UNIVERSAL HOSPITAL SERVICES INC
10-Q, 2000-08-08
MISCELLANEOUS EQUIPMENT RENTAL & LEASING
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<PAGE>

                                    FORM 10-Q
                       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, 2000

                                       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)


                                  952-893-3200
                                  ------------
              (Registrant's telephone number, including area code)


Indicate by check mark whether the registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities 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    X          No
<PAGE>

PART I - FINANCIAL INFORMATION

Item 1.  Financial Statements

                        Universal Hospital Services, Inc.

                            STATEMENTS OF OPERATIONS
                             (dollars in thousands)
                                   (unaudited)

<TABLE>
<CAPTION>
                                                  Three Months Ended      Six Months Ended
                                                       June 30,                June 30,
                                                 --------------------------------------------
                                                   2000        1999        2000        1999
                                                 --------    --------    --------    --------
<S>                                              <C>         <C>         <C>         <C>
Revenues:

    Equipment rentals                            $ 22,085    $ 19,012    $ 45,818    $ 39,357
    Sales of supplies and equipment, and other      2,970       2,962       6,127       6,050
                                                 --------    --------    --------    --------
       Total revenues                              25,055      21,974      51,945      45,407

Costs of rentals and sales:

    Cost of equipment rentals                       6,090       5,656      12,483      10,597
    Rental equipment depreciation                   5,426       4,330      10,593       8,305
    Cost of supplies and equipment sales            2,009       2,059       4,313       4,059
                                                 --------    --------    --------    --------
       Total costs of rentals and sales            13,525      12,045      27,389      22,961
                                                 --------    --------    --------    --------

Gross profit                                       11,530       9,929      24,556      22,446

Selling, general and administrative                 8,607       7,206      17,013      14,930
                                                 --------    --------    --------    --------

Operating income                                    2,923       2,723       7,543       7,516

Interest expense                                    5,160       4,396      10,222       8,579
                                                 --------    --------    --------    --------

Loss before income taxes                           (2,237)     (1,673)     (2,679)     (1,063)

Benefit for income taxes                              (63)     (1,656)        (92)     (1,297)
                                                 --------    --------    --------    --------

Net (loss) income                                ($ 2,174)   ($    17)   ($ 2,587)   $    234
                                                 ========    ========    ========    ========
</TABLE>

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

                                                                               2
<PAGE>

                        Universal Hospital Services, Inc.

                                 BALANCE SHEETS
          (dollars in thousands except share and per share information)

<TABLE>
<CAPTION>
                                     ASSETS
                                                                                  June 30,       December 31,
                                                                                    2000             1999
                                                                                 ------------    ------------
                                                                                 (unaudited)
<S>                                                                              <C>             <C>
Current assets:
       Accounts receivable, less allowance for doubtful accounts of $1,400
              at June 30, 2000 and $1,450 at December 31, 1999                   $     25,459    $     27,338
       Inventories                                                                      3,003           3,527
       Deferred income taxes                                                            1,063           1,063
       Other current assets                                                               992             839
                                                                                 ------------    ------------
           Total current assets                                                        30,517          32,767

Property and equipment:
       Rental equipment, at cost less accumulated depreciation                         94,531          91,953
       Property and office equipment, at cost less accumulated depreciation             5,002           4,804
                                                                                 ------------    ------------
           Total property and equipment, net                                           99,533          96,757

Intangible and other assets:
       Goodwill, less accumulated amortization                                         38,392          39,704
       Other primarily deferred financing costs, less accumulated amortization          6,860           7,508
                                                                                 ------------    ------------
           Total assets                                                          $    175,302    $    176,736
                                                                                 ============    ============

                    LIABILITIES AND SHAREHOLDERS' DEFICIENCY
Current liabilities:
       Current portion of long-term debt                                         $        263    $        305
       Accounts payable                                                                10,652           9,419
       Accrued compensation and pension                                                 3,407           3,350
       Accrued interest                                                                 5,236           4,925
       Other accrued expenses                                                           1,011             725
       Bank overdrafts                                                                    480           2,506
                                                                                 ------------    ------------
           Total current liabilities                                                   21,049          21,230

