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8-K - UNIVERSAL HEALTH SERVICES INC--FORM 8-K - UNIVERSAL HEALTH SERVICES INCd386671d8k.htm

Exhibit 99.1

FOR IMMEDIATE RELEASE

 

CONTACT:    Steve Filton   
   Chief Financial Officer    July 26, 2012
   610-768-3300   

UNIVERSAL HEALTH SERVICES, INC. REPORTS FINANCIAL RESULTS FOR THREE AND SIX MONTHS ENDED

JUNE 30, 2012 AND REVISES 2012 FULL YEAR GUIDANCE

Consolidated Results of Operations, As Reported – Three and six-month periods ended June 30, 2012 and 2011:

KING OF PRUSSIA, PA – Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income attributable to UHS was $107.6 million, or $1.10 per diluted share, during the second quarter of 2012 as compared to $103.6 million, or $1.04 per diluted share, during the comparable quarter of 2011. Net revenues increased 1% to $1.73 billion during the second quarter of 2012 as compared to $1.71 billion during the second quarter of 2011.

Reported net income attributable to UHS was $236.2 million, or $2.41 per diluted share, during the first six months of 2012 as compared to $217.8 million, or $2.20 per diluted share, during the comparable period of 2011. Net revenues increased 3% to $3.53 billion during the first six months of 2012 as compared to $3.44 billion during the comparable period of 2011.

Consolidated Results of Operations, As Adjusted – Three and six-month periods ended June 30, 2012 and 2011:

For the three-month period ended June 30, 2012, our adjusted net income attributable to UHS, as calculated on the attached Schedule of Non-GAAP Supplemental Consolidated Statements of Income Information (“Supplemental Schedule”), was $109.1 million, or $1.12 per diluted share. There were no such adjustments required to our reported net income attributable to UHS for the second quarter of 2011.

As reflected on the Supplemental Schedule, included in our reported results during the second quarter of 2012, was a net favorable after-tax impact of $3.4 million, or $.03 per diluted share, consisting primarily of the 2011 portion of net Medicaid supplemental revenues recorded during the quarter and an unfavorable after-tax charge of approximately $5.0 million, or $.05 per diluted share, related to the revenues and expenses recorded in connection with the implementation of electronic health records (“EHR”) applications at our acute care hospitals (as discussed below in Accounting for HITECH Act incentive payments and EHR expenses). The net Medicaid supplemental revenues related primarily to new supplemental Medicaid programs initiated in certain states in which we operate behavioral health care facilities. These supplemental programs commenced during the second quarter of 2012 and were retroactive to July, 2011.

For the six-month period ended June 30, 2012, our adjusted net income attributable to UHS, as calculated on the attached Supplemental Schedule, was $219.8 million, or $2.25 per diluted share. There were no such adjustments required to our reported net income attributable to UHS for the first six months of 2011.


As reflected on the Supplemental Schedule, included in our reported results during the first six months of 2012 was the above-mentioned unfavorable after-tax charge of approximately $5.0 million, or $.05 per diluted share, recorded in connection with the implementation of EHR applications and an aggregate favorable after-tax impact of $21.4 million, or $.21 per diluted share, consisting of the following:

 

   

a favorable after-tax impact of $18.8 million resulting from an aggregate cash payment of approximately $36 million received by us in connection an agreement entered into with the United States Department of Health and Human Services, the Secretary of Health and Human Services, and the Centers for Medicare and Medicaid Services (referred to collectively as “HHS”). After reductions for estimated related expenses and the portion attributable to third-party non-controlling ownership interests, this agreement, which was part of an industry-wide settlement with HHS related to litigation that was pending for several years contending that acute care hospitals in the U.S. were underpaid from the Medicare inpatient prospective payment system during a number of prior years, favorably impacted our pre-tax consolidated financial results by $30.2 million during the first six months of 2012;

 

   

a favorable after-tax impact of $4.3 million representing the 2011 portion of the net Medicaid supplemental reimbursements earned pursuant to the Oklahoma Supplemental Hospital Offset Payment Program (“SHOPP”). Pursuant to the terms and conditions of the SHOPP program, which was retroactive to July, 2011, we estimate that we are entitled to annual net reimbursements of approximately $14 million during each of the state’s fiscal years of 2012 and 2013;

 

   

an aggregate unfavorable after-tax impact of $5.1 million resulting from: (i) the revised Supplemental Security Income ratios utilized for calculating Medicare disproportionate share hospital reimbursements for federal fiscal years 2006 through 2009 ($2.4 million unfavorable after-tax impact), and; (ii) the write-off of receivables related to revenues recorded during 2011 at two of our acute care hospitals located in Florida resulting from reductions in certain county reimbursements due to reductions in federal matching Inter-Governmental Transfer funds ($2.7 million unfavorable after-tax impact), and;

 

   

a net favorable after-tax impact of $3.4 million consisting primarily of the above-mentioned, 2011 portion of net Medicaid supplemental revenues recorded during the second quarter of 2012.

