UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 8-K
CURRENT REPORT
PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934
Date of Report (Date of earliest event reported): June 9, 2011
UNIVERSAL HOSPITAL SERVICES, INC.
(Exact Name of Registrant as Specified in Charter)
Delaware |
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000-20086 |
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41-0760940 |
(State or Other Jurisdiction of Incorporation) |
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(Commission File Number) |
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(IRS Employer Identification No.) |
7700 France Avenue South, Suite 275
Edina, Minnesota 55435-5528
(Address of Principal Executive Offices)
(Zip code)
952-893-3200
(Registrants telephone number, including area code)
Not Applicable
(Former name or former address, if changed since last report.)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
o Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
o Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
o Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
o Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Item 1.01 Entry into a Material Definitive Agreement.
On June 9, 2011, the registrant, Universal Hospital Services, Inc., a Delaware corporation (the Company) entered into a second supplemental indenture (the Supplemental Indenture), among Emergent Group Inc., a Nevada corporation and PRI Medical Technologies, Inc., a Nevada corporation (together, the Guarantors), the Company and Wells Fargo Bank, National Association, as trustee (the Trustee), to amend the indenture dated as of May 31, 2007 (the Base Indenture) between UHS Merger Sub, Inc. (as predecessor to the Company) and the Trustee, as supplemented by a first supplemental indenture between the Company and the Trustee, dated May 31, 2007 (the First Supplemental Indenture and together with the Base Indenture, the Indenture), governing the Companys second lien senior secured floating rate notes due 2015 and 8.50%/9.25% second lien senior secured PIK toggle notes due 2015. The Second Supplemental Indenture amended the Indenture to add the Guarantors as guarantor parties to the Indenture.
The foregoing description of the Second Supplemental Indenture does not purport to be complete and is qualified in its entirety by reference to the text of the agreement which is included as Exhibit 4.1 to this Current Report on Form 8-K and incorporated by reference herein.
Item 3.03 Material Modification to Rights of Security Holders.
The information set forth under Item 1.01 above is incorporated by reference into this Item 3.03.
Item 7.01 Regulation FD Disclosure.
In a preliminary offering memorandum distributed to prospective investors in connection with the proposed private offering described under Item 8.01 of this Current Report on Form 8-K, the Company disclosed certain information to such prospective investors. Pursuant to Regulation FD, the Company is furnishing such information attached hereto as Exhibit 99.1. This information supplements previously reported information.
The information included under this Item, including Exhibit 99.1, shall not be deemed filed for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the Exchange Act), or incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act, except as shall be expressly set forth by specific reference in such a filing.
Some of the statements contained in this information are forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Such forward-looking statements are subject to risks and uncertainties, including, in particular, statements about the Companys plans, strategies, prospects and industry estimates. These statements identify prospective information and include words such as anticipates, intends, plans, seeks, believes, estimates, expects, should, predicts, hopes and similar expressions. Forward-looking statements are based on the Companys current expectations and assumptions regarding the Companys business, the economy and other future conditions. Because forward-looking statements relate to the future, they are subject to inherent uncertainties, risks and changes in circumstances that are difficult to predict. Any forward-looking statement made by the Company herein speaks only as of the date hereof. Factors or events that could cause the Companys actual results to differ may emerge from time to time, and it is not possible for the Company to predict all of them. The Company undertakes no obligation to publicly update any forward-looking statement, whether as a result of new information, future developments or otherwise, except as may be required by law.
Item 8.01 Other Events.
On June 14, 2011, the Company issued a press release announcing that it proposes to offer, subject to customary conditions, $175 million in aggregate principal amount of its 8.50%/9.25% second lien senior secured PIK toggle notes due 2015 (the New Notes) as additional notes under the Indenture. A press release describing the proposed offering of New Notes is attached hereto as Exhibit 99.2 and incorporated herein by reference.
Item 9.01. Financial Statements and Exhibits
(d) Exhibits
Exhibit No. |
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Description |
4.1 |
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Second Supplemental Indenture, dated June 9, 2011 among Universal Hospital Services, Inc., Emergent Group Inc., PRI Medical Technologies, Inc. and Wells Fargo Bank, National Association, as Trustee. |
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99.1 |
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Excerpt from Preliminary Offering Memorandum. |
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99.2 |
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Press release of the Company, dated June 14, 2011 relating to the proposed offering. |
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, Universal Hospital Services, Inc. has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
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Universal Hospital Services, Inc. | |
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By: |
/s/ Rex T. Clevenger |
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Rex T. Clevenger |
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Executive Vice President and |
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Chief Financial Officer |
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Date: June 14, 2011 |
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Exhibit Index
Exhibit No. |
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Description |
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4.1 |
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Second Supplemental Indenture, dated June 9, 2011 among Universal Hospital Services, Inc., Emergent Group Inc., PRI Medical Technologies, Inc. and Wells Fargo Bank, National Association, as Trustee. |
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99.1 |
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Excerpt from Preliminary Offering Memorandum. |
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99.2 |
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Press release of the Company, dated June 14, 2011 relating to the proposed offering. |
Exhibit 4.1
SECOND SUPPLEMENTAL INDENTURE
Second Supplemental Indenture (this Supplemental Indenture), dated as of June 9, 2011, among PRI Medical Technologies, Inc., a Nevada corporation (PRI), and its direct parent, Emergent Group Inc., a Nevada corporation (Emergent, and along with PRI, a Guaranteeing Subsidiary), Emergents direct parent, Universal Hospital Services, Inc., a Delaware corporation (the Company), and Wells Fargo Bank, National Association, as trustee under the Indenture referred to below (the Trustee).
