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 26, 2013 (April 25, 2013)
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 April 25, 2013, 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 25, 2013.
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/ Steve Filton | |
Name: | Steve Filton | |
Title: | Senior Vice President and Chief Financial Officer |
Date: April 26, 2013
Exhibit Index
Exhibit |
Exhibit | |
99.1 | Universal Health Services, Inc., press release, dated April 25, 2013. |
Exhibit 99.1
FOR IMMEDIATE RELEASE
CONTACT: | Steve Filton | |||
Chief Financial Officer | April 25, 2013 | |||
610-768-3300 |
UNIVERSAL HEALTH SERVICES, INC. REPORTS 2013 FIRST QUARTER
FINANCIAL RESULTS
Consolidated Results of Operations, As Reported Three-month periods ended March 31, 2013 and 2012:
KING OF PRUSSIA, PA Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income attributable to UHS was $119.8 million, or $1.21 per diluted share, during the first quarter of 2013 as compared to $128.6 million, or $1.31 per diluted share, during the comparable quarter of 2012. Net revenues increased 2% to $1.83 billion during the first quarter of 2013 as compared to $1.79 billion during the first quarter of 2012.
Consolidated Results of Operations, As Adjusted Three-month periods ended March 31, 2013 and 2012:
For the three-month period ended March 31, 2013, our adjusted net income attributable to UHS, as calculated on the attached Schedule of Non-GAAP Supplemental Consolidated Statements of Income Information (Supplemental Schedule), was $120.1 million, or $1.22 per diluted share, as compared to $110.7 million, or $1.13 per diluted share, during the first quarter of 2012.
Included in our net income attributable to UHS during the first quarter of 2013 was an aggregate net unfavorable after-tax impact of $327,000 related to the incentive income and expenses recorded in connection with the implementation of electronic health records (EHR) applications at our acute care hospitals (as discussed below in Accounting for HITECH Act incentive income and EHR expenses).
Included in our net income attributable to UHS during the three-month period ended March 31, 2012, was an aggregate net favorable after-tax impact of $17.9 million, or $.18 per diluted share, consisting of the following: (i) a favorable after-tax impact of $18.8 million, or $.19 per diluted share, resulting from an industry-wide settlement with the United States Department of Health and Human Services, the Secretary of Health and Human Services, and the Centers for Medicare and Medicaid Services, related to underpayments of Medicare inpatient prospective payments during a number of prior years; (ii) a favorable after-tax impact of $4.3 million, or $.04 per diluted share, representing the 2011 portion of the net Medicaid supplemental reimbursements recorded pursuant to the Oklahoma Supplemental Hospital Offset Payment Program, and; (iii) an aggregate unfavorable after-tax impact of $5.1 million, or $.05 per diluted share, resulting from the revised Supplemental Security Income ratios utilized for calculating Medicare disproportionate share hospital reimbursements for federal fiscal years 2006 through 2009 ($2.4 million unfavorable after-tax impact), and the write-off of receivables related to revenues recorded during 2011 at two of our acute care hospitals located in Florida resulting from reductions in certain county reimbursements due to reductions in federal matching Inter-Governmental Transfer funds ($2.7 million unfavorable after-tax impact).
Acute Care Services Three-month periods ended March 31, 2013 and 2012:
During the first quarter of 2013, at our acute care hospitals owned during both periods (same facility basis), adjusted admissions (adjusted for outpatient activity) decreased 1.5% and adjusted patient days increased 0.1%, as compared to the first quarter of 2012. Net revenues at these facilities increased 0.7% during the first quarter of 2013 as compared to the comparable quarter of 2012. At these facilities, net revenue per adjusted admission increased 2.2% while net revenue per adjusted patient day increased 0.6% during the first quarter of 2013 as compared to the first quarter of 2012. On a same facility basis, the operating margin at our acute care hospitals decreased to 16.0% during the first quarter of 2013 as compared to 19.0% during the first quarter of 2012. We define operating margin as net revenues less salaries, wages and benefits, other operating expenses and supplies expense (excluding the impact of the items mentioned above and excluding the EHR impact, as indicated on the Supplemental Schedule).
