UNIVERSAL HOSPITAL SERVICES INC
10-Q/A, 1998-09-01
MISCELLANEOUS EQUIPMENT RENTAL & LEASING
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<PAGE>
 
                                  FORM 10-Q/A
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549


(Mark One)

(X)  QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE
     ACT OF 1934 
     FOR THE QUARTERLY PERIOD ENDED: JUNE 30, 1998

                                       OR

( )  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)

           Minnesota                                       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)


                                  612-893-3200
                                  ------------
              (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 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]
<PAGE>
 
ITEM 6.EXHIBITS AND REPORTS ON FORM 8-K

       (A)  EXHIBITS:

             Exhibit Number     Description
             --------------     -----------

                3.1(a)          Restated Articles of Incorporation of Universal 
                                Hospital Services, Inc.

                3.1(b)          Amendment to Articles of Incorporation of 
                                Universal Hospital Services, Inc.

                3.1(c)          Certificate of Designation of Series A 12% 
                                Cumulative Convertible Accruing Pay-In-Kind
                                Preferred Stock of Universal Hospital Services,
                                Inc.

                4.3(a)          First Amendment to Credit Agreement

                4.3(b)          Second Amendment to Credit Agreement

                4.3(c)          Third Amendment to Credit Agreement

                4.3(d)          Fourth Amendment to Credit Agreement


<PAGE>
 
                                   SIGNATURES


     The Company has duly caused this report to be signed on its behalf by the
undersigned thereunto duly authorized.


Date: September 1, 1998


                                       UNIVERSAL HOSPITAL SERVICES, INC.


                                       By    /s/ David E. Dovenberg
                                          ---------------------------------
                                       David E. Dovenberg,
                                       President and Chief Executive Officer




                                       By    /s/ Gerald L. Brandt
                                          --------------------------------
                                       Gerald L. Brandt,
                                       Vice President of Finance and
                                       Chief Financial Officer


<PAGE>
 
                        UNIVERSAL HOSPITAL SERVICES, INC.

                      EXHIBIT INDEX TO REPORT ON FORM 10-Q



             Exhibit Number     Description
             --------------     -----------

                3.1(a)          Restated Articles of Incorporation of Universal 
                                Hospital Services, Inc.

                3.1(b)          Amendment to Articles of Incorporation of 
                                Universal Hospital Services, Inc.

                3.1(c)          Certificate of Designation of Series A 12% 
                                Cumulative Convertible Accruing Pay-In-Kind
                                Preferred Stock of Universal Hospital Services,
                                Inc.

                4.3(a)          First Amendment to Credit Agreement

                4.3(b)          Second Amendment to Credit Agreement

                4.3(c)          Third Amendment to Credit Agreement

                4.3(d)          Fourth Amendment to Credit Agreement


<PAGE>
 
                                                                  EXHIBIT 3.1(a)

                       RESTATED ARTICLES OF INCORPORATION
                                       OF
                        UNIVERSAL HOSPITAL SERVICES, INC.


                                 Article 1. Name

         The name of the Corporation is Universal Hospital Services, Inc.

                          Article 2. Registered Office

         The registered office address of the corporation is 1250 Northland
Plaza, 3800 West 80th Street, Bloomington, Minnesota 55431.

                          Article 3. Authorized Shares

         The total number of shares of all classes of stock which the
Corporation shall have authority to issue is 25,000,000 shares consisting of
25,000,000 shares of common stock, par value $.01 per share.

                          Article 4. Director Liability

         No director of the Corporation shall be liable to the Corporation or
its shareholders for monetary damages for breach of fiduciary duty as a
director, except for liability (i) for any breach of a director's duty of
loyalty to the Corporation or its shareholders; (ii) for acts of omissions not
in good faith or that involve intentional misconduct or a knowing violation of
law; (iii) under sections 302A.559 or 80A.23 of the Minnesota Statutes; (iv) for
any transaction from which the director derived an improper personal benefit; or
(v) for any act or omission occurring prior to the date when this Article 4
became effective.

         If the Minnesota Business Corporation Act is hereafter amended to
authorize any further elimination or limitation on the liability of a director,
then the liability of a director of the Corporation shall be eliminated or
limited to the fullest extent permitted by the Minnesota Business Corporation
Act as amended.

         Any repeal or modification of the foregoing provisions of this Article
4 by the shareholders of the Corporation shall not adversely affect any right or
protection of a director of the Corporation existing at the time of such repeal
or modification.

                         Article 5. No Cumulative Voting

         There shall be no cumulative voting by the shareholders of the
Corporation.

                         Article 6. No Preemptive Rights

         The shareholders of the Corporation shall not have any preemptive
rights to subscribe for or acquire securities or rights to purchase securities
of any class, kind or series of the Corporation.

<PAGE>
 
                                                                  EXHIBIT 3.1(b)

                     AMENDMENT TO ARTICLES OF INCORPORATION
                        UNIVERSAL HOSPITAL SERVICES, INC.

         RESOLVED, that Article 3 to the Amended and Restated Articles of
Incorporation of Universal Hospital Services, Inc. (the "Corporation"), be
amended and restated in its entirety as follows:

                          ARTICLE 3. AUTHORIZED SHARES

         (a) Authorized Capital Stock. The total number of shares of capital
stock which the Corporation is authorized to issue shall be 60,000,000 shares,
consisting of 50,000,000 shares of common stock, par value $0.01 per share
("Common Stock"), and 10,000,000 shares of preferred stock, par value $0.01 per
share ("Preferred Stock").

         (b) Common Stock. All shares of Common Stock shall be voting shares and
shall be entitled to one vote per share. Holders of Common Stock shall not be
entitled to cumulate their votes in the election of directors and shall not be
entitled to any preemptive rights to acquire shares of any class or series of
capital stock of the Corporation. Subject to any preferential rights of holders
of Preferred Stock, holders of Common Stock shall be entitled to receive their
pro rata shares, based upon the number of shares of Common Stock held by them,
of such dividends or other distributions as may be declared by the board of
directors from time to time and of any distribution of the assets of the
Corporation upon its liquidation, dissolution or winding up, whether voluntary
or involuntary.

         (c) Preferred Stock. The board of directors of the Corporation is
hereby authorized to provide, by resolution or resolutions adopted by such
board, for the issuance of Preferred Stock from time to time in one or more
classes and/or series, to establish the designation and number of shares of each
such class or series, and to fix the relative rights and preferences of the
shares of each such class or series, all to the full extent permitted by
Minnesota Statutes, Section 302A.401, or any successor provision. Without
limiting the generality of the foregoing, the board of directors is authorized
to provide that shares of a class or series of Preferred Stock:

                  (1) are entitled to cumulative, partially cumulative or
         noncumulative dividends or other distributions in payable in cash,
         capital stock or indebtedness of the Corporation or other property, at
         such times and in such amounts as are set forth in the board
         resolutions establishing such class or series or as are determined in a
         manner specified in such resolutions;

                  (2) are entitled to a preference with respect to payment of
         dividends over one or more other classes and/or series of capital stock
         of the Corporation;

                  (3) are entitled to a preference with respect to any
         distribution of assets of the Corporation upon its liquidation,
         dissolution or winding up over one or more other classes and/or series
         of capital stock of the Corporation in such amount as is set forth in
         the board resolutions establishing such class or series or as is
         determined in a manner specified in such resolutions;

                  (4) are redeemable or exchangeable at the option of the
         Corporation and/or on a mandatory basis for cash, capital stock or
         indebtedness of the Corporation or other property, at such times or
         upon the occurrence of such events, and at such prices, as are set
         forth in the board resolutions establishing such class or series or as
         are determined in a manner specified in such resolutions;
<PAGE>
 
                  (5) are entitled to the benefits of such sinking fund, if any,
         as is required to be established by the Corporation for the redemption
         and/or purchase of such shares by the board resolutions establishing
         such class or series;

                  (6) are convertible at the option of the holders thereof into
         shares of any other class or series of capital stock of the
         Corporation, at such times or upon the occurrence of such events, and
         upon such terms, as are set forth in the board resolutions establishing
         such class or series or as are determined in a manner specified in such
         resolutions;

                  (7) are exchangeable at the option of the holders thereof for
         cash, capital stock or indebtedness of the Corporation or other
         property, at such times or upon the occurrence of such events, and at
         such prices, as are set forth in the board resolutions establishing
         such class or series or as are determined in a manner specified in such
         resolutions;

                  (8) are entitled to such voting rights, if any, as are
         specified in the board resolutions establishing such class or series
         (including, without limiting the generality of the foregoing, the right
         to elect one or more directors voting alone as a single class or series
         or together with one or more other classes and/or series of Preferred
         Stock, if so specified by such board resolutions) at all times or upon
         the occurrence of specified events; and

                  (9) are subject to restrictions on the issuance of additional
         shares of Preferred Stock of such class or series or of any other class
         or series, or on the reissuance of shares of Preferred Stock of such
         class or series or of any other class or series, or on increases or
         decreases in the number of authorized shares of Preferred Stock of such
         class or series or of any other class or series.

Without limiting the generality of the foregoing authorizations, any of the
rights and preferences of a class or series of Preferred Stock may be made
dependent upon facts ascertainable outside the board resolutions establishing
such class or series, and may incorporate by reference some or all of the terms
of any agreements, contracts or other arrangements entered into by the
Corporation in connection with the issuance of such class or series, all to the
full extent permitted by Minnesota Statutes. Unless otherwise specified in the
board resolutions establishing a class or series of Preferred Stock, holders of
a class or series of Preferred Stock shall not be entitled to cumulate their
votes in any election of directors in which they are entitled to vote and shall
not be entitled to any preemptive rights to acquire shares of any class or
series of capital stock of the Corporation.

                                        2

<PAGE>
  
                                                                  Exhibit 3.1(c)

                          CERTIFICATE OF DESIGNATION OF
                       SERIES A 12% CUMULATIVE CONVERTIBLE
                      ACCRUING PAY-IN-KIND PREFERRED STOCK
                                       OF
                        UNIVERSAL HOSPITAL SERVICES, INC.

