember uhs:OneMonthLIBORRatePlusIndexBasedLoansMember 2022-09-30 0000352915 srt:MinimumMember uhs:TermLoanAFacilityMember uhs:OneThreeSixMonthLIBORRatePlusIndexBasedLoansMember 2022-09-30 0000352915 srt:MaximumMember uhs:TermLoanAFacilityMember uhs:OneThreeSixMonthLIBORRatePlusIndexBasedLoansMember 2022-09-30 0000352915 uhs:TermLoanAFacilityMember uhs:ABRBasedLoansMember 2022-09-30 0000352915 uhs:TermLoanAFacilityMember uhs:OneMonthLIBORRatePlusIndexBasedLoansMember 2022-09-30 0000352915 srt:MinimumMember us-gaap:RevolvingCreditFacilityMember uhs:OneMonthLIBORRatePlusIndexBasedLoansMember 2022-09-30 0000352915 srt:MaximumMember us-gaap:RevolvingCreditFacilityMember uhs:OneMonthLIBORRatePlusIndexBasedLoansMember 2022-09-30 0000352915 srt:MinimumMember us-gaap:RevolvingCreditFacilityMember uhs:OneThreeSixMonthLIBORRatePlusIndexBasedLoansMember 2022-09-30 0000352915 srt:MaximumMember us-gaap:RevolvingCreditFacilityMember uhs:OneThreeSixMonthLIBORRatePlusIndexBasedLoansMember 2022-09-30 0000352915 us-gaap:RevolvingCreditFacilityMember uhs:ABRBasedLoansMember 2022-09-30 0000352915 us-gaap:RevolvingCreditFacilityMember uhs:OneMonthLIBORRatePlusIndexBasedLoansMember 2022-09-30 0000352915 srt:MinimumMember uhs:TermLoanAFacilityMember uhs:OneMonthSOFRRatePlusIndexBasedLoansMember 2022-09-30 0000352915 srt:MaximumMember uhs:TermLoanAFacilityMember uhs:OneMonthSOFRRatePlusIndexBasedLoansMember 2022-09-30 0000352915 srt:MinimumMember uhs:TermLoanAFacilityMember uhs:OneThreeSixMonthSOFRRatePlusIndexBasedLoansMember 2022-09-30 0000352915 srt:MaximumMember uhs:TermLoanAFacilityMember uhs:OneThreeSixMonthSOFRRatePlusIndexBasedLoansMember 2022-09-30 0000352915 uhs:TermLoanAFacilityMember uhs:OneMonthSOFRRatePlusIndexBasedLoansMember 2022-09-30 0000352915 srt:MinimumMember us-gaap:RevolvingCreditFacilityMember uhs:OneMonthSOFRRatePlusIndexBasedLoansMember 2022-09-30 0000352915 srt:MaximumMember us-gaap:RevolvingCreditFacilityMember uhs:OneMonthSOFRRatePlusIndexBasedLoansMember 2022-09-30 0000352915 srt:MinimumMember us-gaap:RevolvingCreditFacilityMember uhs:OneThreeSixMonthSOFRRatePlusIndexBasedLoansMember 2022-09-30 0000352915 srt:MaximumMember us-gaap:RevolvingCreditFacilityMember uhs:OneThreeSixMonthSOFRRatePlusIndexBasedLoansMember 2022-09-30 0000352915 us-gaap:RevolvingCreditFacilityMember uhs:OneMonthSOFRRatePlusIndexBasedLoansMember 2022-09-30 0000352915 uhs:NewSeniorSecuredCreditFacilityMember uhs:OnePointSixFivePercentSeniorSecuredNotesDueTwoThousandTwentySixMember 2021-08-24 0000352915 uhs:NewSeniorSecuredCreditFacilityMember uhs:TwoPointSixFivePercentSeniorSecuredNotesDueTwoThousandThirtyTwoMember 2021-08-24 0000352915 uhs:NewSeniorSecuredCreditFacilityMember uhs:OnePointSixFivePercentSeniorSecuredNotesDueTwoThousandTwentySixMember 2021-08-23 2021-08-24 0000352915 uhs:NewSeniorSecuredCreditFacilityMember uhs:TwoPointSixFivePercentSeniorSecuredNotesDueTwoThousandThirtyTwoMember 2021-08-23 2021-08-24 0000352915 2021-04-30 0000352915 uhs:NewSeniorSecuredCreditFacilityMember uhs:FivePointZeroZeroPercentSeniorSecuredNotesDueJuneTwoThousandTwentySixMember 2021-09-13 0000352915 uhs:NewSeniorSecuredCreditFacilityMember uhs:FivePointZeroZeroPercentSeniorSecuredNotesDueJuneTwoThousandTwentySixMember 2021-09-13 2021-09-13 0000352915 uhs:NewSeniorSecuredCreditFacilityMember 2022-09-30 0000352915 uhs:NewSeniorSecuredCreditFacilityMember uhs:OnePointSixFivePercentSeniorSecuredNotesDueTwoThousandTwentySixMember 2022-09-30 0000352915 uhs:NewSeniorSecuredCreditFacilityMember uhs:TwoPointSixFivePercentSeniorSecuredNotesDueTwoThousandThirtyMember 2020-09-21 0000352915 uhs:NewSeniorSecuredCreditFacilityMember uhs:TwoPointSixFivePercentSeniorSecuredNotesDueTwoThousandThirtyTwoMember 2021-09-13 0000352915 uhs:NewSeniorSecuredCreditFacilityMember uhs:TwoPointSixFivePercentSeniorSecuredNotesDueTwoThousandThirtyMember 2022-01-01 2022-09-30 0000352915 uhs:NewSeniorSecuredCreditFacilityMember uhs:FivePointZeroZeroPercentSeniorSecuredNotesDueTwoThousandTwentySixMember 2022-01-01 2022-09-30 0000352915 uhs:NewSeniorSecuredCreditFacilityMember srt:MaximumMember 2022-01-01 2022-09-30 0000352915 us-gaap:DebtMember 2022-09-30 0000352915 us-gaap:DebtMember 