10-Q 1 a5395628.htm UNIVERSAL HOSPITAL SERVICES, INC. 10-Q Universal Hospital Services, Inc. 10-Q
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 10-Q
 

(Mark One)
 
(X)
Quarterly Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 for the quarterly period ended March 31, 2007
   
( )
Transition Report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 for the transition period from _________ to _________
 
Commission File Number: 000-20086

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

Delaware
41-0760940
(State or other jurisdiction of
(I.R.S. Employer
incorporation or organization)
Identification No.)
 
7700 France Avenue South, Suite 275
 Edina, Minnesota 55435-5228
(Address of principal executive offices, including zip code)
 
 (952) 893-3200
(Registrant’s telephone number, including area code)
 
Not Applicable
(Former name, former address and former fiscal year, if changed since last report)

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.

Yes ( ) No (X)

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer. See definition of “accelerated filer and large accelerated filer” in Rule 12b-2 of the Exchange Act. (Check one):
 
Larger accelerated filer ( )
Accelerated filer ( )
Non-accelerated filer (X)
 
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).

Yes ( ) No (X)

Number of shares of common stock outstanding as of April 20, 2007: 123,480,264.21
 
1

 
PART I - FINANCIAL INFORMATION
Item 1. Financial Statements - Unaudited

Universal Hospital Services, Inc.
 
Statements of Operations
(in thousands)
(unaudited)
 
   
Three Months Ended
March 31,
 
Revenue
 
2007
 
2006
 
Medical equipment outsourcing
 
$
50,989
 
$
45,438
 
Technical and professional services
   
8,052
   
8,083
 
Medical equipment sales and remarketing
   
4,508
   
4,461
 
Total revenues
   
63,549
   
57,982
 
               
Cost of Sales
             
Cost of medical equipment outsourcing
   
16,522
   
13,728
 
Cost of technical and professional services
   
5,323
   
5,509
 
Cost of medical equipment sales and remarketing
   
3,688
   
3,177
 
Movable medical equipment depreciation
   
10,262
   
9,029
 
Total costs of medical equipment outsourcing, technical and professional services and medical equipment sales and remarketing
   
35,795
   
31,443
 
Gross margin
   
27,754
   
26,539
 
               
Selling, general and administrative
   
16,294
   
14,965
 
Operating income
   
11,460
   
11,574
 
               
Interest expense
   
8,082
   
7,817
 
Income before income taxes
   
3,378
   
3,757
 
               
Provision for income taxes
   
188
   
204
 
Net income
 
$
3,190
 
$
3,553
 
               
The accompanying notes are an integral part of the unaudited financial statements.
 
 
2

 
Universal Hospital Services, Inc.
 
Balance Sheets
(in thousands, except share and per share information)
(unaudited)
 
   
March 31,
 
December 31,
 
   
2007
 
2006
 
Assets
         
Current assets:
         
Accounts receivable, less allowance for doubtful accounts of
             
$1,250 at March 31, 2007 and $1,350 at December 31, 2006 
 
$
46,841
 
$
42,976
 
Inventories
   
5,475
   
4,872
 
Deferred income taxes
   
4,830
   
4,772
 
Other current assets
   
3,839
   
3,121
 
Total current assets
   
60,985
   
55,741
 
               
Property and equipment, net:
             
Movable medical equipment, net
   
152,943
   
140,548
 
Property and office equipment, net
   
15,698
   
16,079
 
Total property and equipment, net
   
168,641
   
156,627
 
               
Intangible assets:
             
Goodwill
   
37,062
   
37,062
 
Other, primarily deferred financing costs, net
   
7,158
   
7,607
 
Other intangibles, net
   
7,538
   
7,969
 
Total assets
 
$
281,384
 
$
265,006
 
               
Liabilities and Shareholders' Deficiency
             
Current liabilities:
             
Current portion of long-term debt
 
$
3,096
 
$
3,056
 
Book overdrafts
   
2,118
   
1,788
 
Accounts payable
   
17,272
   
13,678
 
Accrued compensation
   
10,322
   
10,241
 
Accrued interest
   
11,366
   
4,810
 
Other accrued expenses
   
3,577
   
4,311
 
Total current liabilities
   
47,751
   
37,884
 
               
Long-term debt, less current portion
   
309,997
   
307,135
 
Pension and other long-term liabilities
   
5,610
   
5,769
 
Deferred income taxes
   
7,386
   
7,199
 
               
Commitments and contingencies
             
               
Shareholders' deficiency:
             
Common stock, $0.01 par value; 500,000,000 shares authorized,
             
123,468,598.21 and 123,463,600.21 shares issued and 
             
outstanding at March 31, 2007 and December 31, 2006, respectively 
   
1,235
   
1,235
 
Additional paid-in capital
   
2,919
   
2,488
 
Accumulated deficit
   
(90,337
)
 
(93,527
)
Accumulated other comprehensive loss
   
(3,177
)
 
(3,177
)
Total shareholders' deficiency
   
(89,360
)
 
(92,981
)
Total liabilities and shareholders' deficiency
 
$
281,384
 
$
265,006
 
 
The accompanying notes are an integral part of the unaudited financial statements.
 
3

 
Universal Hospital Services, Inc.
 
