EX-99.1 2 d149030dex991.htm EX-99.1 EX-99.1

Exhibit 99.1

FOR IMMEDIATE RELEASE

 

CONTACT:    Steve Filton      
   Chief Financial Officer    February 25, 2016   
   610-768-3300      

UNIVERSAL HEALTH SERVICES, INC. REPORTS 2015 FOURTH QUARTER AND

FULL YEAR EARNINGS AND 2016 EARNINGS GUIDANCE

Consolidated Results of Operations, As Reported and As Adjusted – Three-month periods ended December 31, 2015 and 2014:

KING OF PRUSSIA, PA – Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income attributable to UHS was $173.7 million, or $1.74 per diluted share, during the fourth quarter of 2015 as compared to $172.8 million, or $1.71 per diluted share, during the comparable quarter of 2014. Net revenues increased 6.4% to $2.32 billion during the fourth quarter of 2015 as compared to $2.18 billion during the fourth quarter of 2014.

For the three-month period ended December 31, 2015, our adjusted net income attributable to UHS, as calculated on the attached Schedule of Non-GAAP Supplemental Consolidated Statements of Income Information (“Supplemental Schedule”), increased approximately 12% to $170.7 million, or $1.71 per diluted share, as compared to $152.0 million, or $1.51 per diluted share, during the fourth quarter of 2014.

As reflected on the Supplemental Schedule, included in our reported results during the fourth quarters of 2015 and 2014, are net favorable after-tax impacts of approximately $3.1 million, or $.03 per diluted share, during the fourth quarter of 2015 and $8.6 million, or $.08 per diluted share, during the fourth quarter of 2014, related to the incentive income and depreciation and amortization expense recorded in connection with the implementation of electronic health records (“EHR”) applications at our acute care hospitals.

Also included in our reported results during the fourth quarter of 2014, as reflected on the Supplemental Schedule, was an aggregate favorable after-tax impact of approximately $12.2 million, or $.12 per diluted share, consisting of: (i) a favorable after-tax impact of $11.7 million, or $.12 per diluted share, resulting from a reduction to our professional and general liability self-insurance reserves relating to years prior to 2014, based upon a reserve analysis, and; (ii) an after-tax impact of $493,000 relating to the charge incurred during 2014 in connection with the settlement of a legal matter.

Consolidated Results of Operations, As Reported and As Adjusted – Twelve-month periods ended December 31, 2015 and 2014:

Reported net income attributable to UHS was $680.5 million, or $6.76 per diluted share, during the year ended December 31, 2015 as compared to $545.3 million, or $5.42 per diluted share, during the 2014 full year. Net revenues increased 10.2% to $9.04 billion during the twelve-month period of 2015 as compared to $8.21 billion during the comparable twelve-month period of 2014.


For the year ended December 31, 2015, our adjusted net income attributable to UHS, as calculated on the Supplemental Schedule, increased approximately 19% to $692.0 million, or $6.87 per diluted share, as compared to $581.8 million, or $5.78 per diluted share, during the year ended December 31, 2014.

As reflected on the Supplemental Schedule, included in our reported results during the years ended December 31, 2015 and 2014, are net unfavorable after-tax impacts of approximately $11.5 million, or $.11 per diluted share, during 2015 and $4.7 million, or $.04 per diluted share, during 2014, related to the implementation of EHR applications at our acute care hospitals.

Also included in our reporting results during the year ended December 31, 2014, as reflected on the Supplemental Schedule, was a net unfavorable after-tax impact of approximately $31.7 million, or $.32 per diluted share, consisting of: (i) an after-tax charge of $27.1 million, or $.27 per diluted share, incurred in connection with the settlement of the Garden City Employees’ Retirement System v. Psychiatric Solutions, Inc. legal matter; (ii) an aggregate after-tax charge of $22.7 million, or $.23 per diluted share, recorded in connection with the costs related to extinguishment of debt resulting from various financing transactions that occurred during the third quarter of 2014; (iii) a favorable after-tax impact of $11.7 million, or $.12 per diluted share, resulting from a reduction to our professional and general liability self-insurance reserves relating to years prior to 2014, based upon a reserve analysis, and; (iv) a favorable after-tax impact of $6.3 million, or $.06 per diluted share, resulting from a gain realized on the sale of a non-operating investment.

