Universal Health Services Inc--Form 8-K

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 30, 2007 (October 29, 2007)

 


UNIVERSAL HEALTH SERVICES, INC.

(Exact name of registrant as specified in its charter)

 


 

DELAWARE   1-10765   23-2077891

(State or other jurisdiction of

Incorporation or Organization)

  (Commission File Number)  

(I.R.S. Employer

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 Instruction 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))

 



Item 2.02 Results of Operations and Financial Condition

On October 29, 2007, 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 October 29, 2007.


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/ Alan B. Miller

Name:   Alan B. Miller
Title:   Chairman of the Board, President and Chief Executive Officer

 

By:  

/s/ Steve Filton

Name:   Steve Filton
Title:   Senior Vice President and Chief Financial Officer

Date: October 30, 2007


Exhibit Index

 

Exhibit No.

  

Exhibit

99.1

   Universal Health Services, Inc., press release, dated October 29, 2007.
Press Release

Exhibit 99.1

FOR IMMEDIATE RELEASE

 

CONTACT:   Steve Filton      
  Chief Financial Officer       October 29, 2007
  610-768-3300      

UNIVERSAL HEALTH SERVICES, INC. REPORTS

2007 THIRD QUARTER EARNINGS

Consolidated Results of Operations:

KING OF PRUSSIA, PA – Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income was $28.9 million, or $.54 per diluted share, during the third quarter of 2007 as compared to $113.9 million, or $2.00 per diluted share, during the comparable prior year quarter. For the nine months ended September 30, 2007, reported net income was $130.4 million, or $2.43 per diluted share, as compared to $225.3 million, or $3.89 per diluted share, during the comparable nine-month period in the prior year.

As indicated on the attached Schedules of Non-GAAP Supplemental Consolidated Statements of Income Information (“Supplemental Schedules”), our income from continuing operations and net income for the three and nine-month periods ended September 30, 2007 and 2006 include various items such as: (i) hurricane related expenses, net of recoveries, minority interests and income taxes; (ii) prior period effect of the recording or reserving of Texas Medicaid supplemental payments and cost reports settlements, net of income taxes; (iii) reserve for legal judgments, the write-down of the carrying-value of investment in a joint-venture and gain on sale of real property, net of income taxes; (iv) favorable income tax adjustments to reduce reserves due to the expiration of statute of limitations in various tax jurisdictions; (v) prior period effect of a favorable after-tax adjustment to reduce our professional and general liability self-insurance reserves based upon the results of a third-party actuarial analysis, and; (vi) a charge incurred during the third quarter of 2006 to record the aggregate present value of the future funding of a portion of a gift from our Chairman of the Board of Directors, Chief Executive Officer and President to The College of William & Mary (“W&M Funding”).

After adjusting for the items discussed above applicable to each period presented, as indicated on the attached Supplemental Schedules, our adjusted net income during the three-month period ended September 30, 2007 was $34.1 million, or $.64 per diluted share, as compared to $30.6 million, or $.54 per diluted share, during the third quarter of 2006. Our adjusted net income during the nine-month period ended September 30, 2007 was $124.7 million, or $2.32 per diluted share, as compared to $119.4 million, or $2.10 per diluted share, during the comparable prior year nine-month period.


Net revenues increased 13% to $1.18 billion during the third quarter of 2007 as compared to $1.04 billion during the third quarter of 2006. Net revenues increased 14% to $3.56 billion during the first nine months of 2007 as compared to $3.13 billion during the comparable nine-month period of 2006. Our consolidated operating margin, as calculated on the attached Supplemental Schedules (without adjusting for the various items mentioned above), was 11.1% and 12.2% during the three-month periods ended September 30, 2007 and 2006, respectively, and 13.2% and 13.4% during the nine-month periods ended September 30, 2007 and 2006, respectively.

Acute Care Services:

At our acute care hospitals owned during both periods (“same facility basis”), inpatient admissions increased 2.5% and patient days increased 2.9% during the third quarter of 2007 as compared to the third quarter of 2006. On a same facility basis, net revenues at our acute care facilities increased 7.6% during the third quarter of 2007 as compared to the comparable prior year quarter. Net revenue per adjusted admission at these facilities increased 3.0% during the third quarter of 2007 over the comparable prior year quarter. The operating margin at our acute care hospitals owned during both periods increased to 12.6% during the third quarter of 2007 as compared to 11.8% during the third quarter of 2006.

