Universal Health Services, Inc. Reports 2017 First Quarter Financial Results
04/25/2017
Webcast - Live Q1 2017 Universal Health Services Earnings Conference Call 04/26/17 at 9:00 a.m. ET |
Net revenues increased 6.7% to
For the three-month period ended
Acute Care Services – Three-month periods ended
During the first quarter of 2017, at our acute care hospitals owned during both periods ("same facility basis"), adjusted admissions (adjusted for outpatient activity) increased 5.1% and adjusted patient days increased 1.7%, as compared to the first quarter of 2016. Net revenues from our acute care services increased 4.8% during the first quarter of 2017 as compared to the first quarter of the prior year. At these facilities, net revenue per adjusted admission decreased 0.4% while net revenue per adjusted patient day increased 3.0% during the first quarter of 2017 as compared to the comparable quarter of 2016. On a same facility basis, the operating margin generated from our acute care services was 19.7% during the first quarter of 2017 as compared to 21.1% during the first quarter of 2016. We define operating margin as net revenues less salaries, wages and benefits, other operating expenses and supplies expense, divided by net revenues (excluding the impact of EHR).
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
Behavioral Health Care Services – Three-month periods ended
During the first quarter of 2017, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 2.4% while adjusted patient days increased 0.2% as compared to the first quarter of 2016. At these facilities, net revenue per adjusted admission decreased 1.1% while net revenue per adjusted patient day increased 1.1% during the first quarter of 2017 as compared to the comparable quarter in 2016. On a same facility basis, our behavioral health care services' net revenues increased 1.4% during the first quarter of 2017, as compared to the first quarter of 2016, and the operating margins were 25.6% and 27.5% during the first quarters of 2017 and 2016, respectively.
Update on the Review by The Competition and Markets Authority ("CMA") of Our December, 2016 Acquisition of
Late last week the CMA notified us that they have identified potential competition concerns in certain markets and announced its decision to refer our acquisition of
Share Repurchase Program:
In February of 2016, our Board of Directors authorized a
In conjunction with this program, during the first quarter of 2017, we have repurchased 103,948 shares at an aggregate cost of
Adoption of ASU 2016-09:
Effective
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
Conference call information:
We will hold a conference call for investors and analysts at
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:
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
We believe that operating income, operating margin, 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
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
Universal Health Services, Inc. |
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Consolidated Statements of Income |
|||
(in thousands, except per share amounts) |
|||
(unaudited) |
|||
Three months |
|||
ended March 31, |
|||
2017 |
2016 |
||
Net revenues before provision for doubtful accounts |
$2,825,472 |
$2,619,593 |
|
Less: Provision for doubtful accounts |
212,614 |
169,795 |
|
Net revenues |
2,612,858 |
2,449,798 |
|
Operating charges: |
|||
Salaries, wages and benefits |
1,237,964 |
1,148,139 |
|
Other operating expenses |
607,360 |
561,584 |
|
Supplies expense |
277,614 |
255,250 |
|
Depreciation and amortization |
110,798 |
104,049 |
|
Lease and rental expense |
25,189 |
24,452 |
|
2,258,925 |
2,093,474 |
||
Income from operations |
353,933 |
356,324 |
|
Interest expense, net |
35,507 |
29,600 |
|
Income before income taxes |
318,426 |
326,724 |
|
Provision for income taxes |
107,899 |
111,005 |
|
Net income |
210,527 |
215,719 |
|
Less: Net income attributable to |
|||
noncontrolling interests |
4,472 |
24,960 |
|
Net income attributable to UHS |
$206,055 |
$190,759 |
|
Basic earnings per share attributable to UHS (a) |
$2.13 |
$1.95 |
|
Diluted earnings per share attributable to UHS (a) |
$2.12 |
$1.93 |
Universal Health Services, Inc. |
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Footnotes to Consolidated Statements of Income |
