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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, 2003

 

¨   TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE

SECURITIES EXCHANGE ACT OF 1934

 

For the transition period from                             

 

 

Commission file number: 333-49743

 

 

UNIVERSAL HOSPITAL SERVICES, INC.

(Exact name of registrant as specified in its charter)

 

 

 

Delaware

  

41-0760940

(State or other jurisdiction of

  

(IRS Employer Identification No.)

incorporation or organization)

    

 

 

1250 Northland Plaza

3800 West 80th Street

Bloomington, Minnesota 55431-4442

(Address of principal executive offices)

(Zip Code)

 

 

952-893-3200

(Registrant’s telephone number, including area code)

 

 

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 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  x        No  ¨


PART I – FINANCIAL INFORMATION

 

Item 1.    Financial Statements

 

Universal Hospital Services, Inc.

Statements of Income

(dollars in thousands)

(unaudited)

 

    

Three Months Ended

March 31,


    

2003


  

2002


Revenues:

             

Equipment outsourcing

  

$

35,721

  

$

32,802

Sales of supplies and equipment and other

  

 

3,524

  

 

3,098

Service

  

 

3,311

  

 

2,488

    

  

Total revenues

  

 

42,556

  

 

38,388

Costs of equipment outsourcing, sales and service:

             

Cost of equipment outsourcing and service

  

 

12,042

  

 

10,884

Movable medical equipment depreciation

  

 

7,852

  

 

7,206

Costs of supplies and equipment sales

  

 

2,420

  

 

2,236

    

  

Total costs of equipment outsourcing, sales and service

  

 

22,314

  

 

20,326

    

  

Gross profit

  

 

20,242

  

 

18,062

Selling, general and administrative

  

 

11,476

  

 

10,415

    

  

Operating income

  

 

8,766

  

 

7,647

Interest expense

  

 

4,351

  

 

4,557

    

  

Income before income taxes

  

 

4,415

  

 

3,090

Provision for income taxes

  

 

1,778

  

 

1,116

    

  

Net income

  

$

2,637

  

$

1,974

    

  

 

 

The accompanying notes are an integral part of the unaudited financial statements.

 

2


Universal Hospital Services, Inc.

 

Balance Sheets

(dollars in thousands, except share and per share information)

 

Assets

  

March 31, 2003


    

December 31, 2002


 
    

(unaudited)

        

Current assets:

                 

Accounts receivable, less allowance for doubtful accounts of
$1,700 at March 31, 2003 and $1,800 at December 31, 2002

  

$

32,162

 

  

$

29,807

 

Inventories

  

 

3,561

 

  

 

2,983

 

Deferred income taxes

  

 

2,763

 

  

 

3,062

 

Other current assets

  

 

1,344

 

  

 

1,700

 

    


  


Total current assets

  

 

39,830

 

  

 

37,552

 

Property and equipment, net:

                 

Movable medical equipment, net

  

 

118,966

 

  

 

118,409

 

Property and office equipment, net

  

 

5,730

 

  

 

5,746

 

    


  


Total property and equipment, net

  

 

124,696

 

  

 

124,155

 

Other assets:

                 

Goodwill

  

 

35,608

 

  

 

35,608

 

Other, primarily deferred financing costs, net

  

 

3,753

 

  

 

3,948

 

Other intangibles, net

  

 

885

 

  

 

873

 

    


  


Total assets

  

$

204,772

 

  

$

202,136

 

    


  


Liabilities and Shareholders’ Deficiency

                 

Current liabilities:

                 

Current portion of long-term debt

  

$

521

 

  

$

251

 

Accounts payable

  

 

8,354

 

  

 

11,078

 

Accrued compensation and pension

  

 

6,540

 

  

 

7,060

 

Accrued interest

  

 

1,366

 

  

 

4,962

 

Other accrued expenses

  

 

2,090

 

  

 

1,697

 

Bank overdrafts

  

 

17

 

  

 

2,712

 

    


  


Total current liabilities

  

 

18,888

 

  

 

27,760

 

Long-term debt, less current portion

  

 

208,046

 

  

 

200,555

 

Deferred compensation and pension

  

 

4,784

 

  

 

4,869

 

Deferred income taxes

  

 

4,474

 

  

 

3,062

 

Series B, 13% Cumulative Accruing Pay-In-Kind Stock, $0.01 par value; 25,000 authorized,
6,246 shares issued and outstanding at March 31, 2003 and December 31, 2002,
net of unamortized discount, including accrued stock Dividends

  

 

10,032

 

  

 

9,672

 

Common stock subject to put

  

 

11,594

 

  

 

11,576

 

Commitments and contingencies

                 

Shareholders’ deficiency:

                 

Common stock, $0.01 par value; 35,000,000 authorized, 11,394,320 issued and outstanding at
March 31, 2003 and December 31, 2002

  

 

114

 

  

 

114

 

Additional paid in capital

  

 

6,857

 

  

 

6,876

 

Accumulated deficit

  

 

(57,681

)

  

 

(59,959

)

Deferred compensation

  

 

(604

)

  

 

(657

)

Accumulated other comprehensive loss

  

 

(1,732

)

  

 

(1,732

)

    


  


Total shareholders’ deficiency

  

 

(53,046

)

  

 

(55,358

)

    


  


Total liabilities and shareholders’ deficiency

  

$

204,772

 

  

$

202,136

 

    


  


 

 

The accompanying notes are an integral part of the unaudited financial statements.

