8-K
UNIVERSAL HEALTH SERVICES INC (UHS)
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): October 21, 2022
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 October 25, 2022, Universal Health Services, Inc. issued the press release attached hereto as Exhibit 99.1.
| Item 5.02 | Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers. |
|---|
Departure and Compensatory Arrangements of a Certain Officer
(b) (e)On October 21, 2022, Marvin G. Pember, Executive Vice President of the Company and President, Acute Care, who has been with the Company since 2011, informed us of his intention to retire from his position after a transition period following the commencement of employment of Edward H. Sim, as described below. A compensatory arrangement with Mr. Pember is currently being discussed.
Item 8.01 Other Events.
The Company also announced that Mr. Sim has been appointed to the role of Executive Vice President of the Company and President, Acute Care, with a planned commencement date of December 5, 2022. Mr. Sim most recently served as Chief Operating Officer at Centura Health where he led the system’s three operating groups, clinical delivery and shared services with annual revenues of approximately $5 billion. Prior to joining Centura Health, Mr. Sim served in senior leadership roles of increasing responsibility for 11 years at Baptist Health in Jacksonville, Florida.
A copy of the Company’s press release is furnished as Exhibit 99.2 to this Current Report on Form 8-K.
Item 9.01 Financial Statements and Exhibits
(d) Exhibits.
| 99.1 | Universal Health Services, Inc., press release (earnings), dated October 25, 2022. |
|---|---|
| 99.2 | Universal Health Services, Inc., press release, dated October 25, 2022. |
| 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 (earnings), dated October 25, 2022. |
| 99.2 | Universal Health Services, Inc., press release, dated October 25, 2022. |
| 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<br><br><br>Chief Financial Officer |
Date: October 25, 2022
uhs-ex991_6.htm
Exhibit 99.1
FOR IMMEDIATE RELEASE
October 25, 2022
| CONTACT: | Steve Filton |
|---|---|
| Chief Financial Officer | |
| 610-768-3300 |
UNIVERSAL HEALTH SERVICES, INC.
REPORTS 2022 THIRD QUARTER FINANCIAL RESULTS
Consolidated Results of Operations, As Reported and As Adjusted – Three-month periods ended September 30, 2022 and 2021:
KING OF PRUSSIA, PA – Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income attributable to UHS was $182.8 million, or $2.50 per diluted share, during the third quarter of 2022, as compared to $218.4 million, or $2.60 per diluted share, during the third quarter of 2021. Net revenues increased by 5.7% to $3.336 billion during the third quarter of 2022 as compared to $3.156 billion during the third quarter of 2021.
As reflected on the Schedule of Non-GAAP Supplemental Information (“Supplemental Schedule”), our adjusted net income attributable to UHS during the third quarter of 2022 was $185.8 million, or $2.54 per diluted share, as compared to $224.1 million, or $2.67 per diluted share, during the third quarter of 2021.
Included in our reported and adjusted net income attributable to UHS during the three and nine-month periods ended September 30, 2022 was an aggregate of $25.3 million in Quality Incentive Fund (“QIF”) payments, applicable to the period of September 1, 2020 to August 31, 2021, recorded by certain of our acute care hospitals located in Texas in connection with the state’s Uniform Hospital Rate Increase Program (“UHRIP”) program. This revenue was earned pursuant to contract terms with various Medicaid managed care plans which requires the annual payout of QIF funds when a managed care service delivery area’s actual claims based UHRIP payments are less than targeted UHRIP payments for a specific rate year. We anticipate that these hospitals may be entitled to an additional $5 million of QIF revenue during the fourth quarter of 2022, increasing the 2022 aggregate to approximately $30 million. We also anticipate that these hospitals may be entitled to a comparable amount of aggregate QIF revenue during 2023.
As reflected on the Supplemental Schedule, included in our reported results during the third quarter of 2022, was an unfavorable after-tax unrealized loss of $3.0 million, or $.04 per diluted share, ($3.9 million pre-tax which is included in “Other (income) expense, net”), resulting from a decrease in the market value of certain equity securities.
As reflected on the Supplemental Schedule, included in our reported results during the third quarter of 2021, was a net aggregate unfavorable after-tax impact of $5.8 million, or $.07 per diluted share, consisting primarily of the following: (i) an after-tax charge of $12.9 million, or $.15 per diluted share, ($16.8 million pre-tax which is included in “Other (income) expense, net”) recorded in connection with costs related to extinguishment of debt, partially offset by; (ii) an after-tax unrealized gain of $6.8 million, or $.08 per diluted share, ($8.9 million pre-tax which is included in “Other (income) expense, net”), resulting from an increase in the market value of shares 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 $421.7 million during the third quarter of 2022, as compared to $441.5 million during the third quarter of 2021. Our adjusted earnings before interest, taxes, depreciation & amortization (“Adjusted EBITDA net of NCI”), which excludes the impact of other (income) expense, net, was $427.8 million during the third quarter of 2022, as compared to $448.2 million during the third quarter of 2021.
Consolidated Results of Operations, As Reported and As Adjusted – Nine-month periods ended September 30, 2022 and 2021:
Reported net income attributable to UHS was $500.8 million, or $6.71 per diluted share, during the first nine months 2022, as compared to $752.5 million, or $8.83 per diluted share, during the first nine months of 2021. Net revenues increased by 6.3% to $9.952 billion during the first nine months of 2022 as compared to $9.367 billion during the comparable period of 2021.
Included in our reported and adjusted net income attributable to UHS during the nine-month period ended September 30, 2021 was a net favorable after-tax impact of approximately $31.2 million, or $.37 per diluted share, from the following: (i) a favorable after-tax impact of $47.7 million, or $.56 per diluted share, resulting from approximately $62 million of revenues recorded during the second and third quarters of 2021 ($55 million and $7 million, respectively) in connection with the Kentucky Medicaid managed care hospital rate increase program (covering the period of July 1, 2020 to June 30, 2021); (ii) an unfavorable after-tax impact of approximately $31.0 million, or $.36 per diluted share, resulting from a $41 million increase to our reserves for self-insured professional and general liability claims recorded during the second and third quarters of 2021 ($36 million and $5 million, respectively); (iii) an aggregate favorable after-tax impact of $22.1 million, or $.26 per diluted share, resulting from aggregate commercial insurance proceeds of approximately $29 million recorded during the second and third quarters of 2021 ($19 million and $10 million, respectively) in connection with a previously incurred information technology incident and the COVID-19 pandemic, and; (iv) an estimated unfavorable after-tax impact of approximately $7.6 million (approximately $10 million pre-tax), or $.09 per diluted share, resulting from damage sustained from Hurricane Ida during the third quarter of 2021.
As reflected on the Supplemental Schedule, our adjusted net income attributable to UHS during the nine-month period ended September 30, 2022 was $513.1 million, or $6.88 per diluted share, as compared to $756.6 million, or $8.88 per diluted share, during the nine-month period ended September 30, 2021.
As reflected on the Supplemental Schedule, included in our reported results during the first nine months of 2022, was an unfavorable after-tax unrealized loss of $12.4 million, or $.17 per diluted share, ($16.1 million pre-tax which is included in “Other (income) expense, net”), resulting from a decrease in the market value of certain equity securities.
