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8-K - UNIVERSAL HEALTH SERVICES INC--FORM 8-K - UNIVERSAL HEALTH SERVICES INCd683805d8k.htm

Exhibit 99.1

FOR IMMEDIATE RELEASE

 

CONTACT:    Steve Filton  
   Chief Financial Officer   February 27, 2014
   610-768-3300  

UNIVERSAL HEALTH SERVICES, INC. REPORTS 2013 FOURTH QUARTER AND FULL YEAR EARNINGS AND 2014 EARNINGS GUIDANCE

Consolidated Results of Operations, As Reported – Three and twelve-month periods ended December 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 $124.5 million, or $1.24 per diluted share, during the fourth quarter of 2013 as compared to $135.5 million, or $1.39 per diluted share, during the comparable quarter of 2012. Net revenues increased 2.0% to $1.80 billion during the fourth quarter of 2013 as compared to $1.76 billion during the fourth quarter of 2012.

Reported net income attributable to UHS was $510.7 million, or $5.14 per diluted share, during the year ended December 31, 2013 as compared to $443.4 million, or $4.53 per diluted share, during the 2012 full year period. Net revenues increased 4.6% to $7.28 billion during the twelve-month period of 2013 as compared to $6.96 billion during the comparable 2012 twelve-month period.

Consolidated Results of Operations, As Adjusted – Three-month periods ended December 31, 2013 and 2012:

For the three-month period ended December 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 $103.6 million, or $1.03 per diluted share, as compared to $98.0 million, or $1.00 per diluted share, during the fourth quarter of 2012.

As reflected on the Supplemental Schedule, included in our reported results during the fourth quarter of 2013 was an aggregate net favorable after-tax impact of approximately $20.9 million, or $.21 per diluted share, consisting of: (i) a favorable after-tax impact of $9.2 million, or $.09 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, and; (ii) a net favorable after-tax impact of approximately $11.8 million, or $.12 per diluted share, related to the incentive income ($33.1 million) and expenses ($14.2 million excluding income taxes) 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).

As reflected on the Supplemental Schedule, included in our reported results during the fourth quarter of 2012, was an aggregate net favorable after-tax impact of $37.4 million, or $.39 per diluted share, consisting of: (i) a favorable after-tax impact of approximately $15.5 million, or $.16 per diluted share, resulting from a reduction to our professional and general liability self-insurance reserves relating


to years prior to 2012, based upon a reserve analysis; (ii) a favorable after-tax impact of approximately $16.4 million, or $.17 per diluted share, resulting from the gain realized on the sale of Auburn Regional Medical Center which was divested in October, 2012, and; (iii) a net favorable after-tax impact of approximately $5.5 million, or $.06 per diluted share, related to the incentive income ($17.5 million) and expenses ($8.7 million excluding income taxes) recorded in connection with the implementation of EHR applications at our acute care hospitals.

Consolidated Results of Operations, As Adjusted – Twelve-month periods ended December 31, 2013 and 2012:

For the twelve-month period ended December 31, 2013, our adjusted net income attributable to UHS, as calculated on the attached Supplemental Schedule, was $452.1 million, or $4.55 per diluted share, as compared to $406.4 million, or $4.15 per diluted share, during the twelve-month period of 2012.

As reflected on the Supplemental Schedule, included in our reported results during the full year of 2013 was an aggregate net favorable after-tax impact of approximately $58.6 million, or $.59 per diluted share, consisting of: (i) a favorable after-tax impact of $47.0 million, or $.47 per diluted share, resulting from a reduction to our professional and general liability self-insurance reserves relating to years prior to 2013, based upon reserve analyses, and; (ii) a net favorable after-tax impact of approximately $11.6 million, or $.12 per diluted share, related to the incentive income ($61.0 million) and expenses ($42.4 million excluding income taxes) recorded in connection with the implementation of EHR applications at our acute care hospitals.

Included in our reported results during the year ended December 31, 2012 was a net favorable after-tax impact of approximately $1.9 million, or $.02 per diluted share, recorded in connection with the implementation of EHR applications, as well as a net aggregate favorable after-tax impact of $35.2 million, or $.36 per diluted share, consisting of the following: (i) a favorable after-tax impact of approximately $15.5 million resulting from a reduction to our professional and general liability self-insurance reserves relating to years prior to 2012, based upon a reserve analysis; (ii) a favorable after-tax impact of approximately $16.4 million resulting from the gain realized on the sale of Auburn Regional Medical Center which was divested in October, 2012; (iii) 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; (iv) 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; (v) 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; (vi) 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; (vii) 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 of 2012.


