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): October 28, 2011 (October 27, 2011)
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)
Registrants 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 October 27, 2011, 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 October 27, 2011.
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: October 28, 2011
Exhibit Index
Exhibit |
Exhibit | |
99.1 | Universal Health Services, Inc., press release, dated October 27, 2011. |
Exhibit 99.1
FOR IMMEDIATE RELEASE
CONTACT: | Steve Filton | |||||||
Chief Financial Officer | October 27, 2011 | |||||||
610-768-3300 |
UNIVERSAL HEALTH SERVICES, INC. REPORTS
2011 THIRD QUARTER FINANCIAL RESULTS
Consolidated Results of Operations - Three-month periods ended September 30, 2011 and 2010:
KING OF PRUSSIA, PA Universal Health Services, Inc. (NYSE: UHS) announced today that net income attributable to UHS was $85.1 million, or $.86 per diluted share, during the third quarter of 2011 as compared to $55.6 million, or $.57 per diluted share, during the comparable prior year quarter. After adjusting the reported results for last years third quarter to neutralize the impact of the below-mentioned adjustments (no such adjustments were applicable to the third quarter of 2011), our adjusted net income attributable to UHS during the third quarter of 2010 was $53.7 million, or $.55 per diluted share.
Net revenues increased 40% to $1.85 billion during the third quarter of 2011 as compared to $1.32 billion during the third quarter of 2010. The increase in net revenues during the third quarter of 2011, as compared to the comparable quarter of the prior year, was due primarily to the revenues generated at the behavioral health care facilities acquired from Psychiatric Solutions, Inc. (PSI) in November, 2010.
As indicated on the attached Schedules of Non-GAAP Supplemental Consolidated Statements of Income Information (Supplemental Schedules), included in our net income attributable to UHS during the three-month period ended September 30, 2010, was net income of $1.9 million, or $.02 per diluted share, consisting of the unfavorable after-tax impact of $2.5 million, or $.02 per diluted share, resulting from transaction fees incurred in connection with the PSI acquisition, offset by a favorable discrete tax item $4.3 million, or $.04 per diluted share.
Consolidated Results of Operations - Nine-month periods ended September 30, 2011 and 2010:
During the nine-month period ended September 30, 2011, net income attributable to UHS was $302.9 million, or $3.06 per diluted share, as compared to $193.0 million, or $1.96 per diluted share, during the comparable prior year period. After adjusting the reported results for the first nine months of last year to neutralize the impact of the below-mentioned adjustments (no such adjustments were applicable to the results for the first nine months of 2011), our adjusted net income attributable to UHS during the nine-month period ended September 30, 2010 was $192.2 million, or $1.96 per diluted share.
Net revenues increased 41% to $5.66 billion during the nine-month period ended September 30, 2011 as compared to $4.01 billion during the first nine months of 2010. The increase in net revenues during the first nine months of 2011, as compared to the comparable prior year period, was due
primarily to the revenues generated at the behavioral health care facilities acquired from PSI in November, 2010.
As indicated on the Supplemental Schedules, included in our net income attributable to UHS during the nine-month period ended September 30, 2010, were the following which, on a net aggregate basis, had no impact on our earnings per diluted share: (i) a favorable after-tax adjustment of $10.2 million, or $.10 per diluted share, resulting from a reduction to our professional and general liability self-insurance reserves relating to years prior to 2010 based upon a reserve analysis; (ii) a favorable discrete tax item $4.3 million, or $.04 per diluted share, offset by; (iii) the unfavorable after-tax impact of $13.7 million, or $.14 per diluted share, resulting from the PSI acquisition transaction fees.
Acute Care Services - Three and nine-month periods ended September 30, 2011 and 2010:
At our acute care hospitals owned during both periods (same facility basis), adjusted admissions (adjusted for outpatient activity) decreased 0.3% while adjusted patient days increased 2.2% during the third quarter of 2011, as compared to the third quarter of 2010. Net revenues at these facilities increased 3.1% during the third quarter of 2011 as compared to the comparable quarter of the prior year. At these facilities, net revenue per adjusted admission increased 3.5% while net revenue per adjusted patient day increased 0.9% during the third quarter of 2011 as compared to the comparable quarter of the prior year. On a same facility basis, the operating margin (net revenues less salaries, wages and benefits, other operating expenses, supplies expense and provision for doubtful accounts) at our acute care hospitals decreased to 12.3% during the third quarter of 2011 as compared to 13.0% during the third quarter of 2010. As expected, the robust revenue growth experienced by our acute care facilities earlier in the year has moderated considerably as improvements in payor mix weakened in the third quarter of 2011.
