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Universal Health Services, Inc. Reports 2017 Third Quarter Financial Results and Revises 2017 Full Year Earnings Guidance

October 25, 2017 4:16 PM

KING OF PRUSSIA, Pa., Oct. 25, 2017 /PRNewswire/ -- Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income attributable to UHS was $141.2 million, or $1.47 per diluted share, during the third quarter of 2017 as compared to $151.9 million, or $1.54 per diluted share, during the comparable quarter of 2016. Net revenues increased 5.5% to $2.54 billion during the third quarter of 2017 as compared to $2.41 billion during the third quarter of 2016.

Our financial results for three and nine-month periods ended September 30, 2017 were unfavorably impacted by an after-tax aggregate of approximately $14 million to $15 million ($22 million to $24 million pre-tax), or $.14 to $.15 per diluted share, resulting from the following: (i) an unfavorable after-tax impact of approximately $8 million to $9 million, or $.09 to $.10 per diluted share, related to the hurricane expenses and estimated business interruption impact incurred by 28 of our behavioral health care facilities located in Texas, Florida, South Carolina, Georgia, Puerto Rico and the U.S. Virgin Islands and our 3 acute care hospitals located in Florida, and; (ii) an after-tax charge of approximately $5 million, or $.05 per diluted share, recorded in connection with a court order in Texas related to certain litigation.

Generally, our facilities impacted by Hurricanes Harvey, Irma and Maria did not sustain extensive property damage and the vast majority have resumed normal operations. However, a portion of the beds at our 124-bed behavioral health facility located in Houston, Texas remain closed and, although our 3 behavioral health facilities located in Puerto Rico are operational (240 beds in the aggregate), they continue to operate on auxiliary power in areas that suffered extensive damage to surrounding infrastructure and properties. It is difficult to predict the impact that the hurricanes may have on the future operating results of these four facilities.

For the three-month period ended September 30, 2017, our adjusted net income attributable to UHS, as calculated on the attached Schedule of Non-GAAP Supplemental Information ("Supplemental Schedule"), was $143.4 million, or $1.49 per diluted share, as compared to $157.2 million, or $1.60 per diluted share, during the third quarter of 2016. As reflected on the Supplemental Schedule, included in our reported results during the third quarter of 2017, is a net aggregate unfavorable after-tax impact of $2.1 million, or $.02 per diluted share, consisting of: (i) an unfavorable after-tax impact of $2.6 million, or $.03 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, partially offset by; (ii) a favorable after-tax impact of $487,000, or $.01 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" ("ASU 2016-09"), as discussed below. Included in our reported results during the three-month period ended September 30, 2016 is an unfavorable after-tax impact of $5.3 million, or $.06 per diluted share, related to the depreciation and amortization expense recorded in connection with the implementation of EHR applications at our acute care hospitals.

As calculated on the attached Supplemental Schedule, our earnings before interest, taxes, depreciation & amortization ("EBITDA"), which was unfavorably impacted by the approximately $22 million to $24 million above-mentioned hurricanes and litigation matter, decreased 3.3% to $363.4 million during the third quarter of 2017 as compared to $375.9 million during the third quarter of 2016.

Consolidated Results of Operations, As Reported and As Adjusted – Nine-month periods ended September 30, 2017 and 2016:

Reported net income attributable to UHS was $532.7 million, or $5.50 per diluted share, during the first nine months of 2017 as compared to $528.2 million, or $5.36 per diluted share, during the comparable period of 2016.

Net revenues increased 6.5% to $7.77 billion during the first nine months of 2017 as compared to $7.29 billion during the first nine months of 2016. As calculated on the attached Supplemental Schedule, our EBITDA increased 2.1% to $1.26 billion during the nine-month period ended September 30, 2017 as compared to $1.24 billion during the comparable nine-month period of 2016.

For the nine-month period ended September 30, 2017, our adjusted net income attributable to UHS, as calculated on the attached Supplemental Schedule, was $535.8 million, or $5.53 per diluted share, as compared to $544.3 million, or $5.52 per diluted share, during the first nine months of 2016. As reflected on the Supplemental Schedule, included in our reported results during the nine-month period ended September 30, 2017, is a net aggregate unfavorable after-tax impact of $3.1 million, or $.03 per diluted share, consisting of: (i) an unfavorable after-tax impact of $11.7 million, or $.12 per diluted share, related to the depreciation and amortization expense recorded in connection with the implementation of EHR applications at our acute care hospitals, partially offset by; (ii) a favorable after-tax impact of $8.6 million, or $.09 per diluted share, resulting from our January 1, 2017 adoption of ASU 2016-09. Included in our reported results during the nine-month period ended September 30, 2016 is an unfavorable after tax impact of $16.1 million, or $.16 per diluted share, related to the depreciation and amortization expense recorded in connection with the implementation of EHR applications at our acute care hospitals.