Statements of Cash Flows
(in thousands)
(unaudited)
 
   
Three Months Ended March 31,
 
   
2007
 
2006
 
Cash flows from operating activities:
             
Net income
 
$
3,190
 
$
3,553
 
Adjustments to reconcile net income to net cash provided by
             
operating activities:
             
Depreciation 
   
12,060
   
10,249
 
Amortization of intangibles and deferred financing costs 
   
860
   
890
 
Provision for doubtful accounts 
   
157
   
331
 
Provision for inventory obsolescence 
   
163
   
175
 
Non-cash stock-based compensation expense 
   
426
   
403
 
Gain on sales and disposals of equipment 
   
(127
)
 
(443
)
Deferred income taxes 
   
129
   
141
 
Changes in operating assets and liabilities
             
Accounts receivable 
   
(4,002
)
 
(1,824
)
Inventories and other operating assets 
   
(485
)
 
(555
)
Accounts payable, accrued expenses and other 
             
long-term liabilities 
   
6,915
   
7,228
 
Net cash provided by operating activities
   
19,286
   
20,148
 
Cash flows from investing activities:
             
Movable medical equipment purchases
   
(20,489
)
 
(12,178
)
Property and office equipment purchases
   
(1,003
)
 
(868
)
Proceeds from disposition of movable medical equipment
   
430
   
729
 
Other
   
(1,000
)
 
0
 
Net cash used in investing activities
   
(22,062
)
 
(12,317
)
Cash flows from financing activities:
             
Proceeds under revolving credit facility agreements
   
25,900
   
18,400
 
Payments under revolving credit facility agreements
   
(22,650
)
 
(24,810
)
Payments of principal under capital lease obligations
   
(809
)
 
(263
)
Change in book overdrafts
   
330
   
(1,177
)
Proceeds from issuance of common stock
   
5
   
19
 
Net cash provided by (used in) financing activities
   
2,776
   
(7,831
)
Net change in cash and cash equivalents
 
$
-
 
$
-
 
               
Cash and cash equivalents at the beginning of period
 
$
-
 
$
-
 
Cash and cash equivalents at the end of period
 
$
-
 
$
-
 
               
Supplemental cash flow information:
             
Interest paid
 
$
1,097
 
$
535
 
Movable medical equipment purchases included in accounts payable
 
$
9,832
 
$
4,070
 
Income taxes paid
 
$
26
 
$
48
 
Capital lease purchases
 
$
461
 
$
-
 
               
The accompanying notes are an integral part of the unaudited financial statements.
 
 
4

 
Universal Hospital Services, Inc.

NOTES TO UNAUDITED QUARTERLY FINANCIAL STATEMENTS

1.
Basis of Presentation

The interim financial statements included in this Form 10-Q have been prepared by Universal Hospital Services, Inc. (“we”, “our”, “the Company” or “UHS”) without audit, pursuant to the rules and regulations of the Securities and Exchange Commission. Certain information and footnote disclosures normally included in financial statements prepared in accordance with accounting principles generally accepted in the United States of America have been condensed or omitted, pursuant to such rules and regulations. These condensed financial statements should be read in conjunction with the financial statements and related notes included in the Company’s 2006 Annual Report on Form 10-K filed with the Securities and Exchange Commission.

The interim financial statements presented herein as of March 31, 2007 and for the three months ended March 31, 2007 and 2006, reflect, in the opinion of management, all adjustments necessary for a fair presentation of the financial position and the results of operations and cash flows for the periods presented. These adjustments are all of a normal, recurring nature. The results of operations for any interim period are not necessarily indicative of results for the full year.

The December 31, 2006 balance sheet amounts were derived from audited financial statements, but do not include all disclosures required by accounting principles generally accepted in the United States of America.

2.
Recent Accounting Pronouncements
 
In February 2007, the Financial Accounting Standards Board (“FASB”) issued Statement of Financial Accounting Standards (“SFAS”) No. 159, The Fair Value Option for Financial Assets and Financial Liabilities (“SFAS 159”), which permits entities to elect to measure many financial instruments and certain other items at fair value that are not currently required to be measured at fair value. This election is irrevocable. The provisions of SFAS No. 159 are effective for fiscal years beginning after November 15, 2007. We are currently evaluating the impact of this statement, but believe the adoption of SFAS 159 will not have a material impact on our financial position or results of operations.

In September 2006, the FASB issued SFAS No. 158, Employers Accounting for Defined Benefit Pension and Other Postretirement Plans, an Amendment of FASB Statements No. 87, 88, 106 and 123(R). SFAS No. 158 requires employers to recognize the under funded or over funded status of a defined benefit post retirement plan as an asset or liability in its statements of financial position and to recognize changes in the funded status in the year in which the changes occur through accumulated other comprehensive income. Additionally, SFAS No. 158 requires employers to measure the funded status of a plan as of the date of its year-end statement of financial position. The provisions of SFAS No. 158 are effective as of the end of the fiscal year ending after June 15, 2007. We are currently evaluating the impact of this statement, but believe the adoption of SFAS No. 158 will not have a material impact on our financial position or results of operations.
 
5

 
In September 2006, the FASB issued SFAS No. 157, Fair Value Measurements. SFAS No. 157 clarifies the principle that fair value should be based on the assumptions that market participants would use when pricing an asset or liability. Additionally, it establishes a fair value hierarchy that prioritizes the information used to develop those assumptions. The provisions of SFAS No. 157 are effective for fiscal years beginning after November 15, 2007. We believe the adoption of SFAS No. 157 will not have a material impact on our financial position or results of operations.
 
