Universal Health Services, Inc. Announces 2021 First Quarter Financial Results And Plans To Return CARES Act Grants Received During First Quarter Of 2021
Consolidated Results of Operations, As Reported and As Adjusted - Three-month periods ended March 31, 2021 and 2020:
KING OF PRUSSIA, Pa., April 26, 2021 /PRNewswire/ -- Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income attributable to UHS was $209.1 million, or $2.43 per diluted share, during the first quarter of 2021, as compared to $142.0 million, or $1.64 per diluted share, during the first quarter of 2020. Net revenues increased 6.5% to $3.013 billion during the first quarter of 2021 as compared to $2.830 billion during the first quarter of 2020.
During the first quarter of 2021, we received approximately $188 million of additional funds from the federal government in connection with the Coronavirus Aid, Relief, and Economic Security Act ("CARES Act"). We have begun coordinating the return of the funds with the appropriate government agencies and expect to return the $188 million during the second quarter of 2021 utilizing a portion of our cash and cash equivalents held on deposit. Therefore, our results of operations for the quarter ended March 31, 2021 include no impact from the receipt of those funds.
Also, and as previously announced earlier this year, in March of 2021 we funded the early repayment of $695 million of funds received during 2020 pursuant to the Medicare Accelerated and Advance Payment Program. These funds were returned to the government utilizing a portion of our cash and cash equivalents held on deposit.
As reflected on the Schedule of Non-GAAP Supplemental Information ("Supplemental Schedule"), our adjusted net income attributable to UHS during the first quarter of 2021 was $210.1 million, or $2.44 per diluted share, as compared to $150.2 million, or $1.73 per diluted share, during the first quarter of 2020.
As reflected on the Supplemental Schedule, included in our reported results during the first quarter of 2021, was a net aggregate unfavorable after-tax impact of $1.1 million, or $.01 per diluted share, consisting of the following: (i) an after-tax unrealized loss of $2.1 million, or $.02 per diluted share, ($2.8 million pre-tax which is included in "Other (income) expense, net"), resulting from a decrease in the market value of shares of certain marketable securities held for investment and classified as available for sale, and; (ii) a favorable after-tax impact of $1.1 million, or $.01 per diluted share, resulting from our adoption of ASU 2016-09, "Compensation – Stock Compensation (Topic 718): Improvements to Employee Share-Based Payment Accounting" ("ASU 2016-09").
As reflected on the Supplemental Schedule, included in our reported results during the first quarter of 2020, was a net aggregate unfavorable after-tax impact of $8.1 million, or $.09 per diluted share, consisting of the following: (i) an after-tax unrealized loss of $7.4 million, or $.08 per diluted share, ($9.6 million pre-tax which is included in "Other (income) expense, net"), resulting from a decrease in the market value of shares of certain marketable securities held for investment and classified as available for sale, and; (ii) a unfavorable after-tax impact of $0.8 million, or $.01 per diluted share, resulting from our adoption of ASU 2016-09.
As calculated on the attached Supplemental Schedule, our earnings before interest, taxes, depreciation & amortization ("EBITDA net of NCI", NCI is net income attributable to noncontrolling interests), was $426.3 million during the first quarter of 2021, as compared to $349.1 million during the first quarter of 2020. Our adjusted earnings before interest, taxes, depreciation & amortization ("Adjusted EBITDA net of NCI"), which excludes the impact of other (income) expense, net, was $427.1 million during the first quarter of 2021 as compared to $358.7 million during the first quarter of 2020.
Acute Care Services – Three-month periods ended March 31, 2021 and 2020:
During the first quarter of 2021 adjusted admissions (adjusted for outpatient activity), at our acute care hospitals owned during both periods ("same facility basis"), decreased 12.1% and adjusted patient days decreased 0.7%, as compared to the first quarter of 2020. At these facilities, net revenue per adjusted admission increased 26.3% while net revenue per adjusted patient day increased 11.8% during the first quarter of 2021 as compared to the first quarter of 2020. Net revenues generated from our acute care services on a same facility basis increased 11.7% during the first quarter of 2021 as compared to the first quarter of 2020.
