Revenue growth remains consistent at 9.6% year-over-year as of 2026Q1, though operating margins remain constrained near 11.2% due to high SG&A expenses of $2.1 billion.
| Metric | TTM | Dec'25 | Dec'24 | Dec'23 | Dec'22 | Dec'21 | Dec'20 | Dec'19 | Dec'18 | Dec'17 | Dec'16 | Dec'15 | Dec'14 | Dec'13 | Dec'12 | Dec'11 | Dec'10 | Dec'09 | Dec'08 | Dec'07 | Dec'06 | Dec'05 | Dec'04 | Dec'03 | Dec'02 | Dec'01 | Dec'00 | Dec'99 | Dec'98 | Dec'97 | Dec'96 |
|---|
| Sales/Revenue | 17.76B | 17.36B | 15.83B | 14.28B | 13.4B | 12.64B | 11.56B | 11.38B | 10.77B | 10.41B | 9.77B | 9.04B | 8.07B | 7.28B | 6.96B | 7.5B | 5.57B | 5.2B | 5.02B | 4.75B | 4.19B | 3.94B | 3.94B | 3.64B | 3.26B | 2.84B | 2.24B | 2.04B | 1.87B | 1.44B | 1.19B |
| Revenue Growth % | 10.42% | 9.71% | 10.82% | 6.59% | 5.99% | 9.37% | 1.59% | 5.63% | 3.48% | 6.59% | 7.99% | 12.13% | 10.73% | 4.63% | -7.18% | 34.7% | 7.03% | 3.58% | 5.71% | 13.35% | 6.5% | -0.07% | 8.09% | 11.8% | 14.73% | 26.67% | 9.79% | 8.96% | 29.93% | 21.21% | 27.83% |
| Cost of Goods Sold | 1.26B | 1.66B | 1.59B | 1.53B | 1.47B | 1.43B | 1.29B | 1.25B | 1.17B | 1.11B | 1.03B | 974.09M | 895.69M | 821.09M | 799.62M | 805.49M | 716.92M | 2.9B | 2.83B | 666.32M | 547.91M | 2.12B | 1.95B | 1.12B | 1.21B | 668.03M | 816.75M | 475.1M | 438.1M | 574.8M | 459.2M |
| COGS % of Revenue | - | 9.55% | 10.03% | 10.73% | 11% | 11.29% | 11.14% | 11% | 10.85% | 10.62% | 10.56% | 10.77% | 11.11% | 11.27% | 11.49% | 10.74% | 12.88% | 55.81% | 56.3% | 14.02% | 13.07% | 53.77% | 49.61% | 30.72% | 37.21% | 23.52% | 36.42% | 23.26% | 23.37% | 39.84% | 38.58% |
| Gross Profit | 12.01B | 15.71B | 14.24B | 12.75B | 11.93B | 11.21B | 10.27B | 10.13B | 9.6B | 9.3B | 8.73B | 8.07B | 7.31B | 6.55B | 6.16B | 5.95B | 4.18B | 2.3B | 2.19B | 4.02B | 3.58B | 1.82B | 1.68B | 2.52B | 2.05B | 2.17B | 1.43B | 1.57B | 1.44B | 867.9M | 715M |
| Gross Margin % | 67.62% | 90.45% | 89.97% | 89.27% | 89% | 88.71% | 88.86% | 89% | 89.15% | 89.38% | 89.44% | 89.23% | 90.63% | 89.88% | 88.51% | 79.39% | 75.13% | 44.19% | 43.7% | 84.55% | 85.34% | 46.23% | 42.76% | 69.12% | 62.79% | 76.48% | 63.58% | 76.74% | 76.63% | 60.16% | 60.07% |
| Gross Profit Growth % | - | 10.29% | 11.69% | 6.91% | 6.33% | 9.19% | 1.42% | 5.45% | 3.21% | 6.52% | 8.25% | 10.4% | 11.65% | 6.25% | 3.48% | 42.35% | 81.98% | 4.74% | -45.36% | 12.3% | 96.58% | 8.05% | -33.13% | 23.06% | -5.81% | 52.38% | -9.03% | 9.11% | 65.5% | 21.38% | 25.42% |
| Operating Expenses | 10.47B | 13.71B | 12.56B | 11.57B | 10.92B | 9.85B | 8.91B | 8.91B | 8.43B | 8.02B | 7.45B | 6.81B | 6.25B | 5.53B | 5.22B | 5.06B | 3.68B | 1.78B | 1.78B | 3.65B | 3.26B | 1.51B | 1.37B | 1.68B | 1.72B | 1.91B | 1.23B | 1.41B | 1.28B | 742.3M | 610.7M |
| OpEx % of Revenue | - | 78.96% | 79.34% | 81.04% | 81.51% | 77.93% | 77.1% | 78.32% | 78.24% | 77.09% | 76.32% | 75.3% | 77.44% | 75.94% | 74.97% | 67.43% | 66.05% | 34.18% | 35.53% | 76.75% | 77.66% | 38.25% | 34.87% | 46.15% | 52.68% | 67.31% | 54.77% | 68.84% | 68.13% | 51.45% | 51.31% |
| Selling, General & Admin | 6.24B | 8.23B | 7.67B | 7.25B | 6.89B | 6.28B | 5.73B | 5.7B | 5.36B | 5.08B | 4.68B | 4.31B | 3.94B | 3.7B | 3.54B | 3.42B | 2.44B | 69.95M | 69.88M | 2.07B | 1.83B | 1.35B | 1.23B | 1.56B | 1.59B | 1.78B | 1.12B | 1.3B | 1.17B | 661.6M | 538.8M |
