8-K
false000035291500003529152023-07-252023-07-25

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 8-K

 

CURRENT REPORT

Pursuant to Section 13 OR 15(d)

of The Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): July 25, 2023

 

UNIVERSAL HEALTH SERVICES, INC.

(Exact name of registrant as specified in its charter)

Delaware

1-10765

23-2077891

(State or other jurisdiction of

(Commission

(I.R.S. Employer

Incorporation or Organization)

File Number)

Identification No.)

UNIVERSAL CORPORATE CENTER

367 SOUTH GULPH ROAD

KING OF PRUSSIA, Pennsylvania 19406

(Address of principal executive office) (Zip Code)

Registrant’s telephone number, including area code (610) 768-3300

Not Applicable

(Former name or former address, if changed since last report)

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instructions A.2. below):

Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

Securities registered pursuant to Section 12(b) of the Act:

Title of each class

Trading Symbol(s)

Name of each exchange on which registered

Class B Common Stock

UHS

New York Stock Exchange

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§ 230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§ 240.12b-2 of this chapter).

Emerging growth company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

 

 

 


 

Item 2.02 Results of Operations and Financial Condition

On July 25, 2023, Universal Health Services, Inc. issued the press release attached hereto as Exhibit 99.1.

 

Item 9.01 Financial Statements and Exhibits

(d) Exhibits.

 

 

 

99.1

Universal Health Services, Inc., press release, dated July 25, 2023.

104

Cover Page Interactive Data File (embedded within the Inline XBRL document).

 

 

 

Exhibit Index

Exhibit No.

Exhibit

 

 

99.1

Universal Health Services, Inc., press release, dated July 25, 2023.

104

Cover Page Interactive Data File (embedded within the Inline XBRL document).

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

Universal Health Services, Inc.

 

By:

/s/ Steve Filton

Name: Steve Filton

Title: Executive Vice President and

            Chief Financial Officer

Date: July 26, 2023

 

 

 


EX-99.1

Exhibit 99.1

FOR IMMEDIATE RELEASE

July 25, 2023

 

CONTACT:

Steve Filton

 

Chief Financial Officer

 

610-768-3300

 

 

UNIVERSAL HEALTH SERVICES, INC.

ANNOUNCES 2023 SECOND QUARTER FINANCIAL RESULTS

Consolidated Results of Operations, As Reported and As Adjusted – Three-month periods ended June 30, 2023 and 2022:

KING OF PRUSSIA, PA – Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income attributable to UHS was $171.3 million, or $2.42 per diluted share, during the second quarter of 2023, as compared to $164.1 million, or $2.20 per diluted share, during the second quarter of 2022. Net revenues increased by 6.8% to $3.548 billion during the second quarter of 2023, as compared to $3.323 billion during the second quarter of 2022.

As reflected on the Schedule of Non-GAAP Supplemental Information (“Supplemental Schedule”), our adjusted net income attributable to UHS during the second quarter of 2023 was $179.4 million, or $2.53 per diluted share, as compared to $163.9 million, or $2.20 per diluted share, during the second quarter of 2022. As reflected on the Supplemental Schedule, included in our reported results was an unrealized after-tax loss of $8.1 million, or $.11 per diluted share, ($10.5 million pre-tax) during the second quarter of 2023. The unrealized loss, which is included in “Other (income) expense, net”, resulted from a decrease in the market value of certain equity securities.

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 $419.3 million during the second quarter of 2023, as compared to $384.5 million during the second quarter of 2022. Our adjusted earnings before interest, taxes, depreciation & amortization (“Adjusted EBITDA net of NCI”), which excludes the impact of other (income) expense, net, was $425.9 million during the second quarter of 2023, as compared to $382.6 million during the second quarter of 2022.

Consolidated Results of Operations, As Reported and As Adjusted – Six-month periods ended June 30, 2023 and 2022:

Reported net income attributable to UHS was $334.4 million, or $4.70 per diluted share, during the first six months of 2023, as compared to $318.0 million, or $4.22 per diluted share, during the first six months 2022. Net revenues increased by 6.0% to $7.016 billion during the first six months of 2023, as compared to $6.616 billion during the comparable period of 2022.

As reflected on the Supplemental Schedule, our adjusted net income attributable to UHS during the first six months of 2023, was $346.9 million, or $4.87 per diluted share, as compared to $327.4 million, or $4.35 per diluted share, during the six-month period ended June 30, 2022.

As reflected on the Supplemental Schedule, included in our reported results were unrealized after-tax losses of $12.5 million, or $.17 per diluted share, ($16.3 million pre-tax) during the first six months of 2023 and $9.4 million, or $.13 per diluted share, ($12.3 million pre-tax) during the first six months of 2022. These unrealized losses, which are included in “Other (income) expense, net”, resulted from decreases in the market value of certain equity securities.

As calculated on the attached Supplemental Schedule, our earnings before interest, taxes, depreciation & amortization (“EBITDA net of NCI”), was $826.6 million during the first six months of 2023, as compared to $752.9 million during the first six months of 2022. Our adjusted earnings before interest, taxes, depreciation & amortization (“Adjusted EBITDA net of NCI”), which excludes the impact of other (income) expense, net, was


$846.9 million during the first six months of 2023, as compared to $762.1 million during the comparable period of 2022.

Acute Care Services – Three and six-month periods ended June 30, 2023 and 2022:

During the second quarter of 2023, at our acute care hospitals owned during both periods (“same facility basis”), adjusted admissions (adjusted for outpatient activity) increased by 7.7% while adjusted patient days increased by 6.9%, as compared to the second quarter of 2022. At these facilities, during the second quarter of 2023, net revenue per adjusted admission increased by 1.3% while net revenue per adjusted patient day increased by 2.0%, as compared to the second quarter of 2022. Net revenues generated from our acute care services, on a same facility basis, increased by 9.7% during the second quarter of 2023, as compared to the second quarter of 2022.

During the six-month period ended June 30, 2023, at our acute care hospitals on a same facility basis, adjusted admissions increased by 9.1% while adjusted patient days increased by 5.2%, as compared to the first six months of 2022. At these facilities, during the first six months of 2023, net revenue per adjusted admission decreased by 3.3% while net revenue per adjusted patient day increased by 0.3%, as compared to the first six months of 2022. Net revenues generated from our acute care services, on a same facility basis, increased by 6.6% during the first six months of 2023, as compared to the comparable period of 2022.

Behavioral Health Care Services – Three and six-month periods ended June 30, 2023 and 2022:

During the second quarter of 2023, at our behavioral health care facilities on a same facility basis, adjusted admissions increased by 3.3% while adjusted patient days increased by 1.5%, as compared to the second quarter of 2022. At these facilities, during the second quarter of 2023, net revenue per adjusted admission increased by 4.4% and net revenue per adjusted patient day increased by 6.2%, as compared to the second quarter of 2022. Net revenues generated from our behavioral health care services, on a same facility basis, increased by 7.8% during the second quarter of 2023, as compared to the second quarter of 2022.

