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): July 29, 2009 (July 28, 2009)

 

 

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 July 28, 2009, Universal Health Services, Inc. issued the press release attached hereto as Exhibit 99.1.

 

Item 9.01 Financial Statements and Exhibits

(d) Exhibits. 99.1 Universal Health Services, Inc., press release, dated July 28, 2009.


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 and Chief Executive Officer
By:  

/s/ Steve Filton

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

Date: July 29, 2009


Exhibit Index

 

Exhibit No.

  

Exhibit

99.1    Universal Health Services, Inc., press release, dated July 28, 2009.
Press Release

Exhibit 99.1

FOR IMMEDIATE RELEASE

 

CONTACT:   

SteveFilton

Chief Financial Officer

610-768-3300

  

July  28, 2009

UNIVERSAL HEALTH SERVICES, INC. REPORTS

SIGNIFICANT INCREASES IN 2009 SECOND QUARTER AND SIX-MONTH

EARNINGS, RAISES FULL YEAR GUIDANCE

Consolidated Results of Operations - Three-month periods ended June 30, 2009 and 2008:

KING OF PRUSSIA, PA – Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income attributable to UHS was $80.9 million, or $1.64 per diluted share, during the second quarter of 2009 as compared to $54.2 million, or $1.06 per diluted share, during the comparable quarter of the prior year. Reported income from continuing operations attributable to UHS was $80.9 million, or $1.64 per diluted share, during the second quarter of 2009 as compared to $55.2 million, or $1.08 per diluted share, during the comparable quarter of the prior year.

As indicated on the attached Schedules of Non-GAAP Supplemental Consolidated Statements of Income Information (“Supplemental Schedules”), included in our income from continuing operations and net income during the three and six-month periods ended June 30, 2009, was a combined $9.8 million, or $.20 per diluted share, consisting of: (i) a favorable after-tax adjustment of $14.1 million, or $.29 per diluted share, resulting from a reduction to our professional and general liability self-insurance reserves relating to years prior to 2009 based upon a reserve analysis, partially offset by; (ii) an unfavorable discrete tax item of $4.3 million, or $.09 per diluted share.

After adjusting the reported results for the second quarter of 2009 to neutralize the net favorable impact of the above-mentioned adjustments (there were no adjustments applicable to the second quarter of 2008), our adjusted income from continuing operations attributable to UHS during the second quarter of 2009 was $71.1 million, or an increase of 33% to $1.44 per diluted share, as compared to $55.2 million, or $1.08 per diluted share, during the comparable quarter of the prior year.

During the second quarter of 2009, adjusted net income attributable to UHS was $71.1 million, or an increase of 36% to $1.44 per diluted share, as compared to $54.2 million, or $1.06 per diluted share during the comparable quarter of the prior year.

Net revenues increased 3% to $1.30 billion during the second quarter of 2009 as compared to $1.26 billion during the second quarter of 2008.


Consolidated Results of Operations - Six-month periods ended June 30, 2009 and 2008:

Reported net income attributable to UHS was $148.4 million, or $3.01 per diluted share, during the six-month period ended June 30, 2009 as compared to $115.9 million, or $2.26 per diluted share, during the comparable six-month period of the prior year. Reported income from continuing operations attributable to UHS was $148.4 million, or $3.01 per diluted share, during the six-month period ended June 30, 2009 as compared to $115.2 million, or $2.25 per diluted share, during the comparable six-month period of the prior year.

As indicated on the attached Supplemental Schedules, during the six-month period ended June 30, 2009, our adjusted income from continuing operations attributable to UHS was $138.6 million, or an increase of 25% to $2.81 per diluted share, as compared to $115.2 million, or $2.25 per diluted share, during the comparable six-month period of the prior year.

Adjusted net income attributable to UHS was $138.6 million, or an increase of 24% to $2.81 per diluted share, during the six-month period ended June 30, 2009, as compared to $115.9 million, or $2.26 per diluted share during the comparable six-month period of the prior year.

Net revenues increased 3% to $2.62 billion during the six-month period ended June 30, 2009 as compared to $2.54 billion during the comparable six-month period of the prior year.