As reflected on the Supplemental Schedule, included in our reported results during the nine-month period ended September 30, 2021, was a net aggregate unfavorable after-tax impact of $4.1 million, or $.05 per diluted share, consisting of the following: (i) an after-tax charge of $12.9 million, or $.15 per diluted share, ($16.8 million pre-tax which is included in “Other (income) expense, net”) recorded in connection with costs related to extinguishment of debt, partially offset by; (ii) an after-tax unrealized gain of $6.3 million, or $.07 per diluted share, ($8.2 million pre-tax which is included in “Other (income) expense, net”) resulting from an increase in the market value of shares of certain equity securities, and; (iii) a favorable after-tax impact of $2.5 million, or $.03 per diluted share, resulting from ASU 2016-09 “Compensation – Stock Compensation (Topic 718): Improvements to Employee Share-Based Payment Accounting” (“ASU 2016-09”).
As calculated on the attached Supplemental Schedule, our EBITDA net of NCI was $1.175 billion during the first nine months of 2022, as compared to $1.450 billion during the first nine months of 2021. Our Adjusted EBITDA net of NCI was $1.190 billion during the first nine months of 2022, as compared to $1.448 billion during the first nine months of 2021.
Acute Care Services – Three and nine-month periods ended September 30, 2022 and 2021:
During the third quarter of 2022, at our acute care hospitals owned during both periods (“same facility basis”), adjusted admissions (adjusted for outpatient activity) increased by 1.9% while adjusted patient days decreased by 5.0%, as compared to the third quarter of 2021. At these facilities, during the third quarter of 2022, net revenue per adjusted admission decreased by 2.5% while net revenue per adjusted patient day increased 4.5%, as compared to the third quarter of 2021. Net revenues generated from our acute care services on a same facility basis increased by 0.9% during the third quarter of 2022, as compared to the third quarter of 2021.
During the nine-month period ended September 30, 2022, at our acute care hospitals on a same facility basis, adjusted admissions increased by 2.2% while adjusted patient days increased by 0.6%, as compared to the comparable nine-month period of 2021. At these facilities, during the first nine months of 2022, net revenue per adjusted admission increased by 1.0% while net revenue per adjusted patient day increased by 2.6%, as compared to the comparable nine-month period of 2021. Net revenues generated from our acute care services
on a same facility basis increased by 4.6% during the first nine months of 2022, as compared to the comparable nine-month period of 2021.
Behavioral Health Care Services – Three and nine-month periods ended September 30, 2022 and 2021:
During the third quarter of 2022, at our behavioral health care facilities on a same facility basis, adjusted admissions increased by 4.0% while adjusted patient days increased by 3.3%, as compared to the third quarter of 2021. At these facilities, during the third quarter of 2022, net revenue per adjusted admission increased by 4.2% and net revenue per adjusted patient day increased by 5.0%, as compared to the third quarter of 2021. Net revenues generated from our behavioral health care services increased by 8.4% during the third quarter of 2022, as compared to the third quarter of 2021.
During the nine-month period ended September 30, 2022, at our behavioral health care facilities on a same facility basis, adjusted admissions increased by 0.6% while adjusted patient days increased by 0.9%, as compared to the comparable nine-month period of 2021. At these facilities, during the first nine months of 2022, net revenue per adjusted admission increased by 4.2% and net revenue per adjusted patient day increased by 3.9%, as compared to the comparable nine-month period of 2021. Net revenues generated from our behavioral health care services increased by 4.1% during the first nine months of 2022, as compared to the comparable period of 2021.
COVID-19 and Staffing Shortage
The impact of the COVID-19 pandemic, which began during the second half of March, 2020, has had a material effect on our operations and financial results since that time. The length and extent of the disruptions caused by the COVID‑19 pandemic are currently unknown; however, we expect such disruptions to continue into the future. Since the future volumes and severity of COVID-19 patients remain highly uncertain and subject to change, including potential increases in future COVID-19 patient volumes caused by new variants of the virus, as well as related pressures on staffing and wage rates, we are not able to fully quantify the impact that these factors will have on our future financial results. However, future developments related to the COVID-19 pandemic could continue to materially affect our financial performance.
The nationwide shortage of nurses and other clinical staff and support personnel has been a significant operating issue facing us and other healthcare providers. Like others in the healthcare industry, we continue to experience a shortage of nurses and other clinical staff and support personnel at our acute care and behavioral health care hospitals in many geographic areas. 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. This staffing shortage has required us to hire expensive temporary personnel and/or enhance wages and benefits to recruit and retain nurses and other clinical staff and support personnel. At certain facilities, particularly within our behavioral health care segment, we have been unable to fill all vacant positions and, consequently, have been required to limit patient volumes. These factors, which had a material unfavorable impact on our results of operations during the first nine months of 2022, are expected to continue to have an unfavorable material impact on our results of operations for the foreseeable future.
However, as previously disclosed on June 30, 2022, our revised operating results forecast for the balance of 2022 assumed that staffing vacancies and the corresponding premium pay expenditures continue to sequentially decline in the second half of the year and that non-COVID patient volumes will incrementally improve, although both at a slower pace than our original forecast anticipated. We believe these assumptions will be bolstered by our continuing recruitment and retention initiatives, by changes to our historical patient care models, by other cost cutting measures and by aggressive contractual negotiations and renegotiations with our managed care payers.
Net Cash Provided by Operating Activities and Liquidity:
Net Cash Provided by Operating Activities:
During the nine-month period ended September 30, 2022, our net cash provided by operating activities was $699 million as compared to $562 million during the comparable nine-month period of 2021. The $137 million net increase in our net cash provided by operating activities during the first nine months of 2022, as compared to the first nine months of 2021, was due to: (i) a favorable change of $695 million resulting from the
early return of Medicare accelerated payments which were received during 2020 and repaid during the first quarter of 2021, partially offset by; (ii) an unfavorable change of $245 million resulting from a decrease in net income plus depreciation and amortization expense, stock-based compensation expense, gain/loss on sales of assets and businesses, costs related to extinguishment of debt and provision for asset impairment; (iii) an unfavorable change of $227 million from other working capital accounts due primarily to the timing of disbursements for accrued compensation; (iv) an unfavorable change of $126 million in accounts receivable, and; (v) $40 million of other combined net favorable changes.
Liquidity:
As of September 30, 2022, we had $1.007 billion 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, 2021, we had an aggregate remaining repurchase authorization of approximately $358 million pursuant to our stock repurchase program. In February of 2022, our Board of Directors authorized a $1.4 billion increase to the program. As of September 30, 2022, we had an aggregate available repurchase authorization of $1.05 billion.
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 third quarter of 2022, we have repurchased approximately 1.60 million shares at an aggregate cost of approximately $157.9 million (approximately $99 per share) pursuant to the program. During the first nine months of 2022, we have repurchased approximately 5.85 million shares at an aggregate cost of approximately $703.7 million (approximately $120 per share) pursuant to the program.
Conference call information:
We will hold a conference call for investors and analysts at 9:00 a.m. eastern time on October 26, 2022. A live webcast of the call will be available on our website at www.uhs.com. To participate via telephone, please register in advance by accessing 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 2021 were approximately $12.6 billion. In 2022, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; ranked #297 on the Fortune 500; and in 2021, ranked #307 on Forbes’ list of America’s Largest Public Companies.
