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8-K - UNIVERSAL HEALTH SERVICES INC--FORM 8-K - UNIVERSAL HEALTH SERVICES INCd812438d8k.htm

Exhibit 99.1

FOR IMMEDIATE RELEASE

 

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

UNIVERSAL HEALTH SERVICES, INC. REPORTS FINANCIAL

RESULTS FOR THE THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2014

Consolidated Results of Operations, As Reported – Three and nine-month periods ended September 30, 2014 and 2013:

KING OF PRUSSIA, PA – Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income attributable to UHS was $82.8 million, or $.82 per diluted share, during the third quarter of 2014 as compared to $114.6 million, or $1.15 per diluted share, during the comparable quarter of 2013. Net revenues increased 11.1% to $2.02 billion during the third quarter of 2014 as compared to $1.82 billion during the third quarter of 2013.

Reported net income attributable to UHS was $372.5 million, or $3.71 per diluted share, during the first nine months of 2014 as compared to $386.2 million, or $3.89 per diluted share, during the comparable period of 2013. Net revenues increased 8.7% to $5.96 billion during the first nine months of 2014 as compared to $5.48 billion during the comparable period of 2013.

Included in our reported results during the three and nine-month periods ended September 30, 2014 was a pre-tax charge of $44.0 million incurred in connection with a previously disclosed legal settlement (as discussed below) as well as a pre-tax charge of $36.2 million resulting from the costs related to the extinguishment of debt in connection with the previously disclosed financing transactions that occurred during the quarter.

Consolidated Results of Operations, As Adjusted – Three and nine-month periods ended September 30, 2014 and 2013:

For the three-month period ended September 30, 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 approximately 26% to $137.5 million, or $1.36 per diluted share, as compared to $109.5 million, or $1.10 per diluted share, during the third quarter of 2013.

As reflected on the Supplemental Schedule, included in our reported results during the third quarter of 2014 was an aggregate net unfavorable after-tax impact of approximately $54.7 million, or $.54 per diluted share, related to:

 

   

an after-tax charge of $27.6 million ($44.0 million pre-tax), or $.27 per diluted share, incurred in connection with the previously disclosed $65 million settlement of Garden City Employees’ Retirement System v. Psychiatric Solutions, Inc. (“PSI”), Joey A. Jacobs, Brent Turner and Jack E. Polson. This matter was a shareholder class action


 

lawsuit filed in 2009 against PSI and certain of its former officers alleging their violations of federal securities laws and we assumed the defense and liability of this matter as a result of our acquisition of PSI in 2010. The charge incurred during the third quarter of 2014 is net of approximately $16 million of commercial insurance recoveries that we were entitled to and a previously recorded estimated reserve;

 

    an aggregate after-tax charge of $22.7 million ($36.2 million pre-tax), or $.23 per diluted share, recorded in connection with the costs related to extinguishment of debt resulting primarily from the early redemption of our previously outstanding $250 million, 7.00% senior unsecured notes that were scheduled to mature in 2018 and the repayment of $550 million of borrowings pursuant to the terms of our previously outstanding Term Loan B facility which was scheduled to mature in 2016, and;

 

    an aggregate net unfavorable after-tax impact of $4.5 million, or $.04 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 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 EHR applications at our acute care hospitals.

For the nine-month period ended September 30, 2014, our adjusted net income attributable to UHS, as calculated on the attached Supplemental Schedule, increased approximately 23% to $429.8 million, or $4.28 per diluted share, as compared to $348.5 million, or $3.51 per diluted share, during the comparable period of 2013.

As reflected on the Supplemental Schedule, included in our reported results during the nine-month period ended September 30, 2014 was: (i) an unfavorable after-tax impact of approximately $27.6 million, or $.27 per diluted share, resulting from the above-mentioned litigation settlement during the third quarter of 2014; (ii) an aggregate unfavorable after-tax impact of approximately $22.7 million, or $.23 per diluted share, resulting from the above-mentioned costs related to extinguishment of debt incurred during the third quarter of 2014; (iii) an aggregate net unfavorable after-tax impact of approximately $13.3 million, or $.13 per diluted share, related to the incentive income and depreciation and amortization expense recorded in connection with the implementation of EHR applications, and; (iv) a favorable after-tax impact of $6.3 million, or $.06 per diluted share, resulting from a gain realized on the sale of a non-operating investment during the first quarter of 2014.