| SG&A % of Revenue | - | 47.41% | 48.43% | 50.75% | 51.45% | 49.7% | 49.56% | 50.07% | 49.76% | 48.84% | 47.95% | 47.63% | 48.84% | 50.83% | 50.79% | 45.55% | 43.8% | 1.34% | 1.39% | 43.63% | 43.63% | 34.3% | 31.25% | 42.88% | 48.85% | 62.82% | 49.74% | 63.54% | 62.51% | 45.86% | 45.27% |
| Research & Development | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| R&D % of Revenue | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - | - |
| Other Operating Expenses | 3M | 5.48B | 4.89B | 4.33B | 4.03B | 3.57B | 3.18B | 3.21B | 3.07B | 2.94B | 2.77B | 2.5B | 2.31B | 1.83B | 1.68B | 1.64B | 1.24B | 1.71B | 1.71B | 1.57B | 1.43B | 155.48M | 142.48M | 119.16M | 124.79M | 127.52M | 112.81M | 108.3M | 105.4M | 80.7M | 71.9M |
| Operating Income | 2.04B | 1.99B | 1.68B | 1.18B | 1B | 1.36B | 1.36B | 1.22B | 1.18B | 1.28B | 1.28B | 1.26B | 1.06B | 1.02B | 942.58M | 897.13M | 505.71M | 520.53M | 410.22M | 370.25M | 321.73M | 314.04M | 310.6M | 836.65M | 329.51M | 260.45M | 197.48M | 161.3M | 159.3M | 125.6M | 104.3M |
| Operating Margin % | 11.5% | 11.48% | 10.63% | 8.23% | 7.49% | 10.78% | 11.75% | 10.69% | 10.91% | 12.3% | 13.12% | 13.93% | 13.18% | 13.94% | 13.54% | 11.96% | 9.08% | 10.01% | 8.17% | 7.79% | 7.68% | 7.98% | 7.89% | 22.96% | 10.11% | 9.17% | 8.81% | 7.9% | 8.5% | 8.71% | 8.76% |
| Operating Income Growth % | - | 18.56% | 43.09% | 17.12% | -26.38% | 0.35% | 11.72% | 3.46% | -8.2% | -0.1% | 1.75% | 18.44% | 4.71% | 7.73% | 5.07% | 77.4% | -2.85% | 26.89% | 10.79% | 15.08% | 2.45% | 1.11% | -62.88% | 153.91% | 26.52% | 31.89% | 22.43% | 1.26% | 26.83% | 20.42% | 37.6% |
| EBITDA | 2.67B | 2.61B | 2.27B | 1.74B | 1.59B | 1.9B | 1.87B | 1.71B | 1.63B | 1.73B | 1.7B | 1.66B | 1.44B | 1.35B | 1.25B | 1.19B | 729.71M | 725.24M | 605.99M | 553.53M | 485.42M | 477.75M | 477.27M | 981.12M | 454.31M | 387.98M | 310.29M | 269.6M | 264.7M | 206.3M | 176.2M |
| EBITDA Margin % | 15.02% | 15.05% | 14.32% | 12.21% | 11.83% | 15% | 16.17% | 15% | 15.12% | 16.6% | 17.39% | 18.33% | 17.84% | 18.57% | 17.97% | 15.91% | 13.11% | 13.94% | 12.07% | 11.65% | 11.58% | 12.14% | 12.12% | 26.93% | 13.94% | 13.66% | 13.84% | 13.2% | 14.12% | 14.3% | 14.8% |
| EBITDA Growth % | 14.01% | 15.27% | 30.01% | 9.97% | -16.39% | 1.47% | 9.53% | 4.79% | -5.77% | 1.76% | 2.41% | 15.23% | 6.37% | 8.12% | 4.89% | 63.49% | 0.62% | 19.68% | 9.48% | 14.03% | 1.6% | 0.1% | -51.35% | 115.96% | 17.1% | 25.04% | 15.09% | 1.85% | 28.31% | 17.08% | 38.52% |
| D&A (Non-Cash Add-back) | 625.82M | 618.74M | 584.83M | 568.04M | 581.86M | 533.21M | 510.49M | 490.39M | 453.05M | 447.76M | 416.61M | 398.62M | 375.62M | 337.36M | 308.69M | 295.86M | 224M | 204.7M | 195.77M | 183.28M | 163.69M | 163.71M | 166.68M | 144.47M | 124.79M | 127.52M | 112.81M | 108.3M | 105.4M | 80.7M | 71.9M |
| EBIT | 1.66B | 2.12B | 1.68B | 1.15B | 993.15M | 1.38B | 1.36B | 1.23B | 1.18B | 1.27B | 1.26B | 1.24B | 1.03B | 980.25M | 894.93M | 860.78M | 496.42M | 520.92M | 411.08M | 327.95M | 286.75M | 314.04M | 310.6M | 836.65M | 329.51M | 260.45M | 197.48M | 161.3M | 159.3M | 125.6M | 104.3M |