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 over 89,000 employees and through its subsidiaries operates 28 acute care hospitals, 331 behavioral health facilities, 41 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 39 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. It acts as the advisor to Universal Health Realty Income Trust, a real estate investment trust (NYSE:UHT). For additional information 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 anticipated impact of COVID-19 on our operations and financial results, those related to healthcare industry trends and those detailed in our filings with the Securities and Exchange Commission (as set forth in Item 2-Forward Looking Statements and Risk Factors in our Form 10-Q for the quarter ended June 30, 2022 and 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, 2021), may cause the results to differ materially from those anticipated in the forward-looking statements. These statements are subject to risks and uncertainties and therefore actual results may differ materially. Readers should not place undue reliance on such forward-looking statements which reflect management’s view only as of the date hereof. We undertake no obligation to revise or update any forward-looking statements, or to make any other forward-looking statements, whether as a result of new information, future events or otherwise.
Many of the factors that could affect our future results are beyond our control or ability to predict, including the impact of the COVID-19 pandemic. Our future operations and financial results will likely be materially unfavorably impacted by developments related to COVID-19 including, but not limited to, the potential impact on future COVID-19 patient volumes resulting from new variants of the virus, the length of time and severity of the spread of the pandemic; the volume of cancelled or rescheduled elective procedures and the volume of COVID-19 patients treated at our hospitals and other healthcare facilities; measures we are taking to respond to the COVID-19 pandemic; the impact of government and administrative regulation and stimulus on the hospital industry and potential retrospective adjustment in future periods of CARES Act and other grant income revenues recorded as revenues in prior periods; declining patient volumes and unfavorable changes in payer mix caused by deteriorating macroeconomic conditions (including increases in uninsured and underinsured patients as the result of business closings and layoffs); potential disruptions to our clinical staffing and shortages and disruptions related to supplies required for our employees and patients; potential increases to expenses and other costs related to staffing, supply chain, construction and medical equipment costs and other expenditures resulting from inflation; the impact of our substantial indebtedness and the ability to refinance such indebtedness on acceptable terms, as well as risks associated with disruptions in the financial markets and the business of financial institutions as the result of the COVID-19 pandemic which could impact us from a financing perspective; and changes in general economic conditions nationally and regionally in our markets resulting from the COVID-19 pandemic. In addition, please see the disclosure above in COVID-19 and Staffing Shortage, in connection with the nationwide shortage of nurses and other clinical staff and support personnel which has had, and is expected to continue to have, a material unfavorable impact on our results of operations.
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 and 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, 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 June 30, 2022 and our Report on Form 10-K for the year ended December 31, 2021. 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.
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| Universal Health Services, Inc. | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Consolidated Statements of Income | ||||||||||||
| (in thousands, except per share amounts) | ||||||||||||
| (unaudited) | ||||||||||||
| Three months | Nine months | |||||||||||
| ended September 30, | ended September 30, | |||||||||||
| 2022 | 2021 | 2022 | 2021 | |||||||||
| Net revenues | $ | 3,336,027 | 3,155,999 | $ | 9,952,390 | 9,366,866 | ||||||
| Operating charges: | ||||||||||||
| Salaries, wages and benefits | 1,677,431 | 1,556,448 | 5,061,173 | 4,542,156 | ||||||||
| Other operating expenses | 837,241 | 754,072 | 2,526,060 | 2,233,590 | ||||||||
| Supplies expense | 366,337 | 367,834 | 1,092,403 | 1,052,977 | ||||||||
| Depreciation and amortization | 145,874 | 134,462 | 433,508 | 399,850 | ||||||||
| Lease and rental expense | 33,264 | 28,375 | 97,075 | 88,848 | ||||||||
| 3,060,147 | 2,841,191 | 9,210,219 | 8,317,421 | |||||||||
| Income from operations | 275,880 | 314,808 | 742,171 | 1,049,445 | ||||||||
| Interest expense, net | 35,653 | 21,199 | 83,002 | 64,455 | ||||||||
| Other (income) expense, net | 6,015 | 6,719 | 15,244 | (1,575 | ) | |||||||
| Income before income taxes | 234,212 | 286,890 | 643,925 | 986,565 | ||||||||
| Provision for income taxes | 57,401 | 67,515 | 157,312 | 232,844 | ||||||||
| Net income | 176,811 | 219,375 | 486,613 | 753,721 | ||||||||
| Less: Net income (loss) attributable to noncontrolling interests ("NCI") | (6,003 | ) | 1,024 | (14,176 | ) | 1,255 | ||||||
| Net income attributable to UHS | $ | 182,814 | $ | 218,351 | $ | 500,789 | $ | 752,466 | ||||
| Basic earnings per share attributable to UHS (a) | $ | 2.52 | $ | 2.65 | $ | 6.78 | $ | 8.96 | ||||
| Diluted earnings per share attributable to UHS (a) | $ | 2.50 | $ | 2.60 | $ | 6.71 | $ | 8.83 | ||||
| Universal Health Services, Inc. | ||||||||||||
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| Footnotes to Consolidated Statements of Income | ||||||||||||
| (in thousands, except per share amounts) | ||||||||||||
| (unaudited) | ||||||||||||
| Three months | Nine months | |||||||||||
| ended September 30, | ended September 30, | |||||||||||
| 2022 | 2021 | 2022 | 2021 | |||||||||
| (a) Earnings per share calculation: | ||||||||||||
| Basic and diluted: | ||||||||||||