 

3


Universal Hospital Services, Inc.

 

Statements of Cash Flows

(dollars in thousands)

(unaudited)

 

    

Three Months Ended

March 31,


 
    

2003


    

2002


 

Cash flows from operating activities:

                 

Net income

  

$

2,637

 

  

$

1,974

 

Adjustments to reconcile net income to net cash provided by operating activities:

                 

Depreciation

  

 

8,378

 

  

 

7,687

 

Amortization of intangibles

  

 

286

 

  

 

319

 

Accretion of bond discount

  

 

132

 

  

 

132

 

Provision for doubtful accounts

  

 

218

 

  

 

283

 

Non-cash stock-based compensation expense upon issuance of stock options

  

 

53

 

  

 

80

 

Loss on sales/disposal of equipment

  

 

93

 

  

 

129

 

Deferred income taxes

  

 

1,711

 

  

 

1,097

 

Changes in operating assets and liabilities, net of impact of acquisitions:

                 

Accounts receivable

  

 

(2,573

)

  

 

(1,143

)

Inventories and other assets

  

 

(232

)

  

 

(150

)

Accounts payable and accrued expenses

  

 

(3,858

)

  

 

(4,308

)

    


  


Net cash provided by operating activities

  

 

6,845

 

  

 

6,100

 

    


  


Cash flows from investing activities:

                 

Movable medical equipment purchases

  

 

(11,329

)

  

 

(9,010

)

Property and office equipment purchases

  

 

(502

)

  

 

(392

)

Proceeds from disposition of movable medical equipment

  

 

419

 

  

 

171

 

Other

  

 

(103

)

  

 

(179

)

    


  


Net cash used in investing activities

  

 

(11,515

)

  

 

(9,410

)

    


  


Cash flows from financing activities:

                 

Proceeds under long-term debt

  

 

20,450

 

  

 

17,550

 

Payments under long-term debt

  

 

(13,086

)

  

 

(14,223

)

Other

           

 

87

 

Change in book overdraft

  

 

(2,694

)

  

 

(104

)

    


  


Net cash provided by financing activities

  

 

4,670

 

  

 

3,310

 

    


  


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

  

$

7,814

 

  

$

7,865

 

    


  


Movable medical equipment purchases included in accounts payable

  

$

3,324

 

  

$

5,450

 

    


  


Income taxes paid

  

$

94

 

  

$

16

 

    


  


 

 

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 condensed financial statements included in this Form 10-Q have been prepared by the Company 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 generally accepted accounting principles 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 2002 Annual Report on Form 10-K filed with the Securities and Exchange Commission.

 

The interim financial statements presented herein as of March 31, 2003 and 2002, and for the three months ended March 31, 2003 and 2002, reflect, in the opinion of management, all adjustments necessary for a fair presentation of financial position and the results of operations 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, 2002 balance sheet data was derived from audited financial statements, but does not include all disclosures required by generally accepted accounting principles.

 

2.   New Accounting Standards:

 

In July 2001, the Financial Accounting Standards Board (FASB) issued Statement of Financial Accounting Standards (SFAS) No. 143, “Accounting for Asset Retirement Obligations” requiring the recognition of a liability for an asset retirement obligation in the period in which it is incurred. When the liability is initially recorded, the carrying amount of the related long-lived asset is correspondingly increased. Over time, the liability is accreted to its present value and the related capitalized charge is depreciated over the useful life of the asset. SFAS No. 143 was effective for fiscal years beginning after June 15, 2002. The adoption of the provisions of this statement did not affect the Company’s financial statements.

 

In July 2002, the FASB issued SFAS No. 146, “Accounting for Costs Associated with Exit or Disposal Activities.” The standard requires companies to recognize costs associated with exit or disposal activities when they are incurred rather than at the date of a commitment to an exit or disposal plan. Costs covered by the standard include lease termination costs and certain employee severance costs that are associated with a restructuring, discontinued operation, plant closing, or other exit or disposal activity. This statement was to be applied prospectively to exit or disposal activities initiated after December 31, 2002. Effective January 1, 2003, the Company adopted the provisions of SFAS 146, which had no impact on its financial statements.

