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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10-Q

 

(MARK ONE)

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended March 31, 2023

OR

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from to

Commission file number 1-10765

 

UNIVERSAL HEALTH SERVICES, INC.

(Exact name of registrant as specified in its charter)

 

Delaware

 

23-2077891

(State or other jurisdiction of

incorporation or organization)

 

(I.R.S. Employer

Identification No.)

UNIVERSAL CORPORATE CENTER

367 SOUTH GULPH ROAD

KING OF PRUSSIA, Pennsylvania 19406

(Address of principal executive offices) (Zip Code)

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

Securities registered pursuant to Section 12(b) of the Act:

Title of each class

Trading Symbol(s)

Name of each exchange on which registered

Class B Common Stock, $0.01 par value

UHS

New York Stock Exchange

 

Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes No

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes No

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

Large accelerated filer

Accelerated filer

 

 

 

 

Non-accelerated filer

Smaller reporting company

 

 

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.

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes No

Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date. Common shares outstanding, as of April 30, 2023:

Class A

 

6,577,100

Class B

 

62,928,899

Class C

 

661,688

Class D

 

14,100

 

 


UNIVERSAL HEALTH SERVICES, INC.

INDEX

PAGE NO.

PART I. FINANCIAL INFORMATION

Item 1. Financial Statements (unaudited)

Condensed Consolidated Statements of Income – Three Months Ended March 31, 2023 and 2022

3

 

Condensed Consolidated Statements of Comprehensive Income – Three Months Ended March 31, 2023 and 2022

4

 

Condensed Consolidated Balance Sheets – March 31, 2023 and December 31, 2022

5

 

Condensed Consolidated Statements of Changes in Equity – Three Months Ended March 31, 2023 and 2022

 

6

 

 

 

Condensed Consolidated Statements of Cash Flows - Three Months Ended March 31, 2023 and 2022

8

 

Notes to Condensed Consolidated Financial Statements

9

 

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

23

 

Item 3. Quantitative and Qualitative Disclosures About Market Risk

54

 

Item 4. Controls and Procedures

54

 

PART II. Other Information

 

 

Item 1. Legal Proceedings

55

 

Item 1A. Risk Factors

55

 

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

55

 

Item 6. Exhibits

56

 

Signatures

57

This Quarterly Report on Form 10-Q is for the quarter ended March 31, 2023. This Report modifies and supersedes documents filed prior to this Report. Information that we file with the Securities and Exchange Commission (the “SEC”) in the future will automatically update and supersede information contained in this Report.

In this Quarterly Report, “we,” “us,” “our” “UHS” and the “Company” refer to Universal Health Services, Inc. and its subsidiaries. UHS is a registered trademark of UHS of Delaware, Inc., the management company for, and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to “UHS” or “UHS facilities” in this report including letters, narratives or other forms contained herein relates to our healthcare or management operations it is referring to Universal Health Services, Inc.’s subsidiaries including UHS of Delaware, Inc. Further, the terms “we,” “us,” “our” or the “Company” in such context similarly refer to the operations of Universal Health Services Inc.’s subsidiaries including UHS of Delaware, Inc. Any reference to employees or employment contained herein refers to employment with or employees of the subsidiaries of Universal Health Services, Inc. including UHS of Delaware, Inc.

2


PART I. FINANCIAL INFORMATION

UNIVERSAL HEALTH SERVICES, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF INCOME

(amounts in thousands, except per share amounts)

(unaudited)

 

Three months ended
March 31,

 

 

2023

 

 

2022

 

Net revenues

$

3,467,518

 

 

$

3,292,956

 

Operating charges:

 

 

 

 

 

Salaries, wages and benefits

 

1,753,335

 

 

 

1,692,270

 

Other operating expenses

 

878,951

 

 

 

820,934

 

Supplies expense

 

379,989

 

 

 

371,073

 

Depreciation and amortization

 

141,621

 

 

 

143,784

 

Lease and rental expense

 

34,922

 

 

 

32,038

 

 

 

3,188,818

 

 

 

3,060,099

 

Income from operations

 

278,700

 

 

 

232,857

 

Interest expense, net

 

50,876

 

 

 

21,673

 

Other (income) expense, net

 

13,723

 

 

 

11,201

 

Income before income taxes

 

214,101

 

 

 

199,983

 

Provision for income taxes

 

51,726

 

