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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

      Share this article

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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.

      Modal title

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