Acute Care Services – Three and nine-month periods ended September 30, 2017 and 2016:

During the third quarter of 2017, at our acute care hospitals owned during both periods ("same facility basis"), adjusted admissions (adjusted for outpatient activity) increased 3.5% and adjusted patient days increased 1.5%, as compared to the third quarter of 2016. Net revenues from our acute care services increased 2.2% during the third quarter of 2017 as compared to the comparable quarter of the prior year. At these facilities, net revenue per adjusted admission decreased 0.6% while net revenue per adjusted patient day increased 1.3% during the third quarter of 2017 as compared to the comparable quarter of 2016.

During the nine-month period ended September 30, 2017, at our acute care hospitals on a same facility basis, adjusted admissions increased 4.9% and adjusted patient days increased 2.0%, as compared to the first nine months of 2016. Net revenues from our acute care services increased 4.0% during the first nine months of 2017 as compared to the comparable period of the prior year. At these facilities, net revenue per adjusted admission decreased 0.3% while net revenue per adjusted patient day increased 2.5% during the first nine months of 2017 as compared to the comparable nine-month period of 2016.

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 $447 million and $370 million during the three-month periods ended September 30, 2017 and 2016, respectively, and $1.36 billion and $1.06 billion during the nine-month periods ended September 30, 2017 and 2016, respectively. The provision for doubtful accounts at our acute care hospitals amounted to approximately $205 million and $173 million during the three-month periods ended September 30, 2017 and 2016, respectively, and $573 million and $492 million during the nine-month periods ended September 30, 2017 and 2016, respectively.

Behavioral Health Care Services – Three and nine-month periods ended September 30, 2017 and 2016:

During the third quarter of 2017, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 1.1% while adjusted patient days decreased 0.2% as compared to the third quarter of 2016. At these facilities, net revenue per adjusted admission increased 1.3% while net revenue per adjusted patient day increased 2.6% during the third quarter of 2017 as compared to the comparable quarter in 2016. On a same facility basis, our behavioral health care services' net revenues increased 1.8% during the third quarter of 2017 as compared to the third quarter of 2016.

During the nine-month period ended September 30, 2017, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 2.4% while adjusted patient days increased 0.5% as compared to the first nine months of 2016. At these facilities, net revenue per adjusted admission decreased 0.4% while net revenue per adjusted patient day increased 1.5% during the first nine months of 2017 as compared to the comparable nine-month period of 2016. On a same facility basis, our behavioral health care services' net revenues increased 1.8% during the first nine months of 2017 as compared to the comparable period of 2016.

Net Cash Provided by Operating Activities and Share Repurchase Program:

For the nine months ended September 30, 2017, our net cash provided by operating activities decreased to $878 million from $1.14 billion generated during the comparable nine-month period of 2016. The $258 million decrease was caused primarily by a $128 million unfavorable change in cash flows from foreign currency forward exchange contracts related to our investments in the U.K and a $101 million unfavorable change in other working capital accounts resulting primarily from changes in accounts payable and accrued expenses due to timing of disbursements.

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 third quarter of 2017, we have repurchased 870,000 shares at an aggregate cost of $94.3 million. During the first nine months of 2017, we have repurchased approximately 1.96 million shares at an aggregate cost of $221.4 million. Since inception of the program through September 30, 2017, we have repurchased approximately 6.34 million shares at an aggregate cost of $735.6 million.

Revision of 2017 Full Year Earnings Guidance Range:

Based upon the operating trends and financial results experienced during the first nine months of 2017, we are revising our estimated range of adjusted net income attributable to UHS for the year ended December 31, 2017 to $7.25 to $7.50 per diluted share from the previously provided range of $7.50 to $8.00 per diluted share. This revised guidance range decreases the lower end of the previously provided range by approximately 3.3% and decreases the upper end of the previously provided range by approximately 6.3%.

This revised guidance excludes the expected EHR unfavorable impact of $.15 per diluted share for the year, as well as 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, which as discussed below, we are unable to estimate at this time. This guidance range also excludes the impact of future items, if applicable, that are nonrecurring or non-operational in nature including items such as, but not limited to, 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.