During the nine-month period ended September 30, 2011, on a same facility basis, adjusted admissions decreased 0.3% while adjusted patient days increased 2.0% as compared to the comparable period of the prior year. Net revenues at these facilities increased 5.3% during the first nine months of 2011 as compared to the comparable period of the prior year. At these facilities, net revenue per adjusted admission increased 5.5% while net revenue per adjusted patient day increased 3.3% during the first nine months of 2011 as compared to the comparable period of the prior year. On a same facility basis, the operating margin at our acute care hospitals increased to 15.1% during the first nine months of 2011 as compared to 14.5% during the comparable period of the prior year.
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 $246 million and $233 million during the three-month periods ended September 30, 2011 and 2010, respectively, and $708 million and $599 million during the nine-month periods ended September 30, 2011 and 2010, respectively.
Behavioral Health Care Services - Three and nine-month periods ended September 30, 2011 and 2010:
At our behavioral health care facilities, on a same facility basis, adjusted admissions increased 7.9% while adjusted patient days increased 3.8% during the third quarter of 2011 as compared to the third quarter of 2010. Net revenues at these facilities increased 6.8% during the third quarter of 2011 as compared to the comparable quarter in the prior year. At these facilities, net revenue per adjusted
admission decreased 1.0% while net revenue per adjusted patient day increased 2.9% during the third quarter of 2011 as compared to the comparable quarter of the prior year. The operating margin at our behavioral health care facilities owned during both periods increased to 26.2% during the third quarter of 2011 as compared to 26.0% during the third quarter of 2010.
During the nine-month period ended September 30, 2011, on a same facility basis, adjusted admissions increased 7.2% while adjusted patient days increased 3.0% as compared to the comparable nine-month period of the prior year. Net revenues at these facilities increased 6.5% during the first nine months of 2011 as compared to the comparable period in the prior year. At these facilities, net revenue per adjusted admission decreased 0.5% while net revenue per adjusted patient day increased 3.7% during the first nine months of 2011 as compared to the comparable prior year period. The operating margin at our behavioral health care facilities owned during both periods was 26.4% during the first nine months of 2011 as compared to 26.5% during the comparable period in the prior year.
Conference Call Information:
We will hold a conference call for investors and analysts at 9:00 a.m. (eastern time) on October 28, 2011. 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 October 28, 2011 and will continue through midnight on November 11, 2011. The recording can be accessed by calling 1-855-859-2056 and entering the pass code 15136667. A live broadcast of the call will be available on our web site at www.uhsinc.com. The webcast will also be available through Thompson StreetEvents Network at www.earnings.com or www.streetevents.com, a password-protected event management site for institutional investors.
