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Steve Filton Chief Financial Officer

Key Takeaway: CONTACT: Steve Filton Chief Financial Officer April 26, 2011 610-768-3300 UNIVERSAL HEALTH SERVICES, INC. REPORTS 2011 FIRST QUARTER EARNINGS AND INCREASES 2011 FULL YEAR Consolidated Results of Operations - Three-month periods ended March 31, 2011 and 2010: KING O

Full Press Release Details

CONTACT: Steve Filton
Chief Financial Officer April 26, 2011
610-768-3300
UNIVERSAL HEALTH SERVICES, INC. REPORTS
2011 FIRST QUARTER EARNINGS AND INCREASES 2011 FULL YEAR
Consolidated Results of Operations - Three-month periods ended
March 31, 2011 and 2010:
KING OF PRUSSIA, PA Universal Health Services, Inc. (NYSE: UHS) announced today
that net income attributable to UHS was $114.2 million, or $1.15 per diluted share, during the first quarter of 2011 as compared to $71.8 million, or $.73 per diluted share, during the comparable prior year quarter. Net revenues increased 42% to
$1.91 billion during the first quarter of 2011 as compared to $1.35 billion during the first quarter of 2010. The increase in net revenues during the first quarter of 2011, as compared to the comparable quarter of the prior year, was due primarily
to the revenues generated at the behavioral health care facilities acquired from Psychiatric Solutions, Inc. in November, 2010.
For the last two years, the overall weakness in the economy has created a very challenging operating environment, most particularly
for our acute care hospitals , said Alan B. Miller, Chief Executive Officer. Although we remain cautious about the strength of the underlying economic recovery, we are extremely encouraged by the improvement in some of our payor mix
trends in early 2011. Additionally, we remain excited with the fundamentals in the behavioral segment and the robust performance of, what is now, the premier behavioral health platform in the nation.
Acute Care Services - Three-month periods ended March 31, 2011 and 2010:
At our acute care hospitals owned during both periods ( same facility basis ), adjusted admissions (adjusted for outpatient
activity) increased 0.6% while adjusted patient days increased 2.2% during the first quarter of 2011, as compared to the first quarter of 2010. Net revenues at these facilities increased 6.6% during the first quarter of 2011 as compared to the
comparable quarter of the prior year. At these facilities, net revenue per adjusted admission increased 5.9% while net revenue per adjusted patient day increased 4.3% during the first quarter of 2011 as compared to the comparable quarter of the
prior year. On a same facility basis, the operating margin (net revenues less salaries, wages and benefits, other operating expenses, supplies expense and provision for doubtful accounts) at our acute care hospitals increased to 18.0% during the
first quarter of 2011 as compared to 16.1% during the first quarter of 2010. The increased operating margin for our acute care facilities during the first quarter of 2011, as compared to the comparable quarter of the prior year, was due primarily to
improvements in the operating environments of several of the markets in which we operate, including Las Vegas, Nevada.
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 $223 million and $176 million during the three-month periods ended
March 31, 2011 and 2010, respectively.
Behavioral Health Care Services - Three-month periods ended March 31, 2011 and 2010:
At our behavioral health care facilities, on a same facility basis, adjusted admissions increased 6.4% while adjusted
patient days increased 1.8% during the first quarter of 2011 as compared to the first quarter of 2010. Net revenues at these facilities increased 6.5% during the first quarter of 2011 as compared to the comparable quarter in the prior year. At these
facilities, net revenue per adjusted admission increased 0.1% while net revenue per adjusted patient day increased 4.6% during the first quarter of 2011 over the comparable prior year quarter. The operating margin at our behavioral health care
facilities owned during both periods increased to 26.3% during the first quarter of 2011 as compared to 26.0% during the first quarter of 2010.
2011 Full Year Guidance Increased to $3.85 to $4.00 Per Diluted Share:
Based upon the operating trends and financial results experienced during the first three months of 2011, we are increasing our range of
2011 full year guidance for earnings per diluted share attributable to UHS to $3.85 to $4.00, representing a $.20 per diluted share increase over the previously provided range of $3.65 to $3.80 per diluted share. Our projected net revenues for 2011
remain unchanged at $7.6 billion to $7.7 billion
This guidance range is subject to certain conditions including those as set
forth below in General Information, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures.