| Net income attributable to UHS | $ | 182,814 | $ | 218,351 | $ | 500,789 | $ | 752,466 | ||||
| Less: Net income attributable to unvested restricted share grants | (179 | ) | (396 | ) | (592 | ) | (1,609 | ) | ||||
| Net income attributable to UHS - basic and diluted | $ | 182,635 | $ | 217,955 | $ | 500,197 | $ | 750,857 | ||||
| Weighted average number of common shares - basic | 72,595 | 82,262 | 73,769 | 83,756 | ||||||||
| Basic earnings per share attributable to UHS: | $ | 2.52 | $ | 2.65 | $ | 6.78 | $ | 8.96 | ||||
| Weighted average number of common shares | 72,595 | 82,262 | 73,769 | 83,756 | ||||||||
| Add: Other share equivalents | 465 | 1,411 | 743 | 1,275 | ||||||||
| Weighted average number of common shares and equiv. - diluted | 73,060 | 83,673 | 74,512 | 85,031 | ||||||||
| Diluted earnings per share attributable to UHS: | $ | 2.50 | $ | 2.60 | $ | 6.71 | $ | 8.83 | ||||
| Universal Health Services, Inc. | ||||||||||||
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | |
| Schedule of Non-GAAP Supplemental Information ("Supplemental Schedule") | ||||||||||||
| For the Three Months ended September 30, 2022 and 2021 | ||||||||||||
| (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 | |||||||||
| September 30, 2022 | revenues | September 30, 2021 | revenues | |||||||||
| Net income attributable to UHS | $ | 182,814 | $ | 218,351 | ||||||||
| Depreciation and amortization | 145,874 | 134,462 | ||||||||||
| Interest expense, net | 35,653 | 21,199 | ||||||||||
| Provision for income taxes | 57,401 | 67,515 | ||||||||||
| EBITDA net of NCI | $ | 421,742 | 12.6 | % | $ | 441,527 | 14.0 | % | ||||
| Other (income) expense, net | 6,015 | 6,719 | ||||||||||
| Adjusted EBITDA net of NCI | $ | 427,757 | 12.8 | % | $ | 448,246 | 14.2 | % | ||||
| Net revenues | $ | 3,336,027 | $ | 3,155,999 | ||||||||
| Calculation of Adjusted Net Income Attributable to UHS | ||||||||||||
| Three months ended | Three months ended | |||||||||||
| September 30, 2022 | September 30, 2021 | |||||||||||
| Per | Per | |||||||||||
| Amount | Diluted Share | Amount | Diluted Share | |||||||||
| Net income attributable to UHS | $ | 182,814 | $ | 2.50 | $ | 218,351 | $ | 2.60 | ||||
| Plus/minus after-tax adjustments: | ||||||||||||
| Unrealized (gain) loss on equity securities | 2,974 | 0.04 | (6,785 | ) | (0.08 | ) | ||||||
| Debt extinguishment costs | - | - | 12,884 | 0.15 | ||||||||
| Impact of ASU 2016-09 | - | - | (323 | ) | - | |||||||
| Subtotal adjustments | 2,974 | 0.04 | 5,776 | 0.07 | ||||||||
| Adjusted net income attributable to UHS | $ | 185,788 | $ | 2.54 | $ | 224,127 | $ | 2.67 | ||||
| Universal Health Services, Inc. | ||||||||||||
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | |
| Schedule of Non-GAAP Supplemental Information ("Supplemental Schedule") | ||||||||||||
| For the Nine Months ended September 30, 2022 and 2021 | ||||||||||||
| (in thousands, except per share amounts) | ||||||||||||
| (unaudited) | ||||||||||||
| Calculation of Earnings/Adjusted Earnings Before Interest, Taxes, Depreciation and Amortization ("EBITDA/Adjusted EBITDA net of NCI") | ||||||||||||
| Nine months ended | % Net | Nine months ended | % Net | |||||||||
| September 30, 2022 | revenues | September 30, 2021 | revenues | |||||||||
| Net income attributable to UHS | $ | 500,789 | $ | 752,466 | ||||||||
| Depreciation and amortization | 433,508 | 399,850 | ||||||||||
| Interest expense, net | 83,002 | 64,455 | ||||||||||
| Provision for income taxes | 157,312 | 232,844 | ||||||||||
| EBITDA net of NCI | $ | 1,174,611 | 11.8 | % | $ | 1,449,615 | 15.5 | % | ||||
| Other (income) expense, net | 15,244 | (1,575 | ) | |||||||||
| Adjusted EBITDA net of NCI | $ | 1,189,855 | 12.0 | % | $ | 1,448,040 | 15.5 | % | ||||
| Net revenues | $ | 9,952,390 | $ | 9,366,866 | ||||||||
| Calculation of Adjusted Net Income Attributable to UHS | ||||||||||||
| Nine months ended | Nine months ended | |||||||||||
| September 30, 2022 | September 30, 2021 | |||||||||||
| Per | Per | |||||||||||
| Amount | Diluted Share | Amount | Diluted Share | |||||||||
| Net income attributable to UHS | $ | 500,789 | $ | 6.71 | $ | 752,466 | $ | 8.83 | ||||
| Plus/minus after-tax adjustments: | ||||||||||||
| Unrealized (gain) loss on equity securities | 12,358 | 0.17 | (6,255 | ) | (0.07 | ) | ||||||
| Debt extinguishment costs | - | - | 12,884 | 0.15 | ||||||||
| Impact of ASU 2016-09 | - | - | (2,522 | ) | (0.03 | ) | ||||||
| Subtotal adjustments | 12,358 | 0.17 | 4,107 | 0.05 | ||||||||
| Adjusted net income attributable to UHS | $ | 513,147 | $ | 6.88 | $ | 756,573 | $ | 8.88 | ||||
| Universal Health Services, Inc. | ||||||||||||
| --- | --- | --- | --- | --- | --- | --- | ||||||
| Condensed Consolidated Balance Sheets | ||||||||||||
| (in thousands) | ||||||||||||
| (unaudited) | ||||||||||||
| September 30, | December 31, | |||||||||||
| 2022 | 2021 | |||||||||||
| Assets | ||||||||||||
| Current assets: | ||||||||||||
| Cash and cash equivalents | $ | 74,571 | $ | 115,301 | ||||||||
| Accounts receivable, net | 1,902,472 | 1,746,635 | ||||||||||
| Supplies | 217,818 | 206,839 | ||||||||||
| Other current assets | 261,698 | 194,781 | ||||||||||
| Total current assets | 2,456,559 | 2,263,556 | ||||||||||
| Property and equipment | 11,103,596 | 10,770,702 | ||||||||||
| Less: accumulated depreciation | (5,167,198 | ) | (4,896,427 | ) | ||||||||
| 5,936,398 | 5,874,275 | |||||||||||
| Other assets: | ||||||||||||
| Goodwill | 3,874,021 | 3,962,624 | ||||||||||
| Deferred income taxes | 55,789 | 45,707 | ||||||||||
| Right of use assets-operating leases | 457,209 | 367,477 | ||||||||||
| Deferred charges | 6,336 | 6,525 | ||||||||||
| Other | 592,588 | 573,379 | ||||||||||
| Total Assets | $ | 13,378,900 | $ | 13,093,543 | ||||||||
| Liabilities and Stockholders' Equity | ||||||||||||
| Current liabilities: | ||||||||||||
| Current maturities of long-term debt | $ | 66,307 | $ | 48,409 | ||||||||
| Accounts payable and other liabilities | 1,795,004 | 1,860,496 | ||||||||||
| Operating lease liabilities | 70,146 | 64,484 | ||||||||||
| Federal and state taxes | 7,743 | 10,720 | ||||||||||
| Total current liabilities | 1,939,200 | 1,984,109 | ||||||||||
| Other noncurrent liabilities | 500,119 | 464,759 | ||||||||||
