Consolidated Results of Operations, As Reported and As Adjusted - Three-month periods ended June 30, 2018 and 2017
Consolidated Results of Operations, As Reported and As Adjusted - Three-month periods ended June 30, 2018 and 2017:
KING OF PRUSSIA, Pa., July 25, 2018 /PRNewswire/ -- Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income attributable to UHS was $226.1 million, or $2.39 per diluted share, during the second quarter of 2018 as compared to $185.4 million, or $1.91 per diluted share, during the comparable quarter of 2017. Net revenues increased 2.6% to $2.68 billion during the second quarter of 2018 as compared to $2.61 billion during the second quarter of 2017.
For the three-month period ended June 30, 2018, our adjusted net income attributable to UHS, as calculated on the attached Schedule of Non-GAAP Supplemental Information ("Supplemental Schedule"), was $233.3 million, or $2.47 per diluted share, as compared to $188.1 million, or $1.94 per diluted share, during the second quarter of 2017.
Included in our reported and adjusted net income attributable to UHS during the second quarter of 2018, is a pre-tax unrealized gain of $8.0 million (included in "Other (income) expense, net"), or $.06 per diluted share, resulting from an increase in the market value of shares of certain marketable securities held for investment and classified as available for sale.
As reflected on the Supplemental Schedule, included in our reported results during the second quarter of 2018, is a net aggregate unfavorable after-tax impact of $7.3 million, or $.08 per diluted share, substantially all of which resulted from an unfavorable after-tax impact of $7.2 million, or $.08 per diluted share, resulting from a $9.5 million pre-tax increase in the reserve established in connection with the discussions with the Department of Justice ("DOJ"), as discussed below.
As reflected on the Supplemental Schedule, included in our reported results during the second quarter of 2017, is a net aggregate unfavorable after-tax impact of $2.7 million, or $.03 per diluted share, consisting of: (i) a favorable after-tax impact of $1.4 million, 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"), offset by; (ii) an unfavorable after-tax impact of $4.0 million, or $.04 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.
As calculated on the attached Supplemental Schedule, our earnings before interest, taxes, depreciation & amortization ("EBITDA net of NCI"), was $444.7 million during the second quarter of 2018 as compared to $438.3 million during the second quarter of 2017. Our adjusted earnings before interest, taxes, depreciation & amortization ("Adjusted EBITDA net of NCI"), which excludes the impact of the above-mentioned $9.5 million pre-tax increase in the DOJ reserve and $15.3 million of other income, net, recorded during the second quarter of 2018, was $438.8 million during the second quarter of 2018 as compared to $438.3 million during the second quarter of 2017.
Consolidated Results of Operations, As Reported and As Adjusted - Six-month periods ended June 30, 2018 and 2017:
Reported net income attributable to UHS was $449.9 million, or $4.76 per diluted share, during the six-month period ended June 30, 2018 as compared to $391.4 million, or $4.03 per diluted share, during the comparable period of 2017. Net revenues increased 2.7% to $5.37 billion during the first six months of 2018 as compared to $5.23 billion during the first six months of 2017.
For the six-month period ended June 30, 2018, our adjusted net income attributable to UHS, as calculated on the attached Supplemental Schedule, was $465.5 million, or $4.92 per diluted share, as compared to $392.4 million, or $4.04 per diluted share, during the comparable period of 2017.
As reflected on the Supplemental Schedule, included in our reported results during the six-month period ended June 30, 2018, is a net aggregate unfavorable after-tax impact of $15.6 million, or $.16 per diluted share, consisting of: (i) an unfavorable after-tax impact of $17.1 million, or $.18 per diluted share, resulting from a $22.5 million pre-tax increase in the reserve established in connection with the discussions with the DOJ, as discussed below, partially offset by; (ii) a favorable after-tax impact of $1.5 million, or $.02 per diluted share, resulting from our adoption of ASU 2016-09.
As reflected on the Supplemental Schedule, included in our reported results during the six-month period ended June 30, 2017, is a net aggregate unfavorable after-tax impact of $1.0 million, or $.01 per diluted share, consisting of: (i) a favorable after-tax impact of $8.1 million, or $.08 per diluted share, resulting from our adoption of ASU 2016-09, offset by; (ii) an unfavorable after-tax impact of $9.1 million, or $.09 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 net of NCI"), was $886.8 million during the first six months of 2018 as compared to $898.6 million during the first six months of 2017. Our adjusted earnings before interest, taxes, depreciation & amortization ("Adjusted EBITDA net of NCI"), which excludes the impact of the above-mentioned $22.5 million pre-tax increase in the DOJ reserve and $15.3 million of other income, net, recorded during the first six months of 2018, was $893.9 million during the six-month period ended June 30, 2018 as compared to $898.6 million during the first six months of 2017.
Acute Care Services - Three and six-month periods ended June 30, 2018 and 2017:
During the second quarter of 2018, at our acute care hospitals owned during both periods ("same facility basis"), adjusted admissions (adjusted for outpatient activity) increased 1.9% and adjusted patient days increased 4.7%, as compared to the second quarter of 2017. At these facilities, net revenue per adjusted admission increased 3.1% while net revenue per adjusted patient day increased 0.4% during the second quarter of 2018 as compared to the comparable quarter of 2017. Net revenues from our acute care services on a same facility basis increased 3.3% during the second quarter of 2018 as compared to the comparable quarter of the prior year.
