uhs-8k_20171025.htm

 

 

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 25, 2017

 

UNIVERSAL HEALTH SERVICES, INC.

(Exact name of registrant as specified in its charter)

 

 

DELAWARE

 

1-10765

 

23-2077891

(State or other jurisdiction of

 

(Commission

 

(I.R.S. Employer

Incorporation or Organization)

 

File Number)

 

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 Instructions 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))

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§ 230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§ 240.12b-2 of this chapter).

Emerging growth company 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. 

 

 

 

 


 

Item 2.02 Results of Operations and Financial Condition

On October 25, 2017, 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 25, 2017.

 

 

 

Exhibit Index

 

Exhibit No.

  

Exhibit

 

 

99.1

  

Universal Health Services, Inc., press release, dated October 25, 2017.

 

 


 

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: Executive Vice President and

            Chief Financial Officer

Date: October 25, 2017

 

 

 

 

uhs-ex991_6.htm

Exhibit 99.1

FOR IMMEDIATE RELEASE

October 25, 2017

 

CONTACT:

Steve Filton

 

Chief Financial Officer

 

610-768-3300

 

 

UNIVERSAL HEALTH SERVICES, INC.

REPORTS 2017 THIRD QUARTER FINANCIAL RESULTS

AND REVISES 2017 FULL YEAR EARNINGS GUIDANCE

 

Consolidated Results of Operations, As Reported and As Adjusted  – Three-month periods ended September 30, 2017 and 2016:

KING OF PRUSSIA, PA – Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income attributable to UHS was $141.2 million, or $1.47 per diluted share, during the third quarter of 2017 as compared to $151.9 million, or $1.54 per diluted share, during the comparable quarter of 2016.  Net revenues increased 5.5% to $2.54 billion during the third quarter of 2017 as compared to $2.41 billion during the third quarter of 2016.

 

Our financial results for three and nine-month periods ended September 30, 2017 were unfavorably impacted by an after-tax aggregate of approximately $14 million to $15 million ($22 million to $24 million pre-tax), or $.14 to $.15 per diluted share, resulting from the following: (i) an unfavorable after-tax impact of approximately $8 million to $9 million, or $.09 to $.10 per diluted share, related to the hurricane expenses and estimated business interruption impact incurred by 28 of our behavioral health care facilities located in Texas, Florida, South Carolina, Georgia, Puerto Rico and the U.S. Virgin Islands and our 3 acute care hospitals located in Florida, and; (ii) an after-tax charge of approximately $5 million, or $.05 per diluted share, recorded in connection with a court order in Texas related to certain litigation.

 

Generally, our facilities impacted by Hurricanes Harvey, Irma and Maria did not sustain extensive property damage and the vast majority have resumed normal operations. However, a portion of the beds at our 124-bed behavioral health facility located in Houston, Texas remain closed and, although our 3 behavioral health facilities located in Puerto Rico are operational (240 beds in the aggregate), they continue to operate on auxiliary power in areas that suffered extensive damage to surrounding infrastructure and properties. It is difficult to predict the impact that the hurricanes may have on the future operating results of these four facilities.              

 

For the three-month period ended September 30, 2017, our adjusted net income attributable to UHS, as calculated on the attached Schedule of Non-GAAP Supplemental Information (“Supplemental Schedule”), was $143.4 million, or $1.49 per diluted share, as compared to $157.2 million, or $1.60 per diluted share, during the third quarter of 2016.  As reflected on the Supplemental Schedule, included in our reported results during the third quarter of 2017, is a net aggregate unfavorable after-tax impact of $2.1 million, or $.02 per diluted share, consisting of: (i) an unfavorable after-tax impact of $2.6 million, or $.03 per diluted share, related to the depreciation and amortization expense recorded in connection with the implementation of electronic health records (“EHR”) applications at our acute care hospitals, partially offset by; (ii) a favorable after-tax impact of $487,000, or $.01 per diluted share, resulting from


our January 1, 2017 adoption of ASU 2016-09, “Compensation – Stock Compensation (Topic 718): Improvements to Employee Share-Based Payment Accounting” (“ASU 2016-09”), as discussed below. Included in our reported results during the three-month period ended September 30, 2016 is an unfavorable after-tax impact of $5.3 million, or $.06 per diluted share, related to the depreciation and amortization expense recorded in connection with the implementation of EHR applications at our acute care hospitals.

 

As calculated on the attached Supplemental Schedule, our earnings before interest, taxes, depreciation & amortization (“EBITDA”), which was unfavorably impacted by the approximately $22 million to $24 million above-mentioned hurricanes and litigation matter, decreased 3.3% to $363.4 million during the third quarter of 2017 as compared to $375.9 million during the third quarter of 2016.

 

Consolidated Results of Operations, As Reported and As Adjusted  – Nine-month periods ended September 30, 2017 and 2016:

Reported net income attributable to UHS was $532.7 million, or $5.50 per diluted share, during the first nine months of 2017 as compared to $528.2 million, or $5.36 per diluted share, during the comparable period of 2016.  

 

Net revenues increased 6.5% to $7.77 billion during the first nine months of 2017 as compared to $7.29 billion during the first nine months of 2016. As calculated on the attached Supplemental Schedule, our EBITDA increased 2.1% to $1.26 billion during the nine-month period ended September 30, 2017 as compared to $1.24 billion during the comparable nine-month period of 2016.

 

For the nine-month period ended September 30, 2017, our adjusted net income attributable to UHS, as calculated on the attached Supplemental Schedule, was $535.8 million, or $5.53 per diluted share, as compared to $544.3 million, or $5.52 per diluted share, during the first nine months of 2016.  As reflected on the Supplemental Schedule, included in our reported results during the nine-month period ended September 30, 2017, is a net aggregate unfavorable after-tax impact of $3.1 million, or $.03 per diluted share, consisting of: (i) an unfavorable after-tax impact of $11.7 million, or $.12 per diluted share, related to the depreciation and amortization expense recorded in connection with the implementation of EHR applications at our acute care hospitals, partially offset by; (ii) a favorable after-tax impact of $8.6 million, or $.09 per diluted share, resulting from our January 1, 2017 adoption of ASU 2016-09.  Included in our reported results during the nine-month period ended September 30, 2016 is an unfavorable after tax impact of $16.1 million, or $.16 per diluted share, related to the depreciation and amortization expense recorded in connection with the implementation of EHR applications at our acute care hospitals.

 

Acute Care Services – Three and nine-month periods ended September 30, 2017 and 2016:

During the third quarter of 2017, at our acute care hospitals owned during both periods (“same facility basis”), adjusted admissions (adjusted for outpatient activity) increased 3.5% and adjusted patient days increased 1.5%, as compared to the third quarter of 2016. Net revenues from our acute care services increased 2.2% during the third quarter of 2017 as compared to the comparable quarter of the prior year. At these facilities, net revenue per adjusted admission decreased 0.6% while net revenue per adjusted patient day increased 1.3% during the third quarter of 2017 as compared to the comparable quarter of 2016.