During the six-month period ended June 30, 2023, at our behavioral health care facilities on a same facility basis, adjusted admissions increased by 5.4% while adjusted patient days increased by 3.1%, as compared to the first six months of 2022. At these facilities, during the first six months of 2023, net revenue per adjusted admission increased by 3.3% and net revenue per adjusted patient day increased by 5.6%, as compared to the first six months of 2022. Net revenues generated from our behavioral health care services, on a same facility basis, increased by 8.7% during the first six months of 2023, as compared to the comparable period of 2022.

Net Cash Provided by Operating Activities and Liquidity:

Net Cash Provided by Operating Activities:

During the six-month period ended June 30, 2023, our net cash provided by operating activities was $654 million as compared to $478 million during the first six months of 2022. Included in the $176 million net increase in our net cash provided by operating activities was a favorable change of $119 million in other working capital accounts due primarily to the timing of disbursements for accrued compensation and accounts payable.

Liquidity:

As of June 30, 2023, we had $946 million of aggregate available borrowing capacity pursuant to our $1.2 billion revolving credit facility, net of outstanding borrowings and letters of credit.

Stock Repurchase Program:

As of December 31, 2022, we had an aggregate remaining repurchase authorization of approximately $947 million pursuant to our stock repurchase program. Pursuant to the terms of our stock repurchase program, 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.

During the second quarter of 2023, we have repurchased 758,578 shares at an aggregate cost of approximately $113.4 million (approximately $150 per share) pursuant to the program. During the first six


months of 2023, we have repurchased approximately 1.4 million shares at an aggregate cost of approximately $192.1 million (approximately $136 per share) pursuant to the program.

As of June 30, 2023, we had an aggregate available repurchase authorization of approximately $755 million.

Revised 2023 Operating Results Forecasts:

Based upon the operating trends and financial results experienced during the first six months of 2023, as indicated on the Revised Forecast table below, we are increasing the lower end of our guidance range for consolidated net revenues, earnings before interest, taxes, depreciation & amortization, and the impacts of other income/expense and net income attributable to noncontrolling interests (“Adjusted EBITDA, net of NCI”), and adjusted net income attributable to UHS per diluted share (“Adjusted EPS-diluted”) for the year ended December 31, 2023. The higher end of the 2023 guidance range for these metrics is remaining substantially unchanged.

The tables below include our revised 2023 operating results forecasts for the year ended December 31, 2023, as well as our original 2023 operating results forecast which was previously disclosed on February 27, 2023.

 

Revised Forecast

 

Original Forecast

 

For the Year Ended

 

For the Year Ended

 

December 31, 2023

 

December 31, 2023

 

Low

High

 

Low

High

Net revenues

$14.130 billion

$14.330 billion

 

$14.044 billion

$14.314 billion

Adjusted EBITDA, net of NCI

$1.696 billion

$1.756 billion

 

$1.662 billion

$1.753 billion

Adjusted EPS – diluted

$9.85 per share

$10.50 per share

 

$9.50 per share

$10.50 per share

Adjusted EPS-diluted and Adjusted EBITDA net of NCI, are non-GAAP financial measures and should be examined in connection with net income determined in accordance with GAAP as presented in the consolidated financial statements and notes thereto in this report or in our filings with the Securities and Exchange Commission including our Report on Form 10-K for the year ended December 31, 2022 and our Form 10-Q for the quarter ended March 31, 2023. Please see the schedule of Supplemental Non-GAAP Disclosures - 2023 Revised Operating Results Forecast, as included herein for additional information and a reconciliation to the financial forecasts as computed in accordance with GAAP. In addition, the 2023 revised forecasted amounts exclude the impact of certain future items, if applicable, including those as outlined 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 July 26, 2023. A live webcast of the call will be available on our website at www.uhs.com. To participate via telephone, please register in advance at this link.

Upon registration, all telephone participants will receive a confirmation email detailing how to join the conference call, including the dial-in number along with a unique passcode and registrant ID that can be used to access the call. A replay of the call will be available for one full year following the live call.

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 during 2022 were approximately $13.4 billion. UHS ranked #311 on the Fortune 500; and #434 on Forbes’ list of America’s Largest Public Companies. UHS was again recognized as one of the World’s Most Admired Companies by Fortune.

Our operating philosophy is as effective today as it was upon the Company’s founding in 1979, 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 93,800 employees and, through its subsidiaries, operates 27 inpatient acute care hospitals, 331 inpatient behavioral health facilities, 42 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 39 states, Washington, D.C., the United Kingdom and Puerto Rico. It acts as the advisor to Universal Health Realty Income Trust, a real estate investment trust (NYSE:UHT). For additional information visit www.uhs.com.

This press release contains forward-looking statements based on current management expectations. Numerous factors, including those disclosed herein, those related to the potential 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 2-Forward Looking Statements and Risk Factors in our Form 10-Q for the quarter ended March 31, 2023 and in Item 1A-Risk Factors, and Item 7-Forward-Looking Statements and Risk Factors, in our Form 10-K for the year ended December 31, 2022), 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, but not limited to:

The nationwide shortage of nurses and other clinical staff and support personnel has been a significant operating issue facing us and other healthcare providers. In some areas, the labor scarcity is putting a strain on our resources and staff, which has required us to utilize higher‑cost temporary labor and pay premiums above standard compensation for essential workers. These factors, which had a material unfavorable impact on our results of operations during 2022, could continue to have an unfavorable material impact on our results of operations for the foreseeable future.
The impact of the COVID-19 pandemic, which began in March, 2020, has had a material effect on our operations and financial results, at various times, since that time. We cannot predict if there will be future disruptions caused by the COVID‑19 pandemic.
A significant portion of our revenues are derived from federal and state government programs including the Medicare and Medicaid programs. Payments from these programs are subject to statutory and regulatory changes, administrative rulings, interpretations and determinations, requirements for utilization review, and federal and state funding restrictions. Changes to these programs, if adopted, could materially affect program payments which could materially impact our results of operations.
The increase in interest rates has substantially increased our borrowings costs and reduced our ability to access the capital markets on favorable terms. Additional increases in interest rates could have a significant unfavorable impact on our future results of operations and the resulting effect on the capital markets could adversely affect our ability to carry out our strategy.

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, changes in the market value of shares of certain equity securities and other potential material items that are nonrecurring or non-operational in nature including, but not limited to, impairments of goodwill, long-lived and intangible assets, reserves for various matters including settlements, legal judgments and lawsuits, costs related to extinguishment of debt, gains/losses on sales of assets and businesses, potential impacts of non-ordinary


acquisitions, divestitures, joint ventures or other strategic transactions, 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-Q for the quarter ended March 31, 2023 and our Report on Form 10-K for the year ended December 31, 2022. 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.

(more)

 

 


 

 

Universal Health Services, Inc.