Long-term debt, less current portion                                                  188,301         187,157
Deferred compensation and pension                                                       2,368           2,232
Deferred income taxes                                                                   1,234           1,326


Series B, 13% Cumulative Preferred Stock, $0.01 par value; 25,000 shares
     authorized, 6,246 shares issued and outstanding at June 30, 2000 and
     December 31, 1999, net of unamortized discount, including accrued stock
     dividends                                                                          6,675           6,207

Commitments and contingencies

Shareholders' deficiency:

       Common Stock, $0.01 par value; 50,000,000 authorized,
             16,090,444 and 16,063,240 shares issued and outstanding at
             June 30, 2000 and December 31, 1999, respectively                            161             161
       Additional paid-in capital                                                       2,334           2,242
       Accumulated deficit                                                            (46,820)        (43,819)
                                                                                 ------------    ------------
           Total shareholders' deficiency                                             (44,325)        (41,416)
                                                                                 ------------    ------------
           Total liabilities and shareholders' deficiency                        $    175,302    $    176,736
                                                                                 ============    ============
</TABLE>

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

                                                                               3
<PAGE>

                        Universal Hospital Services, Inc.

                            STATEMENTS OF CASH FLOWS
                             (dollars in thousands)
                                   (unaudited)

<TABLE>
<CAPTION>
                                                                                          Six Months Ended June 30,
                                                                                          -------------------------
                                                                                              2000        1999
                                                                                            --------    --------
<S>                                                                                         <C>         <C>
Cash flows from operating activities:
              Net (loss) income                                                             ($ 2,587)   $    234
              Adjustments to reconcile net (loss) income to net
                   cash provided by operating activities:
                     Depreciation                                                             11,200       8,767
                     Amortization of intangibles                                               2,096       1,893
                     Provision for doubtful accounts                                             574         501
                     Loss on sale of equipment                                                   267         601
                     Deferred income taxes                                                       (92)     (1,316)
              Changes in operating assets and liabilities, net of impact of acquisitions:
                     Accounts receivable                                                       1,052      (3,916)
                      Inventories and other operating assets                                     372        (629)
                     Accounts payable and accrued expenses                                     3,257       3,133
                                                                                            --------    --------
                     Net cash provided by operating activities                                16,139       9,268
                                                                                            --------    --------

Cash flows from investing activities:
              Rental equipment purchases                                                     (14,325)    (27,671)
              Property and office equipment purchases                                           (821)     (1,035)
              Proceeds from disposition of rental equipment                                      277       1,273
              Acquisitions                                                                                  (845)
              Other                                                                              162        (434)
                                                                                            --------    --------
                     Net cash used in investing activities                                   (14,707)    (28,712)
                                                                                            --------    --------

Cash flows from financing activities:
              Proceeds under loan agreements                                                  21,625      57,175
              Payments under loan agreements                                                 (21,123)    (35,331)
              Prepayment of deferred loan costs                                                           (1,181)
              Proceeds from issuance of common stock, net of offering costs                       92
              Change in book overdraft                                                        (2,026)     (1,219)
                                                                                            --------    --------
                     Net cash (used in) provided by financing activities                      (1,432)     19,444
                                                                                            --------    --------

Net change in cash and cash equivalents                                                     $    ---    $    ---
                                                                                            ========    ========

Supplemental cash flow information:
               Interest paid                                                                $  9,592    $  7,183
                                                                                            ========    ========
               Rental equipment purchases included in accounts payable                      $  2,383    $  1,814
                                                                                            ========    ========
               Income taxes paid (received)                                                 $     59    ($   223)
                                                                                            ========    ========
</TABLE>

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

                                                                               4
<PAGE>

                        Universal Hospital Services, Inc.

