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Supplemental Condensed Consolidating Financial Information | 3 Months Ended
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Mar. 31, 2012
Supplemental Condensed Consolidating Financial Information [Abstract] |
Supplemental Condensed Consolidating Financial Information | (12) Supplemental Condensed Consolidating Financial Information Certain of our senior notes are guaranteed by a group of subsidiaries (the "Guarantors"). The Guarantors, each of which is a 100% directly owned subsidiary of Universal Health Services, Inc., fully and unconditionally guarantee the senior notes on a joint and several basis, subject to certain customary release provisions. The following financial statements present condensed consolidating financial data for (i) Universal Health Services, Inc. (on a parent company only basis), (ii) the combined Guarantors, (iii) the combined non guarantor subsidiaries (all other subsidiaries), (iv) an elimination column for adjustments to arrive at the information for the parent company, Guarantors, and non guarantors on a consolidated basis, and (v) the parent company and our subsidiaries on a consolidated basis. Investments in subsidiaries are accounted for by the parent company and the Guarantors using the equity method for this presentation. Results of operations of subsidiaries are therefore classified in the parent company's and Guarantors' investment in subsidiaries accounts. The elimination entries set forth in the following condensed consolidating financial statements eliminate distributed and undistributed income of subsidiaries, investments in subsidiaries, and intercompany balances and transactions between the parent, Guarantors, and non guarantors. UNIVERSAL HEALTH SERVICES, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATING STATEMENTS OF INCOME FOR THE THREE MONTHS ENDED MARCH 31, 2012 (amounts in thousands)
|  |  |  |  |  |  |  |  |  |  |  |  |  | Total |
|  |  |  |  |  |  |  | Non |  |  | Consolidating |  |  | Consolidated |
|  | Parent |  |  | Guarantors |  |  | Guarantors |  |  | Adjustments |  |  | Amounts |
Net revenues before provision for doubtful accounts |  | $ | 0 |  |  | $ | 1,363,923 |  |  | $ | 619,406 |  |  | $ | (6,326 | ) |  | $ | 1,977,003 |
Less: Provision for doubtful accounts |  |  | 0 |  |  |  | 92,490 |  |  |  | 59,224 |  |  |  | 0 |  |  |  | 151,714 |
Net revenues |  |  | 0 |  |  |  | 1,271,433 |  |  |  | 560,182 |  |  |  | (6,326 | ) |  |  | 1,825,289 |
Operating charges: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Salaries, wages and benefits |  |  | 0 |  |  |  | 636,208 |  |  |  | 253,298 |  |  |  | 0 |  |  |  | 889,506 |
Other operating expenses |  |  | 0 |  |  |  | 242,048 |  |  |  | 123,724 |  |  |  | (6,231 | ) |  |  | 359,541 |
Supplies expense |  |  | 0 |  |  |  | 132,128 |  |  |  | 77,404 |  |  |  | 0 |  |  |  | 209,532 |
Depreciation and amortization |  |  | 0 |  |  |  | 53,135 |  |  |  | 20,685 |  |  |  | 0 |  |  |  | 73,820 |
Lease and rental expense |  |  | 0 |  |  |  | 15,132 |  |  |  | 8,825 |  |  |  | (95 | ) |  |  | 23,862 |