         1. Designation. The Preferred Stock of Universal Hospital Services,
Inc. (the "Company") created and authorized for issuance hereby shall be
designated as "Series A 12% Cumulative Convertible Accruing Pay-In-Kind
Preferred Stock" (the "Series A Preferred Stock"). The Series A Preferred Stock
created and authorized for issuance hereby will, in the aggregate, consist of
25,000 shares of Series A Preferred Stock.

         2. Priority. The Series A Preferred Stock shall, with respect to
dividend rights and rights on liquidation, winding up or dissolution, whether
voluntary or involuntary, whether now or hereafter issued, rank: (a) on parity
with any other series of Preferred Stock established hereafter by the Board of
Directors, the terms of which shall specifically provide that such series shall
rank on parity with the Series A Preferred Stock with respect to dividend rights
and rights on liquidation, winding up or dissolution (any and all of such series
of Preferred Stock to which the Series A Preferred Stock ranks on parity being
collectively referred to herein as "Parity Securities"); (b) junior to any other
series of Preferred Stock established hereafter by the Board of Directors, the
terms of which shall specifically provide that such series shall rank senior to
the Series A Preferred Stock with respect to dividend rights or rights on
liquidation, winding up or dissolution (any and all of such series of Preferred
Stock to which the Series A Preferred Stock ranks junior being collectively
referred to herein as "Senior Securities"); and (c) senior to the Common Stock,
$.01 par value per share, of the Company (the "Common Stock") and, subject to
clauses (a) and (b) hereof, any other equity securities of the Company (all of
such equity securities of the Company to which the Series A Preferred Stock
ranks senior, including without limitation the Common Stock, being collectively
referred to herein as "Junior Securities"). Notwithstanding the foregoing and in
addition to any requirements of applicable law, the Company shall neither (i)
establish, create, authorize or issue any shares of Parity Securities or Senior
Securities nor (ii) amend the Amended and Restated Articles of Incorporation, as
amended, in a manner which adversely affects the rights of the holders of the
Series A Preferred Stock, in either case without the approval of the holders
representing a majority of the shares of Series A Preferred Stock then issued
and outstanding.

         3. Dividends.

         (a) Entitlement; Accrual; Payment. Holders of shares of Series A
Preferred Stock shall be entitled to receive out of funds legally available
therefor ("Legally Available Funds"), cumulative dividends at an annual rate of
12%, payable with respect to periods ending on December 31 of each year and on
(i) the Mandatory Redemption Date (as defined below), (ii) each Optional
Redemption Date (as defined below) and (iii) the Liquidation Date (as defined
below), or with respect to such other or interim periods, if any, ending on such
dates as
<PAGE>
  
determined by the Board of Directors (each of such dates being a "Dividend
Accrual Date"), except that if such date is a Saturday, Sunday or legal holiday,
then such dividend shall be payable with respect to a period ending on the next
date that is not a Saturday, Sunday or legal holiday (a "Business Day"). Each of
such dividends shall be fully cumulative and shall accrue (whether or not
declared), without interest, on a daily basis from the first day of the period
with respect to which such dividend may be payable as provided herein; PROVIDED,
HOWEVER, that with respect to the first Dividend Accrual Date following the
issuance of shares of Series A Preferred Stock, such dividend shall accrue from
the date of issuance of such shares. All accrued but unpaid dividends shall be
compounded annually at a rate of 12%. Dividends payable with respect to any
dividend period of more or less than one year shall be computed on the basis of
a 360-day year and the actual number of days elapsed in that period. All
dividends hereunder shall be paid only in shares of Series A Preferred Stock or
such other shares of Preferred Stock of the Company having the same rights and
preferences as those contained herein with respect to the Series A Preferred
Stock, as designated by the Board of Directors (such shares being referred to
herein as the "Equivalent Securities"). Dividends shall be payable to holders of
shares of Series A Preferred Stock only upon, redemption of such shares pursuant
to Section 5 on the Mandatory Redemption Date or applicable Optional Redemption
Date or on such other date as the Board of Directors may from time to time
declare (such date, as it relates to the payment of dividends, is referred to
herein as the "Dividend Payment Date"). No dividend shall be declared or paid on
shares of Series A Preferred Stock if the declaration or payment thereof would
violate the terms or provisions of any instrument governing indebtedness of the
Company.

         (b) Issuance of Dividend Shares. All dividends paid in additional
shares of Series A Preferred Stock or Equivalent Securities shall be deemed
issued on the applicable Dividend Payment Date and will thereupon be duly
authorized, validly issued, fully paid and nonassessable and free and clear of
all liens and charges.

         (c) No Cash or Other Additional Dividends. No cash dividends on shares
of Series A Preferred Stock shall be declared by the Board of Directors or paid
or set apart for payment by the Company, and holders of shares of Series A
Preferred Stock shall not be entitled to receive any dividends or other
distributions, except as provided herein.

         (d) Priority With Respect to Senior and Parity Securities. If at any
time the Company shall have failed to pay all dividends which have accrued on
any outstanding shares of Senior Securities or Parity Securities at the times
such dividends are payable, unless otherwise provided in the terms of the Senior
Securities or the Parity Securities, no dividend shall be declared by the Board
of Directors or paid or set apart for payment by the Company on shares of Series
A Preferred Stock unless prior to or concurrently with such declaration, payment
or setting apart for payment, all accrued and unpaid dividends then payable on
all outstanding shares of such Senior Securities and Parity Securities shall
have been declared, paid or set apart for payment, respectively, without
interest; PROVIDED, HOWEVER, that in the event such failure to pay accrued
dividends is with respect only to the outstanding shares of Series A Preferred
Stock and any outstanding shares of any Parity Securities, dividends may be
declared, paid or set apart for

                                       -2-
<PAGE>
  
payment, without interest, pro rata on shares of Series A Preferred Stock and
shares of such Parity Securities so that the amounts of any dividends declared,
paid or set apart for payment on shares of Series A Preferred Stock and shares
of such Parity Securities shall in all cases bear to each other the same ratio
that, at the time of such declaration, payment or setting apart for payment, the
amounts of all accrued but unpaid dividends on shares of Series A Preferred
Stock and shares of such Parity Securities bear to each other. Notwithstanding
anything herein to the contrary, no cash dividends may be paid on shares of
Parity Securities pursuant to the proviso in the preceding sentence. Any
dividend not paid pursuant to Section 3(a) or this Section 3(d) shall be fully
cumulative and shall accrue (whether or not declared), without interest and
otherwise as set forth in Section 3(a).

         (e) Priority With Respect to Junior Securities. (i) Holders of shares
of Series A Preferred Stock shall be entitled to receive the dividends provided
for in Section 3(a) in preference to and in priority over any dividends upon any
of the Junior Securities.

         (ii) So long as any shares of Series A Preferred Stock are outstanding,
the Company shall not declare, pay or set apart for payment any dividend on any
of the Junior Securities or make any payment on account of, or set apart for
payment any money for a sinking or other similar fund for, the purchase,
redemption, retirement or other acquisition of, or otherwise acquire for value,
any of the Junior Securities or any warrants, rights, calls or options
exercisable for any of the Junior Securities, or make any distribution in
respect and to the holders thereof, either directly or indirectly, whether in
cash, obligations or shares of the Company or other property (other than '
distributions or dividends payable solely in the same Junior Securities), and
shall not permit any company or other entity directly or indirectly controlled
by the Company to purchase or redeem any of the junior Securities or any
warrants, rights, calls or options exercisable for any of the Junior Securities,
unless prior to or concurrently with such declaration, payment, setting apart
for payment, purchase or distribution, as the case may be, all accrued and
unpaid dividends, if any, on shares of Series A Preferred Stock not paid on the
dates provided for in Section 3(a) hereof (including without limitation those
not paid pursuant to the terms and conditions of Section 3(d) hereof) shall have
been paid.

         (iii) Subject to the foregoing provisions of this Section 3, the Board
of Directors may declare and the Company may pay or set apart for payment
dividends and other distributions on any of the Junior Securities and may
purchase or otherwise redeem any of the Junior Securities or any warrants,
rights or options exercisable for any of the Junior Securities, and the holders
of the shares of Series A Preferred Stock shall not be entitled to share in any
such dividends, distributions or proceeds.

         4. Liquidation Preference.

         (a) Payment of Preference. In the event of any voluntary or involuntary
liquidation, dissolution or winding up of the affairs of the Company, the
holders of shares of Series A Preferred Stock then outstanding shall be entitled
to be paid out of the assets of the

                                       -3-
<PAGE>
  
Company available for distribution to its shareholders an amount in cash equal
to $1,000 for each share outstanding, plus an amount in cash equal to all
accrued but unpaid dividends thereon (calculated on the basis of $1,000 per
dividend share) to and including the date fixed for liquidation (the
"Liquidation Date"), before any payment shall be made or any assets distributed
to the holders of any of the Junior Securities; PROVIDED, HOWEVER, that the
holders of outstanding shares of Series A Preferred Stock shall not be entitled
to receive such liquidation payment until the liquidation payments on all
outstanding shares of Senior Securities shall have been paid in full. No full
preferential payment on account of any liquidation, dissolution or winding up of
the Company, whether voluntary or involuntary, shall be made to the holders of
any class of Parity Securities unless there shall likewise be paid at the same
time to holders of Series A Preferred Stock the full amounts to which such
holders are entitled with respect to such distribution. If the assets of the
Company are not sufficient to pay in full the liquidation payments payable to
the holders of outstanding shares of Series A Preferred Stock and outstanding
shares of Parity Securities, then the holders of all such shares shall share
ratably in such distribution of assets in accordance with the full respective
preferential amounts that would be payable on such shares of Series A Preferred
Stock and such shares of Parity Securities if all amounts payable thereon were
paid in full.

         (b) Other Transactions Deemed a Liquidation. For the purposes of this
Section 4, (i) the voluntary sale, conveyance, exchange or transfer (for cash,
shares of stock, securities or other consideration) of all or substantially all
of the property or assets of the Company or (ii) the consolidation or merger of
the Company with one or more other companies or entities shall be deemed to be a
liquidation, dissolution or winding up, voluntary or involuntary.

         5. Redemption.

         (a) Mandatory Redemption. All of the shares of Series A Preferred Stock
are subject to mandatory redemption by the Company, at a per share redemption
price equal to $1,000 per share plus an amount in cash equal to all dividends on
that share declared pursuant to paragraph (b) of this Section 5 (calculated on
the basis of $1,000 per dividends share) (the "Mandatory Redemption Price") on
or effective as of August 17, 2008 (the "Mandatory Redemption Date").

