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8-K - UNIVERSAL HEALTH SERVICES, INC. -- FORM 8-K - UNIVERSAL HEALTH SERVICES INCd431217d8k.htm

Exhibit 99.1

FOR IMMEDIATE RELEASE

 

CONTACT:   Steve Filton  
  Chief Financial Officer   October 30, 2012
  610-768-3300  

UNIVERSAL HEALTH SERVICES, INC. REPORTS FINANCIAL RESULTS FOR THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2012 AND REVISES 2012 FULL YEAR GUIDANCE

Consolidated Results of Operations, As Reported – Three and nine-month periods ended September 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 $71.8 million, or $.73 per diluted share, during the third quarter of 2012 as compared to $85.1 million, or $.86 per diluted share, during the comparable quarter of 2011. Net revenues increased 1% to $1.68 billion during the third quarter of 2012 as compared to $1.66 billion during the third quarter of 2011.

Reported net income attributable to UHS was $308.0 million, or $3.15 per diluted share, during the first nine months of 2012 as compared to $302.9 million, or $3.06 per diluted share, during the comparable period of 2011. Net revenues increased 2% to $5.20 billion during the first nine months of 2012 as compared to $5.10 billion during the comparable period of 2011.

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

For the three-month period ended September 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 $88.6 million, or $.91 per diluted share. There were no such adjustments required to our reported net income attributable to UHS for the third quarter of 2011.

As reflected on the Supplemental Schedule, included in our reported results during the third quarter of 2012, was an aggregate net unfavorable after-tax impact of $16.8 million, or $.18 per diluted share, consisting of: (i) an after-tax charge of $18.1 million ($29.2 million pre-tax), or $.19 per diluted share, resulting from the write-off of deferred financing costs related to the portion of our Term Loan B credit facility that was extinguished during the third quarter of 2012, and; (ii) a favorable after-tax impact of approximately $1.3 million, or $.01 per diluted share, related to the incentive income 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 income and EHR expenses).

For the nine-month period ended September 30, 2012, our adjusted net income attributable to UHS, as calculated on the attached Supplemental Schedule, was $308.4 million, or $3.15 per diluted share. There were no such adjustments required to our reported net income attributable to UHS for the first nine months of 2011.


As reflected on the Supplemental Schedule, included in our reported results during the first nine months of 2012 was a net aggregate favorable after-tax impact of approximately $400,000 consisting of the following:

 

   

an unfavorable after-tax charge of approximately $3.6 million recorded in connection with the implementation of EHR applications as discussed below in Accounting for HITECH Act incentive income and EHR expenses;

 

   

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 quarter of 2012;

 

   

a favorable after-tax impact of $4.3 million recorded during the first quarter of 2012 representing the 2011 portion of the net Medicaid supplemental reimbursements earned pursuant to the Oklahoma Supplemental Hospital Offset Payment Program (“SHOPP”);

 

   

an aggregate unfavorable after-tax impact of $5.1 million recorded during the first quarter of 2012 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);

 

   

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

 

   

an unfavorable after-tax charge of $18.1 million resulting from the above-mentioned write-off of deferred financing costs related to the portion of our Term Loan B credit facility that was extinguished during the third quarter of 2012.

Acute Care Services – Three and nine-month periods ended September 30, 2012 and 2011:

During the third quarter of 2012, at our acute care hospitals owned during both periods (“same facility basis”), adjusted admissions (adjusted for outpatient activity) decreased 1.7% and adjusted patient days decreased 1.0%, as compared to the third quarter of 2011. Net revenues at these facilities decreased 0.4% during the third quarter of 2012 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 0.6% during the third quarter of 2012 as compared to the comparable quarter of the prior year. On a same facility basis, the operating margin at our acute care hospitals decreased to 13.4% during the third quarter of 2012 as compared to 14.8% during the third 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 nine months of 2012, at our acute care hospitals on a same facility basis, adjusted admissions decreased 0.3% and adjusted patient days increased 0.3%, as compared to the comparable nine-month period of 2011. Net revenues at these facilities decreased 0.5% during the first nine months of 2012 as compared to the comparable period of 2011. At these facilities, net revenue per adjusted admission decreased 0.2% while net revenue per adjusted patient day decreased 0.7% during the first nine 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 16.2% during the first nine months of 2012, as compared to 17.8% during the comparable nine-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 $259 million and $246 million during the three-month periods ended September 30, 2012 and 2011, respectively, and $840 million and $708 million during the nine-month periods ended September 30, 2012 and 2011, respectively.

