Psychiatric Solutions, Inc.
As filed with the Securities and Exchange Commission on
August 9, 2005
Registration No. 333-
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933
Form S-4
Psychiatric Solutions, Inc.
(Exact Name of Registrant as Specified in Its Charter)
|
|
|
|
|
|
|
|
|
Delaware
|
|
|
8093 |
|
|
|
23-2491707 |
|
(State or Other Jurisdiction of
|
|
(Primary Standard Industrial |
|
(I.R.S. Employer |
Incorporation or Organization)
|
|
Classification Code Number) |
|
Identification Number) |
840 Crescent Centre Drive, Suite 460
Franklin, Tennessee 37067
(615) 312-5700
(Name, Address, Including Zip Code, and Telephone Number,
Including Area Code, of Registrants Principal Executive
Offices)
See Table of Additional Registrants Below
Joey A. Jacobs
840 Crescent Centre Drive, Suite 460
Franklin, Tennessee 37067
(615) 312-5700
(Name, Address, Including Zip Code, and Telephone Number
Including Area Code, of Agent For Service)
With copies to:
Christopher L. Howard, Esq.
Waller Lansden Dortch & Davis, PLLC
511 Union Street, Suite 2700
Nashville, Tennessee 37219
(615) 244-6380
Approximate date of commencement of proposed sale to the
public:
As soon as practicable after the effective date of this
Registration Statement.
If the securities being registered on this form are being
offered in connection with the formation of a holding company
and there is compliance with General Instruction G, check
the following
box: o
If this form is filed to register additional securities for an
offering pursuant to Rule 462(b) under the Securities Act,
check the following box and list the Securities Act registration
statement number of the earlier effective registration statement
for the same
offering. o
If this form is a post-effective amendment filed pursuant to
Rule 462(d) under the Securities Act, check the following
box and list the Securities Act registration statement number of
the earlier effective registration statement for the same
offering. o
CALCULATION OF REGISTRATION FEE CHART
|
|
|
|
|
|
|
|
|
|
|
|
|
Proposed Maximum |
|
Proposed Maximum |
|
|
Title Of Each Class Of |
|
Amount To Be |
|
Offering Price |
|
Aggregate Offering |
|
Amount of |
Securities To Be Registered |
|
Registered |
|
Per Note(1) |
|
Price(1) |
|
Registration Fee |
|
73/4% Senior
Subordinated Notes Due 2015
|
|
$220,000,000 |
|
100% |
|
$220,000,000 |
|
$25,894 |
|
Guarantee of
73/4% Senior
Subordinated Notes Due 2015
|
|
$220,000,000 |
|
(2) |
|
(2) |
|
(2) |
|
|
|
|
(1) |
Estimated solely for purposes of calculating the registration
fee pursuant to Rule 457(f)(2) under the Securities Act of
1933 (the Securities Act). |
|
(2) |
The Additional Registrants, each a wholly owned subsidiary of
Psychiatric Solutions, Inc., will guarantee the payment of the
73/4% Senior
Subordinated Notes due 2015. Pursuant to Rule 457(n) under
the Securities Act, no filing fee is required. |
The Registrant hereby amends this Registration Statement on
such date or dates as may be necessary to delay its effective
date until the Registrant shall file a further amendment which
specifically states that this Registration Statement shall
thereafter become effective in accordance with Section 8(a)
of the Securities Act of 1933 or until the Registration
Statement shall become effective on such date as the Commission,
acting pursuant to said Section 8(a), may determine.
ADDITIONAL REGISTRANTS
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
State or Other | |
|
Primary Standard | |
|
I.R.S. | |
|
|
|
|
Jurisdiction of | |
|
Industrial | |
|
Employer | |
|
|
|
|
Incorporation or | |
|
Classification Code | |
|
Identification | |
|
Registration | |
Name, Address and Telephone Number(1) |
|
Organization | |
|
Number | |
|
Number | |
|
No. | |
|
|
| |
|
| |
|
| |
|
| |
Psychiatric Solutions of Alabama, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1711427 |
|
|
|
|
|
Premier Behavioral Solutions, Inc.
|
|
|
DE |
|
|
|
8093 |
|
|
|
63-0857352 |
|
|
|
|
|
Psychiatric Solutions of Virginia, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1732340 |
|
|
|
|
|
Psychiatric Solutions of Tennessee, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1734491 |
|
|
|
|
|
Solutions Center of Little Rock, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1734488 |
|
|
|
|
|
Psychiatric Solutions of North Carolina, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1692189 |
|
|
|
|
|
PSI Community Mental Health Agency Management, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1734870 |
|
|
|
|
|
PSI-EAP, Inc.
|
|
|
DE |
|
|
|
8093 |
|
|
|
51-0411229 |
|
|
|
|
|
Sunstone Behavioral Health, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
80-0051894 |
|
|
|
|
|
The Counseling Center of Middle Tennessee, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1383217 |
|
|
|
|
|
PSI Hospitals, Inc.
|
|
|
DE |
|
|
|
8093 |
|
|
|
62-1871091 |
|
|
|
|
|
PSI Texas Hospitals, LLC
|
|
|
TX |
|
|
|
8093 |
|
|
|
62-1871092 |
|
|
|
|
|
Psychiatric Practice Management of Arkansas, Inc
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1738261 |
|
|
|
|
|
Texas Cypress Creek Hospital, L.P.
|
|
|
TX |
|
|
|
8093 |
|
|
|
62-1864266 |
|
|
|
|
|
Texas West Oaks Hospital, L.P.
|
|
|
TX |
|
|
|
8093 |
|
|
|
62-1864265 |
|
|
|
|
|
Neuro Institute of Austin, L.P.
|
|
|
TX |
|
|
|
8093 |
|
|
|
56-2274069 |
|
|
|
|
|
Aeries Healthcare Corporation
|
|
|
DE |
|
|
|
8093 |
|
|
|
22-3682759 |
|
|
|
|
|
Aeries Healthcare of Illinois, Inc.
|
|
|
IL |
|
|
|
8093 |
|
|
|
22-3682760 |
|
|
|
|
|
Infoscriber Corporation
|
|
|
DE |
|
|
|
8093 |
|
|
|
33-0878629 |
|
|
|
|
|
Collaborative Care Corporation
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1603168 |
|
|
|
|
|
Psychiatric Solutions Hospitals, Inc.
|
|
|
DE |
|
|
|
8093 |
|
|
|
62-1658476 |
|
|
|
|
|
Psychiatric Management Resources, Inc.
|
|
|
CA |
|
|
|
8093 |
|
|
|
33-0290342 |
|
|
|
|
|
PSI Cedar Springs Hospital, Inc.
|
|
|
DE |
|
|
|
8093 |
|
|
|
74-3081810 |
|
|
|
|
|
Psychiatric Solutions of Oklahoma, Inc.
|
|
|
DE |
|
|
|
8093 |
|
|
|
43-2001465 |
|
|
|
|
|
Texas Laurel Ridge Hospital, L.P.
|
|
|
TX |
|
|
|
8093 |
|
|
|
43-2002326 |
|
|
|
|
|
Texas Oaks Psychiatric Hospital, L.P.
|
|
|
TX |
|
|
|
8093 |
|
|
|
84-1618661 |
|
|
|
|
|
Texas San Marcos Treatment Center, L.P.
|
|
|
TX |
|
|
|
8093 |
|
|
|
43-2002231 |
|
|
|
|
|
Therapeutic School Services, L.L.C
|
|
|
OK |
|
|
|
8093 |
|
|
|
73-1559296 |
|
|
|
|
|
Bountiful Psychiatric Hospital, Inc.
|
|
|
UT |
|
|
|
8093 |
|
|
|
93-0893928 |
|
|
|
|
|
East Carolina Psychiatric Services Corporation
|
|
|
NC |
|
|
|
8093 |
|
|
|
56-1317433 |
|
|
|
|
|
Great Plains Hospital, Inc.
|
|
|
MO |
|
|
|
8093 |
|
|
|
43-1328523 |
|
|
|
|
|
Gulf Coast Treatment Center, Inc.
|
|
|
FL |
|
|
|
8093 |
|
|
|
56-1341134 |
|
|
|
|
|
Havenwyck Hospital Inc.
|
|
|
MI |
|
|
|
8093 |
|
|
|
38-2409580 |
|
|
|
|
|
H.C. Corporation
|
|
|
AL |
|
|
|
8093 |
|
|
|
63-0870528 |
|
|
|
|
|
H.C. Partnership
|
|
|
AL |
|
|
|
8093 |
|
|
|
63-0862148 |
|
|
|
|
|
HSA Hill Crest Corporation
|
|
|
AL |
|
|
|
8093 |
|
|
|
95-3900761 |
|
|
|
|
|
HSA of Oklahoma, Inc.
|
|
|
OK |
|
|
|
8093 |
|
|
|
74-2373564 |
|
|
|
|
|
Michigan Psychiatric Services, Inc.
|
|
|
MI |
|
|
|
8093 |
|
|
|
38-2423002 |
|
|
|
|
|
Ramsay Managed Care, Inc.
|
|
|
DE |
|
|
|
8093 |
|
|
|
72-1249464 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
State or Other | |
|
Primary Standard | |
|
I.R.S. | |
|
|
|
|
Jurisdiction of | |
|
Industrial | |
|
Employer | |
|
|
|
|
Incorporation or | |
|
Classification Code | |
|
Identification | |
|
Registration | |
Name, Address and Telephone Number(1) |
|
Organization | |
|
Number | |
|
Number | |
|
No. | |
|
|
| |
|
| |
|
| |
|
| |
Ramsay Treatment Services, Inc.
|
|
|
DE |
|
|
|
8093 |
|
|
|
65-0852413 |
|
|
|
|
|
Premier Behavioral Solutions of Alabama, Inc.
|
|
|
DE |
|
|
|
8093 |
|
|
|
52-2090040 |
|
|
|
|
|
Premier Behavioral Solutions of Florida, Inc.
|
|
|
DE |
|
|
|
8093 |
|
|
|
65-0816927 |
|
|
|
|
|
Ramsay Youth Services of Georgia, Inc.
|
|
|
DE |
|
|
|
8093 |
|
|
|
35-2174803 |
|
|
|
|
|
Psychiatric Solutions of South Carolina, Inc.
|
|
|
DE |
|
|
|
8093 |
|
|
|
22-3600673 |
|
|
|
|
|
Ramsay Youth Services Puerto Rico, Inc.
|
|
|
PR |
|
|
|
8093 |
|
|
|
66-0555371 |
|
|
|
|
|
RHCI San Antonio, Inc.
|
|
|
DE |
|
|
|
8093 |
|
|
|
74-2611258 |
|
|
|
|
|
Transitional Care Ventures, Inc.
|
|
|
DE |
|
|
|
8093 |
|
|
|
72-1235219 |
|
|
|
|
|
Transitional Care Ventures (Texas), Inc.
|
|
|
DE |
|
|
|
8093 |
|
|
|
51-0343645 |
|
|
|
|
|
AHS Cumberland Hospital, LLC
|
|
|
VA |
|
|
|
8093 |
|
|
|
02-0567575 |
|
|
|
|
|
Ardent Health Services, Inc.
|
|
|
DE |
|
|
|
8093 |
|
|
|
92-0189593 |
|
|
|
|
|
Behavioral Healthcare Corporation
|
|
|
DE |
|
|
|
8093 |
|
|
|
62-1516830 |
|
|
|
|
|
BHC Alhambra Hospital, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1658521 |
|
|
|
|
|
BHC Belmont Pines Hospital, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1658523 |
|
|
|
|
|
BHC Canyon Ridge Hospital, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
20-2178294 |
|
|
|
|
|
BHC Cedar Crest RTC, Inc.
|
|
|
TX |
|
|
|
8093 |
|
|
|
74-2669474 |
|
|
|
|
|
BHC Cedar Vista Hospital, Inc.
|
|
|
CA |
|
|
|
8093 |
|
|
|
77-0359473 |
|
|
|
|
|
BHC Clinicas Del Este Hospital, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1679670 |
|
|
|
|
|
BHC Columbus Hospital, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1664739 |
|
|
|
|
|
BHC Fairfax Hospital, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1658528 |
|
|
|
|
|
BHC Fort Lauderdale Hospital, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1658530 |
|
|
|
|
|
BHC Fox Run Hospital, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1658531 |
|
|
|
|
|
BHC Fremont Hospital, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1658532 |
|
|
|
|
|
BHC Gulf Coast Management Group, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1690695 |
|
|
|
|
|
BHC Health Services of Nevada, Inc.
|
|
|
NV |
|
|
|
8093 |
|
|
|
88-0300031 |
|
|
|
|
|
BHC Heritage Oaks Hospital, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1658494 |
|
|
|
|
|
BHC Hospital Holdings, Inc.
|
|
|
DE |
|
|
|
8093 |
|
|
|
41-2052298 |
|
|
|
|
|
BHC Intermountain Hospital, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1658493 |
|
|
|
|
|
BHC Lebanon Hospital, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1664738 |
|
|
|
|
|
BHC Management Holdings, Inc.
|
|
|
DE |
|
|
|
8093 |
|
|
|
41-2052303 |
|
|
|
|
|
BHC Management Services, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
62-1849455 |
|
|
|
|
|
BHC Management Services of Indiana, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
62-1843640 |
|
|
|
|
|
BHC Management Services of Kentucky, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
62-1843655 |
|
|
|
|
|
BHC Management Services of Louisiana, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
06-1719281 |
|
|
|
|
|
BHC Management Services of New Mexico, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
62-1843651 |
|
|
|
|
|
BHC Management Services of Pennsylvania, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
20-0085630 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
State or Other | |
|
Primary Standard | |
|
I.R.S. | |
|
|
|
|
Jurisdiction of | |
|
Industrial | |
|
Employer | |
|
|
|
|
Incorporation or | |
|
Classification Code | |
|
Identification | |
|
Registration | |
Name, Address and Telephone Number(1) |
|
Organization | |
|
Number | |
|
Number | |
|
No. | |
|
|
| |
|
| |
|
| |
|
| |
BHC Management Services of Streamwood, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
62-1843658 |
|
|
|
|
|
BHC Management Services of Tulsa, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
20-1215333 |
|
|
|
|
|
BHC Millwood Hospital, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1658500 |
|
|
|
|
|
BHC Montevista Hospital, Inc.
|
|
|
NV |
|
|
|
8093 |
|
|
|
88-0299907 |
|
|
|
|
|
BHC Mesilla Valley Hospital, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
20-2612295 |
|
|
|
|
|
BHC Newco 2, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
None |
|
|
|
|
|
BHC Newco 3, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
None |
|
|
|
|
|
BHC Newco 4, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
None |
|
|
|
|
|
BHC Newco 5, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
None |
|
|
|
|
|
BHC Newco 6, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
None |
|
|
|
|
|
BHC Newco 7, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
None |
|
|
|
|
|
BHC Newco 8, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
None |
|
|
|
|
|
BHC Newco 9, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
None |
|
|
|
|
|
BHC Newco 10, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
None |
|
|
|
|
|
BHC Northwest Psychiatric Hospital, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
20-0085660 |
|
|
|
|
|
BHC of Indiana, General Partnership
|
|
|
IN |
|
|
|
8093 |
|
|
|
62-1780700 |
|
|
|
|
|
BHC of Northern Indiana, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1664737 |
|
|
|
|
|
BHC Pacific Gateway Hospital, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1664741 |
|
|
|
|
|
BHC Pacific Shores Hospital, Inc.
|
|
|
CA |
|
|
|
8093 |
|
|
|
77-0426020 |
|
|
|
|
|
BHC Pacific View RTC, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1664740 |
|
|
|
|
|
BHC Physician Services of Kentucky, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
62-1843636 |
|
|
|
|
|
BHC Pinnacle Pointe Hospital, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1658502 |
|
|
|
|
|
BHC Properties, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1660875 |
|
|
|
|
|
BHC Ross Hospital, Inc.
|
|
|
CA |
|
|
|
8093 |
|
|
|
68-0343573 |
|
|
|
|
|
BHC San Juan Capestrano Hospital, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1658506 |
|
|
|
|
|
BHC Sierra Vista Hospital, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1658512 |
|
|
|
|
|
BHC Spirit of St. Louis Hospital, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1658513 |
|
|
|
|
|
BHC Streamwood Hospital, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1658515 |
|
|
|
|
|
BHC Valle Vista Hospital, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1658516 |
|
|
|
|
|
BHC Vista Del Mar Hospital, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
62-1658519 |
|
|
|
|
|
BHC Windsor Hospital, Inc.
|
|
|
OH |
|
|
|
8093 |
|
|
|
34-1827645 |
|
|
|
|
|
Bloomington Meadows, General Partnership
|
|
|
IN |
|
|
|
8093 |
|
|
|
35-1858510 |
|
|
|
|
|
Brentwood Acquisition, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
20-0773985 |
|
|
|
|
|
Brentwood Acquisition-Shreveport, Inc.
|
|
|
DE |
|
|
|
8093 |
|
|
|
20-0474854 |
|
|
|
|
|
Canyon Ridge Hospital, Inc.
|
|
|
CA |
|
|
|
8093 |
|
|
|
20-2935031 |
|
|
|
|
|
Columbus Hospital, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
62-1740367 |
|
|
|
|
|
Community Psychiatric Centers of Texas, Inc.
|
|
|
TX |
|
|
|
8093 |
|
|
|
75-1757825 |
|
|
|
|
|
Fort Lauderdale Hospital, Inc.
|
|
|
FL |
|
|
|
8093 |
|
|
|
20-1021229 |
|
|
|
|
|
Indiana Psychiatric Institutes, Inc.
|
|
|
DE |
|
|
|
8093 |
|
|
|
52-1652319 |
|
|
|
|
|
Laurelwood Center, Inc.
|
|
|
MS |
|
|
|
8093 |
|
|
|
64-0777521 |
|
|
|
|
|
Lebanon Hospital, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
62-1740370 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
State or Other | |
|
Primary Standard | |
|
I.R.S. | |
|
|
|
|
Jurisdiction of | |
|
Industrial | |
|
Employer | |
|
|
|
|
Incorporation or | |
|
Classification Code | |
|
Identification | |
|
Registration | |
Name, Address and Telephone Number(1) |
|
Organization | |
|
Number | |
|
Number | |
|
No. | |
|
|
| |
|
| |
|
| |
|
| |
Mesilla Valley General Partnership
|
|
|
NM |
|
|
|
8093 |
|
|
|
85-0337300 |
|
|
|
|
|
Mesilla Valley Hospital, Inc.
|
|
|
NM |
|
|
|
8093 |
|
|
|
74-2370320 |
|
|
|
|
|
Mesilla Valley Mental Health Associates, Inc.
|
|
|
NM |
|
|
|
8093 |
|
|
|
85-0338767 |
|
|
|
|
|
Millwood Hospital, L.P.
|
|
|
TX |
|
|
|
8093 |
|
|
|
20-1021264 |
|
|
|
|
|
Northern Indiana Hospital, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
62-1741384 |
|
|
|
|
|
Palmetto Behavioral Health System, L.L.C.
|
|
|
SC |
|
|
|
8093 |
|
|
|
57-1101379 |
|
|
|
|
|
Palmetto Lowcountry Behavioral Health, L.L.C.
|
|
|
SC |
|
|
|
8093 |
|
|
|
57-1101380 |
|
|
|
|
|
Palmetto Pee Dee Behavioral Health, L.L.C.
|
|
|
SC |
|
|
|
8093 |
|
|
|
57-1101381 |
|
|
|
|
|
Peak Behavioral Health Services, Inc.
|
|
|
DE |
|
|
|
8093 |
|
|
|
20-1124098 |
|
|
|
|
|
PSI Crossings, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
20-2142587 |
|
|
|
|
|
PSI Pride Institute, Inc.
|
|
|
MN |
|
|
|
8093 |
|
|
|
20-1021241 |
|
|
|
|
|
PSI Summit Hospital, Inc.
|
|
|
NJ |
|
|
|
8093 |
|
|
|
20-1021210 |
|
|
|
|
|
Psychiatric Solutions of Leesburg, Inc.
|
|
|
TN |
|
|
|
8093 |
|
|
|
20-1215130 |
|
|
|
|
|
Psychiatric Solutions of Arizona, Inc.
|
|
|
DE |
|
|
|
8093 |
|
|
|
20-0380961 |
|
|
|
|
|
Red Rock Solutions, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
20-3140694 |
|
|
|
|
|
Tucson Health Systems, Inc.
|
|
|
DE |
|
|
|
8093 |
|
|
|
20-2950148 |
|
|
|
|
|
Valle Vista, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
62-1740366 |
|
|
|
|
|
Wellstone Holdings, Inc.
|
|
|
DE |
|
|
|
8093 |
|
|
|
20-3062052 |
|
|
|
|
|
Wellstone Regional Hospital Acquisition, LLC
|
|
|
IN |
|
|
|
8093 |
|
|
|
20-3062075 |
|
|
|
|
|
Whisper Ridge of Staunton, Inc.
|
|
|
DE |
|
|
|
8093 |
|
|
|
20-1989730 |
|
|
|
|
|
Willow Springs, LLC
|
|
|
DE |
|
|
|
8093 |
|
|
|
62-1814471 |
|
|
|
|
|
|
|
(1) |
The address of each of these additional registrants
principal executive office is 840 Crescent Centre Drive,
Suite 460, Franklin, Tennessee 37067. Their telephone
number is (615) 312-5700. |
The information in this prospectus is not
complete and may be changed. We may not sell or offer these
securities until the registration statement filed with the
Securities and Exchange Commission is effective. This prospectus
is not an offer to sell these securities and we are not
soliciting an offer to buy these securities in any state where
the offer or sale is not permitted.
|
Subject to Completion, Dated
August 9, 2005
PROSPECTUS
Exchange Offer
for $220,000,000
73/4% Senior
Subordinated Notes due 2015
of
MATERIAL TERMS OF THE EXCHANGE OFFER
|
|
|
|
|
Expires at 5:00 p.m., New York City time,
on ,
2005, unless extended. |
|
|
|
The only conditions to completing the exchange offer are that
the exchange offer not violate applicable law or applicable
interpretations of the staff of the Securities and Exchange
Commission and no injunction, order or decree has been issued
which would prohibit, prevent or materially impair our ability
to proceed with the exchange offer. |
|
|
|
All old notes that are validly tendered and not validly
withdrawn will be exchanged. |
|
|
|
Tenders of old notes may be withdrawn at any time prior to the
expiration of the exchange offer. |
|
|
|
The terms of the registered notes to be issued in the exchange
offer are substantially identical to the old notes that we
issued on July 6, 2005, except for certain transfer
restrictions, registration rights and liquidated damages
provisions relating to the old notes that will not apply to the
registered notes. |
|
|
|
We will not receive any cash proceeds from the exchange offer. |
|
|
|
The old notes are, and the registered notes will be, fully and
unconditionally guaranteed, jointly and severally, on a senior
unsecured basis by substantially all of our operating
subsidiaries. |
Consider carefully the Risk Factors beginning on
page 17 of this prospectus.
Neither the Securities and Exchange Commission nor any state
securities commission has approved or disapproved of these
securities or passed upon the accuracy or adequacy of this
prospectus. Any representation to the contrary is a criminal
offense.
Notice to New Hampshire Residents
Neither the fact that a registration statement or an
application for a license has been filed under RSA 421-B
with the State of New Hampshire nor the fact that a security is
effectively registered or a person is licensed in the State of
New Hampshire constitutes a finding by the Secretary of State of
New Hampshire that any document filed under RSA 421-B is
true, complete and not misleading. Neither any such fact nor the
fact that an exemption or exception is available for a security
or a transaction means that the Secretary of State has passed in
any way upon the merits or qualifications of, or recommended or
given approval to, any person, security or transaction. It is
unlawful to make or cause to be made, to any prospective
purchaser, customer or client any representation inconsistent
with the provisions of this paragraph.
The date of this prospectus
is ,
2005
This prospectus incorporates business and financial information
about us that is not included in or delivered with the
prospectus and this information is available without charge to
holders upon written or oral request to Brent Turner, Vice
President, Treasurer and Investor Relations, Psychiatric
Solutions, Inc., 840 Crescent Centre Drive, Suite 460,
Franklin, Tennessee 37067, telephone number (615) 312-5700.
In order to obtain timely delivery, holders must request the
information no later than five business days before the
expiration date of the exchange offer.
TABLE OF CONTENTS
|
|
|
|
|
|
|
Page | |
|
|
| |
|
|
|
1 |
|
|
|
|
17 |
|
|
|
|
26 |
|
|
|
|
27 |
|
|
|
|
35 |
|
|
|
|
36 |
|
|
|
|
37 |
|
|
|
|
41 |
|
|
|
|
55 |
|
|
|
|
57 |
|
|
|
|
93 |
|
|
|
|
94 |
|
|
|
|
94 |
|
|
|
|
94 |
|
|
|
|
95 |
|
|
|
|
95 |
|
EX-3.7 CERTIFICATE OF INCORPORATION OF ARDENT HEALTH SERVICES, INC. |
EX-3.8 AMENDED AND RESTATED CERTIFICATE OF INCORPORATION OF BEHAVIORAL HEALTHCARE CORPORATION |
EX-3.9 CHARTER OF BHC ALHAMBRA HOSPITAL, INC. |
EX-3.10 CHARTER OF BHC BELMONT PINES HOSPITAL, INC. |
EX-3.11 ARTICLES OF INCORPORATION OF BHC CEDAR CREST RTC, INC. |
EX-3.12 ARTICLES OF INCORPORATION OF BHC CEDAR VISTA HOSPITAL, INC. |
EX-3.13 CHARTER OF BHC CLINICAS DEL ESTE HOSPITAL, INC. |
EX-3.14 CHARTER OF BHC COLUMBUS HOSPITAL, INC., AS AMENDED |
EX-3.15 CHARTER OF BHC FAIRFAX HOSPITAL, INC. |
EX-3.16 CHARTER OF BHC FORT LAUDERDALE HOSPITAL, INC. |
EX-3.17 CHARTER OF BHC FOX RUN HOSPITAL, INC. |
EX-3.18 CHARTER OF BHC FREMONT HOSPITAL, INC. |
EX-3.19 CHARTER OF BHC GULF COAST MANAGEMENT GROUP, INC. |
EX-3.20 ARTICLES OF INCORPORATION OF BHC HEALTH SERVICES OF NEVADA, INC. |
EX-3.21 CHARTER OF BHC HERITAGE OAKS HOSPITAL, INC. |
EX-3.22 CERTIFICATE OF INCORPORATION OF BHC HOSPITAL HOLDINGS, INC. |
EX-3.23 CHARTER OF BHC INTERMOUNTAIN HOSPITAL, INC. |
EX-3.24 CHARTER OF BHC LEBANON HOSPITAL, INC., AS AMENDED |
EX-3.25 CERTIFICATE OF INCORPORATION OF BHC MANAGEMENT HOLDINGS, INC. |
EX-3.26 CHARTER OF BHC MILLWOOD HOSPITAL, INC. |
EX-3.27 ARTICLES OF INCORPORATION OF BHC MONTEVISTA HOSPITAL, INC. |
EX-3.28 CHARTER OF BHC OF NORTHERN INDIANA, INC., AS AMENDED |
EX-3.29 CHARTER OF BHC PACIFIC GATEWAY HOSPITAL, INC. |
EX-3.30 ARTICLES OF INCORPORATION OF BHC PACIFIC SHORES HOSPITAL, INC. |
EX-3.31 CHARTER OF BHC PACIFIC VIEW RTC, INC., AS AMENDED |
EX-3.32 CHARTER OF BHC PINNACLE POINTE HOSPITAL, INC. |
EX-3.33 CHARTER OF BHC PROPERTIES, INC. |
EX-3.34 ARTICLES OF INCORPORATION OF BHC ROSS HOSPITAL, INC. |
EX-3.35 CHARTER OF BHC SAN JUAN CAPESTRANO HOSPITAL, INC. |
EX-3.36 CHARTER OF BHC SIERRA VISTA HOSPITAL, INC. |
EX-3.37 CHARTER OF BHC SPIRIT OF ST. LOUIS HOSPITAL, INC. |
EX-3.38 CHARTER OF BHC STREAMWOOD HOSPITAL, INC. |
EX-3.39 CHARTER OF BHC VALLE VISTA HOSPITAL, INC. |
EX-3.40 CHARTER OF BHC VISTA DEL MAR HOSPITAL, INC. |
EX-3.41 ARTICLES OF INCORPORATION OF BHC WINDSOR HOSPITAL, INC. |
EX-3.43 CHARTER OF BRENTWOOD ACQUISITION, INC. |
EX-3.44 CERTIFICATE OF INCORPORATION OF BRENTWOOD ACQUISTION-SHREVEPORT, INC., AS AMENDED |
EX-3.45 ARTICLES OF INCORPORATION OF CANYON RIDGE HOSPITAL, INC. |
EX-3.47 ARTICLES OF INCORPORATION OF COMMUNITY PSYCHIATRIC CENTERS OF TEXAS, INC. |
EX-3.49 ARTICLES OF INCORPORATION OF FORT LAUDERDALE HOSPITAL, INC. |
EX-3.56 CERTIFICATE OF INCORPORATION OF INDIANA PSYCHIATRIC INSTITUTES, INC., AS AMENDED |
EX-3.58 ARTICLES OF INCORPORATION OF LAURELWOOD CENTER, INC. |
EX-3.59 ARTICLES OF INCORPORATION OF MESILLA VALLEY HOSPITAL, INC. |
EX-3.60 ARTICLES OF INCORPORATION OF MESILLA VALLEY MENTAL HEALTH ASSOCIATIONS, INC. |
EX-3.62 CERTIFICATE OF INCORPORATION OF PEAK BEHAVIORAL HEALTH SERVICES, INC., AS AMENDED |
EX-3.63 RESTATED CERTIFICATE OF INCORPORATION OF PREMIER BEHAVIORAL SOLUTIONS, INC., AS AMENDED |
EX-3.64 CERTIFICATE OF INCORPORATION OF PREMIER BEHAVIORAL SOLUTIONS OF ALABAMA, INC., AS AMENDED |
EX-3.65 CERTIFICATE OF INCORPORATION OF PREMIER BEHAVIORAL SOLUTIONS OF FLORIDA, INC., AS AMENDED |
EX-3.69 ARTICLES OF INCORPORATION OF PSI PRIDE INSTITUTE, INC. |
EX-3.70 PUBLIC RECORDS FILING FOR NEW BUSINESS ENTITY FOR PSI SUMMIT HOSPITAL, INC. |
EX-3.76 CERTIFICATE OF INCORPORATION OF PSYCHIATRIC SOLUTIONS OF ARIZONA, INC. |
EX-3.77 CHARTER OF PSYCHIATRIC SOLUTIONS OF LEESBURG, INC. |
EX-3.80 CERTIFICATE OF INCORPORATION OF PSYCHIATRIC SOLUTIONS OF SOUTH CAROLINA, INC., AS AMENDED |
EX-3.82 CHARTER OF PSYCHIATRIC SOLUTIONS OF VIRGINIA, INC., AS AMENDED |
EX-3.93 CERTIFICATE OF INCORPORATION OF TUCSON HEALTH SYSTEMS, INC. |
EX-3.94 CERTIFICATE OF INCORPORATION OF WELLSTONE HOLDINGS, INC. |
EX-3.95 CERTIFICATE OF INCORPORATION OF WHISPER RIDGE OF STAUNTON, INC. |
EX-3.96 FORM OF AMENDED AND RESTATED BYLAWS FOR THE CORPORATIONS LISTED IN EXHIBITS 3.5-3.95 |
EX-3.97 ARTICLES OF ORGANIZATION OF AHS CUMBERLAND HOSPITAL, LLC |
EX-3.98 CERTIFICATE OF FORMATION OF BHC CANYON RIDGE HOSPITAL, LLC |
EX-3.99 CERTIFICATE OF FORMATION OF BHC MANAGEMENT SREVICES, LLC |
EX-3.100 CERTIFICATE OF FORMATION OF BHC MANAGEMENT SERVICES OF INDIANA, LLC |
EX-3.101 CERTIFICATE OF FORMATION OF BHC MANAGEMENT SERVICES OF KENTUCKY, LLC, AS AMENDED |
EX-3.102 CERTIFICATE OF FORMATION OF BHC MANAGEMENT SERVICES OF LOUISIANA, LLC |
EX-3.103 CERTIFICATE OF FORMATION OF BHC MANAGEMENT SERVICES OF NEW MEXICO, LLC, AS AMENDED |
EX-3.104 CERTIFICATE OF FORMATION OF BHC MANAGEMENT SERVICES OF PENNSYLVANIA, LLC |
EX-3.105 CERTIFICATE OF FORMATION OF BHC MANAGEMENT SERVICES OF STREAMWOOD, LLC, AS AMENDED |
EX-3.106 CERTIFICATE OF FORMATION OF BHC MANAGEMENT SERVICES OF TULSA, LLC |
EX-3.107 CERTIFICATE OF FORMATION OF BHC MESILLA VALLEY HOSPITAL, LLC, AS AMENDED |
EX-3.108 FORM OF CERTIFICATE OF FORMATION FOR BHC NEWCO 2, LLC, THRU BHC NEWCO 10, LLC |
EX-3.109 CERTIFICATE OF FORMATION OF BHC NORTHWEST PSYCHIATRIC HOSPITAL, LLC |
EX-3.110 CERTIFICATE OF FORMATION OF BHC PHYSICIAN SERVICES OF KENTUCKY, LLC, AS AMENDED |
EX-3.111 CERTIFICATE OF FORMATION OF COLUMBUS HOSPITAL, LLC |
EX-3.112 CERTIFICATE OF FORMATION OF LEBANON HOSPITAL, LLC |
EX-3.113 CERTIFICATE OF FORMATION OF NORTHERN INDIANA HOSPITAL, LLC |
EX-3.114 ARTICLES OF ORGANIZATION OF PALMETTO BEHAVIORAL HEALTH SYSTEM, L.L.C. |
EX-3.115 ARTICLES OF ORGANIZATION OF PALMETTO LOWCOUNTRY HEHAVIORAL HEALTH, L.L.C. |
EX-3.116 ARTICLES OF ORGANIZATION OF PALMETTO PEE DEE BEHAVIORAL HEALTH, L.L.C. |
EX-3.117 CERTIFICATE OF FORMATION OF PSI CROSSINGS, LLC |
EX-3.120 CERTIFICATE OF FORMATION OF VALLE VISTA, LLC, AS AMENDED |
EX-3.121 ARTICLES OF ORGANIZATION OF WELLSTONE REGIONAL HOSPITAL ACQUISITION, LLC, AS AMENDED |
EX-3.122 CERTIFICATE OF FORMATION OF WILLOW SPRINGS, LLC |
EX-3.123 FORM OF AMENDED AND RESTATED OPERATING AGREEMENT FOR THE LIMITED LIABILITY COMPANIES LISTED IN THE EXHIBITS 3.97-3.122 |
EX-3.124 AGREEMENT OF GENERAL PARTNERSHIP OF BHC OF INDIANA, GENERAL PARTNERSHIP |
EX-3.125 AGREEMENT OF GENERAL PARTNERSHIP OF BLOOMINGTON MEADOWS, GENERAL PARTNERSHIP |
EX-3.128 AGREEMENT AND CERTIFICATE OF PARTNERSHIP OF MESILLA VALLEY GENERAL PARTNERSHIP, AS AMENDED |
EX-3.129 CERTIFICATE OF LIMITED PARTNERSHIP OF MILLWOOD HOSPITAL, L.P. |
EX-3.130 LIMITED PARTNERSHIP AGREEMENT OF MILLWOOD HOSPITAL, L.P. |
EX-5.1 OPINION OF WALLER LANSDEN DORTCH & DAVIS, PLLC |
EX-8.1 OPINION OF WALLER LANSDEN DORTCH & DAVIS, PLLC |
EX-12.1 COMPUTATION OF RATIO OF EARNINGS TO FIXED CHARGES |
EX-21.1 LIST OF SUBSIDIARIES |
EX-23.1 CONSENT OF ERNST & YOUNG LLP, INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM |
EX-23.2 CONSENT OF ERNST & YOUNG LLP, INDEPENDENT AUDITORS |
EX-23.3 CONSENT OF DELOITTE & TOUCHE LLP, INDEPENDENT AUDITORS |
EX-23.4 CONSENT OF SELZNICK & COMPANY, LLP, INDEPENDENT AUDITORS |
EX-99.1 FORM OF LETTER OF TRANSMITTAL |
EX-99.2 FORM OF NOTICE OF GUARANTEED DELIVERY |
SPECIAL NOTE REGARDING FORWARD-LOOKING STATEMENTS
This prospectus and other materials we have filed or may file
with the SEC, as well as information included in oral statements
or other written statements made, or to be made, by our senior
management, contain, or will contain, disclosures that are
forward-looking statements within the meaning of the
safe harbor provisions of The Private Securities Litigation
Reform Act of 1995. Forward-looking statements include all
statements that do not relate solely to historical or current
facts and can be identified by the use of words such as
may, will, expect,
believe, intend, plan,
estimate, project, continue,
should and other comparable terms. These
forward-looking statements are based on the current plans and
expectations of our management and are subject to a number of
risks and uncertainties, including those set forth below, which
could significantly affect our current plans and expectations
and future financial condition and results.
We undertake no obligation to publicly update or revise any
forward-looking statements, whether as a result of new
information, future events or otherwise. Stockholders and
investors are cautioned not to unduly rely on such
forward-looking statements when evaluating the information
presented in our filings and reports.
i
While it is not possible to identify all these factors, we
continue to face many risks and uncertainties that could cause
actual results to differ from those forward-looking statements,
including:
|
|
|
|
|
potential competition that alters or impedes our acquisition
strategy by decreasing our ability to acquire additional
inpatient facilities on favorable terms; |
|
|
|
our ability to integrate and improve the operations of acquired
inpatient facilities, including the inpatient facilities
acquired in the acquisition of Ardent Behavioral; |
|
|
|
our ability to maintain favorable and continuing relationships
with physicians who use our inpatient facilities; |
|
|
|
our ability to receive timely additional financing on terms
acceptable to us to fund our acquisition strategy and capital
expenditure needs; |
|
|
|
risks inherent to the health care industry, including the impact
of unforeseen changes in regulation, reimbursement rates from
federal and state health care programs or managed care companies
and exposure to claims and legal actions by patients and others; |
|
|
|
our ability to retain key employees who are instrumental to our
successful operations; |
|
|
|
our ability to ensure confidential information is not
inappropriately disclosed and that we are in compliance with
federal and state health information privacy standards; and |
|
|
|
our ability to comply with federal and state governmental
regulation covering health care-related products and services
on-line, including the regulation of medical devices and the
practice of medicine and pharmacology. |
In addition, future trends for pricing, margins, revenues and
profitability remain difficult to predict in the industries that
we serve.
ii
SUMMARY
The following summary highlights information about us and the
offering of the registered notes contained elsewhere in this
prospectus. It is not complete and may not contain all of the
information that may be important to you in making a decision to
exchange your old notes for the registered notes. For a more
complete understanding of us and the exchange offer, we urge you
to read this entire prospectus carefully, including the
Risk Factors section, and the documents which we
have incorporated by reference. Throughout this prospectus
(except in the Description of the Registered Notes
section or unless the context otherwise requires):
|
|
|
|
|
when we refer to Psychiatric Solutions,
us, we or our, we are
describing Psychiatric Solutions, Inc. together with its
subsidiaries and other operations after giving pro forma effect
to our acquisition of all of the outstanding capital stock of
Ardent Behavioral; and |
|
|
|
when we refer to Ardent Behavioral, we are
describing Ardent Health Services, Inc. and its subsidiaries
that operate the behavioral health care business of Ardent
Health Services, Inc. |
The Exchange Offer
On July 6, 2005, we issued in a private placement
$220.0 million in aggregate principal amount of our
73/4% Senior
Subordinated Notes due 2015, which we refer to as the old
notes. We refer to this private placement as the
original note offering. We entered into a
registration rights agreement with the initial purchasers of the
old notes in which we agreed to deliver to you this prospectus.
You are entitled to exchange your old notes in the exchange
offer for registered notes with substantially identical terms.
Unless you are a broker-dealer or unable to participate in the
exchange offer, we believe that the notes to be issued in the
exchange offer may be resold by you without compliance with the
registration and prospectus delivery requirements of the
Securities Act of 1933. You should read the discussions under
the headings The Exchange Offer and
Description of the Registered Notes for further
information regarding the registered notes.
Psychiatric Solutions
We are the leading provider of inpatient behavioral health care
services in the United States. Through our inpatient division,
we operate 55 inpatient behavioral health care facilities with
approximately 6,400 beds in 27 states. In addition, through
our inpatient management contract division, we manage 37
inpatient behavioral health care units for third parties,
including a contract to provide mental health case management
services to approximately 4,600 children and adults with serious
mental illness in the Nashville, Tennessee area, and 7 inpatient
behavioral health care facilities for government agencies. We
believe that our singular focus on the provision of inpatient
behavioral health care services allows us to operate more
efficiently and provide higher quality care than our
competitors. We primarily operate in underserved markets that we
believe have limited competition and favorable demographic
trends.
Our facilities offer a wide range of inpatient behavioral health
care services for children, adolescents and adults. We offer
these services through a combination of acute inpatient
behavioral facilities and residential treatment centers, or
RTCs. Our acute inpatient behavioral facilities provide the most
intensive level of care, including 24-hour skilled nursing
observation and care, daily interventions and oversight by a
psychiatrist and intensive, highly coordinated treatment by a
physician-led team of mental health professionals. Our RTCs
offer longer term treatment programs primarily for children and
adolescents with long-standing acute behavioral health problems.
Our RTCs provide physician-led, multi-disciplinary treatments
that address the overall medical, psychiatric, social and
academic needs of the patient.
We also have an inpatient management contract division that
develops, organizes and manages behavioral health care programs
within medical/surgical hospitals and manages inpatient
behavioral health care facilities for government agencies. We
provide our customers with a variety of management options,
including (1) clinical and management infrastructure,
(2) personnel recruitment, staff orientation and
1
supervision, (3) corporate consultation and
(4) performance improvement plans. Our broad range of
services can be customized into individual programs that meet
specific facility and community requirements. We are dedicated
to providing quality programs with integrity, innovation and
flexibility.
Psychiatric Solutions was incorporated in the State of Delaware
in 1988. Our principal executive offices are located at
840 Crescent Centre Drive, Suite 460, Franklin,
Tennessee 37067. Our telephone number is (615) 312-5700.
Our Internet address is www.psysolutions.com.
Acquisition of Ardent Behavioral
On July 1, 2005, pursuant to an Amended and Restated Stock
Purchase Agreement dated June 30, 2005 by and among us,
Ardent Health Services LLC, a Delaware limited liability
company, and Ardent Health Services, Inc., a Delaware
corporation and wholly-owned subsidiary of Ardent Health
Services LLC, we acquired all of the outstanding capital stock
of Ardent Behavioral for $500.0 million in cash and the
issuance of 1,362,760 shares of our common stock.
Ardent Behavioral owns and operates, through its subsidiaries,
20 inpatient behavioral health care facilities, with
approximately 1,981 inpatient beds in 11 states as of
March 31, 2005. We believe that Ardent Behaviorals
inpatient facilities complement our existing facilities as well
as expand our network of inpatient facilities into eight new
states. In addition, Ardent Behaviorals inpatient
facilities are market leaders in their respective areas, with a
majority of the facilities being the sole provider in their
respective markets.
Financing Transactions
In connection with the original note offering and the
acquisition of Ardent Behavioral, we amended and restated our
existing revolving credit facility and obtained a new senior
secured term loan facility, which we refer to collectively in
this prospectus as our new senior secured credit
facilities. Our amended and restated credit facility
consists of a $150.0 million senior secured revolving
credit facility, $85.0 million of which remained undrawn at
July 31, 2005. Our senior secured term facility consists of
a $325.0 million senior secured term loan. We financed
$500.0 million of the cash purchase price of Ardent
Behavioral with borrowings under our new senior secured credit
facilities as well as a $150.0 million bridge loan facility that
we entered into in connection with the acquisition. We used the
proceeds of the original note offering to repay all borrowings
under the bridge facility, to repurchase in privately negotiated
transactions a portion of our existing
105/8%
senior subordinated notes (including the related premium) and to
pay related fees and expenses. We refer in this prospectus to
the original note offering, the amendment and restatement of our
existing credit facility and our new senior secured term loan as
the Financing Transactions. We refer to the
acquisition of Ardent Behavioral and the Financing Transactions
as the Transactions.
2
The following table describes the sources and uses of funds
relating to the Transactions assuming a closing date of
March 31, 2005:
|
|
|
|
|
|
|
|
|
Amount | |
|
|
| |
|
|
(dollars in | |
|
|
thousands) | |
Sources of funds:
|
|
|
|
|
|
73/4%
Senior Subordinated Notes
|
|
$ |
220,000 |
|
|
Senior secured term facility
|
|
|
325,000 |
|
|
Amended and restated revolving credit facility
|
|
|
35,500 |
|
|
Cash on balance sheet
|
|
|
10,900 |
|
|
Issuance of our common stock
|
|
|
60,000 |
|
|
|
|
|
|
|
Total sources
|
|
$ |
651,400 |
|
|
|
|
|
Uses of funds:
|
|
|
|
|
|
Acquisition of Ardent Behavioral (including repayment of
borrowings under bridge facility)
|
|
$ |
560,000 |
|
|
Repurchase of
105/8%
senior subordinated notes (including related premium)
|
|
|
69,900 |
|
|
Fees and expenses
|
|
|
21,500 |
|
|
|
|
|
|
|
Total uses
|
|
$ |
651,400 |
|
|
|
|
|
Our Industry
An estimated 22% of the U.S. adult population and 10% of
U.S. children and adolescents suffer from a diagnosable
mental disorder in a given year. Based on the 2002
U.S. census, these figures translate to approximately
50 million Americans. In addition, four of the ten leading
causes of disability in the United States are mental disorders.
The behavioral health care industry is extremely fragmented with
only a few large national providers. During the 1990s, the
behavioral health care industry experienced a significant
contraction following a long period of growth. Between 1990 and
1999, nearly 300 inpatient behavioral health care facilities,
accounting for over 40% of available beds, were closed. The
reduction was largely driven by third party payors who decreased
reimbursement, implemented more stringent admission criteria and
decreased the authorized length of stay. We believe this reduced
capacity has resulted in an underserved patient population.
Reduced capacity, coupled with mental health parity legislation
providing for greater access to mental health services and
increased demand for our behavioral health care services, has
resulted in favorable industry fundamentals. Behavioral health
care providers have enjoyed significant improvement in
reimbursement rates, increased admissions and stabilized lengths
of stay. According to the National Association of Psychiatric
Health Systems, payments for the inpatient care of behavioral
health and addictive disorders have increased nationwide.
Inpatient admissions increased from an average of approximately
2,350 in 2001 to an average of approximately 2,500 in 2002,
while the average occupancy rates stabilized at approximately
74% for both 2001 and 2002 after being approximately 69% in
2000. Following a rapid decrease during the early 1990s,
inpatient average length of stay stabilized between 9 and
11 days from 1997 to 2003. In 2003, the inpatient average
length of stay was 9.8 days. The average inpatient net
revenue per day increased from $536 in 2002 to $541 in 2003. The
average RTC net revenue per day increased from $288 in 2002 to
$312 in 2003 for hospital-based units and from $273 to $319 for
freestanding RTC facilities. The average number of admissions
for hospital-based RTC units was 191 for 2003. The average
number of admissions for freestanding RTC facilities was 197 for
2003. The average occupancy rate for hospital-based RTC units
was 73.3% in 2003, with an average length of stay of
174 days in 2003. The average occupancy rate for
freestanding RTC facilities was 78.4% in 2003, with an average
length of stay of 183 days in 2003.
3
Our Competitive Strengths
We believe the following competitive strengths contribute to our
strong market share in each of our markets and will enable us to
continue to successfully grow our business and increase our
profitability:
|
|
|
|
|
Singular focus on inpatient behavioral health
care We focus exclusively on the provision of
inpatient behavioral health care services. We believe this
allows us to operate more efficiently and provide higher quality
care than our competitors. In addition, we believe our focus and
reputation have helped us to develop important relationships and
extensive referral networks within our markets and to attract
and retain qualified behavioral health care professionals. |
|
|
|
Strong and sustainable market position Our
inpatient facilities have an established presence in each of our
markets, and we believe that the majority of our owned and
leased inpatient facilities have the leading market share in
their respective service areas. Our relationships and referral
networks would be difficult, time- consuming and expensive for
new competitors to replicate. In addition, many of the states in
which we operate require a certificate of need to open a
behavioral health care facility, which may be difficult to
obtain and may further preclude new market participants. |
|
|
|
Demonstrated ability to identify and integrate
acquisitions We attribute part of our success in
integrating acquired inpatient facilities to our rigorous due
diligence review of these facilities prior to completing the
acquisitions as well as our ability to retain key employees at
the acquired facilities. We employ a disciplined acquisition
strategy that is based on defined criteria including quality of
service, return on invested capital and strategic benefits. We
also have a comprehensive post-acquisition strategic plan to
facilitate the integration of acquired facilities that includes
improving facility operations, retaining and recruiting
psychiatrists and expanding the breadth of services offered by
the facilities. |
|
|
|
Diversified payor mix and revenue base As we
have grown our business, we have focused on diversifying our
sources of revenue. For the twelve months ended March 31,
2005, we received 36% of our revenue from Medicaid, 12% from
Medicare, 18% from HMO/ PPO payors, 9% from various managed
contracts and 25% from other payors. As we receive Medicaid
payments from more than 30 states, we do not believe that
we are significantly affected by changes in reimbursement
policies in any one state. Substantially all of our Medicaid
payments relate to the care of children and adolescents.
Management believes that children and adolescents are a patient
class that is less susceptible to reductions in reimbursement
rates. For the twelve months ended March 31, 2005, no
single inpatient facility represented more than 6% of our
revenue. |
|
|
|
Experienced management team Our senior
management team has an average of over 20 years of
experience in the health care industry. Joey A. Jacobs, our
Chairman, President and Chief Executive Officer, has over
29 years experience in various capacities in the health
care industry. Jack R. Salberg, our Chief Operating Officer, has
more than 30 years of operational experience in both profit
and non-profit health care sectors. In addition, our senior
management team includes talented managers of our divisions, who
have extensive experience in all aspects of health care. Our
senior management operates as a cohesive, complementary group
and has extensive operating knowledge of our industry and
understanding of the regulatory environment in which we operate.