Acute Care Services - Three-month periods ended June 30, 2009 and 2008:

At our acute care hospitals owned during both periods (“same facility basis”), inpatient admissions increased 1.5% while patient days decreased 0.8% during the second quarter of 2009, as compared to the second quarter of 2008. Net revenues at these facilities increased 2.9% during the second quarter of 2009 as compared to the comparable quarter of the prior year. At these facilities, net revenue per adjusted admission decreased 0.2% while net revenue per adjusted patient day increased 2.0% during the second quarter of 2009 as compared to the comparable quarter of the prior year. On a same facility basis, the operating margin (net revenues less salaries, wages and benefits, other operating expenses, supplies expense and provision for doubtful accounts) at our acute care hospitals increased to 16.8% during the second quarter of 2009 as compared to 14.7% during the second quarter of 2008.

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 $181 million and $143 million during the three-month periods ended June 30, 2009 and 2008, respectively.

Acute Care Services - Six-month periods ended June 30, 2009 and 2008:

During the six-month period ended June 30, 2009, on a same facility basis, inpatient admissions to our acute care facilities increased 0.1% while patient days decreased 1.5%, as compared to the comparable period of the prior year. Net revenues at our acute


care facilities increased 1.9% during the six-month period ended June 30, 2009 as compared to the comparable period of the prior year. At these facilities, net revenue per adjusted admission increased 0.3% while net revenue per adjusted patient day increased 2.0% during the six-month period ended June 30, 2009 as compared to the comparable period of the prior year. On a same facility basis, the operating margin at our acute care hospitals increased to 17.2% during the six-month period ended June 30, 2009 as compared to 15.5% during the comparable period of the prior year.

Our acute care hospitals provided charity care and uninsured discounts, based on charges at established rates, amounting to $340 million and $296 million during the six-month periods ended June 30, 2009 and 2008, respectively.

Behavioral Health Care Services - Three-month periods ended June 30, 2009 and 2008:

At our behavioral health care facilities, on a same facility basis, inpatient admissions increased 1.5% and patient days increased 1.0% during the second quarter of 2009 as compared to the second quarter of 2008. Net revenues at these facilities increased 4.0% during the second quarter of 2009 as compared to the comparable quarter in the prior year. Net revenue per adjusted patient day at these facilities increased 3.5% during the second quarter of 2009 over the comparable prior year quarter. The operating margin at our behavioral health care facilities owned during both periods was 26.3% during the second quarter of 2009 as compared to 25.1% during the second quarter of 2008.

Behavioral Health Care Services - Six-month periods ended June 30, 2009 and 2008:

During the six-month period ended June 30, 2009, on a same facility basis, inpatient admissions to our behavioral health care facilities increased 1.3% while patient days decreased 0.2%, as compared to the comparable period of the prior year. Net revenues at our behavioral health care facilities increased 3.4% during the six-month period ended June 30, 2009 as compared to the comparable period of the prior year. At these facilities, net revenue per adjusted patient day increased 4.2% during the six-month period ended June 30, 2009 as compared to the comparable prior year period. On a same facility basis, the operating margin at our behavioral health facilities increased to 25.7% during the six-month period ended June 30, 2009 as compared to 24.4% during the comparable period of the prior year.

2009 Full Year Guidance Increased to $4.40 to $4.55 Per Diluted Share:

Based upon the operating trends and financial results experienced during the first six months of 2009, and subject to certain assumptions, provisions and adjustments, including those as set forth below in General Information, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures, we are increasing our estimated range of earnings per diluted share from continuing operations for the year ended December 31, 2009 to $4.40 to $4.55 from the previously provided range of $4.00 to $4.15. This revised guidance range excludes the net favorable impact of $.20 per diluted share resulting from the above-mentioned items that were included in our results for the three and six-month periods ended June 30, 2009 (consisting of the favorable impact resulting from the reduction to our professional and general liability self-insurance reserves and the unfavorable impact resulting from the discrete tax item).


Recent Acquisition:

On June 30, 2009, we completed the acquisition of Centennial Peaks Hospital, a 72-bed behavioral health facility located in Louisville, Colorado. Centennial Peaks will provide services to adolescent and adult patients and will compliment our existing services in the high growth Denver-Boulder corridor.