Acute Care Services – Three and twelve-month periods ended December 31, 2015 and 2014:

During the fourth quarter of 2015, at our acute care hospitals owned during both periods (“same facility basis”), adjusted admissions (adjusted for outpatient activity) increased 4.8% and adjusted patient days increased 3.9%, as compared to the fourth quarter of 2014. Net revenues at these facilities increased 7.3% during the fourth quarter of 2015 as compared to the comparable quarter of the prior year. At these facilities, net revenue per adjusted admission increased 3.3% while net revenue per adjusted patient day increased 4.2% during the fourth quarter of 2015 as compared to the comparable quarter of 2014. On a same facility basis, the operating margin at our acute care hospitals increased to 17.2% during the fourth quarter of 2015 as compared to 16.8% during the fourth quarter of 2014. We define operating margin as net revenues less salaries, wages and benefits, other operating expenses and supplies expense (excluding the impact of EHR and other items as indicated on the Supplemental Schedules).

During the year ended December 31, 2015, at our acute care hospitals on a same facility basis, adjusted admissions increased 5.4% and adjusted patient days increased 5.5%, as compared to the 2014 full year. Net revenues at these facilities increased 8.7% during the 2015 full year as compared to the 2014 full year. At these facilities, net revenue per adjusted admission increased 3.9% while net revenue per adjusted patient day increased 3.7% during 2015 as compared to 2014. On a same facility basis, the operating margin at our acute care hospitals increased to 18.5% during the year ended December 31, 2015 as compared to 17.9% during the 2014 full year.


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 $332 million and $284 million during the three-month periods ended December 31, 2015 and 2014, respectively, and $1.20 billion and $1.14 billion during the twelve-month periods ended December 31, 2015 and 2014, respectively. The provision for doubtful accounts at our acute care hospitals amounted to approximately $172 million and $130 million during the three-month periods ended December 31, 2015 and 2014, respectively, and $631 million and $590 million during the twelve-month periods ended December 31, 2015 and 2014, respectively. Our acute care hospitals experienced an increase in the aggregate of charity care, uninsured discounts and provision for doubtful accounts, as a percentage of gross charges, during the third and fourth quarters of 2015, as compared to the comparable quarters of 2014. During the year ended December 31, 2015, as compared to the 2014 full year, our acute care hospitals experienced a decrease in the aggregate of charity care, uninsured discounts and provision for doubtful accounts, as a percentage of gross charges.

Behavioral Health Care Services – Three and twelve-month periods ended December 31, 2015 and 2014:

During the fourth quarter of 2015, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 0.2% while adjusted patient days increased 0.7% compared to the fourth quarter of 2014. At these facilities, net revenue per adjusted admission increased 3.1% while net revenue per adjusted patient day increased 2.5% during the fourth quarter of 2015 as compared to the comparable quarter in 2014. On a same facility basis, our behavioral health services’ net revenues increased 3.6% during the fourth quarter of 2015, as compared to the comparable quarter in 2014, and the operating margins were 27.1% and 27.9% during the three-month periods ended December 31, 2015 and 2014, respectively.

During the twelve-month period ended December 31, 2015, at our behavioral health care facilities on a same facility basis, adjusted admissions increased 2.9% while adjusted patient days increased 1.2% compared to the 2014 full year. At these facilities, net revenue per adjusted admission increased 1.8% during the year ended December 31, 2015 while net revenue per adjusted patient day increased 3.4% during the twelve-month period ended December 31, 2015 as compared to the 2014 full year. On a same facility basis, our behavioral health services’ net revenues increased 5.0% during the full year of 2015, as compared to 2014, and the operating margins remained unchanged at 27.9% during each of the years ended December 31, 2015 and 2014.

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 fourth quarter of 2015, we repurchased 478,118 shares at an aggregate cost of $57.8 million. Since inception of the program through December 31, 2015, we repurchased approximately 1.9 million shares at an aggregate cost of approximately $224.2 million.


Subsequent to December 31, 2015, we repurchased an additional 886,782 shares at an aggregate cost of $99.0 million increasing our aggregate program inception to date stock repurchases to approximately 2.8 million shares at an aggregate cost of approximately $323.2 million.

2016 Full Year Guidance:

Our estimated range of adjusted net income attributable to UHS for the year ended December 31, 2016, is $7.12 to $7.58 per diluted share. This guidance range represents an increase of approximately 4% to 10% over the adjusted net income attributable to UHS of $6.87 per diluted share for the year ended December 31, 2015, as calculated on the attached Supplemental Schedule. The range excludes the below-mentioned unfavorable EHR impact of $.17 per diluted share expected during 2016.

During 2016, our net revenues are estimated to be approximately $9.75 billion to $9.85 billion representing an increase of approximately 8% to 9% over our 2015 net revenues of approximately $9.04 billion.

During 2016, we expect to record approximately $5 million of EHR incentive income and approximately $36 million of EHR-related depreciation and amortization expense resulting in a net unfavorable after-tax (and after income attributable to noncontrolling interest) impact of approximately $17 million, or $.17 per diluted share.

