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SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549



FORM 10-Q



(MARK ONE)

  x QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended September 30, 2002

OR

  o TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from                to               

Commission file number 1-10765



UNIVERSAL HEALTH SERVICES, INC.
(Exact name of registrant as specified in its charter)



  DELAWARE
(State or other jurisdiction of
Incorporation or Organization)
  23-2077891
(I.R.S. Employer
Identification No.)
 

         UNIVERSAL CORPORATE CENTER
         367 SOUTH GULPH ROAD
         KING OF PRUSSIA, PENNSYLVANIA     19406
         (Address of principal executive office)          (Zip Code)

Registrant’s telephone number, including area code (610) 768-3300

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes x No o

Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act). Yes x No o

Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date. Common shares outstanding, as of October 31, 2002:

  Class A
Class B
Class C
Class D
    3,328,404
56,841,048
    335,800
      35,780
 



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UNIVERSAL HEALTH SERVICES, INC.

I N D E X

       
           
PART I.   FINANCIAL INFORMATION  
          Page No
    Item 1.   Financial Statements  
           
        Consolidated Statements of Income - Three and Nine Months Ended September 30, 2002 and 2001 3
           
        Condensed Consolidated Balance Sheets - September 30, 2002 and December 31, 2001 4
           
        Condensed Consolidated Statements of Cash Flows Nine Months Ended September 30, 2002 and 2001 5
           
        Notes to Condensed Consolidated Financial Statements 6 through 14
           
    Item 2.   Management’s Discussion and Analysis of Operations and Financial Condition 15 through 24
           
PART II.   OTHER INFORMATION     25

SIGNATURES 26  
     
CERTIFICATIONS 27 & 28  

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PART I. FINANCIAL INFORMATION

UNIVERSAL HEALTH SERVICES, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(000s omitted except per share amounts)
(unaudited)

Three Months
Ended September 30,
Nine Months
Ended September 30,


2002 2001 2002 2001




Net revenues   $ 813,104   $ 720,784   $ 2,423,420   $ 2,116,329  
                         
Operating charges:                          
   Salaries, wages and benefits     323,331     282,225     964,633     832,785  
   Other operating expenses     196,007     167,958     586,199     488,740  
   Supplies expense     106,382     94,275     313,747     276,622  
   Provision for doubtful accounts     62,590     68,682     173,329     186,587  
   Depreciation and amortization     30,136     32,587     90,444     94,630  
   Lease and rental expense     15,609     13,884     46,089     39,994  
   Interest expense, net     8,381     9,846     25,498     28,808  




    742,436     669,457     2,199,939     1,948,166  




Income before minority interests, effect of foreign exchange
    and derivative transactions and income taxes
    70,668     51,327     223,481     168,163  
Minority interests in earnings of consolidated entities     4,924     3,700     15,485     11,324  
Losses on foreign exchange and derivative transactions     255     108     270     1,509  




                         
Income before income taxes     65,489     47,519     207,726     155,330  
Provision for income taxes     24,038     17,265     76,255     56,515  




                         
Net income   $ 41,451   $ 30,254   $ 131,471   $ 98,815  




                         
Earnings per common share - basic   $ 0.69   $ 0.50   $ 2.20   $ 1.65  




                         
Earnings per common share - diluted   $ 0.65   $ 0.48   $ 2.05   $ 1.56  




                         
Weighted average number of common shares – basic     59,883     59,921     59,893     59,889  
Weighted average number of common share equivalents     7,292     7,496     7,266     7,373  




Weighted average number of common shares and
    equivalents – diluted
    67,175     67,417     67,159     67,262  





See accompanying notes to these condensed consolidated financial statements.

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UNIVERSAL HEALTH SERVICES, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(000s omitted, unaudited)

September 30,
2002
December 31,
2001


             
Assets              
Current assets:              
   Cash and cash equivalents   $ 15,794   $ 22,848  
   Accounts receivable, net     472,316     418,083  
   Supplies     58,597     54,764  
   Deferred income taxes     27,769     25,227  
   Other current assets     28,377     27,340  


     Total current assets     602,853     548,262  


             
Property and equipment     1,824,457     1,625,807  
Less: accumulated depreciation     (670,205 )   (594,602 )


    1,154,252     1,031,205  
             
Other assets:              
   Goodwill     408,500     372,627  
   Deferred charges     15,340     16,533  
   Other     75,004     145,957  


    498,844     535,117  


  $ 2,255,949   $ 2,114,584  


             
Liabilities and Stockholders’ Equity              
Current liabilities:              
   Current maturities of long-term debt   $ 3,495   $ 2,436  
   Accounts payable and accrued liabilities     356,667     319,395  
   Federal and state taxes     910     885  