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

During the third quarter of 2012, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 2.6% while adjusted patient days increased 0.7%, as compared to the third quarter of 2011. Net revenues at these facilities increased 3.4% during the third quarter of 2012, as compared to the comparable quarter in 2011. At these facilities, net revenue per adjusted admission increased 0.7% while net revenue per adjusted patient day increased 2.6% during the third quarter of 2012 over the comparable quarter in 2011. The operating margin at our behavioral health care facilities owned during both periods increased to 27.8% during the third quarter of 2012, as compared to 26.5% during the third quarter of 2011.

During the first nine months of 2012, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 5.0% while adjusted patient days increased 1.2%, as compared to the comparable period of 2011. Net revenues at these facilities increased 4.2% during the first nine months of 2012, as compared to the comparable period of 2011. At these facilities, net revenue per adjusted admission decreased 0.7% while net revenue per adjusted patient day increased 2.9% during the first nine months of 2012 over the comparable period of 2011. The operating margin at our behavioral health care facilities owned during both periods increased to 27.8% during the first nine months of 2012, as compared to 26.7% during the comparable period of 2011.

Accounting for HITECH Act incentive income 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 September 30, 2012, EHR applications have been implemented at eleven of our acute care hospitals, the majority of which occurred during the second and third quarters 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. Eight hospitals met the “meaningful use” criteria during the first nine months of 2012 and one additional hospital may qualify by the end of 2012.

As reflected on the Supplemental Schedule, our consolidated results of operations for the three-month period ended September 30, 2012 includes the favorable after-tax impact of approximately $1.3 million, or $.01 per diluted share, recorded in connection with the implementation of EHR applications. This favorable impact, which on a pre-tax basis amounted to $2.2 million, net of $1.1 million attributable to third-party, non-controlling ownership interests, consists of $10.6 million of EHR incentive income offset by $2.8 million of salaries, wages, benefits and other operating expenses and $4.5 million of depreciation and amortization expense. The EHR incentive income recorded during the third quarter of 2012 consists of state Medicaid EHR incentive payments attributable to seven acute care hospitals that met the “meaningful use” criteria during the quarter.

As reflected on the Supplemental Schedule, our consolidated results of operations for the nine-month period ended September 30, 2012 includes an after-tax charge of approximately $3.6 million, or $.04 per diluted share, recorded in connection with the implementation of EHR applications. This charge, which on a pre-tax basis amounted to $5.9 million, net of $800,000 attributable to third-party, non-controlling ownership interests, consists of $12.5 million of EHR incentive income offset by $11.1 million of salaries, wages, benefits and other operating expenses and $8.1 million of depreciation and amortization expense.

Revised 2012 Full Year Guidance:

The operating trends and financial results experienced by our behavioral health facilities met our expectations during the first nine months of 2012. However, against the backdrop of a continued sluggish economic recovery, the operating trends and financial results experienced by our acute care hospitals were below our expectations for the third quarter of 2012 and those trends are expected to continue during the fourth quarter of this year. Based upon our consolidated financial results experienced during the first nine months of 2012, and most notably the results experienced by our acute care hospitals during the third quarter of 2012, our revised estimated range of adjusted net income attributable to UHS, for the year ended December 31, 2012 is $4.00 to $4.10 per diluted share. This revised guidance, which excludes the favorable EHR impact mentioned above and the impact of the other items reflected on the Supplemental Schedule for the nine months ended September 30, 2012, represents a decrease of approximately 6% from the previously provided range of $4.25 to $4.35 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.


