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Universal Health Services, Inc. Reports 2016 Fourth Quarter And Full Year Earnings And 2017 Guidance

February 28, 2017 4:16 PM

KING OF PRUSSIA, Pa., Feb. 28, 2017 /PRNewswire/ -- Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income attributable to UHS was $174.2 million, or $1.78 per diluted share, during the fourth quarter of 2016 as compared to $173.7 million, or $1.74 per diluted share, during the comparable quarter of 2015. Net revenues increased 6.9% to $2.48 billion during the fourth quarter of 2016 as compared to $2.32 billion during the fourth quarter of 2015.

For the three-month period ended December 31, 2016, our adjusted net income attributable to UHS, as calculated on the attached Schedule of Non-GAAP Supplemental Consolidated Statements of Income Information ("Supplemental Schedule"), increased to $176.0 million, or $1.80 per diluted share, as compared to $170.7 million, or $1.71 per diluted share, during the fourth quarter of 2015. As reflected on the Supplemental Schedule, included in our reported results during the fourth quarter of 2016, is a net unfavorable after-tax impact of $1.8 million, or $.02 per diluted share, related to the incentive income and depreciation and amortization expense recorded in connection with the implementation of electronic health records ("EHR") applications at our acute care hospitals. Included in our reported results during the fourth quarter of 2015, is a net favorable after-tax impact of $3.1 million, or $.03 per diluted share, related the implementation of EHR applications.

Consolidated Results of Operations, As Reported and As Adjusted – Twelve-month periods ended December 31, 2016 and 2015:

Reported net income attributable to UHS was $702.4 million, or $7.14 per diluted share, during the twelve months ended December 31, 2016 as compared to $680.5 million, or $6.76 per diluted share, during the 2015 full year. Net revenues increased 8.0% to $9.77 billion during the full year of 2016 as compared to $9.04 billion during the 2015 full year.

For the twelve-month period ended December 31, 2016, our adjusted net income attributable to UHS, as calculated on the Supplemental Schedule, increased to $720.2 million, or $7.32 per diluted share, as compared to $692.0 million, or $6.87 per diluted share, during the 2015 full year. As reflected on the Supplemental Schedule, included in our reported results are net unfavorable after-tax impacts of $17.8 million, or $.18 per diluted share, during the full year of 2016 and $11.5 million, or $.11 per diluted share, during the full year of 2015, related to the incentive income and depreciation and amortization expense recorded in connection with the implementation of EHR applications at our acute care hospitals.

Acute Care Services – Three and twelve-month periods ended December 31, 2016 and 2015:

During the fourth quarter of 2016, at our acute care hospitals owned during both periods ("same facility basis"), adjusted admissions (adjusted for outpatient activity) increased 4.7% and adjusted patient days increased 3.2%, as compared to the fourth quarter of 2015. Net revenues from our acute care services increased 9.3% during the fourth quarter of 2016 as compared to the fourth quarter of the prior year. At these facilities, net revenue per adjusted admission increased 2.6% while net revenue per adjusted patient day increased 4.2% during the fourth quarter of 2016 as compared to the comparable quarter of 2015. On a same facility basis, the operating margin generated from our acute care services was 16.5% during the fourth quarter of 2016 as compared to 17.2% during the fourth quarter of 2015. 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).

During the twelve months ended December 31, 2016, at our acute care hospitals on a same facility basis, adjusted admissions increased 5.2% and adjusted patient days increased 3.3%, as compared to the 2015 full year. Net revenues from our acute care services increased 9.4% during the twelve months ended December 31, 2016 as compared to the 2015 full year. At these facilities, net revenue per adjusted admission increased 2.5% while net revenue per adjusted patient day increased 4.5% during the 2016 full year as compared to 2015. On a same facility basis, the operating margin generated from our acute care services was 17.5% during the full year of 2016 as compared to 18.1% during the 2015 full year.