|  |  | 0 |  |  |  | 1,078,651 |  |  |  | 483,936 |  |  |  | (6,326 | ) |  |  | 1,556,261 |
Income from operations |  |  | 0 |  |  |  | 192,782 |  |  |  | 76,246 |  |  |  | 0 |  |  |  | 269,028 |
Interest expense |  |  | 45,154 |  |  |  | 787 |  |  |  | 769 |  |  |  | 0 |  |  |  | 46,710 |
Interest (income) expense, affiliate |  |  | 0 |  |  |  | 22,782 |  |  |  | (22,782 | ) |  |  | 0 |  |  |  | 0 |
Equity in net income of consolidated affiliates |  |  | (156,478 | ) |  |  | (41,077 | ) |  |  | 0 |  |  |  | 197,555 |  |  |  | 0 |
Income before income taxes |  |  | 111,324 |  |  |  | 210,290 |  |  |  | 98,259 |  |  |  | (197,555 | ) |  |  | 222,318 |
Provision for income taxes |  |  | (17,283 | ) |  |  | 74,108 |  |  |  | 22,923 |  |  |  | 0 |  |  |  | 79,748 |
Net income |  |  | 128,607 |  |  |  | 136,182 |  |  |  | 75,336 |  |  |  | (197,555 | ) |  |  | 142,570 |
Less: Income attributable to noncontrolling interests |  |  | 0 |  |  |  | 0 |  |  |  | 13,963 |  |  |  | 0 |  |  |  | 13,963 |
Net income attributable to UHS |  | $ | 128,607 |  |  | $ | 136,182 |  |  | $ | 61,373 |  |  | $ | (197,555 | ) |  | $ | 128,607 |
UNIVERSAL HEALTH SERVICES, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATING STATEMENTS OF INCOME FOR THE THREE MONTHS ENDED MARCH 31, 2011 (amounts in thousands)
|  |  |  |  |  |  |  |  |  |  |  |  |  | Total |
|  |  |  |  |  |  |  | Non |  |  | Consolidating |  |  | Consolidated |
|  | Parent |  |  | Guarantors |  |  | Guarantors |  |  | Adjustments |  |  | Amounts |
Net revenues before provision for doubtful accounts |  | $ | 0 |  |  | $ | 1,320,128 |  |  | $ | 596,707 |  |  | $ | (6,307 | ) |  | $ | 1,910,528 |
Less: Provision for doubtful accounts |  |  | 0 |  |  |  | 94,375 |  |  |  | 58,741 |  |  |  | 0 |  |  |  | 153,116 |
Net revenues |  |  | 0 |  |  |  | 1,225,753 |  |  |  | 537,966 |  |  |  | (6,307 | ) |  |  | 1,757,412 |
Operating charges: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Salaries, wages and benefits |  |  | 0 |  |  |  | 608,308 |  |  |  | 237,556 |  |  |  | 0 |  |  |  | 845,864 |
Other operating expenses |  |  | 0 |  |  |  | 241,077 |  |  |  | 114,581 |  |  |  | (6,212 | ) |  |  | 349,446 |
Supplies expense |  |  | 0 |  |  |  | 131,595 |  |  |  | 75,575 |  |  |  | 0 |  |  |  | 207,170 |
Depreciation and amortization |  |  | 0 |  |  |  | 52,390 |  |  |  | 18,961 |  |  |  | 0 |  |  |  | 71,351 |
Lease and rental expense |  |  | 0 |  |  |  | 15,981 |  |  |  | 7,282 |  |  |  | (95 | ) |  |  | 23,168 |
|  |  | 0 |  |  |  | 1,049,351 |  |  |  | 453,955 |  |  |  | (6,307 | ) |  |  | 1,496,999 |
Income from operations |  |  | 0 |  |  |  | 176,402 |  |  |  | 84,011 |  |  |  | 0 |  |  |  | 260,413 |
Interest expense, net |  |  | 54,870 |  |  |  | 793 |  |  |  | 754 |  |  |  | 0 |  |  |  | 56,417 |
Interest (income) expense, affiliate |  |  | 0 |  |  |  | 15,904 |  |  |  | (15,904 | ) |  |  | 0 |  |  |  | 0 |
Equity in net income of consolidated affiliates |  |  | (147,608 | ) |  |  | (50,202 | ) |  |  | 0 |  |  |  | 197,810 |  |  |  | 0 |