This guidance range also excludes the impact of future items, if applicable, that are nonrecurring or non-operational in nature including items such as, but not limited to, gains on sales of assets and businesses, costs related to extinguishment of debt, reserves for settlements, legal judgments and lawsuits, impairments of long-lived assets, impact of share repurchases and other material amounts that may be reflected in our financial statements that relate to prior periods. It is also subject to certain conditions including those as set forth below in General Information, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures.

Conference call information:

We will hold a conference call for investors and analysts at 9:00 a.m. eastern time on February 26, 2016. 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, 2015), 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 and earnings before interest, taxes, depreciation and amortization (“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 items such as, but not limited to, costs related to extinguishment of debt, gains on sales of assets and businesses, reserves for settlements, legal judgments and lawsuits, 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. 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, 2015. 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.

We incur health-care related taxes (“Provider Taxes”) imposed by states in the form of a licensing fee, assessment or other mandatory payment which are related to: (i) healthcare items or services; (ii) the provision of, or the authority to provide, the health care items or services, or; (iii) the payment for the health care items or services. Such Provider Taxes are subject to various federal regulations that limit the scope and amount of the taxes that can be levied by states in order to secure federal matching funds as part of their respective state Medicaid programs. We derive a related Medicaid reimbursement benefit from assessed Provider Taxes in the form of Medicaid claims based payment increases and/or lump sum Medicaid supplemental payments. Under these programs, including the impact of uncompensated care and upper payment limit programs, and the Texas Delivery System Reform Incentive program, we earned revenues (before Provider Tax assessments) of approximately $86 million and $117 million during the three-month periods ended December 31, 2015 and 2014, respectively, and $307 million and $295 million during the twelve-month periods ended December 31, 2015 and 2014, respectively. These revenues were offset by assessments of $40 million and $69 million during the fourth quarters of 2015 and 2014, respectively, and $137 million and $140 million during the


twelve-month periods ended December 31, 2015 and 2014, respectively, which are recorded in other operating expenses on the attached Consolidated Statement of Income. Prior to 2015, these assessments were recorded as a reduction to our net revenues. Accordingly, to conform with current year presentation, these assessments were reclassified on our Consolidated Statement of Income for the three and twelve-month periods ended December 31, 2014.

Our acute care hospitals are eligible for Medicare and Medicaid EHR incentive payments upon implementation of the EHR application, once they have demonstrated meaningful use of certified EHR technology for the applicable stage or have completed attestations to their adoption or implementation of certified EHR technology. However, there may be timing differences in the recognition of the incentive income and expenses recorded in connection with the implementation of the EHR application which may cause material period-to-period changes in our future results of operations. Pursuant to regulations, hospitals that did not qualify as a meaningful user of EHR by 2015 are subject to a reduced market basket update to the inpatient prospective payment system standardized amount in 2015 and each subsequent fiscal year. We believe that all of our acute care hospitals have met the applicable meaningful use criteria and therefore are not subject to a reduced market basked update to the inpatient prospective payment standardized amount. Under the HITECH Act, hospitals must continue to meet the applicable meaningful use criteria in each fiscal year or they will be subject to a market basket update reduction in a subsequent fiscal year.

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Universal Health Services, Inc.

Consolidated Statements of Income

(in thousands, except per share amounts)

(unaudited)

 

     Three months     Twelve months  
     ended December 31,     ended December 31,  
     2015     2014     2015     2014  

Net revenues before provision for doubtful accounts

   $ 2,512,872      $ 2,333,339      $ 9,784,724      $ 8,904,071   

Less: Provision for doubtful accounts

     197,633        157,048        741,273        698,983   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net revenues

     2,315,239        2,176,291        9,043,451        8,205,088   

Operating charges:

        

Salaries, wages and benefits

     1,079,394        994,593        4,212,387        3,845,461   

Other operating expenses

     548,745        528,417        2,119,805        1,922,743   

Supplies expense

     252,109        233,413        974,088        895,693   

Depreciation and amortization

     102,921        98,118        398,618        375,624   

Lease and rental expense

     24,342        23,337        94,973        93,993   

Electronic health records incentive income

     (14,064     (23,873     (15,815     (27,902

Costs related to extinguishment of debt

     0        0        0        36,171   
  

 

 

   

 

 

   

 

 

   

 

 

 
     1,993,447        1,854,005        7,784,056        7,141,783   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income from operations

     321,792        322,286        1,259,395        1,063,305   

Interest expense, net

     28,643        31,225        113,494        133,638   
  

 

 

   

 

 

   

 

 

   

 

 

 