         (b) Optional Redemption. To the extent permitted by law and the terms
or provisions of other agreements or instruments for or with respect to capital
stock or indebtedness of the Company, to which the Company is, or may become, a
party or subject (including without limitation any indentures or certificates
designating additional series of the Preferred Stock), the outstanding shares of
Series A Preferred Stock shall be redeemable, in whole at any time or from time
to time in part, out of Legally Available Funds, at the option of the Company.
Immediately prior to authorizing or making any such redemption with respect to
the Series A Preferred Stock (and in no event later than the Mandatory
Redemption Date or the Optional Redemption Date), the Company, by resolution of
its Board of Directors, shall declare a dividend on the Series A

                                       -4-
<PAGE>
  
Preferred Stock to be redeemed, which shall be in an amount equal to any accrued
and unpaid dividends on such Series A Preferred Stock, to and including the
Optional Redemption Date. Redemptions shall be made on the date specified in the
Redemption Notice (as defined in paragraph (c) of this Section 5) (the "Optional
Redemption Date"), upon giving notice as provided in Section 5(c), at a per
share redemption price of $1,060 plus an amount in cash equal to all dividends
on that share declared pursuant to the preceding sentence (calculated on the
basis of $1,060 per dividend share) (the "Optional Redemption Price and together
with the Mandatory Redemption Price, the "Redemption Price").

         (c) Redemption Notice. The Company shall deliver a notice of each
redemption by first-class mail, postage prepaid, mailed not less than 5 calendar
days following the effective date thereof, to each holder of record of shares of
Series A Preferred Stock, at such holder's address as the same appears on the
stock books of the Company's transfer agent (the "Redemption Notice"). The
Redemption Notice shall state: (i) the effective date of the redemption and the
Mandatory Redemption Date or the Optional Redemption Date (which shall be no
less than 15 nor more than 30 calendar days following the mailing of the
Redemption Notice); (ii) the Redemption Price for the Series A Preferred Stock
to be redeemed; (iii) the accrued but unpaid dividends due on each share (and
all shares) of Series A Preferred Stock held by such holder as of the Mandatory
Redemption Date or the Optional Redemption Date; (iv) the place or places where,
and the procedures pursuant to which, certificates for such shares are to be
presented and surrendered for payment of the Redemption Price; (v) that payment
of the Redemption Price will be made upon proper presentation and surrender of
such certificates for shares of Series A Preferred Stock; (vi) that, as
applicable, (A) dividends shall cease to accrue on any outstanding shares of
Series A Preferred Stock following the Mandatory Redemption Date or (B) unless
the Company defaults in the payment of the Redemption Price for the shares being
redeemed, dividends on the shares to be redeemed shall cease to accrue following
such Optional Redemption Date; (vii) the aggregate number of shares of Series A
Preferred Stock being redeemed and, if a partial redemption, the method (E.G.,
PRO RATA, by lot, etc.) by which shares have been selected by the Company for
redemption; (viii) in the case of a redemption pursuant to paragraph (b) of this
Section 5, that any shares of Series A Preferred Stock not redeemed will
continue to accrue dividends in accordance with the terms of Section 3; (ix) as
applicable, that holders whose shares are being redeemed only in part will be
issued new certificates representing shares not redeemed by the Company; and (x)
that accrued and unpaid dividends up to and including the Mandatory Redemption
Date or such Optional Redemption Date, as applicable, will be paid to holders as
part of the Redemption Price in respect of shares redeemed by the Company in
accordance with the terms set forth herein.

         (d) Redemption Effects and Procedures. (i) The Redemption Notices
having been mailed in accordance with paragraph (c) of this Section 5, on and
after the Mandatory Redemption Date or Optional Redemption Date, as applicable,
unless the Company shall be in default in providing money for the payment of the
Redemption Price for the shares being redeemed, (x) dividends on the shares of
the Series A Preferred Stock so called for redemption shall cease to accrue, (y)
said shares shall no longer be deemed to be outstanding and shall have

                                       -5-
<PAGE>
  
the status of authorized but unissued shares of Series A Preferred Stock, and
(z) all rights of the holders thereof as holders of those redeemed shares of
Series A Preferred Stock (except the right to receive from the Company the
Redemption Price, without interest thereon, upon presentation and surrender of
the certificates evidencing such shares) shall cease. The Company's obligation
to pay the Redemption Price with respect to any redemption hereunder shall be
deemed fulfilled if, on or before the Optional Redemption Date, the Company
shall deposit with a bank or trust company having both (A) an office or agency
either in the Borough of Manhattan, City of New York or in the City of Boston
and (B) capital and surplus of at least $500,000,000 an amount equal to the
Redemption Price in respect of all shares so redeemed by the Company, in trust
for the account of the holders of the shares to be redeemed (and so as to be and
continue to be available therefor), with irrevocable instructions and authority
to such bank or trust company that such funds be applied to the redemption of
the shares of Series A Preferred Stock so called for redemption. Any funds so
deposited and unclaimed at the end of three years from the Mandatory Redemption
Date or such Optional Redemption Date as applicable, shall be released or repaid
to the Company, after which, subject to any applicable laws relating to escheat
or unclaimed property, the holder or holders of such shares of Series A
Preferred Stock so called for redemption shall look only to the Company for
payment of the Redemption Price. Any interest accrued on such funds shall be
paid to the Company from time to time.

         (ii) Upon proper presentation and surrender in accordance with the
Redemption Notice of the certificates for any shares of Series A Preferred Stock
so redeemed (properly endorsed or assigned for transfer), such shares shall be
redeemed by the Company at the Redemption Price. In the event of a partial
redemption of the Series A Preferred Stock, shares to be redeemed shall be
selected by the Company PRO RATA or by any other equitable method determined by
the Board of Directors in its sole discretion. If fewer than all the shares
represented by any certificate are redeemed, the Company's transfer agent for
the Series A Preferred Stock shall promptly mail to each holder or in accordance
with such holder's instructions, if any, a certificate representing shares
represented by the surrendered certificate but not redeemed.

         (iii) Notwithstanding the delivery by the Company of a Redemption
Notice in accordance with paragraph (c) of this Section 5, if any holder of
Series A Preferred Stock shall, prior to the close of business on the second
Business Day preceding the Mandatory Redemption Date or any Optional Redemption
Date, give written notice to the Company of such holder's election to convert,
pursuant to Section 7, any or all of the shares held by such holder to be
redeemed (accompanied by a certificate or certificates for such shares, duly
endorsed or assigned to the Company), then the conversion of such shares which
would otherwise have been redeemed shall become effective as provided in Section
7 hereof.

         (e) Election Irrevocable. The election by the Company to redeem shares
of Series A Preferred Stock pursuant to paragraph (b) of this Section 5 shall
become irrevocable upon delivery of the Redemption Notice to the holders of
Series A Preferred Stock.


                                       -6-
<PAGE>
  
         (f) Possibility of Issuer Tender Offer. If the Company at any time were
to have a class of equity securities registered pursuant to Section 12 of the
Securities Exchange Act of 1934, as amended (the "Exchange Act"), the redemption
option of the Company in respect of the Series A Preferred Stock pursuant to
this Section 5 might be deemed to constitute an "issuer tender offer" as defined
in Rule 13e-4 under the Exchange Act, and in such event, such redemption
transaction may be subject to the requirements of Rule 13e-4, including the
filing of an Issuer Tender Offer Statement on Schedule 13E-4 with the Securities
and Exchange Commission and the furnishing of certain information contained
therein to the holders of Series A Preferred Stock. In such event, the Company
will comply with all appropriate rules and regulations applicable to "issuer
tender offers" at such time and will inform the holders of Series A Preferred
Stock of their rights thereunder. In addition, the Company will comply with the
requirements of Rule 14e-1 under the Exchange Act and any other securities laws
and regulations thereunder to the extent such laws and regulations are
applicable in connection with the redemption of shares pursuant to this Section
5.

         6. Voting Rights.

         (a) General. Except as herein provided or as otherwise required by law,
holders of Series A Preferred Stock shall be entitled to the same voting rights
as, and shall vote together as one class with, holders of Common Stock, with
each holder of shares of Series A Preferred Stock having such voting rights as
are attributable to the number of shares of Common Stock into which such shares
of Series A Preferred Stock are convertible in accordance with Section 7 hereof
as of the date of such vote.

         (b) Class Vote. In addition to any matters requiring a separate vote of
the Series A Preferred Stock as a single class under applicable law, the
approval of the holders of a majority of the issued and outstanding shares of
Series A Preferred Stock, voting as a class, shall be required as set forth in
Section 2 hereof with respect to the priority and rights of the Series A
Preferred Stock hereunder and under the Company's Amended and Restated Articles
of Incorporation, as amended.

         (c) Quorum. At each meeting of shareholders at which the holders of
shares of Series A Preferred Stock shall have the right, voting separately as a
single class, to take any action, the presence in person or by proxy of the
holders of record of at least 50% of the shares of Series A Preferred Stock
outstanding and entitled to vote on the matter shall be necessary and sufficient
to constitute a quorum. In the absence of a quorum of the holders of shares of
Series A Preferred Stock, a majority of the holders of such shares present in
person or by proxy shall have the power to adjourn the meeting as to the actions
to be taken by the holders of shares of Series A Preferred Stock from time to
time and place to place without notice other than announcement at the meeting
until a quorum shall be present.


                                       -7-
<PAGE>
  
7.   Conversion Rights.

         (a) Exercisability. Subject to the terms and conditions of Section
5(d)(iii) and this Section 7, each share of Series A Preferred Stock may be
converted, at the option of the holder, into the number of fully paid,
nonassessable shares of Common Stock determined pursuant to paragraph (b) of
this Section 7.

         (b) Terms of Conversion. The number of shares of Common Stock issuable
upon conversion of each share of the Series A Preferred Stock shall be
determined by dividing $1,000 by the Conversion Price (as defined below) in
effect on the date of conversion (calculated as to each conversion to the
nearest one ten-thousandth (1/10,000) of a share). The "Conversion Price" shall
initially equal $2.79; PROVIDED, HOWEVER, that such Conversion Price shall be
adjusted and readjusted from time to time as provided in this Section 7 and, as
so adjusted and readjusted, shall remain in effect until a further adjustment or
readjustment thereof is required by this Section 7.