Income before income taxes |  |  | 92,738 |  |  |  | 209,907 |  |  |  | 99,161 |  |  |  | (197,810 | ) |  |  | 203,996 |
Provision for income taxes |  |  | (21,455 | ) |  |  | 74,961 |  |  |  | 20,503 |  |  |  | 0 |  |  |  | 74,009 |
Net income |  |  | 114,193 |  |  |  | 134,946 |  |  |  | 78,658 |  |  |  | (197,810 | ) |  |  | 129,987 |
Less: Income attributable to noncontrolling interests |  |  | 0 |  |  |  | 0 |  |  |  | 15,794 |  |  |  | 0 |  |  |  | 15,794 |
Net income attributable to UHS |  | $ | 114,193 |  |  | $ | 134,946 |  |  | $ | 62,864 |  |  | $ | (197,810 | ) |  | $ | 114,193 |
UNIVERSAL HEALTH SERVICES, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATING STATEMENTS OF COMPREHENSIVE INCOME FOR THE THREE MONTHS ENDED MARCH 31, 2012 (amounts in thousands)
|  |  |  |  |  |  |  |  |  |  |  |  |  | Total |
|  |  |  |  |  |  |  | Non |  |  | Consolidating |  |  | Consolidated |
|  | Parent |  |  | Guarantors |  |  | Guarantors |  |  | Adjustments |  |  | Amounts |
Net income |  | $ | 128,607 |  |  | $ | 136,182 |  |  | $ | 75,336 |  |  | $ | (197,555 | ) |  | $ | 142,570 |
Other comprehensive income (loss): |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Unrealized derivative gains on cash flow hedges |  |  | 1,615 |  |  |  | 0 |  |  |  | 0 |  |  |  | 0 |  |  |  | 1,615 |
Amortization of terminated hedge |  |  | (84 | ) |  |  | 0 |  |  |  | 0 |  |  |  | 0 |  |  |  | (84 | )
Other comprehensive income before tax |  |  | 1,531 |  |  |  | 0 |  |  |  | 0 |  |  |  | 0 |  |  |  | 1,531 |
Income tax expense related to items of other comprehensive income |  |  | 582 |  |  |  | 0 |  |  |  | 0 |  |  |  | 0 |  |  |  | 582 |
Total other comprehensive income, net of tax |  |  | 949 |  |  |  | 0 |  |  |  | 0 |  |  |  | 0 |  |  |  | 949 |
Comprehensive income |  |  | 129,556 |  |  |  | 136,182 |  |  |  | 75,336 |  |  |  | (197,555 | ) |  |  | 143,519 |
Less: Comprehensive income attributable to noncontrolling interests |  |  | 0 |  |  |  | 0 |  |  |  | 13,963 |  |  |  | 0 |  |  |  | 13,963 |
Comprehensive income attributable to UHS |  | $ | 129,556 |  |  | $ | 136,182 |  |  | $ | 61,373 |  |  | $ | (197,555 | ) |  | $ | 129,556 |
UNIVERSAL HEALTH SERVICES, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATING STATEMENTS OF COMPREHENSIVE INCOME FOR THE THREE MONTHS ENDED MARCH 31, 2011 (amounts in thousands)
|  |  |  |  |  |  |  |  |  |  |  |  |  | Total |
|  |  |  |  |  |  |  | Non |  |  | Consolidating |  |  | Consolidated |
|  | Parent |  |  | Guarantors |  |  | Guarantors |  |  | Adjustments |  |  | Amounts |
Net income |  | $ | 114,193 |  |  | $ | 134,946 |  |  | $ | 78,658 |  |  | $ | (197,810 | ) |  | $ | 129,987 |
Other comprehensive income (loss): |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Unrealized derivative gains on cash flow hedges |  |  | 2,307 |  |  |  | 0 |  |  |  | 0 |  |  |  | 0 |  |  |  | 2,307 |
Amortization of terminated hedge |  |  | (84 | ) |  |  | 0 |  |  |  | 0 |  |  |  | 0 |  |  |  | (84 | )
Other comprehensive income before tax |  |  | 2,223 |  |  |  | 0 |  |  |  | 0 |  |  |  | 0 |  |  |  | 2,223 |
