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8-K - UNIVERSAL HEALTH SERVICES INC--FORM 8-K - UNIVERSAL HEALTH SERVICES INCd762564d8k.htm

Exhibit 99.1

FOR IMMEDIATE RELEASE

 

CONTACT:    Steve Filton   
   Chief Financial Officer    July 24, 2014
   610-768-3300   

UNIVERSAL HEALTH SERVICES, INC. REPORTS

2014 SECOND QUARTER FINANCIAL RESULTS, INCREASES 2014 FULL YEAR EARNINGS GUIDANCE AND ANNOUNCES SHARE REPURCHASE PROGRAM

Consolidated Results of Operations, As Reported – Three and six-month periods ended June 30, 2014 and 2013:

KING OF PRUSSIA, PA – Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income attributable to UHS was $151.7 million, or $1.51 per diluted share, during the second quarter of 2014 as compared to $151.8 million, or $1.53 per diluted share, during the comparable quarter of 2013.

Net revenues increased 10.0% to $2.02 billion during the second quarter of 2014 as compared to $1.83 billion during the second quarter of 2013. Included in our net revenues during the second quarter of 2014 was approximately $15 million of additional net revenues recorded in connection with the Texas Medicaid Waiver (approximately $9 million applicable to the period of April 1, 2013 through June 30, 2014) and the Texas Delivery Service Reform Incentive Payment programs (approximately $6 million applicable to the period of October 1, 2013 through March 31, 2014).

Reported net income attributable to UHS was $289.7 million, or $2.89 per diluted share, during the first six months of 2014 as compared to $271.6 million, or $2.75 per diluted share, during the comparable period of 2013. Net revenues increased 7.5% to $3.94 billion during the first six months of 2014 as compared to $3.67 billion during the comparable period of 2013.

“We remain pleased with the underlying strength of our two businesses”, said Alan B. Miller, Chief Executive Officer. “The reduction in uncompensated care at our acute care hospitals resulting both from healthcare reform and improvements in the underlying economy partially reverses a trend that had been hindering our results for an extended period of time”.

Consolidated Results of Operations, As Adjusted – Three and six-month periods ended June 30, 2014 and 2013:

For the three-month period ended June 30, 2014, our adjusted net income attributable to UHS, as calculated on the attached Schedule of Non-GAAP Supplemental Consolidated Statements of Income Information (“Supplemental Schedule”), increased approximately 30% to $155.6 million, or $1.55 per diluted share, as compared to $118.9 million, or $1.20 per diluted share, during the second quarter of 2013.

Included in our reported and adjusted net income attributable to UHS during the second quarter of 2014 is the after-tax impact of approximately $9 million, or $.09 per diluted share, resulting from


above-mentioned $15 million of net revenues recorded in connection with the Texas Medicaid Waiver and the Texas Delivery Service Reform Incentive Payment programs. Approximately $6 million, or $.06 per diluted share, of this amount was attributable to periods prior to the second quarter of 2014. Also during the second quarter of 2014, we recorded an increase to the already established reserve in connection with the previously disclosed Garden City Employees’ Retirement System v. PSI matter. The increase in the reserve recorded during the second quarter of 2014 did not have a material impact on our financial statements. The trial in this matter is scheduled to begin in mid-September, 2014. Should we be deemed liable or enter into a settlement agreement related to this matter, we believe we would be entitled to commercial insurance recoveries for at least a portion of amounts paid by us, subject to certain limitations and deductibles. Although we cannot predict the outcome, it is possible the commercial insurance recoveries may not be sufficient to cover the ultimate disposition of this matter (including related legal fees) which would make us liable for a potentially material excess amount.

As reflected on the Supplemental Schedule, included in our reported results during the second quarter of 2014 was an aggregate net unfavorable after-tax impact of approximately $3.9 million, or $.04 per diluted share, related to the incentive income and depreciation and amortization expense recorded in connection with the implementation of electronic health records (“EHR”) applications at our acute care hospitals.

As reflected on the Supplemental Schedule, included in our reported results during the second quarter of 2013 was: (i) a net favorable after-tax impact of $37.8 million, or $.38 per diluted share, resulting from a reduction to our professional and general liability self-insurance reserves relating to years prior to 2013, based upon a reserve analysis, and; (ii) an unfavorable after-tax impact of approximately $4.9 million, or $.05 per diluted share, related to the incentive income and expenses recorded in connection with the implementation of EHR applications.

