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8-K - FORM 8-K - UNIVERSAL HEALTH SERVICES INCd307427d8k.htm

Exhibit 99.1

FOR IMMEDIATE RELEASE

 

CONTACT:    Steve Filton   
   Chief Financial Officer    February 27, 2012
   610-768-3300   

UNIVERSAL HEALTH SERVICES, INC. REPORTS

2011 FOURTH QUARTER AND FULL YEAR EARNINGS

AND 2012 EARNINGS GUIDANCE

Consolidated Results of Operations, As Reported – Three-month periods ended December 31, 2011 and 2010:

KING OF PRUSSIA, PA – Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income attributable to UHS was $95.3 million, or $.98 per diluted share, during the fourth quarter of 2011 as compared to $37.2 million, or $.38 per diluted share, during the comparable prior year quarter.

Net revenues increased 18% to $1.84 billion during the fourth quarter of 2011 as compared to $1.56 billion during the fourth quarter of 2010. The increase in net revenues during the fourth 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. (“PSI”) in November, 2010.

Consolidated Results of Operations, As Reported – Years ended December 31, 2011 and 2010:

Reported net income attributable to UHS was $398.2 million, or $4.04 per diluted share, during the year ended December 31, 2011 as compared to $230.2 million, or $2.34 per diluted share, during 2010. Net revenues increased 35% to $7.50 billion during 2011 as compared to $5.57 billion during 2010. The increase in revenues was due primarily to the acquisition of the behavioral health facilities formerly owned by PSI.

“This past quarter marked the one year anniversary of our acquisition of PSI and we remain pleased with how that integration process has gone, as well as, with the continued strong demand for our behavioral services, in general”, said Alan B. Miller, Chief Executive Officer. “As we enter 2012, we are encouraged by the opportunities to expand our presence in the behavioral health business and we look forward to improvement in our acute care business as the economy continues its gradual recovery”.

Consolidated Results of Operations, As Adjusted – Three-month periods ended December 31, 2011 and 2010:

After adjusting the reported results for the three-month periods ended December 31, 2011 and 2010 to neutralize the net impact of the items mentioned below, and as reflected on the attached Schedules of Non-GAAP Supplemental Consolidated Statements of Income Information (“Supplemental


Schedules”), our adjusted net income attributable to UHS was $88.8 million, or $.91 per diluted share, during the fourth quarter of 2011 as compared to $57.5 million, or $.58 per diluted share, during the fourth quarter of 2010.

As indicated on the attached Supplemental Schedules, included in our net income attributable to UHS during the three-month period ended December 31, 2011, was the favorable after-tax impact of $6.5 million, or $.07 per diluted share, resulting from a reduction to our professional and general liability self-insurance reserves relating to years prior to 2011 based upon a reserve analysis.

As indicated on the attached Supplemental Schedules, included in our net income attributable to UHS during the three-month period ended December 31, 2010, was a net charge of $20.4 million, or $.20 per diluted share, consisting of: (i) the unfavorable after-tax impact of $24.9 million, or $.25 per diluted share, resulting from the recording of transaction fees incurred in connection with our acquisition of PSI; (ii) the unfavorable after-tax impact of $9.2 million, or $.09 per diluted share, resulting from the charge incurred in connection with the previously disclosed split-dollar life insurance agreements; (iii) the unfavorable after-tax impact of $4.1 million, or $.04 per diluted share, resulting from the write-off of certain construction costs, partially offset by; (iv) the favorable after-tax impact of $17.9 million, or $.18 per diluted share, resulting from a reduction to our professional and general liability self-insurance reserves relating to years prior to 2010 based upon a reserve analysis.

Consolidated Results of Operations, As Adjusted – Years ended December 31, 2011 and 2010:

After adjusting the reported results for the years ended December 31, 2011 and 2010 to neutralize the impact of the items mentioned below, and as reflected on the attached Supplemental Schedule, our adjusted net income attributable to UHS was $391.7 million, or $3.97 per diluted share, during 2011 as compared to $249.8 million, or $2.54 per diluted share, during 2010.