Acute Care Services – Three and six-month periods ended June 30, 2012 and 2011:

During the second quarter of 2012, at our acute care hospitals owned during both periods (“same facility basis”), adjusted admissions (adjusted for outpatient activity) decreased 1.3% and adjusted patient days increased 0.7%, as compared to the second quarter of 2011. Net revenues at these facilities decreased 2.2% during the second quarter of 2012 as compared to the comparable quarter of the prior year. At these facilities, net revenue per adjusted admission decreased 0.9% while net revenue per adjusted patient day decreased 2.9% during the second quarter of 2012 as compared to the comparable quarter of the prior year. The declines in net revenue per adjusted admission and adjusted patient day were largely due to difficult comparisons to the prior year quarter when our net revenues were favorably impacted by positive changes in payor mix of patients treated at our hospitals and a stabilization of uninsured patient volumes. On a same facility basis, the operating margin at our acute care hospitals


decreased to 16.1% during the second quarter of 2012 as compared to 17.8% during the second quarter of 2011. We define operating margin as net revenues less salaries, wages and benefits, other operating expenses and supplies expense (excluding the impact of the items mentioned above and excluding the EHR impact, as indicated on the Supplemental Schedule).

During the first six months of 2012, at our acute care hospitals on a same facility basis, adjusted admissions increased 0.4% and adjusted patient days increased 0.9%, as compared to the comparable six-month period of 2011. Net revenues at these facilities decreased 0.5% during the first six months of 2012 as compared to the comparable period of 2011. At these facilities, net revenue per adjusted admission decreased 0.9% while net revenue per adjusted patient day decreased 1.4% during the first six months of 2012, as compared to the comparable period of 2011. On a same facility basis, the operating margin at our acute care hospitals decreased to 17.6% during the first six months of 2012, as compared to 19.2% during the comparable six-month period of 2011.

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 $266 million and $239 million during the three-month periods ended June 30, 2012 and 2011, respectively, and $581 million and $462 million during the six-month periods ended June 30, 2012 and 2011, respectively.

Behavioral Health Care Services – Three and six-month periods ended June 30, 2012 and 2011:

During the second quarter of 2012, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 3.3% while adjusted patient days increased 0.2%, as compared to the second quarter of 2011. Net revenues at these facilities increased 4.1% during the second quarter of 2012, as compared to the comparable quarter in 2011. At these facilities, net revenue per adjusted admission increased 0.4% while net revenue per adjusted patient day increased 3.5% during the second quarter of 2012 over the comparable quarter in 2011. The operating margin at our behavioral health care facilities owned during both periods increased to 28.6% during the second quarter of 2012, as compared to 26.9% during the second quarter of 2011.

During the first six months of 2012, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 6.2% while adjusted patient days increased 1.5%, as compared to the comparable period of 2011. Net revenues at these facilities increased 4.7% during the first six months of 2012, as compared to the comparable period of 2011. At these facilities, net revenue per adjusted admission decreased 1.4% while net revenue per adjusted patient day increased 3.2% during the first six months of 2012 over the comparable period of 2011. The operating margin at our behavioral health care facilities owned during both periods increased to 27.7% during the first six months of 2012, as compared to 26.7% during the comparable period of 2011.

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 hospitals and will continue to do so, on a hospital-by-hospital basis, until completion which is scheduled to occur by the end of June, 2013. As of June 30, 2012, EHR applications have been implemented at nine of our acute care hospitals, the majority of which occurred during the second quarter of 2012. 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. One hospital met the “meaningful use” criteria during the first half of 2012 (occurred during the second quarter) and we anticipate that eight additional hospitals will qualify by the end of 2012.

As reflected on the Supplemental Schedule, our consolidated results of operations for the three and six-month periods ended June 30, 2012 include an after-tax charge of approximately $5.0 million, or $.05 per diluted share, recorded in connection with the implementation of EHR applications. This charge, which on a pre-tax basis amounted to $8.0 million, net of $1.9 million attributable to third-party, non-controlling ownership interests, consists of $2.0 million of revenue offset by $8.3 million of salaries, wages, benefits and other operating expenses and $3.5 million of depreciation and amortization expense. The EHR-related revenue recorded during the second quarter of 2012 consists of state Medicaid EHR incentive payments attributable to an acute care hospital that met the “meaningful use” criteria during the quarter.

