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): February 28, 2008

 

 

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 February 28, 2008, 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 February 28, 2008.


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: February 28, 2008


Exhibit Index

 

Exhibit No.

 

Exhibit

99.1   Universal Health Services, Inc., press release, dated February 28, 2008.
Press Release

Exhibit 99.1

FOR IMMEDIATE RELEASE

 

CONTACT:    Steve Filton   
   Chief Financial Officer    February 28, 2008
   610-768-3300   

UNIVERSAL HEALTH SERVICES, INC. REPORTS

2007 FOURTH QUARTER AND FULL YEAR EARNINGS AND 2008 GUIDANCE

Consolidated Results of Operations:

KING OF PRUSSIA, PA – Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income was $40.0 million, or $.75 per diluted share, during the fourth quarter of 2007 as compared to $34.2 million, or $.63 per diluted share, during the comparable prior year quarter. For the year ended December 31, 2007, reported net income was $170.4 million, or $3.18 per diluted share, as compared to $259.5 million, or $4.56 per diluted share, during 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 twelve-month periods ended December 31, 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 judgment and lawsuit, 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 adjustment to reduce our professional and general liability self-insurance reserves based upon the results of a reserve analysis, net of minority interests and income taxes, and; (vi) a charge incurred during 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 December 31, 2007 was $39.6 million, or $.74 per diluted share, as compared to $32.4 million, or $.60 per diluted share, during the fourth quarter of 2006. Our adjusted net income during the year ended December 31, 2007 was $164.3 million, or $3.07 per diluted share, as compared to $157.3 million, or $2.79 per diluted share, during the prior year.

Net revenues increased 12% to $1.19 billion during the fourth quarter of 2007 as compared to $1.07 billion during the fourth quarter of 2006. Net revenues increased 13%


to $4.75 billion during the year ended December 31, 2007 as compared to $4.19 billion during the prior year. Our consolidated operating margin, as calculated on the attached Supplemental Schedules (without adjusting for the various items mentioned above), was 12.9% and 12.3% during the three-month periods ended December 31, 2007 and 2006, respectively, and 13.1% during each of the years ended December 31, 2007 and 2006.

Acute Care Services:

At our acute care hospitals owned during both periods (“same facility basis”), inpatient admissions were unchanged and patient days decreased 1.4% during the fourth quarter of 2007 as compared to the fourth quarter of 2006. On a same facility basis, net revenues at our acute care facilities increased 7.6% during the fourth quarter of 2007 as compared to the comparable prior year quarter. Net revenue per adjusted admission at these facilities increased 4.8% during the fourth quarter of 2007 over the comparable prior year quarter. The operating margin at our acute care hospitals owned during both periods increased to 13.9% during the fourth quarter of 2007 as compared to 12.1% during the fourth quarter of 2006.

At our acute care hospitals, on a same facility basis, inpatient admissions increased 2.4% and patient days increased 2.1% during the year ended December 31, 2007 as compared to the prior year. Net revenues at these facilities increased 7.7% during 2007 as compared to 2006. Net revenue per adjusted admission at these facilities increased 3.3% during the year ended December 31, 2007 over the prior year. The operating margin at our acute care hospitals owned during both years increased to 13.8% during 2007 as compared to 13.4% during 2006.

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 $130 million and $117 million during the three-month periods ended December 31, 2007 and 2006, respectively, and $548 million and $443 million during the years ended December 31, 2007 and 2006, respectively.

Behavioral Health Care Services:

At our behavioral health facilities, on a same facility basis, inpatient admissions increased 7.3% and patient days increased 5.6% during the fourth quarter of 2007 as compared to the fourth quarter of 2006. On a same facility basis, net revenues at our behavioral health facilities increased 9.5% during the fourth quarter of 2007 as compared to the comparable prior year quarter. Net revenue per adjusted admission at these facilities increased 2.8% during the fourth quarter of 2007 over the comparable prior year quarter. The operating margin at our behavioral health facilities owned during both periods increased to 23.4% during the fourth quarter of 2007 as compared to 22.8% during the fourth quarter of 2006.