Income before income taxes

     293,149        291,061        1,145,901        929,667   

Provision for income taxes

     101,832        100,569        395,203        324,671   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income

     191,317        190,492        750,698        604,996   

Less: Income attributable to noncontrolling interests

     17,568        17,695        70,170        59,653   
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to UHS

   $ 173,749      $ 172,797      $ 680,528      $ 545,343   
  

 

 

   

 

 

   

 

 

   

 

 

 

Basic earnings per share attributable to UHS (a)

   $ 1.76      $ 1.75      $ 6.89      $ 5.52   
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted earnings per share attributable to UHS (a)

   $ 1.74      $ 1.71      $ 6.76      $ 5.42   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

Footnotes to Consolidated Statements of Income

(in thousands, except per share amounts)

(unaudited)

 

     Three months     Twelve months  
     ended December 31,     ended December 31,  
     2015     2014     2015     2014  

(a) Earnings per share calculation:

        

Basic and diluted:

        

Net income attributable to UHS

   $ 173,749      $ 172,797      $ 680,528      $ 545,343   

Less: Net income attributable to unvested restricted share grants

     (60     (72     (281     (236
  

 

 

   

 

 

   

 

 

   

 

 

 

Net income attributable to UHS—basic and diluted

   $ 173,689      $ 172,725      $ 680,247      $ 545,107   
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average number of common shares—basic

     98,416        98,808        98,797        98,826   
  

 

 

   

 

 

   

 

 

   

 

 

 

Basic earnings per share attributable to UHS:

   $ 1.76      $ 1.75      $ 6.89      $ 5.52   
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average number of common shares

     98,416        98,808        98,797        98,826   

Add: Other share equivalents

     1,627        1,943        1,897        1,718   
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average number of common shares and equiv.—diluted

     100,043        100,751        100,694        100,544   
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted earnings per share attributable to UHS:

   $ 1.74      $ 1.71      $ 6.76      $ 5.42   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

Schedule of Non-GAAP Supplemental Consolidated Statements of Income Information (“Supplemental Schedule”)

For the three months ended December 31, 2015 and 2014

(in thousands, except per share amounts)

(unaudited)

Calculation of “EBITDA”

 

     Three months ended
December 31, 2015
    Three months ended
December 31, 2014
 

Net revenues before provision for doubtful accounts

   $ 2,512,872        $ 2,333,339     

Less: Provision for doubtful accounts

     197,633          157,048     
  

 

 

     

 

 

   

Net revenues

     2,315,239        100.0     2,176,291        100.0

Operating charges:

        

Salaries, wages and benefits

     1,079,394        46.6     994,593        45.7

Other operating expenses

     548,745        23.7     528,417        24.3

Supplies expense

     252,109        10.9     233,413        10.7

EHR incentive income

     (14,064     -0.6     (23,873     -1.1
  

 

 

   

 

 

   

 

 

   

 

 

 
     1,866,184        80.6     1,732,550        79.6
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating income/margin (“EBITDAR”)

     449,055        19.4     443,741        20.4

Lease and rental expense

     24,342          23,337     

Income attributable to noncontrolling interests

     17,568          17,695     
  

 

 

   

 

 

   

 

 

   

 

 

 

Earnings before, depreciation and amortization, interest expense, and income taxes (“EBITDA”)

     407,145        17.6     402,709        18.5

Depreciation and amortization

     102,921          98,118     

Costs related to extinguishment of debt

     0          0     

Interest expense, net

     28,643          31,225     
  

 

 

     

 

 

   

Income before income taxes

     275,581          273,366     

Provision for income taxes

     101,832          100,569     
  

 

 

     

 

 

   

Net income attributable to UHS

   $ 173,749        $ 172,797     
  

 

 

     

 

 

   

Calculation of Adjusted Net Income Attributable to UHS

 
     Three months ended
December 31, 2015
    Three months ended
December 31, 2014
 
     Amount     Per
Diluted Share
    Amount     Per
Diluted Share
 

Calculation of Adjusted Net Income Attributable to UHS—including and excluding EHR impact:

        

Net income attributable to UHS

   $ 173,749      $ 1.74      $ 172,797      $ 1.71   

Plus/minus adjustments:

        

Litigation settlement, net of income taxes

     —          —          (493     —     

Reduction of reserves relating to prior years for professional and general liability self-insured claims, net of income taxes

     —          —          (11,707     (0.12
  

 

 

   

 

 

   

 

 

   

 

 

 

Subtotal after-tax adjustments to net income attributable to UHS

     —          —          (12,200     (0.12
  

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted net income attributable to UHS—including Electronic Health Records (“EHR”) impact