 

Consolidated Statements of Income

 

(in thousands, except per share amounts)

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months

 

 

Six months

 

 

 

ended June 30,

 

 

ended June 30,

 

 

 

2023

 

 

2022

 

 

2023

 

 

2022

 

Net revenues

 

$

3,548,138

 

 

 

3,323,407

 

 

$

7,015,656

 

 

 

6,616,363

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating charges:

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

 

1,770,271

 

 

 

1,691,472

 

 

 

3,523,606

 

 

 

3,383,742

 

Other operating expenses

 

 

938,314

 

 

 

867,885

 

 

 

1,817,265

 

 

 

1,688,819

 

Supplies expense

 

 

380,294

 

 

 

354,993

 

 

 

760,283

 

 

 

726,066

 

Depreciation and amortization

 

 

143,744

 

 

 

143,850

 

 

 

285,365

 

 

 

287,634

 

Lease and rental expense

 

 

35,387

 

 

 

31,773

 

 

 

70,309

 

 

 

63,811

 

 

 

3,268,010

 

 

 

3,089,973

 

 

 

6,456,828

 

 

 

6,150,072

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Income from operations

 

 

280,128

 

 

 

233,434

 

 

 

558,828

 

 

 

466,291

 

Interest expense, net

 

 

48,831

 

 

 

25,676

 

 

 

99,707

 

 

 

47,349

 

Other (income) expense, net

 

 

6,602

 

 

 

(1,972

)

 

 

20,325

 

 

 

9,229

 

Income before income taxes

 

 

224,695

 

 

 

209,730

 

 

 

438,796

 

 

 

409,713

 

Provision for income taxes

 

 

55,393

 

 

 

50,949

 

 

 

107,119

 

 

 

99,911

 

Net income

 

 

169,302

 

 

 

158,781

 

 

 

331,677

 

 

 

309,802

 

Less: Net income (loss) attributable to noncontrolling interests ("NCI")

 

 

(2,011

)

 

 

(5,281

)

 

 

(2,751

)

 

 

(8,173

)

Net income attributable to UHS

 

$

171,313

 

 

$

164,062

 

 

$

334,428

 

 

$

317,975

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic earnings per share attributable to UHS (a)

 

$

2.44

 

 

$

2.22

 

 

$

4.75

 

 

$

4.27

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Diluted earnings per share attributable to UHS (a)

 

$

2.42

 

 

$

2.20

 

 

$

4.70

 

 

$

4.22

 

 

 


Universal Health Services, Inc.

 

Footnotes to Consolidated Statements of Income

 

(in thousands, except per share amounts)

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months

 

 

Six months

 

 

 

ended June 30,

 

 

ended June 30,

 

 

 

2023

 

 

2022

 

 

2023

 

 

2022

 

(a) Earnings per share calculation:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic and diluted:

 

 

 

 

 

 

 

 

 

 

 

 

Net income attributable to UHS

 

$

171,313

 

 

$

164,062

 

 

$

334,428

 

 

$

317,975

 

Less: Net income attributable to unvested restricted share grants

 

 

(61

)

 

 

(164

)

 

 

(190

)

 

 

(413

)

Net income attributable to UHS - basic and diluted

 

$

171,252

 

 

$

163,898

 

 

$

334,238

 

 

$

317,562

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average number of common shares - basic

 

 

70,073

 

 

 

73,682

 

 

 

70,304

 

 

 

74,356

 

 

 

 

 

 

 

 

 

 

 

 

 

Basic earnings per share attributable to UHS:

 

$

2.44

 

 

$

2.22

 

 

$

4.75

 

 

$

4.27

 

 

 

 

 

 

 

 

 

 

 

 

 

Weighted average number of common shares

 

 

70,073

 

 

 

73,682

 

 

 

70,304

 

 

 

74,356

 

Add: Other share equivalents

 

 

766

 

 

 

753

 

 

 

859

 

 

 

882

 

Weighted average number of common shares and equiv. - diluted

 

 

70,839

 

 

 

74,435

 

 

 

71,163

 

 

 

75,238

 

 

 

 

 

 

 

 

 

 

 

 

 

Diluted earnings per share attributable to UHS:

 

$

2.42

 

 

$

2.20

 

 

$

4.70

 

 

$

4.22

 

 

 


Universal Health Services, Inc.

 

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

 

For the Three Months ended June 30, 2023 and 2022

 

(in thousands, except per share amounts)

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Calculation of Earnings/Adjusted Earnings Before Interest, Taxes, Depreciation and Amortization ("EBITDA/Adjusted EBITDA net of NCI")

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

% Net

 

 

Three months ended

 

 

% Net

 

 

June 30, 2023

 

 

revenues

 

 

June 30, 2022

 

 

revenues

 

Net income attributable to UHS

$

171,313

 

 

 

 

 

$

164,062

 

 

 

 

   Depreciation and amortization

 

143,744

 

 

 

 

 

 

143,850

 

 

 

 

   Interest expense, net

 

48,831

 

 

 

 

 

 

25,676

 

 

 

 

   Provision for income taxes

 

55,393

 

 

 

 

 

 

50,949

 

 

 

 

EBITDA net of NCI

$

419,281

 

 

 

11.8

%

 

$

384,537

 

 

 

11.6

%

 

 

 

 

 

 

 

 

 

 

 

 

Other (income) expense, net

 

6,602

 

 

 

 

 

 

(1,972

)

 

 

 

Adjusted EBITDA net of NCI

$

425,883

 

 

 

12.0

%

 

$

382,565

 

 

 

11.5

%

 

 

 

 

 

 

 

 

 

 

 

 

Net revenues

$

3,548,138

 

 

 

 

 

$

3,323,407

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Calculation of Adjusted Net Income Attributable to UHS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

Three months ended

 

 

June 30, 2023

 

 

June 30, 2022

 

 

 

 

 

Per

 

 

 

 

 

Per

 

 

Amount

 

 

Diluted Share

 

 

Amount

 

 

Diluted Share

 

Net income attributable to UHS

$

171,313

 

 

$

2.42

 

 

$

164,062

 

 

$

2.20

 

Plus/minus after-tax adjustments:

 

 

 

 

 

 

 

 

 

 

 

Unrealized loss (gain) on equity securities

 

8,051

 

 

 

0.11

 

 

 

(153

)

 

 

-

 

Subtotal adjustments

 

8,051

 

 

 

0.11

 

 

 

(153

)

 

 

-

 

Adjusted net income attributable to UHS

$

179,364

 

 

$

2.53

 

 

$

163,909

 

 

$

2.20

 

 


Universal Health Services, Inc.