At our behavioral health facilities, on a same facility basis, inpatient admissions and patient days each increased 4.3% during the year ended December 31, 2007 as


compared to the prior year. On a same facility basis, net revenues at our behavioral health facilities increased 7.4% during 2007 as compared to 2006. Net revenue per adjusted admission at these facilities increased 3.1% during 2007 over the prior year. The operating margin at our behavioral health facilities owned during both years was 23.6% during 2007 and 23.5% during 2006.

2008 Guidance:

During 2008, based upon current trends and subject to certain provisions and adjustments, including those as set forth below in General Information, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures, we estimate that we will achieve earnings per diluted share from continuing operations of approximately $3.37 to $3.42 on projected net revenues of $5.13 billion.

During 2008, we expect to spend approximately $400 million to $425 million on capital expenditures, including approximately $240 million related to expenditures for capital equipment, renovations, new projects at existing hospitals and completion of major construction projects in progress at December 31, 2007.

Conference Call Information:

We will hold a conference call for investors and analysts at 9:00 a.m. eastern time on February 29, 2008. 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 February 29, 2008 and will continue through midnight on March 14, 2008. The recording can be accessed by calling 1-800-642-1687 and entering the conference ID number 32133043. 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, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures:

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, 2007), 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, reserves for legal judgments, lawsuits and other settlements and other amounts that may be reflected in the current or prior year financial statements that relate to prior periods. To obtain a complete understanding of our financial performance these measures should be examined in connection with net income, determined in accordance with GAAP, as presented in the condensed consolidated financial statements and notes thereto in this report or in our other filings with the Securities and Exchange Commission including our Report on Form 10-K for the year ended December 31, 2007. 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).

 

     Three months ended
December 31,
    Twelve months ended
December 31,
 
     2007     2006     2007     2006  

Net revenues

   $ 1,194,211     $ 1,065,881     $ 4,751,005     $ 4,191,300  

Operating charges:

        

Salaries, wages and benefits

     519,187       461,500       2,039,676       1,797,587  

Other operating expenses

     248,828       228,026       997,807       936,958  

Supplies expense

     168,811       156,431       675,757       556,702  

Provision for doubtful accounts

     103,378       88,940       415,961       349,030  

Depreciation and amortization

     47,864       43,334       183,281       163,694  

Lease and rental expense

     17,552       15,813       68,253       64,060  

Hurricane related expenses, net

     (493 )     (640 )     214       13,792  

Hurricane insurance recoveries

     —         —         —         (13,792 )
                                
     1,105,127       993,404       4,380,949       3,868,031  
                                

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

     89,084       72,477       370,056       323,269  

Interest expense, net

     12,983       9,196       51,626       32,558  

Hurricane insurance recoveries in excess of expenses

     —         —         —         (167,999 )

Minority interests in earnings of consolidated entities

     10,710       8,621       43,361       46,238  
                                

Income before income taxes

     65,391       54,660       275,069       412,472  

Provision for income taxes

     25,488       20,458       104,550       152,878  
                                

Income from continuing operations

     39,903       34,202       170,519       259,594  

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

     51       (32 )     (132 )     (136 )
                                

Net income

   $ 39,954     $ 34,170     $ 170,387     $ 259,458  
                                

Basic earnings per share: (b)

        

From continuing operations

   $ 0.75     $ 0.63     $ 3.19     $ 4.76  

From discontinued operations

     0.00       0.00       0.00       0.00  
                                

Total basic earnings per share

   $ 0.75     $ 0.63     $ 3.19     $ 4.76  
                                

Diluted earnings (loss) per share: (b)

        

From continuing operations

   $ 0.75     $ 0.63     $ 3.18     $ 4.57  

From discontinued operations

     0.00       0.00       0.00       (0.01 )
                                

Total diluted earnings per share

   $ 0.75     $ 0.63     $ 3.18     $ 4.56  
                                


Universal Health Services, Inc.