| Operating lease liabilities noncurrent | 392,582 | 304,624 | ||||||||||
| Long-term debt | 4,638,356 | 4,141,879 | ||||||||||
| Redeemable noncontrolling interest | 4,563 | 5,119 | ||||||||||
| UHS common stockholders' equity | 5,855,353 | 6,089,664 | ||||||||||
| Noncontrolling interest | 48,727 | 103,389 | ||||||||||
| Total equity | 5,904,080 | 6,193,053 | ||||||||||
| Total Liabilities and Stockholders' Equity | $ | 13,378,900 | $ | 13,093,543 | ||||||||
| Universal Health Services, Inc. | ||||||||||||
| --- | --- | --- | --- | --- | --- | --- | ||||||
| Consolidated Statements of Cash Flows | ||||||||||||
| (in thousands) | ||||||||||||
| (unaudited) | ||||||||||||
| Nine months | ||||||||||||
| ended September 30, | ||||||||||||
| 2022 | 2021 | |||||||||||
| Cash Flows from Operating Activities: | ||||||||||||
| Net income | $ | 486,613 | $ | 753,721 | ||||||||
| Adjustments to reconcile net income to net cash provided by operating activities: | ||||||||||||
| Depreciation & amortization | 433,508 | 399,850 | ||||||||||
| (Gain) loss on sale of assets and businesses | 584 | (4,803 | ) | |||||||||
| Costs related to extinguishment of debt | 0 | 16,831 | ||||||||||
| Stock-based compensation expense | 62,741 | 55,548 | ||||||||||
| Provision for asset impairment | 0 | 7,195 | ||||||||||
| Changes in assets & liabilities, net of effects from acquisitions and dispositions: | ||||||||||||
| Accounts receivable | (155,142 | ) | (29,079 | ) | ||||||||
| Accrued interest | 529 | 3,714 | ||||||||||
| Accrued and deferred income taxes | (4,900 | ) | (52,727 | ) | ||||||||
| Other working capital accounts | (173,903 | ) | 52,616 | |||||||||
| Medicare accelerated payments and deferred CARES Act and other grants | 2,921 | (697,393 | ) | |||||||||
| Other assets and deferred charges | 22,219 | (34,038 | ) | |||||||||
| Other | (23,358 | ) | 9,607 | |||||||||
| Accrued insurance expense, net of commercial premiums paid | 134,908 | 140,702 | ||||||||||
| Payments made in settlement of self-insurance claims | (88,001 | ) | (60,069 | ) | ||||||||
| Net cash provided by operating activities | 698,719 | 561,675 | ||||||||||
| Cash Flows from Investing Activities: | ||||||||||||
| Property and equipment additions | (569,555 | ) | (666,025 | ) | ||||||||
| Proceeds received from sales of assets and businesses | 12,001 | 21,143 | ||||||||||
| Acquisition of businesses and property | (18,666 | ) | (39,391 | ) | ||||||||
| Inflows from foreign exchange contracts that hedge our net U.K. investment | 177,214 | 4,261 | ||||||||||
| Decrease in capital reserves of commercial insurance subsidiary | 100 | 100 | ||||||||||
| Costs incurred for purchase of information technology applications, net of refunds | 0 | 20,202 | ||||||||||
| Net cash used in investing activities | (398,906 | ) | (659,710 | ) | ||||||||
| Cash Flows from Financing Activities: | ||||||||||||
| Repayments of long-term debt | (194,115 | ) | (3,026,888 | ) | ||||||||
| Additional borrowings | 705,321 | 2,912,374 | ||||||||||
| Financing costs | (2,541 | ) | (17,967 | ) | ||||||||
| Repurchase of common shares | (723,384 | ) | (770,665 | ) | ||||||||
| Dividends paid | (44,192 | ) | (50,284 | ) | ||||||||
| Issuance of common stock | 10,399 | 10,108 | ||||||||||
| Profit distributions to noncontrolling interests | (5,426 | ) | (5,744 | ) | ||||||||
| Purchase (sale) of ownership interests by (from) minority member | (49,089 | ) | 13,046 | |||||||||
| Net cash used in financing activities | (303,027 | ) | (936,020 | ) | ||||||||
| Effect of exchange rate changes on cash, cash equivalents and restricted cash | (10,339 | ) | (682 | ) | ||||||||
| Decrease in cash, cash equivalents and restricted cash | (13,553 | ) | (1,034,737 | ) | ||||||||
| Cash, cash equivalents and restricted cash, beginning of period | 178,934 | 1,279,154 | ||||||||||
| Cash, cash equivalents and restricted cash, end of period | $ | 165,381 | $ | 244,417 | ||||||||
| Supplemental Disclosures of Cash Flow Information: | ||||||||||||
| Interest paid | $ | 78,992 | $ | 58,719 | ||||||||
| Income taxes paid, net of refunds | $ | 182,091 | $ | 286,376 | ||||||||
| Noncash purchases of property and equipment | $ | 97,264 | $ | 73,428 | ||||||||
| Universal Health Services, Inc. | ||||||||||||
| --- | --- | --- | --- | --- | ||||||||
| Supplemental Statistical Information | ||||||||||||
| (unaudited) | ||||||||||||
| % Change | % Change | |||||||||||
| Same Facility: | 3 Months ended | Nine Months ended | ||||||||||
| 9/30/2022 | 9/30/2022 | |||||||||||
| Acute Care Services | ||||||||||||
| Revenues | 0.9% | 4.6% | ||||||||||
| Adjusted Admissions | 1.9% | 2.2% | ||||||||||
| Adjusted Patient Days | -5.0% | 0.6% | ||||||||||
| Revenue Per Adjusted Admission | -2.5% | 1.0% | ||||||||||
| Revenue Per Adjusted Patient Day | 4.5% | 2.6% | ||||||||||
| Behavioral Health Care Services | ||||||||||||
| Revenues | 8.4% | 4.1% | ||||||||||
| Adjusted Admissions | 4.0% | 0.6% | ||||||||||
| Adjusted Patient Days | 3.3% | 0.9% | ||||||||||
| Revenue Per Adjusted Admission | 4.2% | 4.2% | ||||||||||
| Revenue Per Adjusted Patient Day | 5.0% | 3.9% | ||||||||||
| UHS Consolidated | Third quarter ended | Nine months ended | ||||||||||
| 9/30/2022 | 9/30/2021 | 9/30/2022 | 9/30/2021 | |||||||||
| Revenues | $3,336,027 | $3,155,999 | $9,952,390 | $9,366,866 | ||||||||
| EBITDA net of NCI | $421,742 | $441,527 | $1,174,611 | $1,449,615 | ||||||||
| EBITDA Margin net of NCI | 12.6% | 14.0% | 11.8% | 15.5% | ||||||||
| Adjusted EBITDA net of NCI | $427,757 | $448,246 | $1,189,855 | $1,448,040 | ||||||||
| Adjusted EBITDA Margin net of NCI | 12.8% | 14.2% | 12.0% | 15.5% | ||||||||
| Cash Flow From Operations | $220,672 | $442,227 | $698,719 | $561,675 | ||||||||
| Days Sales Outstanding | 52 | 51 | 52 | 51 | ||||||||
| Capital Expenditures | $161,593 | $183,814 | $569,555 | $666,025 | ||||||||
| Debt | $4,704,663 | $3,754,277 | ||||||||||
| UHS' Shareholders Equity | $5,855,353 | $6,274,021 | ||||||||||
| Debt / Total Capitalization | 44.6% | 37.4% | ||||||||||
| Debt / EBITDA net of NCI (1) | 2.87 | 1.87 | ||||||||||
| Debt / Adjusted EBITDA net of NCI (1) | 2.87 | 1.88 | ||||||||||
| Debt / Cash From Operations (1) | 4.61 | 5.34 | ||||||||||
| (1) Latest 4 quarters |
Universal Health Services, Inc.
