KING OF PRUSSIA, Pa., Feb. 26 /PRNewswire-FirstCall/ -- Universal Health Services, Inc. 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 http://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 (http://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 . 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.
Universal Health Services, Inc. ------------------------------- Consolidated Statements of Income --------------------------------- (in thousands, except per share amounts) Three months Twelve months ended December 31, 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 Twelve months ended ended December 31, 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 Three months ended December 31, 2008 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 Three months ended December 31, 2008 December 31, 2007 ----------------- ----------------- Per Per Diluted Diluted Amount Share Amount 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 Twelve months ended ended December 31, December 31, 2008 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 Twelve months ended ended December 31, December 31, 2008 2007 ------------ ------------ Per Per Diluted Diluted Amount Share Amount 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, December 31, 2008 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) % Change % Change Quarter 12 months Ended ended -------------- Same Facility: 12/31/2008 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) 12/31/08 12/31/07 % change -------- -------- --------- Hospitals owned and leased 22 22 0.0% Average licensed beds 5,450 5,415 0.6% Patient days 291,885 285,286 2.3% Average daily census 3,172.7 3,100.9 2.3% Occupancy-licensed beds 58.2% 57.3% 1.7% Admissions 65,302 64,425 1.4% Length of stay 4.5 4.4 0.9% Inpatient revenue $2,292,917 $2,075,508 10.5% Outpatient revenue 906,669 850,047 6.7% Total patient revenue 3,199,586 2,925,555 9.4% Other revenue 16,837 14,881 13.1% Gross hospital revenue 3,216,423 2,940,436 9.4% Total deductions 2,323,146 2,088,830 11.2% Net hospital revenue $893,277 $851,606 4.9% ------------ AS REPORTED: ------------ BEHAVIORAL HEALTH 12/31/08 12/31/07 % change -------- -------- --------- Hospitals owned and leased 81 85 -4.7% Average licensed beds 7,742 7,573 2.2% Patient days 505,028 517,818 -2.5% Average daily census 5,489.4 5,628.5 -2.5% Occupancy-licensed beds 70.9% 74.3% -4.6% Admissions 31,325 30,548 2.5% Length of stay 16.1 17.0 -4.9% Inpatient revenue $484,524 $467,737 3.6% Outpatient revenue 64,741 62,362 3.8% Total patient revenue 549,265 530,099 3.6% Other revenue 8,096 7,750 4.5% Gross hospital revenue 557,361 537,849 3.6% Total deductions 247,251 239,349 3.3% Net hospital revenue $310,110 $298,500 3.9% SAME FACILITY: -------------- ACUTE (2) 12/31/08 12/31/07 % change -------- -------- --------- Hospitals owned and leased 22 22 0.0% Average licensed beds 5,285 5,290 -0.1% Patient days 283,507 279,560 1.4% Average daily census 3,081.6 3,038.7 1.4% Occupancy-licensed beds 58.3% 57.4% 1.5% Admissions 62,860 63,092 -0.4% Length of stay 4.5 4.4 1.8% BEHAVIORAL HEALTH (3) 12/31/08 12/31/07 % change -------- -------- -------- Hospitals owned and leased 81 81 0.0% Average licensed beds 7,546 7,354 2.6% Patient days 500,848 501,869 -0.2% Average daily census 5,444.0 5,455.1 -0.2% Occupancy-licensed beds 72.1% 74.2% -2.7% Admissions 30,652 30,449 0.7% Length of stay 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) 12/31/08 12/31/07 % change -------- -------- --------- Hospitals owned and leased 22 22 0.0% Average licensed beds 5,452 5,417 0.6% Patient days 1,200,672 1,172,130 2.4% Average daily census 3,280.5 3,211.3 2.2% Occupancy-licensed beds 60.2% 59.3% 1.5% Admissions 268,207 262,147 2.3% Length of stay 4.5 4.5 0.1% Inpatient revenue $9,292,596 $8,375,435 11.0% Outpatient revenue 3,655,051 3,382,862 8.0% Total patient revenue 12,947,647 11,758,297 10.1% Other revenue 72,578 58,661 23.7% Gross hospital revenue 13,020,225 11,816,958 10.2% Total deductions 9,350,721 8,406,590 11.2% Net hospital revenue $3,669,504 $3,410,368 7.6% ------------ AS REPORTED: ------------ BEHAVIORAL HEALTH 12/31/08 12/31/07 % change -------- -------- --------- Hospitals owned and leased 81 85 -4.7% Average licensed beds 7,658 7,573 1.1% Patient days 2,085,114 2,007,119 3.9% Average daily census 5,697.0 5,499.0 3.6% Occupancy-licensed beds 74.4% 72.6% 2.5% Admissions 129,553 119,730 8.2% Length of stay 16.1 16.8 -4.0% Inpatient revenue $1,951,560 $1,806,835 8.0% Outpatient revenue 258,022 235,920 9.4% Total patient revenue 2,209,582 2,042,755 8.2% Other revenue 34,330 29,688 15.6% Gross hospital revenue 2,243,912 2,072,443 8.3% Total deductions 992,796 926,365 7.2% Net hospital revenue $1,251,116 $1,146,078 9.2% SAME FACILITY: -------------- ACUTE (2) 12/31/08 12/31/07 % change -------- -------- --------- Hospitals owned and leased 22 22 0.0% Average licensed beds 5,287 5,292 -0.1% Patient days 1,158,353 1,149,422 0.8% Average daily census 3,164.9 3,149.1 0.5% Occupancy-licensed beds 59.9% 59.5% 0.6% Admissions 256,873 256,681 0.1% Length of stay 4.5 4.5 0.7% BEHAVIORAL HEALTH (3) 12/31/08 12/31/07 % change -------- -------- --------- Hospitals owned and leased 81 81 0.0% Average licensed beds 7,443 7,231 2.9% Patient days 2,038,217 1,974,322 3.2% Average daily census 5,568.9 5,409.1 3.0% Occupancy-licensed beds 74.8% 74.8% 0.0% Admissions 127,226 119,585 6.4% Length of stay 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, 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.
