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: March 31, 2001 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 80/th/ 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 PART I - FINANCIAL INFORMATION Item 1. Financial Statements Universal Hospital Services, Inc. STATEMENTS OF OPERATIONS (dollars in thousands) (unaudited) Three Months Ended March 31, ---------------------- 2001 2000 -------- -------- Revenues: Equipment rentals $27,826 $23,732 Sales of supplies and equipment, and other 3,043 3,158 -------- -------- Total revenues 30,869 26,890 Costs of rentals and sales: Cost of equipment rentals 7,736 6,393 Rental equipment depreciation 6,207 5,166 Cost of supplies and equipment sales 1,859 2,305 -------- -------- Total costs of rentals and sales 15,802 13,864 -------- -------- Gross profit 15,067 13,026 Selling, general and administrative 9,568 8,406 -------- -------- Operating income 5,499 4,620 Interest expense 5,155 5,062 -------- -------- Income (loss) before income taxes 344 (442) Provision (benefit) for income taxes 14 (29) -------- -------- Net income (loss) $ 330 ($413) ======== ======== The accompanying notes are an integral part of the unaudited financial statements. 2 Universal Hospital Services, Inc. BALANCE SHEETS (dollars in thousands except share and per share information) ASSETS March 31, December 31, 2001 2000 ------------- ------------ (unaudited) Current assets: Accounts receivable, less allowance for doubtful accounts of $1,850 at March 31, 2001 and $1,625 at December 31, 2000 $ 28,227 $ 26,998 Inventories 2,655 2,767 Deferred income taxes 1,593 1,593 Other current assets 932 839 ------------- ------------ Total current assets 33,407 32,197 Property and equipment: Rental equipment, at cost less accumulated depreciation 98,518 99,149 Property and office equipment, at cost less accumulated depreciation 5,458 5,014 ------------- ------------ Total property and equipment, net 103,976 104,163 Intangible and other assets: Goodwill, less accumulated amortization 36,521 37,204 Other primarily deferred financing costs, less accumulated amortization 6,230 6,506 ------------- ------------ Total assets $180,134 $180,070 ============= ============ LIABILITIES AND SHAREHOLDERS' DEFICIENCY Current liabilities: Current portion of long-term debt $ 285 $ 255 Accounts payable 7,596 10,895 Accrued compensation and pension 5,995 4,333 Accrued interest 1,851 5,442 Other accrued expenses 1,320 1,233 Bank overdrafts 1,643 461 ------------- ------------ Total current liabilities 18,690 22,619 Long-term debt, less current portion 196,875 193,353 Deferred compensation and pension 2,708 2,588 Deferred income taxes 1,593 1,593 Series B, 13% Cumulative Preferred Stock, $0.01 par value; 25,000 shares authorized, 6,246 shares issued and outstanding at March 31, 2001 and December 31, 2000, net of unamortized discount, including accrued stock dividends 7,466 7,236 Commitments and contingencies Shareholders' (deficiency) equity: Common stock, $0.01 par value; 50,000,000 authorized, 16,087,214 and 16,089,214 shares issued and outstanding at March 31, 2001 and December 31, 2000, respectively 161 161 Additional paid-in capital 2,329 2,335 Accumulated deficit (49,688) (49,815) ------------- ------------ Total shareholders' (deficiency) equity (47,198) (47,319) ------------- ------------ Total liabilities and shareholders' (deficiency) equity $180,134 $180,070 ============= ============ The accompanying notes are an integral part of the unaudited financial statements. 3 Universal Hospital Services, Inc. STATEMENTS OF CASH FLOWS (dollars in thousands) (unaudited) Three Months Ended March 31, ------------------------------------------ 2001 2000 ------------ ------------ Cash flows from operating activities: Net income (loss) $ 330 ($413) Adjustments to reconcile net income (loss) to net cash provided by operating activities: Depreciation 6,635 5,422 Amortization of intangibles 951 1,046 Accretion of bond discount 132 132 Provision for doubtful accounts 698 345 Loss on sale of equipment 189 83 Deferred income taxes (29) Changes in operating assets and liabilities: Accounts receivable (1,951) (74) Inventories and other operating assets 19 13 Accounts payable and accrued expenses (3,452) (1,394) ------------ ------------ Net cash provided by operating activities 3,551 5,131 ------------ ------------ Cash flows from investing activities: Rental equipment purchases (7,572) (9,497) Property and office equipment (580) (301) Proceeds from disposition of rental equipment 185 113 Other 31 12 ------------ ------------ Net cash used in investing activities (7,936) (9,673) ------------ ------------ Cash flows from financing activities: Proceeds under loan agreements 17,750 14,700 Payments under loan agreements (14,541) (8,583) Repurchase of common stock (6) Proceeds from issuance of common stock, net of offering costs 144 Change in book overdraft 1,182 (1,719) ------------ ------------ Net cash provided by financing activities 4,385 4,542 ------------ ------------ Net change in cash and cash equivalents $ --- $ --- ============ ============ Supplemental cash flow information: Interest paid $ 8,587 $ 8,358 ============ ============ Income taxes received $ 132 $ 94 ============ ============ Rental equipment purchases included in accounts payable $ 1,432 $ 848 ============ ============ The accompanying notes are an integral part of the unaudited financial statements. 