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 $230 million and $312 million during the three-month periods ended March 31, 2013 and 2012, respectively. The decrease in charity care and uninsured discounts recorded at our acute care hospitals during the first quarter of 2013, as compared to the first quarter of 2012, was offset by an increase in the provision for doubtful accounts which amounted to $218 million during the first quarter of 2013 as compared to $125 million during the first quarter of 2012.
Behavioral Health Care Services Three-month periods ended March 31, 2013 and 2012:
During the first quarter of 2013, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 0.6% while adjusted patient days decreased 0.2%, as compared to the first quarter of 2012. Net revenues at these facilities increased 2.4% during the first quarter of 2013, as compared to the comparable quarter in 2012. At these facilities, net revenue per adjusted admission increased 1.8% while net revenue per adjusted patient day increased 2.6% during the first quarter of 2013 over the comparable quarter in 2012. The operating margin at our behavioral health care facilities owned during both periods increased to 28.4% during the first quarter of 2013, as compared to 26.8% during the first quarter of 2012.
Accounting for HITECH Act incentive income and EHR expenses:
The health information technology provisions of the American Recovery and Reinvestment Act (referred to as the HITECH Act) established criteria related to the meaningful use of electronic health records (EHR) for acute care hospitals and established requirements for the Medicare and Medicaid EHR payment incentive programs.
During 2011, we began implementing EHR applications at certain of our acute care hospitals and will continue to do so, on a hospital-by-hospital basis, until completion which is scheduled to occur by the end of June, 2013. As of March 31, 2013, EHR applications have been implemented at eighteen of our acute care hospitals. Our acute care hospitals are eligible for Medicare and Medicaid EHR incentive payments upon implementation of the EHR application, assuming they meet the meaningful use criteria. As of March 31, 2013, thirteen hospitals met the meaningful use criteria.
As reflected on the Supplemental Schedule, our consolidated results of operations for the three-month period ended March 31, 2013 includes the net unfavorable after-tax impact of $327,000 ($524,000 pre-tax) recorded in connection with the implementation of EHR applications. Included in the pre-tax charge incurred during the first quarter of 2013 was $4.7 million of EHR incentive income offset by $5.2 million of net expenses, which as indicated on the Supplemental Schedule, consisted primarily of depreciation and amortization expense.
Conference call information:
We will hold a conference call for investors and analysts at 9:00 a.m. eastern time on April 26, 2013. The dial-in number is 1-877-648-7971.
A live broadcast of the conference call will be available on our website at www.uhsinc.com. A replay of the call will follow shortly after conclusion of the live call and will be available for one full year.
General Information, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures:
Universal Health Services, Inc. (UHS) is one of the nations largest hospital companies, operating acute care and behavioral health hospitals and ambulatory centers nationwide and in Puerto Rico and the U.S. Virgin Islands. It acts as the advisor to Universal Health Realty Income Trust, a real estate investment trust (NYSE:UHT). For additional information on the Company, visit our web site: http://www.uhsinc.com.
This press release contains forward-looking statements based on current management expectations. Numerous factors, including those disclosed herein, those related to healthcare industry trends and those detailed in our filings with the Securities and Exchange Commission (as set forth in Item 1A-Risk Factors and in Item 7-Forward-Looking Statements and Risk Factors in our Form 10-K for the year ended December 31, 2012), may cause the results to differ materially from those anticipated in the forward-looking statements. The operating pressures that we continue to experience in many of our acute care markets has increased the volatility of our financial results making estimation of future results more challenging. Many of the factors that will determine our future results are beyond our capability to control or predict. These statements are subject to risks and uncertainties and therefore actual results may differ materially. Readers should not place undue reliance on such forward-looking statements which reflect 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.