Our senior managers employ conservative fiscal policies and have
a successful track record in both operating our core business
and integrating acquired assets. |
|
|
|
Consistent free cash flow and minimal maintenance capital
expenditure requirements We generate consistent
free cash flow due to the profitable operation of our business,
our low maintenance capital expenditure requirements and through
the active management of our working capital. As the behavioral
health care business does not require the procurement and
replacement of expensive medical equipment, our maintenance
capital expenditure requirements are less than that of other
facility-based health care providers. Historically, our
maintenance capital expenditures have amounted to less than 2%
of our revenue. In addition, our accounts receivable management
is less |
4
|
|
|
|
|
complex than medical/surgical hospital providers because there
are fewer billing codes for inpatient behavioral health care
facilities. |
Our Business Strategy
We have experienced significant growth in our operations as
measured by the number of our facilities, admissions, patient
days, revenue and net income. We intend to continue to
successfully grow our business and increase our profitability by
improving the performance of our inpatient facilities and
through strategic acquisitions. The principal elements of our
growth strategy are to:
|
|
|
|
|
Continue to Drive Same-Facility Growth
Psychiatric Solutions, without giving pro forma effect to the
acquisition of Ardent Behavioral, increased its same-facility
revenue by approximately 6.4% and 9.0% for the three months
ended March 31, 2005 and the year ended December 31,
2004, respectively, as compared to its revenue for the three
months ended March 31, 2004 and the year ended
December 31, 2003. Same-facility growth refers to the
comparison of the 24 inpatient facilities owned by Psychiatric
Solutions, without giving pro forma effect to the acquisition of
Ardent Behavioral, during 2004 with the comparable period in
2003. We expect to continue to increase our same-facility growth
by increasing our admissions and patient days and obtaining
annual reimbursement rate increases. We plan to accomplish these
goals by: |
building relationships that enhance our presence in
local and regional markets;
developing formal marketing initiatives and
expanding referral networks;
continuing to provide high quality service; and
|
|
|
|
|
expanding our services and developing new services to take
advantage of increased demand in select markets where we operate. |
|
|
|
|
|
Grow Through Strategic Acquisitions Our
industry is highly fragmented and we plan to selectively pursue
the acquisition of additional inpatient behavioral health care
facilities. There are approximately 500 acute and residential
treatment facilities in the United States and the top two
providers operate approximately 20% of these facilities. We
believe there are a number of acquisition candidates available
at attractive valuations, and we have a number of potential
acquisitions that are in various stages of development and
consideration. We believe our focus on inpatient behavioral
health care provides us with a strategic advantage when
assessing a potential acquisition. We employ a disciplined
acquisition strategy that is based on defined criteria,
including quality of service, return on invested capital and
strategic benefits. |
|
|
|
Enhance Operating Efficiencies Our management
team has extensive experience in the operation of multi-facility
health care services companies. We intend to focus on improving
our profitability by optimizing staffing ratios, controlling
contract labor costs and reducing supply costs through group
purchasing. We believe that our focus on efficient operations
increases our profitability and will attract qualified
behavioral health care professionals and patients. |
5
The Exchange Offer
|
|
|
Old Notes: |
|
On July 6, 2005, we sold to the initial purchasers
$220,000,000 aggregate principal amount of our
73/4% Senior
Subordinated Notes due 2015, which are fully and unconditionally
guaranteed on a senior subordinated basis by substantially all
of our existing operating subsidiaries. In this prospectus we
refer to those senior subordinated notes as the old
notes. The initial purchasers resold those old notes to
qualified institutional buyers pursuant to Rule 144A under
the Securities Act of 1933 and outside the United States to
persons other than United States persons in offshore
transactions meeting the requirements of Regulation S under
the Securities Act. |
|
Registration Rights Agreement: |
|
When we sold the old notes we entered into a registration rights
agreement with the initial purchasers in which we agreed, among
other things, to provide to you and all other holders of these
old notes the opportunity to exchange your unregistered old
notes for substantially identical registered notes that we have
registered under the Securities Act. This exchange offer is
being made for that purpose. |
|
Registered Notes: |
|
We are offering to exchange the old notes for
73/4% Senior
Subordinated Notes due 2015 that have been registered under the
Securities Act, which are fully and unconditionally guaranteed
on a senior subordinated basis by substantially all of our
existing operating subsidiaries. In this prospectus we refer to
those registered senior subordinated notes as the
registered notes. In this prospectus we may refer to
the old notes and the registered notes collectively as the
notes. The terms of the registered notes and the old
notes are substantially identical except: |
|
|
|
the registered notes will be issued in a transaction
that will have been registered under the Securities Act; |
|
|
|
the registered notes will not contain securities law
restrictions on transfer, and |
|
|
|
the registered notes will not provide for the
payment of liquidated damages under circumstances relating to
the timing of the exchange offer. |
|
The Exchange Offer: |
|
We are offering to exchange $1,000 principal amount of the
registered notes for each $1,000 principal amount of your old
notes. As of the date of this prospectus, $220,000,000 aggregate
principal amount of the old notes are outstanding. For
procedures for tendering, see The Exchange
Offer Procedures for Tendering Old Notes. |
|
Expiration Date: |
|
This exchange offer will expire at 5:00 p.m., New York City
time,
on ,
2005, unless we extend it. |
|
Resales of Registered Notes: |
|
We believe that the registered notes issued pursuant to the
exchange offer in exchange for the old notes may be offered for
resale, resold and otherwise transferred by you without compli- |
6
|
|
|
|
|
ance with the registration and prospectus delivery provisions of
the Securities Act if: |
|
|
|
you are not our affiliate within the
meaning of Rule 405 under the Securities Act; |
|
|
|
you are acquiring the registered notes in the
ordinary course of your business; |
|
|
|
you have not engaged in, do not intend to engage in,
and have no arrangement or understanding with any person or
entity to participate in a distribution of the registered
notes; and |
|
|
|
you deliver a prospectus, as required by law, in
connection with any resale of those registered notes, see
Plan of Distribution, if you are a broker-dealer
that receives registered notes for your own account in exchange
for old notes that were acquired as a result of market-making
activities or other trading activities. |
|
|
|
If you are an affiliate of ours, or are engaging in or intend to
engage in, or have any arrangement or understanding with any
person to participate in, a distribution of the registered
notes, then: |
|
|
|
you may not rely on the applicable interpretations
of the staff of the SEC; |
|
|
|
you will not be permitted to tender old notes in the
exchange offer; and |
|
|
|
you must comply with the registration and prospectus
delivery requirements of the Securities Act in connection with
any resale of the old notes. |
|
|
|
Each participating broker-dealer that receives registered notes
for its own account under the exchange offer in exchange for old
notes that were acquired by the broker-dealer as a result of
market-making or other trading activity must acknowledge that it
will deliver a prospectus in connection with any resale of the
registered notes. See Plan of Distribution. Any
broker-dealer that acquired old notes directly from us may not
rely on the applicable interpretations of the staff of the SEC
and must comply with the registration and prospectus delivery
requirements of the Securities Act (including being named as a
selling securityholder) in connection with any resales of the
old notes or the registered notes. |
|
Acceptance of Old Notes and Delivery of Registered Notes: |
|
We will accept for exchange any and all old notes that are
validly tendered in the exchange offer and not withdrawn before
the offer expires. The registered notes will be delivered
promptly following the exchange offer. |
|
Withdrawal Rights: |
|
You may withdraw your tender of old notes at any time before the
exchange offer expires. |
|
Conditions of the Exchange Offer: |
|
The exchange offer is subject to certain customary conditions,
which we may waive. Please see The Exchange
Offer |
7
|
|
|
|
|
Conditions to the Exchange Offer for more information
regarding the conditions to the exchange offer. |
|
Consequences of Failure to Exchange Old Notes: |
|
If you are eligible to participate in the exchange offer and you
do not tender your old notes, then you will continue to hold
your old notes and you will be subject to all the limitations
and restrictions on transfer applicable to such old notes.
Generally, untendered old notes will remain restricted
securities and may not be offered or sold, unless registered
under the Securities Act, except pursuant to an exemption from,
or in a transaction not subject to, the Securities Act and
applicable state securities laws. Other than in connection with
the exchange offer, we do not currently anticipate that we will
register the old notes under the Securities Act. The trading
market for the old notes could be adversely affected if some but
not all of the old notes are tendered and accepted in the
exchange offer. |
|
Federal Income Tax Consequences: |
|
The exchange of an old note for a registered note in the
exchange offer will not be a taxable event for U.S. federal
income tax purposes. See Material U.S. Federal Income Tax
Considerations for a more detailed description of the tax
consequences of the exchange. |
|
Use of Proceeds: |
|
Neither we nor any subsidiary guarantor will receive any
proceeds from the issuance of registered notes pursuant to the
exchange offer. |
|
Accounting Treatment: |
|
You will not recognize any gain or loss on the exchange of old
notes for registered notes. See The Exchange
Offer Accounting Treatment. |
|
Exchange Agent: |
|
Wachovia Bank, National Association, is the exchange agent. See
The Exchange Offer Exchange Agent. |
The Registered Notes
The registered notes will evidence the same debt as the old
notes and will be governed by the same indenture under which the
old notes were issued. The summary below describes the principal
terms of the registered notes. The Description of the
Registered Notes section of this prospectus contains a
more detailed description of the terms and conditions of the
registered notes.
|
|
|
Issuer |
|
Psychiatric Solutions, Inc. |
|
Securities Offered |
|
$220,000,000 aggregate principal amount of
73/4% Senior
Subordinated Notes due 2015. |
|
Maturity |
|
The notes will mature on July 15, 2015. |
|
Interest Rate and Payment Dates |
|
The notes will bear interest at the rate of
73/4% per
annum. Interest on the notes will be payable semi-annually in
arrears on January 15 and July 15 of each year,
commencing January 15, 2006. |
|
Guarantees |
|
The notes will be fully and unconditionally guaranteed, jointly
and severally, on a senior subordinated basis by substantially
all of our existing domestic restricted subsidiaries. For the
year ended December 31, 2004, on a pro forma basis after
giving |
8
|
|
|
|
|
effect to the Transactions, our non-guarantor subsidiaries would
have had revenues of $3.7 million and net income of
$0.6 million and, as of March 31, 2005, would have had
total assets of $40.7 million and stockholders equity
of $11.9 million. Each of the subsidiary guarantors also
guarantees our new senior secured credit facilities on a senior
secured basis. |
|
Ranking |
|
The old notes are and the registered notes will be: |
|
|
|
our senior subordinated unsecured obligations; |
|
|
|
subordinated in right of payment to our existing and
future senior indebtedness, including our obligations under our
new senior secured credit facilities; |
|
|
|
pari passu in right of payment with any existing and
future senior subordinated indebtedness, including our
105/8% senior
subordinated notes due 2013, which we refer to in this offering
memorandum as our existing senior subordinated
notes; and |
|
|
|
senior in right of payment to all of our existing
and future subordinated indebtedness. |
|
|
|
The old guarantees of each subsidiary guarantor are and the
registered guarantors will be: |
|
|
|
senior subordinated unsecured obligations of each
subsidiary guarantor; |
|
|
|
subordinated in right of payment to all existing and
future senior indebtedness of such subsidiary guarantor,
including such subsidiary guarantors guarantee under our
new senior secured credit facilities; |
|
|
|
pari passu in right of payment with any existing and
future senior subordinated indebtedness of such subsidiary
guarantor, including such subsidiary guarantors guarantee
of the existing senior subordinated notes; and |
|
|
|
senior in right of payment to all of such subsidiary
guarantors existing and future subordinated indebtedness. |
|
|
|
As of March 31, 2005, after giving pro forma effect to the
Transactions: |
|
|
|
we would have had outstanding senior indebtedness of
$414.3 million; |
|
|
|
the subsidiary guarantors would have guaranteed
senior indebtedness of $390.8 million, which would have
consisted of guarantees of our term borrowings under the amended
and restated credit facility; and |
|
|
|
the non-guarantor subsidiaries would have had
$29.0 million of liabilities outstanding, including trade
payables but excluding intercompany liabilities. |
|
Optional Redemption |
|
Prior to July 15, 2010, we may from time to time redeem all
or a portion of the notes by paying a special
make-whole premium specified in this offering
memorandum under Description of the Registered
Notes Optional Redemption. |
9
|
|
|
|
|
At any time on or after July 15, 2010, we may from time to
time redeem all or a portion of the notes at the redemption
prices specified in this offering memorandum under
Description of the Registered Notes Optional
Redemption. |
|
|
|
In addition, at any time prior to July 15, 2008, we may
also redeem up to 35% of the original aggregate principal amount
of the notes issued under the indenture with the net cash
proceeds of certain equity offerings, at a price equal to
107.75% of the principal amount thereof, plus accrued and unpaid
interest, if any, to the redemption date; provided that
at least 65% of the original aggregate principal amount of the
notes remains outstanding after the redemption. |
|
Covenants |
|
The indenture governing the notes, among other things, limits
the ability of us and our restricted subsidiaries to: |
|
|
|
incur additional indebtedness and issue preferred
stock; |
|
|
|
pay dividends or make other distributions; |
|
|
|
make other restricted payments and investments; |
|
|
|
create liens; |
|
|
|
incur restrictions on the ability of restricted
subsidiaries to pay dividends or make other payments; |
|
|
|
sell assets, including capital stock of restricted
subsidiaries; |
|
|
|
merge or consolidate with other entities; and |
|
|
|
enter into transactions with affiliates. |
|
|
|
Each of the covenants is subject to a number of important
exceptions and qualifications. See Description of the
Registered Notes Certain Covenants. |
|
Change of Control |
|
Following a change of control, we will be required to offer to
purchase all of the notes at a purchase price of 101% of their
principal amount, plus accrued and unpaid interest, if any, to
the date of purchase. |
|
Absence of a Public Market for the Notes and Exchange Notes |
|
The notes are new securities for which there is currently no
market. The initial purchasers of the old notes have informed us
that they intend to make a market in the notes, but they are not
obligated to do so and they may discontinue market-making
activities at any time without notice. Accordingly, we cannot
assure you that a liquid market for the notes and, if issued,
the exchange notes will develop or be maintained. The notes will
be eligible for trading on the PORTAL Market. |
|
Use of Proceeds |
|
We used the net proceeds from the original note offering to
(i) repay all borrowings under the bridge facility in
connection with our acquisition of Ardent Behavioral,
(ii) repurchase in privately negotiated transactions a
portion of our existing
105/8
Senior Subordinated Notes (including the related premium), and
(iii) pay related fees and expenses. See Use of
Proceeds. |
For a discussion of certain risks that should be considered in
connection with an investment in the notes, see Risk
Factors.
10
Summary Unaudited Pro Forma Condensed Combined Financial and
Operating Data
The following table sets forth a summary of unaudited pro forma
condensed combined financial and operating data for Psychiatric
Solutions, Inc., giving effect to the acquisitions of Ardent
Behavioral, Heartland Healthcare (Heartland),
Brentwood Behavioral Health (Brentwood) and other
non-significant acquisitions during the fiscal year ended
December 31, 2004 and the Financing Transactions as if they
had occurred on the dates indicated and after giving effect to
certain pro forma adjustments described in the section entitled
Unaudited Pro Forma Condensed Combined Financial
Information. The pro forma condensed combined balance
sheet data as of March 31, 2005 has been derived from
Psychiatric Solutions and Ardent Behaviorals
historical balance sheets, adjusted to give effect to these
acquisitions and the Financing Transactions as if they occurred
on March 31, 2005.
The adjustments necessary to fairly present the unaudited pro
forma condensed combined financial data have been made based on
available information and in the opinion of management are
reasonable. Assumptions underlying the pro forma adjustments are
described in the accompanying notes, which should be read in
conjunction with this unaudited pro forma condensed combined
financial data. The pro forma adjustments are preliminary and
revisions to the preliminary purchase price allocations and
financing of the transactions may have a significant impact on
the pro forma adjustments. A final valuation of net assets
acquired associated with the Ardent Behavioral acquisition
cannot be made prior to the completion of this prospectus. A
final determination of these fair values will be conducted by
Psychiatric Solutions independent valuation specialists.
The consideration of this valuation will most likely result in a
change in the value assigned to the fixed and intangible assets
acquired from Ardent Behavioral.
The unaudited pro forma condensed combined financial and
operating data is for comparative purposes only and does not
purport to represent what our financial position or results of
operations would actually have been had the events noted above
in fact occurred on the assumed dates or to project our
financial position or results of operations for any future date
or future period. The unaudited pro forma condensed combined
financial and operating data are only a summary and should be
read in conjunction with the Selected Consolidated
Financial and Operating Data Psychiatric
Solutions, Selected Consolidated Financial and
Operating Data Ardent Behavioral,
Managements Discussion and Analysis of Financial
Condition and Results of Operations Psychiatric
Solutions, Managements Discussion and Analysis
of Financial Condition and Results of Operations
Ardent Behavioral included elsewhere in this prospectus
and the Unaudited Pro Forma Condensed Combined Financial
Information and combined financial statements and the
notes thereto of Ardent Behavioral and Psychiatric Solutions
incorporated by reference in this prospectus.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months | |
|
|
Year Ended | |
|
Ended | |
|
|
December 31, | |
|
March 31, | |
|
|
2004 | |
|
2005 | |
|
|
| |
|
| |
|
|
(dollars in thousands, except | |
|
|
ratios and operating data) | |
Income Statement Data:
|
|
|
|
|
|
|
|
|
Revenue
|
|
$ |
827,096 |
|
|
$ |
218,638 |
|
Expenses:
|
|
|
|
|
|
|
|
|
|
Salaries, wages and employee benefits
|
|
|
456,150 |
|
|
|
120,954 |
|
|
Other operating expenses(1)
|
|
|
239,543 |
|
|
|
59,592 |
|
|
Provision for doubtful accounts
|
|
|
20,214 |
|
|
|
5,221 |
|
|
Depreciation and amortization
|
|
|
15,345 |
|
|
|
4,013 |
|
|
Interest expense
|
|
|
51,444 |
|
|
|
11,460 |
|
|
Other expenses(2)
|
|
|
6,407 |
|
|
|
6,990 |
|
|
|
|
|
|
|
|
|
|
Total expenses
|
|
|
789,103 |
|
|
|
208,230 |
|
|
|
|
|
|
|
|
11
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months | |
|
|
Year Ended | |
|
Ended | |
|
|
December 31, | |
|
March 31, | |
|
|
2004 | |
|
2005 | |
|
|
| |
|
| |
|
|
(dollars in thousands, except | |
|
|
ratios and operating data) | |
Income from continuing operations before income taxes
|
|
|
37,993 |
|
|
|
10,408 |
|
Provision for income taxes
|
|
|
14,437 |
|
|
|
4,059 |
|
|
|
|
|
|
|
|
Income from continuing operations
|
|
$ |
23,556 |
|
|
$ |
6,349 |
|
|
|
|
|
|
|
|
Balance Sheet Data (End of Period):
|
|
|
|
|
|
|
|
|
Cash and cash equivalents |
|
$ |
5,954 |
|
Working capital |
|
|
73,081 |
|
Property and equipment, net |
|
|
370,137 |
|
Total assets |
|
|
1,103,302 |
|
Total debt |
|
|
673,161 |
|
Stockholders equity |
|
|
296,463 |
|
Other Financial Data:
|
|
|
|
|
|
|
|
|
Capital expenditures
|
|
$ |
27,673 |
|
|
$ |
6,564 |
|
Operating Data:
|
|
|
|
|
|
|
|
|
Number of facilities:
|
|
|
|
|
|
|
|
|
|
Owned
|
|
|
47 |
|
|
|
47 |
|
|
Leased
|
|
|
7 |
|
|
|
7 |
|
Number of beds
|
|
|
6,330 |
|
|
|
6,340 |
|
Admissions
|
|
|
86,646 |
|
|
|
24,818 |
|
Patient days
|
|
|
1,510,909 |
|
|
|
414,067 |
|
Average length of stay
|
|
|
17 |
|
|
|
17 |
|
|
|
(1) |
Other operating expenses include other professional fees,
rentals and leases expense and other operating expenses. Rent
expense was $13,366 and $3,146 for the year ended
December 31, 2004 and the three months ended March 31,
2005, respectively. |
|
(2) |
Other expenses include: (a) for the year ended
December 31, 2004, a loss of $6,407 on refinancing
long-term debt and (b) for the three months ended
March 31, 2005, a loss of $6,990 on refinancing of
long-term debt. |
12
Summary Historical Financial and Operating Data
Psychiatric Solutions
The following table sets forth summary historical financial and
operating data of Psychiatric Solutions for, or as of the end
of, each of the years ended December 31, 2002, 2003 and
2004 and each of the three months ended March 31, 2004 and
2005. The summary historical financial data as of and for each
of the years ended December 31, 2002, 2003 and 2004 were
derived from the audited consolidated financial statements of
Psychiatric Solutions incorporated by reference in this
prospectus. The summary historical financial data as of and for
the three months ended March 31, 2004 and 2005 were derived
from the unaudited condensed consolidated financial statements
of Psychiatric Solutions incorporated by reference in this
prospectus. These unaudited condensed consolidated financial
statements include all adjustments necessary (consisting of
normal recurring accruals) for a fair presentation of the
financial position and the results of operations for these
periods. Operating results for the three months ended
March 31, 2005 are not necessarily indicative of the
results that may be expected for the full year ending
December 31, 2005. You should read this table in
conjunction with Managements Discussion and Analysis
of Financial Condition and Results of Operations
Results of Operations Psychiatric Solutions
included elsewhere in this prospectus and Psychiatric
Solutions consolidated financial statements and notes
thereto incorporated by reference in this prospectus.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months | |
|
|
Year Ended December 31, | |
|
Ended March 31, | |
|
|
| |
|
| |
|
|
2002 | |
|
2003 | |
|
2004 | |
|
2004 | |
|
2005 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(dollars in thousands, except operating data) | |
Income Statement Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue
|
|
$ |
113,912 |
|
|
$ |
284,946 |
|
|
$ |
487,190 |
|
|
$ |
103,430 |
|
|
$ |
138,730 |
|
|
Costs and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Salaries, wages and employee benefits(1)
|
|
|
62,326 |
|
|
|
147,069 |
|
|
|
265,678 |
|
|
|
55,707 |
|
|
|
76,367 |
|
|
Other operating expenses(2)
|
|
|
35,716 |
|
|
|
96,735 |
|
|
|
147,947 |
|
|
|
32,554 |
|
|
|
40,825 |
|
|
Provision for bad debts
|
|
|
3,681 |
|
|
|
6,315 |
|
|
|
10,874 |
|
|
|
2,027 |
|
|
|
2,668 |
|
|
Depreciation and amortization
|
|
|
1,770 |
|
|
|
5,734 |
|
|
|
9,868 |
|
|
|
2,107 |
|
|
|
2,902 |
|
|
Interest expense
|
|
|
5,564 |
|
|
|
14,781 |
|
|
|
18,964 |
|
|
|
4,456 |
|
|
|
3,523 |
|
|
Other expenses(3)
|
|
|
178 |
|
|
|
5,271 |
|
|
|
6,407 |
|
|
|
6,407 |
|
|
|
6,990 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total costs and expenses
|
|
|
109,235 |
|
|
|
275,905 |
|
|
|
459,738 |
|
|
|
103,258 |
|
|
|
133,275 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations before income taxes
|
|
$ |
4,677 |
|
|
$ |
9,041 |
|
|
$ |
27,452 |
|
|
$ |
172 |
|
|
$ |
5,455 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
$ |
5,684 |
|
|
$ |
5,216 |
|
|
$ |
16,801 |
|
|
$ |
(37 |
) |
|
$ |
3,328 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance Sheet Data (End of Period):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
|
$ |
2,392 |
|
|
$ |
44,954 |
|
|
$ |
33,255 |
|
|
$ |
34,274 |
|
|
$ |
14,500 |
|
Working capital
|
|
|
2,369 |
|
|
|
67,153 |
|
|
|
39,890 |
|
|
|
52,749 |
|
|
|
43,784 |
|
Property and equipment, net
|
|
|
33,547 |
|
|
|
149,589 |
|
|
|
218,231 |
|
|
|
175,690 |
|
|
|
220,762 |
|
Total assets
|
|
|
90,138 |
|
|
|
347,658 |
|
|
|
497,846 |
|
|
|
370,784 |
|
|
|
484,469 |
|
Total debt
|
|
|
43,822 |
|
|
|
175,003 |
|
|
|
174,336 |
|
|
|
191,916 |
|
|
|
153,961 |
|
Series A convertible preferred stock
|
|
|
|
|
|
|
25,316 |
|
|
|
|
|
|
|
25,617 |
|
|
|
|
|
Total stockholders equity
|
|
|
30,549 |
|
|
|
91,328 |
|
|
|
244,515 |
|
|
|
90,966 |
|
|
|
248,583 |
|
Other Financial Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Capital expenditures
|
|
$ |
1,470 |
|
|
$ |
5,755 |
|
|
$ |
17,216 |
|
|
$ |
3,055 |
|
|
$ |
5,255 |
|
Net cash provided by continuing operating activities
|
|
|
8,922 |
|
|
|
18,328 |
|
|
|
39,857 |
|
|
|
14,721 |
|
|
|
13,338 |
|
13
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months | |
|
|
Year Ended December 31, | |
|
Ended March 31, | |
|
|
| |
|
| |
|
|
2002 | |
|
2003 | |
|
2004 | |
|
2004 | |
|
2005 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(dollars in thousands, except operating data) | |
Operating Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of facilities
|
|
|
5 |
|
|
|
24 |
|
|
|
34 |
|
|
|
26 |
|
|
|
34 |
|
|
Owned
|
|
|
5 |
|
|
|
20 |
|
|
|
27 |
|
|
|
22 |
|
|
|
27 |
|
|
Leased
|
|
|
|
|
|
|
4 |
|
|
|
7 |
|
|
|
4 |
|
|
|
7 |
|
Number of licensed beds
|
|
|
699 |
|
|
|
3,128 |
|
|
|
4,337 |
|
|
|
3,439 |
|
|
|
4,359 |
|
Admissions
|
|
|
14,737 |
|
|
|
26,278 |
|
|
|
49,484 |
|
|
|
10,231 |
|
|
|
14,836 |
|
Patient days
|
|
|
145,575 |
|
|
|
525,055 |
|
|
|
996,840 |
|
|
|
211,563 |
|
|
|
277,527 |
|
Average length of stay
|
|
|
10 |
|
|
|
20 |
|
|
|
20 |
|
|
|
21 |
|
|
|
19 |
|
|
|
(1) |
Salaries, wages and employee benefits expense includes for the
year ended December 31, 2002, expense of $118 for options
granted in 2002 with exercise prices below market value. |
|
(2) |
Other operating expenses include professional fees, rentals and
leases expense and other operating expenses. Rent expense was
$870, $4,043, $9,019, $1,767 and $2,340 for each of the years
ended December 31, 2002, 2003 and 2004, and the three
months ended March 31, 2004 and 2005, respectively. |
|
(3) |
Other expenses include: (a) for the year ended
December 31, 2002, expense of $92 for additional reserves
on stockholder notes and a loss of $86 from the retirement of
debt; (b) for the year ended December 31, 2003 a loss
of $4,856 on refinancing long-term debt, expense of $960 to
revalue put warrants and income of $545 to release reserves on
stockholder notes; (c) for the three months ended
March 31, 2004 and the year ended December 31, 2004, a
loss of $6,407 on refinancing long-term debt; and (d) for
the three months ended March 31, 2005, a loss of $6,990 on
refinancing of long-term debt. |
14
Ardent Behavioral
The following table sets forth summary historical financial and
operating data of Ardent Behavioral for, or as of the end of,
each of the years ended December 31, 2002, 2003 and 2004
and each of the three months ended March 31, 2004 and 2005.
The summary historical financial data as of and for each of the
years ended December 31, 2002, 2003 and 2004 were derived
from the audited combined financial statements of Ardent
Behavioral incorporated by reference in this prospectus. The
summary historical financial data as of and for the three months
ended March 31, 2004 and 2005 were derived from the
unaudited condensed combined financial statements of Ardent
Behavioral incorporated by reference in this prospectus. These
unaudited condensed combined financial statements include all
adjustments necessary (consisting of normal recurring accruals)
for a fair presentation of the financial position and the
results of operations for these periods. Operating results for
the three months ended March 31, 2005 are not necessarily
indicative of the results that may be expected for the full year
ending December 31, 2005. You should read this table in
conjunction with Managements Discussion and Analysis
of Financial Condition and Results of Operations
Results of Operations Ardent Behavioral
included elsewhere in this prospectus and the combined financial
statements of Ardent Behavioral incorporated by reference in
this prospectus.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months | |
|
|
Year Ended December 31, | |
|
Ended March 31, | |
|
|
| |
|
| |
|
|
2002 | |
|
2003 | |
|
2004 | |
|
2004 | |
|
2005 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(dollars in thousands) | |
Income Statement Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue
|
|
$ |
241,909 |
|
|
$ |
267,568 |
|
|
$ |
294,282 |
|
|
$ |
73,134 |
|
|
$ |
79,908 |
|
|
Costs and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Salaries and benefits
|
|
|
134,340 |
|
|
|
148,392 |
|
|
|
167,926 |
|
|
|
41,294 |
|
|
|
44,447 |
|
|
Other operating expenses(1)
|
|
|
65,646 |
|
|
|
68,469 |
|
|
|
74,606 |
|
|
|
18,210 |
|
|
|
18,298 |
|
|
Provision for doubtful accounts
|
|
|
5,990 |
|
|
|
6,227 |
|
|
|
7,245 |
|
|
|
2,080 |
|
|
|
2,553 |
|
|
Depreciation and amortization
|
|
|
2,203 |
|
|
|
2,501 |
|
|
|
3,664 |
|
|
|
619 |
|
|
|
1,199 |
|
|
Interest, net
|
|
|
8,481 |
|
|
|
4,940 |
|
|
|
2,854 |
|
|
|
1,749 |
|
|
|
(932 |
) |
|
Other expenses(2)
|
|
|
17,243 |
|
|
|
11,637 |
|
|
|
16,483 |
|
|
|
4,259 |
|
|
|
3,192 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses
|
|
|
233,903 |
|
|
|
242,166 |
|
|
|
272,778 |
|
|
|
68,211 |
|
|
|
68,757 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations before income taxes
|
|
$ |
8,006 |
|
|
$ |
25,402 |
|
|
$ |
21,504 |
|
|
$ |
4,923 |
|
|
$ |
11,151 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
$ |
7,814 |
|
|
$ |
18,266 |
|
|
$ |
15,739 |
|
|
$ |
3,101 |
|
|
$ |
7,058 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance Sheet Data (End of Period):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
|
|
|
|
|
$ |
1,822 |
|
|
$ |
2,671 |
|
|
|
|
|
|
|
2,354 |
|
Working capital
|
|
|
|
|
|
|
29,407 |
|
|
|
31,900 |
|
|
|
|
|
|
|
35,953 |
|
Property and equipment, net
|
|
|
|
|
|
|
76,562 |
|
|
|
83,355 |
|
|
|
|
|
|
|
83,465 |
|
Total assets
|
|
|
|
|
|
|
210,814 |
|
|
|
234,291 |
|
|
|
|
|
|
|
242,473 |
|
Total debt
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total equity
|
|
|
|
|
|
|
171,216 |
|
|
|
191,071 |
|
|
|
|
|
|
|
198,129 |
|
Other Financial Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Capital expenditures
|
|
$ |
6,425 |
|
|
$ |
8,528 |
|
|
$ |
10,457 |
|
|
$ |
814 |
|
|
$ |
1,309 |
|
Net cash provided by (used in) continuing operating activities
|
|
|
13,737 |
|
|
|
22,050 |
|
|
|
18,065 |
|
|
|
(468 |
) |
|
|
5,512 |
|
15
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months | |
|
|
Year Ended December 31, | |
|
Ended March 31, | |
|
|
| |
|
| |
|
|
2002 | |
|
2003 | |
|
2004 | |
|
2004 | |
|
2005 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
Operating Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of facilities
|
|
|
19 |
|
|
|
20 |
|
|
|
20 |
|
|
|
20 |
|
|
|
20 |
|
|
Owned
|
|
|
19 |
|
|
|
20 |
|
|
|
20 |
|
|
|
20 |
|
|
|
20 |
|
|
Leased
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of licensed beds
|
|
|
1,840 |
|
|
|
1,986 |
|
|
|
1,993 |
|
|
|
1,993 |
|
|
|
1,981 |
|
Admissions
|
|
|
31,456 |
|
|
|
33,474 |
|
|
|
37,162 |
|
|
|
9,497 |
|
|
|
9,982 |
|
Patient days
|
|
|
455,828 |
|
|
|
481,317 |
|
|
|
514,069 |
|
|
|
126,872 |
|
|
|
136,540 |
|
Average length of stay
|
|
|
14 |
|
|
|
14 |
|
|
|
14 |
|
|
|
13 |
|
|
|
14 |
|
|
|
(1) |
Other operating expenses include professional fees, supplies
expense, rent expense and other operating expenses. Rent expense
was $3,229, $3,502, $3,564, $881 and $775 for each of the years
ended December 31, 2002, 2003 and 2004 and the three months
ended March 31, 2004 and 2005, respectively. |
|
(2) |
Other expenses include: (a) for the year ended
December 31, 2002, impairment of long-lived assets and
restructuring costs of $78; (b) for the years ended
December 31, 2002 and 2003, a gain on divestitures of
$1,208 and $618, respectively; (c) for the three months
ended March 31, 2004 and 2005 and the years ended
December 31, 2002, 2003 and 2004, management fees paid to
Ardent of $4,259, $3,192, $18,373, $12,255 and $16,483,
respectively. |
16
RISK FACTORS
You should consider carefully each of the following risks and
all other information contained and incorporated by reference in
this prospectus before deciding to invest in the notes.
Risks Related to Us and Our Business
|
|
|
If we fail to comply with extensive laws and government
regulations, we could suffer penalties or be required to make
significant changes to our operations. |
The health care industry is required to comply with extensive
and complex laws and regulations at the federal, state and local
government levels relating to, among other things:
|
|
|
|
|
billing for services; |
|
|
|
relationships with physicians and other referral sources; |
|
|
|
adequacy of medical care; |
|
|
|
quality of medical equipment and services; |
|
|
|
qualifications of medical and support personnel; |
|
|
|
confidentiality, maintenance and security issues associated with
health-related information and medical records; |
|
|
|
licensure; |
|
|
|
hospital rate or budget review; |
|
|
|
operating policies and procedures; and |
|
|
|
addition of facilities and services. |
Among these laws are the anti-kickback provision of the Social
Security Act (the Anti-kickback Statute) and a
provision of the Social Security Act commonly known as the Stark
Law. These laws impact the relationships that we may have with
physicians and other referral sources. The Office of Inspector
General (the OIG) of the Department of Health and
Human Services (HHS) has enacted safe harbor
regulations that outline practices that are deemed protected
from prosecution under the Anti-kickback Statute. Our current
financial relationships with physicians and other referral
sources may not qualify for safe harbor protection under the
Anti-kickback Statute. Failure to meet a safe harbor does not
mean that the arrangement automatically violates the
Anti-kickback Statute, but may subject the arrangement to
greater scrutiny. Further, we cannot guarantee that practices
that are outside of a safe harbor will not be found to violate
the Anti-kickback Statute.
In order to comply with the Stark Law, our financial
relationships with physicians and their immediate family members
must meet an exception. Psychiatric Solutions has historically
structured its financial arrangements with physicians to comply
with the statutory exceptions included in the Stark Law and
subsequent regulations. However, future Stark Law regulations
may interpret provisions of this law in a manner different from
the manner in which we have interpreted them. We cannot predict
the effect such future regulations will have on us.
If we fail to comply with the Anti-kickback Statute, the Stark
Law or other applicable laws and regulations, we could be
subjected to criminal penalties, civil penalties (including the
loss of our licenses to operate one or more inpatient
facilities), and exclusion of one or more of our inpatient
facilities from participation in the Medicare, Medicaid and
other federal and state health care programs. In addition, if we
do not operate our inpatient facilities in accordance with
applicable law, our inpatient facilities may lose their licenses
or the ability to participate in third party reimbursement
programs.
Because many of these laws and regulations are relatively new,
we do not always have the benefit of significant regulatory or
judicial interpretation of these laws and regulations. In the
future, different
17
interpretations or enforcement of these laws and regulations
could subject our current or past practices to allegations of
impropriety or illegality or could require us to make changes in
our inpatient facilities, equipment, personnel, services,
capital expenditure programs and operating expenses. A
determination that we have violated these laws, or the public
announcement that we are being investigated for possible
violations of these laws, could have a material adverse effect
on our business, financial condition, results of operations or
prospects and our business reputation could suffer
significantly. In addition, we are unable to predict whether
other legislation or regulations at the federal or state level
will be adopted.
|
|
|
We may be required to spend substantial amounts to comply
with legislative and regulatory initiatives relating to privacy
and security of patient health information and standards for
electronic transactions. |
There are currently numerous legislative and regulatory
initiatives at the federal and state levels addressing patient
privacy and security concerns. In particular, federal
regulations issued under the Health Insurance Portability
Accountability Act of 1996 (HIPAA) require our
facilities to comply with standards to protect the privacy,
security, and integrity of health care information. These
regulations have imposed extensive new administrative
requirements, new technical and physical information security
requirements, restrictions on the use and disclosure of
individually identifiable patient health and related financial
information, and have provided patients with new rights with
respect to their health information. Compliance with these
regulations requires substantial expenditures, which could
negatively impact our financial results. In addition, our
management has spent, and may spend in the future, substantial
time and effort on compliance measures.
HIPAA also mandates the use of standard formats for electronic
transactions and establishing standard unique health
identifiers. All health care providers, including our inpatient
facilities, will be required to obtain a new National Provider
Identifier (NPI) to be used in standard transactions
instead of other numerical identifiers beginning no later than
May 23, 2007. We cannot predict whether our inpatient
facilities will experience payment delays during the transition
to the new identifier.
Violations of the privacy and security regulations could subject
our inpatient facilities to civil penalties of up to
$25,000 per calendar year for each provision contained in
the privacy and security regulations that is violated and
criminal penalties of up to $250,000 per violation for
certain other violations. Since there is no significant history
of enforcement efforts by the federal government at this time,
it is not possible to ascertain the likelihood of enforcement
efforts in connection with these regulations or the potential
for fines and penalties which may result from the violation of
the regulations.
|
|
|
Other companies within the health care industry continue
to be the subject of federal and state investigations, which
increases the risk that we may become subject to investigations
in the future. |
Both federal and state government agencies as well as private
payors have heightened and coordinated civil and criminal
enforcement efforts as part of numerous ongoing investigations
of health care organizations. These investigations relate to a
wide variety of topics, including:
|
|
|
|
|
cost reporting and billing practices; |
|
|
|
quality of care; |
|
|
|
financial relationships with referral sources; |
|
|
|
medical necessity of services provided; and |
|
|
|
treatment of indigent patients, including emergency medical
screening and treatment requirements. |
The OIG and the U.S. Department of Justice have, from time
to time, undertaken national enforcement initiatives that focus
on specific billing practices or other suspected areas of abuse.
Moreover, health care providers are subject to civil and
criminal false claims laws, including the federal False Claims
Act, which allows private parties to bring whistleblower
lawsuits against private companies doing business with or
receiving reimbursement under federal health care programs. Some
states have adopted similar state whistleblower and false claims
provisions. Publicity associated with the substantial amounts
paid by
18
other health care providers to settle these lawsuits may
encourage our current and former employees and other health care
providers to bring whistleblower lawsuits. Any investigations of
us or our executives or managers could result in significant
liabilities or penalties as well as adverse publicity.
|
|
|
As a provider of health care services, we are subject to
claims and legal actions by patients and others. |
We are subject to medical malpractice and other lawsuits due to
the nature of the services we provide. Facilities acquired by us
may have unknown or contingent liabilities, including
liabilities related to patient care and liabilities for failure
to comply with health care laws and regulations, which could
result in large claims and significant defense costs. Although
we generally seek indemnification covering these matters from
prior owners of facilities we acquire, material liabilities for
past activities of acquired facilities may exist and such prior
owners may not be able to satisfy their indemnification
obligations. We are also susceptible to being named in claims
brought related to patient care and other matters at inpatient
facilities owned by third parties and operated by us.
To protect ourselves from the cost of these claims, professional
malpractice liability insurance and general liability insurance
coverage is maintained in amounts and with deductibles common in
the industry. Psychiatric Solutions has professional and general
liability insurance in umbrella form for claims in excess of
$2 million with an insured limit of $35 million for
all of its inpatient facilities. Our self-insured reserves for
professional and general liability risks are calculated based on
historical claims, demographic factors, industry trends,
severity factors, and other actuarial assumptions calculated by
an independent third party actuary. Our self-insured reserve is
discounted to its present value using a 5% discount rate.
This estimated accrual for professional and general liabilities
could be significantly affected should current and future
occurrences differ from historical claim trends and
expectations. We have established a captive insurance company to
manage this additional self-insured retention. There are no
assurances that our insurance will cover all claims
(e.g., claims for punitive damages) or that claims in
excess of our insurance coverage will not arise. A successful
lawsuit against us that is not covered by, or is in excess of,
our insurance coverage may have a material adverse effect on our
business, financial condition and results of operations. This
insurance coverage may not continue to be available at a
reasonable cost, especially given the significant increase in
insurance premiums generally experienced in the health care
industry.
|
|
|
If federal or state health care programs or managed care
companies reduce reimbursement rates for services provided,
revenues may decline. |
A large portion of our revenue comes from the Medicare and
Medicaid programs. Under Medicare and certain Medicaid programs,
hospital companies currently are required to file, on a timely
basis, cost reports. Such cost reports are subject to amending,
reopening and appeal rights, which could materially affect
historical costs recognized and reimbursement received from such
payors.
In recent years, federal and state governments have made
significant changes in these programs. On November 3, 2004,
the Centers for Medicare and Medicaid Services (CMS)
announced final regulations adopting a prospective payment
system for services provided by inpatient behavioral health care
facilities. Inpatient behavioral health care facilities
historically have been reimbursed based on reasonable cost,
subject to a discharge ceiling. For cost reporting periods after
January 1, 2005, CMS will begin to phase in over a
three-year period a prospective payment system which will pay
inpatient behavioral health care facilities a per diem base
rate. During the three-year phase-in period, CMS has agreed to a
stop loss provision which will guarantee that a provider will
receive at least 70% of the amount it would have been paid under
the cost-based reimbursement system.
The per diem base rate will be adjusted by factors that
influence the cost of an individual patients care, such as
each patients diagnosis related group, certain other
medical and psychiatric comorbidities (i.e., other coexisting
conditions that may complicate treatment), and age. The per diem
amounts are calculated in part based on national averages, but
will be adjusted for specific facility characteristics that
increase the cost of patient care. The base rate per diem is
intended to compensate a facility for costs
19
incurred to treat a patient with a particular diagnosis,
including nearly all labor and non-labor costs of furnishing
covered inpatient behavioral health care services as well as
routine, ancillary and capital costs. Payment rates for
individual inpatient facilities will be adjusted to reflect
geographic differences in wages and will allow additional
outlier payments for expenses associated with extraordinary
cases. Additionally, rural providers will receive an increased
payment adjustment. Medicare will pay this per diem amount, as
adjusted, regardless of whether it is more or less than a
hospitals actual costs. The per diem will not, however,
include the costs of bad debt and certain other costs that are
paid separately.
Future federal and state legislation may reduce the payments we
receive for our services.
Insurance and managed care companies and other third parties
from whom we receive payment are increasingly attempting to
control health care costs by requiring that facilities discount
their fees in exchange for exclusive or preferred participation
in their benefit plans. This trend may continue and may reduce
the payments received by us for our services.
|
|
|
If competition decreases the ability to acquire additional
inpatient facilities on favorable terms, we may be unable to
execute our acquisition strategy. |
Competition among hospitals and other health care providers in
the United States has intensified in recent years due to cost
containment pressures, changing technology, changes in
government regulation and reimbursement, changes in practice
patterns (such as shifting from inpatient to outpatient
treatments), the impact of managed care organizations and other
factors. An important part of our business strategy is to
acquire inpatient facilities in growing markets. Some inpatient
facilities and health care providers that compete with us have
greater financial resources and a larger, more experienced
development staff focused on identifying and completing
acquisitions. In addition, some competitors are owned by
governmental agencies or not-for-profit corporations supported
by endowments and charitable contributions, and can finance
capital expenditures on a tax-exempt basis. Any or all of these
factors may impede our business strategy.
|
|
|
Additional financing may be necessary to fund our
acquisition strategy and capital expenditures, and such
financing may not be available when needed. |
Our acquisition program requires substantial capital resources.
Likewise, the operation of existing inpatient facilities
requires ongoing capital expenditures for renovation, expansion
and the upgrade of equipment and technology.
In connection with our acquisition of the capital stock of
Ardent Behavioral, we incurred significant additional
indebtedness to finance the $500 million cash portion of
the purchase price. This may adversely impact our ability to
obtain additional financing for future acquisitions and/or
capital expenditures on satisfactory terms. In addition, the
terms of our outstanding indebtedness as well as our level of
indebtedness at any time may restrict our ability to borrow
additional funds. If we are not able to obtain additional
financing, then we may not be in a position to consummate
acquisitions or undertake capital expenditures.
|
|
|
Recently acquired businesses and businesses acquired in
the future will expose us to increased operating risks. |
We acquired 19 inpatient facilities in 2003 and acquired 10
inpatient facilities in 2004. In addition, we acquired all of
the capital stock of Ardent Behavioral on July 1, 2005.
Ardent Behavioral owns and operates, through its subsidiaries,
20 inpatient behavioral health care facilities.
This expansion exposes us to additional business and operating
risk and uncertainties, including:
|
|
|
|
|
our ability to effectively manage the expanded activities; |
|
|
|
our ability to realize our investment in the increased number of
inpatient facilities; |
20
|
|
|
|
|
our exposure to unknown liabilities; and |
|
|
|
our ability to meet contractual obligations. |
If we are unable to manage this expansion efficiently or
effectively, or are unable to attract and retain additional
qualified management personnel to run the expanded operations,
it could have a material adverse effect on our business,
financial condition and results of operations.
|
|
|
If we fail to integrate or improve, where necessary, the
operations of acquired inpatient facilities, we may be unable to
achieve our growth strategy. |
We may be unable to maintain or increase the profitability of,
or operating cash flows at, any existing hospital or other
acquired inpatient facility, effectively integrate the
operations of any acquisitions or otherwise achieve the intended
benefit of our growth strategy. To the extent that we are unable
to enroll in third party payor plans in a timely manner
following an acquisition, we may experience a decrease in cash
flow or profitability.
Hospital acquisitions generally require a longer period to
complete than acquisitions in many other industries and are
subject to additional regulatory uncertainty. Many states have
adopted legislation regarding the sale or other disposition of
facilities operated by not-for-profit entities. In other states
that do not have specific legislation, the attorneys general
have demonstrated an interest in these transactions under their
general obligations to protect charitable assets from waste.
These legislative and administrative efforts focus primarily on
the appropriate valuation of the assets divested and the use of
the proceeds of the sale by the non-profit seller. In addition,
the acquisition of facilities in certain states requires advance
regulatory approval under certificate of need or
state licensure regulatory regimes. These state-level procedures
could seriously delay or even prevent us from acquiring
inpatient facilities, even after significant transaction costs
have been incurred.
|
|
|
We depend on our relationships with physicians who use our
inpatient facilities. |
Our business depends upon the efforts and success of the
physicians who provide health care services at our inpatient
facilities and the strength of the relationships with these
physicians.
Our business could be adversely affected if a significant number
of physicians or a group of physicians:
|
|
|
|
|
terminate their relationship with, or reduce their use of, our
inpatient facilities; |
|
|
|
fail to maintain acceptable quality of care or to otherwise
adhere to professional standards; |
|
|
|
suffer damage to their reputation; or |
|
|
|
exit the market entirely |
|
|
|
We depend on our key management personnel. |
We are highly dependent on our senior management team, which has
many years of experience addressing the broad range of concerns
and issues relevant to our business. Our senior management team
includes talented managers of our divisions, who have a wealth
of experience in all aspects of health care. We have entered
into employment agreements with Joey A. Jacobs, Chief Executive
Officer, and Jack Salberg, Chief Operating Officer, each of
which include non-competition and non-solicitation provisions.
Key man life insurance policies are not maintained on any member
of senior management other than Mr. Jacobs. The loss of key
management or the inability to attract, retain and motivate
sufficient numbers of qualified management personnel could have
a material adverse effect on us.
21
|
|
|
Failure to maintain effective internal controls in
accordance with Section 404 of the Sarbanes-Oxley Act could
have a material adverse effect on our business and stock
price. |
Each year we are required to document and test our internal
control procedures in order to satisfy the requirements of
Section 404 of the Sarbanes-Oxley Act of 2002, which
requires annual management assessments of the effectiveness of
our internal controls over financial reporting and a report by
our independent registered public accounting firm addressing
these assessments. During the course of our annual testing we
may identify deficiencies that we may not be able to remediate
in time to meet the deadline imposed by the Sarbanes-Oxley Act
for compliance with the requirements of Section 404. In
addition, if we fail to maintain the adequacy of our internal
controls, as such standards are modified, supplemented or
amended from time to time, we may not be able to ensure that we
can conclude on an ongoing basis that we have effective internal
controls over financial reporting in accordance with
Section 404 of the Sarbanes-Oxley Act. Failure to achieve
and maintain an effective internal control environment could
have a material adverse effect on our business and stock price.
Risks Related to the Exchange Offer and the Registered
Notes
|
|
|
You may have difficulty selling the old notes that you do
not exchange. |
If you do not exchange your old notes for the registered notes
offered in this exchange offer, then you will continue to be
subject to the restrictions on the transfer of your old notes.
Those transfer restrictions are described in the indenture
governing the notes and in the legend contained on the old
notes, and arose because we originally issued the old notes
under exemptions from, and in transactions not subject to, the
registration requirements of the Securities Act.
In general, you may offer or sell your old notes only if they
are registered under the Securities Act and applicable state
securities laws, or if they are offered and sold under an
exemption from those requirements. After the consummation of the
exchange offer, we do not intend to register any remaining old
notes under the Securities Act.
If a large number of old notes are exchanged for registered
notes in the exchange offer, then it may be more difficult for
you to sell your unexchanged old notes. Additionally, if you do
not exchange your old notes in the exchange offer, then you will
no longer be entitled to have those notes registered under the
Securities Act. See The Exchange Offer
Consequences of Failure to Exchange Old Notes.
|
|
|
Our substantial indebtedness could adversely affect our
financial health and our ability to fulfill our obligations
under the notes. |
As of March 31, 2005, our total consolidated indebtedness,
after giving pro forma effect to the Transactions, was
approximately $673.2 million.
Our indebtedness could have important consequences to you
including:
|
|
|
|
|
making it more difficult for us to satisfy our obligations with
respect to the notes; |
|
|
|
increasing our vulnerability to general adverse economic and
industry conditions; |
|
|
|
requiring that a portion of our cash flow from operations be
used for the payment of interest on our debt, thereby reducing
our ability to use our cash flow to fund working capital,
capital expenditures, acquisitions and general corporate
requirements; |
|
|
|
limiting our ability to obtain additional financing to fund
future working capital, capital expenditures, acquisitions and
general corporate requirements; |
|
|
|
limiting our flexibility in planning for, or reacting to,
changes in our business and the health care industry; and |
|
|
|
placing us at a competitive disadvantage to our competitors that
have less indebtedness. |
22
We and our subsidiaries may be able to incur additional
indebtedness in the future, including secured indebtedness. The
indenture governing the notes does not fully prohibit us or our
subsidiaries from doing so. If new indebtedness is added to our
and our subsidiaries current indebtedness levels, the
related risks that we and they now face could intensify.
|
|
|
Covenant restrictions under our new senior secured credit
facilities and the indenture governing the notes may limit our
ability to operate our business. |
Our new senior secured credit facilities and the indenture
governing the notes contain, among other things, covenants that
may restrict our and our subsidiary guarantors ability to
finance future operations or capital needs or to engage in other
business activities. These debt instruments restrict, among
other things, our ability and the ability of our subsidiaries to:
|
|
|
|
|
incur additional indebtedness and issue preferred stock; |
|
|
|
pay dividends or make other distributions; |
|
|
|
make other restricted payments and investments; |
|
|
|
create liens; |
|
|
|
incur restrictions on our ability or the ability of our
restricted subsidiaries to pay dividends or make other payments; |
|
|
|
sell assets, including capital stock of our restricted
subsidiaries; |
|
|
|
merge or consolidate with other entities; and |
|
|
|
engage into transactions with affiliates. |
In addition, our new senior secured credit facilities require us
to maintain specified financial ratios and tests which may
require that we take action to reduce our debt or to act in a
manner contrary to our business objectives. Events beyond our
control, including changes in general business and economic
conditions, may affect our ability to meet those financial
ratios and tests. We cannot assure you that we will meet those
ratios and tests or that the lenders under the new senior
secured credit facilities will waive any failure to meet those
ratios and tests. A breach of any of these covenants would
result in a default under the new senior secured credit
facilities and any resulting acceleration thereunder may result
in a default under the indenture governing the notes. If an
event of default under our new senior secured credit facilities
occurs, the lenders could elect to declare all amounts
outstanding thereunder, together with accrued interest, to be
immediately due and payable.
|
|
|
Our business and financial results depend on our ability
to generate sufficient cash flows to service our debt or
refinance our indebtedness on commercially reasonable
terms. |
Our ability to make payments on and to refinance our debt and
fund planned expenditures depends on our ability to generate
cash flow in the future. This, to some extent, is subject to
general economic, financial, competitive, legislative and
regulatory factors and other factors that are beyond our
control. We cannot assure you that our business will generate
cash flows from operations or that future borrowings will be
available to us under our the new senior secured credit
facilities in an amount sufficient to enable us to pay our debt
or to fund our other liquidity needs. We cannot assure you that
we will be able to refinance our borrowing arrangements or any
other outstanding debt on commercially reasonable terms or at
all. Refinancing our borrowing arrangements could cause us to:
|
|
|
|
|
pay interest at a higher rate; |
|
|
|
be subject to additional or more restrictive covenants than
those outlined above; and |
|
|
|
grant additional security interests in our collateral. |
23
Our inability to generate sufficient cash flow to service our
debt or refinance our indebtedness on commercially reasonable
terms would have a material adverse effect on our business and
results of operations.
|
|
|
As a holding company, we rely on payments from our
subsidiaries in order for us to make payments on the
notes. |
We are a holding company with no significant operations of our
own. Because our operations are conducted through our
subsidiaries, we depend on dividends, loans, advances and other
payments from our subsidiaries in order to allow us to satisfy
our financial obligations. Our subsidiaries are separate and
distinct legal entities and have no obligation to pay any
amounts to us, whether by dividends, loans, advances or other
payments. The ability of our subsidiaries to pay dividends and
make other payments to us depends on their earnings, capital
requirements and general financial conditions and is restricted
by, among other things, applicable corporate and other laws and
regulations as well as, in the future, agreements to which our
subsidiaries may be a party. Although our subsidiary guarantors
are guaranteeing the notes, each guarantee is subordinated to
all senior debt of the relevant subsidiary guarantor.
|
|
|
Your right to receive payments on the notes and subsidiary
guarantees is subordinated to our senior debt and the senior
debt of our subsidiary guarantors. |
Payment on the notes and subsidiary guarantees will be
subordinated in right of payment to all of our and the
subsidiary guarantors current and future senior
indebtedness, including our and the subsidiary guarantors
obligations under our new senior secured credit facilities. As a
result, upon any distribution of our assets to our creditors or
the subsidiary guarantors creditors in a bankruptcy,
liquidation, reorganization or similar proceeding relating to us
or the subsidiary guarantors or our or their property, the
holders of our and the subsidiary guarantors senior debt
will be entitled to be paid in full in cash before any payment
may be made on the notes or the related subsidiary guarantees.
We and the subsidiary guarantors may not have sufficient funds
to pay all of our creditors, and holders of the notes may
receive less, ratably, than the holders of our senior
indebtedness or other creditors. In addition, all payments on
the notes and the related subsidiary guarantees will be blocked
in the event of a payment default on our designated senior
indebtedness and may be blocked for up to 179 consecutive days
in the event of certain defaults other than payment defaults on
our designated senior indebtedness.