Adoption of ASU 2016-09:

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. In connection with the adoption of ASU 2016-09, during the three and nine-month periods ended September 30, 2017, we recorded reductions to our provision for income taxes of $487,000 and $8.6 million, respectively, which resulted in a corresponding increases in our net income attributable to UHS of $487,000, or $.01 per diluted share, during the third quarter of 2017 and $8.6 million, or $.09 per diluted share, during the first nine months of 2017.

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 January 1, 2017, with the exception of the change in the presentation of the excess income tax benefits related to stock-based compensation in the Statement of Cash Flows, which was applied retrospectively.

Conference call information:

We will hold a conference call for investors and analysts at 9:00 a.m. eastern time on Thursday, October 26, 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 and in Item 2-Forward-Looking Statements and Risk Factors in our Form 10-Q for the quarterly period ended June 30, 2017), 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 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 that are nonrecurring or non-operational in nature including, but not limited to, costs/benefits related to the impact on our provision for income taxes and net income attributable to UHS resulting from our January 1, 2017 adoption of ASU 2016-09, the implementation of EHR applications at our acute care hospitals, extinguishment of debt, gains/losses on sales of assets and businesses, reserves for settlements, legal judgments and lawsuits, impairments of long-lived assets, and other items 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 and our Report on Form 10-Q for the quarterly period ended June 30, 2017. 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

Nine months

ended September 30,

ended September 30,

2017

2016

2017

2016

Net revenues before provision for doubtful accounts

$2,775,790

$2,610,911

$8,428,971

$7,869,352

Less: Provision for doubtful accounts

233,926

201,039

661,893

578,827

Net revenues

2,541,864

2,409,872

7,767,078

7,290,525

Operating charges:

Salaries, wages and benefits

1,251,528

1,149,729

3,725,786

3,428,801

Other operating expenses

628,523

597,270

1,868,076

1,744,849

Supplies expense

268,089

257,793

820,242

767,465

Depreciation and amortization

110,217

103,712

334,127

309,172

Lease and rental expense

26,197

23,799

77,413

73,057

2,284,554

2,132,303

6,825,644

6,323,344

Income from operations

257,310

277,569

941,434

967,181

Interest expense, net

36,956

32,129

108,383

92,171

Income before income taxes

220,354

245,440

833,051

875,010

Provision for income taxes

74,992

88,175

286,774

306,577

Net income

145,362

157,265

546,277

568,433

Less: Net income attributable to

noncontrolling interests

4,117

5,400

13,583

40,232

Net income attributable to UHS

$141,245

$151,865

$532,694

$528,201

Basic earnings per share attributable to UHS (a)

$1.48

$1.56

$5.54

$5.43

Diluted earnings per share attributable to UHS (a)

$1.47

$1.54

$5.50

$5.36

Universal Health Services, Inc.

Footnotes to Consolidated Statements of Income

(in thousands, except per share amounts)

(unaudited)

Three months

Nine months

(a) Earnings per share calculation:

ended September 30,

ended September 30,

2017

2016

2017

2016

Basic and diluted:

Net income attributable to UHS

$141,245

$151,865

$532,694

$528,201

Less: Net income attributable to unvested restricted share grants

(81)

(69)

(257)

(242)

Net income attributable to UHS - basic and diluted

$141,164

$151,796

$532,437

$527,959

Weighted average number of common shares - basic

95,246

97,118

96,026

97,278

Basic earnings per share attributable to UHS:

$1.48

$1.56

$5.54

$5.43

Weighted average number of common shares

95,246

97,118

96,026

97,278

Add: Other share equivalents

731

1,203

771

1,257

Weighted average number of common shares and equiv. - diluted

95,977

98,321

96,797

98,535

Diluted earnings per share attributable to UHS:

$1.47

$1.54

$5.50

$5.36

Universal Health Services, Inc.

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

For the three months ended September 30, 2017 and 2016

(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

September 30, 2017

revenues

September 30, 2016

revenues

Net income attributable to UHS

$141,245

$151,865

Depreciation and amortization

110,217

103,712

Interest expense, net

36,956

32,129

Provision for income taxes

74,992

88,175

EBITDA

$363,410

14.3%

$375,881

15.6%

EHR-related net income attributable to noncontrolling interests, pre-tax

(27)

(201)

Adjusted EBITDA

$363,383

14.3%

$375,680

15.6%

Net revenues

$2,541,864

$2,409,872

Calculation of Adjusted Net Income Attributable to UHS

Three months ended

Three months ended

September 30, 2017

September 30, 2016

Per

Per

Amount

Diluted Share

Amount

Diluted Share

Net income attributable to UHS

$141,245

$1.47

$151,865

$1.54

Plus/minus after-tax adjustments:

Impact of ASU 2016-09

(487)

(0.01)

-

-

After-tax impact of EHR-related items

2,636

0.03

5,349

0.06

Subtotal

2,149

0.02

5,349

0.06

Adjusted net income attributable to UHS

$143,394

$1.49

$157,214

$1.60

Universal Health Services, Inc.

