Universal Health Services

Last updated

Universal Health Services, Inc.
Company type Public
FoundedApril 1979;45 years ago (1979-04)
King of Prussia, Pennsylvania, U.S.
Headquarters King of Prussia, Pennsylvania, U.S.
Key people
Number of employees
96,700 (2023)
Subsidiaries
Website uhs.com

Universal Health Services, Inc. (UHS) is an American Fortune 500 company [1] that provides hospital and healthcare services, based in King of Prussia, Pennsylvania. In 2023, UHS reported total revenues of $14.3b. [2]

Contents

Company history

Alan B. Miller, who currently serves as the company's Executive Chairman, founded Universal Health Services, Inc. in 1979. Within 18 months of its founding, UHS owned four hospitals and had management contracts with two additional hospitals. [3]

In 1979, UHS entered Las Vegas with the purchase of Valley Hospital. [4]

In 1980, the company chose its first Board of Directors.[ citation needed ] In 1981, UHS held its initial public offering. [5] In 1982, UHS purchased five hospitals from the Stewards Foundation,[ citation needed ] marking the first time a for-profit corporation purchased hospitals from a nonprofit religious organization.[ citation needed ] In 1983, UHS purchased Qualicare, Inc. for more than $116 million. The purchase included 11 acute care hospitals and four behavioral health hospitals.[ citation needed ] In 1986, UHS created Universal Health Realty Income Trust,[ citation needed ] the first REIT in the healthcare industry.[ citation needed ]

In 1991, UHS stock trading moved from NASDAQ to NYSE.[ citation needed ]

In November 2010, UHS reached an agreement in May to acquire Psychiatric Solutions, Inc. for $3.1 billion. [6] [7] In June 2012, UHS announced its plans to acquire Ascend Health Corporation for $517 million. [8] In February 2014, UHS bought Palo Verde Mental Health for an undisclosed amount, renaming the facility to Palo Verde Behavioral Health. [9] In April of that year, UHS announced the acquisition of the Psychiatric Institute of Washington. [10] In September of that year, UHS' stock joined the S&P 500 Index and acquired Cygnet Health Care Limited for approximately $335 million. [11] [12] In August 2015, UHS acquired Alpha Hospitals Holdings Limited for $148 million from private equity group C&C Alpha Group. [13] In September of that year, UHS announced the acquisition of Foundations Recovery Network based in Brentwood, Tennessee for $350 million. [14] [15] In August 2016, UHS bought Desert View Hospital in Pahrump, Nevada for an undisclosed amount. [16] In December of that year, UHS acquired Cambian Group PLC's Adult Services Division. [17] In July 2018, UHS announced its acquisition of the Danshell Group. [18]

On September 28, 2020, Universal Health Services Inc. announced that its network went offline after an unspecified "IT security issue". [19]

In September 2020, consistent with the company's long-standing succession plan, UHS announced that Alan B. Miller would step down as CEO in January 2021 and that President Marc D. Miller would be named CEO. [20]

UHS ranked on the Fortune 500 in 2021, 2022 [21] and again in 2023. [22]

UHS was named on the Fortune World's Most Admired List in 2024 [23] 2023, [24] 2022, 2021 and 2020. [25] [26]

Controversies

Hospital licenses

The Centers for Medicare and Medicaid Services (CMS) threatened the Rancho Springs Medical Center (Murrieta) and Inland Valley Regional Medical Center (Wildomar) in California with decertification in June 2010 while the State of California warned of a possible hospital license revocation. [27] Universal Health Services implemented a program to address all concerns and in November 2011 the two hospitals passed a CMS Certification Survey. [28] As a result, CMS rescinded its termination notice and the California Department of Public Health withdrew its license revocation notice.

Allegations of noncompliance with same-sex visitation law

According to a petition started on Change.org [29] by Terri-Ann Simonelli of Henderson, Nevada, Spring Valley Hospital (owned and operated by UHS) claimed that their policy required power of attorney for a same-sex partner to make medical decisions on behalf of their partner. If true, this would seemingly violate new Department of Health and Human Services rules enabling same-sex partners to make said decisions, with or without power of attorney.[ citation needed ]