As indicated on the attached Supplemental Schedules, included in our net income attributable to UHS during the year ended December 31, 2011, was the favorable after-tax impact of $6.5 million, or $.07 per diluted share, resulting from a reduction to our professional and general liability self-insurance reserves relating to years prior to 2011.

As indicated on the attached Supplemental Schedules, included in our net income attributable to UHS during the year ended December 31, 2010, was a net charge of $19.6 million, or $.20 per diluted share, consisting of: (i) the unfavorable after-tax impact of $38.7 million, or $.39 per diluted share, resulting from the recording of transaction fees incurred in connection with our acquisition of PSI; (ii) the unfavorable after-tax impact of $9.2 million, or $.09 per diluted share, resulting from the charge incurred in connection with split-dollar life insurance agreements; (iii) the unfavorable after-tax impact of $4.1 million, or $.04 per diluted share, resulting from the write-off of certain construction costs, partially offset by; (iv) the favorable after-tax impact of $28.1 million, or $.28 per diluted share, resulting from a reduction to our professional and general liability self-insurance reserves relating to years prior to 2010, and; (v) a favorable discrete tax item of $4.3 million, or $.04 per diluted share.

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

At our acute care hospitals owned during both periods (“same facility basis”), adjusted admissions (adjusted for outpatient activity) increased 0.3% and adjusted patient days increased 0.8% during the fourth quarter of 2011, as compared to the fourth quarter of 2010. Net revenues at these


facilities increased 1.6% during the fourth quarter of 2011 as compared to the comparable quarter of the prior year. At these facilities, net revenue per adjusted admission increased 1.3% while net revenue per adjusted patient day increased 0.8% during the fourth 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, excluding the items indicated on the Supplemental Schedules) at our acute care hospitals decreased to 13.3% during the fourth quarter of 2011 as compared to 14.4% during the fourth quarter of 2010. The decrease in the operating margin at our acute care hospitals during the fourth quarter of 2011 was caused by pressure on patient volumes and payor mix as several of our more significant markets continue to be negatively impacted by local economic trends.

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 $248 million and $208 million during the three-month periods ended December 31, 2011 and 2010, respectively.

Acute Care Services – Years ended December 31, 2011 and 2010:

During the year ended December 31, 2011, on a same facility basis, adjusted admissions to our acute care facilities were relatively unchanged while adjusted patient days increased 1.7%, as compared to 2010. Net revenues at our acute care facilities increased 4.4% during 2011 as compared to 2010. At these facilities, net revenue per adjusted admission increased 4.5% while net revenue per adjusted patient day increased 2.6% during 2011 as compared to 2010. On a same facility basis, the operating margin at our acute care hospitals increased to 14.7% during 2011 as compared to 14.5% during 2010.

Our acute care hospitals provided charity care and uninsured discounts, based on charges at established rates, amounting to $956 million and $807 million during 2011 and 2010, respectively.

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

Since the former PSI facilities were acquired by us in mid-November, 2010, for accurate comparability purposes, we have included the patient statistics and financial results for these facilities in our same facility results provided below beginning on December 1st of 2011 and 2010.

At our behavioral health care facilities, on a same facility basis, adjusted admissions increased 8.3% while adjusted patient days increased 4.1% during the fourth quarter of 2011 as compared to the fourth quarter of 2010. Net revenues at these facilities increased 6.3% during the fourth quarter of 2011 as compared to the comparable quarter in the prior year. At these facilities, net revenue per adjusted admission decreased 1.6% while net revenue per adjusted patient day increased 2.4% during the fourth quarter of 2011 over the comparable prior year quarter. The operating margin at our behavioral health care facilities owned during both periods increased to 24.7% during the fourth quarter of 2011 as compared to 22.6% during the fourth quarter of 2010.

Behavioral Health Care Services – Years ended December 31, 2011 and 2010:

During the year ended December 31, 2011, on a same facility basis, adjusted admissions to our behavioral health care facilities increased 7.6% while adjusted patient days increased 3.3%, as compared to 2010. Net revenues at our behavioral health care facilities increased 6.4% during 2011 as compared to


2010. At these facilities, net revenue per adjusted admission decreased 0.8% while net revenue per adjusted patient day increased 3.3% during 2011 as compared to 2010. On a same facility basis, the operating margin at our behavioral health facilities increased to 25.8% during 2011 as compared to 25.3% during 2010.

