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Steve Filton Chief Financial Officer

Key Takeaway: CONTACT: Steve Filton Chief Financial Officer April 25, 2013 610-768-3300 UNIVERSAL HEALTH SERVICES, INC. REPORTS 2013 FIRST QUARTER Consolidated Results of Operations, As Reported Three-month periods ended March 31, 2013 and 2012: KING OF PRUSSIA, PA Universal Healt

Full Press Release Details

CONTACT: Steve Filton
Chief Financial Officer April 25, 2013
610-768-3300
UNIVERSAL HEALTH SERVICES, INC. REPORTS 2013 FIRST QUARTER
Consolidated Results of Operations, As Reported Three-month periods ended March 31, 2013 and 2012:
KING OF PRUSSIA, PA Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income attributable to UHS
was $119.8 million, or $1.21 per diluted share, during the first quarter of 2013 as compared to $128.6 million, or $1.31 per diluted share, during the comparable quarter of 2012. Net revenues increased 2% to $1.83 billion during the first quarter of
2013 as compared to $1.79 billion during the first quarter of 2012.
Consolidated Results of Operations, As Adjusted Three-month
periods ended March 31, 2013 and 2012:
For the three-month period ended March 31, 2013, 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 $120.1 million, or $1.22 per diluted share, as compared to $110.7
million, or $1.13 per diluted share, during the first quarter of 2012.
Included in our net income attributable to UHS during
the first quarter of 2013 was an aggregate net unfavorable after-tax impact of $327,000 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).
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: (i) a favorable after-tax
impact of $18.8 million, or $.19 per diluted share, resulting from an industry-wide settlement 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, related to underpayments of Medicare inpatient prospective payments during a number of prior years; (ii) a favorable after-tax impact of $4.3 million, or $.04 per diluted share, representing the 2011 portion of the net Medicaid
supplemental reimbursements recorded pursuant to the Oklahoma Supplemental Hospital Offset Payment Program, and; (iii) an aggregate unfavorable after-tax impact of $5.1 million, or $.05 per diluted share, resulting from 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 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
Acute Care Services Three-month periods ended March 31, 2013 and 2012:
During the first quarter of 2013, at our acute care hospitals owned during both periods ( same facility basis ), adjusted
admissions (adjusted for outpatient activity) decreased 1.5% and adjusted patient days increased 0.1%, as compared to the first quarter of 2012. Net revenues at these facilities increased 0.7% during the first quarter of 2013 as compared to the
comparable quarter of 2012. At these facilities, net revenue per adjusted admission increased 2.2% while net revenue per adjusted patient day increased 0.6% during the first quarter of 2013 as compared to the first quarter of 2012. On a same
facility basis, the operating margin at our acute care hospitals decreased to 16.0% during the first quarter of 2013 as compared to 19.0% during the first quarter of 2012. 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).
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 $230 million and
$312 million during the three-month periods ended March 31, 2013 and 2012, respectively. The decrease in charity care and uninsured discounts recorded at our acute care hospitals during the first quarter of 2013, as compared to the first
quarter of 2012, was offset by an increase in the provision for doubtful accounts which amounted to $218 million during the first quarter of 2013 as compared to $125 million during the first quarter of 2012.
Behavioral Health Care Services Three-month periods ended March 31, 2013 and 2012:
During the first quarter of 2013, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 0.6%
while adjusted patient days decreased 0.2%, as compared to the first quarter of 2012. Net revenues at these facilities increased 2.4% during the first quarter of 2013, as compared to the comparable quarter in 2012. At these facilities, net revenue
per adjusted admission increased 1.8% while net revenue per adjusted patient day increased 2.6% during the first quarter of 2013 over the comparable quarter in 2012. The operating margin at our behavioral health care facilities owned during both
periods increased to 28.4% during the first quarter of 2013, as compared to 26.8% during the first quarter of 2012.
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 March 31, 2013, EHR applications have been implemented at eighteen 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 March 31, 2013, thirteen hospitals met the
meaningful use criteria.
As reflected on the Supplemental Schedule, our consolidated results of operations for the
three-month period ended March 31, 2013 includes the net unfavorable after-tax impact of $327,000 ($524,000 pre-tax) recorded in connection with the implementation of EHR applications. Included in the pre-tax charge incurred during the first
quarter of 2013 was $4.7 million of EHR incentive income offset by $5.2 million of net expenses, which as indicated on the Supplemental Schedule, consisted primarily of depreciation and amortization expense.
Conference call information:
We will hold a conference call for investors and analysts at 9:00 a.m. eastern time on April 26, 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.
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 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 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.
Universal Health Services, Inc.
Consolidated Statements of Income
(in thousands, except per share amounts)