During the six-month period of July 1, 2012 through December 31, 2012, based upon our scheduled EHR implementations and anticipated “meaningful use” qualifications, we anticipate recording approximately $32 million of EHR revenues and $18 million of EHR-related incremental expenses resulting in a favorable after-tax impact of approximately $9 million, or $.09 per diluted share. Combined with the above-mentioned EHR-related revenues and expenses recorded during the first six months of 2012, we estimate that our consolidated results of operations for the year ended December 31, 2012 will include approximately $34 million of EHR revenues and $28 million of EHR-related incremental expenses resulting in a net favorable after-tax impact of approximately $4 million, or $.04 per diluted share.

Revised 2012 Full Year Guidance:

Against the backdrop of a sluggish economic recovery, and based upon the operating trends and financial results experienced during the first six months of 2012, our revised estimated range of adjusted net income attributable to UHS, for the year ended December 31, 2012 is $4.25 to $4.35 per diluted share. This revised guidance, which excludes the estimated favorable $.04 per diluted share EHR impact mentioned above and the impact of the other items reflected on the Supplemental Schedule for the six months ended June 30, 2012, represents a decrease of approximately 2% to 3% from the previously provided range of $4.33 to $4.48 per diluted share.

This guidance range also excludes the impact of future 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 July 27, 2012. The dial-in number is 1-877-648-7971. A live broadcast of the call will be available on our website at www.uhsinc.com. Also, a replay of the call will be available on our website following the completion of the conference call.

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 and in Item 2-Forward-Looking Statements and Risk Factors in our Form 10-Q for the quarterly period ended March 31, 2012), 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.

During the first quarter of 2012, we adopted the Financial Accounting Standards Board’s Accounting Standards Update No. 2011-07, “Health Care Entities (Topic 954): Presentation and Disclosure of Patient Service Revenue, Provision for Bad Debts, and the Allowance for Doubtful Accounts for Certain Health Care Entities,” which required health care entities to change the presentation in their statement of operations by reclassifying the provision for bad debts associated with patient service revenue from an operating expense to a deduction from patient service revenue (net of contractual allowances and discounts). As a result, the provision for doubtful accounts for our acute care and behavioral health care facilities is reflected as a deduction for net revenues in the accompanying consolidated statements of income for the three and six-month periods ended June 30, 2012 and 2011. The adoption of this standard had no impact on our financial position or results of operations.

As mentioned above, our acute care hospitals may qualify for EHR incentive payments upon implementation of an 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 and Report on Form 10-Q for the quarterly period ended March 31, 2012. 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)

(unaudited)

 

     Three months ended
June 30,
     Six months ended
June 30,
 
     2012      2011      2012      2011  

Net revenues before provision for doubtful accounts

   $ 1,914,463       $ 1,869,414       $ 3,860,675       $ 3,744,842   

Less: Provision for doubtful accounts

     184,660         154,950         333,283         304,120   
  

 

 

    

 

 

    

 

 

    

 

 

 

Net revenues

     1,729,803         1,714,464         3,527,392         3,440,722   

Operating charges:

           

Salaries, wages and benefits

     856,878         836,559         1,730,872         1,667,317   

Other operating expenses

     347,412         349,454         700,985         688,811   

Supplies expense

     198,100         202,003         403,740         405,282   

Depreciation and amortization

     73,078         71,215         144,970         140,809   

Lease and rental expense

     24,003         22,996         47,465         45,853   
  

 

 

    

 

 

    

 

 

    

 

 

 
     1,499,471         1,482,227         3,028,032         2,948,072   
  

 

 

    

 

 

    

 

 

    

 

 

 

Income from operations

     230,332         232,237         499,360         492,650   

Interest expense, net

     45,888         49,808         92,598         106,225   
  

 

 

    

 

 

    

 

 

    

 

 

 

Income before income taxes

     184,444         182,429         406,762         386,425   

Provision for income taxes

     67,000         66,395         146,748         140,404   
  

 

 

    

 

 

    

 

 

    

 

 

 

Net income

     117,444         116,034         260,014         246,021   

Less: Income attributable to noncontrolling interests

     9,883         12,385         23,846         28,179   
  

 

 

    

 

 

    

 

 

    

 

 

 

Net income attributable to UHS

   $ 107,561       $ 103,649       $ 236,168       $ 217,842   
  

 

 

    

 

 

    

 

 

    

 

 

 

Basic earnings per share attributable to UHS (a)

   $ 1.11       $ 1.06       $ 2.44       $ 2.23   
  

 

 

    

 

 

    

 

 

    

 

 

 

Diluted earnings per share attributable to UHS (a)

   $ 1.10       $ 1.04       $ 2.41       $ 2.20   
  

 

 

    

 

 

    

 

 

    

 

 

 


Universal Health Services, Inc.