General Information, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures:
Universal Health Services, Inc. (UHS) is one of the nations largest hospital companies, operating through its subsidiaries, acute care hospitals, behavioral health facilities and ambulatory centers throughout the United States, Puerto Rico and the U.S. Virgin Islands. A wholly-owned subsidiary of 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, 2010 and in Item 2-Forward Looking Statements and Risk Factors in our Form 10-Q for the quarterly period ended June 30, 2011), 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 managements 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, 2010 and Report on Form 10-Q for the quarterly period ended June 30, 2011. 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 September 30, |
Nine months ended September 30, |
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2011 | 2010 | 2011 | 2010 | |||||||||||||
Net revenues |
$ | 1,848,662 | $ | 1,323,264 | $ | 5,661,424 | $ | 4,008,732 | ||||||||
Operating charges: |
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Salaries, wages and benefits |
845,818 | 572,742 | 2,543,760 | 1,715,220 | ||||||||||||
Other operating expenses |
350,358 | 258,388 | 1,054,639 | 754,530 | ||||||||||||
Supplies expense |
202,817 | 180,024 | 615,581 | 543,766 | ||||||||||||
Provision for doubtful accounts |
155,899 | 133,467 | 469,932 | 402,621 | ||||||||||||
Depreciation and amortization |
75,166 | 55,530 | 219,751 | 163,066 | ||||||||||||
Lease and rental expense |
23,076 | 18,429 | 69,583 | 54,548 | ||||||||||||
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1,653,134 | 1,218,580 | 4,973,246 | 3,633,751 | |||||||||||||
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Income from operations |
195,528 | 104,684 | 688,178 | 374,981 | ||||||||||||
Interest expense, net |
48,452 | 11,478 | 154,677 | 36,132 | ||||||||||||
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Income before income taxes |
147,076 | 93,206 | 533,501 | 338,849 | ||||||||||||
Provision for income taxes |
52,234 | 27,404 | 192,638 | 113,870 | ||||||||||||
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Net income |
94,842 | 65,802 | 340,863 | 224,979 | ||||||||||||
Less: Income attributable to noncontrolling interests |
9,788 | 10,192 | 37,967 | 31,978 | ||||||||||||
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Net income attributable to UHS |
$ | 85,054 | $ | 55,610 | $ | 302,896 | $ | 193,001 | ||||||||
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Basic earnings per share attributable to UHS (a) |
$ | 0.87 | $ | 0.57 | $ | 3.10 | $ | 1.99 | ||||||||
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Diluted earnings per share attributable to UHS (a) |
$ | 0.86 | $ | 0.57 | $ | 3.06 | $ | 1.96 | ||||||||
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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, |
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2011 | 2010 | 2011 | 2010 | |||||||||||||
(a) Earnings per share calculation: |
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Basic and diluted: |
||||||||||||||||
Net income attributable to UHS |
$ | 85,054 | $ | 55,610 | $ | 302,896 | $ | 193,001 | ||||||||
Less: Net income attributable to unvested restricted share grants |
(165 | ) | (233 | ) | (440 | ) | (826 | ) | ||||||||
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Net income attributable to UHS - basic and diluted |
$ | 84,889 | $ | 55,377 | $ | 302,456 | $ | 192,175 | ||||||||
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Weighted average number of common shares - basic |
97,397 | 96,777 | 97,447 | 96,673 | ||||||||||||
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Basic earnings per share attributable to UHS: |
$ | 0.87 | $ | 0.57 | $ | 3.10 | $ | 1.99 | ||||||||
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Weighted average number of common shares |
97,397 | 96,777 | 97,447 | 96,673 | ||||||||||||
Add: Other share equivalents |
1,201 | 1,158 | 1,461 | 1,140 | ||||||||||||
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Weighted average number of common shares and equiv. - diluted |
98,598 | 97,935 | 98,908 | 97,813 | ||||||||||||
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Diluted earnings per share attributable to UHS: |
$ | 0.86 | $ | 0.57 | $ | 3.06 | $ | 1.96 | ||||||||
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Universal Health Services, Inc.
Schedule of Non-GAAP Supplemental Consolidated Statements of Income Information (Supplemental Schedule)
For the three months ended September 30, 2011 and 2010
(in thousands, except per share amounts)
(unaudited)
Calculation of EBITDA
Three months ended September 30, 2011 |
Three months ended September 30, 2010 |
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Net revenues |
$ | 1,848,662 | 100.0 | % | $ | 1,323,264 | 100.0 | % | ||||||||
Operating charges: |
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Salaries, wages and benefits |
845,818 | 45.8 | % | 572,742 | 43.3 | % | ||||||||||
Other operating expenses |
350,358 | 19.0 | % | 258,388 | 19.5 | % | ||||||||||
Supplies expense |
202,817 | 11.0 | % | 180,024 | 13.6 | % | ||||||||||
Provision for doubtful accounts |
155,899 | 8.4 | % | 133,467 | 10.1 | % | ||||||||||
