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Universal Health Services, Inc. Reports 2017 First Quarter Financial Results

Consolidated Results of Operations, As Reported and As Adjusted - Three-month periods ended March 31, 2017 and 2016:


News provided by

Universal Health Services, Inc.

Apr 25, 2017, 16:16 ET

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KING OF PRUSSIA, Pa., April 25, 2017 /PRNewswire/ -- Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income attributable to UHS was $206.1 million, or $2.12 per diluted share, during the first quarter of 2017 as compared to $190.8 million, or $1.93 per diluted share, during the comparable quarter of 2016.  

Net revenues increased 6.7% to $2.61 billion during the first quarter of 2017 as compared to $2.45 billion during the first quarter of 2016. As calculated on attached Schedule of Non-GAAP Supplemental Information ("Supplemental Schedule"), our earnings before interest, taxes, depreciation & amortization ("EBITDA") increased 5.7% to $460.3 million during the first quarter of 2017 as compared to $435.4 million during the first quarter of 2016.

For the three-month period ended March 31, 2017, our adjusted net income attributable to UHS, as calculated on the attached Supplemental Schedule, increased to $204.4 million, or $2.10 per diluted share, as compared to $196.0 million, or $1.98 per diluted share, during the first quarter of 2016.  As reflected on the Supplemental Schedule, included in our reported results during the first quarter of 2017, is a favorable after-tax impact of $6.8 million, or $.07 per diluted share, related to 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.  Also included in our reported results were the unfavorable after-tax impacts of $5.1 million, or $.05 per diluted share, during the first quarter of 2017 and $5.2 million, or $.05 per diluted share, during the first quarter of 2016, related to the depreciation and amortization expense recorded in connection with the implementation of electronic health records ("EHR") applications at our acute care hospitals.

Acute Care Services – Three-month periods ended March 31, 2017 and 2016:

During the first quarter of 2017, at our acute care hospitals owned during both periods ("same facility basis"), adjusted admissions (adjusted for outpatient activity) increased 5.1% and adjusted patient days increased 1.7%, as compared to the first quarter of 2016. Net revenues from our acute care services increased 4.8% during the first quarter of 2017 as compared to the first quarter of the prior year. At these facilities, net revenue per adjusted admission decreased 0.4% while net revenue per adjusted patient day increased 3.0% during the first quarter of 2017 as compared to the comparable quarter of 2016. On a same facility basis, the operating margin generated from our acute care services was 19.7% during the first quarter of 2017 as compared to 21.1% during the first quarter of 2016. We define operating margin as net revenues less salaries, wages and benefits, other operating expenses and supplies expense, divided by net revenues (excluding the impact of EHR).

We provide care to patients who meet certain financial or economic criteria without charge or at amounts substantially less than our established rates. Because we do not pursue collection of amounts determined to qualify as charity care, they are not reported in net revenues or in accounts receivable, net. Our acute care hospitals provided charity care and uninsured discounts, based on gross charges, amounting to approximately $416 million and $345 million during the three-month periods ended March 31, 2017 and 2016, respectively. The provision for doubtful accounts at our acute care hospitals amounted to approximately $181 million and $140 million during the three-month periods ended March 31, 2017 and 2016.          

Behavioral Health Care Services – Three-month periods ended March 31, 2017 and 2016:

During the first quarter of 2017, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 2.4% while adjusted patient days increased 0.2% as compared to the first quarter of 2016. At these facilities, net revenue per adjusted admission decreased 1.1% while net revenue per adjusted patient day increased 1.1% during the first quarter of 2017 as compared to the comparable quarter in 2016. On a same facility basis, our behavioral health care services' net revenues increased 1.4% during the first quarter of 2017, as compared to the first quarter of 2016, and the operating margins were 25.6% and 27.5% during the first quarters of 2017 and 2016, respectively.   

Update on the Review by The Competition and Markets Authority ("CMA") of Our December, 2016 Acquisition of Cambian Group, PLC's Adult Services' Division:

Late last week the CMA notified us that they have identified potential competition concerns in certain markets and announced its decision to refer our acquisition of Cambian Group, PLC's Adult Services division for a Phase 2 investigation unless we offer acceptable undertakings to address their concerns. The deadline to propose potential undertakings is April 28, 2017 and the CMA has until May 8, 2017 to accept or reject our proposed undertakings.