| Net Interest Income | -114.76M | -156.07M | -186.11M | -206.67M | -126.89M | -83.67M | -106.28M | -162.73M | -154.96M | -142.77M | -116.56M | -103.29M | -114.58M | -126.95M | -158.29M | -192.54M | -71.66M | -45.81M | -53.21M | -51.63M | -32.56M | -32.93M | 0 | -38.23M | 0 | 0 | -29.94M | 0 | 0 | 0 | 0 |
| Interest Income | 596K | 1.19M | 1.43M | 572K | 378K | 1.6M | 2.8M | 0 | 0 | 81K | 150K | 279K | 537K | 5.75M | 85K | 164K | 391K | 0 | 0 | 1.06M | 1.78M | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Interest Expense | 152.49M | 157.26M | 187.53M | 207.25M | 127.27M | 85.27M | 109.09M | 162.73M | 154.96M | 142.85M | 116.72M | 103.57M | 115.11M | 132.7M | 158.38M | 200.79M | 77.6M | 45.81M | 53.21M | 95.55M | 34.34M | 32.93M | 64.14M | 38.23M | 52.44M | 103.56M | 29.94M | 43.8M | 36.2M | 19.4M | 29.4M |
| Other Income/Expense | -21.22M | -21.87M | -183.88M | -234.96M | -137.29M | -69.78M | -106.27M | -149.57M | -140.74M | -145.17M | -125.05M | -113.49M | -133.64M | -146.13M | -178.92M | -200.79M | -77.6M | -45.81M | -53.21M | -95M | 135.44M | -141.9M | -78.49M | -537.34M | -52.44M | -102.56M | -51.37M | -38.5M | -36.2M | -19.7M | -24.3M |
| Pretax Income | 2.02B | 1.97B | 1.5B | 940.43M | 866.26M | 1.29B | 1.25B | 1.07B | 1.03B | 1.14B | 1.16B | 1.15B | 929.67M | 869.33M | 763.66M | 696.34M | 428.1M | 474.72M | 316.32M | 275.07M | 412.47M | 172.14M | 271.14M | 317.7M | 277.07M | 157.9M | 146.11M | 122.8M | 123.1M | 105.9M | 80M |
| Pretax Margin % | 11.38% | 11.36% | 9.46% | 6.58% | 6.46% | 10.23% | 10.83% | 9.37% | 9.6% | 10.9% | 11.84% | 12.67% | 11.53% | 11.94% | 10.97% | 9.28% | 7.69% | 9.13% | 6.3% | 5.79% | 9.84% | 4.37% | 6.88% | 8.72% | 8.5% | 5.56% | 6.52% | 6.01% | 6.57% | 7.34% | 6.72% |
| Income Tax | 472.6M | 460.96M | 334.83M | 221.12M | 209.28M | 305.68M | 299.29M | 238.79M | 236.64M | 363.7M | 409.19M | 395.2M | 324.67M | 315.31M | 274.62M | 247.47M | 152.3M | 170.47M | 123.38M | 104.55M | 152.88M | 62.3M | 101.14M | 118.43M | 101.71M | 57.15M | 52.75M | 45M | 43.5M | 38.6M | 29.3M |
| Effective Tax Rate % | 23.39% | 23.37% | 22.35% | 23.51% | 24.16% | 23.64% | 23.9% | 22.39% | 22.87% | 32.04% | 35.39% | 34.49% | 34.92% | 36.27% | 35.96% | 35.54% | 35.58% | 35.91% | 39% | 38.01% | 37.06% | 36.19% | 37.3% | 37.28% | 36.71% | 36.19% | 36.1% | 36.64% | 35.34% | 36.45% | 36.63% |
| Net Income | 1.52B | 1.49B | 1.14B | 717.79M | 675.61M | 991.59M | 943.95M | 814.85M | 779.71M | 752.3M | 702.41M | 680.53M | 545.34M | 510.73M | 443.45M | 398.17M | 230.18M | 260.37M | 199.38M | 170.39M | 259.46M | 240.84M | 169.49M | 199.27M | 175.36M | 99.74M | 93.36M | 77.8M | 79.6M | 67.3M | 50.7M |
| Net Margin % | 8.56% | 8.57% | 7.22% | 5.03% | 5.04% | 7.84% | 8.17% | 7.16% | 7.24% | 7.23% | 7.19% | 7.53% | 6.76% | 7.01% | 6.37% | 5.31% | 4.13% | 5% | 3.97% | 3.59% | 6.19% | 6.12% | 4.3% | 5.47% | 5.38% | 3.51% | 4.16% | 3.81% | 4.25% | 4.66% | 4.26% |
| Net Income Growth % | 27.06% | 30.36% | 59.11% | 6.24% | -31.87% | 5.05% | 15.84% | 4.51% | 3.64% | 7.1% | 3.22% | 24.79% | 6.78% | 15.17% | 11.37% | 72.98% | -11.59% | 30.59% | 17.01% | -34.33% | 7.73% | 42.1% | -14.94% | 13.63% | 75.81% | 6.83% | 20% | -2.26% | 18.28% | 32.74% | 42.82% |