Behavioral Health Care Services – Three-month periods ended March 31, 2021 and 2020:
During the first quarter of 2021 adjusted admissions, at our behavioral health care facilities on a same facility basis, decreased 4.9% and adjusted patient days decreased 3.8%, as compared to the first quarter of 2020. At these facilities, net revenue per adjusted admission increased 6.2% while net revenue per adjusted patient day increased 4.9% during the first quarter of 2021 as compared to the comparable quarter in 2020. Net revenues generated from our behavioral health care services on a same facility basis increased 0.9% during the first quarter of 2021 as compared to the first quarter of 2020.
COVID-19
The impact of the COVID-19 pandemic, which began during the second half of March, 2020, has had a material unfavorable effect on our operations and financial results since that time. The COVID-19 vaccination process commenced during the first quarter of 2021 and, while we expect the administration of vaccines will assist in easing the number of COVID-19 patients, the pace of distribution and the portion of the population that will ultimately become vaccinated is difficult to predict. The extent to which the COVID-19 pandemic and measures taken in response thereto impact our business, results of operations and financial condition will depend on numerous factors and future developments, most of which are beyond our control or ability to predict. The ultimate impact of the COVID-19 pandemic is highly uncertain and subject to change. We are not able to fully quantify the impact that these factors will have on our future financial results.
Net Cash Provided by Operating Activities and Liquidity:
Net Cash Provided by Operating Activities:
For the three months ended March 31, 2021, our net cash provided by operating activities was $72 million as compared to $502 million during the first quarter of 2020. The $430 million net decrease in our cash provided by operating activities during the first quarter of 2021, as compared to the first quarter of 2020, was due to: (i) an unfavorable change of $509 million resulting primarily from the above-mentioned $695 million of Medicare accelerated payments repaid during the first quarter of 2021, net of the $188 million of CARES Act grants received during the first quarter of 2021; (ii) a favorable change of $72 million resulting from an increase in net income plus depreciation and amortization expense and stock-based compensation expense, and; (iii) $7 million of other combined net favorable changes.
Liquidity:
As of March 31, 2021, we had $997 million of aggregate available borrowing capacity pursuant to our $1 billion revolving credit facility, net of outstanding letters of credit. In addition, as of March 31, 2021, we had approximately $765 million of cash and cash equivalents.
Quarterly Dividend and Stock Repurchase Program:
As previously announced, during the first quarter our Board of Directors approved a $0.20 per share cash dividend that was paid on March 31, 2021 to shareholders of record as of March 15, 2021.
In addition, in April, 2021, our Board of Directors approved a resumption to our stock repurchase program, effective immediately. Pursuant to our $2.7 billion stock repurchase program, which had an aggregate available repurchase authorization of $559.6 million as of March 31, 2021, shares of our Class B Common Stock may be repurchased, from time to time as conditions allow, on the open market or in negotiated private transactions. Since inception of the program in 2014 through March 31, 2021, we have repurchased approximately 18.02 million shares at an aggregate cost of approximately $2.14 billion (approximately $119 per share).
Conference call information:
We will hold a conference call for investors and analysts at 9:00 a.m. eastern time on April 27, 2021. 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. Also, 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:
One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since our inception into an esteemed Fortune 500 corporation, our annual revenues were approximately $11.6 billion during 2020. In 2021, UHS was again recognized as one of the World's Most Admired Companies by Fortune; in 2020 ranked #281 on the Fortune 500; and listed #330 in Forbes ranking of U.S.' Largest Public Companies.
Our operating philosophy is as effective today as it was over 40 years ago, enabling us to provide compassionate care to our patients and their loved ones. Our strategy includes building or acquiring high quality hospitals in rapidly growing markets, investing in the people and equipment needed to allow each facility to thrive, and becoming the leading healthcare provider in each community we serve.