            NOTES TO UNAUDITED QUARTERLY REPORT FINANCIAL STATEMENTS

1.       Basis of Presentation:

         The condensed financial statements included in this Form 10-Q have been
         prepared by the Company without audit, pursuant to the rules and
         regulations of the Securities and Exchange Commission. Certain
         information and footnote disclosures normally included in financial
         statements prepared in accordance with generally accepted accounting
         principles have been condensed, or omitted, pursuant to such rules and
         regulations. These condensed financial statements should be read in
         conjunction with the financial statements and related notes included in
         the Company's Annual Report on Form 10-K filed with the Securities and
         Exchange Commission on March 29, 2000.

         The interim financial statements presented herein as of June 30, 2000
         and 1999, and for the three and six months ended June 30, 2000 and
         1999, reflect, in the opinion of management, all adjustments necessary
         for a fair presentation of financial position and the results of
         operations for the periods presented. These adjustments are all of a
         normal, recurring nature. The results of operations for any interim
         period are not necessarily indicative of results for the full year.

         The December 31, 1999 Balance Sheet data was derived from audited
         financial statements, but does not include all disclosures required by
         generally accepted accounting principles.



2.       Acquisitions

         Vital Choice Medical Systems, Inc.

         On October 26, 1999, the Company acquired Vital Choice Medical Systems,
         Inc. (VC) pursuant to a Stock Purchase Agreement among the Company and
         the shareholders of VC. Under the agreement, the Company acquired all
         of the outstanding capital stock of VC for approximately $5.5 million,
         including the repayment of approximately $2.1 million of outstanding
         indebtedness of VC. The source of funds was from the Senior Revolving
         Credit Facility.

         VC rents medical equipment to hospitals and alternate care facilities
         from three locations in central and northern California--Oakland,
         Fresno, and Sacramento. VC also supplies disposable medical products
         used in connection with rental equipment and provides a variety of
         biomedical services.

         Express Medical Supply, Inc.

         On March 31, 1999, the Company acquired certain assets of Express
         Medical Supply, Inc. (EMS) for approximately $0.8 million. The source
         of funds was from the Senior Revolving Credit Facility.

         EMS rents respiratory equipment to hospitals and home care providers in
         Nashville. EMS also supplies disposable respiratory products used in
         connection with the respiratory equipment.

         Proforma Information

         The following summarizes unaudited proforma results of operations for
         the six months ended June 30, 1999 assuming the acquisitions of VC and
         EMS occurred as of January 1, 1999.

                            Three Months Ended        Six Months Ended
                               June 30, 1999            June 30, 1999
                               -------------            -------------
         Total Revenue          $22,575,000              $47,007,000
         Net income             $   239,000              $   653,000

                                                                               5
<PAGE>

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

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

Results of Operations

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

<TABLE>
<CAPTION>
                                                           Percent of Total Revenues      Percent Increase (Decrease)
                                                           -------------------------      ---------------------------
                                                   Three Months Ended    Six Months Ended     Qtr 2     Six Months
                                                         June 30,           June 30,           2000        2000
                                                                                            Over Qtr 2  Over Six
                                                      2000      1999      2000      1999       1999    Months 1999
                                                   -------------------  ------------------  ----------------------
<S>                                                  <C>       <C>       <C>       <C>        <C>        <C>
Revenues:

        Equipment rentals                             88.1%     86.5%     88.2%     86.7%      16.2%      16.4%
        Sales of supplies and equipment, and other    11.9%     13.5%     11.8%     13.3%       0.3%       1.3%
                                                   -------------------  ------------------
                Total revenues                       100.0%    100.0%    100.0%    100.0%      14.0%      14.4%

Costs of rentals and sales:

        Cost of equipment rentals                     24.3%     25.7%     24.0%     23.3%       7.7%      17.8%
        Rental equipment depreciation                 21.7%     19.7%     20.4%     18.3%      25.3%      27.5%
        Cost of supplies and equipment sales           8.0%      9.4%      8.3%      9.0%      (2.4%)      6.3%
                                                   -------------------  ------------------
                Total costs of rentals and sales      54.0%     54.8%     52.7%     50.6%      12.3%      19.3%
                                                   -------------------  ------------------