For the six-month period ended June 30, 2014, our adjusted net income attributable to UHS, as calculated on the attached Supplemental Schedule, increased approximately 22% to $292.3 million, or $2.92 per diluted share, as compared to $239.1 million, or $2.42 per diluted share, during the comparable period of 2013.

As reflected on the Supplemental Schedule, included in our reported results during the six-month period ended June 30, 2014 was: (i) an aggregate net unfavorable after-tax impact of approximately $8.9 million, or $.09 per diluted share, related to the incentive income and depreciation and amortization expense recorded in connection with the implementation of EHR applications, and; (ii) a favorable after-tax impact of $6.3 million, or $.06 per diluted share, resulting from a gain realized on the sale of a non-operating investment during the first quarter of 2014.

Included in our reported results during the six-month period ended June 30, 2013 was the above-mentioned net favorable after-tax impact of $37.8 million, or $.38 per diluted share, resulting from a reduction to our professional and general liability self-insurance reserves relating years prior to 2013, and an unfavorable after-tax impact of approximately $5.3 million, or $.05 per diluted share, related to the incentive income and expenses recorded in connection with the implementation of EHR applications.


Acute Care Services – Three and six-month periods ended June 30, 2014 and 2013:

During the second quarter of 2014, at our acute care hospitals owned during both periods (“same facility basis”), adjusted admissions (adjusted for outpatient activity) increased 3.6% and adjusted patient days increased 7.9%, as compared to the second quarter of 2013. Net revenues at these facilities increased 11.5% during the second quarter of 2014 as compared to the comparable quarter of the prior year. At these facilities, net revenue per adjusted admission increased 7.7% while net revenue per adjusted patient day increased 3.3% during the second quarter of 2014 as compared to the comparable quarter of 2013. On a same facility basis, the operating margin at our acute care hospitals increased to 19.2% during the second quarter of 2014 as compared to 14.8% during the second quarter of 2013. We define operating margin as net revenues less salaries, wages and benefits, other operating expenses and supplies expense (excluding the EHR impact, as indicated on the Supplemental Schedule).

During the first six months of 2014, at our acute care hospitals on a same facility basis, adjusted admissions increased 1.5% and adjusted patient days increased 6.2%, as compared to the comparable period of 2013. Net revenues at these facilities increased 8.6% during the first six months of 2014 as compared to the comparable period of the prior year. At these facilities, net revenue per adjusted admission increased 7.0% while net revenue per adjusted patient day increased 2.2% during the first six months of 2014 as compared to the comparable period of 2013. On a same facility basis, the operating margin at our acute care hospitals increased to 19.5% during the first six months of 2014 as compared to 15.4% during the comparable period of 2013.

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 gross charges, amounting to approximately $267 million and $258 million during the three-month periods ended June 30, 2014 and 2013, respectively, and $586 million and $489 million during the six-month periods ended June 30, 2014 and 2013, respectively. The increase in charity care and uninsured discounts during the three and six-month periods ended June 30, 2014 was offset by a decrease in the provision for doubtful accounts which amounted to approximately $149 million and $216 million during the three-month periods ended June 30, 2014 and 2013, respectively, and $331 million and $434 million during the six-month periods ended June 30, 2014 and 2013, respectively. During the three and six-month periods ended June 30, 2014, as compared to the comparable periods of 2013, our acute care hospitals experienced a decrease in the aggregate of charity care, uninsured discounts and provision for doubtful accounts as a percentage of gross charges.

Behavioral Health Care Services – Three and six-month periods ended June 30, 2014 and 2013:

During the second quarter of 2014, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 4.4% while adjusted patient days increased 1.8% compared to the second quarter of 2013. At these facilities, net revenue per adjusted admission remained unchanged while net revenue per adjusted patient day increased 2.6% during the second quarter of 2014 over the comparable quarter in 2013. On a same facility basis, our behavioral health services’ net revenues increased 5.9% during the second quarter of 2014, as compared to the comparable quarter in 2013, and the operating margins were 28.6% and 28.7% during the three-month periods ended June 30, 2014 and 2013, respectively.

