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 28, 2008 (October 27, 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)
Registrants 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 27, 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 October 27, 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: October 28, 2008
Exhibit Index
Exhibit No. |
Exhibit | |
99.1 | Universal Health Services, Inc., press release, dated October 27, 2008. |
Exhibit 99.1
FOR IMMEDIATE RELEASE
CONTACT: |
Steve Filton | |||
Chief Financial Officer | October 27, 2008 | |||
610-768-3300 |
UNIVERSAL HEALTH SERVICES, INC. REPORTS
2008 THIRD QUARTER RESULTS
Consolidated Results of Operations:
KING OF PRUSSIA, PA Universal Health Services, Inc. (NYSE: UHS) announced today that its net income was $37.0 million, or $.73 per diluted share, during the third quarter ended September 30, 2008, representing a 14% increase over the adjusted net income per diluted share earned during the third quarter of 2007, as discussed below. Net income was $152.9 million, or $3.00 per diluted share, during the nine-month period ended September 30, 2008, representing a 29% increase over the adjusted net income per diluted share earned during nine-month period ended September 30, 2007.
Reported net income was $28.9 million, or $.54 per diluted share, during the three-month period ended September 30, 2007 and $130.4 million, or $2.43 per diluted share, during the nine-month period ended September 30, 2007. After adjusting our 2007 results for the items indicated on the attached Schedules of Non-GAAP Supplemental Consolidated Statements of Income Information (Supplemental Schedule), our adjusted net income was $34.1 million, or $.64 per diluted share, during the third quarter of 2007 and $124.7 million, or $2.32 per diluted share, during the nine-month period ended September 30, 2007. As indicated on the Supplemental Schedules, the combined net impact of the various favorable and unfavorable items included in our net income during the 2007 periods amounted to: (i) an unfavorable $5.3 million, or $.10 per diluted share, during the three-month period ended September 30, 2007, and; (ii) a favorable $5.8 million, or $.11 per diluted share, during the nine-month period ended September 30, 2007.
Net revenues increased 7% to $1.24 billion during the third quarter of 2008 as compared to $1.16 billion during the third quarter of 2007. Net revenues increased 8% to $3.79 billion during the nine-month period ended September 30, 2008 as compared to $3.51 billion during the nine-month period ended September 30, 2007.
Acute Care Services:
At our acute care hospitals owned during both periods (same facility basis), inpatient admissions decreased 0.8% and patient days decreased 1.9% during the third quarter of 2008 as compared to the third quarter of 2007. On a same facility basis, net revenues at our acute care facilities increased 2.5% during the third quarter of 2008 as compared to the comparable prior year quarter. Net revenue per adjusted admission at these facilities increased 3.7% during the third quarter of 2008 over the comparable prior year
quarter. 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 decreased to 11.8% during the third quarter of 2008 as compared to 12.6% during the third quarter of 2007.
On a same facility basis, inpatient admissions at our acute care facilities increased 0.2% and patient days increased 0.6% during the nine-month period ended September 30, 2008 as compared to the comparable period of the prior year. Net revenues at these facilities increased 5.6% during the nine-month period ended September 30, 2008 as compared to the comparable prior year period. Net revenue per adjusted admission at these facilities increased 5.3% during the nine-month period ended September 30, 2008 over the comparable prior year period. On a same facility basis, the operating margin at our acute care hospitals increased to 14.7% during the first nine months of 2008 as compared to 13.7% during the comparable nine months of 2007.
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 $154 million and $148 million during the three-month periods ended September 30, 2008 and 2007, respectively, and $451 million and $422 million during the nine-month periods ended September 30, 2008 and 2007, respectively.
Behavioral Health Care Services:
At our behavioral health facilities, on a same facility basis, inpatient admissions increased 8.5% and patient days increased 3.9% during the third quarter of 2008 as compared to the third quarter of 2007. On a same facility basis, net revenues at our behavioral health facilities increased 9.5% during the third quarter of 2008 as compared to the comparable prior year quarter. Net revenue per adjusted patient day at these facilities increased 5.3% during the third quarter of 2008 as compared to the comparable quarter of the prior year. The operating margin at our behavioral health facilities owned during both periods increased to 23.7% during the third quarter of 2008 as compared to 22.3% during the third quarter of 2007.
