HCA Healthcare, Inc. - FORM 8-K - EX-25.1 - January 16, 2015

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8-K - FORM 8-K - HCA Healthcare, Inc.d852864d8k.htm
EX-1.1 - EX-1.1 - HCA Healthcare, Inc.d852864dex11.htm
EX-5.1 - EX-5.1 - HCA Healthcare, Inc.d852864dex51.htm
EX-4.2 - EX-4.2 - HCA Healthcare, Inc.d852864dex42.htm

Exhibit 25.1

 

 

 

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

Form T-1

 

 

STATEMENT OF ELIGIBILITY

UNDER THE TRUST INDENTURE ACT OF 1939

OF A CORPORATION DESIGNATED TO ACT AS TRUSTEE

 

¨ CHECK IF AN APPLICATION TO DETERMINE ELIGIBILITY OF A TRUSTEE PURSUANT TO SECTION 305(b)(2)

 

 

LAW DEBENTURE TRUST COMPANY OF NEW YORK

(Exact name of trustee as specified in its charter)

 

 

 

New York   01-0622605

(Jurisdiction of incorporation or

organization if not a U.S. national bank)

  

(I.R.S. Employer

Identification Number)

400 Madison Avenue, 4th Floor, New York, New York   10017
(Address of principal executive offices)   (Zip Code)

Law Debenture Trust Company of New York, 400 Madison Avenue, 4th Floor

New York, NY 10017, James D. Heaney, Managing Director, (212) 750-6474

(Name, address and telephone number of agent for services)

 

 

HCA Holdings, Inc. *

(Exact name of obligor as specified in its charter)

 

 

 

Delaware   27-3865930

(State or other jurisdiction of

incorporation or organization)

  

(I.R.S. Employer

Identification No.)

One Park Plaza  
Nashville, TN   37203
(Address of principal executive offices)   (Zip Code)

 

 

HCA, Inc.*

(Exact name of obligor as specified in its charter)

 

 

 

Delaware   75-2497104

(State or other jurisdiction of

incorporation or organization)

  

(I.R.S. Employer

Identification No.)

One Park Plaza  
Nashville, TN   37203
(Address of principal executive offices)   (Zip Code)

 

 

Debt Securities

Guarantees of Debt Securities

(Title of the indenture securities)

* The co-obligors listed on the next pages are also included in this Form T-1 as additional obligors.

 

 

 

Table of Additional Obligors

 

Exact Name of Obligor as Specified in its Charter

(or Other Organizational Document)

   

State or Other
Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code, and
Telephone Number, Including Area
Code, of Obligor’s Principal Executive
Offices

American Medicorp Development Co.    Delaware    23-1696018   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Bay Hospital, Inc.    Florida    62-0976863   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Brigham City Community Hospital, Inc.    Utah    87-0318837   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Brookwood Medical Center of Gulfport, Inc.    Mississippi    63-0751470   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Capital Division, Inc.    Virginia    62-1668319   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Centerpoint Medical Center of Independence, LLC    Delaware    45-0503121   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Central Florida Regional Hospital, Inc.    Florida    59-1978725   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Central Shared Services, LLC    Virginia    76-0771216   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Central Tennessee Hospital Corporation    Tennessee    62-1620866   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

CHCA Bayshore, L.P.    Delaware    62-1801359   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

CHCA Conroe, L.P.    Delaware    62-1801361   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Exact Name of Obligor as Specified in its Charter

(or Other Organizational Document)

   

State or Other
Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code, and
Telephone Number, Including Area
Code, of Obligor’s Principal Executive
Offices

CHCA Mainland, L.P.    Delaware    62-1801362   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

CHCA Pearland L.P.    Texas    05-0631189   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

CHCA West Houston, L.P.    Delaware    62-1801363   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

CHCA Woman’s Hospital, L.P.    Delaware    62-1810381   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Chippenham & Johnston-Willis Hospitals, Inc.    Virginia    54-1779911   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Citrus Memorial Hospital, Inc.    Florida    47-1455535   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Citrus Memorial Property Management, Inc.    Florida    471521048   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Colorado Health Systems, Inc.    Colorado    62-1593008   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia ASC Management, L.P.    California    33-0539838   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia Healthcare System of Louisiana, Inc.    Louisiana    62-1622840   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia Jacksonville Healthcare System, Inc.    Florida    61-1272241   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Exact Name of Obligor as Specified in its Charter

(or Other Organizational Document)

   

State or Other
Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code, and
Telephone Number, Including Area
Code, of Obligor’s Principal Executive
Offices