2021-12-31 0000352915 us-gaap:ForeignExchangeForwardMember 2022-01-01 2022-09-30 0000352915 us-gaap:ForeignExchangeForwardMember 2021-01-01 2021-09-30 0000352915 us-gaap:NetInvestmentHedgingMember us-gaap:ForeignExchangeContractMember us-gaap:DesignatedAsHedgingInstrumentMember 2022-07-01 2022-09-30 0000352915 us-gaap:NetInvestmentHedgingMember us-gaap:ForeignExchangeContractMember us-gaap:DesignatedAsHedgingInstrumentMember 2021-07-01 2021-09-30 0000352915 us-gaap:NetInvestmentHedgingMember us-gaap:ForeignExchangeContractMember us-gaap:DesignatedAsHedgingInstrumentMember 2022-01-01 2022-09-30 0000352915 us-gaap:NetInvestmentHedgingMember us-gaap:ForeignExchangeContractMember us-gaap:DesignatedAsHedgingInstrumentMember 2021-01-01 2021-09-30 0000352915 us-gaap:FairValueMeasurementsRecurringMember us-gaap:MoneyMarketFundsMember us-gaap:OtherAssetsMember 2022-09-30 0000352915 us-gaap:FairValueInputsLevel1Member us-gaap:FairValueMeasurementsRecurringMember us-gaap:MoneyMarketFundsMember us-gaap:OtherAssetsMember 2022-09-30 0000352915 us-gaap:FairValueMeasurementsRecurringMember us-gaap:CertificatesOfDepositMember us-gaap:OtherAssetsMember 2022-09-30 0000352915 us-gaap:FairValueInputsLevel2Member us-gaap:FairValueMeasurementsRecurringMember us-gaap:CertificatesOfDepositMember us-gaap:OtherAssetsMember 2022-09-30 0000352915 us-gaap:FairValueMeasurementsRecurringMember us-gaap:EquitySecuritiesMember us-gaap:OtherAssetsMember 2022-09-30 0000352915 us-gaap:FairValueInputsLevel1Member us-gaap:FairValueMeasurementsRecurringMember us-gaap:EquitySecuritiesMember us-gaap:OtherAssetsMember 2022-09-30 0000352915 uhs:DeferredCompensationAssetsMember us-gaap:FairValueMeasurementsRecurringMember us-gaap:OtherAssetsMember 2022-09-30 0000352915 us-gaap:FairValueInputsLevel1Member uhs:DeferredCompensationAssetsMember us-gaap:FairValueMeasurementsRecurringMember us-gaap:OtherAssetsMember 2022-09-30 0000352915 us-gaap:ForeignExchangeContractMember us-gaap:FairValueMeasurementsRecurringMember us-gaap:OtherCurrentAssetsMember 2022-09-30 0000352915 us-gaap:FairValueInputsLevel2Member us-gaap:ForeignExchangeContractMember us-gaap:FairValueMeasurementsRecurringMember us-gaap:OtherCurrentAssetsMember 2022-09-30 0000352915 us-gaap:FairValueMeasurementsRecurringMember 2022-09-30 0000352915 us-gaap:FairValueInputsLevel1Member us-gaap:FairValueMeasurementsRecurringMember 2022-09-30 0000352915 us-gaap:FairValueInputsLevel2Member us-gaap:FairValueMeasurementsRecurringMember 2022-09-30 0000352915 uhs:DeferredCompensationLiabilityMember us-gaap:FairValueMeasurementsRecurringMember us-gaap:OtherNoncurrentLiabilitiesMember 2022-09-30 0000352915 us-gaap:FairValueInputsLevel1Member uhs:DeferredCompensationLiabilityMember us-gaap:FairValueMeasurementsRecurringMember us-gaap:OtherNoncurrentLiabilitiesMember 2022-09-30 0000352915 us-gaap:FairValueMeasurementsRecurringMember us-gaap:MoneyMarketFundsMember us-gaap:OtherAssetsMember 2021-12-31 0000352915 us-gaap:FairValueInputsLevel1Member us-gaap:FairValueMeasurementsRecurringMember us-gaap:MoneyMarketFundsMember us-gaap:OtherAssetsMember 2021-12-31 0000352915 us-gaap:FairValueMeasurementsRecurringMember us-gaap:CertificatesOfDepositMember us-gaap:OtherAssetsMember 2021-12-31 0000352915 us-gaap:FairValueInputsLevel2Member us-gaap:FairValueMeasurementsRecurringMember us-gaap:CertificatesOfDepositMember us-gaap:OtherAssetsMember 2021-12-31 0000352915 us-gaap:FairValueMeasurementsRecurringMember us-gaap:EquitySecuritiesMember us-gaap:OtherAssetsMember 2021-12-31 0000352915 us-gaap:FairValueInputsLevel1Member us-gaap:FairValueMeasurementsRecurringMember us-gaap:EquitySecuritiesMember us-gaap:OtherAssetsMember 2021-12-31 0000352915 uhs:DeferredCompensationAssetsMember us-gaap:FairValueMeasurementsRecurringMember us-gaap:OtherAssetsMember 2021-12-31 0000352915 us-gaap:FairValueInputsLevel1Member uhs:DeferredCompensationAssetsMember us-gaap:FairValueMeasurementsRecurringMember us-gaap:OtherAssetsMember 2021-12-31 0000352915 us-gaap:ForeignExchangeContractMember us-gaap:FairValueMeasurementsRecurringMember us-gaap:OtherCurrentAssetsMember 2021-12-31 0000352915 us-gaap:FairValueInputsLevel2Member us-gaap:ForeignExchangeContractMember