 

In November 2002, the FASB issued FASB Interpretation No. 45, “Guarantor’s Accounting and Disclosure Requirements for Guarantees, Including Indirect Guarantees of Indebtedness of Others” (FIN 45). FIN 45 requires that upon issuance of a guarantee, a grantor must recognize a liability for the fair value of an obligation assumed under a guarantee. FIN 45 also requires additional disclosures by a guarantor in its interim and annual financial statements about the obligations associated with guarantees issued. The recognition provisions of FIN 45 were effective for any guarantees that were issued or modified after December 31, 2002. The adoption of this statement did not have a material effect on the Company’s financial statements.

 

In January 2003, the FASB issued FIN 46, “Consolidation of Variable Interest Entities – an Interpretation of ARB No. 51.” FIN 46 clarifies the application of Accounting Research Bulletin No. 51, “Consolidated Financial Statements,” to entities in which equity investors do not have the characteristics of a controlling financial interest or do not have sufficient equity at risk for the entity to finance its activities without additional subordinated financial support from other parties. The transitional disclosure provisions of FIN 46 were effective for all financial statement issued after January 31, 2003. The Company does not have ownership in any variable interest in variable interest entities as of March 31, 2003. The measurement provisions of FIN 46 are to be applied immediately to any variable interest in variable interest entities created after January 31, 2003.

 

In December 2002, the Financial Accounting Standards board issued SFAS No. 148, “Accounting for Stock Based compensation – Transition and Disclosure – as Amendment to FAS 123.” SFAS No. 148 provides two additional transition

 

5


 

methods for entities that adopt the preferable fair value based method of accounting for stock based compensation. In addition, the statement requires disclosure of comparable information for all companies regardless of whether, when, or how an entity adopts the preferable, fair value based method of accounting. These disclosures are now required for interim periods in addition to the traditional annual disclosure. The amendments to SFAS No. 123 which provides for additional transition methods were effective for periods beginning after December 15, 2002. The transition methods were not applicable to the Company as it continues to account for stock options using the intrinsic value method. The Company adopted the additional disclosure provisions of this statement in the first quarter of 2003.

 

3.    Stock Based Compensation

 

The Company measures compensation expense for its stock-based compensation plan using the intrinsic value method. Accordingly, compensation cost for stock options granted to employees is measured as the excess, if any, of the value of the Company’s stock at the date of the grant over the amount an employee must pay to acquire the stock. Had compensation cost for the Company’s stock option plans been determined based on the fair value at the grant date for awards since 1995, the Company’s net income would have changed to the pro forma amounts indicated below (in thousands):

 

    

Three Months Ended March 31,


 
    

2003


    

2002


 

Net income, as reported

  

$

2,637

 

  

$

1,974

 

Add: Stock-based employee compensation included in
reported net income

  

 

53

 

  

 

80

 

Less: Total stock-based employee compensation
expense under fair value-based method

  

 

(251

)

  

 

(88

)

    


  


Pro forma net income

  

$

2,439

 

  

$

1,966

 

    


  


 

6


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.

 

Results of Operations

 

The following table provides information on the percentages of certain items of selected financial data bear to total revenues and also indicates the percentage increase or decrease of this information over the prior comparable period:

 

    

Percent of Total Revenues


      

Percent Increase (Decrease)


 
    

Three Months Ended

March 31,


      

Qtr 1 2003 Over Qtr 1 2002


 
    

2003


      

2002


      

Revenues:

                        

Equipment outsourcing

  

83.9

%

    

85.4

%

    

8.9

%

Sales of supplies and equipment and other

  

8.3

%

    

8.1

%

    

13.8

%

Service

  

7.8

%

    

6.5

%

    

33.1

%

    

    

        

Total revenues

  

100.0

%

    

100.0

%

    

10.9

%

Costs of equipment outsourcing, sales and service

                        

Cost of equipment outsourcing and service

  

28.3

%

    

28.3

%

    

10.6

%

Movable medical equipment depreciation

  

18.4

%

    

18.8

%

    

9.0

%

Cost of supplies and equipment sales

  

5.7

%

    

5.8

%

    

8.2

%

    

    

        

Total costs of equipment outsourcing, sales and service

  

52.4

%

    

52.9

%

    

9.8

%

    

    

        

Gross profit

  

47.6

%

    

47.1

%

    

12.1

%

Selling, general and administrative

  

27.0

%

    

27.2

%

    

10.2

%

    

    

        

Operating income

  

20.6

%

    

19.9

%

    

14.6

%

Interest expense

  

10.2

%

    

11.8

%

    

(4.5

%)

    

    

        

Income before income taxes

  

10.4

%

    

8.1

%

    

42.9

%

Provision for income taxes

  

4.2

%

    

3.0

%

    

59.3

%

    

    

        

Net income

  

6.2

%

    

5.1

%

    

33.6

%

    

    

        

 

7


 

BUSINESS OVERVIEW

 

We are a leading, nationwide provider of medical technology outsourcing and services to the healthcare industry. Our diverse customer base includes more than 2,800 of the 5,800 acute care hospitals, approximately 3,100 alternate site providers and major medical equipment manufacturers. Unlike many other companies in the healthcare services sector, our fees are paid directly by our customers rather than by reimbursement from government or other third-party payors. Our services fall into three general categories: Medical Equipment Outsourcing, Technical and Professional Services, and Medical Equipment Sales and Remarketing. We commenced operations in 1939, originally incorporated in Minnesota in 1954 and reincorporated in Delaware in 2001.