On a same facility basis, inpatient admissions increased 8.3% and patient days increased 4.4% during the first nine months of 2008 over the comparable prior year period. On a same facility basis, net revenues at our behavioral health facilities increased 8.8% during the nine-month period ended September 30, 2008 as compared to the comparable period of the prior year. Net revenue per adjusted patient day at these facilities increased 4.5% during the nine-month period ended September 30, 2008 over the comparable period of the prior year. The operating margin at our behavioral health facilities owned during both periods increased to 24.1% during the first nine months of 2008 as compared to 23.2% during the comparable period of the prior year.
Other Matters:
As previously announced, we entered into a definitive agreement to sell Central Montgomery Medical Center, a 125-bed acute care hospital located in Lansdale, Pennsylvania. The sale, which is subject to customary regulatory approval, is scheduled to close by early November, 2008. The operating results of this facility are reflected as Income/(loss) from discontinued operations, net of income taxes, on the Consolidated Statements of Income for the three and nine-month periods ended September 30, 2008 and 2007. The assets and liabilities of this facility are reflected as current/long-term assets held for sale and current liabilities held for sale on the Consolidated Balance Sheet as of September 30, 2008.
Conference Call Information:
We will hold a conference call for investors and analysts at 9:00 a.m. eastern time on October 28, 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 October 28, 2008 and will continue through midnight on November 11, 2008. The recording can be accessed by calling 1-800-642-1687 and entering the conference ID number 68544706. This call will also be available live over the internet at our web site at www.uhsinc.com. It will also be distributed over CCBNs Investor Distribution Network to both institutional and individual investors. Individual investors can listen to the call through CCBNs individual investor center at http://www.companyboardroom.com or by visiting any of the investor sites in CCBNs Individual Investor Network. Institutional investors can access the call via CCBNs 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 nations 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 in our Form 10-K for the year ended December 31, 2007 and in Item 2-Forward-Looking Statements and Risk Factors in our Form 10-Q for the quarterly period ended June 30, 2008), 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 managements 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 it is helpful to our investors to present, compare and discuss our financial results after the effect of items that are nonrecurring or non-operational in nature has been neutralized. Such items include, but are not limited to, gains on sales of assets and businesses, adjustments to reserves for self-insured claims, 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 and Report on Form 10-Q for the quarterly period ended June 30, 2008. 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, |
||||||||||||||
2008 | 2007 | 2008 | 2007 | ||||||||||||
Net revenues |
$ | 1,244,462 | $ | 1,163,605 | $ | 3,785,015 | $ | 3,505,813 | |||||||
Operating charges: |
|||||||||||||||
Salaries, wages and benefits |
530,858 | 502,361 | 1,600,514 | 1,494,553 | |||||||||||
Other operating expenses |
269,299 | 261,637 | 777,257 | 737,240 | |||||||||||
Supplies expense |
170,743 | 160,190 | 524,246 | 499,930 | |||||||||||
Provision for doubtful accounts |
125,003 | 108,639 | 365,446 | 308,363 | |||||||||||
Depreciation and amortization |
48,465 | 45,898 | 142,544 | 133,343 | |||||||||||
Lease and rental expense |
17,600 | 17,838 | 53,021 | 50,405 | |||||||||||
Hurricane related expenses, net |
| 82 | | 707 | |||||||||||
1,161,968 | 1,096,645 | 3,463,028 | 3,224,541 | ||||||||||||
Income before interest expense, minority interests and income taxes |
82,494 | 66,960 | 321,987 | 281,272 | |||||||||||
Interest expense, net |
13,419 | 12,881 | 40,147 | 38,643 | |||||||||||
Minority interests in earnings of consolidated entities |
9,316 | 9,784 | 34,022 | 32,651 | |||||||||||
Income before income taxes |