3.
Stock-Based Compensation

During the three months ended March 31, 2007, activity under our 2003 Stock Option Plan was as follows:
 
(in thousands except exercise price and years)
 
Number of
Options
 
Weighted
average
exercise price
 
Outstanding at December 31, 2006
   
16,309
 
$
1.14
 
Granted
   
-
       
Exercised
   
(5
)
$
1.10
 
Forfeited or expired
   
(54
)
$
1.69
 
               
Outstanding at March 31, 2007
   
16,250
 
$
1.13
 
               
Exercisable at March 31, 2007
   
3,396
 
$
1.02
 

4.
Long-Term Debt

Long-term debt consists of the following:

(dollars in thousands)
 
March 31,
 
December 31,
 
   
2007
 
2006
 
10.125% senior notes
 
$
260,000
 
$
260,000
 
Amended credit agreement
   
46,250
   
43,000
 
Capital lease obligations
   
6,843
   
7,191
 
     
313,093
   
310,191
 
               
Less: Current portion of long-term debt
   
(3,096
)
 
(3,056
)
               
Total long-term debt
 
$
309,997
 
$
307,135
 
 
6

 
The 10.125% Senior Notes (“Senior Notes”) mature on November 1, 2011. Interest on the Senior Notes accrues at the rate of 10.125% per annum and is payable semiannually on each May 1 and November 1. The Senior Notes are redeemable, at the Company’s option, in whole or in part of, on or after November 1, 2007, at specified redemption prices plus accrued interest to the date of redemption. In addition, the Senior Notes have a change of control provision, which gives each holder the right to require the Company to purchase all or a portion of such holders’ Senior Notes upon a change in control, as defined in the Senior Notes agreement, at a purchase price equal to 101% of the principal amount plus accrued interest to the date of purchase. The Senior Notes, subject to certain definitions and exceptions, have covenants that restrict the incurrence of additional debt, the payment of dividends and the issuance of preferred stock. The Senior Notes are uncollateralized. As noted in footnote 8, the Company expects to tender for the Senior Notes in advance of closing the Merger Agreement, which is expected to occur in the second quarter of 2007.

Amounts borrowed under the Amended Credit Agreement generally bear interest on a LIBOR-based and index-rate formula. The interest rates at March 31, 2007 were 2.00% over LIBOR and 0.75% over the index rate with the interest rate margins subject to change based upon quarterly leverage ratios. At March 31, 2007 our LIBOR-based rate was 7.32% and our Index-based Rate was 9.00%, both of which include the credit spreads noted above. Interest on borrowings is paid monthly or as defined by the agreement dated May 26, 2005 as amended February 13, 2007. In addition, the Amended Credit Agreement also provides that a commitment fee of .375% per annum is payable on the unutilized amount of the facility.

The Amended Credit Agreement allows for borrowing up to $125.0 million, as defined in the agreement dated May 26, 2005 as amended February 13, 2007, and terminates on May 26, 2010. The Amended Credit Agreement allows for up to $5.0 million of the facility to be available for letters of credit. Availability under the Amended Credit Agreement as of March 31, 2007, was approximately $76.4 million, representing our borrowing base of $125.0 million less borrowings of $46.3 million and outstanding letters of credit of $2.3 million. Amounts borrowed under the Amended Credit Agreement are due at the end of the term in May 2010. Borrowings under the agreement are collateralized by substantially all the assets of the Company. As part of the Merger Agreement expected to close in the second quarter of 2007, the Company expects to refinance its existing Amended Credit Agreement.

On February 13, 2007, we entered into Amendment No. 1 (“the Amendment”) to our Amended Credit Agreement. The Amendment permits us to consummate the acquisition of the ICMS division of Intellamed, Inc. as described below under footnote 8.

5.
Income Taxes

We adopted the provisions of FASB Interpretation No 48, Accounting for Uncertainty in Income Taxes - an interpretation of FASB No. 109” (“FIN 48”), on January 1, 2007. FIN 48 clarifies the accounting for uncertainty in income taxes recognized in an enterprise’s financial statements in accordance with FASB Statement 109, Accounting for Income Taxes, and prescribes a recognition threshold and measurement process for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. FIN 48 also provides guidance on derecognition, classification, interest and penalties, accounting in interim periods, disclosure and transition.
 
7

 
Based on our evaluation, we have concluded that there are no significant unrecognized tax benefits. Our evaluation was performed for the tax years ended December 31, 2003, 2004, 2005 and 2006, the tax years that remain subject to examination by major tax jurisdictions as of March 31, 2007. We do not believe there will be any material changes in our unrecognized tax positions over the next 12 months.

We may from time to time be assessed interest or penalties by major tax jurisdictions, although any such assessments historically have been minimal and immaterial to our financial results. In accordance with FIN 48, paragraph 19, the Company has decided to classify interest and penalties as a component of income tax expense.

6.
Segment Information

Our operating segments consist of Medical Equipment Outsourcing, Technical and Professional Services, and Medical Equipment Sales and Remarketing. Certain operating information for our segments is as follows:
 
   
Three Months Ended March 31,
 
   
(dollars in thousands)
 
   
Medical Equipment
Outsourcing
 
Technical and
Professional Services
 
Medical Equipment
Sales
and Remarketing
 
Total
 
   
2007
 
2006
 
2007
 
2006
 
2007
 
2006
 
2007
 
2006
 
Revenues
 
$
50,989
 
$
45,438
 
$
8,052
 
$
8,083
 
$
4,508
 
$
4,461
 
$
63,549
 
$
57,982
 
Cost of revenue
   
16,522
   
13,728
   
5,323
   
5,509
   
3,688
   
3,177
   
25,533
   
22,414
 
Movable medical equipment depreciation
   
10,262
   
9,029
   
-
   
-
   
-
   
-
   
10,262
   
9,029
 
Gross margin
 
$
24,205
 
$
22,681
 
$
2,729
 
$
2,574
 
$
820
 
$
1,284
 
$
27,754
 
$
26,539
 
 
7.
Pension Plan

The components of net periodic pension costs are as follows:

(dollars in thousands)
 
Three Months Ended
March 31,
 
   
2007
 
2006
 
           
Interest cost
 
$
253
 
$
248
 
Expected return on plan assets
   
(271
)
 
(252
)
Recognized net actuarial loss
   
44
   
77
 
Service cost
   
-
   
-
 
               
Total cost
 
$
26
 
$
73
 

Future benefit accruals for all participants were frozen as of December 31, 2002.
 
