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8-K - UNIVERSAL HEALTH SERVICES INC--FORM 8-K - UNIVERSAL HEALTH SERVICES INCd8k.htm

Exhibit 99.1

FOR IMMEDIATE RELEASE

 

CONTACT:    Steve Filton   
   Chief Financial Officer    April 26, 2011
   610-768-3300   

UNIVERSAL HEALTH SERVICES, INC. REPORTS

2011 FIRST QUARTER EARNINGS AND INCREASES 2011 FULL YEAR

EARNINGS GUIDANCE

Consolidated Results of Operations - Three-month periods ended March 31, 2011 and 2010:

KING OF PRUSSIA, PA – Universal Health Services, Inc. (NYSE: UHS) announced today that net income attributable to UHS was $114.2 million, or $1.15 per diluted share, during the first quarter of 2011 as compared to $71.8 million, or $.73 per diluted share, during the comparable prior year quarter. Net revenues increased 42% to $1.91 billion during the first quarter of 2011 as compared to $1.35 billion during the first quarter of 2010. The increase in net revenues during the first quarter of 2011, as compared to the comparable quarter of the prior year, was due primarily to the revenues generated at the behavioral health care facilities acquired from Psychiatric Solutions, Inc. in November, 2010.

“For the last two years, the overall weakness in the economy has created a very challenging operating environment, most particularly for our acute care hospitals”, said Alan B. Miller, Chief Executive Officer. “Although we remain cautious about the strength of the underlying economic recovery, we are extremely encouraged by the improvement in some of our payor mix trends in early 2011. Additionally, we remain excited with the fundamentals in the behavioral segment and the robust performance of, what is now, the premier behavioral health platform in the nation.”

Acute Care Services - Three-month periods ended March 31, 2011 and 2010:

At our acute care hospitals owned during both periods (“same facility basis”), adjusted admissions (adjusted for outpatient activity) increased 0.6% while adjusted patient days increased 2.2% during the first quarter of 2011, as compared to the first quarter of 2010. Net revenues at these facilities increased 6.6% during the first quarter of 2011 as compared to the comparable quarter of the prior year. At these facilities, net revenue per adjusted admission increased 5.9% while net revenue per adjusted patient day increased 4.3% during the first quarter of 2011 as compared to the comparable quarter of the prior year. On a same facility basis, the operating margin (net revenues less salaries, wages and benefits, other operating expenses, supplies expense and provision for doubtful accounts) at our acute care hospitals increased to 18.0% during the first quarter of 2011 as compared to 16.1% during the first quarter of 2010. The increased operating margin for our acute care facilities during the first quarter of 2011, as compared to the comparable quarter of the prior year, was due primarily to improvements in the operating environments of several of the markets in which we operate, including Las Vegas, Nevada.

We provide care to patients who meet certain financial or economic criteria without charge or at amounts substantially less than our established rates. Because we do not pursue collection of amounts determined to qualify as charity care, they are not reported in net revenues or in accounts receivable, net.


Our acute care hospitals provided charity care and uninsured discounts, based on charges at established rates, amounting to $223 million and $176 million during the three-month periods ended March 31, 2011 and 2010, respectively.

Behavioral Health Care Services - Three-month periods ended March 31, 2011 and 2010:

At our behavioral health care facilities, on a same facility basis, adjusted admissions increased 6.4% while adjusted patient days increased 1.8% during the first quarter of 2011 as compared to the first quarter of 2010. Net revenues at these facilities increased 6.5% during the first quarter of 2011 as compared to the comparable quarter in the prior year. At these facilities, net revenue per adjusted admission increased 0.1% while net revenue per adjusted patient day increased 4.6% during the first quarter of 2011 over the comparable prior year quarter. The operating margin at our behavioral health care facilities owned during both periods increased to 26.3% during the first quarter of 2011 as compared to 26.0% during the first quarter of 2010.

2011 Full Year Guidance Increased to $3.85 to $4.00 Per Diluted Share:

Based upon the operating trends and financial results experienced during the first three months of 2011, we are increasing our range of 2011 full year guidance for earnings per diluted share attributable to UHS to $3.85 to $4.00, representing a $.20 per diluted share increase over the previously provided range of $3.65 to $3.80 per diluted share. Our projected net revenues for 2011 remain unchanged at $7.6 billion to $7.7 billion

This guidance range is subject to certain conditions including those as set forth below in General Information, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures.

Conference Call Information:

We will hold a conference call for investors and analysts at 9:00 a.m. (eastern time) on April 27, 2011. The dial-in number is 1-877-648-7971. A digital recording of the conference call will be available two hours after the completion of the conference call on April 27, 2011 and will continue through midnight on May 11, 2011. The recording can be accessed by calling 1-800-642-1687 and entering the pass code 59918801. A live broadcast of the call will be available on our web site at www.uhsinc.com. The webcast will also be available through Thompson StreetEvents Network at www.earnings.com or www.streetevents.com, a password-protected event management site for institutional investors.