We will hold a conference call for investors and analysts at 9:00 a.m. (eastern time) on April 27,
2011. The dial-in number is 1-877-648-7971. A digital recording of the conference call will be available two hours after the completion of the conference call on April 27, 2011 and will continue through midnight on May 11, 2011. The
recording can be accessed by calling 1-800-642-1687 and entering the pass code 59918801. A live broadcast of the call will be available on our web site at www.uhsinc.com. The webcast will also be available through Thompson StreetEvents
Network at www.earnings.com or www.streetevents.com, a password-protected event management site for institutional investors.
General Information, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures:
Universal Health Services, Inc. ( UHS ) is one of the nation s largest hospital companies, operating acute care and
behavioral health hospitals and ambulatory centers nationwide and in Puerto Rico and the U.S. Virgin Islands. It acts as the advisor to Universal Health Realty Income Trust, a real estate investment trust (NYSE:UHT). For additional information on
the Company, visit our web site: http://www.uhsinc.com.
This press release contains forward-looking statements based
on current management expectations. Numerous factors, including those disclosed herein, those related to healthcare industry trends and those detailed in our filings with the Securities and Exchange Commission (as set forth in
Item 1A-Risk Factors and in Item 7-Forward-Looking Statements and Risk Factors in our Form 10-K for
the year ended December 31, 2010), 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
We believe that operating income, operating margin, adjusted net income attributable to UHS, adjusted net income
attributable to UHS per diluted share and earnings before interest, taxes, depreciation and amortization ( EBITDA ), which are non-GAAP financial measures ( GAAP is Generally Accepted Accounting Principles in the United States
of America), are helpful to our investors as measures of our operating performance. In addition, we believe that, when applicable, comparing and discussing our financial results based on these measures, as calculated, is helpful to our investors
since it neutralizes the effect in each year of items that are nonrecurring or non-operational in nature including items such as, but not limited to, gains on sales of assets and businesses, reserves for settlements, legal judgments and lawsuits and
other amounts that may be reflected in the current or prior year financial statements that relate to prior periods. To obtain a complete understanding of our financial performance these measures should be examined in connection with net income,
determined in accordance with GAAP, as presented in the condensed consolidated financial statements and notes thereto in this report or in our other filings with the Securities and Exchange Commission including our Report on Form 10-K for the year
ended December 31, 2010. 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.
Universal Health Services, Inc.
Consolidated Statements of Income
(in thousands, except per share amounts)
Three months ended March 31,
2011 2010
Net revenues $ 1,910,528 $ 1,347,153
Operating charges:
Salaries, wages and benefits 845,864 578,926
Other operating expenses 349,446 247,028
Supplies expense 207,170 183,816
Provision for doubtful accounts 153,116 125,390
Depreciation and amortization 71,351 53,511
Lease and rental expense 23,168 17,934
1,650,115 1,206,605
Income from operations 260,413 140,548
Interest expense, net 56,417 12,377
Income before income taxes 203,996 128,171
Provision for income taxes 74,009 45,409
Net income 129,987 82,762
Less: Income attributable to noncontrolling interests 15,794 10,943
Net income attributable to UHS $ 114,193 $ 71,819
Basic earnings per share attributable to UHS (a) $ 1.17 $ 0.74
Diluted earnings per share attributable to UHS (a) $ 1.15 $ 0.73
Universal Health Services, Inc.
Footnotes to Consolidated Statements of Income
(in thousands, except per share amounts)
Three months ended March 31,
2011 2010
(a) Earnings per share calculation:
Basic and diluted:
Net income attributable to UHS $ 114,193 $ 71,819
Less: Net income attributable to unvested restricted share grants (149 ) (315 )
Net income attributable to UHS - basic and diluted $ 114,044 $ 71,504
Weighted average number of common shares - basic 97,381 96,539
Basic earnings per share attributable to UHS: $ 1.17 $ 0.74
Weighted average number of common shares 97,381 96,539
Add: Other share equivalents 1,487 911
Weighted average number of common shares and equiv. - diluted 98,868 97,450
Diluted earnings per share attributable to UHS: $ 1.15 $ 0.73
Universal Health Services, Inc.