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

For the nine months ended September 30, 2017 and 2016

(in thousands, except per share amounts)

(unaudited)

Calculation of Earnings Before Interest, Taxes, Depreciation and Amortization ("EBITDA")

Nine months ended

% Net

Nine months ended

% Net

September 30, 2017

revenues

September 30, 2016

revenues

Net income attributable to UHS

$532,694

$528,201

Depreciation and amortization

334,127

309,172

Interest expense, net

108,383

92,171

Provision for income taxes

286,774

306,577

EBITDA

$1,261,978

16.2%

$1,236,121

17.0%

EHR-related net income attributable to noncontrolling interests, pre-tax

(200)

(1,618)

Adjusted EBITDA

$1,261,778

16.2%

$1,234,503

16.9%

Net revenues

$7,767,078

$7,290,525

Calculation of Adjusted Net Income Attributable to UHS

Nine months ended

Nine months ended

September 30, 2017

September 30, 2016

Per

Per

Amount

Diluted Share

Amount

Diluted Share

Net income attributable to UHS

$532,694

$5.50

$528,201

$5.36

Plus/minus after-tax adjustments:

Impact of ASU 2016-09

(8,619)

(0.09)

-

-

After-tax impact of EHR-related items

11,747

0.12

16,060

0.16

Subtotal

3,128

0.03

16,060

0.16

Adjusted net income attributable to UHS

$535,822

$5.53

$544,261

$5.52

Universal Health Services, Inc.

Consolidated Statements of Comprehensive Income

(in thousands)

(unaudited)

Three months

Nine months

ended September 30,

ended September 30,

2017

2016

2017

2016

Net income

$145,362

$157,265

$546,277

$568,433

Other comprehensive income (loss):

Unrealized derivative gains (losses) on cash flow hedges

610

6,424

3,547

(11,644)

Amortization of terminated hedge

0

0

0

(167)

Unrealized gain (loss) on marketable security

(2,515)

(134)

1,645

(755)

Foreign currency translation adjustment

983

(10,973)

9,932

(9,150)

Other comprehensive income (loss) before tax

(922)

(4,683)

15,124

(21,716)

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

(711)

2,346

1,935

(4,681)

Total other comprehensive income (loss), net of tax

(211)

(7,029)

13,189

(17,035)

Comprehensive income

145,151

150,236

559,466

551,398

Less: Comprehensive income attributable to noncontrolling interests

4,117

5,400

13,583

40,232

Comprehensive income attributable to UHS

$141,034

$144,836

$545,883

$511,166

Universal Health Services, Inc.

Condensed Consolidated Balance Sheets

(in thousands)

(unaudited)

September 30,

December 31,

2017

2016

Assets

Current assets:

Cash and cash equivalents

$

65,424

$

33,747

Accounts receivable, net

1,452,018

1,439,553

Supplies

135,849

125,365

Other current assets

101,896

82,706

Total current assets

1,755,187

1,681,371

Property and equipment

7,769,073

7,314,437

Less: accumulated depreciation

(3,252,934)

(2,983,481)

4,516,139

4,330,956

Other assets:

Goodwill

3,821,610

3,784,106

Deferred charges

10,385

13,520

Deferred income taxes

1,340

1,234

Other

534,699

506,615

Total Assets

$

10,639,360

$

10,317,802

Liabilities and Stockholders' Equity

Current liabilities:

Current maturities of long-term debt

$

112,757

$

105,895

Accounts payable and accrued liabilities

1,284,740

1,209,329

Federal and state taxes

0

2,149

Total current liabilities

1,397,497

1,317,373

Other noncurrent liabilities

298,252

275,167

Long-term debt

3,927,396

4,030,230

Deferred income taxes

78,968

88,119

Redeemable noncontrolling interest

7,037

9,319

UHS common stockholders' equity

4,865,212

4,533,220

Noncontrolling interest

64,998

64,374

Total equity

4,930,210

4,597,594

Total Liabilities and Stockholders' Equity

$

10,639,360

$

10,317,802

Universal Health Services, Inc.