W I T N E S S E T H
WHEREAS, UHS Merger Sub, Inc. (the Issuer) has heretofore executed and delivered to the Trustee an indenture (the Indenture), dated as of May 31, 2007, providing for the issuance of Second Lien Senior Secured Floating Rate Notes due 2015 and 8.50%/9.25% Second Lien Senior Secured PIK Toggle Notes due 2015 (collectively, the Notes);
WHEREAS, the Company has heretofore executed and delivered to the Trustee a supplemental indenture, dated as of May 31, 2007, pursuant to which it expressly assumed the Issuers Obligations under the Indenture and the Notes;
WHEREAS, the Indenture provides that under certain circumstances each Guaranteeing Subsidiary shall execute and deliver to the Trustee a supplemental indenture pursuant to which each such Guaranteeing Subsidiary shall unconditionally guarantee all of the Companys Obligations under the Notes and the Indenture on the terms and conditions set forth herein (each a Subsidiary Guarantee); and
WHEREAS, pursuant to Section 9.01 of the Indenture, the Trustee is authorized to execute and deliver this Supplemental Indenture.
NOW, THEREFORE, in consideration of the foregoing and for other good and valuable consideration, the receipt of which is hereby acknowledged, each Guaranteeing Subsidiary and the Trustee mutually covenant and agree for the equal and ratable benefit of the Holders of the Notes as follows:
1. Capitalized Terms. Capitalized terms used herein without definition shall have the meanings assigned to them in the Indenture.
2. Agreement to Guarantee. Each Guaranteeing Subsidiary hereby agrees to provide an unconditional Guarantee on the terms and subject to the conditions set forth in the Subsidiary Guarantee and in the Indenture including but not limited to Article 10 thereof.
3. No Recourse Against Others. A director, officer, employee, incorporator or stockholder of the Company or any of the Guarantors, as such, will not have any liability for any obligations of the Company or such Guarantor under the Notes, the Indenture, the Subsidiary Guarantees and the Security Documents or for any claim based on, in respect of, or by reason of, such obligations or their creation. Each Holder by accepting a Note waives and releases all such liability. The waiver and release are part of the consideration for the issuance of the Notes. Such waiver may not be effective to waive liabilities under the federal securities laws and it is the view of the SEC that such a waiver is against public policy.
4. NEW YORK LAW TO GOVERN. THE INTERNAL LAW OF THE STATE OF NEW YORK SHALL GOVERN AND BE USED TO CONSTRUE THIS SUPPLEMENTAL INDENTURE BUT WITHOUT GIVING EFFECT TO APPLICABLE PRINCIPLES OF CONFLICTS OF LAW TO THE EXTENT THAT THE APPLICATION OF THE LAWS OF ANOTHER JURISDICTION WOULD BE REQUIRED THEREBY.
6. Counterparts. The parties may sign any number of copies of this Supplemental Indenture. Each signed copy shall be an original, but all of them together represent the same agreement.
7. Effect of Headings. The Section headings herein are for convenience only and shall not affect the construction hereof.
8. The Trustee. The Trustee shall not be responsible in any manner whatsoever for or in respect of the validity or sufficiency of this Supplemental Indenture or for or in respect of the recitals contained herein, all of which recitals are made solely by each Guaranteeing Subsidiary and the Company.
[SIGNATURE PAGES TO FOLLOW]
IN WITNESS WHEREOF, the parties hereto have caused this Supplemental Indenture to be duly executed and attested, all as of the date first above written.
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UNIVERSAL HOSPITAL SERVICES, INC. | |
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By: |
/s/ Gary D. Blackford |
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Name: Gary D. Blackford |
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Title: Chief Executive Officer |
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EMERGENT GROUP INC. | |
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By: |
/s/ Gary D. Blackford |
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Name: Gary D. Blackford |
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Title: Chief Executive Officer |
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PRI MEDICAL TECHNOLOGIES, INC. | |
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By: |
/s/ Bruce J. Haber |
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Name: Bruce J. Haber |
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Title: Chief Executive Officer |
Exhibit 99.1
Excerpt from Preliminary Offering Memorandum
Our Company
We are a leading nationwide provider of medical equipment management and service solutions to the United States health care industry. Our customers include national, regional and local acute and long-term acute care hospitals, alternate site providers (such as skilled nursing facilities, specialty hospitals, nursing homes and home care providers) and medical equipment manufacturers. We provide our customers solutions across the spectrum of the equipment life cycle as a result of our position as one of the industrys largest purchasers and outsourcers of medical equipment. During the twelve months ended March 31, 2011, we owned or managed over 580,000 pieces of medical equipment. Our diverse medical equipment outsourcing customer base includes more than 4,325 acute care hospitals and approximately 4,275 alternate site providers. We also have relationships with more than 200 medical equipment manufacturers and many of the nations largest group purchasing organizations (GPOs) and many of the integrated delivery networks (IDNs). All of our solutions leverage our nationwide network of 84 offices and our more than 70 years of experience managing and servicing all aspects of medical equipment. Our fees are paid directly by our customers rather than by direct reimbursement from third-party payors, such as private insurers, Medicare, or Medicaid. For the twelve months ended March 31, 2011, we generated revenues of $320.0 million and pro forma Adjusted EBITDA of $130.6 million. For a reconciliation of Adjusted EBITDA to cash flow from operations, see footnote 3 under the caption Summary Financial Data.
We operate through three segments: Medical Equipment Outsourcing, Technical and Professional Services and Medical Equipment Sales and Remarketing.
Medical Equipment Outsourcing SegmentManage & Utilize
Our flagship business is our Medical Equipment Outsourcing segment, which accounted for $66.2 million, or approximately 80.1%, of our revenues, for the quarter ended March 31, 2011 and $250.5 million, or approximately 78.9%, of our revenues for the year ended December 31, 2010. For the twelve months ended March 31, 2011, we owned or managed over 390,000 pieces of equipment in our Medical Equipment Outsourcing segment, primarily in the categories of respiratory therapy, newborn care, critical care, patient monitors, patient handling (which includes fall management, bariatrics, beds, stretchers and wheelchairs), pressure area management (such as therapy surfaces) and wound therapy. Historically, we have purchased and owned directly substantially all of the equipment used in our Medical Equipment Outsourcing programs.