   $ 173,749      $ 1.74      $ 160,597      $ 1.59   
  

 

 

   

 

 

   

 

 

   

 

 

 

Plus/minus impact of EHR implementation:

        

EHR-related incentive income, pre-tax

     (14,064       (23,873  

EHR-related depreciation & amortization, pre-tax

     9,306          9,361     

EHR-related minority interest in earnings of consolidated entities, pre-tax

     (152       727     

Income tax provision on EHR-related items

     1,830          5,147     
  

 

 

   

 

 

   

 

 

   

 

 

 

After-tax impact of EHR-related items

     (3,080     (0.03     (8,638     (0.08
  

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted net income attributable to UHS

   $ 170,669      $ 1.71      $ 151,959      $ 1.51   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

Schedule of Non-GAAP Supplemental Consolidated Statements of Income Information (“Supplemental Schedule”)

For the twelve months ended December 31, 2015 and 2014

(in thousands, except per share amounts)

(unaudited)

 

Calculation of “EBITDA”

 
     Twelve months ended     Twelve months ended  
     December 31, 2015     December 31, 2014  

Net revenues before provision for doubtful accounts

   $ 9,784,724        $ 8,904,071     

Less: Provision for doubtful accounts

     741,273          698,983     
  

 

 

     

 

 

   

Net revenues

     9,043,451        100.0     8,205,088        100.0

Operating charges:

        

Salaries, wages and benefits

     4,212,387        46.6     3,845,461        46.9

Other operating expenses

     2,119,805        23.4     1,922,743        23.4

Supplies expense

     974,088        10.8     895,693        10.9

EHR incentive income

     (15,815     -0.2     (27,902     -0.3
  

 

 

   

 

 

   

 

 

   

 

 

 
     7,290,465        80.6     6,635,995        80.9
  

 

 

   

 

 

   

 

 

   

 

 

 

Operating income/margin (“EBITDAR”)

     1,752,986        19.4     1,569,093        19.1

Lease and rental expense

     94,973          93,993     

Income attributable to noncontrolling interests

     70,170          59,653     
  

 

 

   

 

 

   

 

 

   

 

 

 

Earnings before, depreciation and amortization, interest expense, and income taxes (“EBITDA”)

     1,587,843        17.6     1,415,447        17.3

Depreciation and amortization

     398,618          375,624     

Costs related to extinguishment of debt

     0          36,171     

Interest expense, net

     113,494          133,638     
  

 

 

     

 

 

   

Income before income taxes

     1,075,731          870,014     

Provision for income taxes

     395,203          324,671     
  

 

 

     

 

 

   

Net income attributable to UHS

   $ 680,528        $ 545,343     
  

 

 

     

 

 

   

Calculation of Adjusted Net Income Attributable to UHS

 
     Twelve months ended     Twelve months ended  
     December 31, 2015     December 31, 2014  
     Amount     Per
Diluted Share
    Amount     Per
Diluted Share
 

Calculation of Adjusted Net Income Attributable to UHS—including and excluding EHR impact:

        

Net income attributable to UHS

   $ 680,528      $ 6.76      $ 545,343      $ 5.42   

Plus/minus adjustments:

        

Gain on sale of investment, net of income taxes

     —          —          (6,330     (0.06

Litigation settlement, net of income taxes

     —          —          27,077        0.27   

Costs related to extinguishment of debt, net of income taxes

     —          —          22,665        0.23   

Reduction of reserves relating to prior years for professional and general liability self-insured claims, net of income taxes

     —          —          (11,707     (0.12
  

 

 

   

 

 

   

 

 

   

 

 

 

Subtotal after-tax adjustments to net income attributable to UHS

     —          —          31,705        0.32   
  

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted net income attributable to UHS—including Electronic Health Records (“EHR”) impact

   $ 680,528      $ 6.76      $ 577,048      $ 5.74   
  

 

 

   

 

 

   

 

 

   

 

 

 

Plus/minus impact of EHR implementation:

        

EHR-related incentive income, pre-tax

     (15,815       (27,902  

EHR-related depreciation & amortization, pre-tax

     37,224          37,273     

EHR-related minority interest in earnings of consolidated entities, pre-tax

     (3,044       (1,844  

Income tax provision on EHR-related items

     (6,846       (2,822  
  

 

 

   

 

 

   

 

 

   

 

 

 

After-tax impact of EHR-related items

     11,519        0.11        4,705        0.04   
  

 

 

   

 

 

   

 

 

   

 

 

 

Adjusted net income attributable to UHS

   $ 692,047      $ 6.87      $ 581,753      $ 5.78   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

Consolidated Statements of Comprehensive Income

(in thousands)