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(in thousands, except per share amounts) |
|||
(unaudited) |
|||
Three months |
|||
ended March 31, |
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2017 |
2016 |
||
(a) Earnings per share calculation: |
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Basic and diluted: |
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Net income attributable to UHS |
$206,055 |
$190,759 |
|
Less: Net income attributable to unvested restricted share grants |
(94) |
(89) |
|
Net income attributable to UHS - basic and diluted |
$205,961 |
$190,670 |
|
Weighted average number of common shares - basic |
96,585 |
97,607 |
|
Basic earnings per share attributable to UHS: |
$2.13 |
$1.95 |
|
Weighted average number of common shares |
96,585 |
97,607 |
|
Add: Other share equivalents |
787 |
1,288 |
|
Weighted average number of common shares and equiv. - diluted |
97,372 |
98,895 |
|
Diluted earnings per share attributable to UHS: |
$2.12 |
$1.93 |
Universal Health Services, Inc. |
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Schedule of Non-GAAP Supplemental Information ("Supplemental Schedule") |
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For the three months ended March 31, 2017 and 2016 |
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(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 |
||||
March 31, 2017 |
revenues |
March 31, 2016 |
revenues |
||||
Net income attributable to UHS |
$206,055 |
$190,759 |
|||||
Depreciation and amortization |
110,798 |
104,049 |
|||||
Interest expense, net |
35,507 |
29,600 |
|||||
Provision for income taxes |
107,899 |
111,005 |
|||||
EBITDA |
$460,259 |
17.6% |
$435,413 |
17.8% |
|||
EHR-related net income attributable to |
(202) |
(962) |
|||||
Adjusted EBITDA |
$460,057 |
17.6% |
$434,451 |
17.7% |
|||
Net revenues |
$2,612,858 |
$2,449,798 |
|||||
Calculation of Adjusted Net Income Attributable to UHS |
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Three months ended |
Three months ended |
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March 31, 2017 |
March 31, 2016 |
||||||
Per |
Per |
||||||
Amount |
Diluted Share |
Amount |
Diluted Share |
||||
Net income attributable to UHS |
$206,055 |
$2.12 |
$190,759 |
$1.93 |
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Plus/minus adjustments: |
|||||||
Impact of ASU 2016-09 |
(6,750) |
(0.07) |
- |
- |
|||
After-tax impact of EHR-related items |
5,073 |
0.05 |
5,234 |
0.05 |
|||
Adjusted net income attributable to UHS |
$204,378 |
$2.10 |
$195,993 |
$1.98 |
Universal Health Services, Inc. |
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Consolidated Statements of Comprehensive Income |
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(in thousands) |
|||
(unaudited) |
|||
Three months |
|||
ended March 31, |
|||
2017 |
2016 |
||
Net income |
$210,527 |
$215,719 |
|
Other comprehensive income (loss): |
|||
Unrealized derivative gains (losses) on cash flow hedges |
3,066 |
(14,299) |
|
Amortization of terminated hedge |
0 |
(84) |
|
Unrealized gain on marketable security |
1,094 |
0 |
|
Foreign currency translation adjustment |
7,236 |
5,986 |
|
Other comprehensive income (loss) before tax |
11,396 |
(8,397) |
|
Income tax expense (benefit) related to items of other comprehensive income |
1,551 |
(5,360) |
|
Total other comprehensive income (loss), net of tax |
9,845 |
(3,037) |
|
Comprehensive income |
220,372 |
212,682 |
|
Less: Comprehensive income attributable to noncontrolling interests |
4,472 |
24,960 |
|
Comprehensive income attributable to UHS |
$215,900 |
$187,722 |
Universal Health Services, Inc. |
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Condensed Consolidated Balance Sheets |
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(in thousands) |
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(unaudited) |
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March 31, |
December 31, |
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2017 |
2016 |
|||||
Assets |
||||||
Current assets: |
||||||
Cash and cash equivalents |
$ |
62,974 |
$ |
33,747 |
||
Accounts receivable, net |
1,447,802 |
1,439,553 |
||||
Supplies |
126,481 |
125,365 |
||||
Other current assets |
94,817 |
82,706 |
||||
Total current assets |
1,732,074 |
1,681,371 |
||||
Property and equipment |