Conference Call Information:

We will hold a conference call for investors and analysts at 9:00 a.m. eastern time on July 29, 2009. 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 July 29, 2009 and will continue through midnight on August 12, 2009. The recording can be accessed by calling 1-800-642-1687 and entering the conference ID number 17867500. This call will also be available live over the internet at our web site at www.uhsinc.com. The webcast is also being distributed through the Thomson StreetEvents Network. Individual investors can listen to the call at www.earnings.com, Thomson’s individual investor portal, powered by StreetEvents. Institutional investors can access the call via Thomson StreetEvents at www.streetevents.com.

General Information, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures:

Universal Health Services, Inc. (“UHS”) 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, 2008 and in Item 2-Forward Looking Statements and Risk Factors in our Form 10-Q for the quarterly period ended March 31, 2009), may cause the 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, when applicable, 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, reserves for settlements, legal judgments and lawsuits 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, 2008 and Report on Form 10-Q for the quarter ended March 31, 2009. 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 June 30,
    Six months
ended June 30,
     2009    2008     2009    2008

Net revenues

   $ 1,303,640    $ 1,262,577      $ 2,616,059    $ 2,540,553

Operating charges:

          

Salaries, wages and benefits

     541,950      528,081        1,083,247      1,069,656

Other operating expenses

     232,894      259,313        506,115      507,958

Supplies expense

     176,411      174,264        350,378      353,503

Provision for doubtful accounts

     120,670      120,646        239,648      240,443

Depreciation and amortization

     51,085      47,336        102,219      94,079

Lease and rental expense

     17,587      17,866        34,659      35,421
                            
     1,140,597      1,147,506        2,316,266      2,301,060
                            

Income from continuing operations before interest expense and income taxes

     163,043      115,071        299,793      239,493

Interest expense, net

     11,879      13,249        24,517      26,728
                            

Income from continuing operations before income taxes

     151,164      101,822        275,276      212,765

Provision for income taxes

     57,187      35,205        99,265      72,816
                            

Income from continuing operations

     93,977      66,617        176,011      139,949

Income from continuing operations attributable to minority interests

     13,084      11,427        27,577      24,706
                            

Income from continuing operations attributable to UHS

     80,893      55,190        148,434      115,243

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

     —        (950     —        660
                            

Net income attributable to UHS

   $ 80,893    $ 54,240      $ 148,434    $ 115,903
                            

Basic earnings (loss) per share attributable to UHS (b)

          

From continuing operations

   $ 1.65    $ 1.09      $ 3.01    $ 2.25

From discontinued operations

     —        (0.02     —        0.02
                            

Total basic earnings per share

   $ 1.65    $ 1.07      $ 3.01    $ 2.27
                            

Diluted earnings (loss) per share attributable to UHS (b)

          

From continuing operations

   $ 1.64    $ 1.08      $ 3.01    $ 2.25

From discontinued operations

     —        (0.02     —        0.01
                            

Total diluted earnings per share

   $ 1.64    $ 1.06      $ 3.01    $ 2.26
                            


Universal Health Services, Inc.

Footnotes to Consolidated Statements of Income

(in thousands, except per share amounts)

(unaudited)

 

     Three months ended
June 30,
    Six months ended
June 30,
 
     2009     2008     2009     2008  

(a) Calculation of income from discontinued operations, net of income tax:

        

(Loss) income from discontinued operations, pre-tax

     —        ($ 1,540     —        $ 1,069   

Income tax benefit (expense)

     —          590        —          (409
                                

(Loss) income from discontinued operations, net of taxes

     —        ($ 950     —        $ 660   
                                

(b) Earnings per share calculation:

        

Basic and diluted:

        

Income from continuing operations attributable to UHS

   $ 80,893      $ 55,190      $ 148,434      $ 115,243   

Less: Net income attributable to unvested restricted share grants

     (381     (229     (695     (488
                                

Income from continuing operations - basic and diluted

     80,512        54,961        147,739        114,755   

Income from discontinued operations

     —          (950     —          660   
                                

Net income attributable to UHS - basic and diluted

   $ 80,512      $ 54,011      $ 147,739      $ 115,415   
                                

Weighted average number of common shares - basic

     48,850        50,629        49,028        50,946   
                                

Basic earnings (loss) per share attributable to UHS:

        