Income tax expense related to items of other comprehensive income |  |  | 860 |  |  |  | 0 |  |  |  | 0 |  |  |  | 0 |  |  |  | 860 |
Total other comprehensive income, net of tax |  |  | 1,363 |  |  |  | 0 |  |  |  | 0 |  |  |  | 0 |  |  |  | 1,363 |
Comprehensive income |  |  | 115,556 |  |  |  | 134,946 |  |  |  | 78,658 |  |  |  | (197,810 | ) |  |  | 131,350 |
Less: Comprehensive income attributable to noncontrolling interests |  |  | 0 |  |  |  | 0 |  |  |  | 15,794 |  |  |  | 0 |  |  |  | 15,794 |
Comprehensive income attributable to UHS |  | $ | 115,556 |  |  | $ | 134,946 |  |  | $ | 62,864 |  |  | $ | (197,810 | ) |  | $ | 115,556 |
UNIVERSAL HEALTH SERVICES, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATING BALANCE SHEET AS OF MARCH 31, 2012 (amounts in thousands)
|  |  |  |  |  |  |  |  |  |  |  |  |  | Total |
|  |  |  |  |  |  |  | Non |  |  | Consolidating |  |  | Consolidated |
|  | Parent |  |  | Guarantors |  |  | Guarantors |  |  | Adjustments |  |  | Amounts |
Assets |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Current assets: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Cash and cash equivalents |  | $ | 0 |  |  | $ | 33,417 |  |  | $ | 8,582 |  |  | $ | 0 |  |  | $ | 41,999 |
Accounts receivable, net |  |  | 2,090 |  |  |  | 781,738 |  |  |  | 332,806 |  |  |  | 0 |  |  |  | 1,116,634 |
Supplies |  |  | 0 |  |  |  | 59,023 |  |  |  | 37,951 |  |  |  | 0 |  |  |  | 96,974 |
Other current assets |  |  | 2,330 |  |  |  | 78,068 |  |  |  | 11,224 |  |  |  | 0 |  |  |  | 91,622 |
Deferred income taxes |  |  | 74,700 |  |  |  | 41,216 |  |  |  | 322 |  |  |  | (322 | ) |  |  | 115,916 |
Total current assets |  |  | 79,120 |  |  |  | 993,462 |  |  |  | 390,885 |  |  |  | (322 | ) |  |  | 1,463,145 |
Investments in subsidiaries |  |  | 5,370,051 |  |  |  | 1,222,926 |  |  |  | 0 |  |  |  | (6,592,977 | ) |  |  | 0 |
Intercompany receivable |  |  | 687,617 |  |  |  | 0 |  |  |  | 82,614 |  |  |  | (770,231 | ) |  |  | 0 |
Intercompany note receivable |  |  | 0 |  |  |  | 0 |  |  |  | 1,148,839 |  |  |  | (1,148,839 | ) |  |  | 0 |
Property and equipment |  |  | 0 |  |  |  | 3,717,908 |  |  |  | 1,467,866 |  |  |  | 0 |  |  |  | 5,185,774 |
Less: accumulated depreciation |  |  | 0 |  |  |  | (1,229,753 | ) |  |  | (651,785 | ) |  |  | 0 |  |  |  | (1,881,538 | )
|  |  | 0 |  |  |  | 2,488,155 |  |  |  | 816,081 |  |  |  | 0 |  |  |  | 3,304,236 |
Other assets: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Goodwill |  |  | 820 |  |  |  | 2,134,593 |  |  |  | 494,352 |  |  |  | 0 |  |  |  | 2,629,765 |
Deferred charges |  |  | 97,570 |  |  |  | 6,001 |  |  |  | 2,299 |  |  |  | 0 |  |  |  | 105,870 |
Other |  |  | 9,906 |  |  |  | 232,457 |  |  |  | 37,902 |  |  |  | 0 |  |  |  | 280,265 |
|  | $ | 6,245,084 |  |  | $ | 7,077,594 |  |  | $ | 2,972,972 |  |  | $ | (8,512,369 | ) |  | $ | 7,783,281 |
Liabilities and Stockholders' Equity |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Current liabilities: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Current maturities of long-term debt |  | $ | 0 |  |  | $ | 1,084 |  |  | $ | 1,428 |  |  | $ | 0 |  |  | $ | 2,512 |