Footnotes to Consolidated Statements of Income

(in thousands, except per share amounts)

(unaudited)

 

     Three months ended
June 30,
    Six months ended
June 30,
 
     2012     2011     2012     2011  

(a) Earnings per share calculation:

        

Basic and diluted:

        

Net income attributable to UHS

   $ 107,561      $ 103,649      $ 236,168      $ 217,842   

Less: Net income attributable to unvested restricted share grants

     (126     (126     (294     (275
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to UHS - basic and diluted

   $ 107,435      $ 103,523      $ 235,874      $ 217,567   
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average number of common shares - basic

     96,691        97,563        96,642        97,472   
  

 

 

   

 

 

   

 

 

   

 

 

 

Basic earnings per share attributable to UHS:

   $ 1.11      $ 1.06      $ 2.44      $ 2.23   
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average number of common shares

     96,691        97,563        96,642        97,472   

Add: Other share equivalents

     1,038        1,695        1,118        1,591   
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average number of common shares and equiv. - diluted

     97,729        99,258        97,760        99,063   
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted earnings per share attributable to UHS:

   $ 1.10      $ 1.04      $ 2.41      $ 2.20   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

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

For the three months ended June 30, 2012 and 2011

(in thousands, except per share amounts)

(unaudited)

Calculation of “EBITDA”

 

     Three months ended
June 30, 2012
    Three months ended
June 30, 2011
 

Net revenues before provision for doubtful accounts

   $ 1,914,463         $ 1,869,414      

Less: Provision for doubtful accounts

     184,660           154,950      
  

 

 

      

 

 

    

Net revenues

     1,729,803         100.0     1,714,464         100.0

Operating charges:

          

Salaries, wages and benefits

     856,878         49.5     836,559         48.8

Other operating expenses

     347,412         20.1     349,454         20.4

Supplies expense

     198,100         11.5     202,003         11.8
  

 

 

    

 

 

   

 

 

    

 

 

 
     1,402,390         81.1     1,388,016         81.0
  

 

 

    

 

 

   

 

 

    

 

 

 

Operating income/margin (“EBITDAR”)

     327,413         18.9     326,448         19.0

Lease and rental expense

     24,003           22,996      

Income attributable to noncontrolling interests

     9,883           12,385      
  

 

 

      

 

 

    

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

     293,527         17.0     291,067         17.0

Depreciation and amortization

     73,078           71,215      

Interest expense, net

     45,888           49,808      
  

 

 

      

 

 

    

Income before income taxes

     174,561           170,044      

Provision for income taxes

     67,000           66,395      
  

 

 

      

 

 

    

Net income attributable to UHS

   $ 107,561         $ 103,649      
  

 

 

      

 

 

    

Calculation of Adjusted Net Income Attributable to UHS

 

     Three months ended
June 30, 2012
    Three months ended
June 30, 2011
 
     Amount     Per
Diluted
Share
    Amount      Per
Diluted
Share
 

Calculation of Adjusted Net Income Attributable to UHS - including and excluding EHR impact:

         

Net income attributable to UHS

   $ 107,561      $ 1.10      $ 103,649       $ 1.04   

Plus/minus adjustments:

         

Net Medicaid reimbursements related to prior years, net of income taxes

     (3,417     (0.03     —           —     
  

 

 

   

 

 

   

 

 

    

 

 

 

Adjusted net income attributable to UHS - including Electronic Health Records (“EHR”) impact

   $ 104,144      $ 1.07      $ 103,649       $ 1.04   
  

 

 

   

 

 

   

 

 

    

 

 

 

Plus/minus impact of EHR implementation:

         

EHR-related net revenues, pre-tax

     (1,955       

EHR-related salaries, wages and benefits, pre-tax

     7,943          

EHR-related other operating costs, pre-tax

     396          

EHR-related depreciation & amortization, pre-tax

     3,527          

EHR-related minority interest in earnings of consolidated entities, pre-tax

     (1,897       

Income tax provision on EHR-related items

     (3,034       
  

 

 

   

 

 

   

 

 

    

 

 

 

After-tax impact of EHR-related items

     4,980        0.05        —           —     
  

 

 

   

 

 

   

 

 

    

 

 

 

Adjusted net income attributable to UHS

   $ 109,124      $ 1.12      $ 103,649       $ 1.04   
  

 

 

   

 

 

   

 

 

    

 

 

 


Universal Health Services, Inc.