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1,554,892 | 84.1 | % | 1,144,621 | 86.5 | % | |||||||||||
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Operating income/margin (EBITDAR) |
293,770 | 15.9 | % | 178,643 | 13.5 | % | ||||||||||
Lease and rental expense |
23,076 | 18,429 | ||||||||||||||
Income attributable to noncontrolling interests |
9,788 | 10,192 | ||||||||||||||
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Earnings before, depreciation and amortization, interest expense, and income taxes (EBITDA) |
260,906 | 150,022 | ||||||||||||||
Depreciation and amortization |
75,166 | 55,530 | ||||||||||||||
Interest expense, net |
48,452 | 11,478 | ||||||||||||||
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Income before income taxes attributable to UHS |
137,288 | 83,014 | ||||||||||||||
Provision for income taxes |
52,234 | 27,404 | ||||||||||||||
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Net income attributable to UHS |
$ | 85,054 | $ | 55,610 | ||||||||||||
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Calculation of Adjusted Net Income Attributable to UHS
Three months ended September 30, 2011 |
Three months ended September 30, 2010 |
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Amount | Per Diluted Share |
Amount | Per Diluted Share |
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Calculation of Adjusted Net Income Attributable to UHS |
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Net income attributable to UHS |
$ | 85,054 | $ | 0.86 | $ | 55,610 | $ | 0.57 | ||||||||
Plus/minus adjustments: |
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Acquisition transaction costs, net of income taxes |
| | 2,454 | 0.02 | ||||||||||||
Favorable discrete tax item |
| | (4,331 | ) | (0.04 | ) | ||||||||||
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Subtotal after-tax adjustments to net income attributable to UHS |
| | (1,877 | ) | (0.02 | ) | ||||||||||
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Adjusted net income attributable to UHS |
$ | 85,054 | $ | 0.86 | $ | 53,733 | $ | 0.55 | ||||||||
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Universal Health Services, Inc.
Schedule of Non-GAAP Supplemental Consolidated Statements of Income Information (Supplemental Schedule)
For the nine months ended September 30, 2011 and 2010
(in thousands, except per share amounts)
(unaudited)
Calculation of EBITDA
Nine months ended September 30, 2011 |
Nine months ended September 30, 2010 |
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Net revenues |
$ | 5,661,424 | 100.0 | % | $ | 4,008,732 | 100.0 | % | ||||||||
Operating charges: |
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Salaries, wages and benefits |
2,543,760 | 44.9 | % | 1,715,220 | 42.8 | % | ||||||||||
Other operating expenses |
1,054,639 | 18.6 | % | 754,530 | 18.8 | % | ||||||||||
Supplies expense |
615,581 | 10.9 | % | 543,766 | 13.6 | % | ||||||||||
Provision for doubtful accounts |
469,932 | 8.3 | % | 402,621 | 10.0 | % | ||||||||||
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4,683,912 | 82.7 | % | 3,416,137 | 85.2 | % | |||||||||||
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Operating income/margin (EBITDAR) |
977,512 | 17.3 | % | 592,595 | 14.8 | % | ||||||||||
Lease and rental expense |
69,583 | 54,548 | ||||||||||||||
Income attributable to noncontrolling interests |
37,967 | 31,978 | ||||||||||||||
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Earnings before, depreciation and amortization, interest expense, and income taxes (EBITDA) |
869,962 | 506,069 | ||||||||||||||
Depreciation and amortization |
219,751 | 163,066 | ||||||||||||||
Interest expense, net |
154,677 | 36,132 | ||||||||||||||
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Income before income taxes attributable to UHS |
495,534 | 306,871 | ||||||||||||||
Provision for income taxes |
192,638 | 113,870 | ||||||||||||||
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Net income attributable to UHS |
$ | 302,896 | $ | 193,001 | ||||||||||||
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Calculation of Adjusted Net Income Attributable to UHS
Nine months ended September 30, 2011 |
Nine months ended September 30, 2010 |
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Amount | Per Diluted Share |
Amount | Per Diluted Share |
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Calculation of Adjusted Net Income Attributable to UHS |
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Net income attributable to UHS |
$ | 302,896 | $ | 3.06 | $ | 193,001 | $ | 1.96 | ||||||||
Plus/minus adjustments: |
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Reduction of reserves relating to prior years for professional and general liability self-insured claims, net of income taxes |
| | (10,198 | ) | (0.10 | ) | ||||||||||
Acquisition transaction costs, net of income taxes |
| | 13,742 | 0.14 | ||||||||||||
Favorable discrete tax item |
| | (4,331 | ) | (0.04 | ) | ||||||||||
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Subtotal after-tax adjustments to net income attributable to UHS |
| | (787 | ) | | |||||||||||
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Adjusted net income attributable to UHS |
$ | 302,896 | $ | 3.06 | $ | 192,214 | $ | 1.96 | ||||||||
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Universal Health Services, Inc.
