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8-K - FORM 8-K - UNIVERSAL HEALTH SERVICES INCd494612d8k.htm

Exhibit 99.1

FOR IMMEDIATE RELEASE

 

CONTACT:    Steve Filton   
   Chief Financial Officer    February 28, 2013
   610-768-3300   

UNIVERSAL HEALTH SERVICES, INC. REPORTS 2012 FOURTH QUARTER AND FULL YEAR EARNINGS AND

2013 EARNINGS GUIDANCE

Consolidated Results of Operations, As Reported – Three and twelve-month periods ended December 31, 2012 and 2011:

KING OF PRUSSIA, PA – Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income attributable to UHS was $135.5 million, or $1.39 per diluted share, during the fourth quarter of 2012 as compared to $95.3 million, or $.98 per diluted share, during the comparable quarter of 2011. Net revenues increased 6% to $1.76 billion during the fourth quarter of 2012 as compared to $1.66 billion during the fourth quarter of 2011.

Reported net income attributable to UHS was $443.4 million, or $4.53 per diluted share, during the twelve-month period of 2012 as compared to $398.2 million, or $4.04 per diluted share, during the 2011 full year period. Net revenues increased 3% to $6.96 billion during the twelve-month period of 2012 as compared to $6.76 billion during the comparable 2011 twelve-month period.

Consolidated Results of Operations, As Adjusted – Three-month periods ended December 31, 2012 and 2011:

For the three-month period ended December 31, 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 $98.0 million, or $1.00 per diluted share, as compared to $88.8 million, or $.91 per diluted share, during the fourth quarter of 2011.

As reflected on the Supplemental Schedule, included in our reported results during the fourth quarter of 2012, was an aggregate net favorable after-tax impact of $37.4 million, or $.39 per diluted share, consisting of: (i) a favorable after-tax impact of approximately $15.5 million, or $.16 per diluted share, resulting from a reduction to our professional and general liability self-insurance reserves relating to years prior to 2012, based upon a reserve analysis; (ii) a favorable after-tax impact of approximately $16.4 million, or $.17 per diluted share, resulting from the gain realized on the sale of Auburn Regional Medical Center which was divested in October, 2012, and; (iii) a favorable after-tax impact of approximately $5.5 million, or $.06 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).

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


Consolidated Results of Operations, As Adjusted – Twelve-month periods ended December 31, 2012 and 2011:

For the twelve-month period ended December 31, 2012, our adjusted net income attributable to UHS, as calculated on the attached Supplemental Schedule, was $406.4 million, or $4.15 per diluted share, as compared to $391.7 million, or $3.97 per diluted share, during the comparable twelve-month period of 2011.

As reflected on the Supplemental Schedule, included in our reported results during the twelve-month period ended December 31, 2012 was a net favorable aggregate after-tax impact of approximately $37.0 million, or $.38 per diluted share, consisting of the following:

 

   

a favorable after-tax impact of approximately $15.5 million resulting from a reduction to our professional and general liability self-insurance reserves relating to years prior to 2012, based upon a reserve analysis;

 

   

a favorable after-tax impact of approximately $16.4 million resulting from the gain realized on the sale of Auburn Regional Medical Center;

 

   

a favorable after-tax impact of approximately $1.9 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 favorably impacted our pre-tax consolidated financial results by $30.2 million during the first quarter of 2012, 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;

 

   

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;

 

   

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 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.


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

Acute Care Services – Three and twelve-month periods ended December 31, 2012 and 2011:

During the fourth quarter of 2012, at our acute care hospitals owned during both periods (“same facility basis”), adjusted admissions (adjusted for outpatient activity) increased 1.7% and adjusted patient days increased 1.4%, as compared to the fourth quarter of 2011. Net revenues at these facilities increased 3.1% during the fourth quarter of 2012 as compared to the comparable quarter of the prior year. At these facilities, net revenue per adjusted admission increased 1.4% while net revenue per adjusted patient day increased 1.7% during the fourth 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 14.4% during the fourth quarter of 2012 as compared to 15.5% during the fourth 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 twelve-months ended December 31, 2012, at our acute care hospitals on a same facility basis, adjusted admissions increased 0.2% and adjusted patient days increased 0.5%, as compared to the comparable twelve-month period of 2011. Net revenues at these facilities increased 0.4% during the full year of 2012 as compared to 2011. At these facilities, net revenue per adjusted admission increased 0.2% while net revenue per adjusted patient day decreased 0.1% during the twelve month period of 2012, as compared to 2011. The operating margin at our acute care hospitals owned during both years decreased to 15.8% during 2012, as compared to 17.2% during 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 $206 million and $248 million during the three-month periods ended December 31, 2012 and 2011, respectively, and $1.05 billion and $956 million during the twelve-month periods ended December 31, 2012 and 2011, respectively.

Behavioral Health Care Services – Three and twelve-month periods ended December 31, 2012 and 2011:

During the fourth quarter of 2012, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 5.0% while adjusted patient days increased 0.5%, as compared to the fourth quarter of 2011. Net revenues at these facilities increased 4.5% during the fourth quarter of 2012, as compared to the comparable quarter in 2011. At these facilities, net revenue per adjusted admission decreased 0.5% while net revenue per adjusted patient day increased 4.0% during the fourth quarter of 2012 over the comparable quarter in 2011. The operating margin at our behavioral health care facilities owned during both periods increased to 27.6% during the fourth quarter of 2012, as compared to 25.3% during the fourth quarter of 2011.


During the twelve-months ended December 31, 2012, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 5.0% while adjusted patient days increased 1.0%, as compared to the full year of 2011. Net revenues at these facilities increased 4.3% during the twelve-months of 2012, as compared to the comparable twelve-month period of 2011. At these facilities, net revenue per adjusted admission decreased 0.7% while net revenue per adjusted patient day increased 3.2% during the full year of 2012 over 2011. The operating margin at our behavioral health care facilities owned during both years increased to 27.7% during 2012 as compared to 26.3% during 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 December 31, 2012, EHR applications have been implemented at fourteen of our acute care hospitals. Our acute care hospitals are eligible for Medicare and Medicaid EHR incentive payments upon implementation of the EHR application, assuming they meet the “meaningful use” criteria. As of December 31, 2012, eleven hospitals met the “meaningful use” criteria.

As reflected on the Supplemental Schedule, our consolidated results of operations for the three-month period ended December 31, 2012 includes the favorable after-tax impact of approximately $5.5 million, or $.06 per diluted share, recorded in connection with the implementation of EHR applications. This favorable impact, which on a pre-tax basis amounted to $8.9 million, consists of $17.5 million of EHR incentive income offset by $3.4 million of salaries, wages, benefits and other operating expenses and $5.2 million of depreciation and amortization expense.

As reflected on the Supplemental Schedule, our consolidated results of operations for the year ended December 31, 2012 includes the favorable after-tax impact of approximately $1.9 million, or $.02 per diluted share, recorded in connection with the implementation of EHR applications. This favorable impact, which on a pre-tax basis amounted to $3.0 million, including a $700,000 benefit from the net expense attributable to third-party, non-controlling ownership interests, consists of $30.0 million of EHR incentive income offset by $14.4 million of salaries, wages, benefits and other operating expenses and $13.3 million of depreciation and amortization expense.

During 2013, based upon our remaining scheduled EHR implementations and anticipated “meaningful use” qualifications, we expect to record approximately $57 million of EHR incentive income and approximately $36 million of EHR-related incremental expenses (including $29 million of depreciation and amortization expense) resulting in a net favorable after-tax impact of approximately $13 million, or $.13 per diluted share.


2013 Full Year Guidance:

Excluding the favorable $.13 per diluted share EHR impact mentioned above, our estimated range of net income attributable to UHS for the year ended December 31, 2013, is $4.35 to $4.50 per diluted share. This guidance range represents an increase of approximately 5% to 8% over the adjusted net income attributable to UHS of $4.15 per diluted share for the year ended December 31, 2012, as calculated on the attached supplemental schedule, and as discussed above.