Consolidated Statements of Cash Flows

(in thousands)

(unaudited)

Nine months

ended September 30,

2017

2016

Cash Flows from Operating Activities:

Net income

$546,277

$568,433

Adjustments to reconcile net income to net

cash provided by operating activities:

Depreciation & amortization

334,127

309,172

Stock-based compensation expense

42,838

36,358

Changes in assets & liabilities, net of effects from

acquisitions and dispositions:

Accounts receivable

10,090

(6,836)

Accrued interest

(5,747)

3,303

Accrued and deferred income taxes

(20,177)

12,187

Other working capital accounts

23,729

124,987

Other assets and deferred charges

(21,798)

(11,451)

Other

(54,664)

58,040

Excess income tax benefits related to stock-based compensation

0

36,407

Accrued insurance expense, net of commercial premiums paid

80,814

66,049

Payments made in settlement of self-insurance claims

(57,224)

(60,137)

Net cash provided by operating activities

878,265

1,136,512

Cash Flows from Investing Activities:

Property and equipment additions, net of disposals

(418,693)

(396,163)

Acquisition of property and businesses

(19,610)

(136,221)

Increase in capital reserves of commercial insurance subsidiary

(3,000)

0

Costs incurred for purchase and implementation of information technology application

(26,401)

0

Net cash used in investing activities

(467,704)

(532,384)

Cash Flows from Financing Activities:

Reduction of long-term debt

(143,526)

(814,971)

Additional borrowings

43,124

1,026,000

Acquisition of noncontrolling interests in majority owned businesses

0

(418,000)

Financing costs

(34)

(12,330)

Repurchase of common shares

(242,870)

(297,177)

Dividends paid

(28,776)

(29,197)

Issuance of common stock

7,637

6,379

Profit distributions to noncontrolling interests

(15,924)

(61,053)

Net cash used in financing activities

(380,369)

(600,349)

Effect of exchange rate changes on cash and cash equivalents

1,485

(3,263)

Increase in cash and cash equivalents

31,677

516

Cash and cash equivalents, beginning of period

33,747

61,228

Cash and cash equivalents, end of period

$65,424

$61,744

Supplemental Disclosures of Cash Flow Information:

Interest paid

$107,442

$82,883

Income taxes paid, net of refunds

$305,885

$259,174

Noncash purchases of property and equipment

$64,958

$45,319

Universal Health Services, Inc.

Supplemental Statistical Information

(unaudited)

% Change

% Change

Quarter ended

9 months ended

Same Facility:

9/30/2017

9/30/2017

Acute Care Hospitals

Revenues

2.2%

4.0%

Adjusted Admissions

3.5%

4.9%

Adjusted Patient Days

1.5%

2.0%

Revenue Per Adjusted Admission

-0.6%

-0.3%

Revenue Per Adjusted Patient Day

1.3%

2.5%

Behavioral Health Hospitals

Revenues

1.8%

1.8%

Adjusted Admissions

1.1%

2.4%

Adjusted Patient Days

-0.2%

0.5%

Revenue Per Adjusted Admission

1.3%

-0.4%

Revenue Per Adjusted Patient Day

2.6%

1.5%

UHS Consolidated

Third quarter ended

Nine months ended

9/30/2017

9/30/2016

9/30/2017

9/30/2016

Revenues

$2,541,864

$2,409,872

$7,767,078

$7,290,525

EBITDA (1)

$363,410

$375,881

$1,261,978

$1,236,121

EBITDA Margin (1)

14.3%

15.6%

16.2%

17.0%

Cash Flow From Operations

$344,673

$300,083

$878,265

$1,136,512

Days Sales Outstanding

53

50

51

49

Capital Expenditures

$156,241

$148,448

$418,693

$396,163

Debt

$4,040,153

$3,634,169

UHS' Shareholders Equity

$4,865,212

$4,394,703

Debt / Total Capitalization

45.4%

45.3%

Debt / EBITDA (2)

2.41

2.21

Debt / Cash From Operations (2)

3.76

2.64

(1) Net of Minority Interest

(2) Latest 4 quarters

Universal Health Services, Inc.

