Form 8-K

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

FORM 8-K

 

 

CURRENT REPORT

Pursuant to Section 13 OR 15(d) of The

Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): April 27, 2010 (April 26, 2010)

 

 

UNIVERSAL HEALTH SERVICES, INC.

(Exact name of registrant as specified in its charter)

 

 

 

DELAWARE   1-10765   23-2077891

(State or other jurisdiction of

Incorporation or Organization)

 

(Commission

File Number)

 

(I.R.S. Employer

Identification No.)

UNIVERSAL CORPORATE CENTER

367 SOUTH GULPH ROAD

KING OF PRUSSIA, PENNSYLVANIA 19406

(Address of principal executive office) (Zip Code)

Registrant’s telephone number, including area code (610) 768-3300

Not Applicable

(Former name or former address, if changed since last report)

 

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):

 

¨ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

¨ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

¨ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

¨ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

 

 


Item 2.02 Results of Operations and Financial Condition

On April 26, 2010, Universal Health Services, Inc. issued the press release attached hereto as Exhibit 99.1.

Item 9.01 Financial Statements and Exhibits

(d) Exhibits. 99.1 Universal Health Services, Inc., press release, dated April 26, 2010.


Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

Universal Health Services, Inc.
By:  

/s/ Alan B. Miller

Name:   Alan B. Miller
Title:  

Chairman of the Board and

  Chief Executive Officer

By:  

/s/ Steve Filton

Name:   Steve Filton
Title:  

Senior Vice President and

  Chief Financial Officer

Date: April 27, 2010


Exhibit Index

 

Exhibit No.

 

Exhibit

99.1   Universal Health Services, Inc., press release, dated April 26, 2010.
press release

Exhibit 99.1

FOR IMMEDIATE RELEASE

 

CONTACT:    Steve Filton   
   Chief Financial Officer    April 26, 2010
   610-768-3300   

UNIVERSAL HEALTH SERVICES, INC. REPORTS

2010 FIRST QUARTER FINANCIAL RESULTS

Consolidated Results of Operations:

KING OF PRUSSIA, PA – Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income attributable to UHS was $71.8 million, or an increase of 7% to $.73 per diluted share, during the first quarter of 2010 as compared to $67.5 million, or $.68 per diluted share, during the comparable prior year quarter.

Net revenues increased 3% to $1.35 billion during the first quarter of 2010 as compared to $1.31 billion during the first quarter of 2009. The operating margin (net revenues less salaries, wages and benefits, other operating expenses, supplies expense and provision for doubtful accounts) increased to 15.7% during the first quarter of 2010 as compared to 15.6% during the first quarter of 2009.

Acute Care Services:

At our acute care hospitals owned during both periods (“same facility basis”), adjusted admissions (adjusted for outpatient activity) increased 1.8% while adjusted patient days increased 0.6% during the first quarter of 2010, as compared to the first quarter of 2009. Net revenues at these facilities increased 3.1% during the first quarter of 2010 as compared to the comparable quarter of the prior year. At these facilities, net revenue per adjusted admission increased 1.3% while net revenue per adjusted patient day increased 2.5% during the first quarter of 2010 as compared to the comparable quarter of the prior year. On a same facility basis, the operating margin at our acute care hospitals decreased to 16.1% during the first quarter of 2010 as compared to 17.6% during the first quarter of 2009.

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 $176 million and $158 million during the three-month periods ended March 31, 2010 and 2009, respectively.

Behavioral Health Care Services:

At our behavioral health care facilities, on a same facility basis, adjusted admissions increased 3.8% and adjusted patient days increased 3.9% during the first


quarter of 2010 as compared to the first quarter of 2009. Net revenues at these facilities increased 6.7% during the first quarter of 2010 as compared to the comparable quarter in the prior year. At these facilities, net revenue per adjusted admission increased 2.8% while net revenue per adjusted patient day increased 2.7% during the first quarter of 2010 over the comparable prior year quarter. The operating margin at our behavioral health care facilities owned during both periods increased to 26.1% during the first quarter of 2010 as compared to 24.6% during the first quarter of 2009.