         (c) Treatment of Dividends Upon Conversion. No payment or adjustment
shall be made upon conversion of the Series A Preferred Stock with respect to
dividends accrued on the Series A Preferred Stock through the date of
conversion.

         (d) Conversion Procedures. Upon presentation and surrender to the
Company, at the office of the transfer agent or at such other place or places,
if any, as the Board of Directors may determine, by a holder of Series A
Preferred Stock of certificates, duly endorsed to the Company or in blank,
representing shares of Series A Preferred Stock to be converted, together with
written instructions to the Company requesting conversion of such shares and
specifying the name and address of the person, corporation, firm or other entity
to whom such shares of Com mon Stock are to be issued, (i) the Company shall
issue the number of shares of Common Stock issuable upon conversion thereof as
of the time of such surrender, and (ii) the Company's transfer agent for the
Common Stock shall promptly mail or otherwise deliver to each such holder or in
accordance with such holder's instructions, if any, one or more certificates
representing such shares of Common Stock. Upon surrender of a certificate
representing shares of Series A Preferred Stock to be converted in part, in
addition to the foregoing, the Company shall also issue to such holder a new
certificate representing any unconverted shares of Series A Preferred Stock
represented by the certificate surrendered for conversion.

         (e) Adjustment of Conversion Price. The Conversion Price in effect at
any time shall be adjusted as follows:

                  (i) In the event that the Company shall (A) pay a dividend or
         make a distribution on its Common Stock in shares Common Stock, (B)
         subdivide its outstanding shares of Common Stock into a greater number
         of shares, (C) combine its outstanding shares of Common Stock into a
         smaller number of shares or (issue by reclassification of its Common
         Stock any other shares capital stock of the Company, then in each such
         case,

                                       -8-
<PAGE>
  
         the Conversion Price in effect immediately prior to such action shall
         be adjusted so that the holder of any shares of Series A Preferred
         thereafter surrendered for conversion shall be entitled to receive the
         number of shares of Common Stock or other capital stock the Company
         which it would have owned or been entitled to receive immediately
         following such action had such shares of Series A Preferred Stock been
         converted immediately prior to the occurrence of such event. An
         adjustment made pursuant to this Section 7(e)(i) shall become effective
         immediately after the record date, in the case of a dividend or
         distribution, or immediately after the effective date, in the case of a
         subdivision, combination or reclassification. In any case in which this
         Section 7(e)(i) provides that an adjustment shall become effective
         immediately after a record date for an event, the Company may defer
         until the occurrence of such event issuing to the holder of any Series
         A Preferred Stock converted after such record date and before the
         occurrence of such event the additional shares of Common Stock issuable
         upon such conversion by reason of the adjustment required by such event
         over and above the Common Stock issuable upon such conversion before
         giving effect to such adjustment. If, as a result of an adjustment made
         pursuant to this Section 7(e)(i), the holder of any shares of Series A
         Preferred Stock thereafter surrendered for conversion shall become
         entitled to receive shares of two or more classes of capital stock or
         shares of Common Stock and other capital stock of the Company, the
         Board of Directors shall determine the allocation of the adjusted
         Conversion Price between or among shares of such classes of capital
         stock or shares of Common Stock and other capital stock.

                  (ii) Except as provided in paragraph (e)(i) of this Section 7,
         in the event that the Company shall issue or sell any shares of Common
         Stock, and the price at which such shares Common Stock are issued or
         sold is less than the Conversion Price in effect immediately prior to
         such issuance or sale, then the Conversion Price then in effect shall
         be adjusted to equal the price determined by multiplying the Conversion
         Price in effect immediately prior to such issuance or sale by a
         fraction, the numerator which shall be the sum of (A) the number of
         shares of Common Stock outstanding immediately prior to such issuance
         or sale, (B) the number of shares of convertible Preferred Stock
         outstanding immediately prior to such issuance or sale (calculated on
         an "as-if converted" basis), (C) the number of shares of Common Stock
         issuable upon the exercise of options or warrants to purchase shares of
         Common Stock which are outstanding and exercisable (at an exercise
         price which is less than or equal to the then current Conversion Price)
         immediately prior to such issuance or sale and (D) the number of shares
         of Common Stock that the aggregate proceeds to the Company from such
         issuance or sale would purchase at the Conversion Price in effect
         immediately prior to such issuance or sale, and the denominator of
         which shall be the sum of (1) the number of shares of Common Stock
         outstanding immediately prior to such issuance or sale, (2) the number
         of shares of convertible Preferred Stock outstanding immediately prior
         to such issuance or sale (calculated on an "as-if converted" basis),
         (3) the number of shares of Common Stock issuable upon the exercise of
         options or warrants to purchase shares of Common Stock which are
         outstanding and exercisable (at an exercise price which is less than or
         equal to

                                       -9-
<PAGE>
  
         the then current Conversion Price) immediately prior to such issuance
         or sale and (4) the number additional shares of Common Stock actually
         sold or issued.

                  (iii) In the event that the Company shall issue or any rights,
         warrants or options to subscribe for or purchase Common Stock, or other
         securities convertible into or exercisable or exchangeable for Common
         Stock, with an exercise, conversion or exchange price which is less
         than the Conversion Price in effect immediately prior to such issuance
         or sale, then the Conversion Price then in effect shall be adjusted to
         equal the price determined by multiplying the Conversion Price in
         effect immediately price such issuance or sale by a fraction, the
         numerator of which shall be the sum of (A) the number of shares of
         Common Stock outstanding immediately prior to such issuance or sale,
         (B) the number shares of convertible Preferred Stock outstanding
         immediately prior to such sale or issuance (calculated on an "as-if
         converted" basis), (C) the number of shares of Common Stock issuable up
         the exercise of options or warrants to purchase shares of Common Stock
         which are outstanding and exercisable (at an exercise price which is
         less than or equal to the then current Conversion Price) immediately
         prior to such issuance or sale and (D) the number shares of Common
         Stock that the aggregate proceeds to the Company from the exercise or
         conversion of such rights, warrants, options or convertible securities
         would purchase at the Conversion Price in effect immediately prior to
         such issuance or sale, and denominator of which shalt be the sum of (1)
         the number of shares of Common Stock outstanding immediately prior to
         such issuance or sale, (2) the number of shares of convertible
         Preferred Stock outstanding immediately prior to such issuance or sale
         (calculated on an "as-if converted" basis), (3) the number of shares of
         Common Stock issuable upon the exercise of options or warrants to
         purchase shares of Common Stock which are outstanding and exercisable
         (at an exercise price which is less than or equal to the then current
         Conversion Price) immediately prior to such issuance or sale and (4)
         the number of additional shares of Common Stock actually offered for
         purchase pursuant to such rights, warrants, options or convertible
         securities.

         (f) No Adjustment Required. Anything herein to the contrary
notwithstanding, no adjustment will be made to the Conversion Price by reason of
(i) the issuance of Common Stock or options to purchase, or securities
convertible into, Common Stock to employees, directors or consultants of the
Company pursuant to employee benefit plans or otherwise or the issuance of
Common Stock upon the conversion, exercise or exchange thereof, (ii) the
issuance of Common Stock upon the conversion, exercise or exchange of options to
purchase, or securities convertible into, Common Stock that are issued and
outstanding on the date a certificate of designations setting forth this
resolution is filed with the Secretary of State of the State of Minnesota, (iii)
the issuance of Common Stock upon the exercise of options issued under the
Universal Hospital Services, Inc. 1998 Stock Option Plan, (iv) the issuance of
Common Stock upon the conversion of the Series A Preferred Stock, (v) rights to
purchase Common Stock pursuant to a Company plan for reinvestment of dividends
or interest, (vi) the issuance or sale of rights, warrants or options in
connection with the issuance and sale by the

                                      -10-
<PAGE>
  
Company of Preferred Stock or debt and the issuance of Common Stock upon the
exercise of such rights, warrants or options so issued or sold or, (vii) the
issuance of Common Stock upon the exercise, conversion or exchange of rights,
warrants, options or convertible or exchangeable securities of the Company where
the Conversion Price had previously been adjusted pursuant to this Section 7
upon the initial issuance of such rights, warrants, options or convertible
securities. In addition, no adjustment in the Conversion Price need be made (A)
unless the adjustment pursuant to this Section 7 would require an increase or
decrease of at least 1% in the Conversion Price and (B) for a change in the par
value of the Common Stock.

         (g) Notice of Adjustment of Conversion Price. Whenever the Conversion
Price is adjusted, the Company shall promptly mail to holders of Series A
Preferred Stock a notice of adjustment briefly stating the facts requiring the
adjustment and the manner of computing it.

         (h) Consolidation; Merger; Asset Sale or Transfer; Share Exchange. In
case of any consolidation or merger of the Company with any other entity (other
than a wholly owned subsidiary of the Company), or in case of any sale or
transfer of all or substantially all of the assets of the Company, or in the
case of any share conversion or exchange pursuant to which all of the
outstanding shares of Common Stock are converted into or exchanged for other
securities or property, the Company shall make appropriate provision or cause
appropriate provision to be made so that holders of each share of Series A
Preferred Stock then outstanding shall have the right thereafter to convert such
share of Series A Preferred Stock into the kind and amount of shares of stock or
other securities or property receivable upon such consolidation, merger, sale,
transfer or share conversion or exchange by a holder of the number of shares of
Common Stock into which such share of Series A Preferred Stock might have been
converted immediately prior to the effective date of such consolidation, merger,
sale, transfer or share conversion or exchange. If, in connection with any such
consolidation, merger, sale, transfer or share conversion or exchange, each
holder of shares of Common Stock is entitled to elect to receive either
securities, cash or other assets upon completion of such transaction, the
Company shall provide or cause to be provided to each holder of Series A
Preferred Stock the right to elect to receive the securities, cash or other
assets into which the Series A Preferred Stock held by such holder shall be
convertible after completion of any such transaction on the same terms and
subject to the same conditions applicable to holders of the Common Stock
(including, without limitation notice of the right to elect, limitations on the
period in which such election shall be made and the effect of failing to
exercise the election). The Company shall not effect any such transaction unless
the provisions of this paragraph have been fulfilled. The above provisions shall
similarly apply to securities received by any holder of Series A Preferred Stock
in any such transaction as to successive consolidations, mergers, sales,
transfers or share conversion or exchanges.

