8-K
false000035291500003529152024-07-242024-07-24

 

 

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): July 24, 2024

 

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))

 

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

UHS

New York Stock Exchange

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 July 24, 2024, 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 July 24, 2024.

104

Cover Page Interactive Data File (embedded within the Inline XBRL document).

 

 

 

Exhibit Index

Exhibit No.

Exhibit

 

 

99.1

Universal Health Services, Inc., press release, dated July 24, 2024.

104

Cover Page Interactive Data File (embedded within the Inline XBRL document).

 

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: July 25, 2024

 

 

 


EX-99.1

Exhibit 99.1

FOR IMMEDIATE RELEASE

July 24, 2024

 

CONTACT:

Steve Filton

 

Chief Financial Officer

 

610-768-3300

 

 

UNIVERSAL HEALTH SERVICES, INC.

ANNOUNCES 2024 SECOND QUARTER FINANCIAL RESULTS, INCREASES 2024 FULL YEAR OPERATING RESULTS FORECAST AND ANNOUNCES $1 BILLION INCREASE TO STOCK REPURCHASE PROGRAM AUTHORIZATION

 

 

Consolidated Results of Operations, As Reported and As Adjusted – Three-month periods ended June 30, 2024 and 2023:

KING OF PRUSSIA, PA – Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income attributable to UHS was $289.2 million, or $4.26 per diluted share, during the second quarter of 2024, as compared to $171.3 million, or $2.42 per diluted share, during the second quarter of 2023. Net revenues increased by 10.1% to $3.908 billion during the second quarter of 2024, as compared to $3.548 billion during the second quarter of 2023.

As reflected on the Schedule of Non-GAAP Supplemental Information (“Supplemental Schedule”), our adjusted net income attributable to UHS during the second quarter of 2024 was $292.6 million, or $4.31 per diluted share, as compared to $179.4 million, or $2.53 per diluted share, during the second quarter of 2023.

Included in our reported and adjusted net income attributable to UHS during the second quarter of 2024, were net incremental reimbursements (net of related provider taxes) aggregating to approximately $34.5 million, or $.38 per diluted share, recorded in connection with the following: (i) $18.8 million, or $.21 per diluted share, applicable to the period of January 1, 2024 through June 30, 2024, resulting from a recently expanded state directed payment program in Washington, and; (ii) $15.7 million, or $.17 per diluted share, applicable to the period of July 1, 2023 through June 30, 2024, resulting from additional net reimbursements from an existing supplemental Medicaid program in Idaho.

As reflected on the Supplemental Schedule, included in our reported results during the second quarter of 2024 were: (i) an unrealized after-tax loss of $5.9 million, or $.09 per diluted share ($7.7 million pre-tax), resulting from a decrease in the market value of certain equity securities (included in “Other (income) expense, net”), and; (ii) a favorable after-tax impact of $2.5 million, or $.04 per diluted share, resulting from the tax benefit recorded in connection with employee share-based payments (pursuant to “ASU 2016-09”, Compensation – Stock Compensation: Improvements to Employee Share-Based Payment Accounting). Our reported results during the second quarter of 2023 included an unrealized after-tax loss of $8.1 million, or $.11 per diluted share, ($10.5 million pre-tax) resulting from a decrease in the market value of certain equity securities.

As calculated on the attached Supplemental Schedule, our earnings before interest, taxes, depreciation & amortization (“EBITDA net of NCI”, NCI is net income attributable to noncontrolling interests), was $573.2 million, or 14.7% of net revenues, during the second quarter of 2024, as compared to $419.3 million, or 11.8% of net revenues, during the second quarter of 2023. Our adjusted earnings before interest, taxes, depreciation & amortization (“Adjusted EBITDA net of NCI”), which excludes the impact of other (income) expense, net, was $578.7 million, or 14.8% of net revenues, during the second quarter of 2024, as compared to $425.9 million, or 12.0% of net revenues, during the second quarter of 2023.


Consolidated Results of Operations, As Reported and As Adjusted – Six-month periods ended June 30, 2024 and 2023:

Reported net income attributable to UHS was $551.0 million, or $8.08 per diluted share, during the first six months of 2024, as compared to $334.4 million, or $4.70 per diluted share, during the first six months 2023. Net revenues increased by 10.5% to $7.751 billion during the first six months of 2024, as compared to $7.016 billion during the comparable period of 2023.

As reflected on the Supplemental Schedule, our adjusted net income attributable to UHS during the first six months of 2024 was $545.7 million, or $8.00 per diluted share, as compared to $346.9 million, or $4.87 per diluted share, during the comparable period of 2023.

As reflected on the Supplemental Schedule, included in our reported results during the first six months of 2024 were: (i) an unrealized after-tax loss of $6.3 million, or $.09 per diluted share ($8.2 million pre-tax), resulting from a decrease in the market value of certain equity securities (included in “Other (income) expense, net”), and; (ii) a favorable after-tax impact of $11.6 million, or $.17 per diluted share, resulting from the tax benefit recorded in connection with ASU 2016-09. Our reported results during the first six months of 2023 included an unrealized after-tax loss of $12.5 million, or $.17 per diluted share, ($16.3 million pre-tax) resulting from a decrease in the market value of certain equity securities.

As calculated on the attached Supplemental Schedule, our EBITDA net of NCI, was $1.099 billion, or 14.2% of net revenues, during the first six months of 2024, as compared to $826.6 million, or 11.8% of net revenues, during the first six months of 2023. Our Adjusted EBITDA net of NCI, which excludes the impact of other (income) expense, net, was $1.104 billion, or 14.2% of net revenues, during the first six months of 2024, as compared to $846.9 million, or 12.1% of net revenues, during the comparable period of 2023.

Acute Care Services – Three and six-month periods ended June 30, 2024 and 2023:

During the second quarter of 2024, at our acute care hospitals owned during both periods (“same facility basis”), adjusted admissions (adjusted for outpatient activity) increased by 3.4% while adjusted patient days increased by 1.6%, as compared to the second quarter of 2023. At these facilities, during the second quarter of 2024, net revenue per adjusted admission increased by 3.5% while net revenue per adjusted patient day increased by 5.3%, as compared to the second quarter of 2023. Net revenues generated from our acute care services, on a same facility basis, increased by 6.6% during the second quarter of 2024, as compared to the second quarter of 2023.

During the six-month period ended June 30, 2024, at our acute care hospitals on a same facility basis, adjusted admissions increased by 3.9% while adjusted patient days increased by 2.5%, as compared to the first six months of 2023. At these facilities, during the first six months of 2024, net revenue per adjusted admission increased by 4.0% while net revenue per adjusted patient day increased by 5.5%, as compared to the first six months of 2023. Net revenues generated from our acute care services, on a same facility basis, increased by 8.1% during the first six months of 2024, as compared to the comparable period of 2023.

Behavioral Health Care Services – Three and six-month periods ended June 30, 2024 and 2023:

During the second quarter of 2024, at our behavioral health care facilities on a same facility basis, adjusted admissions decreased by 0.4% while adjusted patient days increased by 1.4%, as compared to the second quarter of 2023. At these facilities, during the second quarter of 2024, net revenue per adjusted admission increased by 11.2% and net revenue per adjusted patient day increased by 9.3%, as compared to the second quarter of 2023. Net revenues generated from our behavioral health care services, on a same facility basis, increased by 11.0% during the second quarter of 2024, as compared to the second quarter of 2023.