(unaudited)

 

     Three months     Twelve months  
     ended December 31,     ended December 31,  
     2015     2014     2015     2014  

Net income

   $ 191,317      $ 190,492      $ 750,698      $ 604,996   

Other comprehensive income (loss):

        

Unrealized derivative gains (loss) on cash flow hedges

     9,920        4,746        4,970        17,668   

Amortization of terminated hedge

     (84     (84     (336     (336

Minimum pension liability

     2,177        (14,270     2,177        (14,270

Foreign currency translation adjustment

     (1,632     75        (1,728     (2,431
  

 

 

   

 

 

   

 

 

   

 

 

 

Other comprehensive income before tax

     10,381        (9,533     5,083        631   

Income tax expense related to items of other comprehensive income

     4,510        (3,632     2,980        1,053   
  

 

 

   

 

 

   

 

 

   

 

 

 

Total other comprehensive income, net of tax

     5,871        (5,901     2,103        (422
  

 

 

   

 

 

   

 

 

   

 

 

 

Comprehensive income

     197,188        184,591        752,801        604,574   

Less: Comprehensive income attributable to noncontrolling interests

     17,568        17,695        70,170        59,653   
  

 

 

   

 

 

   

 

 

   

 

 

 

Comprehensive income attributable to UHS

   $ 179,620      $ 166,896      $ 682,631      $ 544,921   
  

 

 

   

 

 

   

 

 

   

 

 

 


Universal Health Services, Inc.

Condensed Consolidated Balance Sheets

(in thousands)

(unaudited)

 

     December 31,
2015
    December 31,
2014
 

Assets

    

Current assets:

    

Cash and cash equivalents

   $ 61,228      $ 32,069   

Accounts receivable, net

     1,302,429        1,282,735   

Supplies

     116,037        108,115   

Deferred income taxes

     135,120        114,565   

Other current assets

     103,490        77,654   
  

 

 

   

 

 

 

Total current assets

     1,718,304        1,615,138   
  

 

 

   

 

 

 

Property and equipment

     6,530,569        6,212,030   

Less: accumulated depreciation

     (2,694,591     (2,532,341
  

 

 

   

 

 

 
     3,835,978        3,679,689   
  

 

 

   

 

 

 

Other assets:

    

Goodwill

     3,596,114        3,291,213   

Deferred charges

     35,357        40,319   

Other

     448,360        348,084   
  

 

 

   

 

 

 
   $ 9,634,113      $ 8,974,443   
  

 

 

   

 

 

 

Liabilities and Stockholders’ Equity

    

Current liabilities:

    

Current maturities of long-term debt

   $ 62,722      $ 68,319   

Accounts payable and accrued liabilities

     1,033,697        1,113,062   

Federal and state taxes

     3,987        1,446   
  

 

 

   

 

 

 

Total current liabilities

     1,100,406        1,182,827   
  

 

 

   

 

 

 

Other noncurrent liabilities

     278,834        268,555   

Long-term debt

     3,387,303        3,210,215   

Deferred income taxes

     315,900        282,214   

Redeemable noncontrolling interest

     242,509        239,552   

UHS common stockholders’ equity

     4,249,647        3,735,946   

Noncontrolling interest

     59,514        55,134   
  

 

 

   

 

 

 

Total equity

     4,309,161        3,791,080   
  

 

 

   

 

 

 
   $ 9,634,113      $ 8,974,443   
  

 

 

   

 

 

 


Universal Health Services, Inc.

Consolidated Statements of Cash Flows

(in thousands)

(unaudited)

 

     Twelve months ended
December 31,
 
     2015     2014  

Cash Flows from Operating Activities:

    

Net income

   $ 750,698      $ 604,996   

Adjustments to reconcile net income to net cash provided by operating activities:

    

Depreciation & amortization

     398,618        375,624   

Gains on sales of assets and businesses, net of losses

     (3,615     (7,837

Stock-based compensation expense

     39,971        31,092   

Costs related to extinguishment of debt

     0        19,730   

Changes in assets & liabilities, net of effects from acquisitions and dispositions:

    

Accounts receivable

     (45,814     (105,708

Accrued interest

     (693     4,400   

Accrued and deferred income taxes

     (34,394     33,920   

Other working capital accounts

     (125,556     73,912   

Other assets and deferred charges

     6,631        13,667   

Other

     23,295        2,449   

Accrued insurance expense, net of commercial premiums paid

     90,895        59,276   

Payments made in settlement of self-insurance claims

     (79,138     (69,645
  

 

 

   

 

 

 

Net cash provided by operating activities

     1,020,898        1,035,876   
  

 

 

   

 

 

 