Accounts payable and accrued liabilities |  |  | 25,963 |  |  |  | 604,046 |  |  |  | 184,164 |  |  |  | 0 |  |  |  | 814,173 |
Federal and state taxes |  |  | 74,459 |  |  |  | 226 |  |  |  | 620 |  |  |  | 0 |  |  |  | 75,305 |
Total current liabilities |  |  | 100,422 |  |  |  | 605,356 |  |  |  | 186,212 |  |  |  | 0 |  |  |  | 891,990 |
Intercompany payable |  |  | 0 |  |  |  | 770,231 |  |  |  | 0 |  |  |  | (770,231 | ) |  |  | 0 |
Other noncurrent liabilities |  |  | 49,863 |  |  |  | 247,280 |  |  |  | 105,928 |  |  |  | 0 |  |  |  | 403,071 |
Long-term debt |  |  | 3,526,521 |  |  |  | 3,360 |  |  |  | 51,963 |  |  |  | 0 |  |  |  | 3,581,844 |
Intercompany note payable |  |  | 0 |  |  |  | 1,148,839 |  |  |  | 0 |  |  |  | (1,148,839 | ) |  |  | 0 |
Deferred income taxes |  |  | 140,966 |  |  |  | 58,001 |  |  |  | 0 |  |  |  | (322 | ) |  |  | 198,645 |
Redeemable noncontrolling interests |  |  | 0 |  |  |  | 0 |  |  |  | 228,928 |  |  |  | 0 |  |  |  | 228,928 |
UHS common stockholders' equity |  |  | 2,427,312 |  |  |  | 4,244,527 |  |  |  | 2,348,450 |  |  |  | (6,592,977 | ) |  |  | 2,427,312 |
Noncontrolling interest |  |  | 0 |  |  |  | 0 |  |  |  | 51,491 |  |  |  | 0 |  |  |  | 51,491 |
Total equity |  |  | 2,427,312 |  |  |  | 4,244,527 |  |  |  | 2,399,941 |  |  |  | (6,592,977 | ) |  |  | 2,478,803 |
|  | $ | 6,245,084 |  |  | $ | 7,077,594 |  |  | $ | 2,972,972 |  |  | $ | (8,512,369 | ) |  | $ | 7,783,281 |
UNIVERSAL HEALTH SERVICES, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATING BALANCE SHEET AS OF DECEMBER 31, 2011 (amounts in thousands)
|  |  |  |  |  |  |  |  |  |  |  |  |  | Total |
|  |  |  |  |  |  |  | Non |  |  | Consolidating |  |  | Consolidated |
|  | Parent |  |  | Guarantors |  |  | Guarantors |  |  | Adjustments |  |  | Amounts |
Assets |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Current assets: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Cash and cash equivalents |  | $ | 0 |  |  | $ | 33,221 |  |  | $ | 8,008 |  |  | $ | 0 |  |  | $ | 41,229 |
Accounts receivable, net |  |  | 8,891 |  |  |  | 663,593 |  |  |  | 297,318 |  |  |  | 0 |  |  |  | 969,802 |
Supplies |  |  | 0 |  |  |  | 59,467 |  |  |  | 37,308 |  |  |  | 0 |  |  |  | 96,775 |
Other current assets |  |  | 33,057 |  |  |  | 56,864 |  |  |  | 9,938 |  |  |  | 0 |  |  |  | 99,859 |
Deferred income taxes |  |  | 67,189 |  |  |  | 41,755 |  |  |  | 322 |  |  |  | (942 | ) |  |  | 108,324 |
Current assets held for sale |  |  | 0 |  |  |  | 48,916 |  |  |  | 0 |  |  |  | 0 |  |  |  | 48,916 |
Total current assets |  |  | 109,137 |  |  |  | 903,816 |  |  |  | 352,894 |  |  |  | (942 | ) |  |  | 1,364,905 |
Investments in subsidiaries |  |  | 5,213,573 |  |  |  | 1,181,849 |  |  |  | 0 |  |  |  | (6,395,422 | ) |  |  | 0 |
Intercompany receivable |  |  | 669,112 |  |  |  | 0 |  |  |  | 74,155 |  |  |  | (743,267 | ) |  |  | 0 |
Intercompany note receivable |  |  | 0 |  |  |  | 0 |  |  |  | 1,148,839 |  |  |  | (1,148,839 | ) |  |  | 0 |