As of March 31, 2005, on a pro forma basis after giving
effect to the Transactions, the notes would have been
subordinated to approximately $414.3 million of senior
indebtedness. In connection with the Financing Transactions, we
entered into new senior secured credit facilities which are
comprised of a senior secured term loan facility of
$325.0 million and a revolving credit facility of
$150.0 million, $65.0 million of which was outstanding
at July 31, 2005. In addition, the indenture governing the
notes and our new senior secured credit facilities permit us and
the subsidiary guarantors, subject to specified limitations, to
incur additional indebtedness, some or all of which may be
senior indebtedness. All amounts outstanding from time to time
under our new senior secured credit facilities will be
designated senior indebtedness.
|
|
|
A subsidiary guarantee could be voided or subordinated
because of federal bankruptcy law or comparable state law
provisions. |
Our obligations under the notes are guaranteed by substantially
all of our existing domestic restricted subsidiaries. Under
federal bankruptcy law and comparable provisions of state
fraudulent transfer laws, one or more of the subsidiary
guarantees could be voided, or claims against a subsidiary
guarantee could be subordinated to all other debts of that
subsidiary guarantor if, among other things the subsidiary
guarantor, at the time it incurred the indebtedness evidenced by
its subsidiary guarantee received less than reasonably
equivalent value or fair consideration for the incurrence of the
subsidiary guarantee; and
|
|
|
|
|
was insolvent or rendered insolvent by reason of such
incurrence; or |
24
|
|
|
|
|
was engaged in a business or transaction for which the
subsidiary guarantors remaining assets constituted
unreasonably small capital; or |
|
|
|
intended to incur, or believed that it would incur, debts beyond
its ability to pay its debts as they mature. |
In addition, any payment by that subsidiary guarantor pursuant
to its subsidiary guarantee could be voided and required to be
returned to the subsidiary guarantor or to a fund for the
benefit of the creditors of the subsidiary guarantor.
The measure of insolvency for purposes of fraudulent transfer
laws will vary depending upon the law applied in any proceeding
to determine whether a fraudulent transfer has occurred.
Generally, however, a subsidiary guarantor would be considered
insolvent if:
|
|
|
|
|
the sum of its debts, including contingent liabilities, was
greater than the fair saleable value of all of its assets; |
|
|
|
the present fair saleable value of its assets was less than the
amount that would be required to pay its probable liability on
its existing debts, including contingent liabilities, as they
become absolute and mature; or |
|
|
|
it could not pay its debts as they become due. |
We cannot be sure which standards a court would use to determine
whether or not the subsidiary guarantors were solvent at the
relevant time, or, regardless of the standard that the court
uses, that the issuance of the subsidiary guarantee would not be
voided or the subsidiary guarantee would not be subordinated to
that subsidiary guarantors other debt. If the subsidiary
guarantees were legally challenged, any subsidiary guarantee
could also be subject to the claim that the obligations of the
applicable subsidiary guarantor were incurred for less than fair
consideration, since the subsidiary guarantee was incurred for
our benefit, and only indirectly for the benefit of the
subsidiary guarantor.
A court could thus void the obligations under the subsidiary
guarantee or subordinate the subsidiary guarantee to the
applicable subsidiary guarantors other debt or take other
action detrimental to holders of the notes.
|
|
|
We may be unable to repurchase the notes if we experience
a change of control. |
If we were to experience a change of control, the indenture
governing the notes will require us to offer to purchase all of
the outstanding notes. Our failure to repay holders tendering
notes upon a change of control will result in an event of
default under the notes. The events that constitute a change of
control, or an event of default, under the notes may also result
in an event of default under our new senior secured credit
facilities, which may result in the acceleration of the
indebtedness under those facilities requiring us to repay that
indebtedness immediately. If a change of control were to occur,
we cannot assure you that we would have sufficient funds to
repay debt outstanding under our new senior secured credit
facilities or to purchase the notes. We expect that we would
require additional financing from third parties to fund any such
purchases, and we cannot assure you that we would be able to
obtain financing on satisfactory terms or at all.
|
|
|
No public market exists for the notes, and the offering
and sale of the notes are subject to significant legal
restrictions as well as uncertainties regarding the liquidity of
the trading market for the notes. |
The notes are a new issue of securities with no established
trading market. We do not intend to list the notes for trading
on any stock exchange or arrange for any quotation system to
quote prices for them. The initial purchasers have informed us
that they intend to make a market in the notes after this
offering is completed. However, the initial purchasers are not
obligated to do so and may cease market-making activities at any
time. As a result, we cannot assure you that an active trading
market will develop or continue for the notes.
25
ACQUISITION OF ARDENT BEHAVIORAL
On July 1, 2005, pursuant to an Amended and Restated Stock
Purchase Agreement dated June 30, 2005 by and among us,
Ardent Health Services LLC, a Delaware limited liability
company, and Ardent Behavioral, we acquired all of the
outstanding capital stock of Ardent Behavioral for
$500.0 million in cash and the issuance of 1,362,760 shares
of our common stock.
Ardent Behavioral owns and operates, indirectly through its
subsidiaries, 20 inpatient behavioral health care facilities,
with approximately 1,981 inpatient beds in 11 states. We believe
that Ardent Behaviorals inpatient facilities complement
our existing facility network as well as expand our network of
inpatient facilities into eight new states. In addition, Ardent
Behaviorals inpatient facilities are market leaders in
their respective areas, with a majority of the inpatient
facilities being the sole providers in their market.
26
THE EXCHANGE OFFER
Purpose and Effect; Registration Rights
We sold the old notes on July 6, 2005 in transactions
exempt from the registration requirements of the Securities Act.
Therefore, the old notes are subject to significant restrictions
on resale. In connection with the issuance of the old notes, we
entered into a registration rights agreement, which required
that we and the subsidiary guarantors:
|
|
|
|
|
file with the SEC a registration statement under the Securities
Act relating to the exchange offer and the issuance and delivery
of the registered notes in exchange for the old notes; |
|
|
|
use our best efforts to cause the SEC to declare the exchange
offer registration statement effective under the Securities
Act; and |
|
|
|
use our best efforts to consummate the exchange offer not later
than 30 business days following the effective date of the
exchange offer registration statement. |
If you participate in the exchange offer, you will, with limited
exceptions, receive registered notes that are freely tradable
and not subject to restrictions on transfer. You should see
The Exchange Offer Resales of Registered
Notes for more information relating to your ability to
transfer registered notes.
If you are eligible to participate in the exchange offer and do
not tender your old notes, you will continue to hold the
untendered old notes, which will continue to be subject to
restrictions on transfer under the Securities Act.
The exchange offer is intended to satisfy our exchange offer
obligations under the registration rights agreement. The above
summary of the registration rights agreement is not complete and
is subject to, and qualified by reference to, all the provisions
of the registration rights agreement. A copy of the registration
rights agreement has been filed as an exhibit to the
registration statement that includes this prospectus.
Terms of the Exchange Offer
We are offering to exchange $220,000,000 in aggregate principal
amount of our
73/4% Senior
Subordinated Notes due 2015 that have been registered under the
Securities Act for a like aggregate principal amount of our
outstanding unregistered
73/4% Senior
Subordinated Notes due 2015.
Upon the terms and subject to the conditions set forth in this
prospectus and in the accompanying letter of transmittal, we
will accept all old notes validly tendered and not withdrawn
before 5:00 p.m., New York City time, on the expiration
date of the exchange offer. We will issue $1,000 principal
amount of registered notes in exchange for each $1,000 principal
amount of outstanding old notes we accept in the exchange offer.
You may tender some or all of your old notes under the exchange
offer. However, the old notes are issuable in authorized
denominations of $1,000 and integral multiples thereof.
Accordingly, old notes may be tendered only in denominations of
$1,000 and integral multiples thereof. The exchange offer is not
conditioned upon any minimum amount of old notes being tendered.
The form and terms of the registered notes will be the same as
the form and terms of the old notes, except that:
|
|
|
|
|
the registered notes will be registered with the SEC and thus
will not be subject to the restrictions on transfer or bear
legends restricting their transfer; |
|
|
|
all of the registered notes will be represented by global notes
in book-entry form unless exchanged for notes in definitive
certificated form under the limited circumstances described
under Description of the Registered Notes
Book-Entry, Delivery and Form; and |
|
|
|
the registered notes will not provide for registration rights
and the payment of liquidated damages under circumstances
relating to the timing of the exchange offer. |
27
The registered notes will evidence the same debt as the old
notes and will be issued under, and be entitled to the benefits
of, the indenture governing the old notes.
The registered notes will accrue interest from the most recent
date to which interest has been paid on the old notes or, if no
interest has been paid, from the date of issuance of the old
notes. Accordingly, registered holders of registered notes on
the record date for the first interest payment date following
the completion of the exchange offer will receive interest
accrued from the most recent date to which interest has been
paid on the old notes or, if no interest has been paid, from the
date of issuance of the old notes. However, if that record date
occurs prior to completion of the exchange offer, then the
interest payable on the first interest payment date following
the completion of the exchange offer will be paid to the
registered holders of the old notes on that record date.
In connection with the exchange offer, you do not have any
appraisal or dissenters rights under applicable law or the
indenture. We intend to conduct the exchange offer in accordance
with the registration rights agreement and the applicable
requirements of the Securities Exchange Act of 1934 and the
rules and regulations of the SEC. The exchange offer is not
being made to, nor will we accept tenders for exchange from,
holder of the old notes in any jurisdiction in which the
exchange offer or the acceptance of it would not be in
compliance with the securities or blue sky laws of the
jurisdiction.
We will be deemed to have accepted validly tendered old notes
when we have given oral or written notice of our acceptance to
the exchange agent. The exchange agent will act as agent for the
tendering holders for the purpose of receiving the registered
notes from us.
If we do not accept any tendered old notes because of an invalid
tender or for any other reason, then we will return certificates
for any unaccepted old notes without expense to the tendering
holder as promptly as practicable after the expiration date.
Expiration Date; Amendments
The exchange offer will expire at 5:00 p.m., New York City
time,
on ,
2005, unless we, in our sole discretion, extend the exchange
offer.
If we determine to extend the exchange offer, then we will
notify the exchange agent of any extension by oral or written
notice and give each registered holder notice of the extension
by means of a press release or other public announcement before
9:00 a.m., New York City time, on the next business day
after the previously scheduled expiration date.
We reserve the right, in our sole discretion, to delay accepting
any old notes, to extend the exchange offer or to amend or
terminate the exchange offer if any of the conditions described
below under Conditions to the Exchange
Offer have not been satisfied or waived by giving oral or
written notice to the exchange agent of the delay, extension,
amendment or termination. Further, we reserve the right, in our
sole discretion, to amend the terms of the exchange offer in any
manner. We will notify you as promptly as practicable of any
extension, amendment or termination. We will also file a
post-effective amendment to the registration statement of which
this prospectus is a part with respect to any fundamental change
in the exchange offer.
Procedures for Tendering Old Notes
A holder who wishes to tender old notes in the exchange offer
must do either of the following:
|
|
|
|
|
properly complete, sign and date the letter of transmittal,
including all other documents required by the letter of
transmittal; have the signature on the letter of transmittal
guaranteed if the letter of transmittal so requires; and deliver
that letter of transmittal and other required documents to the
exchange agent at the address listed below under
Exchange Agent on or before the
expiration date; or |
28
|
|
|
|
|
if the old notes are tendered under the book-entry transfer
procedures described below, transmit to the exchange agent an
agents message, which agents message must be
received by the exchange agent prior to 5:00 p.m., New York
City time, on the expiration date. |
In addition, one of the following must occur:
|
|
|
|
|
the exchange agent must receive certificates representing your
old notes along with the letter of transmittal on or before the
expiration date, or |
|
|
|
the exchange agent must receive a timely confirmation of
book-entry transfer of the old notes into the exchange
agents account at DTC under the procedure for book-entry
transfers described below along with the letter of transmittal
or a properly transmitted agents message, on or before the
expiration date; or |
|
|
|
the holder must comply with the guaranteed delivery procedures
described below. |
The term agents message means a message,
transmitted by a book-entry transfer facility to and received by
the exchange agent and forming a part of the book-entry
confirmation, which states that the book-entry transfer facility
has received an express acknowledgement from the tendering
participant stating that the participant has received and agrees
to be bound by the letter of transmittal, and that we may
enforce the letter of transmittal against the participant.
To be tendered effectively, the exchange agent must receive any
physical delivery of the letter of transmittal and other
required documents at the address set forth below under
Exchange Agent on or before the
expiration of the exchange offer. To receive confirmation of
valid tender of old notes, a holder should contact the exchange
agent at the telephone number listed under
Exchange Agent.
Any tender of old notes that is not withdrawn prior to the
expiration date will constitute a binding agreement between the
tendering holder and us upon the terms and subject to the
conditions set forth in this prospectus and in the accompanying
letter of transmittal. Only a registered holder of old notes may
tender the old notes in the exchange offer. If a holder
completing a letter of transmittal tenders less than all of the
old notes held by that holder, then that tendering holder should
fill in the applicable box of the letter of transmittal. The
amount of old notes delivered to the exchange agent will be
deemed to have been tendered unless otherwise indicated.
The method of delivery of old notes, the letter of transmittal
and all other required documents to the exchange agent is at
your election and risk. Rather than mail these items, we
recommend that you use an overnight or hand delivery service. In
all cases, you should allow sufficient time to assure timely
delivery to the exchange agent before the expiration date. Do
not send letters of transmittal or old notes to us.
Generally, an eligible institution must guarantee signatures on
a letter of transmittal or a notice of withdrawal unless the old
notes are tendered:
|
|
|
|
|
by a registered holder of the old notes who has not completed
the box entitled Special Issuance Instructions or
Special Delivery Instructions on the letter of
transmittal; or |
|
|
|
for the account of an eligible institution. |
If signatures on a letter of transmittal or a notice of
withdrawal are required to be guaranteed, the guarantee must be
by a firm that is:
|
|
|
|
|
a member of a registered national securities exchange; |
|
|
|
a member of the National Association of Securities Dealers, Inc.; |
|
|
|
a commercial bank or trust company having an office or
correspondent in the United States; or |
|
|
|
another eligible institution within the meaning of
Rule 17Ad-15 under the Securities Exchange Act. |
29
If the letter of transmittal is signed by a person other than
the registered holder of any outstanding old notes, the original
notes must be endorsed or accompanied by appropriate powers of
attorney. The power of attorney must be signed by the registered
holder exactly as the registered holder(s) name(s) appear(s) on
the old notes and an eligible institution must guarantee the
signature on the power of attorney.
If the letter of transmittal, or any old notes or powers of
attorney are signed by trustees, executors, administrators,
guardians, attorneys-in-fact, officers of corporations or others
acting in a fiduciary or representative capacity, these persons
should so indicate when signing. Unless waived by us, they
should also submit evidence satisfactory to us of their
authority to so act.
If you wish to tender old notes that are registered in the name
of a broker, dealer, commercial bank, trust company or other
nominee, you should promptly instruct the registered holder to
tender on your behalf. If you wish to tender on your behalf, you
must, before completing the procedures for tendering old notes,
either register ownership of the old notes in your name or
obtain a properly completed bond power from the registered
holder. The transfer of registered ownership may take
considerable time.
We will determine in our sole discretion all questions as to the
validity, form, eligibility, including time of receipt, and
acceptance of old notes tendered for exchange. Our determination
will be final and binding on all parties. We reserve the
absolute right to reject any and all tenders of old notes not
properly tendered or old notes our acceptance of which might, in
the judgment of our counsel, be unlawful. We also reserve the
absolute right to waive any defects, irregularities or
conditions of tender as to any particular old notes. Our
interpretation of the terms and conditions of the exchange
offer, including the instructions in the letter of transmittal,
will be final and binding on all parties. Unless waived, any
defects or irregularities in connection with tenders of old
notes must be cured within the time period we determine. Neither
we, the exchange agent nor any other person will incur any
liability for failure to give you notification of defects or
irregularities with respect to tenders of your old notes.
By tendering, you will represent to us that:
|
|
|
|
|
any registered notes that the holder receives will be acquired
in the ordinary course of its business; |
|
|
|
the holder has no arrangement or understanding with any person
or entity to participate in the distribution of the registered
notes; |
|
|
|
if the holder is not a broker-dealer, that it is not engaged in
and does not intend to engage in the distribution of the
registered notes; |
|
|
|
if the holder is a broker-dealer that will receive registered
notes for its own account in exchange for old notes that were
acquired as a result of market-making activities or other
trading activities, that it will deliver a prospectus, as
required by law, in connection with any resale of those
registered notes (see Plan of Distribution); and |
|
|
|
the holder is not our affiliate, as defined in
Rule 405 of the Securities Act, or, if the holder is our
affiliate, it will comply with any applicable registration and
prospectus delivery requirements of the Securities Act. |
If any holder or any such other person is our
affiliate, or is engaged in or intends to engage in
or has an arrangement or understanding with any person to
participate in a distribution of the registered notes to be
acquired in the exchange offer, then that holder or any such
other person:
|
|
|
|
|
may not rely on the applicable interpretations of the staff of
the SEC; |
|
|
|
is not entitled and will not be permitted to tender old notes in
the exchange offer; and |
|
|
|
must comply with the registration and prospectus delivery
requirements of the Securities Act in connection with any resale
transaction. |
Each broker-dealer who acquired its old notes as a result of
market-making activities or other trading activities and
thereafter receives registered notes issued for its own account
in the exchange offer, must
30
acknowledge that it will deliver a prospectus in connection with
any resale of such registered notes issued in the exchange
offer. The letter of transmittal states that by so acknowledging
and by delivering a prospectus, a broker-dealer will not be
deemed to admit that it is an underwriter within the
meaning of the Securities Act. See Plan of
Distribution for a discussion of the exchange and resale
obligations of broker-dealers in connection with the exchange
offer.
Any broker-dealer that acquired old notes directly from us may
not rely on the applicable interpretations of the staff of the
SEC and must comply with the registration and prospectus
delivery requirements of the Securities Act (including being
named as a selling securityholder) in connection with any
resales of the old notes or the registered notes.
Acceptance of Old Notes For Exchange, Delivery of
Registered Notes
Upon satisfaction of all conditions to the exchange offer, we
will accept, promptly after the expiration date, all old notes
properly tendered and will issue the registered notes promptly
after acceptance of the old notes.
For purposes of the exchange offer, we will be deemed to have
accepted properly tendered old notes for exchange when we have
given oral or written notice of that acceptance to the exchange
agent. For each old note accepted for exchange, you will receive
a new note having a principal amount equal to that of the
surrendered old note.
In all cases, we will issue registered notes for old notes that
we have accepted for exchange under the exchange offer only
after the exchange agent timely receives:
|
|
|
|
|
certificates for your old notes or a timely confirmation of
book-entry transfer of your old notes into the exchange
agents account at DTC; and |
|
|
|
a properly completed and duly executed letter of transmittal and
all other required documents or a properly transmitted
agents message. |
If we do not accept any tendered old notes for any reason set
forth in the terms of the exchange offer or if you submit old
notes for a greater principal amount than you desire to
exchange, we will return the unaccepted or non-exchanged old
notes without expense to you. In the case of old notes tendered
by book-entry transfer into the exchange agents account at
DTC under the book-entry procedures described below, we will
credit the non-exchanged old notes to your account maintained
with DTC.
Book-Entry Transfer
We understand that the exchange agent will make a request within
two business days after the date of this prospectus to establish
accounts for the old notes at DTC for the purpose of
facilitating the exchange offer, and any financial institution
that is a participant in DTCs system may make book-entry
delivery of old notes by causing DTC to transfer the old notes
into the exchange agents account at DTC in accordance with
DTCs procedures for transfer. Although delivery of old
notes may be effected through book-entry transfer at DTC, the
exchange agent must receive a properly completed and duly
executed letter of transmittal with any required signature
guarantees, or an agents message in lieu of a letter of
transmittal, and all other required documents at its address
listed below under Exchange Agent on or
before the expiration date, or if you comply with the guaranteed
delivery procedures described below, within the time period
provided under those procedures.
31
Guaranteed Delivery Procedures
If you wish to tender your old notes and your old notes are not
immediately available, or you cannot deliver your old notes, the
letter of transmittal or any other required documents or comply
with DTCs procedures for transfer before the expiration
date, then you may participate in the exchange offer if:
|
|
|
|
|
the tender is made through an eligible institution; |
|
|
|
before the expiration date, the exchange agent receives from the
eligible institution a properly completed and duly executed
notice of guaranteed delivery, substantially in the form
provided by us, by facsimile transmission, mail or hand
delivery, containing: |
|
|
|
the name and address of the holder and the principal amount of
old notes tendered; |
|
|
|
a statement that the tender is being made thereby; |
|
|
|
a guarantee that within three New York Stock Exchange trading
days after the expiration date, the certificates representing
the old notes in proper form for transfer or a book-entry
confirmation and any other documents required by the letter of
transmittal will be deposited by the eligible institution with
the exchange agent; and |
|
|
|
the exchange agent receives the properly completed and executed
letter of transmittal as well as certificates representing all
tendered old notes in proper form for transfer, or a book-entry
confirmation, and all other documents required by the letter of
transmittal within three New York Stock Exchange trading days
after the expiration date. |
Withdrawal Rights
You may withdraw your tender of old notes at any time before the
exchange offer expires.
For a withdrawal to be effective, the exchange agent must
receive a written notice of withdrawal at its address listed
below under Exchange Agent. The notice
of withdrawal must:
|
|
|
|
|
specify the name of the person who tendered the old notes to be
withdrawn; |
|
|
|
identify the old notes to be withdrawn, including the principal
amount, or, in the case of old notes tendered by book-entry
transfer, the name and number of the DTC account to be credited,
and otherwise comply with the procedures of DTC; and |
|
|
|
if certificates for old notes have been transmitted, specify the
name in which those old notes are registered if different from
that of the withdrawing holder. |
If you have delivered or otherwise identified to the exchange
agent the certificates for old notes, then, before the release
of these certificates, you must also submit the serial numbers
of the particular certificates to be withdrawn and a signed
notice of withdrawal with the signatures guaranteed by an
eligible institution, unless the holder is an eligible
institution.
We will determine in our sole discretion all questions as to the
validity, form and eligibility, including time of receipt, of
notices of withdrawal. Our determination will be final and
binding on all parties. Any old notes so withdrawn will be
deemed not to have been validly tendered for purposes of the
exchange offer. We will return any old notes that have been
tendered but that are not exchanged for any reason to the
holder, without cost, as soon as practicable after withdrawal,
rejection of tender or termination of the exchange offer. In the
case of old notes tendered by book-entry transfer into the
exchange agents account at DTC, the old notes will be
credited to an account maintained with DTC for the old notes.
You may retender properly withdrawn old notes by following one
of the procedures described under Procedures
for Tendering Old Notes at any time on or before the
expiration date.
32
Conditions to the Exchange Offer
Notwithstanding any other term of the exchange offer, we will
not be required to accept for exchange, or to exchange
registered notes for, any old notes if in our reasonable
judgment:
|
|
|
|
|
the registered notes to be received will not be tradable by the
holder, without restriction under the Securities Act and the
Securities Exchange Act and without material restrictions under
the blue sky or securities laws of substantially all of the
states of the United States; |
|
|
|
the exchange offer, or the making of any exchange by a holder of
old notes, would violate any applicable law or applicable
interpretation by the staff of the SEC; or |
|
|
|
any action or proceeding is instituted or threatened in any
court or by or before any governmental agency with respect to
the exchange offer which, in our judgment, would reasonably be
expected to impair our ability to proceed with the exchange
offer. |
The conditions listed above are for our sole benefit and we may
assert them regardless of the circumstances giving rise to any
condition. Subject to applicable law, we may waive these
conditions in our discretion in whole or in part at any time and
from time to time. If we waive these conditions, then we intend
to continue the exchange offer for at least five business days
after the waiver. If we fail at any time to exercise any of the
above rights, the failure will not be deemed a waiver of those
rights, and those rights will be deemed ongoing rights that may
be asserted at any time and from time to time.
We will not accept for exchange any old notes tendered, and will
not issue registered notes in exchange for any old notes, if at
that time a stop order is threatened or in effect with respect
to the registration statement of which this prospectus is a part
or the qualification of the indentures under the Trust Indenture
Act of 1939.
Exchange Agent
Wachovia Bank, National Association, is the exchange agent for
the exchange offer. You should direct any questions and requests
for assistance and requests for additional copies of this
prospectus, the letter of transmittal or the notice of
guaranteed delivery to the exchange agent addressed as follows:
By Hand, Overnight Mail, Courier, or Registered or Certified
Mail:
|
|
|
Wachovia Bank, National Association |
|
NC 5780 |
|
2525 West End Avenue, Suite 1200 |
|
Nashville, TN 37203 |
|
Attention: Corporate Trust Administration |
|
Telecopier No.: (615) 341-3927 |
Delivery of the letter of transmittal to an address other than
as listed above or transmission via facsimile other than as
listed above will not constitute a valid delivery of the letter
of transmittal.
Fees and Expenses
We will pay the expenses of the exchange offer. We will not make
any payments to brokers, dealers or others soliciting
acceptances of the exchange offer. We are making the principal
solicitation by mail; however, our officers and employees may
make additional solicitations by facsimile transmission, e-mail,
telephone or in person. You will not be charged a service fee
for the exchange of your old notes, but we may require you to
pay any transfer or similar government taxes in certain
circumstances.
Transfer Taxes
You will be obligated to pay any transfer taxes applicable to
the transfer of the old notes pursuant to the exchange offer.
33
Accounting Treatment
We will record the registered notes in our accounting records at
the same carrying values as the old notes, which is the
aggregate principal amount of the old notes, as reflected in our
accounting records on the date of exchange. Accordingly, we will
not recognize any gain or loss for accounting purposes in
connection with the exchange offer.
Resales of Registered Notes
Based on interpretations of the staff of the SEC, as set forth
in no-action letters to third parties, we believe that
registered notes issued under the exchange offer in exchange for
old notes may be offered for resale, resold and otherwise
transferred by any old note holder without further registration
under the Securities Act and without delivery of a prospectus
that satisfies the requirements of Section 10 of the
Securities Act if:
|
|
|
|
|
the holder is not our affiliate within the meaning
of Rule 405 under the Securities Act; |
|
|
|
the registered notes are acquired in the ordinary course of the
holders business; and |
|
|
|
the holder does not intend to participate in a distribution of
the registered notes. |
Any holder who exchanges old notes in the exchange offer with
the intention of participating in any manner in a distribution
of the registered notes must comply with the registration and
prospectus delivery requirements of the Securities Act in
connection with a secondary resale transaction.
This prospectus may be used for an offer to resell, resale or
other transfer of registered notes. With regard to
broker-dealers, only broker-dealers that acquired the old notes
as a result of market-making activities or other trading
activities may participate in the exchange offer. Each
broker-dealer that receives registered notes for its own account
in exchange for old notes, where the old notes were acquired by
the broker-dealer as a result of market-making activities or
other trading activities, must acknowledge that it will deliver
a prospectus in connection with any resale of the registered
notes. Please see Plan of Distribution for more
details regarding the transfer of registered notes.
Consequences of Failure to Exchange Old Notes
Holders who desire to tender their old notes in exchange for
registered notes registered under the Securities Act should
allow sufficient time to ensure timely delivery. Neither we nor
the exchange agent is under any duty to give notification of
defects or irregularities with respect to the tenders of old
notes for exchange.
Old notes that are not tendered or are tendered but not accepted
will, following the consummation of the exchange offer, continue
to be subject to the provisions in the indenture regarding the
transfer and exchange of the old notes and the existing
restrictions on transfer set forth in the legend on the old
notes and in the offering memorandum, dated June 30, 2005,
relating to the old notes. Except in limited circumstances with
respect to the specific types of holders of old notes, we will
have no further obligation to provide for the registration under
the Securities Act of such old notes. In general, old notes,
unless registered under the Securities Act, may not be offered
or sold except pursuant to an exemption from, or in a
transaction not subject to, the Securities Act and applicable
state securities laws. We do not anticipate that we will take
any action to register the untendered old notes under the
Securities Act or under any state securities laws.
Upon completion of the exchange offer, holders of the old notes
will not be entitled to any further registration rights under
the registration rights agreement, except under limited
circumstances.
Old notes that are not exchanged in the exchange offer will
remain outstanding and continue to accrue interest and will be
entitled to the rights and benefits their holders have under the
indenture relating to the old notes and the registered notes.
Holders of the registered notes and any old notes that remain
outstanding after consummation of the exchange offer will vote
together as a single class for purposes of determining whether
holders of the requisite percentage of the class have taken
certain actions or exercised certain rights under the indenture.
34
USE OF PROCEEDS
This exchange offer is intended to satisfy our obligations under
the registration rights agreement entered into in connection
with the issuance of the old notes. Neither us nor any
subsidiary guarantor will receive any proceeds from the issuance
of the registered notes. In consideration for issuing the
registered notes as contemplated by this prospectus, we will
receive the old notes in like principal amount, the terms of
which are identical in all material respects to the registered
notes. The old notes surrendered in exchange for the registered
notes will be retired and cancelled and cannot be reissued.
Accordingly, the issuance of the registered notes will not
result in any increase or decrease in our indebtedness.
We used the net proceeds of approximately $215.0 million
from the sale of the old notes to (i) repay all borrowings
under the $150.0 million bridge facility that we entered
into to finance a portion of the purchase price to acquire all
of the outstanding capital stock of Ardent Behavioral and
(ii) repurchase in privately negotiated transactions
approximately $61.3 million principal amount of our
existing
105/8% senior
subordinated notes and pay the related premium. We used the
remainder of the net proceeds for working capital and to pay
fees and expenses relating to the Financing Transactions.
35
CAPITALIZATION
The following table sets forth the cash and cash equivalents and
our consolidated capitalization as of March 31, 2005 on an
actual basis, as adjusted to give effect to the Transactions.
You should read this table in conjunction with our consolidated
financial statements and the related notes incorporated by
reference in this prospectus. See Summary
Summary Unaudited Pro Forma Condensed Combined Financial and
Operating Data, Summary Summary
Historical Financial and Operating Data, Use of
Proceeds, Selected Consolidated Historical Financial
and Operating Data Psychiatric Solutions,
Selected Consolidated Historical Financial and Operating
Data Ardent Behavioral and
Managements Discussion and Analysis of Financial
Condition and Results of Operations included elsewhere in
this prospectus.
|
|
|
|
|
|
|
|
|
|
|
|
|
As of March 31, 2005 | |
|
|
| |
|
|
|
|
As Adjusted for | |
|
|
|
|
the Acquisition of | |
|
|
|
|
Ardent Behavioral | |
|
|
|
|
and the Financing | |
|
|
Actual | |
|
Transactions | |
|
|
| |
|
| |
|
|
(Unaudited) | |
|
|
(dollars in thousands) | |
Cash and cash equivalents
|
|
$ |
14,500 |
|
|
$ |
5,954 |
|
|
|
|
|
|
|
|
Debt:
|
|
|
|
|
|
|
|
|
|
Amended and restated revolving credit facility due 2009(1)
|
|
$ |
30,000 |
|
|
$ |
65,500 |
|
|
Senior secured term facility
|
|
|
|
|
|
|
325,000 |
|
|
Mortgage loans due 2037 and 2038(2)
|
|
|
23,554 |
|
|
|
23,554 |
|
|
Capital lease obligations
|
|
|
263 |
|
|
|
263 |
|
|
105/8% senior
subordinated notes
|
|
|
100,000 |
|
|
|
38,700 |
|
|
73/4% senior
subordinated notes offered hereby
|
|
|
|
|
|
|
220,000 |
|
|
Subordinated seller notes with varying maturities
|
|
|
144 |
|
|
|
144 |
|
|
|
|
|
|
|
|
|
|
Total debt
|
|
|
153,961 |
|
|
|
673,161 |
|
Common stockholders equity
|
|
|
248,583 |
|
|
|
296,463 |
|
|
|
|
|
|
|
|
|
Total capitalization
|
|
$ |
402,544 |
|
|
$ |
969,624 |
|
|
|
|
|
|
|
|
|
|
(1) |
In connection with the original note offering, we amended and
restated our existing credit facility. Our amended and restated
credit facility is comprised of a $150.0 million senior
secured revolver, $85.0 million of which remained undrawn
at July 31, 2005. |
|
(2) |
The mortgage loans insured by the U.S. Department of
Housing and Urban Development (HUD) are secured by
real estate located at Holly Hill Hospital in Raleigh, North
Carolina, West Oaks Hospital in Houston, Texas and Riveredge
Hospital near Chicago, Illinois. Interest accrues on the Holly
Hill, the West Oaks and the Riveredge HUD loans at 5.95%, 5.85%
and 5.65% and principal and interest are payable in
420 monthly installments through December 2037, September
2038 and December 2038, respectively. |
36
SELECTED CONSOLIDATED FINANCIAL AND OPERATING DATA
Psychiatric Solutions
The following table sets forth selected historical financial and
operating data of Psychiatric Solutions for, or as of the end
of, each of the years ended December 31, 2000, 2001, 2002,
2003 and 2004 and the three months ended March 31, 2004 and
2005. The selected historical financial data as of and for each
of the years ended December 31, 2000, 2001, 2002, 2003 and
2004 were derived from the audited consolidated financial
statements of Psychiatric Solutions. The selected historical
financial data as of and for each of the three months ended
March 31, 2004 and 2005 were derived from the unaudited
condensed consolidated financial statements of Psychiatric
Solutions. These unaudited condensed consolidated financial
statements include all adjustments necessary (consisting of
normal recurring accruals) for a fair presentation of the
financial position and the results of operations for these
periods. Operating results for the three months ended
March 31, 2005 are not necessarily indicative of the
results that may be expected for the full year ending
December 31, 2005. You should read this table in
conjunction with Psychiatric Solutions consolidated
financial statements and notes thereto and
Managements Discussion and Analysis of Financial
Condition and Results of Operations included elsewhere in
this prospectus.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended | |
|
|
Year Ended December 31, | |
|
March 31, | |
|
|
| |
|
| |
|
|
2000 | |
|
2001 | |
|
2002 | |
|
2003 | |
|
2004 | |
|
2004 | |
|
2005 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(dollars in thousands) | |
Income Statement Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue
|
|
$ |
23,502 |
|
|
$ |
43,999 |
|
|
$ |
113,912 |
|
|
$ |
284,946 |
|
|
$ |
487,190 |
|
|
$ |
103,430 |
|
|
$ |
138,730 |
|
Costs and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Salaries, wages and employee benefits
|
|
|
15,257 |
|
|
|
26,183 |
|
|
|
62,326 |
|
|
|
147,069 |
|
|
|
265,678 |
|
|
|
55,707 |
|
|
|
76,367 |
|
|
Other operating expenses(1)
|
|
|
5,826 |
|
|
|
11,322 |
|
|
|
35,716 |
|
|
|
96,735 |
|
|
|
147,947 |
|
|
|
32,554 |
|
|
|
40,825 |
|
|
Provisions for bad debts
|
|
|
467 |
|
|
|
662 |
|
|
|
3,681 |
|
|
|
6,315 |
|
|
|
10,874 |
|
|
|
2,027 |
|
|
|
2,668 |
|
|
Depreciation and amortization
|
|
|
757 |
|
|
|
945 |
|
|
|
1,770 |
|
|
|
5,734 |
|
|
|
9,868 |
|
|
|
2,107 |
|
|
|
2,902 |
|
|
Interest expense
|
|
|
1,723 |
|
|
|
2,660 |
|
|
|
5,564 |
|
|
|
14,781 |
|
|
|
18,964 |
|
|
|
4,456 |
|
|
|
3,523 |
|
|
Other expenses(2)
|
|
|
|
|
|
|
1,237 |
|
|
|
178 |
|
|
|
5,271 |
|
|
|
6,407 |
|
|
|
6,407 |
|
|
|
6,990 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total costs and expenses
|
|
|
24,030 |
|
|
|
43,009 |
|
|
|
109,235 |
|
|
|
275,905 |
|
|
|
459,738 |
|
|
|
103,258 |
|
|
|
133,275 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations before income taxes
|
|
|
(528 |
) |
|
|
990 |
|
|
|
4,677 |
|
|
|
9,041 |
|
|
|
27,452 |
|
|
|
172 |
|
|
|
5,455 |
|
Provision for (benefit from) income taxes
|
|
|
|
|
|
|
|
|
|
|
(1,007 |
) |
|
|
3,800 |
|
|
|
10,432 |
|
|
|
65 |
|
|
|
2,127 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations
|
|
$ |
(528 |
) |
|
$ |
990 |
|
|
$ |
5,684 |
|
|
$ |
5,241 |
|
|
$ |
17,020 |
|
|
$ |
107 |
|
|
$ |
3,328 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
$ |
(1,916 |
) |
|
$ |
2,578 |
|
|
$ |
5,684 |
|
|
$ |
5,216 |
|
|
$ |
16,801 |
|
|
$ |
(37 |
) |
|
$ |
3,328 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic earnings (loss) per share from continuing operations
|
|
$ |
(0.11 |
) |
|
$ |
0.20 |
|
|
$ |
0.93 |
|
|
$ |
0.53 |
|
|
$ |
1.12 |
|
|
$ |
(0.02 |
) |
|
$ |
0.16 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic earnings (loss) per share
|
|
$ |
(0.40 |
) |
|
$ |
0.51 |
|
|
$ |
0.93 |
|
|
$ |
0.53 |
|
|
$ |
1.11 |
|
|
$ |
(0.03 |
) |
|
$ |
0.16 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Shares used in computing basic earnings (loss) per share
|
|
|
4,817 |
|
|
|
5,010 |
|
|
|
6,111 |
|
|
|
8,370 |
|
|
|
14,570 |
|
|
|
11,958 |
|
|
|
20,482 |
|
Diluted earnings (loss) per share from continuing operations
|
|
$ |
(0.11 |
) |
|
$ |
0.19 |
|
|
$ |
0.86 |
|
|
$ |
0.44 |
|
|
$ |
0.97 |
|
|
$ |
(0.02 |
) |
|
$ |
0.16 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted earnings (loss) per share
|
|
$ |
(0.40 |
) |
|
$ |
0.49 |
|
|
$ |
0.86 |
|
|
$ |
0.44 |
|
|
$ |
0.96 |
|
|
$ |
(0.03 |
) |
|
$ |
0.16 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Shares used in computing diluted earnings (loss) per share
|
|
|
4,817 |
|
|
|
5,309 |
|
|
|
6,986 |
|
|
|
11,749 |
|
|
|
17,573 |
|
|
|
11,958 |
|
|
|
21,173 |
|
Balance Sheet Data (End of Period):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
|
$ |
336 |
|
|
$ |
1,262 |
|
|
$ |
2,392 |
|
|
$ |
44,954 |
|
|
$ |
33,255 |
|
|
$ |
34,274 |
|
|
$ |
14,500 |
|
Working capital
|
|
|
(4,571 |
) |
|
|
(3,624 |
) |
|
|
2,369 |
|
|
|
67,153 |
|
|
|
39,890 |
|
|
|
52,749 |
|
|
|
43,784 |
|
Property and equipment, net
|
|
|
308 |
|
|
|
17,980 |
|
|
|
33,547 |
|
|
|
149,589 |
|
|
|
218,231 |
|
|
|
175,690 |
|
|
|
220,762 |
|
Total assets
|
|
|
26,356 |
|
|
|
54,294 |
|
|
|
90,138 |
|
|
|
347,658 |
|
|
|
497,846 |
|
|
|
370,784 |
|
|
|
484,469 |
|
Total debt
|
|
|
16,641 |
|
|
|
36,338 |
|
|
|
43,822 |
|
|
|
175,003 |
|
|
|
174,336 |
|
|
|
191,916 |
|
|
|
153,961 |
|
Series A convertible preferred stock
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
25,316 |
|
|
|
|
|
|
|
25,617 |
|
|
|
|
|
Total stockholders equity
|
|
|
6,235 |
|
|
|
9,238 |
|
|
|
30,549 |
|
|
|
91,328 |
|
|
|
244,515 |
|
|
|
90,966 |
|
|
|
248,583 |
|
Other Financial Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Capital expenditures
|
|
$ |
106 |
|
|
$ |
116 |
|
|
$ |
1,470 |
|
|
$ |
5,755 |
|
|
$ |
17,216 |
|
|
$ |
3,055 |
|
|
$ |
5,255 |
|
Net cash provided by (used in) continuing operating activities
|
|
|
(177 |
) |
|
|
6,791 |
|
|
|
8,922 |
|
|
|
18,328 |
|
|
|
39,857 |
|
|
|
14,721 |
|
|
|
13,338 |
|
Ratio of earnings to fixed charges(3)
|
|
|
|
|
|
|
1.36 |
x |
|
|
1.81 |
x |
|
|
1.57 |
x |
|
|
2.29 |
x |
|
|
1.04 |
x |
|
|
2.33 |
x |
37
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended | |
|
|
Year Ended December 31, | |
|
March 31, | |
|
|
| |
|
| |
|
|
2000 | |
|
2001 | |
|
2002 | |
|
2003 | |
|
2004 | |
|
2004 | |
|
2005 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(dollars in thousands) | |
Operating Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of facilities:
|
|
|
|
|
|
|
4 |
|
|
|
5 |
|
|
|
24 |
|
|
|
34 |
|
|
|
26 |
|
|
|
34 |
|
|
Owned
|
|
|
|
|
|
|
4 |
|
|
|
5 |
|
|
|
20 |
|
|
|
27 |
|
|
|
22 |
|
|
|
27 |
|
|
Leased
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
4 |
|
|
|
7 |
|
|
|
4 |
|
|
|
7 |
|
Number of licensed beds
|
|
|
|
|
|
|
489 |
|
|
|
699 |
|
|
|
3,128 |
|
|
|
4,337 |
|
|
|
3,439 |
|
|
|
4,359 |
|
Admissions
|
|
|
|
|
|
|
3,027 |
|
|
|
14,737 |
|
|
|
26,278 |
|
|
|
49,484 |
|
|
|
10,231 |
|
|
|
14,836 |
|
Patient days
|
|
|
|
|
|
|
30,511 |
|
|
|
145,575 |
|
|
|
525,055 |
|
|
|
996,840 |
|
|
|
211,563 |
|
|
|
277,527 |
|
Average length of stay
|
|
|
|
|
|
|
10 |
|
|
|
10 |
|
|
|
20 |
|
|
|
20 |
|
|
|
21 |
|
|
|
19 |
|
|
|
(1) |
Other operating expenses include professional fees, rentals and
leases and other operating expenses. Rent expense was $376,
$328, $870, $4,043, $9,019, $1,767 and $2,340 for each of the
years ended December 31, 2000, 2001, 2002, 2003 and 2004,
and for the three months ended March 31, 2004 and 2005,
respectively. |
|
(2) |
Other expenses include: (a) for the year ended
December 31, 2001, loss from retirement of debt of $1,237;
(b) for the year ended December 31, 2002, expense of
$92 for additional reserves on stockholder notes, a gain of $34
on the disposal of assets and a loss of $86 from the retirement
of debt; (c) for the year ended December 31, 2003, a
loss of $4,856 on refinancing long-term debt, expense of $960 to
revalue put warrants and income of $545 to release reserves on
stockholder notes; (d) for the three months ended
March 31, 2004 and the year ended December 31, 2004, a
loss of $6,407 on refinancing long-term debt; and (e) for
the three months ended March 31, 2005, a loss of $6,990 on
refinancing of long-term debt. |
|
(3) |
For the purpose of calculating the ratio of earnings to fixed
charges, earnings are defined as earnings from continuing
operations before income taxes plus fixed charges. Fixed charges
are defined as interest expense, plus amortized premiums,
discounts and capitalized expenses related to indebtedness, plus
an estimate of the interest within rental expense. Our earnings
were insufficient to cover our fixed charges by
$0.5 million for the year ended December 31, 2000. |
38
Ardent Behavioral
The following table sets forth selected historical financial and
operating data of Ardent Behavioral for each of the years ended
December 31, 2002, 2003 and 2004, and for, or as of the end
of, the three months ended March 31, 2004 and 2005. The
selected historical financial data as of and for each of the
years ended December 31, 2002, 2003 and 2004 were derived
from the audited combined financial statements of Ardent
Behavioral. The selected historical financial data as of and for
each of the three months ended March 31, 2004 and 2005 were
derived from the unaudited condensed combined financial
statements of Ardent Behavioral. These unaudited condensed
combined financial statements include all adjustments necessary
(consisting of normal recurring accruals) for a fair
presentation of the financial position and the results of
operations for these periods. Operating results for the three
months ended March 31, 2005 are not necessarily indicative
of the results that may be expected for the full year ending
December 31, 2005. You should read this table in
conjunction with Ardent Behaviorals combined financial
statements and notes thereto incorporated by reference in this
prospectus.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months | |
|
|
Year Ended December 31, | |
|
Ended March 31, | |
|
|
| |
|
| |
|
|
2002 | |
|
2003 | |
|
2004 | |
|
2004 | |
|
2005 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(dollars in thousands) | |
Income Statement Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue
|
|
$ |
241,909 |
|
|
$ |
267,568 |
|
|
$ |
294,282 |
|
|
$ |
73,134 |
|
|
$ |
79,908 |
|
|
Costs and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Salaries and benefits
|
|
|
134,340 |
|
|
|
148,392 |
|
|
|
167,926 |
|
|
|
41,294 |
|
|
|
44,447 |
|
|
Other operating expenses(1)
|
|
|
65,646 |
|
|
|
68,469 |
|
|
|
74,606 |
|
|
|
18,210 |
|
|
|
18,298 |
|
|
Provision for doubtful accounts
|
|
|
5,990 |
|
|
|
6,227 |
|
|
|
7,245 |
|
|
|
2,080 |
|
|
|
2,553 |
|
|
Depreciation and amortization
|
|
|
2,203 |
|
|
|
2,501 |
|
|
|
3,664 |
|
|
|
619 |
|
|
|
1,199 |
|
|
Interest, net
|
|
|
8,481 |
|
|
|
4,940 |
|
|
|
2,854 |
|
|
|
1,749 |
|
|
|
(932 |
) |
|
Other expenses(2)
|
|
|
17,243 |
|
|
|
11,637 |
|
|
|
16,483 |
|
|
|
4,259 |
|
|
|
3,192 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total expenses
|
|
|
233,903 |
|
|
|
242,166 |
|
|
|
272,778 |
|
|
|
68,211 |
|
|
|
68,757 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations before income taxes
|
|
$ |
8,006 |
|
|
$ |
25,402 |
|
|
$ |
21,504 |
|
|
$ |
4,923 |
|
|
$ |
11,151 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
$ |
7,814 |
|
|
$ |
18,266 |
|
|
$ |
15,739 |
|
|
$ |
3,101 |
|
|
$ |
7,058 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance Sheet Data (End of Period):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
|
|
|
|
|
$ |
1,822 |
|
|
$ |
2,671 |
|
|
|
|
|
|
$ |
2,354 |
|
Working capital
|
|
|
|
|
|
|
29,407 |
|
|
|
31,900 |
|
|
|
|
|
|
|
35,953 |
|
Property and equipment, net
|
|
|
|
|
|
|
76,562 |
|
|
|
83,355 |
|
|
|
|
|
|
|
83,465 |
|
Total assets
|
|
|
|
|
|
|
210,814 |
|
|
|
234,291 |
|
|
|
|
|
|
|
242,473 |
|
Total debt
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total equity
|
|
|
|
|
|
|
171,216 |
|
|
|
191,071 |
|
|
|
|
|
|
|
198,129 |
|
Other Financial Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Capital expenditures
|
|
$ |
6,425 |
|
|
$ |
8,528 |
|
|
$ |
10,457 |
|
|
$ |
814 |
|
|
$ |
1,309 |
|
Net cash provided by (used in) continuing operating activities
|
|
|
13,737 |
|
|
|
22,050 |
|
|
|
18,065 |
|
|
|
(468 |
) |
|
|
5,512 |
|
Operating Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of facilities
|
|
|
19 |
|
|
|
20 |
|
|
|
20 |
|
|
|
20 |
|
|
|
20 |
|
|
Owned
|
|
|
19 |
|
|
|
20 |
|
|
|
20 |
|
|
|
20 |
|
|
|
20 |
|
|
Leased
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Number of licensed beds
|
|
|
1,840 |
|
|
|
1,986 |
|
|
|
1,993 |
|
|
|
1,993 |
|
|
|
1,981 |
|
39
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months | |
|
|
Year Ended December 31, | |
|
Ended March 31, | |
|
|
| |
|
| |
|
|
2002 | |
|
2003 | |
|
2004 | |
|
2004 | |
|
2005 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(dollars in thousands) | |
Admissions
|
|
|
31,456 |
|
|
|
33,474 |
|
|
|
37,162 |
|
|
|
9,497 |
|
|
|
9,982 |
|
Patient days
|
|
|
455,828 |
|
|
|
481,317 |
|
|
|
514,069 |
|
|
|
126,872 |
|
|
|
136,540 |
|
Average length of stay
|
|
|
14 |
|
|
|
14 |
|
|
|
14 |
|
|
|
13 |
|
|
|
14 |
|
|
|
(1) |
Other operating expenses include professional fees, supplies
expense, rent expense and other operating expenses. Rent expense
was $3,229, $3,502, $3,564, $881 and $775 for each of the years
ended December 31, 2002, 2003 and 2004 and for each of the
three months ended March 31, 2004 and 2005, respectively. |
|
(2) |
Other expenses include: (a) for the year ended
December 31, 2002 impairment of long-lived assets and
restructuring costs of $78; (b) for the years ended
December 31, 2002 and 2003, a gain on divestitures of
$1,208 and $618, respectively; (c) for the three months
ended March 31, 2004 and 2005 and the years ended
December 31, 2002, 2003 and 2004, management fees paid to
Ardent of $4,259, $3,192, $18,373, $12,255 and $16,483,
respectively. |
40
MANAGEMENTS DISCUSSION AND ANALYSIS OF FINANCIAL
CONDITION
AND RESULTS OF OPERATIONS
Overview
We are the leading provider of inpatient behavioral health care
services in the United States. Through our inpatient division,
we operate 55 inpatient behavioral health care facilities
with approximately 6,400 beds in 27 states. In
addition, through our inpatient management contract division, we
manage 37 inpatient behavioral health care units for third
parties, including a contract to provide mental health case
management services to approximately 4,600 children and
adults with serious mental illness in the Nashville, Tennessee
area, and 7 inpatient behavioral health care facilities for
government agencies. We believe that our singular focus on the
provision of inpatient behavioral health care services allows us
to operate more efficiently and provide higher quality care than
our competitors. We primarily operate in underserved markets
that we believe have limited competition and favorable
demographic trends.
Sources of Revenue
Patient service revenue is generated by our inpatient facilities
as a result of services provided to patients on an inpatient and
outpatient basis within the inpatient behavioral health care
facility setting. Patient service revenue is reported on an
accrual basis in the period in which services are rendered, at
established rates, regardless of whether collection in full is
expected. Patient service revenue includes amounts estimated by
management to be reimbursable by Medicare and Medicaid under
provisions of cost or prospective reimbursement formulas in
effect. Amounts received are generally less than the established
billing rates of the inpatient facilities and the differences
are reported as deductions from patient service revenue at the
time the service is rendered. For the three months ended
March 31, 2005, patient service revenue comprised
approximately 88% of our total revenue.
Management contract revenue is earned by our inpatient
management contract division. The inpatient management contract
division receives contractually determined management fees from
hospitals and clinics for providing psychiatric unit management
and development services as well as management fees for managing
inpatient behavioral health care facilities for government
agencies. For the three months ended March 31, 2005,
management contract revenue comprised approximately 12% of our
total revenue.