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.


Acute Care Services – Three and nine-month periods ended September 30, 2014 and 2013:

During the third quarter of 2014, at our acute care hospitals owned during both periods (“same facility basis”), adjusted admissions (adjusted for outpatient activity) increased 4.1% and adjusted patient days increased 6.7%, as compared to the third quarter of 2013. Net revenues at these facilities increased 7.9% during the third quarter of 2014 as compared to the comparable quarter of the prior year. At these facilities, net revenue per adjusted admission increased 3.6% while net revenue per adjusted patient day increased 1.0% during the third quarter of 2014 as compared to the comparable quarter of 2013. On a same facility basis, the operating margin at our acute care hospitals increased to 18.3% during the third quarter of 2014 as compared to 14.4% during the third 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).

During the first nine months of 2014, at our acute care hospitals on a same facility basis, adjusted admissions increased 2.3% and adjusted patient days increased 6.4%, as compared to the comparable period of 2013. Net revenues at these facilities increased 8.4% during the first nine months of 2014 as compared to the comparable period of the prior year. At these facilities, net revenue per adjusted admission increased 5.9% while net revenue per adjusted patient day increased 1.9% during the first nine months of 2014 as compared to the comparable period of 2013. On a same facility basis, the operating margin at our acute care hospitals increased to 19.1% during the first nine months of 2014 as compared to 15.1% during the comparable period of 2013.

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 $266 million and $276 million during the three-month periods ended September 30, 2014 and 2013, respectively, and $852 million and $764 million during the nine-month periods ended September 30, 2014 and 2013, respectively. The provision for doubtful accounts at our acute care hospitals decreased to approximately $129 million during the three-month period ended September 30, 2014 as compared to $291 million during the comparable quarter of 2013, and decreased to $460 million during the nine-month period ended September 30, 2014 as compared to $725 million during the comparable period of 2013. During the three and nine-month periods ended September 30, 2014, as compared to the comparable periods of 2013, our acute care hospitals experienced a decrease in the aggregate of charity care, uninsured discounts and provision for doubtful accounts as a percentage of gross charges.

Behavioral Health Care Services – Three and nine-month periods ended September 30, 2014 and 2013:

During the third quarter of 2014, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 5.4% while adjusted patient days increased 2.1% compared to the third quarter of 2013. At these facilities, net revenue per adjusted admission decreased 0.3% while net revenue per adjusted patient day increased 2.9% during the third quarter of 2014 as compared to the comparable quarter in 2013. On a same facility basis, our behavioral health services’ net revenues increased 6.2% during the third quarter of 2014, as compared to the comparable quarter in 2013, and the operating margins were 27.6% and 27.3% during the three-month periods ended September 30, 2014 and 2013, respectively.

During the nine-month period ended September 30, 2014, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 4.0% while adjusted patient days increased 1.4%


compared to the comparable period of 2013. At these facilities, net revenue per adjusted admission remained relatively unchanged while net revenue per adjusted patient day increased 2.5% during the first nine months of 2014 as compared to the comparable period of 2013. On a same facility basis, our behavioral health services’ net revenues increased 5.3% during the first nine months of 2014, as compared to the comparable period of 2013, and the operating margins were 28.0% and 28.2% during the nine-month periods ended September 30, 2014 and 2013, respectively.

Acquisition of Cygnet and Share Repurchase Program:

As previously disclosed, in late September, 2014, we acquired the stock of Cygnet Health Care Limited (“Cygnet”) for a purchase price of approximately $327 million. Through this acquisition, we have added a total of 18 facilities located throughout the United Kingdom including 16 inpatient behavioral health hospitals and 2 nursing homes with a total of 734 beds. The Cygnet facilities generated aggregate revenues of approximately $161 million during the twelve-month period prior to our acquisition.