us-gaap:FairValueMeasurementsRecurringMember us-gaap:OtherCurrentAssetsMember 2021-12-31 0000352915 us-gaap:FairValueMeasurementsRecurringMember 2021-12-31 0000352915 us-gaap:FairValueInputsLevel1Member us-gaap:FairValueMeasurementsRecurringMember 2021-12-31 0000352915 us-gaap:FairValueInputsLevel2Member us-gaap:FairValueMeasurementsRecurringMember 2021-12-31 0000352915 uhs:DeferredCompensationLiabilityMember us-gaap:FairValueMeasurementsRecurringMember us-gaap:OtherNoncurrentLiabilitiesMember 2021-12-31 0000352915 us-gaap:FairValueInputsLevel1Member uhs:DeferredCompensationLiabilityMember us-gaap:FairValueMeasurementsRecurringMember us-gaap:OtherNoncurrentLiabilitiesMember 2021-12-31 0000352915 srt:MaximumMember us-gaap:ProfessionalMalpracticeLiabilityMember srt:SubsidiariesMember 2022-09-30 0000352915 srt:MaximumMember us-gaap:ProfessionalMalpracticeLiabilityMember srt:SubsidiariesMember 2021-12-31 0000352915 srt:MaximumMember us-gaap:GeneralLiabilityMember srt:SubsidiariesMember 2022-09-30 0000352915 srt:MaximumMember us-gaap:GeneralLiabilityMember srt:SubsidiariesMember 2021-12-31 0000352915 srt:MaximumMember us-gaap:ProfessionalMalpracticeLiabilityMember srt:SubsidiariesMember 2020-09-30 0000352915 srt:MaximumMember us-gaap:GeneralLiabilityMember srt:SubsidiariesMember 2020-09-30 0000352915 us-gaap:ProfessionalMalpracticeLiabilityMember srt:SubsidiariesMember 2020-09-30 0000352915 srt:MaximumMember us-gaap:ProfessionalMalpracticeLiabilityMember srt:SubsidiariesMember 2019-12-31 0000352915 srt:MaximumMember us-gaap:GeneralLiabilityMember srt:SubsidiariesMember 2019-12-31 0000352915 srt:MaximumMember us-gaap:ProfessionalMalpracticeLiabilityMember srt:SubsidiariesMember 2018-12-31 0000352915 srt:MaximumMember us-gaap:GeneralLiabilityMember srt:SubsidiariesMember 2018-12-31 0000352915 srt:MaximumMember us-gaap:ProfessionalMalpracticeLiabilityMember srt:SubsidiariesMember 2017-12-31 0000352915 srt:MaximumMember us-gaap:GeneralLiabilityMember srt:SubsidiariesMember 2017-12-31 0000352915 srt:MaximumMember us-gaap:ProfessionalMalpracticeLiabilityMember srt:SubsidiariesMember 2016-12-31 0000352915 srt:MaximumMember us-gaap:GeneralLiabilityMember srt:SubsidiariesMember 2016-12-31 0000352915 srt:MaximumMember uhs:GeneralAndProfessionalLiabilityInsurancePoliciesMember srt:SubsidiariesMember 2022-09-30 0000352915 srt:MaximumMember uhs:GeneralAndProfessionalLiabilityInsurancePoliciesMember srt:SubsidiariesMember 2021-12-31 0000352915 srt:MaximumMember uhs:GeneralAndProfessionalLiabilityInsurancePoliciesMember srt:SubsidiariesMember 2020-12-31 0000352915 srt:MaximumMember uhs:GeneralAndProfessionalLiabilityInsurancePoliciesMember srt:SubsidiariesMember 2019-12-31 0000352915 srt:MaximumMember uhs:GeneralAndProfessionalLiabilityInsurancePoliciesMember srt:SubsidiariesMember 2018-12-31 0000352915 srt:MaximumMember uhs:GeneralAndProfessionalLiabilityInsurancePoliciesMember srt:SubsidiariesMember 2017-12-31 0000352915 srt:MaximumMember uhs:GeneralAndProfessionalLiabilityInsurancePoliciesMember srt:SubsidiariesMember 2016-12-31 0000352915 srt:MaximumMember uhs:GeneralAndProfessionalLiabilityInsurancePoliciesMember srt:SubsidiariesMember 2015-12-31 0000352915 srt:MaximumMember uhs:GeneralAndProfessionalLiabilityInsurancePoliciesMember srt:SubsidiariesMember 2014-12-31 iso4217:GBP 0000352915 us-gaap:ProfessionalMalpracticeLiabilityMember srt:SubsidiariesMember uhs:CygnetHealthCareLimitedMember 2022-09-30 0000352915 us-gaap:GeneralLiabilityMember srt:SubsidiariesMember uhs:CygnetHealthCareLimitedMember 2022-09-30 0000352915 uhs:GeneralAndProfessionalLiabilityMember 2022-09-30 0000352915 uhs:GeneralAndProfessionalLiabilityMember 2021-12-31 0000352915 uhs:GeneralAndProfessionalLiabilityInsurancePoliciesMember 2022-01-01 2022-09-30 0000352915 uhs:GeneralAndProfessionalLiabilityInsurancePoliciesMember 2022-04-01 2022-06-30 0000352915 uhs:GeneralAndProfessionalLiabilityInsurancePoliciesMember 2021-01-01 2021-09-30 0000352915 uhs:GeneralAndProfessionalLiabilityInsurancePoliciesMember 2021-04-01 2021-06-30 0000352915 uhs:GeneralAndProfessionalLiabilityInsurancePoliciesMember 2021-07-01 2021-09-30 0000352915 uhs:WindStormsMember