Footnotes to Consolidated Statements of Income

(in thousands, except per share amounts)

 

     Three months
ended December 31,
    Twelve months
ended December 31,
 
     2007     2006     2007     2006  
(a) Calculation of income from discontinued operations, net of income tax:         

Income (loss) from operations

   $ 83     $ (52 )   $ (213 )   $ (217 )

Income tax (expense) benefit

     (32 )     20       81       81  
                                

Income (loss) from discontinued operations, net of taxes

   $ 51     $ (32 )   $ (132 )   $ (136 )
                                
(b) Earnings per share calculation:         
Basic:         

Income from continuing operations

   $ 39,903     $ 34,202     $ 170,519     $ 259,594  

Less: Dividends on unvested restricted stock, net of taxes

     (17 )     (26 )     (79 )     (89 )
                                

Income from continuing operations—basic

   $ 39,886     $ 34,176     $ 170,440     $ 259,505  

Income (loss) from discontinued operations

     51       (32 )     (132 )     (136 )
                                

Net income—basic

   $ 39,937     $ 34,144     $ 170,308     $ 259,369  
                                

Weighted average number of common shares—basic

     53,051       53,936       53,381       54,557  
                                

Basic earnings per share:

        

From continuing operations

   $ 0.75     $ 0.63     $ 3.19     $ 4.76  

From discontinued operations

     0.00       0.00       0.00       0.00  
                                

Total basic earnings per share

   $ 0.75     $ 0.63     $ 3.19     $ 4.76  
                                
Diluted:         

Income from continuing operations

   $ 39,903     $ 34,202     $ 170,519     $ 259,594  

Less: Dividends on unvested restricted stock, net of taxes

     (17 )     (26 )     (79 )     (89 )

Add: Debenture interest, net of taxes

     —         —         —         4,887  
                                

Income from continuing operations—diluted

   $ 39,886     $ 34,176     $ 170,440     $ 264,392  

Income (loss) from discontinued operations

     51       (32 )     (132 )     (136 )
                                

Net income - diluted

   $ 39,937     $ 34,144     $ 170,308     $ 264,256  
                                

Weighted average number of common shares

     53,051       53,936       53,381       54,557  

Add: Shares for conversion of convertible debentures

     —         —         —         3,117  

Other share equivalents

     182       255       188       234  
                                

Weighted average number of common shares and equiv.—diluted

     53,233       54,191       53,569       57,908  
                                

Diluted earnings (loss) per share:

        

From continuing operations

   $ 0.75     $ 0.63     $ 3.18     $ 4.57  

From discontinued operations

     0.00       0.00       0.00       (0.01 )
                                

Total diluted earnings per share

   $ 0.75     $ 0.63     $ 3.18     $ 4.56  
                                


Universal Health Services, Inc.

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

For the three months ended December 31, 2007 and 2006

(in thousands, except per share amounts)

(unaudited)

 

     Three months ended
December 31, 2007
    Three months ended
December 31, 2006
 

Net revenues

   $ 1,194,211       100.0 %   $ 1,065,881       100.0 %

Operating charges:

        

Salaries, wages and benefits

     519,187       43.5 %     461,500       43.3 %

Other operating expenses

     248,828       20.8 %     228,026       21.4 %

Supplies expense

     168,811       14.1 %     156,431       14.7 %

Provision for doubtful accounts

     103,378       8.7 %     88,940       8.3 %
                                
     1,040,204       87.1 %     934,897       87.7 %
                                

Operating income/margin

     154,007       12.9 %     130,984       12.3 %

Lease and rental expense

     17,552         15,813    

Minority interests in earnings of consolidated entities

     10,710         8,621    
                    

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

     125,745         106,550    

Hurricane related expenses, net of insurance recoveries

     (493 )       (640 )  

Depreciation and amortization

     47,864         43,334    

Interest expense, net

     12,983         9,196    
                    

Income before income taxes

     65,391         54,660    

Provision for income taxes

     25,488         20,458    
                    

Income from continuing operations

     39,903         34,202    

Income (loss) from discontinued operations, net of income taxes

     51         (32 )  
                    