As mentioned above, our acute care hospitals may qualify for EHR incentive payments upon implementation of an EHR application assuming they meet the meaningful use criteria. However, there can be no assurance that we (our acute care hospitals) will ultimately qualify for these incentive payments and, should we qualify, we are unable to quantify the amount of incentive payments we may receive since the amounts are dependent upon various factors including the implementation timing at each hospital. Should we qualify for incentive payments, there may be timing differences in the recognition of the incentive income and expenses recorded in connection with the implementation of the EHR application which may cause material period-to-period changes in our future results of operations. Hospitals that do not qualify as a meaningful user of EHR by 2015 are subject to a reduced market
basket update to the inpatient prospective payment system standardized amount in 2015 and each subsequent fiscal year. Although we believe that our acute care hospitals will be in compliance with the EHR standards by 2015, there can be no assurance that all of our facilities will be in compliance and therefore not subject to the penalty provision of the HITECH Act.
We believe that operating income, operating margin, adjusted net income attributable to UHS, adjusted net income attributable to UHS per diluted share and earnings before interest, taxes, depreciation and amortization (EBITDA), which are non-GAAP financial measures (GAAP is Generally Accepted Accounting Principles in the United States of America), are helpful to our investors as measures of our operating performance. In addition, we believe that, when applicable, comparing and discussing our financial results based on these measures, as calculated, is helpful to our investors since it neutralizes the effect in each year of material items that are nonrecurring or non-operational in nature including items such as, but not limited to, costs related to extinguishment of debt, gains on sales of assets and businesses, reserves for settlements, legal judgments and lawsuits and other amounts that may be reflected in the current or prior year financial statements that relate to prior periods. To obtain a complete understanding of our financial performance these measures should be examined in connection with net income, determined in accordance with GAAP, as presented in the condensed consolidated financial statements and notes thereto in this report or in our other filings with the Securities and Exchange Commission including our Report on Form 10-K for the year ended December 31, 2012. 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, |
||||||||
2013 | 2012 | |||||||
Net revenues before provision for doubtful accounts |
$ | 2,078,348 | $ | 1,941,623 | ||||
Less: Provision for doubtful accounts |
246,716 | 148,587 | ||||||
|
|
|
|
|||||
Net revenues |
1,831,632 | 1,793,036 | ||||||
Operating charges: |
||||||||
Salaries, wages and benefits |
902,296 | 872,114 | ||||||
Other operating expenses |
381,007 | 351,300 | ||||||
Supplies expense |
204,642 | 205,360 | ||||||
Depreciation and amortization |
79,812 | 71,792 | ||||||
Lease and rental expense |
24,665 | 23,442 | ||||||
Electronic health records incentive income |
(4,712 | ) | | |||||
|
|
|
|
|||||
1,587,710 | 1,524,008 | |||||||
|
|
|
|
|||||
Income from operations |
243,922 | 269,028 | ||||||
Interest expense, net |
39,938 | 46,710 | ||||||
|
|
|
|
|||||
Income before income taxes |
203,984 | 222,318 | ||||||
Provision for income taxes |
74,049 | 79,748 | ||||||
|
|
|
|
|||||
Net income |
129,935 | 142,570 | ||||||
Less: Income attributable to noncontrolling interests |
10,151 | 13,963 | ||||||
|
|
|
|
|||||
Net income attributable to UHS |
$ | 119,784 | $ | 128,607 | ||||
|
|
|
|
|||||
Basic earnings per share attributable to UHS (a) |
$ | 1.23 | $ | 1.33 | ||||
|
|
|
|
|||||
Diluted earnings per share attributable to UHS (a) |
$ | 1.21 | $ | 1.31 | ||||
|
|
|
|
Universal Health Services, Inc.