 

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

 

For the Six Months ended June 30, 2023 and 2022

 

(in thousands, except per share amounts)

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Calculation of Earnings/Adjusted Earnings Before Interest, Taxes, Depreciation and Amortization ("EBITDA/Adjusted EBITDA net of NCI")

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Six months ended

 

 

% Net

 

 

Six months ended

 

 

% Net

 

 

June 30, 2023

 

 

revenues

 

 

June 30, 2022

 

 

revenues

 

Net income attributable to UHS

$

334,428

 

 

 

 

 

$

317,975

 

 

 

 

   Depreciation and amortization

 

285,365

 

 

 

 

 

 

287,634

 

 

 

 

   Interest expense, net

 

99,707

 

 

 

 

 

 

47,349

 

 

 

 

   Provision for income taxes

 

107,119

 

 

 

 

 

 

99,911

 

 

 

 

EBITDA net of NCI

$

826,619

 

 

 

11.8

%

 

$

752,869

 

 

 

11.4

%

 

 

 

 

 

 

 

 

 

 

 

 

Other (income) expense, net

 

20,325

 

 

 

 

 

 

9,229

 

 

 

 

Adjusted EBITDA net of NCI

$

846,944

 

 

 

12.1

%

 

$

762,098

 

 

 

11.5

%

 

 

 

 

 

 

 

 

 

 

 

 

Net revenues

$

7,015,656

 

 

 

 

 

$

6,616,363

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Calculation of Adjusted Net Income Attributable to UHS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Six months ended

 

 

Six months ended

 

 

June 30, 2023

 

 

June 30, 2022

 

 

 

 

 

Per

 

 

 

 

 

Per

 

 

Amount

 

 

Diluted Share

 

 

Amount

 

 

Diluted Share

 

Net income attributable to UHS

$

334,428

 

 

$

4.70

 

 

$

317,975

 

 

$

4.22

 

Plus/minus after-tax adjustments:

 

 

 

 

 

 

 

 

 

 

 

Unrealized loss on equity securities

 

12,512

 

 

 

0.17

 

 

 

9,384

 

 

 

0.13

 

Subtotal adjustments

 

12,512

 

 

 

0.17

 

 

 

9,384

 

 

 

0.13

 

Adjusted net income attributable to UHS

$

346,940

 

 

$

4.87

 

 

$

327,359

 

 

$

4.35

 

 


Universal Health Services, Inc.

 

Condensed Consolidated Balance Sheets

 

(in thousands)

 

(unaudited)

 

 

 

 

 

 

 

 

 

 

June 30,

 

 

December 31,

 

 

 

2023

 

 

2022

 

Assets

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

Cash and cash equivalents

 

$

79,451

 

 

$

102,818

 

Accounts receivable, net

 

 

2,103,478

 

 

 

2,017,722

 

Supplies

 

 

215,380

 

 

 

218,517

 

Other current assets

 

 

226,405

 

 

 

198,283

 

Total current assets

 

 

2,624,714

 

 

 

2,537,340

 

 

 

 

 

 

 

Property and equipment

 

 

11,441,608

 

 

 

11,085,852

 

Less: accumulated depreciation

 

 

(5,413,892

)

 

 

(5,167,394

)

 

 

6,027,716

 

 

 

5,918,458

 

Other assets:

 

 

 

 

 

 

Goodwill

 

 

3,929,722

 

 

 

3,909,456

 

Deferred income taxes

 

 

109,773

 

 

 

68,397

 

Right of use assets-operating leases

 

 

446,618

 

 

 

454,650

 

Deferred charges

 

 

5,858

 

 

 

6,264

 

Other

 

 

587,908

 

 

 

599,623

 

Total Assets

 

$

13,732,309

 

 

$

13,494,188

 

 

 

 

 

 

 

Liabilities and Stockholders' Equity

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

Current maturities of long-term debt

 

$

111,357

 

 

$

81,447

 

Accounts payable and other liabilities

 

 

1,843,379

 

 

 

1,760,588

 

Operating lease liabilities

 

 

73,649

 

 

 

67,776

 

Federal and state taxes

 

 

6,962

 

 

 

4,608

 

Total current liabilities

 

 

2,035,347

 

 

 

1,914,419

 

 

 

 

 

 

 

Other noncurrent liabilities

 

 

571,206

 

 

 

487,669

 

Operating lease liabilities noncurrent

 

 

387,709

 

 

 

395,522

 

Long-term debt

 

 

4,605,075

 

 

 

4,726,533

 

 

 

 

 

 

 

Redeemable noncontrolling interest

 

 

4,213

 

 

 

4,695

 

 

 

 

 

 

 

UHS common stockholders' equity

 

 

6,087,182

 

 

 

5,920,582

 

Noncontrolling interest

 

 

41,577

 

 

 

44,768

 

Total equity

 

 

6,128,759

 

 

 

5,965,350

 

 

 

 

 

 

 

Total Liabilities and Stockholders' Equity

 

$

13,732,309

 

 

$

13,494,188

 

 

 


Universal Health Services, Inc.

 

Consolidated Statements of Cash Flows

 

(in thousands)

 

(unaudited)

 

 

Six months

 

 

ended June 30,

 

 

2023

 

 

2022

 

Cash Flows from Operating Activities:

 

 

 

 

 

Net income

$

331,677

 

 

$

309,802

 

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

 

 

 

 

 

Depreciation & amortization

 

285,365

 

 

 

287,634

 

(Gain) loss on sale of assets and businesses

 

(6,250

)

 

 

1,084

 

Stock-based compensation expense

 

43,062

 

 

 

41,640

 

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

 

 

 

 

 

Accounts receivable

 

(82,078

)

 

 

(89,729

)

Accrued interest

 

(107

)

 

 

1,329

 

Accrued and deferred income taxes

 

(32,695

)

 

 

(34,260

)

Other working capital accounts

 

20,216

 

 

 

(98,811

)

Medicare accelerated payments and deferred CARES Act and other grants

 

2,741

 

 

 

5,339

 

Other assets and deferred charges

 

32,746

 

 

 

30,278

 

Other

 

15,471

 

 

 

(15,763

)

Accrued insurance expense, net of commercial premiums paid

 

95,157

 

 

 

97,570

 

Payments made in settlement of self-insurance claims

 

(51,604

)

 

 

(58,066

)

Net cash provided by operating activities

 

653,701

 

 

 

478,047

 

Cash Flows from Investing Activities:

 

 

 

 

 

Property and equipment additions

 

(336,664

)

 

 

(407,962

)

Proceeds received from sales of assets and businesses

 

23,688

 

 

 

10,232

 

Acquisition of businesses and property

 

(3,728

)

 

 

(12,485

)

(Outflows) inflows from foreign exchange contracts that hedge our net U.K. investment

 

(31,305

)

 

 

84,535

 

Decrease in capital reserves of commercial insurance subsidiary

 

0

 

 

 

100

 

Net cash used in investing activities

 

(348,009

)

 

 

(325,580

)

Cash Flows from Financing Activities:

 

 

 

 

 

Repayments of long-term debt

 

(93,557

)

 

 

(226,854

)

Additional borrowings

 

0

 

 

 

700,000

 

Financing costs

 

(293

)

 

 

(2,387

)

Repurchase of common shares

 

(209,756

)

 

 

(565,182

)

Dividends paid

 

(28,263

)

 

 

(29,641

)

Issuance of common stock

 