During the third quarter of 2014, our Board of Directors authorized a stock repurchase program whereby, from time to time as conditions allow, we may spend up to $400 million to purchase shares of our Class B Common Stock on the open market or in negotiated private transactions. In conjunction with this program, during the third quarter of 2014, we repurchased 226,692 shares at an aggregate cost of $25.2 million.

Conference call information:

We will hold a conference call for investors and analysts at 9:00 a.m. eastern time on October 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 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 through its subsidiaries acute care hospitals, behavioral health facilities and ambulatory centers located throughout the United States, the United Kingdom, 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 and in Item 2-Forward Looking Statements and Risk Factors in our Form 10-Q for the quarterly period ended June 30, 2014), may cause the results to differ materially from those anticipated in the forward-looking statements. Many of the factors that will determine our future results are beyond our capability to control or predict. These statements are subject to risks and uncertainties and therefore actual results may differ materially. Readers should not place undue reliance


on such forward-looking statements which reflect management’s view only as of the date hereof. We undertake no obligation to revise or update any forward-looking statements, or to make any other forward-looking statements, whether as a result of new information, future events or otherwise.

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, impairments of long-lived assets 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 and our Report on Form 10-Q for the quarterly period ended June 30, 2014. 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 September 30,
    Nine months
ended September 30,
 
     2014     2013     2014     2013  

Net revenues before provision for doubtful accounts

   $ 2,175,554      $ 2,134,740      $ 6,499,680      $ 6,294,750   

Less: Provision for doubtful accounts

     157,796        318,371        541,935        811,774   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net revenues

     2,017,758        1,816,369        5,957,745        5,482,976   

Operating charges:

        

Salaries, wages and benefits

     953,583        903,212        2,850,868        2,702,842   

Other operating expenses

     512,794        393,549        1,323,274        1,100,118   

Supplies expense

     222,708        206,995        662,280        613,981   

Depreciation and amortization

     93,456        86,971        277,506        248,465   

Lease and rental expense

     23,860        23,904        70,656        72,651   

Electronic health records incentive income

     (1,425     (23,148     (4,029     (27,943

Costs related to extinguishment of debt

     36,171        0        36,171        0   
  

 

 

   

 

 

   

 

 

   

 

 

 
     1,841,147        1,591,483        5,216,726        4,710,114   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income from operations

     176,611        224,886        741,019        772,862   

Interest expense, net

     32,133        32,314        102,413        110,488   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income before income taxes

     144,478        192,572        638,606        662,374   

Provision for income taxes

     48,440        69,473        224,102        241,537   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income

     96,038        123,099        414,504        420,837   

Less: Income attributable to noncontrolling interests

     13,241        8,512        41,958        34,625   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to UHS

   $ 82,797      $ 114,587      $ 372,546      $ 386,212   
  

 

 

   

 

 

   

 

 

   

 

 

 

Basic earnings per share attributable to UHS (a)

   $ 0.84      $ 1.17      $ 3.77      $ 3.94   
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted earnings per share attributable to UHS (a)

   $ 0.82      $ 1.15      $ 3.71      $ 3.89   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

Footnotes to Consolidated Statements of Income

(in thousands, except per share amounts)

(unaudited)

 

     Three months
ended September 30,
    Nine months
ended September 30,
 
     2014     2013     2014     2013  

(a) Earnings per share calculation:

        

Basic and diluted:

        

Net income attributable to UHS

   $ 82,797      $ 114,587      $ 372,546      $ 386,212   

Less: Net income attributable to unvested restricted share grants

     (17     (43     (164     (200
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to UHS - basic and diluted

   $ 82,780      $ 114,544      $ 372,382      $ 386,012   
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average number of common shares - basic

     99,052        98,151        98,832        97,965   
  

 

 

   

 

 

   

 

 

   

 

 

 

Basic earnings per share attributable to UHS:

   $ 0.84      $ 1.17      $ 3.77      $ 3.94   
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average number of common shares

     99,052        98,151        98,832        97,965   

Add: Other share equivalents

     1,981        1,436        1,643        1,158   
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average number of common shares and equiv. - diluted

     101,033        99,587        100,475        99,123   
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted earnings per share attributable to UHS:

   $ 0.82      $ 1.15      $ 3.71      $ 3.89   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

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

For the three months ended September 30, 2014 and 2013

(in thousands, except per share amounts)