Accounting for HITECH Act incentive payments and EHR expenses:

The health information technology provisions of the American Recovery and Reinvestment Act (referred to as the “HITECH Act”) established criteria related to the “meaningful use” of electronic health records (“EHR”) for acute care hospitals and established requirements for the Medicare and Medicaid EHR payment incentive programs.

During 2011, we began implementing EHR applications at certain of our acute care facilities and will continue to do so, on a facility-by-facility basis, until completion which is scheduled to occur by the end of 2013. Our acute care hospitals will be eligible for Medicare and Medicaid EHR incentive payments upon implementation of the EHR application, assuming they meet the “meaningful use” criteria.

There are no EHR-related revenues included in our consolidated results of operations for the three or twelve-month periods ended December 31, 2011. Although we received approximately $11 million of EHR incentive payments during the fourth quarter of 2011 related to state Medicaid programs, these payments have been reflected as deferred revenue on our consolidated balance sheet as of December 31, 2011. These payments will be recorded as revenue on our consolidated statements of income in the periods in which the applicable hospitals are deemed to have met the “meaningful use” criteria. Although our 2011 results of operations include certain EHR-related expenses, the amounts did not have a material impact on our consolidated financial results during the three or twelve-month periods ended December 31, 2011.

During 2012, based upon our scheduled EHR implementations and anticipated “meaningful use” qualifications, we expect to record approximately $12 million of EHR revenues and $17 million of EHR-related incremental expenses resulting in a net after-tax charge of approximately $4 million, or $.04 per diluted share.

2012 Full Year Guidance:

Excluding the unfavorable $.04 per diluted share EHR impact mentioned above, our estimated range of net income attributable to UHS for the year ended December 31, 2012, is $4.33 to $4.48 per diluted share.

During 2012, our net revenues are estimated to increase approximately 5% to $7.24 billion, as compared to $6.89 billion during 2011. Our net revenues for 2012 and 2011 have been adjusted to reflect reclassifications of our provision for doubtful accounts which, beginning on January 1st 2012, will be reflected as a deduction from revenues rather than as an operating expense. This reclassification will have no impact on our net income attributable to UHS.

This guidance range excludes the impact of items, if applicable, 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 material amounts that may be reflected


in our financial statements that relate to prior periods. It is also 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 February 28, 2012. 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 February 28, 2012 and will continue through midnight on March 13, 2012. The recording can be accessed by calling 1-855-859-2056 and entering the pass code 47643444.

This call will also be available live over the internet at our web site at www.uhsinc.com. The webcast will also be available through the Thomson 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, 2011), 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.

As mentioned above, our acute care hospitals may qualify for EHR incentive payments upon implementation of a EHR application assuming they meet the “meaningful use” criteria. However, there can be no assurance that we (our acute care hospitals) will ultimately qualify for these incentive payments and, should we qualify, we are unable to quantify the amount of incentive payments we may receive since the amounts are dependent upon various factors including the implementation timing at each hospital. Should we qualify for incentive payments, there may be timing differences in the recognition of the revenues and expenses recorded in connection with the implementation of the EHR application which may cause material period-to-period changes in our future results of operations. Hospitals that do not qualify as a meaningful user of EHR by 2015 are subject to a reduced market basket update to the inpatient prospective payment system standardized amount in 2015 and each subsequent fiscal year. Although we believe that our acute care hospitals will be in compliance with the


EHR standards by 2015, there can be no assurance that all of our facilities will be in compliance and therefore not subject to the penalty provision of the HITECH Act.

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, 2011. 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.

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Universal Health Services, Inc.

