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Steve Filton Chief Financial Officer

Key Takeaway: CONTACT: Steve Filton Chief Financial Officer April 24, 2014 610-768-3300 UNIVERSAL HEALTH SERVICES, INC. REPORTS 2014 FIRST QUARTER FINANCIAL RESULTS AND ACQUISITION OF BEHAVIORAL HEALTH CARE FACILITY IN WASHINGTON, D.C. Consolidated Results of Operations, As Report

Full Press Release Details

CONTACT: Steve Filton
Chief Financial Officer April 24, 2014
610-768-3300
UNIVERSAL HEALTH SERVICES, INC. REPORTS
2014 FIRST QUARTER FINANCIAL RESULTS AND ACQUISITION OF BEHAVIORAL HEALTH CARE FACILITY IN WASHINGTON, D.C.
Consolidated Results of Operations, As Reported Three-month periods ended March 31, 2014 and 2013:
KING OF PRUSSIA, PA Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income attributable to UHS
was $138.1 million, or $1.38 per diluted share, during the first quarter of 2014 as compared to $119.8 million, or $1.21 per diluted share, during the comparable quarter of 2013. Net revenues increased 4.8% to $1.92 billion during the first quarter
of 2014 as compared to $1.83 billion during the first quarter of 2013.
Consolidated Results of Operations, As Adjusted
Three-month periods ended March 31, 2014 and 2013:
For the three-month period ended March 31, 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 13.8% to $136.7 million, or $1.36 per diluted
share, as compared to $120.1 million, or $1.22 per diluted share, during the first quarter of 2013.
Supplemental Schedule, included in our reported results during the first quarter of 2014 was an aggregate net favorable after-tax impact of approximately $1.4 million, or $.02 per diluted share, consisting of: (i) a favorable after-tax impact
of $6.3 million, or $.07 per diluted share, resulting from a gain realized on the sale of a non-operating investment, and; (ii) a net unfavorable after-tax impact of approximately $4.9 million, or $.05 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 first quarter of 2013, was a net unfavorable
after-tax impact of $327,000, or $.01 per diluted share, related to the incentive income and expenses recorded in connection with EHR applications at our acute care hospitals.
Acute Care Services Three-month periods ended March 31, 2014 and 2013:
During the first quarter of 2014, at our acute care hospitals owned during both periods ( same facility basis ), adjusted admissions (adjusted for outpatient activity) decreased 0.5% and
adjusted patient days increased 4.6%, as compared to the first quarter of 2013. Net revenues at these facilities increased 5.8% during the first quarter of 2014 as compared to the comparable quarter of the prior year. At these facilities, net
revenue per adjusted admission increased 6.3% while net revenue per adjusted
patient day increased 1.1% during the first quarter of 2014 as compared to the comparable quarter of 2013. On a same facility basis, the operating margin at our acute care hospitals was 19.8%
during the first quarter of 2014 as compared to 16.0% during the first 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).
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 $320 million and $230 million during the three-month periods ended March 31, 2014 and 2013, respectively. The increase in charity care and
uninsured discounts during the first quarter of 2014 was offset by a decrease in the provision for doubtful accounts which amounted to approximately $182 million during the first quarter of 2014 as compared to approximately $218 million during the
first quarter of 2013. As a percentage of gross charges for our acute care hospitals, charity care, uninsured discounts and provision for doubtful accounts decreased slightly during the first quarter of 2014 as compared to the first quarter of 2013.
Behavioral Health Care Services Three-month periods ended March 31, 2014 and 2013:
During the first quarter of 2014, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 2.3%
while adjusted patient days remained relatively unchanged as compared to the first quarter of 2013. At these facilities, net revenue per adjusted admission remained relatively unchanged while net revenue per adjusted patient day increased 2.1%
during the first quarter of 2014 over the comparable quarter in 2013. On a same facility basis, our behavioral health services net revenues increased 3.7% during the first quarter of 2014, as compared to the comparable quarter in 2013, and the
operating margins were 27.9% and 28.5% during the three-month periods ended March 31, 2014 and 2013, respectively.
Health Care Acquisition
We have completed the acquisition of the Psychiatric Institute of Washington
( PIW ), a 124-bed behavioral health care facility and outpatient treatment center located in the District of Columbia. As part of this transaction, we also acquired the Arbor Group, L.L.C., which operates three management contracts
covering 66 beds in the Washington, D.C. and Maryland market. We are pleased to have been selected to continue PIW s forty-five year tradition of providing high quality behavioral health services to the region , said Alan B. Miller,
Chief Executive Officer. The acquisition of PIW complements our 371-bed George Washington University Hospital and further strengthens our presence and commitment to this very important market .
Conference call information:
We will hold a conference call for investors and analysts at 9:00 a.m. eastern time on April 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), 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.