(unaudited)

Calculation of “EBITDA”

 

     Three months ended
September 30, 2014
    Three months ended
September 30, 2013
 

Net revenues before provision for doubtful accounts

   $ 2,175,554        $ 2,134,740     

Less: Provision for doubtful accounts

     157,796          318,371     
  

 

 

     

 

 

   

Net revenues

     2,017,758        100.0     1,816,369        100.0

Operating charges:

        

Salaries, wages and benefits

     953,583        47.3     903,212        49.7

Other operating expenses

     512,794        25.4     393,549        21.7

Supplies expense

     222,708        11.0     206,995        11.4

EHR incentive income

     (1,425     -0.1     (23,148     -1.3
  

 

 

   

 

 

   

 

 

   

 

 

 
     1,687,660        83.6     1,480,608        81.5
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating income/margin (“EBITDAR”)

     330,098        16.4     335,761        18.5

Lease and rental expense

     23,860          23,904     

Income attributable to noncontrolling interests

     13,241          8,512     
  

 

 

     

 

 

   

Earnings before, depreciation and amortization, costs related to extinguishment of debt, interest expense, and income taxes (“EBITDA”)

     292,997        14.5     303,345        16.7

Depreciation and amortization

     93,456          86,971     

Costs related to extinguishment of debt

     36,171          0     

Interest expense, net

     32,133          32,314     
  

 

 

     

 

 

   

Income before income taxes

     131,237          184,060     

Provision for income taxes

     48,440          69,473     
  

 

 

     

 

 

   

Net income attributable to UHS

   $ 82,797        $ 114,587     
  

 

 

     

 

 

   

Calculation of Adjusted Net Income Attributable to UHS

 

     Three months ended
September 30, 2014
     Three months ended
September 30, 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

   $ 82,797      $ 0.82       $ 114,587      $ 1.15   

Plus/minus adjustments:

         

Litigation settlement, net of income taxes

     27,570        0.27         —          —     

Costs related to extinguishment of debt, net of income taxes

     22,665        0.23         —          —     
  

 

 

   

 

 

    

 

 

   

 

 

 

Subtotal after-tax adjustments to net income attributable to UHS

     50,235        0.50         —          —     
  

 

 

   

 

 

    

 

 

   

 

 

 

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

   $ 133,032      $ 1.32       $ 114,587      $ 1.15   
  

 

 

   

 

 

    

 

 

   

 

 

 

Plus/minus impact of EHR implementation:

         

EHR-related incentive income, pre-tax

     (1,425        (23,148  

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

     —             4,753     

EHR-related other operating costs, pre-tax

     —             (893  

EHR-related depreciation & amortization, pre-tax

     9,312           10,916     

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

     (733        147     

Income tax provision on EHR-related items

     (2,671        3,098     
  

 

 

   

 

 

    

 

 

   

 

 

 

After-tax impact of EHR-related items

     4,483        0.04         (5,127     (0.05
  

 

 

   

 

 

    

 

 

   

 

 

 

Adjusted net income attributable to UHS

   $ 137,515      $ 1.36       $ 109,460      $ 1.10   
  

 

 

   

 

 

    

 

 

   

 

 

 


Universal Health Services, Inc.

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

For the nine months ended September 30, 2014 and 2013

(in thousands, except per share amounts)

(unaudited)

Calculation of “EBITDA”

 

     Nine months ended
September 30, 2014
    Nine months ended
September 30, 2013
 

Net revenues before provision for doubtful accounts

   $ 6,499,680        $ 6,294,750     

Less: Provision for doubtful accounts

     541,935          811,774     
  

 

 

     

 

 

   

Net revenues

     5,957,745        100.0     5,482,976        100.0

Operating charges:

        

Salaries, wages and benefits

     2,850,868        47.9     2,702,842        49.3

Other operating expenses

     1,323,274        22.2     1,100,118        20.1

Supplies expense

     662,280        11.1     613,981        11.2

EHR incentive income

     (4,029     -0.1     (27,943     -0.5
  

 

 

   

 

 

   

 

 

   

 

 

 
     4,832,393        81.1     4,388,998        80.0
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating income/margin (“EBITDAR”)