 

Medical Equipment Outsourcing

 

Our flagship business is our medical equipment outsourcing unit accounting for approximately 84% of our revenues for the three months ended March 31, 2003. We own or manage a pool of approximately 154,000 pieces of movable medical equipment in four primary categories: critical care, respiratory therapy, monitoring and newborn care. We are able to maintain high utilization of our equipment by pooling and redeploying that equipment among a diverse customer base. We adjust pricing on a customer-by-customer basis to compensate for their varying usage.

 

Our medical equipment programs enable healthcare providers to replace the fixed costs of owning and/or leasing medical equipment with variable costs that are more closely related to their revenues and current equipment needs. Through our outsourcing programs, we provide equipment to our customers on a supplemental or peak needs basis, under long-term or exclusive outsourcing agreements and through comprehensive asset management partnership (AMPP) or “in-house” programs. We have developed an innovative “Pay-Per-Use” method of charging our customers for outsourced equipment under which they incur charges for the use of our equipment only at such times as the equipment is actually in use on a patient. Customers may also pay for equipment on a daily, weekly or monthly basis.

 

Technical and Professional Services

 

We offer medical equipment repair, inspection, preventative maintenance, logistic and consulting services for our customers through our nationwide network of more than 160 highly qualified technicians and professionals. Our technicians are trained and certified on an ongoing basis directly by equipment manufacturers to enable them to be skilled in servicing the latest equipment. Our technicians maintain current certifications, are cross-trained across equipment lines and refresh their training on a regular basis.

 

We also operate a quality assurance department to develop and document our own quality standards for our equipment. Typically our standards exceed those published by the equipment’s manufacturer. All equipment maintenance, inspection and repair is performed to our specifications and recorded utilizing our proprietary record keeping software. These maintenance records are available to our customers and to regulatory agencies to demonstrate the exacting maintenance of our equipment throughout its useful life.

 

We provide our technical and professional services to manufacturers, large hospitals, small and critical access hospital and alternate sites.

 

Medical Equipment Sales and Remarketing

 

We offer three areas of medical equipment sales and remarketing services:

 

Specialty Medical Equipment. On a selective basis, we provide sales distribution and support for specialty medical equipment products. We typically offer this service only for products particularly suited to our national distribution network, or for those products that fit with our ability to provide technical support. We currently distribute certain bed and monitoring products and a brand of infant security systems.

 

Remarketing and Asset Disposal. We remarket and dispose of used medical equipment both for our customers and on our own behalf. Our most significant service in the sales and remarketing arena is our Asset Recovery Program.

 

8


 

Disposables and Parts. We offer for sale to our clients disposable items, parts and accessories in order to accommodate their full service equipment needs. We offer these products as part of our complete outsourcing services and as a convenience to our customers. Our activity in this area is limited and typically relates directly to medical equipment or technical services which we are providing to a customer.

 

CRITICAL ACCOUNTING POLICIES

 

The preparation of consolidated financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make certain estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Management bases these estimates on historical experience and other assumptions believed to be reasonable under the circumstances. However, actual results could differ from these estimates. Management believes the critical accounting policies and areas that require more significant judgments and estimates used in the preparation of the Company’s consolidated financial statements to be:

 

  Ÿ   Useful lives assigned to long-lived and intangible assets
  Ÿ   Recoverability of long-lived and intangible assets, including goodwill
  Ÿ   Allowance for doubtful accounts
  Ÿ   Various commitments and contingencies

 

Depreciation and amortization are recognized using the straight-line method over the estimated useful life of the long-lived asset and intangible asset. We estimate useful lives based on historical data and industry trends. We periodically reassess the estimated useful lives of our long-lived and intangible assets. Changes to estimated useful lives would impact the amount of depreciation and amortization expense recorded in the earnings and potentially require the Company to record an impairment charge.