41
Results of Operations
In this section, the word PSI refers only to
Psychiatric Solutions, Inc. together with its subsidiaries
without giving pro forma effect to the acquisition of Ardent
Behavioral.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended March 31, | |
|
For the Year Ended December 31, | |
|
|
| |
|
| |
|
|
2005 | |
|
2004 | |
|
2004 | |
|
2003 | |
|
2002 | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
Amount | |
|
% | |
|
Amount | |
|
% | |
|
Amount | |
|
% | |
|
Amount | |
|
% | |
|
Amount | |
|
% | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(dollars in thousands) | |
Revenue
|
|
$ |
138,730 |
|
|
|
100.0 |
% |
|
$ |
103,430 |
|
|
|
100.0 |
% |
|
$ |
487,190 |
|
|
|
100.0 |
% |
|
$ |
284,946 |
|
|
|
100.0 |
% |
|
$ |
113,912 |
|
|
|
100.0 |
% |
Salaries, wages, and employee benefits
|
|
|
76,367 |
|
|
|
55.1 |
% |
|
|
55,707 |
|
|
|
53.8 |
% |
|
|
265,678 |
|
|
|
54.6 |
% |
|
|
147,069 |
|
|
|
51.6 |
% |
|
|
62,326 |
|
|
|
54.7 |
% |
Professional fees
|
|
|
14,256 |
|
|
|
10.3 |
% |
|
|
11,691 |
|
|
|
11.3 |
% |
|
|
53,258 |
|
|
|
10.9 |
% |
|
|
32,466 |
|
|
|
11.4 |
% |
|
|
14,373 |
|
|
|
12.6 |
% |
Supplies
|
|
|
8,584 |
|
|
|
6.2 |
% |
|
|
6,580 |
|
|
|
6.4 |
% |
|
|
31,139 |
|
|
|
6.4 |
% |
|
|
16,371 |
|
|
|
5.8 |
% |
|
|
5,325 |
|
|
|
4.7 |
% |
Provision for bad debts
|
|
|
2,668 |
|
|
|
1.9 |
% |
|
|
2,027 |
|
|
|
2.0 |
% |
|
|
10,874 |
|
|
|
2.2 |
% |
|
|
6,315 |
|
|
|
2.2 |
% |
|
|
3,681 |
|
|
|
3.2 |
% |
Other operating expenses
|
|
|
17,985 |
|
|
|
13.0 |
% |
|
|
14,283 |
|
|
|
13.8 |
% |
|
|
63,550 |
|
|
|
13.1 |
% |
|
|
47,898 |
|
|
|
16.8 |
% |
|
|
16,018 |
|
|
|
14.1 |
% |
Depreciation and amortization
|
|
|
2,902 |
|
|
|
2.1 |
% |
|
|
2,107 |
|
|
|
2.0 |
% |
|
|
9,868 |
|
|
|
2.0 |
% |
|
|
5,734 |
|
|
|
2.0 |
% |
|
|
1,770 |
|
|
|
1.5 |
% |
Interest expense, net
|
|
|
3,523 |
|
|
|
2.5 |
% |
|
|
4,456 |
|
|
|
4.3 |
% |
|
|
18,964 |
|
|
|
3.9 |
% |
|
|
14,781 |
|
|
|
5.2 |
% |
|
|
5,564 |
|
|
|
4.9 |
% |
Other expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Loss on refinancing long-term debt
|
|
|
6,990 |
|
|
|
5.0 |
% |
|
|
6,407 |
|
|
|
6.2 |
% |
|
|
6,407 |
|
|
|
1.3 |
% |
|
|
4,856 |
|
|
|
1.7 |
% |
|
|
86 |
|
|
|
0.1 |
% |
Change in valuation of put warrants
|
|
|
|
|
|
|
0.0 |
% |
|
|
|
|
|
|
0.0 |
% |
|
|
|
|
|
|
0.0 |
% |
|
|
960 |
|
|
|
0.3 |
% |
|
|
|
|
|
|
0.0 |
% |
Change in reserve on stockholder notes
|
|
|
|
|
|
|
0.0 |
% |
|
|
|
|
|
|
0.0 |
% |
|
|
|
|
|
|
0.0 |
% |
|
|
(545 |
) |
|
|
(0.2 |
)% |
|
|
92 |
|
|
|
0.1 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations before income taxes
|
|
|
5,455 |
|
|
|
3.9 |
% |
|
|
172 |
|
|
|
0.2 |
% |
|
|
27,452 |
|
|
|
5.6 |
% |
|
|
9,041 |
|
|
|
3.2 |
% |
|
|
4,677 |
|
|
|
4.1 |
% |
Provision for (benefit from) income taxes
|
|
|
2,127 |
|
|
|
1.5 |
% |
|
|
65 |
|
|
|
0.1 |
% |
|
|
10,432 |
|
|
|
2.1 |
% |
|
|
3,800 |
|
|
|
1.4 |
% |
|
|
(1,007 |
) |
|
|
(0.9 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from continuing operations
|
|
$ |
3,328 |
|
|
|
2.4 |
% |
|
$ |
107 |
|
|
|
0.1 |
% |
|
$ |
17,020 |
|
|
|
3.5 |
% |
|
$ |
5,241 |
|
|
|
1.8 |
% |
|
$ |
5,684 |
|
|
|
5.0 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended March 31, 2005 Compared to Three
Months Ended March 31, 2004 |
Revenue. Revenue from continuing operations was
$138.7 million for the three months ended March 31,
2005 compared to $103.4 million for the three months ended
March 31, 2004, an increase of $35.3 million or 34.1%.
Revenue from PSIs owned and leased inpatient facilities
segment accounted for $121.7 million of the 2005 results
compared to $86.6 million of the 2004 results, an increase
of $35.1 million or 40.6%. The increase in revenues from
the Companys owned and leased inpatient facilities segment
relates primarily to revenue generated by facilities acquired in
2004. Acquisitions accounted for the following increases in
revenue during 2005 as compared to 2004: $5.8 million for
Brentwood Behavioral Health (Brentwood),
$12.9 million for Heartland and $10.9 million for
other acquisitions during 2004. The remainder of the increase in
revenues from owned and leased inpatient facilities is primarily
attributable to same-facility growth in patient days of 5.4%.
Revenue from PSIs inpatient management contracts segment
accounted for $17.0 million of the 2005 results compared to
$16.9 million of the 2004 results.
Salaries, wages and employee benefits. Salaries,
wages and employee benefits (SWB) expense was
$76.4 million for the three months ended March 31,
2005, or 55.1% of PSIs total revenue, compared to
$55.7 million for the three months ended March 31,
2004, or 53.8% of PSIs total revenue. SWB expense for
PSIs owned and leased inpatient facilities segment was
$66.0 million in 2005, or 54.2% of segment revenue.
Same-facility SWB expense for the Companys owned and
leased inpatient facilities segment was $49.9 million in
2005, or 54.2% of segment revenue, compared to
$46.4 million in 2004, or 53.6% of
42
segment revenue. This increase in SWB expense as a percent of
segment revenue was primarily the result of the hiring of
additional employees to replace tasks formerly performed on a
contract basis. Contract labor costs, included in professional
fees in PSIs condensed consolidated statement of income,
were 1.9% of segment revenue on a same-facility basis in 2005
compared to 3.2% of segment revenue in 2004. SWB expense
for the Companys inpatient management contracts segment
was $7.6 million in 2005 compared to $7.5 million in
2004. SWB expense for PSIs corporate office was
$2.8 million for 2005 compared to $1.7 million for
2004 as the result of the hiring of additional staff necessary
to manage the inpatient facilities and inpatient management
contracts acquired during 2004.
Professional fees. Professional fees were
$14.3 million for the three months ended March 31,
2005, or 10.3% of PSIs total revenue, compared to
$11.7 million for the three months ended March 31,
2004, or 11.3% of PSIs total revenue. Professional fees
for the Companys owned and leased inpatient facilities
segment were $12.3 million in 2005, or 10.1% of segment
revenue. Same-facility professional fees for PSIs owned
and leased inpatient facilities segment were $9.6 million
in 2005, or 10.5% of segment revenue, compared to
$10.0 million in 2004, or 11.6% of segment revenue. This
decrease in same-facility professional fees as a percent of
revenue was primarily the result of the hiring of additional
employees to replace tasks formerly performed on a contract
basis, as discussed in SWB. Professional fees for the
Companys inpatient management contracts segment were
$1.2 million in 2005 and in 2004. Professional fees for
PSIs corporate office were approximately $800,000 in 2005
compared to approximately $500,000 in 2004. The increase in
professional fees in PSIs corporate office relates to
accounting, legal and other services required to meet the needs
of a public company and achieving the Companys acquisition
strategy.
Supplies. Supplies expense was $8.6 million
for the three months ended March 31, 2005, or 6.2% of
PSIs total revenue, compared to $6.6 million for the
three months ended March 31, 2004, or 6.4% of PSIs
total revenue. Supplies expense for the Companys owned and
leased inpatient facilities segment was $8.1 million in
2005, or 6.6% of segment revenue. Same-facility supplies expense
for PSIs owned and leased inpatient facilities segment was
$6.3 million in 2005, or 6.8% of segment revenue, compared
to $6.0 million in 2004, or 7.0% of segment revenue.
Supplies expense for the Companys inpatient management
contracts segment was approximately $500,000 in 2005 and in
2004. Supplies expense for PSIs corporate office consists
of office supplies and is negligible to supplies expense overall.
Provisions for bad debts. The provision for bad
debts was $2.7 million for the three months ended
March 31, 2005, or 1.9% of PSIs total revenue,
compared to $2.0 million for the three months ended
March 31, 2004, or 2.0% of PSIs total revenue. The
provision for bad debts at the Companys owned and leased
inpatient facilities segment comprises the majority of
PSIs provision for bad debts as a whole.
Other operating expenses. Other operating expenses
were approximately $18.0 million for the three months ended
March 31, 2005, or 13.0% of PSIs total revenue,
compared to $14.3 million for the three months ended
March 31, 2004, or 13.8% of PSIs total revenue. Other
operating expenses for the Companys owned and leased
inpatient facilities segment were $12.1 million in 2005, or
9.9% of segment revenue. Same-facility other operating expenses
for PSIs owned and leased inpatient facilities segment
were $8.9 million in 2005, or 9.7% of segment revenue,
compared to $8.7 million in 2004, or 10.0% of segment
revenue. Other operating expenses for the Companys
inpatient management contracts segment were $5.0 million in
2005 compared to $4.9 million in 2004. Other operating
expenses at PSIs corporate office increased to
approximately $900,000 in 2005 from approximately $700,000 in
2004.
Depreciation and amortization. Depreciation and
amortization expense was $2.9 million for the three months
ended March 31, 2005 compared to $2.1 million for the
three months ended March 31, 2004, an increase of
approximately $800,000. This increase in depreciation and
amortization expense is primarily the result of the numerous
acquisitions of inpatient facilities during 2004.
Interest expense. Interest expense was
$3.5 million for the three months ended March 31, 2005
compared to $4.5 million for the three months ended
March 31, 2004, a decrease of approximately
$1.0 million or 20.9%. The decrease in interest expense is
primarily attributable to the redemption of $50 million of
PSIs 10.625% senior subordinated notes on
January 14, 2005.
43
Other expenses. Other expenses totaled
$7.0 million for the three months ended March 31, 2005
compared to $6.4 million for the three months ended
March 31, 2004. Other expenses in 2005 and 2004 were losses
on the refinancing of PSIs long-term debt.
Loss from discontinued operations, net of taxes.
The loss from discontinued operations (net of income tax effect)
of approximately $144,000 for the three months ended
March 31, 2004 is from the operations of three contracts to
manage inpatient facilities for the Florida Department of
Juvenile Justice. These contracts were assumed in the Ramsay
acquisition in 2003 and exited in 2004.
|
|
|
Year Ended December 31, 2004 Compared to Year Ended
December 31, 2003 |
Revenue. Revenue from continuing operations was
$487.2 million for the year ended December 31, 2004
compared to $284.9 million for the year ended
December 31, 2003, an increase of $202.3 million or
71.0%. Revenue from PSIs owned and leased inpatient
facilities segment accounted for $419.3 million of the 2004
results compared to $223.3 million of the 2003 results, an
increase of $196.0 million or 87.8%. The increase in
revenues from PSIs owned and leased inpatient facilities
segment relates primarily to revenues of $20.7 million for
the inpatient facilities acquired from The Brown Schools,
$61.8 million for the inpatient facilities acquired from
Ramsay, $27.8 million for Brentwood, $28.9 million for
Heartland and $36.2 million for other acquisitions during
2004 and 2003. The remainder of the increase in revenues from
owned and leased inpatient facilities is primarily attributable
to growth in admissions and patient days of 6% and 8%,
respectively, on a same-facility basis. Revenue from PSIs
inpatient management contracts segment accounted for
$67.9 million of the 2004 results compared to
$61.6 million of the 2003 results, an increase of
$6.3 million or 10.2%. The increase in revenues from the
Companys inpatient management contracts segment relates
primarily to revenues of $12.0 million for Ramsays
inpatient management contracts. Revenue also decreased in 2004
as a result of the classification of pharmacy receipts as an
offset to other operating expenses related to PSIs
contract to provide case management services in and around
Nashville, Tennessee.
Salaries, wages and employee benefits. SWB expense
was $265.7 million for the year ended December 31,
2004, or 54.6% of PSIs total revenue, compared to
$147.1 million for the year ended December 31, 2003,
or 51.6% of the Companys total revenue. SWB expense for
PSIs owned and leased inpatient facilities segment was
$227.6 million in 2004, or 54.3% of segment revenue.
Same-facility SWB expense for PSIs owned and leased
inpatient facilities segment was $131.7 million in 2004, or
54.1% of segment revenue, compared to $122.5 million in
2003, or 54.9% of segment revenue. SWB expense for the
Companys inpatient management contracts segment was
$30.1 million in 2004, or 44.3% of segment revenue.
Same-facility SWB expense for PSIs inpatient management
contracts segment was $20.3 million in 2004, or 38.5% of
segment revenue, compared to $21.1 million in 2003, or
34.2% of segment revenue. This increase in SWB expense as a
percentage of revenue from PSIs inpatient management
contracts segment on a same-facility basis, as compared to 2003,
primarily relates to the classification of pharmacy receipts as
an offset to other operating expenses related to PSIs
contract to provide case management services in and around
Nashville, Tennessee. SWB expense for the Companys
corporate office was $8.0 million for 2004 compared to
$3.5 million for 2003 as the result of the hiring of
additional staff necessary to manage the inpatient facilities
and inpatient management contracts acquired during 2003 and 2004.
Professional fees. Professional fees were
$53.3 million for the year ended December 31, 2004, or
10.9% of PSIs total revenue, compared to
$32.5 million for the year ended December 31, 2003, or
11.4% of the Companys total revenue. Professional fees for
PSIs owned and leased inpatient facilities segment were
$45.2 million in 2004, or 10.8% of segment revenue.
Same-facility professional fees for the Companys owned and
leased inpatient facilities segment were $26.9 million in
2004, or 11.0% of segment revenue, compared to
$26.3 million in 2003, or 11.8% of segment revenue.
Professional fees for PSIs inpatient management contracts
segment were $4.8 million in 2004, or 7.1% of segment
revenue. Same-facility professional fees for the Companys
inpatient management contracts segment were $4.1 million in
2004, or 7.7% of segment revenue, compared to $4.3 million
in 2003, or 7.0% of segment revenue. Professional fees for the
Companys corporate office were approximately
$3.3 million in 2004 compared to approximately
$1.8 million in 2003. The increase in professional fees in
PSIs corporate office relates to
44
accounting, legal and other services required to meet the needs
of a public company and achieving its acquisition strategy.
Supplies. Supplies expense was $31.1 million
for the year ended December 31, 2004, or 6.4% of PSIs
total revenue, compared to $16.4 million for the year ended
December 31, 2003, or 5.8% of the Companys total
revenue. Supplies expense for the Companys owned and
leased inpatient facilities segment was $28.8 million in
2004, or 6.9% of segment revenue. Same-facility supplies expense
for PSIs owned and leased inpatient facilities segment was
$16.9 million in 2004, or 6.9% of segment revenue, compared
to $15.3 million in 2003, or 6.8% of segment revenue.
Supplies expense for PSIs inpatient management contracts
segment was $2.2 million in 2004, or 3.2% of segment
revenue. Same-facility supplies expense for the Companys
inpatient management contracts segment were $1.1 million in
2004, or 2.1% of segment revenue, compared to $1.0 million
in 2003 or 1.7% of segment revenue. Supplies expense at
PSIs owned and leased inpatient facilities segment has
historically comprised the majority of the Companys
supplies expense as a whole; however, PSIs inpatient
management contracts segment began to utilize supplies to a
larger extent due to the assumption of inpatient management
contracts from Ramsay. Supplies expense for PSIs corporate
office consists of office supplies and are negligible to
supplies expense overall.
Provisions for bad debts. The provision for bad
debts was $10.9 million for the year ended
December 31, 2004, or 2.2% of PSIs total revenue,
compared to $6.3 million for the year ended
December 31, 2003, or 2.2% of the Companys total
revenue. The provision for bad debts at PSIs owned and
leased inpatient facilities segment comprises the majority of
the Companys provision for bad debts as a whole.
Other operating expenses. Other operating expenses
were approximately $63.6 million for the year ended
December 31, 2004, or 13.1% of PSIs total revenue,
compared to $47.9 million for the year ended
December 31, 2003, or 16.8% of the Companys total
revenue. Other operating expenses for PSIs owned and
leased inpatient facilities segment were $40.3 million in
2004, or 9.6% of segment revenue. Same-facility other operating
expenses for PSIs owned and leased inpatient facilities
segment were $21.4 million in 2004, or 8.8% of segment
revenue, compared to $21.7 million in 2003, or 9.7% of
segment revenue. Other operating expenses for the Companys
inpatient management contracts segment were $20.0 million
in 2004, or 29.4% of segment revenue. Same-facility other
operating expenses for PSIs inpatient management contracts
segment were $18.3 million in 2004, or 34.3% of segment
revenue, compared to $24.2 million in 2003, or 39.3% of
segment revenue. This decrease in other operating expenses for
PSIs inpatient management contracts segment as a
percentage of revenue from this segment on a same-facility
basis, as compared to 2003, is primarily attributable to the
classification of pharmacy receipts as an offset to other
operating expenses related to PSIs contract to provide
case management services in and around Nashville, Tennessee.
Other operating expenses at the Companys corporate office
increased to $3.3 million in 2004 from approximately
$2.0 million in 2003.
Depreciation and amortization. Depreciation and
amortization expense was $9.9 million for the year ended
December 31, 2004 compared to $5.7 million for the
year ended December 31, 2003, an increase of approximately
$4.2 million. This increase in depreciation and
amortization expense is primarily the result of the numerous
acquisitions of inpatient facilities during 2003 and 2004.
Interest expense. Interest expense was
$19.0 million for the year ended December 31, 2004
compared to $14.8 million for the year ended
December 31, 2003, an increase of $4.2 million or
28.4%. The increase in interest expense is primarily
attributable to the increase in the Companys long-term
debt during 2004. PSI began 2004 with approximately
$175.0 million in long-term debt, increasing to
$191.9 million, $249.6 million and $244.4 million
for the quarters ended March 31, 2004, June 30, 2004
and September 30, 2004, respectively, due to borrowings
under its revolving line of credit to finance the acquisition of
inpatient behavioral healthcare facilities. On December 31,
2004, PSI had $174.3 million in long-term debt as the
result of repaying borrowings under its revolving line of credit
with proceeds from the Companys secondary offering of
common stock that closed on December 20, 2004. Interest
expense in
45
the future will be improved by the redemption on
January 14, 2005 of $50.0 million of the
Companys $150.0 million 10.625% subordinated
bonds.
Other expenses. Other expenses totaled
$6.4 million for the year ended December 31, 2004
compared to approximately $5.3 million for the year ended
December 31, 2003. Other expenses in 2004 consisted of
$6.4 million in loss on the refinancing of the
Companys long-term debt. Other expenses in 2003 consisted
of $4.9 million in loss on the refinancing of PSIs
long-term debt, $960,000 in expense recorded to recognize the
change in fair value of stock purchase put warrants
and the release of $545,000 in reserves related to the
Companys stockholder notes.
Loss from discontinued operations, net of taxes.
The loss from discontinued operations of approximately $219,000
and $25,000 for the years ended December 31, 2004 and 2003
is from the operations of three contracts to manage inpatient
facilities for the Florida Department of Juvenile Justice. These
contracts were assumed from Ramsay in 2003 and exited in 2004.
|
|
|
Year Ended December 31, 2003 Compared to Year Ended
December 31, 2002 |
Revenue. Revenue from continuing operations was
$284.9 million for the year ended December 31, 2003
compared to $113.9 million for the year ended
December 31, 2002, an increase of $171.0 million or
150.1%. Revenue from PSIs owned and leased inpatient
facilities segment accounted for $223.3 million of the 2003
results compared to $81.9 million of the 2002 results, an
increase of $141.4 million or 172.5%. The increase in
revenues from PSIs owned and leased inpatient facilities
segment relates primarily to revenues of $14.9 million
during the first six months of 2003 for Riveredge Hospital,
$57.3 million during 2003 for the inpatient facilities
acquired from The Brown Schools and $59.6 million for the
owned and leased inpatient facilities acquired from Ramsay. The
remainder of the increase in revenues from inpatient facilities
is primarily attributable to growth in admissions and patient
days of 4.1% and 7.0%, respectively, on a same-facility basis.
Revenue from PSIs inpatient management contracts segment
accounted for $61.6 million of the 2003 results compared to
$32.0 million of the 2002 results, an increase of
$29.6 million or 92.5%. The increase in revenues from the
Companys inpatient management contracts segment relates
primarily to revenues of $13.6 million from inpatient
management contracts acquired from PMR in August 2002,
$13.8 million for Ramsays inpatient management
contracts and growth of approximately $3.4 million in
PSIs contract to provide case management services in and
around Nashville, Tennessee. This growth was offset by a
reduction in the number of inpatient unit management contracts
from 48 at December 31, 2002 to 42 at December 31,
2003, impacting revenues by approximately $1.2 million.
Salaries and employee benefits. SWB expense was
$147.1 million for the year ended December 31, 2003,
or 51.6% of PSIs total revenue, compared to
$62.3 million for the year ended December 31, 2002, or
54.7% of the Companys total revenue. SWB expense for
PSIs owned and leased inpatient facilities segment was
$122.5 million in 2003, or 54.9% of the Companys
total revenue. Same-facility SWB expense for PSIs owned
and leased inpatient facilities segment was $48.2 million
in 2003, or 53.9% of segment revenue, compared to
$47.0 million in 2002, or 57.4% of segment revenue. This
decrease in SWB expense as a percentage of revenue from
PSIs owned and leased inpatient facilities segment on a
same-facility basis, as compared to 2002, primarily relates to
efforts to maintain staffing levels on higher volumes. SWB
expense for PSIs inpatient management contracts segment
was $21.1 million in 2003, or 34.2% of segment revenue.
Same-facility SWB expense for the Companys inpatient
management contracts segment was $12.0 million in 2003, or
35.2% of segment revenue, compared to $13.2 million in
2002, or 41.2% of segment revenue. This decrease in SWB expense
as a percentage of revenue from PSIs inpatient management
contracts segment on a same-facility basis, as compared to 2002,
primarily relates to the Companys acquisition from PMR of
a contract to provide case management services in and around
Nashville, Tennessee. PSI incurs little SWB expense to provide
these services because primarily all the costs to provide these
services are recorded in other operating expenses because the
actual services provided are subcontracted. SWB expense for
PSIs corporate office was $3.5 million for 2003
compared to $2.1 million for 2002 as the result of the
hiring of additional staff necessary to manage the inpatient
facilities and inpatient management contracts acquired during
2002 and 2003.
46
Professional fees. Professional fees were
$32.5 million for the year ended December 31, 2003, or
11.4% of PSIs total revenue, compared to
$14.4 million for the year ended December 31, 2002, or
12.6% of PSIs total revenue. Professional fees for
PSIs owned and leased inpatient facilities segment were
$26.3 million in 2003, or 11.8% of segment revenue.
Same-facility professional fees for the Companys owned and
leased inpatient facilities segment were $10.8 million in
2003, or 12.1% of segment revenue, compared to
$10.3 million in 2002, or 12.6% of segment revenue. This
decrease in professional fees for PSIs owned and leased
inpatient facilities segment as a percentage of revenue on a
same-facility basis, as compared to 2002, was primarily the
result of efforts within PSIs owned and leased inpatient
facilities segment to reduce the Companys reliance on
contract labor. Professional fees for the Companys
inpatient management contracts segment were $4.3 million in
2003, or 7.0% of segment revenue. Same-facility professional
fees for PSIs inpatient management contracts segment were
$3.6 million in 2003, or 10.6% of segment revenue, compared
to $3.5 million in 2002, or 11.1% of segment revenue.
Professional fees for PSIs corporate office were
approximately $1.8 million in 2003 compared to
approximately $500,000 in 2002. The increase in professional
fees in the Companys corporate office relates to
accounting, legal and other services required to meet the needs
of a public company and achieving its acquisition strategy.
Supplies. Supplies expense was $16.4 million
for the year ended December 31, 2003, or 5.8% of PSIs
total revenue, compared to $5.3 million for the year ended
December 31, 2002, or 4.7% of the Companys total
revenue. Supplies expense for PSIs owned and leased
inpatient facilities segment was $15.3 million in 2003, or
6.8% of segment revenue. Same-facility supplies expense for the
Companys owned and leased inpatient facilities segment was
$5.9 million in 2003, or 6.6% of segment revenue, compared
to $5.3 million in 2002, or 6.4% of segment revenue.
Supplies expense for PSIs inpatient management contracts
segment was $1.0 million in 2003, or 1.7% of segment
revenue, compared to $40,000 in 2002, or less than 1% of segment
revenue. Supplies expense at the Companys owned and leased
inpatient facilities segment has historically comprised the
majority of PSIs supplies expense as a whole; however, its
inpatient management contracts segment began to utilize supplies
to a larger extent due to the assumption of inpatient management
contracts from Ramsay. Supplies expense for PSIs corporate
office consists of office supplies and are negligible to
supplies expense overall.
Provisions for bad debts. The provision for bad
debts was $6.3 million for the year ended December 31,
2003, or 2.2% of PSIs total revenue, compared to
$3.7 million for the year ended December 31, 2002, or
3.2% of PSIs total revenue. The provision for bad debts at
the Companys owned and leased inpatient facilities segment
comprises the majority of PSIs provision for bad debts as
a whole. The reduction in provision for bad debts as a
percentage of revenue was driven by the acquisition of inpatient
facilities from The Brown Schools and Ramsay, which have fewer
self-pay accounts.
Other operating expenses. Other operating expenses
were approximately $47.9 million for the year ended
December 31, 2003, or 16.8% of PSIs total revenue,
compared to $16.0 million for the year ended
December 31, 2002, or 14.1% of PSIs total revenue.
Other operating expenses for the Companys owned and leased
inpatient facilities segment were $21.7 million in 2003, or
9.7% of segment revenue. Same-facility other operating expenses
for PSIs owned and leased inpatient facilities segment
were $7.9 million in 2003, or 8.8% of segment revenue,
compared to $6.6 million in 2002, or 8.0% of segment
revenue. This increase in other operating expenses for the
Companys owned and leased inpatient facilities segment as
a percentage of revenue on a same-facility basis, as compared to
2002, relates primarily to increased insurance costs in 2003.
Other operating expenses for PSIs inpatient management
contracts segment were $24.2 million in 2003, or 39.3% of
segment revenue. Same-facility other operating expenses for the
Companys inpatient management contracts segment was
$11.1 million in 2003, or 32.6% of segment revenue,
compared to $7.9 million in 2002, or 24.8% of segment
revenue. This increase in other operating expenses for
PSIs inpatient management contracts segment as a
percentage of revenue from this segment on a same-facility
basis, as compared to 2002, is primarily attributable to growth
in the contract to provide case management services in and
around Nashville, Tennessee where actual services provided are
subcontracted. Other operating expenses at PSIs corporate
office increased to $2.0 million in 2003 from approximately
$1.4 million in 2002.
47
Depreciation and amortization. Depreciation and
amortization expense was $5.7 million for the year ended
December 31, 2003 compared to $1.8 million for the
year ended December 31, 2002, an increase of approximately
$4.0 million. This increase in depreciation and
amortization expense is the result of the acquisitions of
Riveredge Hospital, PMR, The Brown Schools and Ramsay.
Interest expense. Interest expense was
$14.8 million for the year ended December 31, 2003
compared to $5.6 million for the year ended
December 31, 2002, an increase of $9.2 million or
164.3%. The increase in interest expense is primarily
attributable to the increase in the Companys long-term
debt from approximately $43.8 million at December 31,
2002 to approximately $175.0 million at December 31,
2003 due to the Companys 10.625% subordinated note
offering, the expansion of PSIs senior credit facility and
the refinancing of the Companys term loans from
CapitalSource Finance LLC with mortgage loans insured by the
U.S. Department of Housing and Urban Development. The
proceeds from the 10.625% subordinated notes and the
expanded credit facility were used to finance acquisitions in
2003.
Other expenses. Other expenses totaled
$5.3 million for the year ended December 31, 2003
compared to approximately $180,000 for the year ended
December 31, 2002. Other expenses in 2003 consisted of
$4.9 million in loss on the refinancing of the
Companys long-term debt, $960,000 in expense recorded to
recognize the change in fair value of stock purchase
put warrants and the release of $545,000 in reserves
related to PSIs stockholder notes. Other expenses in 2002
consisted of approximately $90,000 in loss on the refinancing of
the Companys long-term debt and approximately $90,000 to
increase the reserve related to its stockholder notes.
Loss from discontinued operations, net of taxes.
The loss from discontinued operations of approximately $25,000
for the year ended December 31, 2003 is from the operations
of three contracts to manage inpatient facilities for the
Florida Department of Juvenile Justice. These contracts were
assumed from Ramsay in 2003 and exited in 2004.
|
|
|
Three Months Ended March 31, 2005 Compared to Three
Months Ended March 31, 2004 |
Revenue. Revenue was $79.9 million for the
three months ended March 31, 2005 compared to
$73.1 million for the three months ended March 31,
2004, an increase of $6.8 million, or 9.3%. Approximately
40% of the increase was attributable to revenue from Brooke Glen
Behavioral Hospital (Brooke Glen), which was
acquired in October 2003 but did not receive its Medicare and
Medicaid certifications until May 2004. The remainder of the
increase is primarily attributable to a 5.0% increase in patient
days at Ardent Behaviorals inpatient facilities, excluding
Brooke Glen.
Salaries and benefits expense. SWB expense was
$44.4 million, or 55.6% of Ardent Behaviorals total
revenue for the three months ended March 31, 2005, compared
to $41.3 million, or 56.5% of Ardent Behaviorals
total revenue for the three months ended March 31, 2004.
Professional fees. Professional fees were
$7.7 million, or 9.7% of Ardent Behaviorals total
revenue for the three months ended March 31, 2005, compared
to $8.1 million, or 11.0% of Ardent Behaviorals total
revenue for the three months ended March 31, 2004. The
decrease in professional fees was primarily the result of
decreased costs for contract services, including media expense
and bank fees.
Supplies. Supplies expense was $4.1 million,
or 5.2% of Ardent Behaviorals total revenue for the three
months ended March 31, 2005, compared to $3.8 million,
or 5.2% of Ardent Behaviorals total revenue for the three
months ended March 31, 2004.
Provision for doubtful accounts. The provision for
doubtful accounts was $2.6 million, or 3.2% of Ardent
Behaviorals total revenue for the three months ended
March 31, 2005, compared to $2.1 million, or 2.8% of
Ardent Behaviorals total revenue for the three months
ended March 31, 2004.
Other operating expenses. Other operating expenses
were approximately $6.5 million, or 8.1% of Ardent
Behaviorals total revenue for the three months ended
March 31, 2005, compared to $6.3 million, or 8.6% of
Ardent Behaviorals total revenue for the three months
ended March 31, 2004.
48
Interest expense (income). Interest income was
$0.9 million for the three months ended March 31, 2005
compared to interest expense of $1.7 million for the three
months ended March 31, 2004. Interest expense represents
intercompany interest and the change is primarily attributable
to a change in allocation methods by the parent company.
Depreciation and amortization. Depreciation and
amortization expense was $1.2 million for the three months
ended March 31, 2005 compared to $0.6 million for the
three months ended March 31, 2004, an increase of
approximately $0.6 million.
Management fees paid to Ardent. Management fees
paid to Ardent Health Services LLC and its affiliates totaled
$3.2 million for the three months ended March 31, 2005
compared to $4.3 million for the three months ended
March 31, 2004.
|
|
|
Year Ended December 31, 2004 Compared to the Year Ended
December 31, 2003 |
Revenue. Revenue was $294.3 million for the
year ended December 31, 2004 compared to
$267.6 million for the year ended December 31, 2003,
an increase of $26.7 million or 10.0%. The increase in
revenue relates primarily to $7.8 million in revenue
attributable to the acquisition of Brooke Glen effective
October 8, 2003 with the remainder of the increase
primarily attributable to a 4.2% increase in patient days at
Ardent Behaviorals inpatient facilities, excluding Brooke
Glen.
Salaries and benefits expense. SWB expense was
$167.9 million, or 57.1% of Ardent Behaviorals total
revenue for the year ended December 31, 2004, compared to
$148.4 million, or 55.5% of Ardent Behaviorals total
revenue for the year ended December 31, 2003. The increase
in SWB expense relates primarily to wage inflation caused by
nursing labor pressures and the delay in obtaining the Medicare
certification at Brooke Glen, which resulted in significantly
higher staffing ratios on lower volumes.
Professional fees. Professional fees were
$32.7 million, or 11.1% of Ardent Behaviorals total
revenue for the year ended December 31, 2004, compared to
$29.2 million or 10.9% of Ardent Behaviorals total
revenue for the year ended December 31, 2003.
Supplies. Supplies expense was $15.6 million,
or 5.3% of Ardent Behaviorals total revenue for the year
ended December 31, 2004, compared to $14.5 million, or
5.4% of Ardent Behaviorals total revenue for the year
ended December 31, 2003.
Provision for doubtful accounts. The provision for
doubtful accounts was $7.2 million, or 2.5% of Ardent
Behaviorals total revenue for the year ended
December 31, 2004, compared to $6.2 million, or 2.3%
of Ardent Behaviorals total revenue for the year ended
December 31, 2003.
Other operating expenses. Other operating expenses
were $26.3 million, or 8.9% of Ardent Behaviorals
total revenue for the year ended December 31, 2004,
compared to $24.8 million, or 9.3% of Ardent
Behaviorals total revenue for the year ended
December 31, 2003.
Interest expense. Interest expense was
$2.9 million for the year ended December 31, 2004
compared to $4.9 million for the year ended
December 31, 2003, a decrease of approximately
$2.0 million or 40.8%. Interest expense represents
intercompany interest and the decrease is primarily attributable
to a change in allocation methods by the parent company.
Depreciation and amortization. Depreciation and
amortization expense was $3.7 million for the year ended
December 31, 2004 compared to $2.5 million for the
year ended December 31, 2003, an increase of approximately
$1.2 million.
Management fees paid to Ardent. Management fees
paid to Ardent Health Services LLC and its affiliates totaled
$16.5 million for the year ended December 31, 2004
compared to $12.3 million for the year ended
December 31, 2003.
49
|
|
|
Year Ended December 31, 2003 Compared to Year Ended
December 31, 2002 |
Revenue. Revenue was $267.6 million for the
year ended December 31, 2003 compared to
$241.9 million for the year ended December 31, 2002,
an increase of $25.7 million or 10.6%. Approximately 45% of
the increase relates to the acquisitions of Cumberland Hospital,
effective June 1, 2002, and Brooke Glen, effective
October 8, 2003. The remainder of the increase is primarily
attributable to pricing increases.
Salaries and benefits expense. SWB expense was
$148.4 million, or 55.5% of Ardent Behaviorals total
revenue for the year ended December 31, 2003, compared to
$134.3 million, or 55.5% of Ardent Behaviorals total
revenue for the year ended December 31, 2002.
Professional fees. Professional fees were
$29.2 million, or 10.9% of Ardent Behaviorals total
revenue for the year ended December 31, 2003, compared to
$28.3 million, or 11.7% of Ardent Behaviorals total
revenue for the year ended December 31, 2002.
Supplies. Supplies expense was $14.5 million,
or 5.4% of revenue for the year ended December 31, 2003,
compared to $13.5 million, or 5.6% of revenue for the year
ended December 31, 2002, an increase of approximately
$1.0 million. The increase in supplies expense is primarily
the result of increases in Ardent Behaviorals patient days.
Provision for doubtful accounts. The provision for
doubtful accounts was $6.2 million, or 2.3% of Ardent
Behaviorals total revenue for the year ended
December 31, 2003, compared to $6.0 million, or 2.5%
of Ardent Behaviorals total revenue for the year ended
December 31, 2002.
Other operating expenses. Other operating expenses
were $24.8 million or 9.3% of Ardent Behaviorals
total revenue for the year ended December 31, 2003,
compared to $23.8 million or 9.8% of Ardent
Behaviorals total revenue for the year ended
December 31, 2002, an increase of $1.0 million or 4.2%.
Interest expense. Interest expense was
$4.9 million for the year ended December 31, 2003,
compared to $8.5 million for the year ended
December 31, 2002, a decrease of approximately
$3.6 million or 42.4%. Interest expense represents
intercompany interest and the decrease is primarily attributable
to a change in allocation methods by the parent company.
Depreciation and amortization. Depreciation and
amortization was $2.5 million for the year ended
December 31, 2003 compared to $2.2 million for the
year ended December 31, 2002, an increase of approximately
$0.3 million or 13.6%.
Management fees paid to Ardent. Management fees
paid to Ardent Health Services LLC and its affiliates totaled
$12.3 million for the year ended December 31, 2003
compared to $18.4 million for the year ended
December 31, 2002.
Liquidity and Capital Resources
We intend to fund our ongoing operations through cash generated
by operations, funds available under our new senior secured
credit facilities and existing cash and cash equivalents. Our
new senior secured credit facilities are comprised of a
$325.0 million senior secured term loan facility and a
$150.0 million revolving credit facility,
$85.0 million of which remained undrawn at July 31,
2005. As part of the Financing Transactions, we issued the old
notes and used a portion of the proceeds to repurchase
$61.3 million principal amount of our existing
105/8%
senior subordinated notes (together with the related premium).
We anticipate that cash generated by operations, the remaining
funds available under our new senior secured credit facilities
and existing cash and cash equivalents will be sufficient to
meet working capital requirements, service our debt and finance
capital expenditures over the next twelve months.
In addition, we may acquire additional inpatient behavioral
health care facilities. Management continually assesses our
capital needs and will likely seek additional financing,
including debt or equity, to
50
fund potential acquisitions or for other corporate purposes. In
negotiating such financing, there can be no assurance that we
will be able to raise additional capital on terms satisfactory
to us. Failure to obtain additional financing on reasonable
terms could have a negative effect on our plans to acquire
additional inpatient behavioral health care facilities.
We have performed sensitivity analysis over the near term
regarding the interest rate risk described below. Based upon
this sensitivity analysis, we are not exposed to material market
risk from changes in interest rates. Our $150.0 million
senior secured revolving line of credit, our $325.0 million
senior secured term loan facility under our new senior secured
credit facilities and our $38.7 million interest rate swap
agreements have a variable interest rate based upon LIBOR plus
an applicable margin. Based upon $329.2 million of variable
debt outstanding for the period, a hypothetical 10% adverse
change in interest rates would decrease our net income and cash
flows by $1.1 million for the twelve months ended
March 31, 2005.
|
|
|
Historical Psychiatric Solutions |
As of March 31, 2005, we had working capital of
$43.8 million, including cash and cash equivalents of
$14.5 million, compared to working capital of
$39.9 million at December 31, 2004. The increase in
working capital is primarily due to cash provided by operating
activities offset by cash used in investing activities during
the three months ended March 31, 2005.
Cash provided by operating activities was $13.3 million for
the three months ended March 31, 2005 compared to
$14.7 million for the three months ended March 31,
2004. The decrease in cash flows from operating activities was
primarily due to cash paid for income taxes during 2005 of
approximately $5.3 million offset by cash generated by our
facilities acquired in 2004.
Cash used in investing activities was $7.1 million for the
three months ended March 31, 2005 compared to
$37.5 million for the three months ended March 31,
2004. Cash used in investing activities for the three months
ended March 31, 2005 was primarily the result of cash paid
for the purchases of property and equipment of approximately
$5.3 million. Cash used in investing activities for the
three months ended March 31, 2004 was the result of
$29.8 million paid for the acquisition of Brentwood,
$3.3 million used to make the final payment on a prior-year
acquisition and $3.1 million used for capital expenditures.
Cash used in financing activities was approximately
$25.0 million for the three months ended March 31,
2005 compared to cash provided by financing activities of
approximately $12.1 million for the three months ended
March 31, 2004. Cash used by financing activities for the
three months ended March 31, 2005 consisted primarily of
$50.0 million used to redeem a portion of our existing
senior subordinated notes, offset by $30.0 million borrowed
under our revolving line of credit to make the redemption. As
part of this redemption, we paid $5.3 million during the
first quarter of 2005 for its associated costs. Cash provided by
financing activities for the three months ended March 31,
2004 was primarily the result of $17.0 million borrowed
under our revolving line of credit to purchase Brentwood, offset
by cash paid to exit our credit facility with CapitalSource
Finance LLC of approximately $3.8 million.
On January 14, 2005, we redeemed $50 million of our
existing senior subordinated notes, leaving $100 million
outstanding after the redemption. We paid bondholders a
105/8%
penalty and accrued interest in connection with the redemption
and recorded a loss on refinancing long-term debt of
approximately $7.0 million during the first quarter of
2005. We paid the redemption with borrowings under our revolving
credit facility of $30 million and the remainder with cash
on hand.
On December 21, 2004, we amended and restated our revolving
credit facility with Bank of America, N.A. to increase the
borrowings available to us to $150 million, extend the term
of the agreement until December 2009 and lower the applicable
interest rate, as defined in the credit agreement. We initially
entered into a revolving credit facility with Bank of America of
up to $50 million on January 6, 2004. We subsequently
amended and increased the revolving credit facility to
$125 million in June 2004.
51
On December 20, 2004, we closed on the sale of
3,450,000 shares of our common stock at $33.70 per
share. Of these shares, 450,000 were sold through the full
exercise of the underwriters over-allotment option. We
sold 3,285,000 shares for approximately $105 million
after underwriting discounts and other issuance costs. Certain
stockholders sold 165,000 shares in the offering. We did
not receive any proceeds from the sale of common stock by the
selling stockholders. Approximately $82 million of the net
proceeds were used to pay down borrowings under our revolving
line of credit.
On January 26, 2004, we entered into an interest rate swap
agreement to manage our exposure to fluctuations in interest
rates. The swap agreement effectively converts $20 million
of fixed-rate long-term debt to a LIBOR indexed variable rate
instrument plus an agreed upon interest rate spread of 5.86%. On
April 23, 2004, we entered into another interest rate swap
agreement. This swap agreement effectively converts
$30.0 million of fixed rate debt to a LIBOR indexed
variable rate instrument plus an agreed upon interest rate
spread of 5.51%.
We believe that our working capital on hand, cash flows from
operations and funds available under our revolving line of
credit will be sufficient to fund our operating needs, planned
capital expenditures and debt service requirements for the next
twelve months.
In addition, we are actively seeking other acquisitions that fit
our corporate growth strategy and may acquire additional
inpatient psychiatric facilities. Management continually
assesses our capital needs and, should the need arise, we will
seek additional financing, including debt or equity, to fund
potential acquisitions or for other corporate purposes. In
negotiating such financing, there can be no assurance that we
will be able to raise additional capital on terms satisfactory
to us. Failure to obtain additional financing on reasonable
terms could have a negative effect on our plans to acquire
additional inpatient psychiatric facilities.
Contractual Obligations
The following table sets forth our contractual obligations as of
March 31, 2005:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Payments Due by Period | |
|
|
| |
|
|
|
|
Less than | |
|
|
|
After | |
|
|
Total | |
|
1 Year | |
|
1-3 Years | |
|
4-5 Years | |
|
5 Years | |
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
|
(dollars in thousands) | |
Long-term debt(l)
|
|
$ |
153,698 |
|
|
$ |
382 |
|
|
$ |
519 |
|
|
$ |
30,582 |
|
|
$ |
122,215 |
|
Lease obligations
|
|
|
37,884 |
|
|
|
6,503 |
|
|
|
8,626 |
|
|
|
6,583 |
|
|
|
16,172 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$ |
191,582 |
|
|
$ |
6,885 |
|
|
$ |
9,145 |
|
|
$ |
37,165 |
|
|
$ |
138,387 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
Long-term debt excludes capital lease obligations which have
been included in lease obligations above. |
The fair value of our $100.0 million of outstanding
existing senior subordinated notes was approximately
$111.0 million as of March 31, 2005. The fair value of
our $150.0 million of existing senior subordinated notes
was approximately $173.0 million as of December 31,
2004. The carrying value of our other long-term debt, including
current maturities, of $54.0 million and $24.3 million
at March 31, 2005 and December 31, 2004, respectively,
approximated fair value. We had $30 million of variable
rate debt outstanding under our revolving credit facility as of
March 31, 2005. In addition, interest rate swap agreements
effectively convert $50 million of fixed rate debt into
variable rate debt at March 31, 2005. At our March 31,
2005 borrowing level, a hypothetical 10% increase in interest
rates would decrease our annual net income and cash flows by
approximately $370,000.
Impact of Inflation and Economic Trends
Although inflation has not had a material impact on our results
of operations, the health care industry is very labor intensive
and salaries and benefits are subject to inflationary pressures
as are rising supply costs which tend to escalate as vendors
pass on the rising costs through price increases. Some of our
freestanding owned, leased and managed inpatient behavioral
health care facilities we operate are
52
experiencing the effects of the tight labor market, including a
shortage of nurses, which has caused and may continue to cause
an increase in our salaries, wages and benefits expense in
excess of the inflation rate. Although we cannot predict our
ability to cover future cost increases, management believes that
through adherence to cost containment policies, labor management
and reasonable price increases, the effects of inflation on
future operating margins should be manageable. Our ability to
pass on increased costs associated with providing health care to
Medicare and Medicaid patients is limited due to various
federal, state and local laws which have been enacted that, in
certain cases, limit our ability to increase prices. In
addition, as a result of increasing regulatory and competitive
pressures and a continuing industry wide shift of patients into
managed care plans, our ability to maintain margins through
price increases to non-Medicare patients is limited.
The behavioral health care industry is typically not directly
impacted by periods of recession, erosions of consumer
confidence or other general economic trends as most health care
services are not considered a component of discretionary
spending. However, our inpatient facilities may be indirectly
negatively impacted to the extent such economic conditions
result in decreased reimbursements by federal or state
governments or managed care payers. We are not aware of any
economic trends that would prevent us from being able to remain
in compliance with all of our debt covenants and to meet all
required obligations and commitments in the near future.
Critical Accounting Policies
Our consolidated financial statements have been prepared in
accordance with accounting principles generally accepted in the
United States. In preparing our financial statements, we are
required to make estimates and assumptions that affect the
reported amounts of assets, liabilities, revenues, and expenses
included in our financial statements. Estimates are based on
historical experience and other information currently available,
the results of which form the basis of such estimates. While we
believe our estimation processes are reasonable, actual results
could differ from those estimates. The following represent the
estimates considered most critical to our operating performance
and involve the most subjective and complex assumptions and
assessments.
|
|
|
Allowance for Doubtful Accounts |
Our ability to collect outstanding patient receivables from
third party payors and receivables due under our management
contracts is critical to our operating performance and cash
flows.
The primary collection risk with regard to patient receivables
lies with uninsured patient accounts or patient accounts for
which primary insurance has paid but a patient portion remains
outstanding. We estimate the allowance for doubtful accounts
primarily based upon the age of the accounts since the patient
discharge date. We continually monitor our accounts receivable
balances and utilize cash collection data to support our
estimates of the provision for doubtful accounts. Significant
changes in payor mix or business office operations could have a
significant impact on our results of operations and cash flows.
The primary collection risk with regard to receivables due under
our inpatient management contracts is attributable to contract
disputes. We estimate the allowance for doubtful accounts for
these receivables based primarily upon the specific
identification of potential collection issues. As with our
patient receivables, we continually monitor our accounts
receivable balances and utilize cash collection data to support
our estimates of the provision for doubtful accounts.
|
|
|
Allowances for Contractual Discounts |
The Medicare and Medicaid regulations are complex and various
managed care contracts may include multiple reimbursement
mechanisms for different types of services provided in our
inpatient facilities and cost settlement provisions requiring
complex calculations and assumptions subject to interpretation.
We estimate the allowance for contractual discounts on a
payer-specific basis given our interpretation of the applicable
regulations or contract terms. The services authorized and
provided and related reimbursement are often subject to
interpretation that could result in payments that differ from
our estimates.
53
Additionally, updated regulations and contract renegotiations
occur frequently necessitating continual review and assessment
of the estimation process by our management.
|
|
|
Professional and General Liability |
We are subject to medical malpractice and other lawsuits due to
the nature of the services we provide. All of our operations
have professional and general liability insurance in umbrella
form for claims in excess of $2.0 million with an insured
limit of $35.0 million. The facilities purchased from
Ardent were added to our insurance program on July 1, 2005.
The self-insured reserves for professional and general liability
risks are calculated based on historical claims, demographic
factors, industry trends, severity factors, and other actuarial
assumptions calculated by an independent third party actuary.
This self-insurance reserve is discounted to its present value
using a 5% discount rate. This estimated accrual for
professional and general liabilities could be significantly
affected should current and future occurrences differ from
historical claim trends and expectations. We have utilized our
captive insurance company to manage this additional self-insured
retention. While claims are monitored closely when estimating
professional and general liability accruals, the complexity of
the claims and wide range of potential outcomes often hampers
timely adjustments to the assumptions used in these estimates.
As part of the process of preparing our consolidated financial
statements, we are required to determine our income tax
liabilities in each of the jurisdictions in which we operate.
This process involves recognizing the amount of income taxes
payable or refundable for the current period, together with
recognizing deferred tax assets and liabilities for the future
tax consequences of events that have been recognized in our
financial statements or tax returns. We are also required to
assess the realizable value of our deferred tax assets and
reduce the deferred tax assets by a valuation allowance if,
based on the weight of available evidence, it is more
likely than not that any portion of the deferred tax
assets will not be realized. The ultimate realization of
deferred tax assets is dependent upon the generation of future
taxable income in the tax jurisdictions and during the periods
in which the deferred tax assets are recoverable. In evaluating
sources of future taxable income, we consider the reversal of
taxable temporary differences, future earnings from operations
and tax planning strategies, where applicable. We recorded a
valuation allowance against deferred tax assets as of
March 31, 2005 and March 31, 2004 totaling
$3.4 million and $11.3 million, respectively. We
revise our assessment of the recoverability of deferred tax
assets periodically, and will adjust the valuation allowance as
circumstances require. The valuation allowance recorded as of
March 31, 2005 and March 31, 2004 relates primarily to
pre-acquisition net operating loss carryovers from certain
acquisitions. Accordingly, future reductions in the valuation
allowance will primarily reduce goodwill related to these
respective acquisitions.
54
DESCRIPTION OF OTHER INDEBTEDNESS
New Senior Secured Credit Facilities
In connection with the original note offering and the
acquisition of Ardent Behavioral, we amended and restated our
existing revolving credit facility and obtained a new senior
secured term loan facility. Our amended and restated revolving
credit facility consists of a $150.0 million senior secured
revolver, $65.0 million of which was outstanding at
July 31, 2005. Our new senior secured term facility
consists of a $325.0 million senior secured term note. We
refer to the amended and restated revolving credit facility and
the new senior secured term facility as our new senior secured
credit facilities.
The new senior secured credit facilities are secured by
substantially all of the personal property owned by us or our
subsidiaries, substantially all real property owned by us or our
subsidiaries that has a value in excess of $2.5 million and
the stock of our operating subsidiaries. In addition, the new
senior secured credit facilities are fully and unconditionally
guaranteed by substantially all of our domestic restricted
subsidiaries.
The new senior secured credit facilities contain customary
covenants that include: (1) limitations on capital
expenditures and investments, sales of assets, mergers, changes
of ownership, new principal lines of business, indebtedness,
dividends and redemptions; (2) various financial covenants;
and (3) cross-default covenants triggered by a default of
any other indebtedness of at least $5.0 million.
Bridge Facility
In connection with the acquisition of Ardent Behavioral, we
entered into a $150.0 million bridge loan facility. Borrowings
under the bridge facility accrued interest at a rate of LIBOR
plus 6.00% per annum. We used a portion of the proceeds of the
original note offering to repay all borrowings under the bridge
facility on July 6, 2005.
Existing Senior Subordinated Notes
On June 30, 2003, we issued $150.0 million of our
existing senior subordinated notes, which are fully and
unconditionally guaranteed on a senior subordinated basis by
substantially all of our existing domestic restricted
subsidiaries. Proceeds from the issuance of the existing senior
subordinated notes were used to finance part of the purchase
price for the acquisition of Ramsay Youth Services, Inc. and pay
down substantially all of our previously existing long-term
debt. Interest on the existing senior subordinated notes accrues
at the rate of 10.625% per annum and is payable
semi-annually in arrears on June 15 and December 15,
commencing on December 15, 2003. The existing notes will
mature on June 15, 2013. On January 14, 2005, we
redeemed $50.0 million of the existing senior subordinated
notes and paid a
105/8%
penalty and related accrued interest on the amount redeemed. On
July 6, 2005, we redeemed approximately $61.3 million
principal amount of the existing senior subordinated notes and
paid the related premium.
Mortgage Loan on Holly Hill Hospital due 2037
On November 25, 2002, we entered into a mortgage loan
agreement to borrow $4.9 million, which is insured by
U.S. Department of Housing and Urban Development
(HUD) and secured by real estate located at Holly
Hill Hospital in Raleigh, North Carolina. Interest accrues on
the HUD loan at 5.95% and principal and interest are payable in
420 monthly installments through December 2037. We used
proceeds from the loan to replace $4.4 million of our term
debt under our former senior secured credit facility, pay
certain refinancing costs and fund required escrow amounts for
future improvements to the property.
Mortgage Loan on West Oaks Hospital due September 2038
On August 28, 2003, we borrowed approximately
$6.8 million under a mortgage loan agreement insured by
HUD, secured by real estate located at West Oaks Hospital in
Houston, Texas. Interest accrues
55
on the HUD loan at 5.85% and principal and interest are payable
in 420 monthly installments through September 2038. We used
the proceeds from the loan to repay approximately
$5.8 million of our term debt under our former senior
secured credit facility, pay certain financing costs, and fund
required escrow amounts for future improvements to the property.
Mortgage Loan on Riveredge Hospital due December 2038
On November 5, 2003, we borrowed approximately
$12.1 million under a mortgage loan agreement insured by
HUD, secured by real estate located at Riveredge Hospital near
Chicago, Illinois. Interest accrues on the HUD loan at 5.65% and
principal and interest are payable in 420 monthly
installments through December 2038. We used the proceeds from
the loan to repay approximately $11.2 million of our term
debt under our former senior secured credit facility, pay
certain financing costs, and fund required escrow amounts for
future improvements to the property.
Subordinated Seller Note due 2005
In connection with an acquisition in 2001, we issued a
promissory note of $2.0 million that bears interest at
9% per annum and matures June 30, 2005. In connection
with the purchase of six inpatient facilities from The Brown
Schools, Inc. in April 2003, $1.0 million of the
$2.0 million note was repaid. The principal amount we owe
on this note is approximately $144,000 at March 31, 2005.
Among other customary covenants, the note contains cross-default
covenants triggered by a default of any other indebtedness of at
least $1.0 million.