During the six-month period ended June 30, 2018, at our acute care hospitals on a same facility basis, adjusted admissions increased 2.0% and adjusted patient days increased 5.1%, as compared to the comparable period of 2017. At these facilities, net revenue per adjusted admission increased 3.4% while net revenue per adjusted patient day increased 0.3% during the first six months of 2018 as compared to the comparable period of 2017. Net revenues from our acute care services on a same facility basis increased 3.5% during the first six months of 2018 as compared to the comparable period of the prior year.
Behavioral Health Care Services - Three and six-month periods ended June 30, 2018 and 2017:
During the second quarter of 2018, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 1.2% while adjusted patient days decreased 0.3% as compared to the second quarter of 2017. At these facilities, net revenue per adjusted admission increased 2.0% while net revenue per adjusted patient day increased 3.6% during the second quarter of 2018 as compared to the comparable quarter in 2017. On a same facility basis, our behavioral health care services' net revenues increased 2.8% during the second quarter of 2018 as compared to the second quarter of 2017.
During the six-month period ended June 30, 2018, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 1.4% while adjusted patient days increased 0.1% as compared to the comparable period of 2017. At these facilities, net revenue per adjusted admission increased 2.0% while net revenue per adjusted patient day increased 3.4% during the first six months of 2018 as compared to the comparable period in 2017. On a same facility basis, our behavioral health care services' net revenues increased 2.9% during the first six months of 2018 as compared to the comparable period of 2017.
Net Cash Provided by Operating Activities and Share Repurchase Program:
For the six months ended June 30, 2018, our net cash provided by operating activities was $629 million as compared to $534 million generated during the first six months of 2017. The $95 million increase was due to: (i) a $103 million favorable change in other working capital accounts resulting primarily from changes in accounts payable and accrued expenses due to timing of disbursements; (ii) a $64 million favorable change in cash flows from foreign currency forward exchange contracts related to our investments in the U.K; (iii) a $65 million unfavorable change in accounts receivable, and; (iv) $7 million of other combined net unfavorable changes.
In November of 2017, our Board of Directors authorized a $400 million increase to our stock repurchase program, which increased the aggregate authorization to $1.2 billion from the previous $800 million authorization approved during 2016 and 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 our stock repurchase program, during the second quarter of 2018, we have repurchased approximately 1.12 million shares at an aggregate cost of $129.6 million (approximately $116 per share). During the first six months of 2018, we have repurchased approximately 1.16 million shares at an aggregate cost of $134.2 million (approximately $116 per share). Since inception of the program in 2014 through June 30, 2018, we have repurchased approximately 8.51 million shares at an aggregate cost of $970.5 million (approximately $114 per share).
Conference call information:
We will hold a conference call for investors and analysts at 9:00 a.m. eastern time on July 26, 2018. 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.
Reserve-DOJ:
During the first six months of 2018, we recorded a pre-tax increase of approximately $22 million to the reserve established in connection with the civil aspects of the government's investigation of certain of our behavioral health care facilities, increasing the aggregate pre-tax reserve to approximately $43 million. Changes in the reserve may be required in future periods as discussions with the DOJ continue and additional information becomes available. We cannot predict the ultimate resolution of this matter and therefore can provide no assurance that final amounts paid in settlement or otherwise, if any, or associated costs, will not differ materially from our established reserve. Please see Item 1-Legal Proceedings in our Form 10-Q for the quarterly period ended March 31, 2018 for additional disclosure in connection with this matter.
Adoption of new revenue recognition standard:
On January 1, 2018, we adopted, using the modified retrospective approach, ASU 2014-09 and ASU 2016-08, "Revenue from Contracts with Customers (Topic 606)" and "Revenue from Contracts with Customers: Principal versus Agent Considerations (Reporting Revenue Gross versus Net)", respectively, which provides guidance for revenue recognition. The standard's core principle is that a company will recognize revenue when it transfers promised goods or services to customers in an amount that reflects the consideration to which the company expects to be entitled in exchange for those goods or services. The most significant change from the adoption of the new standard relates to our estimation for the allowance for doubtful accounts. Under the previous standards, our estimate for amounts not expected to be collected based upon our historical experience, were reflected as provision for doubtful accounts, included within net revenue. Under the new standard, our estimate for amounts not expected to be collected based on historical experience will continue to be recognized as a reduction to net revenue, however, not reflected separately as provision for doubtful accounts. Under the new standard, subsequent changes in estimate of collectability due to a change in the financial status of a payor, for example a bankruptcy, will be recognized as bad debt expense in operating charges. The adoption of this ASU in 2018, and amounts recognized as bad debt expense and included in other operating expenses, did not have a material impact on our consolidated financial statements.
Tax Cuts and Jobs Act of 2017:
Effective January 1, 2018, our provision for income taxes, net income attributable to UHS, and net income attributable to UHS per diluted share, were favorably impacted by the Tax Cuts and Jobs Act of 2017 which made broad and complex changes to the U.S. tax code including, among other things, reducing the U.S. federal corporate tax rate from 35% to 21%.
General Information, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures:
One of the nation's largest and most respected hospital companies, Universal Health Services, Inc. ("UHS") has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, UHS today has annual revenue exceeding $10 billion. In 2018, UHS was recognized as one of the World's Most Admired Companies by Fortune; ranked #268 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies.
Our operating philosophy is as effective today as it was 40 years ago, enabling us to provide compassionate care to our patients and their loved ones: Build or acquire high quality hospitals in rapidly growing markets, invest in the people and equipment needed to allow each facility to thrive, and become the leading healthcare provider in each community we serve.