Footnotes to Consolidated Statements of Income
(in thousands, except per share amounts)
(unaudited)
Three months ended March 31, |
||||||||
2013 | 2012 | |||||||
(a) Earnings per share calculation: |
||||||||
Basic and diluted: |
||||||||
Net income attributable to UHS |
$ | 119,784 | $ | 128,607 | ||||
Less: Net income attributable to unvested restricted share grants |
(69 | ) | (168 | ) | ||||
|
|
|
|
|||||
Net income attributable to UHS - basic and diluted |
$ | 119,715 | $ | 128,439 | ||||
|
|
|
|
|||||
Weighted average number of common shares - basic |
97,711 | 96,593 | ||||||
|
|
|
|
|||||
Basic earnings per share attributable to UHS: |
$ | 1.23 | $ | 1.33 | ||||
|
|
|
|
|||||
Weighted average number of common shares |
97,711 | 96,593 | ||||||
Add: Other share equivalents |
860 | 1,198 | ||||||
|
|
|
|
|||||
Weighted average number of common shares and equiv. - diluted |
98,571 | 97,791 | ||||||
|
|
|
|
|||||
Diluted earnings per share attributable to UHS: |
$ | 1.21 | $ | 1.31 | ||||
|
|
|
|
Universal Health Services, Inc.
Schedule of Non-GAAP Supplemental Consolidated Statements of Income Information (Supplemental Schedule)
For the three months ended March 31, 2013 and 2012
(in thousands, except per share amounts)
(unaudited)
Calculation of EBITDA
Three months ended March 31, 2013 |
Three months ended March 31, 2012 |
|||||||||||||||
Net revenues before provision for doubtful accounts |
$ | 2,078,348 | $ | 1,941,623 | ||||||||||||
Less: Provision for doubtful accounts |
246,716 | 148,587 | ||||||||||||||
|
|
|
|
|||||||||||||
Net revenues |
1,831,632 | 100.0 | % | 1,793,036 | 100.0 | % | ||||||||||
Operating charges: |
||||||||||||||||
Salaries, wages and benefits |
902,296 | 49.3 | % | 872,114 | 48.6 | % | ||||||||||
Other operating expenses |
381,007 | 20.8 | % | 351,300 | 19.6 | % | ||||||||||
Supplies expense |
204,642 | 11.2 | % | 205,360 | 11.5 | % | ||||||||||
EHR incentive income |
(4,712 | ) | -0.3 | % | | 0.0 | % | |||||||||
|
|
|
|
|
|
|
|
|||||||||
1,483,233 | 81.0 | % | 1,428,774 | 79.7 | % | |||||||||||
|
|
|
|
|
|
|
|
|||||||||
Operating income/margin (EBITDAR) |
348,399 | 19.0 | % | 364,262 | 20.3 | % | ||||||||||
Lease and rental expense |
24,665 | 23,442 | ||||||||||||||
Income attributable to noncontrolling interests |
10,151 | 13,963 | ||||||||||||||
|
|
|
|
|||||||||||||
Earnings before, depreciation and amortization, interest expense, and income taxes (EBITDA) |
313,583 | 17.1 | % | 326,857 | 18.2 | % | ||||||||||
Depreciation and amortization |
79,812 | 71,792 | ||||||||||||||
Interest expense, net |
39,938 | 46,710 | ||||||||||||||
|
|
|
|
|||||||||||||
Income before income taxes |
193,833 | 208,355 | ||||||||||||||
Provision for income taxes |
74,049 | 79,748 | ||||||||||||||
|
|
|
|
|||||||||||||
Net income attributable to UHS |
$ | 119,784 | $ | 128,607 | ||||||||||||
|
|
|