 

During the nine-month period ended September 30, 2017, at our acute care hospitals on a same facility basis, adjusted admissions increased 4.9% and adjusted patient days increased 2.0%, as


compared to the first nine months of 2016. Net revenues from our acute care services increased 4.0% during the first nine months of 2017 as compared to the comparable period of the prior year. At these facilities, net revenue per adjusted admission decreased 0.3% while net revenue per adjusted patient day increased 2.5% during the first nine months of 2017 as compared to the comparable nine-month period of 2016.

 

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 $447 million and $370 million during the three-month periods ended September 30, 2017 and 2016, respectively, and $1.36 billion and $1.06 billion during the nine-month periods ended September 30, 2017 and 2016, respectively. The provision for doubtful accounts at our acute care hospitals amounted to approximately $205 million and $173 million during the three-month periods ended September 30, 2017 and 2016, respectively, and $573 million and $492 million during the nine-month periods ended September 30, 2017 and 2016, respectively.        

 

Behavioral Health Care Services – Three and nine-month periods ended September 30, 2017 and 2016:

During the third quarter of 2017, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 1.1% while adjusted patient days decreased 0.2% as compared to the third quarter of 2016. At these facilities, net revenue per adjusted admission increased 1.3% while net revenue per adjusted patient day increased 2.6% during the third quarter of 2017 as compared to the comparable quarter in 2016. On a same facility basis, our behavioral health care services’ net revenues increased 1.8% during the third quarter of 2017 as compared to the third quarter of 2016.    

 

During the nine-month period ended September 30, 2017, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 2.4% while adjusted patient days increased 0.5% as compared to the first nine months of 2016. At these facilities, net revenue per adjusted admission decreased 0.4% while net revenue per adjusted patient day increased 1.5% during the first nine months of 2017 as compared to the comparable nine-month period of 2016. On a same facility basis, our behavioral health care services’ net revenues increased 1.8% during the first nine months of 2017 as compared to the comparable period of 2016.    

 

Net Cash Provided by Operating Activities and Share Repurchase Program:

For the nine months ended September 30, 2017, our net cash provided by operating activities decreased to $878 million from $1.14 billion generated during the comparable nine-month period of 2016.  The $258 million decrease was caused primarily by a $128 million unfavorable change in cash flows from foreign currency forward exchange contracts related to our investments in the U.K and a $101 million unfavorable change in other working capital accounts resulting primarily from changes in accounts payable and accrued expenses due to timing of disbursements.

 

In February of 2016, our Board of Directors authorized a $400 million increase to our stock repurchase program, which increased the aggregate authorization to $800 million from the previous $400 million authorization approved during the third quarter of 2014.  Pursuant to this program, we may purchase shares of our Class B Common Stock, from time to time as conditions allow, on the open market or in negotiated private transactions.  

 


In conjunction with this program, during the third quarter of 2017, we have repurchased 870,000 shares at an aggregate cost of $94.3 million.  During the first nine months of 2017, we have repurchased approximately 1.96 million shares at an aggregate cost of $221.4 million. Since inception of the program through September 30, 2017, we have repurchased approximately 6.34 million shares at an aggregate cost of $735.6 million.  

 

Revision of 2017 Full Year Earnings Guidance Range:

Based upon the operating trends and financial results experienced during the first nine months of 2017, we are revising our estimated range of adjusted net income attributable to UHS for the year ended December 31, 2017 to $7.25 to $7.50 per diluted share from the previously provided range of $7.50 to $8.00 per diluted share.  This revised guidance range decreases the lower end of the previously provided range by approximately 3.3% and decreases the upper end of the previously provided range by approximately 6.3%.  

 

This revised guidance excludes the expected EHR unfavorable impact of $.15 per diluted share for the year, as well as the impact on our provision for income taxes and net income attributable to UHS resulting from of our January 1, 2017 adoption of ASU 2016-09, which as discussed below, we are unable to estimate at this time. This guidance range also excludes the impact of future items, if applicable, that are nonrecurring or non-operational in nature including items such as, but not limited to, gains/losses on sales of assets and businesses, costs related to extinguishment of debt, reserves for settlements, legal judgments and lawsuits, impairments of long-lived assets, impact of share repurchases and other material amounts that may be reflected in our financial statements that relate to prior periods. It is also subject to certain conditions including those as set forth below in General Information, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures.

 

Adoption of ASU 2016-09:

Effective January 1, 2017, we adopted ASU 2016-09, “Compensation – Stock Compensation (Topic 718): Improvements to Employee Share-Based Payment Accounting”, which amends the accounting for employee share-based payment transactions to require recognition of the tax effects resulting from the settlement of stock-based awards as income tax expense or benefit in the income statement in the reporting period in which they occur.  In connection with the adoption of ASU 2016-09, during the three and nine-month periods ended September 30, 2017, we recorded reductions to our provision for income taxes of $487,000 and $8.6 million, respectively, which resulted in a corresponding increases in our net income attributable to UHS of $487,000, or $.01 per diluted share, during the third quarter of 2017 and $8.6 million, or $.09 per diluted share, during the first nine months of 2017.

 

Since the impact of ASU 2016-09 on our future financial statements is dependent upon the timing of stock option exercises, and the market price of our stock at the time of exercise, we are unable to estimate the impact this adoption will have on our future provision for income taxes and net income attributable to UHS.  This reporting change is applied prospectively, effective as of January 1, 2017, with the exception of the change in the presentation of the excess income tax benefits related to stock-based compensation in the Statement of Cash Flows, which was applied retrospectively.    

 

Conference call information:        

We will hold a conference call for investors and analysts at 9:00 a.m. eastern time on Thursday, October 26, 2017. 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, 2016 and in Item 2-Forward-Looking Statements and Risk Factors in our Form 10-Q for the quarterly period ended June 30, 2017), 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 adjusted net income attributable to UHS, adjusted net income attributable to UHS per diluted share, EBITDA and adjusted 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, but not limited to, costs/benefits related to the impact on our provision for income taxes and net income attributable to UHS resulting from our January 1, 2017 adoption of ASU 2016-09, the implementation of EHR applications at our acute care hospitals, extinguishment of debt, gains/losses on sales of assets and businesses, reserves for settlements, legal judgments and lawsuits, impairments of long-lived assets, and other items and other material 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, 2016 and our Report on Form 10-Q for the quarterly period ended June 30, 2017. 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

 

 

Nine months

 

 

 

ended September 30,

 

 

ended September 30,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

Net revenues before provision for doubtful accounts

 

$

2,775,790

 

 

$

2,610,911

 

 

$

8,428,971

 

 

$

7,869,352

 

Less: Provision for doubtful accounts

 

 

233,926

 

 

 

201,039

 

 

 

661,893

 

 

 

578,827

 

Net revenues

 

 

2,541,864

 

 

 

2,409,872

 

 

 

7,767,078

 

 

 

7,290,525

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating charges:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

 

1,251,528

 

 

 

1,149,729

 

 

 

3,725,786

 

 

 

3,428,801

 

Other operating expenses

 

 

628,523

 

 

 

597,270

 

 

 

1,868,076

 

 

 

1,744,849

 

Supplies expense

 

 

268,089

 

 

 

257,793

 

 

 

820,242

 

 

 

767,465

 

Depreciation and amortization

 

 

110,217

 