Consolidated Statements of Income

(in thousands, except per share amounts)

(quarterly amounts are unaudited)

 

     Three months ended
December 31,
     Twelve months ended
December 31,
 
     2011      2010      2011      2010  

Net revenues

   $ 1,838,774       $ 1,559,453       $ 7,500,198       $ 5,568,185   

Operating charges:

           

Salaries, wages and benefits

     851,207         707,882         3,394,967         2,423,102   

Other operating expenses

     331,041         272,873         1,385,680         1,005,288   

Supplies expense

     206,230         189,327         821,811         733,093   

Provision for doubtful accounts

     143,687         144,288         613,619         546,909   

Depreciation and amortization

     75,477         60,849         295,228         223,915   

Lease and rental expense

     22,182         22,413         91,765         76,961   

Transaction costs

     0         31,105         0         53,220   
  

 

 

    

 

 

    

 

 

    

 

 

 
     1,629,824         1,428,737         6,603,070         5,062,488   
  

 

 

    

 

 

    

 

 

    

 

 

 

Income from operations

     208,950         130,716         897,128         505,697   

Interest expense, net

     46,115         41,468         200,792         77,600   
  

 

 

    

 

 

    

 

 

    

 

 

 

Income before income taxes

     162,835         89,248         696,336         428,097   

Provision for income taxes

     54,828         38,432         247,466         152,302   
  

 

 

    

 

 

    

 

 

    

 

 

 

Net income

     108,007         50,816         448,870         275,795   

Less: Net income attributable to noncontrolling interests

     12,736         13,634         50,703         45,612   
  

 

 

    

 

 

    

 

 

    

 

 

 

Net income attributable to UHS

   $ 95,271       $ 37,182       $ 398,167       $ 230,183   
  

 

 

    

 

 

    

 

 

    

 

 

 

Basic earnings per share attributable to UHS (a)

   $ 0.99       $ 0.38       $ 4.09       $ 2.37   
  

 

 

    

 

 

    

 

 

    

 

 

 

Diluted earnings per share attributable to UHS (a)

   $ 0.98       $ 0.38       $ 4.04       $ 2.34   
  

 

 

    

 

 

    

 

 

    

 

 

 


Universal Health Services, Inc.

Footnotes to Consolidated Statements of Income

(in thousands, except per share amounts)

(unaudited)

 

     Three months ended
December 31,
    Twelve months ended
December 31,
 
     2011     2010     2011     2010  

(a) Earnings per share calculation:

        

Basic and diluted:

        

Net income attributable to UHS

   $ 95,271      $ 37,182      $ 398,167      $ 230,183   

Less: Net income attributable to unvested restricted share grants

     (81     (92     (521     (918
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to UHS – basic and diluted

   $ 95,190      $ 37,090      $ 397,646      $ 229,265   
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average number of common shares – basic

     96,455        97,125        97,199        96,786   
  

 

 

   

 

 

   

 

 

   

 

 

 

Basic earnings per share attributable to UHS:

   $ 0.99      $ 0.38      $ 4.09      $ 2.37   
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average number of common shares

     96,455        97,125        97,199        96,786   

Add: Other share equivalents

     969        1,328        1,338        1,187   
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average number of common shares and equiv. – diluted

     97,424        98,453        98,537        97,973   
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted earnings per share attributable to UHS:

   $ 0.98      $ 0.38      $ 4.04      $ 2.34   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

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

For the three months ended December 31, 2011 and 2010

(in thousands, except per share amounts)

(unaudited)

Calculation of “EBITDA”

 

     Three months ended
December 31, 2011
    Three months ended
December 31, 2010
 

Net revenues

   $ 1,838,774         100.0   $ 1,559,453         100.0

Operating charges:

          

Salaries, wages and benefits

     851,207         46.3     707,882         45.4

Other operating expenses

     331,041         18.0     272,873         17.5

Supplies expense

     206,230         11.2     189,327         12.1

Provision for doubtful accounts

     143,687         7.8     144,288         9.3
  

 

 

    

 

 

   

 

 

    

 

 

 
     1,532,165         83.3     1,314,370         84.3
  

 

 

    

 

 

   

 

 

    

 

 

 

Operating income/margin (“EBITDAR”)

     306,609         16.7     245,083         15.7

Lease and rental expense

     22,182           22,413      

Net income attributable to noncontrolling interests

     12,736           13,634      
  

 

 

      

 

 

    

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

     271,691         14.8     209,036         13.4

Depreciation and amortization

     75,477           60,849      

Interest expense, net

     46,115           41,468      

Transaction costs

     0           31,105      
  

 