Gross profit                                          46.0%     45.2%     47.3%     49.4%      16.1%       9.4%

Selling, general and administrative                   34.3%     32.8%     32.8%     32.8%      19.4%      14.0%
                                                   -------------------  ------------------

Operating  income                                     11.7%     12.4%     14.5%     16.6%       7.3%       0.4%

Interest expense                                      20.6%     20.0%     19.7%     18.9%      17.4%      19.2%
                                                   -------------------  ------------------

Loss before income taxes                              (8.9%)    (7.6%)    (5.2%)    (2.3%)       NM         NM

Benefit for income taxes                              (0.2%)    (7.5%)    (0.2%)    (2.8%)       NM         NM
                                                   -------------------  ------------------

Net (loss) income                                     (8.7%)    (0.1%)    (5.0%)     0.5%        NM         NM
                                                   ===================  ==================
</TABLE>

                                                                               6
<PAGE>

General

We are a leading nationwide provider of moveable medical equipment to more than
5,100 hospitals and alternate care providers through our equipment rental and
outsourcing programs.

The following discussion addresses our financial condition as of June 30, 2000
and the results of operations and cash flows for the three and six months ended
June 30, 2000 and 1999. This discussion should be read in conjunction with the
financial statements included elsewhere herein and the Management's Discussion
and Analysis and Financial sections included in our Annual Report on Form 10-K
filed with the Securities and Exchange Commission on March 29, 2000.

Safe Harbor Statements under the Private Securities Litigation Reform Act of
1995: We believe statements in this Form 10-Q looking forward in time involve
risks and uncertainties. The following factors, among others, could adversely
affect our business, operations and financial condition causing our actual
results to differ materially from those expressed in any forward-looking
statements: our substantial outstanding debt and high degree of leverage and the
continued availability, terms and deployment of capital, including our ability
to service or refinance debt; restrictions imposed by the terms of our debt;
adverse regulatory developments affecting, among other things, the ability of
our customers to obtain reimbursement of payments made to us; changes and trends
in customer preferences, including increased purchasing of movable medical
equipment; difficulties or delays in our continued expansion into certain
markets and development of new markets; unanticipated costs or difficulties or
delays in implementing the components of our strategy and plan and possible
adverse consequences relating to our ability to successfully integrate recent
acquisitions; effect of and changes in economic conditions, including inflation
and monetary conditions; actions by competitors and availability of and ability
to retain qualified personnel. For a more complete discussion see the caption
"Industry Assessment" and in our Form 10-K filing filed with the Securities and
Exchange Commission on March 29, 2000 under the caption "Business--Risk
Factors."

Industry Assessment

Our business may be significantly affected by, and the success of our growth
strategies depends on, the availability and nature of reimbursements to
hospitals and other health care providers for their medical equipment costs
under federal programs such as Medicare and by other third party payors. Our
customers, primarily hospitals and alternate care providers, have been and
continue to be faced with cost containment pressures and uncertainties with
respect to health care reform and reimbursement. There has been, and we believe
there will continue to be, a transition toward fixed, per-capita payment systems
and other risk-sharing mechanisms. Under its prospective payment system, the
Health Care Financing Administration, which determines Medicare reimbursement
levels, reimburses hospitals for medical treatment at fixed rates according to
diagnostic related groups without regard to the individual hospital's actual
cost. In July 1998, HCFA changed the way it reimburses nursing homes to a
similar prospective payment system. The Balanced Budget Act of 1997
significantly reduced the growth in federal spending on Medicare and Medicaid
over the next five years.

We believe our Pay-Per-Use and other rental programs respond favorably to the
current industry environment by providing high quality equipment through
programs which help health care providers improve their efficiency while
effectively matching costs to patient needs, wherever that care is being
provided. While our strategic focus appears consistent with health care
providers' efforts to contain costs and improve efficiencies, there can be no
assurances as to how health care reform will ultimately evolve and the impact it
will have on us.