         (i) Reservation, Fully Paid Nature and Listing of Shares. The Company
shall reserve and at all times keep available, free from preemptive rights, out
of its authorized but unissued shares or shares held in treasury, for the
purpose of effecting the conversion of the Series A Preferred Stock, such number
of shares of its duly authorized Common Stock as shall

                                      -11-
<PAGE>
  
from time to time be sufficient to effect the conversion of all of the
outstanding shares of Series A Preferred Stock. Before taking any action which
would cause an adjustment reducing the Conversion Price below the then par
value, if any, of the shares of Common Stock issuable upon conversion of the
Series A Preferred Stock, the Company will take all corporate action which may,
in the opinion of its counsel, be necessary in order that the Company may
validly and legally issue fully paid shares of such Common Stock at such
adjusted Conversion Price. The Company covenants that all shares of Common Stock
which may be issued upon conversion of Series A Preferred Stock will, upon
issue, be fully paid and nonassessable by the Company and free from all
documentary, stamp or similar issue or transfer taxes (as described in Section
9), liens and charges with respect to the issue thereof. The Company further
covenants that, if at any time the Common Stock shall be listed on the New York
Stock Exchange or any other national securities exchange, the Company will, if
permitted by the rules of such exchange, list and keep listed, so long as the
Common Stock shall be so listed on such exchange, all Common Stock issuable upon
conversion of the Series A Preferred Stock.

         (j) Value of Non-Cash Consideration. When calculating any adjustment to
the Conversion Price pursuant to paragraph (e)(ii) of this Section 7, the value
of any non-cash consideration received by the Company as proceeds upon the
issuance of its securities shall be determined exclusively by the Board of
Directors, which determination shall be final and binding on the holders of
Series A Preferred Stock.

         8. Limitation and Rights Upon Insolvency. Notwithstanding any other
provision herein, the Company shall not be required to pay any dividend on, or
to pay any amount in respect of any redemption of, the Series A Preferred Stock
at a time when immediately after making such payment the Company is or would be
rendered insolvent (as defined by applicable law), provided that the obligation
of the Company to make any such payment shall not be extinguished in the event
that the foregoing limitation applies.

         9. Transfer or Similar Taxes on Shares Issued. The issue and delivery
of stock certificates in connection with redemptions and on conversions of
Series A Preferred Stock shall be made without charge to the holder of Series A
Preferred Stock so redeemed or converted for, and the Company shall pay, any
documentary, stamp or similar issue or transfer tax in respect of the issue
thereof. The Company shall not, however, be required to pay any such tax which
may be payable in respect of any transfer involved in the issue of stock and
delivery of stock certificates (in connection with any redemption or conversion)
in any name other than that of the holder of the Series A Preferred Stock so
redeemed or converted, and the Company shall not be required to issue any such
stock or deliver any such stock certificate unless and until the person or
persons requesting the issuance thereof shall have paid to the Company the
amount of such tax or shall have established to the satisfaction of the Company
that such tax has been paid.

         10. Shares to Be Retired. Any share of Series A Preferred Stock
converted, redeemed or otherwise acquired by the Company shall be retired and
cancelled and shall upon cancellation be restored to the status of authorized
but unissued shares of Preferred Stock, subject

                                      -12-
<PAGE>
  
to reissuance by the Board of Directors as Series A Preferred Stock or shares of
Preferred Stock of one or more other series.

         11. Record Holders. The Company and the Company's transfer agent may
deem and treat the record holder of any shares of Series A Preferred Stock as
the true and lawful owner thereof for all purposes, and neither the Company nor
the Company's transfer agent shall be affected by any notice to the contrary.

         12. Notice. Except as may otherwise be provided for herein, all notices
referred to herein shall be in writing, and all notices hereunder shall be
deemed to have been given upon the earlier of receipt of such notice or three
Business Days after the mailing of such notice, if sent by registered mail
(unless first-class mail shall be specifically permitted for such notice under
the terms hereof), with postage prepaid, addressed: (a) if to the Company, to
the attention of its corporate secretary or to an agent of the Company
designated as permitted by the Company's Amended and Restated Articles of
Incorporation, as amended; (b) if to any holder of the Series A Preferred Stock,
to such holder at the address of such holder as listed in the stock record books
of the Company (which may include the records of the Company's transfer agent);
or (c) to such other address as the Company or holder, as the case may be, shall
have designated by notice similarly given.



                                      -13-

<PAGE>
 
                                                                  Exhibit 4.3(a)

                                 FIRST AMENDMENT
                               TO CREDIT AGREEMENT


         FIRST AMENDMENT TO CREDIT AGREEMENT, dated as of May 6, 1998 (this
"Amendment"), among UNIVERSAL HOSPITAL SERVICES, INC., a Minnesota corporation
(the "Borrower"), the financial institutions party to the Credit Agreement
described below (the "Banks") and BANKERS TRUST COMPANY, as Administrative
Agent. All capitalized terms used herein and not otherwise defined shall have
the respective meanings provided such terms in the Credit Agreement referred to
below.

                              W I T N E S S E T H :

         WHEREAS, the Borrower, the Banks and the Administrative Agent are
parties to a Credit Agreement, dated as of February 25, 1998 (as amended,
modified and supplemented through, but not including, the date hereof, the
"Credit Agreement");

         WHEREAS, the parties hereto wish to amend the Credit Agreement as
herein provided; and

         NOW THEREFORE, it is agreed:

         1. The Credit Agreement is amended as follows:

         (a) Section 6.22 of the Credit Agreement is hereby amended by (i)
deleting the text "such shares of Common Stock and any" appearing therein and
(ii) deleting the text "there are no shares of capital stock or other equity
securities of the Borrower outstanding, including, without limitation,"
appearing therein and inserting the text "neither the Borrower nor any of its
Subsidiaries has outstanding any" in lieu thereof.

         (b) Section 8.04(h) of the Credit Agreement is hereby amended by
deleting the text "as in effect on the date of this Agreement" appearing
therein.

         (c) Section 8.07 of the Credit Agreement is hereby amended by inserting
the text "(w) without the prior written consent of the Required Banks, amend,
modify or change, in any manner, the Stockholders Agreement or any exhibit,
annex or schedule thereto except for such amendments, modifications or changes
which are not materially adverse to any Bank in its capacity as such and could
not reasonably be expected to result in the payment by the Borrower or any of
its Subsidiaries of any amounts of money in excess of $100,000 or the Borrower
or any of its Subsidiaries incurring then, or at any time in the future, any
monetary obligation in excess of $100,000," immediately prior to the text "(x)"
appearing therein.

         (d) Section 8.09 of the Credit Agreement is hereby amended by deleting
the text "as in effect on the Effective Date" appearing therein.


              
<PAGE>
 
         (e) Section 10 of the Credit Agreement is hereby amended by (i)
deleting the text "as in effect on the date hereof" appearing in the definition
of Management Holder and (ii) inserting the text "as in effect on February 25,
1998, as modified by any amendment, modification or change permitted under
Section 8.07(w)" immediately prior to the period appearing at the end of the
definition of Stockholders Agreement.

         2. This Amendment is limited precisely as written and shall not be
deemed to be a consent to or modification of any other term or condition of the
Credit Agreement, the other Credit Documents or any of the instruments or
agreements referred to therein.

         3. In order to induce the Banks to enter into this Amendment, the
Borrower hereby represents and warrants that (x) no Default or Event of Default
exists on the First Amendment Effective Date (as defined below) both before and
after giving effect to this Amendment and (y) all of the representations and
warranties contained in the Credit Documents shall be true and correct in all
material respects on the First Amendment Effective Date both before and after
giving effect to this Amendment with the same effect as though such
representations and warranties had been made on and as of the First Amendment
Effective Date (it being understood that any representation or warranty made as
of a specific date shall be true and correct in all material respects as of such
specific date).

         4. This Amendment shall become effective on the date that the Borrower
and the Required Banks shall have signed a counterpart hereof (whether the same
or different counterparts) and shall have delivered (including by way of
telecopier) the same to the Administrative Agent at its Notice Office (such
effective date referred to above is herein called the "First Amendment Effective
Date").

         5. This Amendment may be executed in any number of counterparts and by
the different parties hereto on separate counterparts, each of which
counterparts when executed and delivered shall be an original, but all of which
shall together constitute one and the same instrument. A complete set of
counterparts shall be lodged with the Borrower and the Administrative Agent.

         6. THIS AMENDMENT AND THE RIGHTS AND OBLIGATIONS OF THE PARTIES
HEREUNDER SHALL BE CONSTRUED IN ACCORDANCE WITH AND GOVERNED BY THE LAW OF THE
STATE OF NEW YORK.

         7. From and after the First Amendment Effective Date, all references in
the Credit Agreement and each of the Credit Documents to the Credit Agreement or
each of the Credit Documents shall be deemed to be references to such Credit
Agreement or each of the Credit Documents as amended hereby.


                                        2
<PAGE>
 
         IN WITNESS WHEREOF, each of the parties hereto has caused a counterpart
of this Amendment to be duly executed and delivered as of the date first above
written.

                                     UNIVERSAL HOSPITAL SERVICES, INC.


                                     By: ______________________________
                                     Title: ____________________________



                                     BANKERS TRUST COMPANY,
                                     Individually as Administrative Agent


                                     By: _____________________________
                                     Title: ____________________________


                                     HELLER FINANCIAL, INC.


                                     By: ______________________________
                                     Title: ____________________________



                                        3

<PAGE>
 
                                                                  Exhibit 4.3(b)

                                SECOND AMENDMENT
                               TO CREDIT AGREEMENT



         SECOND AMENDMENT TO CREDIT AGREEMENT, dated as of July 30, 1998 (this
"Amendment"), among UNIVERSAL HOSPITAL SERVICES, INC., a Minnesota corporation
(the "Borrower"), the financial institutions party to the Credit Agreement
described below (the "Banks") and BANKERS TRUST COMPANY, as Administrative
Agent. All capitalized terms used herein and not otherwise defined shall have
the respective meanings provided such terms in the Credit Agreement referred to
below.