Headquartered in King of Prussia, PA, UHS has approximately 89,000 employees and through its subsidiaries operates 26 acute care hospitals, 335 behavioral health facilities, 39 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 38 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. 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 the anticipated impact of COVID-19 on our operations and financial results, 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, 2020), may cause the results to differ materially from those anticipated in the forward-looking statements. 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. Many of the factors that could affect our future results are beyond our control or ability to predict, including the impact of the COVID-19 pandemic. Our future operations and financial results will likely be materially impacted by developments related to COVID-19 including, but not limited to, the length of time and severity of the spread of the pandemic; the volume of cancelled or rescheduled elective procedures and the volume of COVID-19 patients treated at our hospitals and other healthcare facilities; measures we are taking to respond to the COVID-19 pandemic; the impact of government and administrative regulation and stimulus on the hospital industry and potential retrospective adjustment in future periods of CARES Act and other grant income revenues recorded as revenues in prior periods; declining patient volumes and unfavorable changes in payer mix caused by deteriorating macroeconomic conditions (including increases in uninsured and underinsured patients as the result of business closings and layoffs); potential disruptions to our clinical staffing and shortages and disruptions related to supplies required for our employees and patients; and potential increases to expenses related to staffing, supply chain or other expenditures; the impact of our substantial indebtedness and the ability to refinance such indebtedness on acceptable terms, as well as risks associated with disruptions in the financial markets and the business of financial institutions as the result of the COVID-19 pandemic which could impact us from a financing perspective; and changes in general economic conditions nationally and regionally in our markets resulting from the COVID-19 pandemic. We are not able to fully quantify the impact that these factors will have on our future financial results, but expect developments related to the COVID-19 pandemic to materially affect our financial performance in 2021.
We believe that 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 of material items impacting our net income attributable to UHS, such as, our adoption of ASU 2016-09, unrealized gains/losses resulting from changes in the market value of shares of certain marketable securities held for investment and classified as available for sale, and other potential material items that are nonrecurring or non-operational in nature including, but not limited to, impairments of long-lived and intangible assets, changes in the reserve established in connection with our discussions with the Department of Justice, reserves for various matters including settlements, legal judgments and lawsuits, costs related to extinguishment of debt, gains/losses on sales of assets and businesses, and other 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 Report on Form 10-K for the year ended December 31, 2020. 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, | |||
2021 | 2020 | ||
Net revenues | $3,012,987 | $2,829,667 | |
Operating charges: | |||
Salaries, wages and benefits | 1,497,773 | 1,432,669 | |