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

For the six months ended June 30, 2012 and 2011

(in thousands, except per share amounts)

(unaudited)

Calculation of “EBITDA”

 

     Six months ended
June 30, 2012
    Six months ended
June 30, 2011
 

Net revenues before provision for doubtful accounts

   $ 3,860,675         $ 3,744,842      

Less: Provision for doubtful accounts

     333,283           304,120      
  

 

 

      

 

 

    

Net revenues

     3,527,392         100.0     3,440,722         100.0

Operating charges:

          

Salaries, wages and benefits

     1,730,872         49.1     1,667,317         48.5

Other operating expenses

     700,985         19.9     688,811         20.0

Supplies expense

     403,740         11.4     405,282         11.8
  

 

 

    

 

 

   

 

 

    

 

 

 
     2,835,597         80.4     2,761,410         80.3
  

 

 

    

 

 

   

 

 

    

 

 

 

Operating income/margin (“EBITDAR”)

     691,795         19.6     679,312         19.7

Lease and rental expense

     47,465           45,853      

Income attributable to noncontrolling interests

     23,846           28,179      
  

 

 

      

 

 

    

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

     620,484         17.6     605,280         17.6

Depreciation and amortization

     144,970           140,809      

Interest expense, net

     92,598           106,225      
  

 

 

      

 

 

    

Income before income taxes

     382,916           358,246      

Provision for income taxes

     146,748           140,404      
  

 

 

      

 

 

    

Net income attributable to UHS

   $ 236,168         $ 217,842      
  

 

 

      

 

 

    

Calculation of Adjusted Net Income Attributable to UHS

 

     Six months ended
June 30, 2012
    Six months ended
June 30, 2011
 
     Amount     Per
Diluted
Share
    Amount      Per
Diluted
Share
 

Calculation of Adjusted Net Income Attributable to UHS - including and excluding EHR impact:

         

Net income attributable to UHS

   $ 236,168      $ 2.41      $ 217,842       $ 2.20   

Plus/minus adjustments:

         

Medicare Rural Floor settlement, net of income taxes

     (18,753       

Oklahoma SHOPP Medicaid reimbursements related to prior years, net of income taxes

     (4,329       

Impact of revised SSI ratios and write-off Florida county receivables, net of income taxes

     5,149          

Net Medicaid reimbursements related to prior years, net of income taxes

     (3,417       
  

 

 

   

 

 

   

 

 

    

 

 

 

Subtotal after-tax adjustments to net income attributable to UHS

     (21,350     (0.21     —           —     
  

 

 

   

 

 

   

 

 

    

 

 

 

Adjusted net income attributable to UHS - including Electronic Health Records (“EHR”) impact

   $ 214,818      $ 2.20      $ 217,842       $ 2.20   
  

 

 

   

 

 

   

 

 

    

 

 

 

Plus/minus impact of EHR implementation:

         

EHR-related net revenues, pre-tax

     (1,955       

EHR-related salaries, wages and benefits, pre-tax

     7,943          

EHR-related other operating costs, pre-tax

     396          

EHR-related depreciation & amortization, pre-tax

     3,527          

EHR-related minority interest in earnings of consolidated entities, pre-tax

     (1,897       

Income tax provision on EHR-related items

     (3,034       
  

 

 

   

 

 

   

 

 

    

 

 

 

After-tax impact of EHR-related items

     4,980        0.05        —           —     
  

 

 

   

 

 

   

 

 

    

 

 

 

Adjusted net income attributable to UHS

   $ 219,798      $ 2.25      $ 217,842       $ 2.20   
  

 

 

   

 

 

   

 

 

    

 

 

 


Universal Health Services, Inc.