srt:MaximumMember 2020-06-01 0000352915 uhs:WindStormsMember 2020-06-01 0000352915 uhs:WindStormsMember srt:MinimumMember 2022-09-30 0000352915 uhs:WindStormsMember srt:MaximumMember 2022-09-30 0000352915 us-gaap:EarthquakeMember srt:MaximumMember stpr:CA 2022-09-30 0000352915 us-gaap:EarthquakeMember srt:MaximumMember uhs:FaultyZonesOfUSMember 2022-09-30 0000352915 us-gaap:EarthquakeMember srt:MaximumMember country:PR 2022-09-30 0000352915 us-gaap:EarthquakeMember srt:MaximumMember uhs:OtherStatesMember 2022-09-30 0000352915 us-gaap:FloodMember srt:MaximumMember 2022-09-30 0000352915 us-gaap:FloodMember srt:MaximumMember stpr:TX 2022-09-30 0000352915 us-gaap:FloodMember srt:MaximumMember country:PR 2022-09-30 0000352915 uhs:CygnetHealthCareLimitedMember 2022-01-01 2022-09-30 0000352915 uhs:GWHospitalMember 2022-07-01 2022-09-30 0000352915 uhs:DepartmentOfHumanServicesMember 2011-01-01 2011-12-31 0000352915 uhs:DepartmentOfHumanServicesMember 2012-01-01 2012-12-31 0000352915 uhs:DepartmentOfHumanServicesMember 2013-01-01 2013-12-31 0000352915 uhs:DepartmentOfHumanServicesMember 2014-01-01 2014-12-31 0000352915 uhs:DepartmentOfHumanServicesMember 2015-01-01 2015-12-31 0000352915 uhs:AcuteCareHospitalServicesMember 2022-07-01 2022-09-30 0000352915 uhs:BehavioralHealthServicesMember 2022-07-01 2022-09-30 0000352915 us-gaap:AllOtherSegmentsMember 2022-07-01 2022-09-30 0000352915 uhs:AcuteCareHospitalServicesMember 2022-09-30 0000352915 uhs:BehavioralHealthServicesMember 2022-09-30 0000352915 us-gaap:AllOtherSegmentsMember 2022-09-30 0000352915 uhs:AcuteCareHospitalServicesMember 2022-01-01 2022-09-30 0000352915 uhs:BehavioralHealthServicesMember 2022-01-01 2022-09-30 0000352915 us-gaap:AllOtherSegmentsMember 2022-01-01 2022-09-30 0000352915 uhs:AcuteCareHospitalServicesMember 2021-07-01 2021-09-30 0000352915 uhs:BehavioralHealthServicesMember 2021-07-01 2021-09-30 0000352915 us-gaap:AllOtherSegmentsMember 2021-07-01 2021-09-30 0000352915 uhs:AcuteCareHospitalServicesMember 2021-09-30 0000352915 uhs:BehavioralHealthServicesMember 2021-09-30 0000352915 us-gaap:AllOtherSegmentsMember 2021-09-30 0000352915 uhs:AcuteCareHospitalServicesMember 2021-01-01 2021-09-30 0000352915 uhs:BehavioralHealthServicesMember 2021-01-01 2021-09-30 0000352915 us-gaap:AllOtherSegmentsMember 2021-01-01 2021-09-30 0000352915 uhs:BehavioralHealthServicesMember country:GB 2022-07-01 2022-09-30 0000352915 uhs:BehavioralHealthServicesMember country:GB 2021-07-01 2021-09-30 0000352915 uhs:BehavioralHealthServicesMember country:GB 2022-01-01 2022-09-30 0000352915 uhs:BehavioralHealthServicesMember country:GB 2021-01-01 2021-09-30 0000352915 uhs:BehavioralHealthServicesMember country:GB 2022-09-30 0000352915 uhs:BehavioralHealthServicesMember country:GB 2021-09-30 0000352915 us-gaap:EmployeeStockOptionMember 2022-07-01 2022-09-30 0000352915 us-gaap:EmployeeStockOptionMember 2021-07-01 2021-09-30 0000352915 us-gaap:EmployeeStockOptionMember 2022-01-01 2022-09-30 0000352915 us-gaap:EmployeeStockOptionMember 2021-01-01 2021-09-30 0000352915 uhs:RestrictedStockAwardsRestrictedStockUnitsAndPerformanceBasedRestrictedStockUnitsMember 2022-07-01 2022-09-30 0000352915 uhs:RestrictedStockAwardsRestrictedStockUnitsAndPerformanceBasedRestrictedStockUnitsMember 2021-07-01 2021-09-30 0000352915 uhs:RestrictedStockAwardsRestrictedStockUnitsAndPerformanceBasedRestrictedStockUnitsMember 2022-01-01 2022-09-30 0000352915 uhs:RestrictedStockAwardsRestrictedStockUnitsAndPerformanceBasedRestrictedStockUnitsMember 2021-01-01 2021-09-30 0000352915 uhs:UnvestedStockOptionMember 2022-09-30 0000352915 us-gaap:RestrictedStockMember 2022-01-01 2022-09-30 0000352915 uhs:PerformanceBasedRestrictedStockUnitsMember 2022-01-01 2022-09-30 0000352915 stpr:NV 2021-01-01 2021-09-30 0000352915 2022-08-16 2022-08-16 0000352915 2022-01-31 0000352915 srt:MaximumMember 2022-09-30 0000352915 srt:MinimumMember 2022-01-01 2022-09-30 0000352915 srt:MaximumMember 2022-01-01 2022-09-30 0000352915 uhs:MedicareMember uhs:AcuteCareHospitalServicesMember 2022-07-01 2022-09-30 0000352915 uhs:MedicareMember uhs:BehavioralHealthServicesMember 2022-07-01 2022-09-30 0000352915 uhs:MedicareMember 2022-07-01 2022-09-30 