8

 
8.
Subsequent Events

On April 1, 2007, we completed the acquisition of the assets of the ICMS division of Intellamed, Inc. (“Intellamed”) and the assumption by UHS of certain liabilities in connection therewith for a purchase price of $14.4 million in cash, subject to certain adjustments and a holdback. In addition, subject to certain conditions, UHS is to pay earnout consideration to Intellamed during the first and second 12 consecutive month periods following the April 1, 2007 closing date.

On April 15, 2007, we entered into an Agreement and Plan of Merger (“the Merger Agreement”) with an affiliate of Bear Stearns Merchant Banking, the private equity affiliate of The Bear Stearns Companies Inc., for aggregate merger consideration equal to the total transaction value of $712 million plus or minus adjustments as defined in the Merger Agreement.

Completion of the merger transaction is subject to expiration of the waiting period under the Hart-Scott-Rodino Antitrust Improvements Act of 1976, as amended, the absence of orders or legal requirements preventing consummation of the transaction, receipt of required governmental approvals, absence of a material adverse effect on the Company, accuracy of representations and warranties of, and performance of certain covenants made by, the parties, and delivery of certain customary agreements, instruments and certificates. Related to the transaction, the Company expects to tender for the Senior Notes in advance of closing, which is expected to close in the second quarter of 2007.

Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations

The following should be read in conjunction with the accompanying financial statements and notes.
 
BUSINESS OVERVIEW

Our Company

Universal Hospital Services, Inc. is a leading, nationwide provider of medical equipment outsourcing and services to the health care industry. Our customers include national, regional and local acute care hospitals, alternate site providers (such as nursing homes and home care providers) and medical equipment manufacturers. Our diverse customer base includes more than 3,750 acute care hospitals and approximately 3,350 alternate site providers. We also have extensive and long-standing relationships with over 240 major medical equipment manufacturers and many of the nation’s largest group purchasing organizations (“GPOs”) and integrated delivery networks. All of our services leverage our nationwide network of offices and our more than 65 years of experience managing and servicing all aspects of movable medical equipment. These services are paid for by our customers and not directly through reimbursement from governmental or other third-party payors.
 
9

 
Technical and Professional
Services Segment
 
Medical Equipment
Outsourcing Segment
 
 
 
Medical Equipment Sales and
Remarketing Segment
 
Technical and Professional
Services Segment
 
Our operating segments consist of Medical Equipment Outsourcing, Technical and Professional Services and Medical Equipment Sales and Remarketing. We evaluate the performance of our operating segments based on gross margin. The accounting policies of the individual operating segments are the same as those of the entire Company.

Medical Equipment Outsourcing Segment - Manage & Utilize

Our flagship business is our Medical Equipment Outsourcing segment, which accounted for $51.0 million, or approximately 80.2%, of our revenues for the first quarter of 2007. We own approximately 182,000 pieces of movable medical equipment, primarily in the categories of respiratory therapy, newborn care, critical care, patient monitors, and specialty beds and pressure area management. In our outsourcing programs we provide our customers with the use of movable medical equipment for patient care use. We perform regular and preventative maintenance on the equipment and retain detailed records for documentation. We are responsible for all repairs, testing and cleaning of the equipment. Our service includes prompt replacement of any non-working equipment and the flexibility to upgrade technology as a hospital's product of choice changes. We have three primary outsourcing programs: Supplemental (Peak Needs) Outsourcing; Long Term Outsourcing; and the Asset Management Partnership Program (“AMPP”).

We have contracts in place with many of the leading national GPOs for both the acute care and alternate site markets. We also have agreements directly with national acute care and alternate site providers. We expect much of our future growth in this segment to be driven by our customers outsourcing more of their movable medical equipment needs and taking full advantage of our expanded offering of Long Term Outsourcing agreements and AMPPs.

Technical and Professional Services Segment - Plan & Acquire; Maintain & Repair

Our Technical and Professional Services segment accounted for $8.1 million, or approximately 12.7%, of our revenues for the first quarter of 2007. We leverage our 65 plus 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 250 technicians and professionals located in our nationwide network of district offices and service centers. Our technical and professional service offerings are less capital intensive than our Medical Equipment Outsourcing segment, and provide a complementary alternative for customers that wish to own their medical equipment, but lack the expertise, funding or scale to perform maintenance, repair and analytical functions.
 
10

 
Medical Equipment Sales and Remarketing Segment - Redeploy & Remarket
 
Our Medical Equipment Sales and Remarketing segment accounted for $4.5 million, or approximately 7.1%, of our revenues for the first quarter of 2007. This segment includes three business activities:

Medical Equipment Remarketing and Disposal. We are one of the nation’s largest buyers and sellers of pre-owned movable medical equipment. We also remarket used medical equipment to hospitals, alternate care providers, veterinarians and equipment brokers. We offer a wide range of equipment from our standard movable medical equipment to diagnostic, ultrasound and x-ray equipment.

Specialty Medical Equipment Sales and Distribution. We use our national infrastructure to provide sales and distribution for manufacturers of specialty medical equipment on a limited and exclusive basis. We currently sell equipment in many product lines including, but not limited to, percussion vests, continuous passive motion machines, patient monitors, patient transfer systems and infant security systems.

Sales of Disposables. We offer our customers single use disposable items. Most of these items are used in connection with our outsourced equipment. Although we do not view this as a core growth business, we offer these products as a convenience to customers and to complement our full medical equipment lifecycle offerings.

