EX-99.1 2 dex991.htm PRESS RELEASE Press Release

Exhibit 99.1

FOR IMMEDIATE RELEASE

 

CONTACT:    Steve Filton   
   Chief Financial Officer    February 26, 2009
   610-768-3300   

UNIVERSAL HEALTH SERVICES, INC. REPORTS

SIGNIFICANT INCREASES IN 2008 FOURTH QUARTER AND FULL YEAR

EARNINGS FROM CONTINUING OPERATIONS PER DILUTED SHARE AND

REPORTS 2009 GUIDANCE

Consolidated Results of Operations:

KING OF PRUSSIA, PA – Universal Health Services, Inc. (NYSE: UHS) announced today that its reported net income was $46.5 million, or $.93 per diluted share, during the fourth quarter of 2008 as compared to $40.0 million, or $.75 per diluted share, during the comparable prior year quarter. Reported income from continuing operations was $40.5 million, or an increase of 8% to $.81 per diluted share, during the fourth quarter of 2008 as compared to $39.7 million, or $.75 per diluted share, during the comparable prior year quarter.

Reported net income was $199.4 million, or $3.93 per diluted share, during the year ended December 31, 2008 as compared to $170.4 million, or $3.18 per diluted share, during the comparable prior year. Reported income from continuing operations was $192.9 million, or an increase of 19% to $3.80 per diluted share, during the year ended December 31, 2008 as compared to $170.6 million, or $3.18 per diluted share, during the comparable prior year.

After adjusting for the items discussed below applicable to the periods presented, as indicated on the attached Schedules of Non-GAAP Supplemental Consolidated Statements of Income Information (“Supplemental Schedules”), during the fourth quarter of 2008 our adjusted income from continuing operations was $43.7 million, or an increase of 16% to $.87 per diluted share, as compared to $39.7 million, or $.75 per diluted share, during the comparable prior year quarter. Adjusted net income was $41.4 million, or $.82 per diluted share, during the fourth quarter of 2008 as compared to $40.0 million, or $.75 per diluted share, during the comparable prior year quarter.

During the year ended December 31, 2008, our adjusted income from continuing operations was $197.3 million, or an increase of 27% to $3.89 per diluted share, as compared to $164.4 million, or $3.07 per diluted share, during 2007. Adjusted net income was $195.5 million, or $3.85 per diluted share, during the year ended December 31, 2008 as compared to $164.2 million, or $3.07 per diluted share, during 2007.


Net revenues increased 5% to $1.24 billion during the fourth quarter of 2008 as compared to $1.18 billion during the fourth quarter of 2007. Net revenues increased 7% to $5.02 billion during the year ended December 31, 2008 as compared to $4.68 billion during 2007. Our consolidated operating margin, as calculated on the attached Supplemental Schedules (without adjusting for the various items mentioned below), was 12.6% and 13.0% during the three-month periods ended December 31, 2008 and 2007, respectively, and 13.4% and 13.2% during the years ended December 31, 2008 and 2007, respectively.

“In what is proving to be an increasingly difficult operating environment, we are extremely proud of our significantly improved financial results in 2008” said Alan B. Miller, President and Chief Executive Officer. “We believe that our diversified business mix strategy and conservative balance sheet positions us well to weather the economic challenges we all face.”

As indicated on the attached Supplemental Schedules, our income from continuing operations and net income for the three and twelve-month periods ended December 31, 2008 and 2007 include various items such as: (i) a $25 million pre-tax charge recorded during 2008 to establish a reserve in connection with the government’s investigation of our South Texas Health System affiliates (see Other Matters below); (ii) reductions to our professional and general liability self-insured claims expense recorded during 2008 (partial liquidation proceeds from PHICO’s estate as discussed in Other Matters below) and 2007 (based upon the results of a reserve analysis); (iii) gains realized during each year from the sales of certain businesses, real property and other investments; (iv) the prior period effect of the Texas Medicaid supplemental payments and cost reports settlements that were reserved for during 2007; (v) other items recorded during 2007 including reserve for legal judgment and lawsuit, the write-down of the carrying-value of investment in a joint-venture and favorable income tax adjustment to reduce reserves due to the expiration of statute of limitations in various tax jurisdictions.