Acute Care Hospital Services
For the Three and Nine Months ended
September 30, 2022 and 2021
(in thousands)
| Same Facility Basis - Acute Care Hospital Services | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Three months ended | Three months ended | Nine months ended | Nine months ended | |||||||||||||||||
| September 30, 2022 | September 30, 2021 | September 30, 2022 | September 30, 2021 | |||||||||||||||||
| Amount | % of Net<br><br><br>Revenues | Amount | % of Net<br><br><br>Revenues | Amount | % of Net<br><br><br>Revenues | Amount | % of Net<br><br><br>Revenues | |||||||||||||
| Net revenues | $ | 1,813,899 | 100.0 | % | $ | 1,797,161 | 100.0 | % | $ | 5,419,224 | 100.0 | % | $ | 5,182,893 | 100.0 | % | ||||
| Operating charges: | ||||||||||||||||||||
| Salaries, wages and benefits | 791,902 | 43.7 | % | 756,524 | 42.1 | % | 2,405,034 | 44.4 | % | 2,154,354 | 41.6 | % | ||||||||
| Other operating expenses | 474,086 | 26.1 | % | 411,348 | 22.9 | % | 1,380,670 | 25.5 | % | 1,216,665 | 23.5 | % | ||||||||
| Supplies expense | 299,888 | 16.5 | % | 316,890 | 17.6 | % | 903,092 | 16.7 | % | 902,479 | 17.4 | % | ||||||||
| Depreciation and amortization | 88,931 | 4.9 | % | 82,811 | 4.6 | % | 269,506 | 5.0 | % | 246,954 | 4.8 | % | ||||||||
| Lease and rental expense | 18,738 | 1.0 | % | 17,508 | 1.0 | % | 53,804 | 1.0 | % | 55,666 | 1.1 | % | ||||||||
| Subtotal-operating expenses | 1,673,545 | 92.3 | % | 1,585,081 | 88.2 | % | 5,012,106 | 92.5 | % | 4,576,118 | 88.3 | % | ||||||||
| Income from operations | 140,354 | 7.7 | % | 212,080 | 11.8 | % | 407,118 | 7.5 | % | 606,775 | 11.7 | % | ||||||||
| Interest expense, net | 234 | 0.0 | % | 255 | 0.0 | % | 1,350 | 0.0 | % | 749 | 0.0 | % | ||||||||
| Other (income) expense, net | 384 | 0.0 | % | 436 | 0.0 | % | 806 | 0.0 | % | 436 | 0.0 | % | ||||||||
| Income before income taxes | $ | 139,736 | 7.7 | % | $ | 211,389 | 11.8 | % | $ | 404,962 | 7.5 | % | $ | 605,590 | 11.7 | % | ||||
| All Acute Care Hospital Services | ||||||||||||||||||||
| Three months ended | Three months ended | Nine months ended | Nine months ended | |||||||||||||||||
| September 30, 2022 | September 30, 2021 | September 30, 2022 | September 30, 2021 | |||||||||||||||||
| Amount | % of Net<br><br><br>Revenues | Amount | % of Net<br><br><br>Revenues | Amount | % of Net<br><br><br>Revenues | Amount | % of Net<br><br><br>Revenues | |||||||||||||
| Net revenues | $ | 1,919,678 | 100.0 | % | $ | 1,822,027 | 100.0 | % | $ | 5,707,510 | 100.0 | % | $ | 5,271,000 | 100.0 | % | ||||
| Operating charges: | ||||||||||||||||||||
| Salaries, wages and benefits | 824,942 | 43.0 | % | 757,962 | 41.6 | % | 2,497,888 | 43.8 | % | 2,157,060 | 40.9 | % | ||||||||
| Other operating expenses | 535,463 | 27.9 | % | 436,475 | 24.0 | % | 1,550,044 | 27.2 | % | 1,305,544 | 24.8 | % | ||||||||
| Supplies expense | 311,404 | 16.2 | % | 316,950 | 17.4 | % | 935,559 | 16.4 | % | 902,654 | 17.1 | % | ||||||||
| Depreciation and amortization | 96,020 | 5.0 | % | 83,794 | 4.6 | % | 285,558 | 5.0 | % | 248,462 | 4.7 | % | ||||||||
| Lease and rental expense | 21,990 | 1.1 | % | 17,518 | 1.0 | % | 63,324 | 1.1 | % | 55,676 | 1.1 | % | ||||||||
| Subtotal-operating expenses | 1,789,819 | 93.2 | % | 1,612,699 | 88.5 | % | 5,332,373 | 93.4 | % | 4,669,396 | 88.6 | % | ||||||||
| Income from operations | 129,859 | 6.8 | % | 209,328 | 11.5 | % | 375,137 | 6.6 | % | 601,604 | 11.4 | % | ||||||||
| Interest expense, net | 234 | 0.0 | % | 255 | 0.0 | % | 1,350 | 0.0 | % | 749 | 0.0 | % | ||||||||
| Other (income) expense, net | 384 | 0.0 | % | 436 | 0.0 | % | 806 | 0.0 | % | 436 | 0.0 | % | ||||||||
| Income before income taxes | $ | 129,241 | 6.7 | % | $ | 208,637 | 11.5 | % | $ | 372,981 | 6.5 | % | $ | 600,419 | 11.4 | % |
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 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, 2021 and Form 10-Q for the quarter ended June 30, 2022.
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 Nine Months ended
September 30, 2022 and 2021
(in thousands)
| Same Facility - Behavioral Health Care Services | ||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Three months ended | Three months ended | Nine months ended | Nine months ended | |||||||||||||||||||
| September 30, 2022 | September 30, 2021 | September 30, 2022 | September 30, 2021 | |||||||||||||||||||
| Amount | % of Net<br><br><br>Revenues | Amount | % of Net<br><br><br>Revenues | Amount | % of Net<br><br><br>Revenues | Amount | % of Net<br><br><br>Revenues | |||||||||||||||
| Net revenues | $ | 1,403,013 | 100.0 | % | $ | 1,294,141 | 100.0 | % | $ | 4,148,344 | 100.0 | % | $ | 3,984,260 | 100.0 | % | ||||||
| Operating charges: | ||||||||||||||||||||||
| Salaries, wages and benefits | 774,406 | 55.2 | % | 717,807 | 55.5 | % | 2,288,386 | 55.2 | % | 2,125,205 | 53.3 | % | ||||||||||
| Other operating expenses | 271,295 | 19.3 | % | 267,083 | 20.6 | % | 811,223 | 19.6 | % | 774,583 | 19.4 | % | ||||||||||
| Supplies expense | 55,036 | 3.9 | % | 51,111 | 3.9 | % | 156,976 | 3.8 | % | 150,902 | 3.8 | % | ||||||||||
| Depreciation and amortization | 44,566 | 3.2 | % | 46,004 | 3.6 | % | 134,451 | 3.2 | % | 137,417 | 3.4 | % | ||||||||||
| Lease and rental expense | 10,617 | 0.8 | % | 10,012 | 0.8 | % | 32,026 | 0.8 | % | 30,999 | 0.8 | % | ||||||||||
| Subtotal-operating expenses | 1,155,920 | 82.4 | % | 1,092,017 | 84.4 | % | 3,423,062 | 82.5 | % | 3,219,106 | 80.8 | % | ||||||||||
| Income from operations | 247,093 | 17.6 | % | 202,124 | 15.6 | % | 725,282 | 17.5 | % | 765,154 | 19.2 | % | ||||||||||
| Interest expense, net | 1,151 | 0.1 | % | 994 | 0.1 | % | 2,757 | 0.1 | % | 2,321 | 0.1 | % | ||||||||||
| Other (income) expense, net | (664 | ) | (0.0 | )% | 27 | 0.0 | % | (1,422 | ) | (0.0 | )% | 435 | 0.0 | % | ||||||||
| Income before income taxes | $ | 246,606 | 17.6 | % | $ | 201,103 | 15.5 | % | $ | 723,947 | 17.5 | % | $ | 762,398 | 19.1 | % | ||||||
| All Behavioral Health Care Services | ||||||||||||||||||||||
| Three months ended | Three months ended | Nine months ended | Nine months ended | |||||||||||||||||||
| September 30, 2022 | September 30, 2021 | September 30, 2022 | September 30, 2021 | |||||||||||||||||||
| Amount | % of Net<br><br><br>Revenues | Amount | % of Net<br><br><br>Revenues | Amount | % of Net<br><br><br>Revenues | Amount | % of Net<br><br><br>Revenues | |||||||||||||||