| Net Income (Continuing) | 1.54B | 1.51B | 1.16B | 719.31M | 656.98M | 987.63M | 952.79M | 827.54M | 797.88M | 771.31M | 747.17M | 750.7M | 605M | 554.02M | 489.05M | 448.87M | 275.8M | 304.25M | 233.63M | 170.64M | 159.2M | 109.84M | 161.1M | 187.9M | 175.36M | 100.75M | 93.36M | 77.8M | 79.6M | 67.3M | 50.7M |
| Discontinued Operations | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Minority Interest | 73.38M | 133.62M | 96.61M | 52.91M | 49.46M | 108.51M | 89.39M | 79.1M | 80.82M | 68.62M | 73.69M | 302.02M | 294.69M | 268.36M | 286.91M | 269.03M | 256.76M | 238.47M | 226.74M | 0 | 174.06M | 159.88M | 186.54M | 159.55M | 140.25M | 125.91M | 120.79M | 115.6M | 129.4M | 0 | 0 |
| EPS (Diluted) | - | 23.10 | 16.82 | 10.23 | 9.14 | 11.82 | 10.99 | 9.13 | 8.32 | 7.81 | 7.14 | 6.76 | 5.42 | 5.14 | 4.53 | 4.04 | 2.34 | 2.64 | 1.97 | 1.59 | 2.28 | 2.00 | 1.38 | 1.60 | 1.37 | 0.80 | 0.75 | 0.61 | 0.60 | 0.51 | 0.41 |
| EPS Growth % | 33.73% | 37.34% | 64.42% | 11.93% | -22.67% | 7.55% | 20.37% | 9.74% | 6.53% | 9.38% | 5.62% | 24.72% | 5.45% | 13.47% | 12.13% | 72.65% | -11.36% | 34.01% | 23.9% | -30.26% | 14% | 44.93% | -13.75% | 16.79% | 71.25% | 6.67% | 22.95% | 1.67% | 17.65% | 24.39% | 28.13% |
| EPS (Basic) | - | 23.42 | 17.16 | 10.35 | 9.23 | 11.99 | 11.06 | 9.16 | 8.36 | 7.86 | 7.22 | 6.89 | 5.52 | 5.21 | 4.57 | 4.09 | 2.37 | 2.65 | 1.97 | 1.60 | 2.38 | 2.17 | 1.47 | 1.73 | 1.47 | 0.84 | 0.78 | 0.62 | 0.62 | 0.52 | 0.42 |
| Diluted Shares Outstanding | 0 | 64.46M | 67.9M | 70.13M | 73.83M | 83.69M | 85.59M | 89.04M | 93.75M | 96.33M | 98.38M | 100.69M | 100.54M | 99.36M | 97.71M | 98.54M | 97.97M | 98.28M | 101.46M | 107.14M | 115.82M | 125.29M | 129.73M | 130.18M | 134.15M | 134.44M | 129.64M | 127.96M | 133.17M | 132.61M | 122.91M |
| Basic Shares Outstanding | 0 | 63.58M | 66.55M | 69.32M | 73.12M | 82.52M | 85.06M | 88.76M | 93.28M | 95.65M | 97.21M | 98.8M | 98.83M | 98.03M | 96.82M | 97.2M | 96.79M | 97.79M | 101.22M | 106.76M | 109.11M | 111.32M | 115.31M | 119.38M | 119.46M | 119.75M | 120.44M | 125.67M | 130.04M | 129.42M | 120M |
| Dividend Payout Ratio | - | 3.44% | 4.67% | 7.73% | 8.65% | 6.65% | 1.84% | 6.5% | 4.79% | 5.08% | 5.53% | 5.81% | 5.44% | 3.84% | 13.17% | 4.89% | 8.44% | 6.42% | 8.1% | 10.08% | 6.72% | 7.43% | 10.99% | 2.33% | - | 14.68% | 8.18% | 23.65% | 2.26% | - | - |
Labor cost inflation volatility
According to the latest quarterly filings, UHS maintained a steady revenue growth trajectory, recording a 9.6% year-over-year increase to $4.5 billion in 2026Q1, which suggests that the company's dual-segment model continues to capture consistent demand across both acute care and behavioral health service lines.
The revenue expansion appears durable, supported by the company's ability to maintain mid-to-high single-digit growth rates over the past ten quarters. Investors should monitor whether this growth is driven by volume increases or pricing adjustments, as the latter may be reaching a ceiling given the sensitivity of government-funded patient populations.
As reported in financial statements, UHS has maintained a gross margin consistently above 90%, though this figure likely reflects accounting conventions that exclude significant clinical labor costs, warranting caution when comparing these results against peers like HCA Healthcare that report much lower headline gross margins.