Cash Flows from Investing Activities:

    

Property and equipment additions, net of disposals

     (379,321     (391,150

Acquisition of property and businesses

     (533,655     (431,386

Proceeds received from sales of assets and businesses

     3,391        15,178   

Costs incurred for purchase and implementation of electronic health records application

     0        (13,488

Increase in insurance subsidiary investments

     (3,300     (12,000
  

 

 

   

 

 

 

Net cash used in investing activities

     (912,885     (832,846
  

 

 

   

 

 

 

Cash Flows from Financing Activities:

    

Reduction of long-term debt

     (68,166     (879,129

Additional borrowings

     234,400        830,000   

Financing costs

     (515     (14,976

Repurchase of common shares

     (209,782     (100,749

Dividends paid

     (39,532     (29,665

Issuance of common stock

     8,441        6,863   

Excess income tax benefits related to stock-based compensation

     47,364        33,912   

Profit distributions to noncontrolling interests

     (62,220     (33,680

Proceeds received from sale/leaseback of real property

     12,765        0   
  

 

 

   

 

 

 

Net cash used in financing activities

     (77,245     (187,424
  

 

 

   

 

 

 

Effect of exchange rate changes on cash and cash equivalents

     (1,609     (775
  

 

 

   

 

 

 

Increase in cash and cash equivalents

     29,159        14,831   

Cash and cash equivalents, beginning of period

     32,069        17,238   
  

 

 

   

 

 

 

Cash and cash equivalents, end of period

   $ 61,228      $ 32,069   
  

 

 

   

 

 

 

Supplemental Disclosures of Cash Flow Information:

    

Interest paid, including early redemption premium and original issue discount write-off in 2014

   $ 107,054      $ 130,279   
  

 

 

   

 

 

 

Income taxes paid, net of refunds

   $ 380,658      $ 258,612   
  

 

 

   

 

 

 

Noncash purchases of property and equipment

   $ 49,086      $ 35,469   
  

 

 

   

 

 

 


Universal Health Services, Inc.

Supplemental Statistical Information

(unaudited)

 

Same Facility:    % Change
Quarter ended
    % Change
12 months ended
 
     12/31/2015     12/31/2015  

Acute Care Hospitals

    

Revenues

     7.3     8.7

Adjusted Admissions

     4.8     5.4

Adjusted Patient Days

     3.9     5.5

Revenue Per Adjusted Admission

     3.3     3.9

Revenue Per Adjusted Patient Day

     4.2     3.7

Behavioral Health Hospitals

    

Revenues

     3.6     5.0

Adjusted Admissions

     0.2     2.9

Adjusted Patient Days

     0.7     1.2

Revenue Per Adjusted Admission

     3.1     1.8

Revenue Per Adjusted Patient Day

     2.5     3.4

 

UHS Consolidated    Fourth quarter ended     Twelve months ended  
     12/31/2015     12/31/2014     12/31/2015     12/31/2014  

Revenues

   $ 2,315,239      $ 2,176,291      $ 9,043,451      $ 8,205,088   

EBITDA (1)

     407,145        402,709        1,587,843        1,415,447   

EBITDA Margin (1)

     17.6     18.5     17.6     17.3

Cash Flow From Operations

     224,399        346,322        1,020,898        1,035,876   

Days Sales Outstanding

     52        54        53        57   

Capital Expenditures

     109,743        81,789        379,321        391,150   

Debt

         3,450,025        3,278,534   

UHS’ Shareholders Equity

         4,249,647        3,735,946   

Debt / Total Capitalization

         44.8     46.7

Debt / EBITDA (2)

         2.17        2.32   

Debt / Cash From Operations (2)

         3.38        3.16   

Acute Care EBITDAR Margin (3)

     17.2     16.8     18.5     17.9

Behavioral Health EBITDAR Margin (3)

     27.1     27.9     27.9     27.9

 

(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

December 31, 2015 and 2014

AS REPORTED:

 

     ACUTE           BEHAVIORAL HEALTH  
     12/31/15     12/31/14     % change     12/31/15     12/31/14     % change  

Hospitals owned and leased

     24        24        0.0     208        203        2.5

Average licensed beds

     5,854        5,769        1.5     21,628        20,925        3.4

Patient days

     299,524        292,009        2.6     1,473,065        1,414,337        4.2

Average daily census

     3,255.7        3,174.0        2.6     16,011.6        15,373.2        4.2

Occupancy-licensed beds

     55.6     55.0     1.1     74.0     73.5     0.7

Admissions

     65,802        63,578        3.5     108,646        106,845        1.7

Length of stay

     4.6        4.6        -0.9     13.6        13.2        2.4

Inpatient revenue

   $ 4,214,646      $ 3,725,782        13.1   $ 1,891,006      $ 1,716,120        10.2

