Full Press Release Details
| CONTACT: | Steve Filton | |||
| Chief Financial Officer | October 29, 2013 | |||
| 610-768-3300 |
UNIVERSAL HEALTH SERVICES, INC. REPORTS FINANCIAL RESULTS FOR THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2013
AND INCREASES 2013 FULL YEAR GUIDANCE
Consolidated Results of Operations, As Reported Three and nine-month periods ended
September 30, 2013 and 2012:
KING OF PRUSSIA, PA Universal Health Services, Inc. (NYSE: UHS) announced today that its
reported net income attributable to UHS was $114.6 million, or $1.15 per diluted share, during the third quarter of 2013 as compared to $71.8 million, or $.73 per diluted share, during the comparable quarter of 2012. Net revenues increased 8.1% to
$1.82 billion during the third quarter of 2013 as compared to $1.68 billion during the third quarter of 2012.
The state of Texas has
recently finalized its 2013 state fiscal year Medicaid disproportionate share hospital ( DSH ) payment rule and published updated DSH payment recommendations for the programs covering the period of October 1, 2012 through
September 30, 2013. The revised DSH estimates and related data also favorably impacted our Texas Medicaid Waiver uncompensated care payment estimates for the same period. In connection with these revised payment recommendations, our acute care
hospitals located in Texas earned additional revenues pursuant to these programs amounting to approximately $21 million which are applicable to the state s 2013 fiscal year. Included in our reported net income attributable to UHS during the
three-month period ended September 30, 2013 was approximately $13 million (after-tax), or $.13 per diluted share, earned in connection with these programs, of which, approximately $10 million (after-tax), or $.10 per diluted share, related to
the period of October 1, 2012 through June 30, 2013.
Reported net income attributable to UHS was $386.2 million, or $3.89 per
diluted share, during the first nine months of 2013 as compared to $308.0 million, or $3.15 per diluted share, during the comparable period of 2012. Net revenues increased 5.5% to $5.48 billion during the nine-month period ended September 30,
2013 as compared to $5.20 billion during the comparable nine-month period of 2012.
Consolidated Results of Operations, As Adjusted Three and
nine-month periods ended September 30, 2013 and 2012:
For the three-month period ended September 30, 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 $109.5 million, or $1.10 per diluted share, as compared to $88.6
million, or $.91 per diluted share, during the third quarter of 2012. Included in the adjusted net income attributable to UHS for the three-month period ended September 30, 2013, is the after-tax impact of approximately $10 million, or $.10 per
diluted share, resulting from the above-mentioned additional Texas Medicaid revenues applicable to the period of October 1, 2012 through June 30, 2013.
As reflected on the Supplemental Schedule, included in our reported results during the third
quarter of 2013 was a net favorable after-tax impact of approximately $5.1 million, or $.05 per diluted share, related to the incentive income and expenses recorded in connection with the implementation of electronic health records ( EHR )
applications at our acute care hospitals (as discussed below in Accounting for HITECH Act incentive income and EHR expenses).
reflected on the Supplemental Schedule, included in our reported results during the third quarter of 2012, was an aggregate net unfavorable after-tax impact of $16.8 million, or $.18 per diluted share, consisting of: (i) an after-tax charge of
$18.1 million ($29.2 million pre-tax), or $.19 per diluted share, resulting from the write-off of deferred financing costs related to the portion of our Term Loan B credit facility that was extinguished during the third quarter of 2012, and;
(ii) a net favorable after-tax impact of approximately $1.3 million, or $.01 per diluted share, related to the incentive income and expenses recorded in connection with the implementation of EHR applications.
Included in our reported results during the nine-month period ended September 30, 2013 was 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. During the nine-month period ended September 30,
2013, the pre-tax incentive income of $27.9 million earned in connection with the implementation of EHR applications was essentially offset by EHR-related expenses incurred during the period.
Included in our reported results during the first nine months of 2012 was a net unfavorable after-tax impact of approximately $3.6 million, or
$.03 per diluted share, recorded in connection with the implementation of EHR applications, as well as a net aggregate favorable after-tax impact of $3.2 million, or $.03 per diluted share, consisting of the following: (i) an after-tax charge
of $18.1 million resulting from the write-off of deferred financing costs related to the portion of our Term Loan B credit facility that was extinguished during the third quarter of 2012; (ii) a favorable after-tax impact of $18.8 million
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 years prior to 2012; (iii) a favorable after-tax impact of $4.3 million representing the 2011 portion of the net Medicaid supplemental reimbursements recorded pursuant to the Oklahoma Supplemental
Hospital Offset Payment Program; (iv) an aggregate unfavorable after-tax impact of $5.1 million 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 impact), and; (v) a net favorable after-tax impact of $3.4 million consisting primarily of the 2011 portion of net
Medicaid supplemental revenues recorded during the second quarter.
Acute Care Services Three and nine-month periods ended September 30,
During the third quarter of 2013, 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 4.1%, as compared to the third quarter of 2012. Net revenues at these facilities, excluding approximately $16 million of the above-mentioned additional revenues earned in
connection with the Texas Medicaid DSH and uncompensated care programs covering the period of October 1, 2012 through June 30, 2013, increased 6.6% during the third quarter of 2013 as compared to the comparable quarter of 2012. At these
facilities, net revenue per adjusted admission increased 2.9% while net revenue per adjusted patient day increased 2.5% during the third quarter of 2013 as compared to the third quarter of 2012. On a same facility basis, excluding the
above-mentioned $16 million of additional revenues earned in connection with the Texas Medicaid DSH and uncompensated care programs covering the period of October 1, 2012 through June 30, 2013, the operating margin at our acute care
hospitals decreased to 12.8% during the third quarter of 2013 as compared to 13.4% during the third 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 as indicated on the Supplemental Schedule).
