Q1 Earnings Teleconference

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1 Universal Hospital Services Q1 Earnings Teleconference Presented by Tom Leonard, CEO May 9, 2017

2 Forward Looking Statements Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995: Universal Hospital Services, Inc. believes statements in this presentation looking forward in time involve risks and uncertainties based on management s current views and assumptions. Actual events may differ materially. Please refer to the cautionary statement regarding forward-looking statements and risk factors that appear in the Company s Annual Report on Form 10-K for the year ended December 31, 2016, and other filings with the SEC, which can be accessed at under Investors. This presentation contains non-gaap measures as defined by SEC rules. Reconciliations of these measures to the most directly comparable GAAP measures are contained in the appendix. 2

3 CEO remarks 3

4 Financial Review 4

5 Selected Financial Data 1st Quarter LTM % Chg 2016 Consolidated Revenues $ $ % $ Gross Margin % % of Revenue 35.0% 32.7% 34.4% Adjusted SG&A % % of Revenue 22.1% 22.1% 21.8% Non Controlling Interest % of Revenue 0.1% 0.1% 0.1% Adjusted EBIT(A) % 59.5 Depreciation Adjusted EBITDA $ 34.6 $ % $ % of Revenue 26.4% 25.2% 27.2% Note: Numbers referenced in the % Chg column are favorable when positive and unfavorable when negative. This applies to all slides reflected herein. 5

6 Medical Equipment Solutions 1st Quarter LTM % Chg 2017 Revenues $ 78.7 $ % $ Gross Margin % % of Revenue 39.8% 35.1% 37.2% SUPPLEMENTAL & PEAK NEEDS USAGE SOLUTIONS CUSTOMIZED EQUIPMENT AGREEMENTS SOLUTIONS Trend Analysis Revenue declines for the quarter were driven by a reduction from a one-time capital sale in the prior year. Gross margin rate improvements for Q1 were driven by lower depreciation and repair parts expense combined with favorable sales mix from lower capital sales. 360 ON-SITE MANAGED SOLUTIONS SPECIALTY MEDICAL EQUIPMENT SALES, DISTRIBUTION AND DISPOSAL SOLUTIONS 6

7 Clinical Engineering Solutions 1st Quarter Trend Analysis Q1 revenue growth of almost 36% was driven by advances in on-site managed solutions and the acquisition of an imaging company in November LTM % Chg 2017 Revenues $ 34.7 $ % $ Gross Margin % 24.6 % of Revenue 23.5% 21.7% 21.1% SUPPLEMENTAL MAINTENANCE AND REPAIR SOLUTIONS ON-SITE MANAGED SOLUTIONS MANUFACTURER SERVICES SOLUTIONS 7

8 Surgical Services 1st Quarter LTM % Chg 2017 Revenues $ 17.3 $ % $ 69.1 ON-DEMAND AND SCHEDULED USAGE SOLUTIONS Gross Margin % 25.8 % of Revenue 36.3% 37.6% 37.3% ON-SITE MANAGED SOLUTIONS Trend Analysis Q1 revenue growth driven by organic growth across several modalities. Gross margin rate declines in Q1 were driven by investments in labor costs to support revenue growth and higher depreciation. 8

9 Capital Structure/Liquidity Capital Structure 3/31/ /31/2016 Original Notes % Add-on Notes % Credit Facility Consolidated Capital Leases Subtotal Debt Add: Accrued Interest Total Debt and Interest Memo LTM Adjusted EBITDA $ $ Leverage* *Excludes unamortized bond premium of $7.1 and $7.6 for 2017 and Excludes deferred financing costs of $7.5M and $8.1M for 2017 and Credit Facility $ Borrowing Base Borrowings/LOC 76.7 Available Liquidity $ 90.0 Memo Revolver maturity - May 2020 Liquidity Liquidity Remains Strong Original and Add-on Notes maturity -August

10 Street Guidance for Actual 2017 Guidance Adjusted EBITDA $128.9 $135 - $140 Accrual CAPEX $57 $55 - $65 Year-end Leverage 5.6x 5.2x 5.5x 10

11 Appendix EBITDA Reconciliation 2017 & 2016 SG&A Reconciliation Depreciation and Amortization Reconciliation 11

12 EBITDA Reconciliation Adjusted EBITDA Reconciliation. Adjusted EBITDA is defined by UHS as Earnings Before Interest, Taxes, Depreciation and Amortization ( EBITDA ), before management, board and strategic fees, stock option expense, reorganization costs, ASC 805 impact, loss on extinguishment of debt, transaction and related costs, and non-recurring, unusual or infrequent expenses. In addition to using Adjusted EBITDA internally as a measure of operational performance, we disclose Adjusted EBITDA externally to assist analysts, investors and lenders in their comparisons of operational performance, valuation and debt capacity across companies with differing capital, tax and legal structures. Management also understands that some industry analysts and investors consider Adjusted EBITDA as a supplementary non-gaap financial measure useful in analyzing a company s ability to service debt. Adjusted EBITDA, however, is not a measure of financial performance under Generally Accepted Accounting Principals ( GAAP ) and should not be considered as an alternative to, or more meaningful than, net income as a measure of operating performance or to cash flows from operating, investing or financing activities or as a measure of liquidity. Since Adjusted EBITDA is not a measure determined in accordance with GAAP and is thus susceptible to varying interpretations and calculations, Adjusted EBITDA, as presented, may not be comparable to other similarly titled measures of other companies. Adjusted EBITDA does not represent an amount of funds that is available for management s discretionary use. A reconciliation of consolidated net income (loss) to EBITDA and Adjusted EBITDA is included below. 1st Quarter LTM Net loss attributable to UHS $ (2.0) $ (4.7) $ (11.0) Interest expense Provision for income taxes Depreciation and amortization EBITDA Gain on Settlement - - (3.1) Management, board & strategic fees Stock expense Adjusted EBITDA $ 34.6 $ 30.8 $

13 SG&A Reconciliation 1st Quarter LTM SG&A per GAAP to Adjusted SG&A SG&A per GAAP Management, Board, & Strategic Fees (1.4) (0.6) (5.8) Stock Expense (0.8) (0.8) (3.1) Amortization (3.0) (2.9) (11.2) Adjusted SG&A $ 29.0 $ 26.9 $

14 Depreciation & Amortization Reconciliations 1st Quarter LTM Historical Medical Equipment Solutions Depreciation $ 14.7 $ 14.8 $ 60.6 Total Medical Equipment Solutions Depreciation Historical Clinical Engineering Solutions Depreciation Total Clinical Engineering Solutions Depreciation Historical Surgical Services Depreciation ASC 805 Surgical Services Depreciation Total Surgical Services Depreciation Historical Gross Margin Depreciation Gross Margin ASC 805 Depreciation Total Gross Margin Depreciation Historical Selling, General, and Admin Depreciation Total Selling, General, and Admin Depreciation Total Depreciation $ 17.9 $ 17.9 $ 73.2 ASC 805 Selling, General, and Admin Amortization Total ASC 805 Selling, General, and Admin Amortizat Total Depreciation and Amortization $ 20.9 $ 20.8 $

15 Thank you. 15

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