During 2013, our net revenues are estimated to increase approximately 6% to $7.41 billion, as compared to $6.96 billion during 2012.

This guidance range excludes the impact of items, if applicable, that are nonrecurring or non-operational in nature including items such as, but not limited to, gains on sales of assets and businesses, reserves for settlements, legal judgments and lawsuits and other material amounts that may be reflected in our financial statements that relate to prior periods. It is also subject to certain conditions including those as set forth below in General Information, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures.

Acquisition of Ascend Health Corporation:

As previously announced, we completed the acquisition of Ascend Health Corporation (“Ascend”) in October, 2012. Ascend was the largest private behavioral health provider with 9 owned or leased freestanding inpatient facilities located in 5 states including Texas, Arizona, Utah, Oregon and Washington.

Conference call information:

We will hold a conference call for investors and analysts at 9:00 a.m. eastern time on March 1, 2013. 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, 2012), may cause the results to differ materially from those anticipated in the forward-looking statements. The operating pressures that we continue to experience in many of our acute care markets has increased the volatility of our financial results making estimation of future results more challenging. 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 twelve-month periods ended December 31, 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, 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.

(more)


Universal Health Services, Inc.

Consolidated Statements of Income

(in thousands, except per share amounts)

(unaudited)

 

     Three months
ended December 31,
     Twelve months
ended December 31,
 
     2012     2011      2012     2011  

Net revenues before provision for doubtful accounts

   $ 1,969,395      $ 1,803,530       $ 7,688,071      $ 7,356,798   

Less: Provision for doubtful accounts

     204,468        140,534         726,671        596,576   
  

 

 

   

 

 

    

 

 

   

 

 

 

Net revenues

     1,764,927        1,662,996         6,961,400        6,760,222   

Operating charges:

         

Salaries, wages and benefits

     875,865        833,808         3,440,917        3,326,378   

Other operating expenses

     322,790        323,201         1,381,838        1,353,693   

Supplies expense

     204,697        201,832         799,621        805,489   

Depreciation and amortization

     80,619        73,383         302,426        287,211   

Lease and rental expense

     23,979        21,822         94,885        90,323   

Electronic health records incentive income

     (17,532     —            (30,038     —      

Costs related to extinguishment of debt

     —           —            29,170        —      
  

 

 

   

 

 

    

 

 

   

 

 

 
     1,490,418        1,454,046         6,018,819        5,863,094   
  

 

 

   

 

 

    

 

 

   

 

 

 

Income from operations

     274,509        208,950         942,581        897,128   

Interest expense, net

     41,113        46,115         178,918        200,792   
  

 

 

   

 

 

    

 

 

   

 

 

 

Income before income taxes

     233,396        162,835         763,663        696,336   

Provision for income taxes

     85,736        54,828         274,616        247,466   
  

 

 

   

 

 

    

 

 

   

 

 

 

Net income

     147,660        108,007         489,047        448,870   

Less: Income attributable to noncontrolling interests

     12,199        12,736         45,601        50,703   
  

 

 

   

 

 

    

 

 

   

 

 

 

Net income attributable to UHS

   $ 135,461      $ 95,271       $ 443,446      $ 398,167   
  

 

 

   

 

 

    

 

 

   

 

 

 

Basic earnings per share attributable to UHS (a)

   $ 1.39      $ 0.99       $ 4.57      $ 4.09   
  

 

 

   

 

 

    

 

 

   

 

 

 

Diluted earnings per share attributable to UHS (a)

   $ 1.39      $ 0.98       $ 4.53      $ 4.04   
  

 

 

   

 

 

    

 

 

   

 

 

 


Universal Health Services, Inc.