Columbia LaGrange Hospital, Inc.    Illinois    61-1276162   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia Medical Center of Arlington Subsidiary, L.P.    Texas    62-1682201   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia Medical Center of Denton Subsidiary, L.P.    Texas    62-1682213   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia Medical Center of Las Colinas, Inc.    Texas    62-1650582   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia Medical Center of Lewisville Subsidiary, L.P.    Texas    62-1682210   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia Medical Center of McKinney Subsidiary, L.P.    Texas    62-1682207   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia Medical Center of Plano Subsidiary, L.P.    Texas    62-1682203   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia North Hills Hospital Subsidiary, L.P.    Texas    62-1682205   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia Ogden Medical Center, Inc.    Utah    62-1650578   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia Parkersburg Healthcare System, LLC    West Virginia    62-1634494   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia Plaza Medical Center of Fort Worth Subsidiary, L.P.    Texas    62-1682202   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia Polk General Hospital, Inc.    Georgia    62-1619423   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia Rio Grande Healthcare, L.P.    Delaware    62-1656022   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia Riverside, Inc.    California    62-1664328   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Exact Name of Obligor as Specified in its Charter

(or Other Organizational Document)

   

State or Other
Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code, and
Telephone Number, Including Area
Code, of Obligor’s Principal Executive
Offices

Columbia Valley Healthcare System, L.P.    Delaware    62-1669572   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia/Alleghany Regional Hospital, Incorporated    Virginia    54-1761046   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia/HCA John Randolph, Inc.    Virginia    61-1272888   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbine Psychiatric Center, Inc.    Colorado    84-1042212   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbus Cardiology, Inc.    Georgia    58-1941109   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Conroe Hospital Corporation    Texas    74-2467524   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Dallas/Ft. Worth Physician, LLC    Delaware    62-1769694   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Dublin Community Hospital, LLC    Georgia    58-1431023   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Eastern Idaho Health Services, Inc.    Idaho    82-0436622   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Edward White Hospital, Inc.    Florida    59-3089836   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

El Paso Surgicenter, Inc.    Texas    74-2361005   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Encino Hospital Corporation, Inc.    California    95-4113862   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

EP Health, LLC    Delaware    62-1769682   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Fairview Park GP, LLC    Delaware    62-1815913   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Exact Name of Obligor as Specified in its Charter

(or Other Organizational Document)

   

State or Other
Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code, and
Telephone Number, Including Area
Code, of Obligor’s Principal Executive
Offices

Fairview Park, Limited Partnership    Georgia    62-1817469   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Frankfort Hospital, Inc.    Kentucky    61-0859329   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Galen Property, LLC    Virginia    35-2260545   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Good Samaritan Hospital, L.P.    Delaware    62-1763090   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Goppert-Trinity Family Care, LLC    Delaware    76-0726651   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

GPCH-GP, Inc.    Delaware    64-0805500   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Grand Strand Regional Medical Center, LLC    Delaware    62-1768105   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Green Oaks Hospital Subsidiary, L.P.    Texas    62-1797829   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Greenview Hospital, Inc.    Kentucky    61-0724492   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

HCA American Finance LLC    Delaware    90-0898925   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

HCA — HealthONE LLC    Colorado    84-1321373   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

HCA — IT&S Field Operations, Inc.    Delaware    06-1795732   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

HCA — IT&S Inventory Management, Inc.    Delaware    06-1796286   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Exact Name of Obligor as Specified in its Charter

(or Other Organizational Document)

   

State or Other
Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code, and
Telephone Number, Including Area
Code, of Obligor’s Principal Executive
Offices

HCA Central Group, Inc.    Tennessee    02-0762180   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

HCA Health Services of Florida, Inc.    Florida    62-1113740   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

HCA Health Services of Louisiana, Inc.    Louisiana    62-1113736   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

HCA Health Services of Oklahoma, Inc.    Oklahoma    62-1106156   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

HCA Health Services of Tennessee, Inc.    Tennessee    62-1113737   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

HCA Health Services of Virginia, Inc.    Virginia    62-1113733   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

HCA Management Services, L.P.    Delaware    62-1778108   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

HCA Pearland GP, Inc.    Texas    113767030   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

HCA Realty, Inc.    Tennessee    06-1106160   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

HCA SFB 1 LLC    Delaware    80-0915691   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

HD&S Corp. Successor, Inc.    Florida    62-1657694   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Health Midwest Office Facilities Corporation    Missouri    43-1175071   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Health Midwest Ventures Group, Inc.    Missouri    43-1315348   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Exact Name of Obligor as Specified in its Charter

(or Other Organizational Document)

   

State or Other
Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code, and
Telephone Number, Including Area
Code, of Obligor’s Principal Executive
Offices

Hendersonville Hospital Corporation    Tennessee    62-1321255   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Hospital Corporation of Tennessee    Tennessee    62-1124446   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Hospital Corporation of Utah    Utah    87-0322019   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Hospital Development Properties, Inc.    Delaware    62-1321246   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

HPG Enterprises, LLC    Delaware    62-1778113   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