During the six-month period ended June 30, 2014, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 3.4% while adjusted patient days increased 1.0%


compared to the comparable period of 2013. At these facilities, net revenue per adjusted admission remained unchanged while net revenue per adjusted patient day increased 2.3% during the first six months of 2014 over the comparable period of 2013. On a same facility basis, our behavioral health services’ net revenues increased 4.8% during the first six months of 2014, as compared to the comparable period of 2013, and the operating margins were 28.2% and 28.6% during the six-month periods ended June 30, 2014 and 2013, respectively.

2014 Full Year Earnings Guidance Increase:

Based upon the operating trends and financial results experienced during the first six months of 2014, we are increasing our estimated range of adjusted net income attributable to UHS, for the year ended December 31, 2014, to $5.55 to $5.85 per diluted share. This revised guidance, which excludes the expected EHR impact for the year, as well as the impact of the other item reflected on the Supplemental Schedule for the six months ended June 30, 2014, represents an increase of approximately 15% to 16% from the previously provided range of $4.80 to $5.10 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, costs related to extinguishment of debt, reserves for settlements, legal judgments and lawsuits, impairments of long-lived assets, impact of share repurchases 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.

Share Repurchase Program and Declaration of Increased Quarterly Dividend:

Our Board of Directors has authorized a stock repurchase program whereby, from time to time as conditions allow, we may spend up to $400 million to purchase shares of our Class B Common Stock on the open market or in negotiated private transactions. In conjunction with this program, remaining authorizations under previously announced stock repurchase programs are cancelled.

Our Board of Directors also authorized a $.05 per share increase to our quarterly cash dividend to $.10 per share. The dividend is payable on September 16, 2014 to shareholders of record as of September 2, 2014.

Conference call information:

We will hold a conference call for investors and analysts at 9:00 a.m. eastern time on July 25, 2014. 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 be available following the 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, 2013 and in Item 2-Forward Looking Statements and Risk Factors in our Form 10-Q for the quarterly period ended March 31, 2014), 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.

Our acute care hospitals are eligible for Medicare and Medicaid EHR incentive payments upon implementation of the EHR application, once they have demonstrated meaningful use of certified EHR technology for the applicable stage or have completed attestations to their adoption or implementation of certified EHR technology. However, 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 material 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, impairments of long-lived assets 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, 2013 and our Report on Form 10-Q for the quarterly period ended March 31, 2014. Since the items included or excluded from these measures are significant components in understanding and assessing financial performance under GAAP, these measures should not be considered to be alternatives to net income as a measure of our operating performance or profitability. Since these


measures, as presented, are not determined in accordance with GAAP and are thus susceptible to varying calculations, they may not be comparable to other similarly titled measures of other companies. Investors are encouraged to use GAAP measures when evaluating our financial performance.

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Universal Health Services, Inc.

Consolidated Statements of Income

(in thousands, except per share amounts)

(unaudited)

 

     Three months
ended June 30,
    Six months
ended June 30,
 
     2014     2013     2014     2013  

Net revenues before provision for doubtful accounts

   $ 2,195,776      $ 2,081,662      $ 4,324,126      $ 4,160,010   

Less: Provision for doubtful accounts

     175,955        246,687        384,139        493,403   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net revenues

     2,019,821        1,834,975        3,939,987        3,666,607   

Operating charges:

        

Salaries, wages and benefits

     961,920        897,334        1,897,285        1,799,630   

Other operating expenses

     428,720        325,562        810,480        706,569   

Supplies expense

     223,774        202,344        439,572        406,986   

Depreciation and amortization

     90,691        81,682        184,050        161,494   

Lease and rental expense

     23,458        24,082        46,796        48,747   

Electronic health records incentive income

     (2,174     (83     (2,604     (4,795
  

 

 

   

 

 

   

 

 

   

 

 

 
     1,726,389        1,530,921        3,375,579        3,118,631   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income from operations

     293,432        304,054        564,408        547,976   

Interest expense, net

     35,087        38,236        70,280        78,174   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income before income taxes

     258,345        265,818        494,128        469,802   

Provision for income taxes

     91,731        98,015        175,662        172,064   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income