 

We review long-lived and intangible assets, including goodwill, for impairment annually, or at any time events or circumstances indicate that the carrying value of such assets may not be fully recoverable. For long-lived assets and amortizable intangible assets, an impairment is evaluated based on the sum of undiscounted estimated future cash flows expected to result from use of the assets compared to its carrying value. For goodwill, an impairment is evaluated based on the fair value of the entire Company. Currently, we have identified one reporting unit when it tests for goodwill impairment because that is where we believe goodwill naturally resides. If an impairment is recognized, the carrying value of the impaired asset is reduced to its fair value based on discounted estimated future cash flows. For goodwill, an impairment is evaluated based on the fair value of the entire Company.

 

We estimate the allowance for doubtful accounts considering a number of factors, including: (1) historical experience, (2) aging of the accounts receivable and (3) specific information obtained by us on the condition and the current creditworthiness of our customers. If the financial conditions of our customers were to deteriorate and affect the ability of our customers to make payments on their accounts, we may be required to increase our allowance by recording additional bad debt expense. Likewise, should the financial condition of our customers improve and result in payments or settlements of previously reserved amounts, we may be required to record a reduction in bad debt expense to reverse the recorded allowance.

 

In the normal course of business, estimates of potential future loss accruals related to legal, tax, self-insurance medical and pension matters. These accruals require the use of management’s judgment on the outcome of various issues. Management’s estimates for these items are based on the best available evidence but due to changes in facts and circumstances, the ultimate outcomes of these accruals could be different than management estimates.

 

RESULTS OF OPERATIONS

 

The following discussion addresses our financial condition as of March 31, 2003 and the results of operations and cash flows for the three months ended March 31, 2003 and 2002. This discussion should be read in conjunction with the financial statements included elsewhere in this report and the Management’s Discussion and Analysis and Financial sections included in our 2002 Annual Report Form 10-K filed with the Securities and Exchange Commission.

 

9


 

Safe Harbor Statements under the Private Securities Litigation Reform Act of 1995: We believe statements in this filing looking forward in time involve risks and uncertainties. The following factors, among others, could adversely effect our business, operations and financial condition causing our actual results to differ materially from those expressed in any forward-looking statements: the Company’s history of net losses and substantial interest expense since its 1998 recapitalization; the Company’s need for substantial cash to operate and expand its business as planned; the Company’s substantial outstanding debt and high degree of leverage and the continued availability, terms and deployment of capital, including the Company’s ability to service or refinance debt; restrictions imposed by the terms of the Company’s debt; the Company’s ability to effect change in the manner in which healthcare providers traditionally procure medical equipment; the Company’s relationships with certain key suppliers and any adverse developments concerning these suppliers; the Company’s ability to renew contracts with group purchasing organizations; the Company’s ability to acquire adequate insurance to cover claims; adverse regulatory developments affecting, among other things, the ability of our customers to obtain reimbursement of payments made to the Company; changes and trends in customer preferences, including increased purchasing of movable medical equipment; difficulties or delays in our continued expansion into certain markets and developments of new markets; additional credit risks in increasing business with home care providers and nursing homes; consolidations in the healthcare industry; unanticipated costs or difficulties or delays in implementing the components of our strategy and plan and adverse consequences relating to our ability to successfully integrate recent acquisitions; effect of and changes in economic conditions, including inflation and monetary conditions; actions by competitors; and the availability of and ability to retain qualified personnel. These and other risk factors are detailed in the Company’s Securities and Exchange Commission filings.

 

Equipment Outsourcing

 

Equipment outsourcing revenues for the three months ended March 31, 2003 were $35.7 million, representing a $2.9 million, or 8.9%, increase from equipment outsourcing revenues of $32.8 million for the same period of 2002. The outsourcing revenue growth resulted from increased AMPP revenue of $400,000 and a 4% growth in our customer base.

 

Sales of Supplies and Equipment and other

 

Sales of supplies and equipment and other revenues for the three months ended March 31, 2003 were $3.5 million, representing a $0.4 million, or 13.8%, increase from sales of supplies and equipment and other revenues of $3.1 million for the same period of 2002. The increase in sales revenue is due to a growth in equipment and repair parts sales of $800,000 offset by a reduction in disposable sales.

 

Service

 

Service revenues for the three months ended March 31, 2003 were $3.3 million, representing a $0.8 million, or 33.1%, increase from service revenues of $2.5 million for the same period of 2003. The growth in service revenue is due to an increase of $600,000 in our manufacturer and biomedical service revenue combined with the revenue growth in our Equipment Lifecycle Services programs.

 

Cost of Equipment Outsourcing and Service

 

Cost of equipment outsourcing and service for the three months ended March 31, 2003 was $12.0 million, representing a $1.1 million, or 10.6%, increase from cost of equipment outsourcing and service of $10.9 million for the same period of 2002. For the three months ended March 31, 2003, cost of equipment outsourcing and service as a percentage of equipment outsourcing and service revenues remained constant at 30.8%.