During the six-month period ended June 30, 2024, at our behavioral health care facilities on a same facility basis, adjusted admissions decreased by 0.6% while adjusted patient days increased by 1.7%, as compared to the first six months of 2023. At these facilities, during the first six months of 2024, net revenue per adjusted admission increased by 11.2% and net revenue per adjusted patient day increased by 8.7%, as compared to the first six months of 2023. Net revenues generated from our behavioral health care services, on a same facility basis, increased by 10.7% during the first six months of 2024, as compared to the comparable period of 2023.


Net Cash Provided by Operating Activities and Liquidity:

Net Cash Provided by Operating Activities:

During the six-month period ended June 30, 2024, our net cash provided by operating activities was $1.076 billion as compared to $654 million during the first six months of 2023. The $422 million net increase in our net cash provided by operating activities consisted of: (i) a favorable change of $237 million resulting from an increase in net income plus/minus depreciation and amortization expense, stock-based compensation expense and gains on sales of assets and businesses; (ii) a favorable change of $148 million in accounts receivable; (iii) a favorable change of $60 million in accrued and deferred income taxes; (iv) an unfavorable change of $36 million in other assets and deferred charges, and; (v) $13 million of other combined net favorable changes.

Liquidity:

As of June 30, 2024, we had $1.02 billion of aggregate available borrowing capacity pursuant to our $1.2 billion revolving credit facility, net of outstanding borrowings and letters of credit.

Increased Authorization to Stock Repurchase Program:

On July 24, 2024, our Board of Directors authorized a $1.0 billion increase to our stock repurchase program. Pursuant to this program, which including today’s increased authorization has a current aggregate available repurchase authorization of $1.228 billion, shares of our Class B Common Stock may be repurchased, from time to time as conditions allow, on the open market or in negotiated private transactions.

During the second quarter of 2024, we have repurchased 373,000 shares at an aggregate cost of approximately $70.0 million (approximately $187 per share) pursuant to the program. During the first six months of 2024, we have repurchased 1.073 million shares at an aggregate cost of approximately $195.1 million (approximately $182 per share) pursuant to the program.

Revised 2024 Operating Results Forecasts:

Based upon the operating trends and financial results experienced during the first six months of 2024, as indicated on the Revised Forecast table below, we are increasing our operating results forecast range for consolidated net revenues; adjusted earnings before interest, taxes, depreciation & amortization, and the impacts of other income/expense and net income attributable to noncontrolling interests (“Adjusted EBITDA, net of NCI”), and adjusted net income attributable to UHS per diluted share (“Adjusted EPS-diluted”) for the year ended December 31, 2024.

The tables below include our revised full year 2024 operating results forecasts as well as our original 2024 operating results forecast, which was previously disclosed on February 27, 2024.

 

Revised Forecast

 

Original Forecast

 

For the Year Ended

 

For the Year Ended

 

December 31, 2024

 

December 31, 2024

 

Low

High

 

Low

High

Net revenues

$15.565 billion

$15.753 billion

 

$15.411 billion

$15.706 billion

Adjusted EBITDA, net of NCI

$2.154 billion

$2.226 billion

 

$1.931 billion

$2.019 billion

Adjusted EPS – diluted

$15.40 per share

$16.20 per share

 

$13.00 per share

$14.00 per share

Our revised 2024 forecasted net revenues are estimated to be approximately $15.565 billion to $15.753 billion, representing increases of 1.0% to 0.3% over our original 2024 forecasted net revenues.
Our revised 2024 forecasted Adjusted EBITDA, net of NCI, is estimated to be approximately $2.154 billion to $2.226 billion, representing increases of 11.5% to 10.3% over our original 2024 forecasted Adjusted EBITDA, net of NCI.
Our revised 2024 forecasted Adjusted EPS-diluted is estimated to be $15.40 per share to $16.20 per share, representing increases of 18.5% to 15.7% over our original 2024 forecasted Adjusted EPS-diluted.

Our 2024 forecasted range of net income attributable to UHS, and EPS-diluted, exclude certain items as described below because we do not believe we can forecast those items with sufficient accuracy. Adjusted EBITDA net of NCI, is a non-GAAP financial measure and should not be considered a measure of financial performance under GAAP. We believe Adjusted EBITDA net of NCI is helpful to our investors as a measure of our operating performance. Please see the Supplemental Non-GAAP Disclosures - 2024 Revised Operating Results Forecast schedule as included herein for additional information and a reconciliation of our 2024 revised forecasted range of net income attributable to UHS to our 2024 revised forecasted range of Adjusted EBITDA net of NCI.

The revised 2024 forecasted amounts exclude the impact of future items, if applicable, that are nonrecurring or non-operational in nature including items such as pre-tax unrealized gains/losses resulting from changes in the market value of shares of certain equity securities, and other potential material items including, but not limited to, reserves for various matters including settlements, legal judgments and lawsuits, potential impacts of non-ordinary course acquisitions, divestitures, joint ventures or other strategic transactions, costs related to extinguishment of debt, gains/losses on sales of assets and businesses, impairments of goodwill, long-lived and intangible assets, other amounts that may be reflected in the current financial statements that relate to prior periods, and the impact of share repurchases that differ from our forecasted assumptions. 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.

Conference call information:

We will hold a conference call for investors and analysts at 9:00 a.m. eastern time on July 25, 2024. A live webcast of the call will be available on our website at www.uhs.com. To participate via telephone, please register in advance at this link.

Upon registration, all telephone participants will receive a confirmation email detailing how to join the conference call, including the dial-in number along with a unique passcode and registrant ID that can be used to access the call. A replay of the call will be available for one full year following the live call.

General Information, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures:

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (the “Company”) has built an impressive record of achievement and performance. Growing steadily since our inception into an esteemed Fortune 500 corporation, our annual revenues during 2023 were $14.282 billion. UHS ranked #299 on the Fortune 500; and #399 on Forbes’ list of America’s Largest Public Companies. UHS was again recognized as one of the World’s Most Admired Companies by Fortune.

Our operating philosophy is as effective today as it was upon the Company’s founding in 1979, enabling us to provide compassionate care to our patients and their loved ones. Our strategy includes building or acquiring high quality hospitals in rapidly growing markets, investing in the people and equipment needed to allow each facility to thrive, and becoming the leading healthcare provider in each community we serve.

Headquartered in King of Prussia, PA, UHS has approximately 96,700 employees and, through its subsidiaries, operates 27 inpatient acute care hospitals, 332 inpatient behavioral health facilities, 48 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 39 states, Washington, D.C., the United Kingdom and Puerto Rico. It acts as the advisor to Universal Health Realty Income Trust, a real estate investment trust (NYSE:UHT). For additional information visit www.uhs.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 2-Forward Looking Statements and Risk Factors in our Form 10-Q for the quarter ended March 31, 2024 and in Item 1A-Risk Factors, and Item 7-Forward-Looking Statements and Risk Factors, in our Form 10-K for the year ended December 31, 2023), may cause the results to differ materially from those anticipated in the forward-looking statements. 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.