Headquartered in King of Prussia, PA, UHS has more than 83,000 employees and through its subsidiaries operates 326 inpatient acute care hospitals and behavioral health facilities and 32 outpatient and other facilities located in 37 states, Washington, D.C., the United Kingdom and Puerto Rico. It acts as the advisor to Universal Health Realty Income Trust, a real estate investment trust (NYSE:UHT). For additional information 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, 2017 and in Item 2-Forward-Looking Statements and Risk Factors in our Form 10-Q for the quarterly period ended March 31, 2018), 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 net of NCI and adjusted EBITDA net of NCI, which are non-GAAP financial measures ("GAAP" is Generally Accepted Accounting Principles in the United States of America), are helpful to our investors as measures of our operating performance. In addition, we believe that, when applicable, comparing and discussing our financial results based on these measures, as calculated, is helpful to our investors since it neutralizes the effect in each year of material items impacting our net income attributable to UHS, such as, changes in the reserve established in connection with our discussions with the DOJ, our adoption of ASU 2016-09, and other potential items that are nonrecurring or non-operational in nature including, but not limited to, reserves for various matters including settlements, legal judgments and lawsuits, costs related to extinguishment of debt, gains/losses on sales of assets and businesses, impairments of long-lived assets, 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 attributable to UHS, as determined in accordance with GAAP, and as presented in the condensed consolidated financial statements and notes thereto in this report or in our other filings with the Securities and Exchange Commission including our Reports on Form 10-K for the year ended December 31, 2017 and Form 10-Q for the quarterly period ended March 31, 2018. 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.
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Consolidated Statements of Income
---------------------------------
(in thousands, except per share amounts)
(unaudited)
Three months Six months
ended June 30, ended June 30,
-------------- --------------
2018 2017 2018 2017
---- ---- ---- ----
Net revenues before provision for doubtful accounts $2,827,709 $5,653,181
Less: Provision for doubtful accounts 215,353 427,967
------- -------
Net revenues $2,681,353 2,612,356 $5,368,869 5,225,214
Operating charges:
Salaries, wages and benefits 1,305,974 1,236,294 2,606,122 2,474,258
Other operating expenses 624,484 632,193 1,245,303 1,239,553
Supplies expense 289,733 274,539 582,662 552,153
Depreciation and amortization 109,581 113,112 222,684 223,910
Lease and rental expense 27,119 26,027 53,822 51,216
2,356,891 2,282,165 4,710,593 4,541,090
--------- --------- --------- ---------
Income from operations 324,462 330,191 658,276 684,124
Interest expense, net 38,000 35,920 75,576 71,427
Other (income) expense, net (15,308) 0 (15,308) 0
------- --- ------- ---
Income before income taxes 301,770 294,271 598,008 612,697
Provision for income taxes 71,059 103,883 138,628 211,782
------ ------- ------- -------
Net income 230,711 190,388 459,380 400,915
Less: Net income attributable to
noncontrolling interests ("NCI") 4,659 4,994 9,496 9,466
Net income attributable to UHS $226,052 $185,394 $449,884 $391,449
======== ======== ======== ========
Basic earnings per share attributable to UHS (a) $2.40 $1.93 $4.78 $4.06
===== ===== ===== =====
Diluted earnings per share attributable to UHS (a) $2.39 $1.91 $4.76 $4.03
===== ===== ===== =====
Universal Health Services, Inc.
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Footnotes to Consolidated Statements of Income
----------------------------------------------
(in thousands, except per share amounts)
(unaudited)
Three months Six months
(a) Earnings per share calculation: ended June 30, ended June 30,
----------------------------------- -------------- --------------
2018 2017 2018 2017
---- ---- ---- ----
Basic and diluted:
------------------
Net income attributable to UHS $226,052 $185,394 $449,884 $391,449
Less: Net income attributable to unvested restricted share grants (392) (82) (496) (176)
---- --- ---- ----
Net income attributable to UHS - basic and diluted $225,660 $185,312 $449,388 $391,273
======== ======== ======== ========
Weighted average number of common shares - basic 93,842 96,247 94,034 96,416
------ ------ ------ ------
Basic earnings per share attributable to UHS: $2.40 $1.93 $4.78 $4.06
===== ===== ===== =====
Weighted average number of common shares 93,842 96,247 94,034 96,416
Add: Other share equivalents 439 795 448 791
Weighted average number of common shares and equiv. - diluted 94,281 97,042 94,482 97,207
------ ------ ------ ------
Diluted earnings per share attributable to UHS: $2.39 $1.91 $4.76 $4.03
===== ===== ===== =====
Universal Health Services, Inc.