Condensed Consolidated Balance Sheets
(in thousands)
(unaudited)
September 30, 2011 |
December 31, 2010 |
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Assets |
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Current assets: |
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Cash and cash equivalents |
$ | 39,147 | $ | 29,474 | ||||
Accounts receivable, net |
945,193 | 837,820 | ||||||
Supplies |
95,777 | 94,330 | ||||||
Other current assets |
95,862 | 130,060 | ||||||
Deferred income taxes |
103,031 | 120,834 | ||||||
Assets of facilities held for sale |
92,939 | 118,598 | ||||||
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Total current assets |
1,371,949 | 1,331,116 | ||||||
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Property and equipment |
5,008,607 | 4,853,972 | ||||||
Less: accumulated depreciation |
(1,757,976 | ) | (1,601,005 | ) | ||||
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3,250,631 | 3,252,967 | |||||||
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Other assets: |
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Goodwill |
2,605,951 | 2,589,914 | ||||||
Deferred charges |
116,229 | 108,660 | ||||||
Other |
261,171 | 245,279 | ||||||
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$ | 7,605,931 | $ | 7,527,936 | |||||
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Liabilities and Stockholders Equity |
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Current liabilities: |
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Current maturities of long-term debt |
$ | 2,511 | $ | 3,449 | ||||
Accounts payable and accrued liabilities |
796,041 | 819,334 | ||||||
Liabilities of facilities held for sale |
2,870 | 3,516 | ||||||
Federal and state taxes |
31,472 | 0 | ||||||
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Total current liabilities |
832,894 | 826,299 | ||||||
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Other noncurrent liabilities |
428,436 | 380,649 | ||||||
Long-term debt |
3,685,230 | 3,912,102 | ||||||
Deferred income taxes |
177,220 | 173,354 | ||||||
Redeemable noncontrolling interest |
213,131 | 211,761 | ||||||
UHS common stockholders equity |
2,221,382 | 1,978,772 | ||||||
Noncontrolling interest |
47,638 | 44,999 | ||||||
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Total equity |
2,269,020 | 2,023,771 | ||||||
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$ | 7,605,931 | $ | 7,527,936 | |||||
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Universal Health Services, Inc.
Consolidated Statements of Cash Flows
(in thousands)
(unaudited)
Nine months ended September 30, |
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2011 | 2010 | |||||||
Cash Flows from Operating Activities: |
||||||||
Net income |
$ | 340,863 | $ | 224,979 | ||||
Adjustments to reconcile net income to net cash provided by operating activities: |
||||||||
Depreciation & amortization |
220,208 | 163,066 | ||||||
Loss (gain) on sale of assets and businesses |
164 | (1,993 | ) | |||||
Stock-based compensation expense |
13,434 | 12,678 | ||||||
Changes in assets & liabilities, net of effects from acquisitions and dispositions: |
||||||||
Accounts receivable |
(103,700 | ) | (6,751 | ) | ||||
Accrued interest |
13,143 | 8,437 | ||||||
Accrued and deferred income taxes |
102,949 | (2,656 | ) | |||||
Other working capital accounts |
(74,342 | ) | 26,697 | |||||
Other assets and deferred charges |
20,215 | (2,526 | ) | |||||
Other |
4,146 | (4,556 | ) | |||||
Accrued insurance expense, net of commercial premiums paid |
71,186 | 32,770 | ||||||
Payments made in settlement of self-insurance claims |
(45,764 | ) | (37,330 | ) | ||||
|
|
|
|
|||||
Net cash provided by operating activities |
562,502 | 412,815 | ||||||
|
|
|
|
|||||
Cash Flows from Investing Activities: |