RESULTS OF OPERATIONS

The following discussion addresses our financial condition as of March 31, 2007, and the results of operations and cash flows for the three months ended March 31, 2007 and 2006. This discussion should be read in conjunction with the financial statements included elsewhere in this report and the Management's Discussion and Analysis of Financial Condition and Results of Operations section included in our 2006 Annual Report on Form 10-K filed with the Securities and Exchange Commission.
 
The following table provides a summary of selected financial data as a percentage of total revenues and also indicates the percentage increase or decrease of this data over the prior comparable period:
 
11

 
   
Percent of Total Revenues
 
Percent Increase
 
   
Three Months Ended
 
(Decrease)
 
   
March 31,
 
Qtr 1 - 2007
 
           
Over
 
Revenue
 
2007
 
2006
 
Qtr 1 - 2006
 
Medical equipment outsourcing
   
80.2
%
 
78.4
%
 
12.2
%
Technical and professional services
   
12.7
   
13.9
   
(0.4
)
Medical equipment sales and remarketing
   
7.1
   
7.7
   
1.1
 
Total revenues
   
100.
%
 
100.0
%
 
9.6
 
                     
Cost of Revenue
                   
Cost of medical equipment outsourcing
   
26.0
   
23.6
   
20.4
 
Cost of technical and professional services
   
8.4
   
9.5
   
(3.4
)
Cost of medical equipment sales and remarketing
   
5.8
   
5.5
   
16.1
 
Movable medical equipment depreciation
   
16.1
   
15.6
   
13.7
 
Total costs of medical equipment outsourcing, technical and professional services
and medical equipment sales and remarketing
   
56.3
   
54.2
   
13.8
 
Gross margin
   
43.7
   
45.8
   
4.6
 
                     
Selling, general and administrative
   
25.6
   
25.8
   
8.9
 
Operating income
   
18.1
   
20.0
   
(1.0
)
                     
Interest expense
   
12.7
   
13.5
   
3.4
 
Income before income taxes
   
5.4
   
6.5
   
(10.1
)
                     
Provision for income taxes
   
0.3
   
0.4
   
(7.8
)
Net income
   
5.1
%
 
6.1
%
 
(10.2
)%
 
Comparison of First Quarter 2007 to First Quarter 2006
Medical Equipment Outsourcing Segment - Manage & Utilize
(dollars in thousands)
 
Three Months Ended
         
   
March 31,
         
   
2007
 
2006
 
Change
 
%Change
 
Total revenue
 
$
50,989
 
$
45,438
 
$
5,551
   
12.2
%
Cost of revenue
   
16,522
   
13,728
   
2,794
   
20.4
 
Movable medical equipment depreciation
   
10,262
   
9,029
   
1,233
   
13.7
 
Gross margin
 
$
24,205
 
$
22,681
 
$
1,524
   
6.7
%
                           
Gross margin %
   
47.5
%
 
49.9
%
           

Total revenue in the Medical Equipment Outsourcing segment rose $5.6 million, or 12.2%, to $51.0 million in the first quarter of 2007. This increase was driven by organic and competitive takeaway growth in our acute care and AMPP customer base and incremental business from new and existing technology in our fleet which more than offset generally weak hospital admissions and increased hospital equipment purchases.
 
12

 
Total cost of revenue in the segment rose $2.8 million, or 20.4%, to $16.5 million in the first quarter of 2007. This increase is primarily attributable to higher maintenance expense related to our movable medical equipment, increased labor expense, increased freight expense and other costs associated with increased revenues and a larger moveable medical equipment fleet.

Movable medical equipment depreciation increased $1.2 million, or 13.7%, to $10.3 million in the first quarter of 2007. The increase is attributable to the increase in the size of our moveable medical equipment fleet.

Gross margin percentage for the Medical Equipment Outsourcing segment decreased from 49.9% in the first quarter of 2006 to 47.5% in the first quarter of 2007. This decrease is primarily due to the increased cost of maintenance on our moveable medical equipment fleet, lower pricing related to new group purchasing organization contracts and higher labor costs partially offset by increased revenues.
 
Technical and Professional Services Segment - Plan & Acquire; Maintain & Repair
 
(dollars in thousands)
 
Three Months Ended
         
   
March 31,
         
   
2007
 
2006
 
Change
 
% Change
 
Total revenue
 
$
8,052
 
$
8,083
   
($31
)
 
(0.4
)%
Cost of revenue
   
5,323
   
5,509
   
(86
)
 
(3.4
)
Gross margin
 
$
2,729
 
$
2,574
 
$
155
   
6.0
%
                           
Gross margin %
   
33.9
%
 
31.8
%
           
 
Total revenue in the Technical and Professional Services segment remained relatively flat at $8.1 million in the first quarter of 2007 as compared to the same period of 2006. During the first quarter of 2007, increased sales force attention on converting new customers in our Medical Equipment Outsourcing segment, as well as selected contract terminations, moderated revenues.

Total cost of revenue in the segment decreased $0.2 million, or 3.4% to $5.3 million in the first quarter of 2007. This decrease is primarily attributable to lower costs in our resident biomedical programs of $0.2 million.
 
Gross margin percentage for the Technical and Professional Services segment increased from 31.8% in the first quarter of 2006 to 33.9% in the first quarter of 2007. Margins benefited primarily from the reduction of expenses in our resident biomedical programs.
 
13

 
Medical Equipment Sales and Remarketing Segment - Redeploy & Remarket
(dollars in thousands)
 
Three Months Ended
         
   
March 31,
         
   
2007
 
2006
 
Change
 
% Change
 
Total revenue
 
$
4,508
 
$
4,461
 
$
47
   
1.1
%
Cost of revenue
   
3,688
   
3,177
   
511
   
16.1
 
Gross margin
 
$
820
 
$
1,284
   
($464
)
 
(36.1
)%
                           
Gross margin %
   
18.2
%
 
28.8
%
           
 
Total revenue in the Medical Equipment Sales and Remarketing segment remained relatively flat at $4.5 million in the first quarter of 2007.