59,759 | 44,295 | 247,818 | 209,978 | |||||||||||
Provision for income taxes |
22,536 | 14,961 | 95,352 | 79,177 | |||||||||||
Income from continuing operations |
37,223 | 29,334 | 152,466 | 130,801 | |||||||||||
(Loss) income from discontinued operations, net of income taxes |
(226 | ) | (480 | ) | 434 | (368 | ) | ||||||||
Net income |
$ | 36,997 | $ | 28,854 | $ | 152,900 | $ | 130,433 | |||||||
Basic earnings per share: |
|||||||||||||||
From continuing operations |
$ | 0.73 | $ | 0.55 | $ | 3.00 | $ | 2.45 | |||||||
From discontinued operations |
0.00 | (0.01 | ) | 0.01 | (0.01 | ) | |||||||||
Total basic earnings per share |
$ | 0.73 | $ | 0.54 | $ | 3.01 | $ | 2.44 | |||||||
Diluted earnings per share: |
|||||||||||||||
From continuing operations |
$ | 0.73 | $ | 0.55 | $ | 2.99 | $ | 2.44 | |||||||
From discontinued operations |
0.00 | (0.01 | ) | 0.01 | (0.01 | ) | |||||||||
Total diluted earnings per share |
$ | 0.73 | $ | 0.54 | $ | 3.00 | $ | 2.43 | |||||||
Weighted average number of common shares |
50,544 | 53,481 | 50,812 | 53,491 | |||||||||||
Other share equivalents |
217 | 148 | 157 | 190 | |||||||||||
Weighted average number of common shares and equiv.-diluted |
50,761 | 53,629 | 50,969 | 53,681 | |||||||||||
Universal Health Services, Inc.
Schedule of Non-GAAP Supplemental Consolidated Statements of Income Information (Supplemental Schedule)
For the three months ended September 30, 2008 and 2007
(in thousands, except per share amounts)
(unaudited)
Three months ended September 30, 2008 |
Three months ended September 30, 2007 |
|||||||||||||||
Net revenues |
$ | 1,244,462 | 100.0 | % | $ | 1,163,605 | 100.0 | % | ||||||||
Operating charges: |
||||||||||||||||
Salaries, wages and benefits |
530,858 | 42.7 | % | 502,361 | 43.2 | % | ||||||||||
Other operating expenses |
269,299 | 21.6 | % | 261,637 | 22.5 | % | ||||||||||
Supplies expense |
170,743 | 13.7 | % | 160,190 | 13.8 | % | ||||||||||
Provision for doubtful accounts |
125,003 | 10.0 | % | 108,639 | 9.3 | % | ||||||||||
1,095,903 | 88.1 | % | 1,032,827 | 88.8 | % | |||||||||||
Operating income/margin |
148,559 | 11.9 | % | 130,778 | 11.2 | % | ||||||||||
Lease and rental expense |
17,600 | 17,838 | ||||||||||||||
Minority interests in earnings of consolidated entities |
9,316 | 9,784 | ||||||||||||||
Earnings before hurricane related expenses, depreciation and amortization, interest expense, and income taxes (EBITDA) |
121,643 | 103,156 | ||||||||||||||
Hurricane related expenses, net |
| 82 | ||||||||||||||
Depreciation and amortization |
48,465 | 45,898 | ||||||||||||||
Interest expense, net |
13,419 | 12,881 | ||||||||||||||
Income before income taxes |
59,759 | 44,295 | ||||||||||||||
Provision for income taxes |
22,536 | 14,961 | ||||||||||||||
Income from continuing operations |
37,223 | 29,334 | ||||||||||||||
Income (loss) from discontinued operations, net of income taxes |
(226 | ) | (480 | ) | ||||||||||||
Net income |
$ | 36,997 | $ | 28,854 | ||||||||||||
Three months ended September 30, 2008 |
Three months ended September 30, 2007 |
|||||||||||||||
Amount | Per Diluted Share |
Amount | Per Diluted Share |
|||||||||||||
Calculation of Adjusted Income from Continuing Operations | ||||||||||||||||
Income from continuing operations |
$ | 37,223 | $ | 0.73 | $ | 29,334 | $ | 0.55 | ||||||||
Plus/minus adjustments: |
||||||||||||||||
Gains, legal judgment, write-down of investments in joint-ventures and hurricane related expense, net of income taxes |
| | 3,945 | 0.07 | ||||||||||||
Unfavorable prior period effect of Texas Medicaid supplemental payments and cost report settlements, net of income taxes |
| | 3,399 | 0.07 | ||||||||||||
Favorable tax reserve adjustment |
| | (2,079 | ) | (0.04 | ) | ||||||||||
Subtotal after-tax adjustments to income from continuing operations |
| | 5,265 | 0.10 | ||||||||||||
Adjusted income from continuing operations |
$ | 37,223 | $ | 0.73 | $ | 34,599 | $ | 0.65 | ||||||||
Calculation of Adjusted Net Income | ||||||||||||||||
Net income |
$ | 36,997 | $ | 0.73 | $ | 28,854 | $ | 0.54 | ||||||||
After-tax adjustments to income from continuing operations, as indicated above |
| | 5,265 | 0.10 | ||||||||||||
Adjusted net income |
$ | 36,997 | $ | 0.73 | $ | 34,119 | $ | 0.64 | ||||||||
Universal Health Services, Inc.