Acute Care Hospital Services

For the three and nine months ended

September 30, 2017 and 2016

(in thousands)

Same Facility Basis - Acute Care Hospital Services

Three months ended

Three months ended

Nine months ended

Nine months ended

September 30, 2017

September 30, 2016

September 30, 2017

September 30, 2016

Amount

% of NetRevenues

Amount

% of NetRevenues

Amount

% of NetRevenues

Amount

% of NetRevenues

Net revenues before provision for doubtful accounts

$1,452,997

$1,402,732

$4,431,714

$4,224,695

Less: Provision for doubtful accounts

196,542

172,883

548,387

491,556

Net revenues

1,256,455

100.0%

1,229,849

100.0%

3,883,327

100.0%

3,733,139

100.0%

Operating charges:

Salaries, wages and benefits

551,144

43.9%

528,249

43.0%

1,623,774

41.8%

1,547,580

41.5%

Other operating expenses

307,909

24.5%

309,702

25.2%

925,122

23.8%

896,589

24.0%

Supplies expense

212,350

16.9%

210,973

17.2%

654,218

16.8%

621,258

16.6%

Depreciation and amortization

62,446

5.0%

59,252

4.8%

185,151

4.8%

174,855

4.7%

Lease and rental expense

14,390

1.1%

12,572

1.0%

41,864

1.1%

39,489

1.1%

Subtotal-operating expenses

1,148,239

91.4%

1,120,748

91.1%

3,430,129

88.3%

3,279,771

87.9%

Income from operations

108,216

8.6%

109,101

8.9%

453,198

11.7%

453,368

12.1%

Interest expense, net

639

0.1%

817

0.1%

2,073

0.1%

2,460

0.1%

Income before income taxes

$107,577

8.6%

$108,284

8.8%

$451,125

11.6%

$450,908

12.1%

All Acute Care Hospital Services

Three months ended

Three months ended

Nine months ended

Nine months ended

September 30, 2017

September 30, 2016

September 30, 2017

September 30, 2016

Amount

% of NetRevenues

Amount

% of NetRevenues

Amount

% of NetRevenues

Amount

% of NetRevenues

Net revenues before provision for doubtful accounts

$1,521,727

$1,426,749

$4,646,083

$4,285,897

Less: Provision for doubtful accounts

204,979

172,883

573,331

491,556

Net revenues

1,316,748

100.0%

1,253,866

100.0%

4,072,752

100.0%

3,794,341

100.0%

Operating charges:

Salaries, wages and benefits

566,214

43.0%

529,544

42.2%

1,672,909

41.1%

1,549,311

40.8%

Other operating expenses

342,486

26.0%

334,387

26.7%

1,018,454

25.0%

958,844

25.3%

Supplies expense

217,035

16.5%

211,017

16.8%

670,444

16.5%

621,305

16.4%

Depreciation and amortization

69,062

5.2%

67,982

5.4%

213,417

5.2%

202,079

5.3%

Lease and rental expense

14,605

1.1%

12,577

1.0%

43,066

1.1%

39,510

1.0%

Subtotal-operating expenses

1,209,402

91.8%

1,155,507

92.2%

3,618,290

88.8%

3,371,049

88.8%

Income from operations

107,346

8.2%

98,359

7.8%

454,462

11.2%

423,292

11.2%

Interest expense, net

639

0.0%

817

0.1%

2,074

0.1%

2,460

0.1%

Income before income taxes

$106,707

8.1%

$97,542

7.8%

$452,388

11.1%

$420,832

11.1%

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 impact of the EHR applications, the effect of items that are non-operational in nature including items such as, but not limited to, gains on sales of assets and businesses, impacts of settlements, legal judgments and lawsuits 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 in the condensed consolidated financial statements and notes thereto as contained in our Form 10-K for the year ended December 31, 2016 and our Form 10-Q for the quarterly period ended June 30, 2017.

The All Acute Care Hospital Services table summarizes the results of operations for all our acute care operations during the three and nine-month periods ended September 30, 2017 and 2016. These amounts include: (i) our acute care results on a same facility basis, as indicated above; (ii) the impact of the implementation of EHR applications at our acute care hospitals; (iii) the impact of provider tax assessments which increased net revenues and other operating expenses but had no impact on income before income taxes, and; (iv) certain other amounts including the results of facilities acquired or opened during the last twelve months.

Universal Health Services, Inc.