 

 

48,962

 

Net income

 

162,375

 

 

 

151,021

 

Less: Net income (loss) attributable to noncontrolling interests

 

(740

)

 

 

(2,892

)

Net income attributable to UHS

$

163,115

 

 

$

153,913

 

 

 

 

 

 

 

Basic earnings per share attributable to UHS

$

2.31

 

 

$

2.05

 

Diluted earnings per share attributable to UHS

$

2.28

 

 

$

2.02

 

 

 

 

 

 

 

Weighted average number of common shares - basic

 

70,535

 

 

 

75,030

 

Add: Other share equivalents

 

952

 

 

 

1,011

 

Weighted average number of common shares and
   equivalents - diluted

 

71,487

 

 

 

76,041

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

 

3


UNIVERSAL HEALTH SERVICES, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(amounts in thousands, unaudited)

 

 

Three months ended
March 31,

 

 

 

2023

 

 

2022

 

Net income

 

$

162,375

 

 

$

151,021

 

Other comprehensive income (loss):

 

 

 

 

 

 

Foreign currency translation adjustment

 

 

4,198

 

 

 

(18,470

)

Other comprehensive income (loss) before tax

 

 

4,198

 

 

 

(18,470

)

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

 

 

(424

)

 

 

(944

)

Total other comprehensive income (loss), net of tax

 

 

4,622

 

 

 

(17,526

)

Comprehensive income

 

 

166,997

 

 

 

133,495

 

Less: Comprehensive income (loss) attributable to noncontrolling
   interests

 

 

(740

)

 

 

(2,892

)

Comprehensive income attributable to UHS

 

$

167,737

 

 

$

136,387

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

 

4


UNIVERSAL HEALTH SERVICES, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(amounts in thousands, unaudited)

 

March 31,
2023

 

 

December 31,
2022

 

Assets

 

 

 

 

 

Current assets:

 

 

 

 

 

Cash and cash equivalents

$

109,969

 

 

$

102,818

 

Accounts receivable, net

 

2,032,184

 

 

 

2,017,722

 

Supplies

 

216,236

 

 

 

218,517

 

Other current assets

 

200,710

 

 

 

198,283

 

Total current assets

 

2,559,099

 

 

 

2,537,340

 

 

 

 

 

 

 

Property and equipment

 

11,251,315

 

 

 

11,085,852

 

Less: accumulated depreciation

 

(5,297,174

)

 

 

(5,167,394

)

 

 

5,954,141

 

 

 

5,918,458

 

Other assets:

 

 

 

 

 

Goodwill

 

3,913,906

 

 

 

3,909,456

 

Deferred income taxes

 

90,918

 

 

 

68,397

 

Right of use assets-operating leases

 

458,189

 

 

 

454,650

 

Deferred charges

 

5,987

 

 

 

6,264

 

Other

 

573,719

 

 

 

599,623

 

Total Assets

$

13,555,959

 

 

$

13,494,188

 

 

 

 

 

 

 

Liabilities and Stockholders’ Equity

 

 

 

 

 

Current liabilities:

 

 

 

 

 

Current maturities of long-term debt

$

96,235

 

 

$

81,447

 

Accounts payable and other liabilities

 

1,636,102

 

 

 

1,760,588

 

Operating lease liabilities

 

73,189

 

 

 

67,776

 

Federal and state taxes

 

57,858

 

 

 

4,608

 

Total current liabilities

 

1,863,384

 

 

 

1,914,419

 

 

 

 

 

 

 

Other noncurrent liabilities

 

532,080

 

 

 

487,669

 

Operating lease liabilities noncurrent

 

396,488

 

 

 

395,522

 

Long-term debt

 

4,707,321

 

 

 

4,726,533

 

 

 

 

 

 

 

Redeemable noncontrolling interests

 

4,269

 

 

 

4,695

 

 

 

 

 

 

 

Equity:

 

 

 

 

 

UHS common stockholders’ equity

 

6,012,108

 

 

 

5,920,582

 

Noncontrolling interest

 

40,309

 

 

 

44,768

 

Total equity

 

6,052,417

 

 

 

5,965,350

 

Total Liabilities and Stockholders’ Equity

$

13,555,959

 

 

$

13,494,188

 

 

 

 

 

 

 

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

 