Because the capital equipment procurement decisions of health care providers are
significantly influenced by the regulatory and political environment for health
care, our operating results historically have been adversely affected in periods
when significant health care reform initiatives were under consideration and
uncertainty remained as to their likely outcome. To the extent general cost
containment pressures on health care spending and reimbursement reform, or
uncertainty as to possible reform, causes hospitals and alternate care providers
to defer the procurement of medical equipment, reduce their capital expenditures
or change significantly their utilization of medical equipment, there could be a
material adverse effect on our business's financial condition and results of
operations.

                                                                               7
<PAGE>

Completed Acquisitions (See footnote 2 to the financial statements).

On October 26, 1999, we completed the purchase of Vital Choice Medical Systems,
Inc. (VC), a privately held company headquartered in Visalia, California.

On March 31, 1999, we completed the purchase of Express Medical Supply, Inc.
(EMS), a privately held company headquartered in Nashville, Tennessee.

Equipment Rental Revenues

Equipment rental revenues were $22.1 million for the second quarter of 2000,
representing a $3.1 million or 16.2% increase from equipment rental revenues of
$19.0 million for the same period of 1999. Assuming the acquisition of VC
occurred on January 1, 1999, equipment rental revenue would have increased 12.9%
for the second quarter of 2000, compared to the same period in the prior year.
For the first six months of 2000, equipment rental revenues were $45.8 million,
representing a $6.4 million, or 16.4% increase from rental revenues of $39.4
million for the same period of 1999. After giving effect to the acquisition of
VC, equipment rental revenue would have increased 12.9% for the first half of
2000, compared to the same period in the prior year. The rental revenue increase
resulted from the acquisition of VC combined with revenue generated from rental
equipment additions. The strong growth in rental revenues was partially offset
by price concessions to certain Group Purchasing Organizations (GPO) to achieve
preferred vendor relationships. These GPO agreements started during the first
quarter of 1999 and are for terms of two to three years.

Sales of Supplies and Equipment, and Other

Sales of supplies and equipment and other were $3.0 million for the second
quarters of 2000 and 1999. For the first six months of 2000 and 1999, sales of
supplies and equipment, and other were $6.1 million.

Cost of Equipment Rentals

Cost of equipment rentals were $6.1 million for the second quarter of 2000,
representing a $0.4 million, or 7.7%, increase from cost of equipment rentals of
$5.7 million for the same period of 1999. For the first six months of 2000, cost
of equipment rentals was $12.5 million, representing a $1.9 million, or 17.8%
increase from cost of equipment rentals of $10.6 million for the same period of
1999. Cost of equipment rentals, as a percentage of equipment rental revenues,
decreased to 27.6% for the second quarter of 2000 from 29.7% for the same period
of 1999, as a result of rental revenues growing at a faster rate than the
related cost of equipment rentals. For the first six months of 2000, cost of
equipment rentals, as a percentage of equipment rental revenues, increased to
27.2% from 26.9% for the same period of 1999, mainly as a result of the GPO
price concessions granted at the end of the first quarter of 1999. This was
supplemented during the first quarter of 2000 with increased rents, vehicles and
employees associated with new district locations, and hiring delivery employees
to support rental revenue growth.

Rental Equipment Depreciation

Rental equipment depreciation was $5.4 million for the second quarter of 2000,
representing a $1.1 million or 25.3% increase from rental equipment depreciation
of $4.3 million for the same period of 1999. For the first six months of 2000,
rental equipment depreciation was $10.6 million, representing a $2.3 million, or
27.5% increase from rental equipment depreciation of $8.3 million for the same
period of 1999, as a result of equipment purchases during 1999 and 2000. Rental
equipment depreciation as a percentage of equipment rental revenues increased to
24.6% in the second quarter of 2000 from 22.8% for the same period of 1999. For
the first six months of 2000, rental equipment depreciation as a percentage of
equipment rental revenues increased to 23.1% from 21.1% for the same period of
1999. These increases were due to the strong equipment additions during the past
twelve months and as the result of GPO agreements.