The operating pressures that we continue to experience in many of our acute care markets has increased the volatility of the financial results of our acute care hospitals making estimation of future results more challenging. However, we continue to actively and aggressively respond to these challenges through strategic initiatives and operational enhancements such as physician recruitment and integration and implementation of expense controls and other operating efficiencies.

Conference call information:

We will hold a conference call for investors and analysts at 9:00 a.m. eastern time on October 31, 2012. The dial-in number is 1-877-648-7971.

A live broadcast of the conference call will be available on our website at www.uhsinc.com. A replay of the call will follow shortly after conclusion of the live call and will be available for one full year.

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 June 30, 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 nine-month periods ended September 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 incentive income 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, costs related to extinguishment of debt, 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 June 30, 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      Nine months  
     ended September 30,      ended September 30,  
     2012     2011      2012     2011  

Net revenues before provision for doubtful accounts

   $ 1,869,263      $ 1,814,686       $ 5,718,676      $ 5,553,268   

Less: Provision for doubtful accounts

     188,910        152,011         522,203        456,042   
  

 

 

   

 

 

    

 

 

   

 

 

 

Net revenues

     1,680,353        1,662,675         5,196,473        5,097,226   

Operating charges:

         

Salaries, wages and benefits

     838,075        828,606         2,565,052        2,492,570   

Other operating expenses

     362,687        343,873         1,059,048        1,030,492   

Supplies expense

     191,747        198,794         594,924        603,657   

EHR incentive income

     (10,551     —           (12,506     —     

Depreciation and amortization

     77,032        73,170         221,807        213,828   

Lease and rental expense

     23,481        22,704         70,906        68,501   

Costs related to extinguishment of debt

     29,170        —           29,170        —     
  

 

 

   

 

 

    

 

 

   

 

 

 
     1,511,641        1,467,147         4,528,401        4,409,048   
  

 

 

   

 

 

    

 

 

   

 

 

 

Income from operations

     168,712        195,528         668,072        688,178   

Interest expense, net

     45,207        48,452         137,805        154,677   
  

 

 

   

 

 

    

 

 

   

 

 

 

Income before income taxes

     123,505        147,076         530,267        533,501   

Provision for income taxes

     42,132        52,234         188,880        192,638   
  

 

 

   

 

 

    

 

 

   

 

 

 

Net income

     81,373        94,842         341,387        340,863   

Less: Income attributable to noncontrolling interests

     9,556        9,788         33,402        37,967   
  

 

 

   

 

 

    

 

 

   

 

 

 

Net income attributable to UHS

   $ 71,817      $ 85,054       $ 307,985      $ 302,896   
  

 

 

   

 

 

    

 

 

   

 

 

 

Basic earnings per share attributable to UHS (a)

   $ 0.74      $ 0.87       $ 3.18      $ 3.10   
  

 

 

   

 

 

    

 

 

   

 

 

 

Diluted earnings per share attributable to UHS (a)

   $ 0.73      $ 0.86       $ 3.15      $ 3.06   
  

 

 

   

 

 

    

 

 

   

 

 

 


Universal Health Services, Inc.

Footnotes to Consolidated Statements of Income

(in thousands, except per share amounts)

(unaudited)

 

     Three months     Nine months  
     ended September 30,     ended September 30,  
     2012     2011     2012     2011  

(a) Earnings per share calculation:

        

Basic and diluted:

        

Net income attributable to UHS

   $ 71,817      $ 85,054      $ 307,985      $ 302,896   

Less: Net income attributable to unvested restricted share grants

     (85     (165     (379     (440
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to UHS - basic and diluted

   $ 71,732      $ 84,889      $ 307,606      $ 302,456   
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average number of common shares - basic

     96,817        97,397        96,701        97,447   
  

 

 

   

 

 

   

 

 

   

 

 

 

Basic earnings per share attributable to UHS:

   $ 0.74      $ 0.87      $ 3.18      $ 3.10   
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average number of common shares

     96,817        97,397        96,701        97,447   

Add: Other share equivalents

     794        1,201        1,010        1,461   
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average number of common shares and equiv. - diluted