Schedule of Non-GAAP Supplemental Consolidated Statements of Income Information ( Supplemental Schedule )
For the three months ended March 31, 2011 and 2010
(in thousands, except per share amounts)
Calculation of EBITDA
Three months ended Three months ended
March 31, 2011 March 31, 2010
Net revenues $ 1,910,528 100.0 % $ 1,347,153 100.0 %
Operating charges:
Salaries, wages and benefits 845,864 44.3 % 578,926 43.0 %
Other operating expenses 349,446 18.3 % 247,028 18.3 %
Supplies expense 207,170 10.8 % 183,816 13.6 %
Provision for doubtful accounts 153,116 8.0 % 125,390 9.3 %
1,555,596 81.4 % 1,135,160 84.3 %
Operating income/margin ( EBITDAR ) 354,932 18.6 % 211,993 15.7 %
Lease and rental expense 23,168 17,934
Income attributable to noncontrolling interests 15,794 10,943
Earnings before, depreciation and amortization, interest expense, and income taxes ( EBITDA ) 315,970 183,116
Depreciation and amortization 71,351 53,511
Interest expense, net 56,417 12,377
Income before income taxes 188,202 117,228
Provision for income taxes 74,009 45,409
Net income attributable to UHS $ 114,193 $ 71,819
Universal Health Services, Inc.
Condensed Consolidated Balance Sheets
March 31, December 31,
2011 2010
Assets
Current assets:
Cash and cash equivalents $ 52,076 $ 29,474
Accounts receivable, net 940,803 837,820
Supplies 95,129 94,330
Other current assets 81,079 130,060
Deferred income taxes 118,671 120,834
Assets of facilities held for sale 113,426 118,598
Total current assets 1,401,184 1,331,116
Property and equipment 4,880,795 4,853,972
Less: accumulated depreciation (1,640,993 ) (1,601,005 )
3,239,802 3,252,967
Other assets:
Goodwill 2,596,292 2,589,914
Deferred charges 125,644 108,660
Other 250,152 245,279
$ 7,613,074 $ 7,527,936
Liabilities and Stockholders Equity
Current liabilities:
Current maturities of long-term debt $ 3,033 $ 3,449
Accounts payable and accrued liabilities 821,413 819,334
Liabilities of facilities held for sale 3,581 3,516
Federal and state taxes 9,155 0
Total current liabilities 837,182 826,299
Other noncurrent liabilities 376,844 380,649
Long-term debt 3,850,859 3,912,102
Deferred income taxes 185,267 173,354
Redeemable noncontrolling interest 223,819 211,761
UHS common stockholders equity 2,094,393 1,978,772
Noncontrolling interest 44,710 44,999
Total equity 2,139,103 2,023,771
$ 7,613,074 $ 7,527,936
Universal Health Services, Inc.
Consolidated Statements of Cash Flows
Three months ended March 31,
2011 2010
Cash Flows from Operating Activities:
Net income $ 129,987 $ 82,762
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation & amortization 71,526 53,511
Gain on sale of assets and businesses 0 (1,848 )
Stock-based compensation expense 3,954 4,065
Changes in assets & liabilities, net of effects from acquisitions and dispositions:
Accounts receivable (103,919 ) (46,499 )
Accrued interest 12,875 8,357
Accrued and deferred income taxes 68,994 37,380
Other working capital accounts (27,056 ) (2,389 )
Other assets and deferred charges 6,777 (489 )
Other 11,208 (4,164 )
Accrued insurance expense, net of commercial premiums paid 23,744 18,960
Payments made in settlement of self-insurance claims (14,913 ) (10,187 )
Net cash provided by operating activities 183,177 139,459
Cash Flows from Investing Activities:
Property and equipment additions, net of disposals (56,558 ) (62,576 )
Proceeds received from sale of assets and businesses 991 2,894
Costs incurred for purchase and implementation of electronic health records application (8,145 ) (3,742 )
Net cash used in investing activities (63,712 ) (63,424 )
Cash Flows from Financing Activities:
Reduction of long-term debt (136,403 ) (68,363 )
Additional borrowings 73,500 0
Financing costs (23,140 ) 0
Repurchase of common shares (3,170 ) (2,157 )
Dividends paid (4,876 ) (4,834 )
Issuance of common stock 1,251 1,627
Profit distributions to noncontrolling interests (4,025 ) (4,623 )
Net cash used in financing activities (96,863 ) (78,350 )
Increase (decrease) in cash and cash equivalents 22,602 (2,315 )
Cash and cash equivalents, beginning of period 29,474 9,180
Cash and cash equivalents, end of period $ 52,076 $ 6,865
Supplemental Disclosures of Cash Flow Information:
Interest paid $ 37,130 $ 5,482
Income taxes paid, net of refunds $ 4,527 $ 6,732
Universal Health Services, Inc.
