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Universal Health Services, Inc. Reports 2016 First Quarter Financial Results

April 27, 2016 4:17 PM

KING OF PRUSSIA, Pa., April 27, 2016 /PRNewswire/ -- Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income attributable to UHS was $190.8 million, or $1.93 per diluted share, during the first quarter of 2016 as compared to $174.3 million, or $1.73 per diluted share, during the comparable quarter of 2015. Net revenues increased 10.1% to $2.45 billion during the first quarter of 2016 as compared to $2.23 billion during the first quarter of 2015.

For the three-month period ended March 31, 2016, our adjusted net income attributable to UHS per diluted share, as calculated on the attached Schedule of Non-GAAP Supplemental Consolidated Statements of Income Information ("Supplemental Schedule"), increased approximately 11% to $1.98 per diluted share, as compared to $1.78 per diluted share during the first quarter of 2015. As reflected on the Supplemental Schedule, included in our reported results during each of the first quarters of 2016 and 2015, are net unfavorable after-tax impacts of $.05 per diluted share related to the depreciation and amortization expense recorded in connection with the implementation of electronic health records ("EHR") applications at our acute care hospitals.

Acute Care Services – Three-month periods ended March 31, 2016 and 2015:During the first quarter of 2016, at our acute care hospitals owned during both periods ("same facility basis"), adjusted admissions (adjusted for outpatient activity) increased 7.8% and adjusted patient days increased 3.5%, as compared to the first quarter of 2015. Net revenues at these facilities increased 12.0% during the first quarter of 2016 as compared to the first quarter of the prior year. At these facilities, net revenue per adjusted admission increased 3.0% while net revenue per adjusted patient day increased 7.3% during the first quarter of 2016 as compared to the comparable quarter of 2015. On a same facility basis, the operating margin at our acute care hospitals increased to 21.1% during the first quarter of 2016 as compared to 20.5% during the first quarter of 2015. We define operating margin as net revenues less salaries, wages and benefits, other operating expenses and supplies expense (excluding the impact of EHR and other items, if applicable, as indicated on the Supplemental Schedules).

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 $345 million and $287 million during the three-month periods ended March 31, 2016 and 2015, respectively. The provision for doubtful accounts at our acute care hospitals amounted to approximately $140 million and $124 million during the three-month periods ended March 31, 2016 and 2015, respectively. Our acute care hospitals experienced an increase in the aggregate of charity care, uninsured discounts and provision for doubtful accounts, as a percentage of gross charges, during the first quarter of 2016, as compared to the first quarter of 2015.

Behavioral Health Care Services – Three-month periods ended March 31, 2016 and 2015:During the first quarter of 2016, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 1.4% while adjusted patient days increased 1.0% as compared to the first quarter of 2015. At these facilities, net revenue per adjusted admission increased 1.8% while net revenue per adjusted patient day increased 2.2% during the first quarter of 2016 as compared to the comparable quarter in 2015. On a same facility basis, our behavioral health services' net revenues increased 3.5% during the first quarter of 2016, as compared to the comparable quarter in 2015. The operating margins were 27.8% during the first quarter of 2016 and 28.4% during the first quarter of 2015.

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

In conjunction with this program, during the first quarter of 2016, we repurchased approximately 1.3 million shares at an aggregate cost of $152.4 million (approximately $113 per share). Since inception of the program through March 31, 2016, we repurchased approximately 3.2 million shares at an aggregate cost of approximately $376.6 million (approximately $117 per share).

Conference call information:We will hold a conference call for investors and analysts at 9:00 a.m. eastern time on April 28, 2016. The dial-in number is 1-877-648-7971.

A live broadcast of the conference call will be available on our website at www.uhsinc.com. A replay of the call will be available following the conclusion of the live call and will be available for one full year.

General Information, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures:Universal Health Services, Inc. ("UHS") is one of the nation's largest hospital companies operating through its subsidiaries acute care hospitals, behavioral health facilities and ambulatory centers located throughout the United States, the United Kingdom, Puerto Rico and the U.S. Virgin Islands. It acts as the advisor to Universal Health Realty Income Trust, a real estate investment trust (NYSE: UHT). For additional information on the Company, visit our web site: http://www.uhsinc.com.