     Total current liabilities     361,072     322,716  


             
Other noncurrent liabilities     130,087     110,385  


Minority interest     133,303     125,914  


Long-term debt, net of current maturities     658,065     718,830  


Deferred income taxes     26,501     28,839  


             
Common stockholders’ equity:              
   Class A Common Stock, 3,848,886 shares outstanding in 2002, 3,848,886 in
       2001
    38     38  
   Class B Common Stock, 56,178,156 shares outstanding in 2002, 55,603,686 in
       2001
    562     556  
   Class C Common Stock, 387,848 shares outstanding in 2002, 387,848 in 2001     4     4  
   Class D Common Stock, 36,202 shares outstanding in 2002, 39,109 in 2001          
   Capital in excess of par, net of deferred compensation of $15,580 in 2002 and
       $203 in 2001
    148,943     137,400  
   Retained earnings     807,535     676,064  
   Accumulated other comprehensive loss     (10,161 )   (6,162 )


    946,921     807,900  


  $ 2,255,949   $ 2,114,584  



See accompanying notes to these condensed consolidated financial statements.

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UNIVERSAL HEALTH SERVICES, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
(000s omitted - unaudited)

Nine Months Ended
September 30,

2002 2001


             
Cash Flows from Operating Activities:              
   Net income   $ 131,471   $ 98,815  
   Adjustments to reconcile net income to net cash provided by operating activities:              
     Depreciation & amortization     90,444     94,630  
     Accretion of discount on convertible debentures     8,514     8,100  
     Losses on foreign exchange and derivative transactions     270     1,509  
   Changes in assets & liabilities, net of effects from acquisitions and dispositions:              
     Accounts receivable     (31,417 )   14,513  
     Accrued interest     3,051     (1,101 )
     Accrued and deferred income taxes     290     20,471  
     Other working capital accounts     18,400     24,867  
     Other assets and deferred charges     (2,847 )   (1,703 )
     Increase in working capital at acquired facilities         (15,304 )
     Other     1,212     (2,112 )
     Minority interest in earnings of consolidated entities, net of distributions     7,388     1,946  
     Accrued insurance expense, net of commercial premiums paid     41,941     18,368  
     Payments made in settlement of self-insurance claims     (23,536 )   (9,588 )


   Net cash provided by operating activities     245,181     253,411  


             
Cash Flows from Investing Activities:              
     Property and equipment additions, net     (156,684 )   (111,545 )
     Acquisition of businesses         (184,088 )
     Proceeds received from divestitures, net     1,750      


   Net cash used in investing activities     (154,934 )   (295,633 )


             
Cash Flows from Financing Activities:              
     Additional borrowings, net of financing costs     39,311     110,521  
     Reduction of long-term debt     (129,895 )   (49,906 )
     Issuance of common stock     1,786     1,856  
     Repurchase of common shares     (8,503 )   (6,203 )


   Net cash (used in) provided by financing activities     (97,301 )   56,268  


             
(Decrease) increase in cash and cash equivalents     (7,054 )   14,046  
Cash and cash equivalents, Beginning of Period     22,848     10,545  


Cash and cash equivalents, End of Period   $ 15,794   $ 24,591  


             
Supplemental Disclosures of Cash Flow Information:              
   Interest paid   $ 13,933   $ 21,809  


             
   Income taxes paid, net of refunds   $ 74,726   $ 35,360  



See accompanying notes to these condensed consolidated financial statements.

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UNIVERSAL HEALTH SERVICES, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(1)      General

The consolidated financial statements include the accounts of Universal Health Services, Inc. (the “Company”), its majority-owned subsidiaries and partnerships controlled by the Company or its subsidiaries as managing general partner. The consolidated financial statements included herein have been prepared by the Company, without audit, pursuant to the rules and regulations of the Securities and Exchange Commission and reflect all normal and recurring adjustments which, in the opinion of the Company, are necessary to fairly present results for the interim periods. Certain information and footnote disclosures normally included in financial statements prepared in accordance with generally accepted accounting principles have been condensed or omitted pursuant to such rules and regulations, although the Company believes that the accompanying disclosures are adequate to make the information presented not misleading. It is suggested that these financial statements be read in conjunction with the financial statements, significant accounting policies and the notes thereto included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2001. Certain prior year amounts have been reclassified to conform with current year financial statement presentation.