 

 

103,712

 

 

 

334,127

 

 

 

309,172

 

Lease and rental expense

 

 

26,197

 

 

 

23,799

 

 

 

77,413

 

 

 

73,057

 

 

 

 

2,284,554

 

 

 

2,132,303

 

 

 

6,825,644

 

 

 

6,323,344

 

Income from operations

 

 

257,310

 

 

 

277,569

 

 

 

941,434

 

 

 

967,181

 

Interest expense, net

 

 

36,956

 

 

 

32,129

 

 

 

108,383

 

 

 

92,171

 

Income before income taxes

 

 

220,354

 

 

 

245,440

 

 

 

833,051

 

 

 

875,010

 

Provision for income taxes

 

 

74,992

 

 

 

88,175

 

 

 

286,774

 

 

 

306,577

 

Net income

 

 

145,362

 

 

 

157,265

 

 

 

546,277

 

 

 

568,433

 

Less:  Net income attributable to noncontrolling interests

 

 

4,117

 

 

 

5,400

 

 

 

13,583

 

 

 

40,232

 

Net income attributable to UHS

 

$

141,245

 

 

$

151,865

 

 

$

532,694

 

 

$

528,201

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic earnings per share attributable to UHS (a)

 

$

1.48

 

 

$

1.56

 

 

$

5.54

 

 

$

5.43

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Diluted earnings per share attributable to UHS (a)

 

$

1.47

 

 

$

1.54

 

 

$

5.50

 

 

$

5.36

 

 



Universal Health Services, Inc.

 

Footnotes to Consolidated Statements of Income

 

(in thousands, except per share amounts)

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months

 

 

Nine months

 

 

 

ended September 30,

 

 

ended September 30,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

(a) Earnings per share calculation:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic and diluted:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income attributable to UHS

 

$

141,245

 

 

$

151,865

 

 

$

532,694

 

 

$

528,201

 

Less: Net income attributable to unvested restricted share grants

 

 

(81

)

 

 

(69

)

 

 

(257

)

 

 

(242

)

Net income attributable to UHS - basic and diluted

 

$

141,164

 

 

$

151,796

 

 

$

532,437

 

 

$

527,959

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average number of common shares - basic

 

 

95,246

 

 

 

97,118

 

 

 

96,026

 

 

 

97,278

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic earnings per share attributable to UHS:

 

$

1.48

 

 

$

1.56

 

 

$

5.54

 

 

$

5.43

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average number of common shares

 

 

95,246

 

 

 

97,118

 

 

 

96,026

 

 

 

97,278

 

Add: Other share equivalents

 

 

731

 

 

 

1,203

 

 

 

771

 

 

 

1,257

 

Weighted average number of common shares and equiv. - diluted

 

 

95,977

 

 

 

98,321

 

 

 

96,797

 

 

 

98,535

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Diluted earnings per share attributable to UHS:

 

$

1.47

 

 

$

1.54

 

 

$

5.50

 

 

$

5.36

 

 


Universal Health Services, Inc.

 

Schedule of Non-GAAP Supplemental Information ("Supplemental Schedule")

 

For the three months ended September 30, 2017 and 2016

 

(in thousands, except per share amounts)

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Calculation of Earnings Before Interest, Taxes, Depreciation and Amortization ("EBITDA")

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

% Net

 

 

Three months ended

 

 

% Net

 

 

September 30, 2017

 

 

revenues

 

 

September 30, 2016

 

 

revenues

 

Net income attributable to UHS

$

141,245

 

 

 

 

 

 

$

151,865

 

 

 

 

 

   Depreciation and amortization

 

110,217

 

 

 

 

 

 

 

103,712

 

 

 

 

 

   Interest expense, net

 

36,956

 

 

 

 

 

 

 

32,129

 

 

 

 

 

   Provision for income taxes

 

74,992

 

 

 

 

 

 

 

88,175

 

 

 

 

 

Unadjusted EBITDA

$

363,410

 

 

 

14.3

%

 

$

375,881

 

 

 

15.6

%

EHR-related net income attributable to noncontrolling interests, pre-tax

 

(27

)

 

 

 

 

 

 

(201

)

 

 

 

 

Adjusted EBITDA

$

363,383

 

 

 

14.3

%

 

$

375,680

 

 

 

15.6

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net revenues

$

2,541,864

 

 

 

 

 

 

$

2,409,872

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Calculation of Adjusted Net Income Attributable to UHS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

Three months ended

 

 

September 30, 2017

 

 

September 30, 2016

 

 

 

 

 

 

Per

 

 

 

 

 

 

Per

 

 

Amount

 

 

Diluted Share

 

 

Amount

 

 

Diluted Share

 

Net income attributable to UHS

$

141,245

 

 

$

1.47

 

 

$

151,865

 

 

$

1.54

 

Plus/minus after-tax adjustments:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Impact of ASU 2016-09

 

(487

)

 

 

(0.01

)

 

 

-

 

 

 

-

 

After-tax impact of EHR-related items

 

2,636

 

 

 

0.03

 

 

 

5,349

 

 

 

0.06

 

Subtotal

$

2,149

 

 

$

0.02

 

 

$

5,349

 

 

$

0.06

 

Adjusted net income attributable to UHS

$

143,394

 

 

$

1.49

 

 

$

157,214

 

 

$

1.60

 

 


Universal Health Services, Inc.

 

Schedule of Non-GAAP Supplemental Information ("Supplemental Schedule")

 

For the nine months ended September 30, 2017 and 2016

 

(in thousands, except per share amounts)

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Calculation of Earnings Before Interest, Taxes, Depreciation and Amortization ("EBITDA")

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nine months ended

 

 

% Net

 

 

Nine months ended

 

 

% Net

 

 

September 30, 2017

 

 

revenues

 

 

September 30, 2016

 

 

revenues

 

Net income attributable to UHS

$

532,694

 

 

 

 

 

 

$

528,201

 

 

 

 

 

   Depreciation and amortization

 

334,127

 

 

 

 

 

 

 

309,172

 

 

 

 

 

   Interest expense, net

 

108,383

 

 

 

 

 

 

 

92,171

 

 

 

 

 

   Provision for income taxes

 

286,774

 

 

 

 

 

 

 

306,577

 

 

 

 

 

Unadjusted EBITDA

$

1,261,978

 

 

 

16.2

%

 

$

1,236,121

 

 

 

17.0

%

EHR-related net income attributable to noncontrolling interests, pre-tax

 

(200

)

 

 

 

 

 

 

(1,618

)

 

 

 

 

Adjusted EBITDA

$

1,261,778

 

 

 

16.2

%

 

$

1,234,503

 

 

 

16.9

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net revenues

$

7,767,078

 

 

 

 

 

 

$

7,290,525

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Calculation of Adjusted Net Income Attributable to UHS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nine months ended

 

 

Nine months ended

 

 

September 30, 2017

 

 

September 30, 2016

 

 

 

 

 

 

Per

 

 

 

 

 

 

Per

 

 

Amount

 

 

Diluted Share

 

 

Amount

 

 

Diluted Share

 

Net income attributable to UHS

$

532,694

 

 

$

5.50

 

 

$

528,201

 

 

$

5.36

 

Plus/minus after-tax adjustments:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Impact of ASU 2016-09

 

(8,619

)

 

 

(0.09

)

 

 

-

 

 

 

-

 

After-tax impact of EHR-related items

 

11,747

 

 

 

0.12

 

 

 

16,060

 

 

 

0.16

 

Subtotal

$

3,128

 

 

$

0.03

 

 

$

16,060

 

 

$

0.16

 

Adjusted net income attributable to UHS

$

535,822

 

 

$

5.53

 

 

$

544,261

 

 

$

5.52

 

 


Universal Health Services, Inc.