This press release contains forward-looking statements based on current management expectations. Numerous factors, including those disclosed herein, those related to healthcare industry trends and those detailed in our filings with the Securities and Exchange Commission (as set forth in Item 1A-Risk Factors and in Item 7-Forward-Looking Statements and Risk Factors in our Form 10-K for the year ended December 31, 2015), may cause the results to differ materially from those anticipated in the forward-looking statements. Many of the factors that will determine our future results are beyond our capability to control or predict. These statements are subject to risks and uncertainties and therefore actual results may differ materially. Readers should not place undue reliance on such forward-looking statements which reflect management's view only as of the date hereof. We undertake no obligation to revise or update any forward-looking statements, or to make any other forward-looking statements, whether as a result of new information, future events or otherwise.

We believe that operating income, operating margin, adjusted net income attributable to UHS, adjusted net income attributable to UHS per diluted share and earnings before interest, taxes, depreciation and amortization ("EBITDA"), which are non-GAAP financial measures ("GAAP" is Generally Accepted Accounting Principles in the United States of America), are helpful to our investors as measures of our operating performance. In addition, we believe that, when applicable, comparing and discussing our financial results based on these measures, as calculated, is helpful to our investors since it neutralizes the effect in each year of material items related to the implementation of EHR applications at our acute care hospitals and other items that are nonrecurring or non-operational in nature including, but not limited to, costs related to extinguishment of debt, gains on sales of assets and businesses, reserves for settlements, legal judgments and lawsuits, impairments of long-lived assets and other amounts that may be reflected in the current or prior year financial statements that relate to prior periods. To obtain a complete understanding of our financial performance these measures should be examined in connection with net income, determined in accordance with GAAP, as presented in the condensed consolidated financial statements and notes thereto in this report or in our other filings with the Securities and Exchange Commission including our Report on Form 10-K for the year ended December 31, 2015. 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.

Our acute care hospitals are eligible for Medicare and Medicaid EHR incentive payments upon implementation of the EHR application, once they have demonstrated meaningful use of certified EHR technology for the applicable stage or have completed attestations to their adoption or implementation of certified EHR technology. However, there may be timing differences in the recognition of the incentive income and expenses recorded in connection with the implementation of the EHR application which may cause material period-to-period changes in our future results of operations. Pursuant to regulations, hospitals that did not qualify as a meaningful user of EHR by 2015 are subject to a reduced market basket update to the inpatient prospective payment system standardized amount in 2015 and each subsequent fiscal year. We believe that all of our acute care hospitals have met the applicable meaningful use criteria and therefore are not subject to a reduced market basked update to the inpatient prospective payment standardized amount. Under the HITECH Act, hospitals must continue to meet the applicable meaningful use criteria in each fiscal year or they will be subject to a market basket update reduction in a subsequent fiscal year.

Universal Health Services, Inc.

Consolidated Statements of Income

(in thousands, except per share amounts)

(unaudited)

Three months

ended March 31,

2016

2015

Net revenues before provision for doubtful accounts

$2,619,593

$2,380,101

Less: Provision for doubtful accounts

169,795

154,748

Net revenues

2,449,798

2,225,353

Operating charges:

Salaries, wages and benefits

1,148,139

1,031,703

Other operating expenses

561,584

505,966

Supplies expense

255,250

238,741

Depreciation and amortization

104,049

98,998

Lease and rental expense

24,452

22,891

2,093,474

1,898,299

Income from operations

356,324

327,054

Interest expense, net

29,600

30,037

Income before income taxes

326,724

297,017

Provision for income taxes

111,005

102,694

Net income

215,719

194,323

Less: Income attributable to

noncontrolling interests

24,960

20,024

Net income attributable to UHS

$190,759

$174,299

Basic earnings per share attributable to UHS (a)

$1.95

$1.76

Diluted earnings per share attributable to UHS (a)

$1.93

$1.73

Universal Health Services, Inc.