(2)      Related Party Transactions

At September 30, 2002, the Company held approximately 6.6% of the outstanding shares of Universal Health Realty Income Trust (the “Trust”). The Company serves as Advisor to the Trust under an annually renewable advisory agreement pursuant to the terms of which the Company conducts the Trust’s day-to-day affairs, provides administrative services and presents investment opportunities. In connection with this advisory agreement, the Company earned an advisory fee from the Trust of approximately $350,000 in each of the three month periods ended September 30, 2002 and 2001 and $1 million in each of the nine month periods ended September 30, 2002 and 2001 which are included in net revenues in the accompanying consolidated statements of income. In addition, certain officers and directors of the Company are also officers and/or directors of the Trust. Management believes that it has the ability to exercise significant influence over the Trust and therefore the Company accounts for its investment in the Trust using the equity method of accounting. The Company’s pre-tax share of income from the Trust was $400,000 and $300,000 during the three month periods ended September 30, 2002 and 2001, respectively, and $1.1 million and $900,000 during the nine month periods ended September 30, 2002 and 2001, respectively, and is included in net revenues in the accompanying consolidated statements of income. As of September 30, 2002, the Company leased six hospital facilities from the Trust with terms expiring in 2003 through 2006. These leases contain up to six 5-year renewal options. Total rent expense under these operating leases was $4.3 and $4.1 million during the three month periods ended September 30, 2002 and 2001, respectively, and $12.8 million and $12.3 million during the nine month periods ended September 30, 2002 and 2001, respectively.

(3)      Other Noncurrent and Minority Interest Liabilities

Other noncurrent liabilities include the long-term portion of the Company’s professional and general liability, compensation accruals, and pension liability.

Minority interest consists primarily of a 27.5% outside ownership interest in three acute care facilities located in Las Vegas, Nevada, a 20% outside ownership in an acute care facility located in Washington D.C. and a 20% outside ownership interest in an operating company that owns nine hospitals in France.

(4)      Commitment and Contingencies

Under certain agreements, the Company has committed or guaranteed an aggregate of $26 million related principally to the Company’s self-insurance programs and as support for various debt instruments and loan guarantees. Excluded from this amount is a $29 million surety bond related to the Company’s 1997

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acquisition of an 80% ownership interest in The George Washington University Hospital which was cancelled effective October 1, 2002.

For the period from January 1, 1998 through December 31, 2001, most of the Company’s subsidiaries were covered under commercial insurance policies with PHICO, a Pennsylvania based insurance company. The policies provided for a self-insured retention limit for professional and general liability claims for the Company’s subsidiaries up to $1 million per occurrence, with an average annual aggregate for covered subsidiaries of $7 million through 2001. These subsidiaries maintained excess coverage up to $100 million with other major insurance carriers.

Early in the first quarter of 2002, PHICO was placed in liquidation by the Pennsylvania Insurance Commissioner and as a result, the Company recorded a pre-tax charge to earnings of $40 million during the fourth quarter of 2001 to reserve for malpractice expenses that may result from PHICO’s liquidation. PHICO continues to have substantial liability to pay claims on behalf of the Company and although those claims could become the Company’s liability, the Company may be entitled to receive reimbursement from state insurance guaranty funds and/or PHICO’s estate for a portion of certain claims ultimately paid by the Company. Management expects that the net cash payments related to these claims, after reimbursements from state funds and/or PHICO’s estate, will be made over the next five to seven years as the cases are settled or adjudicated. In estimating the $40 million pre-tax charge during the fourth quarter of 2001, Management evaluated all known factors at that time. As of September 30, 2002, these factors have not substantially changed. However, there can be no assurance that the Company’s ultimate liability will not be materially different than the estimate originally recorded. Additionally, if the ultimate PHICO liability assumed by the Company is substantially greater than the established reserve, there can be no assurance that the additional amount required will not have a material adverse effect on the Company’s future results of operations.

(5)      Financial Instruments

         Fair Value Hedges: The Company has two floating rate swaps having a combined notional principal amount of $60 million in which the Company receives a fixed rate of 6.75% and pays a floating rate equal to 6 month LIBOR plus a spread. The term of these swaps is ten years and they are both scheduled to expire on November 15, 2011. During the three months ended September 30, 2002, the Company recorded a decrease of $5.9 million in other non-current liabilities to recognize the fair value of these swaps and a $5.9 million increase in long-term debt to recognize the difference between the carrying value and fair value of the related hedged liability. During the nine months ended September 30, 2002, the Company recorded a decrease of $8.3 million in other non-current liabilities to recognize the fair value of these swaps and a $8.3 million increase in long-term debt to recognize the difference between the carrying value and fair value of the related hedged liability. During the three and nine month periods ended September 30, 2001, the Company recorded increases of $100,000 and $2.2 million, respectively, in other assets and long-term debt to recognize the increased value of the fair-value hedging instruments.