0000352915 uhs:ManagedMedicareMember uhs:AcuteCareHospitalServicesMember 2022-07-01 2022-09-30 0000352915 uhs:ManagedMedicareMember uhs:BehavioralHealthServicesMember 2022-07-01 2022-09-30 0000352915 uhs:ManagedMedicareMember 2022-07-01 2022-09-30 0000352915 uhs:MedicaidMember uhs:AcuteCareHospitalServicesMember 2022-07-01 2022-09-30 0000352915 uhs:MedicaidMember uhs:BehavioralHealthServicesMember 2022-07-01 2022-09-30 0000352915 uhs:MedicaidMember 2022-07-01 2022-09-30 0000352915 uhs:ManagedMedicaidMember uhs:AcuteCareHospitalServicesMember 2022-07-01 2022-09-30 0000352915 uhs:ManagedMedicaidMember uhs:BehavioralHealthServicesMember 2022-07-01 2022-09-30 0000352915 uhs:ManagedMedicaidMember 2022-07-01 2022-09-30 0000352915 uhs:ManagedCareMember uhs:AcuteCareHospitalServicesMember 2022-07-01 2022-09-30 0000352915 uhs:ManagedCareMember uhs:BehavioralHealthServicesMember 2022-07-01 2022-09-30 0000352915 uhs:ManagedCareMember 2022-07-01 2022-09-30 0000352915 uhs:UKRevenueMember uhs:AcuteCareHospitalServicesMember 2022-07-01 2022-09-30 0000352915 uhs:UKRevenueMember uhs:BehavioralHealthServicesMember 2022-07-01 2022-09-30 0000352915 uhs:UKRevenueMember 2022-07-01 2022-09-30 0000352915 uhs:OtherPatientRevenueAndAdjustmentsNetMember uhs:AcuteCareHospitalServicesMember 2022-07-01 2022-09-30 0000352915 uhs:OtherPatientRevenueAndAdjustmentsNetMember uhs:BehavioralHealthServicesMember 2022-07-01 2022-09-30 0000352915 uhs:OtherPatientRevenueAndAdjustmentsNetMember 2022-07-01 2022-09-30 0000352915 uhs:OtherNonPatientRevenueMember uhs:AcuteCareHospitalServicesMember 2022-07-01 2022-09-30 0000352915 uhs:OtherNonPatientRevenueMember uhs:BehavioralHealthServicesMember 2022-07-01 2022-09-30 0000352915 uhs:OtherNonPatientRevenueMember us-gaap:AllOtherSegmentsMember 2022-07-01 2022-09-30 0000352915 uhs:OtherNonPatientRevenueMember 2022-07-01 2022-09-30 0000352915 uhs:MedicareMember uhs:AcuteCareHospitalServicesMember 2022-01-01 2022-09-30 0000352915 uhs:MedicareMember uhs:BehavioralHealthServicesMember 2022-01-01 2022-09-30 0000352915 uhs:MedicareMember 2022-01-01 2022-09-30 0000352915 uhs:ManagedMedicareMember uhs:AcuteCareHospitalServicesMember 2022-01-01 2022-09-30 0000352915 uhs:ManagedMedicareMember uhs:BehavioralHealthServicesMember 2022-01-01 2022-09-30 0000352915 uhs:ManagedMedicareMember 2022-01-01 2022-09-30 0000352915 uhs:MedicaidMember uhs:AcuteCareHospitalServicesMember 2022-01-01 2022-09-30 0000352915 uhs:MedicaidMember uhs:BehavioralHealthServicesMember 2022-01-01 2022-09-30 0000352915 uhs:MedicaidMember 2022-01-01 2022-09-30 0000352915 uhs:ManagedMedicaidMember uhs:AcuteCareHospitalServicesMember 2022-01-01 2022-09-30 0000352915 uhs:ManagedMedicaidMember uhs:BehavioralHealthServicesMember 2022-01-01 2022-09-30 0000352915 uhs:ManagedMedicaidMember 2022-01-01 2022-09-30 0000352915 uhs:ManagedCareMember uhs:AcuteCareHospitalServicesMember 2022-01-01 2022-09-30 0000352915 uhs:ManagedCareMember uhs:BehavioralHealthServicesMember 2022-01-01 2022-09-30 0000352915 uhs:ManagedCareMember 2022-01-01 2022-09-30 0000352915 uhs:UKRevenueMember uhs:AcuteCareHospitalServicesMember 2022-01-01 2022-09-30 0000352915 uhs:UKRevenueMember uhs:BehavioralHealthServicesMember 2022-01-01 2022-09-30 0000352915 uhs:UKRevenueMember 2022-01-01 2022-09-30 0000352915 uhs:OtherPatientRevenueAndAdjustmentsNetMember uhs:AcuteCareHospitalServicesMember 2022-01-01 2022-09-30 0000352915 uhs:OtherPatientRevenueAndAdjustmentsNetMember uhs:BehavioralHealthServicesMember 2022-01-01 2022-09-30 0000352915 uhs:OtherPatientRevenueAndAdjustmentsNetMember 2022-01-01 2022-09-30 0000352915 uhs:OtherNonPatientRevenueMember uhs:AcuteCareHospitalServicesMember 2022-01-01 2022-09-30 0000352915 uhs:OtherNonPatientRevenueMember uhs:BehavioralHealthServicesMember 2022-01-01 2022-09-30 0000352915 uhs:OtherNonPatientRevenueMember us-gaap:AllOtherSegmentsMember 2022-01-01 2022-09-30 0000352915 uhs:OtherNonPatientRevenueMember 2022-01-01 2022-09-30 0000352915 uhs:MedicareMember uhs:AcuteCareHospitalServicesMember 2021-07-01 2021-09-30 0000352915 uhs:MedicareMember uhs:BehavioralHealthServicesMember 2021-07-01 2021-09-30 0000352915 uhs:MedicareMember 2021-07-01 2021-09-30 