Net income

   $ 39,954       $ 34,170    
                    
     Three months ended
December 31, 2007
    Three months ended
December 31, 2006
 
     Amount     Per
Diluted Share
    Amount     Per
Diluted Share
 
Calculation of Adjusted Income from Continuing Operations         

Income from continuing operations

   $ 39,903     $ 0.75     $ 34,202     $ 0.63  

Plus/minus adjustments:

        

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

     (306 )     (0.01 )     (233 )     —    

Favorable prior period effect of Texas Medicaid supplemental payments and cost report settlements, net of income taxes

     —         —         (6,280 )     (0.12 )

Reserve for lawsuit, net of income taxes

     —         —         4,704       0.09  
                                

Subtotal after-tax adjustments to income from continuing operations

     (306 )     (0.01 )     (1,809 )     (0.03 )
                                

Adjusted income from continuing operations

   $ 39,597     $ 0.74     $ 32,393     $ 0.60  
                                
Calculation of Adjusted Net Income         

Net income

   $ 39,954     $ 0.75     $ 34,170     $ 0.63  

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

     (306 )     (0.01 )     (1,809 )     (0.03 )
                                

Adjusted net income

   $ 39,648     $ 0.74     $ 32,361     $ 0.60  
                                


Universal Health Services, Inc.

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

For the twelve months ended December 31, 2007 and 2006

(in thousands, except per share amounts)

(unaudited)

 

     Twelve months ended
December 31, 2007
    Twelve months ended
December 31, 2006
 

Net revenues

   $ 4,751,005       100.0 %   $ 4,191,300       100.0 %

Operating charges:

        

Salaries, wages and benefits

     2,039,676       42.9 %     1,797,587       42.9 %

Other operating expenses

     997,807       21.0 %     936,958       22.4 %

Supplies expense

     675,757       14.2 %     556,702       13.3 %

Provision for doubtful accounts

     415,961       8.8 %     349,030       8.3 %
                                
     4,129,201       86.9 %     3,640,277       86.9 %
                                

Operating income/margin

     621,804       13.1 %     551,023       13.1 %

Lease and rental expense

     68,253         64,060    

Minority interests in earnings of consolidated entities

     43,361         46,238    
                    

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

     510,190         440,725    

Hurricane insurance recoveries in excess of expenses

     214         (167,999 )  

Depreciation and amortization

     183,281         163,694    

Interest expense, net

     51,626         32,558    
                    

Income before income taxes

     275,069         412,472    

Provision for income taxes

     104,550         152,878    
                    

Income from continuing operations

     170,519         259,594    

Loss from discontinued operations, net of income taxes

     (132 )       (136 )  
                    

Net income

   $ 170,387       $ 259,458    
                    
     Twelve months ended
December 31, 2007
    Twelve months ended
December 31, 2006
 
     Amount     Per
Diluted Share
    Amount     Per
Diluted Share
 
Calculation of Adjusted Income from Continuing Operations         

Income from continuing operations

   $ 170,519     $ 3.18     $ 259,594     $ 4.57  

Plus/minus adjustments:

        

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

     133       —         (99,908 )     (1.73 )

Gain on sale of real property, net of income taxes

     (1,364 )     (0.02 )     —         —    

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

     (10,104 )     (0.19 )     —         —    

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

     3,419       0.07       (10,059 )     (0.18 )

Favorable tax reserve adjustment

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

Reserve for legal judgment and lawsuit, net of income taxes

     2,307       0.04       6,273       0.11  

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

     1,612       0.03       —         —    

W&M Funding

     —         —         4,466       0.08  
                                

Subtotal after-tax adjustments to income from continuing operations

     (6,076 )     (0.11 )     (102,128 )     (1.77 )
                                

Adjusted income from continuing operations

   $ 164,443     $ 3.07     $ 157,466     $ 2.80  
                                
Calculation of Adjusted Net Income         

Net income

   $ 170,387     $ 3.18     $ 259,458     $ 4.56  

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

     (6,076 )     (0.11 )     (102,128 )     (1.77 )
                                

Adjusted net income

   $ 164,311     $ 3.07     $ 157,330     $ 2.79  
                                


Universal Health Services, Inc.