From continuing operations

   $ 1.65      $ 1.09      $ 3.01      $ 2.25   

From discontinued operations

     —          (0.02     —          0.02   
                                

Total basic earnings per share

   $ 1.65      $ 1.07      $ 3.01      $ 2.27   
                                

Weighted average number of common shares

     48,850        50,629        49,028        50,946   

Add: Other share equivalents

     202        113        101        65   
                                

Weighted average number of common shares and equiv. - diluted

     49,052        50,742        49,129        51,011   
                                

Diluted earnings (loss) per share attributable to UHS:

        

From continuing operations

   $ 1.64      $ 1.08      $ 3.01      $ 2.25   

From discontinued operations

     —          (0.02     —          0.01   
                                

Total diluted earnings per share

   $ 1.64      $ 1.06      $ 3.01      $ 2.26   
                                


Universal Health Services, Inc.

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

For the three months ended June 30, 2009 and 2008

(in thousands, except per share amounts)

(unaudited)

 

     Three months ended June 30,
2009
    Three months ended June 30,
2008
 

Net revenues

   $ 1,303,640        100.0   $ 1,262,577        100.0

Operating charges:

        

Salaries, wages and benefits

     541,950        41.6     528,081        41.8

Other operating expenses

     232,894        17.9     259,313        20.5

Supplies expense

     176,411        13.5     174,264        13.8

Provision for doubtful accounts

     120,670        9.3     120,646        9.6
                                
     1,071,925        82.2     1,082,304        85.7
                                

Operating income/margin

     231,715        17.8     180,273        14.3

Lease and rental expense

     17,587          17,866     

Income from continuing operations attributable to minority interests

     13,084          11,427     
                    

Earnings before, depreciation and amortization, interest expense, and income taxes (“EBITDA”)

     201,044          150,980     

Depreciation and amortization

     51,085          47,336     

Interest expense, net

     11,879          13,249     
                    

Income before income taxes

     138,080          90,395     

Provision for income taxes

     57,187          35,205     
                    

Income from continuing operations attributable to UHS

     80,893          55,190     

Loss from discontinued operations, net of income taxes

     —            (950  
                    

Net income attributable to UHS

   $ 80,893        $ 54,240     
                    
     Three months ended June 30,
2009
    Three months ended June 30,
2008
 
     Amount     Per
Diluted Share
    Amount     Per
Diluted Share
 

Calculation of Adjusted Income from Continuing Operations Attributable to UHS

        

Income from continuing operations attributable to UHS

   $ 80,893      $ 1.64      $ 55,190      $ 1.08   

Plus/minus adjustments:

        

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

     (14,168     (0.29     —          —     

Unfavorable discrete tax item

     4,331        0.09       
                                

Subtotal after-tax adjustments to income from continuing operations attributable to UHS

     (9,837     (0.20     —          —     
                                

Adjusted income from continuing operations attributable to UHS

   $ 71,056      $ 1.44      $ 55,190      $ 1.08   
                                

Calculation of Adjusted Net Income Attributable to UHS

        

Net income attributable to UHS

   $ 80,893      $ 1.64      $ 54,240      $ 1.06   

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

     (9,837     (0.20     —          —     
                                

Adjusted net income attributable to UHS

   $ 71,056      $ 1.44      $ 54,240      $ 1.06   
                                


Universal Health Services, Inc.

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

For the six months ended June 30, 2009 and 2008

(in thousands, except per share amounts)

(unaudited)

 

     Six months ended June 30,
2009
    Six months ended June 30,
2008
 

Net revenues

   $ 2,616,059        100.0   $ 2,540,553      100.0

Operating charges:

         

Salaries, wages and benefits

     1,083,247        41.4     1,069,656      42.1

Other operating expenses

     506,115        19.3     507,958      20.0

Supplies expense

     350,378        13.4     353,503      13.9

Provision for doubtful accounts

     239,648        9.2     240,443      9.5
                               
     2,179,388        83.3     2,171,560      85.5
                               

Operating income/margin

     436,671        16.7     368,993      14.5

Lease and rental expense

     34,659          35,421   

Income from continuing operations attributable to minority interests

     27,577          24,706   
                   

Earnings before, depreciation and amortization, interest expense, and income taxes (“EBITDA”)