||||||||
Property and equipment additions, net of disposals |
(195,404 | ) | (177,750 | ) | ||||
Proceeds received from sale of assets and businesses |
23,682 | 21,460 | ||||||
Restricted cash related to bond issuance held in escrow pending completion of PSI acquisition |
0 | (256,972 | ) | |||||
Acquisition of property and businesses |
(8,599 | ) | 0 | |||||
Costs incurred for purchase and implementation of electronic health records application |
(27,874 | ) | (13,216 | ) | ||||
|
|
|
|
|||||
Net cash used in investing activities |
(208,195 | ) | (426,478 | ) | ||||
|
|
|
|
|||||
Cash Flows from Financing Activities: |
||||||||
Reduction of long-term debt |
(267,539 | ) | (194,600 | ) | ||||
Additional borrowings |
36,000 | 250,000 | ||||||
Financing costs |
(23,559 | ) | (5,016 | ) | ||||
Repurchase of common shares |
(44,532 | ) | (3,963 | ) | ||||
Dividends paid |
(14,638 | ) | (14,555 | ) | ||||
Issuance of common stock |
3,596 | 5,204 | ||||||
Profit distributions to noncontrolling interests |
(33,962 | ) | (23,558 | ) | ||||
Proceeds from sale of noncontrolling interest in majority owned business |
0 | 600 | ||||||
|
|
|
|
|||||
Net cash (used in) provided by financing activities |
(344,634 | ) | 14,112 | |||||
|
|
|
|
|||||
Increase in cash and cash equivalents |
9,673 | 449 | ||||||
Cash and cash equivalents, beginning of period |
29,474 | 9,180 | ||||||
|
|
|
|
|||||
Cash and cash equivalents, end of period |
$ | 39,147 | $ | 9,629 | ||||
|
|
|
|
|||||
Supplemental Disclosures of Cash Flow Information: |
||||||||
Interest paid |
$ | 120,712 | $ | 33,584 | ||||
|
|
|
|
|||||
Income taxes paid, net of refunds |
$ | 89,268 | $ | 113,521 | ||||
|
|
|
|
Universal Health Services, Inc.
Supplemental Statistical Information
(un-audited)
Same Facility: |
% Change Quarter Ended 9/30/2011 |
% Change 9 months ended 9/30/2011 |
||||||
Acute Care Hospitals |
||||||||
Revenues |
3.1 | % | 5.3 | % | ||||
Adjusted Admissions |
-0.3 | % | -0.3 | % | ||||
Adjusted Patient Days |
2.2 | % | 2.0 | % | ||||
Revenue Per Adjusted Admission |
3.5 | % | 5.5 | % | ||||
Revenue Per Adjusted Patient Day |
0.9 | % | 3.3 | % | ||||
Behavioral Health Hospitals |
||||||||
Revenues |
6.8 | % | 6.5 | % | ||||
Adjusted Admissions |
7.9 | % | 7.2 | % | ||||
Adjusted Patient Days |
3.8 | % | 3.0 | % | ||||
Revenue Per Adjusted Admission |
-1.0 | % | -0.5 | % | ||||
Revenue Per Adjusted Patient Day |
2.9 | % | 3.7 | % |
Third Quarter Ended | Nine months Ended | |||||||||||||||
UHS Consolidated |
9/30/2011 | 9/30/2010 | 9/30/2011 | 9/30/2010 | ||||||||||||
Revenues |
$ | 1,848,662 | $ | 1,323,264 | $ | 5,661,424 | $ | 4,008,732 | ||||||||
EBITDA (1) |
260,906 | 150,022 | 869,962 | 506,069 | ||||||||||||
EBITDA Margin (1) |
14.1 | % | 11.3 | % | 15.4 | % | 12.6 | % | ||||||||
Cash Flow From Operations |
206,726 | 185,091 | 562,502 | 412,815 | ||||||||||||
Days Sales Outstanding |
47 | 42 | 46 | 41 | ||||||||||||
Capital Expenditures |
79,164 | 56,110 | 195,404 | 177,750 | ||||||||||||
Debt |
3,687,741 | 759,624 | ||||||||||||||
Shareholders Equity |
2,221,382 | 1,943,572 | ||||||||||||||
Debt / Total Capitalization |
62.4 | % | 28.1 | % | ||||||||||||
Debt / EBITDA (2) |
3.42 | 1.14 | ||||||||||||||
Debt / Cash From Operations (2) |
5.55 | 1.62 | ||||||||||||||
Acute Care EBITDAR Margin (3) |
12.3 | % | 13.0 | % | 15.1 | % | 14.5 | % | ||||||||
Behavioral Health EBITDAR Margin (3) |
25.5 | % | 25.8 | % | 25.5 | % | 26.2 | % |
(1) | Net of Minority Interest and before prior year self insurance reserve adjustments (net of taxes) booked in 2010 and transaction related expenses (net of taxes) booked in 2010 |
(2) | Latest 4 quarters |
(3) | Before Corporate overhead allocation, minority interest and prior year self insurance reserve adjustment booked in 2010 |
UNIVERSAL HEALTH SERVICES, INC.