| Net revenues | $ | 1,434,828 | 100.0 | % | $ | 1,328,293 | 100.0 | % | $ | 4,235,215 | 100.0 | % | $ | 4,075,127 | 100.0 | % | ||||||
| Operating charges: | ||||||||||||||||||||||
| Salaries, wages and benefits | 782,909 | 54.6 | % | 727,137 | 54.7 | % | 2,310,761 | 54.6 | % | 2,144,735 | 52.6 | % | ||||||||||
| Other operating expenses | 300,406 | 20.9 | % | 292,794 | 22.0 | % | 898,655 | 21.2 | % | 847,780 | 20.8 | % | ||||||||||
| Supplies expense | 55,482 | 3.9 | % | 51,712 | 3.9 | % | 158,315 | 3.7 | % | 152,273 | 3.7 | % | ||||||||||
| Depreciation and amortization | 46,861 | 3.3 | % | 47,205 | 3.6 | % | 138,803 | 3.3 | % | 140,870 | 3.5 | % | ||||||||||
| Lease and rental expense | 11,010 | 0.8 | % | 10,421 | 0.8 | % | 32,803 | 0.8 | % | 31,789 | 0.8 | % | ||||||||||
| Subtotal-operating expenses | 1,196,668 | 83.4 | % | 1,129,269 | 85.0 | % | 3,539,337 | 83.6 | % | 3,317,447 | 81.4 | % | ||||||||||
| Income from operations | 238,160 | 16.6 | % | 199,024 | 15.0 | % | 695,878 | 16.4 | % | 757,680 | 18.6 | % | ||||||||||
| Interest expense, net | 1,375 | 0.1 | % | 1,218 | 0.1 | % | 4,106 | 0.1 | % | 3,564 | 0.1 | % | ||||||||||
| Other (income) expense, net | (1,164 | ) | (0.1 | )% | 27 | 0.0 | % | (1,922 | ) | (0.0 | )% | 435 | 0.0 | % | ||||||||
| Income before income taxes | $ | 237,949 | 16.6 | % | $ | 197,779 | 14.9 | % | $ | 693,694 | 16.4 | % | $ | 753,681 | 18.5 | % |
We believe that providing our results on a “Same Facility” basis (which is a non-GAAP measure), which includes the operating results for facilities and businesses operated in both the current year and prior year periods, is helpful to our investors as a measure of our operating performance. Our Same Facility results also neutralize (if applicable), the effect of material items that are nonrecurring or non-operational in nature including items such as, but not limited to, reserves for various matters, settlements, legal judgments, lawsuits and reserves established in connection with the government's investigation of our behavioral health care facilities, cost related to extinguishment of debt, gains/losses on sales of assets and businesses, impairments of long-lived and intangible assets and other amounts that may be reflected in the current or prior year financial statements that relate to prior periods. Our Same Facility basis results exclude from net revenues and other operating expenses, provider tax assessments incurred in each period. However, these provider tax assessments are included in net revenues and other operating expenses as reflected in the table under All Behavioral Health Care Services. The provider tax assessments had no impact on the income before income taxes as reflected on the above tables since the amounts offset between net revenues and other operating expenses. To obtain a complete understanding of our financial performance, the Same Facility results should be examined in connection with our net income as determined in accordance with GAAP and as presented herein and in the condensed consolidated financial statements and notes thereto as contained in our Form 10-K for the year ended December 31, 2021 and Form 10-Q for the quarter ended June 30, 2022.
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 | ||||||||||||||||||
| September 30, 2022 and 2021 | ||||||||||||||||||
| AS REPORTED: | ||||||||||||||||||
| ACUTE | BEHAVIORAL HEALTH | |||||||||||||||||
| 09/30/22 | 09/30/21 | % change | 09/30/22 | 09/30/21 | % change | |||||||||||||
| Hospitals owned and leased | 28 | 27 | 3.7 | % | 331 | 333 | -0.6 | % | ||||||||||
| Average licensed beds | 6,982 | 6,579 | 6.1 | % | 24,222 | 24,189 | 0.1 | % | ||||||||||
| Average available beds | 6,810 | 6,407 | 6.3 | % | 24,122 | 24,084 | 0.2 | % | ||||||||||
| Patient days | 386,341 | 416,422 | -7.2 | % | 1,588,532 | 1,537,206 | 3.3 | % | ||||||||||
| Average daily census | 4,199.4 | 4,526.3 | -7.2 | % | 17,266.7 | 16,708.8 | 3.3 | % | ||||||||||
| Occupancy-licensed beds | 60.1 | % | 68.8 | % | -12.6 | % | 71.3 | % | 69.1 | % | 3.2 | % | ||||||
| Occupancy-available beds | 61.7 | % | 70.6 | % | -12.7 | % | 71.6 | % | 69.4 | % | 3.1 | % | ||||||
| Admissions | 78,221 | 78,799 | -0.7 | % | 117,913 | 113,448 | 3.9 | % | ||||||||||
| Length of stay | 4.9 | 5.3 | -6.8 | % | 13.4 | 13.4 | 0.0 | % | ||||||||||
| Inpatient revenue | $ | 9,875,794 | $ | 9,497,975 | 4.0 | % | $ | 2,582,448 | $ | 2,470,401 | 4.5 | % | ||||||
| Outpatient revenue | 6,379,324 | 5,343,246 | 19.4 | % | 248,167 | 242,976 | 2.1 | % | ||||||||||
| Total patient revenue | 16,255,118 | 14,841,221 | 9.5 | % | 2,830,615 | 2,713,377 | 4.3 | % | ||||||||||
| Other revenue | 215,179 | 173,063 | 24.3 | % | 67,228 | 56,337 | 19.3 | % | ||||||||||
| Gross hospital revenue | 16,470,297 | 15,014,284 | 9.7 | % | 2,897,843 | 2,769,714 | 4.6 | % | ||||||||||
| Total deductions | 14,550,619 | 13,192,257 | 10.3 | % | 1,463,015 | 1,441,421 | 1.5 | % | ||||||||||
| Net hospital revenue | $ | 1,919,678 | $ | 1,822,027 | 5.4 | % | $ | 1,434,828 | $ | 1,328,293 | 8.0 | % | ||||||
| SAME FACILITY: | ||||||||||||||||||
| ACUTE | BEHAVIORAL HEALTH | |||||||||||||||||
| 09/30/22 | 09/30/21 | % change | 09/30/22 | 09/30/21 | % change | |||||||||||||
| Hospitals owned and leased | 27 | 27 | 0.0 | % | 326 | 326 | 0.0 | % | ||||||||||
| Average licensed beds | 6,780 | 6,579 | 3.1 | % | 23,772 | 23,692 | 0.3 | % | ||||||||||
| Average available beds | 6,608 | 6,407 | 3.1 | % | 23,672 | 23,588 | 0.4 | % | ||||||||||
| Patient days | 379,003 | 416,422 | -9.0 | % | 1,570,265 | 1,515,691 | 3.6 | % | ||||||||||
| Average daily census | 4,119.6 | 4,526.3 | -9.0 | % | 17,068.1 | 16,474.9 | 3.6 | % | ||||||||||
| Occupancy-licensed beds | 60.8 | % | 68.8 | % | -11.7 | % | 71.8 | % | 69.5 | % | 3.3 | % | ||||||
| Occupancy-available beds | 62.3 | % | 70.6 | % | -11.7 | % | 72.1 | % | 69.8 | % | 3.2 | % | ||||||
| Admissions | 76,875 | 78,799 | -2.4 | % | 116,159 | 111,359 | 4.3 | % | ||||||||||
| Length of stay | 4.9 | 5.3 | -6.7 | % | 13.5 | 13.6 | -0.7 | % | ||||||||||
| Universal Health Services, Inc. | ||||||||||||||||||
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| Selected Hospital Statistics | ||||||||||||||||||
| For the Nine Months Ended | ||||||||||||||||||
| September 30, 2022 and 2021 | ||||||||||||||||||
| AS REPORTED: | ||||||||||||||||||
| ACUTE | BEHAVIORAL HEALTH | |||||||||||||||||