Property and equipment |  |  | 0 |  |  |  | 3,650,025 |  |  |  | 1,456,135 |  |  |  | 0 |  |  |  | 5,106,160 |
Less: accumulated depreciation |  |  | 0 |  |  |  | (1,184,283 | ) |  |  | (633,897 | ) |  |  | 0 |  |  |  | (1,818,180 | )
|  |  | 0 |  |  |  | 2,465,742 |  |  |  | 822,238 |  |  |  | 0 |  |  |  | 3,287,980 |
Other assets: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Goodwill |  |  | 820 |  |  |  | 2,132,103 |  |  |  | 494,679 |  |  |  | 0 |  |  |  | 2,627,602 |
Deferred charges |  |  | 103,434 |  |  |  | 5,972 |  |  |  | 2,374 |  |  |  | 0 |  |  |  | 111,780 |
Other |  |  | 10,412 |  |  |  | 241,107 |  |  |  | 21,459 |  |  |  | 0 |  |  |  | 272,978 |
|  | $ | 6,106,488 |  |  | $ | 6,930,589 |  |  | $ | 2,916,638 |  |  | $ | (8,288,470 | ) |  | $ | 7,665,245 |
Liabilities and Stockholders' Equity |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Current liabilities: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Current maturities of long-term debt |  | $ | 0 |  |  | $ | 1,133 |  |  | $ | 1,346 |  |  | $ | 0 |  |  | $ | 2,479 |
Accounts payable and accrued liabilities |  |  | 14,201 |  |  |  | 616,026 |  |  |  | 201,898 |  |  |  | 0 |  |  |  | 832,125 |
Current liabilities held for sale |  |  | 0 |  |  |  | 2,329 |  |  |  | 0 |  |  |  | 0 |  |  |  | 2,329 |
Federal and state taxes |  |  | 0 |  |  |  | 0 |  |  |  | 620 |  |  |  | (620 | ) |  |  | 0 |
Total current liabilities |  |  | 14,201 |  |  |  | 619,488 |  |  |  | 203,864 |  |  |  | (620 | ) |  |  | 836,933 |
Intercompany payable |  |  | 0 |  |  |  | 743,267 |  |  |  | 0 |  |  |  | (743,267 | ) |  |  | 0 |
Other noncurrent liabilities |  |  | 49,840 |  |  |  | 249,033 |  |  |  | 103,035 |  |  |  | 0 |  |  |  | 401,908 |
Long-term debt |  |  | 3,594,182 |  |  |  | 3,616 |  |  |  | 53,630 |  |  |  | 0 |  |  |  | 3,651,428 |
Intercompany note payable |  |  | 0 |  |  |  | 1,148,839 |  |  |  | 0 |  |  |  | (1,148,839 | ) |  |  | 0 |
Deferred income taxes |  |  | 151,913 |  |  |  | 58,001 |  |  |  | 0 |  |  |  | (322 | ) |  |  | 209,592 |
Redeemable noncontrolling interests |  |  | 0 |  |  |  | 0 |  |  |  | 218,266 |  |  |  | 0 |  |  |  | 218,266 |
UHS common stockholders' equity |  |  | 2,296,352 |  |  |  | 4,108,345 |  |  |  | 2,287,077 |  |  |  | (6,395,422 | ) |  |  | 2,296,352 |
Noncontrolling interest |  |  | 0 |  |  |  | 0 |  |  |  | 50,766 |  |  |  | 0 |  |  |  | 50,766 |
Total equity |  |  | 2,296,352 |  |  |  | 4,108,345 |  |  |  | 2,337,843 |  |  |  | (6,395,422 | ) |  |  | 2,347,118 |
|  | $ | 6,106,488 |  |  | $ | 6,930,589 |  |  | $ | 2,916,638 |  |  | $ | (8,288,470 | ) |  | $ | 7,665,245 |
UNIVERSAL HEALTH SERVICES, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATING STATEMENTS OF CASH FLOWS FOR THE THREE MONTHS ENDED MARCH 31, 2012 (amounts in thousands)
|  |  |  |  |  |  |  |  |  |  |  |  |  | Total |
|  |  |  |  |  |  |  | Non |  |  | Consolidating |  |  | Consolidated |
|  | Parent |  |  | Guarantors |  |  | Guarantors |  |  | Adjustments |  |  | Amounts |
Net cash provided by operating activities |  | $ | 93,390 |  |  | $ | 10,893 |  |  | $ | 22,940 |  |  | $ | 0 |  |  | $ | 127,223 |