At our acute care hospitals, on a same facility basis, inpatient admissions increased 3.1% and patient days increased 3.3% during the nine months ended September 30, 2007 as compared to the comparable prior year period. Net revenues at these facilities increased 8.0% during the first nine months of 2007 as compared to the comparable prior year nine-month period. Net revenue per adjusted admission at these facilities increased 3.1% during the nine months ended September 30, 2007 over the comparable prior year nine-month period. The operating margin at our acute care hospitals owned during both periods increased to 13.7% during the first nine months of 2007 as compared to 13.5% during the comparable prior year nine-month period.

We provide care to patients who meet certain financial or economic criteria without charge or at amounts substantially less than our established rates. Because we do not pursue collection of amounts determined to qualify as charity care, they are not reported in net revenues or in accounts receivable, net. Our acute care hospitals provided charity care and uninsured discounts, based on charges at established rates, amounting to $149 million and $99 million during the three-month periods ended September 30, 2007 and 2006, respectively, and $418 million and $326 million during the nine-month periods ended September 30, 2007 and 2006, respectively.

Behavioral Health Care Services:

At our behavioral health facilities, on a same facility basis, inpatient admissions increased 3.4% and patient days increased 4.7% during the third quarter of 2007 as compared to the third quarter of 2006. On a same facility basis, net revenues at our behavioral health facilities increased 7.9% during the third quarter of 2007 as compared to the comparable prior year quarter. Net revenue per adjusted admission at these facilities increased 5.1% during the third quarter of 2007 over the comparable prior year quarter. The operating margin at our behavioral health facilities owned during both


periods was 22.4% during the third quarter of 2007 as compared to 22.6% during the third quarter of 2006.

At our behavioral health facilities, on a same facility basis, inpatient admissions increased 3.4% and patient days increased 4.7% during the nine months ended September 30, 2007 as compared to the comparable prior year period. On a same facility basis, net revenues at our behavioral health facilities increased 6.7% during the nine months ended September 30, 2007 as compared to the comparable prior year nine-month period. Net revenue per adjusted admission at these facilities increased 3.3% during the first nine months of 2007 over the comparable prior year nine-month period. The operating margin at our behavioral health facilities owned during both periods was 23.7% during each of the nine-month periods ended September 30, 2007 and 2006.

Other Matters:

Over the last several weeks, at our request, our legal representatives have met with representatives of the United States Attorney’s Office for the Southern District of Texas to discuss the status of the previously disclosed investigations of our South Texas Health System affiliates. Our representatives have been advised that the investigations remain active and ongoing and that the government is focused on payments to physicians and certain others that they believe may have been improper or illegal. We believe that the government is also focusing its investigation to determine whether the South Texas Health System affiliates and certain individuals illegally failed to fully comply with the original government subpoena. We are in the process of investigating these matters and are cooperating with the investigations and intend to respond to the matters raised with us. We are unable to evaluate the existence or extent of any potential financial exposure in connection with this matter at this time.

Conference Call Information:

We will hold a conference call for investors and analysts at 9:00 a.m. Eastern Time on October 30, 2007. The dial-in number is 1-877-648-7971. A digital recording of the conference call will be available two hours after the completion of the conference call on October 30, 2007 and will continue through midnight on November 12, 2007. The recording can be accessed by calling 1-800-642-1687 and entering the conference ID number 19454560. This call will also be available live over the internet at our web site at www.uhsinc.com. It will also be distributed over CCBN’s Investor Distribution Network to both institutional and individual investors. Individual investors can listen to the call through CCBN’s individual investor center at http://www.companyboardroom.com or by visiting any of the investor sites in CCBN’s Individual Investor Network. Institutional investors can access the call via CCBN’s password-protected event management site, StreetEvents (www.streetevents.com).

General Information and Forward-Looking Statements and Risk Factors:

Universal Health Services, Inc. is one of the nation’s largest hospital companies, operating acute care and behavioral health hospitals and ambulatory centers nationwide and in Puerto Rico. It acts as the advisor to Universal Health Realty Income Trust, a real


estate investment trust (NYSE:UHT). For additional information on the Company, visit our web site: http://www.uhsinc.com.