 

Consolidated Statements of Comprehensive Income

 

(in thousands)

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months

 

 

Nine months

 

 

 

ended September 30,

 

 

ended September 30,

 

 

 

2017

 

 

2016

 

 

2017

 

 

2016

 

Net income

 

$

145,362

 

 

$

157,265

 

 

$

546,277

 

 

$

568,433

 

Other comprehensive income (loss):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unrealized derivative gains (losses) on cash flow hedges

 

 

610

 

 

 

6,424

 

 

 

3,547

 

 

 

(11,644

)

Amortization of terminated hedge

 

 

0

 

 

 

0

 

 

 

0

 

 

 

(167

)

Unrealized gain (loss) on marketable security

 

 

(2,515

)

 

 

(134

)

 

 

1,645

 

 

 

(755

)

Foreign currency translation adjustment

 

 

983

 

 

 

(10,973

)

 

 

9,932

 

 

 

(9,150

)

Other comprehensive income (loss) before tax

 

 

(922

)

 

 

(4,683

)

 

 

15,124

 

 

 

(21,716

)

Income tax expense (benefit) related to items of other comprehensive income

 

 

(711

)

 

 

2,346

 

 

 

1,935

 

 

 

(4,681

)

Total other comprehensive income (loss), net of tax

 

 

(211

)

 

 

(7,029

)

 

 

13,189

 

 

 

(17,035

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Comprehensive income

 

 

145,151

 

 

 

150,236

 

 

 

559,466

 

 

 

551,398

 

Less: Comprehensive income attributable to noncontrolling interests

 

 

4,117

 

 

 

5,400

 

 

 

13,583

 

 

 

40,232

 

Comprehensive income attributable to UHS

 

$

141,034

 

 

$

144,836

 

 

$

545,883

 

 

$

511,166

 

 


Universal Health Services, Inc.

 

Condensed Consolidated Balance Sheets

 

(in thousands)

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

September 30,

 

 

December 31,

 

 

 

2017

 

 

2016

 

Assets

 

 

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

65,424

 

 

$

33,747

 

Accounts receivable, net

 

 

1,452,018

 

 

 

1,439,553

 

Supplies

 

 

135,849

 

 

 

125,365

 

Other current assets

 

 

101,896

 

 

 

82,706

 

Total current assets

 

 

1,755,187

 

 

 

1,681,371

 

Property and equipment

 

 

7,769,073

 

 

 

7,314,437

 

Less: accumulated depreciation

 

 

(3,252,934

)

 

 

(2,983,481

)

 

 

 

4,516,139

 

 

 

4,330,956

 

Other assets:

 

 

 

 

 

 

 

 

Goodwill

 

 

3,821,610

 

 

 

3,784,106

 

Deferred charges

 

 

10,385

 

 

 

13,520

 

Deferred income taxes

 

 

1,340

 

 

 

1,234

 

Other

 

 

534,699

 

 

 

506,615

 

Total Assets

 

$

10,639,360

 

 

$

10,317,802

 

 

 

 

 

 

 

 

 

 

Liabilities and Stockholders' Equity

 

 

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

 

 

Current maturities of long-term debt

 

$

112,757

 

 

$

105,895

 

Accounts payable and accrued liabilities

 

 

1,284,740

 

 

 

1,209,329

 

Federal and state taxes

 

 

0

 

 

 

2,149

 

Total current liabilities

 

 

1,397,497

 

 

 

1,317,373

 

 

 

 

 

 

 

 

 

 

Other noncurrent liabilities

 

 

298,252

 

 

 

275,167

 

Long-term debt

 

 

3,927,396

 

 

 

4,030,230

 

Deferred income taxes

 

 

78,968

 

 

 

88,119

 

 

 

 

 

 

 

 

 

 

Redeemable noncontrolling interest

 

 

7,037

 

 

 

9,319

 

 

 

 

 

 

 

 

 

 

UHS common stockholders' equity

 

 

4,865,212

 

 

 

4,533,220

 

Noncontrolling interest

 

 

64,998

 

 

 

64,374

 

Total equity

 

 

4,930,210

 

 

 

4,597,594

 

 

 

 

 

 

 

 

 

 

Total Liabilities and Stockholders' Equity

 

$

10,639,360

 

 

$

10,317,802

 

 


Universal Health Services, Inc.

 

Consolidated Statements of Cash Flows

 

(in thousands)

 

(unaudited)

 

 

Nine months

 

 

ended September 30,

 

 

2017

 

 

2016

 

Cash Flows from Operating Activities:

 

 

 

 

 

 

 

Net income

$

546,277

 

 

$

568,433

 

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

 

 

 

 

 

 

 

Depreciation & amortization

 

334,127

 

 

 

309,172

 

Stock-based compensation expense

 

42,838

 

 

 

36,358

 

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

 

 

 

 

 

 

 

   Accounts receivable

 

10,090

 

 

 

(6,836

)

   Accrued interest

 

(5,747

)

 

 

3,303

 

   Accrued and deferred income taxes

 

(20,177

)

 

 

12,187

 

   Other working capital accounts

 

23,729

 

 

 

124,987

 

   Other assets and deferred charges

 

(21,798

)

 

 

(11,451

)

   Other

 

(54,664

)

 

 

58,040

 

   Excess income tax benefits related to stock-based compensation

 

0

 

 

 

36,407

 

   Accrued insurance expense, net of commercial premiums paid

 

80,814

 

 

 

66,049

 

   Payments made in settlement of self-insurance claims

 

(57,224

)

 

 

(60,137

)

Net cash provided by operating activities

 

878,265

 

 

 

1,136,512

 

Cash Flows from Investing Activities:

 

 

 

 

 

 

 

Property and equipment additions, net of disposals

 

(418,693

)

 

 

(396,163

)

Acquisition of property and businesses

 

(19,610

)

 

 

(136,221

)

Increase in capital reserves of commercial insurance subsidiary

 

(3,000

)

 

 

0

 

Costs incurred for purchase and implementation of information technology application

 

(26,401

)

 

 

0

 

Net cash used in investing activities

 

(467,704

)

 

 

(532,384

)

Cash Flows from Financing Activities:

 

 

 

 

 

 

 

Reduction of long-term debt

 

(143,526

)

 

 

(814,971

)

Additional borrowings

 

43,124

 

 

 

1,026,000

 

Acquisition of noncontrolling interests in majority owned businesses

 

0

 

 

 

(418,000

)

Financing costs

 

(34

)

 

 

(12,330

)

Repurchase of common shares

 

(242,870

)

 

 

(297,177

)

Dividends paid

 

(28,776

)

 

 

(29,197

)

Issuance of common stock

 

7,637

 

 

 

6,379

 

Profit distributions to noncontrolling interests

 

(15,924

)

 

 

(61,053

)

Net cash used in financing activities

 

(380,369

)

 

 

(600,349

)

Effect of exchange rate changes on cash and cash equivalents

 

1,485

 

 

 

(3,263

)

Increase in cash and cash equivalents

 

31,677

 

 

 

516

 

Cash and cash equivalents, beginning of period

 

33,747

 

 

 

61,228

 

Cash and cash equivalents, end of period

$

65,424

 

 

$

61,744

 

Supplemental Disclosures of Cash Flow Information:

 

 

 

 

 

 

 

Interest paid

$

107,442

 

 

$

82,883

 

Income taxes paid, net of refunds

$

305,885

 

 

$

259,174

 

Noncash purchases of property and equipment

$

64,958

 

 

$

45,319

 

 


 

Universal Health Services, Inc.