0000352915 uhs:ManagedMedicareMember uhs:AcuteCareHospitalServicesMember 2021-07-01 2021-09-30 0000352915 uhs:ManagedMedicareMember uhs:BehavioralHealthServicesMember 2021-07-01 2021-09-30 0000352915 uhs:ManagedMedicareMember 2021-07-01 2021-09-30 0000352915 uhs:MedicaidMember uhs:AcuteCareHospitalServicesMember 2021-07-01 2021-09-30 0000352915 uhs:MedicaidMember uhs:BehavioralHealthServicesMember 2021-07-01 2021-09-30 0000352915 uhs:MedicaidMember 2021-07-01 2021-09-30 0000352915 uhs:ManagedMedicaidMember uhs:AcuteCareHospitalServicesMember 2021-07-01 2021-09-30 0000352915 uhs:ManagedMedicaidMember uhs:BehavioralHealthServicesMember 2021-07-01 2021-09-30 0000352915 uhs:ManagedMedicaidMember 2021-07-01 2021-09-30 0000352915 uhs:ManagedCareMember uhs:AcuteCareHospitalServicesMember 2021-07-01 2021-09-30 0000352915 uhs:ManagedCareMember uhs:BehavioralHealthServicesMember 2021-07-01 2021-09-30 0000352915 uhs:ManagedCareMember 2021-07-01 2021-09-30 0000352915 uhs:UKRevenueMember uhs:AcuteCareHospitalServicesMember 2021-07-01 2021-09-30 0000352915 uhs:UKRevenueMember uhs:BehavioralHealthServicesMember 2021-07-01 2021-09-30 0000352915 uhs:UKRevenueMember 2021-07-01 2021-09-30 0000352915 uhs:OtherPatientRevenueAndAdjustmentsNetMember uhs:AcuteCareHospitalServicesMember 2021-07-01 2021-09-30 0000352915 uhs:OtherPatientRevenueAndAdjustmentsNetMember uhs:BehavioralHealthServicesMember 2021-07-01 2021-09-30 0000352915 uhs:OtherPatientRevenueAndAdjustmentsNetMember 2021-07-01 2021-09-30 0000352915 uhs:OtherNonPatientRevenueMember uhs:AcuteCareHospitalServicesMember 2021-07-01 2021-09-30 0000352915 uhs:OtherNonPatientRevenueMember uhs:BehavioralHealthServicesMember 2021-07-01 2021-09-30 0000352915 uhs:OtherNonPatientRevenueMember us-gaap:AllOtherSegmentsMember 2021-07-01 2021-09-30 0000352915 uhs:OtherNonPatientRevenueMember 2021-07-01 2021-09-30 0000352915 uhs:MedicareMember uhs:AcuteCareHospitalServicesMember 2021-01-01 2021-09-30 0000352915 uhs:MedicareMember uhs:BehavioralHealthServicesMember 2021-01-01 2021-09-30 0000352915 uhs:MedicareMember 2021-01-01 2021-09-30 0000352915 uhs:ManagedMedicareMember uhs:AcuteCareHospitalServicesMember 2021-01-01 2021-09-30 0000352915 uhs:ManagedMedicareMember uhs:BehavioralHealthServicesMember 2021-01-01 2021-09-30 0000352915 uhs:ManagedMedicareMember 2021-01-01 2021-09-30 0000352915 uhs:MedicaidMember uhs:AcuteCareHospitalServicesMember 2021-01-01 2021-09-30 0000352915 uhs:MedicaidMember uhs:BehavioralHealthServicesMember 2021-01-01 2021-09-30 0000352915 uhs:MedicaidMember 2021-01-01 2021-09-30 0000352915 uhs:ManagedMedicaidMember uhs:AcuteCareHospitalServicesMember 2021-01-01 2021-09-30 0000352915 uhs:ManagedMedicaidMember uhs:BehavioralHealthServicesMember 2021-01-01 2021-09-30 0000352915 uhs:ManagedMedicaidMember 2021-01-01 2021-09-30 0000352915 uhs:ManagedCareMember uhs:AcuteCareHospitalServicesMember 2021-01-01 2021-09-30 0000352915 uhs:ManagedCareMember uhs:BehavioralHealthServicesMember 2021-01-01 2021-09-30 0000352915 uhs:ManagedCareMember 2021-01-01 2021-09-30 0000352915 uhs:UKRevenueMember uhs:AcuteCareHospitalServicesMember 2021-01-01 2021-09-30 0000352915 uhs:UKRevenueMember uhs:BehavioralHealthServicesMember 2021-01-01 2021-09-30 0000352915 uhs:UKRevenueMember 2021-01-01 2021-09-30 0000352915 uhs:OtherPatientRevenueAndAdjustmentsNetMember uhs:AcuteCareHospitalServicesMember 2021-01-01 2021-09-30 0000352915 uhs:OtherPatientRevenueAndAdjustmentsNetMember uhs:BehavioralHealthServicesMember 2021-01-01 2021-09-30 0000352915 uhs:OtherPatientRevenueAndAdjustmentsNetMember 2021-01-01 2021-09-30 0000352915 uhs:OtherNonPatientRevenueMember uhs:AcuteCareHospitalServicesMember 2021-01-01 2021-09-30 0000352915 uhs:OtherNonPatientRevenueMember uhs:BehavioralHealthServicesMember 2021-01-01 2021-09-30 0000352915 uhs:OtherNonPatientRevenueMember us-gaap:AllOtherSegmentsMember 2021-01-01 2021-09-30 0000352915 uhs:OtherNonPatientRevenueMember 2021-01-01 2021-09-30 0000352915 srt:MinimumMember 2022-09-30 0000352915 uhs:TwoHospitalFacilitiesMember 2022-01-01 2022-09-30 0000352915 uhs:AnotherTwoHospitalFacilitiesMember 2022-01-01 2022-09-30 0000352915 uhs:OneHospitalFacilityMember 2022-01-01 2022-09-30