Other operating expenses | 709,708 | 689,790 | |
Supplies expense | 347,110 | 317,827 | |
Depreciation and amortization | 131,403 | 124,394 | |
Lease and rental expense | 31,324 | 28,293 | |
2,717,318 | 2,592,973 | ||
Income from operations | 295,669 | 236,694 | |
Interest expense, net | 21,957 | 36,351 | |
Other (income) expense, net | 835 | 9,560 | |
Income before income taxes | 272,877 | 190,783 | |
Provision for income taxes | 63,807 | 46,323 | |
Net income | 209,070 | 144,460 | |
Less: Net income attributable to | |||
noncontrolling interests ("NCI") | (21) | 2,423 | |
Net income attributable to UHS | $209,091 | $142,037 | |
Basic earnings per share attributable to UHS (a) | $2.46 | $1.64 | |
Diluted earnings per share attributable to UHS (a) | $2.43 | $1.64 | |
Universal Health Services, Inc. | |||
Footnotes to Consolidated Statements of Income | |||
(in thousands, except per share amounts) | |||
(unaudited) | |||
Three months | |||
(a) Earnings per share calculation: | ended March 31, | ||
2021 | 2020 | ||
Basic and diluted: | |||
Net income attributable to UHS | $209,091 | $142,037 | |
Less: Net income attributable to unvested restricted share grants | (552) | (373) | |
Net income attributable to UHS - basic and diluted | $208,539 | $141,664 | |
Weighted average number of common shares - basic | 84,782 | 86,212 | |
Basic earnings per share attributable to UHS: | $2.46 | $1.64 | |
Weighted average number of common shares | 84,782 | 86,212 | |
Add: Other share equivalents | 1,014 | 243 | |
Weighted average number of common shares and equiv. - diluted | 85,796 | 86,455 | |
Diluted earnings per share attributable to UHS: | $2.43 | $1.64 | |
Universal Health Services, Inc. | |||||||
Schedule of Non-GAAP Supplemental Information ("Supplemental Schedule") | |||||||
For the Three Months ended March 31, 2021 and 2020 | |||||||
(in thousands, except per share amounts) | |||||||
(unaudited) | |||||||
Calculation of Earnings/Adjusted Earnings Before Interest, Taxes, Depreciation and Amortization | |||||||
Three months ended | % Net | Three months ended | % Net | ||||
March 31, 2021 | revenues | March 31, 2020 | revenues | ||||
Net income attributable to UHS | $209,091 | $142,037 | |||||
Depreciation and amortization | 131,403 | 124,394 | |||||
Interest expense, net | 21,957 | 36,351 | |||||
Provision for income taxes | 63,807 | 46,323 | |||||
EBITDA net of NCI | $426,258 | 14.1% | $349,105 | 12.3% | |||
Other (income) expense, net | 835 | 9,560 | |||||
Adjusted EBITDA net of NCI | $427,093 | 14.2% | $358,665 | 12.7% | |||
Net revenues | $3,012,987 | $2,829,667 | |||||
Calculation of Adjusted Net Income Attributable to UHS | |||||||
Three months ended | Three months ended | ||||||
March 31, 2021 | March 31, 2020 | ||||||
Per | Per | ||||||
Amount | Diluted Share | Amount | Diluted Share | ||||
Net income attributable to UHS | $209,091 | $2.43 | $142,037 | $1.64 | |||
Plus/minus after-tax adjustments: | |||||||
Unrealized loss on marketable securities held for sale | 2,137 | 0.02 | 7,350 | 0.08 | |||
Impact of ASU 2016-09 | (1,079) | (0.01) | 770 | 0.01 | |||
Subtotal adjustments | 1,058 | 0.01 | 8,120 | 0.09 | |||
Adjusted net income attributable to UHS | $210,149 | $2.44 | $150,157 | $1.73 | |||
Universal Health Services, Inc. | |||
Consolidated Statements of Comprehensive Income | |||
(in thousands) | |||
(unaudited) | |||
Three months | |||
ended March 31, | |||
2021 | 2020 | ||
Net income | $209,070 | $144,460 | |
Other comprehensive income (loss): | |||
Foreign currency translation adjustment | (10,346) | (39,201) | |
Other comprehensive income (loss) before tax | (10,346) | (39,201) | |