 

Supplemental Statistical Information

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

% Change

 

 

% Change

 

 

 

 

 

 

 

 

 

Same Facility:

 

 

Quarter ended

 

 

9 months ended

 

 

 

 

 

 

 

 

 

 

 

 

9/30/2017

 

 

9/30/2017

 

 

 

 

 

 

 

 

 

Acute Care Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Revenues

 

 

 

2.2

%

 

 

4.0

%

 

 

 

 

 

 

 

 

Adjusted Admissions

 

 

 

3.5

%

 

 

4.9

%

 

 

 

 

 

 

 

 

Adjusted Patient Days

 

 

 

1.5

%

 

 

2.0

%

 

 

 

 

 

 

 

 

Revenue Per Adjusted Admission

 

 

 

-0.6

%

 

 

-0.3

%

 

 

 

 

 

 

 

 

Revenue Per Adjusted Patient Day

 

 

 

1.3

%

 

 

2.5

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Behavioral Health Care Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Revenues

 

 

 

1.8

%

 

 

1.8

%

 

 

 

 

 

 

 

 

Adjusted Admissions

 

 

 

1.1

%

 

 

2.4

%

 

 

 

 

 

 

 

 

Adjusted Patient Days

 

 

 

-0.2

%

 

 

0.5

%

 

 

 

 

 

 

 

 

Revenue Per Adjusted Admission

 

 

 

1.3

%

 

 

-0.4

%

 

 

 

 

 

 

 

 

Revenue Per Adjusted Patient Day

 

 

 

2.6

%

 

 

1.5

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UHS Consolidated

 

 

Third quarter ended

 

 

Nine months ended

 

 

 

 

9/30/2017

 

 

9/30/2016

 

 

9/30/2017

 

 

9/30/2016

 

Revenues

 

 

$

2,541,864

 

 

$

2,409,872

 

 

$

7,767,078

 

 

$

7,290,525

 

EBITDA (1)

 

 

$

363,410

 

 

$

375,881

 

 

$

1,261,978

 

 

$

1,236,121

 

EBITDA Margin (1)

 

 

 

14.3

%

 

 

15.6

%

 

 

16.2

%

 

 

17.0

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash Flow From Operations

 

 

$

344,673

 

 

$

300,083

 

 

$

878,265

 

 

$

1,136,512

 

Days Sales Outstanding

 

 

 

53

 

 

 

50

 

 

 

51

 

 

 

49

 

Capital Expenditures

 

 

$

156,241

 

 

$

148,448

 

 

$

418,693

 

 

$

396,163

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Debt

 

 

 

 

 

 

 

 

 

 

$

4,040,153

 

 

$

3,634,169

 

UHS' Shareholders Equity

 

 

 

 

 

 

 

 

 

 

$

4,865,212

 

 

$

4,394,703

 

Debt / Total Capitalization

 

 

 

 

 

 

 

 

 

 

 

45.4

%

 

 

45.3

%

Debt / EBITDA (2)

 

 

 

 

 

 

 

 

 

 

 

2.41

 

 

 

2.21

 

Debt / Cash From Operations (2)

 

 

 

 

 

 

 

 

 

 

 

3.76

 

 

 

2.64

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1)  Net of Minority Interest

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(2)  Latest 4 quarters

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 

Universal Health Services, Inc.

 

Acute Care Hospital Services

 

For the three and nine months ended

 

September 30, 2017 and 2016

 

(in thousands)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Same Facility Basis - Acute Care Hospital Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

Three months ended

 

 

Nine Months ended

 

 

Nine Months ended

 

 

 

September 30, 2017

 

 

September 30, 2016

 

 

September 30, 2017

 

 

September 30, 2016

 

 

 

Amount

 

 

% of Net

Revenues

 

 

Amount

 

 

% of Net

Revenues

 

 

Amount

 

 

% of Net

Revenues

 

 

Amount

 

 

% of Net

Revenues

 

Net revenues before provision for doubtful accounts

 

$

1,452,997

 

 

 

 

 

 

$

1,402,732

 

 

 

 

 

 

$

4,431,714

 

 

 

 

 

 

$

4,224,695

 

 

 

 

 

Less: Provision for doubtful accounts

 

 

196,542

 

 

 

 

 

 

 

172,883

 

 

 

 

 

 

 

548,387

 

 

 

 

 

 

 

491,556

 

 

 

 

 

Net revenues

 

 

1,256,455

 

 

 

100.0

%

 

 

1,229,849

 

 

 

100.0

%

 

 

3,883,327

 

 

 

100.0

%

 

 

3,733,139

 

 

 

100.0

%

Operating charges:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

 

551,144

 

 

 

43.9

%

 

 

528,249

 

 

 

43.0

%

 

 

1,623,774

 

 

 

41.8

%

 

 

1,547,580

 

 

 

41.5

%

Other operating expenses

 

 

307,909

 

 

 

24.5

%

 

 

309,702

 

 

 

25.2

%

 

 

925,122

 

 

 

23.8

%

 

 

896,589

 

 

 

24.0

%

Supplies expense

 

 

212,350

 

 

 

16.9

%

 

 

210,973

 

 

 

17.2

%

 

 

654,218

 

 

 

16.8

%

 

 

621,258

 

 

 

16.6

%

Depreciation and amortization

 

 

62,446

 

 

 

5.0

%

 

 

59,252

 

 

 

4.8

%

 

 

185,151

 

 

 

4.8

%

 

 

174,855

 

 

 

4.7

%

Lease and rental expense

 

 

14,390

 

 

 

1.1

%

 

 

12,572

 

 

 

1.0

%

 

 

41,864

 

 

 

1.1

%

 

 

39,489

 

 

 

1.1

%

Subtotal-operating expenses

 

 

1,148,239

 

 

 

91.4

%

 

 

1,120,748

 

 

 

91.1

%

 

 

3,430,129

 

 

 

88.3

%

 

 

3,279,771

 

 

 

87.9

%

Income from operations

 

 

108,216

 

 

 

8.6

%

 

 

109,101

 

 

 

8.9

%

 

 

453,198

 

 

 

11.7

%

 

 

453,368

 

 

 

12.1

%

Interest expense, net

 

 

639

 