6,598

 

 

 

6,661

 

Profit distributions to noncontrolling interests

 

(4,735

)

 

 

(5,323

)

Sale of ownership interests from minority members

 

407

 

 

 

(1,307

)

Net cash used in financing activities

 

(329,599

)

 

 

(124,033

)

Effect of exchange rate changes on cash, cash equivalents and restricted cash

 

2,377

 

 

 

(5,457

)

Increase (decrease) in cash, cash equivalents and restricted cash

 

(21,530

)

 

 

22,977

 

Cash, cash equivalents and restricted cash, beginning of period

 

200,837

 

 

 

178,934

 

Cash, cash equivalents and restricted cash, end of period

$

179,307

 

 

$

201,911

 

Supplemental Disclosures of Cash Flow Information:

 

 

 

 

 

Interest paid

$

97,297

 

 

$

43,796

 

Income taxes paid, net of refunds

$

133,840

 

 

$

145,448

 

Noncash purchases of property and equipment

$

100,461

 

 

$

112,420

 

 


Universal Health Services, Inc.

Supplemental Statistical Information

(unaudited)

 

 

 

 

 

 

 

 

 

 

% Change

 

% Change

Same Facility:

 

 

 

 

Three Months ended

 

Six Months ended

 

 

 

 

 

6/30/2023

 

6/30/2023

Acute Care Services

 

 

 

 

 

 

 

Revenues

 

 

 

 

9.7%

 

6.6%

Adjusted Admissions

 

 

 

 

7.7%

 

9.1%

Adjusted Patient Days

 

 

 

 

6.9%

 

5.2%

Revenue Per Adjusted Admission

 

 

 

 

1.3%

 

-3.3%

Revenue Per Adjusted Patient Day

 

 

 

 

2.0%

 

0.3%

 

 

 

 

 

 

 

 

Behavioral Health Care Services

 

 

 

 

 

 

 

Revenues

 

 

 

 

7.8%

 

8.7%

Adjusted Admissions

 

 

 

 

3.3%

 

5.4%

Adjusted Patient Days

 

 

 

 

1.5%

 

3.1%

Revenue Per Adjusted Admission

 

 

 

 

4.4%

 

3.3%

Revenue Per Adjusted Patient Day

 

 

 

 

6.2%

 

5.6%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UHS Consolidated

Second quarter ended

 

Six months ended

 

6/30/2023

 

6/30/2022

 

6/30/2023

 

6/30/2022

Revenues

$3,548,138

 

$3,323,407

 

$7,015,656

 

$6,616,363

EBITDA net of NCI

$419,281

 

$384,537

 

$826,619

 

$752,869

EBITDA Margin net of NCI

11.8%

 

11.6%

 

11.8%

 

11.4%

Adjusted EBITDA net of NCI

$425,883

 

$382,565

 

$846,944

 

$762,098

Adjusted EBITDA Margin net of NCI

12.0%

 

11.5%

 

12.1%

 

11.5%

 

 

 

 

 

 

 

Cash Flow From Operations

$362,948

 

$32,614

 

$653,701

 

$478,047

Days Sales Outstanding

54

 

50

 

54

 

50

Capital Expenditures

$167,912

 

$207,960

 

$336,664

 

$407,962

 

 

 

 

 

 

 

Debt

 

 

 

 

$4,716,432

 

$4,665,409

UHS' Shareholders Equity

 

 

 

 

$6,087,182

 

$5,814,660

Debt / Total Capitalization

 

 

 

 

43.7%

 

44.5%

Debt / EBITDA net of NCI (1)

 

 

 

 

2.83

 

2.81

Debt / Adjusted EBITDA net of NCI (1)

 

 

 

 

2.70

 

2.81

Debt / Cash From Operations (1)

 

 

 

 

4.03

 

3.76

 

 

 

 

 

 

 

 

(1) Latest 4 quarters.

 

 

 

 

 

 

 

 


Universal Health Services, Inc.

Acute Care Hospital Services

For the Three and Six Months ended

June 30, 2023 and 2022

(in thousands)

 

Same Facility Basis - Acute Care Hospital Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

Three months ended

 

 

Six months ended

 

 

Six months ended

 

 

 

June 30, 2023

 

 

June 30, 2022

 

 

June 30, 2023

 

 

June 30, 2022

 

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

Net revenues

 

$

1,953,269

 

 

 

100.0

%

 

$

1,779,801

 

 

 

100.0

%

 

$

3,842,349

 

 

 

100.0

%

 

$

3,604,498

 

 

 

100.0

%

Operating charges:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

 

828,503

 

 

 

42.4

%

 

 

799,804

 

 

 

44.9

%

 

 

1,639,056

 

 

 

42.7

%

 

 

1,611,447

 

 

 

44.7

%

Other operating expenses

 

 

548,713

 

 

 

28.1

%

 

 

469,560

 

 

 

26.4

%

 

 

1,041,113

 

 

 

27.1

%

 

 

904,030

 

 

 

25.1

%

Supplies expense

 

 

323,746

 

 

 

16.6

%

 

 

292,303

 

 

 

16.4

%

 

 

640,002

 

 

 

16.7

%

 

 

602,385

 

 

 

16.7

%

Depreciation and amortization

 

 

91,511

 

 

 

4.7

%

 

 

89,980

 

 

 

5.1

%

 

 

178,438

 

 

 

4.6

%

 

 

181,744

 

 

 

5.0

%

Lease and rental expense

 

 

23,639

 

 

 

1.2

%

 

 

20,204

 

 

 

1.1

%

 

 

47,231

 

 

 

1.2

%

 

 

40,909

 

 

 

1.1

%

Subtotal-operating expenses

 

 

1,816,112

 

 

 

93.0

%

 

 

1,671,851

 

 

 

93.9

%

 

 

3,545,840

 

 

 

92.3

%

 

 

3,340,515

 

 

 

92.7

%

Income from operations

 

 

137,157

 

 

 

7.0

%

 

 

107,950

 

 

 

6.1

%

 

 

296,509

 

 

 

7.7

%

 

 

263,983

 

 

 

7.3

%

Interest expense, net

 

 

(503

)

 

 

(0.0

)%

 

 

478

 

 

 

0.0

%

 

 

(1,080

)

 

 

(0.0

)%

 

 

1,116

 

 

 

0.0

%

Other (income) expense, net

 

 

-

 

 

 

-

 

 

 

221

 

 

 

0.0

%

 

 

6,213

 

 

 

0.2

%

 

 

422

 

 

 

0.0

%

Income before income taxes

 

$

137,660

 

 

 

7.0

%

 

$

107,251

 

 

 

6.0

%

 

$

291,376

 

 

 

7.6

%

 

$

262,445

 

 

 

7.3

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

All Acute Care Hospital Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

Three months ended

 

 

Six months ended

 

 

Six months ended

 

 

 

June 30, 2023

 

 

June 30, 2022

 

 

June 30, 2023

 

 

June 30, 2022

 