Many of the factors that could affect our future results are beyond our control or ability to predict, including, but not limited to:

A significant portion of our revenues are derived from federal and state government programs including the Medicare and Medicaid programs. Payments from these programs are subject to statutory and regulatory changes, administrative rulings, interpretations and determinations, requirements for utilization review, and federal and state funding restrictions. Changes to these programs, if adopted, could materially affect program payments which could materially impact our results of operations.
The increase in interest rates has substantially increased our borrowings costs and reduced our ability to access the capital markets on favorable terms. Additional increases in interest rates could have a significant unfavorable impact on our future results of operations and the resulting effect on the capital markets could adversely affect our ability to carry out our strategy.
The outcome of known and unknown litigation, liabilities and other claims asserted against us and/or our subsidiaries, including, but not limited to, the March 28, 2024, jury award (of compensatory damages of $60 million and punitive damages of $475 million) against The Pavilion Behavioral Health System (the “Pavilion), an indirect subsidiary of the Company, as previously disclosed on Form 8-K, as filed with the Securities and Exchange Commission on April 1, 2024. While the Pavilion has professional liability insurance to cover a portion of these amounts, the resolution of this matter may have a material adverse effect on the Company.

We believe that adjusted net income attributable to UHS, adjusted net income attributable to UHS per diluted share, EBITDA net of NCI and Adjusted EBITDA net of NCI, 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 of material items impacting our net income attributable to UHS, such as, changes in the market value of shares of certain equity securities, the impact of ASU 2016-09 and other potential material items that are nonrecurring or non-operational in nature including, but not limited to, impairments of goodwill, long-lived and intangible assets, reserves for various matters including settlements, legal judgments and lawsuits, costs related to extinguishment of debt, gains/losses on sales of assets and businesses, potential impacts of non-ordinary acquisitions, divestitures, joint ventures or other strategic transactions, 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 attributable to UHS, as determined in accordance with GAAP, and 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-Q for the quarter ended March 31, 2024 and our Report on Form 10-K for the year ended December 31, 2023. 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

 

 

Six months

 

 

 

ended June 30,

 

 

ended June 30,

 

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Net revenues

 

$

3,907,604

 

 

 

3,548,138

 

 

$

7,751,186

 

 

 

7,015,656

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating charges:

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

 

1,856,372

 

 

 

1,770,271

 

 

 

3,698,996

 

 

 

3,523,606

 

Other operating expenses

 

 

1,043,116

 

 

 

938,314

 

 

 

2,075,286

 

 

 

1,817,265

 

Supplies expense

 

 

388,063

 

 

 

380,294

 

 

 

791,636

 

 

 

760,283

 

Depreciation and amortization

 

 

147,480

 

 

 

143,744

 

 

 

288,483

 

 

 

285,365

 

Lease and rental expense

 

 

36,175

 

 

 

35,387

 

 

 

71,625

 

 

 

70,309

 

 

 

3,471,206

 

 

 

3,268,010

 

 

 

6,926,026

 

 

 

6,456,828

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Income from operations

 

 

436,398

 

 

 

280,128

 

 

 

825,160

 

 

 

558,828

 

Interest expense, net

 

 

48,899

 

 

 

48,831

 

 

 

101,725

 

 

 

99,707

 

Other (income) expense, net

 

 

5,493

 

 

 

6,602

 

 

 

5,343

 

 

 

20,325

 

Income before income taxes

 

 

382,006

 

 

 

224,695

 

 

 

718,092

 

 

 

438,796

 

Provision for income taxes

 

 

87,676

 

 

 

55,393

 

 

 

157,940

 

 

 

107,119

 

Net income

 

 

294,330

 

 

 

169,302

 

 

 

560,152

 

 

 

331,677

 

Less: Net income (loss) attributable to noncontrolling interests ("NCI")

 

 

5,178

 

 

 

(2,011

)

 

 

9,166

 

 

 

(2,751

)

Net income attributable to UHS

 

$

289,152

 

 

$

171,313

 

 

$

550,986

 

 

$

334,428

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic earnings per share attributable to UHS (a)

 

$

4.32

 

 

$

2.44

 

 

$

8.22

 

 

$

4.75

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Diluted earnings per share attributable to UHS (a)

 

$

4.26

 

 

$

2.42

 

 

$

8.08

 

 

$

4.70

 

 

 


Universal Health Services, Inc.

 

Footnotes to Consolidated Statements of Income

 

(in thousands, except per share amounts)

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months

 

 

Six months

 

 

 

ended June 30,

 

 

ended June 30,

 

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

(a) Earnings per share calculation:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic and diluted:

 

 

 

 

 

 

 

 

 

 

 

 

Net income attributable to UHS

 

$

289,152

 

 

$

171,313

 

 

$

550,986

 

 

$

334,428

 

Less: Net income attributable to unvested restricted share grants

 

 

(5

)

 

 

(61

)

 

 

(50

)

 

 

(190

)

Net income attributable to UHS - basic and diluted

 

$

289,147

 

 

$

171,252

 

 

$

550,936

 

 

$

334,238

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average number of common shares - basic

 

 

66,878

 

 

 

70,073

 

 

 

67,041

 

 

 

70,304

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic earnings per share attributable to UHS:

 

$

4.32

 

 

$

2.44

 

 

$

8.22

 

 

$

4.75

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average number of common shares

 

 

66,878

 

 

 

70,073

 

 

 

67,041

 

 

 

70,304

 

Add: Other share equivalents

 

 

1,042

 

 

 

766

 

 

 

1,160

 

 

 

859

 

Weighted average number of common shares and equiv. - diluted

 

 

67,920

 

 

 

70,839

 

 

 

68,201

 

 

 

71,163

 

 

 

 

 

 

 

 

 

 

 

 

 

Diluted earnings per share attributable to UHS:

 

$

4.26

 

 

$

2.42

 

 

$

8.08

 

 

$

4.70

 

 

 


Universal Health Services, Inc.

 

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

 

For the Three Months ended June 30, 2024 and 2023

 

(in thousands, except per share amounts)

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Calculation of Earnings/Adjusted Earnings Before Interest, Taxes, Depreciation and Amortization ("EBITDA/Adjusted EBITDA net of NCI")

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

% Net

 

 

Three months ended

 

 

% Net

 

 

June 30, 2024

 

 

revenues

 

 

June 30, 2023

 

 

revenues

 

Net income attributable to UHS

$

289,152

 

 

 

 

 

$

171,313

 

 

 

 

   Depreciation and amortization

 

147,480

 

 

 

 

 

 

143,744

 

 

 

 

   Interest expense, net

 

48,899

 

 

 

 

 

 

48,831

 

 

 

 

   Provision for income taxes

 

87,676

 

 

 

 

 

 

55,393

 

 

 

 

EBITDA net of NCI

$

573,207

 

 

 

14.7

%

 

$

419,281

 

 

 

11.8

%

Other (income) expense, net

 

5,493

 

 

 

 

 

 

6,602

 

 

 

 

Adjusted EBITDA net of NCI

$

578,700

 

 

 

14.8

%

 

$

425,883

 

 

 

12.0

%

 

 

 

 

 

 

 

 

 

 

 

 

Net revenues

$

3,907,604

 

 

 

 

 

$

3,548,138

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Calculation of Adjusted Net Income Attributable to UHS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

Three months ended

 

 

June 30, 2024

 

 

June 30, 2023

 

 

 

 

 

Per

 

 

 

 

 

Per

 

 

Amount

 

 

Diluted Share

 

 

Amount

 

 

Diluted Share

 

Net income attributable to UHS

$

289,152

 

 

$

4.26

 

 

$

171,313

 

 

$

2.42

 

Plus/minus after-tax adjustments:

 

 

 

 

 

 

 

 

 

 

 

Unrealized loss on equity securities

 

5,869

 

 

 

0.09

 

 

 

8,051

 

 

 

0.11

 

Impact of ASU 2016-09

 

(2,456

)

 

 

(0.04

)

 

 

-

 

 

 

-

 

Subtotal adjustments

 

3,413

 

 

 

0.05

 

 

 

8,051

 

 

 

0.11

 

Adjusted net income attributable to UHS

$

292,565

 

 

$

4.31

 

 

$

179,364

 

 

$

2.53

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Universal Health Services, Inc.