 

 

0.1

%

 

 

817

 

 

 

0.1

%

 

 

2,073

 

 

 

0.1

%

 

 

2,460

 

 

 

0.1

%

Income before income taxes

 

$

107,577

 

 

 

8.6

%

 

$

108,284

 

 

 

8.8

%

 

$

451,125

 

 

 

11.6

%

 

$

450,908

 

 

 

12.1

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

All Acute Care Hospital Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

Three months ended

 

 

Nine Months ended

 

 

Nine Months ended

 

 

 

September 30, 2017

 

 

September 30, 2016

 

 

September 30, 2017

 

 

September 30, 2016

 

 

 

Amount

 

 

% of Net

Revenues

 

 

Amount

 

 

% of Net

Revenues

 

 

Amount

 

 

% of Net

Revenues

 

 

Amount

 

 

% of Net

Revenues

 

Net revenues before provision for doubtful accounts

 

$

1,521,727

 

 

 

 

 

 

$

1,426,749

 

 

 

 

 

 

$

4,646,083

 

 

 

 

 

 

$

4,285,897

 

 

 

 

 

Less: Provision for doubtful accounts

 

 

204,979

 

 

 

 

 

 

 

172,883

 

 

 

 

 

 

 

573,331

 

 

 

 

 

 

 

491,556

 

 

 

 

 

Net revenues

 

 

1,316,748

 

 

 

100.0

%

 

 

1,253,866

 

 

 

100.0

%

 

 

4,072,752

 

 

 

100.0

%

 

 

3,794,341

 

 

 

100.0

%

Operating charges:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

 

566,214

 

 

 

43.0

%

 

 

529,544

 

 

 

42.2

%

 

 

1,672,909

 

 

 

41.1

%

 

 

1,549,311

 

 

 

40.8

%

Other operating expenses

 

 

342,486

 

 

 

26.0

%

 

 

334,387

 

 

 

26.7

%

 

 

1,018,454

 

 

 

25.0

%

 

 

958,844

 

 

 

25.3

%

Supplies expense

 

 

217,035

 

 

 

16.5

%

 

 

211,017

 

 

 

16.8

%

 

 

670,444

 

 

 

16.5

%

 

 

621,305

 

 

 

16.4

%

Depreciation and amortization

 

 

69,062

 

 

 

5.2

%

 

 

67,982

 

 

 

5.4

%

 

 

213,417

 

 

 

5.2

%

 

 

202,079

 

 

 

5.3

%

Lease and rental expense

 

 

14,605

 

 

 

1.1

%

 

 

12,577

 

 

 

1.0

%

 

 

43,066

 

 

 

1.1

%

 

 

39,510

 

 

 

1.0

%

Subtotal-operating expenses

 

 

1,209,402

 

 

 

91.8

%

 

 

1,155,507

 

 

 

92.2

%

 

 

3,618,290

 

 

 

88.8

%

 

 

3,371,049

 

 

 

88.8

%

Income from operations

 

 

107,346

 

 

 

8.2

%

 

 

98,359

 

 

 

7.8

%

 

 

454,462

 

 

 

11.2

%

 

 

423,292

 

 

 

11.2

%

Interest expense, net

 

 

639

 

 

 

0.0

%

 

 

817

 

 

 

0.1

%

 

 

2,074

 

 

 

0.1

%

 

 

2,460

 

 

 

0.1

%

Income before income taxes

 

$

106,707

 

 

 

8.1

%

 

$

97,542

 

 

 

7.8

%

 

$

452,388

 

 

 

11.1

%

 

$

420,832

 

 

 

11.1

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


We believe that providing our results on a “Same Facility” basis (which is a non-GAAP measure), which includes the operating results for facilities and businesses operated in both the current year and prior year periods, is helpful to our investors as a measure of our operating performance. Our Same Facility results also neutralize (if applicable) the impact of the EHR applications, the effect of items that are non-operational in nature including items such as, but not limited to, gains on sales of assets and businesses, impacts of 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. Our Same Facility basis results exclude from net revenues and other operating expenses, provider tax assessments incurred in each period. However, these provider tax assessments are included in net revenues and other operating expenses as reflected in the table under All Acute Care Hospital Services. The provider tax assessments had no impact on the income before income taxes as reflected on the above tables since the amounts offset between net revenues and other operating expenses. To obtain a complete understanding of our financial performance, the Same Facility results should be examined in connection with our net income as determined in accordance with GAAP and as presented in the condensed consolidated financial statements and notes thereto as contained in our Form 10-K for the year ended December 31, 2016 and our Form 10-Q for the quarterly period ended June 30, 2017.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The All Acute Care Hospital Services table summarizes the results of operations for all our acute care operations during the three and nine-month periods ended September 30, 2017 and 2016. These amounts include: (i) our acute care results on a same facility basis, as indicated above; (ii) the impact of the implementation of EHR applications at our acute care hospitals; (iii) the impact of provider tax assessments which increased net revenues and other operating expenses but had no impact on income before income taxes, and; (iv) certain other amounts including the results of facilities acquired or opened during the last twelve months.

 


 

Universal Health Services, Inc.

 

Behavioral Health Services

 

For the three and nine months ended

 

September 30, 2017 and 2016

 

(in thousands)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Same Facility - Behavioral Health Care Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

Three months ended

 

 

Nine Months ended

 

 

Nine Months ended

 

 

 

September 30, 2017

 

 

September 30, 2016

 

 

September 30, 2017

 

 

September 30, 2016

 

 

 

Amount

 

 

% of Net

Revenues

 

 

Amount

 

 

% of Net

Revenues

 

 

Amount

 

 

% of Net

Revenues

 

 

Amount

 

 

% of Net

Revenues

 

Net revenues before provision for doubtful accounts

 

$

1,175,860

 

 

 

 

 

 

$

1,159,594

 

 

 

 

 

 

$

3,566,216

 

 

 

 

 

 

$

3,509,217

 

 

 

 

 

Less: Provision for doubtful accounts

 

 

24,311

 

 

 

 

 

 

 

28,109

 

 

 

 

 

 

 

82,973

 

 

 

 

 

 

 

87,004

 

 

 

 

 

Net revenues

 

 

1,151,549

 

 

 

100.0

%

 

 

1,131,485

 

 

 

100.0

%

 

 

3,483,243

 

 

 

100.0

%

 

 

3,422,213

 

 

 

100.0

%

Operating charges:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

 

595,571

 

 

 

51.7

%

 

 

567,889

 

 

 

50.2

%

 

 

1,770,122

 

 

 

50.8

%

 

 

1,692,898

 

 

 

49.5

%

Other operating expenses

 

 

234,945

 

 

 

20.4

%

 

 

223,940

 

 

 

19.8

%

 

 

693,200

 

 

 

19.9

%

 

 

660,559

 

 

 

19.3

%

Supplies expense

 

 

49,629

 

 

 

4.3

%

 

 

49,001

 

 

 

4.3

%

 

 

146,286

 

 

 

4.2

%

 

 

145,626

 

 

 

4.3

%

Depreciation and amortization

 

 

34,206

 

 

 

3.0

%

 

 

32,757

 

 

 

2.9

%

 