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10-Q

 

(MARK ONE)

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended September 30, 2022

OR

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from                      to                     

Commission file number 1-10765

 

UNIVERSAL HEALTH SERVICES, INC.

(Exact name of registrant as specified in its charter)

 

 

Delaware

 

23-2077891

(State or other jurisdiction of

incorporation or organization)

 

(I.R.S. Employer

Identification No.)

UNIVERSAL CORPORATE CENTER

367 SOUTH GULPH ROAD

KING OF PRUSSIA, Pennsylvania 19406

(Address of principal executive offices) (Zip Code)

Registrant’s telephone number, including area code (610768-3300

Securities registered pursuant to Section 12(b) of the Act:

Title of each class

Trading Symbol(s)

Name of each exchange on which registered

Class B Common Stock, $0.01 par value

UHS

New York Stock Exchange

 

Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes      No  

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).    Yes      No  

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

 

Large accelerated filer

Accelerated filer

 

 

 

 

Non-accelerated filer

Smaller reporting company

 

 

Emerging growth company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes      No  

Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date. Common shares outstanding, as of October 31, 2022:

 

Class A

 

6,577,100

Class B

 

64,157,474

Class C

 

661,688

Class D

 

14,170

 


 

UNIVERSAL HEALTH SERVICES, INC.

INDEX

 

 

 

PAGE NO.

 

 

 

PART I. FINANCIAL INFORMATION

  

 

 

 

 

Item 1. Financial Statements (unaudited)

 

 

 

 

 

Condensed Consolidated Statements of Income – Three and Nine Months Ended September 30, 2022 and 2021

 

3

 

 

 

Condensed Consolidated Statements of Comprehensive Income – Three and Nine Months Ended September 30, 2022 and 2021

 

4

 

 

 

Condensed Consolidated Balance Sheets – September 30, 2022 and December 31, 2021

 

5

 

 

 

Condensed Consolidated Statements of Changes in Equity – Three and Nine Months Ended September 30, 2022 and 2021

 

6

 

 

 

Condensed Consolidated Statements of Cash Flows - Nine Months Ended September 30, 2022 and 2021

 

8

 

 

 

          Notes to Condensed Consolidated Financial Statements

 

9

 

 

 

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

 

26

 

 

 

Item 3. Quantitative and Qualitative Disclosures About Market Risk

 

62

 

 

 

Item 4. Controls and Procedures

 

62

 

 

 

PART II. Other Information

 

 

 

 

 

Item 1. Legal Proceedings

 

63

 

 

 

Item 1A. Risk Factors

 

63

 

 

 

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

 

63

 

 

 

Item 6. Exhibits

 

64

 

 

 

Signatures

 

65

This Quarterly Report on Form 10-Q is for the quarter ended September 30, 2022. This Report modifies and supersedes documents filed prior to this Report. Information that we file with the Securities and Exchange Commission (the “SEC”) in the future will automatically update and supersede information contained in this Report.

In this Quarterly Report, “we,” “us,” “our” “UHS” and the “Company” refer to Universal Health Services, Inc. and its subsidiaries. UHS is a registered trademark of UHS of Delaware, Inc., the management company for, and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to “UHS” or “UHS facilities” in this report including letters, narratives or other forms contained herein relates to our healthcare or management operations it is referring to Universal Health Services, Inc.’s subsidiaries including UHS of Delaware, Inc. Further, the terms “we,” “us,” “our” or the “Company” in such context similarly refer to the operations of Universal Health Services Inc.’s subsidiaries including UHS of Delaware, Inc. Any reference to employees or employment contained herein refers to employment with or employees of the subsidiaries of Universal Health Services, Inc. including UHS of Delaware, Inc.

 

 

2


 

PART I. FINANCIAL INFORMATION

UNIVERSAL HEALTH SERVICES, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF INCOME

(amounts in thousands, except per share amounts)

(unaudited)

 

 

Three months ended

September 30,

 

 

Nine months ended

September 30,

 

 

2022

 

 

2021

 

 

2022

 

 

2021

 

Net revenues

$

3,336,027

 

 

$

3,155,999

 

 

$

9,952,390

 

 

$

9,366,866

 

Operating charges:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

1,677,431

 

 

 

1,556,448

 

 

 

5,061,173

 

 

 

4,542,156

 

Other operating expenses

 

837,241

 

 

 

754,072

 

 

 

2,526,060

 

 

 

2,233,590

 

Supplies expense

 

366,337

 

 

 

367,834

 

 

 

1,092,403

 

 

 

1,052,977

 

Depreciation and amortization

 

145,874

 

 

 

134,462

 

 

 

433,508

 

 

 

399,850

 

Lease and rental expense

 

33,264

 

 

 

28,375

 

 

 

97,075

 

 

 

88,848

 

 

 

3,060,147

 

 

 

2,841,191

 

 

 

9,210,219

 

 

 

8,317,421

 

Income from operations

 

275,880

 

 

 

314,808

 

 

 

742,171

 

 

 

1,049,445

 

Interest expense, net

 

35,653

 

 

 

21,199

 

 

 

83,002

 

 

 

64,455

 

Other (income) expense, net

 

6,015

 

 

 

6,719

 

 

 

15,244

 

 

 

(1,575

)

Income before income taxes

 

234,212

 

 

 

286,890

 

 

 

643,925

 

 

 

986,565

 

Provision for income taxes

 

57,401

 

 

 

67,515

 

 

 

157,312

 

 

 

232,844

 

Net income

 

176,811

 

 

 

219,375

 

 

 

486,613

 

 

 

753,721

 

Less: Net income (loss) attributable to noncontrolling interests

 

(6,003

)

 

 

1,024

 

 

 

(14,176

)

 

 

1,255

 

Net income attributable to UHS

$

182,814

 

 

$

218,351

 

 

$

500,789

 

 

$

752,466

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic earnings per share attributable to UHS

$

2.52

 

 

$

2.65

 

 

$

6.78

 

 

$

8.96

 

Diluted earnings per share attributable to UHS

$

2.50

 

 

$

2.60

 

 

$

6.71

 

 

$

8.83

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average number of common shares - basic

 

72,595

 

 

 

82,262

 

 

 

73,769

 

 

 

83,756

 

Add: Other share equivalents

 

465

 

 

 

1,411

 

 

 

743

 

 

 

1,275

 

Weighted average number of common shares and

   equivalents - diluted

 

73,060

 

 

 

83,673

 

 

 

74,512

 

 

 

85,031

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

 

 

3


 

UNIVERSAL HEALTH SERVICES, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(amounts in thousands, unaudited)

 

 

 

Three months ended

September 30,

 

 

Nine months ended

September 30,

 

 

 

2022

 

 

2021

 

 

2022

 

 

2021

 

