Full Press Release Details
| CONTACT: | Steve Filton | |||
| Chief Financial Officer | April 26, 2012 | |||
| 610-768-3300 |
UNIVERSAL HEALTH SERVICES, INC. REPORTS
2012 FIRST QUARTER FINANCIAL RESULTS
Consolidated Results of Operations, As Reported - Three-month periods ended March 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 $128.6 million, or $1.31 per diluted share, during the first quarter
of 2012 as compared to $114.2 million, or $1.15 per diluted share, during the comparable quarter of 2011.
increased 4% to $1.83 billion during the first quarter of 2012 as compared to $1.76 billion during the first quarter of 2011.
Consolidated Results of Operations, As Adjusted - Three-month period ended March 31, 2012:
After adjusting the reported results for the three-month period ended March 31, 2012 to neutralize the net favorable impact of the
items mentioned below, and as reflected on the attached Schedule of Non-GAAP Supplemental Consolidated Statements of Income Information ( Supplemental Schedule ), our adjusted net income attributable to UHS was $110.7 million, or $1.13 per
diluted share, during the first quarter of 2012. There were no such adjustments required to our reported net income attributable to UHS for the first quarter of 2011.
As previously disclosed on April 12, 2012, and as indicated on the attached Supplemental Schedule, included in our net income attributable to UHS during the three-month period ended March 31,
2012, was an aggregate net favorable after-tax impact of $17.9 million, or $.18 per diluted share, consisting of the following:
Acute Care Services - Three-month periods ended March 31, 2012 and 2011:
At our acute care hospitals owned during both periods ( same facility basis ), adjusted admissions (adjusted for outpatient
activity) increased 1.6% and adjusted patient days increased 1.0% during the first quarter of 2012, as compared to the first quarter of 2011. Net revenues at these facilities increased 0.8% during the first quarter of 2012 as compared to the
comparable quarter of the prior year. At these facilities, net revenue per adjusted admission decreased 0.8% while net revenue per adjusted patient day decreased 0.2% during the first quarter of 2012 as compared to the comparable quarter of the
prior year. The declines in net revenue per adjusted admission and adjusted patient day were largely due to difficult comparisons to the prior year quarter when our net revenues were favorably impacted by positive changes in payor mix and acuity of
patients treated at our hospitals and a stabilization of uninsured patient volumes. On a same facility basis, the operating margin at our acute care hospitals decreased to 18.6% during the first quarter of 2012 as compared to 20.5% during the first
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 as indicated on the Supplemental Schedule).
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 $315 million and $223 million during the three-month periods ended March 31, 2012 and 2011, respectively.
Behavioral Health Care Services - Three-month periods ended March 31, 2012 and 2011:
At our behavioral health care facilities, on a same facility basis, adjusted admissions increased 9.2% while adjusted patient days increased 2.8% during the first quarter of 2012 as compared to the first
quarter of 2011. Net revenues at these facilities increased 5.3% during the first quarter of 2012 as compared to the comparable quarter in the prior year. At these facilities, net revenue per adjusted admission decreased 3.6% while net revenue per
adjusted patient day increased 2.4% during the first quarter of 2012 over the comparable prior year quarter. The operating margin at our behavioral health
care facilities owned during both periods increased to 26.8% during the first quarter of 2012 as compared to 26.5% during the first quarter of 2011.
Accounting for HITECH Act incentive payments and EHR expenses:
The health information technology provisions of the American Recovery and Reinvestment Act (referred to as the HITECH Act ) established criteria related to the meaningful use of
electronic health records ( EHR ) for acute care hospitals and established requirements for the Medicare and Medicaid EHR payment incentive programs.
During 2011, we began implementing EHR applications at certain of our acute care facilities and will continue to do so, on a facility-by-facility basis, until completion which is scheduled to occur by the
end of 2013. Our acute care hospitals will be eligible for Medicare and Medicaid EHR incentive payments upon implementation of the EHR application, assuming they meet the meaningful use criteria.