 

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

 

For the Six Months ended June 30, 2024 and 2023

 

(in thousands, except per share amounts)

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Calculation of Earnings/Adjusted Earnings Before Interest, Taxes, Depreciation and Amortization ("EBITDA/Adjusted EBITDA net of NCI")

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Six months ended

 

 

% Net

 

 

Six months ended

 

 

% Net

 

 

June 30, 2024

 

 

revenues

 

 

June 30, 2023

 

 

revenues

 

Net income attributable to UHS

$

550,986

 

 

 

 

 

$

334,428

 

 

 

 

   Depreciation and amortization

 

288,483

 

 

 

 

 

 

285,365

 

 

 

 

   Interest expense, net

 

101,725

 

 

 

 

 

 

99,707

 

 

 

 

   Provision for income taxes

 

157,940

 

 

 

 

 

 

107,119

 

 

 

 

EBITDA net of NCI

$

1,099,134

 

 

 

14.2

%

 

$

826,619

 

 

 

11.8

%

Other (income) expense, net

 

5,343

 

 

 

 

 

 

20,325

 

 

 

 

Adjusted EBITDA net of NCI

$

1,104,477

 

 

 

14.2

%

 

$

846,944

 

 

 

12.1

%

 

 

 

 

 

 

 

 

 

 

 

 

Net revenues

$

7,751,186

 

 

 

 

 

$

7,015,656

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Calculation of Adjusted Net Income Attributable to UHS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Six months ended

 

 

Six months ended

 

 

June 30, 2024

 

 

June 30, 2023

 

 

 

 

 

Per

 

 

 

 

 

Per

 

 

Amount

 

 

Diluted Share

 

 

Amount

 

 

Diluted Share

 

Net income attributable to UHS

$

550,986

 

 

$

8.08

 

 

$

334,428

 

 

$

4.70

 

Plus/minus after-tax adjustments:

 

 

 

 

 

 

 

 

 

 

 

Unrealized loss on equity securities

$

6,313

 

 

 

0.09

 

 

 

12,512

 

 

 

0.17

 

Impact of ASU 2016-09

 

(11,612

)

 

 

(0.17

)

 

 

-

 

 

 

-

 

Subtotal adjustments

 

(5,299

)

 

 

(0.08

)

 

 

12,512

 

 

 

0.17

 

Adjusted net income attributable to UHS

$

545,687

 

 

$

8.00

 

 

$

346,940

 

 

$

4.87

 

 

 

 

 


Universal Health Services, Inc.

 

Condensed Consolidated Balance Sheets

 

(in thousands)

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

June 30,

 

 

December 31,

 

 

 

2024

 

 

2023

 

Assets

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

Cash and cash equivalents

 

$

128,786

 

 

$

119,439

 

Accounts receivable, net

 

 

2,156,811

 

 

 

2,238,265

 

Supplies

 

 

218,780

 

 

 

216,988

 

Other current assets

 

 

236,317

 

 

 

236,658

 

Total current assets

 

 

2,740,694

 

 

 

2,811,350

 

 

 

 

 

 

 

Property and equipment

 

 

12,239,814

 

 

 

11,777,047

 

Less: accumulated depreciation

 

 

(5,905,061

)

 

 

(5,652,518

)

 

 

6,334,753

 

 

 

6,124,529

 

Other assets:

 

 

 

 

 

 

Goodwill

 

 

3,942,372

 

 

 

3,932,407

 

Deferred income taxes

 

 

107,963

 

 

 

85,626

 

Right of use assets-operating leases

 

 

425,407

 

 

 

433,962

 

Deferred charges

 

 

6,858

 

 

 

6,974

 

Other

 

 

513,381

 

 

 

572,754

 

Total Assets

 

$

14,071,428

 

 

$

13,967,602

 

 

 

 

 

 

 

Liabilities and Stockholders' Equity

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

Current maturities of long-term debt

 

$

127,508

 

 

$

126,686

 

Accounts payable and other liabilities

 

 

1,926,295

 

 

 

1,813,015

 

Operating lease liabilities

 

 

71,982

 

 

 

71,600

 

Federal and state taxes

 

 

23,422

 

 

 

2,046

 

Total current liabilities

 

 

2,149,207

 

 

 

2,013,347

 

 

 

 

 

 

 

Other noncurrent liabilities

 

 

569,687

 

 

 

584,007

 

Operating lease liabilities noncurrent

 

 

379,580

 

 

 

382,559

 

Long-term debt

 

 

4,416,731

 

 

 

4,785,783

 

 

 

 

 

 

 

Redeemable noncontrolling interest

 

 

5,418

 

 

 

5,191

 

 

 

 

 

 

 

UHS common stockholders' equity

 

 

6,485,372

 

 

 

6,149,001

 

Noncontrolling interest

 

 

65,433

 

 

 

47,714

 

Total equity

 

 

6,550,805

 

 

 

6,196,715

 

 

 

 

 

 

 

Total Liabilities and Stockholders' Equity

 

$

14,071,428

 

 

$

13,967,602

 

 

 


Universal Health Services, Inc.

 

Consolidated Statements of Cash Flows

 

(in thousands)

 

(unaudited)

 

 

Six months

 

 

ended June 30,

 

 

2024

 

 

2023

 

Cash Flows from Operating Activities:

 

 

 

 

 

Net income

$

560,152

 

 

$

331,677

 

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

 

 

 

 

 

Depreciation & amortization

 

288,483

 

 

 

285,365

 

Gains on sale of assets and businesses

 

(3,725

)

 

 

(6,250

)

Stock-based compensation expense

 

46,162

 

 

 

43,062

 

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

 

 

 

 

 

Accounts receivable

 

66,174

 

 

 

(82,078

)

Accrued interest

 

3,310

 

 

 

(107

)

Accrued and deferred income taxes

 

26,970

 

 

 

(32,695

)

Other working capital accounts

 

39,686

 

 

 

20,216

 

Medicare accelerated payments and deferred CARES Act and other grants

 

0

 

 

 

2,741

 

Other assets and deferred charges

 

(3,030

)

 

 

32,746

 

Other

 

14,277

 

 

 

15,471

 

Accrued insurance expense, net of commercial premiums paid

 

102,222

 

 

 

95,157

 

Payments made in settlement of self-insurance claims

 

(64,994

)

 

 

(51,604

)

Net cash provided by operating activities

 

1,075,687

 

 

 

653,701

 

Cash Flows from Investing Activities:

 

 

 

 

 

Property and equipment additions

 

(449,933

)

 

 

(336,664

)