     97,611        98,598        97,711        98,908   
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted earnings per share attributable to UHS:

   $ 0.73      $ 0.86      $ 3.15      $ 3.06   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

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

For the three months ended September 30, 2012 and 2011

(in thousands, except per share amounts)

(unaudited)

Calculation of “EBITDA”

 

     Three months ended     Three months ended  
     September 30, 2012     September 30, 2011  

Net revenues before provision for doubtful accounts

   $ 1,869,263        $ 1,814,686      

Less: Provision for doubtful accounts

     188,910          152,011      
  

 

 

     

 

 

    

Net revenues

     1,680,353        100.0     1,662,675         100.0

Operating charges:

         

Salaries, wages and benefits

     838,075        49.9     828,606         49.8

Other operating expenses

     362,687        21.6     343,873         20.7

Supplies expense

     191,747        11.4     198,794         12.0

EHR incentive income

     (10,551     -0.6     —           0.0
  

 

 

   

 

 

   

 

 

    

 

 

 
     1,381,958        82.2     1,371,273         82.5
  

 

 

   

 

 

   

 

 

    

 

 

 

Operating income/margin (“EBITDAR”)

     298,395        17.8     291,402         17.5

Lease and rental expense

     23,481          22,704      

Income attributable to noncontrolling interests

     9,556          9,788      
  

 

 

     

 

 

    

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

     265,358        15.8     258,910         15.6

Depreciation and amortization

     77,032          73,170      

Costs related to extinguishment of debt

     29,170          —        

Interest expense, net

     45,207          48,452      
  

 

 

     

 

 

    

Income before income taxes

     113,949          137,288      

Provision for income taxes

     42,132          52,234      
  

 

 

     

 

 

    

Net income attributable to UHS

   $ 71,817        $ 85,054      
  

 

 

     

 

 

    

Calculation of Adjusted Net Income Attributable to UHS

 

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

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

         

Net income attributable to UHS

   $ 71,817      $ 0.73      $ 85,054       $ 0.86   

Plus/minus adjustments:

         

Costs related to extinguishment of debt, net of income taxes

     18,126        0.19        
  

 

 

   

 

 

   

 

 

    

 

 

 

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

   $ 89,943      $ 0.92      $ 85,054       $ 0.86   
  

 

 

   

 

 

   

 

 

    

 

 

 

Plus/minus impact of EHR implementation:

         

EHR-related incentive income, pre-tax

     (10,551       

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

     2,779          

EHR-related other operating costs, pre-tax

     (82       

EHR-related depreciation & amortization, pre-tax

     4,575          

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

     1,122          

Income tax provision on EHR-related items

     817          
  

 

 

   

 

 

   

 

 

    

 

 

 

After-tax impact of EHR-related items

     (1,340     (0.01     —           —     
  

 

 

   

 

 

   

 

 

    

 

 

 

Adjusted net income attributable to UHS

   $ 88,603      $ 0.91      $ 85,054       $ 0.86   
  

 

 

   

 

 

   

 

 

    

 

 

 


Universal Health Services, Inc.

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

For the nine months ended September 30, 2012 and 2011

(in thousands, except per share amounts)

(unaudited)

Calculation of “EBITDA”

 

     Nine months ended
September 30, 2012
    Nine months ended
September 30, 2011
 

Net revenues before provision for doubtful accounts

   $ 5,718,676        $ 5,553,268      

Less: Provision for doubtful accounts

     522,203          456,042      
  

 

 

     

 

 

    

Net revenues

     5,196,473        100.0     5,097,226         100.0

Operating charges:

         

Salaries, wages and benefits

     2,565,052        49.4     2,492,570         48.9

Other operating expenses

     1,059,048        20.4     1,030,492         20.2

Supplies expense

     594,924        11.4     603,657         11.8

EHR incentive income

     (12,506     -0.2     —           0.0
  

 

 

   

 

 

   

 

 

    

 

 

 
     4,206,518        80.9     4,126,719         81.0
  

 

 

   

 

 

   

 

 

    

 