 

Movable Medical Equipment Depreciation

 

Movable medical equipment depreciation for the three months ended March 31, 2003 was $7.9 million, representing a $0.7 million, or 9.0%, increase from movable medical equipment depreciation of $7.2 million for the same period of 2002. This increase was a result of movable medical equipment purchases. For the three months ended March 31, 2003 and 2002, movable medical equipment depreciation as a percentage of equipment outsourcing revenues remained constant at 22.0%.

 

10


 

Gross Profit

 

Total gross profit for the three months ended March 31, 2003 was $20.2 million, representing a $2.1 million, or 12.1%, increase from gross profit of $18.1 million for the same period of 2002. For the three months ended March 31, 2003, total gross profit, as a percentage of total revenues, increased to 47.6% from 47.1% for the same period of 2002. The increase in gross profit as a percentage of total revenue for the first quarter is due to depreciation expense as a percent of total revenue decreasing from 18.8% to 18.4%.

 

Gross margin on sales of supplies and equipment and other for the three months ended March 31, 2003, increased to 31.3% from 27.8% for the same period of 2002. This increase is a result of the strategic focus on the Medical Equipment Sales and Remarketing portion of our business.

 

Selling, General and Administrative Expenses

 

Selling, general and administrative expenses for the three months ended March 31, 2003 were $11.5 million, representing a $1.1 million, or 10.2% increase from selling, general and administrative expenses of $10.4 million for the same period of 2002. The increase was primarily due to higher medical and workers compensation insurance expenses of $300,000, increased customer service and support costs of $350,000, additional costs of employee incentive plans of $300,000, expenses associated with technology maintenance and communications of $150,000, partially offset by a reduction in legal and consulting expenses and the allowance for doubtful accounts. Selling, general and administrative expenses as a percentage of total revenue for the three months ended March 31, 2003 decreased to 27.0% from 27.2% for the same period of 2002. This decrease was due to increased efficiencies at the selling, general, and administrative expense level.

 

Interest Expense

 

Interest expense for the three months ended March 31, 2003 was $4.4 million, representing a $0.2 million, or 4.5%, decrease from interest expenses of $4.6 million for the same period of 2002. These decreases primarily reflect a reduced effective interest rate for our revolving credit facility as well as decreased borrowings. Average borrowings decreased for the three months ended March 31, 2003 to $202.5 million from $207.3 million for the same period of 2002.

 

Income Taxes

 

Our effective income tax rate for the three months ended March 31, 2003 was 40.0% compared to a statutory federal income tax rate of 34.0%.

 

Net Income

 

We earned net income for the three months ended March 31, 2003 of $2.6 million, representing a $0.6 million, increase from net income of $2.0 million in the same period of 2002.

 

Quarterly Financial Information: 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

 

Historically, we have financed our equipment purchases primarily through internally generated funds and borrowings under our revolving credit facility. As an asset intensive business, we need continued access to capital to support the acquisition of equipment for outsourcing to our customers. We purchased and received $37.8 million, $40.7 million and $31.2 million of outsourcing equipment in 2002, 2001, and 2000, respectively. For the first three months of 2003 and 2002, we purchased and received $8.9 million and $8.5 million of movable medical equipment, respectively.

 

During the first three months of 2003 and 2002, net cash flows provided by operating activities were $6.8 million and $6.1 million, respectively. Net cash used in investing activities were $11.5 million and $9.4 million in each of these periods. Net cash flows provided by financing activities were $4.7 million and $3.3 million in each of these periods.

 

11


 

Our principal sources of liquidity are expected to be cash flows from operating activities and borrowings under our revolving credit facility. 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.

 

In connection with our 1998 recapitalization, we issued $100.0 million of our 10.25% senior notes. In January 1999, we issued an additional $35.0 million of our senior notes. The senior notes earn interest at a rate of 10.25% per year, payable on March 1 and September 1 of each year. We also have an $87.5 million revolving credit facility. On October 12, 2001, we amended our credit facility to increase the size of the facility from $77.5 million to $87.5 million. Interest on loans outstanding under our revolving credit facility is payable at a rate per annum, selected at our option, equal to the base rate margin (which is the banks’ base rate plus 1.25%) or the adjusted Eurodollar rate margin (which is the adjusted Eurodollar rate plus 2.5%). Our revolving credit facility, which terminates on October 31, 2004, contains certain covenants including restrictions and limitations on dividends, capital expenditures, liens, leases, incurrence of debt, transactions with affiliates, investments and certain payments, and on mergers, acquisitions, consolidations and asset sales. As of March 31, 2003, we had outstanding $135.0 million of our senior notes and had borrowed $75.6 million under our revolving credit facility.