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Schedule of Non-GAAP Supplemental Information ("Supplemental Schedule")
----------------------------------------------------------------------
For the Three Months ended June 30, 2018 and 2017
-------------------------------------------------
(in thousands, except per share amounts)
(unaudited)
Calculation of Earnings/Adjusted Earnings Before Interest, Taxes, Depreciation and Amortization
("EBITDA/Adjusted EBITDA net of NCI")
-------------------------------------
Three months ended % Net Three months ended % Net
June 30, 2018 revenues June 30, 2017 revenues
------------- -------- ------------- --------
Net income attributable to UHS $226,052 $185,394
Depreciation and amortization 109,581 113,112
Interest expense, net 38,000 35,920
Provision for income taxes 71,059 103,883
------ -------
EBITDA net of NCI $444,692 16.6% $438,309 16.8%
-------- ---- -------- ----
Other (income) expense, net (15,308) -
Increase in DOJ reserve 9,451 -
Adjusted EBITDA net of NCI $438,835 16.4% $438,309 16.8%
-------- ---- -------- ----
Net revenues $2,681,353 $2,612,356
========== ==========
Calculation of Adjusted Net Income Attributable to UHS
------------------------------------------------------
Three months ended Three months ended
June 30, 2018 June 30, 2017
------------- -------------
Per Per
Amount Diluted Share Amount Diluted Share
------ ------------- ------ -------------
Net income attributable to UHS $226,052 $2.39 $185,394 $1.91
Plus/minus after-tax adjustments:
Increase in DOJ reserve, after-tax 7,205 0.08 - -
Impact of ASU 2016-09 61 - (1,382) (0.01)
EHR depreciation & amortization, after-tax - - 4,038 0.04
Subtotal 7,266 0.08 2,656 0.03
----- ---- ----- ----
Adjusted net income attributable to UHS $233,318 $2.47 $188,050 $1.94
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Universal Health Services, Inc.
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Schedule of Non-GAAP Supplemental Information ("Supplemental Schedule")
----------------------------------------------------------------------
For the Six Months ended June 30, 2018 and 2017
-----------------------------------------------
(in thousands, except per share amounts)
(unaudited)
Calculation of Earnings/Adjusted Earnings Before Interest, Taxes, Depreciation and Amortization
("EBITDA/Adjusted EBITDA net of NCI")
-------------------------------------
Six months ended % Net Six months ended % Net
June 30, 2018 revenues June 30, 2017 revenues
------------- -------- ------------- --------
Net income attributable to UHS $449,884 $391,449
Depreciation and amortization 222,684 223,910
Interest expense, net 75,576 71,427
Provision for income taxes 138,628 211,782
------- -------
EBITDA net of NCI $886,772 16.5% $898,568 17.2%
-------- ---- -------- ----
Other (income) expense, net (15,308) -
Increase in DOJ reserve 22,451 -
Adjusted EBITDA net of NCI $893,915 16.6% $898,568 17.2%
-------- ---- -------- ----
Net revenues $5,368,869 $5,225,214
========== ==========
Calculation of Adjusted Net Income Attributable to UHS
------------------------------------------------------
Six months ended Six months ended
June 30, 2018 June 30, 2017
------------- -------------
Per Per
Amount Diluted Share Amount Diluted Share
------ ------------- ------ -------------
Net income attributable to UHS $449,884 $4.76 $391,449 $4.03
Plus/minus after-tax adjustments:
Increase in DOJ reserve, after-tax 17,116 0.18 - -
Impact of ASU 2016-09 (1,537) (0.02) (8,132) (0.08)
EHR depreciation & amortization, after-tax - - 9,111 0.09
Subtotal 15,579 0.16 979 0.01
------ ---- --- ----
Adjusted net income attributable to UHS $465,463 $4.92 $392,428 $4.04
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Universal Health Services, Inc.
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Consolidated Statements of Comprehensive Income
-----------------------------------------------
(in thousands)
(unaudited)
Three months Six months
ended June 30, ended June 30,
-------------- --------------
2018 2017 2018 2017
---- ---- ---- ----
Net income $230,711 $190,388 $459,380 $400,915
Other comprehensive income (loss):
Unrealized derivative gains (losses) on cash flow hedges (545) (129) 1,579 2,937
Foreign currency translation adjustment 1,184 1,713 (3,157) 8,949
Other (2,367) 3,066 0 4,160
------ ----- --- -----
Other comprehensive income (loss) before tax (1,728) 4,650 (1,578) 16,046
Income tax expense (benefit) related to items of other comprehensive income (loss) (1,452) 1,095 (375) 2,646
Total other comprehensive income (loss), net of tax (276) 3,555 (1,203) 13,400
---- ----- ------ ------
Comprehensive income 230,435 193,943 458,177 414,315
Less: Comprehensive income attributable to noncontrolling interests 4,659 4,994 9,496 9,466
Comprehensive income attributable to UHS $225,776 $188,949 $448,681 $404,849
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Universal Health Services, Inc.
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Condensed Consolidated Balance Sheets
-------------------------------------
(in thousands)
(unaudited)
June 30, December 31,
2018 2017
---- ----
Assets
Current assets:
Cash and cash equivalents $76,886 $74,423
Accounts receivable, net 1,557,298 1,500,898
Supplies 140,797 136,177
Other current assets 105,546 86,504
Total current assets 1,880,527 1,798,002
--------- ---------
Property and equipment 8,281,347 7,921,126
Less: accumulated
depreciation (3,528,248) (3,349,289)
4,753,099 4,571,837
--------- ---------
Other assets:
Goodwill 3,815,203 3,825,157
Deferred charges 8,081 9,787
Deferred income taxes 2,967 3,007
Other 609,540 554,038
Total Assets $11,069,417 $10,761,828
=========== ===========
Liabilities and
Stockholders' Equity
Current liabilities:
Current maturities of long-
term debt $126,302 $545,619
Accounts payable and accrued
liabilities 1,321,049 1,284,081
Federal and state taxes 193 18,334
Total current liabilities 1,447,544 1,848,034
--------- ---------
Other noncurrent liabilities 311,518 306,304
Long-term debt 3,864,162 3,494,390
Deferred income taxes 49,642 54,962
Redeemable noncontrolling
interest 6,341 6,702
UHS common stockholders'
equity 5,317,583 4,989,514
Noncontrolling interest 72,627 61,922
------ ------
Total equity 5,390,210 5,051,436
Total Liabilities and
Stockholders' Equity $11,069,417 $10,761,828
=========== ===========
Universal Health Services, Inc.
