Universal Health Services UHS Healthcare Infrastructure — Recorded Unconditional Purchase Obligation

In addition to our long-term debt obligations as discussed in Note 4 - Long-Term Debt and our operating lease obligations as discussed in Note 7 - Lease Commitments, we have various other contractual commitments outstanding as of December 31, 2025 as follows: (i) other combined estimated future purchase obligations of $353 million related to a long-term contract with third-parties consisting primarily of certain revenue cycle data processing services for our acute care facilities ($35 million), expected future costs to be paid to a third-party vendor in connection with the ongoing operation of an electronic health records application and purchase implementation of a revenue cycle and other applications for our acute care facilities ($159 million), healthcare infrastructure in Washington D.C. in connection with various agreements with the District of Columbia ($54 million), development, implementation and operation of an enterprise resource planning application ($70 million), administrative software applications ($24 million) and other software applications ($10 million); (ii) estimated construction commitment of $7 million representing our share of the remaining construction cost of two behavioral health care facilities which opened in 2025 that, subject to approval of certain regulatory conditions, we were required to build pursuant to joint-venture agreements with a third-party; (iii) combined estimated future payments of $154 million related to our non-contributory, defined benefit pension plan ($127 million consisting of estimated payments through 2080) and other retirement plan liabilities ($27 million), and; (iv) accrued and unpaid estimated claims expense incurred in connection with our commercial health insurers and self-insured employee benefit plans ($137 million).