Footnotes to Consolidated Statements of Income

(in thousands, except per share amounts)

(unaudited)

Three months

ended March 31,

2016

2015

(a) Earnings per share calculation:

Basic and diluted:

Net income attributable to UHS

$190,759

$174,299

Less: Net income attributable to unvested restricted share grants

(89)

(68)

Net income attributable to UHS - basic and diluted

$190,670

$174,231

Weighted average number of common shares - basic

97,607

98,910

Basic earnings per share attributable to UHS:

$1.95

$1.76

Weighted average number of common shares

97,607

98,910

Add: Other share equivalents

1,288

1,737

Weighted average number of common shares and equiv. - diluted

98,895

100,647

Diluted earnings per share attributable to UHS:

$1.93

$1.73

Universal Health Services, Inc.

Schedule of Non-GAAP Supplemental Consolidated Statements of Income Information ("Supplemental Schedule")

For the three months ended March 31, 2016 and 2015

(in thousands, except per share amounts)

(unaudited)

Calculation of "EBITDA"

Three months ended

Three months ended

March 31, 2016

March 31, 2015

Net revenues before provision for doubtful accounts

$2,619,593

$2,380,101

Less: Provision for doubtful accounts

169,795

154,748

Net revenues

2,449,798

100.0%

2,225,353

100.0%

Operating charges:

Salaries, wages and benefits

1,148,139

46.9%

1,031,703

46.4%

Other operating expenses

561,584

22.9%

505,966

22.7%

Supplies expense

255,250

10.4%

238,741

10.7%

1,964,973

80.2%

1,776,410

79.8%

Operating income/margin ("EBITDAR")

484,825

19.8%

448,943

20.2%

Lease and rental expense

24,452

22,891

Income attributable to noncontrolling interests

24,960

20,024

Earnings before, depreciation and amortization, interest expense, and income taxes ("EBITDA")

435,413

17.8%

406,028

18.2%

Depreciation and amortization

104,049

98,998

Interest expense, net

29,600

30,037

Income before income taxes

301,764

276,993

Provision for income taxes

111,005

102,694

Net income attributable to UHS

$190,759

$174,299

Calculation of Adjusted Net Income Attributable to UHS

Three months ended

Three months ended

March 31, 2016

March 31, 2015

Per

Per

Amount

Diluted Share

Amount

Diluted Share

Calculation of Adjusted Net Income Attributable to UHS - including and excluding EHR impact:

Net income attributable to UHS

$190,759

$1.93

$174,299

$1.73

Plus/minus impact of EHR implementation:

EHR-related incentive income, pre-tax

-

-

EHR-related depreciation & amortization, pre-tax

9,306

9,306

EHR-related minority interest in earnings of consolidated entities, pre-tax

(962)

(964)

Income tax provision on EHR-related items

(3,110)

(3,109)

After-tax impact of EHR-related items

5,234

0.05

5,233

0.05

Adjusted net income attributable to UHS

$195,993

$1.98

$179,532

$1.78

Universal Health Services, Inc.

Consolidated Statements of Comprehensive Income

(in thousands)

(unaudited)

Three months

ended March 31,

2016

2015

Net income

$215,719

$194,323

Other comprehensive income (loss):

Unrealized derivative gains (loss) on cash flow hedges

(14,299)

4,132

Amortization of terminated hedge

(84)

(84)

Foreign currency translation adjustment

5,986

(418)

Other comprehensive income before tax

(8,397)

3,630

Income tax expense related to items of other comprehensive income

(5,360)

1,497

Total other comprehensive income, net of tax

(3,037)

2,133

Comprehensive income

212,682

196,456

Less: Comprehensive income attributable to noncontrolling interests

24,960

20,024

Comprehensive income attributable to UHS

$187,722

$176,432

Universal Health Services, Inc.