During the first nine months of 2013,
at our acute care hospitals on a same facility basis, adjusted admissions increased 1.3% and adjusted patient days increased 1.8%, as compared to the first nine months of 2012. Net revenues at these facilities increased 4.6% during the nine-month
period ended September 30, 2013 as compared to the comparable period in 2012. At these facilities, net revenue per adjusted admission increased 3.3% while net revenue per adjusted patient day increased 2.8% during the first nine months of 2013
as compared to the comparable period in 2012. On a same facility basis, the operating margin at our acute care hospitals decreased to 15.1% during the first nine months of 2013 as compared to 16.2% during the first nine months 2012.
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 approximately $276 million and $259 million during the three-month periods ended September 30, 2013 and 2012, respectively, and approximately $766 million and $840 million during the
nine-month periods ended September 30, 2013 and 2012, respectively. In addition, the provision for doubtful accounts at our acute care hospitals increased to approximately $291 million during the third quarter of 2013 as compared to
approximately $167 million during the third quarter of 2012 and increased to approximately $725 million during the first nine months of 2013 as compared to approximately $456 million during the comparable period of 2012.
Behavioral Health Care Services Three and nine-month periods ended September 30, 2013 and 2012:
During the third quarter of 2013, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 5.8% while
adjusted patient days increased 1.5%, as compared to the third quarter of 2012. Net revenues at these facilities increased 3.4% during the third quarter of 2013, as compared to the comparable quarter in 2012. At these facilities, net revenue per
adjusted admission decreased 2.2% while net revenue per adjusted patient day increased 1.9% during the third quarter of 2013 over the comparable quarter in 2012. The operating margin at our behavioral health care facilities owned during both periods
was 27.5% during the three-month period ended September 30, 2013 and 27.9% during the comparable quarter of 2012.
nine months of 2013, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 3.8% while adjusted patient days increased 1.0%, as compared to
the first nine months of 2012. Net revenues at these facilities increased 3.0% during the nine-month period ended September 30, 2013, as compared to the comparable period in 2012. At these
facilities, net revenue per adjusted admission decreased 0.8% while net revenue per adjusted patient day increased 2.0% during the first nine months of 2013 over the comparable period in 2012. The operating margin at our behavioral health care
facilities owned during both periods increased to 28.2% during the nine-month period ended September 30, 2013, as compared to 27.8% during the comparable period in 2012.
Accounting for HITECH Act incentive income and EHR expenses:
The health information technology provisions of the American Recovery and Reinvestment Act (referred to as the HITECH Act )
established criteria related to the meaningful use of electronic health records ( EHR ) for acute care hospitals and established requirements for the Medicare and Medicaid EHR payment incentive programs.
During 2011, we began implementing EHR applications at certain of our acute care hospitals and continued to do so, on a hospital-by-hospital
basis, until completion which occurred at the end of June, 2013. 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. With the exception of the newly constructed and recently opened Temecula Valley Hospital (as discussed
below), we believe that all of our acute care hospitals have met the stage 1, year one meaningful use criteria.
Supplemental Schedule, in connection with the implementation of EHR applications, our consolidated results of operations include the net favorable after-tax impact of $5.1 million ($8.2 million pre-tax) during the third quarter of 2013 and $1.3
million ($2.2 million pre-tax) during the third quarter of 2012. In connection with the implementation of EHR applications, our consolidated results of operations include the net unfavorable after-tax impact of $127,000 ($203,000 pre-tax) during the
first nine months of 2013 and $3.6 million ($5.9 million pre-tax) during the comparable nine-month period of 2012.
2013 Full Year Guidance
Based upon the operating trends and financial results experienced during the first nine months of 2013, we are
increasing our estimated range of adjusted net income attributable to UHS, for the year ended December 31, 2013, to $4.52 to $4.58 per diluted share. This revised guidance, which excludes the expected net favorable EHR impact for the year as
well as the impact of the other item reflected on the Supplemental Schedule for the nine months ended September 30, 2013, represents an increase of approximately 2% to 4% from the previously provided range of $4.35 to $4.50 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, reserves for settlements, legal judgments and lawsuits and other material amounts that may be reflected in our financial statements that relate to prior periods.
It is also subject to certain conditions including those as set forth below in General Information, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures.
Opening of the newly constructed Temecula Valley Hospital:
In October, 2013, we opened the newly constructed Temecula Valley Hospital, an acute care facility located in Temecula, California. With 140
private patient rooms, Temecula Valley Hospital offers emergency care, advanced cardiac and stroke care, orthopedics and general medical care, along with surgical specialties. The new hospital is our fourth located in Riverside County, which is one
of the fastest-growing counties in the United States.
Conference call information:
We will hold a conference call for investors and analysts at 10:00 a.m. eastern time on October 30, 2013. The dial-in number is
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.
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 and in Item 2-Forward-Looking Statements and