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 $399 million and $332 million during the three-month periods ended December 31, 2016 and 2015, respectively, and approximately $1.45 billion and $1.20 billion during the twelve-month periods ended December 31, 2016 and 2015, respectively. The provision for doubtful accounts at our acute care hospitals amounted to approximately $136 million and $172 million during the three-month periods ended December 31, 2016 and 2015, respectively, and approximately $628 million and $631 million during the twelve-month periods ended December 31, 2016 and 2015, respectively.

Behavioral Health Care Services – Three and twelve-month periods ended December 31, 2016 and 2015:

During the fourth quarter of 2016, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 2.1% while adjusted patient days increased 1.4% as compared to the fourth quarter of 2015. At these facilities, net revenue per adjusted admission decreased 0.1% while net revenue per adjusted patient day increased 0.5% during the fourth quarter of 2016 as compared to the comparable quarter in 2015. On a same facility basis, our behavioral health care services' net revenues increased 2.2% during the fourth quarter of 2016, as compared to the fourth quarter of 2015, and the operating margins were 26.0% and 26.8% during the fourth quarters of 2016 and 2015, respectively.

During the twelve months ended December 31, 2016, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 1.0% while adjusted patient days increased 0.9% as compared to the 2015 full year. At these facilities, net revenue per adjusted admission increased 1.4% while net revenue per adjusted patient day increased 1.5% during the full year of 2016 as compared to 2015. On a same facility basis, our behavioral health care services' net revenues increased 2.6% during the twelve months ended December 31, 2016, as compared to the 2015 full year, and the operating margins were 27.0% and 27.8% during the full years of 2016 and 2015, respectively.

2017 Full Year Guidance Range:

Reflected below is our 2017 guidance range for consolidated net revenues, adjusted earnings before interest, taxes, depreciation & amortization ("EBITDA"), adjusted earnings per diluted share ("EPS-diluted") and capital expenditures. EBITDA, adjusted EBITDA and adjusted EPS-diluted are non-GAAP financial measures and should be examined in connection with net income determined in accordance with GAAP as presented in the consolidated financial statements and notes thereto in this report or in our filings with the Securities and Exchange Commission including our Report on Form 10-K for the year ended December 31, 2016. Please see the Supplemental Non-GAAP Disclosures - 2017 Operating Results Forecast schedule as included herein for additional information and a reconciliation to the financial forecasts as computed in accordance with GAAP.

For the Year Ended

December 31, 2017

Low

High

Net revenues

$10.620 billion

$10.760 billion

Adjusted EBITDA

$1.746 billion

$1.821 billion

Adjusted EPS-diluted

$7.70 per share

$8.20 per share

Capital expenditures

$475 million

$500 million

Our 2017 guidance contains a number of assumptions, including, but not limited to:

  • This guidance excludes the impact of future items, if applicable, that are nonrecurring or non-operational in nature including items such as, but not limited to, the impact of gains/losses on sales of assets and businesses, costs related to extinguishment of debt, reserves for settlements, legal judgments and lawsuits, impairments of long-lived assets, impact of share repurchases and other material amounts that may be reflected in our financial statements that relate to prior periods. It is also subject to certain conditions including those as set forth below in General Information, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures.
  • Our net revenues are estimated to be approximately $10.620 billion to $10.760 billion representing an increase of approximately 9% to 10% over our 2016 net revenues of approximately $9.766 billion.
  • This adjusted EPS-diluted guidance range represents an increase of approximately 5% to 12% over the adjusted net income attributable to UHS of $7.32 per diluted share for the year ended December 31, 2016, as calculated on the attached Supplemental Schedule.
  • This adjusted EPS-diluted guidance range excludes the expected 2017 unfavorable impact of $.15 per diluted share resulting from the implementation of electronic health records ("EHR") applications at our acute care hospitals, consisting of the depreciation and amortization expense incurred on the purchase and implementation costs.
  • This guidance range excludes the impact on our provision for income taxes and net income attributable to UHS resulting from of our January 1, 2017 adoption of ASU 2016-09, "Compensation – Stock Compensation (Topic 718): Improvements to Employee Share-Based Payment Accounting", as discussed below.