We have three primary outsourcing programs:
· Supplemental and peak usage needs. We rent patient-ready medical equipment to our customers on a supplemental or peak needs basis;
· Customized outsourcing agreements. We offer our customers the opportunity to obtain medical equipment through long-term outsourcing agreements; and
· Asset360 Equipment Management Program. Our Asset360 Program (formerly the Asset Management Partnership Program or AMPP) solution allows our customers to fully outsource the responsibilities and costs of effectively managing medical equipment at their facilities, with the added benefit of enhancing equipment utilization.
Our primary customer relationships are with local healthcare providers such as hospitals, surgery centers, long-term care providers and nursing homes. These organizations may belong to regional or national groups of facilities and often participate in GPOs. We contract at the local, regional and national level, as requested by our customers. We expect much of our future growth in this segment to be driven by our customers outsourcing more of their medical equipment needs and taking full advantage of our diversified product offering, customized outsourcing agreements and Asset360 Programs.
We believe that a multi-billion dollar market exists for these services, including the rental and management of medical equipment.
Our Medical Equipment Outsourcing Programs provide flexibility, including enabling health care providers to replace the fixed costs of owning and/or leasing medical equipment with variable costs that are more closely related to their patient census and patient acuity. They also eliminate significant capital costs associated with equipment acquisitions and liability associated with equipment ownership.
In addition to providing significant flexibility, we employ technical, clinical and financial specialists that directly interact with our customers to ensure we are optimizing our equipment life-cycle solutions. We believe that these experts enhance our ability to deliver on the above specified benefits to our customers.
Technical and Professional Services SegmentPlan & Acquire; Maintain & Repair
Our Technical and Professional Services segment accounted for $10.9 million, or approximately 13.1%, of our revenues for the quarter ended March 31, 2011 and $44.4 million, or approximately 14.0%, of our revenues for the year ended December 31, 2010. We leverage our over 70 years of experience and our extensive equipment database in repairing and maintaining medical equipment. We offer a broad range of inspection, preventative maintenance, repair, logistic and consulting services through our team of over 270 technicians and professionals located throughout the United States in our nationwide network of offices and during the twelve months ended March 31, 2011, managed over 190,000 units of customer owned equipment.
Our Technical and Professional Services segment offerings provide a complementary alternative for customers that wish to own their medical equipment but lack the infrastructure, expertise, or scale to perform routine maintenance, repair, record keeping, and lifecycle analysis and planning functions.
We have three primary service programs:
· Supplemental Maintenance and Repair Services. We provide maintenance and repair services on a scheduled and unscheduled basis to supplement the customers current maintenance management practices.
· BioMed360 Equipment Management Program. Our BioMed360 Program (formerly Customized Health Care Asset Management Program (CHAMP) also provides full and part-time, on-site, resident-based equipment maintenance programs that deliver all the benefits of our supplemental maintenance and repair programs, but with the addition of a medical equipment management program.
· Consulting Services. We provide equipment consulting services as part of our other equipment management programs or as stand-alone services.
Medical Equipment Sales and Remarketing SegmentRedeploy & Remarket
Our Medical Equipment Sales and Remarketing segment accounted for $5.6 million, or approximately 6.8%, of our revenues for the quarter ended March 31, 2011 and $22.5 million, or approximately 7.1%, of our revenues for the year ended December 31, 2010.
This segment includes three distinct business activities:
· Medical equipment remarketing and disposal. We buy, source, remarket, redeploy and dispose of pre-owned medical equipment for our customers and for our own behalf;
· Specialty medical equipment sales and distribution. We use our national infrastructure to provide sales and distribution services to manufacturers of specialty medical equipment on a limited basis; and
· Sales of disposables. We offer our customers single use disposable items.
Our Strengths
We believe our business model presents an attractive value proposition to our customers and has resulted in significant growth in recent years. We provide our customers with a wide array of services across the full spectrum of the equipment lifecycle. Our over 70 years of experience and our belief that our customers view us as the go to company in emergency situations has earned us a leading position in our industry. We attribute our historical success to, and believe that our potential for future growth comes from, the following strengths:
Industry with favorable fundamentals. Our business benefits from the overall favorable trends in health care in general and our segments in particular. There is a fundamental shift in the needs of hospitals and alternate site providers from supplemental and peak needs supply of medical equipment to full, on-site equipment management programs. This move to full outsourcing is not unlike trends in similar services at hospitals including food service, laundry, professional staffing and technology. The strong fundamentals in our Medical Equipment Outsourcing segment are being driven by the following trends:
· Favorable demographic trends. According to the U.S. Census Bureau, individuals aged 65 and older in the United States comprise the fastest growing segment of the population. This segment is expected to grow to over 70 million individuals by 2030. This represents a 42% increase in the 65 and older segment of the population over the next 20 years. As a result, over time, the number of patients and the volume of hospital admissions are expected to grow. The aging population and increasing life expectancy are driving demand for health care services.
· Increase in obesity. The U.S. population is getting heavier, with over 33 states reportedly now having obesity prevalence rates over 25% as of 2009, compared to zero states with such rates in 2000 (Source: CDC State-Specific Obesity Prevalence Among AdultsUnited States, 2009). According to the Centers for Disease Control (the CDC), the increase in obesity prevalence rates translates into annual obesity related health care costs in excess of $147 billion. Therefore, health care facilities must be prepared for the medical needs of obese and morbidly obese patients.