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 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. 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,
2014 2013
Net revenues before provision for doubtful accounts $ 2,128,350 $ 2,078,348
Less: Provision for doubtful accounts 208,184 246,716
Net revenues 1,920,166 1,831,632
Operating charges:
Salaries, wages and benefits 935,365 902,296
Other operating expenses 381,760 381,007
Supplies expense 215,798 204,642
Depreciation and amortization 93,359 79,812
Lease and rental expense 23,338 24,665
Electronic health records incentive income (430 ) (4,712 )
1,649,190 1,587,710
Income from operations 270,976 243,922
Interest expense, net 35,193 39,938
Income before income taxes 235,783 203,984
Provision for income taxes 83,931 74,049
Net income 151,852 129,935
Less: Income attributable to noncontrolling interests 13,774 10,151
Net income attributable to UHS $ 138,078 $ 119,784
Basic earnings per share attributable to UHS (a) $ 1.40 $ 1.23
Diluted earnings per share attributable to UHS (a) $ 1.38 $ 1.21
Universal Health Services, Inc.
Footnotes to Consolidated Statements of Income
(in thousands, except per share amounts)
Three months
ended March 31,
2014 2013
(a) Earnings per share calculation :
Basic and diluted:
Net income attributable to UHS $ 138,078 $ 119,784
Less: Net income attributable to unvested restricted share grants (70 ) (69 )
Net income attributable to UHS - basic and diluted $ 138,008 $ 119,715
Weighted average number of common shares - basic 98,572 97,711
Basic earnings per share attributable to UHS: $ 1.40 $ 1.23
Weighted average number of common shares 98,572 97,711
Add: Other share equivalents 1,585 860
Weighted average number of common shares and equiv. - diluted 100,157 98,571
Diluted earnings per share attributable to UHS: $ 1.38 $ 1.21
Universal Health Services, Inc.
Schedule of Non-GAAP Supplemental Consolidated Statements of Income Information ( Supplemental Schedule )
For the three months ended March 31, 2014 and 2013
(in thousands, except per share amounts)
Calculation of EBITDA
Three months ended Three months ended
March 31, 2014 March 31, 2013
Net revenues before provision for doubtful accounts $ 2,128,350 $ 2,078,348
Less: Provision for doubtful accounts 208,184 246,716
Net revenues 1,920,166 100.0 % 1,831,632 100.0 %
Operating charges:
Salaries, wages and benefits 935,365 48.7 % 902,296 49.3 %
Other operating expenses 381,760 19.9 % 381,007 20.8 %
Supplies expense 215,798 11.2 % 204,642 11.2 %
EHR incentive income (430 ) 0.0 % (4,712 ) -0.3 %
1,532,493 79.8 % 1,483,233 81.0 %
Operating income/margin ( EBITDAR ) 387,673 20.2 % 348,399 19.0 %
Lease and rental expense 23,338 24,665
Income attributable to noncontrolling interests 13,774 10,151
Earnings before, depreciation and amortization, interest expense, and income taxes ( EBITDA ) 350,561 18.3 % 313,583 17.1 %
Depreciation and amortization 93,359 79,812
Interest expense, net 35,193 39,938
Income before income taxes 222,009 193,833
Provision for income taxes 83,931 74,049
Net income attributable to UHS $ 138,078 $ 119,784
Calculation of Adjusted Net Income Attributable to UHS
Three months ended Three months ended
March 31, 2014 March 31, 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 $ 138,078 $ 1.38 $ 119,784 $ 1.21
Plus/minus adjustments:
Gain on sale of investment, net of income taxes (6,330 ) (0.07 )
Adjusted net income attributable to UHS - including Electronic Health Records ( EHR ) impact $ 131,748 $ 1.31 $ 119,784 $ 1.21
Plus/minus impact of EHR implementation:
EHR-related incentive income, pre-tax (430 ) (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 9,290 5,486
EHR-related minority interest in earnings of consolidated entities, pre-tax (966 ) (541 )
Income tax provision on EHR-related items (2,948 ) (197 )
After-tax impact of EHR-related items 4,946 0.05 327 0.01
Adjusted net income attributable to UHS $ 136,694 $ 1.36 $ 120,111 $ 1.22
Universal Health Services, Inc.
Consolidated Statements of Comprehensive Income
Three months
ended March 31,
2014 2013
Net income $ 151,852 $ 129,935
Other comprehensive income (loss):
Unrealized derivative gains (loss) on cash flow hedges 3,745 4,535
Amortization of terminated hedge (84 ) (84 )
Other comprehensive income before tax 3,661 4,451
Income tax expense related to items of other comprehensive income 1,354 1,678
Total other comprehensive income, net of tax 2,307 2,773
Comprehensive income 154,159 132,708
Less: Comprehensive income attributable to noncontrolling interests 13,774 10,151
Comprehensive income attributable to UHS $ 140,385 $ 122,557
Universal Health Services, Inc.