                              W I T N E S S E T H :

         WHEREAS, the Borrower, the Banks and the Administrative Agent are
parties to a Credit Agreement, dated as of February 25, 1998 (as amended,
modified and supplemented through, but not including, the date hereof, the
"Credit Agreement");

         WHEREAS, the parties hereto wish to amend the Credit Agreement as
herein provided; and

         NOW THEREFORE, it is agreed:

         1. Section 7.01(k) of the Credit Agreement is hereby amended by (i)
deleting the text "commercially reasonable judgment" appearing therein and
inserting the text "sole and absolute discretion" in lieu thereof and (ii)
inserting the text "and/or on a physical inspection basis (such basis to be
determined by the Administrative Agent in its sole and absolute discretion)"
immediately after the text "an update (an "Appraisal Update") on a desk top
basis" appearing therein.

         2. Section 8.02 of the Credit Agreement is hereby amended by (a)
deleting the text "and" appearing at the end of clause (j) thereof, (b) deleting
the period appearing at the end of clause (k) thereof and inserting the text ";
and" in lieu thereof and (c) inserting the following new clause (l) immediately
after clause (k) thereof:

         "(l) the Borrower may consummate the HCI Acquisition."

         3. Section 10 of the Credit Agreement is hereby amended by:

                   (i) deleting the text "50%" appearing in the definition of
         "Borrowing Base" and inserting the text "60%" in lieu thereof;

                  (ii) deleting the text "180 days" appearing in the definition
         of "Eligible Receivables" and inserting the text "90 days" in lieu
         thereof; and


                           
<PAGE>
 
                  (iii) inserting the following new definitions in the
         appropriate alphabetical order: " 'HCI' shall mean HCI Acquisition
         Corp., a Missouri corporation."

                           " 'HCI Acquisition' shall mean the acquisition by the
                  Borrower of all of the issued and outstanding shares of
                  capital stock of HCI pursuant to and in accordance with the
                  HCI Acquisition Documents."

                           " 'HCI Acquisition Agreement' shall mean the Stock
                  Purchase and Sale Agreement, dated as of July 30, 1998, by and
                  among the Borrower and the selling shareholders of HCI party
                  thereto."

                           " 'HCI Acquisition Documents' shall mean the HCI
                  Acquisition Agreement and all other documents required to be
                  entered into or delivered pursuant to the terms and conditions
                  of the HCI Acquisition Agreement."

         4. Schedule I to the Credit Agreement is hereby amended by deleting
said Schedule in its entirety and inserting Schedule I to this Amendment in lieu
thereof as new Schedule I to the Credit Agreement. The parties to this Amendment
agree that (i) promptly after the Second Amendment Effective Date the Borrower
shall deliver to each Bank a Revolving Note in the form of Exhibit B-1 to the
Credit Agreement which Revolving Notes shall reflect the changes to Schedule I
which are made pursuant to this paragraph 4 and (ii) each Bank receiving a new
Revolving Note pursuant to clause (i) above shall promptly thereafter deliver to
the Borrower any Revolving Notes previously issued to such Bank.

         5. This Amendment is limited precisely as written and shall not be
deemed to be a consent to or modification of any other term or condition of the
Credit Agreement, the other Credit Documents or any of the instruments or
agreements referred to therein.

         6. In order to induce the Banks to enter into this Amendment, the
Borrower hereby represents and warrants that (x) no Default or Event of Default
exists on the Second Amendment Effective Date (as defined below) both before and
after giving effect to this Amendment and (y) all of the representations and
warranties contained in the Credit Documents shall be true and correct in all
material respects on the Second Amendment Effective Date both before and after
giving effect to this Amendment with the same effect as though such
representations and warranties had been made on and as of the Second Amendment
Effective Date (it being understood that any representation or warranty made as
of a specific date shall be true and correct in all material respects as of such
specific date).

         7. This Amendment shall become effective (simultaneously with the
satisfaction of the last of the conditions described below) on the first date
that (such effective date being herein referred to as the "Second Amendment
Effective Date"):


                                        2
<PAGE>
 
                  (i) the Borrower and the Required Banks (which shall in any
         event include any Bank whose Revolving Commitment is increased pursuant
         to paragraph 4 of this Amendment) shall have signed a counterpart
         hereof (whether the same or different counterparts) and shall have
         delivered (including by way of telecopier) the same to the
         Administrative Agent at its Notice Office;

                  (ii) true and correct copies of the HCI Acquisition Documents
         shall have been delivered to the Administrative Agent, and all terms of
         the HCI Acquisition Documents shall be satisfactory in form and
         substance to the Administrative Agent;

                  (iii) the HCI Acquisition Documents (and the transactions
         contemplated thereby) shall have been duly approved by the boards of
         directors and, if required by appli-cable law, the stockholders of the
         parties thereto, and all HCI Acquisition Documents shall have been duly
         executed and delivered by the parties thereto and shall be in full
         force and effect;

                  (iv) each of the conditions precedent to the obligation of the
         parties to consummate the HCI Acquisition as set forth in the HCI
         Acquisition Agreement shall have been satisfied to the satisfaction of
         the Administrative Agent and the Required Banks, or waived with the
         consent of the Administrative Agent and the Required Banks, and the HCI
         Acquisition shall have been consummated in accordance with the HCI
         Acquisition Documents (without giving effect to any material amendment
         or modification of the HCI Acquisition Agreement or waiver with respect
         thereto unless consented to by the Administrative Agent and the
         Required Banks) and all applicable laws, rules and regulations;

                  (v) the Borrower shall have delivered the following to the
         Administrative Agent:

                           (a) certified copies of Requests for Information or
                  Copies (Form UCC-11), or equivalent r eports, each of recent
                  date listing all effective financing statements that name HCI
                  and/or any of its subsidiaries and are filed in either (x) any
                  jurisdiction in which HCI or any subsidiary of HCI maintains
                  its chief executive office or (y) any other jurisdiction in
                  which any assets of HCI or any subsidiary of HCI are located,
                  together with (1) copies of any Financing Statements that name
                  HCI or any subsidiary of HCI as debtor and (2) evidence of
                  filing of appropriate termination statements executed by the
                  secured lender in respect of any Financing Statements referred
                  to in clause (1) above;

                           (b) executed Financing Statements (Form UCC-1) in
                  appropriate form for filing under the UCC of each jurisdiction
                  referred to in clause (a) above as may be necessary to perfect
                  the security interests purported to be created by the Security
                  Agreement in the assets of HCI and its subsidiaries;


                                        3
<PAGE>
 
                           (c) evidence of the completion of (or evidence of the
                  making of arrangements satisfactory to the Administrative
                  Agent for the completion of) all other recordings and filings
                  of, or with respect to, HCI and its subsidiaries and/or their
                  assets as may be necessary or, in the reasonable opinion of
                  the Collateral Agent, desirable to perfect the security
                  interests intended to be created by the Security Agreement in
                  the assets of HCI and its subsidiaries (including, without
                  limitation, filings and registrations with respect to
                  copyrights, patents and trademarks); and

                           (d) evidence that all other actions necessary or, in
                  the reasonable opinion of the Collateral Agent, desirable to
                  perfect and protect the security interests purported to be
                  created by the Security Agreement in the assets of HCI and its
                  subsidiaries have been taken;

                  (vi) HCI and each of its subsidiaries shall have executed and
         delivered to the Administrative Agent a subsidiary assumption agreement
         in form and substance satisfactory to the Administrative Agent;

                  (vii) the Borrower and each of its subsidiaries shall have
         delivered to the Collateral Agent all stock certificates and notes
         (duly endorsed in blank) which represent Securities (as defined in the
         Pledge Agreement) which are owned (after giving effect to the HCI
         Acquisition) by the Borrower and/or any of its subsidiaries, together
         with executed and undated stock powers, in the case of Stock (as
         defined in the Pledge Agreement);

                  (viii) the Borrower shall have delivered a certificate of an
         Authorized Officer, dated the Second Amendment Effective Date, stating
         that all of the conditions set forth in clauses (iii) and (iv) above
         have been satisfied as of such date; and

                  (ix) HCI and each of its subsidiaries shall have executed and
         delivered the subsidiary guaranty, in the form of Exhibit G to the
         Credit Agreement.

         8. This Amendment may be executed in any number of counterparts and by
the different parties hereto on separate counterparts, each of which
counterparts when executed and delivered shall be an original, but all of which
shall together constitute one and the same instrument. A complete set of
counterparts shall be lodged with the Borrower and the Administrative Agent.

         9. THIS AMENDMENT AND THE RIGHTS AND OBLIGATIONS OF THE PARTIES
HEREUNDER SHALL BE CONSTRUED IN ACCORDANCE WITH AND GOVERNED BY THE LAW OF THE
STATE OF NEW YORK.


                                        4
<PAGE>
 
         10. From and after the Second Amendment Effective Date, all references
in the Credit Agreement and each of the Credit Documents to the Credit Agreement
shall be deemed to be references to such Credit Agreement as amended hereby.


                            [Signature Page Follows]




                                        5
<PAGE>
 
         IN WITNESS WHEREOF, each of the parties hereto has caused a counterpart
of this Amendment to be duly executed and delivered as of the date first above
written.

                                      UNIVERSAL HOSPITAL SERVICES, INC.



                                      By: ______________________________
                                      Title: ____________________________


                                      BANKERS TRUST COMPANY,
                                      Individually as Administrative Agent


                                      By: ______________________________
                                      Title: ____________________________


                                      HELLER FINANCIAL, INC.


                                      By: ______________________________
                                      Title: ____________________________



                                        6
<PAGE>
 
                                   COMMITMENTS



       Bank                                        Revolving Commitment
       ----                                        --------------------
Bankers Trust Company                                  $20,000,000
Heller Financial, Inc.                                 $20,000,000
                                                       -----------
Total:                                                 $40,000,000





                                        7

<PAGE>
 
                                                                  Exhibit 4.3(c)


                                 THIRD AMENDMENT
                               TO CREDIT AGREEMENT


         THIRD AMENDMENT TO CREDIT AGREEMENT, dated as of August 17, 1998 (this
"Amendment"), among UNIVERSAL HOSPITAL SERVICES, INC., a Minnesota corporation
(the "Borrower"), the financial institutions party to the Credit Agreement
described below (the "Banks") and BANKERS TRUST COMPANY, as Administrative
Agent. All capitalized terms used herein and not otherwise defined shall have
the respective meanings provided such terms in the Credit Agreement referred to
below.