Acute Care Services – Three and twelve-month periods ended December 31, 2013 and 2012:

During the fourth quarter of 2013, at our acute care hospitals owned during both periods (“same facility basis”), adjusted admissions (adjusted for outpatient activity) were unchanged and adjusted patient days increased 3.6%, as compared to the fourth quarter of 2012. Net revenues at these facilities increased 1.1% during the fourth quarter of 2013 as compared to the comparable quarter of the prior year. At these facilities, net revenue per adjusted admission increased 2.1% while net revenue per adjusted patient day decreased 1.5% during the fourth quarter of 2013 as compared to the comparable quarter of the prior year. On a same facility basis, the operating margin at our acute care hospitals was 14.1% during the fourth quarter of 2013 as compared to 14.4% during the fourth 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).

During the year ended December 31, 2013, at our acute care hospitals on a same facility basis, adjusted admissions increased 1.0% and adjusted patient days increased 2.2%, as compared to the year ended December 31, 2012. Net revenues at these facilities increased 3.8% during the full year of 2013 as compared to 2012. At these facilities, net revenue per adjusted admission increased 2.7% while net revenue per adjusted patient day increased 1.5% during the full year of 2013, as compared to 2012. The operating margin at our acute care hospitals owned during both years decreased to 14.8% during 2013, as compared to 15.8% during 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 $234 million and $206 million during the three-month periods ended December 31, 2013 and 2012, respectively, and approximately $999 million and $1.05 billion during the years ended December 31, 2013 and 2012, respectively. In addition, the provision for doubtful accounts at our acute care hospitals increased to approximately $291 million during the fourth quarter of 2013 as compared to approximately $179 million during the fourth quarter of 2012 and increased to approximately $1.02 billion during the full year of 2013 as compared to approximately $635 million during the year ended December 31, 2012.

Behavioral Health Care Services – Three and twelve-month periods ended December 31, 2013 and 2012:

During the fourth quarter of 2013, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 2.4% while adjusted patient days increased 0.8%, as compared to the fourth quarter of 2012. Net revenues at these facilities increased 4.0% during the fourth quarter of 2013, as compared to the comparable quarter in 2012. At these facilities, net revenue per adjusted admission increased 1.5% while net revenue per adjusted patient day increased 3.2% during the fourth quarter of 2013 over the comparable quarter in 2012. The operating margin at our behavioral health care facilities owned during both periods was 27.9% during the fourth quarter of 2013, as compared to 27.8% during the fourth quarter of 2012.


During the year ended December 31, 2013, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 3.5% while adjusted patient days increased 1.0%, as compared to the full year of 2012. Net revenues at these facilities increased 3.2% during the twelve-months of 2013, as compared to the comparable twelve-month period of 2012. At these facilities, net revenue per adjusted admission decreased 0.3% while net revenue per adjusted patient day increased 2.2% during the full year of 2013 over 2012. The operating margin at our behavioral health care facilities owned during both years increased to 28.1% during 2013 as compared to 27.8% during 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.

As reflected on the Supplemental Schedule, in connection with the implementation of EHR applications, our consolidated results of operations include the net favorable after-tax impact of $11.8 million ($18.9 million pre-tax), or $.12 per diluted share, during the fourth quarter of 2013 and $5.5 million ($8.9 million pre-tax), or $.06 per diluted share, during the fourth quarter of 2012.

In connection with the implementation of EHR applications, our consolidated results of operations include the net favorable after-tax impact of $11.6 million ($18.7 million pre-tax), or $.12 per diluted share, during the year ended December 31, 2013 and $1.9 million ($3.0 million pre-tax), or $.02 per diluted share, during the prior year.

During 2014, based upon our anticipated “meaningful use” qualifications, we expect to record approximately $27 million of EHR incentive income and approximately $37 million of EHR-related depreciation and amortization expense resulting in a net unfavorable after-tax (and after income attributable to noncontrolling interest) impact of approximately $5 million, or $.05 per diluted share.