Consolidated Statements of Comprehensive Income

(in thousands)

(unaudited)

 

     Three months ended
June 30,
    Six months ended
June 30,
 
     2012     2011     2012     2011  

Net income

   $ 117,444      $ 116,034      $ 260,014      $ 246,021   

Other comprehensive income (loss):

        

Unrealized derivative gains (loss) on cash flow hedges

     212        (20,583     1,827        (18,276

Amortization of terminated hedge

     (84     (84     (168     (168
  

 

 

   

 

 

   

 

 

   

 

 

 

Other comprehensive income before tax

     128        (20,667     1,659        (18,444

Income tax expense related to items of other comprehensive income

     50        (7,916     632        (7,056
  

 

 

   

 

 

   

 

 

   

 

 

 

Total other comprehensive income, net of tax

     78        (12,751     1,027        (11,388
  

 

 

   

 

 

   

 

 

   

 

 

 

Comprehensive income

     117,522        103,283        261,041        234,633   

Less: Comprehensive income attributable to noncontrolling interests

     9,883        12,385        23,846        28,179   
  

 

 

   

 

 

   

 

 

   

 

 

 

Comprehensive income attributable to UHS

   $ 107,639      $ 90,898      $ 237,195      $ 206,454   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

Condensed Consolidated Balance Sheets

(in thousands)

(unaudited)

 

     June 30,
2012
    December 31,
2011
 

Assets

    

Current assets:

    

Cash and cash equivalents

   $ 32,941      $ 41,229   

Accounts receivable, net

     1,019,929        969,802   

Supplies

     96,882        96,775   

Deferred income taxes

     122,795        108,324   

Other current assets

     99,534        99,859   

Assets of facilities held for sale

     84,365        48,916   
  

 

 

   

 

 

 

Total current assets

     1,456,446        1,364,905   
  

 

 

   

 

 

 

Property and equipment

     5,172,407        5,106,160   

Less: accumulated depreciation

     (1,875,492     (1,818,180
  

 

 

   

 

 

 
     3,296,915        3,287,980   
  

 

 

   

 

 

 

Other assets:

    

Goodwill

     2,610,637        2,627,602   

Deferred charges

     106,095        111,780   

Other

     288,555        272,978   
  

 

 

   

 

 

 
   $ 7,758,648      $ 7,665,245   
  

 

 

   

 

 

 

Liabilities and Stockholders’ Equity

    

Current liabilities:

    

Current maturities of long-term debt

   $ 2,497      $ 2,479   

Accounts payable and accrued liabilities

     852,256        832,125   

Federal and state taxes

     12,893        0   

Liabilities of facilities held for sale

     15,966        2,329   
  

 

 

   

 

 

 

Total current liabilities

     883,612        836,933   
  

 

 

   

 

 

 

Other noncurrent liabilities

     393,928        401,908   

Long-term debt

     3,458,509        3,651,428   

Deferred income taxes

     206,403        209,592   

Redeemable noncontrolling interest

     226,537        218,266   

UHS common stockholders’ equity

     2,536,884        2,296,352   

Noncontrolling interest

     52,775        50,766   
  

 

 

   

 

 

 

Total equity

     2,589,659        2,347,118   
  

 

 

   

 

 

 
   $ 7,758,648      $ 7,665,245   
  

 

 

   

 

 

 


Universal Health Services, Inc.

Consolidated Statements of Cash Flows

(in thousands)

(unaudited)

 

     Six months ended
June 30,
 
     2012     2011  

Cash Flows from Operating Activities:

    

Net income

   $ 260,014      $ 246,021   

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

    

Depreciation & amortization

     148,703        144,949   

Stock-based compensation expense

     10,996        8,665   

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

    

Accounts receivable

     (63,937     (77,661

Accrued interest

     15,873        (2,309

Accrued and deferred income taxes

     3,955        55,420   

Other working capital accounts

     (13,085     (48,417

Other assets and deferred charges

     13,866        11,525   

Other

     2,050        3,468   

Accrued insurance expense, net of commercial premiums paid

     42,241        47,480   

Payments made in settlement of self-insurance claims

     (47,814     (33,365
  

 

 

   

 

 

 

Net cash provided by operating activities

     372,862        355,776   
  

 

 

   

 

 

 

Cash Flows from Investing Activities:

    

Property and equipment additions, net of disposals

     (182,351     (116,240

Proceeds received from sale of assets and businesses

     53,461        2,041   

Acquisition of property and businesses

     (11,476     0   

Costs incurred for purchase and implementation of electronic health records application

     (28,008     (11,416

Return of deposit on terminated purchase agreement

     6,500        0   
  

 

 

   

 

 

 

Net cash used in investing activities

     (161,874     (125,615
  

 

 

   

 

 

