UNIVERSAL HEALTH SERVICES INC UHS Cash Flow

Universal health services inc (UHS)

CashFlow / TTM

Mar'20	Dec'19	Sep'19	Jun'19	Mar'19	Dec'18	Sep'18	Jun'18	Mar'18	Dec'17	Sep'17	Jun'17	Mar'17	Dec'16	Sep'16	Jun'16	Mar'16	Dec'15	Sep'15	Jun'15	Mar'15	Dec'14	Sep'14	Jun'14	Mar'14	Dec'13	Sep'13	Jun'13	Mar'13	Dec'12	Sep'12	Jun'12	Mar'12	Dec'11	Sep'11	Jun'11	Mar'11	Dec'10	Sep'10	Jun'10	Mar'10
Cash Flows from Operating Activities:
Net income
734,605	827,543	743,155	817,166	806,612	797,883	859,296	829,777	789,454	771,312	725,015	736,918	741,979	747,171	759,750	766,139	772,094	750,698	749,873	682,257	647,467	604,996	547,690	574,751	575,940	554,023	568,497	526,771	476,412	489,047	449,394	462,863	461,453	448,870	391,679	362,639	323,020	275,795	0	0	0
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation & amortization
494,746	490,392	480,810	471,568	459,982	453,076	448,758	446,689	450,219	447,883	441,563	435,058	423,357	416,608	412,093	407,823	403,669	398,618	393,815	387,829	381,263	375,624	366,214	359,729	350,792	337,356	329,697	321,664	314,793	308,690	303,294	299,615	298,155	295,861	281,139	261,410	242,012	223,997	0	0	0
Stock-based compensation expense
69,800	69,400	68,200	66,600	64,500	66,600	64,462	62,347	61,052	56,700	54,589	52,469	50,253	48,109	46,184	44,190	42,346	39,971	38,524	36,621	34,769	31,092	30,424	29,149	27,824	27,783	26,401	25,101	24,143	22,518	20,980	20,556	19,757	18,225	17,555	17,137	16,688	16,799	0	0	0
Gain on sale of assets and businesses
-	-	-	-	-	2,513	2,513	2,513	703	0	0	0	0	-	-	-	-	-	-	-	-	7,837	7,978	10,971	11,156	3,114	29,113	29,362	29,177	27,085	0	0	0	-	-	-	-	1,993	0	0	0
Changes in assets & liabilities, net of effects from acquisitions and dispositions:
Accounts receivable
-129,326	42,056	5,442	79,513	71,332	42,239	108,938	89,715	91,883	24,719	70,955	41,211	13,281	87,881	-8,227	-3,470	28,804	45,814	68,392	138,856	107,047	105,708	48,640	29,349	63,482	49,708	83,508	89,355	6,257	71,068	117,959	121,114	177,589	134,838	74,223	38,412	34,694	-22,726	0	0	0
Accrued interest
1,516	-209	1,632	3,729	956	4,478	-644	-693	-619	-705	-716	-819	-2,955	-9,766	-2,907	-9,985	1,122	693	2,444	-3,151	5,546	-4,400	5,026	14,667	1,631	1,197	1,373	2,522	1,631	-152	4,819	-14,605	3,172	3,577	-13,114	-7,856	-12,926	-8,408	0	0	0
Accrued and deferred income taxes
32,285	25,194	54,601	28,358	63,435	54,052	39,393	43,416	47,000	6,405	10,296	1,458	-33,206	-22,068	9,639	27,267	22,313	34,394	-39,744	-54,225	-47,649	-33,920	-11,360	-22,146	-40,558	-34,861	297	6,341	21,513	5,666	24,985	-26,759	-222,689	-78,224	-100,425	-59,498	31,482	-132	0	0	0
Other working capital accounts
-5,715	-39,664	-25,801	-45,801	-73,542	-24,696	-50,263	-87,527	23,010	15,165	26,769	142,541	-42,394	-74,489	-53,449	-8,658	-3,245	125,556	39,719	-45,274	-79,082	-73,912	-75,534	-11,552	-31,020	-26,234	-81,783	-74,060	-36,843	-28,554	-3,044	-6,950	49,400	28,382	127,476	59,101	51,104	26,437	0	0	0
Other assets and deferred charges
12,350	27,205	-20,941	18,618	29,762	31,429	43,723	22,357	25,720	27,936	35,417	37,096	27,373	25,522	11,449	5,592	-1,062	-6,631	-4,428	-7,326	-3,451	-13,667	-11,427	-10,330	-12,304	-8,984	-18,442	-26,179	-30,518	-30,976	-42,904	-39,501	-37,503	-37,160	-34,280	-21,580	-18,805	-11,539	0	0	0
Other
2,060	7,703	-54,921	-47,801	-7,142	-1,536	73,353	41,758	30,209	21,769	-31,565	5,678	59,999	81,139	68,195	73,182	26,399	23,295	22,589	8,704	24,089	2,449	10,693	15,310	18,048	23,485	6,326	8,400	10,053	6,367	300	-2,805	-14,677	-1,387	9,514	8,793	16,184	812	0	0	0
Excess income tax benefits related to stock-based compensation
-	-	-	-	-	-	-	-	-	-	-	-	-	45,219	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Accrued insurance expense, net of commercial premiums paid
130,833	105,672	99,722	98,427	94,136	92,863	91,167	89,947	103,713	102,595	99,403	99,310	84,029	84,638	81,229	84,615	90,763	90,895	77,262	71,267	60,722	59,276	55,314	57,289	-5,481	-3,821	-5,498	-2,171	61,041	62,660	79,178	78,373	84,449	83,612	58,155	51,728	24,523	19,739	0	0	0