     166,614        167,803        318,466        297,738   

Less: Income attributable to noncontrolling interests

     14,943        15,962        28,717        26,113   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to UHS

   $ 151,671      $ 151,841      $ 289,749      $ 271,625   
  

 

 

   

 

 

   

 

 

   

 

 

 

Basic earnings per share attributable to UHS (a)

   $ 1.53      $ 1.55      $ 2.93      $ 2.77   
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted earnings per share attributable to UHS (a)

   $ 1.51      $ 1.53      $ 2.89      $ 2.75   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

Footnotes to Consolidated Statements of Income

(in thousands, except per share amounts)

(unaudited)

 

     Three months
ended June 30,
    Six months
ended June 30,
 
     2014     2013     2014     2013  

(a) Earnings per share calculation:

        

Basic and diluted:

        

Net income attributable to UHS

   $ 151,671      $ 151,841      $ 289,749      $ 271,625   

Less: Net income attributable to unvested restricted share grants

     (77     (88     (147     (157
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to UHS - basic and diluted

   $ 151,594      $ 151,753      $ 289,602      $ 271,468   
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average number of common shares - basic

     98,872        98,033        98,722        97,872   
  

 

 

   

 

 

   

 

 

   

 

 

 

Basic earnings per share attributable to UHS:

   $ 1.53      $ 1.55      $ 2.93      $ 2.77   
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average number of common shares

     98,872        98,033        98,722        97,872   

Add: Other share equivalents

     1,363        1,178        1,474        1,019   
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average number of common shares and equiv. - diluted

     100,235        99,211        100,196        98,891   
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted earnings per share attributable to UHS:

   $ 1.51      $ 1.53      $ 2.89      $ 2.75   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

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

For the three months ended June 30, 2014 and 2013

(in thousands, except per share amounts)

(unaudited)

Calculation of “EBITDA”

 

     Three months ended
June 30, 2014
    Three months ended
June 30, 2013
 

Net revenues before provision for doubtful accounts

   $ 2,195,776        $ 2,081,662     

Less: Provision for doubtful accounts

     175,955          246,687     
  

 

 

     

 

 

   

Net revenues

     2,019,821        100.0     1,834,975        100.0

Operating charges:

        

Salaries, wages and benefits

     961,920        47.6     897,334        48.9

Other operating expenses

     428,720        21.2     325,562        17.7

Supplies expense

     223,774        11.1     202,344        11.0

EHR incentive income

     (2,174     –0.1     (83     0.0
  

 

 

   

 

 

   

 

 

   

 

 

 
     1,612,240        79.8     1,425,157        77.7
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating income/margin (“EBITDAR”)

     407,581        20.2     409,818        22.3

Lease and rental expense

     23,458          24,082     

Income attributable to noncontrolling interests

     14,943          15,962     
  

 

 

     

 

 

   

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

     369,180        18.3     369,774        20.2

Depreciation and amortization

     90,691          81,682     

Interest expense, net

     35,087          38,236     
  

 

 

     

 

 

   

Income before income taxes

     243,402          249,856     

Provision for income taxes

     91,731          98,015     
  

 

 

     

 

 

   

Net income attributable to UHS

   $ 151,671        $ 151,841     
  

 

 

     

 

 

   

Calculation of Adjusted Net Income Attributable to UHS

 

     Three months ended
June 30, 2014
     Three months ended
June 30, 2013
 
     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

   $ 151,671      $ 1.51       $ 151,841      $ 1.53   

Plus/minus adjustments:

         

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

     —          —           (37,826     (0.38
  

 

 

   

 

 

    

 

 

   

 

 

 

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

   $ 151,671      $ 1.51       $ 114,015      $ 1.15   
  

 

 

   

 

 

    

 

 

   

 

 

 

Plus/minus impact of EHR implementation:

         

EHR-related incentive income, pre-tax

     (2,174        (83  

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

     —             (88  

EHR-related other operating costs, pre-tax

     —             2,053     

EHR-related depreciation & amortization, pre-tax

     9,310           7,006     

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

     (871        (984  

Income tax provision on EHR-related items

     (2,350        (2,977  
  

 

 

   

 

 

    

 

 

   

 

 

 

After-tax impact of EHR-related items

     3,915        0.04         4,927        0.05   
  

 

 

   

 

 

    

 

 

   

 

 

 

Adjusted net income attributable to UHS

   $ 155,586      $ 1.55       $ 118,942      $ 1.20   
  

 

 

   

 

 

    

 

 

   

 

 

 


Universal Health Services, Inc.