Footnotes to Consolidated Statements of Income

(in thousands, except per share amounts)

(unaudited)

 

     Three months
ended December 31,
    Twelve months
ended December 31,
 
     2012     2011     2012     2011  

(a) Earnings per share calculation:

        

Basic and diluted:

        

Net income attributable to UHS

   $ 135,461      $ 95,271      $ 443,446      $ 398,167   

Less: Net income attributable to unvested restricted share grants

     (118     (81     (497     (521
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to UHS - basic and diluted

   $ 135,343      $ 95,190      $ 442,949      $ 397,646   
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average number of common shares - basic

     97,181        96,455        96,821        97,199   
  

 

 

   

 

 

   

 

 

   

 

 

 

Basic earnings per share attributable to UHS:

   $ 1.39      $ 0.99      $ 4.57      $ 4.09   
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average number of common shares

     97,181        96,455        96,821        97,199   

Add: Other share equivalents

     530        969        890        1,338   
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average number of common shares and equiv. - diluted

     97,711        97,424        97,711        98,537   
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted earnings per share attributable to UHS:

   $ 1.39      $ 0.98      $ 4.53      $ 4.04   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

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

For the three months ended December 31, 2012 and 2011

(in thousands, except per share amounts)

(unaudited)

Calculation of “EBITDA”

 

     Three months ended
December 31, 2012
    Three months ended
December 31, 2011
 

Net revenues before provision for doubtful accounts

   $ 1,969,395        $ 1,803,530      

Less: Provision for doubtful accounts

     204,468          140,534      
  

 

 

     

 

 

    

Net revenues

     1,764,927        100.0     1,662,996         100.0

Operating charges:

         

Salaries, wages and benefits

     875,865        49.6     833,808         50.1

Other operating expenses

     322,790        18.3     323,201         19.4

Supplies expense

     204,697        11.6     201,832         12.1

EHR incentive income

     (17,532     -1.0     —            0.0
  

 

 

   

 

 

   

 

 

    

 

 

 
     1,385,820        78.5     1,358,841         81.7
  

 

 

   

 

 

   

 

 

    

 

 

 

Operating income/margin (“EBITDAR”)

     379,107        21.5     304,155         18.3

Lease and rental expense

     23,979          21,822      

Income attributable to noncontrolling interests

     12,199          12,736      
  

 

 

     

 

 

    

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

     342,929        19.4     269,597         16.2

Depreciation and amortization

     80,619          73,383      

Costs related to extinguishment of debt

     —             —         

Interest expense, net

     41,113          46,115      
  

 

 

     

 

 

    

Income before income taxes

     221,197          150,099      

Provision for income taxes

     85,736          54,828      
  

 

 

     

 

 

    

Net income attributable to UHS

   $ 135,461        $ 95,271      
  

 

 

     

 

 

    

Calculation of Adjusted Net Income Attributable to UHS

 

     Three months ended
December 31, 2012
    Three months ended
December 31, 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

   $ 135,461      $ 1.39      $ 95,271      $ 0.98   

Plus/minus adjustments:

        

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

     (15,516     (0.16     (6,477   ($ 0.07

Gain on sale of assets and business, net of income taxes

     (16,417     (0.17     —          —      
  

 

 

   

 

 

   

 

 

   

 

 

 

Subtotal after-tax adjustments to net income attributable to UHS

     (31,933     (0.33     (6,477     (0.07
  

 

 

   

 

 

   

 

 

   

 

 

 

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

   $ 103,528      $ 1.06      $ 88,794      $ 0.91   
  

 

 

   

 

 

   

 

 

   

 

 

 

Plus/minus impact of EHR implementation:

        

EHR-related incentive income, pre-tax

     (17,532      

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

     3,594         

EHR-related other operating costs, pre-tax

     (173      

EHR-related depreciation & amortization, pre-tax

     5,191         

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

     53         

Income tax provision on EHR-related items

     3,357         
  

 

 

   

 

 

   

 

 

   

 

 

 

After-tax impact of EHR-related items

     (5,510     (0.06     —          —      
  

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted net income attributable to UHS

   $ 98,018      $ 1.00      $ 88,794      $ 0.91   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

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

For the twelve months ended December 31, 2012 and 2011

(in thousands, except per share amounts)

(unaudited)

Calculation of “EBITDA”

 

     Twelve months ended
December 31, 2012
    Twelve months ended
December 31, 2011
 

Net revenues before provision for doubtful accounts

   $ 7,688,071        $ 7,356,798      

Less: Provision for doubtful accounts

     726,671          596,576      
  

 

 

     