SELECTED HOSPITAL STATISTICS
FOR THE THREE MONTHS ENDED
SEPTEMBER 30, 2011
AS REPORTED:
ACUTE | BEHAVIORAL HEALTH | |||||||||||||||||||||||
09/30/11 | 09/30/10 | % change | 09/30/11 | 09/30/10 | % change | |||||||||||||||||||
Hospitals owned and leased |
21 | 21 | 0.0 | % | 177 | 82 | 115.9 | % | ||||||||||||||||
Average licensed beds |
5,739 | 5,689 | 0.9 | % | 19,372 | 7,983 | 142.7 | % | ||||||||||||||||
Patient days |
279,340 | 279,524 | -0.1 | % | 1,291,753 | 537,860 | 140.2 | % | ||||||||||||||||
Average daily census |
3,036.3 | 3,038.3 | -0.1 | % | 14,040.8 | 5,846.3 | 140.2 | % | ||||||||||||||||
Occupancy-licensed beds |
52.9 | % | 53.4 | % | -0.9 | % | 72.5 | % | 73.2 | % | -1.0 | % | ||||||||||||
Admissions |
63,305 | 64,969 | -2.6 | % | 89,952 | 36,564 | 146.0 | % | ||||||||||||||||
Length of stay |
4.4 | 4.3 | 2.6 | % | 14.4 | 14.7 | -2.4 | % | ||||||||||||||||
Inpatient revenue |
$ | 2,888,527 | $ | 2,687,619 | 7.5 | % | $ | 1,373,983 | $ | 550,613 | 149.5 | % | ||||||||||||
Outpatient revenue |
1,435,706 | 1,246,661 | 15.2 | % | 147,904 | 78,354 | 88.8 | % | ||||||||||||||||
Total patient revenue |
4,324,233 | 3,934,280 | 9.9 | % | 1,521,887 | 628,967 | 142.0 | % | ||||||||||||||||
Other revenue |
20,934 | 16,878 | 24.0 | % | 35,590 | 6,875 | 417.7 | % | ||||||||||||||||
Gross hospital revenue |
4,345,167 | 3,951,158 | 10.0 | % | 1,557,477 | 635,842 | 144.9 | % | ||||||||||||||||
Total deductions |
3,348,954 | 2,985,351 | 12.2 | % | 710,059 | 285,114 | 149.0 | % | ||||||||||||||||
Net hospital revenue |
$ | 996,213 | $ | 965,807 | 3.1 | % | $ | 847,418 | $ | 350,728 | 141.6 | % |
SAME FACILITY:
ACUTE | BEHAVIORAL HEALTH (1) | |||||||||||||||||||||||
09/30/11 | 09/30/10 | % change | 09/30/11 | 09/30/10 | % change | |||||||||||||||||||
Hospitals owned and leased |
21 | 21 | 0.0 | % | 80 | 80 | 0.0 | % | ||||||||||||||||
Average licensed beds |
5,739 | 5,689 | 0.9 | % | 8,002 | 7,779 | 2.9 | % | ||||||||||||||||
Patient days |
279,340 | 279,524 | -0.1 | % | 550,730 | 529,580 | 4.0 | % | ||||||||||||||||
Average daily census |
3,036.3 | 3,038.3 | -0.1 | % | 5,986.2 | 5,756.3 | 4.0 | % | ||||||||||||||||
Occupancy-licensed beds |
52.9 | % | 53.4 | % | -0.9 | % | 74.8 | % | 74.0 | % | 1.1 | % | ||||||||||||
Admissions |
63,306 | 64,969 | -2.6 | % | 39,498 | 36,549 | 8.1 | % | ||||||||||||||||
Length of stay |
4.4 | 4.3 | 2.6 | % | 13.9 | 14.5 | -3.8 | % |
(1) | Pennsylvania Clinical School is excluded in both current and prior years. King George School is excluded in both current and prior years from July 1st through September 30th. Facilities acquired in acquisition of Psychiatric Solutions are excluded in both current and prior years. |
UNIVERSAL HEALTH SERVICES, INC.