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

Net revenues

 

$

2,003,079

 

 

 

100.0

%

 

$

1,875,516

 

 

 

100.0

%

 

$

3,976,611

 

 

 

100.0

%

 

$

3,787,832

 

 

 

100.0

%

Operating charges:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

 

836,331

 

 

 

41.8

%

 

 

829,040

 

 

 

44.2

%

 

 

1,680,291

 

 

 

42.3

%

 

 

1,672,946

 

 

 

44.2

%

Other operating expenses

 

 

590,616

 

 

 

29.5

%

 

 

532,504

 

 

 

28.4

%

 

 

1,134,916

 

 

 

28.5

%

 

 

1,014,582

 

 

 

26.8

%

Supplies expense

 

 

327,650

 

 

 

16.4

%

 

 

302,728

 

 

 

16.1

%

 

 

655,710

 

 

 

16.5

%

 

 

624,155

 

 

 

16.5

%

Depreciation and amortization

 

 

94,304

 

 

 

4.7

%

 

 

95,004

 

 

 

5.1

%

 

 

187,630

 

 

 

4.7

%

 

 

189,538

 

 

 

5.0

%

Lease and rental expense

 

 

24,035

 

 

 

1.2

%

 

 

20,482

 

 

 

1.1

%

 

 

48,189

 

 

 

1.2

%

 

 

41,334

 

 

 

1.1

%

Subtotal-operating expenses

 

 

1,872,936

 

 

 

93.5

%

 

 

1,779,758

 

 

 

94.9

%

 

 

3,706,736

 

 

 

93.2

%

 

 

3,542,555

 

 

 

93.5

%

Income from operations

 

 

130,143

 

 

 

6.5

%

 

 

95,758

 

 

 

5.1

%

 

 

269,875

 

 

 

6.8

%

 

 

245,277

 

 

 

6.5

%

Interest expense, net

 

 

(503

)

 

 

(0.0

)%

 

 

478

 

 

 

0.0

%

 

 

(1,080

)

 

 

(0.0

)%

 

 

1,116

 

 

 

0.0

%

Other (income) expense, net

 

 

119

 

 

 

0.0

%

 

 

221

 

 

 

0.0

%

 

 

7,132

 

 

 

0.2

%

 

 

422

 

 

 

0.0

%

Income before income taxes

 

$

130,527

 

 

 

6.5

%

 

$

95,059

 

 

 

5.1

%

 

$

263,823

 

 

 

6.6

%

 

$

243,739

 

 

 

6.4

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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 goodwill, 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, 2022 and Form 10-Q for the quarter ended March 31, 2023.

 

The All Acute Care Hospital Services table 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 and Six Months ended

June 30, 2023 and 2022

(in thousands)

 

Same Facility - Behavioral Health Care Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

Three months ended

 

 

Six months ended

 

 

Six months ended

 

 

 

June 30, 2023

 

 

June 30, 2022

 

 

June 30, 2023

 

 

June 30, 2022

 

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

Net revenues

 

$

1,517,005

 

 

 

100.0

%

 

$

1,407,147

 

 

 

100.0

%

 

$

2,976,724

 

 

 

100.0

%

 

$

2,737,959

 

 

 

100.0

%

Operating charges:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

 

843,222

 

 

 

55.6

%

 

 

767,333

 

 

 

54.5

%

 

 

1,649,168

 

 

 

55.4

%

 

 

1,513,493

 

 

 

55.3

%

Other operating expenses

 

 

296,203

 

 

 

19.5

%

 

 

274,146

 

 

 

19.5

%

 

 

573,572

 

 

 

19.3

%

 

 

542,694

 

 

 

19.8

%

Supplies expense

 

 

53,773

 

 

 

3.5

%

 

 

52,373

 

 

 

3.7

%

 

 

106,103

 

 

 

3.6

%

 

 

101,991

 

 

 

3.7

%

Depreciation and amortization

 

 

46,554

 

 

 

3.1

%

 

 

45,280

 

 

 

3.2

%

 

 

91,555

 

 

 

3.1

%

 

 

90,762

 

 

 

3.3

%

Lease and rental expense

 

 

11,203

 

 

 

0.7

%

 

 

10,415

 

 

 

0.7

%

 

 

21,785

 

 

 

0.7

%

 

 

20,676

 

 

 

0.8

%

Subtotal-operating expenses

 

 

1,250,955

 

 

 

82.5

%

 

 

1,149,547

 

 

 

81.7

%

 

 

2,442,183

 

 

 

82.0

%

 

 

2,269,616

 

 

 

82.9

%

Income from operations

 

 

266,050

 

 

 

17.5

%

 

 

257,600

 

 

 

18.3

%

 

 

534,541

 

 

 

18.0

%

 

 

468,343

 

 

 

17.1

%

Interest expense, net

 

 

993

 

 

 

0.1

%

 

 

1,360

 

 

 

0.1

%

 

 

2,071

 

 

 

0.1

%

 

 

2,587

 

 

 

0.1

%

Other (income) expense, net

 

 

(733

)

 

 

(0.0

)%

 

 

(643

)

 

 

(0.0

)%

 

 

(1,309

)

 

 

(0.0

)%

 

 

(758

)

 

 

(0.0

)%

Income before income taxes

 

$

265,790

 

 

 

17.5

%

 

$

256,883

 

 

 

18.3

%

 

$

533,779

 

 

 

17.9

%

 

$

466,514

 

 

 

17.0

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

All Behavioral Health Care Services

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Three months ended

 

 

Three months ended

 

 

Six months ended

 

 

Six months ended

 

 

 

June 30, 2023

 

 

June 30, 2022

 

 

June 30, 2023

 

 

June 30, 2022

 

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

 

Amount

 

 

% of Net
Revenues

 

Net revenues

 

$

1,542,194

 

 

 

100.0

%

 

$

1,433,920

 

 

 

100.0

%

 

$

3,032,683

 

 

 

100.0

%

 

$

2,800,387

 

 

 

100.0

%

Operating charges:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Salaries, wages and benefits

 

 

844,308

 

 

 

54.7

%

 

 

773,966

 

 

 

54.0

%

 

 

1,654,094

 

 

 

54.5

%

 

 

1,527,852

 

 

 

54.6

%

Other operating expenses

 

 

322,518

 

 

 

20.9

%

 

 

299,782

 

 

 

20.9

%

 

 

627,750

 

 

 

20.7

%

 

 

598,249

 

 

 

21.4

%

Supplies expense

 

 

53,837

 

 

 

3.5

%

 

 

52,655

 

 

 

3.7

%

 

 

106,325

 

 

 

3.5

%

 

 

102,832

 

 

 

3.7

%

Depreciation and amortization

 

 

46,778

 

 

 

3.0

%

 

 

45,863

 

 

 

3.2

%

 

 

92,397

 

 

 

3.0

%

 

 

91,942

 

 

 

3.3

%

Lease and rental expense

 

 

11,255

 

 

 

0.7

%

 

 