General Information, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures:

Universal Health Services, Inc. (“UHS”) is one of the nation’s largest hospital companies, operating acute care and behavioral health hospitals and ambulatory centers nationwide and in Puerto Rico and the U.S. Virgin Islands. It acts as the advisor to Universal Health Realty Income Trust, a real estate investment trust (NYSE:UHT). For additional information on the Company, visit our web site: http://www.uhsinc.com.

This press release contains forward-looking statements based on current management expectations. Numerous factors, including those disclosed herein, those related to healthcare industry trends and those detailed in our filings with the Securities and Exchange Commission (as set forth in Item 1A-Risk Factors and in Item 7-Forward-Looking Statements and Risk Factors in our Form 10-K for


the year ended December 31, 2010), may cause the results to differ materially from those anticipated in the forward-looking statements. Many of the factors that will determine our future results are beyond our capability to control or predict. These statements are subject to risks and uncertainties and therefore actual results may differ materially. Readers should not place undue reliance on such forward-looking statements which reflect management’s view only as of the date hereof. We undertake no obligation to revise or update any forward-looking statements, or to make any other forward-looking statements, whether as a result of new information, future events or otherwise.

We believe that operating income, operating margin, adjusted net income attributable to UHS, adjusted net income attributable to UHS per diluted share and earnings before interest, taxes, depreciation and amortization (“EBITDA”), which are non-GAAP financial measures (“GAAP” is Generally Accepted Accounting Principles in the United States of America), are helpful to our investors as measures of our operating performance. In addition, we believe that, when applicable, comparing and discussing our financial results based on these measures, as calculated, is helpful to our investors since it neutralizes the effect in each year of items that are nonrecurring or non-operational in nature including items such as, but not limited to, gains on sales of assets and businesses, reserves for settlements, legal judgments and lawsuits and other amounts that may be reflected in the current or prior year financial statements that relate to prior periods. To obtain a complete understanding of our financial performance these measures should be examined in connection with net income, determined in accordance with GAAP, as presented in the condensed consolidated financial statements and notes thereto in this report or in our other filings with the Securities and Exchange Commission including our Report on Form 10-K for the year ended December 31, 2010. Since the items included or excluded from these measures are significant components in understanding and assessing financial performance under GAAP, these measures should not be considered to be alternatives to net income as a measure of our operating performance or profitability. Since these measures, as presented, are not determined in accordance with GAAP and are thus susceptible to varying calculations, they may not be comparable to other similarly titled measures of other companies. Investors are encouraged to use GAAP measures when evaluating our financial performance.

(more)


Universal Health Services, Inc.

Consolidated Statements of Income

(in thousands, except per share amounts)

(unaudited)

 

     Three months ended
March 31,
 
     2011      2010  

Net revenues

   $ 1,910,528       $ 1,347,153   

Operating charges:

     

Salaries, wages and benefits

     845,864         578,926   

Other operating expenses

     349,446         247,028   

Supplies expense

     207,170         183,816   

Provision for doubtful accounts

     153,116         125,390   

Depreciation and amortization

     71,351         53,511   

Lease and rental expense

     23,168         17,934   
                 
     1,650,115         1,206,605   
                 

Income from operations

     260,413         140,548   

Interest expense, net

     56,417         12,377   
                 

Income before income taxes

     203,996         128,171   

Provision for income taxes

     74,009         45,409   
                 

Net income

     129,987         82,762   

Less: Income attributable to noncontrolling interests

     15,794         10,943   
                 

Net income attributable to UHS

   $ 114,193       $ 71,819   
                 

Basic earnings per share attributable to UHS (a)

   $ 1.17       $ 0.74   
                 

Diluted earnings per share attributable to UHS (a)

   $ 1.15       $ 0.73   
                 


Universal Health Services, Inc.

Footnotes to Consolidated Statements of Income

(in thousands, except per share amounts)

(unaudited)

 

     Three months ended
March 31,
 
     2011     2010  

(a) Earnings per share calculation:

    

Basic and diluted:

    

Net income attributable to UHS

   $ 114,193      $ 71,819   

Less: Net income attributable to unvested restricted share grants

     (149     (315
                

Net income attributable to UHS - basic and diluted

   $ 114,044      $ 71,504   
                

Weighted average number of common shares - basic

     97,381        96,539   
                

Basic earnings per share attributable to UHS:

   $ 1.17      $ 0.74   
                

Weighted average number of common shares

     97,381        96,539   

Add: Other share equivalents

     1,487        911   
                

Weighted average number of common shares and equiv. - diluted

     98,868        97,450   
                

Diluted earnings per share attributable to UHS:

   $ 1.15      $ 0.73   
                


Universal Health Services, Inc.