Cash Flows from Investing Activities: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property and equipment additions, net of disposals |  |  | 0 |  |  |  | (79,339 | ) |  |  | (13,224 | ) |  |  | 0 |  |  |  | (92,563 | )
Proceeds received from sale of assets and businesses |  |  | 0 |  |  |  | 49,984 |  |  |  | 3,477 |  |  |  | 0 |  |  |  | 53,461 |
Costs incurred for purchase and development of electronic health records application |  |  | 0 |  |  |  | (14,501 | ) |  |  | 0 |  |  |  | 0 |  |  |  | (14,501 | )
Return of deposit on terminated purchase agreement |  |  | 0 |  |  |  | 6,500 |  |  |  | 0 |  |  |  | 0 |  |  |  | 6,500 |
Net cash used in investing activities |  |  | 0 |  |  |  | (37,356 | ) |  |  | (9,747 | ) |  |  | 0 |  |  |  | (47,103 | )
Cash Flows from Financing Activities: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Reduction of long-term debt |  |  | (69,052 | ) |  |  | (305 | ) |  |  | (1,585 | ) |  |  | 0 |  |  |  | (70,942 | )
Repurchase of common shares |  |  | (2,017 | ) |  |  | 0 |  |  |  | 0 |  |  |  | 0 |  |  |  | (2,017 | )
Dividends paid |  |  | (4,832 | ) |  |  | 0 |  |  |  | 0 |  |  |  | 0 |  |  |  | (4,832 | )
Issuance of common stock |  |  | 1,016 |  |  |  | 0 |  |  |  | 0 |  |  |  | 0 |  |  |  | 1,016 |
Profit distributions to noncontrolling interests |  |  | 0 |  |  |  | 0 |  |  |  | (2,575 | ) |  |  | 0 |  |  |  | (2,575 | )
Changes in intercompany balances with affiliates, net |  |  | (18,505 | ) |  |  | 26,964 |  |  |  | (8,459 | ) |  |  | 0 |  |  |  | 0 |
Net cash (used in) provided by financing activities |  |  | (93,390 | ) |  |  | 26,659 |  |  |  | (12,619 | ) |  |  | 0 |  |  |  | (79,350 | )
Increase (decrease) in cash and cash equivalents |  |  | 0 |  |  |  | 196 |  |  |  | 574 |  |  |  | 0 |  |  |  | 770 |
Cash and cash equivalents, beginning of period |  |  | 0 |  |  |  | 33,221 |  |  |  | 8,008 |  |  |  | 0 |  |  |  | 41,229 |
Cash and cash equivalents, end of period |  | $ | 0 |  |  | $ | 33,417 |  |  | $ | 8,582 |  |  | $ | 0 |  |  | $ | 41,999 |
UNIVERSAL HEALTH SERVICES, INC. AND SUBSIDIARIES CONDENSED CONSOLIDATING STATEMENTS OF CASH FLOWS FOR THE THREE MONTHS ENDED MARCH 31, 2011 (amounts in thousands)
|  |  |  |  |  |  |  |  |  |  |  |  |  | Total |
|  |  |  |  |  |  |  | Non |  |  | Consolidating |  |  | Consolidated |
|  | Parent |  |  | Guarantors |  |  | Guarantors |  |  | Adjustments |  |  | Amounts |
Net cash provided by operating activities |  | $ | 59,016 |  |  | $ | 109,876 |  |  | $ | 14,285 |  |  | $ | 0 |  |  | $ | 183,177 |
Cash Flows from Investing Activities: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Property and equipment additions, net of disposals |  |  | 0 |  |  |  | (41,016 | ) |  |  | (15,542 | ) |  |  | 0 |  |  |  | (56,558 | )
Proceeds received from sale of assets and businesses |  |  | 0 |  |  |  | 991 |  |  |  | 0 |  |  |  | 0 |  |  |  | 991 |
Costs incurred for purchase and development of electronic health records application |  |  | 0 |  |  |  | (8,145 | ) |  |  | 0 |  |  |  | 0 |  |  |  | (8,145 | )