56
DESCRIPTION OF THE REGISTERED NOTES
You can find the definitions of certain terms used in this
description under the subheading Certain
Definitions. In this description, the word PSI
refers only to Psychiatric Solutions, Inc. and not to any of its
subsidiaries.
PSI will issue the registered notes under an indenture among
itself, the Guarantors and Wachovia Bank, National Association,
as trustee, under which we issued the old notes. We refer to the
old notes and the registered notes collectively as the
notes. The terms of the notes include those stated
in the indenture and those made part of the indenture by
reference to the Trust Indenture Act of 1939.
The following description is a summary of the material
provisions of the indenture governing the notes. It does not
restate the agreement in its entirety. We urge you to read the
indenture because it, and not this description, defines your
rights as holders of the notes. Copies of the indenture are
available as set forth below under Additional
Information. Certain defined terms used in this
description but not defined below under
Certain Definitions have the meanings
assigned to them in the indenture.
The registered holder of a note will be treated as the owner of
it for all purposes. Only registered holders will have rights
under the indenture.
Brief Description of the Notes and the Subsidiary
Guarantees
The notes:
|
|
|
|
|
are senior subordinated unsecured obligations of PSI; |
|
|
|
are subordinated in right of payment to all existing and future
Senior Debt of PSI, including PSIs obligations under the
Credit Agreement; |
|
|
|
are pari passu in right of payment with any future senior
subordinated Indebtedness of PSI, including the Existing Senior
Subordinated Notes; |
|
|
|
are senior in right of payment to all existing and future
Subordinated Obligations of PSI; and |
|
|
|
are fully and unconditionally guaranteed on a senior
subordinated basis by the Guarantors. |
|
|
|
The Subsidiary Guarantees |
The notes are guaranteed by all of the Guarantors.
Each Subsidiary Guarantee of the notes:
|
|
|
|
|
is a senior subordinated unsecured obligation of the Guarantor; |
|
|
|
is subordinated in right of payment to all existing and future
Senior Debt of that Guarantor, including that Guarantors
obligations under the Credit Agreement; |
|
|
|
is pari passu in right of payment with any future senior
subordinated Indebtedness of that Guarantor, including that
Guarantors guarantee of the Existing Senior Subordinated
Notes; and |
|
|
|
is senior in right of payment to all existing and future
Subordinated Obligations of that Guarantor. |
As of March 31, 2005, after giving pro forma effect to the
acquisition of Ardent Behavioral and the Financing Transactions,
PSI would have had total Senior Debt of approximately
$414.3 million and the Guarantors would have guaranteed
Senior Debt of $390.8 million. As indicated above and as
discussed in detail below under the caption
Subordination, payments on the notes and
under the Subsidiary Guarantees will be subordinated to the
prior payment in full of Senior Debt. The indenture will permit
us and the Guarantors to incur additional Senior Debt.
57
Not all of our subsidiaries will guarantee the notes. In the
event of a bankruptcy, liquidation or reorganization of any of
these non-guarantor subsidiaries, the non-guarantor subsidiaries
will pay the holders of their debt and their trade creditors
before they will be able to distribute any of their assets to
us. For the year ended December 31, 2004, the non-guarantor
subsidiaries generated revenue and net income of
$3.7 million and $0.6 million, respectively, and, as
of March 31, 2005, had total assets of $40.7 million
and stockholders equity of $11.9 million. See
note 17 to our audited consolidated financial statements
for the year ended December 31, 2004 and note 11 to
our unaudited condensed consolidated financial statements for
the three months ended March 31, 2005, each of which are
incorporated by reference in this offering memorandum for more
detail about the division of our consolidated revenues and
assets between our guarantor and non-guarantor subsidiaries.
As of the date of the indenture, all of our direct and indirect
subsidiaries will be Restricted Subsidiaries.
However, under the circumstances described below under the
subheading Certain Covenants
Designation of Restricted and Unrestricted Subsidiaries,
we will be permitted to designate certain of our subsidiaries as
Unrestricted Subsidiaries. Our Unrestricted
Subsidiaries will not be subject to many of the restrictive
covenants in the indenture and will not guarantee the notes.
Principal, Maturity and Interest
Subject to compliance with the covenant described under the
caption Certain Covenants
Incurrence of Indebtedness and Issuance of Preferred Stock
below, PSI may issue additional notes under the indenture from
time to time after this offering. The notes and any additional
notes subsequently issued under the indenture will be treated as
a single class for all purposes under the indenture, including,
without limitation, waivers, amendments, redemptions, and offers
to purchase. PSI will issue notes in denominations of $1,000 and
integral multiples of $1,000.
The notes will mature on July 15, 2015.
Interest on the notes will accrue at the rate of
73/4% per
annum and will be payable semi-annually in arrears on
January 15 and July 15, commencing on January 15,
2006. PSI will make each interest payment to the holders of
record on the immediately preceding January 1 and
July 1.
Interest on the notes will accrue from the date of original
issuance or, if interest has already been paid, from the date it
was most recently paid. Interest will be computed on the basis
of a 360-day year comprised of twelve 30-day months.
Methods of Receiving Payments on the Notes
If a holder owning more than $1.0 million principal amount
of the notes has given wire transfer instructions to PSI, PSI
will pay all principal, interest and premium and Additional
Interest, if any, on that holders notes in accordance with
those instructions. All other payments on notes will be made at
the office or agency of the paying agent and registrar within
the City and State of New York unless PSI elects to make
interest payments by check mailed to the holders at their
address set forth in the register of holders.
Paying Agent and Registrar for the Notes
The trustee will initially act as paying agent and registrar.
PSI may change the paying agent or registrar without prior
notice to the holders of the notes, and PSI or any of its
Subsidiaries may act as paying agent or registrar.
Transfer and Exchange
A holder may transfer or exchange notes in accordance with the
indenture. The registrar and the trustee may require a holder to
furnish appropriate endorsements and transfer documents in
connection with a transfer of notes. Holders will be required to
pay all taxes due on transfer. PSI is not required to
58
transfer or exchange any note selected for redemption. Also, PSI
is not required to transfer or exchange any note for a period of
15 days before a selection of notes to be redeemed.
Subsidiary Guarantees
The notes are guaranteed by (1) each current and future
Restricted Subsidiary that is either formed under the laws of
the United States or any state of the United States or the
District of Columbia and (a) in which PSI has made an
Investment of at least $0.1 million or (b) that
incurs, guarantees or otherwise provides direct credit support
for any Indebtedness, and (2) any other Restricted
Subsidiary that guarantees or otherwise provides direct credit
support for Indebtedness of PSI or any of PSIs domestic
subsidiaries; provided, however, that the HUD Financing
Subsidiaries, PSI Surety, Inc. and certain immaterial
subsidiaries do not guarantee the notes. These Subsidiary
Guarantees are joint and several obligations of the Guarantors.
Each Subsidiary Guarantee is subordinated to the prior payment
in full of all Senior Debt of that Guarantor. The obligations of
each Guarantor under its Subsidiary Guarantee are limited as
necessary to prevent that Subsidiary Guarantee from constituting
a fraudulent conveyance under applicable law. See Risk
Factors A subsidiary guarantee could be voided or
subordinated because of federal bankruptcy law or comparable
state law provisions.
The Subsidiary Guarantee of a Guarantor will be released and
such Guarantor will be relieved of its obligations under its
Subsidiary Guarantee:
|
|
|
(1) solely as to the purchaser in connection with any sale
or other disposition of all or substantially all of the assets
of that Guarantor to a Person that is not (either before or
after giving effect to such transaction) a Restricted Subsidiary
of PSI, if the sale or other disposition complies with the
provisions described under the caption
Repurchase at the Option of
Holders Asset Sales below; |
|
|
(2) in connection with any sale of all of the Capital Stock
of a Guarantor (including by way of merger or consolidation) to
a Person that is not (either before or after giving effect to
such transaction) a Restricted Subsidiary of PSI, if the sale
complies with provisions described under the caption
Repurchase at the Option of
Holders Asset Sales below; or |
|
|
(3) if PSI designates any Restricted Subsidiary that is a
Guarantor as an Unrestricted Subsidiary in accordance with the
applicable provisions of the indenture. |
Subordination
The payment of principal, interest and premium and Additional
Interest, if any, on the notes is subordinated to the prior
payment in full in cash of all Senior Debt of PSI or the
relevant Guarantor, as the case may be, including Senior Debt
incurred after the date of the indenture.
The holders of Senior Debt will be entitled to receive payment
in full in cash of all Obligations due in respect of Senior Debt
(including interest accruing on or after the commencement of any
bankruptcy proceeding whether or not post-filing interest is
allowed in such proceeding at the rate specified in the
applicable Senior Debt) before the holders of notes will be
entitled to receive any payment with respect to the notes
(except that holders of notes may receive and retain Permitted
Junior Securities and payments made from the trust described
under Legal Defeasance and Covenant
Defeasance), in the event of any distribution to creditors
of PSI or the relevant Guarantor:
|
|
|
(1) in a liquidation or dissolution of PSI or the relevant
Guarantor; |
|
|
(2) in a bankruptcy, reorganization, insolvency,
receivership or similar proceeding relating to PSI or the
relevant Guarantor or its respective property; |
|
|
(3) in an assignment for the benefit of PSIs or the
relevant Guarantors creditors; or |
|
|
(4) in any marshaling of PSIs or the relevant
Guarantors assets and liabilities. |
The notes rank equally with all Existing Senior Subordinated
Indebtedness of PSI.
59
PSI also may not make any payment in respect of the notes
(except in Permitted Junior Securities or from the trust
described under Legal Defeasance and Covenant
Defeasance) if:
|
|
|
(1) a payment default on Designated Senior Debt occurs and
is continuing beyond any applicable grace period; or |
|
|
(2) any other default occurs and is continuing on any
series of Designated Senior Debt that permits holders of that
series of Designated Senior Debt to accelerate its maturity and
the trustee receives a notice of such default (a Payment
Blockage Notice) from PSI or (a) with respect to
Designated Senior Debt arising under the Credit Agreement, from
the agent for the lenders thereunder, or (b) with respect
to any other Designated Senior Debt, from the holders of any
such Designated Senior Debt. |
Payments on the notes may and will be resumed:
|
|
|
(1) in the case of a payment default, upon the earlier of
(a) the date on which such default is cured or waived or
(b) the date on which such Designated Senior Debt has been
discharged or paid in full in cash; and |
|
|
(2) in the case of a nonpayment default, upon the earliest
of (a) the date on which such nonpayment default is cured
or waived, (b) 179 days after the date on which the
applicable Payment Blockage Notice is received, unless the
maturity of any Designated Senior Debt has been accelerated,
(c) the date on which such payment blockage period shall
have been terminated by written notice to the trustee by the
party initiating such payment blockage period or (d) the
date on which such Designated Senior Debt has been discharged or
paid in full in cash. |
No new Payment Blockage Notice may be delivered unless and until:
|
|
|
(1) 360 days have elapsed since the delivery of the
immediately prior Payment Blockage Notice; and |
|
|
(2) all scheduled payments of principal, interest and
premium and Additional Interest, if any, on the notes that have
come due have been paid in full in cash. |
No nonpayment default that existed or was continuing on the date
of delivery of any Payment Blockage Notice to the trustee will
be, or can be made, the basis for a subsequent Payment Blockage
Notice unless such default has been cured or waived for a period
of not less than 90 days.
If the trustee or any holder of the notes receives a payment in
respect of the notes (except in Permitted Junior Securities or
from the trust described under Legal
Defeasance and Covenant Defeasance) when:
|
|
|
(1) the payment is prohibited by these subordination
provisions; and |
|
|
(2) the trustee or the holder has actual knowledge that the
payment is prohibited; |
the trustee or the holder, as the case may be, will hold the
payment in trust for the benefit of the holders of Senior Debt.
Upon the proper written request of the holders of Senior Debt,
the trustee or the holder, as the case may be, will deliver the
amounts in trust to the holders of Senior Debt or their proper
representative.
PSI or the trustee must promptly notify holders of Senior Debt
if payment of the notes is accelerated because of an Event of
Default.
The Subsidiary Guarantee of each Guarantor is subordinated to
Senior Debt of such Guarantor to the same extent and in the same
manner as the notes are subordinated to Senior Debt of PSI.
Payments under the Subsidiary Guarantee of each Guarantor is
subordinated to the prior payment in full in cash of all
Indebtedness under the Credit Agreement and all other Senior
Debt of such Guarantor, including Senior Debt incurred after the
date of the indenture, on the same basis as provided above with
respect to the subordination of payments on the notes by PSI to
the prior payment in full of Senior Debt of PSI.
60
As a result of the subordination provisions described above, in
the event of a bankruptcy, liquidation or reorganization of PSI,
holders of notes may recover less ratably than creditors of PSI
or the Guarantors who are holders of Senior Debt. See Risk
Factors Your right to receive payments on the notes
and subsidiary guarantees is subordinated to our senior debt and
the senior debt of our subsidiary guarantors.
Optional Redemption
At any time prior to July 15, 2010, the Company may redeem
all or any portion of the Notes, at once or over time, after
giving the required notice under the indenture at a redemption
price equal to the greater of:
|
|
|
(a) 100% of the principal amount of the notes to be
redeemed, and |
|
|
(b) the sum of the present values of (1) the
redemption price of the notes at July 15, 2010 (as set
forth below) and (2) the remaining scheduled payments of
interest from the redemption date through July 15, 2010,
but excluding accrued and unpaid interest through the redemption
date, discounted to the redemption date (assuming a 360 day
year consisting of twelve 30 day months), at the Treasury
Rate plus 50 basis points, |
plus, in either case, accrued and unpaid interest, including
Additional Interest, if any, to but excluding the redemption
date (subject to the right of holders of record on the relevant
record date to receive interest due on the relevant interest
payment date).
Any notice to holders of Notes of such a redemption shall
include the appropriate calculation of the redemption price, but
need not include the redemption price itself. The actual
redemption price, calculated as described above, shall be set
forth in an Officers Certificate delivered to the Trustee
no later than two business days prior to the redemption date
unless clause (b) of the definition of Comparable
Treasury Price is applicable, in which such Officers
Certificate should be delivered on the redemption date.
At any time before July 15, 2008, PSI may on one or more
occasions redeem up to 35% of the aggregate principal amount of
notes (including additional notes) issued under the indenture at
a redemption price of 107.75% of the principal amount thereof,
plus accrued and unpaid interest and Additional Interest, if
any, to the redemption date, with the net cash proceeds of any
Equity Offering of common stock of PSI; provided, however, that:
|
|
|
(1) at least 65% of the original aggregate principal amount
of notes issued under the indenture remains outstanding
immediately after the occurrence of such redemption (excluding
notes held by PSI and its Subsidiaries); and |
|
|
(2) the redemption occurs within 120 days of the date
of the closing of such Equity Offering. |
Except pursuant to the preceding paragraph, the notes are not
redeemable at PSIs option prior to July 15, 2010.
On or after July 15, 2010, PSI may redeem all or a part of
the notes upon not less than 30 nor more than 60 days
notice, at the redemption prices (expressed as percentages of
principal amount) set forth below plus accrued and unpaid
interest and Additional Interest, if any, on the notes redeemed,
to the applicable redemption date, if redeemed during the
twelve-month period beginning on July 15 of the years
indicated below:
|
|
|
|
|
Year |
|
Percentage | |
|
|
| |
2010
|
|
|
103.875% |
|
2011
|
|
|
102.583% |
|
2012
|
|
|
101.292% |
|
2013 and thereafter
|
|
|
100.000% |
|
61
Selection and Notice
If less than all of the notes are to be redeemed at any time,
the trustee will select notes for redemption as follows:
|
|
|
(1) if the notes are listed on any national securities
exchange, in compliance with the requirements of the principal
national securities exchange on which the notes are
listed; or |
|
|
(2) if the notes are not listed on any national securities
exchange, on a pro rata basis, by lot or by such method as the
trustee deems fair and appropriate. |
No notes of $1,000 or less can be redeemed in part. Notices of
redemption will be mailed by first class mail at least 30 but
not more than 60 days before the redemption date to each
holder of notes to be redeemed at its registered address, except
that redemption notices may be mailed more than 60 days
prior to a redemption date if the notice is issued in connection
with a defeasance of the notes or a satisfaction and discharge
of the indenture. Notices of redemption may not be conditional.
If any note is to be redeemed in part only, the notice of
redemption that relates to that note will state the portion of
the principal amount of that note that is to be redeemed. A new
note in principal amount equal to the unredeemed portion of the
original note will be issued in the name of the holder of notes
upon cancellation of the original note. Notes called for
redemption become due on the date fixed for redemption. On and
after the redemption date, interest ceases to accrue on notes or
portions of them called for redemption.
Mandatory Redemption
PSI is not required to make mandatory redemption or sinking fund
payments with respect to the notes.
Repurchase at the Option of Holders
Upon the occurrence of a Change of Control, each holder of notes
will have the right to require PSI to repurchase all or any part
(equal to $1,000 or an integral multiple of $1,000) of that
holders notes pursuant to the offer described below (the
Change of Control Offer) on the terms set forth in
the indenture. In the Change of Control Offer, PSI will offer a
payment in cash (the Change of Control Payment)
equal to 101% of the aggregate principal amount of notes
repurchased plus accrued and unpaid interest and Additional
Interest, if any, on the notes repurchased, to the date of
purchase.
Within 10 days following any Change of Control, PSI will
mail a notice to each holder describing the transaction or
transactions that constitute the Change of Control and offering
to repurchase notes on the Change of Control payment date
specified in the notice, which date will be no earlier than
30 days and no later than 60 days from the date of
such Change of Control, pursuant to the procedures required by
the indenture and described in such notice. PSI will comply with
the requirements of Rule 14e-1 under the Exchange Act and
any other securities laws and regulations thereunder to the
extent those laws and regulations are applicable in connection
with the repurchase of the notes pursuant to a Change of Control
Offer. To the extent that the provisions of any securities laws
or regulations conflict with the change of control provisions of
the indenture, PSI will comply with the applicable securities
laws and regulations and will not be deemed to have breached its
obligations under the change of control provisions of the
indenture by virtue of such compliance.
On the Change of Control payment date, PSI will, to the extent
lawful:
|
|
|
(1) accept for payment all notes or portions of notes
properly tendered and not withdrawn pursuant to the Change of
Control Offer; |
|
|
(2) deposit with the paying agent an amount equal to the
Change of Control Payment in respect of all notes or portions of
notes properly tendered; and |
62
|
|
|
(3) deliver or cause to be delivered to the trustee the
notes properly accepted together with an officers
certificate stating the aggregate principal amount of notes or
portions of notes being purchased by PSI. |
The paying agent will promptly mail to each holder of notes
properly tendered the Change of Control Payment for such notes,
and the trustee will promptly authenticate and mail (or cause to
be transferred by book entry) to each holder a new note equal in
principal amount to any unpurchased portion of the notes
surrendered, if any; provided that each new note will be in a
principal amount of $1,000 or an integral multiple of
$1,000.
Prior to complying with any of the provisions of this
change of control covenant, but in any event within
90 days following a Change of Control, PSI will either
repay all outstanding Senior Debt or obtain the requisite
consents, if any, under all agreements governing outstanding
Senior Debt to permit the repurchase of notes required by this
covenant. PSI will publicly announce the results of the Change
of Control Offer on or as soon as practicable after the Change
of Control payment date.
The provisions described above that require PSI to make a Change
of Control Offer following a Change of Control will be
applicable whether or not any other provisions of the indenture
are applicable to the Change of Control event. Except as
described above with respect to a Change of Control, the
indenture does not contain provisions that permit the holders of
the notes to require that PSI repurchase or redeem the notes in
the event of a takeover, recapitalization or similar transaction.
PSI will not be required to make a Change of Control Offer upon
a Change of Control if a third party makes the Change of Control
Offer in the manner, at the times and otherwise in compliance
with the requirements set forth in the indenture applicable to a
Change of Control Offer made by PSI and purchases all notes
properly tendered and not withdrawn under the Change of Control
Offer.
The definition of Change of Control includes a phrase relating
to the direct or indirect sale, lease, transfer, conveyance or
other disposition of all or substantially all of the
properties or assets of PSI and its Subsidiaries taken as a
whole. Although there is a limited body of case law interpreting
the phrase substantially all, there is no precise
established definition of the phrase under applicable law.
Accordingly, the ability of a Holder of notes to require PSI to
repurchase its notes as a result of a sale, lease, transfer,
conveyance or other disposition of less than all of the assets
of PSI and its Subsidiaries taken as a whole to another Person
or group may be uncertain.
PSI will not, and will not permit any Restricted Subsidiary to,
consummate an Asset Sale unless:
|
|
|
(1) PSI (or the Restricted Subsidiary, as the case may be)
receives consideration at the time of the Asset Sale at least
equal to the fair market value (evidenced by a resolution of the
Board of Directors set forth in an officers certificate
delivered to the trustee) of the assets sold, leased,
transferred, conveyed or otherwise disposed of or Equity
Interests of any Restricted Subsidiary issued, sold,
transferred, conveyed or otherwise disposed of; |
|
|
(2) at least 75% of the consideration received in the Asset
Sale by PSI or such Restricted Subsidiary is in the form of
cash. For purposes of this clause (2), each of the
following will be deemed to be cash: |
|
|
|
(a) any liabilities, as shown on PSIs or such
Restricted Subsidiarys most recent balance sheet, of PSI
or any Restricted Subsidiary (other than contingent liabilities
and liabilities that are by their terms subordinated to the
notes or any Subsidiary Guarantee) that are assumed by the
transferee of any such assets pursuant to a customary novation
agreement that releases PSI or such Restricted Subsidiary from
further liability; |
|
|
(b) any securities, notes or other obligations received by
PSI or any such Restricted Subsidiary from such transferee that
are converted by PSI or such Restricted Subsidiary into cash
within 90 days, to the extent of the cash received in that
conversion; and |
63
|
|
|
(c) with respect to any sale of Capital Stock of a
Restricted Subsidiary to one or more Qualified Physicians,
promissory notes or similar obligations from such physicians or
health care professionals; provided that the aggregate amount of
such promissory notes or other similar obligations held by PSI
and its Restricted Subsidiaries shall not exceed
$5.0 million outstanding at any one time; and |
|
|
|
(3) PSI delivers an officers certificate to the
trustee certifying that such Asset Sale complies with the
foregoing clauses (1) and (2). |
Within 365 days after the receipt of any Net Proceeds from
an Asset Sale, PSI may apply those Net Proceeds (or any portion
thereof) at its option:
|
|
|
(1) to repay Senior Debt of PSI or any Guarantor (other
than Indebtedness owed to PSI, any Guarantor or any Affiliate of
PSI) and, if the Senior Debt repaid is revolving credit
Indebtedness, to correspondingly reduce commitments with respect
thereto; |
|
|
(2) to acquire all or substantially all of the assets of,
or all of the Voting Stock of, another Person engaged in a
Permitted Business; or |
|
|
(3) to acquire other long-term assets or property that are
used in a Permitted Business. |
Pending the final application of any Net Proceeds, PSI may
temporarily reduce revolving credit borrowings or otherwise
invest the Net Proceeds in any manner that is not prohibited by
the indenture.
Any Net Proceeds from Asset Sales that are not applied or
invested as provided in the preceding paragraph will constitute
Excess Proceeds. When the aggregate amount of Excess
Proceeds exceeds $7.5 million, PSI will make an Asset Sale
Offer to all holders of notes to purchase the maximum principal
amount of notes and, if PSI is required to do so under the terms
of any other Indebtedness that is pari passu with the notes,
such other Indebtedness on a pro rata basis with the notes, that
may be purchased out of the Excess Proceeds. The offer price in
any Asset Sale Offer will be equal to 100% of principal amount
plus accrued and unpaid interest and Additional Interest, if
any, to the date of purchase, and will be payable in cash. If
any Excess Proceeds remain after consummation of the purchase of
all properly tendered and not withdrawn notes pursuant to an
Asset Sale Offer, PSI may use such remaining Excess Proceeds for
any purpose not otherwise prohibited by the indenture. If the
aggregate principal amount of notes and other pari passu
Indebtedness tendered into such Asset Sale Offer exceeds the
amount of Excess Proceeds, the trustee will select the notes and
such other pari passu Indebtedness to be purchased on a pro rata
basis. Upon completion of each Asset Sale Offer, the amount of
Excess Proceeds will be reset at zero.
PSI will comply with the requirements of Rule 14e-1 under
the Exchange Act and any other securities laws and regulations
thereunder to the extent those laws and regulations are
applicable in connection with each repurchase of notes pursuant
to an Asset Sale Offer. To the extent that the provisions of any
securities laws or regulations conflict with the Asset Sale
provisions of the indenture, PSI will comply with the applicable
securities laws and regulations and will not be deemed to have
breached its obligations under the Asset Sale provisions of the
indenture by virtue of such compliance.
The agreements governing PSIs outstanding Senior Debt
currently prohibit PSI from purchasing any notes, and also
provides that certain change of control or asset sale events
with respect to PSI would constitute a default under these
agreements. Any future credit agreements or other agreements
relating to Senior Debt to which PSI becomes a party may contain
similar restrictions and provisions. In the event a Change of
Control or Asset Sale occurs at a time when PSI is prohibited
from purchasing notes, PSI could seek the consent of its senior
lenders to the purchase of notes or could attempt to refinance
the borrowings that contain such prohibition. If PSI does not
obtain such a consent or repay such borrowings, PSI will remain
prohibited from purchasing notes. In such case, PSIs
failure to purchase tendered notes would constitute an Event of
Default under the indenture which would, in turn, constitute a
default under such Senior Debt. In such circumstances, the
subordination provisions in the indenture would likely restrict
payments to the holders of notes.
64
Certain Covenants
PSI will not, and will not permit any Restricted Subsidiary to,
directly or indirectly:
|
|
|
(1) declare or pay any dividend or make any other payment
or distribution (A) on account of PSIs or any
Restricted Subsidiarys Equity Interests (including,
without limitation, any payment in connection with any merger or
consolidation involving PSI or any Restricted Subsidiary) or
(B) to the direct or indirect holders of PSIs or any
Restricted Subsidiarys Equity Interests in their capacity
as such (other than dividends or distributions (i) payable
in Equity Interests (other than Disqualified Stock) of PSI or
(ii) to PSI or a wholly owned Restricted Subsidiary or to
all holders of Capital Stock of such Restricted Subsidiary on a
pro rata basis); |
|
|
(2) purchase, redeem or otherwise acquire or retire for
value (including, without limitation, in connection with any
merger or consolidation involving PSI) any Equity Interests of
PSI or any Restricted Subsidiary (other than from PSI or any
Restricted Subsidiary); |
|
|
(3) make any payment on or with respect to, or purchase,
redeem, defease or otherwise acquire or retire for value any
Subordinated Obligations, except a payment of interest or
principal at the Stated Maturity thereof; or |
|
|
(4) make any Restricted Investment (all such payments and
other actions set forth in these clauses (1) through
(4) above being collectively referred to as
Restricted Payments), |
unless, at the time of and after giving effect to such
Restricted Payment:
|
|
|
(a) no Default or Event of Default has occurred and is
continuing; and |
|
|
(b) PSI would, at the time of such Restricted Payment and
after giving pro forma effect thereto as if such Restricted
Payment had been made at the beginning of the most recently
ended four-quarter period, have been permitted to incur at least
$1.00 of additional Indebtedness pursuant to the Fixed Charge
Coverage Ratio test set forth in the first paragraph of the
covenant described below under the caption
Incurrence of Indebtedness and Issuance of
Preferred Stock; and |
|
|
(c) such Restricted Payment, together with the aggregate
amount of all other Restricted Payments made by PSI and the
Restricted Subsidiaries after the date of the indenture
(excluding Restricted Payments permitted by clauses (2),
(3) and (4) of the next succeeding paragraph), is less than the
sum, without duplication, of: |
|
|
|
(I) 50% of the Consolidated Net Income of PSI for the
period (taken as one accounting period) from June 30, 2003
to the end of PSIs most recently ended fiscal quarter for
which internal financial statements are available at the time of
such Restricted Payment (or, if such Consolidated Net Income for
such period is a deficit, less 100% of such deficit), plus |
|
|
(II) 100% of the aggregate net cash proceeds received by
PSI since June 30, 2003 as a contribution to its common
equity capital or from the issue or sale of Equity Interests of
PSI (other than Disqualified Stock) or from the issue or sale of
convertible or exchangeable Disqualified Stock or convertible or
exchangeable debt securities of PSI, in either case, that have
been converted into or exchanged for such Equity Interests of
PSI (other than Equity Interests or Disqualified Stock or debt
securities) sold to a Subsidiary of PSI), plus |
|
|
(III) to the extent that any Restricted Investment that was
made after the date of the indenture is sold for cash or
otherwise liquidated or repaid for cash, the lesser of
(i) the cash proceeds with respect to such Restricted
Investment (less the cost of disposition, if any) and
(ii) the initial amount of such Restricted Investment, plus |
|
|
(IV) in case, after the date hereof, any Unrestricted
Subsidiary has been redesignated as a Restricted Subsidiary
under the terms of the indenture or has been merged,
consolidated or amalgamated with or into, or transfers or
conveys assets to, or is liquidated into PSI or a |
65
|
|
|
Restricted Subsidiary, an amount equal to the lesser of
(1) the net book value at the date of the redesignation,
combination or transfer of the aggregate Investments made by PSI
and the Restricted Subsidiaries in the Unrestricted Subsidiary
(or of the assets transferred or conveyed, as applicable), and
(2) the fair market value of the Investments owned by PSI
and the Restricted Subsidiaries in such Unrestricted Subsidiary
at the time of the redesignation, combination or transfer (or of
the assets transferred or conveyed, as applicable). |
So long as no Default or Event of Default has occurred and is
continuing or would be caused thereby, the preceding provisions
will not prohibit:
|
|
|
(1) the payment of any dividend within 60 days after
the date of declaration of the dividend, if at the date of
declaration the dividend payment would have complied with the
provisions of the indenture; |
|
|
(2) the redemption, repurchase, retirement, defeasance or
other acquisition of any Subordinated Obligations of PSI or any
Guarantor or of any Equity Interests of PSI in exchange for, or
out of the net cash proceeds of the substantially concurrent
sale (other than to a Restricted Subsidiary of PSI) of, Equity
Interests of PSI (other than Disqualified Stock); provided,
however, that the amount of any such net cash proceeds that
are utilized for any such redemption, repurchase, retirement,
defeasance or other acquisition will be excluded from
clause (c)(II) of the preceding paragraph; |
|
|
(3) the redemption, repurchase, defeasance or other
acquisition of any Subordinated Obligations of PSI or any
Guarantor with the net cash proceeds from an incurrence of
Permitted Refinancing Indebtedness; provided, however,
that the amount of any such net cash proceeds that are utilized
for any such redemption, repurchase, retirement, defeasance or
other acquisition will be excluded from clause (c)(II) of
the preceding paragraph; |
|
|
(4) the redemption, repurchase or other acquisition or
retirement for value of any Equity Interests of PSI or any
Restricted Subsidiary of PSI (a) held by any member of
PSIs (or any Restricted Subsidiarys) management
pursuant to any management equity subscription plan or
agreement, stock option or stock purchase plan or agreement or
employee benefit plan as may be adopted by PSI from time to time
or pursuant to any agreement with any director or officer in
existence on the date of the indenture or (b) from an
employee of PSI upon the termination of such employees
employment with PSI; provided, however, that the
aggregate price paid for all such repurchased, redeemed,
acquired or retired Equity Interests in reliance on this
clause (4) may not exceed $5.0 million in any
twelve-month period; |
|
|
(5) repurchases, acquisitions or retirements of Capital
Stock of PSI deemed to occur upon the exercise of stock options
or similar rights under employee benefit plans of PSI or its
Subsidiaries if such Capital Stock represents all or a portion
of the exercise price thereof; |
|
|
(6) other Restricted Payments in an aggregate amount since
the issue date not to exceed $30.0 million. |
The amount of all Restricted Payments (other than cash) will be
the fair market value on the date of the Restricted Payment of
the assets, property or securities proposed to be transferred or
issued by PSI or such Restricted Subsidiary, as the case may be,
pursuant to the Restricted Payment. The fair market value of any
assets or securities that are required to be valued by this
covenant will be determined by the Board of Directors whose
resolution with respect thereto will be delivered to the
trustee. The Board of Directors determination must be
based upon an opinion or appraisal issued by an accounting,
appraisal or investment banking firm of national standing if the
fair market value exceeds $20.0 million. Not later than the
date of making any Restricted Payment, PSI will deliver to the
trustee an officers certificate stating that such
Restricted Payment is permitted and setting forth the basis upon
which the calculations required by this Restricted
Payments covenant were computed, together with a copy of
any fairness opinion or appraisal required by the indenture. If
PSI or a Restricted Subsidiary makes a Restricted Payment which
at the time of the making of such Restricted Payment would in
the good faith determination of PSI be permitted under the
provisions of the Indenture, such Restricted Payment shall be
deemed to have been made in
66
compliance with the Indenture notwithstanding any subsequent
adjustments made in good faith to PSI financial statements
affecting Consolidated Net Income of PSI for any period.
|
|
|
Incurrence of Indebtedness and Issuance of Preferred
Stock |
PSI will not, and will not permit any Restricted Subsidiary to,
directly or indirectly, create, incur, issue, assume, Guarantee
or otherwise become directly or indirectly liable, contingently
or otherwise, with respect to (collectively, incur)
any Indebtedness (including Acquired Debt), and PSI will not
issue any Disqualified Stock and will not permit any Restricted
Subsidiary to issue any shares of preferred stock (including
Disqualified Stock) other than to PSI; provided, however,
that PSI may incur Indebtedness (including Acquired Debt) or
issue Disqualified Stock, any of PSIs Restricted
Subsidiaries that are Guarantors may incur Indebtedness
(including Acquired Indebtedness), if the Fixed Charge Coverage
Ratio for PSIs most recently ended four full fiscal
quarters for which internal financial statements are available
immediately preceding the date on which such additional
Indebtedness is incurred or such Disqualified Stock is issued
would have been at least 2.00 to 1, determined on a pro
forma basis (including a pro forma application of the net
proceeds therefrom), as if the additional Indebtedness had been
incurred or the preferred stock or Disqualified Stock had been
issued, as the case may be, at the beginning of such
four-quarter period.
The first paragraph of this covenant will not prohibit the
incurrence of any of the following items of Indebtedness
(collectively, Permitted Debt):
|
|
|
(1) the incurrence by PSI or any Guarantor of additional
Indebtedness and letters of credit under one or more Credit
Facilities and Guarantees thereof by the Guarantors; provided
that the aggregate principal amount of all Indebtedness and
letters of credit of PSI and the Guarantors incurred pursuant to
this clause (1) (with letters of credit being deemed to
have a principal amount equal to the maximum potential liability
of PSI and the Guarantors thereunder) does not exceed
$525.0 million, less the aggregate amount of Net Proceeds
from an Asset Sale applied by PSI and its Subsidiaries to repay
Indebtedness thereunder, pursuant to the provisions described
under the caption Repurchase at the Option of
Holders Asset Sales; |
|
|
(2) the incurrence by PSI and the Restricted Subsidiaries
of the Existing Indebtedness, including any existing
HUD Financings and the Existing Senior Subordinated Notes; |
|
|
(3) the incurrence by PSI and the Guarantors of
Indebtedness represented by the initial notes (and the related
exchange notes to be issued pursuant to the Registration Rights
Agreement and in exchange for any additional notes) and the
incurrence by the Guarantors of the Subsidiary Guarantees of
those notes and any additional notes; |
|
|
(4) additional HUD Financings incurred after the date
of the indenture in an aggregate principal amount not to exceed
$25.0 million outstanding at any time; |
|
|
(5) the incurrence by PSI or any Restricted Subsidiary of
Indebtedness represented by Capital Lease Obligations, mortgage
financings or purchase money obligations, in each case incurred
for the purpose of financing all or any part of the purchase
price or cost of construction or improvement of property, plant
or equipment used in the business of PSI or such Restricted
Subsidiary, in an aggregate principal amount, including all
Permitted Refinancing Indebtedness incurred to refund, refinance
or replace any Indebtedness incurred pursuant to this
clause (5), not to exceed $20.0 million at any time
outstanding; |
|
|
(6) the incurrence by PSI or any Restricted Subsidiary of
Permitted Refinancing Indebtedness in exchange for, or the net
proceeds of which are used to extend, defease, renew, refund,
refinance or replace Indebtedness (other than intercompany
Indebtedness) that was incurred under the first paragraph of
this covenant or clauses (2), (3), (4), (5), or this
clause (6) of this paragraph; |
67
|
|
|
(7) the incurrence by PSI or any Restricted Subsidiary of
intercompany Indebtedness between or among PSI and any
Restricted Subsidiary; provided, however, that: |
|
|
|
(a) if PSI or a Guarantor is the obligor on such
Indebtedness, such Indebtedness is expressly subordinated to the
prior payment in full in cash of all Obligations with respect to
the notes or the Subsidiary Guarantees, as the case may be; and; |
|
|
(b) (i) any subsequent issuance or transfer of Equity
Interests that results in any such Indebtedness being held by a
Person other than PSI or a Restricted Subsidiary and
(ii) any subsequent sale or other transfer of any such
Indebtedness to a Person that is not either PSI or a Restricted
Subsidiary shall be deemed, in each case, to constitute an
incurrence of such Indebtedness by PSI or such Restricted
Subsidiary, as the case may be, that was not permitted by this
clause (6); |
|
|
|
(8) the incurrence of any Physician Support Obligations by
PSI or any Restricted Subsidiary; |
|
|
(9) the incurrence of Indebtedness of PSI or any Restricted
Subsidiary consisting of guarantees, indemnities, holdbacks or
obligations in respect of purchase price adjustments in
connection with the acquisition or disposition of assets,
including without limitation, shares of Capital Stock of
Restricted Subsidiaries or contingent payment obligations
incurred in connection with the acquisition of assets which are
contingent on the performance of the assets acquired, other than
guarantees of Indebtedness incurred by any Person acquiring all
or any portion of such assets or shares of Capital Stock of such
Restricted Subsidiary for the purpose of financing such
acquisition; |
|
|
(10) the incurrence of Indebtedness of PSI or any
Restricted Subsidiary represented by (a) letters of credit
for the account of PSI or any Restricted Subsidiary or
(b) other obligations to reimburse third parties pursuant
to any surety bond or other similar arrangements, which letters
of credit or other obligations, as the case may be, are intended
to provide security for workers compensation claims,
payment obligations in connection with sales tax and insurance
or other similar requirements in the ordinary course of business; |
|
|
(11) the incurrence by PSI or any Restricted Subsidiary of
Hedging Obligations that are incurred in the normal course of
business and consistent with past business practices for the
purpose of fixing or hedging currency or interest rate risk
(including with respect to any floating rate Indebtedness that
is permitted by the terms of the Indenture to be outstanding in
connection with the conduct of their respective businesses) and
not for speculative purposes; |
|
|
(12) the Guarantee by PSI or any of the Guarantors of
Indebtedness of PSI or a Restricted Subsidiary that was
permitted to be incurred by another provision of this covenant; |
|
|
(13) the incurrence by PSIs Unrestricted Subsidiaries
of Non-recourse Debt; provided, however, that if any such
Indebtedness ceases to be Non-recourse Debt of an Unrestricted
Subsidiary, such event shall be deemed to be an incurrence of
Indebtedness by a Restricted Subsidiary of PSI that was not
permitted by this clause (13); and |
|
|
(14) the incurrence by PSI or any Guarantor of additional
Indebtedness in an aggregate principal amount (or accreted
value, as applicable) at any time outstanding, including all
Permitted Refinancing Indebtedness incurred to refund, refinance
or replace any Indebtedness incurred pursuant to this
clause (14), not to exceed $35.0 million. |
For purposes of determining compliance with this covenant, in
the event that an item of Indebtedness meets the criteria of
more than one of the categories of Permitted Debt described in
clauses (1) through (14) above or is entitled to be
incurred pursuant to the first paragraph of this covenant, in
each case, as of the date of incurrence thereof, PSI shall, in
its sole discretion, classify (or later reclassify in whole or
in part, in its sole discretion) such item of Indebtedness in
any manner that complies with this covenant and such
Indebtedness will be treated as having been incurred pursuant to
such clauses or the first paragraph hereof, as the case may be,
designated by PSI. Indebtedness under Credit Facilities
outstanding on the date on which the notes are first issued and
authenticated under the indenture will be deemed to have
68
been incurred on such date in reliance of the exception provided
by clause (1) of the definition of Permitted Debt. Accrual
of interest or dividends, the accretion of accreted value or
liquidation preference and the payment of interest or dividends
in the form of additional Indebtedness or Disqualified Stock
will not be deemed to be an incurrence of Indebtedness or an
issuance of Disqualified Stock for purposes of this covenant.
PSI will not, and will not permit any Restricted Subsidiary to,
create, incur or assume any consensual Liens of any kind against
or upon any of their respective properties or assets, or any
proceeds, income or profit therefrom that secure Senior
Subordinated Indebtedness or Subordinated Obligations; provided
that:
|
|
|
(1) in the case of Liens securing Subordinated Obligations,
the notes are secured by a Lien on such property, assets,
proceeds, income or profit that is senior in priority to such
Liens; and |
|
|
(2) in the case of Liens securing Senior Subordinated
Indebtedness, the notes are equally and ratably secured by a
Lien on such property, assets, proceeds, income or profit. |
|
|
|
Issuances and Sales of Capital Stock of Restricted
Subsidiaries |
PSI (a) will not, and will not permit any Restricted
Subsidiary to, transfer, convey, sell, lease or otherwise
dispose of any Capital Stock of any Restricted Subsidiary to any
Person (other than to PSI or to any Restricted Subsidiary),
unless:
|
|
|
(1) such transfer, conveyance, sale, lease or other
disposition is of all the Capital Stock of such Restricted
Subsidiary, and |
|
|
(2) the Net Proceeds from such transfer, conveyance, sale,
lease or other disposition are applied in accordance with the
provisions described under Repurchase at the
Option of Holders Asset Sales above; |
provided, however, that this clause (a) will not
apply to any pledge of Capital Stock of any Restricted
Subsidiary securing any Permitted Debt or any exercise of
remedies in connection therewith; provided that the Lien
securing such Permitted Debt is not prohibited by the provisions
of the covenant described above under the caption
Liens;
(b) will not permit any Restricted Subsidiary to issue any
of its Equity Interests (other than, if necessary, shares of its
Capital Stock constituting directors qualifying shares) to
any Person other than PSI or any Restricted Subsidiary;
provided, further, however, that clauses (a) and
(b) shall not prohibit any issuance, sale or other
disposition of Common Stock of a Restricted Subsidiary to one or
more Qualified Physicians if, immediately after giving effect
thereto, such Restricted Subsidiary would remain a Restricted
Subsidiary and PSI will, directly or indirectly, retain at least
80% of the Capital Stock of such Restricted Subsidiary, and the
Net Proceeds from such issuance, sale or other disposition are
applied in accordance with the provisions described under
Repurchase at the Option of
Holders Asset Sales above.
|
|
|
Dividend and Other Payment Restrictions Affecting
Restricted Subsidiaries |
PSI will not, and will not permit any Restricted Subsidiary to,
directly or indirectly, create or permit to exist or become
effective any consensual encumbrance or restriction on the
ability of any Restricted Subsidiary to:
|
|
|
(a) pay dividends or make any other distributions on its
Capital Stock to PSI or any Restricted Subsidiary, or with
respect to any other interest or participation in, or measured
by, its profits, or pay any indebtedness owed to PSI or any
Restricted Subsidiary; |
69
|
|
|
(b) make loans or advances to PSI or any Restricted
Subsidiary; or |
|
|
(c) transfer any of its properties or assets to PSI or any
Restricted Subsidiary. |
However, the preceding restrictions will not apply to
encumbrances or restrictions existing under or by reason of:
|
|
|
(1) agreements governing Existing Indebtedness, Credit
Facilities (including the Credit Agreement) and other agreements
relating to the Financing Transactions as in effect on the date
of the indenture and any amendments, modifications,
restatements, renewals, increases, supplements, refundings,
replacements or refinancings of those agreements; provided
that the amendments, modifications, restatements, renewals,
increases, supplements, refundings, replacement or refinancings
are no more restrictive, taken as a whole, with respect to such
dividend and other payment restrictions than those contained in
those agreements on the date of the indenture; |
|
|
(2) the indenture, the notes and the Subsidiary Guarantees; |
|
|
(3) agreements related to HUD Financing and any amendments
of those agreements; |
|
|
(4) applicable law; |
|
|
(5) any instrument governing Indebtedness or Capital Stock
of a Person acquired by PSI or any Restricted Subsidiary as in
effect at the time of such acquisition (except to the extent
such Indebtedness or Capital Stock was incurred in connection
with or in contemplation of such acquisition), which encumbrance
or restriction is not applicable to any Person, or the
properties or assets of any Person, other than the Person, or
the property or assets of the Person, so acquired; provided
that, in the case of Indebtedness, such Indebtedness was
permitted by the terms of the indenture to be incurred; |
|
|
(6) customary non-assignment provisions in leases and other
contracts entered into in the ordinary course of business and
consistent with industry practices; |
|
|
(7) purchase money obligations for property acquired in the
ordinary course of business that impose restrictions on that
property of the nature described in clause (c) of the first
paragraph of this covenant; |
|
|
(8) any agreement for the sale or other disposition of a
Restricted Subsidiary or the assets of a Restricted Subsidiary
that restricts distributions by that Restricted Subsidiary
pending its sale or other disposition or the sale or other
disposition of its assets; |
|
|
(9) Permitted Refinancing Indebtedness; provided,
however, that the restrictions contained in the agreements
governing such Permitted Refinancing Indebtedness are not
materially more restrictive, taken as a whole, than those
contained in the agreements governing the Indebtedness being
refinanced; |
|
|
(10) Liens securing Indebtedness otherwise permitted to be
incurred under the provisions of the covenant described above
under the caption Liens that limit the
right of the debtor to dispose of the assets subject to such
Liens; and |
|
|
(11) provisions with respect to the disposition or
distribution of assets or property in joint venture agreements,
asset sale agreements, stock sale agreements and other similar
agreements entered into in the ordinary course of business. |
|
|
|
Merger, Consolidation or Sale of Assets |
Neither PSI nor any Guarantor may, directly or indirectly:
(1) consolidate or merge with or into another Person
(whether or not PSI or such Guarantor, as the case may be, is
the surviving corporation)
70
or (2) sell, assign, transfer, convey or otherwise dispose
of all or substantially all of the properties or assets of PSI
or any Guarantor, in one or more related transactions, to
another Person; unless:
|
|
|
(a) PSI or such Guarantor, as the case may be, is the
surviving corporation; or |
|
|
(b) the Person formed by or surviving any such
consolidation or merger (if other than PSI or such Guarantor, as
the case may be) or to which such sale, assignment, transfer,
conveyance or other disposition has been made is a corporation
organized or existing under the laws of the United States, any
state of the United States or the District of Columbia; |
|
|
|
(2) except as otherwise described with respect to the
release of Subsidiary Guarantees of Guarantors under the caption
Subsidiary Guarantees above, the Person formed by or
surviving any such consolidation or merger (if other than PSI or
such Guarantor, as the case may be) or the Person to which such
sale, assignment, transfer, conveyance or other disposition has
been made assumes all the obligations of PSI or such Guarantor,
as the case may be, under the notes and the indenture pursuant
to agreements reasonably satisfactory to the trustee; |
|
|
(3) immediately after such transaction no Default or Event
of Default exists; and |
|
|
(4) except with respect to a consolidation or merger of PSI
with or into a Guarantor, or a Guarantor with or into another
Guarantor, PSI or such Guarantor, as the case may be, or the
Person formed by or surviving any such consolidation or merger
(if other than PSI or such Guarantor), or to which such sale,
assignment, transfer, conveyance or other disposition has been
made will, on the date of such transaction after giving pro
forma effect thereto and any related financing transactions as
if the same had occurred at the beginning of the applicable
four-quarter period, be permitted to incur at least $1.00 of
additional Indebtedness pursuant to the Fixed Charge Coverage
Ratio test set forth in the first paragraph of the covenant
described under the caption Incurrence of
Indebtedness and Issuance of Preferred Stock above. |
Notwithstanding the preceding clause (4), any Restricted
Subsidiary of PSI may consolidate with, merge into or transfer
all or part of its properties and assets to PSI or a Guarantor;
and notwithstanding the preceding clause (2), any Guarantor
may transfer real property that is the subject of a
HUD Financing to a HUD Financing Subsidiary in
connection with a HUD Financing permitted to be incurred
pursuant to the covenant described under
Incurrence of Indebtedness and Issuance of
Preferred Stock.
In addition, PSI may not, directly or indirectly, lease all or
substantially all of its properties or assets, in one or more
related transactions, to any other Person.
Except as described with respect to the release of Subsidiary
Guarantees of Guarantors under the caption Subsidiary
Guarantees above, the entity formed by or surviving any
consolidation or merger (if other than PSI or a Guarantor) will
succeed to, and be substituted for, and may exercise every right
and power of, such Guarantor under the indenture.
|
|
|
Designation of Restricted and Unrestricted
Subsidiaries |
The Board of Directors of PSI may designate any Restricted
Subsidiary to be an Unrestricted Subsidiary if that designation
would not cause a Default. If a Restricted Subsidiary is
designated as an Unrestricted Subsidiary, the aggregate fair
market value of all outstanding Investments owned by PSI and its
Restricted Subsidiaries in the Subsidiary properly designated
will be deemed to be an Investment made as of the time of the
designation and will reduce the amount available for Restricted
Payments under the first paragraph of the covenant described
above under the caption Certain
Covenants Restricted Payments or Permitted
Investments, as determined by PSI. That designation will only be
permitted if the Investment would be permitted at that time and
if the Restricted Subsidiary otherwise meets the definition of
an Unrestricted Subsidiary. The Board of Directors may
redesignate any Unrestricted Subsidiary to be a Restricted
Subsidiary if the redesignation would not cause a Default.
71
|
|
|
Transactions with Affiliates |
PSI will not, and will not permit any Restricted Subsidiary to,
make any payment to, or sell, lease, transfer or otherwise
dispose of any of its properties or assets to, or purchase any
property or assets from, or enter into or make or amend any
transaction, contract, agreement, understanding, loan, advance
or Guarantee with, or for the benefit of, any Affiliate (each,
an Affiliate Transaction), unless:
|
|
|
(1) the Affiliate Transaction is (a) evidenced in
writing if it involves transactions of $2.5 million or more
and (b) is on terms that are no less favorable to PSI or
the relevant Restricted Subsidiary than those that would have
been obtained in a comparable transaction by PSI or such
Restricted Subsidiary with an unrelated Person; and |
|
|
(2) PSI delivers to the trustee: |
|
|
|
(a) with respect to any Affiliate Transaction or series of
related Affiliate Transactions involving aggregate consideration
in excess of $5.0 million, a resolution of the Board of
Directors set forth in an officers certificate certifying
that such Affiliate Transaction complies with this covenant and
that such Affiliate Transaction has been approved by a majority
of the disinterested members of the Board of Directors; and |
|
|
(b) with respect to any Affiliate Transaction or series of
related Affiliate Transactions involving aggregate consideration
in excess of $10.0 million, an opinion as to the fairness
to the PSI or such Restricted Subsidiary from a financial point
of view issued by an accounting, appraisal or investment banking
firm of national standing. |
The following items will not be deemed to be Affiliate
Transactions and, therefore, will not be subject to the
provisions of the prior paragraph:
|
|
|
(1) transactions between or among PSI and/or any Restricted
Subsidiary; |
|
|
(2) sales of Equity Interests (other than Disqualified
Stock) to Affiliates of PSI; and |
|
|
(3) reasonable and customary directors fees,
indemnification and similar arrangements, consulting fees,
employee salaries, bonuses or employment agreements,
compensation or employee benefit arrangements and incentive
arrangements with any officer, director or employee of PSI or a
Restricted Subsidiary entered into in the ordinary course of
business; |
|
|
(4) any transactions made in compliance with the covenant
described above under the caption Restricted
Payments; |
|
|
(5) loans and advances to non-executive officers and
employees of PSI or any Restricted Subsidiary in the ordinary
course of business in accordance with the past practices of PSI
or any Restricted Subsidiary; and |
|
|
(6) any agreement as in effect as of the date of the
indenture or any amendment thereto so long as any such amendment
is not more disadvantageous to the holders in any material
respect than the original agreement as in effect on the date of
the indenture. |
|
|
|
Additional Subsidiary Guarantees |
If PSI or any Restricted Subsidiary acquires or creates another
Subsidiary after the date of the indenture that (1) is
formed under the laws of the United States or any state of the
United States or the District of Columbia and in which PSI or
any Restricted Subsidiary has made an Investment of at least
$0.1 million or (2) incurs, guarantees or otherwise
provides direct credit support for any Indebtedness of PSI or
any of PSIs domestic subsidiaries, then that newly
acquired or created Subsidiary will become a Guarantor and
execute a supplemental indenture and deliver an opinion of
counsel satisfactory to the trustee within 30 business days of
the later of (x) the date on which it was acquired or
created and (y) the date PSI or any Restricted Subsidiary
has made an Investment of at least $1.0 million;
provided, however, that the foregoing shall not apply to
(i) HUD Financing Subsidiaries,
(ii) PSI Surety, Inc. and
72
(iii) Subsidiaries that have properly been designated as
Unrestricted Subsidiaries in accordance with the indenture. The
Subsidiary Guarantee of any such newly acquired or created
Subsidiary that becomes a Guarantor will be subordinated to all
Indebtedness under the Credit Agreement and all other Senior
Debt of such Guarantor to the same extent as the notes are
subordinated to the Senior Debt of PSI.