7,470,405 |
7,314,437 |
||||
Less: accumulated depreciation |
(3,073,869) |
(2,983,481) |
||||
4,396,536 |
4,330,956 |
|||||
Other assets: |
||||||
Goodwill |
3,787,515 |
3,784,106 |
||||
Deferred charges |
12,562 |
13,520 |
||||
Deferred income taxes |
1,255 |
1,234 |
||||
Other |
518,317 |
506,615 |
||||
Total Assets |
$ |
10,448,259 |
$ |
10,317,802 |
||
Liabilities and Stockholders' Equity |
||||||
Current liabilities: |
||||||
Current maturities of long-term debt |
$ |
126,064 |
$ |
105,895 |
||
Accounts payable and accrued liabilities |
1,282,540 |
1,209,329 |
||||
Federal and state taxes |
108,823 |
2,149 |
||||
Total current liabilities |
1,517,427 |
1,317,373 |
||||
Other noncurrent liabilities |
272,680 |
275,167 |
||||
Long-term debt |
3,772,515 |
4,030,230 |
||||
Deferred income taxes |
75,468 |
88,119 |
||||
Redeemable noncontrolling interest |
8,848 |
9,319 |
||||
UHS common stockholders' equity |
4,735,962 |
4,533,220 |
||||
Noncontrolling interest |
65,359 |
64,374 |
||||
Total equity |
4,801,321 |
4,597,594 |
||||
Total Liabilities and Stockholders' Equity |
$ |
10,448,259 |
$ |
10,317,802 |
Universal Health Services, Inc. |
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Consolidated Statements of Cash Flows |
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(in thousands) |
|||
(unaudited) |
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Three months |
|||
ended March 31, |
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2017 |
2016 |
||
Cash Flows from Operating Activities: |
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Net income |
$210,527 |
$215,719 |
|
Adjustments to reconcile net income to net |
|||
cash provided by operating activities: |
|||
Depreciation & amortization |
110,798 |
104,049 |
|
Stock-based compensation expense |
15,348 |
13,204 |
|
Changes in assets & liabilities, net of effects from |
|||
acquisitions and dispositions: |
|||
Accounts receivable |
(5,362) |
(79,962) |
|
Accrued interest |
(6,123) |
688 |
|
Accrued and deferred income taxes |
102,269 |
91,131 |
|
Other working capital accounts |
66,877 |
98,972 |
|
Other assets and deferred charges |
(7,755) |
(5,803) |
|
Other |
(229) |
20,911 |
|
Excess income tax benefits related to stock-based compensation |
0 |
11,002 |
|
Accrued insurance expense, net of commercial premiums paid |
22,007 |
22,616 |
|
Payments made in settlement of self-insurance claims |
(25,349) |
(17,298) |
|
Net cash provided by operating activities |
483,008 |
475,229 |
|
Cash Flows from Investing Activities: |
|||
Property and equipment additions, net of disposals |
(144,338) |
(127,214) |
|
Acquisition of property and businesses |
(17,832) |
(19,543) |
|
Increase in capital reserves of commercial insurance subsidiary |
(3,000) |
0 |
|
Costs incurred for purchase and implementation of information technology application |
(9,456) |
0 |
|
Net cash used in investing activities |
(174,626) |
(146,757) |
|
Cash Flows from Financing Activities: |
|||
Reduction of long-term debt |
(260,633) |
(166,671) |
|
Additional borrowings |
21,600 |
14,400 |
|
Financing costs |
0 |
(44) |
|
Repurchase of common shares |
(29,167) |
(171,042) |
|
Dividends paid |
(9,662) |
(9,757) |
|
Issuance of common stock |
2,540 |
2,331 |
|
Profit distributions to noncontrolling interests |
(4,118) |
(3,407) |
|
Net cash used in financing activities |
(279,440) |
(334,190) |
|
Effect of exchange rate changes on cash and cash equivalents |
285 |
(920) |
|
Increase (decrease) in cash and cash equivalents |
29,227 |
(6,638) |
|
Cash and cash equivalents, beginning of period |
33,747 |
61,228 |
|
Cash and cash equivalents, end of period |
$62,974 |
$54,590 |
|
Supplemental Disclosures of Cash Flow Information: |
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Interest paid |
$39,404 |
$27,133 |
|
Income taxes paid, net of refunds |
$5,253 |
$9,093 |
|
Noncash purchases of property and equipment |
$56,427 |
$47,374 |
Universal Health Services, Inc. |
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Supplemental Statistical Information |
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(unaudited) |
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% Change |
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Quarter ended |
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Same Facility: |
