Universal Health Services, Inc. Reports 30% Increase in 2008 First Quarter Earnings Per Diluted Share

KING OF PRUSSIA, Pa., April 24 /PRNewswire-FirstCall/ -- Universal Health Services, Inc. announced today that its reported net income was $61.7 million, or $1.20 per diluted share, during the first quarter of 2008 as compared to $49.5 million, or $.92 per diluted share, during the comparable prior year quarter. After adjusting our first quarter of 2007 results for hurricane related expenses and the gain realized on the sale of vacant land (as indicated on the attached Schedule of Non-GAAP Supplemental Consolidated Statements of Income Information), our net income for the three months ended March 31, 2007 was $47.9 million, or $.89 per diluted share. There were no such adjustments applicable to our results during the first quarter of 2008.

Net revenues increased 8% to $1.30 billion during the first quarter of 2008 as compared to $1.20 billion during the first quarter of 2007. Our consolidated operating margin, as calculated on the attached Supplemental Schedule (without adjusting the 2007 first quarter results for the items mentioned above), was 14.8% and 13.9% during the three-month periods ended March 31, 2008 and 2007, respectively.

Acute Care Services:

At our acute care hospitals owned during both periods ("same facility basis"), inpatient admissions increased 0.8% and patient days increased 2.0% during the first quarter of 2008 as compared to the first quarter of 2007. On a same facility basis, net revenues at our acute care facilities increased 6.9% during the first quarter of 2008 as compared to the comparable prior year quarter. Net revenue per adjusted admission at these facilities increased 5.3% during the first quarter of 2008 over the comparable prior year quarter. The operating margin at our acute care hospitals owned during both quarters increased to 17.1% during the first quarter of 2008 as compared to 15.1% during the first quarter 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 $151 million and $127 million during the three-month periods ended March 31, 2008 and 2007, respectively.

Behavioral Health Care Services:

At our behavioral health facilities, on a same facility basis, inpatient admissions increased 8.0% and patient days increased 6.3% during the first quarter of 2008 as compared to the first quarter of 2007. On a same facility basis, net revenues at our behavioral health facilities increased 9.2% during the first quarter of 2008 as compared to the comparable prior year quarter. Net revenue per adjusted admission at these facilities increased 2.6% during the first quarter of 2008 over the comparable prior year quarter. The operating margin at our behavioral health facilities owned during both periods increased to 23.7% during the first quarter of 2008 as compared to 22.7% during the first quarter of 2007.

2008 Revised Guidance:

Based upon the operating trends and financial results experienced during the first quarter of 2008, and subject to certain provisions and adjustments, including those as set forth below in General Information, Forward-Looking Statements and Risk Factors and Non-GAAP Financial Measures, we estimate that we will achieve earnings per diluted share from continuing operations of approximately $3.70 to $3.80 during the year ended December 31, 2008.

Conference Call Information:

We will hold a conference call for investors and analysts at 9:00 a.m. eastern time on April 25, 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 April 25, 2008 and will continue through midnight on May 9, 2008. The recording can be accessed by calling 1-800-642-1687 and entering the conference ID number 41016419. 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, 2007), may cause results to differ materially from those anticipated in the forward-looking statements. Many of the factors that will determine our future results are beyond our capability to control or predict. These statements are subject to risks and uncertainties and therefore actual results may differ materially. Readers should not place undue reliance on such forward-looking statements which reflect management's view only as of the date hereof. We undertake no obligation to revise or update any forward-looking statements, or to make any other forward-looking statements, whether as a result of new information, future events or otherwise.

We believe that operating income, operating margin, adjusted income from continuing operations, adjusted income from continuing operations per diluted share, adjusted net income, adjusted net income per diluted share and earnings before interest, taxes, depreciation and amortization ("EBITDA"), which are non-GAAP financial measures ("GAAP" is Generally Accepted Accounting Principles in the United States of America), are helpful to our investors as measures of our operating performance. In addition, we believe that comparing and discussing our financial results based on these measures, as calculated, is helpful to our investors since it neutralizes the effect in each year of items that are nonrecurring or non-operational in nature including items such as, but not limited to, gains on sales of assets and businesses, hurricane-related expenses and insurance recoveries, reserves for legal judgments, lawsuits and other settlements and other amounts that may be reflected in the current or prior year financial statements that relate to prior periods. To obtain a complete understanding of our financial performance these measures should be examined in connection with net income, determined in accordance with GAAP, as presented in the condensed consolidated financial statements and notes thereto in this report or in our other filings with the Securities and Exchange Commission including our Report on Form 10-K for the year ended December 31, 2007. Since the items included or excluded from these measures are significant components in understanding and assessing financial performance under GAAP, these measures should not be considered to be alternatives to net income as a measure of our operating performance or profitability. Since these measures, as presented, are not determined in accordance with GAAP and are thus susceptible to varying calculations, they may not be comparable to other similarly titled measures of other companies. Investors are encouraged to use GAAP measures when evaluating our financial performance.