Conference Call Information:

We will hold a conference call for investors and analysts at 9:00 a.m. eastern time on April 27, 2010. The dial-in number is 1-877-648-7971. A digital recording of the conference call will be available two hours after the completion of the conference call on April 27, 2010 and will continue through midnight on May 11, 2010. The recording can be accessed by calling 1-800-642-1687 and entering the conference ID number 68231632. This call will also be available live over the internet at our web site at www.uhsinc.com. The webcast is also being distributed through the Thomson StreetEvents Network. Individual investors can listen to the call at www.earnings.com, Thomson’s individual investor portal, powered by StreetEvents. Institutional investors can access the call via Thomson StreetEvents at www.streetevents.com.

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 healthcare facilities and ambulatory centers located throughout the United States and Puerto Rico. UHS 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, 2009), 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.

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 items 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 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, 2009. 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.

(more)


Universal Health Services, Inc.

Consolidated Statements of Income

(in thousands, except per share amounts)

(unaudited)

 

     Three months
ended March 31,
     2010    2009

Net revenues

   $ 1,347,153    $ 1,312,419

Operating charges:

     

Salaries, wages and benefits

     578,926      541,297

Other operating expenses

     247,028      273,221

Supplies expense

     183,816      173,967

Provision for doubtful accounts

     125,390      118,978

Depreciation and amortization

     53,511      51,134

Lease and rental expense

     17,934      17,072
             
     1,206,605      1,175,669
             

Income from operations

     140,548      136,750

Interest expense, net

     12,377      12,638
             

Income before income taxes

     128,171      124,112

Provision for income taxes

     45,409      42,078
             

Net income

     82,762      82,034

Less: Net income attributable to noncontrolling interests

     10,943      14,493
             

Net income attributable to UHS

   $ 71,819    $ 67,541
             

Basic earnings per share attributable to UHS (a)

   $ 0.74    $ 0.68
             

Diluted earnings per share attributable to UHS (a)

   $ 0.73    $ 0.68
             


Universal Health Services, Inc.

Footnotes to Consolidated Statements of Income

(in thousands, except per share amounts)

(unaudited)

 

     Three months
ended March 31,
 
     2010     2009  

(a) Earnings per share calculation:

    

Basic and diluted:

    

Net income attributable to UHS

   $ 71,819      $ 67,541   

Less: Net income attributable to unvested restricted share grants

     (315     (314
                

Net income attributable to UHS - basic and diluted

   $ 71,504      $ 67,227   
                

Weighted average number of common shares - basic

     96,539        98,412   
                

Basic earnings per share attributable to UHS:

   $ 0.74      $ 0.68   
                

Weighted average number of common shares

     96,539        98,412   

Add: Other share equivalents

     911        —     
                

Weighted average number of common shares and equiv. - diluted

     97,450        98,412   
                

Diluted earnings per share attributable to UHS:

   $ 0.73      $ 0.68   
                


Universal Health Services, Inc.

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

For the three months ended March 31, 2010 and 2009

(in thousands, except per share amounts)

(unaudited)

Calculation of “EBITDA”

 

     Three months ended
March 31, 2010
    Three months ended
March 31, 2009
 

Calculation of “EBITDA”

          

Net revenues

   $ 1,347,153    100.0   $ 1,312,419    100.0

Operating charges:

          

Salaries, wages and benefits

     578,926    43.0     541,297    41.2

Other operating expenses

     247,028    18.3     273,221    20.8

Supplies expense

     183,816    13.6     173,967    13.3

Provision for doubtful accounts

     125,390    9.3     118,978    9.1
                          
     1,135,160    84.3     1,107,463    84.4
                          

Operating income/margin (“EBITDAR”)

     211,993    15.7     204,956    15.6

Lease and rental expense

     17,934        17,072   

Net income attributable to noncontrolling interests

     10,943        14,493   
                  

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

   $ 183,116      $ 173,391   
                  


Universal Health Services, Inc.