Condensed Consolidated Balance Sheets
March 31, 2014 December 31, 2013
Assets
Current assets:
Cash and cash equivalents $ 16,261 $ 17,238
Accounts receivable, net 1,212,594 1,116,961
Supplies 102,276 101,781
Deferred income taxes 114,297 119,903
Other current assets 97,685 76,446
Total current assets 1,543,113 1,432,329
Property and equipment 5,789,393 5,691,902
Less: accumulated depreciation (2,321,221 ) (2,249,733 )
3,468,172 3,442,169
Other assets:
Goodwill 3,053,666 3,049,016
Deferred charges 53,521 57,881
Other 312,913 330,328
$ 8,431,385 $ 8,311,723
Liabilities and Stockholders Equity
Current liabilities:
Current maturities of long-term debt $ 103,641 $ 99,312
Accounts payable and accrued liabilities 954,902 953,449
Federal and state taxes 51,905 7,127
Total current liabilities 1,110,448 1,059,888
Other noncurrent liabilities 282,173 284,589
Long-term debt 3,109,158 3,209,762
Deferred income taxes 257,344 239,148
Redeemable noncontrolling interest 228,107 218,107
UHS common stockholders equity 3,392,119 3,249,979
Noncontrolling interest 52,036 50,250
Total equity 3,444,155 3,300,229
$ 8,431,385 $ 8,311,723
Universal Health Services, Inc.
Consolidated Statements of Cash Flows
Three months
ended March 31,
2014 2013
Cash Flows from Operating Activities:
Net income $ 151,852 $ 129,935
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation & amortization 93,359 79,923
Gains on sales of assets and businesses, net of losses (10,134 ) (2,092 )
Stock-based compensation expense 7,152 7,111
Changes in assets & liabilities, net of effects from acquisitions and dispositions:
Accounts receivable (95,633 ) (81,859 )
Accrued interest 11,063 11,497
Accrued and deferred income taxes 65,321 59,624
Other working capital accounts (34,999 ) (39,785 )
Other assets and deferred charges 9,982 6,662
Other (3,833 ) 1,604
Accrued insurance expense, net of commercial premiums paid 21,302 22,962
Payments made in settlement of self-insurance claims (20,793 ) (17,085 )
Net cash provided by operating activities 194,639 178,497
Cash Flows from Investing Activities:
Property and equipment additions, net of disposals (92,387 ) (95,919 )
Proceeds received from sale of assets and businesses 11,450 6,657
Acquisition of property and businesses (3,301 ) 0
Costs incurred for purchase and implementation of electronic health records application (6,504 ) (16,412 )
Net cash used in investing activities (90,742 ) (105,674 )
Cash Flows from Financing Activities:
Reduction of long-term debt (109,054 ) (69,926 )
Additional borrowings 11,900 9,500
Repurchase of common shares (13,993 ) (14,027 )
Dividends paid (4,933 ) (4,870 )
Issuance of common stock 1,445 1,232
Excess income tax benefits related to stock-based compensation 11,750 9,266
Profit distributions to noncontrolling interests (1,989 ) (10,074 )
Net cash used in financing activities (104,874 ) (78,899 )
Decrease in cash and cash equivalents (977 ) (6,076 )
Cash and cash equivalents, beginning of period 17,238 23,471
Cash and cash equivalents, end of period $ 16,261 $ 17,395
Supplemental Disclosures of Cash Flow Information:
Interest paid $ 18,893 $ 22,982
Income taxes paid, net of refunds $ 6,764 $ 4,908
Universal Health Services, Inc.
Supplemental Statistical Information
Same Facility: % Change Quarter Ended 3/31/2014
Acute Care
Revenues 5.8 %
Adjusted Admissions -0.5 %
Adjusted Patient Days 4.6 %
Revenue Per Adjusted Admission 6.3 %
Revenue Per Adjusted Patient Day 1.1 %
Behavioral Health
Revenues 3.7 %
Adjusted Admissions 2.3 %
Adjusted Patient Days 0.1 %
Revenue Per Adjusted Admission -0.1 %
Revenue Per Adjusted Patient Day 2.1 %
UHS Consolidated First Quarter Ended
3/31/2014 3/31/2013
Revenues $ 1,920,166 $ 1,831,632
EBITDA (1) $ 350,561 $ 313,583
EBITDA Margin (1) 18.3 % 17.1 %
Cash Flow From Operations $ 194,639 $ 178,497
Days Sales Outstanding 57 56
Capital Expenditures $ 92,387 $ 95,919
Debt 3,212,799 3,670,474
Shareholders Equity 3,392,119 2,834,907
Debt / Total Capitalization 48.6 % 56.4 %
Debt / EBITDA (2) 2.39 3.02
Debt / Cash From Operations (2) 3.57 4.24
Acute Care EBITDAR Margin (3) 19.8 % 16.0 %
Behavioral Health EBITDAR Margin (3) 27.9 % 28.5 %
UNIVERSAL HEALTH SERVICES, INC.
SELECTED HOSPITAL STATISTICS
Last updated: Apr 24, 2014