     374,435          308,866   

Depreciation and amortization

     102,219          94,079   

Interest expense, net

     24,517          26,728   
                   

Income before income taxes

     247,699          188,059   

Provision for income taxes

     99,265          72,816   
                   

Income from continuing operations attributable to UHS

     148,434          115,243   

Income from discontinued operations, net of income taxes

     —            660   
                   

Net income attributable to UHS

   $ 148,434        $ 115,903   
                   
     Six months ended
June 30, 2009
    Six months ended
June 30, 2008
 
     Amount     Per
Diluted Share
    Amount    Per
Diluted Share
 

Calculation of Adjusted Income from Continuing Operations Attributable to UHS

         

Income from continuing operations attributable to UHS

   $ 148,434      $ 3.01      $ 115,243    $ 2.25   

Plus/minus adjustments:

         

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

     (14,168     (0.29     —        —     

Unfavorable discrete tax item

     4,331        0.09        
                               

Subtotal after-tax adjustments to income from continuing operations attributable to UHS

     (9,837     (0.20     —        —     
                               

Adjusted income from continuing operations attributable to UHS

   $ 138,597      $ 2.81      $ 115,243    $ 2.25   
                               

Calculation of Adjusted Net Income Attributable to UHS

         

Net income attributable to UHS

   $ 148,434      $ 3.01      $ 115,903    $ 2.26   

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

     (9,837     (0.20     —        —     
                               

Adjusted net income attributable to UHS

   $ 138,597      $ 2.81      $ 115,903    $ 2.26   
                               


Universal Health Services, Inc.

Condensed Consolidated Balance Sheets

(in thousands, unaudited)

(unaudited)

 

     June 30,
2009
    December 31,
2008
 

Assets

    

Current assets:

    

Cash and cash equivalents

   $ 10,623      $ 5,460   

Accounts receivable, net

     605,870        625,437   

Supplies

     78,885        76,043   

Other current assets

     31,182        26,375   

Deferred income taxes

     38,933        34,522   

Current assets held for sale

     21,580        21,580   
                

Total current assets

     787,073        789,417   
                

Property and equipment

     3,549,211        3,355,974   

Less: accumulated depreciation

     (1,345,692     (1,255,682
                
     2,203,519        2,100,292   
                

Other assets:

    

Goodwill

     733,887        732,937   

Deferred charges

     10,318        10,428   

Other

     102,079        109,388   
                
   $ 3,836,876      $ 3,742,462   
                

Liabilities and Stockholders’ Equity

    

Current liabilities:

    

Current maturities of long-term debt

   $ 8,730      $ 8,708   

Accounts payable and accrued liabilities

     561,471        542,008   

Federal and state taxes

     16,098        10,409   
                

Total current liabilities

     586,299        561,125   
                

Other noncurrent liabilities

     389,572        407,652   

Long-term debt

     913,148        990,661   

Deferred income taxes

     19,806        12,439   

UHS common stockholders’ equity

     1,677,996        1,543,850   

Minority interest

     250,055        226,735   
                

Total equity

     1,928,051        1,770,585   
                
   $ 3,836,876      $ 3,742,462   
                


Universal Health Services, Inc.

Consolidated Statements of Cash Flows

(in thousands)

(unaudited)

 

     Six months
ended June 30,
 
     2009     2008  

Cash Flows from Operating Activities:

    

Net income attributable to UHS

   $ 148,434      $ 115,903   

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

    

Depreciation & amortization

     102,219        95,379   

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

    

Accounts receivable

     4,392        (74,863

Construction management and other receivable

     21,003        (8,016

Accrued interest

     106        811   

Accrued and deferred income taxes

     7,934        3,288   

Other working capital accounts

     (1,499     18,331   

Other assets and deferred charges

     3,844        15,821   

Other

     3,327        5,410   

Minority interest in earnings of consolidated entities, net of distributions

     23,320        13,307   

Accrued insurance expense, net of commercial premiums paid

     13,323        38,743   

Payments made in settlement of self-insurance claims

     (29,823     (25,648
                

Net cash provided by operating activities

     296,580        198,466   
                

Cash Flows from Investing Activities:

    

Property and equipment additions, net of disposals

     (183,248     (156,062

Acquisition of property and business

     (9,006     —     

Proceeds received from sale of assets

     —          2,235   

Settlement proceeds received related to prior year acquisitions, net of expenses

     —          1,539   

Investment in joint-venture

     —          (2,095
                

Net cash used in investing activities

     (192,254     (154,383
                

Cash Flows from Financing Activities:

    

Reduction of long-term debt

     (77,356     (109,727

Additional borrowings

     170        150,155   

Repurchase of common shares

     (15,437     (89,816

Dividends paid

     (7,890     (8,096

Issuance of common stock

     1,350        1,151   

Capital contributions from minority member

     —          2,107   
                

Net cash used in financing activities

     (99,163     (54,226
                

Increase (decrease) in cash and cash equivalents

     5,163        (10,143

Cash and cash equivalents, beginning of period

     5,460        16,354   
                

Cash and cash equivalents, end of period

   $ 10,623      $ 6,211   
                

Supplemental Disclosures of Cash Flow Information:

    

Interest paid

   $ 28,723      $ 29,335   
                

Income taxes paid, net of refunds

   $ 90,942      $ 70,269   
                


Universal Health Services, Inc.

Supplemental Statistical Information

(un-audited)

Same Facility:

 

      % Change
Quarter Ended
6/30/2009
    % Change
6 months ended
6/30/2009
 

Acute Care Hospitals

    

Revenues

   2.9   1.9

Adjusted Admissions

   3.1   1.5

Adjusted Patient Days

   0.9   -0.2

Revenue Per Adjusted Admission

   -0.2   0.3

Revenue Per Adjusted Patient Day

   2.0   2.0

Behavioral Health Hospitals

    

Revenues

   4.0   3.4

Adjusted Admissions

   1.0   0.7

Adjusted Patient Days

   0.5   -0.7

Revenue Per Adjusted Admission

   3.0   2.6

Revenue Per Adjusted Patient Day

   3.5   4.2

UHS Consolidated

 

      Second Quarter Ended     Six months Ended  
     6/30/2009     6/30/2008     6/30/2009     6/30/2008  

Revenues

   $ 1,303,640      $ 1,262,577      $ 2,616,059      $ 2,540,553   

EBITDA (1)

     178,244        150,980        351,635        308,866   

EBITDA Margin (1)

     13.7     12.0     13.4     12.2

Cash Flow From Operations

     144,578        66,790        296,580        198,466   

Days Sales Outstanding

     42        51        41        50   

Capital Expenditures

     105,029        74,311        183,248        156,062   

Debt

         921,878        1,053,305   

Shareholders Equity

         1,677,996        1,544,474   

Debt / Total Capitalization

         35.5     40.5

Debt / EBITDA (2)

         1.67        1.96   

Debt / Cash From Operations (2)

         2.06        2.71   

Acute Care EBITDAR Margin (3)

     16.8     14.7     17.2     15.5

Behavioral Health EBITDAR Margin (3)

     25.8     24.3     25.0     23.7

 

(1) Net of Minority Interest and before prior year self insurance reserve adjustment booked in 2009
(2) Latest 4 quarters
(3) Before Corporate overhead allocation, minority interest and prior year self insurance reserve adjustment booked in 2009


UNIVERSAL HEALTH SERVICES, INC.

SELECTED HOSPITAL STATISTICS

FOR THE THREE MONTHS ENDED

JUNE 30, 2009

AS REPORTED:

 

     ACUTE (1)     BEHAVIORAL HEALTH  
     06/30/09     06/30/08     % change     06/30/09     06/30/08     % change  

Hospitals owned and leased

     21        21      0.0     83        83      0.0

Average licensed beds

     5,465        5,453      0.2     7,857        7,668      2.5

Patient days

     289,661        291,892      -0.8     529,536        530,769      -0.2

Average daily census

     3,183.1        3,207.6      -0.8     5,819.1        5,832.6      -0.2

Occupancy-licensed beds

     58.2     58.8   -1.0     74.1     76.1   -2.6

Admissions

     65,946        64,991      1.5     34,059        32,560      4.6

Length of stay

     4.4        4.5      -2.2     15.5        16.3      -4.6

Inpatient revenue

   $ 2,469,774      $ 2,300,755      7.3   $ 524,246      $ 489,317      7.1

Outpatient revenue

     1,047,095        924,984      13.2     72,513        65,335      11.0

Total patient revenue

     3,516,869        3,225,739      9.0     596,759        554,652      7.6

Other revenue

     19,102        19,541      -2.2     8,342        9,893      -15.7

Gross hospital revenue

     3,535,971        3,245,280      9.0     605,101        564,545      7.2

Total deductions

     2,583,393        2,319,649      11.4     272,512        247,229      10.2

Net hospital revenue

   $ 952,578      $ 925,631      2.9   $ 332,589      $ 317,316      4.8

SAME FACILITY:

 

  

     ACUTE (1)     BEHAVIORAL HEALTH (2)  
     06/30/09     06/30/08     % change     06/30/09     06/30/08     % change  

Hospitals owned and leased

     21        21      0.0     79        79      0.0

Average licensed beds

     5,465        5,453      0.2     7,611        7,477      1.8

Patient days

     289,644        291,883      -0.8     521,721        516,562      1.0

Average daily census

     3,182.9        3,207.5      -0.8     5,733.2        5,676.5      1.0

Occupancy-licensed beds

     58.2     58.8   -1.0     75.3     75.9   -0.8

Admissions

     65,946        64,991      1.5     32,983        32,502      1.5

Length of stay

     4.4        4.5      -2.2     15.8        15.9      -0.5

 

(1) Acute care hospitals located in New Orleans and Central Montgomery Medical Center are excluded in current and prior years.
(2) Centennial Peaks, Central Florida, Coastal Behavioral, Summit Ridge Hospital, Broad Horizons, Highlander RTC, Midwest Youth, Vista Group Homes and Shenandoah Valley are excluded in current and prior years.


UNIVERSAL HEALTH SERVICES, INC.

SELECTED HOSPITAL STATISTICS

FOR THE SIX MONTHS ENDED

JUNE 30, 2009

AS REPORTED:

 

     ACUTE (1)     BEHAVIORAL HEALTH  
     06/30/09     06/30/08     % change     06/30/09     06/30/08     % change  

Hospitals owned and leased

     21        21      0.0     83        83      0.0

Average licensed beds

     5,465        5,453      0.2     7,826        7,632      2.5

Patient days

     596,950        606,142      -1.5     1,042,470        1,060,724      -1.7

Average daily census

     3,279.9        3,330.5      -1.5     5,727.9        5,828.2      -1.7

Occupancy-licensed beds

     60.0     61.1   -1.7     73.2     76.4   -4.2

Admissions

     134,144        133,947      0.1     68,020        65,442      3.9

Length of stay

     4.5        4.5      -1.7     15.3        16.2      -5.4

Inpatient revenue

   $ 5,049,913      $ 4,740,040      6.5   $ 1,027,927      $ 978,050      5.1

Outpatient revenue

     2,042,794        1,830,400      11.6     140,641        131,923      6.6

Total patient revenue

     7,092,707        6,570,440      7.9     1,168,568        1,109,973      5.3

Other revenue

     36,777        37,714      -2.5     16,251        18,051      -10.0

Gross hospital revenue

     7,129,484        6,608,154      7.9     1,184,819        1,128,024      5.0

Total deductions

     5,217,192        4,731,254      10.3     530,077        497,850      6.5

Net hospital revenue

   $ 1,912,292      $ 1,876,900      1.9   $ 654,742      $ 630,174      3.9

SAME FACILITY:

 

  

     ACUTE (1)     BEHAVIORAL HEALTH (2)  
     06/30/09     06/30/08     % change     06/30/09     06/30/08     % change  

Hospitals owned and leased

     21        21      0.0     79        79      0.0

Average licensed beds

     5,465        5,453      0.2     7,596        7,441      2.1

Patient days

     596,920        606,133      -1.5     1,028,876        1,030,793      -0.2

Average daily census

     3,297.9        3,330.4      -1.0     5,684.4        5,663.7      0.4

Occupancy-licensed beds

     60.3     61.1   -1.2     74.8     76.1   -1.7

Admissions

     134,144        133,947      0.1     66,136        65,287      1.3

Length of stay

     4.4        4.5      -1.7     15.6        15.8      -1.5

 

(1) Acute care hospitals located in New Orleans and Central Montgomery Medical Center are excluded in current and prior years.
(2) Centennial Peaks, Central Florida, Coastal Behavioral, Summit Ridge Hospital, Broad Horizons, Highlander RTC, Midwest Youth, Vista Group Homes and Shenandoah Valley are excluded in current and prior years.