Three months ended March 31,
2013 2012
Net revenues before provision for doubtful accounts $ 2,078,348 $ 1,941,623
Less: Provision for doubtful accounts 246,716 148,587
Net revenues 1,831,632 1,793,036
Operating charges:
Salaries, wages and benefits 902,296 872,114
Other operating expenses 381,007 351,300
Supplies expense 204,642 205,360
Depreciation and amortization 79,812 71,792
Lease and rental expense 24,665 23,442
Electronic health records incentive income (4,712 )
1,587,710 1,524,008
Income from operations 243,922 269,028
Interest expense, net 39,938 46,710
Income before income taxes 203,984 222,318
Provision for income taxes 74,049 79,748
Net income 129,935 142,570
Less: Income attributable to noncontrolling interests 10,151 13,963
Net income attributable to UHS $ 119,784 $ 128,607
Basic earnings per share attributable to UHS (a) $ 1.23 $ 1.33
Diluted earnings per share attributable to UHS (a) $ 1.21 $ 1.31
Universal Health Services, Inc.
Footnotes to Consolidated Statements of Income
(in thousands, except per share amounts)
Three months ended March 31,
2013 2012
(a) Earnings per share calculation :
Basic and diluted :
Net income attributable to UHS $ 119,784 $ 128,607
Less: Net income attributable to unvested restricted share grants (69 ) (168 )
Net income attributable to UHS - basic and diluted $ 119,715 $ 128,439
Weighted average number of common shares - basic 97,711 96,593
Basic earnings per share attributable to UHS: $ 1.23 $ 1.33
Weighted average number of common shares 97,711 96,593
Add: Other share equivalents 860 1,198
Weighted average number of common shares and equiv. - diluted 98,571 97,791
Diluted earnings per share attributable to UHS: $ 1.21 $ 1.31
Universal Health Services, Inc.
Schedule of Non-GAAP Supplemental Consolidated Statements of Income Information ( Supplemental Schedule )
For the three months ended March 31, 2013 and 2012
(in thousands, except per share amounts)
Calculation of EBITDA
Three months ended March 31, 2013 Three months ended March 31, 2012
Net revenues before provision for doubtful accounts $ 2,078,348 $ 1,941,623
Less: Provision for doubtful accounts 246,716 148,587
Net revenues 1,831,632 100.0 % 1,793,036 100.0 %
Operating charges:
Salaries, wages and benefits 902,296 49.3 % 872,114 48.6 %
Other operating expenses 381,007 20.8 % 351,300 19.6 %
Supplies expense 204,642 11.2 % 205,360 11.5 %
EHR incentive income (4,712 ) -0.3 % 0.0 %
1,483,233 81.0 % 1,428,774 79.7 %
Operating income/margin ( EBITDAR ) 348,399 19.0 % 364,262 20.3 %
Lease and rental expense 24,665 23,442
Income attributable to noncontrolling interests 10,151 13,963
Earnings before, depreciation and amortization, interest expense, and income taxes ( EBITDA ) 313,583 17.1 % 326,857 18.2 %
Depreciation and amortization 79,812 71,792
Interest expense, net 39,938 46,710
Income before income taxes 193,833 208,355
Provision for income taxes 74,049 79,748
Net income attributable to UHS $ 119,784 $ 128,607
Calculation of Adjusted Net Income Attributable to UHS
Three months ended March 31, 2013 Three months ended March 31, 2012
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 $ 119,784 $ 1.21 $ 128,607 $ 1.31
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 - including Electronic Health Records ( EHR ) impact $ 119,784 $ 1.21 $ 110,674 $ 1.13
Plus/minus impact of EHR implementation:
EHR-related incentive income, pre-tax (4,712 )
EHR-related salaries, wages and benefits, pre-tax 326
EHR-related other operating costs, pre-tax (35 )
EHR-related depreciation & amortization, pre-tax 5,486
EHR-related minority interest in earnings of consolidated entities, pre-tax (541 )
Income tax provision on EHR-related items (197 )
After-tax impact of EHR-related items 327 0.01
Adjusted net income attributable to UHS $ 120,111 $ 1.22 $ 110,674 $ 1.13
Universal Health Services, Inc.
Consolidated Statements of Comprehensive Income
Three months ended March 31,
2013 2012
Net income $ 129,935 $ 142,570
Other comprehensive income (loss):
Unrealized derivative gains (loss) on cash flow hedges 4,535 1,615
Amortization of terminated hedge (84 ) (84 )
Other comprehensive (loss) income before tax 4,451 1,531
Income tax expense related to items of other comprehensive income (loss) 1,678 582
Total other comprehensive (loss) income, net of tax 2,773 949
Comprehensive income 132,708 143,519
Less: Comprehensive income attributable to noncontrolling interests 10,151 13,963
Comprehensive income attributable to UHS $ 122,557 $ 129,556
Universal Health Services, Inc.
Condensed Consolidated Balance Sheets
March 31, 2013 December 31, 2012
Assets
Current assets:
Cash and cash equivalents $ 17,395 $ 23,471
Accounts receivable, net 1,149,402 1,067,197
Supplies 98,974 99,000
Deferred income taxes 120,691 104,461
Other current assets 94,147 87,936
Assets of facilities held for sale 20,742 25,431
Total current assets 1,501,351 1,407,496
Property and equipment 5,447,227 5,368,345
Less: accumulated depreciation (2,051,441 ) (1,986,110 )
3,395,786 3,382,235
Other assets:
Goodwill 3,041,326 3,036,765
Deferred charges 71,218 75,888
Other 306,827 298,459
$ 8,316,508 $ 8,200,843
Liabilities and Stockholders Equity
Current liabilities:
Current maturities of long-term debt $ 1,712 $ 2,589
Accounts payable and accrued liabilities 886,434 889,557
Federal and state taxes 75,087 1,062
Liabilities of facilities held for sale 836 850
Total current liabilities 964,069 894,058
Other noncurrent liabilities 379,723 395,355
Long-term debt 3,668,762 3,727,431
Deferred income taxes 182,575 183,747
Redeemable noncontrolling interest 234,724 234,303
UHS common stockholders equity 2,834,907 2,713,345
Noncontrolling interest 51,748 52,604
Total equity 2,886,655 2,765,949
$ 8,316,508 $ 8,200,843
Universal Health Services, Inc.
Consolidated Statements of Cash Flows
Last updated: Apr 25, 2013