Payments made in settlement of self-insurance claims
102,385	97,781	90,970	81,656	79,702	76,147	75,191	80,039	72,608	79,192	79,049	86,709	90,013	81,962	83,864	71,111	69,874	79,138	71,822	70,762	75,414	69,645	68,870	73,529	74,353	70,645	71,209	64,308	73,890	75,084	95,753	97,082	85,999	82,633	58,607	55,840	54,899	50,173	0	0	0
Net cash provided by operating activities
1,508,727	1,438,469	1,374,652	1,291,865	1,296,642	1,274,742	1,318,268	1,320,752	1,174,380	1,247,585	1,076,047	1,031,209	1,341,722	1,333,842	1,408,275	1,373,088	1,272,216	1,068,262	1,142,821	1,109,063	1,112,512	1,035,876	997,872	951,740	900,383	884,241	840,148	817,286	850,505	799,231	683,187	727,769	654,729	710,683	651,031	629,396	545,062	501,344	0	0	0
Cash Flows from Investing Activities:
Property and equipment additions, net of disposals
648,349	634,095	623,860	618,630	645,769	664,962	660,162	665,306	602,209	557,506	542,469	534,676	537,063	519,939	505,906	456,456	417,259	379,321	351,367	374,944	388,039	391,150	388,103	369,335	354,961	358,493	360,752	356,785	366,548	363,192	372,469	351,793	321,687	285,682	256,928	233,874	233,256	239,274	0	0	0
Acquisition of property and businesses
-	-	-	-	-	110,464	111,284	24,199	25,977	22,878	497,192	605,888	612,092	613,803	486,773	526,680	518,698	533,655	212,084	394,886	462,585	431,386	413,721	82,316	15,937	12,636	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-
Inflows (outflows) from foreign exchange contracts that hedge our net U.K. investment
-59,936	19,763	-130,349	-97,216	-83,996	-66,151	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Proceeds received from sales of assets and businesses
-	-	-	-	-	13,502	13,610	13,610	947	108	0	0	0	-	-	-	-	-	-	-	-	15,178	15,542	14,924	42,275	37,482	130,235	129,858	102,507	149,311	100,104	119,012	120,062	67,592	23,682	18,501	19,557	21,460	0	0	0
Costs incurred for purchase and implementation of information technology applications
13,597	21,418	28,996	26,049	37,351	36,243	28,133	33,686	28,161	29,047	47,876	40,923	30,931	21,475	0	0	0	-	-	-	-	13,488	18,662	24,814	39,903	49,811	54,861	59,750	56,273	54,362	52,229	54,841	60,895	38,249	59,061	37,741	13,568	17,971	0	0	0
Decrease (Increase) in capital reserves of commercial insurance subsidiary
-	-	-	-	-	-100	0	0	0	3,100	3,000	3,000	3,000	0	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Investment in, and advances to, joint ventures and other
14,451	14,579	13,370	13,221	7,535	15,331	21,886	22,035	16,651	7,976	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Return of Deposit on terminated purchase agreement
-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-6,500	-6,500	-6,500	-6,500	0	0	0	0	-	-	-	-
Net cash used in investing activities
-615,016	-688,410	-530,828	-650,217	-683,529	-747,247	-846,100	-773,651	-782,237	-684,732	-1,090,537	-1,184,487	-1,183,086	-1,155,217	-995,332	-983,045	-935,866	-912,885	-574,991	-783,191	-865,880	-832,846	-804,944	-461,541	-368,526	-383,458	-789,453	-804,368	-848,161	-789,590	-364,053	-322,064	-269,196	-285,805	-1,975,800	-2,194,704	-2,194,371	-2,194,083	0	0	0
Cash Flows from Financing Activities:
Reduction of long-term debt
127,700	57,142	798,702	776,643	804,360	830,496	99,549	179,901	23,149	143,106	-212,262	-338,493	553,145	459,183	675,766	655,859	75,966	68,166	243,957	955,661	928,946	879,129	1,048,536	423,254	479,352	440,224	-43,951	850,057	848,631	849,647	1,241,807	376,637	316,056	381,517	1,465,025	1,514,678	1,460,126	1,392,086	0	0	0
Additional borrowings
35,973	39,220	723,947	937,947	779,447	791,247	80,376	50,000	40,000	41,100	187,924	170,161	1,178,000	1,170,800	1,244,100	1,251,439	228,000	234,400	-123,500	835,200	838,900	830,000	984,061	4,761	18,161	15,761	9,000	924,500	923,000	913,500	968,100	62,100	24,600	98,100	3,052,146	3,302,146	3,339,646	3,266,146	0	0	0
Financing costs