This press release contains forward-looking statements based on current management expectations. Numerous factors, including those disclosed herein, those related to healthcare industry trends and those detailed in our filings with the Securities and Exchange Commission (as set forth in Item 1A-Risk Factors and in Item 7-Forward-Looking Statements and Risk Factors in our Form 10-K for the year ended December 31, 2006), may cause results to differ materially from those anticipated in the forward-looking statements. Many of the factors that will determine our future results are beyond our capability to control or predict. These statements are subject to risks and uncertainties and therefore actual results may differ materially. Readers should not place undue reliance on such forward-looking statements which reflect management’s view only as of the date hereof. We undertake no obligation to revise or update any forward-looking statements, or to make any other forward-looking statements, whether as a result of new information, future events or otherwise.

We believe that operating income, operating margin, adjusted income from continuing operations, adjusted income from continuing operations per diluted share, adjusted net income, adjusted net income per diluted share and earnings before interest, taxes, depreciation and amortization (“EBITDA”), which are non-GAAP financial measures (“GAAP” is Generally Accepted Accounting Principles in the United States of America), are helpful to our investors as measures of our operating performance. In addition, we believe that comparing and discussing our financial results based on these measures, as calculated, is helpful to our investors since it neutralizes the effect in each year of items that are nonrecurring or non-operational in nature including items such as, but not limited to, gains on sales of assets and businesses, hurricane-related expenses and insurance recoveries and other amounts that may be reflected in the current or prior year financial statements that relate to prior periods. To obtain a complete understanding of our financial performance these measures should be examined in connection with net income, determined in accordance with GAAP, as presented in the condensed consolidated financial statements and notes thereto in this report or in our other filings with the Securities and Exchange Commission including our Report on Form 10-Q for the quarter ended June 30, 2007 and our Report on Form 10-K for the year ended December 31, 2006. 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 ended
September 30,
    Nine months ended
September 30,
 
     2007     2006     2007     2006  

Net revenues

   $ 1,180,217     $ 1,043,457     $ 3,556,794     $ 3,125,419  
Operating charges:         

Salaries, wages and benefits

     510,917       459,099       1,520,489       1,336,087  

Other operating expenses

     265,534       211,875       748,979       708,932  

Supplies expense

     162,342       146,944       506,946       400,271  

Provision for doubtful accounts

     110,451       97,901       312,583       260,090  

Depreciation and amortization

     46,548       40,961       135,417       120,360  

Lease and rental expense

     17,920       16,184       50,701       48,247  

Hurricane related expenses, net

     82       4,172       707       14,432  

Hurricane insurance recoveries

     —         (4,172 )     —         (14,432 )
                                
     1,113,794       972,964       3,275,822       2,873,987  
                                

Income before interest expense, hurricane insurance recoveries in excess of expenses, minority interests and income taxes

     66,423       70,493       280,972       251,432  

Interest expense, net

     12,881       6,140       38,643       23,362  

Hurricane insurance recoveries in excess of expenses

     —         (130,328 )     —         (167,359 )

Minority interests in earnings of consolidated entities

     9,784       14,948       32,651       37,617  
                                

Income before income taxes

     43,758       179,733       209,678       357,812  

Provision for income taxes

     14,756       65,704       79,062       132,420  
                                

Income from continuing operations

     29,002       114,029       130,616       225,392  

Loss from discontinued operations, net of income tax benefit (a)

     (148 )     (84 )     (183 )     (104 )
                                

Net income

   $ 28,854     $ 113,945     $ 130,433     $ 225,288  
                                

Basic earnings per share: (b)

        

From continuing operations

   $ 0.54     $ 2.01     $ 2.44     $ 4.11  

From discontinued operations

     0.00       0.00       0.00       0.00  
                                

Total basic earnings per share

   $ 0.54     $ 2.01     $ 2.44     $ 4.11  
                                

Diluted earnings per share: (b)

        

From continuing operations

   $ 0.54     $ 2.00     $ 2.43     $ 3.89  

From discontinued operations

     0.00       0.00       0.00       0.00  
                                

Total diluted earnings per share

   $ 0.54     $ 2.00     $ 2.43     $ 3.89  
                                


Universal Health Services, Inc.