Proceeds received from sales of assets and businesses

 

5,428

 

 

 

23,688

 

Acquisition of businesses and property

 

0

 

 

 

(3,728

)

Inflows (outflows) from foreign exchange contracts that hedge our net U.K. investment

 

6,830

 

 

 

(31,305

)

Decrease in capital reserves of commercial insurance subsidiary

 

196

 

 

 

0

 

Net cash used in investing activities

 

(437,479

)

 

 

(348,009

)

Cash Flows from Financing Activities:

 

 

 

 

 

Repayments of long-term debt

 

(382,675

)

 

 

(93,557

)

Additional borrowings

 

12,038

 

 

 

0

 

Financing costs

 

0

 

 

 

(293

)

Repurchase of common shares

 

(237,987

)

 

 

(209,756

)

Dividends paid

 

(27,006

)

 

 

(28,263

)

Issuance of common stock

 

7,227

 

 

 

6,598

 

Profit distributions to noncontrolling interests

 

(5,089

)

 

 

(4,735

)

Sale of ownership interests to minority members

 

5,025

 

 

 

407

 

Net cash used in financing activities

 

(628,467

)

 

 

(329,599

)

Effect of exchange rate changes on cash, cash equivalents and restricted cash

 

(392

)

 

 

2,377

 

Increase (decrease) in cash, cash equivalents and restricted cash

 

9,349

 

 

 

(21,530

)

Cash, cash equivalents and restricted cash, beginning of period

 

214,470

 

 

 

200,837

 

Cash, cash equivalents and restricted cash, end of period

$

223,819

 

 

$

179,307

 

Supplemental Disclosures of Cash Flow Information:

 

 

 

 

 

Interest paid

$

95,902

 

 

$

97,297

 

Income taxes paid, net of refunds

$

131,499

 

 

$

133,840

 

Noncash purchases of property and equipment

$

108,260

 

 

$

100,461

 

 


Universal Health Services, Inc.

Supplemental Statistical Information

(unaudited)

 

 

 

 

 

 

 

 

 

 

% Change

 

% Change

Same Facility:

 

 

 

 

Three Months ended

 

Six Months Ended

 

 

 

 

 

6/30/2024

 

6/30/2024

Acute Care Services

 

 

 

 

 

 

 

Revenues

 

 

 

 

6.6%

 

8.1%

Adjusted Admissions

 

 

 

 

3.4%

 

3.9%

Adjusted Patient Days

 

 

 

 

1.6%

 

2.5%

Revenue Per Adjusted Admission

 

 

 

 

3.5%

 

4.0%

Revenue Per Adjusted Patient Day

 

 

 

 

5.3%

 

5.5%

 

 

 

 

 

 

 

 

Behavioral Health Care Services

 

 

 

 

 

 

 

Revenues

 

 

 

 

11.0%

 

10.7%

Adjusted Admissions

 

 

 

 

-0.4%

 

-0.6%

Adjusted Patient Days

 

 

 

 

1.4%

 

1.7%

Revenue Per Adjusted Admission

 

 

 

 

11.2%

 

11.2%

Revenue Per Adjusted Patient Day

 

 

 

 

9.3%

 

8.7%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UHS Consolidated

Second quarter ended

 

Six Months Ended

 

6/30/2024

 

6/30/2023

 

6/30/2024

 

6/30/2023

Revenues

$3,907,604

 

$3,548,138

 

$7,751,186

 

$7,015,656

EBITDA net of NCI

$573,207

 

$419,281

 

$1,099,134

 

$826,619

EBITDA Margin net of NCI

14.7%

 

11.8%

 

14.2%

 

11.8%

Adjusted EBITDA net of NCI

$578,700

 

$425,883

 

$1,104,477

 

$846,944

Adjusted EBITDA Margin net of NCI

14.8%

 

12.0%

 

14.2%

 

12.1%

 

 

 

 

 

 

 

Cash Flow From Operations

$679,281

 

$362,948

 

$1,075,687

 

$653,701

Capital Expenditures

$241,394

 

$167,912

 

$449,933

 

$336,664

Days Sales Outstanding

 

 

 

 

51

 

54

 

 

 

 

 

 

 

Debt

 

 

 

 

$4,544,239

 

$4,716,432

UHS' Shareholders Equity

 

 

 

 

$6,485,372

 

$6,087,182

Debt / Total Capitalization

 

 

 

 

41.2%

 

43.7%

Debt / EBITDA net of NCI (1)

 

 

 

 

2.29

 

2.83

Debt / Adjusted EBITDA net of NCI (1)

 

 

 

 

2.27

 

2.70

Debt / Cash From Operations (1)

 

 

 

 

2.69

 

4.03

 

 

 

 

 

 

 

 

(1) Latest 4 quarters.

 

 

 

 

 

 

 

 


Universal Health Services, Inc.

Acute Care Hospital Services

For the Three and Six Months ended

June 30, 2024 and 2023

(in thousands)

(unaudited)

 

Same Facility Basis - Acute Care Hospital Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

Three months ended

 

 

Six months ended

 

 

Six months ended

 

 

 

June 30, 2024

 

 

June 30, 2023

 

 

June 30, 2024

 

 

June 30, 2023

 

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

Net revenues

 

$

2,099,912

 

 

 

100.0

%

 

$

1,969,566

 

 

 

100.0

%

 

$

4,207,346

 

 

 

100.0

%

 

$

3,892,030

 

 

 

100.0

%

Operating charges:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

 

855,432

 

 

 

40.7

%

 

 

835,904

 

 

 

42.4

%

 

 

1,716,108

 

 

 

40.8

%

 

 

1,662,879

 

 

 

42.7

%

Other operating expenses

 

 

579,082

 

 

 

27.6

%

 

 

555,883

 

 

 

28.2

%

 

 

1,156,158

 

 

 

27.5

%

 

 

1,060,500

 

 

 

27.2

%

Supplies expense

 

 

331,708

 

 

 

15.8

%

 

 

327,761

 

 

 

16.6

%

 

 

678,803

 

 

 

16.1

%

 

 

653,132

 

 

 

16.8

%

Depreciation and amortization

 

 

94,190

 

 

 

4.5

%

 

 

94,202

 

 

 

4.8

%

 

 

184,310

 

 

 

4.4

%

 

 

187,209

 

 

 

4.8

%

Lease and rental expense

 

 

24,313

 

 

 

1.2

%

 

 

24,021

 

 

 

1.2

%

 

 

48,106

 

 

 

1.1

%

 

 

48,016

 

 

 

1.2

%

Subtotal-operating expenses

 

 

1,884,725

 

 

 

89.8

%

 

 

1,837,771

 

 

 

93.3

%

 

 

3,783,485

 

 

 

89.9

%

 

 

3,611,736

 

 

 

92.8

%

Income from operations

 

 

215,187

 

 

 

10.2

%

 

 

131,795

 

 

 

6.7

%

 

 

423,861

 

 

 

10.1

%

 

 

280,294

 

 

 

7.2

%

Interest expense, net

 

 

986

 

 

 

0.0

%

 

 

(503

)

 

 

(0.0

)%

 

 

2,286

 

 

 

0.1

%

 

 

(1,080

)

 

 

(0.0

)%

Other (income) expense, net

 

 

(677

)

 

 

(0.0

)%

 

 

-

 

 

 

 

 

 

(758

)

 

 