 

      

 

 

    

Income before income taxes attributable to UHS

     150,099           75,614      

Provision for income taxes

     54,828           38,432      
  

 

 

      

 

 

    

Net income attributable to UHS

   $ 95,271         $ 37,182      
  

 

 

      

 

 

    

Calculation of Adjusted Net Income Attributable to UHS

 

     Three months ended
December 31, 2011
    Three months ended
December 31, 2010
 
     Amount     Per
Diluted
Share
    Amount     Per
Diluted
Share
 

Calculation of Adjusted Net Income Attributable to UHS

        

Net income attributable to UHS

   $ 95,271      $ 0.98      $ 37,182      $ 0.38   

Plus/minus adjustments:

        

Reduction of reserves relating to prior years for professional and general liability self-insured claims, net of income taxes

     (6,477     (0.07     (17,915     (0.18

Acquisition transaction costs, net of income taxes

     —          —          24,933        0.25   

Write-off certain construction costs, net of income taxes

     —          —          4,133        0.04   

Charge recorded in connection with split-dollar life insurance agreements

     —          —          9,207        0.09   
  

 

 

   

 

 

   

 

 

   

 

 

 

Subtotal after-tax adjustments to net income attributable to UHS

     (6,477     (0.07     20,358        0.20   
  

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted net income attributable to UHS

   $ 88,794      $ 0.91      $ 57,540      $ 0.58   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

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

For the twelve months ended December 31, 2011 and 2010

(in thousands, except per share amounts)

(unaudited)

Calculation of “EBITDA”

 

     Twelve months ended
December 31, 2011
    Twelve months ended
December 31, 2010
 

Net revenues

   $ 7,500,198         100.0   $ 5,568,185         100.0

Operating charges:

          

Salaries, wages and benefits

     3,394,967         45.3     2,423,102         43.5

Other operating expenses

     1,385,680         18.5     1,005,288         18.1

Supplies expense

     821,811         11.0     733,093         13.2

Provision for doubtful accounts

     613,619         8.2     546,909         9.8
  

 

 

    

 

 

   

 

 

    

 

 

 
     6,216,077         82.9     4,708,392         84.6
  

 

 

    

 

 

   

 

 

    

 

 

 

Operating income/margin (“EBITDAR”)

     1,284,121         17.1     859,793         15.4

Lease and rental expense

     91,765           76,961      

Net income attributable to noncontrolling interests

     50,703           45,612      
  

 

 

      

 

 

    

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

     1,141,653         15.2     737,220         13.2

Depreciation and amortization

     295,228           223,915      

Interest expense, net

     200,792           77,600      

Transaction costs

     0           53,220      
  

 

 

      

 

 

    

Income before income taxes attributable to UHS

     645,633           382,485      

Provision for income taxes

     247,466           152,302      
  

 

 

      

 

 

    

Net income attributable to UHS

   $ 398,167         $ 230,183      
  

 

 

      

 

 

    

Calculation of Adjusted Net Income Attributable to UHS

 

     Twelve months ended
December 31, 2011
    Twelve months ended
December 31, 2010
 
     Amount     Per
Diluted
Share
    Amount     Per
Diluted
Share
 

Calculation of Adjusted Net Income Attributable to UHS

        

Net income attributable to UHS

   $ 398,167      $ 4.04      $ 230,183      $ 2.34   

Plus/minus adjustments:

        

Reduction of reserves relating to prior years for professional and general liability self-insured claims, net of income taxes

     (6,477     (0.07     (28,113     (0.28

Reduction of reserves relating to prior years for workers’ compensation self-insured claims, net of income taxes

        

Acquisition transaction costs, net of income taxes

     —          —          38,675        0.39   

Write-off certain construction costs, net of income taxes

     —          —          4,133        0.04   

Charge recorded in connection with split-dollar life insurance agreements

     —          —          9,207        0.09   

Favorable discrete tax item

     —          —          (4,331     (0.04
  

 

 

   

 

 

   

 

 

   

 

 

 

Subtotal after-tax adjustments to net income attributable to UHS

     (6,477     (0.07     19,571        0.20   
  

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted net income attributable to UHS