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

For the six months ended June 30, 2014 and 2013

(in thousands, except per share amounts)

(unaudited)

Calculation of “EBITDA”

 

     Six months ended
June 30, 2014
    Six months ended
June 30, 2013
 

Net revenues before provision for doubtful accounts

   $ 4,324,126        $ 4,160,010     

Less: Provision for doubtful accounts

     384,139          493,403     
  

 

 

     

 

 

   

Net revenues

     3,939,987        100.0     3,666,607        100.0

Operating charges:

        

Salaries, wages and benefits

     1,897,285        48.2     1,799,630        49.1

Other operating expenses

     810,480        20.6     706,569        19.3

Supplies expense

     439,572        11.2     406,986        11.1

EHR incentive income

     (2,604     –0.1     (4,795     –0.1
  

 

 

   

 

 

   

 

 

   

 

 

 
     3,144,733        79.8     2,908,390        79.3
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating income/margin (“EBITDAR”)

     795,254        20.2     758,217        20.7

Lease and rental expense

     46,796          48,747     

Income attributable to noncontrolling interests

     28,717          26,113     
  

 

 

     

 

 

   

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

     719,741        18.3     683,357        18.6

Depreciation and amortization

     184,050          161,494     

Interest expense, net

     70,280          78,174     
  

 

 

     

 

 

   

Income before income taxes

     465,411          443,689     

Provision for income taxes

     175,662          172,064     
  

 

 

     

 

 

   

Net income attributable to UHS

   $ 289,749        $ 271,625     
  

 

 

     

 

 

   

Calculation of Adjusted Net Income Attributable to UHS

 

     Six months ended
June 30, 2014
    Six months ended
June 30, 2013
 
     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

   $ 289,749      $ 2.89      $ 271,625      $ 2.75   

Plus/minus adjustments:

        

Gain on sale of investment, net of income taxes

     (6,330     (0.06    

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

     —          —          (37,826     (0.38
  

 

 

   

 

 

   

 

 

   

 

 

 

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

   $ 283,419      $ 2.83      $ 233,799      $ 2.37   
  

 

 

   

 

 

   

 

 

   

 

 

 

Plus/minus impact of EHR implementation:

        

EHR-related incentive income, pre-tax

     (2,604       (4,795  

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

     0          238     

EHR-related other operating costs, pre-tax

     0          2,018     

EHR-related depreciation & amortization, pre-tax

     18,600          12,492     

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

     (1,837       (1,525  

Income tax provision on EHR-related items

     (5,298       (3,174  
  

 

 

   

 

 

   

 

 

   

 

 

 

After-tax impact of EHR-related items

     8,861        0.09        5,254        0.05   
  

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted net income attributable to UHS

   $ 292,280      $ 2.92      $ 239,053      $ 2.42   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

Consolidated Statements of Comprehensive Income

(in thousands)

(unaudited)

 

     Three months
ended June 30,
    Six months
ended June 30,
 
     2014     2013     2014     2013  

Net income

   $ 166,614      $ 167,803      $ 318,466      $ 297,738   

Other comprehensive income (loss):

        

Unrealized derivative gains (loss) on cash flow hedges

     4,465        5,282        8,210        9,817   

Amortization of terminated hedge

     (84     (84     (168     (168
  

 

 

   

 

 

   

 

 

   

 

 

 

Other comprehensive income before tax

     4,381        5,198        8,042        9,649   

Income tax expense related to items of other comprehensive income

     1,620        1,960        2,974        3,638   
  

 

 

   

 

 

   

 

 

   

 

 

 

Total other comprehensive income, net of tax

     2,761        3,238        5,068        6,011   
  

 

 

   

 

 

   

 

 

   

 

 

 

Comprehensive income

     169,375        171,041        323,534        303,749   

Less: Comprehensive income attributable to noncontrolling interests

     14,943        15,962        28,717        26,113   
  

 

 

   

 

 

   

 

 

   

 

 

 