Schedule of Non-GAAP Supplemental Consolidated Statements of Income Information (Supplemental Schedule)
For the nine months ended September 30, 2008 and 2007
(in thousands, except per share amounts)
(unaudited)
Nine months ended September 30, 2008 |
Nine months ended September 30, 2007 |
||||||||||||
Net revenues |
$ | 3,785,015 | 100.0 | % | $ | 3,505,813 | 100.0 | % | |||||
Operating charges: |
|||||||||||||
Salaries, wages and benefits |
1,600,514 | 42.3 | % | 1,494,553 | 42.6 | % | |||||||
Other operating expenses |
777,257 | 20.5 | % | 737,240 | 21.0 | % | |||||||
Supplies expense |
524,246 | 13.9 | % | 499,930 | 14.3 | % | |||||||
Provision for doubtful accounts |
365,446 | 9.7 | % | 308,363 | 8.8 | % | |||||||
3,267,463 | 86.3 | % | 3,040,086 | 86.7 | % | ||||||||
Operating income/margin |
517,552 | 13.7 | % | 465,727 | 13.3 | % | |||||||
Lease and rental expense |
53,021 | 50,405 | |||||||||||
Minority interests in earnings of consolidated entities |
34,022 | 32,651 | |||||||||||
Earnings before hurricane related expenses, depreciation and amortization, interest expense, and income taxes (EBITDA) |
430,509 | 382,671 | |||||||||||
Hurricane related expenses, net |
| 707 | |||||||||||
Depreciation and amortization |
142,544 | 133,343 | |||||||||||
Interest expense, net |
40,147 | 38,643 | |||||||||||
Income before income taxes |
247,818 | 209,978 | |||||||||||
Provision for income taxes |
95,352 | 79,177 | |||||||||||
Income from continuing operations |
152,466 | 130,801 | |||||||||||
Income (loss) from discontinued operations, net of income taxes |
434 | (368 | ) | ||||||||||
Net income |
$ | 152,900 | $ | 130,433 | |||||||||
Nine months ended September 30, 2008 |
Nine months ended September 30, 2007 |
|||||||||||||
Amount | Per Diluted Share |
Amount | Per Diluted Share |
|||||||||||
Calculation of Adjusted Income from Continuing Operations |
||||||||||||||
Income from continuing operations |
$ | 152,466 | $ | 2.99 | $ | 130,801 | $ | 2.44 | ||||||
Plus/minus adjustments: |
||||||||||||||
Reduction of reserve for professional and general liability self-insured claims, net of minority interests and income taxes |
| | (10,045 | ) | (0.19 | ) | ||||||||
Unfavorable prior period effect of Texas Medicaid supplemental payments and cost report settlements, net of income taxes |
| | 3,399 | 0.07 | ||||||||||
Gains, legal judgment, write-down of investments in joint-ventures and hurricane related expense, net of income taxes |
| | 2,975 | 0.05 | ||||||||||
Favorable tax reserve adjustment |
| | (2,079 | ) | (0.04 | ) | ||||||||
Subtotal after-tax adjustments to income from continuing operations |
| | (5,750 | ) | (0.11 | ) | ||||||||
Adjusted income from continuing operations |
$ | 152,466 | $ | 2.99 | $ | 125,051 | $ | 2.33 | ||||||
Calculation of Adjusted Net Income |
||||||||||||||
Net income |
$ | 152,900 | $ | 3.00 | $ | 130,433 | $ | 2.43 | ||||||
After-tax adjustments to income from continuing operations, as indicated above |
| | (5,750 | ) | (0.11 | ) | ||||||||
Adjusted net income |
$ | 152,900 | $ | 3.00 | $ | 124,683 | $ | 2.32 | ||||||
Universal Health Services, Inc.