Net income

 

$

176,811

 

 

$

219,375

 

 

$

486,613

 

 

$

753,721

 

Other comprehensive income (loss):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Foreign currency translation adjustment

 

 

24,242

 

 

 

(9,121

)

 

 

(22,460

)

 

 

(23,184

)

Other comprehensive income (loss) before tax

 

 

24,242

 

 

 

(9,121

)

 

 

(22,460

)

 

 

(23,184

)

Income tax expense (benefit) related to items of other

   comprehensive income (loss)

 

 

6,685

 

 

 

109

 

 

 

5,809

 

 

 

(1,958

)

Total other comprehensive income (loss), net of tax

 

 

17,557

 

 

 

(9,230

)

 

 

(28,269

)

 

 

(21,226

)

Comprehensive income

 

 

194,368

 

 

 

210,145

 

 

 

458,344

 

 

 

732,495

 

Less: Comprehensive income (loss) attributable to noncontrolling

   interests

 

 

(6,003

)

 

 

1,024

 

 

 

(14,176

)

 

 

1,255

 

Comprehensive income attributable to UHS

 

$

200,371

 

 

$

209,121

 

 

$

472,520

 

 

$

731,240

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

 

4


 

UNIVERSAL HEALTH SERVICES, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(amounts in thousands, unaudited)

 

 

September 30,

2022

 

 

December 31,

2021

 

Assets

 

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

 

Cash and cash equivalents

$

74,571

 

 

$

115,301

 

Accounts receivable, net

 

1,902,472

 

 

 

1,746,635

 

Supplies

 

217,818

 

 

 

206,839

 

Other current assets

 

261,698

 

 

 

194,781

 

Total current assets

 

2,456,559

 

 

 

2,263,556

 

 

 

 

 

 

 

 

 

Property and equipment

 

11,103,596

 

 

 

10,770,702

 

Less: accumulated depreciation

 

(5,167,198

)

 

 

(4,896,427

)

 

 

5,936,398

 

 

 

5,874,275

 

Other assets:

 

 

 

 

 

 

 

Goodwill

 

3,874,021

 

 

 

3,962,624

 

Deferred income taxes

 

55,789

 

 

 

45,707

 

Right of use assets-operating leases

 

457,209

 

 

 

367,477

 

Deferred charges

 

6,336

 

 

 

6,525

 

Other

 

592,588

 

 

 

573,379

 

Total Assets

$

13,378,900

 

 

$

13,093,543

 

 

 

 

 

 

 

 

 

Liabilities and Stockholders’ Equity

 

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

 

Current maturities of long-term debt

$

66,307

 

 

$

48,409

 

Accounts payable and other liabilities

 

1,795,004

 

 

 

1,860,496

 

Operating lease liabilities

 

70,146

 

 

 

64,484

 

Federal and state taxes

 

7,743

 

 

 

10,720

 

Total current liabilities

 

1,939,200

 

 

 

1,984,109

 

 

 

 

 

 

 

 

 

Other noncurrent liabilities

 

500,119

 

 

 

464,759

 

Operating lease liabilities noncurrent

 

392,582

 

 

 

304,624

 

Long-term debt

 

4,638,356

 

 

 

4,141,879

 

 

 

 

 

 

 

 

 

Redeemable noncontrolling interests

 

4,563

 

 

 

5,119

 

 

 

 

 

 

 

 

 

Equity:

 

 

 

 

 

 

 

UHS common stockholders’ equity

 

5,855,353

 

 

 

6,089,664

 

Noncontrolling interest

 

48,727

 

 

 

103,389

 

Total equity

 

5,904,080

 

 

 

6,193,053

 

Total Liabilities and Stockholders’ Equity

$

13,378,900

 

 

$

13,093,543

 

 

 

 

 

 

 

 

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

 

5


 

UNIVERSAL HEALTH SERVICES, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY

For the Three and Nine Months ended September 30, 2022

(amounts in thousands, unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accumulated

 

 

UHS

 

 

 

 

 

 

 

 

 

 

 

Redeemable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other

 

 

Common

 

 

 

 

 

 

 

 

 

 

 

Noncontrolling

 

 

Class A

 

 

Class B

 

 

Class C

 

 

Class D

 

 

Cumulative

 

 

Retained

 

 

Comprehensive

 

 

Stockholders'

 

 

Noncontrolling

 

 

 

 

 

 

 

Interest

 

 

Common

 

 

Common

 

 

Common

 

 

Common

 

 

Dividends

 

 

Earnings

 

 

Income (Loss)

 

 

Equity

 

 

Interest

 

 

Total

 

Balance, July 1, 2022

 

$

4,449

 

 

$

66

 

 

$

660

 

 

$

7

 

 

$

0

 

 

$

(575,198

)

 

$

6,404,660

 

 

$

(15,535

)

 

$

5,814,660

 

 

$

89,256

 

 

$

5,903,916

 

Common Stock

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Issued/(converted)

 

 

 

 

 

 

 

 

1

 

 

 

 

 

 

 

 

 

 

 

 

3,738

 

 

 

 

 

 

3,739

 

 

 

 

 

 

3,739

 

Repurchased

 

 

 

 

 

 

 

 

(16

)

 

 

 

 

 

 

 

 

 

 

 

(158,186

)

 

 

 

 

 

(158,202

)

 

 

 

 

 

(158,202

)

Restricted share-based compensation expense

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4,869

 

 

 

 

 

 

4,869

 

 

 

 

 

 

4,869

 

Dividends paid and accrued

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(14,607

)

 

 

 

 

 

 

 

 

(14,607

)

 

 

 

 

 

(14,607

)

Stock option expense

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15,797

 

 

 

 

 

 

15,797

 

 

 

 

 

 

15,797

 

Acquisition of noncontrolling interest in majority owned business

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(11,274

)

 

 

 

 

 

(11,274

)

 

 

(37,608

)

 

 

(48,882

)

Distributions to noncontrolling interests

 

 

 

 

 

 

 

 

</