10,973

 

 

 

0.8

%

 

 

21,923

 

 

 

0.7

%

 

 

21,793

 

 

 

0.8

%

Subtotal-operating expenses

 

 

1,278,696

 

 

 

82.9

%

 

 

1,183,239

 

 

 

82.5

%

 

 

2,502,489

 

 

 

82.5

%

 

 

2,342,668

 

 

 

83.7

%

Income from operations

 

 

263,498

 

 

 

17.1

%

 

 

250,681

 

 

 

17.5

%

 

 

530,194

 

 

 

17.5

%

 

 

457,719

 

 

 

16.3

%

Interest expense, net

 

 

993

 

 

 

0.1

%

 

 

1,366

 

 

 

0.1

%

 

 

2,204

 

 

 

0.1

%

 

 

2,731

 

 

 

0.1

%

Other (income) expense, net

 

 

(1,188

)

 

 

(0.1

)%

 

 

(643

)

 

 

(0.0

)%

 

 

(2,059

)

 

 

(0.1

)%

 

 

(758

)

 

 

(0.0

)%

Income before income taxes

 

$

263,693

 

 

 

17.1

%

 

$

249,958

 

 

 

17.4

%

 

$

530,049

 

 

 

17.5

%

 

$

455,746

 

 

 

16.3

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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 goodwill, 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, 2022 and Form 10-Q for the quarter ended March 31, 2023.

 

The All Behavioral Health Care Services table 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

 

June 30, 2023 and 2022

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AS REPORTED:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACUTE

 

 

BEHAVIORAL HEALTH

 

 

06/30/23

 

 

06/30/22

 

 

% change

 

 

06/30/23

 

 

06/30/22

 

 

% change

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hospitals owned and leased

 

 

27

 

 

 

28

 

 

 

-3.6

%

 

 

331

 

 

 

333

 

 

 

-0.6

%

Average licensed beds

 

 

6,624

 

 

 

6,971

 

 

 

-5.0

%

 

 

24,189

 

 

 

24,340

 

 

 

-0.6

%

Average available beds

 

 

6,452

 

 

 

6,799

 

 

 

-5.1

%

 

 

24,089

 

 

 

24,240

 

 

 

-0.6

%

Patient days

 

 

384,373

 

 

 

375,955

 

 

 

2.2

%

 

 

1,588,575

 

 

 

1,574,715

 

 

 

0.9

%

Average daily census

 

 

4,223.8

 

 

 

4,131.4

 

 

 

2.2

%

 

 

17,456.9

 

 

 

17,304.6

 

 

 

0.9

%

Occupancy-licensed beds

 

 

63.8

%

 

 

59.3

%

 

 

7.6

%

 

 

72.2

%

 

 

71.1

%

 

 

1.5

%

Occupancy-available beds

 

 

65.5

%

 

 

60.8

%

 

 

7.7

%

 

 

72.5

%

 

 

71.4

%

 

 

1.5

%

Admissions

 

 

79,100

 

 

 

76,713

 

 

 

3.1

%

 

 

119,656

 

 

 

116,627

 

 

 

2.6

%

Length of stay

 

 

4.9

 

 

 

4.9

 

 

 

-0.8

%

 

 

13.3

 

 

 

13.4

 

 

 

-0.9

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Inpatient revenue

 

$

10,960,845

 

 

$

9,706,731

 

 

 

12.9

%

 

$

2,670,370

 

 

$

2,561,553

 

 

 

4.2

%

Outpatient revenue

 

 

7,515,780

 

 

 

6,206,039

 

 

 

21.1

%

 

 

281,036

 

 

 

268,489

 

 

 

4.7

%

Total patient revenue

 

 

18,476,625

 

 

 

15,912,770

 

 

 

16.1

%

 

 

2,951,406

 

 

 

2,830,042

 

 

 

4.3

%

Other revenue

 

 

240,899

 

 

 

202,975

 

 

 

18.7

%

 

 

73,926

 

 

 

75,359

 

 

 

-1.9

%

Gross hospital revenue

 

 

18,717,524

 

 

 

16,115,745

 

 

 

16.1

%

 

 

3,025,332

 

 

 

2,905,401

 

 

 

4.1

%

Total deductions

 

 

16,714,445

 

 

 

14,240,229

 

 

 

17.4

%

 

 

1,483,138

 

 

 

1,471,481

 

 

 

0.8

%

Net hospital revenue

 

$

2,003,079

 

 

$

1,875,516

 

 

 

6.8

%

 

$

1,542,194

 

 

$

1,433,920

 

 

 

7.6

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SAME FACILITY:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACUTE

 

 

BEHAVIORAL HEALTH

 

 

 

06/30/23

 

 

06/30/22

 

 

% change

 

 

06/30/23

 

 

06/30/22

 

 

% change

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hospitals owned and leased

 

 

27

 

 

 

27

 

 

 

0.0

%

 

 

330

 

 

 

330

 

 

 

0.0

%

Average licensed beds

 

 

6,624

 

 

 

6,689

 

 

 

-1.0

%

 

 

24,063

 

 

 

23,991

 

 

 

0.3

%

Average available beds

 

 

6,452

 

 

 

6,517

 

 

 

-1.0

%

 

 

23,963

 

 

 

23,891

 

 

 

0.3

%

Patient days

 

 

384,373

 

 

 

362,044

 

 

 

6.2

%

 

 

1,578,277

 

 

 

1,559,048

 

 

 

1.2

%

Average daily census

 

 

4,223.8

 

 

 

3,978.5

 

 

 

6.2

%

 

 

17,343.7

 

 

 

17,132.4

 

 

 

1.2

%

Occupancy-licensed beds

 

 

63.8

%

 

 

59.5

%

 

 

7.2

%

 

 

72.1

%

 

 

71.4

%

 

 

0.9

%

Occupancy-available beds

 

 

65.5

%

 

 

61.0

%

 

 

7.2

%

 

 

72.4

%

 

 

71.7

%

 

 

0.9

%

Admissions

 

 

79,100

 

 

 

73,927

 

 

 

7.0

%

 

 

118,778

 

 

 

115,271

 

 

 

3.0

%

Length of stay

 

 

4.9

 

 

 

4.9

 

 

 

-0.8

%

 

 

13.3

 

 

 

13.5

 

 

 

-1.8

%

 


Universal Health Services, Inc.