   $ 391,690      $ 3.97      $ 249,754      $ 2.54   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

Condensed Consolidated Balance Sheets

(in thousands)

 

     December 31,
2011
    December 31,
2010
 

Assets

    

Current assets:

    

Cash and cash equivalents

   $ 41,229      $ 29,474   

Accounts receivable, net

     969,802        837,820   

Supplies

     96,775        94,330   

Other current assets

     99,859        130,060   

Deferred income taxes

     108,324        120,834   

Assets of facilities held for sale

     48,916        118,598   
  

 

 

   

 

 

 

Total current assets

     1,364,905        1,331,116   
  

 

 

   

 

 

 

Property and equipment

     5,106,160        4,853,972   

Less: accumulated depreciation

     (1,818,180     (1,601,005
  

 

 

   

 

 

 
     3,287,980        3,252,967   
  

 

 

   

 

 

 

Other assets:

    

Goodwill

     2,627,602        2,589,914   

Deferred charges

     111,780        108,660   

Other

     272,978        245,279   
  

 

 

   

 

 

 
   $ 7,665,245      $ 7,527,936   
  

 

 

   

 

 

 

Liabilities and Stockholders’ Equity

    

Current liabilities:

    

Current maturities of long-term debt

   $ 2,479      $ 3,449   

Accounts payable and accrued liabilities

     832,125        819,334   

Liabilities of facilities held for sale

     2,329        3,516   
  

 

 

   

 

 

 

Total current liabilities

     836,933        826,299   
  

 

 

   

 

 

 

Other noncurrent liabilities

     401,908        380,649   

Long-term debt

     3,651,428        3,912,102   

Deferred income taxes

     209,592        173,354   

Redeemable noncontrolling interest

     218,266        211,761   

UHS common stockholders’ equity

     2,296,352        1,978,772   

Noncontrolling interest

     50,766        44,999   
  

 

 

   

 

 

 

Total equity

     2,347,118        2,023,771   
  

 

 

   

 

 

 
   $ 7,665,245      $ 7,527,936   
  

 

 

   

 

 

 


Universal Health Services, Inc.

Consolidated Statements of Cash Flows

(in thousands)

 

   Twelve months ended
December 31,
 
     2011     2010  

Cash Flows from Operating Activities:

    

Net income

   $ 448,870      $ 275,795   

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

    

Depreciation & amortization

     295,861        223,997   

Gain on sale of assets and businesses, net

     (452     (1,993

Stock-based compensation expense

     18,225        16,799   

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

    

Accounts receivable

     (134,838     22,726   

Accrued interest

     (3,577     8,408   

Accrued and deferred income taxes

     85,792        132   

Other working capital accounts

     (28,382     (26,437

Other assets and deferred charges

     37,160        11,539   

Other

     (1,387     812   

Accrued insurance expense, net of commercial premiums paid

     83,612        19,739   

Payments made in settlement of self-insurance claims

     (82,633     (50,173
  

 

 

   

 

 

 

Net cash provided by operating activities

     718,251        501,344   
  

 

 

   

 

 

 

Cash Flows from Investing Activities:

    

Property and equipment additions, net of disposals

     (285,682     (239,274

Acquisition of property and businesses

     (29,466     (1,958,298

Proceeds received from sale of assets and businesses

     67,592        21,460   

Costs incurred for purchase and implementation of electronic health records application

     (38,249     (17,971
  

 

 

   

 

 

 

Net cash used in investing activities

     (285,805     (2,194,083
  

 

 

   

 

 

 

Cash Flows from Financing Activities:

    

Reduction of long-term debt

     (381,517     (1,392,086

Additional borrowings

     98,100        3,266,146   

Financing costs

     (23,608     (101,815

Repurchase of common shares

     (60,482     (11,528

Dividends paid

     (19,466     (19,422

Issuance of common stock

     4,779        3,594   

Profit distributions to noncontrolling interests

     (38,497     (32,456

Proceeds from sale of noncontrolling interest in majority owned business

     0        600   
  

 

 

   

 

 

 

Net cash (used in) provided by financing activities

     (420,691     1,713,033   
  

 