Condensed Consolidated Balance Sheets

(in thousands)

(unaudited)

March 31,

December 31,

2016

2015

Assets

Current assets:

Cash and cash equivalents

$

54,590

$

61,228

Accounts receivable, net

1,374,737

1,302,429

Supplies

116,725

116,037

Deferred income taxes

0

135,120

Other current assets

89,386

103,490

Total current assets

1,635,438

1,718,304

Property and equipment

6,655,292

6,530,569

Less: accumulated depreciation

(2,774,740)

(2,694,591)

3,880,552

3,835,978

Other assets:

Goodwill

3,594,901

3,596,114

Deferred charges

16,235

16,688

Other

437,883

448,360

$

9,565,009

$

9,615,444

Liabilities and Stockholders' Equity

Current liabilities:

Current maturities of long-term debt

$

88,262

$

62,722

Accounts payable and accrued liabilities

1,147,384

1,033,697

Federal and state taxes

49,794

3,987

Total current liabilities

1,285,440

1,100,406

Other noncurrent liabilities

295,684

278,834

Long-term debt

3,192,144

3,368,634

Deferred income taxes

178,947

315,900

Redeemable noncontrolling interest

261,492

242,509

UHS common stockholders' equity

4,289,218

4,249,647

Noncontrolling interest

62,084

59,514

Total equity

4,351,302

4,309,161

$

9,565,009

$

9,615,444

Universal Health Services, Inc.

Consolidated Statements of Cash Flows

(in thousands)

(unaudited)

Three months

ended March 31,

2016

2015

Cash Flows from Operating Activities:

Net income

$215,719

$194,323

Adjustments to reconcile net income to net

cash provided by operating activities:

Depreciation & amortization

104,049

98,998

Stock-based compensation expense

13,204

10,829

Changes in assets & liabilities, net of effects from

acquisitions and dispositions:

Accounts receivable

(79,962)

(96,972)

Accrued interest

688

1,117

Accrued and deferred income taxes

91,131

79,050

Other working capital accounts

98,972

(29,829)

Other assets and deferred charges

(5,803)

(234)

Other

20,911

17,807

Accrued insurance expense, net of commercial premiums paid

22,616

22,748

Payments made in settlement of self-insurance claims

(17,298)

(26,562)

Net cash provided by operating activities

464,227

271,275

Cash Flows from Investing Activities:

Property and equipment additions, net of disposals

(127,214)

(89,276)

Acquisition of property and businesses

(19,543)

(34,500)

Net cash used in investing activities

(146,757)

(123,776)

Cash Flows from Financing Activities:

Reduction of long-term debt

(166,671)

(158,871)

Additional borrowings

14,400

20,800

Financing costs

(44)

0

Repurchase of common shares

(171,042)

(28,767)

Dividends paid

(9,757)

(9,899)

Issuance of common stock

2,331

1,768

Excess income tax benefits related to stock-based compensation

11,002

20,807

Profit distributions to noncontrolling interests

(3,407)

(2,413)

Proceeds received from sale/leaseback of real property

0

12,551

Net cash used in financing activities

(323,188)

(144,024)

Effect of exchange rate changes on cash and cash equivalents

(920)

(466)

(Decrease) increase in cash and cash equivalents

(6,638)

3,009

Cash and cash equivalents, beginning of period

61,228

32,069

Cash and cash equivalents, end of period

$54,590

$35,078

Supplemental Disclosures of Cash Flow Information:

Interest paid

$27,133

$27,158

Income taxes paid, net of refunds

$9,093

$2,876

Noncash purchases of property and equipment

$47,374

$33,082

Universal Health Services, Inc.