There are no EHR-related revenues included in our consolidated results of operations for the three-month periods ended March 31,
2012 and 2011. Although we received an aggregate of approximately $17 million of EHR incentive payments as of March 31, 2012, related to state Medicaid programs, these payments have been reflected as deferred revenue on our consolidated balance
sheet as of March 31, 2012. These payments will be recorded as revenue on our consolidated statements of income in the periods in which the applicable hospitals are deemed to have met the meaningful use criteria. Although our
results of operations for the three-month periods ended March 31, 2012 and 2011 include certain EHR-related expenses, the amounts did not have a material impact on our consolidated financial results.
Divestiture of behavioral health care facility:
In January, 2012, pursuant to our agreement with the Federal Trade Commission in connection with our November, 2010 acquisition of Psychiatric Solutions Inc., we received approximately $50 million of cash
proceeds in connection with the divestiture of the Hospital San Juan Capestrano, a 108-bed facility located in Rio Piedras, Puerto Rico. The net pre-tax gain on the divestiture of this facility did not have a material impact on our consolidated
results of operations for the three-month period ended March 31, 2012.
Conference call information:
We will hold a conference call for investors and analysts at 9:00 a.m. eastern time on April 27, 2012. The dial-in number is
1-877-648-7971. A live broadcast of the call will be available on our website at www.uhsinc.com. The webcast will also be available through Thompson StreetEvents Network at http://www.earnings.com or http://www.streetevents.com,
a password-protected event management site for institutional investors. A digital recording of the conference call will be available following the completion of the conference call on April 27, 2012 on our website at www.uhsinc.com.
General Information, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures:
Universal Health Services, Inc. ( UHS ) is one of the nation s largest hospital companies, operating acute care and
behavioral health hospitals and ambulatory centers nationwide and in Puerto Rico and the U.S. Virgin Islands. It acts as the advisor to Universal Health Realty Income Trust, a real
estate investment trust (NYSE:UHT). For additional information on the Company, visit our web site: http://www.uhsinc.com.
This press release contains forward-looking statements based on current management expectations. Numerous factors, including those
disclosed herein, those related to healthcare industry trends and those detailed in our filings with the Securities and Exchange Commission (as set forth in Item 1A-Risk Factors and in Item 7-Forward-Looking Statements and
Risk Factors in our Form 10-K for the year ended December 31, 2011), may cause the results to differ materially from those anticipated in the forward-looking statements. Many of the factors that will determine our future results are beyond
our capability to control or predict. These statements are subject to risks and uncertainties and therefore actual results may differ materially. Readers should not place undue reliance on such forward-looking statements which reflect
management s view only as of the date hereof. We undertake no obligation to revise or update any forward-looking statements, or to make any other forward-looking statements, whether as a result of new information, future events or otherwise.
During the first quarter of 2012, we adopted the Financial Accounting Standards Board s Accounting Standards Update
No. 2011-07, Health Care Entities (Topic 954): Presentation and Disclosure of Patient Service Revenue, Provision for Bad Debts, and the Allowance for Doubtful Accounts for Certain Health Care Entities, which required health care
entities to change the presentation in their statement of operations by reclassifying the provision for bad debts associated with patient service revenue from an operating expense to a deduction from patient service revenue (net of contractual
allowances and discounts). As a result, the provision for doubtful accounts for our acute care and behavioral health care facilities is reflected as a deduction for net revenues in the accompanying consolidated statements of income for the
three-month periods ended March 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 revenues and expenses recorded in connection with the implementation of the EHR
application which may cause material period-to-period changes in our future results of operations. Hospitals that do not qualify as a meaningful user of EHR by 2015 are subject to a reduced market basket update to the inpatient prospective payment
system standardized amount in 2015 and each subsequent fiscal year. Although we believe that our acute care hospitals will be in compliance with the EHR standards by 2015, there can be no assurance that all of our facilities will be in compliance
and therefore not subject to the penalty provision of the HITECH Act.