4 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 14, 2001. The interim financial statements presented herein at March 31, 2001 and 2000, and for the three months ended March 31, 2001 and 2000, 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, 2000 balance sheet data was derived from audited financial statements, but does not include all disclosures required by generally accepted accounting principles. 5 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 compared to total revenues and also indicates the percentage increase or decrease of this information over the prior comparable period: Percent of Total Revenues Percent Increase ------------------------- ---------------- (Decrease) ---------- Three Months Ended Qtr 1 March 31, 2001 Over Qtr 1 2001 2000 2000 ------------------------- ---------------- Revenues: Equipment rentals 90.1% 88.3% 17.3% Sales of supplies and equipment, and other 9.9% 11.7% (3.6%) ------------------------ Total revenues 100.0% 100.0% 14.8% Costs of rentals and sales: Cost of equipment rentals 25.1% 23.8% 21.0% Rental equipment depreciation 20.1% 19.2% 20.1% Cost of supplies and equipment sales 6.0% 8.6% (19.3%) ------------------------ Total costs of rentals and sales 51.2% 51.6% 14.0% ------------------------ Gross profit 48.8% 48.4% 15.7% Selling, general and administrative 31.0% 31.2% 13.8% ------------------------ Operating income 17.8% 17.2% 19.0% Interest expense 16.7% 18.8% 1.9% ------------------------ Income (loss) before income taxes 1.1% (1.6%) NM Provision (benefit) for income taxes 0.0% (0.1%) NM ------------------------ Net income (loss) 1.1% (1.5%) NM ======================== 6 General We are a leading nationwide provider of moveable medical equipment to more than 5,200 hospitals and alternate care providers through our equipment rental and outsourcing programs. The following discussion addresses our financial condition at March 31, 2001 and the results of operations and cash flows for the three months ended March 31, 2001 and 2000. 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 14, 2001. 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 14, 2001 under the caption "Item 7, Management's Discussion and Analysis of Financial Condition and Results of Operations - Industry Assessment." 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 regulatory and political environment for health care significantly influences the capital equipment procurement decisions of health care providers, 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 Equipment Rental Revenues Equipment rental revenues were $27.8 million for the first quarter of 2001, representing a $4.1 million or 17.3% increase from equipment rental revenues of $23.7 million for the same period of 2000. The rental revenue growth resulted from equipment additions due to customer demand, increased utilization of existing equipment and growth in our customer base. Sales of Supplies and Equipment, and Other Sales of supplies and equipment and other were $3.0 million for the first quarter of 2001, representing a $0.2 million or 3.6% decrease from sales of supplies and equipment and other of $3.2 million for the same period of 2000. This decrease in sales revenue was a result of pursuing higher margin sales, while increasing emphasis on rental revenue growth. Cost of Equipment Rentals Cost of equipment rentals were $7.7 million for the first quarter of 2001, representing a $1.3 million, or 21.0%, increase from cost of equipment rentals of $6.4 million for the same period of 2000. Cost of equipment rentals, as a percentage of equipment rental revenues, increased to 27.8% for the first quarter of 2001 from 26.9% for the same period of 2000, as a result of higher energy costs associated with utilities, gasoline and freight costs, increased rent expense from office openings combined with costs to support the rental revenue growth. Rental Equipment Depreciation Rental equipment depreciation was $6.2 million for the first quarter of 2001, representing a $1.0 million or 20.1% increase from rental equipment depreciation of $5.2 million for the same period of 2000. These increases were due to the equipment additions during the past twelve months. Rental equipment depreciation as a percentage of equipment rental revenues increased to 22.3% in the first quarter of 2001 from 21.8% for the same period of 2000. Gross Profit Gross profit was $15.1 million for the first quarter of 2001, representing a $2.1 million or 15.7% increase from gross profit of $13.0 million for the same period of 2000. The increase in gross profit is due to strong rental revenue growth partially offset by the increased cost of equipment rentals and 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 decreased to 49.9% of equipment rental revenues for the first quarter of 2001 from 51.3% for the same period in 2000. The decreased margin for the first quarter reflects increases in energy related costs, support expenses and equipment depreciation. Gross margin on sales of supplies and equipment and other increased to 38.9% in the first quarter of 2001 from 27.0% for the same period of 2000. The increase is due to growth in service revenue and improved sales margins. Selling, General and Administrative Expenses Selling, general and administrative expenses were $9.6 million in the first quarter of 2001, representing a $1.2 million, or 13.8% increase from selling, general and administrative expenses of $8.4 million for the same period of 2000. The increase was due to employee related health insurance costs, incentive expenses and accounts receivable allowance provisions due to revenue growth. Selling, general and administrative expenses as a percentage of total revenue decreased to 31.0% for the first quarter of 2001 from 31.2% for the same period of 2000. Interest Expense Interest expense was $5.2 million for the first quarter of 2001, representing a $0.1 million, or 1.9% increase from interest expense of $5.1 million in the same period of 2000. These increases primarily reflect our incremental borrowings associated with capital equipment additions offset by a reduction in the effective interest rates. Average borrowings increased to $197.9 million during the first quarter of 2001 from $193.3 million for the same period in 2000. 