                                                                               8
<PAGE>

Gross Profit

Gross profit was $11.5 million for the second quarter of 2000, representing a
$1.6 million or 16.1% increase from gross profit of $9.9 million for the same
period of 1999. For the first six months of 2000, gross profit was $24.6
million, representing a $2.2 million, or 9.4% increase from gross profit of
$22.4 million for the same period of 1999. The increase in gross profit is due
to rental revenue growth partially offset by the increased cost of equipment
rentals and rental equipment depreciation discussed above.

Gross profit on rentals represents equipment rental revenues reduced by the cost
of equipment rentals and rental equipment depreciation. Gross profit on rentals
increased to 47.9% of equipment rental revenues for the second quarter of 2000
from 47.5% for the same period in 1999. The increased margin for the second
quarter reflects improved operating efficiencies and equipment utilization. For
the first six months of 2000, gross profit on rental revenue decreased to 49.6%
from 52.0% for the same period of 1999. The decline in the margin was
predominately due to the impact of GPO pricing commencing late in the first
quarter of 1999 as well as increased cost of equipment rentals, and higher
depreciation from capital equipment purchases predominately in the first quarter
which were partially offset by growth in rental revenues.

Gross margin on sales of supplies and equipment and other increased to 32.4% in
the second quarter of 2000 from 30.5% for the same period of 1999. For the first
six months of 2000, gross profit on sales of supplies and equipment and other
decreased to 29.6% from 32.9%.

Selling, General and Administrative Expenses

Selling, general and administrative expenses were $8.6 million in the second
quarter of 2000, representing a $1.4 million, or 19.4% increase from selling,
general and administrative expenses of $7.2 million for the same period of 1999.
For the first six months of 2000, selling, general and administrative expenses
were $17.0 million, representing a $2.1 million, or 14.0% increase from $14.9
million for the same period of 1999. The increase was due to additional
employees in second quarter 2000 over the same period in 1999, including three
new divisional managers, amortization of goodwill from acquisitions and debt
financing costs, and employee related insurance costs. Selling, general and
administrative expenses as a percentage of total revenue increased to 34.3% for
the second quarter of 2000 from 32.8% for the same period of 1999. For the first
six months of 2000, selling, general and administrative expenses as a percentage
of total revenue remained constant at 32.8%.

Interest Expense

Interest expense was $5.2 million for the second quarter of 2000, representing a
$0.8 million, or 17.4% increase from interest expense of $4.4 million in the
same period of 1999. For the first six months of 2000, interest expense was
$10.2 million, representing a $1.6 million, or 19.2% increase from $8.6 million
for the same period of 1999. These increases primarily reflect our incremental
borrowings associated with capital equipment additions and the acquisitions of
VC and EMS as well as an increase in our effective interest rate. Average
borrowings increased to $195.4 million during the second quarter of 2000 from
$174.8 million for the same period in 1999 and from $167.5 million during the
first six months of 1999 to $193.9 million for the first six months of 2000.

Income Taxes

Our effective income tax rate for the first six months of 2000 was 3.4% compared
to a statutory federal income tax rate of 34.0%, primarily due to amortization
of goodwill that is not deductible for income tax purposes and the establishment
of a valuation allowance related to our net deferred tax asset primarily
resulting from net operating loss carry forwards. The effective income tax rate
for the first six months of 2000 is management's estimate of the full year 2000
effective rate.

                                                                               9
<PAGE>

Net Loss

We incurred a net loss of $2.2 million during the second quarter of 2000,
compared to a net loss of $0.02 million in the same period of 1999. The first
six months of 2000 resulted in a net loss of $2.6 million, compared to net
income of $0.2 in the same period of 1999.

EBITDA

We believe earnings before interest, taxes, depreciation, and amortization
("EBITDA") to be a measurement of operating performance. EBITDA for the second
quarter of 2000 was $9.8 million versus $8.2 million for the same period of
1999. For the first six months of 2000, EBITDA was $20.8 million versus $18.2
million for the same period of 1999.