Schedule of Non-GAAP Supplemental Consolidated Statements of Income Information (“Supplemental Schedule”)

For the three months ended March 31, 2011 and 2010

(in thousands, except per share amounts)

(unaudited)

Calculation of “EBITDA”

 

     Three months ended     Three months ended  
     March 31, 2011     March 31, 2010  

Net revenues

   $ 1,910,528         100.0   $ 1,347,153         100.0

Operating charges:

          

Salaries, wages and benefits

     845,864         44.3     578,926         43.0

Other operating expenses

     349,446         18.3     247,028         18.3

Supplies expense

     207,170         10.8     183,816         13.6

Provision for doubtful accounts

     153,116         8.0     125,390         9.3
                                  
     1,555,596         81.4     1,135,160         84.3
                                  

Operating income/margin (“EBITDAR”)

     354,932         18.6     211,993         15.7

Lease and rental expense

     23,168           17,934      

Income attributable to noncontrolling interests

     15,794           10,943      
                      

Earnings before, depreciation and amortization, interest expense, and income taxes (“EBITDA”)

     315,970           183,116      

Depreciation and amortization

     71,351           53,511      

Interest expense, net

     56,417           12,377      
                      

Income before income taxes

     188,202           117,228      

Provision for income taxes

     74,009           45,409      
                      

Net income attributable to UHS

   $ 114,193         $ 71,819      
                      


Universal Health Services, Inc.

Condensed Consolidated Balance Sheets

(in thousands)

(unaudited)

 

     March 31,     December 31,  
     2011     2010  

Assets

    

Current assets:

    

Cash and cash equivalents

   $ 52,076      $ 29,474   

Accounts receivable, net

     940,803        837,820   

Supplies

     95,129        94,330   

Other current assets

     81,079        130,060   

Deferred income taxes

     118,671        120,834   

Assets of facilities held for sale

     113,426        118,598   
                

Total current assets

     1,401,184        1,331,116   
                

Property and equipment

     4,880,795        4,853,972   

Less: accumulated depreciation

     (1,640,993     (1,601,005
                
     3,239,802        3,252,967   
                

Other assets:

    

Goodwill

     2,596,292        2,589,914   

Deferred charges

     125,644        108,660   

Other

     250,152        245,279   
                
   $ 7,613,074      $ 7,527,936   
                

Liabilities and Stockholders’ Equity

    

Current liabilities:

    

Current maturities of long-term debt

   $ 3,033      $ 3,449   

Accounts payable and accrued liabilities

     821,413        819,334   

Liabilities of facilities held for sale

     3,581        3,516   

Federal and state taxes

     9,155        0   
                

Total current liabilities

     837,182        826,299   
                

Other noncurrent liabilities

     376,844        380,649   

Long-term debt

     3,850,859        3,912,102   

Deferred income taxes

     185,267        173,354   

Redeemable noncontrolling interest

     223,819        211,761   

UHS common stockholders’ equity

     2,094,393        1,978,772   

Noncontrolling interest

     44,710        44,999   
                

Total equity

     2,139,103        2,023,771   
                
   $ 7,613,074      $ 7,527,936   
                


Universal Health Services, Inc.

Consolidated Statements of Cash Flows

(in thousands)

(unaudited)

 

     Three months ended
March 31,
 
     2011     2010  

Cash Flows from Operating Activities:

    

Net income

   $ 129,987      $ 82,762   

Adjustments to reconcile net income to net cash provided by operating activities:

    

Depreciation & amortization

     71,526        53,511   

Gain on sale of assets and businesses

     0        (1,848

Stock-based compensation expense

     3,954        4,065   

Changes in assets & liabilities, net of effects from acquisitions and dispositions:

    

Accounts receivable

     (103,919     (46,499

Accrued interest

     12,875        8,357   

Accrued and deferred income taxes

     68,994        37,380   

Other working capital accounts

     (27,056     (2,389

Other assets and deferred charges

     6,777        (489

Other

     11,208        (4,164

Accrued insurance expense, net of commercial premiums paid

     23,744        18,960   

Payments made in settlement of self-insurance claims

     (14,913     (10,187
                

Net cash provided by operating activities

     183,177        139,459   
                

Cash Flows from Investing Activities:

    

Property and equipment additions, net of disposals

     (56,558     (62,576

Proceeds received from sale of assets and businesses

     991        2,894   

Costs incurred for purchase and implementation of electronic health records application

     (8,145     (3,742
                

Net cash used in investing activities

     (63,712     (63,424
                

Cash Flows from Financing Activities:

    

Reduction of long-term debt

     (136,403     (68,363

Additional borrowings

     73,500        0   

Financing costs

     (23,140     0   

Repurchase of common shares

     (3,170     (2,157

Dividends paid

     (4,876     (4,834

Issuance of common stock

     1,251        1,627   

Profit distributions to noncontrolling interests

     (4,025     (4,623
                

Net cash used in financing activities

     (96,863     (78,350
                

Increase (decrease) in cash and cash equivalents

     22,602        (2,315

Cash and cash equivalents, beginning of period

     29,474        9,180   
                

Cash and cash equivalents, end of period

   $ 52,076      $ 6,865   
                

Supplemental Disclosures of Cash Flow Information:

    

Interest paid

   $ 37,130      $ 5,482   
                

Income taxes paid, net of refunds

   $ 4,527      $ 6,732   
                


Universal Health Services, Inc.

