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v3.25.1

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2025 | Mar. 31, 2024
Cash Flows from Operating Activities: |  |
Net income attributable to UHS | $ 321,628 | $ 265,822
Adjustments to reconcile net income to net cash provided by operating activities: |  |
Depreciation & amortization | 148,345 | 141,003
Gain on sales of assets and businesses |  | (3,725)
Stock-based compensation expense | 21,595 | 19,630
Changes in assets & liabilities, net of effects from acquisitions and dispositions: |  |
Accounts receivable | (218,374) | (74,446)
Accrued interest | 11,086 | 3,453
Accrued and deferred income taxes | 88,641 | 72,193
Other working capital accounts | (42,824) | (33,291)
Other assets and deferred charges | (489) | (20,307)
Other | 3,811 | 8,897
Accrued insurance expense, net of commercial premiums paid | 47,334 | 51,112
Payments made in settlement of self-insurance claims | (20,705) | (33,935)
Net cash provided by operating activities | 360,048 | 396,406
Cash Flows from Investing Activities: |  |
Property and equipment additions | (239,026) | (208,539)
Proceeds received from sales of assets and businesses |  | 5,428
Acquisition of businesses and property | (8,314) |
(Outflows) inflows from foreign exchange contracts that hedge our net U.K. investment | (23,695) | 8,319
Decrease in capital reserves of commercial insurance subsidiary | (264) | 155
Net cash used in investing activities | (271,299) | (194,637)
Cash Flows from Financing Activities: |  |
Repayments of long-term debt | (9,113) | (63,905)
Additional borrowings | 152,454 | 12,038
Repurchase of common shares | (223,385) | (142,084)
Dividends paid | (13,534) | (13,601)
Issuance of common stock | 3,658 | 3,241
Profit distributions to noncontrolling interests | (5,912) | (4,480)
Purchase (sale) of ownership interests by (from) minority member | 4,412 | (156)
Net cash used in financing activities | (91,420) | (208,947)
Effect of exchange rate changes on cash, cash equivalents and restricted cash | 1,645 | (492)
Decrease in cash, cash equivalents and restricted cash | (1,026) | (7,670)
Cash, cash equivalents and restricted cash, beginning of period | 224,752 | 214,470
Cash, cash equivalents and restricted cash, end of period | 223,726 | 206,800
Supplemental Disclosures of Cash Flow Information: |  |
Interest paid | 27,718 | 48,116
Income taxes paid, net of refunds | 5,638 | 2,671
Noncash purchases of property and equipment | $ 116,196 | $ 60,125

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