Footnotes to Consolidated Statements of Income

(in thousands, except per share amounts)

(unaudited)

 

     Three months ended
September 30,
    Nine months ended
September 30,
 
     2007     2006     2007     2006  
(a) Calculation of income from discontinued operations, net of income tax:         

Loss from operations

   $ (240 )   $ (133 )   $ (296 )   $ (165 )

Income tax benefit

     92       49       113       61  
                                

Loss from discontinued operations, net of taxes

   $ (148 )   $ (84 )   $ (183 )   $ (104 )
                                
(b) Earnings per share calculation:         

Basic:

        

Income from continuing operations

   $ 29,002     $ 114,029     $ 130,616     $ 225,392  

Less: Dividends on unvested restricted stock, net of taxes

     (18 )     (20 )     (62 )     (63 )
                                

Income from continuing operations—basic

   $ 28,984     $ 114,009     $ 130,554     $ 225,329  

Loss from discontinued operations

     (148 )     (84 )     (183 )     (104 )
                                

Net income—basic

   $ 28,836     $ 113,925     $ 130,371     $ 225,225  
                                

Weighted average number of common shares—basic

     53,481       56,794       53,491       54,764  
                                

Basic earnings (loss) per share:

        

From continuing operations

   $ 0.54     $ 2.01     $ 2.44     $ 4.11  

From discontinued operations

     0.00       0.00       0.00       0.00  
                                

Total basic earnings per share

   $ 0.54     $ 2.01     $ 2.44     $ 4.11  
                                

Diluted:

        

Income from continuing operations

   $ 29,002     $ 114,029     $ 130,616     $ 225,392  

Less: Dividends on unvested restricted stock, net of taxes

     (18 )     (20 )     (62 )     (63 )

Add: Debenture interest, net of taxes

     —         —         —         4,902  
                                

Income from continuing operations—diluted

   $ 28,984     $ 114,009     $ 130,554     $ 230,231  

Loss from discontinued operations

     (148 )     (84 )     (183 )     (104 )
                                

Net income—diluted

   $ 28,836     $ 113,925     $ 130,371     $ 230,127  
                                

Weighted average number of common shares

     53,481       56,794       53,491       54,764  

Add: Shares for conversion of convertible debentures

     —         —         —         4,168  

Other share equivalents

     148       207       190       227  
                                

Weighted average number of common shares and equiv.—diluted

     53,629       57,001       53,681       59,159  
                                

Diluted earnings per share:

        

From continuing operations

   $ 0.54     $ 2.00     $ 2.43     $ 3.89  

From discontinued operations

     0.00       0.00       0.00       0.00  
                                

Total diluted earnings per share

   $ 0.54     $ 2.00     $ 2.43     $ 3.89  
                                


Universal Health Services, Inc.

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

For the three months ended September 30, 2007 and 2006

(in thousands, except per share amounts)

(unaudited)

 

     Three months ended
September 30, 2007
    Three months ended
September 30, 2006
 

Net revenues

   $ 1,180,217     100.0 %   $ 1,043,457     100.0 %

Operating charges:

        

Salaries, wages and benefits

     510,917     43.3 %     459,099     44.0 %

Other operating expenses

     265,534     22.5 %     211,875     20.3 %

Supplies expense

     162,342     13.8 %     146,944     14.1 %

Provision for doubtful accounts

     110,451     9.4 %     97,901     9.4 %
                            
     1,049,244     88.9 %     915,819     87.8 %
                            

Operating income/margin

     130,973     11.1 %     127,638     12.2 %

Lease and rental expense

     17,920         16,184    

Minority interests in earnings of consolidated entities

     9,784         14,948    
                    

Earnings before hurricane related expenses, hurricane insurance recoveries, depreciation and amortization, interest expense, and income taxes (“EBITDA”)

     103,269         96,506    

Hurricane related expenses, net of insurance recoveries

     82         (130,328 )  

Depreciation and amortization

     46,548         40,961    

Interest expense, net

     12,881         6,140    
                    

Income before income taxes

     43,758         179,733    

Provision for income taxes

     14,756         65,704    
                    

Income from continuing operations

     29,002         114,029    

Loss from discontinued operations, net of income taxes

     (148 )       (84 )  
                    

Net income

   $ 28,854       $ 113,945    
                    

 

     Three months ended
September 30, 2007
    Three months ended
September 30, 2006
 
     Amount     Per
Diluted Share
    Amount     Per
Diluted Share
 

Calculation of Adjusted Income from Continuing Operations

        

Income from continuing operations

   $ 29,002     $ 0.54     $ 114,029     $ 2.00  

Plus/minus adjustments:

        

Hurricane related expenses, net of recoveries, minority interests and income taxes

     50       —         (77,877 )     (1.37 )

Unfavorable (favorable) prior period effect of Texas Medicaid supplemental payments and cost report settlements, net of income taxes

     3,399       0.07       (7,025 )     (0.12 )

Favorable tax reserve adjustment

     (2,079 )     (0.04 )     (2,900 )     (0.05 )

Reserve for legal judgment, net of income taxes

     2,292       0.04       —         —    

Write-down of investment in joint-venture, net of income taxes

     1,603       0.03       —         —    

W&M Funding

     —         —         4,466       0.08  
                                

Subtotal after-tax adjustments to income from continuing operations

     5,265       0.10       (83,336 )     (1.46 )
                                

Adjusted income from continuing operations

   $ 34,267     $ 0.64     $ 30,693     $ 0.54  
                                

Calculation of Adjusted Net Income

        

Net income

   $ 28,854     $ 0.54     $ 113,945     $ 2.00  

After-tax adjustments to income from continuing operations, as indicated above

     5,265       0.10       (83,336 )     (1.46 )
                                

Adjusted net income

   $ 34,119     $ 0.64     $ 30,609     $ 0.54  
                                


Universal Health Services, Inc.

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

For the nine months ended September 30, 2007 and 2006

(in thousands, except per share amounts)

(unaudited)

 

     Nine months ended
September 30, 2007
    Nine months ended
September 30, 2006
 

Net revenues

   $ 3,556,794     100.0 %   $ 3,125,419     100.0 %

Operating charges:

        

Salaries, wages and benefits

     1,520,489     42.7 %     1,336,087     42.7 %

Other operating expenses

     748,979     21.1 %     708,932     22.7 %

Supplies expense

     506,946     14.3 %     400,271     12.8 %

Provision for doubtful accounts

     312,583     8.8 %     260,090     8.3 %
                            
     3,088,997     86.8 %     2,705,380     86.6 %
                            

Operating income/margin

     467,797     13.2 %     420,039     13.4 %

Lease and rental expense

     50,701         48,247    

Minority interests in earnings of consolidated entities

     32,651         37,617    
                    

Earnings before hurricane related expenses, hurricane insurance recoveries, depreciation and amortization, interest expense, and income taxes (“EBITDA”)

     384,445         334,175    

Hurricane insurance recoveries in excess of expenses

     707         (167,359 )  

Depreciation and amortization

     135,417         120,360    

Interest expense, net

     38,643         23,362    
                    

Income before income taxes

     209,678         357,812    

Provision for income taxes

     79,062         132,420    
                    

Income from continuing operations

     130,616         225,392    

Loss from discontinued operations, net of income taxes

     (183 )       (104 )  
                    

Net income

   $ 130,433       $ 225,288    
                    

 

    Nine months ended
September 30, 2007
    Nine months ended
September 30, 2006
 
    Amount     Per
Diluted Share
    Amount    

Per

Diluted Share

 

Calculation of Adjusted Income from Continuing Operations

       

Income from continuing operations

  $ 130,616     $ 2.43     $ 225,392     $ 3.89  

Plus/minus adjustments:

       

Hurricane related expenses, net of recoveries, minority interests and income taxes

    436       —         (99,675 )     (1.69 )

Gain on sale of real property, net of income taxes

    (1,356 )     (0.02 )     —         —    

Reduction of reserve for professional and general liability self-insured claims, net of minority interests and income taxes

    (10,045 )     (0.19 )     —         —    

Unfavorable (favorable) prior period effect of Texas Medicaid supplemental payments and cost report settlements, net of income taxes

    3,399       0.07       (7,818 )     (0.13 )

Favorable tax reserve adjustment

    (2,079 )     (0.04 )     (2,900 )     (0.05 )

Reserve for legal judgment, net of income taxes

    2,292       0.04       —         —    

Write-down of investment in joint-venture, net of income taxes

    1,603       0.03       —         —    

W&M Funding

    —         —         4,466       0.08  
                               

Subtotal after-tax adjustments to income from continuing operations

    (5,750 )     (0.11 )     (105,927 )     (1.79 )
                               

Adjusted income from continuing operations

  $ 124,866     $ 2.32     $ 119,465     $ 2.10  
                               

Calculation of Adjusted Net Income

       

Net income

  $ 130,433     $ 2.43     $ 225,288     $ 3.89  

After-tax adjustments to income from continuing operations, as indicated above

    (5,750 )     (0.11 )     (105,927 )     (1.79 )
                               

Adjusted net income

  $ 124,683     $ 2.32     $ 119,361     $ 2.10  
                               


Universal Health Services, Inc.