We believe that operating income, operating margin,
adjusted net income attributable to UHS, adjusted net income attributable to UHS per diluted share and earnings before interest, taxes, depreciation and amortization ( EBITDA ), which are non-GAAP financial measures ( GAAP is
Generally Accepted Accounting Principles in the United States of America), are helpful to our investors as measures of our operating performance. In addition, we believe that, when applicable, comparing and discussing our financial results based on
these measures, as calculated, is helpful to our investors since it
neutralizes the effect in each year of items that are nonrecurring or non-operational in nature including items such as, but not limited to, gains on sales of assets and businesses, reserves for
settlements, legal judgments and lawsuits and other amounts that may be reflected in the current or prior year financial statements that relate to prior periods. To obtain a complete understanding of our financial performance these measures should
be examined in connection with net income, determined in accordance with GAAP, as presented in the condensed consolidated financial statements and notes thereto in this report or in our other filings with the Securities and Exchange Commission
including our Report on Form 10-K for the year ended December 31, 2011. 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, | ||||||||
| 2012 | 2011 | |||||||
| Net revenues before provision for doubtful accounts | $ | 1,977,003 | $ | 1,910,528 | ||||
| Less: Provision for doubtful accounts | 151,714 | 153,116 | ||||||
| Net revenues | 1,825,289 | 1,757,412 | ||||||
| Operating charges: | ||||||||
| Salaries, wages and benefits | 889,506 | 845,864 | ||||||
| Other operating expenses | 359,541 | 349,446 | ||||||
| Supplies expense | 209,532 | 207,170 | ||||||
| Depreciation and amortization | 73,820 | 71,351 | ||||||
| Lease and rental expense | 23,862 | 23,168 | ||||||
| 1,556,261 | 1,496,999 | |||||||
| Income from operations | 269,028 | 260,413 | ||||||
| Interest expense, net | 46,710 | 56,417 | ||||||
| Income before income taxes | 222,318 | 203,996 | ||||||
| Provision for income taxes | 79,748 | 74,009 | ||||||
| Net income | 142,570 | 129,987 | ||||||
| Less: Income attributable to noncontrolling interests | 13,963 | 15,794 | ||||||
| Net income attributable to UHS | $ | 128,607 | $ | 114,193 | ||||
| Basic earnings per share attributable to UHS (a) | $ | 1.33 | $ | 1.17 | ||||
| Diluted earnings per share attributable to UHS (a) | $ | 1.31 | $ | 1.15 |
Universal Health Services, Inc.
Footnotes to Consolidated Statements of Income
(in thousands, except per share amounts)
| Three months ended March 31, | ||||||||
| 2012 | 2011 | |||||||
| (a) Earnings per share calculation: | ||||||||
| Basic and diluted: | ||||||||
| Net income attributable to UHS | $ | 128,607 | $ | 114,193 | ||||
| Less: Net income attributable to unvested restricted share grants | (168 | ) | (149 | ) | ||||
| Net income attributable to UHS - basic and diluted | $ | 128,439 | $ | 114,044 | ||||
| Weighted average number of common shares - basic | 96,593 | 97,381 | ||||||
| Basic earnings per share attributable to UHS: | $ | 1.33 | $ | 1.17 | ||||
| Weighted average number of common shares | 96,593 | 97,381 | ||||||
| Add: Other share equivalents | 1,198 | 1,487 | ||||||
| Weighted average number of common shares and equiv. - diluted | 97,791 | 98,868 | ||||||
| Diluted earnings per share attributable to UHS: | $ | 1.31 | $ | 1.15 |
Universal Health Services, Inc.