Effective January 1, 2017, we adopted ASU 2016-09, "Compensation – Stock Compensation (Topic 718): Improvements to Employee Share-Based Payment Accounting", which amends the accounting for employee share-based payment transactions to require recognition of the tax effects resulting from the settlement of stock-based awards as income tax expense or benefit in the income statement in the reporting period in which they occur. 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 2017 provision for income taxes and net income attributable to UHS. This reporting change is applied prospectively and prior period amounts will not be restated.

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 fourth quarter of 2016, we have repurchased 475,000 shares at an aggregate cost of $51.8 million (approximately $109 per share). During the twelve months ended December 31, 2016, we have repurchased approximately 2.5 million shares at an aggregate cost of $289.9 million (approximately $115 per share). Since inception of the program through December 31, 2016, we have repurchased approximately 4.39 million shares at an aggregate cost of approximately $514.1 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 March 1, 2017. The dial-in number is 1-877-648-7971.

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

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

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

This press release contains forward-looking statements based on current management expectations. Numerous factors, including those disclosed herein, those related to healthcare industry trends and those detailed in our filings with the Securities and Exchange Commission (as set forth in Item 1A-Risk Factors and in Item 7-Forward-Looking Statements and Risk Factors in our Form 10-K for the year ended December 31, 2016), 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, EBITDA and adjusted EBITDA, which are non-GAAP financial measures ("GAAP" is Generally Accepted Accounting Principles in the United States of America), are helpful to our investors as measures of our operating performance. In addition, we believe that, when applicable, comparing and discussing our financial results based on these measures, as calculated, is helpful to our investors since it neutralizes the effect in each year of material items 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/losses on sales of assets and businesses, reserves for settlements, legal judgments and lawsuits, impairments of long-lived assets, the impact on our provision for income taxes and net income attributable to UHS resulting from our adoption of ASU 2016-09, and other material amounts that may be reflected in the current or prior year financial statements that relate to prior periods. To obtain a complete understanding of our financial performance these measures should be examined in connection with net income, determined in accordance with GAAP, as presented in the condensed consolidated financial statements and notes thereto in this report or in our other filings with the Securities and Exchange Commission including our Report on Form 10-K for the year ended December 31, 2016. 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.

Universal Health Services, Inc.

Consolidated Statements of Income

(in thousands, except per share amounts)

(unaudited)

Three months

Twelve months

ended December 31,

ended December 31,

2016

2015

2016

2015

Net revenues before provision for doubtful accounts

$2,638,436

$2,512,872

$10,507,788

$9,784,724

Less: Provision for doubtful accounts

162,751

197,633

741,578

741,273

Net revenues

2,475,685

2,315,239

9,766,210

9,043,451

Operating charges:

Salaries, wages and benefits

1,156,729

1,079,394

4,585,530

4,212,387

Other operating expenses

614,490

548,745

2,359,339

2,119,805

Supplies expense

263,872

252,109

1,031,337

974,088

Depreciation and amortization

107,436

102,921

416,608

398,618

Lease and rental expense

24,267

24,342

97,324

94,973

Electronic health records incentive income

(5,339)

(14,064)

(5,339)

(15,815)

2,161,455

1,993,447

8,484,799

7,784,056

Income from operations

314,230

321,792

1,281,411

1,259,395

Interest expense, net

32,882

28,643

125,053

113,494

Income before income taxes

281,348

293,149

1,156,358

1,145,901

Provision for income taxes

102,610

101,832

409,187

395,203

Net income

178,738

191,317

747,171

750,698

Less: Net income attributable to

noncontrolling interests

4,530

17,568

44,762

70,170

Net income attributable to UHS

$174,208

$173,749

$702,409

$680,528

Basic earnings per share attributable to UHS (a)

$1.80

$1.76

$7.22

$6.89

Diluted earnings per share attributable to UHS (a)

$1.78

$1.74

$7.14

$6.76

Universal Health Services, Inc.