Condensed Consolidated Balance Sheets

(in thousands)

(unaudited)

 

     September 30,
2007
   December 31,
2006

Assets:

     

Cash and cash equivalents

   $ 13,574    $ 14,939

Accounts receivable, net

     631,527      595,009

Other current assets

     161,779      118,558

Property, plant and equipment, net

     1,894,507      1,685,085

Other assets

     895,217      863,451
             

Total Assets

   $ 3,596,604    $ 3,277,042
             

Liabilities and Stockholders’ Equity:

     

Current portion of long-term debt

   $ 3,329    $ 1,938

Other current liabilities

     552,258      500,513

Other noncurrent liabilities

     353,328      340,815

Long-term debt

     900,628      821,363

Deferred income taxes

     48,810      35,888

Minority interest

     203,412      174,061

Stockholders’ equity

     1,534,839      1,402,464
             

Total Liabilities and Stockholders’ Equity

   $ 3,596,604    $ 3,277,042
             


Universal Health Services, Inc.

Consolidated Statements of Cash Flows

(in thousands)

(unaudited)

 

     Nine months ended
September 30,
 
     2007     2006  

Cash Flows from Operating Activities:

    

Net income

   $ 130,433     $ 225,288  

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

    

Depreciation & amortization

     135,417       120,360  

Accretion of discount on convertible debentures

     —         6,364  

Gain on sale of assets and businesses

     (2,200 )     —    

Hurricane insurance recoveries

     —         (137,862 )

Hurricane related expenses

     —         4,894  

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

    

Accounts receivable

     (17,359 )     (85,132 )

Accrued interest

     9,055       7,519  

Accrued and deferred income taxes

     (6,374 )     36,745  

Other working capital accounts

     47,558       8,157  

Other assets and deferred charges

     37       6,943  

Other

     4,923       11,413  

Minority interest in earnings of consolidated entities, net of distributions

     9,041       15,223  

Accrued insurance expense, net of commercial premiums paid

     45,275       61,378  

Payments made in settlement of self-insurance claims

     (33,025 )     (31,270 )
                

Net cash provided by operating activities

     322,781       250,020  
                

Cash Flows from Investing Activities:

    

Property and equipment additions, net of disposals

     (263,366 )     (233,008 )

Proceeds received from sale of assets

     5,268       —    

Acquisition of assets and businesses

     (103,159 )     (45,654 )

Hurricane insurance recoveries received

     —         144,571  

Purchase of minority ownership interest in majority owned business

     (14,762 )     —    
                

Net cash used in investing activities

     (376,019 )     (134,091 )
                

Cash Flows from Financing Activities:

    

Additional borrowings

     170,000       248,645  

Reduction of long-term debt

     (103,846 )     (141,804 )

Repurchase of common shares

     (14,386 )     (220,343 )

Dividends paid

     (12,917 )     (13,090 )

Issuance of common stock

     1,041       4,205  

Financing costs

     (148 )     (2,020 )

Net cash received for termination of derivatives

     —         3,393  

Capital contributions from minority member

     12,129       11,939  
                

Net cash provided by (used in) financing activities

     51,873       (109,075 )
                

(Decrease) Increase in cash and cash equivalents

     (1,365 )     6,854  

Cash and cash equivalents, beginning of period

     14,939       7,963  
                

Cash and cash equivalents, end of period

   $ 13,574     $ 14,817  
                

Supplemental Disclosures of Cash Flow Information:

    

Interest paid

   $ 35,991     $ 18,073  
                

Income taxes paid, net of refunds

   $ 83,894     $ 95,412  
                


Universal Health Services, Inc.