Fraudulent Medicaid claims

In September 2012, UHS and its subsidiaries, Keystone Education and Youth Services LLC and Keystone Marion LLC d/b/a Keystone Marion Youth Center agreed to pay over $6.9 million to resolve allegations that they submitted false and fraudulent claims to Medicaid. Between October 2004 and March 2010, the entities allegedly provided substandard psychiatric counseling and treatment to adolescents in violation of the Medicaid requirements. The United States alleged that UHS falsely represented Keystone Marion Youth Center as a residential treatment facility providing inpatient psychiatric services to Medicaid enrolled children, when in fact it was a juvenile detention facility. The United States further alleged that neither a medical director nor licensed psychiatrist provided the required direction for psychiatric services or for the development of initial or continuing treatment plans. The settlement further resolved allegations that the entities filed false records or statements to Medicaid when they filed treatment plans that falsely represented the level of services that would be provided to the patients. [30]

On July 10, 2020, the US Department of Justice announced a $122 million Fraudulent Claims case with "Universal Health Services, Inc., UHS of Delaware, Inc.(together, UHS), and Turning Point Care Center, LLC (Turning Point), a UHS facility located in Moultrie, Georgia, have agreed to pay a combined total of $122 million to resolve alleged violations of the False Claims Act for billing for medically unnecessary inpatient behavioral health services, failing to provide adequate and appropriate services, and paying illegal inducements to federal healthcare beneficiaries." From the announcement: "The government alleged that, between January 2006, and December 2018, UHS’s facilities admitted federal healthcare beneficiaries who were not eligible for inpatient or residential treatment because their conditions did not require that level of care, while also failing to properly discharge appropriately admitted beneficiaries when they no longer required inpatient care. The government further alleged that UHS’s facilities billed for services not rendered, billed for improper and excessive lengths of stay, failed to provide adequate staffing, training, and/or supervision of staff, and improperly used physical and chemical restraints and seclusion. In addition, UHS’s facilities allegedly failed to develop and/or update individual assessments and treatment plans for patients, failed to provide adequate discharge planning, and failed to provide required individual and group therapy services in accordance with federal and state regulations.

Of the $117 million to be paid by UHS to resolve these claims, the federal government will receive a total of $88,124,761.27, and a total of $28,875,238.73 will be returned to individual states, which jointly fund state Medicaid programs." [31]

BuzzFeed investigation

On December 7, 2016, BuzzFeed published a report detailing questionable practices within UHS psychiatric facilities. [32] The report includes allegations of holding nonthreatening patients against their will, manipulative misinterpretation of patient testimonies to fit guidelines to involuntary confinement, aggressive staff layoffs and understaffing in hospitals, needless patient deaths due to understaffing and misprescription of medication, "violating a patient’s right to be discharged or holding a patient without the proper documentation", and unnecessary extension of stay times to the maximum Medicare payout. UHS denied the conclusions of the report. [33] UHS stock fell approximately 12% after publication. [34]

According to BuzzFeed investigative reporter Rosalind Adams, UHS responded to the report by hiring "a global PR firm that offers specialized crisis management services... UHS didn't just implement a crisis PR plan. It also fired an employee that the company believed to have spoken to a reporter; it sued a former employee it alleges leaked damaging internal surveillance videos; it threatened to sue other employees; at least one facility held a series of town hall meetings to warn employees from speaking with us; it conducted “in-depth interviews” with nearly two dozen staff, then distributed a public apology that two of them signed; it enlisted one of the most powerful law firms in the United States; it built multiple, high-production-value websites specifically designed to overcome the reputational damage that our reporting might cause." [35]

Cygnet Healthcare

A UK subsidiary, Cygnet Health Care, was the subject of a BBC investigation that found that staff had been taunting, provoking and scaring vulnerable people. [36] It runs 140 mental health services across the UK. 85% of its services are “rated good or outstanding by our regulators”. [37] New admissions were banned at Cygnet Acer clinic after the Care Quality Commission found it unsafe to use. A patient hanged herself, others self harmed, ligature points were found where patients could hang themselves and too many of the staff were untrained to deal with the highly vulnerable patients at the clinic. [38]

The company bought four inpatient units which were previously operated by the Danshell Group in 2018. All four were condemned by the Care Quality Commission which raised concerns about patients’ “unexplained injuries” and high levels of restraint in 2019. [39]