 

Selected Hospital Statistics

 

For the Six Months Ended

 

June 30, 2023 and 2022

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AS REPORTED:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACUTE

 

 

BEHAVIORAL HEALTH

 

 

06/30/23

 

 

06/30/22

 

 

% change

 

 

06/30/23

 

 

06/30/22

 

 

% change

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hospitals owned and leased

 

 

27

 

 

 

28

 

 

 

-3.6

%

 

 

331

 

 

 

333

 

 

 

-0.6

%

Average licensed beds

 

 

6,711

 

 

 

6,860

 

 

 

-2.2

%

 

 

24,210

 

 

 

24,291

 

 

 

-0.3

%

Average available beds

 

 

6,539

 

 

 

6,688

 

 

 

-2.2

%

 

 

24,110

 

 

 

24,191

 

 

 

-0.3

%

Patient days

 

 

788,626

 

 

 

781,907

 

 

 

0.9

%

 

 

3,161,147

 

 

 

3,081,066

 

 

 

2.6

%

Average daily census

 

 

4,357.0

 

 

 

4,319.9

 

 

 

0.9

%

 

 

17,464.9

 

 

 

17,022.5

 

 

 

2.6

%

Occupancy-licensed beds

 

 

64.9

%

 

 

63.0

%

 

 

3.1

%

 

 

72.1

%

 

 

70.1

%

 

 

2.9

%

Occupancy-available beds

 

 

66.6

%

 

 

64.6

%

 

 

3.2

%

 

 

72.4

%

 

 

70.4

%

 

 

2.9

%

Admissions

 

 

159,226

 

 

 

152,002

 

 

 

4.8

%

 

 

240,216

 

 

 

229,060

 

 

 

4.9

%

Length of stay

 

 

5.0

 

 

 

5.1

 

 

 

-3.7

%

 

 

13.2

 

 

 

13.5

 

 

 

-2.2

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Inpatient revenue

 

$

22,362,336

 

 

$

19,945,962

 

 

 

12.1

%

 

$

5,298,360

 

 

$

4,998,027

 

 

 

6.0

%

Outpatient revenue

 

 

14,811,896

 

 

 

11,981,578

 

 

 

23.6

%

 

 

553,407

 

 

 

525,602

 

 

 

5.3

%

Total patient revenue

 

 

37,174,232

 

 

 

31,927,540

 

 

 

16.4

%

 

 

5,851,767

 

 

 

5,523,629

 

 

 

5.9

%

Other revenue

 

 

462,892

 

 

 

387,456

 

 

 

19.5

%

 

 

139,244

 

 

 

142,056

 

 

 

-2.0

%

Gross hospital revenue

 

 

37,637,124

 

 

 

32,314,996

 

 

 

16.5

%

 

 

5,991,011

 

 

 

5,665,685

 

 

 

5.7

%

Total deductions

 

 

33,660,513

 

 

 

28,527,164

 

 

 

18.0

%

 

 

2,958,328

 

 

 

2,865,298

 

 

 

3.2

%

Net hospital revenue

 

$

3,976,611

 

 

$

3,787,832

 

 

 

5.0

%

 

$

3,032,683

 

 

$

2,800,387

 

 

 

8.3

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SAME FACILITY:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACUTE

 

 

BEHAVIORAL HEALTH

 

 

 

06/30/23

 

 

06/30/22

 

 

% change

 

 

06/30/23

 

 

06/30/22

 

 

% change

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hospitals owned and leased

 

 

27

 

 

 

27

 

 

 

0.0

%

 

 

330

 

 

 

330

 

 

 

0.0

%

Average licensed beds

 

 

6,538

 

 

 

6,578

 

 

 

-0.6

%

 

 

24,024

 

 

 

23,939

 

 

 

0.4

%

Average available beds

 

 

6,366

 

 

 

6,406

 

 

 

-0.6

%

 

 

23,924

 

 

 

23,839

 

 

 

0.4

%

Patient days

 

 

776,943

 

 

 

752,308

 

 

 

3.3

%

 

 

3,136,187

 

 

 

3,047,895

 

 

 

2.9

%

Average daily census

 

 

4,292.5

 

 

 

4,156.4

 

 

 

3.3

%

 

 

17,327.0

 

 

 

16,839.2

 

 

 

2.9

%

Occupancy-licensed beds

 

 

65.7

%

 

 

63.2

%

 

 

3.9

%

 

 

72.1

%

 

 

70.3

%

 

 

2.5

%

Occupancy-available beds

 

 

67.4

%

 

 

64.9

%

 

 

3.9

%

 

 

72.4

%

 

 

70.6

%

 

 

2.5

%

Admissions

 

 

156,837

 

 

 

146,434

 

 

 

7.1

%

 

 

237,799

 

 

 

226,006

 

 

 

5.2

%

Length of stay

 

 

5.0

 

 

 

5.1

 

 

 

-3.6

%

 

 

13.2

 

 

 

13.5

 

 

 

-2.2

%

 


Universal Health Services, Inc.

Supplemental Non-GAAP Disclosures

2023 Revised Operating Results Forecast

(in thousands, except per share amounts)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Forecast For The Year Ending December 31, 2023

 

 

 

 

 

 

 

% Net

 

 

 

 

 

% Net

 

 

 

 

 

Low

 

 

revenues

 

 

High

 

 

revenues

 

 

Net revenues

 

 

$

14,130,000

 

 

 

 

 

$

14,330,000

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Adjusted net income attributable to UHS (a)

$

693,483

 

 

 

 

 

$

739,143

 

 

 

 

 

 Depreciation and amortization

 

 

 

584,725

 

 

 

 

 

 

584,725

 

 

 

 

 

 Interest expense

 

 

 

198,996

 

 

 

 

 

 

198,996

 

 

 

 

 

 Other (income) expense, net

 

 

 

1,353

 

 

 

 

 

 

1,353

 

 

 

 

 

 Provision for income taxes

 

 

 

217,796

 

 

 

 

 

 

232,136

 

 

 

 

 

Adjusted EBITDA net of NCI (b)

$

1,696,353

 

 

 

12.0

%

 

$

1,756,353

 

 

 

12.3

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Adjusted net income attributable to UHS, per diluted share (a)

$

9.85

 

 

 

 

 

$

10.50

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Shares used in computing diluted earnings per share

 

70,332

 

 

 

 

 

 

70,332

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(a) Adjusted net income attributable to UHS/per diluted share are non-GAAP financial measures. The 2023 forecasted amounts exclude the impact of future items, if applicable, that are nonrecurring or non-operational in nature including items such as pre-tax unrealized gains/losses resulting from changes in the market value of shares of certain equity securities, and other potential material items including, but not limited to, reserves for various matters including settlements, legal judgments and lawsuits, potential impacts of non-ordinary course acquisitions, divestitures, joint ventures or other strategic transactions, costs related to extinguishment of debt, gains/losses on sales of assets and businesses, impairments of goodwill, long-lived and intangible assets, other amounts that may be reflected in the current financial statements that relate to prior periods, and the impact of share repurchases that differ from our forecasted assumptions. It is also subject to certain conditions including those as set forth in General Information, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(b) Adjusted EBITDA net of NCI is a non-GAAP financial measure. To obtain a complete understanding of our financial performance, Adjusted EBITDA net of NCI should be examined in connection with net income determined in accordance with GAAP as presented in the consolidated financial statements and notes thereto in this report or in our filings with the Securities and Exchange Commission including our Report on Form 10-K for the year ended December 31, 2022 and our Report Form 10-Q for the quarter ended March 31, 2023.