Acute Care Services:

At our acute care hospitals owned during both periods (“same facility basis”), inpatient admissions decreased 0.4% and patient days increased 1.4% during the fourth quarter of 2008, as compared to the fourth quarter of 2007. On a same facility basis, net revenues at our acute care facilities increased 2.2% during the fourth quarter of 2008 as compared to the comparable prior year quarter. Net revenue per adjusted admission at these facilities increased 3.3% during the fourth quarter of 2008 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 2008 as compared to 13.6% during the fourth quarter of 2007.

On a same facility basis, inpatient admissions increased 0.1% and patient days increased 0.8% during the year ended December 31, 2008 as compared to the prior year. Net revenues at these facilities increased 4.8% during 2008 as compared to 2007. Net revenue per adjusted admission at these facilities increased 4.8% during the year ended December 31, 2008 over the prior year. The operating margin at our acute care hospitals owned during both years increased to 14.5% during 2008 as compared to 13.7% during 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 $163 million and $140 million during the three-month periods ended December 31, 2008 and 2007, respectively, and $614 million and $562 million during the years ended December 31, 2008 and 2007, respectively.

Behavioral Health Care Services:

At our behavioral health facilities, on a same facility basis, inpatient admissions increased 0.7% and patient days decreased 0.2% during the fourth quarter of 2008 as compared to the fourth quarter of 2007. On a same facility basis, net revenues at our behavioral health facilities increased 4.0% during the fourth quarter of 2008 as compared to the comparable prior year quarter. Net revenue per adjusted patient day at these facilities increased 4.8% during the fourth quarter of 2008 over the comparable prior year quarter. The operating margin at our behavioral health facilities owned during both periods was 23.2% during the fourth quarter of 2008 as compared to 23.5% during the fourth quarter of 2007.

On a same facility basis, inpatient admissions increased 6.4% and patient days increased 3.2% during the year ended December 31, 2008 as compared to the prior year. On a same facility basis, net revenues at our behavioral health facilities increased 7.6% during 2008 as compared to 2007. Net revenue per adjusted patient day at these facilities increased 4.6% during 2008 over the prior year. The operating margin at our behavioral health facilities owned during both years was 23.9% during 2008 and 23.3% during 2007.

2009 Guidance:

During 2009, 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 $4.00 to $4.15 on projected net revenues of $5.34 billion.

During 2009, we expect to spend approximately $350 million to $400 million on capital expenditures, including approximately $220 million related to expenditures for capital equipment, renovations, new projects at existing hospitals and completion of major construction projects in progress at December 31, 2008.

Other Matters:

South Texas Health System affiliates investigation:

As previously disclosed, since November, 2005, the government has been investigating our South Texas Health System affiliates. The investigation has been focused on certain arrangements which, the government believes, may have violated Medicare


and Medicaid rules and regulations pertaining to payments to physicians and the solicitation of patient referrals from physicians and other matters relating to payments to various individuals which may have constituted improper payments. We have been negotiating a possible settlement of this matter with the government and we expect to continue our discussions to attempt to resolve this matter in a manner satisfactory to us and the government. During 2008, we recorded a pre-tax charge of $25 million ($15 million of which was recorded during the fourth quarter of 2008) to establish a reserve in connection with this matter. However, there is no assurance that a settlement can be reached, and, should a settlement be reached, we are unable at this time to determine the ultimate settlement amount. Should we be unable to ultimately reach a settlement, we are unable at this time to determine the extent of the total financial and/or other exposure to us in connection with this matter.

PHICO estate liquidation:

For the years of 1998 through 2001, most of our subsidiaries were covered under commercial insurance policies with PHICO, a Pennsylvania based insurance company that was placed into liquidation in February, 2002. In January, 2009, a court order from the Commonwealth Court of Pennsylvania was executed in connection with the partial liquidation of the PHICO estate. As a result, during the fourth quarter of 2008, based upon our share of the undisputed and resolved claims made against the PHICO estate as of a specified date and as approved by the liquidator to the court, we recorded a $10 million reduction to our professional and general liability self-insured claims expense.

Divestitures of assets and businesses:

During the fourth quarter of 2008, we completed the sale of a 125-bed acute care hospital located in Lansdale, Pennsylvania. This transaction resulted in a pre-tax gain of approximately $13 million which is included in our financial results for the three and twelve-month periods ended December 31, 2008. In addition, included in our financial results for the twelve-month period ended December 31, 2008 is a combined pre-tax gain of $8 million from the sale of our ownership interest in a third-party provider of supply chain services, the sale our ownership interest in an outpatient surgery center and the sale of certain other real property assets.