         Cash Flow Hedges: As of September 30, 2002, the Company has one fixed rate swap with a notional principal amount of $125 million which expires in August, 2005. The Company pays a fixed rate of 6.76% and receives a floating rate equal to three month LIBOR. As of September 30, 2002, the floating rate on this $125 million interest rate swaps was 1.75%. Also as of September 30, 2002, a majority-owned subsidiary of the Company has a fixed rate swap denominated in Euros with an initial notional principal amount of 30.5 million Euros which decreases to 27.5 million Euros in December, 2002, 23.4 million Euros in December, 2003 and 18.3 million Euros in December, 2004. The swap expires in June, 2005. As of September 30, 2002, the variable rate on the swap was 3.5%.

During the three months ended September 30, 2002 and 2001, the Company recorded in other comprehensive income (“OCI”), pre-tax losses of $5.6 million ($3.6 million after-tax) and $9.6 million ($6.1 million after-tax), respectively, to recognize the change in fair value of all derivatives that are designated as cash flow hedging instruments. During the nine months ended September 30, 2002 and 2001, the Company recorded in OCI, pre-tax losses of $6.8 million ($4.3 million after-tax) and $12.7 million ($8.0 million after-tax), respectively, to recognize the change in fair value of all derivatives that

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are designated as cash flow hedging instruments. The income or losses are reclassified into earnings as the underlying hedged item affects earnings, such as when the forecasted interest payment occurs. Assuming market rates remain unchanged from September 30, 2002, it is expected that $6.4 million of pre-tax net losses in accumulated OCI will be reclassified into earnings within the next twelve months. The Company also recorded an after-tax charge of $161,000 and $133,000 during the three and nine months ended September 30, 2002, respectively, and $68,000 and $133,000 during the nine months ended September 30, 2001, to recognize the ineffective portion of the cash flow hedging instruments. As of September 30, 2002, the maximum length of time over which the Company is hedging its exposure to the variability in future cash flows for forecasted transactions is through August, 2005.

(6)      New Accounting Standards

In June 2001, the Financial Accounting Standards Board issued Statement of Financial Accounting Standard (SFAS) No. 141, “Business Combinations” and SFAS No. 142, “Goodwill and Other Intangible Assets.” SFAS No. 141 requires all business combinations to be accounted for using the purchase method and establishes criteria for the recognition of intangible assets apart from goodwill. SFAS No. 141 applies to all business combinations initiated after June 30, 2001. SFAS No. 142 required the Company to cease amortizing goodwill that existed as of June 30, 2001. Recorded goodwill balances will be reviewed for impairment at least annually and written down if the carrying value of the goodwill balance exceeds its fair value.

The Company adopted SFAS No. 142 on January 1, 2002, and accordingly, ceased amortizing goodwill as of that date. As required by SFAS No. 142, the Company performed an impairment test on goodwill as of January 1, 2002, which indicated no impairment of goodwill. Management has designated September 1st as the Company’s annual impairment assessment date and performed its impairment assessment as of September 1, 2002 which indicated no impairment of goodwill. Goodwill amortization in 2001 was approximately $24 million on a pre-tax basis and approximately $15.6 million or $0.24 per diluted share on an after-tax basis.

The following table sets forth the computation of basic and diluted earnings per share on a pro-forma basis assuming that SFAS No. 142 was adopted on January 1, 2001:

Three Months Ended
September 30,
Nine Months Ended
September 30,


2002 2001 2002 2001




(In thousands, except per share data)
Reported net income   $ 41,451   $ 30,254   $ 131,471   $ 98,815  
Add back: goodwill amortization after-tax         3,923         11,700  




Adjusted net income   $ 41,451   $ 34,177   $ 131,471   $ 110,515  




                         
Basic earnings per share:                          
   Reported net income   $ 0.69   $ 0.50   $ 2.20   $ 1.65  
   Goodwill amortization         0.07         0.20  




   Adjusted net income   $ 0.69   $ 0.57   $ 2.20   $ 1.85  




                         
Diluted earnings per share:                          
   Reported net income   $ 0.65   $ 0.48   $ 2.05   $ 1.56  
   Goodwill amortization         0.06         0.18  




   Adjusted net income   $ 0.65   $ 0.54   $ 2.05   $ 1.74  





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Changes in the carrying amount of goodwill for the nine-month period ended September 30, 2002 were as follows (in thousands) :

Acute Care
Services
Behavioral
Health Services
Other Total
Consolidated




                         
Balance, January 1, 2002   $ 277,692   $ 54,122   $ 40,813   $ 372,627  
Goodwill acquired during the period     31,988     328     3,557     35,873  