-	-	-	-	-	-	-	-	-	-	-	-	-	12,449	12,845	11,249	559	515	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	23,608	120,358	125,349	124,955	101,815	0	0	0
Repurchase of common shares
798,811	770,504	724,145	757,290	531,769	397,425	382,787	351,722	344,675	364,401	299,073	261,704	211,505	353,380	377,097	380,764	352,057	209,782	167,319	133,133	115,523	100,749	68,307	41,601	27,167	27,201	31,664	37,600	31,164	19,154	25,626	57,246	59,329	60,482	52,097	13,988	12,541	11,528	0	0	0
Dividends paid
61,266	53,003	44,812	36,491	37,001	37,342	37,521	37,735	37,971	38,211	38,454	38,671	38,780	38,875	39,033	39,212	39,390	39,532	39,567	39,585	34,631	29,665	24,709	19,710	19,684	19,621	58,582	58,517	58,433	58,395	19,347	19,376	19,422	19,466	19,505	19,492	19,464	19,422	0	0	0
Issuance of common stock
11,082	10,806	10,707	10,508	10,377	10,196	10,354	10,286	10,259	10,254	10,761	10,068	9,712	9,503	8,790	8,764	9,004	8,441	7,986	7,615	7,186	6,863	6,519	6,260	5,921	5,708	5,703	5,595	5,651	5,435	5,011	4,946	4,544	4,779	1,986	2,169	3,218	3,594	0	0	0
Excess income tax benefits related to stock based compensation
-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	32,957	33,908	42,969	33,912	34,554	33,529	22,605	20,121	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-
Profit distributions to noncontrolling interests
11,280	15,859	18,239	18,331	20,692	14,595	17,032	21,197	24,812	24,713	24,454	21,398	70,294	69,583	87,308	98,540	63,214	62,220	44,571	43,791	34,104	33,680	35,155	47,779	53,244	61,329	64,456	40,064	34,394	26,895	18,222	28,861	37,047	38,497	42,860	43,321	31,858	32,456	0	0	0
Proceeds received from sale/leaseback of real property
-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	12,765	12,765	12,765	12,551	0	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Net cash used in financing activities
-950,556	-845,036	-864,257	-653,333	-617,785	-492,202	-446,975	-531,099	-380,424	-519,153	48,813	195,234	-116,417	-171,167	-386,446	-371,910	-314,775	-124,609	-566,769	-297,658	-226,574	-187,424	-165,217	-488,025	-532,991	-507,016	-64,225	-33,301	-26,948	-27,399	-332,629	-407,580	-395,610	-413,123	1,354,287	1,587,787	1,694,520	1,713,033	0	0	0
Effect of exchange rate changes on cash, cash equivalents and restricted cash
-1,508	959	-2,422	-2,040	-3,968	-2,905	-1,580	-429	3,219	1,647	1,958	570	-1,585	-2,790	-4,276	-4,324	-2,063	-1,609	-1,249	-482	-1,241	-775	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Decrease in cash, cash equivalents and restricted cash
-58,353	-94,018	-22,855	-13,725	-8,640	32,388	23,613	15,573	14,938	45,347	36,281	42,526	40,634	4,668	22,221	13,809	19,512	29,159	-188	27,732	18,817	14,831	27,589	2,174	-1,134	-6,233	-13,530	-20,383	-24,604	-17,758	-13,495	-1,875	-10,077	11,755	29,518	22,479	45,211	20,294	0	0	0
Supplemental Disclosures of Cash Flow Information:
Interest paid
155,839	157,406	158,830	158,026	149,804	150,293	142,253	139,658	137,668	135,533	131,638	120,286	119,350	107,079	110,071	104,894	107,029	107,054	111,475	125,919	138,544	130,279	141,499	137,270	127,170	131,259	141,285	149,324	154,452	157,415	160,176	136,273	165,143	176,328	164,028	149,330	108,548	76,900	0	0	0
Income taxes paid, net of refunds
262,318	260,622	267,649	257,111	296,175	293,837	312,456	336,771	368,351	370,855	391,322	394,878	340,771	344,611	365,708	379,968	386,875	380,658	320,588	268,815	254,724	258,612	253,754	263,777	261,752	259,896	295,215	275,806	266,313	264,824	261,660	221,068	161,921	163,029	127,835	155,677	149,883	152,088	0	0	0
Noncash purchases of property and equipment
50,462	63,514	72,294	57,855	64,953	77,674	106,470	111,149	110,777	82,496	85,341	86,044	74,755	65,702	57,177	57,345	63,378	49,086	47,371	11,937	19,018	35,469	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-
Right-of-use assets obtained in exchange for lease obligations
57,012	383,900	0	0	0	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-	-