     1,125,352        18.9     1,093,978        20.0

Lease and rental expense

     70,656          72,651     

Income attributable to noncontrolling interests

     41,958          34,625     
  

 

 

     

 

 

   

Earnings before, depreciation and amortization, costs related to extinguishment of debt, interest expense, and income taxes (“EBITDA”)

     1,012,738        17.0     986,702        18.0

Depreciation and amortization

     277,506          248,465     

Costs related to extinguishment of debt

     36,171          0     

Interest expense, net

     102,413          110,488     
  

 

 

     

 

 

   

Income before income taxes

     596,648          627,749     

Provision for income taxes

     224,102          241,537     
  

 

 

     

 

 

   

Net income attributable to UHS

   $ 372,546        $ 386,212     
  

 

 

     

 

 

   

Calculation of Adjusted Net Income Attributable to UHS

 

     Nine months ended
September 30, 2014
    Nine months ended
September 30, 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

   $ 372,546      $ 3.71      $ 386,212      $ 3.89   

Plus/minus adjustments:

        

Gain on sale of investment, net of income taxes

     (6,330     (0.06     —          —     

Litigation settlement, net of income taxes

     27,570        0.27        —          —     

Costs related to extinguishment of debt, net of income taxes

     22,665        0.23        —          —     

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

     —          —          (37,826     (0.38
  

 

 

   

 

 

   

 

 

   

 

 

 

Subtotal after-tax adjustments to net income attributable to UHS

     43,905        0.44        (37,826     (0.38
  

 

 

   

 

 

   

 

 

   

 

 

 

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

   $ 416,451      $ 4.15      $ 348,386      $ 3.51   
  

 

 

   

 

 

   

 

 

   

 

 

 

Plus/minus impact of EHR implementation:

        

EHR-related incentive income, pre-tax

     (4,029       (27,943  

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

     0          4,991     

EHR-related other operating costs, pre-tax

     0          1,125     

EHR-related depreciation & amortization, pre-tax

     27,912          23,408     

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

     (2,571       (1,378  

Income tax provision on EHR-related items

     (7,969       (76  
  

 

 

   

 

 

   

 

 

   

 

 

 

After-tax impact of EHR-related items

     13,343        0.13        127        —     
  

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted net income attributable to UHS

   $ 429,794      $ 4.28      $ 348,513      $ 3.51   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

Consolidated Statements of Comprehensive Income

(in thousands)

(unaudited)

 

     Three months
ended September 30,
    Nine months
ended September 30,
 
     2014     2013     2014     2013  

Net income

   $ 96,038      $ 123,099      $ 414,504      $ 420,837   

Other comprehensive income (loss):

        

Unrealized derivative gains (loss) on cash flow hedges

     4,712        3,054        12,922        12,871   

Amortization of terminated hedge

     (84     (84     (252     (252

Currency translation adjustment

     (2,506     0        (2,506     0   
  

 

 

   

 

 

   

 

 

   

 

 

 

Other comprehensive income before tax

     2,122        2,970        10,164        12,619   

Income tax expense related to items of other comprehensive income

     1,620        1,120        4,685        4,758   
  

 

 

   

 

 

   

 

 

   

 

 

 

Total other comprehensive income, net of tax

     502        1,850        5,479        7,861   
  

 

 

   

 

 

   

 

 

   

 

 

 

Comprehensive income

     96,540        124,949        419,983        428,698   

Less: Comprehensive income attributable to noncontrolling interests

     13,241        8,512        41,958        34,625   
  

 

 

   

 

 

   

 

 

   

 

 

 

Comprehensive income attributable to UHS

   $ 83,299      $ 116,437      $ 378,025      $ 394,073   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

Condensed Consolidated Balance Sheets

(in thousands)

(unaudited)

 

     September 30,
2014
    December 31,
2013
 

Assets

    

Current assets:

    

Cash and cash equivalents

   $ 39,711      $ 17,238   

Accounts receivable, net

     1,239,478        1,116,961   

Supplies

     104,390        101,781   

Deferred income taxes

     95,204        119,903   

Other current assets

     143,311        76,446   
  

 