 

 

Operating income/margin (“EBITDAR”)

     989,955        19.1     970,507         19.0

Lease and rental expense

     70,906          68,501      

Income attributable to noncontrolling interests

     33,402          37,967      
  

 

 

     

 

 

    

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

     885,647        17.0     864,039         17.0

Depreciation and amortization

     221,807          213,828      

Costs related to extinguishment of debt

     29,170          —        

Interest expense, net

     137,805          154,677      
  

 

 

     

 

 

    

Income before income taxes

     496,865          495,534      

Provision for income taxes

     188,880          192,638      
  

 

 

     

 

 

    

Net income attributable to UHS

   $ 307,985        $ 302,896      
  

 

 

     

 

 

    

Calculation of Adjusted Net Income Attributable to UHS

 

     Nine months ended
September 30, 2012
    Nine months ended
September 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

   $ 307,985      $ 3.15      $ 302,896       $ 3.06   

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       

Costs related to extinguishment of debt, net of income taxes

     18,126          
  

 

 

   

 

 

   

 

 

    

 

 

 

Subtotal after-tax adjustments to net income attributable to UHS

     (3,224     (0.03     —           —     
  

 

 

   

 

 

   

 

 

    

 

 

 

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

   $ 304,761      $ 3.12      $ 302,896       $ 3.06   
  

 

 

   

 

 

   

 

 

    

 

 

 

Plus/minus impact of EHR implementation:

         

EHR-related incentive income, pre-tax

     (12,506       

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

     10,722          

EHR-related other operating costs, pre-tax

     314          

EHR-related depreciation & amortization, pre-tax

     8,102          

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

     (775       

Income tax provision on EHR-related items

     (2,217       
  

 

 

   

 

 

   

 

 

    

 

 

 

After-tax impact of EHR-related items

     3,640        0.03        —           —     
  

 

 

   

 

 

   

 

 

    

 

 

 

Adjusted net income attributable to UHS

   $ 308,401      $ 3.15      $ 302,896       $ 3.06   
  

 

 

   

 

 

   

 

 

    

 

 

 


Universal Health Services, Inc.

Consolidated Statements of Comprehensive Income

(in thousands)

(unaudited)

 

     Three months     Nine months  
     ended September 30,     ended September 30,  
     2012     2011     2012     2011  

Net income

   $ 81,373      $ 94,842      $ 341,387      $ 340,863   

Other comprehensive income (loss):

        

Unrealized derivative gains (loss) on cash flow hedges

     (45     (21,360     1,782        (39,636

Amortization of terminated hedge

     (84     (84     (252     (252
  

 

 

   

 

 

   

 

 

   

 

 

 

Other comprehensive (loss) income before tax

     (129     (21,444     1,530        (39,888

Income tax (benefit) expense related to items of other comprehensive income (loss)

     (47     (8,214     585        (15,270
  

 

 

   

 

 

   

 

 

   

 

 

 

Total other comprehensive (loss) income, net of tax

     (82     (13,230     945        (24,618
  

 

 

   

 

 

   

 

 

   

 

 

 

Comprehensive income

     81,291        81,612        342,332        316,245   

Less: Comprehensive income attributable to noncontrolling interests

     9,556        9,788        33,402        37,967   
  

 

 

   

 

 

   

 

 

   

 

 

 

Comprehensive income attributable to UHS

   $ 71,735      $ 71,824      $ 308,930      $ 278,278   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

Condensed Consolidated Balance Sheets

(in thousands)

(unaudited)

 

     September 30,     December 31,  
     2012     2011  

Assets

    

Current assets:

    

Cash and cash equivalents

   $ 25,652      $ 41,229   

Accounts receivable, net

     1,042,535        969,802   

Supplies

     97,013        96,775   

Deferred income taxes

     123,131        108,324   

Other current assets

     93,022        99,859   

Assets of facilities held for sale

     107,071        48,916   
  

 

 

   

 

 

 

Total current assets

     1,488,424        1,364,905   
  

 

 

   

 

 

 