 

100,838

 

 

 

2.9

%

 

 

98,506

 

 

 

2.9

%

Lease and rental expense

 

 

11,491

 

 

 

1.0

%

 

 

11,061

 

 

 

1.0

%

 

 

32,988

 

 

 

0.9

%

 

 

32,878

 

 

 

1.0

%

Subtotal-operating expenses

 

 

925,842

 

 

 

80.4

%

 

 

884,648

 

 

 

78.2

%

 

 

2,743,434

 

 

 

78.8

%

 

 

2,630,467

 

 

 

76.9

%

Income from operations

 

 

225,707

 

 

 

19.6

%

 

 

246,837

 

 

 

21.8

%

 

 

739,809

 

 

 

21.2

%

 

 

791,746

 

 

 

23.1

%

Interest expense, net

 

 

428

 

 

 

0.0

%

 

 

420

 

 

 

0.0

%

 

 

1,590

 

 

 

0.0

%

 

 

1,302

 

 

 

0.0

%

Income before income taxes

 

$

225,279

 

 

 

19.6

%

 

$

246,417

 

 

 

21.8

%

 

$

738,219

 

 

 

21.2

%

 

$

790,444

 

 

 

23.1

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

All Behavioral Health Care Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

Three months ended

 

 

Nine Months ended

 

 

Nine Months ended

 

 

 

September 30, 2017

 

 

September 30, 2016

 

 

September 30, 2017

 

 

September 30, 2016

 

 

 

Amount

 

 

% of Net

Revenues

 

 

Amount

 

 

% of Net

Revenues

 

 

Amount

 

 

% of Net

Revenues

 

 

Amount

 

 

% of Net

Revenues

 

Net revenues before provision for doubtful accounts

 

$

1,249,585

 

 

 

 

 

 

$

1,182,041

 

 

 

 

 

 

$

3,769,879

 

 

 

 

 

 

$

3,576,957

 

 

 

 

 

Less: Provision for doubtful accounts

 

 

25,037

 

 

 

 

 

 

 

28,161

 

 

 

 

 

 

 

84,649

 

 

 

 

 

 

 

87,276

 

 

 

 

 

Net revenues

 

 

1,224,548

 

 

 

100.0

%

 

 

1,153,880

 

 

 

100.0

%

 

 

3,685,230

 

 

 

100.0

%

 

 

3,489,681

 

 

 

100.0

%

Operating charges:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

 

632,492

 

 

 

51.7

%

 

 

571,070

 

 

 

49.5

%

 

 

1,869,170

 

 

 

50.7

%

 

 

1,703,222

 

 

 

48.8

%

Other operating expenses

 

 

261,959

 

 

 

21.4

%

 

 

242,949

 

 

 

21.1

%

 

 

784,678

 

 

 

21.3

%

 

 

720,678

 

 

 

20.7

%

Supplies expense

 

 

50,947

 

 

 

4.2

%

 

 

49,244

 

 

 

4.3

%

 

 

149,967

 

 

 

4.1

%

 

 

146,244

 

 

 

4.2

%

Depreciation and amortization

 

 

38,574

 

 

 

3.2

%

 

 

33,584

 

 

 

2.9

%

 

 

113,083

 

 

 

3.1

%

 

 

101,003

 

 

 

2.9

%

Lease and rental expense

 

 

11,475

 

 

 

0.9

%

 

 

11,098

 

 

 

1.0

%

 

 

33,993

 

 

 

0.9

%

 

 

33,216

 

 

 

1.0

%

Subtotal-operating expenses

 

 

995,447

 

 

 

81.3

%

 

 

907,945

 

 

 

78.7

%

 

 

2,950,891

 

 

 

80.1

%

 

 

2,704,363

 

 

 

77.5

%

Income from operations

 

 

229,101

 

 

 

18.7

%

 

 

245,935

 

 

 

21.3

%

 

 

734,339

 

 

 

19.9

%

 

 

785,318

 

 

 

22.5

%

Interest expense, net

 

 

428

 

 

 

0.0

%

 

 

420

 

 

 

0.0

%

 

 

1,590

 

 

 

0.0

%

 

 

1,302

 

 

 

0.0

%

Income before income taxes

 

$

228,673

 

 

 

18.7

%

 

$

245,515

 

 

 

21.3

%

 

$

732,749

 

 

 

19.9

%

 

$

784,016

 

 

 

22.5

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


We believe that providing our results on a “Same Facility” basis (which is a non-GAAP measure), which includes the operating results for facilities and businesses operated in both the current year and prior year periods, is helpful to our investors as a measure of our operating performance. Our Same Facility results also neutralize (if applicable), the effect of items that are non-operational in nature including items such as, but not limited to, gains on sales of assets and businesses, impacts of 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. Our Same Facility basis results exclude from net revenues and other operating expenses, provider tax assessments incurred in each period. However, these provider tax assessments are included in net revenues and other operating expenses as reflected in the table under All Behavioral Health Care Services. The provider tax assessments had no impact on the income before income taxes as reflected on the above tables since the amounts offset between net revenues and other operating expenses. To obtain a complete understanding of our financial performance, the Same Facility results should be examined in connection with our net income as determined in accordance with GAAP and as presented in the condensed consolidated financial statements and notes thereto as contained in our Form 10-K for the year ended December 31, 2016 and our Form 10-Q for the quarterly period ended June 30, 2017.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The All Behavioral Health Care Services table summarizes the results of operations for all our behavioral health care facilities during the three and nine-month periods ended September 30, 2017 and 2016. These amounts include: (i) our behavioral health results on a same facility basis, as indicated above; (ii) the impact of provider tax assessments which increased net revenues and other operating expenses but had no impact on income before income taxes, and; (iii) certain other amounts including the results of facilities acquired or opened during the last twelve months.

 


 

Universal Health Services, Inc.

 

Selected Hospital Statistics

 

For the three months ended

 

September 30, 2017 and 2016

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AS REPORTED:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACUTE

 

 

BEHAVIORAL HEALTH

 

 

 

09/30/17

 

09/30/16

 

% change

 

 

09/30/17

 

09/30/16

 

% change

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hospitals owned and leased

 

 

26

 

 

25

 

 

4.0

%

 

 

298

 

 

213

 

 

39.9

%

Average licensed beds

 

 

6,147

 

 

5,926

 

 

3.7

%

 

 

23,173

 

 

21,840

 

 

6.1

%

Patient days

 

 

324,697

 

 

309,505

 

 

4.9

%

 

 

1,594,487

 

 

1,503,472

 

 

6.1

%

Average daily census

 

 

3,529.3

 

 

3,364.2

 

 

4.9

%

 

 

17,331.4

 

 

16,342.1

 

 

6.1

%

Occupancy-licensed beds

 

 

57.4

%

 

56.8

%

 

1.1

%

 

 

74.8

%

 

74.8

%

 

0.0

%

Admissions

 

 

73,692

 

 

68,165

 

 

8.1

%

 

 

116,301

 

 

114,678

 

 

1.4

%

Length of stay

 

 

4.4

 

 

4.5

 

 

-3.0

%

 

 

13.7

 

 

13.1

 

 

4.6

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Inpatient revenue

 