PSI will not incur, create, issue, assume, Guarantee or
otherwise become liable for any Indebtedness that is subordinate
or junior in right of payment to any Senior Debt of PSI and
senior in any respect in right of payment to the notes;
provided, however, that no Indebtedness of PSI will be
deemed to be contractually subordinated in right of payment
solely by virtue of being unsecured. No Guarantor will incur,
create, issue, assume, Guarantee or otherwise become liable for
any Indebtedness that is subordinate or junior in right of
payment to the Senior Debt of such Guarantor and senior in any
respect in right of payment to such Guarantors Subsidiary
Guarantee; provided, however, that no Indebtedness of a
Guarantor will be deemed to be contractually subordinated in
right of payment solely by virtue of being unsecured.
PSI will not, and will not permit any Subsidiary to, engage in
any business other than Permitted Businesses, except to such
extent as would not be material to PSI and its Subsidiaries
taken as a whole.
PSI will not, and will not permit any Restricted Subsidiary to,
directly or indirectly, pay or cause to be paid any
consideration to or for the benefit of any holder of notes for
or as an inducement to any consent, waiver or amendment of any
of the terms or provisions of the indenture or the notes unless
such consideration is offered to be paid and is paid to all
holders of the notes that consent, waive or agree to amend in
the time frame set forth in the solicitation documents relating
to such consent, waiver or agreement.
Whether or not required by the Commission, so long as any notes
are outstanding, PSI will furnish to the holders of notes,
within the time periods specified in the Commissions rules
and regulations:
|
|
|
(1) all quarterly and annual financial information that
would be required to be contained in a filing with the
Commission on Forms 10-Q and 10-K if PSI were required to
file such Forms, including a Managements Discussion
and Analysis of Financial Condition and Results of
Operations and, with respect to the annual information
only, a report on the annual financial statements by PSIs
certified independent accountants; and |
|
|
(2) all current reports that would be required to be filed
with the Commission on Form 8-K if PSI were required to
file such reports. |
If PSI has designated any of its Subsidiaries as Unrestricted
Subsidiaries, then the quarterly and annual financial
information required by the preceding paragraph will include a
reasonably detailed presentation, either on the face of the
financial statements or in the footnotes thereto, and if PSI or
any of its Restricted Subsidiaries has made an Investment of at
least $0.1 million in such Unrestricted Subsidiary, in
Managements Discussion and Analysis of Financial Condition
and Results of Operations, of the financial condition and
results of operations of PSI and its Restricted Subsidiaries
separate from the financial condition and results of operations
of the Unrestricted Subsidiaries of PSI.
In addition, following the consummation of the exchange offer,
whether or not required by the Commission, PSI will file a copy
of all of the information and reports referred to in
clauses (1) and (2) above with the Commission for public
availability within the time periods specified in the
Commissions rules and regulations (unless the Commission
will not accept such a filing) and make such information
73
available to securities analysts and prospective investors upon
request. In addition, PSI and the Guarantors have agreed that,
for so long as any notes remain outstanding, they will furnish
to the holders and to securities analysts and prospective
investors, upon their request, the information required to be
delivered pursuant to Rule 144A(d)(4) under the Securities
Act.
Events of Default and Remedies
Each of the following is an Event of Default:
|
|
|
(1) default for 30 days in the payment when due of
interest on, or Additional Interest with respect to, the notes
(whether or not prohibited by the subordination provisions of
the indenture); |
|
|
(2) default in payment when due of the principal of or
premium, if any, on the notes (whether or not prohibited by the
subordination provisions of the indenture); |
|
|
(3) failure by PSI or any Restricted Subsidiary to comply
with the provisions described under the caption
Merger, Consolidation or Sale of Assets; |
|
|
(4) failure by PSI or any Restricted Subsidiary for
30 days after notice to comply with the provisions
described under the captions Repurchase at the Option of
Holders Asset Sales, Repurchase at the
Option of Holders Change of Control,
Certain Covenants Restricted
Payments, Incurrence of Indebtedness and
Issuance of Preferred Stock; provided, however, that a
default under the Existing Senior Subordinated Notes with
respect to the covenants described under
Certain Covenants Restricted
Payments or Incurrence of Indebtedness
and Issuance of Preferred Stock shall be a default under
the indenture notwithstanding the 30-day grace period provided
for in this clause (3); |
|
|
(5) failure by PSI or any Restricted Subsidiary for
60 days after notice to comply with any of its other
agreements in the indenture or the notes; |
|
|
(6) default under any mortgage, indenture or instrument
under which there may be issued or by which there may be secured
or evidenced any Indebtedness for money borrowed by PSI or any
Restricted Subsidiary (or the payment of which is guaranteed by
PSI or any Restricted Subsidiary) whether such Indebtedness or
Guarantee now exists, or is created after the date of the
indenture, if that default: |
|
|
|
(a) is caused by a failure to pay principal of, or interest
or premium, if any, on such Indebtedness prior to the expiration
of the grace period provided in such Indebtedness on the date of
such default (a Payment Default); or |
|
|
(b) results in the acceleration of such Indebtedness prior
to its express maturity, |
|
|
|
and, in each case, the principal amount of any such
Indebtedness, together with the principal amount of any other
such Indebtedness under which there has been a Payment Default
or the maturity of which has been so accelerated, aggregates
$5.0 million or more, so long as the Existing Senior
Subordinated Notes remain outstanding, and $10.0 million or
more thereafter; |
|
|
|
(7) failure by PSI or any Restricted Subsidiary to pay
final judgments aggregating in excess of $5.0 million, so
long as the Existing Senior Subordinated Notes remain
outstanding, and $10.0 million or more thereafter, which
judgments are not paid, discharged or stayed for a period of
60 days; |
|
|
(8) except as permitted by the indenture, any Subsidiary
Guarantee shall be held in any judicial proceeding to be
unenforceable or invalid or shall cease for any reason to be in
full force and effect or any Guarantor, or any Person acting on
behalf of any Guarantor, shall deny or disaffirm its obligations
under its Subsidiary Guarantee; and |
|
|
(9) certain events of bankruptcy or insolvency described in
the indenture with respect to PSI or any Significant Subsidiary
or any group of Subsidiaries that, taken together, would
constitute a Significant Subsidiary. |
74
In the case of an Event of Default arising from certain events
of bankruptcy or insolvency, with respect to PSI, any Subsidiary
that would constitute a Significant Subsidiary or any group of
Subsidiaries that, taken together, would constitute a
Significant Subsidiary, all outstanding notes will become due
and payable immediately without further action or notice. If any
other Event of Default occurs and is continuing, the trustee or
the holders of at least 25% in principal amount of the then
outstanding notes may declare all the notes to be due and
payable immediately.
Holders of the notes may not enforce the indenture or the notes
except as provided in the indenture. Subject to certain
limitations, holders of a majority in principal amount of the
then outstanding notes may direct the trustee in its exercise of
any trust or power. The trustee may withhold from holders of the
notes notice of any continuing Default or Event of Default if it
determines that withholding notes is in their interest, except a
Default or Event of Default relating to the payment of principal
or interest or Additional Interest.
The holders of at least a majority in aggregate principal amount
of the notes then outstanding by notice to the trustee may on
behalf of the holders of all of the notes waive any existing
Default or Event of Default and its consequences under the
indenture except a continuing Default or Event of Default in the
payment of interest or Additional Interest on, or the principal
of, the notes.
In the case of any Event of Default occurring by reason of any
willful action or inaction taken or not taken by or on behalf of
PSI with the intention of avoiding payment of the premium that
PSI would have had to pay if PSI then had elected to redeem the
notes pursuant to the optional redemption provisions of the
indenture, an equivalent premium will also become and be
immediately due and payable to the extent permitted by law upon
the acceleration of the notes. If an Event of Default occurs by
reason of any willful action (or inaction) taken (or not taken)
by or on behalf of PSI with the intention of avoiding the
prohibition on redemption of the notes, then the premium
specified in the indenture will also become immediately due and
payable to the extent permitted by law upon the acceleration of
the notes.
PSI is required to deliver to the trustee annually a statement
regarding compliance with the indenture. Upon becoming aware of
any Default or Event of Default, PSI is required to deliver to
the trustee a statement specifying such Default or Event of
Default.
No Personal Liability of Directors, Officers, Employees and
Stockholders
No director, officer, employee, incorporator or stockholder of
PSI or any Guarantor, as such, will have any liability for any
obligations of PSI or the Guarantors under the notes, the
indenture, the Subsidiary Guarantees, or for any claim based on,
in respect of, or by reason of, such obligations or their
creation. Each holder of notes by accepting a note waives and
releases all such liability. The waiver and release are part of
the consideration for issuance of the notes. The waiver may not
be effective to waive liabilities under the federal securities
laws.
Legal Defeasance and Covenant Defeasance
PSI may, at its option and at any time, elect to have all of its
obligations discharged with respect to the outstanding notes and
all obligations of the Guarantors discharged with respect to
their Subsidiary Guarantees (Legal Defeasance)
except for:
|
|
|
(1) the rights of holders of outstanding notes to receive
payments in respect of the principal of, or interest or premium
and Additional Interest, if any, on such notes when such
payments are due from the trust referred to below; |
|
|
(2) PSIs obligations with respect to the notes
concerning issuing temporary notes, registration of notes,
mutilated, destroyed, lost or stolen notes and the maintenance
of an office or agency for payment and money for security
payments held in trust; |
75
|
|
|
(3) the rights, powers, trusts, duties and immunities of
the trustee, and PSIs and the Guarantors obligations
in connection therewith; and |
|
|
(4) the Legal Defeasance provisions of the indenture. |
In addition, PSI may, at its option and at any time, elect to
have the obligations of PSI and the Guarantors released with
respect to certain covenants that are described in the indenture
(Covenant Defeasance) and thereafter any omission to
comply with those covenants will not constitute a Default or
Event of Default with respect to the notes. In the event
Covenant Defeasance occurs, certain events (not including
non-payment, bankruptcy, receivership, rehabilitation and
insolvency events) described under Events of
Default and Remedies will no longer constitute an Event of
Default with respect to the notes.
In order to exercise either Legal Defeasance or Covenant
Defeasance:
|
|
|
(1) PSI must irrevocably deposit with the trustee, in
trust, for the benefit of the holders of the notes, cash in
U.S. dollars, non-callable Government Securities, or a
combination of cash in U.S. dollars and non-callable
Government Securities, in amounts as will be sufficient, in the
opinion of a nationally recognized firm of independent public
accountants, to pay the principal of, or interest and premium
and Additional Interest, if any, on the outstanding notes on the
stated maturity or on the applicable redemption date, as the
case may be, and PSI must specify whether the notes are being
defeased to maturity or to a particular redemption date; |
|
|
(2) in the case of Legal Defeasance, PSI has delivered to
the trustee an opinion of counsel reasonably acceptable to the
trustee confirming that (a) PSI has received from, or there
has been published by, the Internal Revenue Service a ruling or
(b) since the date of the indenture, there has been a
change in the applicable federal income tax law, in either case
to the effect that, and based thereon such opinion of counsel
will confirm that, the holders of the outstanding notes will not
recognize income, gain or loss for federal income tax purposes
as a result of such Legal Defeasance and will be subject to
federal income tax on the same amounts, in the same manner and
at the same times as would have been the case if such Legal
Defeasance had not occurred; |
|
|
(3) in the case of Covenant Defeasance, PSI has delivered
to the trustee an opinion of counsel reasonably acceptable to
the trustee confirming that the holders of the outstanding notes
will not recognize income, gain or loss for federal income tax
purposes as a result of such Covenant Defeasance and will be
subject to federal income tax on the same amounts, in the same
manner and at the same times as would have been the case if such
Covenant Defeasance had not occurred; |
|
|
(4) no Default or Event of Default has occurred and is
continuing on the date of such deposit (other than a Default or
Event of Default resulting from the borrowing of funds to be
applied to such deposit); |
|
|
(5) such Legal Defeasance or Covenant Defeasance will not
result in a breach or violation of, or constitute a default
under any material agreement or instrument (other than the
indenture) to which PSI or any of its Subsidiaries is a party or
by which PSI or any of its Subsidiaries is bound; |
|
|
(6) PSI must deliver to the trustee an officers
certificate stating that the deposit was not made by PSI with
the intent of preferring the holders of notes over the other
creditors of PSI with the intent of defeating, hindering,
delaying or defrauding creditors of PSI or others; and |
|
|
(7) PSI must deliver to the trustee an officers
certificate and an opinion of counsel, each stating that all
conditions precedent relating to the Legal Defeasance or the
Covenant Defeasance have been complied with. |
Amendment, Supplement and Waiver
Except as provided in the next two succeeding paragraphs, the
indenture or the notes may be amended or supplemented with the
consent of the holders of at least a majority in principal
amount of the
76
notes then outstanding (including, without limitation, consents
obtained in connection with a purchase of, or tender offer or
exchange offer for, notes), and any existing default or
compliance with any provision of the indenture or the notes may
be waived with the consent of the holders of a majority in
principal amount of the then outstanding notes (including,
without limitation, consents obtained in connection with a
purchase of, or tender offer or exchange offer for, notes).
Without the consent of each holder affected, an amendment or
waiver may not (with respect to any notes held by a
non-consenting holder):
|
|
|
(1) reduce the principal amount of notes whose holders must
consent to an amendment, supplement or waiver; |
|
|
(2) reduce the principal of or change the fixed maturity of
any note or alter the provisions with respect to the redemption
or repurchase of the notes relating to the covenant (and
applicable definitions) described under the caption
Repurchase at the Option of
Holders Change of Control above; |
|
|
(3) reduce the rate of or change the time for payment of
interest on any note; |
|
|
(4) waive a Default or Event of Default in the payment of
principal of, or interest or premium, or Additional Interest, if
any, on the notes (except a rescission of acceleration of the
notes by the holders of at least a majority in aggregate
principal amount of the notes and a waiver of the payment
default that resulted from such acceleration); |
|
|
(5) make any note payable in money other than that stated
in the notes; |
|
|
(6) make any change in the provisions (including applicable
definitions) of the indenture relating to waivers of past
Defaults or the rights of holders of notes to receive payments
of principal of, or interest or premium or Additional Interest,
if any, on the notes; |
|
|
(7) waive a redemption or repurchase payment with respect
to any note (including a payment required by the provisions
described under the caption Repurchase at the
Option of Holders above); |
|
|
(8) make any change in any Subsidiary Guarantees that would
adversely affect the holders of the notes or release any
Guarantor from any of its obligations under its Subsidiary
Guarantee or the indenture, except in accordance with the terms
of the indenture; |
|
|
(9) make any change to the subordination provisions of the
indenture (including applicable definitions) that would
adversely affect the holders of the notes; or |
|
|
(10) make any change in the preceding amendment and waiver
provisions. |
Under the Credit Agreement, any amendment to the provisions of
the indenture relating to the subordination provisions will
require the consent of the lenders under the Credit Agreement or
the agent therefor, acting on their behalf.
Notwithstanding the preceding, without the consent of any holder
of notes, PSI, the Guarantors and the trustee may amend or
supplement the indenture or the notes:
|
|
|
(1) to cure any ambiguity, defect or inconsistency; |
|
|
(2) to provide for uncertificated notes in addition to or
in place of certificated notes; |
|
|
(3) to provide for the assumption of PSIs obligations
to holders of notes in the case of a merger or consolidation or
sale of all or substantially all of PSIs assets; |
|
|
(4) to make any change that would provide any additional
rights or benefits to the holders of notes or that does not
adversely affect the legal rights under the indenture of any
such holder; |
|
|
(5) to provide for or confirm the issuance of additional
notes otherwise permitted to be incurred by the
indenture; or |
77
|
|
|
(6) to comply with requirements of the Commission in order
to effect or maintain the qualification of the indenture under
the Trust Indenture Act. |
Satisfaction and Discharge
The indenture will be discharged and will cease to be of further
effect as to all notes issued thereunder, when:
|
|
|
(a) all notes that have been authenticated, except lost,
stolen or destroyed notes that have been replaced or paid and
notes for whose payment money has been deposited in trust and
thereafter repaid to PSI, have been delivered to the trustee for
cancellation; or |
|
|
(b) all notes that have not been delivered to the trustee
for cancellation have become due and payable by reason of the
mailing of a notice of redemption or otherwise or will become
due and payable within one year, and PSI has irrevocably
deposited or caused to be deposited with the trustee as trust
funds in trust solely for the benefit of the holders, cash in
U.S. dollars, non-callable U.S. Government Securities,
or a combination of cash in U.S. dollars and non-callable
U.S. Government Securities, in such amounts as will be
sufficient without consideration of any reinvestment of
interest, to pay and discharge the entire indebtedness on the
notes not delivered to the trustee for cancellation for
principal, premium and Additional Interest, if any, and accrued
interest to the date of maturity or redemption; |
|
|
|
(2) no Default or Event of Default has occurred and is
continuing on the date of the deposit or will occur as a result
of the deposit and the deposit will not result in a breach or
violation of, or constitute a default under, any other
instrument to which PSI or any Guarantor is a party or by which
PSI or any Guarantor is bound; |
|
|
(3) PSI has paid or caused to be paid all sums payable by
it under the indenture; and |
|
|
(4) PSI has delivered irrevocable instructions to the
trustee under the indenture to apply the deposited money toward
the payment of the notes at maturity or the redemption date, as
the case may be. |
In addition, PSI must deliver an officers certificate and
an opinion of counsel to the trustee stating that all conditions
precedent to satisfaction and discharge have been satisfied.
Concerning the Trustee
If the trustee becomes a creditor of PSI or any Guarantor, the
indenture limits its right to obtain payment of claims in
certain cases, or to realize on certain property received in
respect of any such claim as security or otherwise. The trustee
will be permitted to engage in other transactions;
however, if it acquires any conflicting interest, it must
(i) eliminate such conflict within 90 days,
(ii) apply to the Commission for permission to continue or
(iii) resign.
The holders of a majority in principal amount of the then
outstanding notes will have the right to direct the time, method
and place of conducting any proceeding for exercising any remedy
available to the trustee, subject to certain exceptions. The
indenture provides that in case an Event of Default occurs and
is continuing, the trustee will be required, in the exercise of
its power, to use the degree of care of a prudent man in the
conduct of his own affairs. Subject to such provisions, the
trustee will be under no obligation to exercise any of its
rights or powers under the indenture at the request of any
holder of notes, unless such holder has offered to the trustee
security and indemnity satisfactory to it against any loss,
liability or expense.
78
Certain Definitions
Set forth below are certain defined terms used in the indenture.
Reference is made to the indenture for a full disclosure of all
such terms, as well as any other capitalized terms used herein
for which no definition is provided.
Acquired Debt means, with respect to any
specified Person:
|
|
|
(1) Indebtedness of any other Person existing at the time
such other Person is merged with or into or became a Subsidiary
of such specified Person, whether or not such Indebtedness is
incurred in connection with, or in contemplation of, such other
Person merging with or into, or becoming a Subsidiary of, such
specified Person; and |
|
|
(2) Indebtedness secured by a Lien encumbering any asset
acquired by such specified Person. |
Additional Interest means the additional
interest, if any, to be paid on the notes as described under
Registration Rights; Additional Interest.
Affiliate of any specified Person means any
other Person directly or indirectly controlling or controlled by
or under direct or indirect common control with such specified
Person. For purposes of this definition, control, as
used with respect to any Person, means the possession, directly
or indirectly, of the power to direct or cause the direction of
the management or policies of such Person, whether through the
ownership of voting securities, by agreement or otherwise;
provided that beneficial ownership of 10% or more of the Voting
Stock of a Person will be deemed to be control. For purposes of
this definition, the terms controlling,
controlled by and under common control
with have correlative meanings.
Asset Sale means the sale, lease, transfer,
conveyance or other disposition of any assets or rights, other
than sales, leases, transfers, conveyances or other dispositions
of inventory in the ordinary course of business consistent with
past practices; provided that the sale, conveyance or other
disposition of all or substantially all of the assets of PSI and
its Restricted Subsidiaries taken as a whole will be governed by
the provisions of the indenture described above under the
caption Repurchase at the Option of
Holders Change of Control and/or the
provisions described above under the caption
Certain Covenants Merger,
Consolidation or Sale of Assets and not by the provisions
described under the caption Repurchase at the
Option of Holders Asset Sales.
Notwithstanding the preceding, the following items will not be
deemed to be Asset Sales:
|
|
|
(1) any single transaction or series of related
transactions that involves assets having a fair market value of
less than $5.0 million; |
|
|
(2) a sale, lease, transfer, conveyance or other
disposition of assets between or among PSI and its Restricted
Subsidiaries; |
|
|
(3) an issuance of Equity Interests by a Restricted
Subsidiary to PSI or to another Restricted Subsidiary; |
|
|
(4) a sale, lease, transfer, conveyance or other
disposition effected in compliance with the provisions described
under the caption Merger, Consolidation or
Sale of Assets; |
|
|
(5) a Restricted Payment or Permitted Investment that is
permitted by the covenant described above under the caption
Certain Covenants Restricted
Payments; |
|
|
(6) a transfer or property or assets that are obsolete,
damaged or worn out equipment and that are no longer useful in
the conduct of PSI or its Subsidiaries business and that
is disposed of in the ordinary course of business; and |
|
|
(7) a Permitted Asset Swap. |
Attributable Debt in respect of a sale and
leaseback transaction means, at the time of determination, the
present value of the obligation of the lessee for net rental
payments during the remaining term of the lease included in such
sale and leaseback transaction including any period for which
such lease has been
79
extended or may, at the option of the lessor, be extended. Such
present value shall be calculated using a discount rate equal to
the rate of interest implicit in such transaction, determined in
accordance with GAAP.
Beneficial Owner has the meaning assigned to
such term in Rule 13d-3 and Rule 13d-5 under the
Exchange Act, except that in calculating the beneficial
ownership of any particular person (as that term is
used in Section 13(d)(3) of the Exchange Act), such
person will be deemed to have beneficial ownership
of all securities that such person has the right to
acquire by conversion or exercise of other securities, whether
such right is currently exercisable or is exercisable only upon
the occurrence of a subsequent condition. The terms
Beneficially Owns and Beneficially Owned
have a corresponding meaning.
Board of Directors means:
|
|
|
(1) with respect to a corporation, the board of directors
of the corporation; |
|
|
(2) with respect to a partnership, the Board of Directors
of the general partner of the partnership; and |
|
|
(3) with respect to any other Person, the board or
committee of such Person serving a similar function. |
Capital Lease Obligation means, at the time
any determination is to be made, the amount of the liability in
respect of a capital lease that would at that time be required
to be capitalized on a balance sheet in accordance with GAAP.
Capital Stock means:
|
|
|
(1) in the case of a corporation, corporate stock; |
|
|
(2) in the case of an association or business entity, any
and all shares, interests, participations, rights or other
equivalents (however designated) of corporate stock; |
|
|
(3) in the case of a partnership or limited liability
company, partnership or membership interests (whether general or
limited); and |
|
|
(4) any other interest or participation that confers on a
Person the right to receive a share of the profits and losses
of, or distributions of assets of, the issuing Person. |
Cash Equivalents means:
|
|
|
(1) United States dollars; |
|
|
(2) securities issued or directly and fully guaranteed or
insured by the United States government or any agency or
instrumentality of the United States government (provided that
the full faith and credit of the United States is pledged in
support of those securities) having maturities of not more than
six months from the date of acquisition; |
|
|
(3) certificates of deposit and eurodollar time deposits
with maturities of six months or less from the date of
acquisition, bankers acceptances with maturities not
exceeding six months and overnight bank deposits, in each case,
with any lender party to the Credit Agreement or with any
domestic commercial bank having capital and surplus in excess of
$500.0 million and a Thomson Bank Watch Rating of
B or better; |
|
|
(4) repurchase obligations with a term of not more than
seven days for underlying securities of the types described in
clauses (2) and (3) above entered into with any
financial institution meeting the qualifications specified in
clause (3) above; |
|
|
(5) commercial paper rated at least A-1 by
Standard & Poors Rating Services or at least P-1
by Moodys Investors Service, Inc., and in each case
maturing within six months after the date of
acquisition; and |
80
|
|
|
(6) money market funds at least 95% of the assets of which
constitute Cash Equivalents of the kinds described in
clauses (1) through (5) of this definition. |
Change of Control means the occurrence of any
of the following:
|
|
|
(1) the direct or indirect sale, transfer, conveyance or
other disposition (other than by way of merger or
consolidation), in one or a series of related transactions, of
all or substantially all of the properties or assets of PSI and
its Restricted Subsidiaries, taken as a whole, to any
person (as that term is used in
Section 13(d)(3) of the Exchange Act); |
|
|
(2) the adoption of a plan relating to the liquidation or
dissolution of PSI; |
|
|
(3) the consummation of any transaction (including, without
limitation, any merger or consolidation) the result of which is
that any person (as defined above) becomes the
Beneficial Owner, directly or indirectly, of more than 30% of
the Voting Stock of PSI, measured by voting power rather than
number of shares; |
|
|
(4) the consummation by PSI of any going
private transaction that would constitute a
Rule 13e-3 transaction as defined in the
Exchange Act; |
|
|
(5) the first day on which a majority of the members of the
Board of Directors of PSI are not Continuing Directors; or |
|
|
(6) PSI consolidates with, or merges with or into, any
Person, or any Person consolidates with, or merges with or into,
PSI, in any such event pursuant to a transaction in which any of
the outstanding Voting Stock of PSI or such other Person is
converted into or exchanged for cash, securities or other
property, other than any such transaction where the Voting Stock
of PSI outstanding immediately prior to such transaction is
converted into or exchanged for Voting Stock (other than
Disqualified Stock) of the surviving or transferee Person
constituting a majority of the outstanding shares of such Voting
Stock of such surviving or transferee Person (immediately after
giving effect to such issuance). |
Commission means the Securities and Exchange
Commission.
Consolidated Cash Flow means, with respect to
any specified Person for any period, the Consolidated Net Income
of such Person for such period plus:
|
|
|
(1) an amount equal to any extraordinary loss plus any net
loss realized by such Person or any of its Subsidiaries in
connection with an Asset Sale, to the extent such losses were
deducted in computing such Consolidated Net Income; plus |
|
|
(2) provision for taxes based on income or profits of such
Person and its Restricted Subsidiaries for such period, to the
extent that such provision for taxes was deducted in computing
such Consolidated Net Income; plus |
|
|
(3) consolidated interest expense of such Person and its
Restricted Subsidiaries for such period, whether paid or accrued
and whether or not capitalized (including, without limitation,
amortization of debt issuance costs and original issue discount,
non-cash interest payments, the interest component of any
deferred payment obligations, the interest component of all
payments associated with Capital Lease Obligations, imputed
interest with respect to Attributable Debt, commissions,
discounts and other fees and charges incurred in respect of
letter of credit or bankers acceptance financings, and net
of the effect of all payments made or received pursuant to
Hedging Obligations), to the extent that any such expense was
deducted in computing such Consolidated Net Income; plus |
|
|
(4) depreciation, amortization (including amortization of
goodwill and other intangibles but excluding amortization of
prepaid cash expenses that were paid in a prior period) and
other non-cash expenses (excluding any such non-cash expense to
the extent that it represents an accrual of or reserve for
expenses to be paid in cash in any future period) of such Person
and its Restricted |
81
|
|
|
Subsidiaries for such period to the extent that such
depreciation, amortization and other non-cash expenses were
deducted in computing such Consolidated Net Income; minus |
|
|
(5) non-cash items increasing such Consolidated Net Income
for such period, other than the accrual of revenue in the
ordinary course of business, |
in each case, on a consolidated basis and determined in
accordance with GAAP.
Consolidated Net Income means, with respect
to any specified Person for any period, the aggregate of the Net
Income of such Person and its Restricted Subsidiaries for such
period, on a consolidated basis, determined in accordance with
GAAP; provided that:
|
|
|
(1) the Net Income (but not loss) of any Person that is not
a Restricted Subsidiary or that is accounted for by the equity
method of accounting will be included only to the extent of the
amount of dividends or distributions paid in cash to the
specified Person or a Restricted Subsidiary of the Person; |
|
|
(2) the Net Income of any Restricted Subsidiary will be
excluded to the extent that the declaration or payment of
dividends or similar distributions by that Restricted Subsidiary
of that Net Income is not at the date of determination permitted
without any prior governmental approval (that has not been
obtained) or, directly or indirectly, by operation of the terms
of its charter or any agreement, instrument, judgment, decree,
order, statute, rule or governmental regulation applicable to
that Restricted Subsidiary or its stockholders; |
|
|
(3) the Net Income of any Person acquired in a pooling of
interests transaction for any period prior to the date of such
acquisition will be excluded; and |
|
|
(4) the cumulative effect of a change in accounting
principles will be excluded. |
Consolidated Net Tangible Assets means as of
any date of determination, the sum of the amounts that would
appear on a consolidated balance sheet of PSI and its
consolidated Restricted Subsidiaries as the total assets (less
accumulated depreciation and amortization, allowances for
doubtful receivables, other applicable reserves and other
properly deductible items) of PSI and its Restricted
Subsidiaries, after giving effect to purchase accounting, and
after deducting therefrom consolidated current liabilities and,
to the extent otherwise included, the amounts of (without
duplication):
|
|
|
(1) the excess of cost over fair market value of assets or
businesses acquired; |
|
|
(2) any revaluation or other write-up in book value of
assets subsequent to the last day of the fiscal quarter of PSI
immediately preceding the date of issuance of the notes as a
result of a change in the method of valuation in accordance with
GAAP; |
|
|
(3) unamortized debt discount and expenses and other
unamortized deferred charges, goodwill, patents, trademarks,
service marks, trade names, copyrights, licenses, organization
or developmental expenses and other intangible items; |
|
|
(4) minority interests in consolidated subsidiaries held by
Persons other than PSI or any Restricted Subsidiary; |
|
|
(5) treasury stock; |
|
|
(6) cash or securities set aside and held in a sinking or
other analogous fund established for the purpose of redemption
or other retirement of Capital Stock to the extent such
obligation is not reflected in Consolidated Current
Liabilities; and |
|
|
(7) Investments in and assets of Unrestricted Subsidiaries. |
82
Continuing Directors means, as of any date of
determination, any member of the Board of Directors of PSI who:
|
|
|
(1) was a member of such Board of Directors on the date of
the indenture; or |
|
|
(2) was nominated for election or elected to such Board of
Directors with the approval of a majority of the Continuing
Directors who were members of such Board at the time of such
nomination or election. |
Credit Agreement means the Second Amended and
Restated Credit Agreement, dated as of the date hereof, among
PSI, the Guarantors party thereto, Citicorp North America, Inc.,
as term loan facility administrative agent, Bank of America,
N.A., as revolving credit facility administrative agent,
collateral agent and swing line lender, Citigroup Global Markets
Inc. and Banc of America Securities LLC, as co-syndication
agents, Citigroup Global Markets Inc., as documentation agent
and as sole lead arranger and sole book manager, and the lenders
from time to time party thereto, providing for up to
$150.0 million of revolving credit borrowings and
$325.0 million of term borrowings, including any related
notes, guarantees, collateral documents, instruments and
agreements executed in connection therewith, and in each case as
amended, restated, modified, renewed, refunded, replaced or
refinanced (in whole or in part) from time to time, whether or
not with the same lenders or agent.
Credit Facilities means, one or more debt
facilities or agreements (including, without limitation, the
Credit Agreement) or commercial paper facilities, in each case
with banks or other institutional lenders or investors providing
for revolving credit loans, term loans, receivables financing
(including through the sale of receivables to such lenders or to
special purpose entities formed to borrow from such lenders
against such receivables) or letters of credit, in each case, as
amended, restated, modified, renewed, refunded, replaced or
refinanced (including any agreement to extend the maturity
thereof and adding additional borrowers or guarantors) in whole
or in part from time to time under the same or any other agent,
lender or group of lenders and including increasing the amount
of available borrowings thereunder; provided that such increase
is permitted by the Incurrence of Indebtedness
and Issuance of Preferred Stock covenant above.
Default means any event that is, or with the
passage of time or the giving of notice or both would be, an
Event of Default.
Designated Senior Debt means (i) any
Indebtedness outstanding under the Credit Agreement and
(ii) any other Senior Debt permitted hereunder the
principal amount of which is $25.0 million or more and that
has been designated by PSI as Designated Senior Debt.
Disqualified Stock means any Capital Stock
that, by its terms (or by the terms of any security into which
it is convertible, or for which it is exchangeable, in each case
at the option of the holder of the Capital Stock), or upon the
happening of any event, matures or is mandatorily redeemable,
pursuant to a sinking fund obligation or otherwise, or
redeemable at the option of the holder of the Capital Stock, in
whole or in part, on or prior to the date that is 91 days
after the date on which the notes mature. Notwithstanding the
preceding sentence, any Capital Stock that would constitute
Disqualified Stock solely because the holders of the Capital
Stock have the right to require PSI to repurchase such Capital
Stock upon the occurrence of a change of control or an asset
sale will not constitute Disqualified Stock if the terms of such
Capital Stock provide that PSI may not repurchase or redeem any
such Capital Stock pursuant to such provisions unless such
repurchase or redemption complies with the covenant described
above under the caption Certain
Covenants Restricted Payments.
Domestic Subsidiary means any Restricted
Subsidiary of PSI that was formed under the laws of the United
States or any state or territory of the United States or the
District of Columbia or that guarantees or otherwise provides
direct credit support for any Indebtedness of PSI.
Equity Interests means Capital Stock and all
warrants, options or other rights to acquire Capital Stock (but
excluding any debt security that is convertible into, or
exchangeable for, Capital Stock).
Equity Offering means any private or public
sale of common stock of PSI.
83
Existing Indebtedness means Indebtedness
existing on the date of the indenture (other than Indebtedness
under the indenture governing the notes and the Credit
Agreement), including the Existing Senior Subordinated Notes and
any existing HUD Financings.
Existing Senior Subordinated Notes means the
$100,000,000 aggregate principal amount of PSIs
105/8% Senior
Subordinated Notes due 2013.
Fixed Charges means, with respect to any
specified Person for any period, the sum, without duplication,
of:
|
|
|
(1) the consolidated interest expense of such Person and
its Restricted Subsidiaries for such period, whether paid or
accrued, including, without limitation, non-cash interest
payments, the interest component of any deferred payment
obligations, the interest component of all payments associated
with Capital Lease Obligations, imputed interest with respect to
Attributable Debt, commissions, discounts and other fees and
charges incurred in respect of letter of credit or bankers
acceptance financings, and net of the effect of all payments
made or received pursuant to Hedging Obligations; plus |
|
|
(2) the consolidated interest expense of such Person and
its Restricted Subsidiaries that was capitalized during such
period; plus |
|
|
(3) any interest expense on Indebtedness of another Person
that is guaranteed by such Person or one of its Restricted
Subsidiaries or secured by a Lien on assets of such Person or
one of its Restricted Subsidiaries, whether or not such
Guarantee or Lien is called upon; plus |
|
|
(4) the product of (a) all dividends, whether paid or
accrued and whether or not in cash, on any series of preferred
stock of such Person or any of its Restricted Subsidiaries,
other than dividends on Equity Interests payable solely in
Equity Interests of PSI (other than Disqualified Stock) or to
PSI or a Restricted Subsidiary of PSI, times (b) a
fraction, the numerator of which is one and the denominator of
which is one minus the then current combined federal, state and
local statutory tax rate of such Person, expressed as a decimal,
in each case, on a consolidated basis and in accordance with
GAAP. |
Fixed Charge Coverage Ratio means with
respect to any specified Person for any period, the ratio of the
Consolidated Cash Flow of such Person and its Restricted
Subsidiaries for such period to the Fixed Charges of such Person
and its Restricted Subsidiaries for such period. In the event
that the specified Person or any of its Restricted Subsidiaries
incurs, assumes, guarantees, repays, repurchases or redeems any
Indebtedness (other than ordinary working capital borrowings) or
issues, repurchases or redeems preferred stock subsequent to the
commencement of the period for which the Fixed Charge Coverage
Ratio is being calculated and on or prior to the date on which
the event for which the calculation of the Fixed Charge Coverage
Ratio is made (the Calculation Date), then the Fixed
Charge Coverage Ratio will be calculated giving pro forma effect
to such incurrence, assumption, guarantee, repayment, repurchase
or redemption of Indebtedness, or such issuance, repurchase or
redemption of preferred stock, and the use of the proceeds
therefrom as if the same had occurred at the beginning of the
applicable four-quarter reference period.
In addition, for purposes of calculating the Fixed Charge
Coverage Ratio:
|
|
|
(1) acquisitions that have been made by the specified
Person or any of its Restricted Subsidiaries, including through
mergers or consolidations and including any related financing
transactions, during the four-quarter reference period or
subsequent to such reference period and on or prior to the
Calculation Date will be given pro forma effect (calculated in
accordance with Regulation S-X) as if they had occurred on
the first day of the four-quarter reference period and
Consolidated Cash Flow for such reference period will be
calculated without giving effect to clause (3) of the
proviso set forth in the definition of Consolidated Net Income; |
|
|
(2) the Consolidated Cash Flow attributable to discontinued
operations, as determined in accordance with GAAP (other than
the treatment of the termination and expiration of management |
84
|
|
|
contracts which shall be governed by Accounting Principles Board
Opinion No. 2 as in effect before the adoption of
FAS 144), and operations or businesses disposed of prior to
the Calculation Date, will be excluded; and |
|
|
(3) the Fixed Charges attributable to discontinued
operations, as determined in accordance with GAAP (other than
the treatment of the termination and expiration of management
contracts which shall be governed by Accounting Principles Board
Opinion No. 2 as in effect before the adoption of
FAS 144), and operations or businesses disposed of prior to
the Calculation Date, will be excluded, but only to the extent
that the obligations giving rise to such Fixed Charges will not
be obligations of the specified Person or any of its Restricted
Subsidiaries following the Calculation Date. |
GAAP means generally accepted accounting
principles set forth in the opinions and pronouncements of the
Accounting Principles Board of the American Institute of
Certified Public Accountants and statements and pronouncements
of the Financial Accounting Standards Board or in such other
statements by such other entity as have been approved by a
significant segment of the accounting profession, which are in
effect on the date of the indenture.
Guarantee means a guarantee other than by
endorsement of negotiable instruments for collection in the
ordinary course of business, direct or indirect, in any manner
including, without limitation, by way of a pledge of assets or
through letters of credit or reimbursement agreements in respect
thereof, of all or any part of any Indebtedness.
Guarantors means each of:
|
|
|
(1) PSIs Domestic Subsidiaries (other than the HUD
Financing Subsidiaries, PSI Surety, Inc. and certain immaterial
Subsidiaries in which neither PSI nor any Restricted Subsidiary
has made an Investment in excess of $0.1 million); and |
|
|
(2) any other Subsidiary that executes a Subsidiary
Guarantee in accordance with the provisions of the indenture; |
and their respective successors and assigns.
Hedging Obligations means, with respect to
any specified Person, the obligations of such Person under:
|
|
|
(1) interest rate swap agreements, interest rate cap
agreements and interest rate collar agreements; and |
|
|
(2) other agreements or arrangements designed to protect
such Person against fluctuations in interest rates. |
HUD Financing means Indebtedness of HUD
Financing Subsidiaries that is insured by the Federal Housing
Administration, an organizational unit of the United States
Department of Housing and Urban Development.
HUD Financing Subsidiaries means any Domestic
Subsidiary formed solely for the purpose of holding assets
pledged as security in connection with any HUD Financing,
including Holly Hill Real Estate,LLC, PSI Cedar Springs Hospital
Real Estate, Inc., Psychiatric Solutions of Oklahoma Real
Estate, Inc., Neuro Rehab Real Estate, L.P., Texas Laurel Ridge
Hospital Real Estate L.P., Texas Oaks Psychiatric Hospital Real
Estate, L.P., Texas San Marcos Treatment Center Real
Estate, L.P., Cypress Creek Real Estate, L.P., West Oaks Real
Estate, L.P. and Riveredge Real Estate, Inc.; provided
that the designation of a Domestic Subsidiary as a HUD Financing
Subsidiary shall be evidenced by an Officers Certificate
stating that such Domestic Subsidiary shall be designated as a
HUD Financing Subsidiary and certifying that the sole purpose of
such HUD Financing Subsidiary shall be to hold assets pledged as
security in connection with HUD Financing and that the
incurrence of the HUD Financing complies with the provisions of
the covenant described above under the caption
Certain Covenants Incurrence of
Indebtedness and Issuance of Preferred Stock.
85
Indebtedness means, with respect to any
specified Person, any indebtedness of such Person, whether or
not contingent:
|
|
|
(1) in respect of borrowed money; |
|
|
(2) evidenced by bonds, notes, debentures or similar
instruments or letters of credit (or reimbursement agreements in
respect thereof); |
|
|
(3) in respect of bankers acceptances; |
|
|
(4) representing Capital Lease Obligations; |
|
|
(5) representing the balance deferred and unpaid of the
purchase price of any property, except any such balance that
constitutes an accrued expense or trade payable; or |
|
|
(6) representing any Hedging Obligations, |
if and to the extent any of the preceding items (other than
letters of credit and Hedging Obligations) would appear as a
liability upon a balance sheet of the specified Person prepared
in accordance with GAAP. In addition, the term
Indebtedness includes all Indebtedness of others
secured by a Lien on any asset of the specified Person (whether
or not such Indebtedness is assumed by the specified Person)
and, to the extent not otherwise included, the Guarantee by the
specified Person of any indebtedness of any other Person.
The amount of any Indebtedness outstanding as of any date will
be:
|
|
|
(a) the accreted value of the Indebtedness, in the case of
any Indebtedness issued with original issue discount; and |
|
|
(b) the principal amount of the Indebtedness, together with
any interest on the Indebtedness that is more than 30 days
past due, in the case of any other Indebtedness. |
Investments means, with respect to any
Person, all direct or indirect investments by such Person in
other Persons (including Affiliates) in the forms of loans
(including Guarantees or other obligations), advances or capital
contributions (excluding commission, travel and similar
advances, fees and compensation paid to officers, directors and
employees made in the ordinary course of business), purchases or
other acquisitions for consideration of Indebtedness, Equity
Interests or other securities, together with all items that are
or would be classified as investments on a balance sheet
prepared in accordance with GAAP. If PSI or any Subsidiary of
PSI sells or otherwise disposes of any Equity Interests of any
direct or indirect Subsidiary of PSI such that, after giving
effect to any such sale or disposition, such Person is no longer
a Subsidiary of PSI, PSI will be deemed to have made an
Investment on the date of any such sale or disposition equal to
the fair market value of the Equity Interests of such Subsidiary
not sold or disposed of in an amount determined as provided in
the final paragraph of the covenant described above under the
caption Certain Covenants
Restricted Payments. The acquisition by PSI or any
Subsidiary of PSI of a Person that holds an Investment in a
third Person will be deemed to be an Investment by PSI or such
Subsidiary in such third Person in an amount equal to the fair
market value of the Investment held by the acquired Person in
such third Person in an amount determined as provided in the
final paragraph of the covenant described above under the
caption Certain Covenants
Restricted Payments.
Lien means, with respect to any asset, any
mortgage, lien, pledge, charge, security interest or encumbrance
of any kind in respect of such asset, whether or not filed,
recorded or otherwise perfected under applicable law, including
any conditional sale or other title retention agreement, any
lease in the nature thereof, any option or other agreement to
sell or give a security interest in and any filing of or
agreement to give any financing statement under the Uniform
Commercial Code (or equivalent statutes) of any jurisdiction.
86
Net Income means, with respect to any
specified Person, the net income (loss) of such Person,
determined in accordance with GAAP and before any reduction in
respect of preferred stock dividends, excluding, however:
|
|
|
(1) any gain (but not loss), together with any related
provision for taxes on such gain (but not loss), realized in
connection with: (a) any Asset Sale; or (b) the
disposition of any securities by such Person or any of its
Restricted Subsidiaries or the extinguishment of any
Indebtedness of such Person or any of its Restricted
Subsidiaries; and |
|
|
(2) any extraordinary gain (but not loss), together with
any related provision for taxes on such extraordinary gain (but
not loss). |
Net Proceeds means the aggregate cash
proceeds received by PSI or any of its Restricted Subsidiaries
in respect of any Asset Sale (including, without limitation, any
cash received upon the sale or other disposition of any non-cash
consideration received in any Asset Sale), net of the direct
costs relating to such Asset Sale, including, without
limitation, legal, accounting and investment banking fees, and
sales commissions, and any relocation expenses incurred as a
result of the Asset Sale, taxes paid or payable as a result of
the Asset Sale, in each case, after taking into account any
available tax credits or deductions and any tax sharing
arrangements, and amounts required to be applied to the
repayment of Indebtedness, other than Senior Debt, secured by a
Lien on the asset or assets that were the subject of such Asset
Sale, and any reserve for adjustment in respect of the sale
price of such asset or assets established in accordance with
GAAP.
Non-recourse Debt means Indebtedness:
|
|
|
(1) as to which neither PSI nor any of its Restricted
Subsidiaries (a) provides credit support of any kind
(including any undertaking, agreement or instrument that would
constitute Indebtedness), (b) is directly or indirectly
liable as a guarantor or otherwise, or (c) constitutes the
lender; |
|
|
(2) no default with respect to which (including any rights
that the holders thereof may have to take enforcement action
against an Unrestricted Subsidiary) would permit upon notice,
lapse of time of both any holder of any other Indebtedness
(other than the Notes) of PSI or any of its Restricted
Subsidiaries to declare a default on such other Indebtedness or
cause the payment thereof to be accelerated or payable prior to
its stated maturity; and |
|
|
(3) as to which the lenders have been notified in writing
that they will not have any recourse to the stock or assets of
PSI or any of its Restricted Subsidiaries. |
Obligations means any principal, interest,
penalties, fees, indemnifications, reimbursements, damages and
other liabilities payable under the documentation governing any
Indebtedness.
Permitted Asset Swap means sales, transfers
or other dispositions of assets, including all of the
outstanding Capital Stock of a Restricted Subsidiary, for
consideration at least equal to the fair market value of the
assets sold or disposed of, but only if the consideration
received consists of Capital Stock of a Person that becomes a
Restricted Subsidiary engaged in, or property or assets (other
than cash, except to the extent used as a bona fide means of
equalizing the value of the property or assets involved in the
swap transaction) of a nature or type or that are used in, a
business having property or assets of a nature or type, or
engaged in a business similar or related to the nature or type
of the property and assets of, or business of, PSI and the
Restricted Subsidiaries existing on the date of such sale or
other disposition.
Permitted Business means the lines of
business conducted by PSI and its Restricted Subsidiaries on the
date hereof and the businesses reasonably related thereto,
including the ownership, operation and/or management of a
hospital, outpatient clinic or other facility or business that
is used or useful in or related to the provision of health care
services in connection with the ownership, operation and/or
management of such hospital or outpatient clinic or ancillary to
the provision health care services or information or the
investment in or management, lease or operation of a hospital or
outpatient clinic
87
Permitted Investments means:
|
|
|
(1) any Investment in PSI or a Restricted Subsidiary; |
|
|
(2) any Investment in Cash Equivalents; |
|
|
(3) any Investment by PSI or any Restricted Subsidiary in a
Person, if as a result of such Investment: |
|
|
|
(a) such Person becomes a Restricted Subsidiary; or |
|
|
(b) such Person is merged, consolidated or amalgamated with
or into, or transfers or conveys substantially all of its assets
to, or is liquidated into, PSI or a Subsidiary; |
|
|
|
(4) any Investment made as a result of the receipt of
non-cash consideration from an Asset Sale that was made pursuant
to and in compliance with the covenant described above under the
caption Repurchase at the Option of
Holders Asset Sales; |
|
|
(5) any acquisition of assets solely in exchange for the
issuance of Equity Interests (other than Disqualified Stock) of
PSI; |
|
|
(6) any Investments received in compromise of obligations
of such persons incurred in the ordinary course of trade
creditors or customers that were incurred in the ordinary course
of business, including pursuant to any plan of reorganization or
similar arrangement upon the bankruptcy or insolvency of any
trade creditor or customer; |
|
|
(7) Hedging Obligations; |
|
|
(8) Investments the payment for which is Capital Stock
(other than Disqualified Stock) of PSI; |
|
|
(9) Physician Support Obligations; |
|
|
(10) Investments in prepaid expenses, negotiable
instruments held for collection, utility and workers
compensation, performance and similar deposits made in the
ordinary course of business; |
|
|
(11) loans and advances to non-executive officers and
employees of PSI or any Restricted Subsidiary in the ordinary
course of business in accordance with the past practices of PSI
or any Restricted Subsidiary in an aggregate amount for all such
loans and advances not to exceed $1.0 at any time outstanding; |
|
|
(12) Investments in any Person to the extent such
Investment represents the non-cash portion of the consideration
received in connection with an Asset Sale consummated in
compliance with the covenant described under
Repurchase at the Option of
Holders Asset Sales; |
|
|
(13) Investments existing on the date of the
indenture; and |
|
|
(14) other Investments in any Person having an aggregate
fair market value (measured on the date each such investment was
made and without giving effect to subsequent changes in value),
when taken together with all other Investments made pursuant to
this clause (14) that are at the time outstanding, not
to exceed $30.0 million. |
Permitted Junior Securities means:
|
|
|
(1) Equity Interests in PSI or any Guarantor; or |
|
|
(2) debt securities that are subordinated to all Senior
Debt and any debt securities issued in exchange for Senior Debt
to substantially the same extent as, or to a greater extent
than, the notes and the Subsidiary Guarantees are subordinated
to Senior Debt under the indenture. |
Permitted Refinancing Indebtedness means any
Indebtedness of PSI or any of its Restricted Subsidiaries issued
in exchange for, or the net proceeds of which are used to
extend, refinance, renew,
88
replace, defease or refund other Indebtedness of PSI or any of
its Restricted Subsidiaries (other than intercompany
Indebtedness); provided, however, that:
|
|
|
(1) the principal amount (or accreted value, if applicable)
of such Permitted Refinancing Indebtedness does not exceed the
principal amount (or accreted value, if applicable) of the
Indebtedness extended, refinanced, renewed, replaced, defeased
or refunded (plus all accrued interest on the Indebtedness and
the amount of all expenses and premiums incurred in connection
therewith); |
|
|
(2) in the case of Indebtedness other than Senior Debt,
such Permitted Refinancing Indebtedness has a final maturity
date the same as or later than the final maturity date of, and
has a Weighted Average Life to Maturity equal to or greater than
the Weighted Average Life to Maturity of, the Indebtedness being
extended, refinanced, renewed, replaced, defeased or refunded; |
|
|
(3) if Subordinated Obligations are being extended,
refinanced, renewed, replaced, defeased or refunded, such
Permitted Refinancing Indebtedness has a final maturity date
later than the final maturity date of, and is subordinated in
right of payment to, the notes on terms at least as favorable to
the holders of notes as those contained in the documentation
governing the Subordinated Obligations being extended,
refinanced, renewed, replaced, defeased or refunded; and |
|
|
(4) such Indebtedness is incurred either by PSI or by the
Subsidiary who is the obligor on the Indebtedness being
extended, refinanced, renewed, replaced, defeased or refunded. |
Person means any individual, corporation,
partnership, joint venture, association, joint-stock company,
trust, unincorporated organization, limited liability company or
government or other entity.
Physician Support Obligation means a loan to
or on behalf of, or a guarantee of, indebtedness of a Qualified
Physician made or given by PSI or any of its Subsidiaries,
(a) in the ordinary course of its business, and
(b) pursuant to a written agreement having a period not to
exceed five years; provided, however, that any such guarantee of
Indebtedness of a Qualified Physician shall be expressly
subordinated in right of payment to the notes or the Subsidiary
Guarantees, as the case may be.
Qualified Physicians means one or more
physicians or health care professionals providing service to
patients in a health care facility owned, operated or managed by
PSI or any of its Restricted Subsidiaries.
Restricted Investment means an Investment
other than a Permitted Investment.
Restricted Subsidiary of a Person means any
Subsidiary of the referent Person that is not an Unrestricted
Subsidiary.
Senior Debt means:
|
|
|
(1) all Indebtedness of PSI or any Guarantor outstanding
under Credit Facilities and all Hedging Obligations with respect
thereto; |
|
|
(2) all Indebtedness of PSI or any Guarantor outstanding
under HUD Financing; |
|
|
(3) any other Indebtedness of PSI or any Guarantor
permitted to be incurred under the terms of the indenture,
unless the instrument under which such Indebtedness is incurred
expressly provides that it is on a parity with or subordinated
in right of payment to the notes or any Subsidiary
Guarantee; and |
|
|
(4) all Obligations with respect to the items listed in the
preceding clauses (1), (2) and (3). |
Notwithstanding anything to the contrary in the preceding,
Senior Debt will not include:
|
|
|
(a) any liability for federal, state, local or other taxes
owed or owing by PSI; |
|
|
(b) any Indebtedness of PSI to any of its Subsidiaries or
other Affiliates; |
|
|
(c) the Existing Senior Subordinated Notes; |
|
|
(d) any trade payables; or |
|
|
(e) the portion of any Indebtedness that is incurred in
violation of the indenture. |
89
Senior Subordinated Indebtedness means
(i) with respect to PSI, the notes and any other
Indebtedness of PSI that specifically provides that such
Indebtedness is to have the same rank as the notes in right of
payment and is not subordinated by its terms in right of payment
to any Indebtedness or other obligation of PSI which is not
Senior Debt; (ii) with respect to any Guarantor, the
Subsidiary Guarantees and any other Indebtedness of such
Guarantor that specifically provides that such Indebtedness is
to have the same rank as the Subsidiary Guarantees in right of
payment and is not subordinated by its terms in right of payment
to any Indebtedness or other obligation of such Guarantor which
is not Senior Debt; and (iii) the Existing Senior
Subordinated Notes.