Condensed Consolidated Balance Sheets

(in thousands)

 

     December 31,
2007
   December 31,
2006

Assets:

     

Cash and cash equivalents

   $ 16,354    $ 14,939

Accounts receivable, net

     627,186      595,009

Other current assets

     131,307      118,558

Property, plant and equipment, net

     1,933,916      1,685,085

Other assets

     899,894      863,451
             

Total Assets

   $ 3,608,657    $ 3,277,042
             

Liabilities and Stockholders' Equity:

     

Current portion of long-term debt

   $ 3,116    $ 1,938

Other current liabilities

     484,595      500,513

Other noncurrent liabilities

     344,755      340,815

Long-term debt

     1,008,786      821,363

Deferred income taxes

     40,022      35,888

Minority interest

     210,184      174,061

Stockholders' equity

     1,517,199      1,402,464
             

Total Liabilities and Stockholders' Equity

   $ 3,608,657    $ 3,277,042
             

 


Universal Health Services, Inc.

Consolidated Statements of Cash Flows

(in thousands)

 

     Twelve months
ended December 31,
 
     2007     2006  

Cash Flows from Operating Activities:

    

Net income

   $ 170,387     $ 259,458  

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

    

Depreciation & amortization

     183,281       163,694  

Accretion of discount on convertible debentures

     —         6,364  

Gain on sale of assets and businesses

     (3,722 )     —    

Hurricane related expenses

     —         13,792  

Hurricane insurance recoveries accrued

     —         (181,791 )

Hurricane insurance recoveries received for operating expenses

     —         43,929  

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

    

Accounts receivable

     (11,540 )     (93,552 )

Accrued interest

     2,143       796  

Accrued and deferred income taxes

     9,648       (111,438 )

Other working capital accounts

     (26,547 )     18,090  

Other assets and deferred charges

     (4,700 )     2,524  

Payment of hurricane related expenses

     —         (14,889 )

Other

     8,688       15,126  

Minority interest in earnings of consolidated entities, net of distributions

     10,334       15,536  

Accrued insurance expense, net of commercial premiums paid

     64,131       76,456  

Payments made in settlement of self-insurance claims

     (53,608 )     (44,856 )
                

Net cash provided by operating activities

     348,495       169,239  
                

Cash Flows from Investing Activities:

    

Property and equipment additions, net of disposals

     (339,813 )     (341,140 )

Proceeds received from sale of assets

     6,818       —    

Acquisition of assets and businesses

     (101,792 )     (81,800 )

Hurricane insurance recoveries received

     —         144,571  

Purchase of minority ownership interest in majority owned business

     (14,762 )     —    
                

Net cash used in investing activities

     (449,549 )     (278,369 )
                

Cash Flows from Financing Activities:

    

Additional borrowings

     183,206       494,353  

Reduction of long-term debt

     (8,716 )     (34,898 )

Repurchase of common shares

     (74,091 )     (350,372 )

Dividends paid

     (17,169 )     (17,445 )

Issuance of common stock

     2,264       5,637  

Financing costs

     (588 )     (2,020 )

Net cash received for termination of derivatives

     —         3,393  

Capital contributions from minority member

     17,563       17,458  
                

Net cash provided by financing activities

     102,469       116,106  
                

Increase in cash and cash equivalents

     1,415       6,976  

Cash and cash equivalents, beginning of period

     14,939       7,963  
                

Cash and cash equivalents, end of period

   $ 16,354     $ 14,939  
                

Supplemental Disclosures of Cash Flow Information:

    

Interest paid

   $ 58,567     $ 35,474  
                

Income taxes paid, net of refunds

   $ 93,519     $ 263,465  
                


Universal Health Services, Inc.