Outpatient revenue

     2,472,740        2,063,316        19.8     215,969        203,682        6.0

Total patient revenue

     6,687,386        5,789,098        15.5     2,106,975        1,919,802        9.7

Other revenue

     94,222        88,608        6.3     49,363        50,041        -1.4

Gross hospital revenue

     6,781,608        5,877,706        15.4     2,156,338        1,969,843        9.5

Total deductions

     5,423,707        4,623,897        17.3     1,003,219        894,753        12.1

Net hospital revenue before provision for doubtful accounts

     1,357,901        1,253,809        8.3     1,153,119        1,075,090        7.3

Provision for doubtful accounts

     172,134        130,065        32.3     25,498        26,921        -5.3

Net hospital revenue

   $ 1,185,767      $ 1,123,744        5.5   $ 1,127,621      $ 1,048,169        7.6

SAME FACILITY:

 

     ACUTE           BEHAVIORAL HEALTH (1)  
     12/31/15     12/31/14     % change     12/31/15     12/31/14     % change  

Hospitals owned and leased

     24        24        0.0     198        198        0.0

Average licensed beds

     5,854        5,769        1.5     20,849        20,665        0.9

Patient days

     299,524        292,009        2.6     1,418,346        1,400,341        1.3

Average daily census

     3,255.7        3,174.0        2.6     15,416.8        15,221.1        1.3

Occupancy-licensed beds

     55.6     55.0     1.1     73.9     73.7     0.4

Admissions

     65,802        63,578        3.5     107,258        106,440        0.8

Length of stay

     4.6        4.6        -0.9     13.2        13.2        0.5

 

(1) Timberlawn of Garland, ALPHA UK, Taunton UK and the Foundations Recovery Network entities are excluded in both current and prior years.


Universal Health Services, Inc.

Selected Hospital Statistics

For the twelve months ended

December 31, 2015 and 2014

AS REPORTED:

 

     ACUTE           BEHAVIORAL HEALTH  
     12/31/15     12/31/14     % change     12/31/15     12/31/14     % change  

Hospitals owned and leased

     24        24        0.0     208        203        2.5

Average licensed beds

     5,832        5,776        1.0     21,202        20,231        4.8

Patient days

     1,218,991        1,167,726        4.4     5,835,134        5,518,660        5.7

Average daily census

     3,339.7        3,199.2        4.4     15,986.7        15,119.6        5.7

Occupancy-licensed beds

     57.3     55.4     3.4     75.4     74.7     0.9

Admissions

     261,727        251,165        4.2     447,007        426,510        4.8

Length of stay

     4.7        4.6        1.2     13.1        12.9        1.2

Inpatient revenue

   $ 16,847,944      $ 14,943,102        12.7   $ 7,456,397      $ 6,689,753        11.5

Outpatient revenue

     9,604,952        8,147,031        17.9     839,884        784,309        7.1

Total patient revenue

     26,452,896        23,090,133        14.6     8,296,281        7,474,062        11.0

Other revenue

     362,620        261,835        38.5     206,563        185,997        11.1

Gross hospital revenue

     26,815,516        23,351,968        14.8     8,502,844        7,660,059        11.0

Total deductions

     21,551,939        18,583,481        16.0     3,992,367        3,538,873        12.8

Net hospital revenue before provision for doubtful accounts

     5,263,577        4,768,487        10.4     4,510,477        4,121,186        9.4

Provision for doubtful accounts

     631,013        590,384        6.9     110,142        108,970        1.1

Net hospital revenue

   $ 4,632,564      $ 4,178,103        10.9   $ 4,400,335      $ 4,012,216        9.7

SAME FACILITY:

 

     ACUTE           BEHAVIORAL HEALTH (1)  
     12/31/15     12/31/14     % change     12/31/15     12/31/14     % change  

Hospitals owned and leased

     24        24        0.0     198        198        0.0

Average licensed beds

     5,832        5,776        1.0     20,103        19,931        0.9

Patient days

     1,218,991        1,167,726        4.4     5,557,381        5,469,817        1.6

Average daily census

     3,339.7        3,199.2        4.4     15,225.7        14,985.8        1.6

Occupancy-licensed beds

     57.3     55.4     3.4     75.7     75.2     0.7

Admissions

     261,727        251,165        4.2     439,219        425,625        3.2

Length of stay

     4.7        4.6        0.2     12.7        12.9        -1.5

 

(1) Timberlawn of Garland, ALPHA UK, Taunton UK and the Foundations Recovery Network entities are excluded in both current and prior years.