Condensed Consolidated Balance Sheets
(in thousands)
(unaudited)
September 30, 2008 |
December 31, 2007 | |||||
Assets: |
||||||
Cash and cash equivalents |
$ | 7,805 | $ | 16,354 | ||
Accounts receivable, net |
628,973 | 627,186 | ||||
Other current assets |
130,151 | 131,307 | ||||
Current assets held for sale |
10,871 | | ||||
Property, plant and equipment, net |
2,015,290 | 1,933,916 | ||||
Other assets |
874,659 | 899,894 | ||||
Other non current assets held for sale |
30,587 | | ||||
Total Assets |
$ | 3,698,336 | $ | 3,608,657 | ||
Liabilities and Stockholders Equity: |
||||||
Current portion of long-term debt |
$ | 8,260 | $ | 3,116 | ||
Other current liabilities |
553,762 | 484,595 | ||||
Current liabilities held for sale |
4,221 | | ||||
Other noncurrent liabilities |
362,421 | 344,755 | ||||
Long-term debt |
935,461 | 1,008,786 | ||||
Deferred income taxes |
35,342 | 40,022 | ||||
Minority interests |
232,555 | 210,184 | ||||
Stockholders equity |
1,566,314 | 1,517,199 | ||||
Total Liabilities and Stockholders Equity |
$ | 3,698,336 | $ | 3,608,657 | ||
Universal Health Services, Inc.
Consolidated Statements of Cash Flows
(in thousands)
(unaudited)
Nine months ended September 30, |
||||||||
2008 | 2007 | |||||||
Cash Flows from Operating Activities: |
||||||||
Net income |
$ | 152,900 | $ | 130,433 | ||||
Adjustments to reconcile net income to net cash provided by operating activities: |
||||||||
Depreciation & amortization |
144,711 | 135,417 | ||||||
Changes in assets & liabilities, net of effects from acquisitions and dispositions: |
||||||||
Accounts receivable |
(7,796 | ) | (17,359 | ) | ||||
Construction management receivable |
(1,674 | ) | | |||||
Accrued interest |
11,290 | 9,055 | ||||||
Accrued and deferred income taxes |
(3,418 | ) | (6,374 | ) | ||||
Other working capital accounts |
35,941 | 47,558 | ||||||
Other assets and deferred charges |
16,317 | 37 | ||||||
Other |
12,347 | 2,723 | ||||||
Minority interest in earnings of consolidated entities, net of distributions |
15,209 | 9,041 | ||||||
Accrued insurance expense, net of commercial premiums paid |
58,127 | 45,275 | ||||||
Payments made in settlement of self-insurance claims |
(38,011 | ) | (33,025 | ) | ||||
Net cash provided by operating activities |
395,943 | 322,781 | ||||||
Cash Flows from Investing Activities: |
||||||||
Property and equipment additions, net of disposals |
(239,880 | ) | (263,366 | ) | ||||
Proceeds received from sale of assets |
32,634 | 5,268 | ||||||
Settlement proceeds received related to prior year acquisition, net of expenses |
1,539 | | ||||||
Investment in joint-venture |
(1,270 | ) | | |||||
Acquisition of assets and businesses |
(14,775 | ) | (103,159 | ) | ||||
Purchase of minority ownership interest in majority owned business |
(1,058 | ) | (14,762 | ) | ||||
Net cash used in investing activities |
(222,810 | ) | (376,019 | ) | ||||
Cash Flows from Financing Activities: |
||||||||
Additional borrowings, net of financing costs |
150,155 | 169,852 | ||||||
Reduction of long-term debt |
(219,311 | ) | (103,846 | ) | ||||
Repurchase of common shares |
(104,436 | ) | (14,386 | ) | ||||
Dividends paid |
(12,147 | ) | (12,917 | ) | ||||
Issuance of common stock |
1,751 | 1,041 | ||||||
Capital contributions from minority member |
2,306 | 12,129 | ||||||
Net cash (used in) provided by financing activities |
(181,682 | ) | 51,873 | |||||
Decrease in cash and cash equivalents |
(8,549 | ) | (1,365 | ) | ||||
Cash and cash equivalents, beginning of period |
16,354 | 14,939 | ||||||
Cash and cash equivalents, end of period |
$ | 7,805 | $ | 13,574 | ||||
Supplemental Disclosures of Cash Flow Information: |
||||||||
Interest paid |
$ | 34,198 | $ | 35,991 | ||||
Income taxes paid, net of refunds |
$ | 97,907 | $ | 83,894 | ||||
Universal Health Services, Inc.