 

On August 17, 1998, we issued 6,000 shares of our Series A 12% Cumulative Convertible Accruing Pay-In-Kind Preferred Stock to an affiliate of J.W. Childs Equity Partners, L.P., the holder of approximately 78% of our common stock, for an aggregate price of $6.0 million. On December 18, 1998, we redeemed our Series A preferred stock with proceeds of $6.3 million from the sale to an insurance company of 6,246 shares of our Series B 13% Cumulative Accruing Pay-In-Kind Preferred Stock together with a warrant to purchase 245,000 shares of our common stock.

 

We believe that, based on current levels of operations and anticipated growth, our cash from operations, together with our other sources of liquidity, including borrowings available under the revolving credit facility, will be sufficient over the term of the agreement to fund anticipated capital expenditures and make required payments of principal and interest on our debt, including payments due on our senior notes and obligations under the revolving credit facility. We believe that our ability to repay our senior notes and amounts outstanding under the revolving credit facility at maturity will require additional financing. There can be no assurance, however, that any such financing will be available at such time to us, or that any such financing will be on terms favorable to us.

 

Our expansion and acquisition strategy may require substantial capital, and no assurance can be given that sufficient funding for such acquisitions will be available under our revolving credit facility, or that we will be able to raise any necessary additional funds through bank financing or the issuance of equity or debt securities on terms acceptable to us, if at all.

 

In November 2001, we postponed our proposed initial public offering of common stock, due to unfavorable market conditions. Since that time, we have continued to monitor market conditions and assess various strategic alternatives available to us, including an IPO, other financing alternatives or a full or partial sale of the Company. There can be no assurance that we will complete any such transaction.

 

EBITDA

 

EBITDA (earnings before interest, taxes, depreciation, and amortization) for the three months ended March 31, 2003 was $17.4 million, representing a $1.7 million, or 11.2% increase from $15.7 million for the same period of 2002. EBITDA as a percentage of total revenue for the three months ended March 31, 2003 increased to 41.0% from 40.8% for the same period of 2002.

 

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 the Company’s financing obligations. EBITDA, as defined by the Company, may not be calculated consistently among other companies applying similar reporting measures. EBITDA is included herein because it is a widely accepted financial indicator used by certain investors and financial analysts to assess and compare companies and is an integral part of the Company’s debt covenant calculations. Management believes that EBITDA provides an important perspective on the Company’s ability to service its long-term obligations, the Company’s ability to fund continuing growth, and the Company’s ability to continue as a going concern.

 

12


 

    

Three Months Ended March 31,


 
    

2003


    

2002


 

Cash flow from operations

  

$

6,845

 

  

$

6,100

 

Changes in operating assets and liabilities

  

 

6,663

 

  

 

5,601

 

Other non-cash expenses

  

 

(496

)

  

 

(602

)

Current income taxes

  

 

67

 

  

 

19

 

Interest expense

  

 

4,351

 

  

 

4,557

 

    


  


EBITDA

  

$

17,430

 

  

$

15,675

 

    


  


 

    

Three Months Ended

March 31,


 

Supplemental Information:

  

2003


    

2002


 

EBITDA

  

$

17,430

 

  

$

15,675

 

Net cash provided by operating activities

  

 

6,845

 

  

 

6,100

 

Net cash used in investing activities

  

 

(11,515

)

  

 

(9,410

)

Net cash provided by financing activities

  

 

4,670

 

  

 

3,310

 

Movable medical equipment expenditures (including acquisitions)

  

$

8,919

 

  

$

8,519

 

Other operating data:

                 

Movable medical equipment owned (units at end of period)

  

 

142,000

 

  

 

126,000

 

Offices (at end of period)

  

 

65

 

  

 

62

 

Number of hospital customers (at end of period)

  

 

2,800

 

  

 

2,650

 

Number of total customers (at end of period)

  

 

5,900

 

  

 

5,650

 

 

13


 

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, 2003 we had approximately $208,567,000 of total debt outstanding, net of unamortized discount, of which $75,575,000 was bearing interest at variable rates approximating 3.9%. A 2.0% change in interest rates on variable rate debt would have resulted in interest expense fluctuating approximately $353,000 and $362,000 for the first three months of 2003 and 2002, respectively. We have not, and do not plan to, enter into any derivative financial instruments for trading or speculative purposes. As of March 31, 2003, we had no other significant 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-14(c) under the Exchange Act) as of the date (the “Evaluation Date”) within 90 days prior to the filing date of this report. Based upon that evaluation, the Chief Executive Officer and Chief Financial Officer concluded that, as of the Evaluation Date, our disclosure controls and procedures were effective in timely alerting them to the material information relating to us required to be included in our periodic SEC filings.

 

  (b).   Changes in internal controls.

 

There were no significant changes made in our internal controls during the period covered by this report or, to our knowledge, in other factors that could significantly affect these controls subsequent to the date of their evaluation.

 

14


 

Part II – Other Information

 

Item 1.    Legal Proceedings

 

Not applicable.