|
Calculation of Adjusted Net Income Attributable to UHS
Three months ended March 31, 2013 |
Three months ended March 31, 2012 |
|||||||||||||||
Amount | Per Diluted Share |
Amount | Per Diluted Share |
|||||||||||||
Calculation of Adjusted Net Income Attributable to UHS - including and excluding EHR impact: |
||||||||||||||||
Net income attributable to UHS |
$ | 119,784 | $ | 1.21 | $ | 128,607 | $ | 1.31 | ||||||||
Plus/minus adjustments: |
||||||||||||||||
Medicare Rural Floor settlement, net of income taxes |
(18,753 | ) | (0.19 | ) | ||||||||||||
Oklahoma SHOPP Medicaid reimbursements related to prior years, net of income taxes |
(4,329 | ) | (0.04 | ) | ||||||||||||
Impact of revised SSI ratios and write-off Florida county receivables, net of income taxes |
5,149 | 0.05 | ||||||||||||||
|
|
|
|
|
|
|
|
|||||||||
Subtotal after-tax adjustments to net income attributable to UHS |
| | (17,933 | ) | (0.18 | ) | ||||||||||
|
|
|
|
|
|
|
|
|||||||||
Adjusted net income attributable to UHS - including Electronic Health Records (EHR) impact |
$ | 119,784 | $ | 1.21 | $ | 110,674 | $ | 1.13 | ||||||||
|
|
|
|
|
|
|
|
|||||||||
Plus/minus impact of EHR implementation: |
||||||||||||||||
EHR-related incentive income, pre-tax |
(4,712 | ) | ||||||||||||||
EHR-related salaries, wages and benefits, pre-tax |
326 | |||||||||||||||
EHR-related other operating costs, pre-tax |
(35 | ) | ||||||||||||||
EHR-related depreciation & amortization, pre-tax |
5,486 | |||||||||||||||
EHR-related minority interest in earnings of consolidated entities, pre-tax |
(541 | ) | ||||||||||||||
Income tax provision on EHR-related items |
(197 | ) | ||||||||||||||
|
|
|
|
|
|
|
|
|||||||||
After-tax impact of EHR-related items |
327 | 0.01 | | | ||||||||||||
|
|
|
|
|
|
|
|
|||||||||
Adjusted net income attributable to UHS |
$ | 120,111 | $ | 1.22 | $ | 110,674 | $ | 1.13 | ||||||||
|
|
|
|
|
|
|
|
Universal Health Services, Inc.
Consolidated Statements of Comprehensive Income
(in thousands)
(unaudited)
Three months ended March 31, |
||||||||
2013 | 2012 | |||||||
Net income |
$ | 129,935 | $ | 142,570 | ||||
Other comprehensive income (loss): |
||||||||
Unrealized derivative gains (loss) on cash flow hedges |
4,535 | 1,615 | ||||||
Amortization of terminated hedge |
(84 | ) | (84 | ) | ||||
|
|
|
|
|||||
Other comprehensive (loss) income before tax |
4,451 | 1,531 | ||||||
Income tax expense related to items of other comprehensive income (loss) |
1,678 | 582 | ||||||
|
|
|
|
|||||
Total other comprehensive (loss) income, net of tax |
2,773 | 949 | ||||||
|
|
|
|
|||||
Comprehensive income |
132,708 | 143,519 | ||||||
Less: Comprehensive income attributable to noncontrolling interests |
10,151 | 13,963 | ||||||
|
|
|
|
|||||
Comprehensive income attributable to UHS |
$ | 122,557 | $ | 129,556 | ||||
|
|
|
|
Universal Health Services, Inc.