Total cost of revenue in the segment increased $0.5 million, or 16.1%, to $3.7 million in the first quarter of 2007. This increase is primarily attributable to increased cost of brokerage and used equipment of $0.7 million, partially offset by a decreased cost of disposable sales of $0.2 million.

Gross margin percentage for the Medical Equipment Sales and Remarketing segment decreased from 28.8% in the first quarter of 2006 to 18.2% in the first quarter of 2007. This decrease is primarily a result of larger individual sales with lower margins. Margins and activity in this segment will fluctuate based on the transactional nature of the business.

Selling, General and Administrative Expenses

Selling, general and administrative expenses increased $1.3 million, or 8.8%, to $16.3 million for the first quarter of 2007. The increase was primarily due to increased employee related expenses of $0.8 million, additional professional fees of $0.6 million related to the Merger Agreement, as described in more detail herein under footnote 8 to the financial statements, and increased personal property taxes of $0.3 million. The cost increases were partially mitigated by a decrease in bad debt expense of $0.2 million and other cost savings of $0.2 million. Selling, general and administrative expenses as a percentage of total revenue for the first quarter of 2007 decreased to 25.6% from 25.8% for the same period of 2006.

Interest Expense

Interest expense increased $0.3 million, or 3.4%, to $8.1 million for the first quarter of 2007 as compared to the same period of 2006. The increase was driven primarily by higher interest rates, and increased average borrowings resulting from increased moveable medical equipment purchases. Our average effective interest rate on variable rate debt increased to 7.8% during the first quarter of 2007 from 7.2% in the first quarter of 2006. Average total borrowings increased in the first quarter of 2007 to $311.6 million as compared to $295.7 million for the same period of 2006.
 
14

 
Income Taxes

Income tax expense remained relatively flat at $0.2 million for the first quarter of 2007 as compared to the same period of 2006. Income tax expense relates primarily to minimum state taxes as well as valuation allowances established for net operating losses not recognized.

Net Income

For the first quarter of 2007, net income decreased $0.3 million to $3.2 million as compared to the same period of 2006. The decrease is primarily attributable to an increase in selling, general and administrative expenses of $1.3 million and an increase in interest expense of $0.3 million, partially offset by increased gross margin of $1.2 million.

EBITDA

Earnings Before Interest, Taxes, Depreciation and Amortization (“EBITDA”) for the three months ended March 31, 2007, was $24.0 million, representing a $1.7 million, or 7.5%, increase from $22.3 million for the same period of 2006. This increase is primarily driven by revenue growth generating an increased gross margin before depreciation of $2.4 million, offsetting higher selling, general and administrative costs, excluding depreciation and amortization, of $0.8 million.

EBITDA is not intended to represent an alternative to operating income or cash flows from operating, financing or investing activities (as determined in accordance with generally accepted accounting principles (“GAAP”)) as a measure of performance, and is not representative of funds available for discretionary use due to our financing obligations. EBITDA, as defined by us, may not be calculated consistently among other companies applying similar reporting measures. EBITDA is included because it is a widely accepted financial indicator used by certain investors and financial analysts to assess and compare companies, and a version of EBITDA is an integral part of our debt covenant calculations. Management believes that 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. A reconciliation of operating cash flows to EBITDA is included below:
 
(dollars in thousands)
 
Three Months Ended
 
   
March 31,
 
   
2007
 
2006
 
Net cash provided by operating activities
 
$
19,286
 
$
20,148
 
Changes in operating assets and liabilities
   
(2,428
)
 
(4,849
)
Other non-cash expenses
   
(1,175
)
 
(1,036
)
Income tax expense
   
188
   
204
 
Interest expense
   
8,082
   
7,817
 
               
EBITDA
 
$
23,953
 
$
22,284
 
 
15

 
Supplemental Information:
         
(dollars in thousands)
 
Three Months Ended
 
   
March 31,
 
   
2007
 
2006
 
           
EBITDA
 
$
23,953
 
$
22,284
 
Net cash provided by operating activities
   
19,286
   
20,148
 
Net cash used in investing activities
   
(22,062
)
 
(12,317
)
Net cash proveded by (used in) financing activities
   
2,776
   
(7,831
)
Movable medical equipment depreciation
   
10,262
   
9,029
 
Non-movable medical equipment depreciation
 
$
1,798
 
$
1,220
 
               
Other operating data:
             
               
Movable medical equipment owned (approximate units at end of period)
   
182,000
   
164,000
 
Offices (at end of period)
   
79
   
76
 
Number of outsourcing hospital customers (approximate number at end of period)
   
3,750
   
3,300
 
Number of total outsourcing customers (approximate number at end of period)
   
7,100
   
6,350
 
 
SEASONALITY

Quarterly operating results are typically affected by seasonal factors. Historically, our first and fourth quarters are the strongest, reflecting increased hospital utilization during the fall and winter months.

LIQUIDITY AND CAPITAL RESOURCES

Our principal sources of liquidity are expected to be cash flows from operating activities and borrowings under our Amended Credit Agreement which matures in May 2010. It is anticipated that our principal uses of liquidity will be to fund capital expenditures related to purchases of movable medical equipment, provide working capital, meet debt service requirements and finance our strategic plans.

We require substantial cash to operate our Medical Equipment Outsourcing programs and service our debt. Our outsourcing programs require us to invest a significant amount of cash in movable medical equipment purchases. To the extent that such expenditures cannot be funded from our operating cash flow, borrowing under our Amended Credit Agreement or other financing sources, we may not be able to conduct our business or grow as currently planned.