2014 Full Year Guidance:

Our estimated range of net income attributable to UHS for the year ended December 31, 2014, is $4.80 to $5.10 per diluted share. This guidance range represents an increase of approximately 6% to 12% over the adjusted net income attributable to UHS of $4.55 per diluted share for the year ended December 31, 2013, as calculated on the attached supplemental schedule. This range includes an estimated increase of approximately 3% to 7% (or approximately $0.15 to $0.30 per diluted share) related to the Patient Protection and Affordable Care Act. The range excludes the above-mentioned unfavorable EHR impact of $.05 per diluted share.


During 2014, our net revenues are estimated to be approximately $7.89 billion to $7.94 billion representing an increase of approximately 8% to 9% over our 2013 net revenues.

This guidance range excludes the impact of 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 9:00 a.m. eastern time on February 28, 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 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, 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.


As mentioned above, 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.

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Universal Health Services, Inc.

Consolidated Statements of Income

(in thousands, except per share amounts)

(unaudited)

 

     Three months
ended December 31,
    Twelve months
ended December 31,
 
     2013     2012     2013     2012  

Net revenues before provision for doubtful accounts

   $ 2,116,288      $ 1,969,395      $ 8,411,038      $ 7,688,071   

Less: Provision for doubtful accounts

     315,442        204,468        1,127,216        726,671   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net revenues

     1,800,846        1,764,927        7,283,822        6,961,400   

Operating charges:

        

Salaries, wages and benefits

     901,778        875,865        3,604,620        3,440,917   

Other operating expenses

     368,626        322,790        1,468,744        1,381,838   

Supplies expense

     207,108        204,697        821,089        799,621   

Depreciation and amortization

     88,707        80,619        337,172        302,426   

Lease and rental expense

     25,107        23,979        97,758        94,885   

Electronic health records incentive income

     (33,081     (17,532     (61,024     (30,038

Costs related to extinguishment of debt

     0        0        0        29,170   
  

 

 

   

 

 

   

 

 

   

 

 

 
     1,558,245        1,490,418        6,268,359        6,018,819   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income from operations

     242,601        274,509        1,015,463        942,581   

Interest expense, net

     35,643        41,113        146,131        178,918   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income before income taxes

     206,958        233,396        869,332        763,663   

Provision for income taxes

     73,772        85,736        315,309        274,616   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income

     133,186        147,660        554,023        489,047   

Less: Income attributable to noncontrolling interests

     8,665        12,199        43,290        45,601   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to UHS

   $ 124,521      $ 135,461      $ 510,733      $ 443,446   
  

 

 

   

 

 

   

 

 

   

 

 

 

Basic earnings per share attributable to UHS (a)

   $ 1.27      $ 1.39      $ 5.21      $ 4.57   
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted earnings per share attributable to UHS (a)

   $ 1.24      $ 1.39      $ 5.14      $ 4.53   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

Footnotes to Consolidated Statements of Income

(in thousands, except per share amounts)

(unaudited)

 

     Three months
ended December 31,
    Twelve months
ended December 31,
 
     2013     2012     2013     2012  

(a) Earnings per share calculation:

        

Basic and diluted:

        

Net income attributable to UHS

   $ 124,521      $ 135,461      $ 510,733      $ 443,446   

Less: Net income attributable to unvested restricted share grants

     (94     (118     (294     (497
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to UHS - basic and diluted

   $ 124,427      $ 135,343      $ 510,439      $ 442,949   
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average number of common shares - basic

     98,237        97,181        98,033        96,821   
  

 

 

   

 

 

   

 

 

   

 

 

 

Basic earnings per share attributable to UHS:

   $ 1.27      $ 1.39      $ 5.21      $ 4.57   
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average number of common shares

     98,237        97,181        98,033        96,821   

Add: Other share equivalents

     1,838        530        1,328        890   
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average number of common shares and equiv. - diluted

     100,075        97,711        99,361        97,711   
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted earnings per share attributable to UHS:

   $ 1.24      $ 1.39      $ 5.14      $ 4.53   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

Schedule of Non-GAAP Supplemental Consolidated Statements of Income Information (“Supplemental Schedule”)

For the three months ended December 31, 2013 and 2012

(in thousands, except per share amounts)

(unaudited)

Calculation of “EBITDA”

 

     Three months ended
December 31, 2013
    Three months ended
December 31, 2012
 

Net revenues before provision for doubtful accounts

   $ 2,116,288        $ 1,969,395     

Less: Provision for doubtful accounts

     315,442          204,468     
  

 

 

     

 

 

   

Net revenues

     1,800,846        100.0     1,764,927        100.0

Operating charges:

        

Salaries, wages and benefits

     901,778        50.1     875,865        49.6

Other operating expenses

     368,626        20.5     322,790        18.3

Supplies expense

     207,108        11.5     204,697        11.6

EHR incentive income

     (33,081     -1.8     (17,532     -1.0
  

 

 

   

 

 

   

 

 

   

 

 

 
     1,444,431        80.2     1,385,820        78.5
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating income/margin (“EBITDAR”)

     356,415        19.8     379,107        21.5

Lease and rental expense

     25,107          23,979     

Income attributable to noncontrolling interests

     8,665          12,199     
  

 

 

     

 

 

   

Earnings before, depreciation and amortization, interest expense, and income taxes (“EBITDA”)

     322,643        17.9     342,929        19.4

Depreciation and amortization

     88,707          80,619     

Costs related to extinguishment of debt

     0          0     

Interest expense, net

     35,643          41,113     
  

 

 

     

 

 

   

Income before income taxes

     198,293          221,197     

Provision for income taxes

     73,772          85,736     
  

 

 

     

 

 

   

Net income attributable to UHS

   $ 124,521        $ 135,461     
  

 

 

     

 

 

   

Calculation of Adjusted Net Income Attributable to UHS

 

     Three months ended
December 31, 2013
    Three months ended
December 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

   $ 124,521      $ 1.24      $ 135,461      $ 1.39   

Plus/minus adjustments:

        

Reduction of reserves relating to prior years for professional and general liability self-insured claims, net of income taxes

     (9,155     (0.09     (15,516     (0.16

Gain on sale of assets and business, net of income taxes

     —          —          (16,417     (0.17
  

 

 

   

 

 

   

 

 

   

 

 

 

Subtotal after-tax adjustments to net income attributable to UHS

     (9,155     (0.09     (31,933     (0.33
  

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted net income attributable to UHS - including Electronic Health Records (“EHR”) impact

   $ 115,366      $ 1.15      $ 103,528      $ 1.06   
  

 

 

   

 

 

   

 

 

   

 

 

 

Plus/minus impact of EHR implementation:

        

EHR-related incentive income, pre-tax

     (33,081       (17,532  

EHR-related salaries, wages and benefits, pre-tax

     1,579          3,594     

EHR-related other operating costs, pre-tax

     2,238          (173  

EHR-related depreciation & amortization, pre-tax

     9,877          5,191     

EHR-related minority interest in earnings of consolidated entities, pre-tax

     533          53     

Income tax provision on EHR-related items

     7,078          3,357     
  

 

 

   

 

 

   

 

 

   

 

 

 

After-tax impact of EHR-related items

     (11,776     (0.12     (5,510     (0.06
  

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted net income attributable to UHS

   $ 103,590      $ 1.03      $ 98,018        1.00   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

Schedule of Non-GAAP Supplemental Consolidated Statements of Income Information (“Supplemental Schedule”)

For the twelve months ended December 31, 2013 and 2012

(in thousands, except per share amounts)

(unaudited)

Calculation of “EBITDA”

 

     Twelve months ended
December 31, 2013
    Twelve months ended
December 31, 2012
 

Net revenues before provision for doubtful accounts

   $ 8,411,038        $ 7,688,071     

Less: Provision for doubtful accounts

     1,127,216          726,671     
  

 

 

     

 

 

   

Net revenues

     7,283,822        100.0     6,961,400        100.0

Operating charges:

        

Salaries, wages and benefits

     3,604,620        49.5     3,440,917        49.4

Other operating expenses

     1,468,744        20.2     1,381,838        19.9

Supplies expense

     821,089        11.3     799,621        11.5

EHR incentive income

     (61,024     -0.8     (30,038     -0.4
  

 

 

   

 

 

   

 

 

   

 

 

 
     5,833,429        80.1     5,592,338        80.3
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating income/margin (“EBITDAR”)

     1,450,393        19.9     1,369,062        19.7

Lease and rental expense

     97,758          94,885     

Income attributable to noncontrolling interests

     43,290          45,601     
  

 

 

     

 

 

   

Earnings before, depreciation and amortization, interest expense, and income taxes (“EBITDA”)

     1,309,345        18.0     1,228,576        17.6

Depreciation and amortization

     337,172          302,426     

Costs related to extinguishment of debt

     0          29,170     

Interest expense, net

     146,131          178,918     
  

 