 

 

    

Net revenues

     6,961,400        100.0     6,760,222         100.0

Operating charges:

         

Salaries, wages and benefits

     3,440,917        49.4     3,326,378         49.2

Other operating expenses

     1,381,838        19.9     1,353,693         20.0

Supplies expense

     799,621        11.5     805,489         11.9

EHR incentive income

     (30,038     -0.4     —            0.0
  

 

 

   

 

 

   

 

 

    

 

 

 
     5,592,338        80.3     5,485,560         81.1
  

 

 

   

 

 

   

 

 

    

 

 

 

Operating income/margin (“EBITDAR”)

     1,369,062        19.7     1,274,662         18.9

Lease and rental expense

     94,885          90,323      

Income attributable to noncontrolling interests

     45,601          50,703      
  

 

 

     

 

 

    

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

     1,228,576        17.6     1,133,636         16.8

Depreciation and amortization

     302,426          287,211      

Costs related to extinguishment of debt

     29,170          —         

Interest expense, net

     178,918          200,792      
  

 

 

     

 

 

    

Income before income taxes

     718,062          645,633      

Provision for income taxes

     274,616          247,466      
  

 

 

     

 

 

    

Net income attributable to UHS

   $ 443,446        $ 398,167      
  

 

 

     

 

 

    

Calculation of Adjusted Net Income Attributable to UHS

 

     Twelve months ended
December 31, 2012
    Twelve months ended
December 31, 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

   $ 443,446      $ 4.53      $ 398,167      $ 4.04   

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         

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

     (15,516       (6,477  

Gain on sale of assets and business, net of income taxes

     (16,417       —       
  

 

 

   

 

 

   

 

 

   

 

 

 

Subtotal after-tax adjustments to net income attributable to UHS

     (35,157     (0.36     (6,477     (0.07
  

 

 

   

 

 

   

 

 

   

 

 

 

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

   $ 408,289      $ 4.17      $ 391,690      $ 3.97   
  

 

 

   

 

 

   

 

 

   

 

 

 

Plus/minus impact of EHR implementation:

        

EHR-related incentive income, pre-tax

     (30,038      

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

     14,316         

EHR-related other operating costs, pre-tax

     141         

EHR-related depreciation & amortization, pre-tax

     13,293         

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

     (722      

Income tax provision on EHR-related items

     1,140         
  

 

 

   

 

 

   

 

 

   

 

 

 

After-tax impact of EHR-related items

     (1,870     (0.02     —          —      
  

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted net income attributable to UHS

   $ 406,419      $ 4.15      $ 391,690      $ 3.97   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

Consolidated Statements of Comprehensive Income

(in thousands)

(unaudited)

 

     Three months
ended December  31,
    Twelve months
ended December  31,
 
     2012     2011     2012     2011  

Net income

   $ 147,660      $ 108,007      $ 489,047      $ 448,870   

Other comprehensive income (loss):

        

Unrealized derivative gains (loss) on cash flow hedges

     4,895        2,159        6,677        (37,477

Amortization of terminated hedge

     (84     (84     (336     (336

Minimum pension liability

     4,986        (12,397     4,986        (12,397
  

 

 

   

 

 

   

 

 

   

 

 

 

Other comprehensive (loss) income before tax

     9,797        (10,322     11,327        (50,210

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

     3,721        (3,904     4,306        (19,174
  

 

 

   

 

 

   

 

 

   

 

 

 

Total other comprehensive (loss) income, net of tax

     6,076        (6,418     7,021        (31,036
  

 

 

   

 

 

   

 

 

   

 

 

 

Comprehensive income

     153,736        101,589        496,068        417,834   

Less: Comprehensive income attributable to noncontrolling interests

     12,199        12,736        45,601        50,703   
  

 

 

   

 

 

   

 

 

   

 

 

 

Comprehensive income attributable to UHS

   $ 141,537      $ 88,853      $ 450,467      $ 367,131   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

Condensed Consolidated Balance Sheets

(in thousands)

(unaudited)

 

     December 31,
2012
    December 31,
2011
 

Assets

    

Current assets:

    

Cash and cash equivalents

   $ 23,471      $ 41,229   

Accounts receivable, net

     1,067,197        969,802   

Supplies

     99,000        96,775   

Deferred income taxes

     104,461        108,324   

Other current assets

     87,936        99,859   

Assets of facilities held for sale

     25,431        48,916   
  

 

 

   

 

 

 

Total current assets

     1,407,496        1,364,905   
  

 

 

   

 

 

 

Property and equipment

     5,368,345        5,106,160   

Less: accumulated depreciation

     (1,986,110     (1,818,180
  

 

 

   

 

 

 
     3,382,235        3,287,980   
  

 

 

   

 

 

 

Other assets:

    

Goodwill

     3,036,765        2,627,602   

Deferred charges

     75,888        111,780   

Other

     298,459        272,978   
  

 

 

   

 

 

 
   $ 8,200,843      $ 7,665,245   
  

 

 

   

 

 

 

Liabilities and Stockholders’ Equity

    

Current liabilities:

    

Current maturities of long-term debt

   $ 2,589      $ 2,479   

Accounts payable and accrued liabilities

     889,557        832,125   

Federal and state taxes

     1,062        0   

Liabilities of facilities held for sale

     850        2,329   
  

 

 

   

 

 

 

Total current liabilities

     894,058        836,933   
  

 

 

   

 

 

 

Other noncurrent liabilities

     395,355        401,908   

Long-term debt

     3,727,431        3,651,428   

Deferred income taxes

     183,747        209,592   

Redeemable noncontrolling interest

     234,303        218,266   

UHS common stockholders’ equity

     2,713,345        2,296,352   

Noncontrolling interest

     52,604        50,766   
  

 

 

   

 

 

 

Total equity

     2,765,949        2,347,118   
  

 

 

   

 

 

 
   $ 8,200,843      $ 7,665,245   
  

 

 

   

 

 

 


Universal Health Services, Inc.

Consolidated Statements of Cash Flows

(in thousands)

(unaudited)

 

     Twelve months
ended  December 31,
 
     2012     2011  

Cash Flows from Operating Activities:

    

Net income

   $ 489,047      $ 448,870   

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

    

Depreciation & amortization

     308,690        295,861   

Gains on sales of assets and businesses, net of losses

     (27,085     (452

Stock-based compensation expense

     22,518        18,225   

Costs related to extinguishment of debt

     29,170        0   

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

    

Accounts receivable

     (71,068     (134,838

Accrued interest

     152        (3,577

Accrued and deferred income taxes

     10,374        85,792   

Other working capital accounts

     28,554        (28,382

Other assets and deferred charges

     30,976        37,160   

Other

     6,367        (1,387

Accrued insurance expense, net of commercial premiums paid

     62,660        83,612   

Payments made in settlement of self-insurance claims

     (75,084     (82,633
  

 

 

   

 

 

 

Net cash provided by operating activities

     815,271        718,251   
  

 

 

   

 

 

 

Cash Flows from Investing Activities:

    

Property and equipment additions, net of disposals

     (363,192     (285,682

Acquisition of property and businesses

     (527,847     (29,466

Proceeds received from sale of assets and businesses

     149,311        67,592   

Costs incurred for purchase and implementation of electronic health records application

     (54,362     (38,249

Return of deposit on terminated purchase agreement

     6,500        0   
  

 

 

   

 

 

 

Net cash used in investing activities

     (789,590     (285,805
  

 

 

   

 

 

 

Cash Flows from Financing Activities:

    

Reduction of long-term debt

     (849,647     (381,517

Additional borrowings

     913,500        98,100   

Financing costs

     (8,283     (23,608

Repurchase of common shares

     (19,154     (60,482

Dividends paid

     (58,395     (19,466

Issuance of common stock

     5,435        4,779   

Profit distributions to noncontrolling interests

     (26,895     (38,497
  

 

 

   

 

 

 

Net cash used in financing activities

     (43,439     (420,691
  

 

 

   

 

 

 

(Decrease) increase in cash and cash equivalents

     (17,758     11,755   

Cash and cash equivalents, beginning of period

     41,229        29,474   
  

 

 

   

 

 

 

Cash and cash equivalents, end of period

   $ 23,471      $ 41,229   
  

 

 

   

 

 

 

Supplemental Disclosures of Cash Flow Information:

    

Interest paid

   $ 157,415      $ 176,328   
  

 

 

   

 

 

 

Income taxes paid, net of refunds

   $ 264,824      $ 163,029   
  

 

 

   

 

 

 


Universal Health Services, Inc.