 

   

 

 

 

Total current assets

     1,622,094        1,432,329   
  

 

 

   

 

 

 

Property and equipment

     6,105,090        5,691,902   

Less: accumulated depreciation

     (2,456,116     (2,249,733
  

 

 

   

 

 

 
     3,648,974        3,442,169   
  

 

 

   

 

 

 

Other assets:

    

Goodwill

     3,296,358        3,049,016   

Deferred charges

     41,910        57,881   

Other

     352,256        330,328   
  

 

 

   

 

 

 
   $ 8,961,592      $ 8,311,723   
  

 

 

   

 

 

 

Liabilities and Stockholders’ Equity

    

Current liabilities:

    

Current maturities of long-term debt

   $ 81,477      $ 99,312   

Accounts payable and accrued liabilities

     1,083,987        953,449   

Federal and state taxes

     0        7,127   
  

 

 

   

 

 

 

Total current liabilities

     1,165,464        1,059,888   
  

 

 

   

 

 

 

Other noncurrent liabilities

     280,797        284,589   

Long-term debt

     3,373,341        3,209,762   

Deferred income taxes

     253,191        239,148   

Redeemable noncontrolling interest

     231,473        218,107   

UHS common stockholders’ equity

     3,603,204        3,249,979   

Noncontrolling interest

     54,122        50,250   
  

 

 

   

 

 

 

Total equity

     3,657,326        3,300,229   
  

 

 

   

 

 

 
   $ 8,961,592      $ 8,311,723   
  

 

 

   

 

 

 


Universal Health Services, Inc.

Consolidated Statements of Cash Flows

(in thousands)

(unaudited)

 

     Nine months
ended September 30,
 
     2014     2013  

Cash Flows from Operating Activities:

    

Net income

   $ 414,504      $ 420,837   

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

    

Depreciation & amortization

     277,506        248,648   

Gains on sales of assets and businesses, net of losses

     (7,837     (2,973

Stock-based compensation expense

     22,713        20,072   

Write-off of deferred financing costs related to extinguishment of debt

     19,730        0   

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

    

Accounts receivable

     (98,193     (99,261

Accrued interest

     6,547        10,376   

Accrued and deferred income taxes

     (18,392     5,109   

Other working capital accounts

     59,613        10,313   

Other assets and deferred charges

     15,868        13,425   

Other

     (7,000     5,792   

Accrued insurance expense, net of commercial premiums paid

     57,729        (1,406

Payments made in settlement of self-insurance claims

     (53,234     (55,009
  

 

 

   

 

 

 

Net cash provided by operating activities

     689,554        575,923   
  

 

 

   

 

 

 

Cash Flows from Investing Activities:

    

Property and equipment additions, net of disposals

     (309,361     (279,751

Proceeds received from sale of assets and businesses

     15,178        37,118   

Cash paid/reserved related to acquisition of property and businesses

     (402,405     (1,320

Costs incurred for purchase and implementation of electronic health records application

     (11,204     (42,353
  

 

 

   

 

 

 

Net cash used in investing activities

     (707,792     (286,306
  

 

 

   

 

 

 

Cash Flows from Financing Activities:

    

Reduction of long-term debt

     (842,543     (234,231

Additional borrowings

     969,800        1,500   

Financing costs

     (13,413     0   

Repurchase of common shares

     (63,292     (22,186

Dividends paid

     (19,794     (14,706

Issuance of common stock

     4,907        4,096   

Excess income tax benefits related to stock-based compensation

     30,242        15,809   

Profit distributions to noncontrolling interests

     (25,074     (51,248
  

 

 

   

 

 

 

Net cash provided by (used in) financing activities

     40,833        (300,966
  

 

 

   

 

 

 

Effect of exchange rate changes on cash and cash equivalents

     (122     0   

Increase (decrease) in cash and cash equivalents

     22,473        (11,349

Cash and cash equivalents, beginning of period

     17,238        23,471   
  

 

 

   

 

 

 

Cash and cash equivalents, end of period

   $ 39,711      $ 12,122   
  

 

 

   

 

 

 

Supplemental Disclosures of Cash Flow Information:

    

Interest paid, including early redemption premium and original issue discount write-off in 2014

   $ 98,670      $ 88,430   
  

 

 

   

 

 

 

Income taxes paid, net of refunds

   $ 212,148      $ 218,290   
  

 

 

   

 

 

 


Universal Health Services, Inc.