· Increased capital and operating expense pressures and regulatory scrutiny. Hospitals continue to experience restricted capital and operating budgets, while the cost and complexity of medical equipment increases. Furthermore, the increasing complexity and sophistication of medical equipment brings with it more record keeping and regulatory scrutiny of the use and maintenance of medical equipment in the health care setting. We expect that hospitals will increasingly look to us to source these capital equipment needs and manage medical equipment
to achieve capital and operating expense savings, operating efficiencies and regulatory compliance.
· Caregiver retention and satisfaction. Hospitals continue to experience nursing and other caregiver retention and job satisfaction pressures. We expect that with these internal pressures, hospitals will increasingly turn to our programs to outsource medical equipment management duties and related management challenges.
· Demand for better patient safety and outcomes. Hospitals across the United States are focused on improving patient safety and outcomes, which includes efforts to minimize the incidence of hospital-acquired infections, patient falls and pressure ulcers. Hospitals turn to us to assist them in managing their equipment to help them to minimize these incidents, thereby improving patient safety and outcomes while reducing the cost of these events.
Unique position in the health care arena. We believe that we are unique in providing the largest breadth of comprehensive medical equipment management and service solutions to the health care industry. While we have competitors that may offer products and services in various stages of the equipment lifecycle, we believe that none provide the comprehensive approach to customers that we do. Our extensive relationships with more than 4,325 hospitals, approximately 4,275 alternate site providers, over 200 medical equipment manufacturers, many of the nations largest GPOs and many IDNs, many of which relationships are long-standing, present a unique position and value proposition in the health care arena.
Strong value proposition. With our focus and expertise in medical equipment lifecycle solutions, we are able to create a strong value proposition for our customers. All of our equipment lifecycle solutions focus on providing our customers with:
· lower capital and operating costs;
· enhanced staff productivity and satisfaction; and
· improved patient safety and outcomes.
Proven ability to generate strong EBITDA growth and to delever. We have consistently generated EBITDA growth through all economic cycles. Our Adjusted EBITDA increased significantly from $95.5 million in 2007 to approximately $130.6 million of pro forma Adjusted EBITDA for the twelve months ended March 30, 2011. We also have a proven track record of reducing our leverage as illustrated over the last four years by the decrease in our ratio of adjusted total debt to Adjusted EBITDA for the last twelve months. The ratio declined from 5.7x for the twelve months ended June 30, 2007 to 4.4x for the twelve months ended March 31, 2011 and to 5.0x on a pro forma as adjusted basis for the twelve months ended March 31, 2011.
No direct third-party payor reimbursement risk. Many health care providers rely on payment from patients or reimbursement from third-party payors. Our fees are paid directly by our customers, rather than by third-party payors, such as Medicare, Medicaid, managed care organizations or indemnity insurers. Accordingly, our exposure to uncollectible patient or reimbursement receivables or Medicare or Medicaid reimbursement changes is relatively low, as evidenced by our bad debt expense of less than 0.2% of total revenues for each of the quarters ended March 31, 2011 and 2010 and approximately 0.07%, 0.5% and 0.7% of total revenues for the years ended December 31, 2010, 2009 and 2008, respectively.
Large, modern equipment fleet. We own or manage an extensive, modern fleet of medical equipment, which during the twelve months ended March 31, 2011, consisted of over 390,000 pieces of equipment available for use to our customers. This modern equipment fleet, along with our quality assurance programs and tools, places us in a leadership position in the areas of quality and patient
safety. It also places us in a unique position to service high end acute care hospitals, such as teaching, research or specialty institutions that demand the most current technology to satisfy the increasingly complex needs of their patients.
Nationwide infrastructure. We have a broad, nationwide staff, facility and vehicle service network coupled with focused and customized operations at the local level. Our extensive network of district offices and Centers of Excellence and our 24-hours-a-day, 365 days-a-year service capabilities enable us to compete effectively for large, national contracts as well as to drive growth regionally and locally.
Proprietary software and asset management tools. We have used our more than 70 years of experience and our extensive database of equipment management information to develop sophisticated software technology and management tools. These tools have allowed us to become a leader in meeting the demands of customers by delivering sophisticated asset management programs that we use to drive cost efficiencies, equipment productivity, caregiver satisfaction and better patient outcomes. We believe that our continued and significant investment in new tools and technology will help us to continue to distinguish our offerings to the health care industry.
Superior customer service. We have a long-standing reputation among our customers for outstanding service and quality. This reputation is largely due to our strong customer service culture, which is continuously reinforced through management commitment and significant investment in hiring and training resources. We strive to seamlessly integrate our employees and service offerings into the operations of our customers. This aggressive focus on customer service has helped us achieve a high customer retention rate.
Performance and reliability in time of critical need by our customers. We believe that many of our customers have come to rely on our ability to respond quickly and with significant resources in times of emergency, such as hurricanes, tornadoes, floods and epidemic outbreaks to bring in needed medical equipment in critical situations. We believe our ability to provide critical service in extreme situations distinguishes us from our competitors. It also requires us to maintain inventories and infrastructure that we do not believe our competitors currently maintain.
Technical, clinical and financial specialists. We employ a number of technical, clinical and financial specialists that engage directly with our customers to drive better cost, efficiency and clinical outcomes. Our specialists employ:
· Gateway solutions which offer an entry point to the economic buyer and include peak need rentals, technical services, and sales and remarketing;
· Vertical solutions to provide clinical offerings tailored to specific patient needs in the areas of wound management, fall management, bariatrics, respiratory therapy, and maternal and infant care; and
· Comprehensive solutions through our Asset360 Programs and BioMed360 Programs to drive efficiencies and allow customers to effectively manage costs.
Proven management team. We have an industry leading management team with significant depth of health care experience. Our management team has successfully supervised the development of our competitive strategy, continually enhanced and expanded our service and product offerings, established our nationwide coverage and furthered our reputation as an industry leader for quality, value and service.