Net cash used in investing activities |  |  | 0 |  |  |  | (48,170 | ) |  |  | (15,542 | ) |  |  | 0 |  |  |  | (63,712 | )
Cash Flows from Financing Activities: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Reduction of long-term debt |  |  | (135,334 | ) |  |  | (396 | ) |  |  | (673 | ) |  |  | 0 |  |  |  | (136,403 | )
Additional borrowings |  |  | 73,500 |  |  |  | 0 |  |  |  | 0 |  |  |  | 0 |  |  |  | 73,500 |
Financing costs |  |  | (23,140 | ) |  |  | 0 |  |  |  | 0 |  |  |  | 0 |  |  |  | (23,140 | )
Repurchase of common shares |  |  | (3,170 | ) |  |  | 0 |  |  |  | 0 |  |  |  | 0 |  |  |  | (3,170 | )
Dividends paid |  |  | (4,876 | ) |  |  | 0 |  |  |  | 0 |  |  |  | 0 |  |  |  | (4,876 | )
Issuance of common stock |  |  | 1,251 |  |  |  | 0 |  |  |  | 0 |  |  |  | 0 |  |  |  | 1,251 |
Profit distributions to noncontrolling interests |  |  | 0 |  |  |  | 0 |  |  |  | (4,025 | ) |  |  | 0 |  |  |  | (4,025 | )
Changes in intercompany balances with affiliates, net |  |  | 32,753 |  |  |  | (37,292 | ) |  |  | 4,539 |  |  |  |  |  |  |  | 0 |
Net cash (used in) provided by financing activities |  |  | (59,016 | ) |  |  | (37,688 | ) |  |  | (159 | ) |  |  | 0 |  |  |  | (96,863 | )
Increase (decrease) in cash and cash equivalents |  |  | 0 |  |  |  | 24,018 |  |  |  | (1,416 | ) |  |  | 0 |  |  |  | 22,602 |
Cash and cash equivalents, beginning of period |  |  | 0 |  |  |  | 21,385 |  |  |  | 8,089 |  |  |  | 0 |  |  |  | 29,474 |
Cash and cash equivalents, end of period |  | $ | 0 |  |  | $ | 45,403 |  |  | $ | 6,673 |  |  | $ | 0 |  |  | $ | 52,076 |

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- Definition The entire disclosure for condensed financial information, including the financial position, cash flows, and the results of operations of the registrant (parent company) as of the same dates or for the same periods for which audited consolidated financial statements are being presented. Alternatively, the details of this disclosure can be reported by the specific parent company taxonomy elements, indicating the appropriate date and period contexts in an instance document. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Article 9 -Section 06 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Article 7 -Section 05 -Paragraph c Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 04 -Paragraph c -Article 5 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 235 -SubTopic 10 -Section S99 -Paragraph 3 -Subparagraph (SX 210.12-04) -URI http://asc.fasb.org/extlink&oid=6881521&loc=d3e24072-122690 Reference 5: http://www.xbrl.org/2003/role/presentationRef -Publisher AICPA -Name Accounting Research Bulletin (ARB) -Number 51 -Paragraph 24 -LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy. Reference 6: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 04 -Article 12 Reference 7: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 45 -Paragraph 11 -URI http://asc.fasb.org/extlink&oid=6921628&loc=d3e5283-111683 + Details
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