Property and equipment

     5,240,909        5,106,160   

Less: accumulated depreciation

     (1,924,833     (1,818,180
  

 

 

   

 

 

 
     3,316,076        3,287,980   
  

 

 

   

 

 

 

Other assets:

    

Goodwill

     2,594,740        2,627,602   

Deferred charges

     87,092        111,780   

Other

     294,734        272,978   
  

 

 

   

 

 

 
   $ 7,781,066      $ 7,665,245   
  

 

 

   

 

 

 

Liabilities and Stockholders’ Equity

    

Current liabilities:

    

Current maturities of long-term debt

   $ 2,499      $ 2,479   

Accounts payable and accrued liabilities

     810,963        832,125   

Federal and state taxes

     6,774        —     

Liabilities of facilities held for sale

     18,112        2,329   
  

 

 

   

 

 

 

Total current liabilities

     838,348        836,933   
  

 

 

   

 

 

 

Other noncurrent liabilities

     408,535        401,908   

Long-term debt

     3,440,962        3,651,428   

Deferred income taxes

     195,692        209,592   

Redeemable noncontrolling interest

     234,056        218,266   

UHS common stockholders’ equity

     2,608,782        2,296,352   

Noncontrolling interest

     54,691        50,766   
  

 

 

   

 

 

 

Total equity

     2,663,473        2,347,118   
  

 

 

   

 

 

 
   $ 7,781,066      $ 7,665,245   
  

 

 

   

 

 

 


Universal Health Services, Inc.

Consolidated Statements of Cash Flows

(in thousands)

(unaudited)

 

     Nine months
ended September 30,
 
     2012     2011  

Cash Flows from Operating Activities:

    

Net income

   $ 341,387      $ 340,863   

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

    

Depreciation & amortization

     227,641        220,208   

(Gain) loss on sale of assets

     (945     164   

Stock-based compensation expense

     16,189        13,434   

Costs related to extinguishment of debt

     29,170        —     

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

    

Accounts receivable

     (86,821     (103,700

Accrued interest

     11,901        13,143   

Accrued and deferred income taxes

     (260     102,949   

Other working capital accounts

     (42,916     (74,342

Other assets and deferred charges

     25,959        20,215   

Other

     5,833        4,146   

Accrued insurance expense, net of commercial premiums paid

     66,752        71,186   

Payments made in settlement of self-insurance claims

     (58,884     (45,764
  

 

 

   

 

 

 

Net cash provided by operating activities

     535,006        562,502   
  

 

 

   

 

 

 

Cash Flows from Investing Activities:

    

Property and equipment additions, net of disposals

     (282,191     (195,404

Proceeds received from sale of assets and businesses

     56,194        23,682   

Acquisition of property and businesses

     (25,092     (8,599

Costs incurred for purchase and implementation of electronic health records application

     (41,854     (27,874

Return of deposit on terminated purchase agreement

     6,500        —     
  

 

 

   

 

 

 

Net cash used in investing activities

     (286,443     (208,195
  

 

 

   

 

 

 

Cash Flows from Financing Activities:

    

Reduction of long-term debt

     (1,127,829     (267,539

Additional borrowings

     906,000        36,000   

Financing costs

     (8,257     (23,559

Repurchase of common shares

     (9,676     (44,532

Dividends paid

     (14,519     (14,638

Issuance of common stock

     3,828        3,596   

Profit distributions to noncontrolling interests

     (13,687     (33,962
  

 

 

   

 

 

 

Net cash used in financing activities

     (264,140     (344,634
  

 

 

   

 

 

 

(Decrease) increase in cash and cash equivalents

     (15,577     9,673   

Cash and cash equivalents, beginning of period

     41,229        29,474   
  

 

 

   

 

 

 

Cash and cash equivalents, end of period

   $ 25,652      $ 39,147   
  

 

 

   

 

 

 

Supplemental Disclosures of Cash Flow Information:

    

Interest paid

   $ 104,560      $ 120,712   
  

 

 

   

 

 

 

Income taxes paid, net of refunds

   $ 187,899      $ 89,268   
  

 

 

   

 

 

 


Universal Health Services, Inc.