Condensed Consolidated Balance Sheets
(in thousands)
(unaudited)
March 31, 2013 |
December 31, 2012 |
|||||||
Assets |
||||||||
Current assets: |
||||||||
Cash and cash equivalents |
$ | 17,395 | $ | 23,471 | ||||
Accounts receivable, net |
1,149,402 | 1,067,197 | ||||||
Supplies |
98,974 | 99,000 | ||||||
Deferred income taxes |
120,691 | 104,461 | ||||||
Other current assets |
94,147 | 87,936 | ||||||
Assets of facilities held for sale |
20,742 | 25,431 | ||||||
|
|
|
|
|||||
Total current assets |
1,501,351 | 1,407,496 | ||||||
|
|
|
|
|||||
Property and equipment |
5,447,227 | 5,368,345 | ||||||
Less: accumulated depreciation |
(2,051,441 | ) | (1,986,110 | ) | ||||
|
|
|
|
|||||
3,395,786 | 3,382,235 | |||||||
|
|
|
|
|||||
Other assets: |
||||||||
Goodwill |
3,041,326 | 3,036,765 | ||||||
Deferred charges |
71,218 | 75,888 | ||||||
Other |
306,827 | 298,459 | ||||||
|
|
|
|
|||||
$ | 8,316,508 | $ | 8,200,843 | |||||
|
|
|
|
|||||
Liabilities and Stockholders Equity |
||||||||
Current liabilities: |
||||||||
Current maturities of long-term debt |
$ | 1,712 | $ | 2,589 | ||||
Accounts payable and accrued liabilities |
886,434 | 889,557 | ||||||
Federal and state taxes |
75,087 | 1,062 | ||||||
Liabilities of facilities held for sale |
836 | 850 | ||||||
|
|
|
|
|||||
Total current liabilities |
964,069 | 894,058 | ||||||
|
|
|
|
|||||
Other noncurrent liabilities |
379,723 | 395,355 | ||||||
Long-term debt |
3,668,762 | 3,727,431 | ||||||
Deferred income taxes |
182,575 | 183,747 | ||||||
Redeemable noncontrolling interest |
234,724 | 234,303 | ||||||
UHS common stockholders equity |
2,834,907 | 2,713,345 | ||||||
Noncontrolling interest |
51,748 | 52,604 | ||||||
|
|
|
|
|||||
Total equity |
2,886,655 | 2,765,949 | ||||||
|
|
|
|
|||||
$ | 8,316,508 | $ | 8,200,843 | |||||
|
|
|
|
Universal Health Services, Inc.
Consolidated Statements of Cash Flows
(in thousands)
(unaudited)
Three months ended March 31, |
||||||||
2013 | 2012 | |||||||
Cash Flows from Operating Activities: |
||||||||
Net income |
$ | 129,935 | $ | 142,570 | ||||
Adjustments to reconcile net income to net cash provided by operating activities: |
||||||||
Depreciation & amortization |
79,923 | 73,820 | ||||||
Gains on sales of assets and businesses, net of losses |
(2,092 | ) | 0 | |||||
Stock-based compensation expense |
7,111 | 5,486 | ||||||
Changes in assets & liabilities, net of effects from acquisitions and dispositions: |
||||||||
Accounts receivable |
(81,859 | ) | (146,670 | ) | ||||
Accrued interest |
11,497 | 13,280 | ||||||
Accrued and deferred income taxes |
68,890 | 75,471 | ||||||
Other working capital accounts |
(39,785 | ) | (48,074 | ) | ||||
Other assets and deferred charges |
6,662 | 7,120 | ||||||
Other |
1,604 | (2,082 | ) | |||||
Accrued insurance expense, net of commercial premiums paid |
22,962 | 24,581 | ||||||
Payments made in settlement of self-insurance claims |
(17,085 | ) | (18,279 | ) | ||||
|
|
|
|
|||||
Net cash provided by operating activities |