Schedule of Non-GAAP Supplemental Consolidated Statements of Income Information ( Supplemental Schedule )
For the three months ended March 31, 2012 and 2011
(in thousands, except per share amounts)
Calculation of EBITDA
| Three months ended March 31, 2012 | Three months ended March 31, 2011 | |||||||||||||||
| Net revenues before provision for doubtful accounts | $ | 1,977,003 | $ | 1,910,528 | ||||||||||||
| Less: Provision for doubtful accounts | 151,714 | 153,116 | ||||||||||||||
| Net revenues | 1,825,289 | 100.0 | % | 1,757,412 | 100.0 | % | ||||||||||
| Operating charges: | ||||||||||||||||
| Salaries, wages and benefits | 889,506 | 48.7 | % | 845,864 | 48.1 | % | ||||||||||
| Other operating expenses | 359,541 | 19.7 | % | 349,446 | 19.9 | % | ||||||||||
| Supplies expense | 209,532 | 11.5 | % | 207,170 | 11.8 | % | ||||||||||
| 1,458,579 | 79.9 | % | 1,402,480 | 79.8 | % | |||||||||||
| Operating income/margin ( EBITDAR ) | 366,710 | 20.1 | % | 354,932 | 20.2 | % | ||||||||||
| Lease and rental expense | 23,862 | 23,168 | ||||||||||||||
| Income attributable to noncontrolling interests | 13,963 | 15,794 | ||||||||||||||
| Earnings before, depreciation and amortization, interest expense, and income taxes ( EBITDA ) | 328,885 | 18.0 | % | 315,970 | 18.0 | % | ||||||||||
| Depreciation and amortization | 73,820 | 71,351 | ||||||||||||||
| Interest expense, net | 46,710 | 56,417 | ||||||||||||||
| Income before income taxes | 208,355 | 188,202 | ||||||||||||||
| Provision for income taxes | 79,748 | 74,009 | ||||||||||||||
| Net income attributable to UHS | $ | 128,607 | $ | 114,193 |
Calculation of Adjusted Net Income Attributable to UHS
| Three months ended | Three months ended | |||||||||||||||
| March 31, 2012 | March 31, 2011 | |||||||||||||||
| Per | Per | |||||||||||||||
| Amount | Diluted Share | Amount | Diluted Share | |||||||||||||
| Calculation of Adjusted Net Income Attributable to UHS | ||||||||||||||||
| Net income attributable to UHS | $ | 128,607 | $ | 1.31 | $ | 114,193 | $ | 1.15 | ||||||||
| Plus/minus adjustments: | ||||||||||||||||
| Medicare Rural Floor settlement, net of income taxes | (18,753 | ) | (0.19 | ) | ||||||||||||
| Oklahoma SHOPP Medicaid reimbursements related to prior years, net of income taxes | (4,329 | ) | (0.04 | ) | ||||||||||||
| Impact of revised SSI ratios and write-off Florida county receivables, net of income taxes | 5,149 | 0.05 | ||||||||||||||
| Subtotal after-tax adjustments to net income attributable to UHS | (17,933 | ) | (0.18 | ) | ||||||||||||
| Adjusted net income attributable to UHS | $ | 110,674 | $ | 1.13 | $ | 114,193 | $ | 1.15 |
Universal Health Services, Inc.
Consolidated Statements of Comprehensive Income
| Three months ended March 31, | ||||||||
| 2012 | 2011 | |||||||
| Net income | $ | 142,570 | $ | 129,987 | ||||
| Other comprehensive income (loss): | ||||||||
| Unrealized derivative gains on cash flow hedges | 1,615 | 2,307 | ||||||
| Amortization of terminated hedge | (84 | ) | (84 | ) | ||||
| Other comprehensive income before tax | 1,531 | 2,223 | ||||||
| Income tax expense related to items of other comprehensive income | 582 | 860 | ||||||
| Total other comprehensive income, net of tax | 949 | 1,363 | ||||||
| Comprehensive income | 143,519 | 131,350 | ||||||
| Less: Comprehensive income attributable to noncontrolling interests | 13,963 | 15,794 | ||||||
| Comprehensive income attributable to UHS | $ | 129,556 | $ | 115,556 |
Universal Health Services, Inc.