HSS Holdco, LLC    Delaware    62-1839825   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

HSS Systems, LLC    Delaware    62-1804834   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

HSS Virginia, L.P.    Virginia    62-1848294   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

HTI Memorial Hospital Corporation    Tennessee    62-1560757   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

HTI MOB, LLC    Delaware    62-1824860   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Integrated Regional Lab, LLC    Florida    36-4576441   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Integrated Regional Laboratories, LLP    Delaware    62-1687140   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

JFK Medical Center Limited Partnership    Delaware    62-1694180   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Exact Name of Obligor as Specified in its Charter

(or Other Organizational Document)

   

State or Other
Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code, and
Telephone Number, Including Area
Code, of Obligor’s Principal Executive
Offices

KPH-Consolidation, Inc.    Texas    62-1619857   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Lakeland Medical Center, LLC    Delaware    62-1762603   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Lakeview Medical Center, LLC    Delaware    62-1762416   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Largo Medical Center, Inc.    Florida    62-1026428   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Las Vegas Surgicare, Inc.    Nevada    75-1890731   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Lawnwood Medical Center, Inc.    Florida    59-1764486   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Lewis-Gale Hospital, Incorporated    Virginia    54-0218835   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Lewis-Gale Medical Center, LLC    Delaware    62-1760148   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Lewis-Gale Physicians, LLC    Virginia    06-1755234   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Lone Peak Hospital, Inc.    Utah    25-1925376   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Los Robles Regional Medical Center    California    95-2321136   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Management Services Holdings, Inc.    Delaware    62-1874287   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Marietta Surgical Center, Inc.    Georgia    58-1539547   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Marion Community Hospital, Inc.    Florida    59-1479652   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Exact Name of Obligor as Specified in its Charter

(or Other Organizational Document)

   

State or Other
Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code, and
Telephone Number, Including Area
Code, of Obligor’s Principal Executive
Offices

MCA Investment Company    California    33-0539836   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Medical Centers of Oklahoma, LLC    Delaware    62-1771846   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Medical Office Buildings of Kansas, LLC    Delaware    62-1789791   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Memorial Healthcare Group, Inc.    Florida    59-3283127   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Midwest Division — ACH, LLC    Delaware    48-1301811   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Midwest Division — LRHC, LLC    Delaware    48-1301817   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Midwest Division — LSH, LLC    Delaware    45-0503141   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Midwest Division — MCI, LLC    Delaware    45-0503127   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Midwest Division — MMC, LLC    Delaware    48-1301826   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Midwest Division — OPRMC, LLC    Delaware    45-0503116   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Midwest Division — PFC, LLC    Delaware    48-1302330   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Midwest Division — RBH, LLC    Missouri    20-0851062   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Midwest Division — RMC, LLC    Delaware    54-2092552   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Midwest Holdings, Inc.    Delaware    11-3676736   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Exact Name of Obligor as Specified in its Charter

(or Other Organizational Document)

   

State or Other
Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code, and
Telephone Number, Including Area
Code, of Obligor’s Principal Executive
Offices

Montgomery Regional Hospital, Inc.    Virginia    54-0889154   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Mountain Division —- CVH, LLC    Utah    47-1210615   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Mountain View Hospital, Inc.    Utah    87-0333048   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Nashville Shared Services General Partnership    Delaware    62-1841237   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

National Patient Account Services, Inc.    Texas    62-1645596   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

New Iberia Heath Corporation    Louisiana    58-1741846   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

New Port Richey Hospital, Inc.    Florida    59-2047041   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

New Rose Holding Company, Inc.    Colorado    62-1617432   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

North Florida Immediate Care Center, Inc.    Florida    58-2075775   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

North Florida Regional Medical Center, Inc.    Florida    61-1269294   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

North Texas — MCA, LLC    Texas    46-4027347   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Northern Utah Healthcare Corporation    Utah    62-1650573   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Northern Virginia Community Hospital, LLC    Virginia    04-3665595   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Northlake Medical Center, LLC    Georgia    58-2433434   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Exact Name of Obligor as Specified in its Charter

(or Other Organizational Document)

   

State or Other
Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code, and
Telephone Number, Including Area
Code, of Obligor’s Principal Executive
Offices

Notami Hospitals of Louisiana, Inc.    Louisiana    95-4176923   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Notami Hospitals, LLC    Delaware    62-1761993   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Okaloosa Hospital, Inc.    Florida    59-1836808   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Okeechobee Hospital, Inc.    Florida    59-1833934   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Outpatient Cardiovascular Center of Central Florida, LLC    Delaware    52-2448149   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Palms West Hospital Limited Partnership    Delaware    62-1694178   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Exact Name of Obligor as Specified in its Charter

(or Other Organizational Document)

   

State or Other
Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code, and
Telephone Number, Including Area
Code, of Obligor’s Principal Executive
Offices