SELECTED HOSPITAL STATISTICS
FOR THE NINE MONTHS ENDED
SEPTEMBER 30, 2011
AS REPORTED:
ACUTE | BEHAVIORAL HEALTH | |||||||||||||||||||||||
09/30/11 | 09/30/10 | % change | 09/30/11 | 09/30/10 | % change | |||||||||||||||||||
Hospitals owned and leased |
21 | 21 | 0.0 | % | 177 | 82 | 115.9 | % | ||||||||||||||||
Average licensed beds |
5,713 | 5,689 | 0.4 | % | 19,391 | 7,978 | 143.1 | % | ||||||||||||||||
Patient days |
872,945 | 871,525 | 0.2 | % | 3,913,151 | 1,621,239 | 141.4 | % | ||||||||||||||||
Average daily census |
3,197.6 | 3,192.4 | 0.2 | % | 14,333.9 | 5,938.6 | 141.4 | % | ||||||||||||||||
Occupancy-licensed beds |
56.0 | % | 56.1 | % | -0.3 | % | 73.9 | % | 74.4 | % | -0.7 | % | ||||||||||||
Admissions |
195,818 | 199,815 | -2.0 | % | 270,045 | 109,494 | 146.6 | % | ||||||||||||||||
Length of stay |
4.5 | 4.4 | 2.2 | % | 14.5 | 14.8 | -2.1 | % | ||||||||||||||||
Inpatient revenue |
$ | 9,123,916 | $ | 8,095,552 | 12.7 | % | $ | 4,169,827 | $ | 1,649,535 | 152.8 | % | ||||||||||||
Outpatient revenue |
4,220,883 | 3,535,220 | 19.4 | % | 455,247 | 238,318 | 91.0 | % | ||||||||||||||||
Total patient revenue |
13,344,799 | 11,630,772 | 14.7 | % | 4,625,074 | 1,887,853 | 145.0 | % | ||||||||||||||||
Other revenue |
56,901 | 51,868 | 9.7 | % | 105,121 | 22,507 | 367.1 | % | ||||||||||||||||
Gross hospital revenue |
13,401,700 | 11,682,640 | 14.7 | % | 4,730,195 | 1,910,360 | 147.6 | % | ||||||||||||||||
Total deductions |
10,318,170 | 8,753,512 | 17.9 | % | 2,169,220 | 853,442 | 154.2 | % | ||||||||||||||||
Net hospital revenue |
$ | 3,083,530 | $ | 2,929,128 | 5.3 | % | $ | 2,560,975 | $ | 1,056,918 | 142.3 | % |
SAME FACILITY:
ACUTE | BEHAVIORAL HEALTH (1) | |||||||||||||||||||||||
09/30/11 | 09/30/10 | % change | 09/30/11 | 09/30/10 | % change | |||||||||||||||||||
Hospitals owned and leased |
21 | 21 | 0.0 | % | 80 | 80 | 0.0 | % | ||||||||||||||||
Average licensed beds |
5,713 | 5,689 | 0.4 | % | 8,024 | 7,834 | 2.4 | % | ||||||||||||||||
Patient days |
872,945 | 871,525 | 0.2 | % | 1,645,480 | 1,596,750 | 3.1 | % | ||||||||||||||||
Average daily census |
3,197.6 | 3,192.4 | 0.2 | % | 6,027.4 | 5,848.9 | 3.1 | % | ||||||||||||||||
Occupancy-licensed beds |
56.0 | % | 56.1 | % | -0.3 | % | 75.1 | % | 74.7 | % | 0.6 | % | ||||||||||||
Admissions |
195,818 | 199,815 | -2.0 | % | 117,487 | 109,451 | 7.3 | % | ||||||||||||||||
Length of stay |
4.5 | 4.4 | 2.2 | % | 14.0 | 14.6 | -4.0 | % |
(1) | Pennsylvania Clinical School is excluded in both current and prior years. King George School is excluded in both current and prior years from July 1st through September 30th. Facilities acquired in acquisition of Psychiatric Solutions are excluded in both current and prior years. |