Supplemental Statistical Information

(un-audited)

Same Facility:

 

     % Change
Quarter Ended
9/30/2007
   

% Change

9 months ended
9/30/2007

 

Acute Care Hospitals

    

Revenues

   7.6 %   8.0 %

Adjusted Admissions

   4.5 %   4.8 %

Adjusted Patient Days

   4.9 %   5.0 %

Revenue Per Adjusted Admission

   3.0 %   3.1 %

Revenue Per Adjusted Patient Day

   2.6 %   2.9 %

Behavioral Health Hospitals

    

Revenues

   7.9 %   6.7 %

Adjusted Admissions

   2.8 %   3.3 %

Adjusted Patient Days

   4.1 %   4.6 %

Revenue Per Adjusted Admission

   5.1 %   3.3 %

Revenue Per Adjusted Patient Day

   3.7 %   2.0 %

UHS Consolidated

 

     Third Quarter Ended     Nine months Ended  
     9/30/2007     9/30/2006     9/30/2007     9/30/2006  

Revenues

   $ 1,180,217     $ 1,043,457     $ 3,556,794     $ 3,125,419  

EBITDA (1)

     103,269       96,506       384,445       334,175  

EBITDA Margin (1)

     8.8 %     9.2 %     10.8 %     10.7 %

Cash Flow From Operations

     163,805       60,948       322,781       250,020  

Days Sales Outstanding

     49       52       48       51  

Capital Expenditures

     78,779       80,335       263,366       233,008  

Debt

         903,957       453,126  

Shareholders Equity

         1,534,839       1,496,445  

Debt / Total Capitalization

         37.1 %     23.2 %

Debt / EBITDA (2)

         1.84       0.58  

Debt / Cash From Operations (2)

         3.74       0.67  

Acute Care EBITDAR Margin (3) (4)

     11.4 %     13.0 %     13.7 %     14.0 %

Behavioral Health EBITDAR Margin (3) (4)

     21.4 %     22.5 %     23.0 %     23.6 %

(1) Net of Minority Interest
(2) Latest 4 quarters
(3) Before Corporate overhead allocation and minority interest
(4) Excluding discontinued operations


UNIVERSAL HEALTH SERVICES, INC.

SELECTED HOSPITAL STATISTICS

FOR THE THREE MONTHS ENDED

SEPTEMBER 30, 2007

AS REPORTED:

 

     ACUTE (1)     BEHAVIORAL HEALTH  
     09/30/07     09/30/06     % change     09/30/07     09/30/06     % change  

Hospitals owned and leased

     22       21     4.8 %     85       81     4.9 %

Average licensed beds

     5,417       5,139     5.4 %     7,485       6,640     12.7 %

Patient days

     290,968       268,537     8.4 %     506,466       467,860     8.3 %

Average daily census

     3,162.7       2,918.9     8.4 %     5,505.1       5,085.4     8.3 %

Occupancy-licensed beds

     58.4 %     56.8 %   2.8 %     73.5 %     76.6 %   -4.0 %

Admissions

     64,817       60,656     6.9 %     30,156       28,100     7.3 %

Length of stay

     4.5       4.4     1.4 %     16.8       16.6     0.9 %

Inpatient revenue

   $ 2,095,327     $ 1,813,162     15.6 %   $ 452,223     $ 416,515     8.6 %

Outpatient revenue

     900,787       717,752     25.5 %     54,470       47,809     13.9 %

Total patient revenue

     2,996,114       2,530,914     18.4 %     506,693       464,324     9.1 %

Other revenue

     15,807       11,014     43.5 %     7,476       7,546     -0.9 %

Gross hospital revenue

     3,011,921       2,541,928     18.5 %     514,169       471,870     9.0 %

Total deductions

     2,148,715       1,764,266     21.8 %     229,156       217,700     5.3 %

Net hospital revenue

   $ 863,206     $ 777,662     11.0 %   $ 285,013     $ 254,170     12.1 %

SAME FACILITY:

 

     ACUTE (2)     BEHAVIORAL HEALTH (3)  
     09/30/07     09/30/06     % change     09/30/07     09/30/06     % change  