Income tax expense (benefit) related to items of other comprehensive income (loss) | (1,466) | (2,108) | |
Total other comprehensive income (loss), net of tax | (8,880) | (37,093) | |
Comprehensive income | 200,190 | 107,367 | |
Less: Comprehensive income (loss) attributable to noncontrolling interests | (21) | 2,423 | |
Comprehensive income attributable to UHS | $200,211 | $104,944 | |
Universal Health Services, Inc. | ||||||
Condensed Consolidated Balance Sheets | ||||||
(in thousands) | ||||||
(unaudited) | ||||||
March 31, | December 31, | |||||
2021 | 2020 | |||||
Assets | ||||||
Current assets: | ||||||
Cash and cash equivalents | $ | 764,502 | $ | 1,224,490 | ||
Accounts receivable, net | 1,668,650 | 1,728,928 | ||||
Supplies | 193,961 | 190,417 | ||||
Other current assets | 157,052 | 138,034 | ||||
Total current assets | 2,784,165 | 3,281,869 | ||||
Property and equipment | 10,119,037 | 9,885,888 | ||||
Less: accumulated depreciation | (4,623,435) | (4,512,764) | ||||
5,495,602 | 5,373,124 | |||||
Other assets: | ||||||
Goodwill | 3,886,973 | 3,882,715 | ||||
Deferred income taxes | 23,514 | 22,689 | ||||
Right of use assets-operating leases | 326,703 | 336,513 | ||||
Deferred charges | 4,782 | 4,985 | ||||
Other | 574,590 | 574,984 | ||||
Total Assets | $ | 13,096,329 | $ | 13,476,879 | ||
Liabilities and Stockholders' Equity | ||||||
Current liabilities: | ||||||
Current maturities of long-term debt | $ | 107,281 | $ | 331,998 | ||
Accounts payable and other liabilities | 1,779,700 | 1,668,671 | ||||
Medicare accelerated payments and deferred CARES Act and other grants | 189,320 | 376,151 | ||||
Operating lease liabilities | 60,812 | 59,796 | ||||
Federal and state taxes | 102,266 | 44,423 | ||||
Total current liabilities | 2,239,379 | 2,481,039 | ||||
Other noncurrent liabilities | 476,377 | 458,549 | ||||
Operating lease liabilities noncurrent | 267,707 | 278,303 | ||||
Medicare accelerated payments noncurrent | 0 | 322,617 | ||||
Long-term debt | 3,505,822 | 3,524,253 | ||||
Deferred income taxes | 735 | 5,582 | ||||
Redeemable noncontrolling interest | 4,470 | 4,569 | ||||
UHS common stockholders' equity | 6,513,862 | 6,317,146 | ||||
Noncontrolling interest | 87,977 | 84,821 | ||||
Total equity | 6,601,839 | 6,401,967 | ||||
Total Liabilities and Stockholders' Equity | $ | 13,096,329 | $ | 13,476,879 | ||
Universal Health Services, Inc. | |||
Consolidated Statements of Cash Flows | |||
(in thousands) | |||
(unaudited) | |||
Three months | |||
ended March 31, | |||
2021 | 2020 | ||
Cash Flows from Operating Activities: | |||
Net income | $209,070 | $144,460 | |
Adjustments to reconcile net income to net | |||
cash provided by operating activities: | |||
Depreciation & amortization | 131,403 | 124,394 | |
Stock-based compensation expense | 18,022 | 18,047 | |
Changes in assets & liabilities, net of effects from | |||
acquisitions and dispositions: | |||
Accounts receivable | 56,851 | 69,763 | |
Accrued interest | 10,133 | (4,412) | |
Accrued and deferred income taxes | 53,769 | 45,200 | |
Other working capital accounts | 82,663 | 73,929 | |
Medicare accelerated payments and deferred CARES Act and other grants | (509,448) | 0 | |
Other assets and deferred charges | (17) | 11,084 | |
Other | 2,623 | (3,038) | |
Accrued insurance expense, net of commercial premiums paid | 35,467 | 49,559 | |
Payments made in settlement of self-insurance claims | (18,741) | (26,924) | |
Net cash provided by operating activities | 71,795 | 502,062 | |
Cash Flows from Investing Activities: | |||
Property and equipment additions, net of disposals | (247,459) | (184,102) | |