Supplemental Statistical Information
(un-audited)
Same Facility:
% Change Quarter Ended 9/30/2008 |
% Change 9 months ended 9/30/2008 |
|||||
Acute Care Hospitals | ||||||
Revenues |
2.5 | % | 5.6 | % | ||
Adjusted Admissions |
-1.1 | % | 0.3 | % | ||
Adjusted Patient Days |
-2.2 | % | 0.6 | % | ||
Revenue Per Adjusted Admission |
3.7 | % | 5.3 | % | ||
Revenue Per Adjusted Patient Day |
4.8 | % | 5.0 | % | ||
Behavioral Health Hospitals | ||||||
Revenues |
9.5 | % | 8.8 | % | ||
Adjusted Admissions |
8.5 | % | 8.1 | % | ||
Adjusted Patient Days |
4.0 | % | 4.1 | % | ||
Revenue Per Adjusted Admission |
0.9 | % | 0.7 | % | ||
Revenue Per Adjusted Patient Day |
5.3 | % | 4.5 | % |
UHS Consolidated
Third Quarter Ended | Nine months Ended | |||||||||||||||
9/30/2008 | 9/30/2007 | 9/30/2008 | 9/30/2007 | |||||||||||||
Revenues |
$ | 1,244,462 | $ | 1,163,605 | $ | 3,785,015 | $ | 3,505,813 | ||||||||
EBITDA (1) |
121,643 | 103,156 | 430,509 | 382,671 | ||||||||||||
EBITDA Margin (1) |
9.8 | % | 8.9 | % | 11.4 | % | 10.9 | % | ||||||||
Cash Flow From Operations |
197,477 | 163,805 | 395,943 | 322,781 | ||||||||||||
Days Sales Outstanding |
46 | 49 | 46 | 49 | ||||||||||||
Capital Expenditures |
83,818 | 78,779 | 239,880 | 263,366 | ||||||||||||
Debt |
943,721 | 903,957 | ||||||||||||||
Shareholders Equity |
1,566,314 | 1,534,839 | ||||||||||||||
Debt / Total Capitalization |
37.6 | % | 37.1 | % | ||||||||||||
Debt / EBITDA (2) |
1.69 | 1.85 | ||||||||||||||
Debt / Cash From Operations (2) |
2.24 | 3.74 | ||||||||||||||
Acute Care EBITDAR Margin (3) (4) |
11.7 | % | 11.6 | % | 14.2 | % | 13.9 | % | ||||||||
Behavioral Health EBITDAR Margin (3) (4) |
23.0 | % | 21.4 | % | 23.5 | % | 23.0 | % |
(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, 2008
AS REPORTED:
ACUTE (1) | BEHAVIORAL HEALTH | |||||||||||||||||||||
09/30/08 | 09/30/07 | % change | 09/30/08 | 09/30/07 | % change | |||||||||||||||||
Hospitals owned and leased |
22 | 21 | 4.8 | % | 83 | 85 | -2.4 | % | ||||||||||||||
Average licensed beds |
5,450 | 5,292 | 3.0 | % | 7,618 | 7,485 | 1.8 | % | ||||||||||||||
Patient days |
286,547 | 285,505 | 0.4 | % | 519,362 | 506,466 | 2.5 | % | ||||||||||||||
Average daily census |
3,114.6 | 3,103.3 | 0.4 | % | 5,645.2 | 5,505.1 | 2.5 | % | ||||||||||||||
Occupancy-licensed beds |
57.1 | % | 58.6 | % | -2.5 | % | 74.1 | % | 73.5 | % | 0.8 | % | ||||||||||
Admissions |
64,738 | 63,448 | 2.0 | % | 32,786 | 30,156 | 8.7 | % | ||||||||||||||