 

     

 

 

   

Income before income taxes

     826,042          718,062     

Provision for income taxes

     315,309          274,616     
  

 

 

     

 

 

   

Net income attributable to UHS

   $ 510,733        $ 443,446     
  

 

 

     

 

 

   

Calculation of Adjusted Net Income Attributable to UHS

 

     Twelve months ended
December 31, 2013
    Twelve months ended
December 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

   $ 510,733      $ 5.14      $ 443,446      $ 4.53   

Plus/minus adjustments:

        

Reduction of reserves relating to prior years for professional and general liability self-insured claims, net of income taxes

     (46,981       (15,516  

Medicare Rural Floor settlement, net of income taxes

     —            (18,753  

Oklahoma SHOPP Medicaid reimbursements related to prior years, net of income taxes

     —            (4,329  

Impact of revised SSI ratios and write-off Florida county receivables, net of income taxes

     —            5,149     

Net Medicaid reimbursements related to prior years, net of income taxes

     —            (3,417  

Costs related to extinguishment of debt, net of income taxes

     —          —          18,126     

Gain on sale of assets and business, net of income taxes

         (16,417  
  

 

 

   

 

 

   

 

 

   

 

 

 

Subtotal after-tax adjustments to net income attributable to UHS

     (46,981     (0.47     (35,157     (0.36
  

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted net income attributable to UHS - including Electronic Health Records (“EHR”) impact

   $ 463,752      $ 4.67      $ 408,289      $ 4.17   
  

 

 

   

 

 

   

 

 

   

 

 

 

Plus/minus impact of EHR implementation:

        

EHR-related incentive income, pre-tax

     (61,024       (30,038  

EHR-related salaries, wages and benefits, pre-tax

     6,570          14,316     

EHR-related other operating costs, pre-tax

     3,363          141     

EHR-related depreciation & amortization, pre-tax

     33,286          13,293     

EHR-related minority interest in earnings of consolidated entities, pre-tax

     (846       (722  

Income tax provision on EHR-related items

     7,002          1,140     
  

 

 

   

 

 

   

 

 

   

 

 

 

After-tax impact of EHR-related items

     (11,649     (0.12     (1,870     (0.02
  

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted net income attributable to UHS

   $ 452,103      $ 4.55      $ 406,419      $ 4.15   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

Consolidated Statements of Comprehensive Income

(in thousands)

(unaudited)

 

     Three months
ended December 31,
    Twelve months
ended December 31,
 
     2013     2012     2013     2012  

Net income

   $ 133,186      $ 147,660      $ 554,023      $ 489,047   

Other comprehensive income (loss):

        

Unrealized derivative gains (loss) on cash flow hedges

     4,092        4,895        16,963        6,677   

Amortization of terminated hedge

     (84     (84     (336     (336

Minimum pension liability

     14,657        4,986        14,657        4,986   
  

 

 

   

 

 

   

 

 

   

 

 

 

Other comprehensive income before tax

     18,665        9,797        31,284        11,327   

Income tax expense related to items of other comprehensive income

     7,182        3,721        11,940        4,306   
  

 

 

   

 

 

   

 

 

   

 

 

 

Total other comprehensive income, net of tax

     11,483        6,076        19,344        7,021   
  

 

 

   

 

 

   

 

 

   

 

 

 

Comprehensive income

     144,669        153,736        573,367        496,068   

Less: Comprehensive income attributable to noncontrolling interests

     8,665        12,199        43,290        45,601   
  

 

 

   

 

 

   

 

 

   

 

 

 

Comprehensive income attributable to UHS

   $ 136,004      $ 141,537      $ 530,077      $ 450,467   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

Condensed Consolidated Balance Sheets

(in thousands)

(unaudited)

 

     December 31,
2013
    December 31,
2012
 

Assets

    

Current assets:

    

Cash and cash equivalents

   $ 17,238      $ 23,471   

Accounts receivable, net

     1,116,961        1,067,197   

Supplies

     101,781        99,000   

Deferred income taxes

     119,903        104,461   

Other current assets

     76,446        87,936   

Assets of facilities held for sale

     0        25,431   
  

 

 

   

 

 

 

Total current assets

     1,432,329        1,407,496   
  

 

 

   

 

 

 

Property and equipment

     5,691,902        5,368,345   

Less: accumulated depreciation

     (2,249,733     (1,986,110
  

 

 

   

 

 