Comprehensive income attributable to UHS

   $ 154,432      $ 155,079      $ 294,817      $ 277,636   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

Condensed Consolidated Balance Sheets

(in thousands)

(unaudited)

 

     June 30,
2014
    December 31,
2013
 

Assets

    

Current assets:

    

Cash and cash equivalents

   $ 14,732      $ 17,238   

Accounts receivable, net

     1,186,012        1,116,961   

Supplies

     104,280        101,781   

Deferred income taxes

     107,359        119,903   

Other current assets

     117,498        76,446   
  

 

 

   

 

 

 

Total current assets

     1,529,881        1,432,329   
  

 

 

   

 

 

 

Property and equipment

     5,901,163        5,691,902   

Less: accumulated depreciation

     (2,386,484     (2,249,733
  

 

 

   

 

 

 
     3,514,679        3,442,169   
  

 

 

   

 

 

 

Other assets:

    

Goodwill

     3,089,172        3,049,016   

Deferred charges

     48,976        57,881   

Other

     365,364        330,328   
  

 

 

   

 

 

 
   $ 8,548,072      $ 8,311,723   
  

 

 

   

 

 

 

Liabilities and Stockholders’ Equity

    

Current liabilities:

    

Current maturities of long-term debt

   $ 77,686      $ 99,312   

Accounts payable and accrued liabilities

     1,038,187        953,449   

Federal and state taxes

     0        7,127   
  

 

 

   

 

 

 

Total current liabilities

     1,115,873        1,059,888   
  

 

 

   

 

 

 

Other noncurrent liabilities

     276,462        284,589   

Long-term debt

     3,070,311        3,209,762   

Deferred income taxes

     254,573        239,148   

Redeemable noncontrolling interest

     231,545        218,107   

UHS common stockholders’ equity

     3,546,134        3,249,979   

Noncontrolling interest

     53,174        50,250   
  

 

 

   

 

 

 

Total equity

     3,599,308        3,300,229   
  

 

 

   

 

 

 
   $ 8,548,072      $ 8,311,723   
  

 

 

   

 

 

 


Universal Health Services, Inc.

Consolidated Statements of Cash Flows

(in thousands)

(unaudited)

 

     Six months
ended June 30,
 
     2014     2013  

Cash Flows from Operating Activities:

    

Net income

   $ 318,466      $ 297,738   

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

    

Depreciation & amortization

     184,050        161,677   

Gains on sales of assets and businesses, net of losses

     (10,134     (2,277

Stock-based compensation expense

     14,945        13,579   

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

    

Accounts receivable

     (61,865     (82,224

Accrued interest

     (271     13,199   

Accrued and deferred income taxes

     (9,435     3,280   

Other working capital accounts

     17,739        32,421   

Other assets and deferred charges

     10,415        9,069   

Other

     (4,092     4,083   

Accrued insurance expense, net of commercial premiums paid

     38,520        (22,590

Payments made in settlement of self-insurance claims

     (39,922     (37,038
  

 

 

   

 

 

 

Net cash provided by operating activities

     458,416        390,917   
  

 

 

   

 

 

 

Cash Flows from Investing Activities:

    

Property and equipment additions, net of disposals

     (186,786     (175,944

Proceeds received from sale of assets and businesses

     11,450        34,008   

Cash paid/reserved related to acquisition of property and businesses

     (71,000     (1,320

Costs incurred for purchase and implementation of electronic health records application

     (8,399     (33,396
  

 

 

   

 

 

 

Net cash used in investing activities

     (254,735     (176,652
  

 

 

   

 

 

 

Cash Flows from Financing Activities:

    

Reduction of long-term debt

     (179,126     (196,096

Additional borrowings

     0        11,000   

Repurchase of common shares

     (35,773     (21,373

Dividends paid

     (9,884     (9,795

Issuance of common stock

     3,287        2,735   

Excess income tax benefits related to stock-based compensation

     28,493        15,085   

Profit distributions to noncontrolling interests

     (13,184     (26,734
  

 

 

   

 

 

 

Net cash used in financing activities

     (206,187     (225,178
  

 

 

   

 

 

 

Decrease in cash and cash equivalents

     (2,506     (10,913

Cash and cash equivalents, beginning of period

     17,238        23,471   
  

 

 

   

 

 

 

Cash and cash equivalents, end of period

   $ 14,732      $ 12,558   
  

 

 

   

 

 

 

Supplemental Disclosures of Cash Flow Information:

    

Interest paid

   $ 60,078      $ 54,067   
  

 

 

   

 

 

 

Income taxes paid, net of refunds

   $ 156,434      $ 152,553   
  

 

 

   

 

 

 


Universal Health Services, Inc.