Share Repurchase Program:

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

In conjunction with this program, during the first quarter of 2017, we have repurchased 103,948 shares at an aggregate cost of $11.2 million (approximately $108 per share).  Since inception of the program through March 31, 2017, we have repurchased approximately 4.49 million shares at an aggregate cost of approximately $525.3 million (approximately $117 per share). 

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 first quarter of 2017, we recorded a $6.8 million reduction to our provision for income taxes which resulted in an increase of $6.8 million, or $.07 per diluted share, in net income attributable to UHS.

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 Wednesday, April 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), may cause the results to differ materially from those anticipated in the forward-looking statements.  Many of the factors that will determine our future results are beyond our capability to control or predict. These statements are subject to risks and uncertainties and therefore actual results may differ materially.  Readers should not place undue reliance on such forward-looking statements which reflect management's view only as of the date hereof.  We undertake no obligation to revise or update any forward-looking statements, or to make any other forward-looking statements, whether as a result of new information, future events or otherwise.

We believe that operating income, operating margin, adjusted net income attributable to UHS, adjusted net income attributable to UHS per diluted share, EBITDA and adjusted EBITDA, which are non-GAAP financial measures ("GAAP" is Generally Accepted Accounting Principles in the United States of America), are helpful to our investors as measures of our operating performance. In addition, we believe that, when applicable, comparing and discussing our financial results based on these measures, as calculated, is helpful to our investors since it neutralizes the effect in each year of material items 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. 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


ended March 31,


2017


2016





Net revenues before provision for doubtful accounts

$2,825,472


$2,619,593

  Less: Provision for doubtful accounts

212,614


169,795

Net revenues

2,612,858


2,449,798





Operating charges:




   Salaries, wages and benefits

1,237,964


1,148,139

   Other operating expenses

607,360


561,584

   Supplies expense

277,614


255,250

   Depreciation and amortization

110,798


104,049

   Lease and rental expense

25,189


24,452


2,258,925


2,093,474





Income from operations

353,933


356,324





Interest expense, net

35,507


29,600





Income before income taxes

318,426


326,724





Provision for income taxes

107,899


111,005





Net income

210,527


215,719





Less:  Net income attributable to




noncontrolling interests

4,472


24,960





Net income attributable to UHS

$206,055


$190,759

























Basic earnings per share attributable to UHS (a)

$2.13


$1.95





Diluted earnings per share attributable to UHS (a)

$2.12


$1.93

Universal Health Services, Inc.

Footnotes to Consolidated Statements of Income

(in thousands, except per share amounts)

(unaudited)






Three months


ended March 31,


2017


2016





(a) Earnings per share calculation:








Basic and diluted:




Net income attributable to UHS

$206,055


$190,759

Less: Net income attributable to unvested restricted share grants

(94)


(89)

Net income attributable to UHS - basic and diluted

$205,961


$190,670





Weighted average number of common shares - basic

96,585


97,607





Basic earnings per share attributable to UHS:

$2.13


$1.95





Weighted average number of common shares

96,585


97,607

Add: Other share equivalents

787


1,288

Weighted average number of common shares and equiv. - diluted

97,372


98,895





Diluted earnings per share attributable to UHS:

$2.12


$1.93

Universal Health Services, Inc.

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

For the three months ended March 31, 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


March 31, 2017


revenues


March 31, 2016


revenues









Net income attributable to UHS

$206,055




$190,759



   Depreciation and amortization

110,798




104,049



   Interest expense, net

35,507




29,600



   Provision for income taxes

107,899




111,005



EBITDA

$460,259


17.6%


$435,413


17.8%

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

(202)




(962)



Adjusted EBITDA

$460,057


17.6%


$434,451


17.7%









Net revenues

$2,612,858




$2,449,798











































Calculation of Adjusted Net Income Attributable to UHS










Three months ended


Three months ended


March 31, 2017


March 31, 2016




Per




Per


Amount


Diluted Share


Amount


Diluted Share









Net income attributable to UHS

$206,055


$2.12


$190,759


$1.93

Plus/minus adjustments:








Impact of ASU 2016-09

(6,750)


(0.07)


-


-

After-tax impact of EHR-related items

5,073


0.05


5,234


0.05

Adjusted net income attributable to UHS

$204,378


$2.10


$195,993


$1.98

Universal Health Services, Inc.