Universal Health Services, Inc. Consolidated Statements of Income (in thousands, except per share amounts) (unaudited) Three months ended March 31, 2008 2007 Net revenues $1,297,715 $1,197,601 Operating charges: Salaries, wages and benefits 550,460 510,993 Other operating expenses 252,495 245,352 Supplies expense 181,817 175,358 Provision for doubtful accounts 120,875 99,093 Depreciation and amortization 47,370 43,463 Lease and rental expense 17,667 16,176 Hurricane related expenses, net - (433) 1,170,684 1,090,002 Income before interest expense, hurricane insurance recoveries in excess of expenses, minority interests and income taxes 127,031 107,599 Interest expense, net 13,479 12,722 Minority interests in earnings of consolidated entities 13,279 14,192 Income before income taxes 100,273 80,685 Provision for income taxes 38,610 31,113 Income from continuing operations 61,663 49,572 Loss from discontinued operations, net of income taxes - (64) Net income $61,663 $49,508 Basic earnings per share: From continuing operations $1.20 $0.93 From discontinued operations - - Total basic earnings per share $1.20 $0.93 Diluted earnings per share: From continuing operations $1.20 $0.92 From discontinued operations - - Total diluted earnings per share $1.20 $0.92 Weighted average number of common shares 51,263 53,493 Other share equivalents 73 193 Weighted average number of common shares and equiv. - diluted 51,336 53,686 Universal Health Services, Inc. Schedule of Non-GAAP Supplemental Consolidated Statements of Income Information ("Supplemental Schedule") For the three months ended March 31, 2008 and 2007 (in thousands, except per share amounts) (unaudited) Three months ended Three months ended March 31, 2008 March 31, 2007 Net revenues $1,297,715 100.0% $1,197,601 100.0% Operating charges: Salaries, wages and benefits 550,460 42.4% 510,993 42.7% Other operating expenses 252,495 19.5% 245,352 20.5% Supplies expense 181,817 14.0% 175,358 14.6% Provision for doubtful accounts 120,875 9.3% 99,093 8.3% 1,105,647 85.2% 1,030,796 86.1% Operating income/margin 192,068 14.8% 166,805 13.9% Lease and rental expense 17,667 16,176 Minority interests in earnings of consolidated entities 13,279 14,192 Earnings before hurricane related expenses, hurricane insurance recoveries, depreciation and amortization, interest expense, and income taxes ("EBITDA") 161,122 136,437 Hurricane related expenses, net of recoveries - (433) Depreciation and amortization 47,370 43,463 Interest expense, net 13,479 12,722 Income before income taxes 100,273 80,685 Provision for income taxes 38,610 31,113 Income from continuing operations 61,663 49,572 Loss from discontinued operations, net of income taxes - (64) Net income $61,663 $49,508 Three months ended Three months ended March 31, 2008 March 31, 2007 Per Per Diluted Diluted Amount Share Amount Share Calculation of Adjusted Income from Continuing Operations Income from continuing operations $61,663 $1.20 $49,572 $0.92 Plus/minus adjustments: Hurricane related recoveries, net of expenses and income taxes - - (269) - Gain on sale of real property, net of income taxes - - (1,369) (0.03) Subtotal after-tax adjustments to income from continuing operations - - (1,638) (0.03) Adjusted income from continuing operations $61,663 $1.20 $47,934 $0.89 Calculation of Adjusted Net Income Net income $61,663 $1.20 $49,508 $0.92 After-tax adjustments to income from continuing operations, as indicated above - - (1,638) (0.03) Adjusted net income $61,663 $1.20 $47,870 $0.89 Universal Health Services, Inc. Condensed Consolidated Balance Sheets (in thousands) (unaudited) March 31, December 31, 2008 2007 Assets: Cash and cash equivalents $8,916 $16,354 Accounts receivable, net 689,878 627,186 Other current assets 127,576 131,307 Property, plant and equipment, net 1,959,265 1,933,916 Other assets 900,647 899,894 Total Assets $3,686,282 $3,608,657 Liabilities and Stockholders' Equity: Current portion of long-term debt $3,774 $3,116 Other current liabilities 543,555 484,595 Other noncurrent liabilities 349,369 344,755 Long-term debt 1,041,308 1,008,786 Deferred income taxes 37,974 40,022 Minority interests 223,090 210,184 Stockholders' equity 1,487,212 1,517,199 Total Liabilities and Stockholders' Equity $3,686,282 $3,608,657 Universal Health Services, Inc. Consolidated Statements of Cash Flows (in thousands) (unaudited) Three months ended March 31, 2008 2007 Cash Flows from Operating Activities: Net income $61,663 $49,508 Adjustments to reconcile net income to net cash provided by operating activities: Depreciation & amortization 47,370 43,482 