(0.0

)%

 

 

6,213

 

 

 

0.2

%

Income before income taxes

 

$

214,878

 

 

 

10.2

%

 

$

132,298

 

 

 

6.7

%

 

$

422,333

 

 

 

10.0

%

 

$

275,161

 

 

 

7.1

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

All Acute Care Hospital Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

Three months ended

 

 

Six months ended

 

 

Six months ended

 

 

 

June 30, 2024

 

 

June 30, 2023

 

 

June 30, 2024

 

 

June 30, 2023

 

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

Net revenues

 

$

2,173,409

 

 

 

100.0

%

 

$

2,003,079

 

 

 

100.0

%

 

$

4,358,490

 

 

 

100.0

%

 

$

3,976,611

 

 

 

100.0

%

Operating charges:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

 

856,020

 

 

 

39.4

%

 

 

836,331

 

 

 

41.8

%

 

 

1,717,567

 

 

 

39.4

%

 

 

1,680,291

 

 

 

42.3

%

Other operating expenses

 

 

654,931

 

 

 

30.1

%

 

 

590,616

 

 

 

29.5

%

 

 

1,309,914

 

 

 

30.1

%

 

 

1,134,916

 

 

 

28.5

%

Supplies expense

 

 

331,684

 

 

 

15.3

%

 

 

327,650

 

 

 

16.4

%

 

 

678,688

 

 

 

15.6

%

 

 

655,710

 

 

 

16.5

%

Depreciation and amortization

 

 

94,214

 

 

 

4.3

%

 

 

94,304

 

 

 

4.7

%

 

 

184,526

 

 

 

4.2

%

 

 

187,630

 

 

 

4.7

%

Lease and rental expense

 

 

24,315

 

 

 

1.1

%

 

 

24,035

 

 

 

1.2

%

 

 

48,148

 

 

 

1.1

%

 

 

48,189

 

 

 

1.2

%

Subtotal-operating expenses

 

 

1,961,164

 

 

 

90.2

%

 

 

1,872,936

 

 

 

93.5

%

 

 

3,938,843

 

 

 

90.4

%

 

 

3,706,736

 

 

 

93.2

%

Income from operations

 

 

212,245

 

 

 

9.8

%

 

 

130,143

 

 

 

6.5

%

 

 

419,647

 

 

 

9.6

%

 

 

269,875

 

 

 

6.8

%

Interest expense, net

 

 

986

 

 

 

0.0

%

 

 

(503

)

 

 

(0.0

)%

 

 

2,286

 

 

 

0.1

%

 

 

(1,080

)

 

 

(0.0

)%

Other (income) expense, net

 

 

(461

)

 

 

(0.0

)%

 

 

119

 

 

 

0.0

%

 

 

173

 

 

 

0.0

%

 

 

7,132

 

 

 

0.2

%

Income before income taxes

 

$

211,720

 

 

 

9.7

%

 

$

130,527

 

 

 

6.5

%

 

$

417,188

 

 

 

9.6

%

 

$

263,823

 

 

 

6.6

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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 material items that are nonrecurring or non-operational in nature including items such as, but not limited to, reserves for various matters, settlements, legal judgments and lawsuits, cost related to extinguishment of debt, gains/losses on sales of assets and businesses, impairments of goodwill, long-lived and intangible assets 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 herein and the condensed consolidated financial statements and notes thereto as contained in our Form 10-K for the year ended December 31, 2023 and our Form 10-Q for the quarter ended March 31, 2024 .

 

The All Acute Care Hospital Services table summarizes the results of operations for all our acute care operations during the periods presented. These amounts include: (i) our acute care 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.

Behavioral Health Care Services

For the Three and Six Months ended

June 30, 2024 and 2023

(in thousands)

(unaudited)

 

Same Facility - Behavioral Health Care Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

Three months ended

 

 

Six months ended

 

 

Six months ended

 

 

 

June 30, 2024

 

 

June 30, 2023

 

 

June 30, 2024

 

 

June 30, 2023

 

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

Net revenues

 

$

1,683,847

 

 

 

100.0

%

 

$

1,517,051

 

 

 

100.0

%

 

$

3,300,159

 

 

 

100.0

%

 

$

2,980,774

 

 

 

100.0

%

Operating charges:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

 

894,627

 

 

 

53.1

%

 

 

843,229

 

 

 

55.6

%

 

 

1,763,503

 

 

 

53.4

%

 

 

1,652,167

 

 

 

55.4

%

Other operating expenses

 

 

308,420

 

 

 

18.3

%

 

 

296,261

 

 

 

19.5

%

 

 

620,705

 

 

 

18.8

%

 

 

574,983

 

 

 

19.3

%

Supplies expense

 

 

57,105

 

 

 

3.4

%

 

 

53,774

 

 

 

3.5

%

 

 

113,871

 

 

 

3.5

%

 

 

106,259

 

 

 

3.6

%

Depreciation and amortization

 

 

49,911

 

 

 

3.0

%

 

 

46,554

 

 

 

3.1

%

 

 

97,019

 

 

 

2.9

%

 

 

91,886

 

 

 

3.1

%

Lease and rental expense

 

 

11,656

 

 

 

0.7

%

 

 

11,203

 

 

 

0.7

%

 

 

23,102

 

 

 

0.7

%

 

 

21,801

 

 

 

0.7

%

Subtotal-operating expenses

 

 

1,321,719

 

 

 

78.5

%

 

 

1,251,021

 

 

 

82.5

%

 

 

2,618,200

 

 

 

79.3

%

 

 

2,447,096

 

 

 

82.1

%

Income from operations

 

 

362,128

 

 

 

21.5

%

 

 

266,030

 

 

 

17.5

%

 

 

681,959

 

 

 

20.7

%

 

 

533,678

 

 

 

17.9

%

Interest expense, net

 

 

1,008

 

 

 

0.1

%

 

 

993

 

 

 

0.1

%

 

 

2,035

 

 

 

0.1

%

 

 

2,203

 

 

 

0.1

%

Other (income) expense, net

 

 

(871

)

 

 

(0.1

)%

 

 

(733

)

 

 

(0.0

)%

 

 

(1,547

)

 

 

(0.0

)%

 

 

(1,309

)

 

 

(0.0

)%

Income before income taxes

 

$

361,991

 

 

 

21.5

%

 

$

265,770

 

 

 

17.5

%

 

$

681,471

 

 

 

20.6

%

 

$

532,784

 

 

 

17.9

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

All Behavioral Health Care Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

Three months ended

 

 

Six months ended

 

 

Six months ended

 

 

 

June 30, 2024

 

 

June 30, 2023

 

 

June 30, 2024

 

 

June 30, 2023

 

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

Net revenues

 

$

1,731,309

 

 

 

100.0

%

 

$

1,542,194

 

 

 

100.0

%

 

$

3,387,376

 

 

 

100.0

%

 

$

3,032,683

 

 

 

100.0

%

Operating charges:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

 

898,621

 

 

 

51.9

%

 

 

844,308

 

 

 

54.7

%

 

 

1,770,817

 

 

 

52.3

%

 

 

1,654,094

 

 

 

54.5

%

Other operating expenses

 

 

352,408

 

 

 

20.4

%

 

 

322,518

 

 

 

20.9

%

 

 

699,676

 

 

 

20.7

%

 

 

627,750

 

 

 