Resignation of John F. Williams, M.D., Ed.D. from Our Board of Directors:

John F. Williams, M.D. has notified us that he intends to resign from our Board of Directors effective as of February 28, 2009. We thank Dr. Williams for his years of dedicated service to our Company and wish him well in his future endeavors.

Conference Call Information:

We will hold a conference call for investors and analysts at 9:00 a.m. eastern time on February 27, 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 February 27, 2009 and will continue through midnight on March 13, 2009. The recording can be accessed by calling 1-800-642-1687 and entering the conference ID number 83016509. 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, 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 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, 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. 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,
 
     2008    2007    2008    2007  

Net revenues

   $ 1,237,402    $ 1,177,337    $ 5,022,417    $ 4,683,150  

Operating charges:

           

Salaries, wages and benefits

     532,667      510,442      2,133,181      2,004,995  

Other operating expenses

     267,021      244,909      1,044,278      982,614  

Supplies expense

     170,231      166,390      694,477      666,320  

Provision for doubtful accounts

     111,299      102,180      476,745      410,543  

Depreciation and amortization

     51,091      47,214      193,635      180,557  

Lease and rental expense

     16,861      17,462      69,882      67,867  
                             
     1,149,170      1,088,597      4,612,198      4,312,896  
                             

Income before interest expense, minority interests and income taxes

     88,232      88,740      410,219      370,254  

Interest expense, net

     13,060      12,983      53,207      51,626  

Minority interests in earnings of consolidated entities

     6,671      10,710      40,693      43,361  
                             

Income before income taxes

     68,501      65,047      316,319      275,267  

Provision for income taxes

     28,026      25,357      123,378      104,625  
                             

Income from continuing operations

     40,475      39,690      192,941      170,642  

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

     6,002      264      6,436      (255 )
                             

Net income

   $ 46,477    $ 39,954    $ 199,377    $ 170,387  
                             

Basic earnings (loss) per share: (b)

           

From continuing operations

   $ 0.81    $ 0.75    $ 3.81    $ 3.20  

From discontinued operations

     0.12      —        0.13      (0.01 )
                             

Total basic earnings per share

   $ 0.93    $ 0.75    $ 3.94    $ 3.19  
                             

Diluted earnings per share: (b)

           

From continuing operations

   $ 0.81    $ 0.75    $ 3.80    $ 3.18  

From discontinued operations

     0.12      —        0.13      —    
                             

Total diluted earnings per share

   $ 0.93    $ 0.75    $ 3.93    $ 3.18  
                             


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,
 
     2008     2007     2008     2007  

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

        

(Loss) income from operations, net of minority interest

   $ (3,702 )   $ 427     $ (2,996 )   $ (411 )

Gain on divestiture

     13,413       —         13,413       —    
                                

Income (loss) from discontinued operations, pre-tax

     9,711       427       10,417       (411 )

Income tax (expense) benefit

     (3,709 )     (163 )     (3,981 )     156  
                                

Income (loss) from discontinued operations, net of taxes

   $ 6,002     $ 264     $ 6,436     $ (255 )
                                

(b) Earnings per share calculation:

        

Basic:

        

Income from continuing operations

   $ 40,475     $ 39,690     $ 192,941     $ 170,642  

Less: Dividends on unvested restricted stock, net of taxes

     (10 )     (17 )     (49 )     (79 )
                                

Income from continuing operations - basic

     40,465       39,673       192,892       170,563  

Income (loss) from discontinued operations

     6,002       264       6,436       (255 )
                                

Net income - basic

   $ 46,467     $ 39,937     $ 199,328     $ 170,308  
                                

Weighted average number of common shares - basic

     50,008       53,051       50,611       53,381  
                                

Basic earnings (loss) per share:

        

From continuing operations

   $ 0.81     $ 0.75     $ 3.81     $ 3.20  

From discontinued operations

     0.12       0.00       0.13       (0.01 )
                                

Total basic earnings per share

   $ 0.93     $ 0.75     $ 3.94     $ 3.19  
                                

Diluted:

        

Income from continuing operations

   $ 40,475     $ 39,690     $ 192,941     $ 170,642  

Less: Dividends on unvested restricted stock, net of taxes

     (10 )     (17 )     (49 )     (79 )
                                