$

5,344,625

 

$

4,647,578

 

 

15.0

%

 

$

2,257,231

 

$

2,031,868

 

 

11.1

%

Outpatient revenue

 

 

3,199,066

 

 

2,854,851

 

 

12.1

%

 

 

236,559

 

 

217,571

 

 

8.7

%

Total patient revenue

 

 

8,543,691

 

 

7,502,429

 

 

13.9

%

 

 

2,493,790

 

 

2,249,439

 

 

10.9

%

Other revenue

 

 

113,346

 

 

114,344

 

 

-0.9

%

 

 

50,143

 

 

53,570

 

 

-6.4

%

Gross hospital revenue

 

 

8,657,037

 

 

7,616,773

 

 

13.7

%

 

 

2,543,933

 

 

2,303,009

 

 

10.5

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total deductions

 

 

7,135,310

 

 

6,190,024

 

 

15.3

%

 

 

1,294,348

 

 

1,120,968

 

 

15.5

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net hospital revenue before provision for doubtful accounts

 

 

1,521,727

 

 

1,426,749

 

 

6.7

%

 

 

1,249,585

 

 

1,182,041

 

 

5.7

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Provision for doubtful accounts

 

 

204,979

 

 

172,883

 

 

18.6

%

 

 

25,037

 

 

28,161

 

 

-11.1

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net hospital revenue

 

$

1,316,748

 

$

1,253,866

 

 

5.0

%

 

$

1,224,548

 

$

1,153,880

 

 

6.1

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SAME FACILITY:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACUTE (1)

 

 

BEHAVIORAL HEALTH (2)

 

 

 

09/30/17

 

09/30/16

 

% change

 

 

09/30/17

 

09/30/16

 

% change

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hospitals owned and leased

 

 

25

 

 

25

 

 

0.0

%

 

 

211

 

 

211

 

 

0.0

%

Average licensed beds

 

 

6,009

 

 

5,926

 

 

1.4

%

 

 

21,814

 

 

21,607

 

 

1.0

%

Patient days

 

 

319,102

 

 

309,505

 

 

3.1

%

 

 

1,485,837

 

 

1,485,616

 

 

0.0

%

Average daily census

 

 

3,468.5

 

 

3,364.2

 

 

3.1

%

 

 

16,150.4

 

 

16,148.0

 

 

0.0

%

Occupancy-licensed beds

 

 

57.7

%

 

56.8

%

 

1.6

%

 

 

74.0

%

 

74.7

%

 

-0.9

%

Admissions

 

 

71,621

 

 

68,165

 

 

5.1

%

 

 

115,826

 

 

114,356

 

 

1.3

%

Length of stay

 

 

4.5

 

 

4.5

 

 

-1.9

%

 

 

12.8

 

 

13.0

 

 

-1.3

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1) Henderson Hospital is excluded in current year.

 

(2) CAMBIAN facilities are excluded in current year.

 

 


Universal Health Services, Inc.

 

Selected Hospital Statistics

 

For the nine months ended

 

September 30, 2017 and 2016

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AS REPORTED:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACUTE

 

 

BEHAVIORAL HEALTH

 

 

 

09/30/17

 

09/30/16

 

% change

 

 

09/30/17

 

09/30/16

 

% change

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hospitals owned and leased

 

 

26

 

 

25

 

 

4.0

%

 

 

298

 

 

213

 

 

39.9

%

Average licensed beds

 

 

6,125

 

 

5,878

 

 

4.2

%

 

 

23,121

 

 

21,804

 

 

6.0

%

Patient days

 

 

981,946

 

 

941,595

 

 

4.3

%

 

 

4,812,633

 

 

4,515,381

 

 

6.6

%

Average daily census

 

 

3,596.9

 

 

3,436.5

 

 

4.7

%

 

 

17,628.7

 

 

16,479.5

 

 

7.0

%

Occupancy-licensed beds

 

 

58.7

%

 

58.5

%

 

0.4

%

 

 

76.2

%

 

75.6

%

 

0.9

%

Admissions

 

 

221,595

 

 

204,663

 

 

8.3

%

 

 

353,773

 

 

344,972

 

 

2.6

%

Length of stay

 

 

4.4

 

 

4.6

 

 

-3.7

%

 

 

13.6

 

 

13.1

 

 

3.9

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Inpatient revenue

 

$

16,373,472

 

$

14,295,797

 

 

14.5

%

 

$

6,689,368

 

$

5,987,430

 

 

11.7

%

Outpatient revenue

 

 

9,780,173

 

 

8,461,032

 

 

15.6

%

 

 

740,331

 

 

668,457

 

 

10.8

%

Total patient revenue

 

 

26,153,645

 

 

22,756,829

 

 

14.9

%

 

 

7,429,699

 

 

6,655,887

 

 

11.6

%

Other revenue

 

 

352,788

 

 

344,889

 

 

2.3

%

 

 

154,501

 

 

157,161

 

 

-1.7

%

Gross hospital revenue

 

 

26,506,433

 

 

23,101,718

 

 

14.7

%

 

 

7,584,200

 

 

6,813,048

 

 

11.3

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total deductions

 

 

21,860,350

 

 

18,815,821

 

 

16.2

%

 

 

3,814,321

 

 

3,236,091

 

 

17.9

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net hospital revenue before provision for doubtful accounts

 

 

4,646,083

 

 

4,285,897

 

 

8.4

%

 

 

3,769,879

 

 

3,576,957

 

 

5.4

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Provision for doubtful accounts

 

 

573,331

 

 

491,556

 

 

16.6

%

 

 

84,649

 

 

87,276

 

 

-3.0

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net hospital revenue

 

$

4,072,752

 

$

3,794,341

 

 

7.3

%

 

$

3,685,230

 

$

3,489,681

 

 

5.6

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SAME FACILITY:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACUTE (1)

 

 

BEHAVIORAL HEALTH (2)

 

 

 

09/30/17

 

09/30/16

 

% change

 

 

09/30/17

 

09/30/16

 

% change

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hospitals owned and leased

 

 

25

 

 

25

 

 

0.0

%

 

 

211

 

 

211

 

 

0.0

%

Average licensed beds

 

 

5,975

 

 

5,878

 

 

1.7

%

 

 

21,831

 

 

21,603

 

 

1.1

%

Patient days

 

 

965,601

 

 

941,595

 

 

2.5

%

 

 

4,506,056

 

 

4,481,544

 

 

0.5

%

Average daily census

 

 

3,537.0

 

 

3,436.5

 

 

2.9

%

 

 

16,505.7

 

 

16,356.0

 

 

0.9

%

Occupancy-licensed beds

 

 

59.2

%

 

58.5

%

 

1.3

%

 

 

75.6

%

 

75.7

%

 

-0.1

%

Admissions

 

 

215,830

 

 

204,663

 

 

5.5

%

 

 

352,668

 

 

344,118

 

 

2.5

%

Length of stay

 

 

4.5

 

 

4.6

 

 

-2.8

%

 

 

12.8

 

 

13.0

 

 

-1.9

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1) Henderson Hospital is excluded in current year.

 

(2) CAMBIAN facilities are excluded in current year.