| 09/30/22 | 09/30/21 | % change | 09/30/22 | 09/30/21 | % change | |||||||||||||
| Hospitals owned and leased | 28 | 27 | 3.7 | % | 331 | 333 | -0.6 | % | ||||||||||
| Average licensed beds | 6,901 | 6,534 | 5.6 | % | 24,269 | 24,121 | 0.6 | % | ||||||||||
| Average available beds | 6,729 | 6,362 | 5.8 | % | 24,169 | 24,018 | 0.6 | % | ||||||||||
| Patient days | 1,168,248 | 1,171,141 | -0.2 | % | 4,669,598 | 4,636,270 | 0.7 | % | ||||||||||
| Average daily census | 4,279.3 | 4,289.9 | -0.2 | % | 17,104.8 | 16,982.7 | 0.7 | % | ||||||||||
| Occupancy-licensed beds | 62.0 | % | 65.7 | % | -5.6 | % | 70.5 | % | 70.4 | % | 0.1 | % | ||||||
| Occupancy-available beds | 63.6 | % | 67.4 | % | -5.6 | % | 70.8 | % | 70.7 | % | 0.1 | % | ||||||
| Admissions | 230,223 | 227,944 | 1.0 | % | 346,973 | 345,874 | 0.3 | % | ||||||||||
| Length of stay | 5.1 | 5.1 | -0.5 | % | 13.5 | 13.4 | 0.4 | % | ||||||||||
| Inpatient revenue | $ | 29,821,756 | $ | 27,279,494 | 9.3 | % | $ | 7,580,475 | $ | 7,471,742 | 1.5 | % | ||||||
| Outpatient revenue | 18,360,902 | 15,281,854 | 20.1 | % | 773,769 | 756,068 | 2.3 | % | ||||||||||
| Total patient revenue | 48,182,658 | 42,561,348 | 13.2 | % | 8,354,244 | 8,227,810 | 1.5 | % | ||||||||||
| Other revenue | 602,635 | 484,227 | 24.5 | % | 209,284 | 189,474 | 10.5 | % | ||||||||||
| Gross hospital revenue | 48,785,293 | 43,045,575 | 13.3 | % | 8,563,528 | 8,417,284 | 1.7 | % | ||||||||||
| Total deductions | 43,077,783 | 37,774,575 | 14.0 | % | 4,328,313 | 4,342,157 | -0.3 | % | ||||||||||
| Net hospital revenue | $ | 5,707,510 | $ | 5,271,000 | 8.3 | % | $ | 4,235,215 | $ | 4,075,127 | 3.9 | % | ||||||
| SAME FACILITY: | ||||||||||||||||||
| ACUTE | BEHAVIORAL HEALTH | |||||||||||||||||
| 09/30/22 | 09/30/21 | % change | 09/30/22 | 09/30/21 | % change | |||||||||||||
| Hospitals owned and leased | 27 | 27 | 0.0 | % | 326 | 326 | 0.0 | % | ||||||||||
| Average licensed beds | 6,737 | 6,534 | 3.1 | % | 23,857 | 23,762 | 0.4 | % | ||||||||||
| Average available beds | 6,565 | 6,362 | 3.2 | % | 23,757 | 23,659 | 0.4 | % | ||||||||||
| Patient days | 1,149,494 | 1,171,141 | -1.8 | % | 4,624,511 | 4,583,943 | 0.9 | % | ||||||||||
| Average daily census | 4,210.6 | 4,289.9 | -1.8 | % | 16,939.6 | 16,791.0 | 0.9 | % | ||||||||||
| Occupancy-licensed beds | 62.5 | % | 65.7 | % | -4.8 | % | 71.0 | % | 70.7 | % | 0.5 | % | ||||||
| Occupancy-available beds | 64.1 | % | 67.4 | % | -4.9 | % | 71.3 | % | 71.0 | % | 0.5 | % | ||||||
| Admissions | 227,357 | 227,944 | -0.3 | % | 342,394 | 340,290 | 0.6 | % | ||||||||||
| Length of stay | 5.1 | 5.1 | -1.6 | % | 13.5 | 13.5 | 0.3 | % |
uhs-ex992_35.htm
Exhibit 99.2
NEWS RELEASE
FOR IMMEDIATE RELEASE
Edward H. Sim Named Executive Vice President, UHS and President, Acute Care Division
KING OF PRUSSIA, Pa., October 25, 2022 — Universal Health Services, Inc. (NYSE: UHS) has announced the appointment of Edward (Eddie) H. Sim to Executive Vice President and President, Acute Care, succeeding Marvin Pember, who has announced his intention to retire. Reporting to President and CEO Marc D. Miller, Eddie will drive strategy and operations across the UHS Acute Care portfolio including UHS’ Acute Care hospitals, freestanding emergency departments (FEDs) and ambulatory centers, as well as Independence Physician Management and Prominence Health Plan.
“We thank Marvin for his service to UHS,” said Marc D. Miller, President and CEO, UHS. “Under Marvin’s leadership over the past 11 years, our Acute Care division has experienced robust growth and expansion in key markets, as well as achieved a significant number of industry accolades and public recognition for quality and service. Marvin will remain with the organization for a transition period following Eddie’s start with UHS on December 5.”
Eddie brings nearly 30 years of healthcare and leadership experience. Most recently, Eddie served as Chief Operating Officer at Centura Health, where he led the system’s three operating groups, clinical delivery and shared services, with annual revenues of approximately $5 billion. In this role, he was responsible for supporting improved care coordination, operational and clinical excellence, and alignment across Centura’s ecosystem of 19 facilities and more than 250 clinics.
Prior to joining Centura Health, Eddie served in senior leadership roles of increasing responsibility for 11 years at Baptist Health in Jacksonville, Florida. As president of physician integration, he was responsible for an employed physician network of 380 physicians and a clinically integrated network with more than 900 physicians. He also served as president of a community hospital with approximately $360 million of annual revenues and vice president of operations of a tertiary care facility with annual revenues of approximately $640 million.
Eddie earned his BA in Economics from Boston University; his MS in Pathology and Laboratory Medicine from Albany Medical College; and his MBA from Duke University, The Fuqua School of Business.
“Eddie is a results-oriented, metrics-driven leader with a longstanding track record of delivering service, quality and financial results that closely aligns to our mission to provide superior quality healthcare
services,” said Marc D. Miller, President and CEO, Universal Health Services. “He will be an excellent addition to the UHS team, and we look forward to his leadership.”
About Universal Health Services, Inc. One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since our inception into an esteemed Fortune 500 corporation, our annual revenues were approximately $12.6 billion in 2021. In 2022, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; ranked #297 on the Fortune 500; and in 2021 ranked #307 on Forbes’ list of America’s Largest Public Companies.
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 89,000 employees and through its subsidiaries operates 28 acute care hospitals, 331 behavioral health facilities, 41 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 39 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. It acts as the advisor to Universal Health Realty Income Trust, a real estate investment trust (NYSE:UHT). For additional information visit www.uhs.com.
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Note to Editor: Photo available.
Contacts: Steve Filton, Chief Financial Officer, 610-768-3300
Jane Crawford, Public Relations, 610-382-4830