Footnotes to Consolidated Statements of Income

(in thousands, except per share amounts)

(unaudited)

Three months

Twelve months

ended December 31,

ended December 31,

2016

2015

2016

2015

(a) Earnings per share calculation:

Basic and diluted:

Net income attributable to UHS

$174,208

$173,749

$702,409

$680,528

Less: Net income attributable to unvested restricted share grants

(72)

(60)

(314)

(281)

Net income attributable to UHS - basic and diluted

$174,136

$173,689

$702,095

$680,247

Weighted average number of common shares - basic

96,998

98,416

97,208

98,797

Basic earnings per share attributable to UHS:

$1.80

$1.76

$7.22

$6.89

Weighted average number of common shares

96,998

98,416

97,208

98,797

Add: Other share equivalents

917

1,627

1,172

1,897

Weighted average number of common shares and equiv. - diluted

97,915

100,043

98,380

100,694

Diluted earnings per share attributable to UHS:

$1.78

$1.74

$7.14

$6.76

Universal Health Services, Inc.

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

For the three months ended December 31, 2016 and 2015

(in thousands, except per share amounts)

(unaudited)

Calculation of "EBITDA"

Three months ended

Three months ended

December 31, 2016

December 31, 2015

Net revenues before provision for doubtful accounts

$2,638,436

$2,512,872

Less: Provision for doubtful accounts

162,751

197,633

Net revenues

2,475,685

100.0%

2,315,239

100.0%

Operating charges:

Salaries, wages and benefits

1,156,729

46.7%

1,079,394

46.6%

Other operating expenses

614,490

24.8%

548,745

23.7%

Supplies expense

263,872

10.7%

252,109

10.9%

EHR incentive income

(5,339)

-0.2%

(14,064)

-0.6%

2,029,752

82.0%

1,866,184

80.6%

Operating income/margin ("EBITDAR")

445,933

18.0%

449,055

19.4%

Lease and rental expense

24,267

24,342

Net income attributable to noncontrolling interests

4,530

17,568

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

417,136

16.8%

407,145

17.6%

Depreciation and amortization

107,436

102,921

Interest expense, net

32,882

28,643

Income before income taxes

276,818

275,581

Provision for income taxes

102,610

101,832

Net income attributable to UHS

$174,208

$173,749

Calculation of Adjusted Net Income Attributable to UHS

Three months ended

Three months ended

December 31, 2016

December 31, 2015

Per

Per

Amount

Diluted Share

Amount

Diluted Share

Calculation of Adjusted Net Income Attributable to UHS

Net income attributable to UHS

$174,208

$1.78

$173,749

$1.74

Plus/minus impact of EHR implementation:

EHR-related incentive income, pre-tax

(5,339)

(14,064)

EHR-related depreciation & amortization, pre-tax

8,289

9,306

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

(128)

(152)

Income tax provision on EHR-related items

(1,052)

1,830

After-tax impact of EHR-related items

1,770

0.02

(3,080)

(0.03)

Adjusted net income attributable to UHS

$175,978

$1.80

$170,669

$1.71

Universal Health Services, Inc.

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

For the twelve months ended December 31, 2016 and 2015

(in thousands, except per share amounts)

(unaudited)

Calculation of "EBITDA"

Twelve months ended

Twelve months ended

December 31, 2016

December 31, 2015

Net revenues before provision for doubtful accounts

$10,507,788

$9,784,724

Less: Provision for doubtful accounts

741,578

741,273

Net revenues

9,766,210

100.0%

9,043,451

100.0%

Operating charges:

Salaries, wages and benefits

4,585,530

47.0%

4,212,387

46.6%

Other operating expenses

2,359,339

24.2%

2,119,805

23.4%

Supplies expense

1,031,337

10.6%

974,088

10.8%

EHR incentive income

(5,339)

-0.1%

(15,815)

-0.2%

7,970,867

81.6%

7,290,465

80.6%

Operating income/margin ("EBITDAR")