                              W I T N E S S E T H :

         WHEREAS, the Borrower, the Banks and the Administrative Agent are
parties to a Credit Agreement, dated as of February 25, 1998 (as amended,
modified and supplemented through, but not including, the date hereof, the
"Credit Agreement");

         WHEREAS, the parties hereto wish to amend the Credit Agreement as
herein provided; and

         NOW THEREFORE, it is agreed:

         1. Section 3.01 of the Credit Agreement is hereby amended by (i)
inserting the text "(other than the unutilized amount of the Over-Advance
Commitment)" at the end of the first sentence of clause (a), (ii) redesignating
clauses (b), (c), (d), (e) and (f) as clauses (c), (d), (e), (f) and (g),
respectively, and (iii) inserting the following new clause (b) immediately after
clause (a) thereof:

                  "(b) The Borrower agrees to pay the Administrative Agent a
         non-refundable commitment fee (the "Over-Advance Commitment Fee") for
         the account of each Non-Defaulting Bank with an Over-Advance Commitment
         for the period from and including the Third Amendment Effective Date
         to, but not including, the Over-Advance Maturity Date, computed at a
         rate for each day equal to 3/4 of 1% per annum on the daily average
         unutilized amount of the Total Over-Advance Commitment. Such
         Over-Advance Commitment Fee shall be due and payable in arrears on the
         Over-Advance Maturity Date."

         2. Section 8.02 of the Credit Agreement is hereby amended by (i)
deleting the text "and" appearing at the end of clause (k) thereof, (ii)
deleting the period appearing at the end of clause (l) thereof and inserting the
text "; and" in lieu thereof and (iii) inserting the following new clause (m)
immediately after clause (l) thereof:

                  "(m) the Borrower may consummate the PCH Acquisition."

         3. Section 10 of the Credit Agreement is hereby amended by:

              
<PAGE>
 
                  (i) deleting the last sentence appearing in the definition of
         "Applicable Margin" in its entirety and inserting the following new
         sentence in lieu thereof:

                  "Notwithstanding anything to the contrary above in this
                  definition, (a) the Applicable Margin for Over-Advance Loans
                  shall be (i) from the Third Amendment Effective Date to and
                  including the date which is 120 days after the Third Amendment
                  Effective Date, (x) in the case of Base Rate Loans, 1.50% and
                  (y) in the case of Eurodollar Loans, 2.75%, (ii) from the date
                  which is 121 days after the Third Amendment Effective Date to
                  and including the date which is 150 days after the Third
                  Amendment Effective Date, (x) in the case of Base Rate Loans,
                  1.625%, and, in the case of Eurodollar Loans, 2.875% and (iii)
                  from the date which is 151 days following the Third Amendment
                  Effective Date to and including the Over-Advance Maturity
                  Date, (x) in the case of Base Rate Loans, 1.75%, and, (y) in
                  the case of Eurodollar Loans, 3.00%, (b) if, and for so long
                  as, any Over-Advance Loans remain outstanding after the date
                  which is 150 days following the Third Amendment Effective
                  Date, the Applicable Margin with respect to (x) Base Rate
                  Loans which are not Over-Advance Loans shall be 1.50% and (y)
                  Eurodollar Loans which are not Over-Advance Loans shall be
                  2.75% and (c) at all times during which there shall exist a
                  Default under Section 9.01 or 9.05 or an Event of Default, the
                  Applicable Margin shall be (i) in the case of Base Rate Loans
                  which are not Over-Advance Loans, 1.25%, (ii) in the case of
                  Base Rate Loans which are Over-Advance Loans, 1.75%, (iii) in
                  the case of Eurodollar Loans which are not Over-Advance Loans,
                  2.50% and (iv) in the case of Eurodollar Loans which are
                  Over-Advance Loans, 3.00%."

                  (ii) inserting the following proviso immediately before the
         period at the end of the definition of "Borrowing Base":

                  "and, provided further that, notwithstanding the foregoing,
                  (i) from the Third Amendment Effective Date to and including
                  the Over-Advance Maturity Date, the Borrowing Base shall be
                  equal to the amount calculated above pursuant to this
                  definition plus $8,000,000 (but in no event shall the
                  aggregate amount of the Borrowing Base be in excess of
                  $48,000,000) and (ii) at all other times the Borrowing Base
                  shall be as calculated above pursuant to this definition
                  (without giving effect to this proviso)"

                  (iii) inserting the following proviso immediately before the
         period at the end of the definition of "Revolving Commitment":

                  "; provided that, notwithstanding the foregoing, (i) from the
                  Third Amendment Effective Date to and including the
                  Over-Advance Maturity Date, the amount set forth on Schedule I
                  for each Bank shall be deemed to be increased by such Bank's
                  pro rata share of an aggregate increase of $8,000,000 for all
                  Banks, and (ii) at all

                                        2
<PAGE>
 
                  other times, the Revolving Commitment of each Bank shall be as
                  calculated above pursuant to this definition (without giving
                  effect to this proviso)"

                  (iv) inserting the following new definitions in the
         appropriate alphabetical order:

                  "Over-Advance Commitment" shall mean, at any time, with
                  respect to each Bank, the aggregate principal amount of
                  Over-Advance Loans which such Bank could be required to make
                  solely as a result of the operation of either or both of the
                  final proviso to the definition of "Borrowing Base" or the
                  proviso to the definition of "Revolving Commitment."

                  "Over-Advance Commitment Fee" shall have the meaning provided
                  in Section 3.01 of the Credit Agreement.

                  "Over-Advance Loans" shall mean Loans permitted to be
                  outstanding as a result of the operation of either the final
                  proviso to the definition of "Borrowing Base" or the proviso
                  to the definition of "Revolving Commitment" (i.e. which, but
                  for the presence of either of such provisos, would not be
                  permitted to remain outstanding).

                  "Over-Advance Maturity Date" shall mean the date which is 180
                  days after the Third Amendment Effective Date."

                  "PCH" shall mean Patient's Choice Healthcare, Inc., an Ohio
                  corporation.

                  "PCH Acquisition" shall mean the acquisition by the Borrower
                  of all of the issued and outstanding shares of capital stock
                  of PCH pursuant to and in accordance with the PCH Acquisition
                  Documents.

                  "PCH Acquisition Agreement" shall mean the Stock Purchase
                  Agreement, dated as of August 17, 1998, by and among the
                  Borrower and the selling shareholders of PCH party thereto.

                  "PCH Acquisition Documents" shall mean the PCH Acquisition
                  Agreement and all other documents required to be entered into
                  or delivered pursuant to the terms and conditions of the PCH
                  Acquisition Agreement.

                  "Total Over-Advance Commitment" shall mean the aggregate
                  Over-Advance Commitments of each of the Banks."

         4. This Amendment is limited precisely as written and shall not be
deemed to be a consent to or modification of any other term or condition of the
Credit Agreement, the other Credit Documents or any of the instruments or
agreements referred to therein.

                                        3
<PAGE>
 
         5. In order to induce the Banks to enter into this Amendment, the
Borrower hereby represents and warrants that (x) no Default or Event of Default
exists on the Third Amendment Effective Date (as defined below) both before and
after giving effect to this Amendment and (y) all of the representations and
warranties contained in the Credit Documents shall be true and correct in all
material respects on the Third Amendment Effective Date both before and after
giving effect to this Amendment with the same effect as though such
representations and warranties had been made on and as of the Third Amendment
Effective Date (it being understood that any representation or warranty made as
of a specific date shall be true and correct in all material respects as of such
specific date).

         6. This Amendment shall become effective (simultaneously with the
satisfaction of the last of the conditions described below) on the first date
that (such effective date being herein referred to as the "Third Amendment
Effective Date"):

                  (i) the Borrower and each of the Banks shall have signed a
         counterpart hereof (whether the same or different counterparts) and
         shall have delivered (including by way of telecopier) the same to the
         Administrative Agent at its Notice Office;

                  (ii) true and correct copies of the PCH Acquisition Documents
         shall have been delivered to the Administrative Agent, and all terms of
         the PCH Acquisition Documents shall be satisfactory in form and
         substance to the Administrative Agent;

                  (iii) the PCH Acquisition Documents (and the transactions
         contemplated thereby) shall have been duly approved by the boards of
         directors and, if required by appli-cable law, the stockholders of the
         parties thereto, and all PCH Acquisition Documents shall have been duly
         executed and delivered by the parties thereto and shall be in full
         force and effect;

                  (iv) each of the conditions precedent to the obligation of the
         parties to consummate the PCH Acquisition as set forth in the PCH
         Acquisition Agreement shall have been satisfied to the satisfaction of
         the Administrative Agent and the Required Banks, or waived with the
         consent of the Administrative Agent and the Required Banks, and the PCH
         Acquisition shall have been consummated in accordance with the PCH
         Acquisition Documents (without giving effect to any material amendment
         or modification of the PCH Acquisition Agreement or waiver with respect
         thereto unless consented to by the Administrative Agent and the
         Required Banks) and all applicable laws, rules and regulations;

                  (v) the Borrower shall have delivered the following to the
         Administrative Agent:

                           (a) certified copies of Requests for Information or
                  Copies (Form UCC-11), or equivalent reports, each of recent
                  date listing all effective financing statements that name PCH
                  and/or any of its subsidiaries and are filed in either (x) any

                                        4
<PAGE>
 
                  jurisdiction in which PCH or any subsidiary of PCH maintains
                  its chief executive office or (y) any other jurisdiction in
                  which any assets of PCH or any subsidiary of PCH are located,
                  together with (1) copies of any Financing Statements that name
                  PCH or any subsidiary of PCH as debtor and (2) evidence of
                  filing of appropriate termination statements executed by the
                  secured lender in respect of any Financing Statements referred
                  to in clause (1) above;

                           (b) executed Financing Statements (Form UCC-1) in
                  appropriate form for filing under the UCC of each jurisdiction
                  referred to in clause (a) above as may be necessary to perfect
                  the security interests purported to be created by the Security
                  Agreement in the assets of PCH and its subsidiaries;