 
     3,442,169        3,382,235   
  

 

 

   

 

 

 

Other assets:

    

Goodwill

     3,049,016        3,036,765   

Deferred charges

     57,881        75,888   

Other

     330,328        298,459   
  

 

 

   

 

 

 
   $ 8,311,723      $ 8,200,843   
  

 

 

   

 

 

 

Liabilities and Stockholders’ Equity

    

Current liabilities:

    

Current maturities of long-term debt

   $ 99,312      $ 2,589   

Accounts payable and accrued liabilities

     953,449        889,557   

Federal and state taxes

     7,127        1,062   

Liabilities of facilities held for sale

     0        850   
  

 

 

   

 

 

 

Total current liabilities

     1,059,888        894,058   
  

 

 

   

 

 

 

Other noncurrent liabilities

     284,589        395,355   

Long-term debt

     3,209,762        3,727,431   

Deferred income taxes

     239,148        183,747   

Redeemable noncontrolling interest

     218,107        234,303   

UHS common stockholders’ equity

     3,249,979        2,713,345   

Noncontrolling interest

     50,250        52,604   
  

 

 

   

 

 

 

Total equity

     3,300,229        2,765,949   
  

 

 

   

 

 

 
   $ 8,311,723      $ 8,200,843   
  

 

 

   

 

 

 


Universal Health Services, Inc.

Consolidated Statements of Cash Flows

(in thousands)

(unaudited)

 

     Twelve months  
     ended December 31,  
     2013     2012  

Cash Flows from Operating Activities:

    

Net income

   $ 554,023      $ 489,047   

Adjustments to reconcile net income to net cash provided by operating activities:

    

Depreciation & amortization

     337,356        308,690   

Stock-based compensation expense

     27,783        22,518   

Gains on sales of assets and business, net of losses

     (3,114     (27,085

Costs related to extinguishment of debt

     0        29,170   

Changes in assets & liabilities, net of effects from acquisitions and dispositions:

    

Accounts receivable

     (49,708     (71,068

Accrued interest

     (1,197     152   

Accrued and deferred income taxes

     34,861        (5,666

Other working capital accounts

     26,234        28,554   

Other assets and deferred charges

     8,984        30,976   

Other

     23,485        6,367   

Accrued insurance expense, net of commercial premiums paid

     (3,821     62,660   

Payments made in settlement of self-insurance claims

     (70,645     (75,084
  

 

 

   

 

 

 

Net cash provided by operating activities

     884,241        799,231   
  

 

 

   

 

 

 

Cash Flows from Investing Activities:

    

Property and equipment additions, net of disposals

     (358,493     (363,192

Proceeds received from sale of assets and businesses

     37,482        149,311   

Acquisition of property and businesses

     (12,636     (527,847

Costs incurred for purchase and implementation of electronic health records application

     (49,811     (54,362

Return of deposit on terminated purchase agreement

     0        6,500   
  

 

 

   

 

 

 

Net cash used in investing activities

     (383,458     (789,590
  

 

 

   

 

 

 

Cash Flows from Financing Activities:

    

Reduction of long-term debt

     (440,224     (849,647

Additional borrowings

     15,761        913,500   

Financing costs

     (231     (8,283

Repurchase of common shares

     (27,201     (19,154

Dividends paid

     (19,621     (58,395

Issuance of common stock

     5,708        5,435   

Excess income tax benefits related to stock-based compensation

     20,121        16,040   

Profit distributions to noncontrolling interests

     (61,329     (26,895
  

 

 

   

 

 

 

Net cash used in financing activities

     (507,016     (27,399
  

 

 

   

 

 

 

Decrease in cash and cash equivalents

     (6,233     (17,758

Cash and cash equivalents, beginning of period

     23,471        41,229   
  

 

 

   

 

 

 

Cash and cash equivalents, end of period

   $ 17,238      $ 23,471   
  

 

 

   

 

 

 

Supplemental Disclosures of Cash Flow Information:

    

Interest paid

   $ 131,259      $ 157,415   
  

 

 

   

 

 

 

Income taxes paid, net of refunds

   $ 259,896      $ 264,824   
  

 

 

   

 

 

 


Universal Health Services, Inc.