1,795,343

18.4%

1,752,986

19.4%

Lease and rental expense

97,324

94,973

Net income attributable to noncontrolling interests

44,762

70,170

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

1,653,257

16.9%

1,587,843

17.6%

Depreciation and amortization

416,608

398,618

Interest expense, net

125,053

113,494

Income before income taxes

1,111,596

1,075,731

Provision for income taxes

409,187

395,203

Net income attributable to UHS

$702,409

$680,528

Calculation of Adjusted Net Income Attributable to UHS

Twelve months ended

Twelve months ended

December 31, 2016

December 31, 2015

Per

Per

Amount

Diluted Share

Amount

Diluted Share

Calculation of Adjusted Net Income Attributable to UHS

Net income attributable to UHS

$702,409

$7.14

$680,528

$6.76

Plus/minus impact of EHR implementation:

EHR-related incentive income, pre-tax

(5,339)

(15,815)

EHR-related depreciation & amortization, pre-tax

35,511

37,224

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

(1,746)

(3,044)

Income tax provision on EHR-related items

(10,596)

(6,846)

After-tax impact of EHR-related items

17,830

0.18

11,519

0.11

Adjusted net income attributable to UHS

$720,239

$7.32

$692,047

$6.87

Universal Health Services, Inc.

Consolidated Statements of Comprehensive Income

(in thousands)

(unaudited)

Three months

Twelve months

ended December 31,

ended December 31,

2016

2015

2016

2015

Net income

$178,738

$191,317

$747,171

$750,698

Other comprehensive income (loss):

Unrealized derivative gains on cash flow hedges

13,082

9,920

1,438

4,970

Amortization of terminated hedge

0

(84)

(167)

(336)

Unrealized loss on marketable security

(1,474)

0

(2,229)

0

Minimum pension liability

13,356

2,177

13,356

2,177

Foreign currency translation adjustment

(888)

(1,632)

(10,038)

(1,728)

Other comprehensive income before tax

24,076

10,381

2,360

5,083

Income tax expense related to items of other comprehensive income

9,329

4,510

4,648

2,980

Total other comprehensive income (loss), net of tax

14,747

5,871

(2,288)

2,103

Comprehensive income

193,485

197,188

744,883

752,801

Less: Comprehensive income attributable to noncontrolling interests

4,530

17,568

44,762

70,170

Comprehensive income attributable to UHS

$188,955

$179,620

$700,121

$682,631

Universal Health Services, Inc.

Condensed Consolidated Balance Sheets

(in thousands)

(unaudited)

December 31,

December 31,

2016

2015

Assets

Current assets:

Cash and cash equivalents

$

33,747

$

61,228

Accounts receivable, net

1,439,553

1,302,429

Supplies

125,365

116,037

Deferred income taxes

0

135,120

Other current assets

82,706

103,490

Total current assets

1,681,371

1,718,304

Property and equipment

7,314,437

6,530,569

Less: accumulated depreciation

(2,983,481)

(2,694,591)

4,330,956

3,835,978

Other assets:

Goodwill

3,784,106

3,596,114

Deferred charges

13,520

16,688

Deferred income taxes

1,234

0

Other

506,615

448,360

Total Assets

$

10,317,802

$

9,615,444

Liabilities and Stockholders' Equity

Current liabilities:

Current maturities of long-term debt

$

105,895

$

62,722

Accounts payable and accrued liabilities

1,209,329

1,033,697

Federal and state taxes

2,149

3,987

Total current liabilities

1,317,373

1,100,406

Other noncurrent liabilities

275,167

278,834

Long-term debt

4,030,230

3,368,634

Deferred income taxes

88,119

315,900

Redeemable noncontrolling interest

9,319

242,509

UHS common stockholders' equity

4,533,220

4,249,647

Noncontrolling interest

64,374

59,514

Total equity

4,597,594

4,309,161

Total Liabilities and Stockholders' Equity

$

10,317,802

$

9,615,444

Universal Health Services, Inc.