Behavioral Health Services

For the three and nine months ended

September 30, 2017 and 2016

(in thousands)

Same Facility - Behavioral Health Care Services

Three months ended

Three months ended

Nine months ended

Nine months ended

September 30, 2017

September 30, 2016

September 30, 2017

September 30, 2016

Amount

% of NetRevenues

Amount

% of NetRevenues

Amount

% of NetRevenues

Amount

% of NetRevenues

Net revenues before provision for doubtful accounts

$1,175,860

$1,159,594

$3,566,216

$3,509,217

Less: Provision for doubtful accounts

24,311

28,109

82,973

87,004

Net revenues

1,151,549

100.0%

1,131,485

100.0%

3,483,243

100.0%

3,422,213

100.0%

Operating charges:

Salaries, wages and benefits

595,571

51.7%

567,889

50.2%

1,770,122

50.8%

1,692,898

49.5%

Other operating expenses

234,945

20.4%

223,940

19.8%

693,200

19.9%

660,559

19.3%

Supplies expense

49,629

4.3%

49,001

4.3%

146,286

4.2%

145,626

4.3%

Depreciation and amortization

34,206

3.0%

32,757

2.9%

100,838

2.9%

98,506

2.9%

Lease and rental expense

11,491

1.0%

11,061

1.0%

32,988

0.9%

32,878

1.0%

Subtotal-operating expenses

925,842

80.4%

884,648

78.2%

2,743,434

78.8%

2,630,467

76.9%

Income from operations

225,707

19.6%

246,837

21.8%

739,809

21.2%

791,746

23.1%

Interest expense, net

428

0.0%

420

0.0%

1,590

0.0%

1,302

0.0%

Income before income taxes

$225,279

19.6%

$246,417

21.8%

$738,219

21.2%

$790,444

23.1%

All Behavioral Health Care Services

Three months ended

Three months ended

Nine months ended

Nine months ended

September 30, 2017

September 30, 2016

September 30, 2017

September 30, 2016

Amount

% of NetRevenues

Amount

% of NetRevenues

Amount

% of NetRevenues

Amount

% of NetRevenues

Net revenues before provision for doubtful accounts

$1,249,585

$1,182,041

$3,769,879

$3,576,957

Less: Provision for doubtful accounts

25,037

28,161

84,649

87,276

Net revenues

1,224,548

100.0%

1,153,880

100.0%

3,685,230

100.0%

3,489,681

100.0%

Operating charges:

Salaries, wages and benefits

632,492

51.7%

571,070

49.5%

1,869,170

50.7%

1,703,222

48.8%

Other operating expenses

261,959

21.4%

242,949

21.1%

784,678

21.3%

720,678

20.7%

Supplies expense

50,947

4.2%

49,244

4.3%

149,967

4.1%

146,244

4.2%

Depreciation and amortization

38,574

3.2%

33,584

2.9%

113,083

3.1%

101,003

2.9%

Lease and rental expense

11,475

0.9%

11,098

1.0%

33,993

0.9%

33,216

1.0%

Subtotal-operating expenses

995,447

81.3%

907,945

78.7%

2,950,891

80.1%

2,704,363

77.5%

Income from operations

229,101

18.7%

245,935

21.3%

734,339

19.9%

785,318

22.5%

Interest expense, net

428

0.0%

420

0.0%

1,590

0.0%

1,302

0.0%

Income before income taxes

$228,673

18.7%

$245,515

21.3%

$732,749

19.9%

$784,016

22.5%

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 items that are non-operational in nature including items such as, but not limited to, gains on sales of assets and businesses, impacts of settlements, legal judgments and lawsuits 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 in the condensed consolidated financial statements and notes thereto as contained in our Form 10-K for the year ended December 31, 2016 and our Form 10-Q for the quarterly period ended June 30, 2017.

The All Behavioral Health Care Services table summarizes the results of operations for all our behavioral health care facilities during the three and nine-month periods ended September 30, 2017 and 2016. 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

September 30, 2017 and 2016

AS REPORTED:

ACUTE

BEHAVIORAL HEALTH

9/30/17

9/30/16

% change

9/30/17

9/30/16

% change

Hospitals owned and leased

26

25

4.0%

298

213

39.9%

Average licensed beds

6,147

5,926

3.7%

23,173

21,840

6.1%

Patient days

324,697

309,505

4.9%

1,594,487

1,503,472

6.1%

Average daily census

3,529.3

3,364.2

4.9%

17,331.4

16,342.1

6.1%

Occupancy-licensed beds

57.4%

56.8%

1.1%

74.8%

74.8%

0.0%

Admissions

73,692

68,165

8.1%

116,301

114,678

1.4%

Length of stay

4.4

4.5

-3.0%

13.7

13.1

4.6%

Inpatient revenue

$5,344,625

$4,647,578

15.0%

$2,257,231

$2,031,868

11.1%

Outpatient revenue

3,199,066

2,854,851

12.1%

236,559

217,571

8.7%

Total patient revenue

8,543,691

7,502,429

13.9%

2,493,790

2,249,439

10.9%

Other revenue

113,346

114,344

-0.9%

50,143

53,570

-6.4%

Gross hospital revenue

8,657,037

7,616,773

13.7%

2,543,933

2,303,009

10.5%

Total deductions

7,135,310

6,190,024

15.3%

1,294,348

1,120,968

15.5%

Net hospital revenue before

provision for doubtful accounts

1,521,727

1,426,749

6.7%

1,249,585

1,182,041

5.7%

Provision for doubtful accounts

204,979

172,883

18.6%

25,037

28,161

-11.1%

Net hospital revenue

$1,316,748

$1,253,866

5.0%

$1,224,548

$1,153,880

6.1%

SAME FACILITY:

ACUTE (1)

BEHAVIORAL HEALTH (2)

9/30/17

9/30/16

% change

9/30/17

9/30/16

% change

Hospitals owned and leased

25

25

0.0%

211

211

0.0%

Average licensed beds

6,009

5,926

1.4%

21,814

21,607

1.0%

Patient days

319,102

309,505

3.1%

1,485,837

1,485,616

0.0%

Average daily census

3,468.5

3,364.2

3.1%

16,150.4

16,148.0

0.0%

Occupancy-licensed beds

57.7%

56.8%

1.6%

74.0%

74.7%

-0.9%

Admissions

71,621

68,165

5.1%

115,826

114,356

1.3%

Length of stay

4.5

4.5

-1.9%

12.8

13.0

-1.3%

(1) Henderson Hospital is excluded in current year.

(2) CAMBIAN facilities are excluded in current year.

Universal Health Services, Inc.

Selected Hospital Statistics

For the nine months ended

September 30, 2017 and 2016

AS REPORTED:

ACUTE

BEHAVIORAL HEALTH

9/30/17

9/30/16

% change

9/30/17

9/30/16

% change

Hospitals owned and leased

26

25

4.0%

298

213

39.9%

Average licensed beds

6,125

5,878

4.2%

23,121

21,804

6.0%

Patient days

981,946

941,595

4.3%

4,812,633

4,515,381

6.6%

Average daily census

3,596.9

3,436.5

4.7%

17,628.7

16,479.5

7.0%

Occupancy-licensed beds

58.7%

58.5%

0.4%

76.2%

75.6%

0.9%

Admissions

221,595

204,663

8.3%

353,773

344,972

2.6%

Length of stay

4.4

4.6

-3.7%

13.6

13.1

3.9%

Inpatient revenue

$16,373,472

$14,295,797

14.5%

$6,689,368

$5,987,430

11.7%

Outpatient revenue

9,780,173

8,461,032

15.6%

740,331

668,457

10.8%

Total patient revenue

26,153,645

22,756,829

14.9%

7,429,699

6,655,887

11.6%

Other revenue

352,788

344,889

2.3%

154,501

157,161

-1.7%

Gross hospital revenue

26,506,433

23,101,718

14.7%

7,584,200

6,813,048

11.3%

Total deductions

21,860,350

18,815,821

16.2%

3,814,321

3,236,091

17.9%

Net hospital revenue before

provision for doubtful accounts

4,646,083

4,285,897

8.4%

3,769,879

3,576,957

5.4%

Provision for doubtful accounts

573,331

491,556

16.6%

84,649

87,276

-3.0%

Net hospital revenue

$4,072,752

$3,794,341

7.3%

$3,685,230

$3,489,681

5.6%

SAME FACILITY:

ACUTE (1)

BEHAVIORAL HEALTH (2)

9/30/17

9/30/16

% change

9/30/17

9/30/16

% change

Hospitals owned and leased

25

25

0.0%

211

211

0.0%

Average licensed beds

5,975

5,878

1.7%

21,831

21,603

1.1%

Patient days

965,601

941,595

2.5%

4,506,056

4,481,544

0.5%

Average daily census

3,537.0

3,436.5

2.9%

16,505.7

16,356.0

0.9%

Occupancy-licensed beds

59.2%

58.5%

1.3%

75.6%

75.7%

-0.1%

Admissions

215,830

204,663

5.5%

352,668

344,118

2.5%

Length of stay

4.5

4.6

-2.8%

12.8

13.0

-1.9%

(1) Henderson Hospital is excluded in current year.

(2) CAMBIAN facilities are excluded in current year.

View original content:http://www.prnewswire.com/news-releases/universal-health-services-inc-reports-2017-third-quarter-financial-results-and-revises-2017-full-year-earnings-guidance-300543404.html

SOURCE Universal Health Services, Inc.

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