8 Income Taxes Our effective income tax rate for the first three months of 2001 was 4.1% compared to a statutory federal income tax rate of 34.0%. The tax expense for the first quarter of 2001 relates to minimum state taxes. We had a taxable loss for the first quarter of 2001 and estimate a taxable loss for the year. We do not anticipate any federal tax expense or benefits for the year, as any net operating loss generated during the year will be fully offset by a valuation allowance. Net Income We earned net income of $0.3 million during the first quarter of 2001, compared to a net loss of $0.4 million in the same period of 2000. EBITDA We believe earnings before interest, taxes, depreciation, and amortization ("EBITDA") to be a measurement of operating performance. EBITDA for the first quarter of 2001 was $13.1 million versus $11.1 million for the same period of 2000. EBITDA as a percentage of total revenue increased to 42.4% for the first quarter of 2001 compared to 41.2% for the same period of 2000. 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 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 and received $31.2 million, $41.6 million and $44.0 million of rental equipment in 2000, 1999, and 1998, respectively. For the first quarter of 2001, we purchased and received $6.0 million of rental equipment. During the first three months of 2001 and 2000, net cash flows provided by operating activities were $3.6 million and $5.1 million, respectively. Net cash flows used in investing activities were $7.9 million and $9.7 million in each of these periods. Net cash flows provided by financing activities were $4.4 million and $4.5 million, respectively. Our principal sources of liquidity are expected to be cash flows from operating activities and borrowings under our Revolving Credit Facility. It is anticipated that our principal uses of liquidity will be to fund capital expenditures related to purchases of movable medical equipment, provide working capital, meet debt service requirements and finance our strategic plans. As of March 31, 2001, we were capitalized with $135.0 million of outstanding notes and with $64.8 million outstanding loans under our $77.5 million 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 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 Revolving Credit Facility, will be sufficient over the next three to seven quarters to fund anticipated capital expenditures and make required payments of principal and interest on our debt, including payments due on the Notes and obligations under the Revolving Credit Facility. We believe that our ability to repay the Notes and amounts outstanding under the Revolving Credit Facility at maturity will 9 require additional financing. There can be no assurance, however, that any such financing will be available at such time to us, or that any such financing will be on terms favorable to us. Our expansion and acquisition strategy may require substantial capital, and no assurance can be given that sufficient funding for such acquisitions will be available under our Revolving Credit Facility, 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. 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 Revolving Credit Facility. We are primarily exposed to the Eurodollar interest rate on our borrowings under the Revolving Credit Facility. We do not use derivative financial instruments. 10 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 The Company does not have a class of equity securities registered under Section 15(d) or Section 12 of the Securities Exchange Act of 1934, as amended. On March 20, 2001 at a Regular Meeting of the shareholders of the Company, the shareholders elected directors to the Board of Directors of the Company. The shareholders elected David E. Dovenberg, Samuel B. Humphries, Steven G. Segal and Edward D. Yun to serve as directors until the next regular meeting of shareholders or until his respective successor is duly elected and qualified. The number of shares present by person or by proxy at the Regular Meeting was 15,980,164. The number of shares electing the directors was 15,980,164 shares, while no shares were voted against the nominees and no shares abstained. 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 11 SIGNATURES Pursuant to the requirements of the Securities and Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized. Date: May 1, 2001 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 12 Universal Hospital Services, Inc. EXHIBIT INDEX TO REPORT ON FORM 10-Q Exhibit Number Description Page - ------ ------------ ---- 12.1 Ratio of Earnings to Fixed Charges 14 13