Supplemental Statistical Information

(un-audited)

 

Same Facility:    % Change
Quarter Ended
9/30/2012
    % Change
9 months  ended
9/30/2012
 

Acute Care Hospitals

    

Revenues

     -0.4     -0.5

Adjusted Admissions

     -1.7     -0.3

Adjusted Patient Days

     -1.0     0.3

Revenue Per Adjusted Admission

     1.3     -0.2

Revenue Per Adjusted Patient Day

     0.6     -0.7

Behavioral Health Hospitals

    

Revenues

     3.4     4.2

Adjusted Admissions

     2.6     5.0

Adjusted Patient Days

     0.7     1.2

Revenue Per Adjusted Admission

     0.7     -0.7

Revenue Per Adjusted Patient Day

     2.6     2.9

 

UHS Consolidated    Third Quarter Ended     Nine months Ended  
     9/30/2012     9/30/2011     9/30/2012     9/30/2011  

Revenues

   $ 1,680,353      $ 1,662,675      $ 5,196,473      $ 5,097,226   

EBITDA (1)

     265,358        258,910        885,647        864,039   

EBITDA Margin (1)

     15.8     15.6     17.0     17.0

Cash Flow From Operations

     162,144        206,726        535,006        562,502   

Days Sales Outstanding

     57        51        55        50   

Capital Expenditures

     99,840        79,164        282,191        195,404   

Debt

         3,443,461        3,687,741   

Shareholders Equity

         2,608,782        2,221,382   

Debt / Total Capitalization

         56.9     62.4

Debt / EBITDA (2)

         2.96        3.42   

Debt / Cash From Operations (2)

         4.99        5.55   

Acute Care EBITDAR Margin (3)

     13.4     14.8     16.2     17.8

Behavioral Health EBITDAR Margin (3)

     27.8     26.5     27.8     26.7

 

(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

SEPTEMBER 30, 2012 AND 2011

AS REPORTED:

 

     ACUTE (1)     BEHAVIORAL HEALTH  
     09/30/12     09/30/11     % change     09/30/12     09/30/11     % change  

Hospitals owned and leased

     25        25        0.0     175        178        -1.7

Average licensed beds

     5,704        5,739        -0.6     19,177        19,372        -1.0

Patient days

     273,361        279,322        -2.1     1,289,975        1,291,753        -0.1

Average daily census

     2,971.3        3,036.1        -2.1     14,021.5        14,040.8        -0.1

Occupancy-licensed beds

     52.1     52.9     -1.5     73.1     72.5     0.9

Admissions

     61,521        63,305        -2.8     91,520        89,951        1.7

Length of stay

     4.4        4.4        0.7     14.1        14.4        -1.8

Inpatient revenue

   $ 3,013,482      $ 2,827,617        6.6   $ 1,410,170      $ 1,368,405        3.1

Outpatient revenue

     1,517,261        1,384,084        9.6     151,788        146,836        3.4

Total patient revenue

     4,530,743        4,211,701        7.6     1,561,958        1,515,241        3.1

Other revenue

     25,006        19,884        25.8     36,303        35,581        2.0

Gross hospital revenue

     4,555,749        4,231,585        7.7     1,598,261        1,550,822        3.1

Total deductions

     3,560,780        3,265,466        9.0     734,266        707,287        3.8

Net hospital revenue before provision for doubtful accounts

   $ 994,969      $ 966,119        3.0   $ 863,995      $ 843,535        2.4

Provision for doubtful accounts

   $ 166,570      $ 134,344        24.0   $ 22,326      $ 17,710        26.1

Net hospital revenue

     828,399        831,775        -0.4     841,669        825,825        1.9

SAME FACILITY:

 

     ACUTE (1)     BEHAVIORAL HEALTH (2)(3)  
     09/30/12     09/30/11     % change     09/30/12     09/30/11     % change  