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Consolidated Statements of Cash Flows
-------------------------------------
(in thousands)
(unaudited)
Six months
ended June 30,
2018 2017
---- ----
Cash Flows from Operating Activities:
Net income $459,380 $400,915
Adjustments to reconcile net income to net
cash provided by operating activities:
Depreciation & amortization 222,716 223,910
Stock-based compensation expense 34,716 29,053
Gain on sale of assets and businesses (2,513) 0
Changes in assets & liabilities, net of effects from
acquisitions and dispositions:
Accounts receivable (64,055) 941
Accrued interest 199 211
Accrued and deferred income taxes (42,540) (5,529)
Other working capital accounts 8,977 (93,715)
Other assets and deferred charges (14,144) (19,723)
Other 18,876 (23,411)
Accrued insurance expense, net of commercial premiums paid 46,255 58,903
Payments made in settlement of self-insurance claims (38,606) (37,759)
Net cash provided by operating activities 629,261 533,796
------- -------
Cash Flows from Investing Activities:
Property and equipment additions, net of disposals (370,252) (262,452)
Acquisition of property and businesses (20,931) (19,610)
Proceeds received from sales of assets and businesses 13,502 0
Costs incurred for purchase and implementation of information technology applications (24,087) (19,448)
Decrease (increase) in capital reserves of commercial insurance subsidiary 100 (3,000)
Investment in, and advances to, joint venture (14,059) 0
Net cash used in investing activities (415,727) (304,510)
-------- --------
Cash Flows from Financing Activities:
Reduction of long-term debt (82,470) (45,675)
Additional borrowings 30,500 21,600
Financing costs (754) 0
Repurchase of common shares (134,784) (147,463)
Dividends paid (18,804) (19,280)
Issuance of common stock 4,959 4,927
Profit distributions to noncontrolling interests (7,914) (11,430)
Net cash used in financing activities (209,267) (197,321)
-------- --------
Effect of exchange rate changes on cash, cash equivalents and restricted cash (1,138) 938
------ ---
Increase in cash, cash equivalents and restricted cash 3,129 32,903
Cash, cash equivalents and restricted cash, beginning of period 167,297 121,950
Cash, cash equivalents and restricted cash, end of period $170,426 $154,853
======== ========
Supplemental Disclosures of Cash Flow Information:
Interest paid $70,890 $66,765
======= =======
Income taxes paid, net of refunds $182,130 $216,214
======== ========
Noncash purchases of property and equipment $91,742 $63,089
======= =======
Universal Health Services, Inc.
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Supplemental Statistical Information
------------------------------------
(unaudited)
% Change % Change
Quarter ended 6 months ended
Same Facility: 6/30/2018 6/30/2018
-------------- --------- ---------
Acute Care Hospitals
--------------------
Revenues 3.3% 3.5%
Adjusted Admissions 1.9% 2.0%
Adjusted Patient Days 4.7% 5.1%
Revenue Per Adjusted Admission 3.1% 3.4%
Revenue Per Adjusted Patient Day 0.4% 0.3%
Behavioral Health Hospitals
---------------------------
Revenues 2.8% 2.9%
Adjusted Admissions 1.2% 1.4%
Adjusted Patient Days -0.3% 0.1%
Revenue Per Adjusted Admission 2.0% 2.0%
Revenue Per Adjusted Patient Day 3.6% 3.4%
UHS Consolidated Second quarter ended Six months ended
---------------- -------------------- ----------------
6/30/2018 6/30/2017 6/30/2018 6/30/2017
--------- --------- --------- ---------
Revenues $2,681,353 $2,612,356 $5,368,869 $5,225,214
EBITDA net of NCI $444,692 $438,309 $886,772 $898,568
EBITDA Margin net of NCI 16.6% 16.8% 16.5% 17.2%
Adjusted EBITDA net of NCI $438,835 $438,309 $893,915 $898,568
Adjusted EBITDA Margin net of NCI 16.4% 16.8% 16.6% 17.2%
Cash Flow From Operations $265,210 $50,687 $629,261 $533,796
Days Sales Outstanding 53 51 53 50
Capital Expenditures $181,211 $118,114 $370,252 $262,452
Debt $3,990,464 $4,115,021
UHS' Shareholders Equity $5,317,583 $4,812,854
Debt / Total Capitalization 42.9% 46.1%
Debt / EBITDA net of NCI (1) 2.35 2.43
Debt / Adjusted EBITDA net of NCI (1) 2.34 2.43
Debt / Cash From Operations (1) 3.12 3.99
(1) Latest 4 quarters
Universal Health Services, Inc.