Supplemental Statistical Information

(un-audited)

Same Facility:

 

           % Change
Quarter Ended
12/31/2012
    % Change
12 months  ended
12/31/2012
       

Acute Care Hospitals

        

Revenues

       3.1     0.4  

Adjusted Admissions

       1.7     0.2  

Adjusted Patient Days

       1.4     0.5  

Revenue Per Adjusted Admission

       1.4     0.2  

Revenue Per Adjusted Patient Day

       1.7     -0.1  

Behavioral Health Hospitals

        

Revenues

       4.5     4.3  

Adjusted Admissions

       5.0     5.0  

Adjusted Patient Days

       0.5     1.0  

Revenue Per Adjusted Admission

       -0.5     -0.7  

Revenue Per Adjusted Patient Day

       4.0     3.2  
UHS Consolidated         
     Fourth Quarter Ended     Twelve months Ended  
     12/31/2012     12/31/2011     12/31/2012     12/31/2011  

Revenues

   $ 1,764,927      $ 1,662,996      $ 6,961,400      $ 6,760,222   

EBITDA (1)

     342,929        269,597        1,228,576        1,133,636   

EBITDA Margin (1)

     19.4     16.2     17.6     16.8

Cash Flow From Operations

     280,265        155,749        815,271        718,251   

Days Sales Outstanding

     56        53        56        51   

Capital Expenditures

     81,001        90,278        363,192        285,682   

Debt

         3,730,020        3,653,907   

Shareholders Equity

         2,713,345        2,296,352   

Debt / Total Capitalization

         57.9     61.4

Debt / EBITDA

         3.04        3.22   

Debt / Cash From Operations

         4.58        5.09   

Acute Care EBITDAR Margin (2)

     14.4     15.5     15.8     17.2

Behavioral Health EBITDAR Margin (2)

     27.6     24.8     27.6     25.8

 

(1) Net of Minority Interest and before the items shown on the Supplemental Schedule.
(2) Before Corporate overhead allocation and minority interest and adjustments shown on the Supplemental Schedule. Also excludes financial information for facilities reflected as discontinued operations.


UNIVERSAL HEALTH SERVICES, INC.

SELECTED HOSPITAL STATISTICS

FOR THE THREE MONTHS ENDED

DECEMBER 31, 2012

AS REPORTED:

 

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

Hospitals owned and leased

     23        23        0.0     185        179        3.4

Average licensed beds

     5,620        5,604        0.3     19,977        19,372        3.1

Patient days

     269,969        269,164        0.3     1,340,429        1,276,929        5.0

Average daily census

     2,934.4        2,925.7        0.3     14,569.9        13,879.7        5.0

Occupancy-licensed beds

     52.2     52.2     0.0     72.9     71.6     1.8

Admissions

     61,213        60,822        0.6     95,634        86,814        10.2

Length of stay

     4.4        4.4        -0.3     14.0        14.7        -4.7

Inpatient revenue

   $ 3,080,223      $ 2,835,547        8.6   $ 1,521,842      $ 1,353,613        12.4

Outpatient revenue

     1,527,935        1,362,580        12.1     171,554        153,225        12.0

Total patient revenue

     4,608,158        4,198,127        9.8     1,693,396        1,506,838        12.4

Other revenue

     30,406        21,864        39.1     33,788        34,810        -2.9

Gross hospital revenue

     4,638,564        4,219,991        9.9     1,727,184        1,541,648        12.0

Total deductions

     3,596,470        3,263,037        10.2     814,073        705,662        15.4

Net hospital revenue before provision for doubtful accounts

   $ 1,042,094      $ 956,954        8.9   $ 913,111      $ 835,986        9.2

Provision for doubtful accounts

   $ 179,205      $ 120,067        49.3   $ 25,226      $ 20,458        23.3

Net hospital revenue

     862,889        836,887        3.1     887,885        815,528        8.9
SAME FACILITY:             
     ACUTE (1)     BEHAVIORAL HEALTH (2)  
     12/31/12     12/31/11     % change     12/31/12     12/31/11     % change  