Supplemental Statistical Information

(unaudited)

 

Same Facility:

   % Change
Quarter ended
12/31/2007
    % Change
12 months ended
12/31/2007
 

Acute Care Hospitals

    

Revenues

   7.6 %   7.7 %

Adjusted Admissions

   2.6 %   4.3 %

Adjusted Patient Days

   1.2 %   4.0 %

Revenue Per Adjusted Admission

   4.8 %   3.3 %

Revenue Per Adjusted Patient Day

   6.4 %   3.6 %

Behavioral Health Hospitals

    

Revenues

   9.5 %   7.4 %

Adjusted Admissions

   6.5 %   4.1 %

Adjusted Patient Days

   4.8 %   4.2 %

Revenue Per Adjusted Admission

   2.8 %   3.1 %

Revenue Per Adjusted Patient Day

   4.5 %   3.1 %

 

UHS Consolidated

   Fourth quarter ended     Twelve months ended  
     12/31/2007     12/31/2006     12/31/2007     12/31/2006  

Revenues

   $ 1,194,211     $ 1,065,881     $ 4,751,005     $ 4,191,300  

EBITDA (1)

     125,745       106,550       510,190       440,725  

EBITDA Margin (1)

     10.5 %     10.0 %     10.7 %     10.5 %

Cash Flow From Operations

     25,714       -80,781       348,495       169,239  

Days Sales Outstanding

     48       51       48       52  

Capital Expenditures

     76,447       108,132       339,813       341,140  

Debt

         1,011,902       823,301  

Shareholders Equity

         1,517,199       1,402,464  

Debt / Total Capitalization

         40.0 %     37.0 %

Debt / EBITDA (2)

         1.98       1.87  

Debt / Cash From Operations (2)

         2.98       4.86  

Acute Care EBITDAR Margin (3) (4)

     13.0 %     12.1 %     13.5 %     13.5 %

Behavioral Health EBITDAR Margin (3) (4)

     22.8 %     22.6 %     22.9 %     23.3 %

 

(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

DECEMBER 31, 2007

AS REPORTED:

 

     ACUTE (1)     BEHAVIORAL HEALTH  
     12/31/07     12/31/06     % change     12/31/07     12/31/06     % change  

Hospitals owned and leased

     22       21     4.8 %     85       79     7.6 %

Average licensed beds

     5,415       5,139     5.4 %     7,573       6,927     9.3 %

Patient days

     285,286       275,664     3.5 %     517,818       469,340     10.3 %

Average daily census

     3,100.9       2,996.3     3.5 %     5,628.5       5,101.5     10.3 %

Occupancy-licensed beds

     57.3 %     58.3 %   -1.8 %     74.3 %     73.6 %   0.9 %

Admissions

     64,425       62,055     3.8 %     30,548       27,211     12.3 %

Length of stay

     4.4       4.4     -0.3 %     17.0       17.2     -1.7 %

Inpatient revenue

   $ 2,130,045     $ 1,910,457     11.5 %   $ 467,737     $ 418,770     11.7 %

Outpatient revenue

     894,019       729,711     22.5 %     62,362       51,848     20.3 %

Total patient revenue

     3,024,064       2,640,168     14.5 %     530,099       470,618     12.6 %

Other revenue

     15,510       12,859     20.6 %     7,750       8,115     -4.5 %

Gross hospital revenue

     3,039,574       2,653,027     14.6 %     537,849       478,733     12.3 %

Total deductions

     2,171,094       1,870,204     16.1 %     239,349       217,182     10.2 %

Net hospital revenue

   $ 868,480     $ 782,823     10.9 %   $ 298,500     $ 261,551     14.1 %

SAME FACILITY:

 

     ACUTE (2)     BEHAVIORAL HEALTH (3)  
     12/31/07     12/31/06     % change     12/31/07     12/31/06     % change  

Hospitals owned and leased

   21     21     0.0 %   79     79     0.0 %

Average licensed beds

   5,181     5,139     0.8 %   7,174     6,918     3.7 %

Patient days

   271,823     275,664     -1.4 %   494,813     468,666     5.6 %

Average daily census

   2,954.6     2,996.3     -1.4 %   5,378.4     5,094.2     5.6 %

Occupancy-licensed beds

   57.0 %   58.3 %   -2.2 %   75.0 %   73.6 %   1.8 %

Admissions

   62,079     62,055     0.0 %   29,126     27,154     7.3 %

Length of stay

   4.4     4.4     -1.4 %   17.0     17.3     -1.6 %

 