Supplemental Statistical Information

(un-audited)

 

Same Facility:

   % Change
Quarter Ended
12/31/2013
    % Change
12 months ended
12/31/2013
 

Acute Care Hospitals

    

Revenues

     1.1     3.8

Adjusted Admissions

     0.0     1.0

Adjusted Patient Days

     3.6     2.2

Revenue Per Adjusted Admission

     2.1     2.7

Revenue Per Adjusted Patient Day

     -1.5     1.5

Behavioral Health Hospitals

    

Revenues

     4.0     3.2

Adjusted Admissions

     2.4     3.5

Adjusted Patient Days

     0.8     1.0

Revenue Per Adjusted Admission

     1.5     -0.3

Revenue Per Adjusted Patient Day

     3.2     2.2

 

UHS Consolidated

   Fourth Quarter Ended     Twelve months Ended  
     12/31/2013     12/31/2012     12/31/2013     12/31/2012  

Revenues

   $ 1,800,846      $ 1,764,927      $ 7,283,822      $ 6,961,400   

EBITDA (1)

     322,643        342,929        1,309,345        1,228,576   

EBITDA Margin (1)

     17.9     19.4     18.0     17.6

Cash Flow From Operations

     292,509        264,225        884,241        799,231   

Days Sales Outstanding

     57        56        56        56   

Capital Expenditures

     78,742        81,001        358,493        363,192   

Debt

         3,309,074        3,730,020   

Shareholders Equity

         3,249,979        2,713,345   

Debt / Total Capitalization

         50.5     57.9

Debt / EBITDA

         2.53        3.04   

Debt / Cash From Operations

         3.74        4.67   

Acute Care EBITDAR Margin (2)

     14.1     14.4     14.8     15.8

Behavioral Health EBITDAR Margin (2)

     27.9     27.8     28.1     27.8

 

(1) Net of Minority Interest
(2) Same facility basis, before corporate overhead allocation and minority interest and Minority Interest


UNIVERSAL HEALTH SERVICES, INC.

SELECTED HOSPITAL STATISTICS

FOR THE THREE MONTHS ENDED

DECEMBER 31, 2013 AND 2012

 

AS REPORTED:

                                    
     ACUTE     BEHAVIORAL HEALTH  
     12/31/13     12/31/12     % change     12/31/13     12/31/12     % change  

Hospitals owned and leased

     25        24        4.2     183        176        4.0

Average licensed beds

     5,757        5,620        2.4     19,961        19,172        4.1

Patient days

     276,186        269,974        2.3     1,310,563        1,283,176        2.1

Average daily census

     3,002.0        2,934.5        2.3     14,245.3        13,947.6        2.1

Occupancy-licensed beds

     52.1     52.2     -0.1     71.4     72.7     -1.9

Admissions

     60,569        61,213        -1.1     97,783        91,253        7.2

Length of stay

     4.6        4.4        3.4     13.4        14.1        -4.7

Inpatient revenue

   $ 3,344,361      $ 3,080,223        8.6   $ 1,552,079      $ 1,521,842        2.0

Outpatient revenue

     1,756,242        1,527,935        14.9     185,222        171,554        8.0

Total patient revenue

     5,100,603        4,608,158        10.7     1,737,301        1,693,396        2.6

Other revenue

     32,678        30,406        7.5     40,546        33,788        20.0

Gross hospital revenue

     5,133,281        4,638,564        10.7     1,777,847        1,727,184        2.9

Total deductions

     3,969,063        3,596,470        10.4     832,169        814,073        2.2

Net hospital revenue before provision for doubtful accounts

   $ 1,164,218      $ 1,042,094        11.7   $ 945,678      $ 913,111        3.6

Provision for doubtful accounts

   $ 290,762      $ 179,205        62.3   $ 24,660      $ 25,226        -2.2

Net hospital revenue

     873,456        862,889        1.2     921,018        887,885        3.7

 

SAME FACILITY:

                                    
     ACUTE (1)     BEHAVIORAL HEALTH (2)  
     12/31/13     12/31/12     % change     12/31/13     12/31/12     % change  

Hospitals owned and leased

     24        24        0.0     174        174        0.0

Average licensed beds

     5,617        5,620        -0.1     19,064        18,964        0.5

Patient days

     274,684        269,974        1.7     1,275,460        1,271,403        0.3

Average daily census

     2,985.7        2,934.5        1.7     13,863.7        13,819.6        0.3

Occupancy-licensed beds

     53.2     52.2     1.8     72.7     72.9     -0.2

Admissions

     60,123        61,213        -1.8     95,511        93,681        2.0

Length of stay

     4.6        4.4        3.6     13.4        13.6        -1.6

 