187,763 | 127,223 | ||||||
|
|
|
|
|||||
Cash Flows from Investing Activities: |
||||||||
Property and equipment additions, net of disposals |
(95,919 | ) | (92,563 | ) | ||||
Proceeds received from sale of assets and businesses |
6,657 | 53,461 | ||||||
Costs incurred for purchase and implementation of electronic health records application |
(16,412 | ) | (14,501 | ) | ||||
Return of deposit on terminated purchase agreement |
0 | 6,500 | ||||||
|
|
|
|
|||||
Net cash used in investing activities |
(105,674 | ) | (47,103 | ) | ||||
|
|
|
|
|||||
Cash Flows from Financing Activities: |
||||||||
Reduction of long-term debt |
(69,926 | ) | (70,942 | ) | ||||
Additional borrowings |
9,500 | 0 | ||||||
Repurchase of common shares |
(14,027 | ) | (2,017 | ) | ||||
Dividends paid |
(4,870 | ) | (4,832 | ) | ||||
Issuance of common stock |
1,232 | 1,016 | ||||||
Profit distributions to noncontrolling interests |
(10,074 | ) | (2,575 | ) | ||||
|
|
|
|
|||||
Net cash used in financing activities |
(88,165 | ) | (79,350 | ) | ||||
|
|
|
|
|||||
(Decrease) increase in cash and cash equivalents |
(6,076 | ) | 770 | |||||
Cash and cash equivalents, beginning of period |
23,471 | 41,229 | ||||||
|
|
|
|
|||||
Cash and cash equivalents, end of period |
$ | 17,395 | $ | 41,999 | ||||
|
|
|
|
|||||
Supplemental Disclosures of Cash Flow Information: |
||||||||
Interest paid |
$ | 22,982 | $ | 25,945 | ||||
|
|
|
|
|||||
Income taxes paid, net of refunds |
$ | 4,908 | $ | 3,419 | ||||
|
|
|
|
Universal Health Services, Inc.
Supplemental Statistical Information
(unaudited)
Same Facility:
% Change Quarter Ended 3/31/2013 |
||||
Acute Care Hospitals |
||||
Revenues |
0.7 | % | ||
Adjusted Admissions |
-1.5 | % | ||
Adjusted Patient Days |
0.1 | % | ||
Revenue Per Adjusted Admission |
2.2 | % | ||
Revenue Per Adjusted Patient Day |
0.6 | % | ||
Behavioral Health Hospitals |
||||
Revenues |
2.4 | % | ||
Adjusted Admissions |
0.6 | % | ||
Adjusted Patient Days |
-0.2 | % | ||
Revenue Per Adjusted Admission |
1.8 | % | ||
Revenue Per Adjusted Patient Day |
2.6 | % |
UHS Consolidated
First Quarter Ended | ||||||||
3/31/2013 | 3/31/2012 | |||||||
Revenues |
$ | 1,831,632 | $ | 1,793,036 | ||||
EBITDA (1) |
$ | 313,583 | $ | 326,857 | ||||
EBITDA Margin (1) |
17.1 | % | 18.2 | % | ||||
Cash Flow From Operations |
$ | 187,763 | $ | 127,223 | ||||
Days Sales Outstanding |
56 | 57 | ||||||
Capital Expenditures |
$ | 95,919 | $ | 92,563 | ||||
Debt |
3,670,474 | 3,584,356 | ||||||
Shareholders Equity |
2,834,907 | 2,427,312 | ||||||
Debt / Total Capitalization |
56.4 | % | 59.6 | % | ||||
Debt / EBITDA (2) |
3.02 | 3.11 | ||||||
Debt / Cash From Operations (2) |
4.19 | 5.41 | ||||||
Acute Care EBITDAR Margin (3) |
15.9 | % | 19.0 | % | ||||
Behavioral Health EBITDAR Margin (3) |
28.2 | % | 26.5 | % |
(1) | Net of Minority Interest |
(2) | Latest 4 quarters |
(3) | Before Corporate overhead allocation and minority interest. Before Adjustments shown on Supplemental Schedule. |
UNIVERSAL HEALTH SERVICES, INC.