(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 and Shenandoah Valley are excluded in both current and prior years. Cedar Ridge RTC and Northstar RTC are included in both current and prior years from July 1st through year to date ("YTD"). Academy at Canyon Creek and Casa de Lago are included in both current and prior years from August 1st through YTD. Cedar Ridge Hospital is included in both current and prior years from September 1st through YTD. Lincoln Trail is included in both current and prior years from November 1 through YTD and Spring Mountain is included in both current and prior years from December 1 through YTD. 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 TWELVE MONTHS ENDED

DECEMBER 31, 2007

AS REPORTED:

 

     ACUTE (1)     BEHAVIORAL HEALTH  
     12/31/07     12/31/06     % change     12/31/07     12/31/06     % change  

Hospitals owned and leased

     22       21     4.8 %     85       79     7.6 %

Average licensed beds

     5,417       5,070     6.8 %     7,348       6,607     11.2 %

Patient days

     1,172,130       1,095,375     7.0 %     2,007,119       1,855,306     8.2 %

Average daily census

     3,211.3       3,000.9     7.0 %     5,499.0       5,083.0     8.2 %

Occupancy-licensed beds

     59.3 %     59.2 %   0.2 %     74.8 %     76.9 %   -2.7 %

Admissions

     262,147       246,429     6.4 %     119,730       111,490     7.4 %

Length of stay

     4.5       4.4     0.6 %     16.8       16.6     0.7 %

Inpatient revenue

   $ 8,588,580     $ 7,518,157     14.2 %   $ 1,806,835     $ 1,663,509     8.6 %

Outpatient revenue

     3,560,296       2,876,867     23.8 %     235,920       206,453     14.3 %

Total patient revenue

     12,148,876       10,395,024     16.9 %     2,042,755       1,869,962     9.2 %

Other revenue

     60,878       51,549     18.1 %     29,688       32,207     -7.8 %

Gross hospital revenue

     12,209,754       10,446,573     16.9 %     2,072,443       1,902,169     9.0 %

Total deductions

     8,731,499       7,339,940     19.0 %     926,365       873,202     6.1 %

Net hospital revenue

   $ 3,478,255     $ 3,106,633     12.0 %   $ 1,146,078     $ 1,028,967     11.4 %

SAME FACILITY:

 

     ACUTE (2)     BEHAVIORAL HEALTH (3)  
     12/31/07     12/31/06     % change     12/31/07     12/31/06     % change  

Hospitals owned and leased

   21     21     0.0 %   79     79     0.0 %

Average licensed beds

   5,183     5,070     2.2 %   6,877     6,548     5.0 %

Patient days

   1,118,543     1,095,375     2.1 %   1,919,426     1,839,564     4.3 %

Average daily census

   3,064.5     3,000.9     2.1 %   5,258.7     5,039.9     4.3 %

Occupancy-licensed beds

   59.1 %   59.2 %   -0.1 %   76.5 %   77.0 %   -0.7 %

Admissions

   252,226     246,429     2.4 %   115,111     110,361     4.3 %

Length of stay

   4.4     4.4     -0.2 %   16.7     16.7     0.0 %

 

(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 and Shenandoah Valley are excluded in both current and prior years. Cedar Ridge RTC and Northstar RTC are included in both current and prior years from July 1st through year to date ("YTD"). Academy at Canyon Creek and Casa de Lago are included in both current and prior years from August 1st through YTD. Cedar Ridge Hospital is included in both current and prior years from September 1st through YTD. Lincoln Trail is included in both current and prior years from November 1 through YTD and Spring Mountain is included in both current and prior years from December 1 through YTD. Tennessee Valley, Tuscaloosa Juvenile Detention Center and Triple L Group homes are excluded in current and prior years.