Supplemental Statistical Information

(unaudited)

 

        

Same Facility:

   % Change
Quarter Ended
3/31/2011
 

Acute Care Hospitals

  

Revenues

     6.6

Adjusted Admissions

     0.6

Adjusted Patient Days

     2.2

Revenue Per Adjusted Admission

     5.9

Revenue Per Adjusted Patient Day

     4.3

Behavioral Health Hospitals

  

Revenues

     6.5

Adjusted Admissions

     6.4

Adjusted Patient Days

     1.8

Revenue Per Adjusted Admission

     0.1

Revenue Per Adjusted Patient Day

     4.6

 

UHS Consolidated

   First Quarter Ended  
     3/31/2011     3/31/2010  

Revenues

   $ 1,910,528      $ 1,347,153   

EBITDA (1)

   $ 315,970      $ 183,116   

EBITDA Margin (1)

     16.5     13.6

Cash Flow From Operations

   $ 183,177      $ 139,459   

Days Sales Outstanding

     44        43   

Capital Expenditures

   $ 56,558      $ 62,576   

Debt

     3,853,892        893,141   

UHS Shareholders Equity

     2,094,393        1,821,755   

Debt / Total Capitalization

     64.8     32.9

Debt / EBITDA (2)

     4.43        1.29   

Debt / Cash From Operations (2)

     7.07        1.72   

Acute Care EBITDAR Margin (3)

     18.0     16.1

Behavioral Health EBITDAR Margin (3)

     25.4     25.5

 

(1) Net of Minority Interest
(2) Latest 4 quarters
(3) Before Corporate overhead allocation and minority interest


UNIVERSAL HEALTH SERVICES, INC.

SELECTED HOSPITAL STATISTICS

MARCH 31, 2011

AS REPORTED:

For the three months ended

 

     Acute           Behavioral Health        
     03/31/11     03/31/10     %     03/31/11     03/31/10     %  

Hospitals owned and leased

     21        21        0.0     188        82        129.3

Average licensed beds

     5,695        5,689        0.1     19,396        7,971        143.3

Patient days

     307,370        305,676        0.6     1,299,272        538,750        141.2

Average daily census

     3,415.2        3,396.4        0.6     14,436.4        5,986.1        141.2

Occupancy-licensed beds

     60.0     59.7     0.4     74.4     75.1     -0.9

Admissions

     67,938        68,638        -1.0     89,563        36,357        146.3

Length of stay

     4.5        4.5        1.6     14.5        14.8        -2.1

Inpatient revenue

   $ 3,222,247      $ 2,783,431        15.8   $ 1,391,201      $ 544,781        155.4

Outpatient revenue

     1,370,118        1,116,925        22.7     149,595        77,977        91.8

Total patient revenue

     4,592,365        3,900,356        17.7     1,540,796        622,758        147.4

Other revenue

     17,354        15,803        9.8     34,208        8,408        306.9

Gross hospital revenue

     4,609,719        3,916,159        17.7     1,575,004        631,166        149.5

Total deductions

     3,555,426        2,926,848        21.5     724,701        281,984        157.0

Net hospital revenue

   $ 1,054,293      $ 989,311        6.6   $ 850,303      $ 349,182        143.5

SAME FACILITY:

 

     Acute           Behavioral Health (1)        
     03/31/11     03/31/10     %     03/31/11     03/31/10     %  

Hospitals owned and leased

     21        21        0.0     81        81        0.0

Average licensed beds

     5,695        5,689        0.1     7,999        7,857        1.8

Patient days

     307,386        305,676        0.6     541,782        530,325        2.2

Average daily census

     3,415.4        3,396.4        0.6     6,019.8        5,892.5        2.2

Occupancy-licensed beds

     60.0     59.7     0.5     75.3     75.0     0.3

Admissions

     67,938        68,638        -1.0     38,816        36,344        6.8

Length of stay

     4.5        4.5        1.6     14.0        14.6        -4.3

 

(1) Pennsylvania Clinical School is excluded in both current and prior years. Facilities acquired in acquisition of Psychiatric Solutions are excluded in current and prior years.