If we are unable to generate sufficient cash flow from operations in order to service our debt, we will be forced to take actions such as reducing or delaying capital expenditures, selling assets, restructuring or refinancing our debt or seeking additional equity capital. This, to a certain extent, is subject to general economic, financial, competitive, legislative, regulatory and other factors that are beyond our control. If we are unable to repay our debt at maturity, we may have to obtain alternative financing, which may not be available to us.

Net cash provided by operating activities during the three months ended March 31, 2007, was $19.3 million, compared to $20.1 million in the same period of 2006. This decrease is primarily attributable to higher relative changes in our accounts receivable balance of $2.2 million. Net cash used in investing activities during the three months ended March 31, 2007, was $22.1 million, compared to $12.3 million in the same period of 2006. This increase was primarily attributable to increased purchases of rental equipment of $8.3 million to meet customer demand. Net cash provided by financing activities during the three months ended March 31, 2007, was $2.8 million, compared to net cash used in financing activities of $7.8 million in 2006, the primary difference relating to increased borrowings under our Amended Credit Agreement to fund increased moveable medical equipment purchases in 2007.
 
16

 
Based on the level of operating performance expected in 2007, we believe our cash from operations, together with additional borrowings under our Amended Credit Agreement, will meet our liquidity needs for the foreseeable future, exclusive of any borrowings that we may make to finance potential acquisitions. However, if during that period or thereafter we are not successful in generating sufficient cash flows from operations or in raising additional capital when required in sufficient amounts and on terms acceptable to us, our business could be adversely affected. Availability under our Amended Credit Agreement as of March 31, 2007 was approximately $76.4 million, representing our borrowing base of $125.0 million, net of outstanding letters of credit of $2.3 million and borrowings of $46.3 million. Our levels of borrowing are further restricted by the financial covenants set forth in our Amended Credit Agreement and the indenture governing our Senior Notes, which covenants are summarized in our Annual Report on Form 10-K for the year ended December 31, 2006, filed with the Securities and Exchange Commission. As of March 31, 2007, the Company was in compliance with all covenants under the Amended Credit Agreement.

The Company expects to incur significant indebtedness and utilize significant amounts of cash in order to complete the merger, as described in footnote 8. As a result, the Company’s future financing needs are expected to be materially impacted by the merger.

RECENT ACCOUNTING PRONOUNCEMENTS
 
In February 2007, the Financial Accounting Standards Board (“FASB”) issued SFAS No. 159, The Fair Value Option for Financial Assets and Financial Liabilities (“SFAS 159”), which permits entities to elect to measure many financial instruments and certain other items at fair value that are not currently required to be measured at fair value. This election is irrevocable. The provisions of SFAS No. 159 are effective for fiscal years beginning after November 15, 2007. We are currently evaluating the impact of this statement, but believe the adoption of SFAS 159 will not have a material impact on our financial position or results of operations.
 
In September 2006, the FASB issued SFAS No. 158, Employers Accounting for Defined Benefit Pension and Other Postretirement Plans, an Amendment of FASB Statements No. 87, 88, 106 and 123(R). SFAS No. 158 requires employers to recognize the under funded or over funded status of a defined benefit post retirement plan as an asset or liability in its statements of financial position and to recognize changes in the funded status in the year in which the changes occur through accumulated other comprehensive income. Additionally, SFAS No. 158 requires employers to measure the funded status of a plan as of the date of its year-end statement of financial position. The provisions of SFAS No. 158 are effective as of the end of the fiscal year ending after June 15, 2007. We are currently evaluating the impact of this statement, but believe the adoption of SFAS No. 158 will not have a material impact on our financial position or results of operations.
 
17

 
In September 2006, the FASB issued SFAS No. 157, Fair Value Measurements. SFAS No. 157 clarifies the principle that fair value should be based on the assumptions that market participants would use when pricing an asset or liability. Additionally, it establishes a fair value hierarchy that prioritizes the information used to develop those assumptions. The provisions of SFAS No. 157 are effective for fiscal years beginning after November 15, 2007. We believe the adoption of SFAS No. 157 will not have a material impact on our financial position or results of operations.
 
Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995: We believe statements in this quarterly report looking forward in time involve risks and uncertainties. The following factors, among others, could adversely affect our business, operations and financial condition causing our actual results to differ materially from those expressed in any forward-looking statements: our history of net losses and substantial interest expense; our need for substantial cash to operate and expand our business as planned; our substantial outstanding debt and debt service obligations; restrictions imposed by the terms of our debt; a decrease in the number of patients our customers are serving; our ability to effect change in the manner in which healthcare providers traditionally procure medical equipment; the absence of long-term commitments with customers; our ability to renew contracts with group purchasing organizations and integrated delivery networks; changes in reimbursement rates and policies by third-party payors; the impact of health care reform initiatives; the impact of significant regulation of the health care industry and the need to comply with those regulations; difficulties or delays in our continued expansion into certain of our businesses/geographic markets and developments of new businesses/geographic markets; additional credit risks in increasing business with home care providers and nursing homes; impacts of equipment product recalls or obsolescence; and increases in vendor costs that cannot be passed through to our customers. See the risk factors discussed under Part I, Item 1A of our Annual Report on Form 10-K for the year ended December 31, 2006, filed with the Securities and Exchange Commission.

Item 3. Quantitative and Qualitative Disclosures about Market Risk

Our primary exposure to market risk is interest rate risk associated with our debt instruments. We use both fixed and variable rate debt as sources of financing. At March 31, 2007, we had approximately $313.1 million of total debt outstanding, of which $46.3 million was bearing interest at variable rates of approximately 8.0%. A one percentage point change in interest rates on variable rate debt would have resulted in interest expense fluctuating approximately $0.1 million for the first three months ended March 31, 2007 and 2006. We have not entered into, and do not plan to enter into, any derivative financial instruments for trading or speculative purposes. Historically, we have not engaged in hedging activities. As of March 31, 2007, we had no other material exposure to market risk.