 

   

 

 

 

Increase in cash and cash equivalents

     11,755        20,294   

Cash and cash equivalents, beginning of period

     29,474        9,180   
  

 

 

   

 

 

 

Cash and cash equivalents, end of period

   $ 41,229      $ 29,474   
  

 

 

   

 

 

 

Supplemental Disclosures of Cash Flow Information:

    

Interest paid

   $ 176,328      $ 76,900   
  

 

 

   

 

 

 

Income taxes paid, net of refunds

   $ 163,029      $ 152,088   
  

 

 

   

 

 

 


Universal Health Services, Inc.

Supplemental Statistical Information

(unaudited)

 

Same Facility:    % Change
Quarter
Ended
12/31/2011
    % Change
Year
Ended
12/31/2011
 

Acute Care Hospitals

    

Revenues

     1.6     4.4

Adjusted Admissions

     0.3     -0.1

Adjusted Patient Days

     0.8     1.7

Revenue Per Adjusted Admission

     1.3     4.5

Revenue Per Adjusted Patient Day

     0.8     2.6

Behavioral Health Hospitals

    

Revenues

     6.3     6.4

Adjusted Admissions

     8.3     7.6

Adjusted Patient Days

     4.1     3.3

Revenue Per Adjusted Admission

     -1.6     -0.8

Revenue Per Adjusted Patient Day

     2.4     3.3

 

UHS Consolidated    Fourth Quarter Ended     Year Ended  
     12/31/2011     12/31/2010     12/31/2011     12/31/2010  

Revenues

   $ 1,838,774      $ 1,559,453      $ 7,500,198      $ 5,568,185   

EBITDA (1)

     271,691        209,036        1,141,653        737,220   

EBITDA Margin (1)

     14.8     13.4     15.2     13.2

Cash Flow From Operations

     155,749        88,529        718,251        501,344   

Days Sales Outstanding

     49        43        47        43   

Capital Expenditures

     90,278        61,524        285,682        239,274   

Total Debt

         3,653,907        3,915,551   

Shareholders Equity

         2,296,352        1,978,772   

Total Debt / Total Capitalization

         61.4     66.4

Total Debt / EBITDA

         3.20        5.31   

Debt / Cash From Operations

         5.09        7.81   

Acute Care EBITDAR Margin (2)

     13.3     14.4     14.7     14.5

Behavioral Health EBITDAR Margin (2)

     24.3     22.1     25.2     24.8

 

(1) Net of Minority Interest and before the items indicated on the supplemental schedules
(2) Before Corporate overhead allocation, minority interest and prior year self insurance reserve adjustments


UNIVERSAL HEALTH SERVICES, INC.

SELECTED HOSPITAL STATISTICS

FOR THE THREE MONTHS ENDED

DECEMBER 31, 2011 AND 2010

AS REPORTED:

 

     ACUTE     BEHAVIORAL HEALTH  
     12/31/11     12/31/10     %
change
    12/31/11     12/31/10     %
change
 

Hospitals owned and leased

     21        21        0.0     177        179        -1.1

Average licensed beds

     5,763        5,689        1.3     19,372        13,698        41.4

Patient days

     278,263        284,538        -2.2     1,276,929        883,460        44.5

Average daily census

     3,024.6        3,092.8        -2.2     13,879.7        9,602.8        44.5

Occupancy-licensed beds

     52.5     54.4     -3.5     71.6     70.1     2.2

Admissions

     62,936        64,655        -2.7     86,811        56,928        52.5

Length of stay

     4.4        4.4        0.5     14.7        15.5        -5.2

Inpatient revenue

   $ 2,901,748      $ 2,794,619        3.8   $ 1,359,378      $ 916,831        48.3

Outpatient revenue

     1,408,537        1,235,850        14.0     153,538        111,874        37.2

Total patient revenue

     4,310,285        4,030,469        6.9     1,512,916        1,028,705        47.1

Other revenue

     23,533        19,136        23.0     34,804        24,131        44.2

Gross hospital revenue

     4,333,818        4,049,605        7.0     1,547,720        1,052,836        47.0

Total deductions

     3,345,778        3,076,918        8.7     707,577        474,299        49.2

Net hospital revenue

   $ 988,040      $ 972,687        1.6   $ 840,143      $ 578,537        45.2

SAME FACILITY:

 

     ACUTE     BEHAVIORAL HEALTH (1)  
     12/31/11     12/31/10     %
change
    12/31/11     12/31/10     %
change
 

Hospitals owned and leased

     21        21        0.0     177        177        0.0

Average licensed beds

     5,763        5,689        1.3     11,761        11,589        1.5

Patient days

     278,263        284,538        -2.2     785,625        753,719        4.2

Average daily census

     3,024.6        3,092.8        -2.2     8,539.4        8,192.6        4.2

Occupancy-licensed beds

     52.5     54.4     -3.5     72.6     70.7     2.7

Admissions

     62,936        64,655        -2.7     53,654        49,460        8.5

Length of stay

     4.4        4.4        0.5     14.6        15.2        -3.9

 

(1) Pennsylvania Clinical School is excluded in both current and prior years. King George School is excluded in both current and prior years from July 1st thru December 31st. Facilities acquired in acquisition of Psychiatric Solutions are included in both current and prior year from December 1st thru December 31st. Brooke Glen and The Pines/Brighton are excluded in both current and prior years.


UNIVERSAL HEALTH SERVICES, INC.

SELECTED HOSPITAL STATISTICS

FOR THE TWELVE MONTHS ENDED

DECEMBER 31, 2011 AND 2010

AS REPORTED:

 

     ACUTE     BEHAVIORAL HEALTH  
     12/31/11     12/31/10     %
change
    12/31/11     12/31/10     %
change
 

Hospitals owned and leased

     21        21        0.0     177        179        -1.1

Average licensed beds

     5,726        5,689        0.7     19,388        9,414        105.9

Patient days

     1,151,210        1,155,984        -0.4     5,190,080        2,504,699        107.2

Average daily census

     3,154.0        3,167.1        -0.4     14,219.4        6,862.2        107.2

Occupancy-licensed beds

     55.1     55.7     -1.1     73.3     72.9     0.6

Admissions

     258,754        264,470        -2.2     356,856        166,422        114.4

Length of stay

     4.4        4.4        1.8     14.5        15.1        -3.4

Inpatient revenue

   $ 12,025,664      $ 10,890,171        10.4   $ 5,529,205      $ 2,566,366        115.4

Outpatient revenue

     5,629,420        4,771,070        18.0     608,785        350,192        73.8

Total patient revenue

     17,655,084        15,661,241        12.7     6,137,990        2,916,558        110.5

Other revenue

     80,434        71,004        13.3     139,925        46,638        200.0

Gross hospital revenue

     17,735,518        15,732,245        12.7     6,277,915        2,963,196        111.9

Total deductions

     13,663,948        11,830,430        15.5     2,876,797        1,327,741        116.7

Net hospital revenue

   $ 4,071,570      $ 3,901,815        4.4   $ 3,401,118      $ 1,635,455        108.0

SAME FACILITY:

 

     ACUTE     BEHAVIORAL HEALTH (1)  
     12/31/11     12/31/10     %
change
    12/31/11     12/31/10     %
change
 

Hospitals owned and leased

     21        21        0.0     177        177        0.0

Average licensed beds

     5,725        5,689        0.6     8,966        8,780        2.1

Patient days

     1,151,210        1,155,984        -0.4     2,431,375        2,350,418        3.4

Average daily census

     3,154.0        3,167.1        -0.4     6,661.3        6,439.5        3.4

Occupancy-licensed beds

     55.1     55.7     -1.0     74.3     73.3     1.3

Admissions

     258,754        264,470        -2.2     171,141        158,911        7.7

Length of stay

     4.4        4.4        1.8     14.2        14.8        -3.9

 

(1) Pennsylvania Clinical School is excluded in both current and prior years. King George School is excluded in both current and prior years from July 1st thru December 31st. Facilities acquired in acquisition of Psychiatric Solutions are included in both current and prior year from December 1st thru December 31st. Brooke Glen and The Pines/Brighton are excluded in both current and prior years.