Hospitals owned and leased

     24        24        0.0     171        171        0.0

Average licensed beds

     5,545        5,580        -0.6     19,010        18,960        0.3

Patient days

     265,043        270,314        -2.0     1,278,478        1,266,518        0.9

Average daily census

     2,880.9        2,938.2        -2.0     13,896.5        13,766.5        0.9

Occupancy-licensed beds

     52.0     52.7     -1.3     73.1     72.6     0.7

Admissions

     59,643        61,229        -2.6     90,415        87,895        2.9

Length of stay

     4.4        4.4        0.7     14.1        14.4        -1.9

 

(1) Auburn is excluded in both current and prior years. Hospital count previously reflected number of licenses we have revised to reflect number of hospitals.
(2) King George School, Marion, Pennsylvania Clinical School, and San Juan Capestrano are excluded in both current and prior years.
(3) Brook Glen Behavioral Hospital, Jefferson Train, Manatee Palms Group Homes and the Peaks are excluded in both current and prior years


UNIVERSAL HEALTH SERVICES, INC.

SELECTED HOSPITAL STATISTICS

FOR THE NINE MONTHS ENDED

SEPTEMBER 30, 2012 AND 2011

AS REPORTED:

 

     ACUTE (1)     BEHAVIORAL HEALTH  
     09/30/12     09/30/11     % change     09/30/12     09/30/11     % change  

Hospitals owned and leased

     25        25        0.0     175        178     

Average licensed beds

     5,703        5,713        -0.2     19,152        19,390        -1.2

Patient days

     852,588        872,943        -2.3     3,905,070        3,913,151        -0.2

Average daily census

     3,111.6        3,197.6        -2.7     14,252.1        14,333.9        -0.6

Occupancy-licensed beds

     54.6     56.0     -2.5     74.4     73.9     0.7

Admissions

     189,886        195,818        -3.0     279,231        270,042        3.4

Length of stay

     4.5        4.5        0.7     14.0        14.5        -3.5

Inpatient revenue

   $ 9,326,344      $ 8,934,701        4.4   $ 4,242,528      $ 4,154,117        2.1

Outpatient revenue

     4,606,680        4,068,566        13.2     474,623        453,652        4.6

Total patient revenue

     13,933,024        13,003,267        7.2     4,717,151        4,607,769        2.4

Other revenue

     68,827        55,620        23.7     109,273        105,102        4.0

Gross hospital revenue

     14,001,851        13,058,887        7.2     4,826,424        4,712,871        2.4

Total deductions

     10,947,246        10,073,372        8.7     2,188,024        2,162,038        1.2

Net hospital revenue before provision for doubtful accounts

   $ 3,054,605      $ 2,985,515        2.3   $ 2,638,400      $ 2,550,833        3.4

Provision for doubtful accounts

   $ 456,078      $ 398,445        14.5   $ 66,144      $ 57,497        15.0

Net hospital revenue

     2,598,527        2,587,070        0.4     2,572,256        2,493,336        3.2

SAME FACILITY:

 

     ACUTE (1)     BEHAVIORAL HEALTH (2)(3)  
     09/30/12     09/30/11     % change     09/30/12     09/30/11     % change  

Hospitals owned and leased

     24        24        0.0     171        171        0.0

Average licensed beds

     5,544        5,554        -0.2     18,977        18,901        0.4

Patient days

     825,781        845,672        -2.4     3,871,182        3,826,941        1.2

Average daily census

     3,013.8        3,097.7        -2.7     14,128.4        14,018.1        0.8

Occupancy-licensed beds

     54.4     55.8     -2.5     74.5     74.2     0.4

Admissions

     184,021        189,456        -2.9     276,105        263,293        4.9

Length of stay

     4.5        4.5        0.5     14.0        14.5        -3.5

 

(1) Auburn is excluded in both current and prior years. Hospital count previously reflected number of licenses we have revised to reflect number of hospitals.
(2) King George School, Marion, Pennsylvania Clinical School, and San Juan Capestrano are excluded in both current and prior years.
(3) Brook Glen Behavioral Hospital, Jefferson Train, Manatee Palms Group Homes and the Peaks are excluded in both current and prior years