Income from continuing operations - diluted

     40,465       39,673       192,892       170,563  

Income (loss) from discontinued operations

     6,002       264       6,436       (255 )
                                

Net income - diluted

   $ 46,467     $ 39,937     $ 199,328     $ 170,308  
                                

Weighted average number of common shares

     50,008       53,051       50,611       53,381  

Add: Other share equivalents

     189       182       165       188  
                                

Weighted average number of common shares and equiv. - diluted

     50,197       53,233       50,776       53,569  
                                

Diluted earnings per share:

        

From continuing operations

   $ 0.81     $ 0.75     $ 3.80     $ 3.18  

From discontinued operations

     0.12       0.00       0.13       0.00  
                                

Total diluted earnings per share

   $ 0.93     $ 0.75     $ 3.93     $ 3.18  
                                


Universal Health Services, Inc.

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

For the three months ended December 31, 2008 and 2007

(in thousands, except per share amounts)

 

     Three months ended
December 31, 2008
    Three months ended
December 31, 2007
 

Net revenues

   $ 1,237,402       100.0 %   $ 1,177,337      100.0 %

Operating charges:

         

Salaries, wages and benefits

     532,667       43.0 %     510,442      43.4 %

Other operating expenses

     267,021       21.6 %     244,909      20.8 %

Supplies expense

     170,231       13.8 %     166,390      14.1 %

Provision for doubtful accounts

     111,299       9.0 %     102,180      8.7 %
                               
     1,081,218       87.4 %     1,023,921      87.0 %
                               

Operating income/margin

     156,184       12.6 %     153,416      13.0 %

Lease and rental expense

     16,861         17,462   

Minority interests in earnings of consolidated entities

     6,671         10,710   
                   

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

     132,652         125,244   

Depreciation and amortization

     51,091         47,214   

Interest expense, net

     13,060         12,983   
                   

Income before income taxes

     68,501         65,047   

Provision for income taxes

     28,026         25,357   
                   

Income from continuing operations

     40,475         39,690   

Income from discontinued operations, net of income taxes

     6,002         264   
                   

Net income

   $ 46,477       $ 39,954   
                   
     Three months ended
December 31, 2008
    Three months ended
December 31, 2007
 
     Amount     Per
Diluted Share
    Amount    Per
Diluted Share
 

Calculation of Adjusted Income from Continuing Operations

         

Income from continuing operations

   $ 40,475     $ 0.81     $ 39,690    $ 0.75  

Plus/minus adjustments:

         

South Texas Health System affiliates reserve, net of income taxes

     9,153       0.18       —        —    

PHICO estate liquidation proceeds, net of income taxes

     (5,968 )     (0.12 )     —        —    
                               

Subtotal after-tax adjustments to income from continuing operations

     3,185       0.06       —        —    
                               

Adjusted income from continuing operations

   $ 43,660     $ 0.87     $ 39,690    $ 0.75  
                               

Calculation of Adjusted Net Income

         

Net income

   $ 46,477     $ 0.93     $ 39,954    $ 0.75  

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

     3,185       0.06       —        —    

After-tax gain on divestiture

     (8,287 )     (0.17 )     —        —    
                               

Adjusted net income

   $ 41,375     $ 0.82     $ 39,954    $ 0.75  
                               


Universal Health Services, Inc.

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

For the twelve months ended December 31, 2008 and 2007

(in thousands, except per share amounts)

 

     Twelve months ended
December 31, 2008
    Twelve months ended
December 31, 2007
 

Net revenues

   $ 5,022,417       100.0 %   $ 4,683,150       100.0 %

Operating charges:

        

Salaries, wages and benefits

     2,133,181       42.5 %     2,004,995       42.8 %

Other operating expenses

     1,044,278       20.8 %     982,614       21.0 %

Supplies expense

     694,477       13.8 %     666,320       14.2 %

Provision for doubtful accounts

     476,745       9.5 %     410,543       8.8 %
                                
     4,348,681       86.6 %     4,064,472       86.8 %
                                

Operating income/margin

     673,736       13.4 %     618,678       13.2 %

Lease and rental expense

     69,882         67,867    

Minority interests in earnings of consolidated entities

     40,693         43,361    
                    

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

     563,161         507,450    

Depreciation and amortization

     193,635         180,557    

Interest expense, net

     53,207         51,626    
                    

Income before income taxes

     316,319         275,267    

Provision for income taxes

     123,378         104,625    
                    

Income from continuing operations

     192,941         170,642    

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

     6,436         (255 )  
                    