Supplemental Statistical Information
Same Facility: % Change Quarter Ended 3/31/2011
Acute Care Hospitals
Revenues 6.6 %
Adjusted Admissions 0.6 %
Adjusted Patient Days 2.2 %
Revenue Per Adjusted Admission 5.9 %
Revenue Per Adjusted Patient Day 4.3 %
Behavioral Health Hospitals
Revenues 6.5 %
Adjusted Admissions 6.4 %
Adjusted Patient Days 1.8 %
Revenue Per Adjusted Admission 0.1 %
Revenue Per Adjusted Patient Day 4.6 %
UHS Consolidated First Quarter Ended
3/31/2011 3/31/2010
Revenues $ 1,910,528 $ 1,347,153
EBITDA (1) $ 315,970 $ 183,116
EBITDA Margin (1) 16.5 % 13.6 %
Cash Flow From Operations $ 183,177 $ 139,459
Days Sales Outstanding 44 43
Capital Expenditures $ 56,558 $ 62,576
Debt 3,853,892 893,141
UHS Shareholders Equity 2,094,393 1,821,755
Debt / Total Capitalization 64.8 % 32.9 %
Debt / EBITDA (2) 4.43 1.29
Debt / Cash From Operations (2) 7.07 1.72
Acute Care EBITDAR Margin (3) 18.0 % 16.1 %
Behavioral Health EBITDAR Margin (3) 25.4 % 25.5 %
UNIVERSAL HEALTH SERVICES, INC.
SELECTED HOSPITAL STATISTICS
For the three months ended
Acute Behavioral Health
03/31/11 03/31/10 % 03/31/11 03/31/10 %
Hospitals owned and leased 21 21 0.0 % 188 82 129.3 %
Average licensed beds 5,695 5,689 0.1 % 19,396 7,971 143.3 %
Patient days 307,370 305,676 0.6 % 1,299,272 538,750 141.2 %
Average daily census 3,415.2 3,396.4 0.6 % 14,436.4 5,986.1 141.2 %
Occupancy-licensed beds 60.0 % 59.7 % 0.4 % 74.4 % 75.1 % -0.9 %
Admissions 67,938 68,638 -1.0 % 89,563 36,357 146.3 %
Length of stay 4.5 4.5 1.6 % 14.5 14.8 -2.1 %
Inpatient revenue $ 3,222,247 $ 2,783,431 15.8 % $ 1,391,201 $ 544,781 155.4 %
Outpatient revenue 1,370,118 1,116,925 22.7 % 149,595 77,977 91.8 %
Total patient revenue 4,592,365 3,900,356 17.7 % 1,540,796 622,758 147.4 %
Other revenue 17,354 15,803 9.8 % 34,208 8,408 306.9 %
Gross hospital revenue 4,609,719 3,916,159 17.7 % 1,575,004 631,166 149.5 %
Total deductions 3,555,426 2,926,848 21.5 % 724,701 281,984 157.0 %
Net hospital revenue $ 1,054,293 $ 989,311 6.6 % $ 850,303 $ 349,182 143.5 %
Acute Behavioral Health (1)
03/31/11 03/31/10 % 03/31/11 03/31/10 %
Hospitals owned and leased 21 21 0.0 % 81 81 0.0 %
Average licensed beds 5,695 5,689 0.1 % 7,999 7,857 1.8 %
Patient days 307,386 305,676 0.6 % 541,782 530,325 2.2 %
Average daily census 3,415.4 3,396.4 0.6 % 6,019.8 5,892.5 2.2 %
Occupancy-licensed beds 60.0 % 59.7 % 0.5 % 75.3 % 75.0 % 0.3 %
Admissions 67,938 68,638 -1.0 % 38,816 36,344 6.8 %
Length of stay 4.5 4.5 1.6 % 14.0 14.6 -4.3 %
Last updated: Apr 26, 2011