Laurel Oaks Behavior Health Center

On February 8, 2024, a lawsuit was filed against the company's Dothan, Alabama-based Laurel Oaks Behavioral Health Center and its CEO Janette Jackson which alleged that Laurel Oaks Behavior Health Center mishandled numerous incidents involving the assault of an eight-year-old boy residing in the facility. [40] [41] [42] The boy was reportedly assaulted by his larger roommate while he residing at the facility for a week in 2022. [42] Universal Health Services would be sued as well. [40] The lawsuit also noted that a 40-year-old man was convicted in 2011 of sexually assaulting a teenage patient while employed at Laurel Oaks. [40] [41] A 17-year-old patient had been charged in 2014 with felony counts of first-degree sodomy as well. [40]

Additional Allegations

On May 16, 2021, Detroit Free Press published an article exposing St. Simons By The Sea (formerly Focus By The Sea) [43] in St. Simons Island, Georgia for recruiting patients from a local soup kitchen. [44] St. Simons By The Sea contracts physician services with Southland MD in Thomasville, Georgia. [45]

Hospitals and Centers

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References

  1. ↑ "Fortune 500".
  2. ↑ https://ir.uhs.com/news-releases/news-release-details/universal-health-services-inc-announces-2023-fourth-quarter-and
  3. ↑ Kepos, Paula (1992). International Directory of Company Histories, Vol. 6. St. James Press. ISBN   9781558621763.
  4. ↑ "How UHS' Alan B. Miller built a successful hospital in the middle of nowhere". Modern Healthcare. August 3, 2019. Retrieved May 13, 2020.
  5. ↑ George, John (May 27, 2015). "Investors, insiders defeat activist shareholder proposal to 'recapitalize' UHS". www.bizjournals.com. Philadelphia Business Journal. Retrieved April 8, 2023.
  6. ↑ Burling, Stacey (November 16, 2010). "UHS completes $3.1 billion Psychiatric Solutions acquisition". Philadelphia Inquirer. Retrieved November 16, 2010.
  7. ↑ Grantham, Dennis (January 1, 2011). "Patience ... Patients: How Universal Health Systems became the top inpatient psychiatric services provider". Behavioral Healthcare. Vendome Group . Retrieved October 7, 2016.
  8. ↑ Evans, Melanie (June 4, 2012). "UHS to acquire Ascend Health in $517 million deal". Modern Healthcare . Retrieved October 7, 2016.
  9. ↑ Szekely, Balazs (March 8, 2014). "Universal Health Services Acquires Palo Verde Mental Health Facility". Commercial Property Executive. Retrieved October 7, 2016.
  10. ↑ HealthLeaders. "Universal Health Services acquires Psychiatric Solutions in $3.1B deal". www.healthleadersmedia.com. Retrieved September 29, 2020.
  11. ↑ "Universal Health Services, Inc. Announces Acquisition of Cygnet Health Care Limited and is Added to the S&P 500 Index". The Globe and Mail . Phillip Crawley. September 26, 2014. Retrieved October 7, 2016.
  12. ↑ "BRIEF-S&P 500 to add United Rentals, Universal Health Services; drop Graham Holdings, Peabody Energy". Reuters . September 12, 2014. Retrieved October 7, 2016.
  13. ↑ Burdo, Alison (August 20, 2015). "KoP firm buys English hospitals for $148M". Philadelphia Business Journal . Sandy Smith. Retrieved October 7, 2016.
  14. ↑ Powderly, Henry (September 21, 2015). "Universal Health Services acquires Foundations Recovery Network". Healthcare Finance News. Retrieved September 21, 2015.
  15. ↑ George, John (September 18, 2015). "UHS buys provider of substance-abuse treatment services for $350M". Philadelphia Business Journal . Sandy Smith. Retrieved October 7, 2016.
  16. ↑ Usufzy, Pashtana (August 17, 2016). "Universal Health Services buys Desert View Hospital in Pahrump". Las Vegas Review-Journal . News + Media Capital Group LLC. Retrieved October 7, 2016.
  17. ↑ "ACQUISITION BY UNIVERSAL HEALTH SERVICES INC. (THROUGH CYGNET HEALTH CARE ..." www.lawinsider.com. Retrieved September 29, 2020.
  18. ↑ "UHS significantly expands UK presence: 3 things to know". www.beckershospitalreview.com. August 2, 2018. Retrieved May 13, 2020.