Inflows (outflows) from foreign exchange contracts that hedge our net U.K. investment | (14,264) | 51,691 | |
Decrease in capital reserves of commercial insurance subsidiary | 100 | 0 | |
Costs incurred for purchase and implementation of information technology applications | (575) | (1,857) | |
Investment in, and advances to, joint ventures and other | (129) | (751) | |
Net cash used in investing activities | (262,327) | (135,019) | |
Cash Flows from Financing Activities: | |||
Reduction of long-term debt | (251,830) | (185,098) | |
Additional borrowings | 0 | 5,453 | |
Repurchase of common shares | (7,464) | (172,092) | |
Dividends paid | (17,018) | (17,344) | |
Issuance of common stock | 3,357 | 3,002 | |
Profit distributions to noncontrolling interests | (4,525) | (5,735) | |
Purchase of ownership interests by minority members | 7,603 | 0 | |
Net cash used in financing activities | (269,877) | (371,814) | |
Effect of exchange rate changes on cash, cash equivalents and restricted cash | 423 | (1,673) | |
Decrease in cash, cash equivalents and restricted cash | (459,986) | (6,444) | |
Cash, cash equivalents and restricted cash, beginning of period | 1,279,154 | 105,667 | |
Cash, cash equivalents and restricted cash, end of period | $819,168 | $99,223 | |
Supplemental Disclosures of Cash Flow Information: | |||
Interest paid | $11,421 | $39,483 | |
Income taxes paid, net of refunds | $8,654 | $6,783 | |
Noncash purchases of property and equipment | $60,124 | $58,935 | |
Universal Health Services, Inc. | ||||||
Supplemental Statistical Information | ||||||
(unaudited) | ||||||
% Change | ||||||
3 Months ended | ||||||
Same Facility: | 3/31/2021 | |||||
Acute Care Hospitals | ||||||
Revenues | 11.7% | |||||
Adjusted Admissions | -12.1% | |||||
Adjusted Patient Days | -0.7% | |||||
Revenue Per Adjusted Admission | 26.3% | |||||
Revenue Per Adjusted Patient Day | 11.8% | |||||
Behavioral Health Hospitals | ||||||
Revenues | 0.9% | |||||
Adjusted Admissions | -4.9% | |||||
Adjusted Patient Days | -3.8% | |||||
Revenue Per Adjusted Admission | 6.2% | |||||
Revenue Per Adjusted Patient Day | 4.9% | |||||
UHS Consolidated | Three months ended | |||||
3/31/2021 | 3/31/2020 | |||||
Revenues | $3,012,987 | $2,829,667 | ||||
EBITDA net of NCI | $426,258 | $349,105 | ||||
EBITDA Margin net of NCI | 14.1% | 12.3% | ||||
Adjusted EBITDA net of NCI | $427,093 | $358,665 | ||||
Adjusted EBITDA Margin net of NCI | 14.2% | 12.7% | ||||
Cash Flow From Operations | $71,795 | $502,062 | ||||
Days Sales Outstanding | 50 | 48 | ||||
Capital Expenditures | $247,459 | $184,102 | ||||
Debt | $3,613,103 | $3,805,320 | ||||
UHS' Shareholders Equity | $6,513,862 | $5,413,209 | ||||
Debt / Total Capitalization | 35.7% | 41.3% | ||||
Debt / EBITDA net of NCI (1) | 1.87 | 2.37 | ||||
Debt / Adjusted EBITDA net of NCI (1) | 1.87 | 2.23 | ||||
Debt / Cash From Operations (1) | 1.87 | 2.52 | ||||
Net Debt / EBITDA net of NCI (1) (2) | 1.48 | |||||
Net Debt / Adjusted EBITDA net of NCI (1) (2) | 1.48 | |||||
Net Debt / Cash From Operations (1) (2) | 1.48 | |||||
(1) Latest 4 quarters. | ||||||
(2) Debt, net of approximately $749,000 of short-term cash investments as of March 31, 2021. | ||||||
Universal Health Services, Inc. | ||||||||
Acute Care Hospital Services | ||||||||
For the three months ended | ||||||||
March 31, 2021 and 2020 | ||||||||
(in thousands) | ||||||||
Same Facility Basis - Acute Care Hospital Services | ||||||||
Three months ended | Three months ended | |||||||
March 31, 2021 | March 31, 2020 | |||||||
Amount | % of Net | Amount | % of Net | |||||
Net revenues | $1,671,836 | 100.0% | $1,497,123 | 100.0% | ||||