Growth Strategy
Historically, we have experienced significant and sustained organic and strategic growth. Our overall growth strategy is to continue to grow both organically and through strategic acquisitions.
Organic Growth
We believe that the following external and market factors will provide us significant growth opportunities:
· the aging population;
· increasing life expectancy;
· increasing obesity and patient acuity;
· continued increase in the number, complexity and sophistication of medical technologies;
· increasing cost and staffing pressures in hospitals;
· continuing growth of outsourcing of non-core functions by hospitals, alternate site providers and manufacturers; and
· increasing demand by payors and providers for equipment based solutions.
Our organic growth will be driven internally by the following factors:
· growing our outsourcing business through customer education and increasing the numbers and types of equipment we offer in our programs;
· converting peak needs rental and biomedical service customers to fully outsourced resident-based programs;
· growing our less capital intensive technical and professional services, equipment sales and remarketing and outsourcing revenue share businesses;
· increasing the number of hospitals, alternative care facilities and manufacturers to which we provide services; and
· expanding and deepening our relationships with customers and manufacturers to develop more effective and comprehensive offerings tailored to the unique needs of caregivers.
Acquisitions
Because of the fragmented nature of our industry, we foresee a number of complementary acquisition targets to be available, which we evaluate regularly. Since 2005, we have made and successfully integrated several acquisitions that have helped us expand our business, adding additional service offerings and enabling us to penetrate new geographic regions. In 2010, we increased our focus on potential acquisitions and international growth opportunities. Recently, we completed the acquisition of Emergent Group Inc. (Emergent Group), which included Emergent Groups wholly-owned subsidiary PRI Medical Technologies, Inc. (PRI). See Recent Developments. We intend to continue to pursue a disciplined course of growing our business with complementary acquisitions.
Recent Developments
On April 1, 2011, we completed the acquisition of Emergent Group (the Emergent Acquisition). Emergent Group is the parent company of PRI, which is a provider of surgical equipment and laser technology to approximately 800 hospitals and surgery centers. The total enterprise value of the transaction, including debt assumption was approximately $70.0 million, of which $61.0 million was funded by drawings under our senior secured credit facility. For the twelve months ended March 31, 2011, Emergent Group had revenues of $30.1 million and Adjusted EBITDA of $8.1 million.
Additionally, on May 31, 2011, we completed the acquisition of the rental division of a medical equipment manufacturer (the Equipment Rental Acquisition), which we estimate, for the twelve months ended March 31, 2011, had Adjusted EBITDA of $1.7 million.
The Investors
All of our outstanding capital stock is owned by Parent, which acquired the Company in a recapitalization in May 2007 (the Recapitalization). Parent is owned by certain members of our management and affiliates of Irving Place Capital Merchant Manager III, L.P. (IPC) (the former private equity affiliate of The Bear Stearns Companies Inc.). IPC is a leading middle-market private equity firm that invests in add-on acquisitions, leveraged buyouts, management buyouts, corporate divestitures, industry consolidations, recapitalizations, growth capital opportunities, and other ownership liquidity situations alongside proven management teams. IPC manages nearly $4.0 billion of private equity capital, including its latest $2.7 billion institutional fund. Since its formation in 1997, IPC has been an investor in over 50 portfolio companies across a broad range of industries. The team is comprised of investment professionals with long track records for making highly profitable and disciplined investments. Along with a market leading track record, IPC brings an extensive relationship network and a reputation for being a value added partner. IPCs current and prior healthcare investments include National Surgical Hospitals, Oxford Health Plans, Unilab Corporation, Active Health Management, Hand Innovations and Care Realty, LLC.
Additional Information
We commenced operations in 1939, originally incorporated in Minnesota in 1954 and reincorporated in Delaware in 2001. Our principal executive offices are located at 7700 France Avenue South, Suite 275, Edina, Minnesota 55435. Our telephone number is (952) 893-3200. We maintain a website at www.uhs.com. The information on our website is not a part of, or incorporated by reference in, this offering memorandum.
Summary Financial Data
The following table sets forth our summary historical financial data. We have derived the summary historical financial data as of December 31, 2010 and 2009 and for the years ended December 31, 2010, 2009 and 2008 from our audited financial statements appearing elsewhere in this offering memorandum. We have derived the summary historical financial data as of and for the three months ended March 31, 2011 and 2010 from our unaudited financial statements appearing elsewhere in this offering memorandum. In the opinion of our management, our unaudited financial statements contain all adjustments, consisting only of normal recurring adjustments, necessary for a fair presentation of our financial position, results of operations and cash flows. The results of operations for the three months ended March 31, 2011 and 2010 are not necessarily indicative of the operating results to be expected for the full fiscal years. The selected financial data presented below is qualified in its entirety by, and should be read in conjunction with, the financial statements and notes thereto and other financial and statistical information included elsewhere in this offering memorandum, including the information contained under the caption Managements Discussion and Analysis of Financial Condition and Results of Operations and Selected Historical Financial Data.
The unaudited financial data for the twelve months ended March 31, 2011 have been derived by taking the financial data from our audited condensed financial statements for the year ended December 31, 2010, adding financial data from our unaudited condensed financial statements for the three months ended March 31, 2011 and subtracting data from our unaudited financial statements for the three months ended March 31, 2010 which are not included herein.
The following table also presents certain summary unaudited pro forma financial information for the twelve months ended March 31, 2011 that gives effect to this offering and the application of the proceeds therefrom, the Equipment Rental Acquisition and the Emergent Acquisition as if each had occurred on April 1, 2010. Such unaudited pro forma financial information is for informational purposes only and does not purport to represent what our results of operations or financial position actually would have been if the Emergent Acquisition and the Equipment Rental Acquisition had occurred on such date, and such information does not purport to project the results of operations for any future period.