Net income

   $ 199,377       $ 170,387    
                    
     Twelve months ended
December 31, 2008
    Twelve months ended
December 31, 2007
 
     Amount     Per
Diluted Share
    Amount     Per
Diluted Share
 

Calculation of Adjusted Income from Continuing Operations

        

Income from continuing operations

   $ 192,941     $ 3.80     $ 170,642     $ 3.18  

Plus/minus adjustments:

        

Gain on sale of real property and other investment, net of income taxes

     (4,894 )     (0.09 )     (1,364 )     (0.02 )

South Texas Health System affiliates reserve, net of income taxes

     15,255       0.30       —         —    

PHICO estate liquidation proceeds, net of income taxes

     (5,968 )     (0.12 )     —         —    

Reduction of professional and general liability expense, net of minority interests and income taxes

     —         —         (10,104 )     (0.19 )

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

     —         —         3,419       0.07  

Favorable tax reserve adjustment

     —         —         (2,079 )     (0.04 )

Reserve for legal judgment and lawsuit, net of income taxes

     —         —         2,307       0.04  

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

     —         —         1,612       0.03  
                                

Subtotal after-tax adjustments to income from continuing operations

     4,393       0.09       (6,209 )     (0.11 )
                                

Adjusted income from continuing operations

   $ 197,334     $ 3.89     $ 164,433     $ 3.07  
                                

Calculation of Adjusted Net Income

        

Net income

   $ 199,377     $ 3.93     $ 170,387     $ 3.18  

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

     4,393       0.09       (6,209 )     (0.11 )

After-tax gain on divestiture

     (8,287 )     (0.17 )     —         —    
                                

Adjusted net income

   $ 195,483     $ 3.85     $ 164,178     $ 3.07  
                                


Universal Health Services, Inc.

Condensed Consolidated Balance Sheets

(in thousands)

 

     December 31,
2008
   December 31,
2007

Assets:

     

Cash and cash equivalents

   $ 5,460    $ 16,354

Accounts receivable, net

     625,437      627,186

Other current assets

     136,940      131,307

Current assets held for sale

     21,580      —  

Property, plant and equipment, net

     2,100,292      1,933,916

Other assets

     852,753      899,894
             

Total Assets

   $ 3,742,462    $ 3,608,657
             

Liabilities and Stockholders’ Equity:

     

Current portion of long-term debt

   $ 8,708    $ 3,116

Other current liabilities

     552,417      484,595

Other noncurrent liabilities

     407,652      344,755

Long-term debt

     990,661      1,008,786

Deferred income taxes

     12,439      40,022

Minority interests

     226,735      210,184

Stockholders’ equity

     1,543,850      1,517,199
             

Total Liabilities and Stockholders’ Equity

   $ 3,742,462    $ 3,608,657
             


Universal Health Services, Inc.

Consolidated Statements of Cash Flows

(in thousands)

 

     Twelve months ended
December 31,
 
     2008     2007  

Cash Flows from Operating Activities:

    

Net income

   $ 199,377     $ 170,387  

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

    

Depreciation & amortization

     195,766       183,281  

Gains on sales of assets and businesses, net of losses

     (21,464 )     (3,722 )

Provision for settlements

     25,000       —    

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

    

Accounts receivable

     22,445       (13,050 )

Construction management and other receivable

     (20,693 )     1,510  

Accrued interest

     (123 )     2,143  

Accrued and deferred income taxes

     (3,483 )     9,648  

Other working capital accounts

     3,878       (26,547 )

Other assets and deferred charges

     21,003       (4,700 )

Other

     16,928       8,688  

Minority interest in earnings of consolidated entities, net of distributions

     9,614       10,334  

Accrued insurance expense, net of commercial premiums paid

     73,413       64,131  

Payments made in settlement of self-insurance claims

     (58,561 )     (53,608 )
                

Net cash provided by operating activities

     463,100       348,495  
                

Cash Flows from Investing Activities:

    

Property and equipment additions, net of disposals

     (354,537 )     (339,813 )

Proceeds received from sale of assets

     82,062       6,818  

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

     1,539       —    

Investment in joint-venture

     (1,249 )     —    

Acquisition of assets and businesses

     (23,481 )     (101,792 )