Consolidated Statements of Comprehensive Income

(in thousands)

(unaudited)






Three months


ended March 31,


2017


2016





Net income

$210,527


$215,719

Other comprehensive income (loss):




   Unrealized derivative gains (losses) on cash flow hedges

3,066


(14,299)

   Amortization of terminated hedge

0


(84)

   Unrealized gain on marketable security

1,094


0

   Foreign currency translation adjustment

7,236


5,986

Other comprehensive income (loss) before tax

11,396


(8,397)

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

1,551


(5,360)

Total other comprehensive income (loss), net of tax

9,845


(3,037)





Comprehensive income

220,372


212,682

Less: Comprehensive income attributable to noncontrolling interests

4,472


24,960

Comprehensive income attributable to UHS

$215,900


$187,722

Universal Health Services, Inc.

Condensed Consolidated Balance Sheets

(in thousands)

(unaudited)











March 31,



December 31,




2017



2016

Assets







Current assets:







    Cash and cash equivalents


$

62,974


$

33,747

    Accounts receivable, net



1,447,802



1,439,553

    Supplies



126,481



125,365

    Other current assets



94,817



82,706

          Total current assets



1,732,074



1,681,371








Property and equipment



7,470,405



7,314,437

Less: accumulated depreciation



(3,073,869)



(2,983,481)




4,396,536



4,330,956








Other assets:







    Goodwill



3,787,515



3,784,106

    Deferred charges



12,562



13,520

    Deferred income taxes



1,255



1,234

    Other



518,317



506,615

Total Assets


$

10,448,259


$

10,317,802








Liabilities and Stockholders' Equity







Current liabilities:







    Current maturities of long-term debt


$

126,064


$

105,895

    Accounts payable and accrued liabilities



1,282,540



1,209,329

    Federal and state taxes



108,823



2,149

          Total current liabilities



1,517,427



1,317,373








Other noncurrent liabilities



272,680



275,167

Long-term debt



3,772,515



4,030,230

Deferred income taxes



75,468



88,119








Redeemable noncontrolling interest



8,848



9,319








UHS common stockholders' equity



4,735,962



4,533,220

Noncontrolling interest



65,359



64,374

          Total equity



4,801,321



4,597,594








Total Liabilities and Stockholders' Equity


$

10,448,259


$

10,317,802

Universal Health Services, Inc.

Consolidated Statements of Cash Flows

(in thousands)

(unaudited)


Three months


ended March 31,


2017


2016





Cash Flows from Operating Activities:




  Net income

$210,527


$215,719

  Adjustments to reconcile net income to net 




cash provided by operating activities:




Depreciation & amortization

110,798


104,049

Stock-based compensation expense

15,348


13,204

  Changes in assets & liabilities, net of effects from




acquisitions and dispositions:




   Accounts receivable

(5,362)


(79,962)

   Accrued interest

(6,123)


688

   Accrued and deferred income taxes 

102,269


91,131

   Other working capital accounts 

66,877


98,972

   Other assets and deferred charges

(7,755)


(5,803)

   Other 

(229)


20,911

   Excess income tax benefits related to stock-based compensation

0


11,002

   Accrued insurance expense, net of commercial premiums paid

22,007


22,616

   Payments made in settlement of self-insurance claims

(25,349)


(17,298)

          Net cash provided by operating activities

483,008


475,229





Cash Flows from Investing Activities:




   Property and equipment additions, net of disposals

(144,338)


(127,214)

   Acquisition of property and businesses

(17,832)


(19,543)

   Increase in capital reserves of commercial insurance subsidiary

(3,000)


0

   Costs incurred for purchase and implementation of information technology application

(9,456)


0

          Net cash used in investing activities

(174,626)


(146,757)





Cash Flows from Financing Activities:




   Reduction of long-term debt

(260,633)


(166,671)

   Additional borrowings

21,600


14,400

   Financing costs

0


(44)

   Repurchase of common shares

(29,167)


(171,042)

   Dividends paid

(9,662)


(9,757)

   Issuance of common stock

2,540


2,331

   Profit distributions to noncontrolling interests

(4,118)


(3,407)

          Net cash used in financing activities

(279,440)


(334,190)





   Effect of exchange rate changes on cash and cash equivalents

285


(920)

Increase (decrease) in cash and cash equivalents

29,227


(6,638)

Cash and cash equivalents, beginning of period

33,747


61,228

Cash and cash equivalents, end of period

$62,974


$54,590





Supplemental Disclosures of Cash Flow Information:




  Interest paid

$39,404


$27,133





  Income taxes paid, net of refunds

$5,253


$9,093





  Noncash purchases of property and equipment

$56,427


$47,374

Universal Health Services, Inc.