Hospitals owned and leased

   21     21     0.0 %   78     78     0.0 %

Average licensed beds

   5,183     5,139     0.9 %   7,000     6,588     6.3 %

Patient days

   276,423     268,557     2.9 %   484,996     463,312     4.7 %

Average daily census

   3,004.6     2,919.1     2.9 %   5,271.7     5,036.0     4.7 %

Occupancy-licensed beds

   58.0 %   56.8 %   2.1 %   75.3 %   76.4 %   -1.5 %

Admissions

   62,193     60,656     2.5 %   28,830     27,894     3.4 %

Length of stay

   4.4     4.4     0.4 %   16.8     16.6     1.3 %

(1) Licensed beds from our Acute care hospitals located in New Orleans are excluded in 2006 and 2007.
(2) Acute care hospitals located in New Orleans and Texoma are excluded in current and prior years.
(3) Cottonwood, Dover Behavioral, Foundations Behavioral, Highlands Behavioral, Lincoln Trail, Shenandoah Valley and Spring Mountain Sahara are excluded in both current and prior years. Cedar Ridge RTC is included in both current and prior years from July 1st through year to date. Academy at Canyon Creek and Casa de Lago are included in both current and prior years from August 1st through year to date. Cedar Ridge Hospital is included in both current and prior years from September 1st through year to date. Tennessee Valley, Tuscaloosa Juvenile Detention Center and Triple L Group homes are excluded in current and prior years.


UNIVERSAL HEALTH SERVICES, INC.

SELECTED HOSPITAL STATISTICS

FOR THE NINE MONTHS ENDED

SEPTEMBER 30, 2007

AS REPORTED:

 

     ACUTE (1)     BEHAVIORAL HEALTH  
     09/30/07     09/30/06     % change     09/30/07     09/30/06     % change  

Hospitals owned and leased

     22       21     4.8 %     85       81     4.9 %

Average licensed beds

     5,417       5,047     7.3 %     7,269       6,492     12.0 %

Patient days

     886,844       819,711     8.2 %     1,489,301       1,386,299     7.4 %

Average daily census

     3,248.5       3,002.6     8.2 %     5,455.3       5,078.0     7.4 %

Occupancy-licensed beds

     60.0 %     59.5 %   0.8 %     75.0 %     78.2 %   -4.1 %

Admissions

     197,722       184,374     7.2 %     89,182       84,100     6.0 %

Length of stay

     4.5       4.4     0.9 %     16.7       16.5     1.3 %

Inpatient revenue

   $ 6,458,535     $ 5,607,700     15.2 %   $ 1,339,098     $ 1,244,739     7.6 %

Outpatient revenue

     2,666,277       2,147,156     24.2 %     173,558       154,605     12.3 %

Total patient revenue

     9,124,812       7,754,856     17.7 %     1,512,656       1,399,344     8.1 %

Other revenue

     45,368       38,690     17.3 %     21,938       24,092     -8.9 %

Gross hospital revenue

     9,170,180       7,793,546     17.7 %     1,534,594       1,423,436     7.8 %

Total deductions

     6,560,437       5,469,986     19.9 %     687,016       656,020     4.7 %

Net hospital revenue

   $ 2,609,743     $ 2,323,560     12.3 %   $ 847,578     $ 767,416     10.4 %

SAME FACILITY:

 

     ACUTE (2)     BEHAVIORAL HEALTH (3)  
     09/30/07     09/30/06     % change     09/30/07     09/30/06     % change  

Hospitals owned and leased

   21     21     0.0 %   78     78     0.0 %

Average licensed beds

   5,183     5,047     2.7 %   6,818     6,424     6.1 %

Patient days

   846,710     819,710     3.3 %   1,434,670     1,370,870     4.7 %

Average daily census

   3,101.5     3,002.6     3.3 %   5,255.2     5,021.5     4.7 %

Occupancy-licensed beds

   59.8 %   59.5 %   0.6 %   77.1 %   78.2 %   -1.4 %

Admissions

   190,147     184,374     3.1 %   86,030     83,207     3.4 %

Length of stay

   4.5     4.4     0.2 %   16.7     16.5     1.2 %

(1) Licensed beds from our Acute care hospitals located in New Orleans are excluded in 2006 and 2007.
(2) Acute care hospitals located in New Orleans and Texoma are excluded in current and prior years.
(3) Cottonwood, Dover Behavioral, Foundations Behavioral, Highlands Behavioral, Lincoln Trail, Shenandoah Valley and Spring Mountain Sahara are excluded in both current and prior years. Cedar Ridge RTC is included in both current and prior years from July 1st through year to date. Academy at Canyon Creek and Casa de Lago are included in both current and prior years from August 1st through year to date. Cedar Ridge Hospital is included in both current and prior years from September 1st through year to date. Tennessee Valley, Tuscaloosa Juvenile Detention Center and Triple L Group homes are excluded in current and prior years.