                           (c) evidence of the completion of (or evidence of the
                  making of arrangements satisfactory to the Administrative
                  Agent for the completion of) all other recordings and filings
                  of, or with respect to, PCH and its subsidiaries and/or their
                  assets as may be necessary or, in the reasonable opinion of
                  the Collateral Agent, desirable to perfect the security
                  interests intended to be created by the Security Agreement in
                  the assets of PCH and its subsidiaries (including, without
                  limitation, filings and registrations with respect to
                  copyrights, patents and trademarks); and

                           (d) evidence that all other actions necessary or, in
                  the reasonable opinion of the Collateral Agent, desirable to
                  perfect and protect the security interests purported to be
                  created by the Security Agreement in the assets of PCH and its
                  subsidiaries have been taken;

                  (vi) PCH and each of its subsidiaries shall have executed and
         delivered to the Administrative Agent a subsidiary assumption agreement
         in form and substance satisfactory to the Administrative Agent;

                  (vii) the Borrower and each of its subsidiaries shall have
         delivered to the Collateral Agent all stock certificates and notes
         (duly endorsed in blank) which represent Securities (as defined in the
         Pledge Agreement) which are owned (after giving effect to the PCH
         Acquisition) by the Borrower and/or any of its subsidiaries, together
         with executed and undated stock powers, in the case of Stock (as
         defined in the Pledge Agreement);

                  (viii) the Borrower shall have delivered a certificate of an
         Authorized Officer, dated the Third Amendment Effective Date, stating
         that all of the conditions set forth in clauses (iii) and (iv) above
         have been satisfied as of such date;

                  (ix) PCH and each of its subsidiaries shall have executed and
         delivered the subsidiary guaranty, in the form of Exhibit G to the
         Credit Agreement;

                                        5
<PAGE>
 
                  (x) JWC Equity Funding, Inc. shall have contributed $6,000,000
         as a contribution to the capital stock of the Borrower on terms and
         conditions acceptable to the Banks and the Administrative Agent; and

                  (xi) there shall have been delivered to the Administrative
         Agent for the account of each Bank the appropriate Notes evidencing the
         Over-Advance Commitments, executed by the Borrower, and in the amount,
         maturity and as otherwise provided herein and in Section 1.05 of the
         Credit Agreement.

         7. This Amendment may be executed in any number of counterparts and by
the different parties hereto on separate counterparts, each of which
counterparts when executed and delivered shall be an original, but all of which
shall together constitute one and the same instrument. A complete set of
counterparts shall be lodged with the Borrower and the Administrative Agent.

         8. THIS AMENDMENT AND THE RIGHTS AND OBLIGATIONS OF THE PARTIES
HEREUNDER SHALL BE CONSTRUED IN ACCORDANCE WITH AND GOVERNED BY THE LAW OF THE
STATE OF NEW YORK.

         9. From and after the Third Amendment Effective Date, all references in
the Credit Agreement and each of the Credit Documents to the Credit Agreement
shall be deemed to be references to such Credit Agreement as amended hereby.

                                    *********

                   [Signatures appear on the following pages]


                                        6
<PAGE>
 
         IN WITNESS WHEREOF, each of the parties hereto has caused a counterpart
of this Amendment to be duly executed and delivered as of the date first above
written.

                                     UNIVERSAL HOSPITAL SERVICES, INC.


                                     By: ______________________________
                                     Title: ____________________________


                                     BANKERS TRUST COMPANY,
                                     Individually as Administrative Agent


                                     By: ______________________________
                                     Title: ____________________________


                                     HELLER FINANCIAL, INC.


                                     By: ______________________________
                                     Title: ____________________________



                                        7

<PAGE>
 
                                                                  Exhibit 4.3(d)

                                FOURTH AMENDMENT
                               TO CREDIT AGREEMENT


         FOURTH AMENDMENT TO CREDIT AGREEMENT, dated as of August 20, 1998 (this
"Amendment"), among UNIVERSAL HOSPITAL SERVICES, INC., a Minnesota corporation
(the "Borrower"), the financial institutions party to the Credit Agreement
described below (the "Banks") and BANKERS TRUST COMPANY, as Administrative
Agent. All capitalized terms used herein and not otherwise defined shall have
the respective meanings provided such terms in the Credit Agreement referred to
below.

                              W I T N E S S E T H :

         WHEREAS, the Borrower, the Banks and the Administrative Agent are
parties to a Credit Agreement, dated as of February 25, 1998 (as amended,
modified and supplemented through, but not including, the date hereof, the
"Credit Agreement");

         WHEREAS, Fleet National Bank desires to become a party to the Credit
Agreement as a Bank;

         WHEREAS, the parties hereto wish to amend the Credit Agreement as
herein provided; and

         NOW THEREFORE, it is agreed:

         1.       Section 10 of the Credit Agreement is hereby amended by:

                  (i) deleting the proviso appearing in the definition of
         "Revolving Commitment."

                  (ii) (x) deleting the text "either or both of" appearing in
         the definition of "Over-Advance Commitment" and (y) deleting the text
         "or the proviso to the definition of 'Revolving Commitment'" appearing
         in the definition of "Over-Advance Commitment."

                  (iii) (x) deleting the text "either" appearing immediately
         before the text "the final proviso" in the definition of "Over-Advance
         Loans", (y) deleting the text "or the proviso to the definition of
         'Revolving Commitment'" appearing in said definition and (z) deleting
         the text "either of such provisos" appearing in the parenthetical in
         said definition and inserting the text "such proviso" in lieu thereof.

                  (iv) deleting the amount "$48,000,000" appearing in the
         proviso in the definition of "Borrowing Base" and inserting the amount
         "$50,000,000" in lieu thereof.

         2. Schedule I to the Credit Agreement is hereby amended by deleting
said Schedule I in its entirety and inserting in lieu thereof Schedule I hereto.


              
<PAGE>
 
         3. By its signature hereto, Fleet National Bank hereby (i) confirms
that it has received a copy of the Credit Agreement and the other Credit
Documents, together with copies of the financial statements referred to therein
and such other documents and information as it has deemed appropriate to make
its own credit analysis and decision to become a party to the Credit Agreement;
(ii) agrees that it will, independently and without reliance upon the
Administrative Agent or any other Bank and based on such documents and
information as it shall deem appropriate at the time, continue to make its own
credit decisions in taking or not taking action under the Credit Agreement;
(iii) appoints and authorizes the Administrative Agent to take such action as
agent on its behalf and to exercise such powers under the Credit Agreement and
the other Credit Documents as are delegated to the Administrative Agent by the
terms thereof, together with such powers as are reasonably incidental thereto;
and (iv) agrees that it will perform in accordance with their terms all of the
obligations which by the terms of the Credit Agreement and the Other Credit
Documents are required to be performed by it as a Bank.

         4. Fleet shall have received a Revolving Note signed by the Borrower
and in the amount of its Revolving Commitment and otherwise in conformity with
the provisions of Section 1.05 of the Credit Agreement.

         5. Any lending institution which becomes a party to the Credit
Agreement as a Bank after the Third Amendment Effective Date and prior to the
Over-Advance Maturity Date shall assume its pro rata portion of the Over-Advance
Commitment.

         6. This Amendment is limited precisely as written and shall not be
deemed to be a consent to or modification of any other term or condition of the
Credit Agreement, the other Credit Documents or any of the instruments or
agreements referred to therein.

         7. In order to induce the Banks to enter into this Amendment, the
Borrower hereby represents and warrants that (x) no Default or Event of Default
exists on the Fourth Amendment Effective Date (as defined below) both before and
after giving effect to this Amendment and (y) all of the representations and
warranties contained in the Credit Documents shall be true and correct in all
material respects on the Fourth Amendment Effective Date both before and after
giving effect to this Amendment with the same effect as though such
representations and warranties had been made on and as of the Fourth Amendment
Effective Date (it being understood that any representation or warranty made as
of a specific date shall be true and correct in all material respects as of such
specific date).

         8. This Amendment shall become effective (simultaneously with the
satisfaction of the last of the conditions described below) on the first date
that (such effective date being herein referred to as the "Fourth Amendment
Effective Date") the Borrower, each of the Banks and Fleet National Bank shall
have signed a counterpart hereof (whether the same or different counterparts)
and shall have delivered (including by way of telecopier) the same to the
Administrative Agent at its Notice Office.


                                        2
<PAGE>
 
         9. This Amendment may be executed in any number of counterparts and by
the different parties hereto on separate counterparts, each of which
counterparts when executed and delivered shall be an original, but all of which
shall together constitute one and the same instrument. A complete set of
counterparts shall be lodged with the Borrower and the Administrative Agent.

         10. THIS AMENDMENT AND THE RIGHTS AND OBLIGATIONS OF THE PARTIES
HEREUNDER SHALL BE CONSTRUED IN ACCORDANCE WITH AND GOVERNED BY THE LAW OF THE
STATE OF NEW YORK.

         11. From and after the Fourth Amendment Effective Date, all references
in the Credit Agreement and each of the Credit Documents to the Credit Agreement
shall be deemed to be references to such Credit Agreement as amended hereby.

                   [Signatures appear on the following pages]



                                        3
<PAGE>
 
         IN WITNESS WHEREOF, each of the parties hereto has caused a counterpart
of this Amendment to be duly executed and delivered as of the date first above
written.

                                    UNIVERSAL HOSPITAL SERVICES, INC.


                                    By: _____________________________
                                    Title: ___________________________


                                    BANKERS TRUST COMPANY,
                                    Individually as Administrative Agent


                                    By: _____________________________
                                    Title: ___________________________


                                    HELLER FINANCIAL, INC.


                                    By: _____________________________
                                    Title: ___________________________


                                    FLEET NATIONAL BANK


                                    By: _____________________________
                                    Title: ___________________________



                                        4
<PAGE>
 
                                                                      SCHEDULE I

                                   COMMITMENTS



        Bank                                      Revolving Commitment
        ----                                      --------------------
Bankers Trust Company                                 $20,000,000
Heller Financial, Inc.                                $20,000,000
Fleet National Bank                                   $10,000,000
                                                      -----------
Total:                                                $50,000,000



                                        5


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