Purchase of minority ownership interest in majority owned business

     (1,058 )     (14,762 )
                

Net cash used in investing activities

     (296,724 )     (449,549 )
                

Cash Flows from Financing Activities:

    

Additional borrowings

     151,129       183,206  

Reduction of long-term debt

     (166,557 )     (8,716 )

Repurchase of common shares

     (149,404 )     (74,091 )

Dividends paid

     (16,150 )     (17,169 )

Issuance of common stock

     2,354       2,264  

Financing costs

     (975 )     (588 )

Capital contributions from minority member

     2,333       17,563  
                

Net cash (used in) provided by financing activities

     (177,270 )     102,469  
                

(Decrease) increase in cash and cash equivalents

     (10,894 )     1,415  

Cash and cash equivalents, beginning of period

     16,354       14,939  
                

Cash and cash equivalents, end of period

   $ 5,460     $ 16,354  
                

Supplemental Disclosures of Cash Flow Information:

    

Interest paid

   $ 62,285     $ 58,567  
                

Income taxes paid, net of refunds

   $ 130,379     $ 93,519  
                


Universal Health Services, Inc.

Supplemental Statistical Information

(un-audited)

Same Facility:

 

     % Change
Quarter Ended
12/31/2008
    % Change
12 months ended
12/31/2008
 

Acute Care Hospitals

    

Revenues

   2.2 %   4.8 %

Adjusted Admissions

   -1.0 %   0.0 %

Adjusted Patient Days

   0.7 %   0.7 %

Revenue Per Adjusted Admission

   3.3 %   4.8 %

Revenue Per Adjusted Patient Day

   1.4 %   4.1 %

Behavioral Health Hospitals

    

Revenues

   4.0 %   7.6 %

Adjusted Admissions

   0.3 %   6.1 %

Adjusted Patient Days

   -0.6 %   2.9 %

Revenue Per Adjusted Admission

   3.9 %   1.4 %

Revenue Per Adjusted Patient Day

   4.8 %   4.6 %

UHS Consolidated

 

     Fourth Quarter Ended     Twelve months Ended  
     12/31/2008     12/31/2007     12/31/2008     12/31/2007  

Revenues

   $ 1,237,402     $ 1,177,337     $ 5,022,417     $ 4,683,150  

EBITDA (1) (5)

     132,652       125,244       563,161       507,450  

EBITDA Margin (1)

     10.7 %     10.6 %     11.2 %     10.8 %

Cash Flow From Operations

     67,157       25,714       463,100       348,495  

Days Sales Outstanding

     47       49       46       49  

Capital Expenditures

     114,657       76,447       354,537       339,813  

Debt

         999,369       1,011,902  

Shareholders Equity

         1,543,850       1,517,199  

Debt / Total Capitalization

         39.3 %     40.0 %

Debt / EBITDA (2)

         1.77       1.99  

Debt / Cash From Operations (2)

         2.16       2.90  

Acute Care EBITDAR Margin (3) (4) (5)

     13.6 %     13.1 %     14.1 %     13.7 %

Behavioral Health EBITDAR Margin (3) (4)

     22.7 %     22.8 %     23.3 %     22.9 %

 

(1) Net of Minority Interest
(2) Latest 4 quarters
(3) Before Corporate overhead allocation and minority interest
(4) Excluding discontinued operations
(5) 2008 Acute care margin excludes $25.1 million South Texas Reserve


UNIVERSAL HEALTH SERVICES, INC.

SELECTED HOSPITAL STATISTICS

FOR THE THREE MONTHS ENDED

DECEMBER 31, 2008

AS REPORTED:

 

     ACUTE (1)     BEHAVIORAL HEALTH  
     12/31/08     12/31/07     % change     12/31/08     12/31/07     % change  