Balance, September 30, 2002   $ 309,680   $ 54,450   $ 44,370   $ 408,500  





In June 2001, the FASB issued SFAS No. 143, “Accounting for Asset Retirement Obligations”. The Statement addresses financial accounting and reporting for obligations associated with the retirement of tangible long-lived assets and associated asset retirement costs. The Statement requires that the fair value of a liability for an asset retirement obligation be recognized in the period in which it is incurred. The asset retirement obligations will be capitalized as part of the carrying amount of the long-lived asset. The Statement applies to legal obligations associated with the retirement of long-lived assets that result from the acquisition, construction, development and normal operation of long-lived assets. The Statement is effective January 1, 2003 for the Company, with earlier adoption permitted. Management does not believe that this Statement will have a material effect on the Company’s financial statements.

In August 2001, the FASB issued SFAS No. 144, “Accounting for the Impairment or Disposal of Long-Lived Assets”. The Statement supersedes SFAS No. 121, “Accounting for the Impairment of Long-Lived Assets and for Long-Lived Assets to Be Disposed Of”. This Statement also supersedes Accounting Principles Board Opinion (APB) No. 30 provisions related to accounting and reporting for the disposal of a segment of a business. This Statement establishes a single accounting model, based on the framework established in SFAS No. 121, for long-lived assets to be disposed of by sale. The Statement retains most of the requirements in SFAS No. 121 related to the recognition of impairment of long-lived assets to be held and used. The Company adopted the provisions of this Statement as of January 1, 2002. The adoption of this Statement did not have a material effect on the Company’s financial statements.

In June 2002, the FASB issued SFAS No. 146, “Accounting for Costs Associated with Exit of Disposal Activities.” The Statement addresses financial accounting and reporting for costs associated with exit or disposal activities and nullifies Emerging Issues Task Force (EITF) Issue 94-3, “Liability Recognition for Certain Employee Termination Benefits and Other Costs to Exit an Activity (including Certain Costs Incurred in a Restructuring).” The Statement generally requires that a cost associated with an exit or disposal activity be recognized and measured initially at its fair value in the period in which the liability is incurred. The Statement is effective for all exit or disposal activities initiated after December 31, 2002, with earlier application encouraged. Management does not believe that this Statement will have a material effect on the Company’s financial statements.

(7)      Segment Reporting

The Company’s reportable operating segments consist of acute care services and behavioral health care services. The “Other” segment column below includes centralized services including information services, purchasing, reimbursement, accounting, taxation, legal, advertising, design and construction, and patient accounting as well as the operating results for the Company’s other operating entities including outpatient surgery and radiation centers and an 80% ownership interest in an operating company that owns nine hospitals located in France. The financial and statistical data presented for the nine hospitals located in France is for the three and nine month periods ended August 31st as these facilities are included in the Company’s annual statements on the basis of the year ended November 30th. The chief operating decision making group for the Company’s acute care services and behavioral health care services located in the U.S. and Puerto Rico is comprised of the Company’s President and Chief Executive Officer, and the lead executives of each of the Company’s two primary operating segments. The lead executive for each operating segment also manages the profitability of each respective segment’s various hospitals. The acute care and behavioral health services’ operating segments are managed separately because each operating

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segment represents a business unit that offers different types of healthcare services. The accounting policies of the operating segments are the same as those described in the summary of significant accounting policies included in the Company’s Annual Report of Form 10-K for the year ended December 31, 2001, except for the adoption of SFAS Nos. 142 and 144, effective January 1, 2002. There was no impact on the segment data presented as a result of the adoption of these pronouncements.

Three Months Ended September 30, 2002

Acute Care
Services
Behavioral
Health
Services
Other Total
Consolidated




(Dollar amounts in thousands)
                         
Gross inpatient revenues   $ 1,270,856   $ 247,693   $ 22,597   $ 1,541,146  
Gross outpatient revenues   $ 458,549   $ 34,420   $ 40,809   $ 533,778  
Total net revenues   $ 630,812   $ 140,398   $ 41,894   $ 813,104  
Operating income (a)   $ 104,986   $ 26,932     ($7,124 ) $ 124,794  
Total assets as of 9/30/02   $ 1,660,552   $ 275,226   $ 320,171   $ 2,255,949  
Licensed beds     5,846     3,749     1,083     10,678  
Available beds     4,764     3,605     1,083     9,452  
Patient days     304,497     253,190     70,852     628,539  
Admissions     66,401     21,542     14,121     102,064  
Average length of stay     4.6