Significant Subsidiary means any Subsidiary
that would be a significant subsidiary as defined in
Article 1, Rule 1-02 of Regulation S-X,
promulgated pursuant to the Securities Act, as such regulation
is in effect on the date of the indenture.
Stated Maturity means, with respect to any
installment of interest or principal on any series of
Indebtedness, the date on which the payment of interest or
principal was scheduled to be paid in the original documentation
governing such Indebtedness, and will not include any contingent
obligations to repay, redeem or repurchase any such interest or
principal prior to the date originally scheduled for the payment
thereof.
Subordinated Obligations means any
Indebtedness of PSI (whether outstanding on the date hereof or
thereafter incurred) that is subordinate or junior in right of
payment to the notes pursuant to a written agreement to that
effect.
Subsidiary means, with respect to any
specified Person:
|
|
|
(1) any corporation, association or other business entity
of which more than 50% of the total voting power of shares of
Capital Stock entitled (without regard to the occurrence of any
contingency) to vote in the election of directors, managers or
trustees of the corporation, association or other business
entity is at the time owned or controlled, directly or
indirectly, by that Person or one or more of the other
Subsidiaries of that Person (or a combination thereof); and |
|
|
(2) any partnership (a) the sole general partner or
the managing general partner of which is such Person or a
Subsidiary of such Person or (b) the only general partners
of which are that Person or one or more Subsidiaries of that
Person (or any combination thereof). |
Subsidiary Guarantee means the Guarantee of
the notes by each of the Guarantors pursuant to the indenture
and in the form of the Guarantee endorsed on the form of note
attached as Exhibit A to the indenture and any additional
Guarantee of the notes to be executed by any Subsidiary of PSI
pursuant to the covenant described above under the caption
Additional Subsidiary Guarantees.
Treasury Rate means, at the time of
computation, the yield to maturity of United States Treasury
Securities with a constant maturity (as compiled and published
in the most recent Federal Reserve Statistical
Release H.15(519) which has become publicly available at
least two business days prior to the redemption date or, if such
Statistical Release is no longer published, any publicly
available source of similar market data) most nearly equal to
the period from the redemption date to July 15, 2010; provided,
however, that if the period from the redemption date to July 15,
2010 is not equal to the constant maturity of a United States
Treasury Security for which a weekly average yield is given, the
Treasury Rate shall be obtained by linear interpolation
(calculated to the nearest one-twelfth of a year) from the
weekly average yields of United States Treasury Securities for
which such yields are given, except that if the period from the
redemption date to July 15, 2010 is less than one year, the
weekly average yield on actually traded United States Treasury
Securities adjusted to a constant maturity of one year shall be
used.
90
Unrestricted Subsidiary means any Subsidiary
of PSI or any successor to any of them) that is designated by
the Board of Directors as an Unrestricted Subsidiary pursuant to
a Board Resolution, but only to the extent that such Subsidiary:
|
|
|
(1) has no Indebtedness other than Non-Recourse Debt; |
|
|
(2) is not party to any agreement, contract, arrangement or
understanding with PSI or any Restricted Subsidiary of PSI
unless the terms of any such agreement, contract, arrangement or
understanding are no less favorable to PSI or such Restricted
Subsidiary than those that might be obtained at the time from
Persons who are not Affiliates of PSI; |
|
|
(3) is a Person with respect to which neither PSI nor any
of its Restricted Subsidiaries has any direct or indirect
obligation (a) to subscribe for additional Equity Interests
or (b) to maintain or preserve such Persons financial
condition or to cause such Person to achieve any specified
levels of operating results; |
|
|
(4) has not guaranteed or otherwise directly or indirectly
provided credit support for any Indebtedness of PSI or any of
its Restricted Subsidiaries; and |
|
|
(5) has at least one director on its Board of Directors
that is not a director or executive officer of PSI or any of its
Restricted Subsidiaries and has at least one executive officer
that is not a director or executive officer of PSI or any of its
Restricted Subsidiaries. |
Any designation of a Subsidiary of PSI as an Unrestricted
Subsidiary will be evidenced to the trustee by filing with the
trustee a certified copy of the Board Resolution giving effect
to such designation and an officers certificate certifying
that such designation complied with the preceding conditions and
was permitted by the covenant described above under the caption
Certain Covenants Restricted
Payments. If, at any time, any Unrestricted Subsidiary
would fail to meet the preceding requirements as an Unrestricted
Subsidiary, it will thereafter cease to be an Unrestricted
Subsidiary for purposes of the indenture and any Indebtedness of
such Subsidiary will be deemed to be incurred by a Restricted
Subsidiary of PSI as of such date and, if such Indebtedness is
not permitted to be incurred as of such date under the covenant
described under the caption Certain
Covenants Incurrence of Indebtedness and Issuance of
Preferred Stock, PSI will be in default of such covenant.
The Board of Directors of PSI may at any time designate any
Unrestricted Subsidiary to be a Restricted Subsidiary; provided
that such designation will be deemed to be an incurrence of
Indebtedness by a Restricted Subsidiary of PSI of any
outstanding Indebtedness of such Unrestricted Subsidiary and
such designation will only be permitted if (1) such
Indebtedness is permitted under the covenant described under the
caption Certain Covenants
Incurrence of Indebtedness and Issuance of Preferred
Stock, calculated on a pro forma basis as if such
designation had occurred at the beginning of the four-quarter
reference period; and (2) no Default or Event of Default
would be in existence following such designation.
Voting Stock of any Person as of any date
means the Capital Stock of such Person that is at the time
entitled to vote in the election of the Board of Directors of
such Person.
Weighted Average Life to Maturity means, when
applied to any Indebtedness at any date, the number of years
obtained by dividing:
|
|
|
(1) the sum of the products obtained by multiplying
(a) the amount of each then remaining installment, sinking
fund, serial maturity or other required payments of principal,
including payment at final maturity, in respect of the
Indebtedness, by (b) the number of years (calculated to the
nearest one-twelfth) that will elapse between such date and the
making of such payment; by |
|
|
(2) the then outstanding principal amount of such
Indebtedness. |
Form of Registered Notes
The certificates representing the registered notes will be
issued in fully registered form, without coupons. Except as
described in the next paragraph, the registered notes will be
deposited with, or on
91
behalf of, DTC, and registered in the name of Cede &
Co., as DTCs nominee, in the form of a global note.
Holders of the registered notes will own book-entry interests in
the global note evidenced by records maintained by DTC.
Book-entry interests may be exchanged for certificated notes of
like tenor and equal aggregate principal amount, if
|
|
|
|
|
DTC notifies us that it is unwilling or unable to continue as
depositary or we determine that DTC is unable to continue as
depositary and we fail to appoint a successor depositary within
90 days, |
|
|
|
we provide for the exchange pursuant to the terms of the
indenture, or |
|
|
|
we determine that the book-entry interests will not longer be
represented by global notes and we execute and deliver to the
trustee instructions to that effect. |
As of the date of this prospectus, no certificated notes are
issued and outstanding.
92
MATERIAL U.S. FEDERAL INCOME TAX CONSIDERATIONS
The following summary is a general discussion of material
U.S. federal income tax considerations to a holder relating
to the exchange of the old notes for registered notes in the
exchange offer. This summary is generally limited to holders who
hold the old notes as capital assets (i.e., generally as
investments) and does not deal with special tax situations
including those that may apply to particular holders such as
tax-exempt organizations, holders subject to the
U.S. federal alternative minimum tax, dealers in
securities, commodities or foreign exchange currencies,
financial institutions, insurance companies, regulated
investment companies, certain former citizens or former
long-term residents of the United States, partnerships or other
pass-through entities, U.S. holders whose functional
currency is not the U.S. dollar and persons who hold
the notes in connection with a straddle,
hedging, conversion or other risk
reduction transaction. This discussion does not address the tax
consequences arising under any state, local or foreign law, nor
consider the effect of the U.S. federal estate or gift tax
law.
The U.S. federal income tax considerations set forth below
are based upon the Internal Revenue Code of 1986, as amended,
Treasury regulations promulgated thereunder, court decisions and
rulings and pronouncements of the Internal Revenue Service (the
IRS), now in effect, all of which are subject to
change. Any such change could have retroactive application so as
to result in U.S. federal income tax consequences different
from those discussed below. No ruling has been or is expected to
be sought from the IRS with respect to the U.S. federal
income tax consequences to the holders of the notes in the
exchange offer. The IRS would not be precluded from taking a
contrary position. As a result, the IRS might not agree with the
tax consequences described below.
We believe that the exchange of the old notes for registered
notes in the exchange offer will not constitute an exchange for
U.S. federal income tax purposes, and thus will have no
U.S. federal income tax consequences to you. The registered
notes received by you will be treated as a continuation of the
old notes. For example, there will be no change in your tax
basis and the holding period for the registered notes will be
the same as that applicable to the old notes. In addition, the
U.S. federal income tax consequences of holding and disposing of
your registered notes would be the same as those applicable to
your old notes.
The preceding discussion of material U.S. federal income
tax considerations is for general information only and is not
tax advice. Accordingly, each investor is urged to consult its
own tax advisor as to the particular tax consequences to it of
exchanging old notes for registered notes, including the
applicability and effect of any state, local or foreign tax
laws, and of any proposed changes in applicable law.
93
PLAN OF DISTRIBUTION
Each broker-dealer that receives registered notes in the
exchange offer for its own account must acknowledge that it will
deliver a prospectus meeting the requirements of the Securities
Act in connection with any resales of the notes. We reserve the
right in our sole discretion to purchase or make offers for, or
to offer registered notes for, any old notes that remain
outstanding subsequent to the expiration of the exchange offer
pursuant to this prospectus or otherwise and, to the extent
permitted by applicable law, purchase old notes in the open
market, in privately negotiated transactions or otherwise. This
prospectus, as it may be amended or supplemented from time to
time, may be used by all persons subject to the prospectus
delivery requirements of the Securities Act, including
broker-dealers in connection with resales of registered notes
received in the exchange offer, where the notes were acquired as
a result of market-making activities or other trading activities
and may be used by us to purchase any notes outstanding after
expiration of the exchange offer. We have agreed that, for a
period of 180 days after the expiration of the exchange
offer, we will make this prospectus, as amended or supplemented,
available to any broker-dealer for use in connection with such a
resale.
We will not receive any proceeds from any sale of registered
notes by broker-dealers. Notes received by broker-dealers in the
exchange offer for their own account may be sold from time to
time in one or more transactions in the over-the-counter market,
in negotiated transactions, through the writing of options on
the registered notes or a combination of those methods of
resale, at market prices prevailing at the time of resale, at
prices related to the prevailing market prices or negotiated
prices. Such a resale may be made directly to purchasers or to
or through brokers or dealers who may receive compensation in
the form of commissions or concessions from such a broker-dealer
and/or the purchasers of any of the registered notes. Any
broker-dealer that resells registered notes that were received
by it in the exchange offer for its own account and any broker
or dealer that participates in a distribution of the notes may
be deemed to be an underwriter within the meaning of
the Securities Act and any profit on such a resale of the notes
and any commissions received by those persons may be deemed to
be underwriting compensation under the Securities Act. The
letter of transmittal states that, by acknowledging that it will
deliver and by delivering a prospectus meeting the requirements
of the Securities Act, a broker-dealer will not be deemed to
admit that it is an underwriter within the meaning
of the Securities Act.
For a period of 180 days after the expiration of the
exchange offer, we will promptly send additional copies of this
prospectus and any amendment or supplement to this prospectus to
any broker-dealer that requests these documents in the letter of
transmittal. We have agreed to pay all expenses incident to the
exchange offer, including the reasonable fees and expenses of
counsel to the initial purchasers of the old notes, other than
commissions or concessions of any brokers or dealers, and will
indemnify holders of the notes, including any broker-dealers,
against certain liabilities, including liabilities under the
Securities Act.
LEGAL MATTERS
Waller Lansden Dortch & Davis, PLLC has passed upon the
validity of the registered notes on behalf of the issuer.
EXPERTS
The consolidated financial statements of Psychiatric Solutions,
Inc. appearing in Psychiatric Solutions, Inc.s Annual
Report (Form 10-K) for the year ended December 31,
2004, and Psychiatric Solutions, Inc. managements
assessment of the effectiveness of internal control over
financial reporting as of December 31, 2004 included
therein, have been audited by Ernst & Young LLP,
independent registered public accounting firm, as set forth in
their reports thereon included therein, and incorporated herein
by reference. Such financial statements and managements
assessment are, and audited financial statements and
managements assessments of the effectiveness of internal
control over financial reporting to be included in subsequently
filed documents will be, incorporated herein in reliance upon
the reports of Ernst & Young LLP pertaining to such
financial statements and managements assessments (to the
extent
94
covered by consents filed with the Securities and Exchange
Commission) given on the authority of such firm as experts in
accounting and auditing.
The combined financial statements of Behavioral Healthcare
Services at December 31, 2004 and 2003, and for each of the
three years in the period ended December 31, 2004,
appearing in our Current Report on Form 8-K/A, filed with
the SEC on August 1, 2005, have been audited by
Ernst & Young LLP, independent auditors, as set forth
in their report thereon (which contains an explanatory paragraph
describing conditions that raise substantial doubt about the
Companys ability to continue as a going concern as
described in Note 1 to the combined financial statements),
included therein, and incorporated herein by reference. Such
combined financial statements are incorporated herein by
reference in reliance upon such report of Ernst & Young LLP
given on the authority of such firm as experts in accounting and
auditing.
The consolidated financial statements of Ramsay Youth Services,
Inc. and Subsidiaries (Ramsay), as of
December 31, 2002 and 2001, and for each of the three years
in the period ended December 31, 2002, incorporated in this
prospectus by reference from Amendment No. 2 to the
Registration Statement No. 333-110206 of Psychiatric
Solutions, Inc. on Form S-2, have been audited by
Deloitte & Touche LLP, independent auditors, as stated
in their report incorporated herein by reference (which report
expresses an unqualified opinion and includes an explanatory
paragraph referring to a change in Ramsays method of
accounting for goodwill and other intangible assets effective
January 1, 2002).
The consolidated financial statements of Northern Healthcare
Associates and Subsidiaries incorporated by reference herein
have been audited by Selznick & Company, LLP,
independent certified public accountants, to the extent and for
the periods set forth in their independent auditors report
incorporated herein by reference.
WHERE YOU CAN FIND MORE INFORMATION
This prospectus summarizes material provisions of contracts and
other documents that we refer you to. Since this prospectus may
not contain all the information that you may find important, you
should review the full text of those documents. You should rely
only on the information contained and incorporated by reference
in this prospectus.
We file annual, quarterly and current reports, proxy statements
and other information with the SEC. You may read and copy any
document we file at the SECs public reference rooms at
450 Fifth Street, N.W., Washington, D.C. 20549 and at
regional offices in New York, New York and Chicago, Illinois.
Please call the SEC at 1-800-SEC-0330 for further information on
the public reference rooms. Our SEC filings are also available
to the public at the SECs web site at http://www.sec.gov.
We make available free of charge through our website, which you
can find at www.psysolutions.com, our annual report on
Form 10-K, quarterly reports on Form 10-Q, current
reports on Form 8-K, and amendments to these reports filed
or furnished pursuant to Section 13(a) or 15(d) of the
Securities Exchange Act of 1934, as amended, as soon as
reasonably practicable after we electronically file such
material with, or furnish it to, the SEC.
INCORPORATION OF CERTAIN DOCUMENTS BY REFERENCE
We are incorporating by reference information we
file with the SEC, which means:
|
|
|
|
|
Incorporated documents are considered part of this prospectus; |
|
|
|
We can disclose important information to you by referring you to
those documents; and |
|
|
|
Information that we file later with the SEC automatically will
update and supersede information contained in this prospectus. |
95
We are incorporating by reference the following documents, which
we have previously filed with the SEC:
|
|
|
(1) Consolidated Financial Statements of Ramsay Youth
Services, Inc. and Subsidiaries as of December 31, 2002 and
2001, and for each of the three years in the period ended
December 31, 2002 (incorporated by reference to Amendment
No. 2 to our Registration Statement on Form S-2, filed
on December 18, 2003 (Reg. No. 333-110206)); |
|
|
(2) Consolidated Financial Statements of Northern
Healthcare Associates and Subsidiaries as of December 31,
2003 and 2002, and for the year ended December 31, 2003 and
December 31, 2002 (incorporated by reference to our Current
Report on Form 8-K/ A, filed on August 10, 2004); |
|
|
(3) Combined Financial Statements of Behavioral Healthcare
Services as of December 31, 2004 and 2003, and for each of
the three years in the period ended December 31, 2004
(incorporated by reference to our Current Report on
Form 8-K/A, filed on August 1, 2005); |
|
|
(4) our Annual Report on Form 10-K for the year ended
December 31, 2004; |
|
|
(5) our Quarterly Report on Form 10-Q for the quarter
ended March 31, 2005; |
|
|
(6) our Current Report on Form 8-K filed with the SEC
on March 11, 2005; |
|
|
(7) our Current Report on Form 8-K filed with the SEC
on April 22, 2005; |
|
|
(8) our Current Report on Form 8-K filed with the SEC
on July 8, 2005; |
|
|
(9) our Current Report on Form 8-K/ A filed with the
SEC on July 12, 2005; |
|
|
(10) our Current Report on Form 8-K filed with the SEC
on July 14, 2005; |
|
|
(11) our Current Report on Form 8-K/A filed with the
SEC on August 1, 2005; |
|
|
(12) our Definitive Proxy Statement on Schedule 14A
filed with the SEC on April 20, 2005; and |
|
|
(13) any future filings with the SEC under
Section 13(a), 13(c), 14 or 15(d) of the Exchange Act until
our offering is completed; provided that this prospectus will
not incorporate any information we may furnish to the SEC under
Item 2.02 or Item 7.01 of Form 8-K. |
Any statement contained in this prospectus or in a document
incorporated or deemed to be incorporated by reference into this
prospectus will be deemed to be modified or superseded for
purposes of this prospectus to the extent that a statement
contained in this prospectus or any other subsequently filed
document that is deemed to be incorporated by reference into
this prospectus modifies or supersedes the statement. Any
statement so modified or superseded will not be deemed, except
as so modified or superseded, to constitute a part of this
prospectus.
You can obtain copies of the documents incorporated by reference
in this prospectus without charge through our website
(www.psysolutions.com) as soon as reasonably practicable after
we electronically file the material with, or furnish it to, the
SEC, or by requesting them in writing or by telephone at the
following address:
|
|
|
Psychiatric Solutions, Inc. |
|
840 Crescent Centre Drive, Suite 460 |
|
Franklin, Tennessee 37067 |
|
Attention: Investor Relations |
|
(615) 312-5700 |
96
Exchange Offer
for $220,000,000
73/4%
Senior Subordinated
Notes due 2015
PART II
INFORMATION NOT REQUIRED IN PROSPECTUS
|
|
Item 20. |
Indemnification of Directors and Officers. |
Pursuant to the provisions of Section 145 of the Delaware
General Corporation Law, Psychiatric Solutions, Inc. (the
Company) is required to indemnify any present or
former officer or director against expenses reasonably incurred
by the officer or director in connection with legal proceedings
in which the officer or director becomes involved by reason of
being an officer or director if the officer or director is
successful in the defense of such proceedings. Section 145
also provides that the Company may indemnify an officer or
director in connection with a proceeding in which he or she is
not successful in defending if it is determined that the officer
or director acted in good faith and in a manner reasonably
believed to be in or not opposed to the best interests of the
Company or, in the case of a criminal action, if it is
determined that the officer or director had no reasonable cause
to believe his or her conduct was unlawful. Liabilities for
which an officer or director may be indemnified include amounts
paid in satisfaction of settlements, judgments, fines and other
expenses incurred in connection with such proceedings. In a
stockholder derivative action, no indemnification may be paid in
respect of any claim, issue or matter as to which the officer or
director has been adjudged to be liable to the Company (except
for expenses allowed by a court).
Pursuant to the provisions of Article VII of the
Companys Amended and Restated Bylaws (the
Bylaws), the Company is required to indemnify
officers or directors to a greater extent than under the current
provisions of Section 145 of the Delaware General
Corporation Law. Except with respect to stockholder derivative
actions, the Companys Bylaws generally state that an
officer or director will be indemnified against expenses,
judgements, fines and amounts paid in settlement actually and
reasonably incurred by the officer or director in connection
with any threatened, pending or completed action, suit or
proceeding, provided that (i) such officer or director
acted in good faith and in a manner he reasonably believed to be
in or not opposed to the best interests of the Company; and
(ii) with respect to criminal actions or proceedings, such
officer or director had no reasonable cause to believe his
conduct was unlawful. With respect to stockholder derivative
actions, the Bylaws generally state that an officer or director
will be indemnified against expenses actually and reasonably
incurred by the officer or director in connection with the
defense or settlement of any threatened, pending or completed
action or suit provided that such officer or director acted in
good faith and in a manner he reasonably believed to be in or
not opposed to the best interests of the Company, except that no
indemnification (except for indemnification allowed by a court)
will be made with respect to any claim, issue or matter as to
which such officer or director has been adjudged to be liable
for negligence or misconduct in the performance of the
officers or directors duty to the Company. The
Bylaws also provide that expenses for the defense of any action
for which indemnification may be available will be advanced by
the Company under certain circumstances.
Additionally, pursuant to the Companys Amended and
Restated Certificate of Incorporation, a director is not
personally liable to the Company or any of its stockholders for
monetary damages for breach of his or her fiduciary duty as a
director, except for liability resulting from (i) any
breach of the directors duty of loyalty to the Company or
its stockholders; (ii) acts or omissions not in good faith
or which involve intentional misconduct or knowing violation of
law; (iii) violation of Section 174 of the Delaware
General Corporation Law, which generally hold directors liable
for unlawful dividends, stock purchases or stock redemptions in
the event of the Companys dissolution or insolvency; or
(iv) any transaction from which the director derived an
improper personal benefit.
The indemnification provided by the Delaware General Corporation
Law, the Companys Amended and Restated Certificate of
Incorporation and the Bylaws is not exclusive of any other
rights to which a director or officer of the Company may be
entitled. The Company also carries directors and
officers liability insurance.
The laws of the states or other jurisdictions of incorporation
or organization and/or the provisions of the articles or
certificates of incorporation or organization (or their
equivalent) and the bylaws of
II-1
substantially all of the subsidiary guarantors listed in the
Table of Additional Registrants (the
Subsidiary Guarantors) included in this Registration
Statement provide indemnification provisions similar to those
described above.
The Exchange and Registration Rights Agreement contains
provisions under which the holders of the notes agree to
indemnify the officers, directors and controlling persons of the
Company and each of the Subsidiary Guarantors against certain
liabilities, including liabilities under the Securities Act of
1933 or to contribute to payments the officers and directors may
be required to make with respect to such liabilities.
|
|
Item 21. |
Exhibits and Financial Statement Schedules. |
|
|
|
|
|
|
2 |
.1 |
|
Agreement and Plan of Merger by and among PMR Corporation, PMR
Acquisition Corporation and Psychiatric Solutions, Inc., dated
May 6, 2002, as amended by Amendment No. 1, dated as
of June 10, 2002, and Amendment No. 2, dated as of
July 9, 2002 (included as Annex A to Amendment No. 1
to the Companys Registration Statement on Form S-4,
filed on July 11, 2002 (Reg. No. 333-90372) (the
2002 S-4 Amendment)). |
|
2 |
.2 |
|
Amended and Restated Stock Purchase Agreement dated as of
June 30, 2005 by and among Ardent Health Services LLC,
Ardent Health Services, Inc., and Psychiatric Solutions, Inc.
(incorporated by reference to Exhibit 2.1 to the
Companys Current Report on Form 8-K, filed on July 8,
2005). |
|
2 |
.3 |
|
Agreement and Plan of Merger, dated April 8, 2003, by and among
Psychiatric Solutions, Inc., PSI Acquisition Sub, Inc. and
Ramsay Youth Services, Inc. (incorporated by reference to
Exhibit 2.1 to the Companys Current Report on
Form 8-K, filed on April 10, 2003). |
|
2 |
.4 |
|
Asset Purchase Agreement, dated February 23, 2004, by and among
Psychiatric Solutions, Inc., Brentwood Health Management,
L.L.C., Brentwood, A Behavioral Health Company, L.L.C. and River
Rouge, Inc. (incorporated by reference to Exhibit 2.1 to the
Companys Current Report on Form 8-K, filed on March
3, 2004). |
|
2 |
.5 |
|
Asset Purchase Agreement, dated February 23, 2004, by and among
Psychiatric Solutions, Inc., Brentwood Health Management of MS,
LLC, and Turner-Windham of Mississippi, LLC (incorporated by
reference to Exhibit 2.2 to the Companys Current Report on
Form 8-K, filed on March 3, 2004). |
|
2 |
.6 |
|
Asset Purchase Agreement, dated April 23, 2004, by and among
Psychiatric Solutions, Inc., Fort Lauderdale Hospital, Inc.,
Millwood Hospital, L.P., PSI Pride Institute, Inc., PSI Summit
Hospital, Inc., Fort Lauderdale Hospital Management, LLC,
Millwood Health, LLC, Pride Institute, LLC and Summit Health,
LLC (incorporated by reference to Exhibit 2.1 of the
Companys Current Report on Form 8-K, filed on June 2,
2004). |
|
3 |
.1 |
|
Amended and Restated Certificate of Incorporation of PMR
Corporation, filed with the Delaware Secretary of State on March
9, 1998 (incorporated by reference to Exhibit 3.1 to the
Companys Annual Report on Form 10-K for the fiscal year
ended April 30, 1998). |
|
3 |
.2 |
|
Certificate of Amendment to Amended and Restated Certificate of
Incorporation of PMR Corporation, filed with the Delaware
Secretary of State on August 5, 2002 (incorporated by reference
to Exhibit 3.2 to the Companys Quarterly Report on Form
10-Q for the quarter ended July 31, 2002). |
|
3 |
.3 |
|
Certificate of Amendment to Amended and Restated Certificate of
Incorporation of Psychiatric Solutions, Inc., filed with the
Delaware Secretary of State on March 21, 2003 (incorporated by
reference to Appendix A of the Companys Definitive Proxy
Statement, filed on January 22, 2003). |
|
3 |
.4 |
|
Amended and Restated Bylaws (incorporated by reference to
Exhibit 3.2 to the Companys Annual Report on Form 10-K for
the fiscal year ended April 30, 1997) (the 1997
10-K)). |
|
3 |
.5 |
|
Certificate of Incorporation of Aeries Healthcare Corporation
(incorporated by reference to Exhibit 3.4 to the Companys
Registration Statement on Form S-4, filed on July 30, 2003
(Reg. No. 333-107453) (the 2003 Form S-4)). |
|
3 |
.6 |
|
Articles of Incorporation of Aeries Healthcare of Illinois,
Inc., as amended (incorporated by reference to Exhibit 3.6 to
the 2003 Form S-4). |
|
3 |
.7* |
|
Certificate of Incorporation of Ardent Health Services, Inc. |
|
3 |
.8* |
|
Amended and Restated Certificate of Incorporation of Behavioral
Healthcare Corporation. |
II-2
|
|
|
|
|
|
3 |
.9* |
|
Charter of BHC Alhambra Hospital, Inc. |
|
3 |
.10* |
|
Charter of BHC Belmont Pines Hospital, Inc. |
|
3 |
.11* |
|
Articles of Incorporation of BHC Cedar Crest RTC, Inc. |
|
3 |
.12* |
|
Articles of Incorporation of BHC Cedar Vista Hospital, Inc. |
|
3 |
.13* |
|
Charter of BHC Clinicas Del Este Hospital, Inc. |
|
3 |
.14* |
|
Charter of BHC Columbus Hospital, Inc., as amended. |
|
3 |
.15* |
|
Charter of BHC Fairfax Hospital, Inc. |
|
3 |
.16* |
|
Charter of BHC Fort Lauderdale Hospital, Inc. |
|
3 |
.17* |
|
Charter of BHC Fox Run Hospital, Inc. |
|
3 |
.18* |
|
Charter of BHC Fremont Hospital, Inc. |
|
3 |
.19* |
|
Charter of BHC Gulf Coast Management Group, Inc. |
|
3 |
.20* |
|
Articles of Incorporation of BHC Health Services of Nevada, Inc. |
|
3 |
.21* |
|
Charter of BHC Heritage Oaks Hospital, Inc. |
|
3 |
.22* |
|
Certificate of Incorporation of BHC Hospital Holdings, Inc. |
|
3 |
.23* |
|
Charter of BHC Intermountain Hospital, Inc. |
|
3 |
.24* |
|
Charter of BHC Lebanon Hospital, Inc., as amended. |
|
3 |
.25* |
|
Certificate of Incorporation of BHC Management Holdings, Inc. |
|
3 |
.26* |
|
Charter of BHC Millwood Hospital, Inc. |
|
3 |
.27* |
|
Articles of Incorporation of BHC Montevista Hospital, Inc. |
|
3 |
.28* |
|
Charter of BHC of Northern Indiana, Inc., as amended. |
|
3 |
.29* |
|
Charter of BHC Pacific Gateway Hospital, Inc. |
|
3 |
.30* |
|
Articles of Incorporation of BHC Pacific Shores Hospital, Inc. |
|
3 |
.31* |
|
Charter of BHC Pacific View RTC, Inc., as amended. |
|
3 |
.32* |
|
Charter of BHC Pinnacle Pointe Hospital, Inc. |
|
3 |
.33* |
|
Charter of BHC Properties, Inc. |
|
3 |
.34* |
|
Articles of Incorporation of BHC Ross Hospital, Inc. |
|
3 |
.35* |
|
Charter of BHC San Juan Capestrano Hospital, Inc. |
|
3 |
.36* |
|
Charter of BHC Sierra Vista Hospital, Inc. |
|
3 |
.37* |
|
Charter of BHC Spirit of St. Louis Hospital, Inc. |
|
3 |
.38* |
|
Charter of BHC Streamwood Hospital, Inc. |
|
3 |
.39* |
|
Charter of BHC Valle Vista Hospital, Inc. |
|
3 |
.40* |
|
Charter of BHC Vista Del Mar Hospital, Inc. |
|
3 |
.41* |
|
Articles of Incorporation of BHC Windsor Hospital, Inc. |
|
3 |
.42 |
|
Articles of Incorporation of Bountiful Psychiatric Hospital,
Inc. (incorporated by reference to Exhibit 3.8 to the 2003
Form S-4). |
|
3 |
.43* |
|
Charter of Brentwood Acquisition, Inc. |
|
3 |
.44* |
|
Certificate of Incorporation of Brentwood
Acquisition-Shreveport, Inc., as amended. |
|
3 |
.45* |
|
Articles of Incorporation of Canyon Ridge Hospital, Inc. |
|
3 |
.46 |
|
Charter of Collaborative Care Corporation, as amended
(incorporated by reference to Exhibit 3.10 to the 2003
Form S-4). |
|
3 |
.47* |
|
Articles of Incorporation of Community Psychiatric Centers of
Texas, Inc. |
|
3 |
.48 |
|
Articles of Incorporation of East Carolina Psychiatric Services
Corporation, as amended (incorporated by reference to Exhibit
3.12 to the 2003 Form S-4). |
|
3 |
.49* |
|
Articles of Incorporation of Fort Lauderdale Hospital, Inc. |
|
3 |
.50 |
|
Articles of Incorporation of Great Plains Hospital, Inc.
(incorporated by reference to Exhibit 3.14 to the 2003
Form S-4). |
|
3 |
.51 |
|
Articles of Incorporation of Gulf Coast Treatment Center, Inc.,
as amended (incorporated by reference to Exhibit 3.16 to the
2003 Form S-4). |
II-3
|
|
|
|
|
|
3 |
.52 |
|
Articles of Incorporation of H. C. Corporation (incorporated by
reference to Exhibit 3.18 to the 2003 Form S-4). |
|
3 |
.53 |
|
Articles of Incorporation of Havenwyck Hospital Inc., as amended
(incorporated by reference to Exhibit 3.22 to the 2003
Form S-4). |
|
3 |
.54 |
|
Articles of Incorporation of HSA Hill Crest Corporation
(incorporated by reference to Exhibit 3.24 to the 2003
Form S-4). |
|
3 |
.55 |
|
Articles of Incorporation of HSA of Oklahoma, Inc. (incorporated
by reference to Exhibit 3.26 to the 2003 Form S-4). |
|
3 |
.56* |
|
Certificate of Incorporation of Indiana Psychiatric Institutes,
Inc., as amended. |
|
3 |
.57 |
|
Certificate of Incorporation of InfoScriber Corporation, as
amended (incorporated by reference to Exhibit 3.28 to the 2003
Form S-4). |
|
3 |
.58* |
|
Articles of Incorporation of Laurelwood Center, Inc. |
|
3 |
.59* |
|
Articles of Incorporation of Mesilla Valley Hospital, Inc. |
|
3 |
.60* |
|
Articles of Incorporation of Mesilla Valley Mental Health
Associates, Inc. |
|
3 |
.61 |
|
Articles of Incorporation of Michigan Psychiatric Services, Inc.
(incorporated by reference to Exhibit 3.30 to the 2003
Form S-4). |
|
3 |
.62* |
|
Certificate of Incorporation of Peak Behavioral Health Services,
Inc., as amended. |
|
3 |
.63* |
|
Restated Certificate of Incorporation of Premier Behavioral
Solutions, Inc., as amended. |
|
3 |
.64* |
|
Certificate of Incorporation of Premier Behavioral Solutions of
Alabama, Inc., as amended. |
|
3 |
.65* |
|
Certificate of Incorporation of Premier Behavioral Solutions of
Florida, Inc., as amended. |
|
3 |
.66 |
|
Certificate of Incorporation PSI Cedar Springs Hospital, Inc.
(incorporated by reference to Exhibit 3.34 to the 2003
Form S-4). |
|
3 |
.67 |
|
Charter of PSI Community Mental Health Agency Management, Inc.
(incorporated by reference to Exhibit 3.36 to the 2003
Form S-4). |
|
3 |
.68 |
|
Certificate of Incorporation of PSI Hospitals, Inc.
(incorporated by reference to Exhibit 3.38 to the 2003
Form S-4). |
|
3 |
.69* |
|
Articles of Incorporation of PSI Pride Institute, Inc. |
|
3 |
.70* |
|
Public Records Filing for New Business Entity for PSI Summit
Hospital, Inc. |
|
3 |
.71 |
|
Certificate of Incorporation of PSI-EAP, Inc. (incorporated by
reference to Exhibit 3.41 to the 2003 Form S-4). |
|
3 |
.72 |
|
Articles of Incorporation of Psychiatric Management Resources,
Inc. (incorporated by reference to Exhibit 3.43 to the 2003
Form S-4). |
|
3 |
.73 |
|
Amended and Restated Charter of Psychiatric Practice Management
of Arkansas, Inc. (incorporated by reference to Exhibit 3.45 to
the 2003 Form S-4). |
|
3 |
.74 |
|
Third Amended and Restated Certificate of Incorporation of
Psychiatric Solutions Hospitals, Inc. (incorporated by reference
to Exhibit 3.47 to the 2003 Form S-4). |
|
3 |
.75 |
|
Charter of Psychiatric Solutions of Alabama, Inc. (incorporated
by reference to Exhibit 3.49 to the 2003 Form S-4). |
|
3 |
.76* |
|
Certificate of Incorporation of Psychiatric Solutions of
Arizona, Inc. |
|
3 |
.77* |
|
Charter of Psychiatric Solutions of Leesburg, Inc. |
|
3 |
.78 |
|
Charter of Psychiatric Solutions of North Carolina, Inc.
(incorporated by reference to Exhibit 3.55 to the 2003
Form S-4). |
|
3 |
.79 |
|
Certificate of Incorporation of Psychiatric Solutions of
Oklahoma, Inc. (incorporated by reference to Exhibit 3.57 to the
2003 Form S-4). |
|
3 |
.80* |
|
Certificate of Incorporation of Psychiatric Solutions of South
Carolina, Inc., as amended. |
|
3 |
.81 |
|
Charter of Psychiatric Solutions of Tennessee, Inc.
(incorporated by reference to Exhibit 3.59 to the 2003
Form S-4). |
|
3 |
.82* |
|
Charter of Psychiatric Solutions of Virginia, Inc., as amended. |
|
3 |
.83 |
|
Amended and Restated Certificate of Incorporation of Ramsay
Managed Care, Inc. (incorporated by reference to Exhibit 3.61 to
the 2003 Form S-4). |
II-4
|
|
|
|
|
|
3 |
.84 |
|
Certificate of Incorporation of Ramsay Treatment Services, Inc.
(incorporated by reference to Exhibit 3.63 to the 2003
Form S-4). |
|
3 |
.85 |
|
Certificate of Incorporation of Ramsay Youth Services of
Georgia, Inc. (incorporated by reference to Exhibit 3.69 to the
2003 Form S-4). |
|
3 |
.86 |
|
Certificate of Incorporation of Ramsay Youth Services Puerto
Rico, Inc. (incorporated by reference to Exhibit 3.73 to the
2003 Form S-4). |
|
3 |
.87 |
|
Certificate of Incorporation of RHCI San Antonio, Inc.
(incorporated by reference to Exhibit 3.75 to the 2003
Form S-4). |
|
3 |
.88 |
|
Amended and Restated Charter of Solutions Center of Little Rock,
Inc., as amended (incorporated by reference to Exhibit 3.77 to
the 2003 Form S-4). |
|
3 |
.89 |
|
Amended and Restated Charter of Sunstone Behavioral Health,
Inc., as amended (incorporated by reference to Exhibit 3.79 to
the 2003 Form S-4). |
|
3 |
.90 |
|
Amended and Restated Charter of The Counseling Center of Middle
Tennessee, Inc. (incorporated by reference to Exhibit 3.91 to
the 2003 Form S-4). |
|
3 |
.91 |
|
Certificate of Incorporation of Transitional Care Ventures, Inc.
(incorporated by reference to Exhibit 3.95 to the 2003
Form S-4). |
|
3 |
.92 |
|
Certificate of Incorporation of Transitional Care Ventures
(Texas), Inc., as amended (incorporated by reference to Exhibit
3.97 to the 2003 Form S-4). |
|
3 |
.93* |
|
Certificate of Incorporation of Tucson Health Systems, Inc. |
|
3 |
.94* |
|
Certificate of Incorporation of Wellstone Holdings, Inc. |
|
3 |
.95* |
|
Certificate of Incorporation of Whisper Ridge of Staunton, Inc. |
|
3 |
.96* |
|
Form of Amended and Restated Bylaws for the Corporations Listed
in Exhibits 3.5 - 3.95. |
|
3 |
.97* |
|
Articles of Organization of AHS Cumberland Hospital, LLC. |
|
3 |
.98* |
|
Certificate of Formation of BHC Canyon Ridge Hospital, LLC. |
|
3 |
.99* |
|
Certificate of Formation of BHC Management Services, LLC. |
|
3 |
.100* |
|
Certificate of Formation of BHC Management Services of Indiana,
LLC. |
|
3 |
.101* |
|
Certificate of Formation of BHC Management Services of Kentucky,
LLC, as amended. |
|
3 |
.102* |
|
Certificate of Formation of BHC Management Services of
Louisiana, LLC. |
|
3 |
.103* |
|
Certificate of Formation of BHC Management Services of New
Mexico, LLC, as amended. |
|
3 |
.104* |
|
Certificate of Formation of BHC Management Services of
Pennsylvania, LLC. |
|
3 |
.105* |
|
Certificate of Formation of BHC Management Services of
Streamwood, LLC, as amended. |
|
3 |
.106* |
|
Certificate of Formation of BHC Management Services of Tulsa,
LLC. |
|
3 |
.107* |
|
Certificate of Formation of BHC Mesilla Valley Hospital, LLC, as
amended. |
|
3 |
.108* |
|
Form of Certificate of Formation for BHC Newco 2, LLC, BHC Newco
3, LLC, BHC Newco 4, LLC, BHC Newco 5, LLC, BHC Newco 6, LLC,
BHC Newco 7, LLC, BHC Newco 8, LLC, BHC Newco 9, LLC and BHC
Newco 10, LLC. |
|
3 |
.109* |
|
Certificate of Formation of BHC Northwest Psychiatric Hospital,
LLC. |
|
3 |
.110* |
|
Certificate of Formation of BHC Physician Services of Kentucky,
LLC, as amended. |
|
3 |
.111* |
|
Certificate of Formation of Columbus Hospital, LLC. |
|
3 |
.112* |
|
Certificate of Formation of Lebanon Hospital, LLC. |
|
3 |
.113* |
|
Certificate of Formation of Northern Indiana Hospital, LLC. |
|
3 |
.114* |
|
Articles of Organization of Palmetto Behavioral Health System,
L.L.C. |
|
3 |
.115* |
|
Articles of Organization of Palmetto Lowcountry Behavioral
Health, L.L.C. |
|
3 |
.116* |
|
Articles of Organization of Palmetto Pee Dee Behavioral Health,
L.L.C. |
|
3 |
.117* |
|
Certificate of Formation of PSI Crossings, LLC. |
|
3 |
.118 |
|
Articles of Organization of PSI Texas Hospitals, LLC
(incorporated by reference to Exhibit 3.40 to the 2003
Form S-4). |
|
3 |
.119 |
|
Articles of Organization of Therapeutic School Services, L.L.C.
(incorporated by reference to Exhibit 3.93 to the 2003
Form S-4). |
|
3 |
.120* |
|
Certificate of Formation of Valle Vista, LLC, as amended. |
II-5
|
|
|
|
|
|
3 |
.121* |
|
Articles of Organization of Wellstone Regional Hospital
Acquisition, LLC, as amended. |
|
3 |
.122* |
|
Certificate of Formation of Willow Springs, LLC. |
|
3 |
.123* |
|
Form of Amended and Restated Operating Agreement for the Limited
Liability Companies Listed in the Exhibits 3.97 - 3.122. |
|
3 |
.124* |
|
Agreement of General Partnership of BHC of Indiana, General
Partnership. |
|
3 |
.125* |
|
Agreement of General Partnership of Bloomington Meadows, General
Partnership. |
|
3 |
.126 |
|
General Partnership Agreement of H. C. Partnership (incorporated
by reference to Exhibit 3.20 to the 2003 Form S-4). |
|
3 |
.127 |
|
Bylaws of H. C. Partnership (incorporated by reference to
Exhibit 3.21 to the 2003 Form S-4). |
|
3 |
.128* |
|
Agreement and Certificate of Partnership of Mesilla Valley
General Partnership, as amended. |
|
3 |
.129* |
|
Certificate of Limited Partnership of Millwood Hospital, L.P. |
|
3 |
.130* |
|
Limited Partnership Agreement of Millwood Hospital, L.P. |
|
3 |
.131 |
|
Certificate of Limited Partnership of Neuro Institute of Austin,
L.P., as amended (incorporated by reference to Exhibit 3.32 to
the 2003 Form S-4). |
|
3 |
.132 |
|
Limited Partnership Agreement of Neuro Institute of Austin, L.P.
(incorporated by reference to Exhibit 3.33 to the 2003
Form S-4). |
|
3 |
.133 |
|
Certificate of Limited Partnership of Texas Cypress Creek
Hospital, L.P., as amended (incorporated by reference to Exhibit
3.81 to the 2003 Form S-4). |
|
3 |
.134 |
|
Amended and Restated Limited Partnership Agreement of Texas
Cypress Creek Hospital, L.P. (incorporated by reference to
Exhibit 3.82 to the 2003 Form S-4). |
|
3 |
.135 |
|
Certificate of Limited Partnership of Texas Laurel Ridge
Hospital, L.P. (incorporated by reference to Exhibit 3.83 to the
2003 Form S-4). |
|
3 |
.136 |
|
Limited Partnership Agreement of Texas Laurel Ridge Hospital,
L.P. (incorporated by reference to Exhibit 3.84 to the 2003
Form S-4). |
|
3 |
.137 |
|
Certificate of Limited Partnership of Texas Oaks Psychiatric
Hospital, L.P. (incorporated by reference to Exhibit 3.85 to the
2003 Form S-4). |
|
3 |
.138 |
|
Limited Partnership Agreement of Texas Oaks Psychiatric
Hospital, L.P. (incorporated by reference to Exhibit 3.86 to the
2003 Form S-4). |
|
3 |
.139 |
|
Certificate of Limited Partnership of Texas San Marcos Treatment
Center, L.P. (incorporated by reference to Exhibit 3.87 to the
2003 Form S-4). |
|
3 |
.140 |
|
Limited Partnership Agreement of Texas San Marcos Treatment
Center, L.P. (incorporated by reference to Exhibit 3.88 to the
2003 Form S-4). |
|
3 |
.141 |
|
Certificate of Limited Partnership of Texas West Oaks Hospital,
L.P., as amended (incorporated by reference to Exhibit 3.89 to
the 2003 Form S-4). |
|
3 |
.142 |
|
Amended and Restated Limited Partnership Agreement of Texas West
Oaks Hospital, L.P. (incorporated by reference to Exhibit 3.90
to the 2003 Form S-4). |
|
4 |
.1 |
|
Reference is made to Exhibits 3.1 through 3.142. |
|
4 |
.2 |
|
Common Stock Specimen Certificate (incorporated by reference to
Exhibit 4.2 to the Companys Annual Report on Form 10-K for
the fiscal year ended December 31, 2002) (the 2002
10-K)). |
|
4 |
.3 |
|
Certificate of Designations, Preferences and Rights of Series A
Convertible Preferred Stock, filed with the Delaware Secretary
of State on March 24, 2003 (incorporated by reference to
Appendix D of the Companys Definitive Proxy Statement,
filed January 22, 2003). |
|
4 |
.4 |
|
Indenture, dated as of June 30, 2003, among Psychiatric
Solutions, Inc., the Guarantors named therein and Wachovia Bank,
National Association, as Trustee (incorporated by reference to
Exhibit 4.10 to the 2003 Form S-4). |
|
4 |
.5 |
|
Form of Notes (included in Exhibit 4.4) (incorporated by
reference to Exhibit 4.11 to the 2003 Form S-4). |
|
4 |
.6 |
|
Purchase Agreement, dated as of June 19, 2003, among Psychiatric
Solutions, Inc., the Guarantors named therein, Lehman Brothers
Inc., Merrill Lynch, Pierce, Fenner & Smith Incorporated and
Jefferies & Company, Inc. (incorporated by reference to
Exhibit 4.12 to the 2003 S-4). |
II-6
|
|
|
|
|
|
4 |
.7 |
|
Indenture, dated as of July 6, 2005, by and among Psychiatric
Solutions, Inc., the subsidiaries named as guarantors thereto,
and Wachovia Bank, National Association (incorporated by
reference to Exhibit 4.1 to the Companys Current Report on
Form 8-K, filed on July 8, 2005). |
|
4 |
.8 |
|
Form of Notes (included in Exhibit 4.7) (incorporated by
reference to Exhibit 4.2 to the Companys Current Report on
Form 8-K, filed on July 8, 2005). |
|
4 |
.9 |
|
Purchase Agreement, dated as of June 30, 2005, among Psychiatric
Solutions, Inc., the subsidiaries named as guarantors thereto,
and Citigroup Global Markets Inc., as representative of the
initial purchasers named therein (incorporated by reference to
Exhibit 4.3 to the Companys Current Report on
Form 8-K, filed on July 8, 2005). |
|
4 |
.10 |
|
Exchange and Registration Rights Agreement, dated as of July 6,
2005, among Psychiatric Solutions, Inc., the subsidiary
guarantors from time to time party thereto, and Citigroup Global
Markets Inc. on behalf of Banc of America Securities LLC,
Merrill, Lynch, Pierce, Fenner & Smith Incorporated, J.P.
Morgan Securities Inc. and Lehman Brothers Inc. (incorporated by
reference to Exhibit 4.4 to the Companys Current Report on
Form 8-K, filed on July 8, 2005). |
|
5 |
.1* |
|
Opinion of Waller Lansden Dortch & Davis, PLLC. |
|
8 |
.1* |
|
Opinion of Waller Lansden Dortch & Davis, PLLC. |
|
10 |
.1 |
|
Employment Agreement between Jack R. Salberg and Psychiatric
Solutions, Inc., dated as of October 1, 2002 (incorporated by
reference to Exhibit 10.14 to the 2002 10-K). |
|
10 |
.2 |
|
Second Amended and Restated Employment Agreement between Joey A.
Jacobs and Psychiatric Solutions, Inc., dated as of August 6,
2002 (incorporated by reference to Exhibit 10.16 to the 2002
10-K). |
|
10 |
.3 |
|
Amendment to Second Amended and Restated Employment Agreement
between Joey A. Jacobs and Psychiatric Solutions, Inc., dated as
of November 26, 2003 (incorporated by reference to Exhibit 10.14
to Amendment No. 2 to the 2003 S-4). |
|
10 |
.4 |
|
Form of Indemnification Agreement executed by each director of
Psychiatric Solutions, Inc. (incorporated by reference to
Exhibit 10.4 to the Companys Annual Report on Form 10-K
for the fiscal year ended December 31, 2004). |
|
10 |
.5 |
|
Second Amended and Restated Credit Agreement, dated as of July
1, 2005, by and among Psychiatric Solutions, Inc., the
subsidiaries named as guarantors thereto, Citicorp North
America, Inc., as term loan facility administrative agent,
co-syndication agent and documentation agent , Bank of America,
N.A., as revolving loan facility administrative agent,
collateral agent, swing line lender and co-syndication agent,
and the various other agents and lenders party thereto
(incorporated by reference to Exhibit 10.1 to the Companys
Current Report on Form 8-K, filed on July 8, 2005). |
|
10 |
.6 |
|
Senior Unsecured Term Loan Agreement, dated as of July 1, 2005,
by and among Citicorp North America, Inc., as administrative
agent, Citigroup Global Markets Inc., as sole lead arranger,
sole book manager, syndication agent and documentation agent,
and Psychiatric Solutions, Inc. (incorporated by reference to
Exhibit 10.2 to the Companys Current Report on
Form 8-K, filed on July 8, 2005). |
|
10 |
.7 |
|
Interest Rate Swap Agreement, dated January 28, 2004, between
Bank of America, N.A. and Psychiatric Solutions, Inc.
(incorporated by reference to Exhibit 10.2 to the Companys
Quarterly Report on Form 10-Q for the quarter ended March 31,
2004). |
|
10 |
.8 |
|
Confirmation of Interest Rate Swap Agreement, dated April 26,
2004, between Bank of America, N.A. and Psychiatric Solutions,
Inc. (incorporated by reference to Exhibit 10.5 to the
Companys Quarterly Report on Form 10-Q for the quarter
ended June 30, 2004). |
|
10 |
.9 |
|
Amended and Restated Psychiatric Solutions, Inc. 2003 Long-Term
Equity Compensation Plan (incorporated by reference to Exhibit
10.21 to the Companys Annual Report on Form 10-K for the
fiscal year ended December 31, 2003). |
|
10 |
.10 |
|
Amended and Restated Psychiatric Solutions, Inc. Equity
Incentive Plan, as amended by an Amendment adopted on May 4,
2004 (incorporated by reference to Appendix A to the
Companys Definitive Proxy Statement, filed on April 9,
2004). |
|
10 |
.11 |
|
Second Amendment to the Psychiatric Solutions, Inc. Equity
Incentive Plan (incorporated by reference to Appendix A of the
Companys Definitive Proxy Statement filed April 22, 2005). |
|
10 |
.12 |
|
Form of Incentive Stock Option Agreement under the 1997 Plan
(incorporated by reference to Exhibit 10.2 to the 1997 10-K). |
II-7
|
|
|
|
|
|
10 |
.13 |
|
Form of Nonstatutory Stock Option Agreement under the 1997 Plan
(incorporated by reference to Exhibit 10 to the 1997 10-K). |
|
10 |
.14 |
|
Amended and Restated Psychiatric Solutions, Inc. Outside
Directors Non-Qualified Stock Option Plan (incorporated by
reference to Appendix C to the Companys Definitive Proxy
Statement, filed on April 14, 2003). |
|
10 |
.15 |
|
Amendment to the Psychiatric Solutions, Inc. Outside
Directors Stock Option Plan (incorporated by reference to
Appendix B of the Companys Definitive Proxy Statement
filed April 22, 2005). |
|
10 |
.16 |
|
Form of Outside Directors Non-Qualified Stock Option
Agreement (incorporated by reference to Exhibit 10.5 to the 1997
10-K). |
|
10 |
.17 |
|
Psychiatric Solutions, Inc. Cash Bonus Policy (incorporated by
reference to Exhibit 10.1 to the Companys Current Report
on Form 8-K, filed on April 22, 2005). |
|
12 |
.1* |
|
Computation of Ratio of Earnings to Fixed Charges. |
|
21 |
.1* |
|
List of Subsidiaries. |
|
23 |
.1* |
|
Consent of Ernst & Young LLP, Independent Registered Public
Accounting Firm. |
|
23 |
.2* |
|
Consent of Ernst & Young LLP, Independent Auditors. |
|
23 |
.3* |
|
Consent of Deloitte & Touche LLP, Independent Auditors. |
|
23 |
.4* |
|
Consent of Selznick & Company, LLP, Independent Auditors. |
|
23 |
.5* |
|
Consent of Waller Lansden Dortch & Davis, PLLC (included in
Exhibits 5.1 and 8.1). |
|
24 |
.1* |
|
Power of Attorney (included on the signature pages). |
|
25 |
.1** |
|
Form T-1 Statement of Eligibility under the Trust Indenture Act
of 1939, as amended, of Wachovia Bank, National Association, as
Trustee under the Indenture. |
|
99 |
.1* |
|
Form of Letter of Transmittal. |
|
99 |
.2* |
|
Form of Notice of Guaranteed Delivery. |
|
|
* |
Filed herewith |
|
** |
To be filed by amendment |
(a) Insofar as indemnification for liabilities arising
under the Securities Act of 1933 may be permitted to
directors, officers and controlling persons of each Registrant
pursuant to the foregoing provisions, or otherwise, each
Registrant has been advised that in the opinion of the
Securities and Exchange Commission such indemnification is
against public policy as expressed in the Act and is, therefore,
unenforceable. In the event that a claim for indemnification
against such liabilities (other than the payment by a Registrant
of expenses incurred or paid by a director, officer or
controlling person of the Registrant in the successful defense
of any action, suit or proceeding) is asserted by such director,
officer or controlling person in connection with the securities
being registered, each Registrant will, unless in the opinion of
its counsel the matter has been settled by controlling
precedent, submit to a court of appropriate jurisdiction the
question whether such indemnification by it is against public
policy as expressed in the Act and will be governed by the final
adjudication of such issue.