Quarterly Financial Information: Seasonality

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

Liquidity and Capital Resources

Historically, we have financed our equipment purchases through internally
generated funds and borrowings under our existing Senior Revolving Credit
Facility. As an asset intensive business, we have required continued access to
capital to support the acquisition of equipment for rental to our customers. We
purchased, on a book basis, $41.6 million, $42.6 million and $20.4 million of
rental equipment in 1999, 1998, and 1997, respectively. For the first half of
2000, under generally accepted accounting principles, we purchased $13.7 million
of rental equipment.

During the first six months of 2000 and 1999, net cash flows provided by
operating activities were $16.1 million and $9.3 million, respectively. Net cash
flows used in investing activities were $14.7 million and $28.7 million in each
of these periods. Net cash flows (used in) provided by financing activities were
($1.4) million and $19.4 million, respectively.

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

As of June 30, 2000, we were capitalized with $135.0 million of outstanding
notes and with $56.6 million outstanding loans under our $77.5 million Senior
Revolving Credit Facility. Interest on loans outstanding are payable at a rate
per annum, selected at the Company's option, equal to the Base Rate Margin (the
Banks Base Rate plus 1.75%) or the adjusted Eurodollar Rate Margin (3.00% over
the adjusted Eurodollar Rate). The Banks Base Rate and the Eurodollar Rate used
to calculate such interest rates may be adjusted if the Company satisfies
certain leverage ratios. Our Senior Revolving Credit Facility contains
restrictive covenants which, among other things, limits us from entering into
additional indebtedness, dividends, transactions with affiliates, asset sales,
acquisitions, mergers, consolidations, liens and encumbrances and prepayments of
other indebtedness.

We believe that, based on current levels of operations and anticipated growth,
our cash from operations, together with our other sources of liquidity,
including borrowings available under the Senior Revolving Credit Facility, will
be sufficient over the next several years to fund anticipated capital
expenditures and make required payments due on the Notes and obligations under
the Senior Revolving Credit Facility. We believe that our ability to repay the
Notes and amounts outstanding under the Senior Revolving Credit Facility at
maturity, will require additional financing. There can be no assurance, however,
that any such financing will be available at such time to us, or that any such
financing will be on terms favorable to us.

Our expansion and acquisition strategy may require substantial capital, and no
assurance can be given that sufficient funding for such acquisitions will be
available under our Senior Revolving Credit Facility, which expires October
2004, or that we will be able to raise any necessary additional funds through
bank financing or the issuance of equity or debt securities on terms acceptable
to us, if at all.

                                                                              10
<PAGE>

Item 3.  Quantitative and Qualitative Disclosures about Market Risk

We do not have any liquid investments. Our exposure to interest rate risk is
mainly through borrowings under our secured Senior Revolving Credit Facility. We
are primarily exposed to the Eurodollar interest rate on our borrowings under
the Senior Revolving Credit Facility. We do not use derivative financial
instruments.

                                                                              11
<PAGE>

Part II - Other Information

Item 1.  Legal Proceedings

Not applicable.

Item 2.  Changes in Securities and Use of Proceeds

Not applicable.

Item 3.  Defaults upon Senior Securities

Not applicable.

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

Not applicable.

Item 5.  Other Information

Not applicable.

Item 6.  Exhibits and Reports on Form 8-K

(a)      Exhibits:

         12.1     Ratio of Earnings to Fixed Charges

(b)      Reports on Form 8-K:

         None

                                                                              12
<PAGE>

SIGNATURES




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

         Date:    August 8, 2000


                                           Universal Hospital Services, Inc.

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




                                           By  /s/ John A. Gappa
                                           John A. Gappa,
                                           Senior Vice President and
                                           Chief Financial Officer

                                                                              13
<PAGE>

Universal Hospital Services, Inc.

EXHIBIT INDEX TO REPORT ON FORM 10-Q


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

   12.1        Ratio of Earnings to Fixed Charges


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