5


UNIVERSAL HEALTH SERVICES, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY

For the Three Months ended March 31, 2023

(amounts in thousands, unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accumulated

 

 

UHS

 

 

 

 

 

 

 

 

 

Redeemable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other

 

 

Common

 

 

 

 

 

 

 

 

 

Noncontrolling

 

 

Class A

 

 

Class B

 

 

Class C

 

 

Class D

 

 

Cumulative

 

 

Retained

 

 

Comprehensive

 

 

Stockholders'

 

 

Noncontrolling

 

 

 

 

 

 

Interest

 

 

Common

 

 

Common

 

 

Common

 

 

Common

 

 

Dividends

 

 

Earnings

 

 

Income (Loss)

 

 

Equity

 

 

Interest

 

 

Total

 

Balance, January 1, 2023

 

$

4,695

 

 

$

66

 

 

$

637

 

 

$

7

 

 

$

0

 

 

$

(604,127

)

 

$

6,533,667

 

 

$

(9,668

)

 

$

5,920,582

 

 

$

44,768

 

 

 

5,965,350

 

Common Stock

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Issued/(converted)

 

 

 

 

 

 

 

 

3

 

 

 

 

 

 

 

 

 

 

 

 

3,092

 

 

 

 

 

 

3,095

 

 

 

 

 

 

3,095

 

Repurchased

 

 

 

 

 

 

 

 

(7

)

 

 

 

 

 

 

 

 

 

 

 

(85,819

)

 

 

 

 

 

(85,826

)

 

 

 

 

 

(85,826

)

Restricted share-based compensation expense

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4,494

 

 

 

 

 

 

4,494

 

 

 

 

 

 

4,494

 

Dividends paid and accrued

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(14,199

)

 

 

 

 

 

 

 

 

(14,199

)

 

 

 

 

 

(14,199

)

Stock option expense

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16,225

 

 

 

 

 

 

16,225

 

 

 

 

 

 

16,225

 

Distributions to noncontrolling interests

 

 

(750

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(3,395

)

 

 

(3,395

)

Comprehensive income:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income (loss) to UHS / noncontrolling interests

 

 

324

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

163,115

 

 

 

 

 

 

163,115

 

 

 

(1,064

)

 

 

162,051

 

Foreign currency translation adjustments, net of income tax

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4,622

 

 

 

4,622

 

 

 

 

 

 

4,622

 

Subtotal - comprehensive income

 

 

324

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

163,115

 

 

 

4,622

 

 

 

167,737

 

 

 

(1,064

)

 

 

166,673

 

Balance, March 31, 2023

 

$

4,269

 

 

$

66

 

 

$

633

 

 

$

7

 

 

$

0

 

 

$

(618,326

)

 

$

6,634,774

 

 

$

(5,046

)

 

$

6,012,108

 

 

$

40,309

 

 

$

6,052,417

 

 

 

The accompanying notes are an integral part of these condensed consolidated financial statements.

 

6


UNIVERSAL HEALTH SERVICES, INC. AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY

For the Three Months ended March 31, 2022

(amounts in thousands, unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accumulated

 

 

UHS

 

 

 

 

 

 

 

 

 

Redeemable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other

 

 

Common

 

 

 

 

 

 

 

 

 

Noncontrolling

 

 

Class A

 

 

Class B

 

 

Class C

 

 

Class D

 

 

Cumulative

 

 

Retained

 

 

Comprehensive

 

 

Stockholders'

 

 

Noncontrolling

 

 

 

 

 

 

Interest

 

 

Common

 

 

Common

 

 

Common

 

 

Common

 

 

Dividends

 

 

Earnings

 

 

Income (Loss)

 

 

Equity

 

 

Interest

 

 

Total

 

Balance, January 1, 2022

 

$

5,119

 

 

$

66

 

 

$

698

 

 

$

7

 

 

$

0

 

 

$

(545,487

)

 

$

6,604,089

 

 

$

30,291

 

 

$

6,089,664

 

 

$

103,389

 

 

$

6,193,053

 

Common Stock

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Issued/(converted)

 

 

 

 

 

 

 

 

5

 

 

 

 

 

 

 

 

 

 

 

 

3,640

 

 

 

 

 

 

3,645

 

 

 

 

 

 

3,645

 

Repurchased

 

 

 

 

 

 

 

 

(27

)

 

 

 

 

 

 

 

 

 

 

 

(365,478

)