Operating charges: | ||||||||
Salaries, wages and benefits | 706,811 | 42.3% | 658,929 | 44.0% | ||||
Other operating expenses | 393,207 | 23.5% | 375,531 | 25.1% | ||||
Supplies expense | 296,478 | 17.7% | 264,530 | 17.7% | ||||
Depreciation and amortization | 81,184 | 4.9% | 77,928 | 5.2% | ||||
Lease and rental expense | 20,112 | 1.2% | 16,020 | 1.1% | ||||
Subtotal-operating expenses | 1,497,792 | 89.6% | 1,392,938 | 93.0% | ||||
Income from operations | 174,044 | 10.4% | 104,185 | 7.0% | ||||
Interest expense, net | 246 | 0.0% | 618 | 0.0% | ||||
Other (income) expense, net | 0 | - | 0 | - | ||||
Income before income taxes | $173,798 | 10.4% | $103,567 | 6.9% | ||||
All Acute Care Hospital Services | ||||||||
Three months ended | Three months ended | |||||||
March 31, 2021 | March 31, 2020 | |||||||
Amount | % of Net | Amount | % of Net | |||||
Net revenues | $1,694,542 | 100.0% | $1,521,049 | 100.0% | ||||
Operating charges: | ||||||||
Salaries, wages and benefits | 707,218 | 41.7% | 658,959 | 43.3% | ||||
Other operating expenses | 416,007 | 24.5% | 399,457 | 26.3% | ||||
Supplies expense | 296,479 | 17.5% | 264,530 | 17.4% | ||||
Depreciation and amortization | 81,362 | 4.8% | 77,928 | 5.1% | ||||
Lease and rental expense | 20,112 | 1.2% | 16,020 | 1.1% | ||||
Subtotal-operating expenses | 1,521,178 | 89.8% | 1,416,894 | 93.2% | ||||
Income from operations | 173,364 | 10.2% | 104,155 | 6.8% | ||||
Interest expense, net | 246 | 0.0% | 618 | 0.0% | ||||
Other (income) expense, net | 0 | - | 0 | - | ||||
Income before income taxes | $173,118 | 10.2% | $103,537 | 6.8% | ||||
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 material 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 and intangible 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 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, 2020. | ||||||||||||
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 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. | ||||||||
Behavioral Health Care Services | ||||||||
For the three months ended | ||||||||
March 31, 2021 and 2020 | ||||||||
(in thousands) | ||||||||
Same Facility - Behavioral Health Care Services | ||||||||
Three months ended | Three months ended | |||||||
March 31, 2021 | March 31, 2020 | |||||||
Amount | % of Net | Amount | % of Net | |||||
Net revenues | $1,292,042 | 100.0% | $1,281,052 | 100.0% | ||||
Operating charges: | ||||||||
Salaries, wages and benefits | 701,567 | 54.3% | 690,375 | 53.9% | ||||
Other operating expenses | 245,373 | 19.0% | 242,366 | 18.9% | ||||
Supplies expense | 50,746 | 3.9% | 51,561 | 4.0% | ||||
Depreciation and amortization | 45,302 | 3.5% | 42,715 | 3.3% | ||||
Lease and rental expense | 11,274 | 0.9% | 11,020 | 0.9% | ||||
Subtotal-operating expenses | 1,054,262 | 81.6% | 1,038,037 | 81.0% | ||||
Income from operations | 237,780 | 18.4% | 243,015 | 19.0% | ||||
Interest expense, net | 338 | 0.0% | 364 | 0.0% | ||||
Other (income) expense, net | 413 | 0.0% | 889 | 0.1% | ||||
Income before income taxes | $237,029 | 18.3% | $241,762 | 18.9% | ||||
All Behavioral Health Care Services | ||||||||
Three months ended | Three months ended | |||||||
March 31, 2021 | March 31, 2020 | |||||||
Amount | % of Net | Amount | % of Net | |||||
Net revenues | $1,315,337 | 100.0% | $1,306,109 | 100.0% | ||||
Operating charges: | ||||||||
Salaries, wages and benefits | 703,975 | 53.5% | 693,272 | 53.1% | ||||
Other operating expenses | 269,297 | 20.5% | 266,182 | 20.4% | ||||
Supplies expense | 51,009 | 3.9% | 51,639 | 4.0% | ||||
Depreciation and amortization | 46,482 | 3.5% | 43,889 | 3.4% | ||||
Lease and rental expense | 11,683 | 0.9% | 12,158 | 0.9% | ||||