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Acute Care Hospital Services
----------------------------
For the three and six months ended
June 30, 2018 and 2017
(in thousands)
Same Facility Basis - Acute Care Hospital Services
--------------------------------------------------
Three months ended Three months ended Six months ended Six months ended
June 30, 2018 June 30, 2017 June 30, 2018 June 30, 2017
------------- ------------- ------------- -------------
Amount % of Net Amount % of Net Amount % of Net Amount % of Net
Revenues Revenues Revenues Revenues
-------- -------- -------- --------
Net revenues before provision for doubtful accounts $1,517,593 $3,071,060
Less: Provision for doubtful accounts 187,369 368,352
------- -------
Net revenues $1,374,725 100.0% 1,330,224 100.0% $2,798,378 100.0% 2,702,708 100.0%
Operating charges:
Salaries, wages and benefits 583,969 42.5% 551,661 41.5% 1,165,542 41.7% 1,106,563 40.9%
Other operating expenses 307,800 22.4% 313,692 23.6% 615,197 22.0% 628,915 23.3%
Supplies expense 240,118 17.5% 224,923 16.9% 483,271 17.3% 453,408 16.8%
Depreciation and amortization 67,165 4.9% 66,608 5.0% 139,315 5.0% 129,657 4.8%
Lease and rental expense 14,708 1.1% 14,545 1.1% 28,991 1.0% 28,461 1.1%
Subtotal-operating expenses 1,213,760 88.3% 1,171,429 88.1% 2,432,316 86.9% 2,347,004 86.8%
--------- ---- --------- ---- --------- ---- --------- ----
Income from operations 160,965 11.7% 158,795 11.9% 366,062 13.1% 355,704 13.2%
Interest expense, net 431 0.0% 690 0.1% 962 0.0% 1,435 0.1%
Other (income) expense, net (2,498) (0.2)% - - (2,498) (0.1)% - -
Income before income taxes 163,032 11.9% 158,105 11.9% 367,598 13.1% 354,269 13.1%
------- ---- ------- ---- ------- ---- ------- ----
All Acute Care Hospital Services
--------------------------------
Three months ended Three months ended Six months ended Six months ended
June 30, 2018 June 30, 2017 June 30, 2018 June 30, 2017
------------- ------------- ------------- -------------
Amount % of Net Amount % of Net Amount % of Net Amount % of Net
Revenues Revenues Revenues Revenues
-------- -------- -------- --------
Net revenues before provision for doubtful accounts $1,553,826 $3,124,356
Less: Provision for doubtful accounts 187,369 368,352
------- -------
Net revenues $1,403,991 100.0% 1,366,457 100.0% $2,849,623 100.0% 2,756,004 100.0%
Operating charges:
Salaries, wages and benefits 584,126 41.6% 551,735 40.4% 1,165,894 40.9% 1,106,695 40.2%
Other operating expenses 337,926 24.1% 343,669 25.2% 667,962 23.4% 675,968 24.5%
Supplies expense 240,118 17.1% 224,924 16.5% 483,271 17.0% 453,409 16.5%
Depreciation and amortization 67,165 4.8% 73,017 5.3% 139,315 4.9% 144,355 5.2%
Lease and rental expense 14,708 1.0% 14,545 1.1% 28,991 1.0% 28,461 1.0%
Subtotal-operating expenses 1,244,043 88.6% 1,207,890 88.4% 2,485,433 87.2% 2,408,888 87.4%
--------- ---- --------- ---- --------- ---- --------- ----
Income from operations 159,948 11.4% 158,567 11.6% 364,190 12.8% 347,116 12.6%
Interest expense, net 431 0.0% 690 0.1% 962 0.0% 1,435 0.1%
Other (income) expense, net (2,498) (0.2)% - - (2,498) (0.1)% - -
Income before income taxes 162,015 11.5% 157,877 11.6% 365,726 12.8% 345,681 12.5%
------- ---- ------- ---- ------- ---- ------- ----
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 nonrecurring or non-operational in nature
including items such as, but not limited to, reserves for various matters, settlements, legal judgments and lawsuits, cost related to extinguishment of debt, gains/losses on sales of assets and businesses, impairments of long-lived assets, the impact of the EHR applications (in 2017) and other amounts that may be reflected in the current or prior year financial statements that relate to prior periods. Our Same Facility basis
results exclude from net revenues and other operating expenses, provider tax assessments incurred in each period. However, these provider tax assessments are included in net revenues and other operating expenses as reflected in the table under All Acute Care Hospital Services. The provider tax assessments had no impact on the income before income taxes as reflected on the above tables since the amounts offset between net
revenues and other operating expenses. To obtain a complete understanding of our financial performance, the Same Facility results should be examined in connection with our net income as determined in accordance with GAAP and as presented herein and the condensed consolidated financial statements and notes thereto as contained in our Form 10-K for the year ended December 31, 2017 and Form 10-Q for the quarter ended March 31,
2018.