Hospitals owned and leased

     23        23        0.0     172        172        0.0

Average licensed beds

     5,620        5,604        0.3     18,922        18,848        0.4

Patient days

     269,974        269,164        0.3     1,264,338        1,253,647        0.9

Average daily census

     2,934.5        2,925.7        0.3     13,742.8        13,626.6        0.9

Occupancy-licensed beds

     52.2     52.2     0.0     72.6     72.3     0.5

Admissions

     61,213        60,822        0.6     89,879        85,302        5.4

Length of stay

     4.4        4.4        -0.3     14.1        14.7        -4.3

 

(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, San Juan Capestrano, Brook Glen Behavioral Hospital, Jefferson Train, Manatee Palms Group Homes, the Peaks and the Ascend facilities are excluded in both current and prior years.


UNIVERSAL HEALTH SERVICES, INC.

SELECTED HOSPITAL STATISTICS

FOR THE TWELVE MONTHS ENDED

DECEMBER 31, 2012

AS REPORTED:

 

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

Hospitals owned and leased

     23        23        0.0     185        179        3.4

Average licensed beds

     5,563        5,566        -0.1     19,362        19,388        -0.1

Patient days

     1,095,804        1,114,820        -1.7     5,245,499        5,090,080        3.1

Average daily census

     2,994.0        3,054.3        -2.0     14,332.0        13,945.4        2.8

Occupancy-licensed beds

     53.8     54.9     -1.9     74.0     71.8     2.9

Admissions

     245,234        250,278        -2.0     374,865        356,856        5.0

Length of stay

     4.5        4.5        0.3     14.0        14.3        -1.9

Inpatient revenue

   $ 12,406,567      $ 11,770,248        5.4   $ 5,764,370      $ 5,507,730        4.7

Outpatient revenue

     6,134,615        5,431,146        13.0     646,177        606,877        6.5

Total patient revenue

     18,541,182        17,201,394        7.8     6,410,547        6,114,607        4.8

Other revenue

     99,233        77,476        28.1     143,061        139,912        2.3

Gross hospital revenue

     18,640,415        17,278,870        7.9     6,553,608        6,254,519        4.8

Total deductions

     14,543,716        13,336,401        9.1     3,002,097        2,867,700        4.7

Net hospital revenue before provision for doubtful accounts

   $ 4,096,699      $ 3,942,469        3.9   $ 3,551,511      $ 3,386,819        4.9

Provision for doubtful accounts

   $ 635,283      $ 518,512        22.5   $ 91,370      $ 77,957        17.2

Net hospital revenue

     3,461,416        3,423,957        1.1     3,460,141        3,308,862        4.6
SAME FACILITY:             
     ACUTE (1)     BEHAVIORAL HEALTH (2)  
     12/31/12     12/31/11     % change     12/31/12     12/31/11     % change  

Hospitals owned and leased

     23        23        0.0     172        172        0.0

Average licensed beds

     5,563        5,566        -0.1     18,864        18,798        0.4

Patient days

     1,095,804        1,114,820        -1.7     5,110,604        5,060,579        1.0

Average daily census

     2,994.0        3,054.3        -2.0     13,963.4        13,864.6        0.7

Occupancy-licensed beds

     53.8     54.9     -1.9     74.0     73.8     0.4

Admissions

     245,234        250,278        -2.0     364,907        347,757        4.9

Length of stay

     4.5        4.5        0.3     14.0        14.6        -3.8

 

(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, San Juan Capestrano, Brook Glen Behavioral Hospital, Jefferson Train, Manatee Palms Group Homes, the Peaks and the Ascend facilities are excluded in both current and prior years.