Supplemental Statistical Information

(unaudited)

 

Same Facility:

   % Change
quarter ended
9/30/2014
    % Change
9 months ended
9/30/2014
 

Acute Care Hospitals

    

Revenues

     7.9     8.4

Adjusted Admissions

     4.1     2.3

Adjusted Patient Days

     6.7     6.4

Revenue Per Adjusted Admission

     3.6     5.9

Revenue Per Adjusted Patient Day

     1.0     1.9

Behavioral Health Hospitals

    

Revenues

     6.2     5.3

Adjusted Admissions

     5.4     4.0

Adjusted Patient Days

     2.1     1.4

Revenue Per Adjusted Admission

     -0.3     -0.1

Revenue Per Adjusted Patient Day

     2.9     2.5

 

UHS Consolidated

   Third quarter ended     Nine months ended  
     9/30/2014     9/30/2013     9/30/2014     9/30/2013  

Revenues

   $ 2,017,758      $ 1,816,369      $ 5,957,745      $ 5,482,976   

EBITDA (1)

     292,997        303,345        1,012,738        986,702   

EBITDA Margin (1)

     14.5     16.7     17.0     18.0

Cash Flow From Operations

     231,138        185,006        689,554        575,923   

Days Sales Outstanding

     57        59        57        58   

Capital Expenditures

     122,575        103,807        309,361        279,751   

Debt

         3,454,818        3,499,927   

UHS’ Shareholders Equity

         3,603,204        3,110,778   

Debt / Total Capitalization

         48.9     52.9

Debt / EBITDA (2)

         2.59        2.63   

Debt / Cash From Operations (2)

         3.46        4.17   

Acute Care EBITDAR Margin (3)

     18.3     14.4     19.1     15.1

Behavioral Health EBITDAR Margin (3)

     27.6     27.3     28.0     28.2

 

(1) Net of Minority Interest
(2) Latest 4 quarters
(3) Same facility basis, before Corporate overhead allocation and minority interest.


Universal Health Services, Inc.

Selected Hospital Statistics

For the Three Months ended

September 30, 2014 and 2013

 

AS REPORTED:

                                    
     ACUTE     BEHAVIORAL HEALTH  
     09/30/14     09/30/13     % change     09/30/14     09/30/13     % change  

Hospitals owned and leased

     24        23        4.3     202        182        11.0

Average licensed beds

     5,769        5,617        2.7     20,263        19,930        1.7

Patient days

     285,861        272,905        4.7     1,381,789        1,331,234        3.8

Average daily census

     3,107.2        2,966.3        4.7     15,019.4        14,469.9        3.8

Occupancy-licensed beds

     53.9     52.8     2.0     74.1     72.6     2.1

Admissions

     63,749        61,155        4.2     108,334        101,183        7.1

Length of stay

     4.5        4.5        0.5     12.8        13.2        -3.1

Inpatient revenue

   $ 3,616,647      $ 3,296,484        9.7   $ 1,678,222      $ 1,567,436        7.1

Outpatient revenue

     2,058,148        1,712,290        20.2     192,032        179,783        6.8

Total patient revenue

     5,674,795        5,008,774        13.3     1,870,254        1,747,219        7.0

Other revenue

     84,541        33,912        149.3     46,539        33,921        37.2

Gross hospital revenue

     5,759,336        5,042,686        14.2     1,916,793        1,781,140        7.6

Total deductions

     4,592,288        3,852,278        19.2     911,975        845,786        7.8

Net hospital revenue before provision for doubtful accounts

     1,167,048        1,190,408        -2.0     1,004,818        935,354        7.4

Provision for doubtful accounts

     128,913        290,875        -55.7     28,804        27,419        5.1

Net hospital revenue

   $ 1,038,135      $ 899,533        15.4   $ 976,014      $ 907,935        7.5

SAME FACILITY:

                                    
     ACUTE (1)     BEHAVIORAL HEALTH (2)  
     09/30/14     09/30/13     % change     09/30/14     09/30/13     % change  

Hospitals owned and leased

     23        23        0.0     174        174        0.0

Average licensed beds

     5,629        5,617        0.2     19,651        19,472        0.9

Patient days

     282,118        272,905        3.4     1,338,361        1,309,960        2.2

Average daily census

     3,066.5        2,966.3        3.4     14,547.4        14,238.7        2.2

Occupancy-licensed beds

     54.5     52.8     3.2     74.0     73.1     1.2

Admissions

     61,634        61,155        0.8     106,583        101,135        5.4

Length of stay

     4.6        4.5        2.6     12.6        13.0        -3.1

 

(1) Temecula is excluded in both current and prior years
(2) Bristol Youth Academy, Community BH, Gulf Coast Treatment Center, John Costigan Ctr, Okaloosa Youth Academy, Palo Verde, The Peaks, Psychiatric Institute of Washington, Sun Coast BH, Fairfax Everett and the UK facilities are excluded in both current and prior years.


Universal Health Services, Inc.

Selected Hospital Statistics

For the Nine Months ended

September 30, 2014 and 2013

 

AS REPORTED:

                                    
     ACUTE     BEHAVIORAL HEALTH  
     09/30/14     09/30/13     % change     09/30/14     09/30/13     % change  

Hospitals owned and leased

     24        23        4.3     202        182        11.0

Average licensed beds

     5,776        5,617        2.8     19,991        19,979        0.1

Patient days

     875,717        836,355        4.7     4,104,323        4,055,171        1.2

Average daily census

     3,207.8        3,063.6        4.7     15,034.2        14,854.1        1.2

Occupancy-licensed beds

     55.5     54.5     1.8     75.2     74.3     1.2

Admissions

     187,587        185,591        1.1     319,665        304,305        5.0

Length of stay

     4.7        4.5        3.6     12.8        13.3        -3.7

Inpatient revenue

   $ 11,217,320      $ 10,124,908        10.8   $ 4,973,633      $ 4,741,967        4.9

Outpatient revenue

     6,083,715        5,072,065        19.9     580,627        559,288        3.8

Total patient revenue

     17,301,035        15,196,973        13.8     5,554,260        5,301,255        4.8

Other revenue

     173,227        95,784        80.9     135,956        95,908        41.8

Gross hospital revenue

     17,474,262        15,292,757        14.3     5,690,216        5,397,163        5.4

Total deductions

     13,980,408        11,864,873        17.8     2,694,348        2,563,604        5.1

Net hospital revenue before provision for doubtful accounts

     3,493,854        3,427,884        1.9     2,995,868        2,833,559        5.7

Provision for doubtful accounts

     460,319        724,971        -36.5     82,049        86,610        -5.3

Net hospital revenue

   $ 3,033,535      $ 2,702,913        12.2   $ 2,913,819      $ 2,746,949        6.1

SAME FACILITY:

                                    
     ACUTE (1)     BEHAVIORAL HEALTH (2)  
     09/30/14     09/30/13     % change     09/30/14     09/30/13     % change  

Hospitals owned and leased

     23        23        0.0     174        174        0.0

Average licensed beds

     5,636        5,617        0.3     19,562        19,406        0.8

Patient days

     866,284        836,355        3.6     4,019,543        3,962,813        1.4

Average daily census

     3,173.2        3,063.6        3.6     14,723.6        14,515.8        1.4

Occupancy-licensed beds

     56.3     54.5     3.2     75.3     74.8     0.6

Admissions

     184,874        185,591        -0.4     315,626        303,189        4.1

Length of stay

     4.7        4.5        4.0     12.7        13.1        -2.6

 

(1) Temecula is excluded in both current and prior years
(2) Bristol Youth Academy, Community BH, Gulf Coast Treatment Center, John Costigan Ctr, Okaloosa Youth Academy, Palo Verde, The Peaks, Psychiatric Institute of Washington, Sun Coast BH, Fairfax Everett, and the UK facilities are excluded in both current and prior years. Garfield Park is excluded in both current and prior years in January only. Austin Oaks is excluded in both current and prior years January thru May.