Consolidated Statements of Cash Flows

(in thousands)

(unaudited)

Twelve months

ended December 31,

2016

2015

Cash Flows from Operating Activities:

Net income

$747,171

$750,698

Adjustments to reconcile net income to net

cash provided by operating activities:

Depreciation & amortization

416,608

398,618

Stock-based compensation expense

48,109

39,971

Gains on sales of assets and businesses

0

(3,615)

Changes in assets & liabilities, net of effects from

acquisitions and dispositions:

Accounts receivable

(87,881)

(45,814)

Accrued interest

9,766

(693)

Accrued and deferred income taxes

22,068

(34,394)

Other working capital accounts

74,489

(125,556)

Other assets and deferred charges

(25,671)

6,631

Other

81,139

23,295

Accrued insurance expense, net of commercial premiums paid

84,638

90,895

Payments made in settlement of self-insurance claims

(81,962)

(79,138)

Net cash provided by operating activities

1,288,474

1,020,898

Cash Flows from Investing Activities:

Property and equipment additions, net of disposals

(519,939)

(379,321)

Proceeds received from sale of assets and businesses

0

3,391

Acquisition of property and businesses

(613,803)

(533,655)

Increase in capital reserves of commercial insurance subsidiary

(32,000)

(3,300)

Costs incurred for purchase and implementation of information technology application

(21,475)

0

Net cash used in investing activities

(1,187,217)

(912,885)

Cash Flows from Financing Activities:

Reduction of long-term debt

(459,183)

(68,166)

Additional borrowings

1,170,800

234,400

Acquisition of noncontrolling interests in majority owned businesses

(418,000)

0

Financing costs

(12,449)

(515)

Repurchase of common shares

(353,380)

(209,782)

Dividends paid

(38,875)

(39,532)

Issuance of common stock

9,503

8,441

Excess income tax benefits related to stock-based compensation

45,219

47,364

Profit distributions to noncontrolling interests

(69,583)

(62,220)

Proceeds received from sale/leaseback of real property

0

12,765

Net cash used in financing activities

(125,948)

(77,245)

Effect of exchange rate changes on cash and cash equivalents

(2,790)

(1,609)

(Decrease) increase in cash and cash equivalents

(27,481)

29,159

Cash and cash equivalents, beginning of period

61,228

32,069

Cash and cash equivalents, end of period

$33,747

$61,228

Supplemental Disclosures of Cash Flow Information:

Interest paid

$107,079

$107,054

Income taxes paid, net of refunds

$344,611

$380,658

Noncash purchases of property and equipment

$65,702

$49,086

Universal Health Services, Inc.

Supplemental Statistical Information

(unaudited)

% Change

% Change

Quarter ended

12 months ended

Same Facility:

12/31/2016

12/31/2016

Acute Care Services

Revenues

9.3%

9.4%

Adjusted Admissions

4.7%

5.2%

Adjusted Patient Days

3.2%

3.3%

Revenue Per Adjusted Admission

2.6%

2.5%

Revenue Per Adjusted Patient Day

4.2%

4.5%

Behavioral Health Care Services

Revenues

2.2%

2.6%

Adjusted Admissions

2.1%

1.0%

Adjusted Patient Days

1.4%

0.9%

Revenue Per Adjusted Admission

-0.1%

1.4%

Revenue Per Adjusted Patient Day

0.5%

1.5%

UHS Consolidated

Fourth quarter ended

Twelve months ended

12/31/2016

12/31/2015

12/31/2016

12/31/2015

Revenues

$2,475,685

$2,315,239

$9,766,210

$9,043,451

EBITDA (1)

$417,136

$407,145

$1,653,257

$1,587,843

EBITDA Margin (1)

16.8%

17.6%

16.9%

17.6%

Cash Flow From Operations

$188,369

$224,399

$1,288,474

$1,020,898

Days Sales Outstanding

52

52

53

53

Capital Expenditures

$123,776

$109,743

$519,939

$379,321

Debt

$4,136,125

$3,431,356

UHS' Shareholders Equity

$4,533,220

$4,249,647

Debt / Total Capitalization

47.7%

44.7%

Debt / EBITDA (2)

2.50

2.16

Debt / Cash From Operations (2)

3.21

3.36

Acute Care EBITDAR Margin (3)

16.5%

17.2%

17.5%

18.1%

Behavioral Health EBITDAR Margin (3)

26.0%

26.8%

27.0%

27.8%

(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

December 31, 2016 and 2015

AS REPORTED:

ACUTE

BEHAVIORAL HEALTH

12/31/16

12/31/15

% change

12/31/16

12/31/15

% change

Hospitals owned and leased

26

24

8.3%

214

213

0.5%

Average licensed beds

6,100

5,854

4.2%

21,884

21,628

1.2%

Patient days

309,916

299,524

3.5%

1,488,685

1,473,065

1.1%

Average daily census

3,368.7

3,255.7

3.5%

16,181.4

16,011.6

1.1%

Occupancy-licensed beds

55.2%

55.6%

-0.7%

73.9%

74.0%

-0.1%

Admissions

69,411

65,802

5.5%

111,080

108,646

2.2%

Length of stay

4.5

4.6

-1.9%

13.4

13.6

-1.5%

Inpatient revenue

$4,746,830

$4,214,646

12.6%

$2,030,155

$1,891,006

7.4%

Outpatient revenue

2,913,066

2,472,740

17.8%

233,645

215,969

8.2%

Total patient revenue

7,659,896

6,687,386

14.5%

2,263,800

2,106,975

7.4%

Other revenue

117,385

94,222

24.6%

53,553

49,363

8.5%

Gross hospital revenue

7,777,281

6,781,608

14.7%

2,317,353

2,156,338

7.5%

Total deductions

6,322,401

5,423,707

16.6%

1,135,549

1,003,219

13.2%

Net hospital revenue before

provision for doubtful accounts

1,454,880

1,357,901

7.1%

1,181,804

1,153,119

2.5%

Provision for doubtful accounts

136,271

172,134

-20.8%

26,478

25,498

3.8%

Net hospital revenue

$1,318,609

$1,185,767

11.2%

$1,155,326

$1,127,621

2.5%

SAME FACILITY:

ACUTE (1)

BEHAVIORAL HEALTH (2)

12/31/16

12/31/15

% change

12/31/16

12/31/15

% change

Hospitals owned and leased

24

24

0.0%

211

211

0.0%

Average licensed beds

5,945

5,854

1.6%

21,728

21,436

1.4%

Patient days

307,151

299,524

2.5%

1,485,165

1,464,042

1.4%

Average daily census

3,338.6

3,255.7

2.5%

16,143.1

15,913.5

1.4%

Occupancy-licensed beds

56.2%

55.6%

1.0%

74.3%

74.2%

0.1%

Admissions

68,505

65,802

4.1%

110,852

108,607

2.1%

Length of stay

4.5

4.6

-1.5%

13.4

13.5

-0.6%

(1) Henderson Hospital and Desert View Hospital are excluded in current year.

(2) Cedar Ridge of Bethany and Skywood Recovery are excluded in current year.

Universal Health Services, Inc.

Selected Hospital Statistics

For the Twelve Months ended

December 31, 2016 and 2015

AS REPORTED:

ACUTE

BEHAVIORAL HEALTH

12/31/16

12/31/15

% change

12/31/16

12/31/15

% change

Hospitals owned and leased

26

24

8.3%

214

213

0.5%

Average licensed beds

5,934

5,832

1.7%

21,829

21,202

3.0%

Patient days

1,251,511

1,218,991

2.7%

6,004,066

5,835,134

2.9%

Average daily census

3,419.4

3,339.7

2.4%

16,404.6

15,986.7

2.6%

Occupancy-licensed beds

57.6%

57.3%

0.6%

75.2%

75.4%

-0.3%

Admissions

274,074

261,727

4.7%

456,052

447,007

2.0%

Length of stay

4.6

4.7

-2.0%

13.2

13.1

0.9%

Inpatient revenue

$19,042,627

$16,847,944

13.0%

$8,017,585

$7,456,397

7.5%

Outpatient revenue

11,374,098

9,604,952

18.4%

902,102

839,884

7.4%

Total patient revenue

30,416,725

26,452,896

15.0%

8,919,687

8,296,281

7.5%

Other revenue

462,274

362,620

27.5%

210,714

206,563

2.0%

Gross hospital revenue

30,878,999

26,815,516

15.2%

9,130,401

8,502,844

7.4%

Total deductions

25,138,222

21,551,939

16.6%

4,371,640

3,992,367

9.5%

Net hospital revenue before

provision for doubtful accounts

5,740,777

5,263,577

9.1%

4,758,761

4,510,477

5.5%

Provision for doubtful accounts

627,827

631,013

-0.5%

113,754

110,142

3.3%

Net hospital revenue

$5,112,950

$4,632,564

10.4%

$4,645,007

$4,400,335

5.6%

SAME FACILITY:

ACUTE (1)

BEHAVIORAL HEALTH (2)

12/31/16

12/31/15

% change

12/31/16

12/31/15

% change

Hospitals owned and leased

24

24

0.0%

211

211

0.0%

Average licensed beds

5,891

5,831

1.0%

21,256

20,953

1.4%

Patient days

1,248,023

1,218,991

2.4%

5,860,319

5,790,871

1.2%

Average daily census

3,409.9

3,339.7

2.1%

16,011.8

15,865.4

0.9%

Occupancy-licensed beds

57.9%

57.3%

1.1%

75.3%

75.7%

-0.5%

Admissions

273,022

261,727

4.3%

452,074

446,175

1.3%

Length of stay

4.6

4.7

-1.9%

13.0

13.0

-0.1%

(1) Henderson Hospital and Desert View Hospital are excluded in current year.

(2) Cedar Ridge of Bethany and Skywood Recovery are excluded in current year.

Universal Health Services, Inc.

Supplemental Non-GAAP Disclosures

2017 Operating Results Forecast

(in thousands, except per share amounts)

Forecast For The Year Ending December 31, 2017

Low

High

Unadjusted

EHR (d)

Adjusted

Unadjusted

EHR (d)

Adjusted

Net revenues

$10,620,000

$0

$10,620,000

$10,760,000

$0

$10,760,000

Net income/adjusted net income attributable to UHS (a) (b) (c)

726,818

14,002

740,820

774,555

14,002

788,557

Depreciation and amortization

443,910

(22,552)

421,358

443,910

(22,552)

421,358

Interest expense

160,085

0

160,085

160,085

0

160,085

Provision for income taxes (c)

415,238

8,321

423,559

442,510

8,321

450,831

EBITDA/Adjusted EBITDA (a) (b)

1,746,051

(229)

1,745,822

1,821,060

(229)

1,820,831

Diluted earnings/adjusted earnings per share:

Net income/adjusted net income attributable to UHS (a) (b) (c)

$7.55

$0.15

$7.70

$8.05

$0.15

$8.20

Shares used in computing diluted earnings per share

96,176

96,176

96,176

96,176

96,176

96,176

(a) The 2017 forecasted amounts exclude the impact of future items, if applicable, that are nonrecurring or non-operational in nature including

items such as, but not limited to, the impact of gains/losses on sales of assets and businesses, costs related to extinguishment of debt, reserves

for settlements, legal judgments and lawsuits, impairments of long-lived assets, impact of share repurchases and other material amounts that

may be reflected in our financial statements that relate to prior periods. It is also subject to certain conditions including those set forth in the

accompanying report in General Information, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures.

(b) Adjusted net income attributable to UHS, adjusted net income attributable to UHS per diluted share, EBITDA and adjusted EBITDA are non-GAAP

financial measures. 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 consolidated financial statements and notes thereto in this report or in

our filings with the Securities and Exchange Commission including our Report on Form 10-K for the year ended December 31, 2016.

(c) Excludes the impact on our provision for income taxes and net income attributable to UHS/per diluted share resulting from our January 1, 2017

adoption of ASU 2016-09, "Compensation-Stock Compensation (Topic 718): Improvements to Employee Share-Based Payment Accounting",

as discussed in the accompanying report.

(d) Represents the depreciation and amortization expense incurred on the cost to develop and implement electronic health records ("EHR")

applications at our acute care hospitals.

To view the original version on PR Newswire, visit:http://www.prnewswire.com/news-releases/universal-health-services-inc-reports-2016-fourth-quarter-and-full-year-earnings-and-2017-guidance-300415152.html

SOURCE Universal Health Services, Inc.

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