Supplemental Statistical Information

(un-audited)

Same Facility:

 

     % Change
Quarter Ended
6/30/2014
    % Change
6 months ended
6/30/2014
 

Acute Care Hospitals

    

Revenues

     11.5     8.6

Adjusted Admissions

     3.6     1.5

Adjusted Patient Days

     7.9     6.2

Revenue Per Adjusted Admission

     7.7     7.0

Revenue Per Adjusted Patient Day

     3.3     2.2

Behavioral Health Hospitals

    

Revenues

     5.9     4.8

Adjusted Admissions

     4.4     3.4

Adjusted Patient Days

     1.8     1.0

Revenue Per Adjusted Admission

     0.0     0.0

Revenue Per Adjusted Patient Day

     2.6     2.3

 

 

UHS Consolidated

 

     Second Quarter Ended     Six months Ended  
     6/30/2014     6/30/2013     6/30/2014     6/30/2013  

Revenues

   $ 2,019,821      $ 1,834,975      $ 3,939,987      $ 3,666,607   

EBITDA (1)

     369,180        369,774        719,741        683,357   

EBITDA Margin (1)

     18.3     20.2     18.3     18.6

Cash Flow From Operations

     263,777        212,420        458,416        390,917   

Days Sales Outstanding

     53        57        54        57   

Capital Expenditures

     94,399        80,025        186,786        175,944   

Debt

         3,147,997        3,546,685   

UHS Shareholders Equity

         3,546,134        2,991,457   

Debt / Total Capitalization

         47.0     54.2

Debt / EBITDA (2)

         2.34        2.75   

Debt / Cash From Operations (2)

         3.31        4.34   

Acute Care EBITDAR Margin (3)

     19.2     14.8     19.5     15.4

Behavioral Health EBITDAR Margin (3)

     28.6     28.7     28.2     28.6

 

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


UNIVERSAL HEALTH SERVICES, INC.

SELECTED HOSPITAL STATISTICS

FOR THE THREE MONTHS ENDED

JUNE 30, 2014 AND 2013

AS REPORTED:

 

     ACUTE     BEHAVIORAL HEALTH  
     06/30/14     06/30/13     % change     06/30/14     06/30/13     % change  

Hospitals owned and leased

     24        23        4.3     182        184        –1.1

Average licensed beds

     5,802        5,617        3.3     19,951        19,982        –0.2

Patient days

     289,982        272,745        6.3     1,387,757        1,368,883        1.4

Average daily census

     3,186.6        2,997.2        6.3     15,250.1        15,042.7        1.4

Occupancy-licensed beds

     54.9     53.4     2.9     76.4     75.3     1.5

Admissions

     62,138        60,697        2.4     107,436        101,726        5.6

Length of stay

     4.7        4.5        3.9     12.9        13.5        –4.0

Inpatient revenue

   $ 3,724,309      $ 3,321,384        12.1   $ 1,686,512      $ 1,598,383        5.5

Outpatient revenue

     2,068,076        1,708,200        21.1     204,480        193,703        5.6

Total patient revenue

     5,792,385        5,029,584        15.2     1,890,992        1,792,086        5.5

Other revenue

     54,139        30,740        76.1     45,795        30,887        48.3

Gross hospital revenue

     5,846,524        5,060,324        15.5     1,936,787        1,822,973        6.2

Total deductions

     4,673,457        3,949,632        18.3     917,059        862,919        6.3

Net hospital revenue before provision for doubtful accounts

     1,173,067        1,110,692        5.6     1,019,728        960,054        6.2

Provision for doubtful accounts

     149,056        216,053        –31.0     27,380        30,584        –10.5

Net hospital revenue

   $ 1,024,011      $ 894,639        14.5   $ 992,348      $ 929,470        6.8

SAME FACILITY:

 

     ACUTE (1)     BEHAVIORAL HEALTH (2)  
     06/30/14     06/30/13     % change     06/30/14     06/30/13     % change  

Hospitals owned and leased

     23        23        0.0     179        179        0.0

Average licensed beds

     5,662        5,617        0.8     19,562        19,408        0.8

Patient days

     286,677        272,745        5.1     1,360,923        1,338,410        1.7

Average daily census

     3,150.3        2,997.2        5.1     14,955.2        14,707.8        1.7

Occupancy-licensed beds

     55.6     53.4     4.3     76.5     75.8     0.9

Admissions

     61,226        60,697        0.9     105,743        101,391        4.3

Length of stay

     4.7        4.5        4.2     12.9        13.2        –2.5

 

(1) Temecula is excluded in both current and prior years
(2) Bristol Youth Academy, Community BH, Gulph Coast Treatment Center, John Costigan Ctr, Okaloosa Youth Academy, Palo Verde, The Peaks, and Psychiatric Institute of Washington are excluded in both current and prior years. Austin Oaks in included in both current and prior years June only.


UNIVERSAL HEALTH SERVICES, INC.

SELECTED HOSPITAL STATISTICS

FOR THE SIX MONTHS ENDED

JUNE 30, 2014 AND 2013

AS REPORTED:

 

     ACUTE     BEHAVIORAL HEALTH  
     06/30/14     06/30/13     % change     06/30/14     06/30/13     % change  

Hospitals owned and leased

     24        23        4.3     182        184        –1.1

Average licensed beds

     5,780        5,617        2.9     19,856        20,003        –0.7

Patient days

     589,856        563,471        4.7     2,722,534        2,723,937        –0.1

Average daily census

     3,258.9        3,113.1        4.7     15,041.6        15,049.4        –0.1

Occupancy-licensed beds

     56.4     55.4     1.7     75.8     75.2     0.7

Admissions

     124,838        124,436        0.3     211,331        203,122        4.0

Length of stay

     4.7        4.5        4.3     12.9        13.4        –3.9

Inpatient revenue

   $ 7,600,673      $ 6,828,424        11.3   $ 3,295,411      $ 3,174,531        3.8

Outpatient revenue

     4,025,567        3,359,775        19.8     388,595        379,505        2.4

Total patient revenue

     11,626,240        10,188,199        14.1     3,684,006        3,554,036        3.7

Other revenue

     88,686        61,865        43.4     89,417        61,987        44.3

Gross hospital revenue

     11,714,926        10,250,064        14.3     3,773,423        3,616,023        4.4

Total deductions

     9,388,120        8,012,595        17.2     1,782,373        1,717,818        3.8

Net hospital revenue before provision for doubtful accounts

     2,326,806        2,237,469        4.0     1,991,050        1,898,205        4.9

Provision for doubtful accounts

     331,406        434,096        –23.7     53,245        59,191        –10.0

Net hospital revenue

   $ 1,995,400      $ 1,803,373        10.6   $ 1,937,805      $ 1,839,014        5.4

SAME FACILITY:

 

     ACUTE (1)     BEHAVIORAL HEALTH (2)  
     06/30/14     06/30/13     % change     06/30/14     06/30/13     % change  

Hospitals owned and leased

     23        23        0.0     179        179        0.0

Average licensed beds

     5,640        5,617        0.4     19,516        19,373        0.7

Patient days

     584,178        563,471        3.7     2,681,207        2,652,935        1.1

Average daily census

     3,227.5        3,113.1        3.7     14,813.3        14,657.1        1.1

Occupancy-licensed beds

     57.2     55.4     3.3     75.9     75.7     0.3

Admissions

     123,240        124,436        –1.0     209,043        202,054        3.5

Length of stay

     4.7        4.5        4.7     12.8        13.1        –2.3

 

(1) Temecula is excluded in both current and prior years
(2) Bristol Youth Academy, Community BH, Gulph Coast Treatment Center, John Costigan Ctr, Okaloosa Youth Academy, Palo Verde, The Peaks, and Psychiatric Institute of Washington are excluded in both current and prior years. Garfield Park is excluded in both current and prior years in January only. Austin Oaks is excluded in both current and and prior years January thru May.