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Statement of Operations Data: |
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Revenue: |
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Medical equipment outsourcing |
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$ |
251,519 |
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66,238 |
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65,174 |
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250,455 |
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232,623 |
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223,676 |
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Technical and professional services |
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44,483 |
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10,870 |
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10,813 |
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44,426 |
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42,395 |
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45,225 |
| ||||||
Medical equipment sales and remarketing |
|
23,960 |
|
5,606 |
|
4,187 |
|
22,541 |
|
22,186 |
|
20,218 |
| ||||||
Total revenues |
|
319,962 |
|
82,714 |
|
80,174 |
|
317,422 |
|
297,204 |
|
289,119 |
| ||||||
Cost of Revenue: |
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||
Cost of medical equipment outsourcing |
|
93,338 |
|
24,435 |
|
22,617 |
|
91,520 |
|
83,553 |
|
82,030 |
| ||||||
Cost of technical and professional services |
|
31,790 |
|
7,884 |
|
7,784 |
|
31,690 |
|
30,539 |
|
32,676 |
| ||||||
Cost of medical equipment sales and remarketing |
|
17,295 |
|
4,300 |
|
3,347 |
|
16,342 |
|
18,177 |
|
15,473 |
| ||||||
Movable medical equipment depreciation |
|
69,205 |
|
17,166 |
|
17,457 |
|
69,496 |
|
64,267 |
|
61,751 |
| ||||||
Total costs of medical equipment outsourcing, technical and professional services and medical equipment sales and remarketing |
|
211,628 |
|
53,785 |
|
51,205 |
|
209,048 |
|
196,536 |
|
191,930 |
| ||||||
Gross margin |
|
108,334 |
|
28,929 |
|
28,969 |
|
108,374 |
|
100,668 |
|
97,189 |
| ||||||
Selling, general and administrative |
|
91,421 |
|
23,155 |
|
21,070 |
|
89,336 |
|
84,225 |
|
89,166 |
| ||||||
Operating income (loss) |
|
16,913 |
|
5,774 |
|
7,899 |
|
19,038 |
|
16,443 |
|
8,023 |
| ||||||
Interest expense |
|
46,656 |
|
11,706 |
|
11,507 |
|
46,457 |
|
46,505 |
|
46,878 |
| ||||||
Income (loss) before income taxes |
|
(29,743 |
) |
(5,932 |
) |
(3,608 |
) |
(27,419 |
) |
(30,062 |
) |
(38,855 |
) | ||||||
Provision (benefit) for income taxes |
|
3,234 |
|
214 |
|
(1,328 |
) |
1,692 |
|
(11,489 |
) |
(15,359 |
) | ||||||
Net income (loss) |
|
$ |
(32,977 |
) |
$ |
(6,146 |
) |
$ |
(2,280 |
) |
$ |
(29,111 |
) |
$ |
(18,573 |
) |
$ |
(23,496 |
) |
Balance Sheet Data (at period end): |
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||
Working capital(1) |
|
$ |
10,590 |
|
$ |
10,590 |
|
$ |
23,665 |
|
$ |
23,550 |
|
$ |
32,352 |
|
$ |
22,754 |
|
Total assets |
|
842,400 |
|
842,400 |
|
843,165 |
|
833,028 |
|
835,403 |
|
877,725 |
| ||||||
Total debt |
|
526,405 |
|
526,405 |
|
523,597 |
|
525,045 |
|
518,619 |
|
531,343 |
| ||||||
Shareholders equity |
|
142,294 |
|
142,294 |
|
171,803 |
|
146,739 |
|
173,991 |
|
188,451 |
|
|
|
Twelve |
|
|
|
|
|
|
|
|
|
|
| ||||||
|
|
Months |
|
|
|
|
|
|
|
|
|
|
| ||||||
|
|
Ended |
|
Three Months Ended |
|
|
| ||||||||||||
|
|
March 31, |
|
March 31, |
|
Year Ended December 31, |
| ||||||||||||
|
|
2011 |
|
2011 |
|
2010 |
|
2010 |
|
2009 |
|
2008 |
| ||||||
|
|
(dollars in thousands) |
| ||||||||||||||||
Cash Flow Data: |
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||
Net cash provided by (used in): |
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||
Operating activities |
|
$ |
70,926 |
|
$ |
25,182 |
|
$ |
30,412 |
|
$ |
76,156 |
|
$ |
55,988 |
|
$ |
56,249 |
|
Investing activities |
|
(66,795 |
) |
(26,483 |
) |
(33,893 |
) |
(74,205 |
) |
(50,550 |
) |
(71,395 |
) | ||||||
Financing activities |
|
(4,253 |
) |
1,301 |
|
3,603 |
|
(1,951 |
) |
(17,444 |
) |
27,152 |
| ||||||
Other Financial Data: |
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||
EBITDA(2)(4) |
|
$ |
108,390 |
|
28,472 |
|
30,859 |
|
110,777 |
|
103,490 |
|
97,846 |
| |||||
Adjusted EBITDA(3)(4) |
|
120,784 |
|
31,290 |
|
32,106 |
|
121,600 |
|
108,056 |
|
104,016 |
| ||||||
Interest expense |
|
46,656 |
|
11,706 |
|
11,507 |
|
46,457 |
|
46,505 |
|
46,878 |
| ||||||
Depreciation and amortization |
|
91,478 |
|
22,698 |
|
22,959 |
|
91,739 |
|
87,047 |
|
85,823 |
| ||||||
Capital expenditures |
|
69,524 |
|
27,021 |
|
34,495 |
|
76,998 |
|
53,527 |
|
73,903 |
| ||||||
Ratio of Adjusted EBITDA to interest expense |
|
2.6 |
x |
|
|
|
|
|
|
|
|
|
| ||||||
Ratio of total debt to Adjusted EBITDA |
|
4.4 |
x |
|
|
|
|
|
|
|
|
|
| ||||||
Summary Pro Forma Financial Data: |
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||
Pro forma interest expense(5) |
|
$ |
60,745 |
|
|
|
|
|
|
|
|
|
|
| |||||
Pro forma total debt (end of period) |
|
656,967 |
|
|
|
|
|
|
|
|
|
|
| ||||||
Pro forma Adjusted EBITDA(6) |
|
130,584 |
|
|
|
|
|
|
|
|
|
|
| ||||||
Ratio of pro forma Adjusted EBITDA to pro forma interest expense(4)(5) |
|
2.1 |
x |
|
|
|
|
|
|
|
|
|
| ||||||
Ratio of pro forma total debt to pro forma Adjusted EBITDA(5)(6) |