20.7

%

Supplies expense

 

 

57,277

 

 

 

3.3

%

 

 

53,837

 

 

 

3.5

%

 

 

114,201

 

 

 

3.4

%

 

 

106,325

 

 

 

3.5

%

Depreciation and amortization

 

 

50,625

 

 

 

2.9

%

 

 

46,778

 

 

 

3.0

%

 

 

98,497

 

 

 

2.9

%

 

 

92,397

 

 

 

3.0

%

Lease and rental expense

 

 

11,761

 

 

 

0.7

%

 

 

11,255

 

 

 

0.7

%

 

 

23,279

 

 

 

0.7

%

 

 

21,923

 

 

 

0.7

%

Subtotal-operating expenses

 

 

1,370,692

 

 

 

79.2

%

 

 

1,278,696

 

 

 

82.9

%

 

 

2,706,470

 

 

 

79.9

%

 

 

2,502,489

 

 

 

82.5

%

Income from operations

 

 

360,617

 

 

 

20.8

%

 

 

263,498

 

 

 

17.1

%

 

 

680,906

 

 

 

20.1

%

 

 

530,194

 

 

 

17.5

%

Interest expense, net

 

 

1,008

 

 

 

0.1

%

 

 

993

 

 

 

0.1

%

 

 

2,035

 

 

 

0.1

%

 

 

2,204

 

 

 

0.1

%

Other (income) expense, net

 

 

(871

)

 

 

(0.1

)%

 

 

(1,188

)

 

 

(0.1

)%

 

 

(1,547

)

 

 

(0.0

)%

 

 

(2,059

)

 

 

(0.1

)%

Income before income taxes

 

$

360,480

 

 

 

20.8

%

 

$

263,693

 

 

 

17.1

%

 

$

680,418

 

 

 

20.1

%

 

$

530,049

 

 

 

17.5

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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 material items that are nonrecurring or non-operational in nature including items such as, but not limited to, reserves for various matters, settlements, legal judgments and lawsuits, cost related to extinguishment of debt, gains/losses on sales of assets and businesses, impairments of goodwill, long-lived and intangible assets 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 herein and the condensed consolidated financial statements and notes thereto as contained in our Form 10-K for the year ended December 31, 2023 and our Form 10-Q for the quarter ended March 31, 2024.

 

The All Behavioral Health Care Services table summarizes the results of operations for all our behavioral health care facilities during the periods presented. 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

 

June 30, 2024 and 2023

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AS REPORTED:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACUTE

 

 

BEHAVIORAL HEALTH

 

 

06/30/24

 

 

06/30/23

 

 

% change

 

 

06/30/24

 

 

06/30/23

 

 

% change

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hospitals owned and leased

 

 

27

 

 

 

27

 

 

 

0.0

%

 

 

332

 

 

 

331

 

 

 

0.3

%

Average licensed beds

 

 

6,657

 

 

 

6,624

 

 

 

0.5

%

 

 

24,419

 

 

 

24,189

 

 

 

1.0

%

Average available beds

 

 

6,485

 

 

 

6,452

 

 

 

0.5

%

 

 

24,319

 

 

 

24,089

 

 

 

1.0

%

Patient days

 

 

390,433

 

 

 

384,373

 

 

 

1.6

%

 

 

1,619,085

 

 

 

1,588,575

 

 

 

1.9

%

Average daily census

 

 

4,290.5

 

 

 

4,223.8

 

 

 

1.6

%

 

 

17,792.1

 

 

 

17,456.9

 

 

 

1.9

%

Occupancy-licensed beds

 

 

64.5

%

 

 

63.8

%

 

 

1.1

%

 

 

72.9

%

 

 

72.2

%

 

 

1.0

%

Occupancy-available beds

 

 

66.2

%

 

 

65.5

%

 

 

1.1

%

 

 

73.2

%

 

 

72.5

%

 

 

1.0

%

Admissions

 

 

81,858

 

 

 

79,100

 

 

 

3.5

%

 

 

119,798

 

 

 

119,656

 

 

 

0.1

%

Length of stay

 

 

4.8

 

 

 

4.9

 

 

 

-1.8

%

 

 

13.5

 

 

 

13.3

 

 

 

1.8

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Inpatient revenue

 

$

12,334,730

 

 

$

10,960,845

 

 

 

12.5

%

 

$

2,785,485

 

 

$

2,670,370

 

 

 

4.3

%

Outpatient revenue

 

 

8,633,892

 

 

 

7,515,780

 

 

 

14.9

%

 

 

286,550

 

 

 

281,036

 

 

 

2.0

%

Total patient revenue

 

 

20,968,622

 

 

 

18,476,625

 

 

 

13.5

%

 

 

3,072,035

 

 

 

2,951,406

 

 

 

4.1

%

Other revenue

 

 

234,351

 

 

 

240,899

 

 

 

-2.7

%

 

 

82,201

 

 

 

73,926

 

 

 

11.2

%

Gross revenue

 

 

21,202,973

 

 

 

18,717,524

 

 

 

13.3

%

 

 

3,154,236

 

 

 

3,025,332

 

 

 

4.3

%

Total deductions

 

 

19,029,564

 

 

 

16,714,445

 

 

 

13.9

%

 

 

1,422,927

 

 

 

1,483,138

 

 

 

-4.1

%

Net revenue

 

$

2,173,409

 

 

$

2,003,079

 

 

 

8.5

%

 

$

1,731,309

 

 

$

1,542,194

 

 

 

12.3

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SAME FACILITY:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACUTE

 

 

BEHAVIORAL HEALTH

 

 

 

06/30/24

 

 

06/30/23

 

 

% change

 

 

06/30/24

 

 

06/30/23

 

 

% change

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hospitals owned and leased

 

 

27

 

 

 

27

 

 

 

0.0

%

 

 

330

 

 

 

330

 

 

 

0.0

%

Average licensed beds

 

 

6,657

 

 

 

6,624

 

 

 

0.5

%

 

 

24,165

 

 

 

24,063

 

 

 

0.4

%

Average available beds

 

 

6,485

 

 

 

6,452

 

 

 

0.5

%

 

 

24,065

 

 

 

23,963

 

 

 

0.4

%

Patient days

 

 

390,433

 

 

 

384,373

 

 

 

1.6

%

 

 

1,604,758

 

 

 

1,578,277

 

 

 

1.7

%

Average daily census

 

 

4,290.5

 

 

 

4,223.8

 

 

 

1.6

%

 

 

17,634.7

 

 

 

17,343.7

 

 

 

1.7

%

Occupancy-licensed beds

 

 

64.5

%

 

 

63.8

%

 

 

1.1

%

 

 

73.0

%

 

 

72.1

%

 

 

1.2

%

Occupancy-available beds

 

 

66.2

%

 

 

65.5

%

 

 

1.1

%

 

 

73.3

%

 

 

72.4

%

 

 

1.2

%

Admissions

 

 

81,858

 

 

 

79,100

 

 

 

3.5

%

 

 

118,702

 

 

 

118,778

 

 

 

-0.1

%

Length of stay

 

 

4.8

 

 

 

4.9

 

 

 

-1.8

%

 

 

13.5

 

 

 

13.3

 

 

 

1.7

%

 


Universal Health Services, Inc.