Supplemental Statistical Information

(unaudited)



























 % Change 







Quarter ended


Same Facility:





3/31/2017









Acute Care Hospitals







Revenues





4.8%


Adjusted Admissions





5.1%


Adjusted Patient Days





1.7%


Revenue Per Adjusted Admission




-0.4%


Revenue Per Adjusted Patient Day




3.0%























Behavioral Health Hospitals






Revenues





1.4%


Adjusted Admissions





2.4%


Adjusted Patient Days





0.2%


Revenue Per Adjusted Admission




-1.1%


Revenue Per Adjusted Patient Day




1.1%






























UHS Consolidated



First quarter ended





3/31/2017


3/31/2016









Revenues



$2,612,858


$2,449,798


EBITDA   (1)



$460,259


$435,413


EBITDA Margin (1)



17.6%


17.8%
















Cash Flow From Operations



$483,008


$475,229


Days Sales Outstanding



50


51


Capital Expenditures  



$144,338


$127,214









Debt 



$3,898,579


$3,280,406


UHS' Shareholders Equity



$4,735,962


$4,289,218


Debt / Total Capitalization



45.2%


43.3%


Debt / EBITDA  (2)



2.32


2.03


Debt / Cash From Operations  (2)


2.91


2.62
















Acute Care EBITDAR Margin  (3) 

19.7%


21.1%


Behavioral Health EBITDAR Margin  (3) 

25.6%


27.5%
















(1)  Net of Minority Interest 







(2)  Latest 4 quarters







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

Universal Health Services, Inc.

Selected Hospital Statistics

For the Three Months ended

March 31, 2017 and 2016



















AS REPORTED:





























ACUTE


BEHAVIORAL HEALTH



3/31/17

3/31/16

%  change


3/31/17

3/31/16

%  change










Hospitals owned and leased


26

24

8.3%


292

217

34.6%

Average licensed beds


6,107

5,854

4.3%


23,056

21,751

6.0%

Patient days


333,000

325,171

2.4%


1,592,454

1,500,705

6.1%

Average daily census


3,700.0

3,573.5

3.5%


17,693.9

16,491.3

7.3%

Occupancy-licensed beds


60.6%

61.0%

-0.7%


76.7%

75.8%

1.2%

Admissions


74,351

69,674

6.7%


118,330

115,421

2.5%

Length of stay


4.5

4.7

-4.0%


13.5

13.0

3.5%










Inpatient revenue


$5,597,850

$4,965,537

12.7%


$2,183,002

$1,959,570

11.4%

Outpatient revenue


3,294,177

2,767,329

19.0%


246,460

221,643

11.2%

Total patient revenue


8,892,027

7,732,866

15.0%


2,429,462

2,181,213

11.4%

Other revenue


121,265

111,557

8.7%


51,476

50,538

1.9%

Gross hospital revenue


9,013,292

7,844,423

14.9%


2,480,938

2,231,751

11.2%










Total deductions


7,442,762

6,417,521

16.0%


1,231,190

1,040,661

18.3%










Net hospital revenue before 









  provision for doubtful accounts


1,570,530

1,426,902

10.1%


1,249,748

1,191,090

4.9%










Provision for doubtful accounts


180,983

139,755

29.5%


31,626

30,044

5.3%










Net hospital revenue 


$1,389,547

$1,287,147

8.0%


$1,218,122

$1,161,046

4.9%



















SAME FACILITY:




















ACUTE (1)


BEHAVIORAL HEALTH (2)



3/31/17

3/31/16

%  change


3/31/17

3/31/16

%  change










Hospitals owned and leased


24

24

0.0%


211

211

0.0%

Average licensed beds


5,952

5,854

1.7%


21,758

21,489

1.3%

Patient days


327,969

325,171

0.9%


1,493,406

1,490,216

0.2%

Average daily census


3,644.1

3,573.5

2.0%


16,593.4

16,376.0

1.3%

Occupancy-licensed beds


61.2%

61.0%

0.3%


76.3%

76.2%

0.1%

Admissions


72,652

69,674

4.3%


117,955

115,135

2.4%

Length of stay


4.5

4.7

-3.3%


12.7

12.9

-2.2%



















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

(2) Skywood Recovery and CAMBIAN facilities are excluded in current year.

SOURCE Universal Health Services, Inc.

Related Links

http://www.uhsinc.com

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