 

Cash Flows from Financing Activities:

    

Reduction of long-term debt

     (195,686     (200,566

Additional borrowings

     0        36,000   

Financing costs

     0        (23,534

Repurchase of common shares

     (2,927     (6,163

Dividends paid

     (9,673     (9,763

Issuance of common stock

     2,575        2,408   

Profit distributions to noncontrolling interests

     (13,565     (23,201
  

 

 

   

 

 

 

Net cash used in financing activities

     (219,276     (224,819
  

 

 

   

 

 

 

(Decrease) increase in cash and cash equivalents

     (8,288     5,342   

Cash and cash equivalents, beginning of period

     41,229        29,474   
  

 

 

   

 

 

 

Cash and cash equivalents, end of period

   $ 32,941      $ 34,816   
  

 

 

   

 

 

 

Supplemental Disclosures of Cash Flow Information:

    

Interest paid

   $ 62,158      $ 102,213   
  

 

 

   

 

 

 

Income taxes paid, net of refunds

   $ 141,571      $ 83,532   
  

 

 

   

 

 

 


Universal Health Services, Inc.

Supplemental Statistical Information

(un-audited)

Same Facility:

 

     % Change
Quarter Ended
6/30/2012
    % Change
6 months ended
6/30/2011
 

Acute Care Hospitals

    

Revenues

     -2.2     -0.5

Adjusted Admissions

     -1.3     0.4

Adjusted Patient Days

     0.7     0.9

Revenue Per Adjusted Admission

     -0.9     -0.9

Revenue Per Adjusted Patient Day

     -2.9     -1.4

Behavioral Health Hospitals

    

Revenues

     4.1     4.7

Adjusted Admissions

     3.3     6.2

Adjusted Patient Days

     0.2     1.5

Revenue Per Adjusted Admission

     0.4     -1.4

Revenue Per Adjusted Patient Day

     3.5     3.2

UHS Consolidated

 

     Second Quarter Ended     Six months Ended  
     6/30/2012     6/30/2011     6/30/2012     6/30/2011  

Revenues

   $ 1,729,803      $ 1,714,464      $ 3,527,392      $ 3,440,722   

EBITDA (1)

     293,527        291,067        620,484        605,280   

EBITDA Margin (1)

     17.0     17.0     17.6     17.6

Cash Flow From Operations

     245,639        172,599        372,862        355,776   

Days Sales Outstanding

     54        48        53        47   

Capital Expenditures

     89,788        59,682        182,351        116,240   

Debt

         3,461,006        3,753,469   

Shareholders Equity

         2,536,884        2,186,107   

Debt / Total Capitalization

         57.7     63.2

Debt / EBITDA (2)

         2.99        3.81   

Debt / Cash From Operations (2)

         4.71        5.96   

Acute Care EBITDAR Margin (3)

     15.9     17.7     17.4     19.4

Behavioral Health EBITDAR Margin (3)

     28.8     26.1     27.4     26.1

 

(1) Net of Minority Interest
(2) Latest 4 quarters
(3) Before Corporate overhead allocation and minority interest. Before Adjustments shown on the Supplemental Schedule


UNIVERSAL HEALTH SERVICES, INC.

SELECTED HOSPITAL STATISTICS

FOR THE THREE MONTHS ENDED

JUNE 30, 2012 AND 2011

AS REPORTED:

 

     ACUTE (1)     BEHAVIORAL HEALTH  
     06/30/12     06/30/11     % change     06/30/12     06/30/11     % change  

Hospitals owned and leased

     20        20        0.0     174        179        -2.8

Average licensed beds

     5,629        5,545        1.5     19,191        19,404        -1.1

Patient days

     270,752        277,323        -2.4     1,305,933        1,322,126        -1.2

Average daily census

     2,975.3        3,047.5        -2.4     14,350.9        14,528.9        -1.2

Occupancy-licensed beds

     52.9     55.0     -3.8     74.8     74.9     -0.1

Admissions

     59,768        62,479        -4.3     91,936        90,530        1.6

Length of stay

     4.5        4.4        2.1     14.2        14.6        -2.7

Inpatient revenue

   $ 3,034,837      $ 2,951,260        2.8   $ 1,423,894      $ 1,404,643        1.4