Length of stay |
4.4 | 4.5 | -1.6 | % | 15.8 | 16.8 | -5.7 | % | ||||||||||||||
Inpatient revenue |
$ | 2,259,640 | $ | 2,044,147 | 10.5 | % | $ | 488,986 | $ | 452,223 | 8.1 | % | ||||||||||
Outpatient revenue |
917,982 | 858,313 | 7.0 | % | 61,358 | 54,470 | 12.6 | % | ||||||||||||||
Total patient revenue |
3,177,622 | 2,902,460 | 9.5 | % | 550,344 | 506,693 | 8.6 | % | ||||||||||||||
Other revenue |
18,027 | 15,313 | 17.7 | % | 8,183 | 7,476 | 9.5 | % | ||||||||||||||
Gross hospital revenue |
3,195,649 | 2,917,773 | 9.5 | % | 558,527 | 514,169 | 8.6 | % | ||||||||||||||
Total deductions |
2,296,319 | 2,071,179 | 10.9 | % | 247,695 | 229,156 | 8.1 | % | ||||||||||||||
Net hospital revenue |
$ | 899,330 | $ | 846,594 | 6.2 | % | $ | 310,832 | $ | 285,013 | 9.1 | % |
SAME FACILITY:
ACUTE (2) | BEHAVIORAL HEALTH (3) | |||||||||||||||||
09/30/08 | 09/30/07 | % change | 09/30/08 | 09/30/07 | % change | |||||||||||||
Hospitals owned and leased |
21 | 21 | 0.0 | % | 81 | 81 | 0.0 | % | ||||||||||
Average licensed beds |
5,285 | 5,292 | -0.1 | % | 7,455 | 7,266 | 2.6 | % | ||||||||||
Patient days |
280,020 | 285,531 | -1.9 | % | 509,708 | 490,388 | 3.9 | % | ||||||||||
Average daily census |
3,043.7 | 3,103.6 | -1.9 | % | 5,540.3 | 5,330.3 | 3.9 | % | ||||||||||
Occupancy-licensed beds |
57.6 | % | 58.6 | % | -1.8 | % | 74.3 | % | 73.4 | % | 1.3 | % | ||||||
Admissions |
62,912 | 63,448 | -0.8 | % | 32,599 | 30,041 | 8.5 | % | ||||||||||
Length of stay |
4.5 | 4.5 | -1.1 | % | 15.6 | 16.3 | -4.2 | % |
(1) | Acute care hospitals located in New Orleans and discontinued operations are excluded in 2007 and 2008. |
(2) | Acute care hospitals located in New Orleans, discontinued operations and Centennial Hills Hospital are excluded in current and prior years. |
(3) | Casa de Lago, Central Florida, Summit Ridge Hospital and Shenandoah Valley are excluded in both current and prior years. Highlands Behavioral is included in both current and prior years from March 1st through year to date. Dover Behavioral is included in both current and prior years from May 1st through year to date. Foundations Behavioral is included in both current and prior years from July 1st through year to date. Cottonwood Treatment is included in both current and prior years from August 1st through year to date. Broad Horizons, Highlander RTC, Midwest Youth and Vista Group Homes are excluded in both current and prior years from July 1st through year to date. |
UNIVERSAL HEALTH SERVICES, INC.