|
5.0 |
x |
|
|
|
|
|
|
|
|
|
| ||||||
Other Operating Data (as of end of period): |
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||
Medical equipment (approximate number of owned outsourcing units) |
|
236,000 |
|
236,000 |
|
227,000 |
|
231,000 |
|
223,000 |
|
211,000 |
| ||||||
District offices |
|
84 |
|
84 |
|
84 |
|
84 |
|
84 |
|
84 |
| ||||||
Number of outsourcing hospital customers |
|
4,325 |
|
4,325 |
|
4,225 |
|
4,250 |
|
4,200 |
|
4,125 |
| ||||||
Number of total outsourcing customers |
|
8,600 |
|
8,600 |
|
8,500 |
|
8,600 |
|
8,450 |
|
8,150 |
| ||||||
(1) Represents total current assets (excluding cash and cash equivalents) less total current liabilities (excluding current portion of long-term debt).
(2) EBITDA is defined as earnings before interest expense, income taxes, depreciation and amortization. In addition to using EBITDA internally as a measure of operational performance, we disclose it externally to assist analysts, investors and lenders in their comparisons of operational performance, valuation and debt capacity across companies with differing capital, tax and legal structures. Management also understands that some industry analysts and investors consider EBITDA as a supplementary non-GAAP financial measure useful in analyzing a companys ability
to service debt. EBITDA, however, is not a measure of financial performance under GAAP and should not be considered as an alternative to, or more meaningful than, net income as a measure of operating performance or to cash flows from operating, investing or financing activities or as a measure of liquidity. Since EBITDA is not a measure determined in accordance with GAAP and is thus susceptible to varying interpretations and calculations, EBITDA, as presented, may not be comparable to other similarly titled measures of other companies. EBITDA does not represent an amount of funds that is available for managements discretionary use. See footnote 3 below for a reconciliation of net cash provided by operating activities to EBITDA.
(3) Adjusted EBITDA is defined as earnings before interest, taxes, depreciation and amortization before management and board and strategic fees, stock-based compensation expense, and Accounting Standards Codification 805 purchase price accounting impact, which may not be calculated consistently among other companies applying similar reporting measures. Adjusted EBITDA is not intended to represent an alternative to operating income or cash flows from operating, financing or investing activities (as determined in accordance GAAP) as a measure of performance, and are not representative of funds available for discretionary use due to our financing obligations. Adjusted EBITDA is included because our financial guidance and certain compensation plans are based upon this measure. Management believes that Adjusted EBITDA provides an important perspective on our ability to service our long-term obligations, our ability to fund continuing growth, and our ability to continue as a going concern. See below for a reconciliation of net cash provided by operating activities to EBITDA and Adjusted EBITDA.
(4) The following is a reconciliation of net cash provided by operating activities to EBITDA and Adjusted EBITDA:
|
|
Twelve |
|
|
|
|
|
|
|
|
|
|
| ||||||
|
|
Months |
|
|
|
|
|
|
|
|
|
|
| ||||||
|
|
Ended |
|
Three Months |
|
|
|
|
|
|
| ||||||||
|
|
March 31, |
|
Ended March 31, |
|
Year Ended December 31, |
| ||||||||||||
|
|
2011 |
|
2011 |
|
2010 |
|
2010 |
|
2009 |
|
2008 |
| ||||||
|
|
(dollars in thousands) |
| ||||||||||||||||
Net cash provided by (used in) operating activities |
|
$ |
70,926 |
|
$ |
25,182 |
|
$ |
30,412 |
|
$ |
76,156 |
|
$ |
55,988 |
|
$ |
56,249 |
|
Changes in operating assets and liabilities |
|
3,096 |
|
(4,784 |
) |
(9,944 |
) |
(2,064 |
) |
6,159 |
|
3,601 |
| ||||||
Other non-cash expenses (income) |
|
(15,522 |
) |
(3,846 |
) |
212 |
|
(11,464 |
) |
6,327 |
|
6,477 |
| ||||||
Provision (benefit) for income taxes |
|
3,234 |
|
214 |
|
(1,328 |
) |
1,692 |
|
(11,489 |
) |
(15,359 |
) | ||||||
Interest expense |
|
46,656 |
|
11,706 |
|
11,507 |
|
46,457 |
|
46,505 |
|
46,878 |
| ||||||
EBITDA(2) |
|
108,390 |
|
28,472 |
|
30,859 |
|
110,777 |
|
103,490 |
|
97,846 |
| ||||||
Adjusted for: |
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||
Management, board & strategic fees(a) |
|
3,579 |
|
1,630 |
|
483 |
|
2,432 |
|
1,265 |
|
1,311 |
| ||||||
Stock-based compensation expense(b) |
|
8,093 |
|
1,098 |
|
338 |
|
7,333 |
|
1,330 |
|
2,540 |
| ||||||
Purchase accounting adjustments(c) |
|
722 |
|
90 |
|
426 |
|
1,058 |
|
1,971 |
|
2,319 |
| ||||||
Adjusted EBITDA(3) |
|
120,784 |
|
$ |
31,290 |
|
$ |
32,106 |
|
$ |
121,600 |
|
$ |
108,056 |
|
$ |
104,016 |
| |
Pro forma effect of the Emergent Acquisition(d) |
|
8,100 |
|
|
|
|
|
|
|
|
|
|
| ||||||
Pro forma effect of Equipment Rental Acquisition(e) |
|
1,700 |
|
|
|
|
|
|
|
|
|
|
| ||||||
Pro forma Adjusted EBITDA(3) |
|
$ |
130,584 |
|
|
|
|
|
|
|
|
|
|
|
(a) Represents the add back of non-operating expenses consisting of management fees to IPC, board of directors fees and expenses, certain merger, acquisition and strategic expenses and, for the three months ended March 31, 2011 and the twelve months ended March 31, 2011, certain integration expenses.