Outpatient revenue

     1,540,569        1,364,531        12.9     162,475        157,748        3.0

Total patient revenue

     4,575,406        4,315,791        6.0     1,586,369        1,562,391        1.5

Other revenue

     22,842        18,222        25.4     36,406        35,323        3.1

Gross hospital revenue

     4,598,248        4,334,013        6.1     1,622,775        1,597,714        1.6

Total deductions

     3,588,553        3,333,810        7.6     727,240        734,460        -1.0

Net hospital revenue before provision for doubtful accounts

     1,009,695        1,000,203        0.9     895,535        863,254        3.7

Provision for doubtful accounts

     164,143        136,296        20.4     20,504        18,520        10.7

Net hospital revenue

   $ 845,552      $ 863,907        -2.1   $ 875,031      $ 844,734        3.6

SAME FACILITY:

 

     ACUTE (1)     BEHAVIORAL HEALTH (2)  
     06/30/12     06/30/11     % change     06/30/12     06/30/11     % change  

Hospitals owned and leased

     20        20        0.0     173        173        0.0

Average licensed beds

     5,629        5,545        1.5     19,045        18,962        0.4

Patient days

     270,752        277,323        -2.4     1,295,977        1,294,766        0.1

Average daily census

     2,975.3        3,047.5        -2.4     14,241.5        14,228.2        0.1

Occupancy-licensed beds

     52.9     55.0     -3.8     74.8     75.0     -0.3

Admissions

     59,768        62,479        -4.3     90,960        88,194        3.1

Length of stay

     4.5        4.4        2.1     14.2        14.7        -3.0

 

(1) Auburn is excluded in both current and prior years.
(2) King George School, Marion, Pennsylvania Clinical School, San Juan Capestrano, Brooke Glen and Jefferson Trail are excluded in both current and prior years.


UNIVERSAL HEALTH SERVICES, INC.

SELECTED HOSPITAL STATISTICS

FOR THE SIX MONTHS ENDED

JUNE 30, 2012 AND 2011

AS REPORTED:

 

     ACUTE (1)     BEHAVIORAL HEALTH  
     06/30/12     06/30/11     % change     06/30/12     06/30/11     % change  

Hospitals owned and leased

     20        20        0.0     174        179     

Average licensed beds

     5,627        5,541        1.6     19,142        19,400        -1.3

Patient days

     560,778        575,381        -2.5     2,615,095        2,621,398        -0.2

Average daily census

     3,081.2        3,178.9        -3.1     14,368.7        14,482.9        -0.8

Occupancy-licensed beds

     54.8     57.4     -4.6     75.1     74.7     0.5

Admissions

     124,378        128,227        -3.0     187,711        180,093        4.2

Length of stay

     4.5        4.5        0.5     13.9        14.6        -4.3

Inpatient revenue

   $ 6,312,862      $ 6,107,084        3.4   $ 2,845,979      $ 2,795,844        1.8

Outpatient revenue

     3,089,419        2,684,482        15.1     323,733        307,343        5.3

Total patient revenue

     9,402,281        8,791,566        6.9     3,169,712        3,103,187        2.1

Other revenue

     43,821        35,180        24.6     72,974        69,531        5.0

Gross hospital revenue

     9,446,102        8,826,746        7.0     3,242,686        3,172,718        2.2

Total deductions

     7,384,511        6,807,350        8.5     1,458,974        1,459,161        0.0

Net hospital revenue before provision for doubtful accounts

     2,061,591        2,019,396        2.1     1,783,712        1,713,557        4.1

Provision for doubtful accounts

     289,508        264,101        9.6     43,808        39,879        9.9

Net hospital revenue

   $ 1,772,083      $ 1,755,295        1.0   $ 1,739,904      $ 1,673,678        4.0

SAME FACILITY:

 

     ACUTE (1)     BEHAVIORAL HEALTH (2)  
     06/30/12     06/30/11     % change     06/30/12     06/30/11     % change  

Hospitals owned and leased

     20        20        0.0     173        173        0.0

Average licensed beds

     5,627        5,541        1.6     18,977        18,901        0.4

Patient days

     560,778        575,381        -2.5     2,596,594        2,566,128        1.2

Average daily census

     3,081.2        3,178.9        -3.1     14,267.0        14,177.5        0.6

Occupancy-licensed beds

     54.8     57.4     -4.6     75.2     75.0     0.2

Admissions

     124,378        128,227        -3.0     185,712        175,429        5.9

Length of stay

     4.5        4.5        0.5     14.0        14.6        -4.4

 

(1) Auburn is excluded in both current and prior years.
(2) King George School, Marion, Pennsylvania Clinical School, San Juan Capestrano, Brooke Glen and Jefferson Trail are excluded in both current and prior years.