Condensed Consolidated Balance Sheets

(in thousands, unaudited)

 

     March 31,
2010
    December 31,
2009
 

Assets

    

Current assets:

    

Cash and cash equivalents

   $ 6,865      $ 9,180   

Accounts receivable, net

     648,831        602,559   

Supplies

     83,822        84,272   

Other current assets

     36,863        27,270   

Deferred income taxes

     39,895        51,336   

Current assets held for sale

     21,580        21,580   
                

Total current assets

     837,856        796,197   
                

Property and equipment

     3,771,362        3,738,818   

Less: accumulated depreciation

     (1,467,874     (1,423,580
                
     2,303,488        2,315,238   
                

Other assets:

    

Goodwill

     733,626        732,685   

Deferred charges

     9,316        8,643   

Other

     115,025        111,700   
                
   $ 3,999,311      $ 3,964,463   
                

Liabilities and Stockholders’ Equity

    

Current liabilities:

    

Current maturities of long-term debt

   $ 1,526      $ 2,573   

Accounts payable and accrued liabilities

     583,028        578,617   

Federal and state taxes

     25,716        1,627   
                

Total current liabilities

     610,270        582,817   
                

Other noncurrent liabilities

     367,747        375,580   

Long-term debt

     891,615        956,429   

Deferred income taxes

     63,125        60,091   

UHS common stockholders’ equity

     1,821,755        1,751,071   

Noncontrolling interest

     244,799        238,475   
                

Total equity

     2,066,554        1,989,546   
                
   $ 3,999,311      $ 3,964,463   
                


Universal Health Services, Inc.

Consolidated Statements of Cash Flows

(in thousands)

(unaudited)

 

     Three months
ended March 31,
 
     2010     2009  

Cash Flows from Operating Activities:

    

Net income

   $ 82,762      $ 82,034   

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

    

Depreciation & amortization

     53,511        51,134   

Gain on sale of asset

     (1,848     —     

Stock-based compensation expense

     4,065        3,463   

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

    

Accounts receivable

     (46,499     (44,894

Construction management and other receivable

     —          17,477   

Accrued interest

     8,357        10,491   

Accrued and deferred income taxes

     37,380        28,062   

Other working capital accounts

     (2,389     6,581   

Other assets and deferred charges

     (4,231     (1,902

Other

     (4,164     (4,537

Accrued insurance expense, net of commercial premiums paid

     18,960        20,014   

Payments made in settlement of self-insurance claims

     (10,187     (15,669
                

Net cash provided by operating activities

     135,717        152,254   
                

Cash Flows from Investing Activities:

    

Property and equipment additions, net of disposals

     (62,576     (78,219

Proceeds received from sale of asset

     2,894        —     
                

Net cash used in investing activities

     (59,682     (78,219
                

Cash Flows from Financing Activities:

    

Reduction of long-term debt

     (68,363     (51,800

Repurchase of common shares

     (2,157     (14,725

Dividends paid

     (4,834     (3,962

Issuance of common stock

     1,627        667   

Profit distributions to noncontrolling interests

     (4,623     (252
                

Net cash used in financing activities

     (78,350     (70,072
                

Increase (decrease) in cash and cash equivalents

     (2,315     3,963   

Cash and cash equivalents, beginning of period

     9,180        5,460   
                

Cash and cash equivalents, end of period

   $ 6,865      $ 9,423   
                

Supplemental Disclosures of Cash Flow Information:

    

Interest paid

   $ 5,482      $ 3,966   
                

Income taxes paid, net of refunds

   $ 6,732      $ 13,784   
                


Universal Health Services, Inc.