Condensed Consolidated Balance Sheets
| March 31, 2012 | December 31, 2011 | |||||||
| Assets | ||||||||
| Current assets: | ||||||||
| Cash and cash equivalents | $ | 41,999 | $ | 41,229 | ||||
| Accounts receivable, net | 1,116,634 | 969,802 | ||||||
| Supplies | 96,974 | 96,775 | ||||||
| Deferred income taxes | 115,916 | 108,324 | ||||||
| Other current assets | 91,622 | 99,859 | ||||||
| Assets of facilities held for sale | 0 | 48,916 | ||||||
| Total current assets | 1,463,145 | 1,364,905 | ||||||
| Property and equipment | 5,185,774 | 5,106,160 | ||||||
| Less: accumulated depreciation | (1,881,538 | ) | (1,818,180 | ) | ||||
| 3,304,236 | 3,287,980 | |||||||
| Other assets: | ||||||||
| Goodwill | 2,629,765 | 2,627,602 | ||||||
| Deferred charges | 105,870 | 111,780 | ||||||
| Other | 280,265 | 272,978 | ||||||
| $ | 7,783,281 | $ | 7,665,245 | |||||
| Liabilities and Stockholders Equity | ||||||||
| Current liabilities: | ||||||||
| Current maturities of long-term debt | $ | 2,512 | $ | 2,479 | ||||
| Accounts payable and accrued liabilities | 814,173 | 832,125 | ||||||
| Federal and state taxes | 75,305 | 0 | ||||||
| Liabilities of facilities held for sale | 0 | 2,329 | ||||||
| Total current liabilities | 891,990 | 836,933 | ||||||
| Other noncurrent liabilities | 403,071 | 401,908 | ||||||
| Long-term debt | 3,581,844 | 3,651,428 | ||||||
| Deferred income taxes | 198,645 | 209,592 | ||||||
| Redeemable noncontrolling interest | 228,928 | 218,266 | ||||||
| UHS common stockholders equity | 2,427,312 | 2,296,352 | ||||||
| Noncontrolling interest | 51,491 | 50,766 | ||||||
| Total equity | 2,478,803 | 2,347,118 | ||||||
| $ | 7,783,281 | $ | 7,665,245 |
Universal Health Services, Inc.
Consolidated Statements of Cash Flows
| Three months | ||||||||
| ended March 31, | ||||||||
| 2012 | 2011 | |||||||
| Cash Flows from Operating Activities: | ||||||||
| Net income | $ | 142,570 | $ | 129,987 | ||||
| Adjustments to reconcile net income to net cash provided by operating activities: | ||||||||
| Depreciation & amortization | 73,820 | 71,526 | ||||||
| Stock-based compensation expense | 5,486 | 3,954 | ||||||
| Changes in assets & liabilities, net of effects from acquisitions and dispositions: | ||||||||
| Accounts receivable | (146,670 | ) | (103,919 | ) | ||||
| Accrued interest | 13,280 | 12,875 | ||||||
| Accrued and deferred income taxes | 75,471 | 68,994 | ||||||
| Other working capital accounts | (48,074 | ) | (27,056 | ) | ||||
| Other assets and deferred charges | 13,620 | 6,777 | ||||||
| Other | (2,082 | ) | 11,208 | |||||
| Accrued insurance expense, net of commercial premiums paid | 24,581 | 23,744 | ||||||
| Payments made in settlement of self-insurance claims | (18,279 | ) | (14,913 | ) | ||||
| Net cash provided by operating activities | 133,723 | 183,177 | ||||||
| Cash Flows from Investing Activities: | ||||||||
| Property and equipment additions, net of disposals | (92,563 | ) | (56,558 | ) | ||||
| Proceeds received from sale of assets and businesses | 53,461 | 991 | ||||||
| Costs incurred for purchase and implementation of electronic health records application | (14,501 | ) | (8,145 | ) | ||||
| Net cash used in investing activities | (53,603 | ) | (63,712 | ) | ||||
| Cash Flows from Financing Activities: | ||||||||
| Reduction of long-term debt | (70,942 | ) | (136,403 | ) | ||||
| Additional borrowings | 0 | 73,500 | ||||||
| Financing costs | 0 | (23,140 | ) | |||||
| Repurchase of common shares | (2,017 | ) | (3,170 | ) | ||||
| Dividends paid | (4,832 | ) | (4,876 | ) | ||||
| Issuance of common stock | 1,016 | 1,251 | ||||||
| Profit distributions to noncontrolling interests | (2,575 | ) | (4,025 | ) | ||||
| Net cash used in financing activities | (79,350 | ) | (96,863 | ) | ||||
| Increase in cash and cash equivalents | 770 | 22,602 | ||||||
| Cash and cash equivalents, beginning of period | 41,229 | 29,474 | ||||||
| Cash and cash equivalents, end of period | $ | 41,999 | $ | 52,076 | ||||
| Supplemental Disclosures of Cash Flow Information: | ||||||||
| Interest paid | $ | 25,945 | $ | 37,130 | ||||
| Income taxes paid, net of refunds | $ | 3,419 | $ | 4,527 |