Universal health services inc (UHS)
CashFlow / Yearly
Dec'19Dec'18Dec'17Dec'16Dec'15Dec'14Dec'13Dec'12Dec'11Dec'10Dec'09Dec'08
Cash Flows from Operating Activities:
Net income

827,543

797,883

771,312

747,171

750,698

604,996

554,023

489,047

448,870

275,795

304,247

240,070

Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation & amortization

490,392

453,076

447,883

416,608

398,618

375,624

337,356

308,690

295,861

223,997

204,703

195,766

Stock-based compensation expense

69,400

66,600

56,700

48,109

39,971

31,092

27,783

22,518

18,225

16,799

13,096

14,125

Costs related to extinguishment of debt

0

2,727

0

0

-

19,730

0

-29,170

0

0

-

-

Gain on sale of assets and businesses

7,540

2,513

0

0

3,615

7,837

3,114

27,085

452

1,993

1,346

21,464

Provision for asset impairment

97,631

49,310

0

0

-

-

-

-

-

-

-

-

Provision for settlements

-

-

-

-

-

-

-

-

-

-

-

25,000

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

42,056

42,239

24,719

87,881

45,814

105,708

49,708

71,068

134,838

-22,726

1,402

-22,445

Construction management and other receivable

-

-

-

-

-

-

-

-

-

-

29,519

-20,693

Accrued interest

-209

4,478

-705

-9,766

693

-4,400

1,197

-152

3,577

-8,408

-357

123

Accrued and deferred income taxes

25,194

54,052

6,405

-22,068

34,394

-33,920

-34,861

5,666

-78,224

-132

14,930

-3,483

Other working capital accounts

-39,664

-24,696

15,165

-74,489

125,556

-73,912

-26,234

-28,554

28,382

26,437

18,828

-3,878

Other assets and deferred charges

27,205

31,429

27,936

25,522

-6,631

-13,667

-8,984

-30,976

-37,160

-11,539

-6,699

-21,003

Other

7,703

-1,536

21,769

81,139

23,295

2,449

23,485

6,367

-1,387

812

755

2,811

Excess income tax benefits related to stock-based compensation

-

-

-

45,219

47,364

-

-

-

-

-

-

-

Accrued insurance expense, net of commercial premiums paid

105,672

92,863

102,595

84,638

90,895

59,276

-3,821

62,660

83,612

19,739

44,314

73,413

Payments made in settlement of self-insurance claims

97,781

76,147

79,192

81,962

79,138

69,645

70,645

75,084

82,633

50,173

55,782

58,561

Net cash provided by operating activities

1,438,469

1,274,742

1,247,585

1,333,842

1,068,262

1,035,876

884,241

799,231

710,683

501,344

541,262

494,187

Cash Flows from Investing Activities:
Property and equipment additions, net of disposals

634,095

664,962

557,506

519,939

379,321

391,150

358,493

363,192

285,682

239,274

379,748

354,537

Acquisition of property and businesses

8,005

110,464

22,878

613,803

533,655

431,386

12,636

527,847

29,466

1,958,298

-12,499

23,481

Inflows (outflows) from foreign exchange contracts that hedge our net U.K. investment

19,763

-66,151

64,333

-

-

-

-

-

-

-

-

-

Proceeds received from sales of assets and businesses

9,450

13,502

108

0

3,391

15,178

37,482

149,311

67,592

21,460

9,770

82,062

Costs incurred for purchase and implementation of information technology applications

21,418

36,243

29,047

21,475

0

13,488

49,811

54,362

38,249

17,971

-7,957

-

Decrease (Increase) in capital reserves of commercial insurance subsidiary

0

-100

3,100

0

3,300

12,000

0

0

-

-

-

-

Investment in, and advances to, joint ventures and other

14,579

15,331

7,976

0

0

-

-

-

-

-

-

-

Return of Deposit on terminated purchase agreement

-

-

-

-

-

-

-

-6,500

0

0

-

-

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

-

-

-

-

-

-

-

-

-

-

-

-1,539

Investment in joint-venture

-

-

-

-

-

-

-

-

-

-

-

1,249

Net cash used in investing activities

-688,410

-747,247

-684,732

-1,155,217

-912,885

-832,846

-383,458

-789,590

-285,805

-2,194,083

-390,434

-295,666

Cash Flows from Financing Activities:
Reduction of long-term debt

57,142

830,496

143,106

459,183

68,166

879,129

440,224

849,647

381,517

1,392,086

66,499

166,557

Additional borrowings

39,220

791,247

41,100

1,170,800

234,400

830,000

15,761

913,500

98,100

3,266,146

26,069

151,129

Acquisition of noncontrolling interests in majority owned businesses

-

-

-

418,000

0

0

-

-

-

-

229

-1,058

Financing costs

0

13,787

76

12,449

515

14,976

231

8,283

23,608

101,815

0

975

Repurchase of common shares

770,504

397,425

364,401

353,380

209,782

100,749

27,201

19,154

60,482

11,528

63,288

149,404

Dividends paid

53,003

37,342

38,211

38,875

39,532

29,665

19,621

58,395

19,466

19,422

16,706

16,150

Issuance of common stock

10,806

10,196

10,254

9,503

8,441

6,863

5,708

5,435

4,779

3,594

3,290

2,354

Excess income tax benefits related to stock based compensation

-

-

-

-

-

33,912

20,121

16,040

7,568

-

-

-

Profit distributions to noncontrolling interests

15,859

14,595

24,713

69,583

62,220

33,680

61,329

26,895

38,497

32,456

29,866

31,087

Proceeds received from sale/leaseback of real property

-

-

-

-

12,765

0

0

-

-

-

-

-

Proceeds from sale of noncontrolling interests in majority owned business

-

-

-

-

-

-

-

-

-

600

-

-

Capital contributions from minority members

1,446

0

0

-

-

-

-

-

-

-

-

-

Capital contributions from noncontrolling interests

-

-

-

-

-

-

-

-

-

-

121

2,333

Net cash used in financing activities

-845,036

-492,202

-519,153

-171,167

-124,609

-187,424

-507,016

-27,399

-413,123

1,713,033

-147,108

-209,415

Effect of exchange rate changes on cash, cash equivalents and restricted cash

959

-2,905

1,647

-2,790

-1,609

-775

0

0

-

-

-

-

Decrease in cash, cash equivalents and restricted cash

-94,018

32,388

45,347

4,668

29,159

14,831

-6,233

-17,758

11,755

20,294

3,720

-10,894

Supplemental Disclosures of Cash Flow Information:
Interest paid

157,406

150,293

135,533

107,079

107,054

130,279

131,259

157,415

176,328

76,900

57,018

62,285

Income taxes paid, net of refunds

260,622

293,837

370,855

344,611

380,658

258,612

259,896

264,824

163,029

152,088

155,368

130,379

Noncash purchases of property and equipment

63,514

77,674

82,496

65,702

49,086

35,469

36,212

34,896

-

-

-

-

Right-of-use assets obtained in exchange for lease obligations

383,900

0

0

-

-

-

-

-

-

-

-

-