3/31/2017 |
|||||
Acute Care Hospitals |
||||||
Revenues |
4.8% |
|||||
Adjusted Admissions |
5.1% |
|||||
Adjusted Patient Days |
1.7% |
|||||
Revenue Per Adjusted Admission |
-0.4% |
|||||
Revenue Per Adjusted Patient Day |
3.0% |
|||||
Behavioral Health Hospitals |
||||||
Revenues |
1.4% |
|||||
Adjusted Admissions |
2.4% |
|||||
Adjusted Patient Days |
0.2% |
|||||
Revenue Per Adjusted Admission |
-1.1% |
|||||
Revenue Per Adjusted Patient Day |
1.1% |
|||||
UHS Consolidated |
First quarter ended |
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3/31/2017 |
3/31/2016 |
|||||
Revenues |
$2,612,858 |
$2,449,798 |
||||
EBITDA (1) |
$460,259 |
$435,413 |
||||
EBITDA Margin (1) |
17.6% |
17.8% |
||||
Cash Flow From Operations |
$483,008 |
$475,229 |
||||
Days Sales Outstanding |
50 |
51 |
||||
Capital Expenditures |
$144,338 |
$127,214 |
||||
Debt |
$3,898,579 |
$3,280,406 |
||||
UHS' Shareholders Equity |
$4,735,962 |
$4,289,218 |
||||
Debt / Total Capitalization |
45.2% |
43.3% |
||||
Debt / EBITDA (2) |
2.32 |
2.03 |
||||
Debt / Cash From Operations (2) |
2.91 |
2.62 |
||||
Acute Care EBITDAR Margin (3) |
19.7% |
21.1% |
||||
Behavioral Health EBITDAR Margin (3) |
25.6% |
27.5% |
||||
(1) Net of Minority Interest |
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(2) Latest 4 quarters |
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(3) Same facility basis, before Corporate overhead allocation and minority interest. |
Universal Health Services, Inc. |
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Selected Hospital Statistics |
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For the Three Months ended |
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March 31, 2017 and 2016 |
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AS REPORTED: |
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ACUTE |
BEHAVIORAL HEALTH |
|||||||
3/31/17 |
3/31/16 |
% change |
3/31/17 |
3/31/16 |
% change |
|||
Hospitals owned and leased |
26 |
24 |
8.3% |
292 |
217 |
34.6% |
||
Average licensed beds |
6,107 |
5,854 |
4.3% |
23,056 |
21,751 |
6.0% |
||
Patient days |
333,000 |
325,171 |
2.4% |
1,592,454 |
1,500,705 |
6.1% |
||
Average daily census |
3,700.0 |
3,573.5 |
3.5% |
17,693.9 |
16,491.3 |
7.3% |
||
Occupancy-licensed beds |
60.6% |
61.0% |
-0.7% |
76.7% |
75.8% |
1.2% |
||
Admissions |
74,351 |
69,674 |
6.7% |
118,330 |
115,421 |
2.5% |
||
Length of stay |
4.5 |
4.7 |
-4.0% |
13.5 |
13.0 |
3.5% |
||
Inpatient revenue |
$5,597,850 |
$4,965,537 |
12.7% |
$2,183,002 |
$1,959,570 |
11.4% |
||
Outpatient revenue |
3,294,177 |
2,767,329 |
19.0% |
246,460 |
221,643 |
11.2% |
||
Total patient revenue |
8,892,027 |
7,732,866 |
15.0% |
2,429,462 |
2,181,213 |
11.4% |
||
Other revenue |
121,265 |
111,557 |
8.7% |
51,476 |
50,538 |
1.9% |
||
Gross hospital revenue |
9,013,292 |
7,844,423 |
14.9% |
2,480,938 |
2,231,751 |
11.2% |
||
Total deductions |
7,442,762 |
6,417,521 |
16.0% |
1,231,190 |
1,040,661 |
18.3% |
||
Net hospital revenue before |
||||||||
provision for doubtful accounts |
1,570,530 |
1,426,902 |
10.1% |
1,249,748 |
1,191,090 |
4.9% |
||
Provision for doubtful accounts |
180,983 |
139,755 |
29.5% |
31,626 |
30,044 |
5.3% |
||
Net hospital revenue |
$1,389,547 |
$1,287,147 |
8.0% |
$1,218,122 |
$1,161,046 |
4.9% |
||
SAME FACILITY: |
||||||||
ACUTE (1) |
BEHAVIORAL HEALTH (2) |
|||||||
3/31/17 |
3/31/16 |
% change |
3/31/17 |
3/31/16 |
% change |
|||
Hospitals owned and leased |
24 |
24 |
0.0% |
211 |
211 |
0.0% |
||
Average licensed beds |
5,952 |
5,854 |
1.7% |
21,758 |
21,489 |
1.3% |
||
Patient days |
327,969 |
325,171 |
0.9% |
1,493,406 |
1,490,216 |
0.2% |
||
Average daily census |
3,644.1 |
3,573.5 |
2.0% |
16,593.4 |
16,376.0 |
1.3% |
||
Occupancy-licensed beds |
61.2% |
61.0% |
0.3% |
76.3% |
76.2% |
0.1% |
||
Admissions |
72,652 |
69,674 |
4.3% |
117,955 |
115,135 |
2.4% |
||
Length of stay |
4.5 |
4.7 |
-3.3% |
12.7 |
12.9 |
-2.2% |
||
(1) Henderson Hospital and Desert View Hospital are excluded in current year. |
||||||||
(2) Skywood Recovery and CAMBIAN facilities are excluded in current year. |
To view the original version on PR Newswire, visit:http://www.prnewswire.com/news-releases/universal-health-services-inc-reports-2017-first-quarter-financial-results-300445466.html
SOURCE
Steve Filton, Chief Financial Officer, 610-768-3300