  19. ↑ Satter, Raphael (September 28, 2020). "Universal Health Services offline due to 'IT security issue'". Reuters. Retrieved September 29, 2020.
  20. ↑ "Universal Health Services, Inc. Announces Founder Alan B. Miller Plans to Step Down as CEO in January 2021, Continue as Executive Chairman of the Board; Marc D. Miller, President, Appointed Chief Executive Officer | Universal Health Services Inc".
  21. ↑ "Fortune 500 list of companies 2021 | Fortune".
  22. ↑ "Fortune 500".
  23. ↑ https://fortune.com/ranking/worlds-most-admired-companies/
  24. ↑ https://fortune.com/ranking/worlds-most-admired-companies/2023/
  25. ↑ "World's Most Admired Companies | Fortune".
  26. ↑ "World's Most Admired Companies". Fortune.
  27. ↑ Dunn, Lindsey (September 28, 2010). "UHS Reaches Agreement With CMS, California Department of Health to Keep Southwest Healthcare System's License". Becker's Hospital Review. Retrieved September 28, 2010.
  28. ↑ Oh, Jaimie (November 8, 2011). "CMS: Two Southwest Healthcare Hospitals Back in Compliance". Becker's ASC Review. Retrieved October 7, 2016.
  29. ↑ Vogel, Ed (August 19, 2012). "Same-sex couple in Henderson upset with hospital's treatment". Las Vegas Review-Journal . News + Media Capital Group LLC. Retrieved April 16, 2015.
  30. ↑ "The Department of Health and Human Services and The Department of Justice Health Care Fraud and Abuse Control Program Annual Report for Fiscal Year 2012" (PDF). Justice.gov. Retrieved April 24, 2015.
  31. ↑ "Universal Health Services, Inc. And Related Entities To Pay $122 Million To Settle False Claims Act Allegations Relating To Medically Unnecessary Inpatient Behavioral Health Services And Illegal Kickbacks". www.justice.gov. July 10, 2020. Retrieved October 3, 2020.
  32. ↑ Adams, Rosalind (December 7, 2016). "Intake: Locked On The Psych Ward". BuzzFeed . Retrieved December 12, 2016.
  33. ↑ Jamerson, Joshua (December 8, 2015). "Universal Health Services denies BuzzFeed report claiming poor patient treatment". Marketwatch . Retrieved December 12, 2016.
  34. ↑ Zeitlin, Matthew (December 18, 2016). "UHS Loses $1.5 Billion In Value After Investigation Into Its Hospitals". BuzzFeed . Retrieved August 11, 2021.
  35. ↑ "How a Giant Psychiatric Hospital Company Tried To Spin Us — And Silence Its Staff". BuzzFeed News. December 27, 2017. Retrieved October 3, 2020.
  36. ↑ "Secret filming reveals abuse of disabled and autistic patients". May 23, 2019. Retrieved May 23, 2019.
  37. ↑ "US corporations expand across NHS mental healthcare" . Financial Times. November 8, 2019. Archived from the original on December 11, 2022. Retrieved November 10, 2019.
  38. ↑ New inpatients banned at mental health unit rated unsafe The Guardian
  39. ↑ "Mental Health Matters: An inpatient care crisis". Health Service Journal. October 7, 2019. Retrieved November 20, 2019.
  40. 1 2 3 4 Rafferty, Levin Papantonio (February 9, 2024). "Alabama Youth Facility Sued Over Another Child Sexual Assault Incident". EIN Presswire. Retrieved February 12, 2024.
  41. 1 2 Everett, Richard (February 8, 2024). "Dothan mental health facility sued over sexual assault claims". WDHN. Retrieved February 12, 2024.
  42. 1 2 Hitson, Hadley (February 10, 2024). "Lawsuit alleges 'deeply troubling' mishandling of 8-year-old's sexual assault in Dothan". Montgomery Advertiser. Retrieved February 12, 2024.
  43. ↑ "Focus By The Sea (HHC St. Simons Inc.) NPI 1972557916".
  44. ↑ "Allegations against Beaumont partner Universal Health Services: What whistleblowers said". Detroit Free Press. May 16, 2021.
  45. ↑ "St. Simons By The Sea: About Us".
  46. ↑ Fischer, Ben (April 6, 2012). "30 Years: Universal Health buys control of George Washington University Hospital (July 22, 1997)". Washington Business Journal . American City Business Journals . Retrieved October 7, 2016.
  47. ↑ "Universal Health Services and the George Washington University to Restructure GW Hospital Partnership". May 30, 2022.
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