The All Acute Care Hospital Servicestable summarizes the results of operations for all our acute care operations during the periods presented. These amounts include: (i) our acute care results on a same facility basis, as indicated above; (ii) the impact of the implementation of EHR applications at our acute care hospitals (in 2017); (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 Care Services
-------------------------------
For the three and six months ended
June 30, 2018 and 2017
(in thousands)
Same Facility - Behavioral Health Care Services
-----------------------------------------------
Three months ended Three months ended Six months ended Six months ended
June 30, 2018 June 30, 2017 June 30, 2018 June 30, 2017
------------- ------------- ------------- -------------
Amount % of Net Amount % of Net Amount % of Net Amount % of Net
Revenues Revenues Revenues Revenues
-------- -------- -------- --------
Net revenues before provision for doubtful accounts $1,238,108 $2,443,185
Less: Provision for doubtful accounts 28,162 58,798
------ ------
Net revenues $1,243,429 100.0% 1,209,946 100.0% $2,453,366 100.0% 2,384,387 100.0%
Operating charges:
Salaries, wages and benefits 642,805 51.7% 606,919 50.2% 1,273,373 51.9% 1,204,011 50.5%
Other operating expenses 234,168 18.8% 236,565 19.6% 464,515 18.9% 466,453 19.6%
Supplies expense 48,957 3.9% 48,819 4.0% 97,726 4.0% 96,566 4.0%
Depreciation and amortization 37,430 3.0% 35,933 3.0% 74,173 3.0% 71,249 3.0%
Lease and rental expense 11,920 1.0% 10,951 0.9% 23,928 1.0% 21,712 0.9%
Subtotal-operating expenses 975,280 78.4% 939,187 77.6% 1,933,715 78.8% 1,859,991 78.0%
------- ---- ------- ---- --------- ---- --------- ----
Income from operations 268,149 21.6% 270,759 22.4% 519,651 21.2% 524,396 22.0%
Interest expense, net 410 0.0% 439 0.0% 837 0.0% 1,162 0.0%
Other (income) expense, net 1,258 0.1% - - 1,258 0.1% - -
Income before income taxes 266,481 21.4% 270,320 22.3% 517,556 21.1% 523,234 21.9%
------- ---- ------- ---- ------- ---- ------- ----
All Behavioral Health Care Services
-----------------------------------
Three months ended Three months ended Six months ended Six months ended
June 30, 2018 June 30, 2017 June 30, 2018 June 30, 2017
------------- ------------- ------------- -------------
Amount % of Net Amount % of Net Amount % of Net Amount % of Net
Revenues Revenues Revenues Revenues
-------- -------- -------- --------
Net revenues before provision for doubtful accounts $1,270,547 $2,520,295
Less: Provision for doubtful accounts 27,986 59,612
------ ------
Net revenues $1,274,083 100.0% 1,242,561 100.0% $2,512,079 100.0% 2,460,683 100.0%
Operating charges:
Salaries, wages and benefits 651,852 51.2% 622,829 50.1% 1,293,980 51.5% 1,236,678 50.3%
Other operating expenses 259,959 20.4% 268,241 21.6% 516,361 20.6% 522,719 21.2%
Supplies expense 49,470 3.9% 49,984 4.0% 99,006 3.9% 99,020 4.0%
Depreciation and amortization 39,777 3.1% 37,564 3.0% 78,231 3.1% 74,509 3.0%
Lease and rental expense 12,256 1.0% 11,358 0.9% 24,557 1.0% 22,518 0.9%
Subtotal-operating expenses 1,013,314 79.5% 989,976 79.7% 2,012,135 80.1% 1,955,444 79.5%
--------- ---- ------- ---- --------- ---- --------- ----
Income from operations 260,769 20.5% 252,585 20.3% 499,944 19.9% 505,239 20.5%
Interest expense, net 410 0.0% 439 0.0% 837 0.0% 1,162 0.0%
Other (income) expense, net (1,085) (0.1)% - - (1,085) (0.0)% - -
Income before income taxes 261,444 20.5% 252,146 20.3% 500,192 19.9% 504,077 20.5%
------- ---- ------- ---- ------- ---- ------- ----
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 nonrecurring or non-operational in nature
including items such as, but not limited to, reserves for various matters, settlements, legal judgments and lawsuits, cost related to extinguishment of debt, gains/losses on sales of assets and businesses, impairments of long-lived assets, and other amounts that may be reflected in the current or prior year financial statements that relate to prior periods. Our Same Facility basis results exclude from net revenues and
other operating expenses, provider tax assessments incurred in each period.However, these provider tax assessments are included in net revenues and other operating expenses as reflected in the table under All Behavioral Health Care Services. The provider tax assessments had no impact on the income before income taxes as reflected on the above tables since the amounts offset between net revenues and other operating
expenses. To obtain a complete understanding of our financial performance, the Same Facility results should be examined in connection with our net income as determined in accordance with GAAP and as presented herein and in the condensed consolidated financial statements and notes thereto as contained in our Form 10-K for the year ended December 31, 2017 and Form 10-Q for the quarter ended March 31, 2018.
The All Behavioral Health Care Servicestable summarizes the results of operations for all our behavioral health care facilities during the periods presented. These amounts include: (i) our behavioral health results on a same facility basis, as indicated above; (ii) the impact of provider tax assessments which increased net revenues and other operating expenses but had no impact on income before income taxes, and; (iii)
certain other amounts including the results of facilities acquired or opened during the last twelve months.
Universal Health Services, Inc.