(b) Represents the add back of non-cash stock-based compensation recognized in our historical financial statements.
(c) Represents the add back of the non-cash impact of purchase accounting adjustments related to rent expense and cost of sales inventory and equipment related to the Recapitalization.
(d) Represents the effect on pro forma Adjusted EBITDA resulting from the Emergent Acquisition as if it had been consummated on April 1, 2010. We cannot assure you that we will be able to successfully integrate the acquisition or that we will achieve this level of EBITDA. See Risk FactorsOur growth strategy depends in part on our ability to successfully identify and manage our acquisitions and a failure to do so could impede our revenue growth, thereby weakening our industry position.
(e) Represents managements estimate of the effect on pro forma Adjusted EBITDA resulting from the Equipment Rental Acquisition as if it had been acquired on April 1, 2010. We cannot assure you that we will be able to successfully integrate the acquisition or that we will achieve this level of EBITDA in any future period. See Risk FactorsOur growth strategy depends in part on our ability to successfully identify and manage our acquisitions and a failure to do so could impede our revenue growth, thereby weakening our industry position.
(5) For the twelve months ended March 31, 2011, pro forma interest expense is interest expense adjusted for the effect of the issuance of the new notes (assuming the new notes are issued at par), the repayment of a portion of the revolving borrowings under our senior secured credit facility and additional capital lease interest relating to leases assumed in connection with the Emergent Acquisition.
(6) Pro forma Adjusted EBITDA for the twelve months ended March 31, 2011 is defined as Adjusted EBITDA adjusted for the Emergent Acquisition and the Equipment Rental Acquisition as if each had occurred on April 1, 2010. See Recent Developments.
Exhibit 99.2
Universal Hospital Services, Inc. Announces Proposed Private Offering of
$175 Million of Second Lien Senior Secured PIK Toggle Notes
Edina, Minn., June 14, 2011 Universal Hospital Services, Inc. (UHS) today announced that it intends to offer (the Offering) $175 million in aggregate principal amount of its 8.50/9.25% second lien senior secured PIK toggle notes due in 2015 (the New Notes). The New Notes are being offered as additional debt securities under an indenture pursuant to which UHS previously issued $230 million in aggregate principal amount of 8.50/9.25% second lien senior secured PIK toggle notes due in 2015. UHS intends to use the net proceeds of the Offering to, among other things, (i) repay all of the revolving borrowings under our senior secured credit facility, (ii) pay fees and expenses relating to the offering, (iii) pay a cash distribution to our equity holders and related option payments and (iv) to the extent available, for general corporate purposes. Following repayment of all the borrowings under our senior secured credit facility in connection with this offering, we plan to pay a cash distribution to our equity holders and related option payments in an amount up to $34.5 million with proceeds of the offering and, if necessary, additional borrowings under our senior secured credit facility.
The New Notes will be the second lien senior secured obligations of UHS and will be guaranteed, jointly and severally, on a second lien senior secured basis, by our existing current and certain of our future wholly-owned domestic subsidiaries. The Offering is subject to customary conditions, and there can be no assurances that the Offering will be consummated.
The New Notes have not been registered under the Securities Act of 1933, as amended (the Securities Act) or the securities laws of any other jurisdiction. As a result, they may not be offered or sold in the United States or to any U.S. persons except pursuant to an applicable exemption from, or in a transaction not subject to, the registration requirements of the Securities Act. The New Notes will be offered only to qualified institutional buyers pursuant to Rule 144A under the Securities Act and to non-U.S. persons outside the United States under Regulation S under the Securities Act.
This news release does not constitute an offer to sell, or a solicitation of an offer to buy, any securities. The Offering will be made only by means of the confidential offering memorandum.
About Universal Hospital Services, Inc.
Universal Hospital Services, Inc. is a leading nationwide provider of medical equipment management and service solutions to the health care industry. UHS manages more than 580,000 pieces of medical equipment for over 8,600 clients in all 50 states. For more than 70 years, UHS has delivered management and service solutions that help clients reduce costs, increase operating efficiencies, improve caregiver satisfaction and support optimal patient outcomes.
Safe Harbor for Forward-Looking and Cautionary Statements
This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Such forward-looking statements are subject to risks and uncertainties that may be described from time to time in UHS filings with the Securities and Exchange Commission. Readers are cautioned not to place undue reliance on the forward-looking statements contained herein, which speak only as of the date hereof. UHS undertakes no obligation to publicly update any forward-looking statement, whether as a result of new information, future developments or otherwise, except as may be required by law. Factors which could materially affect such forward-looking statements are described in the confidential offering memorandum prepared by UHS in connection with the Offering.
Contacts
Universal Hospital Services, Inc.
Rex Clevenger, 952-893-3254
Executive Vice President and Chief Financial Officer
###