Subtotal-operating expenses | 1,082,446 | 82.3% | 1,067,140 | 81.7% | ||||
Income from operations | 232,891 | 17.7% | 238,969 | 18.3% | ||||
Interest expense, net | 1,153 | 0.1% | 397 | 0.0% | ||||
Other (income) expense, net | 413 | 0.0% | 889 | 0.1% | ||||
Income before income taxes | $231,325 | 17.6% | $237,683 | 18.2% | ||||
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 material items that are nonrecurring or non-operational in nature including items such as, but not limited to, reserves for various matters, settlements, legal judgments, lawsuits and reserves established in connection with the government's investigation of our behavioral health care facilities, cost related to extinguishment of debt, gains/losses on sales of assets and businesses, impairments of long-lived and intangible 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, 2020. | ||||||||||||
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 as well as the results of certain facilities that were closed or restructured during the past year. | ||||||||||||
Universal Health Services, Inc. | ||||||||||||
Selected Hospital Statistics | ||||||||||||
For the Three Months ended | ||||||||||||
March 31, 2021 and 2020 | ||||||||||||
AS REPORTED: | ||||||||||||
ACUTE | BEHAVIORAL HEALTH | |||||||||||
3/31/21 | 3/31/20 | % change | 3/31/21 | 3/31/20 | % change | |||||||
Hospitals owned and leased | 26 | 26 | 0.0% | 335 | 331 | 0.9% | ||||||
Average licensed beds | 6,515 | 6,451 | 1.0% | 24,018 | 23,634 | 1.6% | ||||||
Average available beds | 6,343 | 6,279 | 1.0% | 23,918 | 23,531 | 1.6% | ||||||
Patient days | 392,391 | 370,513 | 5.9% | 1,534,162 | 1,592,611 | -3.7% | ||||||
Average daily census | 4,359.9 | 4,071.7 | 7.1% | 17,046.2 | 17,501.2 | -2.6% | ||||||
Occupancy-licensed beds | 66.9% | 63.1% | 6.0% | 71.0% | 74.1% | -4.2% | ||||||
Occupancy-available beds | 68.7% | 64.8% | 6.0% | 71.3% | 74.4% | -4.2% | ||||||
Admissions | 72,924 | 77,768 | -6.2% | 115,408 | 121,017 | -4.6% | ||||||
Length of stay | 5.4 | 4.8 | 12.9% | 13.3 | 13.2 | 1.0% | ||||||
Inpatient revenue | $9,119,184 | $7,821,472 | 16.6% | $2,473,565 | $2,525,539 | -2.1% | ||||||
Outpatient revenue | 4,580,720 | 4,681,741 | -2.2% | 246,764 | 259,739 | -5.0% | ||||||
Total patient revenue | 13,699,904 | 12,503,213 | 9.6% | 2,720,329 | 2,785,278 | -2.3% | ||||||
Other revenue | 143,265 | 116,278 | 23.2% | 62,208 | 56,390 | 10.3% | ||||||
Gross hospital revenue | 13,843,169 | 12,619,491 | 9.7% | 2,782,537 | 2,841,668 | -2.1% | ||||||
Total deductions | 12,148,627 | 11,098,442 | 9.5% | 1,467,200 | 1,535,559 | -4.5% | ||||||
Net hospital revenue | $1,694,542 | $1,521,049 | 11.4% | $1,315,337 | $1,306,109 | 0.7% | ||||||
SAME FACILITY: | ||||||||||||
ACUTE | BEHAVIORAL HEALTH | |||||||||||
3/31/21 | 3/31/20 | % change | 3/31/21 | 3/31/20 | % change | |||||||
Hospitals owned and leased | 26 | 26 | 0.0% | 319 | 319 | 0.0% | ||||||
Average licensed beds | 6,515 | 6,451 | 1.0% | 23,689 | 23,397 | 1.2% | ||||||
Average available beds | 6,343 | 6,279 | 1.0% | 23,589 | 23,294 | 1.3% | ||||||
Patient days | 392,391 | 370,513 | 5.9% | 1,525,725 | 1,582,445 | -3.6% | ||||||
Average daily census | 4,359.9 | 4,071.7 | 7.1% | 16,952.5 | 17,389.5 | -2.5% | ||||||
Occupancy-licensed beds | 66.9% | 63.1% | 6.0% | 71.6% | 74.3% | -3.7% | ||||||
Occupancy-available beds | 68.7% | 64.8% | 6.0% | 71.9% | 74.7% | -3.7% | ||||||
Admissions | 72,924 | 77,768 | -6.2% | 114,426 | 120,082 | -4.7% | ||||||
Length of stay | 5.4 | 4.8 | 12.9% | 13.3 | 13.2 | 1.2% | ||||||
SOURCE Universal Health Services, Inc.
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