(b) Each undersigned Registrant hereby undertakes to
respond to requests for information that is incorporated by
reference into the prospectus pursuant to Items 4, 10(b),
11 or 13 of this form, within one business day of receipt of
such request, and to send the incorporated documents by first
class mail or other equally prompt means. This includes
information contained in documents filed subsequent to the
effective date of the Registration Statement through the date of
responding to the request.
(c) Each undersigned Registrant hereby undertakes to supply
by means of a post-effective amendment all information
concerning a transaction, and the company being acquired
involved therein, that was not the subject of and included in
the Registration Statement when it became effective.
II-8
(d) Each undersigned Registrant hereby undertakes:
|
|
|
(1) To file, during any period in which offers or sales are
being made, a post-effective amendment to this registration
statement: |
|
|
|
(i) To include any prospectus required by
Section 10(a)(3) of the Securities Act of 1933; |
|
|
(ii) To reflect in the prospectus any facts or events
arising after the effective date of the registration statement
(or the most recent post-effective amendment thereof) which,
individually or in the aggregate, represent a fundamental change
in the information set forth in the registration statement
Notwithstanding the foregoing, any increase or decrease in
volume of securities offered (if the total dollar value of
securities offered would not exceed that which was registered)
and any deviation from the low or high end of the estimated
maximum offering range may be reflected in the form of
prospectus filed with the Commission pursuant to
Rule 424(b) if, in the aggregate, the changes in volume and
price represent no more than 20 percent change in the
maximum aggregate offering price set forth in the
Calculation of Registration Fee table in the
effective registration statement. |
|
|
(iii) To include any material information with respect to
the plan of distribution not previously disclosed in the
registration statement or any material change to such
information in the registration statement; |
|
|
|
(2) That, for the purpose of determining any liability
under the Securities Act of 1933, each such post-effective
amendment shall be deemed to be a new registration statement
relating to the securities offered therein, and the offering of
such securities at that time shall be deemed to be the initial
bona fide offering thereof. |
|
|
(3) To remove from registration by means of a
post-effective amendment any of the securities being registered
which remain unsold at the termination of the offering. |
|
|
(4) If the Registrant is a foreign private issuer, to file
a post-effective amendment to the registration statement to
include any financial statements required by Item 8.A of
Form 20-F at the start of any delayed offering or
throughout a continuous offering. Financial statements and
information otherwise required by Section 10(a) (3) of
the Act need not be furnished, provided, that the Registrant
includes in the prospectus, by means of a post-effective
amendment, financial statements required pursuant to this
paragraph (d) (4) and other information necessary to
ensure that all other information in the prospectus is at least
current as the date of those financial statements.
Notwithstanding the foregoing, with respect to registration
statements on Form F-3, a post-effective amendment need not
be filed to include financial statements and information
required by Section 10(a) (3) of the Act or
Rule 3-19 of this chapter if such financial statements and
information are contained in periodic reports filed with or
furnished to the Commission by the Registrant pursuant to
Section 13 or Section 15(d) of the Securities Exchange
Act of 1934 that are incorporated by reference in the
Form F-3. |
(e) Each of the undersigned Registrants hereby undertakes
that, for purposes of determining any liability under the
Securities Act of 1933, each filing of the Registrants
annual report pursuant to Section 13 (a) or 15(d) of
the Securities Exchange Act of 1934 (and, where applicable, each
filing of an employee benefit plans annual report pursuant
to Section 15(d) of the Securities Exchange Act of 1934)
that is incorporated by reference in the registration statement
shall be deemed to be a new registration statement relating to
the securities offered therein, and the offering of the
securities at that time shall be deemed to be the initial bona
fide offering thereof.
II-9
SIGNATURES
Pursuant to the requirements of the Securities Act, the
registrant has duly caused this registration statement to be
signed on its behalf by the undersigned, thereunto duly
authorized, in the City of Franklin, State of Tennessee, as of
the 5th day of August, 2005.
|
|
|
PSYCHIATRIC SOLUTIONS, INC. |
|
|
|
|
|
Joey A. Jacobs |
|
Chairman, Chief Executive Officer and President |
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, that each person whose signature
appears below constitutes and appoints Joey A. Jacobs and Brent
Turner, and each of them, his true and lawful attorney-in-fact,
as agent and with full power of substitution and resubstitution
for him and in his name, place and stead, in any and all
capacities, to sign any and all amendments to this registration
statement, and to file the same, with all exhibits thereto and
other documents in connection therewith, with the Securities and
Exchange Commission, granting unto said attorney-in-fact and
agents full power and authority to do and perform each and every
act and thing requisite and necessary to be done in and about
the premises, as fully and to all intents and purposes as they
might or could do in person, hereby ratifying and confirming all
that said attorneys-in-fact and agents or any substitute or
substitutes of any of them, may lawfully do or cause to be done
by virtue hereof.
Pursuant to the requirements of the Securities Act of 1933, this
registration statement has been signed by the following persons
in the capacities and on the dates indicated.
|
|
|
|
|
|
|
Signature |
|
Title |
|
Date |
|
|
|
|
|
|
/s/ Joey A. Jacobs
Joey
A. Jacobs |
|
Chairman of the Board of Directors, President and Chief
Executive Officer
(Principal Executive Officer) |
|
August 5, 2005 |
|
/s/ Jack E. Polson
Jack
E. Polson |
|
Chief Accounting Officer
(Principal Accounting Officer) |
|
August 5, 2005 |
|
/s/ William F. Carpenter III
William
F. Carpenter III |
|
Director |
|
August 5, 2005 |
|
/s/ Mark P. Clein
Mark
P. Clein |
|
Director |
|
August 5, 2005 |
|
/s/ Richard D. Gore
Richard
D. Gore |
|
Director |
|
August 5, 2005 |
|
/s/ Christopher Grant, Jr.
Christopher
Grant, Jr. |
|
Director |
|
August 5, 2005 |
II-10
|
|
|
|
|
|
|
Signature |
|
Title |
|
Date |
|
|
|
|
|
|
/s/ Ann H. Lamont
Ann
H. Lamont |
|
Director |
|
August 5, 2005 |
|
/s/ William M. Petrie, M.D.
William
M. Petrie, M.D. |
|
Director |
|
August 2, 2005 |
|
/s/ Edward K. Wissing
Edward
K. Wissing |
|
Director |
|
August 5, 2005 |
II-11
POWER OF ATTORNEY
Each director and/or officer of the registrant whose signature
appears below hereby appoints Joey A. Jacobs and Brent Turner,
as his attorney-in-fact to sign in his name and on his behalf,
in any and all capacities stated below, and to file with the
Securities and Exchange Commission, and all amendments,
including post-effective amendments, to this registration
statement.
SIGNATURES
Pursuant to the requirements of the Securities Act of 1933, the
registrant has duly caused this Registration Statement to be
signed on its behalf by the undersigned thereunto duly
authorized, in the City of Franklin, State of Tennessee, on the
5th day of August, 2005.
|
|
|
PSYCHIATRIC SOLUTIONS HOSPITALS, INC. |
|
INFOSCRIBER CORPORATION |
|
COLLABORATIVE CARE CORPORATION |
|
PSYCHIATRIC SOLUTIONS OF
ALABAMA, INC. |
|
PSYCHIATRIC SOLUTIONS OF
TENNESSEE, INC. |
|
SOLUTIONS CENTER OF LITTLE ROCK, INC. |
|
PSYCHIATRIC SOLUTIONS OF
NORTH CAROLINA, INC. |
|
PSI COMMUNITY MENTAL HEALTH
AGENCY MANAGEMENT, INC. |
|
PSYCHIATRIC MANAGEMENT RESOURCES,
INC. PSI-EAP, INC. |
|
SUNSTONE BEHAVIORAL HEALTH, INC. |
|
THE COUNSELING CENTER OF MIDDLE
TENNESSEE, INC. |
|
PSI CEDAR SPRINGS HOSPITAL, INC. |
|
PSYCHIATRIC SOLUTIONS OF
OKLAHOMA, INC. |
|
AERIES HEALTHCARE CORPORATION |
|
AERIES HEALTHCARE OF ILLINOIS, INC. |
|
PSI HOSPITALS, INC. |
|
PSYCHIATRIC PRACTICE MANAGEMENT
OF ARKANSAS, INC. |
|
BOUNTIFUL PSYCHIATRIC HOSPITAL, INC. |
|
EAST CAROLINA PSYCHIATRIC
SERVICES CORPORATION |
|
GREAT PLAINS HOSPITAL, INC. |
|
GULF COAST TREATMENT CENTER, INC. |
|
HAVENWYCK HOSPITAL INC. |
|
H.C. CORPORATION |
|
HSA HILL CREST CORPORATION |
|
HSA OF OKLAHOMA, INC. |
|
MICHIGAN PSYCHIATRIC SERVICES, INC. |
|
RAMSAY MANAGED CARE, INC. |
|
RAMSAY TREATMENT SERVICES, INC. |
|
PREMIER BEHAVIORAL SOLUTIONS, INC. |
II-12
|
|
|
PREMIER BEHAVIORAL SOLUTIONS OF
ALABAMA, INC. |
|
PREMIER BEHAVIORAL SOLUTIONS OF
FLORIDA, INC. |
|
RAMSAY YOUTH SERVICES OF
GEORGIA, INC. |
|
RAMSAY YOUTH SERVICES PUERTO
RICO, INC. |
|
PSYCHIATRIC SOLUTIONS OF SOUTH
CAROLINA, INC. |
|
RHCI SAN ANTONIO, INC. |
|
TRANSITIONAL CARE VENTURES, INC. |
|
TRANSITIONAL CARE VENTURES
(TEXAS), INC. |
|
BRENTWOOD ACQUISITION, INC. |
|
BRENTWOOD ACQUISITION-
SHREVEPORT, INC. |
|
CANYON RIDGE HOSPITAL, INC. |
|
LAURELWOOD CENTER, INC. |
|
PEAK BEHAVIORAL HEALTH
SERVICES, INC. |
|
PSI PRIDE INSTITUTE, INC. |
|
PSI SUMMIT HOSPITAL, INC. |
|
PSYCHIATRIC SOLUTIONS OF
ARIZONA, INC. |
|
PSYCHIATRIC SOLUTIONS OF
LEESBURG, INC. |
|
PSYCHIATRIC SOLUTIONS OF
VIRGINIA, INC. |
|
TUCSON HEALTH SYSTEMS, INC. |
|
WHISPER RIDGE OF STAUNTON, INC. |
|
FORT LAUDERDALE HOSPITAL, INC. |
|
WELLSTONE HOLDINGS, INC. |
|
ARDENT HEALTH SERVICES, INC. |
|
BEHAVIORAL HEALTHCARE CORPORATION |
|
BHC ALHAMBRA HOSPITAL, INC. |
|
BHC BELMONT PINES HOSPITAL, INC. |
|
BHC CEDAR CREST RTC, INC. |
|
BHC CEDAR VISTA HOSPITAL, INC. |
|
BHC CLINICAS DEL ESTE HOSPITAL, INC. |
|
BHC COLUMBUS HOSPITAL, INC. |
|
BHC FAIRFAX HOSPITAL, INC. |
|
BHC FORT LAUDERDALE HOSPITAL, INC. |
|
BHC FOX RUN HOSPITAL, INC. |
|
BHC FREMONT HOSPITAL, INC. |
|
BHC GULF COAST MANAGEMENT
GROUP, INC. |
|
BHC HEALTH SERVICES OF NEVADA, INC. |
|
BHC HERITAGE OAKS HOSPITAL, INC. |
|
BHC HOSPITAL HOLDINGS, INC. |
|
BHC INTERMOUNTAIN HOSPITAL, INC. |
|
BHC LEBANON HOSPITAL, INC. |
|
BHC MANAGEMENT HOLDINGS, INC. |
II-13
|
|
|
BHC MILLWOOD HOSPITAL, INC. |
|
BHC MONTEVISTA HOSPITAL, INC. |
|
BHC OF NORTHERN INDIANA, INC. |
|
BHC PACIFIC GATEWAY HOSPITAL, INC. |
|
BHC PACIFIC SHORES HOSPITAL, INC. |
|
BHC PACIFIC VIEW RTC, INC. |
|
BHC PINNACLE POINTE HOSPITAL, INC. |
|
BHC PROPERTIES, INC. |
|
BHC ROSS HOSPITAL, INC. |
|
BHC SAN JUAN CAPESTRANO
HOSPITAL, INC. |
|
BHC SIERRA VISTA HOSPITAL, INC. |
|
BHC SPIRIT OF ST. LOUIS HOSPITAL, INC. |
|
BHC STREAMWOOD HOSPITAL, INC. |
|
BHC VALLE VISTA HOSPITAL, INC. |
|
BHC VISTA DEL MAR HOSPITAL, INC. |
|
BHC WINDSOR HOSPITAL, INC. |
|
COMMUNITY PSYCHIATRIC CENTERS OF
TEXAS, INC. |
|
INDIANA PSYCHIATRIC INSTITUTES, INC. |
|
MESILLA VALLEY HOSPITAL, INC. |
|
MESILLA VALLEY MENTAL HEALTH
ASSOCIATES, INC. |
|
|
|
|
|
|
|
Signature |
|
Title |
|
Date |
|
|
|
|
|
|
/s/ Joey A. Jacobs
Joey
A. Jacobs |
|
President and Director of Each Registrant |
|
August 5, 2005 |
|
/s/ Steven T. Davidson
Steven
T. Davidson |
|
Vice President, Secretary and Director of Each Registrant |
|
August 5, 2005 |
|
/s/ Jack E. Polson
Jack
E. Polson |
|
Vice President and Assistant Secretary of Each Registrant
(Principal Accounting Officer) |
|
August 5, 2005 |
|
/s/ Brent Turner
Brent
Turner |
|
Vice President and Director of CPC/Clinicas del Este, Inc. and
PSI-EAP, Inc. |
|
August 5, 2005 |
|
/s/ Jack R. Salberg
Jack
R. Salberg |
|
President of Sunstone Behavioral Health, Inc. |
|
August 5, 2005 |
II-14
POWER OF ATTORNEY
Each director and/or officer of the registrant whose signature
appears below hereby appoints Joey A. Jacobs and Brent Turner,
as his attorney-in-fact to sign in his name and on his behalf,
in any and all capacities stated below, and to file with the
Securities and Exchange Commission, and all amendments,
including post-effective amendments, to this registration
statement.
SIGNATURES
Pursuant to the requirements of the Securities Act of 1933, the
registrant has duly caused this Registration Statement to be
signed on its behalf by the undersigned thereunto duly
authorized, in the City of Franklin, State of Tennessee, on the
5th day of August, 2005.
|
|
|
THERAPEUTIC SCHOOL SERVICES, LLC |
|
RED ROCK SOLUTIONS, LLC |
|
PSI CROSSINGS, LLC |
|
PSI TEXAS HOSPITALS, LLC |
|
WELLSTONE REGIONAL HOSPITAL
ACQUISITION, LLC |
|
PALMETTO BEHAVIORAL HEALTH
SYSTEM, L.L.C |
|
PALMETTO LOWCOUNTRY BEHAVIORAL
HEALTH, L.L.C. |
|
PALMETTO PEE DEE BEHAVIORAL
HEALTH, L.L.C. |
|
BHC MANAGEMENT SERVICES, LLC |
|
BHC MANAGEMENT SERVICES OF INDIANA, LLC |
|
BHC MANAGEMENT SERVICES OF
KENTUCKY, LLC |
|
BHC MANAGEMENT SERVICES OF
LOUISIANA, LLC |
|
BHC MANAGEMENT SERVICES OF
NEW MEXICO, LLC |
|
BHC MANAGEMENT SERVICES OF
PENNSYLVANIA, LLC |
|
BHC MANAGEMENT SERVICES OF
STREAMWOOD, LLC |
|
BHC MANAGEMENT SERVICES OF
TULSA, LLC |
|
BHC MESILLA VALLEY HOSPITAL, LLC |
|
BHC NEWCO 2, LLC |
|
BHC NEWCO 3, LLC |
|
BHC NEWCO 4, LLC |
|
BHC NEWCO 5, LLC |
|
BHC NEWCO 6, LLC |
|
BHC NEWCO 7, LLC |
|
BHC NEWCO 8, LLC |
|
BHC NEWCO 9, LLC |
|
BHC NEWCO 10, LLC |
|
BHC NORTHWEST PSYCHIATRIC
HOSPITAL, LLC |
II-15
|
|
|
AHS CUMBERLAND HOSPITAL, LLC |
|
BHC CANYON RIDGE HOSPITAL, LLC |
|
BHC PHYSICIAN SERVICES OF
KENTUCKY, LLC |
|
COLUMBUS HOSPITAL, LLC |
|
LEBANON HOSPITAL, LLC |
|
NORTHERN INDIANA HOSPITAL, LLC |
|
VALLE VISTA, LLC |
|
WILLOW SPRINGS, LLC |
|
|
|
|
|
|
|
Signature |
|
Title |
|
Date |
|
|
|
|
|
|
/s/ Joey A. Jacobs
Joey
A. Jacobs |
|
President and Director of a Member of Each Registrant |
|
August 5, 2005 |
|
/s/ Steven T. Davidson
Steven
T. Davidson |
|
Vice President, Secretary and Director of a Member of Each
Registrant |
|
August 5, 2005 |
|
/s/ Jack E. Polson
Jack
E. Polson |
|
Vice President and Assistant Secretary of a Member of Each
Registrant (Principal Accounting Officer) |
|
August 5, 2005 |
II-16
POWER OF ATTORNEY
Each director and/or officer of the registrant whose signature
appears below hereby appoints Joey A. Jacobs and Brent Turner,
as his attorney-in-fact to sign in his name and on his behalf,
in any and all capacities stated below, and to file with the
Securities and Exchange Commission, and all amendments,
including post-effective amendments, to this registration
statement.
SIGNATURES
Pursuant to the requirements of the Securities Act of 1933, the
registrant has duly caused this Registration Statement to be
signed on its behalf by the undersigned thereunto duly
authorized, in the City of Franklin, State of Tennessee, on the
5th day of August, 2005.
|
|
|
HSA HILL CREST CORPORATION, |
|
its general partners |
|
|
|
BHC OF INDIANA, GENERAL PARTNERSHIP |
|
|
|
|
By: |
BHC COLUMBUS HOSPITAL, INC. |
|
|
|
BHC LEBANON HOSPITAL, INC. |
|
BHC OF NORTHERN INDIANA, INC. |
|
BHC VALLE VISTA HOSPITAL, INC., |
|
its general partners |
|
|
|
BLOOMINGTON MEADOWS, G.P. |
|
|
|
|
By: |
BHC OF INDIANA, GENERAL |
|
|
|
|
By: |
BHC COLUMBUS HOSPITAL, INC. |
|
|
|
BHC LEBANON HOSPITAL, INC. |
|
BHC OF NORTHERN INDIANA, INC. |
|
BHC VALLE VISTA HOSPITAL, INC., |
|
its general partners |
II-17
|
|
|
|
By: |
INDIANA PSYCHIATRIC INSTITUTES, INC., its Partner |
|
|
By: |
/s/ Brent Turner
|
|
|
|
MESILLA VALLEY GENERAL PARTNERSHIP |
|
|
|
|
BY: |
MESILLA VALLEY HOSPITAL, INC. |
|
|
|
MESILLA VALLEY MENTAL HEALTH |
|
ASSOCIATES, INC., |
|
its general partners |
|
|
|
|
|
|
|
Signature |
|
Title |
|
Date |
|
|
|
|
|
|
/s/ Joey A. Jacobs
Joey
A. Jacobs |
|
President and Director of the General Partner of Each Registrant |
|
August 5, 2005 |
|
/s/ Steven T. Davidson
Steven
T. Davidson |
|
Vice President, Secretary and Director of the General Partner of
Each Registrant |
|
August 5, 2005 |
|
/s/ Jack E. Polson
Jack
E. Polson |
|
Vice President and Assistant Secretary of the General Partner of
Each Registrant
(Principal Accounting Officer) |
|
August 5, 2005 |
II-18
POWER OF ATTORNEY
Each director and/or officer of the registrant whose signature
appears below hereby appoints Joey A. Jacobs and Brent Turner,
as his attorney-in-fact to sign in his name and on his behalf,
in any and all capacities stated below, and to file with the
Securities and Exchange Commission, and all amendments,
including post-effective amendments, to this registration
statement.
SIGNATURES
Pursuant to the requirements of the Securities Act of 1933, the
registrant has duly caused this Registration Statement to be
signed on its behalf by the undersigned thereunto duly
authorized, in the City of Franklin, State of Tennessee, on the
5th day of August, 2005.
|
|
|
MILLWOOD HOSPITAL, L.P. |
|
NEURO INSTITUTE OF AUSTIN, L.P. |
|
TEXAS CYPRESS CREEK HOSPITAL, L.P. |
|
TEXAS LAUREL RIDGE HOSPITAL, L.P. |
|
TEXAS OAKS PSYCHIATRIC HOSPITAL, L.P. |
|
TEXAS SAN MARCOS TREATMENT
CENTER, L.P. |
|
TEXAS WEST OAKS HOSPITAL, L.P. |
|
|
|
|
By: |
PSI TEXAS HOSPITALS, LLC, its general partner |
|
|
|
|
|
|
|
Signature |
|
Title |
|
Date |
|
|
|
|
|
|
/s/ Joey A. Jacobs
Joey
A. Jacobs |
|
President and Director of the General Partner of Each Registrant |
|
August 5, 2005 |
|
/s/ Steven T. Davidson
Steven
T. Davidson |
|
Vice President, Secretary and Director of the General Partner of
Each Registrant |
|
August 5, 2005 |
|
/s/ Jack E. Polson
Jack
E. Polson |
|
Vice President and Assistant Secretary of the General Partner of
Each Registrant (Principal Accounting Officer) |
|
August 5, 2005 |
II-19
EXHIBIT INDEX
|
|
|
|
|
|
2 |
.1 |
|
Agreement and Plan of Merger by and among PMR Corporation, PMR
Acquisition Corporation and Psychiatric Solutions, Inc., dated
May 6, 2002, as amended by Amendment No. 1, dated as
of June 10, 2002, and Amendment No. 2, dated as of
July 9, 2002 (included as Annex A to Amendment No. 1
to the Companys Registration Statement on Form S-4,
filed on July 11, 2002 (Reg. No. 333-90372) (the
2002 S-4 Amendment)). |
|
2 |
.2 |
|
Amended and Restated Stock Purchase Agreement dated as of
June 30, 2005 by and among Ardent Health Services LLC,
Ardent Health Services, Inc., and Psychiatric Solutions, Inc.
(incorporated by reference to Exhibit 2.1 to the
Companys Current Report on Form 8-K, filed on July 8,
2005). |
|
2 |
.3 |
|
Agreement and Plan of Merger, dated April 8, 2003, by and among
Psychiatric Solutions, Inc., PSI Acquisition Sub, Inc. and
Ramsay Youth Services, Inc. (incorporated by reference to
Exhibit 2.1 to the Companys Current Report on
Form 8-K, filed on April 10, 2003). |
|
2 |
.4 |
|
Asset Purchase Agreement, dated February 23, 2004, by and among
Psychiatric Solutions, Inc., Brentwood Health Management,
L.L.C., Brentwood, A Behavioral Health Company, L.L.C. and River
Rouge, Inc. (incorporated by reference to Exhibit 2.1 to the
Companys Current Report on Form 8-K, filed on March
3, 2004). |
|
2 |
.5 |
|
Asset Purchase Agreement, dated February 23, 2004, by and among
Psychiatric Solutions, Inc., Brentwood Health Management of MS,
LLC, and Turner-Windham of Mississippi, LLC (incorporated by
reference to Exhibit 2.2 to the Companys Current Report on
Form 8-K, filed on March 3, 2004). |
|
2 |
.6 |
|
Asset Purchase Agreement, dated April 23, 2004, by and among
Psychiatric Solutions, Inc., Fort Lauderdale Hospital, Inc.,
Millwood Hospital, L.P., PSI Pride Institute, Inc., PSI Summit
Hospital, Inc., Fort Lauderdale Hospital Management, LLC,
Millwood Health, LLC, Pride Institute, LLC and Summit Health,
LLC (incorporated by reference to Exhibit 2.1 of the
Companys Current Report on Form 8-K, filed on June 2,
2004). |
|
3 |
.1 |
|
Amended and Restated Certificate of Incorporation of PMR
Corporation, filed with the Delaware Secretary of State on March
9, 1998 (incorporated by reference to Exhibit 3.1 to the
Companys Annual Report on Form 10-K for the fiscal year
ended April 30, 1998). |
|
3 |
.2 |
|
Certificate of Amendment to Amended and Restated Certificate of
Incorporation of PMR Corporation, filed with the Delaware
Secretary of State on August 5, 2002 (incorporated by reference
to Exhibit 3.2 to the Companys Quarterly Report on Form
10-Q for the quarter ended July 31, 2002). |
|
3 |
.3 |
|
Certificate of Amendment to Amended and Restated Certificate of
Incorporation of Psychiatric Solutions, Inc., filed with the
Delaware Secretary of State on March 21, 2003 (incorporated by
reference to Appendix A of the Companys Definitive Proxy
Statement, filed on January 22, 2003). |
|
3 |
.4 |
|
Amended and Restated Bylaws (incorporated by reference to
Exhibit 3.2 to the Companys Annual Report on Form 10-K for
the fiscal year ended April 30, 1997) (the 1997
10-K)). |
|
3 |
.5 |
|
Certificate of Incorporation of Aeries Healthcare Corporation
(incorporated by reference to Exhibit 3.4 to the Companys
Registration Statement on Form S-4, filed on July 30, 2003
(Reg. No. 333-107453) (the 2003 Form S-4)). |
|
3 |
.6 |
|
Articles of Incorporation of Aeries Healthcare of Illinois,
Inc., as amended (incorporated by reference to Exhibit 3.6 to
the 2003 Form S-4). |
|
3 |
.7* |
|
Certificate of Incorporation of Ardent Health Services, Inc. |
|
3 |
.8* |
|
Amended and Restated Certificate of Incorporation of Behavioral
Healthcare Corporation. |
|
3 |
.9* |
|
Charter of BHC Alhambra Hospital, Inc. |
|
3 |
.10* |
|
Charter of BHC Belmont Pines Hospital, Inc. |
|
3 |
.11* |
|
Articles of Incorporation of BHC Cedar Crest RTC, Inc. |
|
3 |
.12* |
|
Articles of Incorporation of BHC Cedar Vista Hospital, Inc. |
|
3 |
.13* |
|
Charter of BHC Clinicas Del Este Hospital, Inc. |
|
3 |
.14* |
|
Charter of BHC Columbus Hospital, Inc., as amended. |
|
3 |
.15* |
|
Charter of BHC Fairfax Hospital, Inc. |
|
3 |
.16* |
|
Charter of BHC Fort Lauderdale Hospital, Inc. |
|
3 |
.17* |
|
Charter of BHC Fox Run Hospital, Inc. |
|
3 |
.18* |
|
Charter of BHC Fremont Hospital, Inc. |
|
|
|
|
|
|
3 |
.19* |
|
Charter of BHC Gulf Coast Management Group, Inc. |
|
3 |
.20* |
|
Articles of Incorporation of BHC Health Services of Nevada, Inc. |
|
3 |
.21* |
|
Charter of BHC Heritage Oaks Hospital, Inc. |
|
3 |
.22* |
|
Certificate of Incorporation of BHC Hospital Holdings, Inc. |
|
3 |
.23* |
|
Charter of BHC Intermountain Hospital, Inc. |
|
3 |
.24* |
|
Charter of BHC Lebanon Hospital, Inc., as amended. |
|
3 |
.25* |
|
Certificate of Incorporation of BHC Management Holdings, Inc. |
|
3 |
.26* |
|
Charter of BHC Millwood Hospital, Inc. |
|
3 |
.27* |
|
Articles of Incorporation of BHC Montevista Hospital, Inc. |
|
3 |
.28* |
|
Charter of BHC of Northern Indiana, Inc., as amended. |
|
3 |
.29* |
|
Charter of BHC Pacific Gateway Hospital, Inc. |
|
3 |
.30* |
|
Articles of Incorporation of BHC Pacific Shores Hospital, Inc. |
|
3 |
.31* |
|
Charter of BHC Pacific View RTC, Inc., as amended. |
|
3 |
.32* |
|
Charter of BHC Pinnacle Pointe Hospital, Inc. |
|
3 |
.33* |
|
Charter of BHC Properties, Inc. |
|
3 |
.34* |
|
Articles of Incorporation of BHC Ross Hospital, Inc. |
|
3 |
.35* |
|
Charter of BHC San Juan Capestrano Hospital, Inc. |
|
3 |
.36* |
|
Charter of BHC Sierra Vista Hospital, Inc. |
|
3 |
.37* |
|
Charter of BHC Spirit of St. Louis Hospital, Inc. |
|
3 |
.38* |
|
Charter of BHC Streamwood Hospital, Inc. |
|
3 |
.39* |
|
Charter of BHC Valle Vista Hospital, Inc. |
|
3 |
.40* |
|
Charter of BHC Vista Del Mar Hospital, Inc. |
|
3 |
.41* |
|
Articles of Incorporation of BHC Windsor Hospital, Inc. |
|
3 |
.42 |
|
Articles of Incorporation of Bountiful Psychiatric Hospital,
Inc. (incorporated by reference to Exhibit 3.8 to the 2003
Form S-4). |
|
3 |
.43* |
|
Charter of Brentwood Acquisition, Inc. |
|
3 |
.44* |
|
Certificate of Incorporation of Brentwood
Acquisition-Shreveport, Inc., as amended. |
|
3 |
.45* |
|
Articles of Incorporation of Canyon Ridge Hospital, Inc. |
|
3 |
.46 |
|
Charter of Collaborative Care Corporation, as amended
(incorporated by reference to Exhibit 3.10 to the 2003
Form S-4). |
|
3 |
.47* |
|
Articles of Incorporation of Community Psychiatric Centers of
Texas, Inc. |
|
3 |
.48 |
|
Articles of Incorporation of East Carolina Psychiatric Services
Corporation, as amended (incorporated by reference to Exhibit
3.12 to the 2003 Form S-4). |
|
3 |
.49* |
|
Articles of Incorporation of Fort Lauderdale Hospital, Inc. |
|
3 |
.50 |
|
Articles of Incorporation of Great Plains Hospital, Inc.
(incorporated by reference to Exhibit 3.14 to the 2003
Form S-4). |
|
3 |
.51 |
|
Articles of Incorporation of Gulf Coast Treatment Center, Inc.,
as amended (incorporated by reference to Exhibit 3.16 to the
2003 Form S-4). |
|
3 |
.52 |
|
Articles of Incorporation of H. C. Corporation (incorporated by
reference to Exhibit 3.18 to the 2003 Form S-4). |
|
3 |
.53 |
|
Articles of Incorporation of Havenwyck Hospital Inc., as amended
(incorporated by reference to Exhibit 3.22 to the 2003
Form S-4). |
|
3 |
.54 |
|
Articles of Incorporation of HSA Hill Crest Corporation
(incorporated by reference to Exhibit 3.24 to the 2003
Form S-4). |
|
3 |
.55 |
|
Articles of Incorporation of HSA of Oklahoma, Inc. (incorporated
by reference to Exhibit 3.26 to the 2003 Form S-4). |
|
3 |
.56* |
|
Certificate of Incorporation of Indiana Psychiatric Institutes,
Inc., as amended. |
|
3 |
.57 |
|
Certificate of Incorporation of InfoScriber Corporation, as
amended (incorporated by reference to Exhibit 3.28 to the 2003
Form S-4). |
|
3 |
.58* |
|
Articles of Incorporation of Laurelwood Center, Inc. |
|
3 |
.59* |
|
Articles of Incorporation of Mesilla Valley Hospital, Inc. |
|
|
|
|
|
|
3 |
.60* |
|
Articles of Incorporation of Mesilla Valley Mental Health
Associates, Inc. |
|
3 |
.61 |
|
Articles of Incorporation of Michigan Psychiatric Services, Inc.
(incorporated by reference to Exhibit 3.30 to the 2003
Form S-4). |
|
3 |
.62* |
|
Certificate of Incorporation of Peak Behavioral Health Services,
Inc., as amended. |
|
3 |
.63* |
|
Restated Certificate of Incorporation of Premier Behavioral
Solutions, Inc., as amended. |
|
3 |
.64* |
|
Certificate of Incorporation of Premier Behavioral Solutions of
Alabama, Inc., as amended. |
|
3 |
.65* |
|
Certificate of Incorporation of Premier Behavioral Solutions of
Florida, Inc., as amended. |
|
3 |
.66 |
|
Certificate of Incorporation PSI Cedar Springs Hospital, Inc.
(incorporated by reference to Exhibit 3.34 to the 2003
Form S-4). |
|
3 |
.67 |
|
Charter of PSI Community Mental Health Agency Management, Inc.
(incorporated by reference to Exhibit 3.36 to the 2003
Form S-4). |
|
3 |
.68 |
|
Certificate of Incorporation of PSI Hospitals, Inc.
(incorporated by reference to Exhibit 3.38 to the 2003
Form S-4). |
|
3 |
.69* |
|
Articles of Incorporation of PSI Pride Institute, Inc. |
|
3 |
.70* |
|
Public Records Filing for New Business Entity for PSI Summit
Hospital, Inc. |
|
3 |
.71 |
|
Certificate of Incorporation of PSI-EAP, Inc. (incorporated by
reference to Exhibit 3.41 to the 2003 Form S-4). |
|
3 |
.72 |
|
Articles of Incorporation of Psychiatric Management Resources,
Inc. (incorporated by reference to Exhibit 3.43 to the 2003
Form S-4). |
|
3 |
.73 |
|
Amended and Restated Charter of Psychiatric Practice Management
of Arkansas, Inc. (incorporated by reference to Exhibit 3.45 to
the 2003 Form S-4). |
|
3 |
.74 |
|
Third Amended and Restated Certificate of Incorporation of
Psychiatric Solutions Hospitals, Inc. (incorporated by reference
to Exhibit 3.47 to the 2003 Form S-4). |
|
3 |
.75 |
|
Charter of Psychiatric Solutions of Alabama, Inc. (incorporated
by reference to Exhibit 3.49 to the 2003 Form S-4). |
|
3 |
.76* |
|
Certificate of Incorporation of Psychiatric Solutions of
Arizona, Inc. |
|
3 |
.77* |
|
Charter of Psychiatric Solutions of Leesburg, Inc. |
|
3 |
.78 |
|
Charter of Psychiatric Solutions of North Carolina, Inc.
(incorporated by reference to Exhibit 3.55 to the 2003
Form S-4). |
|
3 |
.79 |
|
Certificate of Incorporation of Psychiatric Solutions of
Oklahoma, Inc. (incorporated by reference to Exhibit 3.57 to the
2003 Form S-4). |
|
3 |
.80* |
|
Certificate of Incorporation of Psychiatric Solutions of South
Carolina, Inc., as amended. |
|
3 |
.81 |
|
Charter of Psychiatric Solutions of Tennessee, Inc.
(incorporated by reference to Exhibit 3.59 to the 2003
Form S-4). |
|
3 |
.82* |
|
Charter of Psychiatric Solutions of Virginia, Inc., as amended. |
|
3 |
.83 |
|
Amended and Restated Certificate of Incorporation of Ramsay
Managed Care, Inc. (incorporated by reference to Exhibit 3.61 to
the 2003 Form S-4). |
|
3 |
.84 |
|
Certificate of Incorporation of Ramsay Treatment Services, Inc.
(incorporated by reference to Exhibit 3.63 to the 2003
Form S-4). |
|
3 |
.85 |
|
Certificate of Incorporation of Ramsay Youth Services of
Georgia, Inc. (incorporated by reference to Exhibit 3.69 to the
2003 Form S-4). |
|
3 |
.86 |
|
Certificate of Incorporation of Ramsay Youth Services Puerto
Rico, Inc. (incorporated by reference to Exhibit 3.73 to the
2003 Form S-4). |
|
3 |
.87 |
|
Certificate of Incorporation of RHCI San Antonio, Inc.
(incorporated by reference to Exhibit 3.75 to the 2003
Form S-4). |
|
3 |
.88 |
|
Amended and Restated Charter of Solutions Center of Little Rock,
Inc., as amended (incorporated by reference to Exhibit 3.77 to
the 2003 Form S-4). |
|
3 |
.89 |
|
Amended and Restated Charter of Sunstone Behavioral Health,
Inc., as amended (incorporated by reference to Exhibit 3.79 to
the 2003 Form S-4). |
|
3 |
.90 |
|
Amended and Restated Charter of The Counseling Center of Middle
Tennessee, Inc. (incorporated by reference to Exhibit 3.91 to
the 2003 Form S-4). |
|
3 |
.91 |
|
Certificate of Incorporation of Transitional Care Ventures, Inc.
(incorporated by reference to Exhibit 3.95 to the 2003
Form S-4). |
|
|
|
|
|
|
3 |
.92 |
|
Certificate of Incorporation of Transitional Care Ventures
(Texas), Inc., as amended (incorporated by reference to Exhibit
3.97 to the 2003 Form S-4). |
|
3 |
.93* |
|
Certificate of Incorporation of Tucson Health Systems, Inc. |
|
3 |
.94* |
|
Certificate of Incorporation of Wellstone Holdings, Inc. |
|
3 |
.95* |
|
Certificate of Incorporation of Whisper Ridge of Staunton, Inc. |
|
3 |
.96* |
|
Form of Amended and Restated Bylaws for the Corporations Listed
in Exhibits 3.5 - 3.95. |
|
3 |
.97* |
|
Articles of Organization of AHS Cumberland Hospital, LLC. |
|
3 |
.98* |
|
Certificate of Formation of BHC Canyon Ridge Hospital, LLC. |
|
3 |
.99* |
|
Certificate of Formation of BHC Management Services, LLC. |
|
3 |
.100* |
|
Certificate of Formation of BHC Management Services of Indiana,
LLC. |
|
3 |
.101* |
|
Certificate of Formation of BHC Management Services of Kentucky,
LLC, as amended. |
|
3 |
.102* |
|
Certificate of Formation of BHC Management Services of
Louisiana, LLC. |
|
3 |
.103* |
|
Certificate of Formation of BHC Management Services of New
Mexico, LLC, as amended. |
|
3 |
.104* |
|
Certificate of Formation of BHC Management Services of
Pennsylvania, LLC. |
|
3 |
.105* |
|
Certificate of Formation of BHC Management Services of
Streamwood, LLC, as amended. |
|
3 |
.106* |
|
Certificate of Formation of BHC Management Services of Tulsa,
LLC. |
|
3 |
.107* |
|
Certificate of Formation of BHC Mesilla Valley Hospital, LLC, as
amended. |
|
3 |
.108* |
|
Form of Certificate of Formation for BHC Newco 2, LLC, BHC Newco
3, LLC, BHC Newco 4, LLC, BHC Newco 5, LLC, BHC Newco 6, LLC,
BHC Newco 7, LLC, BHC Newco 8, LLC, BHC Newco 9, LLC and BHC
Newco 10, LLC. |
|
3 |
.109* |
|
Certificate of Formation of BHC Northwest Psychiatric Hospital,
LLC. |
|
3 |
.110* |
|
Certificate of Formation of BHC Physician Services of Kentucky,
LLC, as amended. |
|
3 |
.111* |
|
Certificate of Formation of Columbus Hospital, LLC. |
|
3 |
.112* |
|
Certificate of Formation of Lebanon Hospital, LLC. |
|
3 |
.113* |
|
Certificate of Formation of Northern Indiana Hospital, LLC. |
|
3 |
.114* |
|
Articles of Organization of Palmetto Behavioral Health System,
L.L.C. |
|
3 |
.115* |
|
Articles of Organization of Palmetto Lowcountry Behavioral
Health, L.L.C. |
|
3 |
.116* |
|
Articles of Organization of Palmetto Pee Dee Behavioral Health,
L.L.C. |
|
3 |
.117* |
|
Certificate of Formation of PSI Crossings, LLC. |
|
3 |
.118 |
|
Articles of Organization of PSI Texas Hospitals, LLC
(incorporated by reference to Exhibit 3.40 to the 2003
Form S-4). |
|
3 |
.119 |
|
Articles of Organization of Therapeutic School Services, L.L.C.
(incorporated by reference to Exhibit 3.93 to the 2003
Form S-4). |
|
3 |
.120* |
|
Certificate of Formation of Valle Vista, LLC, as amended. |
|
3 |
.121* |
|
Articles of Organization of Wellstone Regional Hospital
Acquisition, LLC, as amended. |
|
3 |
.122* |
|
Certificate of Formation of Willow Springs, LLC. |
|
3 |
.123* |
|
Form of Amended and Restated Operating Agreement for the Limited
Liability Companies Listed in the Exhibits 3.97 - 3.122. |
|
3 |
.124* |
|
Agreement of General Partnership of BHC of Indiana, General
Partnership. |
|
3 |
.125* |
|
Agreement of General Partnership of Bloomington Meadows, General
Partnership. |
|
3 |
.126 |
|
General Partnership Agreement of H. C. Partnership (incorporated
by reference to Exhibit 3.20 to the 2003 Form S-4). |
|
3 |
.127 |
|
Bylaws of H. C. Partnership (incorporated by reference to
Exhibit 3.21 to the 2003 Form S-4). |
|
3 |
.128* |
|
Agreement and Certificate of Partnership of Mesilla Valley
General Partnership, as amended. |
|
3 |
.129* |
|
Certificate of Limited Partnership of Millwood Hospital, L.P. |
|
3 |
.130* |
|
Limited Partnership Agreement of Millwood Hospital, L.P. |
|
3 |
.131 |
|
Certificate of Limited Partnership of Neuro Institute of Austin,
L.P., as amended (incorporated by reference to Exhibit 3.32 to
the 2003 Form S-4). |
|
3 |
.132 |
|
Limited Partnership Agreement of Neuro Institute of Austin, L.P.
(incorporated by reference to Exhibit 3.33 to the 2003
Form S-4). |
|
|
|
|
|
|
3 |
.133 |
|
Certificate of Limited Partnership of Texas Cypress Creek
Hospital, L.P., as amended (incorporated by reference to Exhibit
3.81 to the 2003 Form S-4). |
|
3 |
.134 |
|
Amended and Restated Limited Partnership Agreement of Texas
Cypress Creek Hospital, L.P. (incorporated by reference to
Exhibit 3.82 to the 2003 Form S-4). |
|
3 |
.135 |
|
Certificate of Limited Partnership of Texas Laurel Ridge
Hospital, L.P. (incorporated by reference to Exhibit 3.83 to the
2003 Form S-4). |
|
3 |
.136 |
|
Limited Partnership Agreement of Texas Laurel Ridge Hospital,
L.P. (incorporated by reference to Exhibit 3.84 to the 2003
Form S-4). |
|
3 |
.137 |
|
Certificate of Limited Partnership of Texas Oaks Psychiatric
Hospital, L.P. (incorporated by reference to Exhibit 3.85 to the
2003 Form S-4). |
|
3 |
.138 |
|
Limited Partnership Agreement of Texas Oaks Psychiatric
Hospital, L.P. (incorporated by reference to Exhibit 3.86 to the
2003 Form S-4). |
|
3 |
.139 |
|
Certificate of Limited Partnership of Texas San Marcos Treatment
Center, L.P. (incorporated by reference to Exhibit 3.87 to the
2003 Form S-4). |
|
3 |
.140 |
|
Limited Partnership Agreement of Texas San Marcos Treatment
Center, L.P. (incorporated by reference to Exhibit 3.88 to the
2003 Form S-4). |
|
3 |
.141 |
|
Certificate of Limited Partnership of Texas West Oaks Hospital,
L.P., as amended (incorporated by reference to Exhibit 3.89 to
the 2003 Form S-4). |
|
3 |
.142 |
|
Amended and Restated Limited Partnership Agreement of Texas West
Oaks Hospital, L.P. (incorporated by reference to Exhibit 3.90
to the 2003 Form S-4). |
|
4 |
.1 |
|
Reference is made to Exhibits 3.1 through 3.142. |
|
4 |
.2 |
|
Common Stock Specimen Certificate (incorporated by reference to
Exhibit 4.2 to the Companys Annual Report on Form 10-K for
the fiscal year ended December 31, 2002) (the 2002
10-K)). |
|
4 |
.3 |
|
Certificate of Designations, Preferences and Rights of Series A
Convertible Preferred Stock, filed with the Delaware Secretary
of State on March 24, 2003 (incorporated by reference to
Appendix D of the Companys Definitive Proxy Statement,
filed January 22, 2003). |
|
4 |
.4 |
|
Indenture, dated as of June 30, 2003, among Psychiatric
Solutions, Inc., the Guarantors named therein and Wachovia Bank,
National Association, as Trustee (incorporated by reference to
Exhibit 4.10 to the 2003 Form S-4). |
|
4 |
.5 |
|
Form of Notes (included in Exhibit 4.4) (incorporated by
reference to Exhibit 4.11 to the 2003 Form S-4). |
|
4 |
.6 |
|
Purchase Agreement, dated as of June 19, 2003, among Psychiatric
Solutions, Inc., the Guarantors named therein, Lehman Brothers
Inc., Merrill Lynch, Pierce, Fenner & Smith Incorporated and
Jefferies & Company, Inc. (incorporated by reference to
Exhibit 4.12 to the 2003 S-4). |
|
4 |
.7 |
|
Indenture, dated as of July 6, 2005, by and among Psychiatric
Solutions, Inc., the subsidiaries named as guarantors thereto,
and Wachovia Bank, National Association (incorporated by
reference to Exhibit 4.1 to the Companys Current Report on
Form 8-K, filed on July 8, 2005). |
|
4 |
.8 |
|
Form of Notes (included in Exhibit 4.7) (incorporated by
reference to Exhibit 4.2 to the Companys Current Report on
Form 8-K, filed on July 8, 2005). |
|
4 |
.9 |
|
Purchase Agreement, dated as of June 30, 2005, among Psychiatric
Solutions, Inc., the subsidiaries named as guarantors thereto,
and Citigroup Global Markets Inc., as representative of the
initial purchasers named therein (incorporated by reference to
Exhibit 4.3 to the Companys Current Report on
Form 8-K, filed on July 8, 2005). |
|
4 |
.10 |
|
Exchange and Registration Rights Agreement, dated as of July 6,
2005, among Psychiatric Solutions, Inc., the subsidiary
guarantors from time to time party thereto, and Citigroup Global
Markets Inc. on behalf of Banc of America Securities LLC,
Merrill, Lynch, Pierce, Fenner & Smith Incorporated, J.P.
Morgan Securities Inc. and Lehman Brothers Inc. (incorporated by
reference to Exhibit 4.4 to the Companys Current Report on
Form 8-K, filed on July 8, 2005). |
|
5 |
.1* |
|
Opinion of Waller Lansden Dortch & Davis, PLLC. |
|
8 |
.1* |
|
Opinion of Waller Lansden Dortch & Davis, PLLC. |
|
10 |
.1 |
|
Employment Agreement between Jack R. Salberg and Psychiatric
Solutions, Inc., dated as of October 1, 2002 (incorporated by
reference to Exhibit 10.14 to the 2002 10-K). |
|
10 |
.2 |
|
Second Amended and Restated Employment Agreement between Joey A.
Jacobs and Psychiatric Solutions, Inc., dated as of August 6,
2002 (incorporated by reference to Exhibit 10.16 to the 2002
10-K). |
|
|
|
|
|
|
10 |
.3 |
|
Amendment to Second Amended and Restated Employment Agreement
between Joey A. Jacobs and Psychiatric Solutions, Inc., dated as
of November 26, 2003 (incorporated by reference to Exhibit 10.14
to Amendment No. 2 to the 2003 S-4). |
|
10 |
.4 |
|
Form of Indemnification Agreement executed by each director of
Psychiatric Solutions, Inc. (incorporated by reference to
Exhibit 10.4 to the Companys Annual Report on Form 10-K
for the fiscal year ended December 31, 2004). |
|
10 |
.5 |
|
Second Amended and Restated Credit Agreement, dated as of July
1, 2005, by and among Psychiatric Solutions, Inc., the
subsidiaries named as guarantors thereto, Citicorp North
America, Inc., as term loan facility administrative agent,
co-syndication agent and documentation agent , Bank of America,
N.A., as revolving loan facility administrative agent,
collateral agent, swing line lender and co-syndication agent,
and the various other agents and lenders party thereto
(incorporated by reference to Exhibit 10.1 to the Companys
Current Report on Form 8-K, filed on July 8, 2005). |
|
10 |
.6 |
|
Senior Unsecured Term Loan Agreement, dated as of July 1, 2005,
by and among Citicorp North America, Inc., as administrative
agent, Citigroup Global Markets Inc., as sole lead arranger,
sole book manager, syndication agent and documentation agent,
and Psychiatric Solutions, Inc. (incorporated by reference to
Exhibit 10.2 to the Companys Current Report on
Form 8-K, filed on July 8, 2005). |
|
10 |
.7 |
|
Interest Rate Swap Agreement, dated January 28, 2004, between
Bank of America, N.A. and Psychiatric Solutions, Inc.
(incorporated by reference to Exhibit 10.2 to the Companys
Quarterly Report on Form 10-Q for the quarter ended March 31,
2004). |
|
10 |
.8 |
|
Confirmation of Interest Rate Swap Agreement, dated April 26,
2004, between Bank of America, N.A. and Psychiatric Solutions,
Inc. (incorporated by reference to Exhibit 10.5 to the
Companys Quarterly Report on Form 10-Q for the quarter
ended June 30, 2004). |
|
10 |
.9 |
|
Amended and Restated Psychiatric Solutions, Inc. 2003 Long-Term
Equity Compensation Plan (incorporated by reference to Exhibit
10.21 to the Companys Annual Report on Form 10-K for the
fiscal year ended December 31, 2003). |
|
10 |
.10 |
|
Amended and Restated Psychiatric Solutions, Inc. Equity
Incentive Plan, as amended by an Amendment adopted on May 4,
2004 (incorporated by reference to Appendix A to the
Companys Definitive Proxy Statement, filed on April 9,
2004). |
|
10 |
.11 |
|
Second Amendment to the Psychiatric Solutions, Inc. Equity
Incentive Plan (incorporated by reference to Appendix A of the
Companys Definitive Proxy Statement filed April 22, 2005). |
|
10 |
.12 |
|
Form of Incentive Stock Option Agreement under the 1997 Plan
(incorporated by reference to Exhibit 10.2 to the 1997 10-K). |
|
10 |
.13 |
|
Form of Nonstatutory Stock Option Agreement under the 1997 Plan
(incorporated by reference to Exhibit 10 to the 1997 10-K). |
|
10 |
.14 |
|
Amended and Restated Psychiatric Solutions, Inc. Outside
Directors Non-Qualified Stock Option Plan (incorporated by
reference to Appendix C to the Companys Definitive Proxy
Statement, filed on April 14, 2003). |
|
10 |
.15 |
|
Amendment to the Psychiatric Solutions, Inc. Outside
Directors Stock Option Plan (incorporated by reference to
Appendix B of the Companys Definitive Proxy Statement
filed April 22, 2005). |
|
10 |
.16 |
|
Form of Outside Directors Non-Qualified Stock Option
Agreement (incorporated by reference to Exhibit 10.5 to the 1997
10-K). |
|
10 |
.17 |
|
Psychiatric Solutions, Inc. Cash Bonus Policy (incorporated by
reference to Exhibit 10.1 to the Companys Current Report
on Form 8-K, filed on April 22, 2005). |
|
12 |
.1* |
|
Computation of Ratio of Earnings to Fixed Charges. |
|
21 |
.1* |
|
List of Subsidiaries. |
|
23 |
.1* |
|
Consent of Ernst & Young LLP, Independent Registered Public
Accounting Firm. |
|
23 |
.2* |
|
Consent of Ernst & Young LLP, Independent Auditors. |
|
23 |
.3* |
|
Consent of Deloitte & Touche LLP, Independent Auditors. |
|
23 |
.4* |
|
Consent of Selznick & Company, LLP, Independent Auditors. |
|
23 |
.5* |
|
Consent of Waller Lansden Dortch & Davis, PLLC (included in
Exhibits 5.1 and 8.1). |
|
24 |
.1* |
|
Power of Attorney (included on the signature pages). |
|
25 |
.1** |
|
Form T-1 Statement of Eligibility under the Trust Indenture Act
of 1939, as amended, of Wachovia Bank, National Association, as
Trustee under the Indenture. |
|
|
|
|
|
|
99 |
.1* |
|
Form of Letter of Transmittal. |
|
99 |
.2* |
|
Form of Notice of Guaranteed Delivery. |
|
|
* |
Filed herewith |
|
** |
To be filed by amendment |