Supplemental Statistical Information

(unaudited)

% Change

Quarter ended

Same Facility:

3/31/2016

Acute Care Hospitals

Revenues

12.0%

Adjusted Admissions

7.8%

Adjusted Patient Days

3.5%

Revenue Per Adjusted Admission

3.0%

Revenue Per Adjusted Patient Day

7.3%

Behavioral Health Hospitals

Revenues

3.5%

Adjusted Admissions

1.4%

Adjusted Patient Days

1.0%

Revenue Per Adjusted Admission

1.8%

Revenue Per Adjusted Patient Day

2.2%

UHS Consolidated

First quarter ended

3/31/2016

3/31/2015

Revenues

$2,449,798

$2,225,353

EBITDA (1)

$435,413

$406,028

EBITDA Margin (1)

17.8%

18.2%

Cash Flow From Operations

$464,227

$271,275

Days Sales Outstanding

51

56

Capital Expenditures

$127,214

$89,276

Debt

$3,280,406

$3,118,642

UHS' Shareholders Equity

$4,289,218

$3,906,963

Debt / Total Capitalization

43.3%

44.6%

Debt / EBITDA (2)

2.03

2.12

Debt / Cash From Operations (2)

2.70

2.80

Acute Care EBITDAR Margin (3)

21.1%

20.5%

Behavioral Health EBITDAR Margin (3)

27.8%

28.4%

(1) Net of Minority Interest

(2) Latest 4 quarters

(3) Same facility basis, before Corporate overhead allocation and minority interest.

Universal Health Services, Inc.

Selected Hospital Statistics

For the three months ended

March 31, 2016 and 2015

AS REPORTED:

ACUTE

BEHAVIORAL HEALTH

03/31/16

03/31/15

% change

03/31/16

03/31/15

% change

Hospitals owned and leased

24

24

0.0%

217

203

6.9%

Average licensed beds

5,854

5,792

1.1%

21,751

20,985

3.7%

Patient days

325,171

317,979

2.3%

1,500,705

1,443,066

4.0%

Average daily census

3,573.5

3,533.1

1.1%

16,491.3

16,034.1

2.9%

Occupancy-licensed beds

61.0%

61.0%

0.1%

75.8%

76.4%

-0.8%

Admissions

69,674

65,419

6.5%

115,421

112,706

2.4%

Length of stay

4.7

4.9

-4.0%

13.0

12.8

1.6%

Inpatient revenue

$4,965,537

$4,328,767

14.7%

$1,959,570

$1,823,425

7.5%

Outpatient revenue

2,767,329

2,284,712

21.1%

221,643

204,569

8.3%

Total patient revenue

7,732,866

6,613,479

16.9%

2,181,213

2,027,994

7.6%

Other revenue

111,557

88,675

25.8%

50,538

50,680

-0.3%

Gross hospital revenue

7,844,423

6,702,154

17.0%

2,231,751

2,078,674

7.4%

Total deductions

6,417,521

5,431,864

18.1%

1,040,661

971,973

7.1%

Net hospital revenue before

provision for doubtful accounts

1,426,902

1,270,290

12.3%

1,191,090

1,106,701

7.6%

Provision for doubtful accounts

139,755

124,350

12.4%

30,044

30,356

-1.0%

Net hospital revenue

$1,287,147

$1,145,940

12.3%

$1,161,046

$1,076,345

7.9%

SAME FACILITY:

ACUTE

BEHAVIORAL HEALTH (1)

03/31/16

03/31/15

% change

03/31/16

03/31/15

% change

Hospitals owned and leased

24

24

0.0%

201

201

0.0%

Average licensed beds

5,854

5,792

1.1%

20,999

20,707

1.4%

Patient days

325,171

317,979

2.3%

1,448,374

1,431,252

1.2%

Average daily census

3,573.5

3,533.1

1.1%

15,916.2

15,902.8

0.1%

Occupancy-licensed beds

61.0%

61.0%

0.1%

75.8%

76.8%

-1.3%

Admissions

69,674

65,419

6.5%

114,109

112,327

1.6%

Length of stay

4.7

4.9

-4.0%

12.7

12.7

-0.4%

(1) Garland Behavioral Health, ALPHA (UK) entities, and the Foundations Recovery Network entities are excluded in both

current and prior years.

To view the original version on PR Newswire, visit:http://www.prnewswire.com/news-releases/universal-health-services-inc-reports-2016-first-quarter-financial-results-300258567.html

SOURCE Universal Health Services, Inc.

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