 

Item 2.    Changes in Securities and Use of Proceeds

 

Not applicable.

 

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.

 

Item 6.    Exhibits and Reports on Form 8-K

 

(a)   Exhibits:

 

  12.1   Ratio of Earnings to Fixed Charges

 

  99.1   President and Chief Executive Officer Certification

 

  99.2   Chief Financial Officer Certification

 

(b)   Reports on Form 8-K:

 

None

 

15


 

SIGNATURES

 

Pursuant to the requirements of the Securities and 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 13, 2003

 

Universal Hospital Services, Inc.

By

 

/s/    GARY D. BLACKFORD

   
   

Gary D. Blackford,

President and Chief Executive Officer

By

 

/s/    JOHN A. GAPPA

   
   

John A. Gappa,

Senior Vice President and Chief Financial Officer

 

16


 

I, Gary Blackford, certify that:

 

1.   I have reviewed this quarterly report on Form 10-Q of Universal Hospital Services, Inc.;

 

2.   Based on my knowledge, this quarterly report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this quarterly report;

 

3.   Based on my knowledge, the financial statements, and other financial information included in this quarterly report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this quarterly report;

 

4.   The registrant’s other certifying officers and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-14 and 15d-14) for the registrant and we have:

 

  Ÿ   Designed such disclosure controls and procedures to ensure that material information relating to the registrant is made known to us by others within those entities, particularly during the period in which this quarterly report is being prepared;

 

  Ÿ   Evaluated the effectiveness of the registrant’s disclosure controls and procedures as of a date within 90 days prior to the filing date of this quarterly report (the “Evaluation Date”); and

 

  Ÿ   Presented in this quarterly report our conclusions about the effectiveness of the disclosure controls and procedures based on our evaluation as of the Evaluation Date;

 

5.   The registrant’s other certifying officers and I have disclosed, based on our most recent evaluation, to the registrant’s auditors and the audit committee of registrant’s board of directors (or persons performing the equivalent function):

 

  (a)   all significant deficiencies in the design or operation of internal controls which could adversely affect the registrant’s ability to record, process, summarize and report financial data and have identified for the registrant’s auditors any material weaknesses in internal controls; and

 

  (b)   any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal controls; and

 

6.   The registrant’s other certifying officers and I have indicated in this quarterly report whether or not there were significant changes in internal controls or in other factors that could significantly affect internal controls subsequent to the date of our most recent evaluation, including any corrective actions with regard to significant deficiencies and material weaknesses.

 

Date: May 13, 2003

 

 

By

 

/s/    GARY D. BLACKFORD

   
   

Gary D. Blackford

President and Chief Executive Officer

 

17


 

I, John Gappa, certify that:

 

1.   I have reviewed this quarterly report on Form 10-Q of Universal Hospital Services, Inc.;

 

2.   Based on my knowledge, this quarterly report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this quarterly report;

 

3.   Based on my knowledge, the financial statements, and other financial information included in this quarterly report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this quarterly report;

 

4.   The registrant’s other certifying officers and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-14 and 15d-14) for the registrant and we have:

 

  Ÿ   Designed such disclosure controls and procedures to ensure that material information relating to the registrant is made known to us by others within those entities, particularly during the period in which this quarterly report is being prepared;

 

  Ÿ   Evaluated the effectiveness of the registrant’s disclosure controls and procedures as of a date within 90 days prior to the filing date of this quarterly report (the “Evaluation Date”); and

 

  Ÿ   Presented in this quarterly report our conclusions about the effectiveness of the disclosure controls and procedures based on our evaluation as of the Evaluation Date;

 

5.   The registrant’s other certifying officers and I have disclosed, based on our most recent evaluation, to the registrant’s auditors and the audit committee of registrant’s board of directors (or persons performing the equivalent function):

 

  (a)   all significant deficiencies in the design or operation of internal controls which could adversely affect the registrant’s ability to record, process, summarize and report financial data and have identified for the registrant’s auditors any material weaknesses in internal controls; and

 

  (b)   any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal controls; and

 

6.   The registrant’s other certifying officers and I have indicated in this quarterly report whether or not there were significant changes in internal controls or in other factors that could significantly affect internal controls subsequent to the date of our most recent evaluation, including any corrective actions with regard to significant deficiencies and material weaknesses.

 

Date: May 13, 2003

 

 

By

 

/s/    JOHN A. GAPPA

   
   

John A. Gappa,

Senior Vice President and Chief Financial Officer

 

18


Universal Hospital Services, Inc.

 

EXHIBIT INDEX TO REPORT ON FORM 10-Q

 

Exhibit Number


  

Description


  

Page


12.1

  

Ratio of Earnings to Fixed Charges

  

20

99.1

  

President and Chief Executive Officer Certification

  

21

99.2

  

Chief Financial Officer Certification

  

22

 

19