Item 4. Controls and Procedures

(a).Evaluation of disclosure controls and procedures.

Under the supervision and with the participation of our management, including our Chief Executive Officer and Chief Financial Officer, we evaluated the effectiveness of the design and operation of our disclosure controls and procedures (as defined in Rule 15d-15(e) under the Securities Exchange Act of 1934 as amended (the “Exchange Act”)). Based upon that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that, as of the end of the period covered by this report, our disclosure controls and procedures were effective.
 
18

 
(b).Changes in internal control over financial reporting.

During the first quarter of 2007, there has been no change in our internal control over financial reporting (as defined in Rule 15d-15(f) under the Exchange Act) that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

PART II - OTHER INFORMATION

Item 1. Legal Proceedings

From time to time, we may become involved in litigation arising out of operations in the normal course of business. As of March 31, 2007, we were not a party to any pending legal proceedings the adverse outcome of which could reasonably be expected to have a material adverse effect on our operating results, financial position, or cash flows.

Item 1A. Risk Factors

In addition to the other information set forth in this report, you should carefully consider the factors discussed in Part I, Item 1A of our Annual Report on Form 10-K for the year ended December 31, 2006, which could materially affect our business, financial condition or results of operations. The risks described in our Annual Report on Form 10-K are not the only risks facing the Company. Additional risks and uncertainties not presently known to us or that we currently believe to be immaterial may also adversely affect our business, financial condition or results of operations.

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

On March 20, 2007, pursuant to the exercise of outstanding options, we sold 4,998 shares of common stock to a departing employee in the amount of $5,497.80. The sale was completed pursuant to the exemption from registration provided under Rule 701 of the regulations of the Securities Act of 1933, as amended. The proceeds from the sale were added to our general funds and used for general corporate purposes.

Item 3. Defaults upon Senior Securities

Not applicable.

Item 4. Submission of Matters to a Vote of Security Holders

Not applicable.

Item 5. Other Information

Not applicable.
 
19

 
Item 6. Exhibits

Number
 
Description
3.1a
 
Certificate of Amendment to Certificate of Incorporation of Universal Hospital Services, Inc.*
3.1b
 
Certificate of Incorporation of Universal Hospital Services, Inc. **
3.2a
 
Amended and Restated Bylaws of Universal Hospital Services, Inc.*
3.3
 
Certification of Elimination of Series B 13% Cumulative Accruing Pay-In-Kind Preferred Stock of Universal Hospital Services, Inc.****
4.1
 
Form of certificate of common stock. **
4.2
 
Indenture, dated as of October 17, 2003, by and between Universal Hospital Services, Inc. and Wells Fargo Bank, National Association, as Trustee, relating to the registrant’s 10.125% Senior Notes due 2011 (including Form of Note).*
4.3
 
Form of Amended and Restated Stockholders’ Agreement, dated October 17, 2003, by and among Universal Hospital Services, Inc., J.W. Childs Equity Partners III, L.P., JWC Fund III Co-invest LLC, Halifax Capital Partners, L.P. and the other stockholders of Universal Hospital Services, Inc.*
4.4
 
Exchange and Registration Rights Agreement, dated as of October 17, 2003, among Universal Hospital Services, Inc., Goldman, Sachs & Co,. Credit Suisse First Boston LLC, CIBC World Markets Corp. and Jefferies & Company, Inc.***
4.5
 
10.125% Senior Notes due 2011 in the aggregate principal amount of $259,880,000.***
4.6
 
10.125% Senior Note due 2011 in the aggregate principal amount of $120,000.**
4.7
 
Blanket Issuer Letter of Representations, dated as of October 17, 2003, among Universal Hospital Services, Inc., Wells Fargo Bank, National Association and the Depository Trust Company.**
10.1
 
Agreement and Plan of Merger, dated April 15, 2007, by and among UHS Holdco, Inc., UHS Merger Sub, Inc., Universal Hospital Services, Inc. and J.W. Childs Equity Partners III, L.P.
31.1
 
Rule 13a-14(a)/15d-14(a) Certification of Chief Executive Officer
31.2
 
Rule 13a-14(a)/15d-14(a) Certification of Chief Financial Officer
32.1
 
Certification of Gary D. Blackford Pursuant to 18 U.S.C § 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
32.2
 
Certification of Rex T. Clevenger Pursuant to 18 U.S.C § 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
     

*Previously filed as an Exhibit to the Registrant’s Quarterly Report on Form 10-Q for the fiscal quarter ended September 30, 2003, and incorporated by reference herein.
** Previously filed as an Exhibit to Form S-1/A filed on September 5, 2001, and incorporated by reference herein.
***Previously filed as an Exhibit to the Registrant’s Registration Statement on Form S-4 (File No. 333-111606) and incorporated by reference herein.
****Previously filed as an Exhibit to Amendment No. 1 to the Registrant’s Registration Statement on Form S-4 (File No. 333-111606) and incorporated by reference herein.
 
20

 
SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

Date: May 8, 2007
 
 
Universal Hospital Services, Inc.
   
 
By /s/ Gary D. Blackford
 
Gary D. Blackford,
 
President and Chief Executive Officer
 
(Principal Executive Officer and Duly Authorized Officer)
   
 
By /s/ Rex T. Clevenger
 
Rex T. Clevenger,
 
Senior Vice President and Chief Financial Officer
(Principal Financial Officer)
 
21