 

Selected Hospital Statistics

 

For the Six Months Ended

 

June 30, 2024 and 2023

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AS REPORTED:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACUTE

 

 

BEHAVIORAL HEALTH

 

 

06/30/24

 

 

06/30/23

 

 

% change

 

 

06/30/24

 

 

06/30/23

 

 

% change

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hospitals owned and leased

 

 

27

 

 

 

27

 

 

 

0.0

%

 

 

332

 

 

 

331

 

 

 

0.3

%

Average licensed beds

 

 

6,657

 

 

 

6,711

 

 

 

-0.8

%

 

 

24,400

 

 

 

24,210

 

 

 

0.8

%

Average available beds

 

 

6,485

 

 

 

6,539

 

 

 

-0.8

%

 

 

24,300

 

 

 

24,110

 

 

 

0.8

%

Patient days

 

 

805,759

 

 

 

788,626

 

 

 

2.2

%

 

 

3,228,077

 

 

 

3,161,147

 

 

 

2.1

%

Average daily census

 

 

4,427.2

 

 

 

4,357.0

 

 

 

1.6

%

 

 

17,736.7

 

 

 

17,464.9

 

 

 

1.6

%

Occupancy-licensed beds

 

 

66.5

%

 

 

64.9

%

 

 

2.4

%

 

 

72.7

%

 

 

72.1

%

 

 

0.8

%

Occupancy-available beds

 

 

68.3

%

 

 

66.6

%

 

 

2.5

%

 

 

73.0

%

 

 

72.4

%

 

 

0.8

%

Admissions

 

 

165,439

 

 

 

159,226

 

 

 

3.9

%

 

 

239,728

 

 

 

240,216

 

 

 

-0.2

%

Length of stay

 

 

4.9

 

 

 

5.0

 

 

 

-2.0

%

 

 

13.5

 

 

 

13.2

 

 

 

2.6

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Inpatient revenue

 

$

25,244,832

 

 

$

22,362,336

 

 

 

12.9

%

 

$

5,540,169

 

 

$

5,298,360

 

 

 

4.6

%

Outpatient revenue

 

 

16,980,181

 

 

 

14,811,896

 

 

 

14.6

%

 

 

565,078

 

 

 

553,407

 

 

 

2.1

%

Total patient revenue

 

 

42,225,013

 

 

 

37,174,232

 

 

 

13.6

%

 

 

6,105,247

 

 

 

5,851,767

 

 

 

4.3

%

Other revenue

 

 

480,602

 

 

 

462,892

 

 

 

3.8

%

 

 

162,412

 

 

 

139,244

 

 

 

16.6

%

Gross revenue

 

 

42,705,615

 

 

 

37,637,124

 

 

 

13.5

%

 

 

6,267,659

 

 

 

5,991,011

 

 

 

4.6

%

Total deductions

 

 

38,347,125

 

 

 

33,660,513

 

 

 

13.9

%

 

 

2,880,283

 

 

 

2,958,328

 

 

 

-2.6

%

Net revenue

 

$

4,358,490

 

 

$

3,976,611

 

 

 

9.6

%

 

$

3,387,376

 

 

$

3,032,683

 

 

 

11.7

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SAME FACILITY:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACUTE

 

 

BEHAVIORAL HEALTH

 

 

 

06/30/24

 

 

06/30/23

 

 

% change

 

 

06/30/24

 

 

06/30/23

 

 

% change

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hospitals owned and leased

 

 

27

 

 

 

27

 

 

 

0.0

%

 

 

330

 

 

 

330

 

 

 

0.0

%

Average licensed beds

 

 

6,657

 

 

 

6,617

 

 

 

0.6

%

 

 

24,145

 

 

 

24,084

 

 

 

0.3

%

Average available beds

 

 

6,485

 

 

 

6,445

 

 

 

0.6

%

 

 

24,045

 

 

 

23,984

 

 

 

0.3

%

Patient days

 

 

805,759

 

 

 

782,354

 

 

 

3.0

%

 

 

3,201,198

 

 

 

3,140,422

 

 

 

1.9

%

Average daily census

 

 

4,427.2

 

 

 

4,322.4

 

 

 

2.4

%

 

 

17,589.0

 

 

 

17,350.4

 

 

 

1.4

%

Occupancy-licensed beds

 

 

66.5

%

 

 

65.3

%

 

 

1.8

%

 

 

72.8

%

 

 

72.0

%

 

 

1.1

%

Occupancy-available beds

 

 

68.3

%

 

 

67.1

%

 

 

1.8

%

 

 

73.2

%

 

 

72.3

%

 

 

1.1

%

Admissions

 

 

165,439

 

 

 

158,163

 

 

 

4.6

%

 

 

237,599

 

 

 

238,393

 

 

 

-0.3

%

Length of stay

 

 

4.9

 

 

 

4.9

 

 

 

0.0

%

 

 

13.5

 

 

 

13.2

 

 

 

2.3

%

 

 

 

 

 

 


Universal Health Services, Inc.

Supplemental Non-GAAP Disclosures

2024 Revised Operating Results Forecast

(in thousands, except per share amounts)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Revised Forecast For The Year Ending December 31, 2024

 

 

 

 

 

 

 

% Net

 

 

 

 

 

% Net

 

 

 

 

 

Low

 

 

revenues

 

 

High

 

 

revenues

 

 

Net revenues

 

 

$

15,565,000

 

 

 

 

 

$

15,753,000

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income attributable to UHS (a)

$

1,045,080

 

 

 

 

 

$

1,099,563

 

 

 

 

 

 Depreciation and amortization

 

 

 

592,455

 

 

 

 

 

 

592,455

 

 

 

 

 

 Interest expense

 

 

 

195,664

 

 

 

 

 

 

195,664

 

 

 

 

 

 Other (income) expense, net

 

 

 

(10,954

)

 

 

 

 

 

(10,954

)

 

 

 

 

 Provision for income taxes

 

 

 

331,837

 

 

 

 

 

 

349,137

 

 

 

 

 

Adjusted EBITDA net of NCI (b)

$

2,154,082

 

 

 

13.8

%

 

$

2,225,865

 

 

 

14.1

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Net income attributable to UHS, per diluted share (a)

$

15.40

 

 

 

 

 

$

16.20

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Shares used in computing diluted earnings per share

 

67,869

 

 

 

 

 

 

67,869

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(a) Revised forecasted net income attributable to UHS/per diluted share exclude the following items because we do not believe we can forecast these items with sufficient accuracy. Such items include: the impact of future items, if applicable, that are nonrecurring or non-operational in nature including items such as pre-tax unrealized gains/losses resulting from changes in the market value of shares of certain equity securities, and other potential material items including, but not limited to, reserves for various matters including settlements, legal judgments and lawsuits, potential impacts of non-ordinary course acquisitions, divestitures, joint ventures or other strategic transactions, costs related to extinguishment of debt, gains/losses on sales of assets and businesses, impairments of goodwill, long-lived and intangible assets, other amounts that may be reflected in the current financial statements that relate to prior periods, and the impact of share repurchases that differ from our forecasted assumptions. Forecasted net income attributable to UHS/per diluted share is also subject to certain conditions including those as set forth in General Information, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(b) Adjusted EBITDA net of NCI is a non-GAAP financial measure and should not be considered a measure of financial performance under GAAP. We believe Adjusted EBITDA net of NCI is helpful to our investors as a measure of operating performance.