Hospitals owned and leased

     22       22     0.0 %     81       85     -4.7 %

Average licensed beds

     5,450       5,415     0.6 %     7,742       7,573     2.2 %

Patient days

     291,885       285,286     2.3 %     505,028       517,818     -2.5 %

Average daily census

     3,172.7       3,100.9     2.3 %     5,489.4       5,628.5     -2.5 %

Occupancy-licensed beds

     58.2 %     57.3 %   1.7 %     70.9 %     74.3 %   -4.6 %

Admissions

     65,302       64,425     1.4 %     31,325       30,548     2.5 %

Length of stay

     4.5       4.4     0.9 %     16.1       17.0     -4.9 %

Inpatient revenue

   $ 2,292,917     $ 2,075,508     10.5 %   $ 484,524     $ 467,737     3.6 %

Outpatient revenue

     906,669       850,047     6.7 %     64,741       62,362     3.8 %

Total patient revenue

     3,199,586       2,925,555     9.4 %     549,265       530,099     3.6 %

Other revenue

     16,837       14,881     13.1 %     8,096       7,750     4.5 %

Gross hospital revenue

     3,216,423       2,940,436     9.4 %     557,361       537,849     3.6 %

Total deductions

     2,323,146       2,088,830     11.2 %     247,251       239,349     3.3 %

Net hospital revenue

   $ 893,277     $ 851,606     4.9 %   $ 310,110     $ 298,500     3.9 %
SAME FACILITY:  
     ACUTE (2)     BEHAVIORAL HEALTH (3)  
     12/31/08     12/31/07     % change     12/31/08     12/31/07     % change  

Hospitals owned and leased

     22       22     0.0 %     81       81     0.0 %

Average licensed beds

     5,285       5,290     -0.1 %     7,546       7,354     2.6 %

Patient days

     283,507       279,560     1.4 %     500,848       501,869     -0.2 %

Average daily census

     3,081.6       3,038.7     1.4 %     5,444.0       5,455.1     -0.2 %

Occupancy-licensed beds

     58.3 %     57.4 %   1.5 %     72.1 %     74.2 %   -2.7 %

Admissions

     62,860       63,092     -0.4 %     30,652       30,449     0.7 %

Length of stay

     4.5       4.4     1.8 %     16.3       16.5     -0.9 %

 

(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 TWELVE MONTHS ENDED

DECEMBER 31, 2008

AS REPORTED:

 

     ACUTE (1)     BEHAVIORAL HEALTH  
     12/31/08     12/31/07     % change     12/31/08     12/31/07     % change  

Hospitals owned and leased

     22       22     0.0 %     81       85     -4.7 %

Average licensed beds

     5,452       5,417     0.6 %     7,658       7,573     1.1 %

Patient days

     1,200,672       1,172,130     2.4 %     2,085,114       2,007,119     3.9 %

Average daily census

     3,280.5       3,211.3     2.2 %     5,697.0       5,499.0     3.6 %

Occupancy-licensed beds

     60.2 %     59.3 %   1.5 %     74.4 %     72.6 %   2.5 %

Admissions

     268,207       262,147     2.3 %     129,553       119,730     8.2 %

Length of stay

     4.5       4.5     0.1 %     16.1       16.8     -4.0 %

Inpatient revenue

   $ 9,292,596     $ 8,375,435     11.0 %   $ 1,951,560     $ 1,806,835     8.0 %

Outpatient revenue

     3,655,051       3,382,862     8.0 %     258,022       235,920     9.4 %

Total patient revenue

     12,947,647       11,758,297     10.1 %     2,209,582       2,042,755     8.2 %

Other revenue

     72,578       58,661     23.7 %     34,330       29,688     15.6 %

Gross hospital revenue

     13,020,225       11,816,958     10.2 %     2,243,912       2,072,443     8.3 %

Total deductions

     9,350,721       8,406,590     11.2 %     992,796       926,365     7.2 %

Net hospital revenue

   $ 3,669,504     $ 3,410,368     7.6 %   $ 1,251,116     $ 1,146,078     9.2 %
SAME FACILITY:  
     ACUTE (2)     BEHAVIORAL HEALTH (3)  
     12/31/08     12/31/07     % change     12/31/08     12/31/07     % change  

Hospitals owned and leased

     22       22     0.0 %     81       81     0.0 %

Average licensed beds

     5,287       5,292     -0.1 %     7,443       7,231     2.9 %

Patient days

     1,158,353       1,149,422     0.8 %     2,038,217       1,974,322     3.2 %

Average daily census

     3,164.9       3,149.1     0.5 %     5,568.9       5,409.1     3.0 %

Occupancy-licensed beds

     59.9 %     59.5 %   0.6 %     74.8 %     74.8 %   0.0 %

Admissions

     256,873       256,681     0.1 %     127,226       119,585     6.4 %

Length of stay

     4.5       4.5     0.7 %     16.0       16.5     3.0 %

 

(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, discontinue 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.