Operating margins have fluctuated within a narrow 9.7% to 11.7% range, indicating that while the company possesses some pricing power, it remains constrained by the high fixed-cost nature of its facility footprint. The stability of these margins suggests effective management of overhead, yet they remain vulnerable to any further escalation in clinical wage requirements.
Based on UHS's reported figures, operating income has scaled modestly alongside revenue, yet the persistent high level of SG&A expenses, which remained near $2.1 billion in recent quarters, suggests that the company has yet to achieve significant operating leverage despite its expanding top-line revenue base.
The lack of meaningful expansion in operating margins relative to revenue growth implies that incremental gains are being absorbed by rising administrative and labor-related costs. This trend suggests that the company's current operational structure may require a more aggressive efficiency initiative to translate revenue growth into superior bottom-line performance.
Analysis of recent income statements reveals that while net income has shown resilience, the presence of stock-based compensation, which reached $22.5 million in 2026Q1, indicates that reported EPS figures may be slightly inflated by non-cash equity grants that dilute long-term shareholder value over time.
The variability in quarterly net income, ranging from $216.4 million to $445.9 million over the observed period, suggests that non-operating items and tax adjustments play a significant role in bottom-line results. Investors should look past headline EPS to evaluate the underlying cash-generating capacity of the core hospital operations.
Data from the income statement indicates that SG&A and labor-related costs represent the most significant drag on profitability, with expenses consistently consuming a large portion of revenue, which highlights the company's ongoing struggle to mitigate the impact of persistent nursing and psychiatric staff shortages.
The company's cost structure appears heavily weighted toward human capital, making it highly sensitive to wage inflation in the healthcare sector. Management's ability to control these costs will be the primary determinant of future margin expansion, as there is little evidence of significant cost-cutting in the provided data.
Quick answers to the most common questions about buying UHS stock.
For fiscal year 2025, Universal Health Services, Inc. (UHS) reported total revenue of $17.36B. This represents a 1359.0% increase compared to $1.19B in 1996.
Universal Health Services, Inc. (UHS) is profitable, generating $1.49B in net income for the fiscal year ending 2025 with a net profit margin of 8.6%.
Universal Health Services, Inc. (UHS) reported an operating income of $1.99B, resulting in an operating profit margin of 11.5%. This margin reflects the operational efficiency of the business before interest and taxes.
Universal Health Services, Inc. (UHS) generated $15.71B in gross profit for the year, representing a gross profit margin of 90.4%. This demonstrates the company's core pricing power and production efficiency.