(1) Auburn and Temecula is excluded in both current and prior years. Hospital count previously reflected number of licenses we have revised to reflect number of hospitals.
(2) San Juan Capestrano, Keys of Carolina, Garfield Park and Auston Oaks are excluded in both current and prior years. Community BH is excluded in both current and prior years from June 1st through December 31st. Bristol Youth Academy is excluded in both current and prior years from July 1st through December 31st. Jefferson Trail, Manatee Palms Group Homes and The Peaks are excluded in both current and prior years. Brooke Glen is included in both current and prior years from March 1st through December 31st. John Costigan Ctr. is excluded in both current and prior years from June 1st through current date. Gulf Coast Treatment and Okaloosa Youth Academy is excluded in both current and prior years from July 1st through December 31st.


UNIVERSAL HEALTH SERVICES, INC.

SELECTED HOSPITAL STATISTICS

FOR THE TWELVE MONTHS ENDED

DECEMBER 31, 2013 AND 2012

 

AS REPORTED:

                                    
     ACUTE     BEHAVIORAL HEALTH  
     12/31/13     12/31/12     % change     12/31/13     12/31/12     % change  

Hospitals owned and leased

     25        24        4.2     183        176     

Average licensed beds

     5,652        5,563        1.6     19,975        19,159        4.3

Patient days

     1,112,541        1,095,804        1.5     5,365,734        5,188,246        3.4

Average daily census

     3,048.1        2,994.0        1.8     14,700.6        14,175.5        3.7

Occupancy-licensed beds

     53.9     53.8     0.2     73.6     74.0     -0.5

Admissions

     246,160        245,234        0.4     402,088        370,484        8.5

Length of stay

     4.5        4.5        1.1     13.3        14.0        -4.7

Inpatient revenue

   $ 13,469,269      $ 12,406,567        8.6   $ 6,294,046      $ 5,764,370        9.2

Outpatient revenue

     6,828,307        6,134,615        11.3     744,510        646,177        15.2

Total patient revenue

     20,297,576        18,541,182        9.5     7,038,556        6,410,547        9.8

Other revenue

     128,462        99,233        29.5     136,454        143,061        -4.6

Gross hospital revenue

     20,426,038        18,640,415        9.6     7,175,010        6,553,608        9.5

Total deductions

     15,833,936        14,543,716        8.9     3,395,773        3,002,097        13.1

Net hospital revenue before provision for doubtful accounts

   $ 4,592,102      $ 4,096,699        12.1   $ 3,779,237      $ 3,551,511        6.4

Provision for doubtful accounts

   $ 1,015,733      $ 635,283        59.9   $ 111,270      $ 91,370        21.8

Net hospital revenue

     3,576,369        3,461,416        3.3     3,667,967        3,460,141        6.0

 

SAME FACILITY:

                                    
     ACUTE (1)     BEHAVIORAL HEALTH (2)  
     12/31/13     12/31/12     % change     12/31/13     12/31/12     % change  

Hospitals owned and leased

     24        24        0.0     174        174        0.0

Average licensed beds

     5,617        5,563        1.0     18,881        18,759        0.7

Patient days

     1,111,097        1,095,804        1.4     5,122,082        5,088,608        0.7

Average daily census

     3,044.1        2,994.0        1.7     14,033.1        13,903.3        0.9

Occupancy-licensed beds

     54.2     53.8     0.7     74.3     74.1     0.3

Admissions

     245,714        245,234        0.2     382,484        370,619        3.2

Length of stay

     4.5        4.5        1.2     13.4        13.7        -2.5

 

(1) Auburn and Temecula is excluded in both current and prior years. Hospital count previously reflected number of licenses we have revised to reflect number of hospitals.
(2) San Juan Capestrano, Keys of Carolina, Garfield Park and Auston Oaks are excluded in both current and prior years. Community BH is excluded in both current and prior years from June 1st through December 31st. Bristol Youth Academy is excluded in both current and prior years from July 1st through December 31st. Jefferson Trail, Manatee Palms Group Homes and The Peaks are excluded in both current and prior years. Brooke Glen is included in both current and prior years from March 1st through December 31st. John Costigan Ctr. is excluded in both current and prior years from June 1st through current date. Gulf Coast Treatment and Okaloosa Youth Academy is excluded in both current and prior years from July 1st through December 31st.