SELECTED HOSPITAL STATISTICS
FOR THE THREE MONTHS ENDED
MARCH 31, 2013 AND 2012
AS REPORTED:
Acute | Behavioral Health | |||||||||||||||||||||||
03/31/13 | 03/31/12 | % | 03/31/13 | 03/31/12 | % | |||||||||||||||||||
Hospitals owned and leased |
23 | 24 | -4.2 | % | 184 | 175 | 5.1 | % | ||||||||||||||||
Average licensed beds |
5,617 | 5,784 | -2.9 | % | 20,024 | 19,088 | 4.9 | % | ||||||||||||||||
Patient days |
290,702 | 299,417 | -2.9 | % | 1,355,054 | 1,309,162 | 3.5 | % | ||||||||||||||||
Average daily census |
3,230.0 | 3,290.3 | -1.8 | % | 15,056.2 | 14,386.4 | 4.7 | % | ||||||||||||||||
Occupancy-licensed beds |
57.5 | % | 56.9 | % | 1.1 | % | 75.2 | % | 75.4 | % | -0.2 | % | ||||||||||||
Admissions |
63,739 | 66,555 | -4.2 | % | 101,396 | 95,775 | 5.9 | % | ||||||||||||||||
Length of stay |
4.6 | 4.5 | 1.4 | % | 13.4 | 13.7 | -2.5 | % | ||||||||||||||||
Inpatient revenue |
$ | 3,507,040 | $ | 3,278,025 | 7.0 | % | $ | 1,576,148 | $ | 1,415,538 | 11.3 | % | ||||||||||||
Outpatient revenue |
1,651,575 | 1,548,850 | 6.6 | % | 185,802 | 160,673 | 15.6 | % | ||||||||||||||||
Total patient revenue |
5,158,615 | 4,826,875 | 6.9 | % | 1,761,950 | 1,576,211 | 11.8 | % | ||||||||||||||||
Other revenue |
31,125 | 20,979 | 48.4 | % | 31,100 | 36,566 | -14.9 | % | ||||||||||||||||
Gross hospital revenue |
5,189,740 | 4,847,854 | 7.1 | % | 1,793,050 | 1,612,777 | 11.2 | % | ||||||||||||||||
Total deductions |
4,062,963 | 3,795,959 | 7.0 | % | 854,899 | 729,189 | 17.2 | % | ||||||||||||||||
Net hospital revenue before provision for doubtful accounts |
$ | 1,126,777 | $ | 1,051,895 | 7.1 | % | $ | 938,151 | $ | 883,588 | 6.2 | % | ||||||||||||
Provision for doubtful accounts |
$ | 218,043 | 125,364 | 73.9 | % | 28,607 | 23,268 | 22.9 | % | |||||||||||||||
Net hospital revenue |
$ | 908,734 | $ | 926,531 | -1.9 | % | $ | 909,544 | $ | 860,320 | 5.7 | % |
SAME FACILITY:
Acute (1) | Behavioral Health (2) | |||||||||||||||||||||||
03/31/13 | 03/31/12 | % | 03/31/13 | 03/31/12 | % | |||||||||||||||||||
Hospitals owned and leased |
23 | 23 | 0.0 | % | 173 | 173 | 0.0 | % | ||||||||||||||||
Average licensed beds |
5,617 | 5,541 | 1.4 | % | 18,950 | 18,831 | 0.6 | % | ||||||||||||||||
Patient days |
290,702 | 290,008 | 0.2 | % | 1,283,310 | 1,286,795 | -0.3 | % | ||||||||||||||||
Average daily census |
3,230.0 | 3,186.9 | 1.4 | % | 14,259.0 | 14,140.6 | 0.8 | % | ||||||||||||||||
Occupancy-licensed beds |
57.5 | % | 57.5 | % | 0.0 | % | 75.2 | % | 75.1 | % | 0.2 | % | ||||||||||||
Admissions |
63,739 | 64,610 | -1.3 | % | 95,108 | 94,603 | 0.5 | % | ||||||||||||||||
Length of stay |
4.6 | 4.5 | 1.6 | % | 13.5 | 13.6 | -0.8 | % |
(1) | Auburn is excluded in both current and prior years |
(2) | San Juan Capestrano, Keys of Carolina, Jefferson Trail, Manatee Palms Group Homes, The Peaks, Garfield Park and the Ascend facilities are excluded in both current and prior years. Brooke Glen Behavioral Hospital is included in both current and prior years from March 1st through current date. |