Supplemental Statistical Information

(unaudited)

Same Facility:

 

           % Change
Quarter Ended
3/31/2010
 

Acute Care Hospitals

    

Revenues

       3.1

Adjusted Admissions

       1.8

Adjusted Patient Days

       0.6

Revenue Per Adjusted Admission

       1.3

Revenue Per Adjusted Patient Day

       2.5

Behavioral Health Hospitals

    

Revenues

       6.7

Adjusted Admissions

       3.8

Adjusted Patient Days

       3.9

Revenue Per Adjusted Admission

       2.8

Revenue Per Adjusted Patient Day

       2.7

UHS Consolidated

  
     First Quarter Ended  
     3/31/2010     3/31/2009  

Revenues

   $ 1,347,153      $ 1,312,419   

EBITDA (1)

   $ 183,116      $ 173,391   

EBITDA Margin (1)

     13.6     13.2

Cash Flow From Operations

   $ 135,717      $ 152,254   

Days Sales Outstanding

     43        45   

Capital Expenditures

   $ 62,576      $ 78,219   

Debt

     893,141        947,569   

UHS common stockholders’ equity

     1,821,755        1,596,544   

Debt / Total Capitalization

     32.9     37.2

Debt / EBITDA (2)

     1.29        1.64   

Debt / Cash From Operations (2)

     1.73        1.84   

Acute Care EBITDAR Margin (3)

     16.1     17.6

Behavioral Health EBITDAR Margin (3)

     25.5     24.3

 

(1) Net of noncontrolling interest
(2) Latest 4 quarters
(3) Before Corporate overhead allocation and noncontrolling interest


UNIVERSAL HEALTH SERVICES, INC.

SELECTED HOSPITAL STATISTICS

MARCH 31, 2010

AS REPORTED:

 

     For the three months ended  
     Acute           Behavioral Health        
     03/31/10     03/31/09     %     03/31/10     03/31/09     %  

Hospitals owned and leased

     21        21      0.0     82        81      1.2

Average licensed beds

     5,689        5,465      4.1     7,971        7,794      2.3

Patient days

     305,676        307,278      -0.5     538,750        512,934      5.0

Average daily census

     3,396.4        3,414.2      -0.5     5,986.1        5,699.3      5.0

Occupancy-licensed beds

     59.7     62.5   -4.4     75.1     73.1   2.7

Admissions

     68,638        68,198      0.6     36,357        33,961      7.1

Length of stay

     4.5        4.5      -1.2     14.8        15.1      -1.9

Inpatient revenue

   $ 2,783,431      $ 2,580,139      7.9   $ 544,781      $ 503,681      8.2

Outpatient revenue

     1,116,925        995,699      12.2     77,977        68,128      14.5

Total patient revenue

     3,900,356        3,575,838      9.1     622,758        571,809      8.9

Other revenue

     15,803        17,810      -11.3     8,408        7,909      6.3

Gross hospital revenue

     3,916,159        3,593,648      9.0     631,166        579,718      8.9

Total deductions

     2,926,848        2,633,799      11.1     281,984        257,565      9.5

Net hospital revenue

   $ 989,311      $ 959,849      3.1   $ 349,182      $ 322,153      8.4

SAME FACILITY:

            
     Acute           Behavioral Health (1)        
     03/31/10     03/31/09     %     03/31/10     03/31/09     %  

Hospitals owned and leased

     21        21      0.0     79        79      0.0

Average licensed beds

     5,689        5,465      4.1     7,735        7,642      1.2

Patient days

     305,676        307,278      -0.5     530,766        509,661      4.1

Average daily census

     3,396.4        3,414.2      -0.5     5,897.4        5,662.9      4.1

Occupancy-licensed beds

     59.7     62.5   -4.4     76.2     74.1   2.9

Admissions

     68,638        68,198      0.6     35,295        33,937      4.0

Length of stay

     4.5        4.5      -1.2     15.0        15.0      0.1

 

(1) Ascent, Centennial Peaks, Crescent Pines, The Hope Program and Springwoods Behavioral are excluded in both current and prior years. Coastal Behavioral is included in March 1st thru year to date.