-------------------------------
Selected Hospital Statistics
----------------------------
For the three months ended
June 30, 2018 and 2017
AS REPORTED:
------------
ACUTE BEHAVIORAL HEALTH
----- -----------------
6/30/18 6/30/17 % change 6/30/18 6/30/17 % change
------- ------- --------- ------- ------- ---------
Hospitals owned and leased 26 26 0.0% 301 294 2.4%
Average licensed beds 6,213 6,120 1.5% 23,262 23,133 0.6%
Average available beds 6,037 5,948 1.5% 23,178 23,052 0.5%
Patient days 339,697 324,249 4.8% 1,605,977 1,625,692 -1.2%
Average daily census 3,733.1 3,563.2 4.8% 17,648.1 17,864.7 -1.2%
Occupancy-licensed beds 60.1% 58.2% 3.2% 75.9% 77.2% -1.7%
Occupancy-available beds 61.8% 59.9% 3.2% 76.1% 77.5% -1.7%
Admissions 74,997 73,552 2.0% 120,469 119,142 1.1%
Length of stay 4.5 4.4 2.7% 13.3 13.6 -2.3%
Inpatient revenue $6,164,010 $5,430,997 13.5% $2,448,894 $2,249,135 8.9%
Outpatient revenue 3,760,326 3,286,930 14.4% 267,537 257,312 4.0%
--------- --------- ---- ------- ------- ---
Total patient revenue 9,924,336 8,717,927 13.8% 2,716,431 2,506,447 8.4%
Other revenue 100,171 118,177 -15.2% 51,145 52,883 -3.3%
------- ------- ----- ------ ------ ----
Gross hospital revenue 10,024,507 8,836,104 13.4% 2,767,576 2,559,330 8.1%
Total deductions 8,620,516 7,282,278 18.4% 1,493,493 1,288,783 15.9%
--------- --------- ---- --------- --------- ----
Net hospital revenue before
provision for doubtful accounts 1,403,991 1,553,826 -9.6% 1,274,083 1,270,547 0.3%
Provision for doubtful accounts 0 187,369 -100.0% 0 27,986 -100.0%
Net hospital revenue $1,403,991 $1,366,457 2.7% $1,274,083 $1,242,561 2.5%
---------- ---------- --- ---------- ---------- ---
SAME FACILITY:
--------------
ACUTE BEHAVIORAL HEALTH
----- -----------------
6/30/18 6/30/17 % change 6/30/18 6/30/17 % change
------- ------- --------- ------- ------- ---------
Hospitals owned and leased 26 26 0.0% 287 287 0.0%
Average licensed beds 6,213 6,120 1.5% 22,714 22,348 1.6%
Average available beds 6,037 5,948 1.5% 22,630 22,267 1.6%
Patient days 339,697 324,249 4.8% 1,585,994 1,586,085 0.0%
Average daily census 3,733.1 3,563.2 4.8% 17,428.5 17,429.5 0.0%
Occupancy-licensed beds 60.1% 58.2% 3.2% 76.7% 78.0% -1.6%
Occupancy-available beds 61.8% 59.9% 3.2% 77.0% 78.3% -1.6%
Admissions 74,997 73,552 2.0% 119,085 117,286 1.5%
Length of stay 4.5 4.4 2.7% 13.3 13.5 -1.5%
Universal Health Services, Inc.
-------------------------------
Selected Hospital Statistics
----------------------------
For the six months ended
June 30, 2018 and 2017
AS REPORTED:
------------
ACUTE BEHAVIORAL HEALTH
----- -----------------
6/30/18 6/30/17 % change 6/30/18 6/30/17 % change
------- ------- --------- ------- ------- ---------
Hospitals owned and leased 26 26 0.0% 301 294 2.4%
Average licensed beds 6,187 6,114 1.2% 23,252 23,094 0.7%
Average available beds 6,011 5,940 1.2% 23,169 23,013 0.7%
Patient days 692,496 657,249 5.4% 3,187,973 3,218,146 -0.9%
Average daily census 3,825.8 3,631.2 5.4% 17,613.1 17,779.8 -0.9%
Occupancy-licensed beds 61.8% 59.4% 4.1% 75.7% 77.0% -1.6%
Occupancy-available beds 63.6% 61.1% 4.1% 76.0% 77.3% -1.6%
Admissions 151,640 147,903 2.5% 240,449 237,472 1.3%
Length of stay 4.6 4.4 2.8% 13.3 13.6 -2.2%
Inpatient revenue $12,525,776 $11,028,847 13.6% $4,851,152 $4,432,137 9.5%
Outpatient revenue 7,474,987 6,581,107 13.6% 522,718 503,772 3.8%
--------- --------- ---- ------- ------- ---
Total patient revenue 20,000,763 17,609,954 13.6% 5,373,870 4,935,909 8.9%
Other revenue 198,358 239,442 -17.2% 101,178 104,359 -3.0%
------- ------- ----- ------- ------- ----
Gross hospital revenue 20,199,121 17,849,396 13.2% 5,475,048 5,040,268 8.6%
Total deductions 17,349,498 14,725,040 17.8% 2,962,969 2,519,973 17.6%
---------- ---------- ---- --------- --------- ----
Net hospital revenue before
provision for doubtful accounts 2,849,623 3,124,356 -8.8% 2,512,079 2,520,295 -0.3%
Provision for doubtful accounts 0 368,352 -100.0% 0 59,612 -100.0%
Net hospital revenue $2,849,623 $2,756,004 3.4% $2,512,079 $2,460,683 2.1%
---------- ---------- --- ---------- ---------- ---
SAME FACILITY:
--------------
ACUTE BEHAVIORAL HEALTH
----- -----------------
6/30/18 6/30/17 % change 6/30/18 6/30/17 % change
------- ------- --------- ------- ------- ---------
Hospitals owned and leased 26 26 0.0% 287 287 0.0%
Average licensed beds 6,187 6,114 1.2% 22,630 22,299 1.5%
Average available beds 6,011 5,940 1.2% 22,547 22,218 1.5%
Patient days 692,496 657,249 5.4% 3,145,110 3,130,920 0.5%
Average daily census 3,825.8 3,631.2 5.4% 17,376.3 17,297.9 0.5%
Occupancy-licensed beds 61.8% 59.4% 4.1% 76.8% 77.6% -1.0%
Occupancy-available beds 63.6% 61.1% 4.1% 77.1% 77.9% -1.0%
Admissions 151,640 147,903 2.5% 237,716 233,483 1.8%
Length of stay 4.6 4.4 2.8% 13.2 13.4 -1.3%
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SOURCE Universal Health Services, Inc.