SELECTED HOSPITAL STATISTICS
FOR THE NINE MONTHS ENDED
SEPTEMBER 30, 2008
AS REPORTED:
ACUTE (1) | BEHAVIORAL HEALTH | |||||||||||||||||||||
09/30/08 | 09/30/07 | % change | 09/30/08 | 09/30/07 | % change | |||||||||||||||||
Hospitals owned and leased |
22 | 21 | 4.8 | % | 83 | 85 | -2.4 | % | ||||||||||||||
Average licensed beds |
5,452 | 5,292 | 3.0 | % | 7,629 | 7,269 | 5.0 | % | ||||||||||||||
Patient days |
892,689 | 869,860 | 2.6 | % | 1,580,086 | 1,489,301 | 6.1 | % | ||||||||||||||
Average daily census |
3,258.0 | 3,186.3 | 2.2 | % | 5,766.7 | 5,455.3 | 5.7 | % | ||||||||||||||
Occupancy-licensed beds |
59.8 | % | 60.2 | % | -0.8 | % | 75.6 | % | 75.0 | % | 0.7 | % | ||||||||||
Admissions |
198,685 | 193,589 | 2.6 | % | 98,228 | 89,268 | 10.0 | % | ||||||||||||||
Length of stay |
4.5 | 4.5 | -0.2 | % | 16.1 | 16.8 | -4.2 | % | ||||||||||||||
Inpatient revenue |
$ | 6,999,680 | $ | 6,299,927 | 11.1 | % | $ | 1,467,036 | $ | 1,339,098 | 9.6 | % | ||||||||||
Outpatient revenue |
2,748,382 | 2,532,815 | 8.5 | % | 193,281 | 173,558 | 11.4 | % | ||||||||||||||
Total patient revenue |
9,748,062 | 8,832,742 | 10.4 | % | 1,660,317 | 1,512,656 | 9.8 | % | ||||||||||||||
Other revenue |
55,741 | 43,780 | 27.3 | % | 26,234 | 21,938 | 19.6 | % | ||||||||||||||
Gross hospital revenue |
9,803,803 | 8,876,522 | 10.4 | % | 1,686,551 | 1,534,594 | 9.9 | % | ||||||||||||||
Total deductions |
7,027,440 | 6,317,760 | 11.2 | % | 745,545 | 687,016 | 8.5 | % | ||||||||||||||
Net hospital revenue |
$ | 2,776,363 | $ | 2,558,762 | 8.5 | % | $ | 941,006 | $ | 847,578 | 11.0 | % | ||||||||||
SAME FACILITY:
|
||||||||||||||||||||||
ACUTE (2) | BEHAVIORAL HEALTH (3) | |||||||||||||||||||||
09/30/08 | 09/30/07 | % change | 09/30/08 | 09/30/07 | % change | |||||||||||||||||
Hospitals owned and leased |
21 | 21 | 0.0 | % | 81 | 81 | 0.0 | % | ||||||||||||||
Average licensed beds |
5,287 | 5,292 | -0.1 | % | 7,409 | 7,191 | 3.0 | % | ||||||||||||||
Patient days |
874,718 | 869,887 | 0.6 | % | 1,537,496 | 1,472,453 | 4.4 | % | ||||||||||||||
Average daily census |
3,192.4 | 3,186.4 | 0.2 | % | 5,611.3 | 5,393.6 | 4.0 | % | ||||||||||||||
Occupancy-licensed beds |
60.4 | % | 60.2 | % | 0.3 | % | 75.7 | % | 75.0 | % | 1.0 | % | ||||||||||
Admissions |
194,013 | 193,589 | 0.2 | % | 96,574 | 89,136 | 8.3 | % | ||||||||||||||
Length of stay |
4.5 | 4.5 | 0.3 | % | 15.9 | 16.5 | -3.6 | % |
(1) | Acute care hospitals located in New Orleans and discontinued operations are excluded in 2007 and 2008. |
(2) | Acute care hospitals located in New Orleans, discontinued operations and Centennial Hills Hospital are excluded in current and prior years. |
(3) | Casa de Lago, Central Florida, Summit Ridge Hospital and Shenandoah Valley are excluded in both current and prior years. Highlands Behavioral is included in both current and prior years from March 1st through year to date. Dover Behavioral is included in both current and prior years from May 1st through year to date. Foundations Behavioral is included in both current and prior years from July 1st through year to date. Cottonwood Treatment is included in both current and prior years from August 1st through year to date. Broad Horizons, Highlander RTC, Midwest Youth and Vista Group Homes are excluded in both current and prior years from July 1st through year to date. |