Gain on sale of assets - (2,200) Changes in assets & liabilities, net of effects from acquisitions and dispositions: Accounts receivable (62,692) (57,307) Accrued interest 8,999 9,534 Accrued and deferred income taxes 31,301 27,373 Other working capital accounts 27,777 13,565 Other assets and deferred charges 456 (2,811) Other (1,714) (4,041) Minority interest in earnings of consolidated entities, net of distributions 12,906 10,972 Accrued insurance expense, net of commercial premiums paid 19,376 23,071 Payments made in settlement of self-insurance claims (13,766) (12,170) Net cash provided by operating activities 131,676 98,976 Cash Flows from Investing Activities: Property and equipment additions, net of disposals (81,751) (99,349) Proceeds received from sale of assets 2,235 5,268 Acquisition of assets and businesses - (73,378) Purchase of minority ownership interest in majority owned business - (14,762) Net cash used in investing activities (79,516) (182,221) Cash Flows from Financing Activities: Additional borrowings 33,180 84,664 Repurchase of common shares (89,799) (3,288) Dividends paid (4,072) (4,310) Issuance of common stock 1,093 115 Capital contributions from minority member - 2,340 Net cash (used in) provided by financing activities (59,598) 79,521 Decrease in cash and cash equivalents (7,438) (3,724) Cash and cash equivalents, beginning of period 16,354 14,939 Cash and cash equivalents, end of period $8,916 $11,215 Supplemental Disclosures of Cash Flow Information: Interest paid $6,407 $5,182 Income taxes paid, net of refunds $7,642 $3,700 Universal Health Services, Inc. Supplemental Statistical Information (unaudited) % Change Quarter Ended Same Facility: 03/31/2008 Acute Care Hospitals Revenues 6.9% Adjusted Admissions 1.5% Adjusted Patient Days 2.8% Revenue Per Adjusted Admission 5.3% Revenue Per Adjusted Patient Day 4.0% Behavioral Health Hospitals Revenues 9.2% Adjusted Admissions 6.4% Adjusted Patient Days 4.7% Revenue Per Adjusted Admission 2.6% Revenue Per Adjusted Patient Day 4.3% UHS Consolidated First Quarter Ended 03/31/2008 03/31/2007 Revenues $1,297,715 $1,197,601 EBITDA (1) $161,122 $136,437 EBITDA Margin (1) 12.4% 11.4% Cash Flow From Operations $131,676 $98,976 Days Sales Outstanding 48 50 Capital Expenditures $81,751 $99,349 Debt 1,045,082 913,275 Shareholders Equity 1,487,212 1,461,195 Debt / Total Capitalization 41.3% 38.5% Debt / EBITDA (2) 1.95 1.97 Debt / Cash From Operations (2) 2.74 5.78 Acute Care EBITDAR Margin (3) 16.2% 15.1% Behavioral Health EBITDAR Margin (3) 23.1% 22.4% (1) Net of Minority Interest (2) Latest 4 quarters (3) Before Corporate overhead allocation and minority interest UNIVERSAL HEALTH SERVICES, INC. SELECTED HOSPITAL STATISTICS MARCH 31, 2008 AS REPORTED: For the three months ended Acute (1) Behavioral Health 03/31/08 03/31/07 % 03/31/08 03/31/07 % Hospitals owned and leased 23 22 4.5% 83 81 2.5% Average licensed beds 5,578 5,417 3.0% 7,596 7,060 7.6% Patient days 320,595 309,174 3.7% 529,955 481,353 10.1% Average daily census 3,523.0 3,435.3 2.6% 5,823.7 5,348.4 8.9% Occupancy-licensed beds 63.2% 63.4% -0.4% 76.7% 75.8% 1.2% Admissions 70,511 68,766 2.5% 32,882 29,405 11.8% Length of stay 4.5 4.5 1.1% 16.1 16.4 -1.5% Inpatient revenue $2,505,320 $2,271,139 10.3% $488,733 $433,912 12.6% Outpatient revenue 955,155 868,131 10.0% 66,588 59,645 11.6% Total patient revenue 3,460,475 3,139,270 10.2% 555,321 493,557 12.5% Other revenue 19,132 14,451 32.4% 8,158 7,830 4.2% Gross hospital revenue 3,479,607 3,153,721 10.3% 563,479 501,387 12.4% Total deductions 2,508,600 2,260,856 11.0% 250,621 225,675 11.1% Net hospital revenue $971,007 $892,865 8.8% $312,858 $275,712 13.5% SAME FACILITY: Acute (2) Behavioral Health (3) 03/31/08 03/31/07 % 03/31/08 03/31/07 % Hospitals owned and leased 22 22 0.0% 80 80 0.0% Average licensed beds 5,413 5,417 -0.1% 7,307 7,054 3.6% Patient days 315,433 309,174 2.0% 511,056 480,987 6.3% Average daily census 3,466.3 3,435.3 0.9% 5,616.0 5,344.3 5.1% Occupancy-licensed beds 64.0% 63.4% 1.0% 76.9% 75.8% 1.4% Admissions 69,330 68,766 0.8% 31,745 29,394 8.0% Length of stay 4.5 4.5 1.2% 16.1 16.4 -1.6% (1) Licensed beds from our Acute care hospitals located in New Orleans are excluded. (2) Our three acute care hospitals located in New Orleans and Centennial Hills are excluded in current and prior years. (3) Casa de Lago, Cottonwood Treatment Center, Dover Behavioral, Foundations Behavioral and Shenandoah Valley are excluded in the current and prior years. Highlands Behavioral is included in both current and prior years from March 1 through year to date.