Palmyra Park Hospital, LLC    Georgia    58-1091107   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Parallon Business Solutions, LLC    Tennessee    90-0734008   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Parallon Enterprises, LLC    Tennessee    30-0705198   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Parallon Health Information Solutions, LLC    Tennessee    61-1664600   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Parallon Holdings, LLC    Delaware    62-1839825   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Parallon Payroll Solutions, LLC    Tennessee    36-4713969   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Parallon Physician Services, LLC    Tennessee    35-2426398   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Parallon Technology Solutions, LLC    Tennessee    30-0705195   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Parallon Workforce Management Solutions, LLC    Tennessee    38-3856554   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Pasadena Bayshore Hospital, Inc.    Texas    74-1616679   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Pearland Partner, LLC    Delaware    33-1130044   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Exact Name of Obligor as Specified in its Charter

(or Other Organizational Document)

   

State or Other
Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code, and
Telephone Number, Including Area
Code, of Obligor’s Principal Executive
Offices

Plantation General Hospital, L.P.    Delaware    62-1372389   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Poinciana Medical Center, Inc.    Florida    90-0811360   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Primary Health, Inc.    Texas    75-2473418   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Primary Health Management, Ltd.    Texas    020730160   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Pulaski Community Hospital, Inc.    Virginia    54-0941129   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Redmond Park Hospital, LLC    Georgia    58-1123037   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Redmond Physician Practice Company    Georgia    62-1662134   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Reston Hospital Center, LLC    Delaware    62-1777534   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Retreat Hospital, LLC    Virginia    61-1272890   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Rio Grande Regional Hospital, Inc.    Texas    61-1276564   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Riverside Healthcare System, L.P.    California    33-0751869   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Riverside Hospital, Inc.    Delaware    74-2600687   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Samaritan, LLC    Delaware    62-1762605   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Exact Name of Obligor as Specified in its Charter

(or Other Organizational Document)

   

State or Other
Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code, and
Telephone Number, Including Area
Code, of Obligor’s Principal Executive
Offices

San Jose Healthcare System, LP    Delaware    77-0498674   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

San Jose Hospital, L.P.    Delaware    62-1763091   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

San Jose Medical Center, LLC    Delaware    62-1762609   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

San Jose, LLC    Delaware    62-1756992   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Sarah Cannon Research Institute, LLC    Delaware    20-1557751   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Sarasota Doctors Hospital, Inc.    Florida    61-1258724   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

SCRI Holdings, LLC   

Delaware

    59-3830450   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

SJMC, LLC    Delaware    62-1762613   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Southern Hills Medical Center, LLC    Nevada    74-3048428   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Southpoint, LLC    Tennessee    90-1021429   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Spalding Rehabilitation L.L.C.    Delaware    841321505   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Spotsylvania Medical Center, Inc    Virginia    06-1760818   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Spring Branch Medical Center, Inc.    Texas    61-1261492   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Spring Hill Hospital, Inc.    Tennessee    84-1706716   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Exact Name of Obligor as Specified in its Charter

(or Other Organizational Document)

   

State or Other
Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code, and
Telephone Number, Including Area
Code, of Obligor’s Principal Executive
Offices

Sun City Hospital, Inc.    Florida    59-2822337   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Sunrise Mountainview Hospital, Inc.    Nevada    62-1600397   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Surgicare of Brandon, Inc.    Florida    58-1819994   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Surgicare of Florida, Inc.    Florida    95-3947578   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Surgicare of Houston Women’s, Inc.    Texas    72-1563673   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Surgicare of Manatee, Inc.    Florida    75-2364410   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Surgicare of New Port Richey, Inc.    Florida    75-2243308   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Surgicare of Palms West, LLC    Florida    20-1008436   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Surgicare of Riverside, LLC    California    26-0047096   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Tallahassee Medical Center, Inc.    Florida    62-1091430   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

TCMC Madison-Portland, Inc.    Tennessee    76-0811731   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Terre Haute Hospital GP, Inc.    Delaware    62-1861156   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Terre Haute Hospital Holdings, Inc.    Delaware    62-1861158   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Terre Haute MOB, L.P.    Indiana    76-0775694   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Exact Name of Obligor as Specified in its Charter

(or Other Organizational Document)

   

State or Other
Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code, and
Telephone Number, Including Area
Code, of Obligor’s Principal Executive
Offices

Terre Haute Regional Hospital, L.P.    Delaware    35-1461805   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

The Regional Health System of Acadiana, LLC    Louisiana    58-1741727   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Timpanogos Regional Medical Services, Inc.    Utah    62-1831495   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Trident Medical Center, LLC    Delaware    62-1768106   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

U.S. Collections , Inc.    Delaware    11-3736607   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Utah Medco, LLC    Delaware    62-1769672   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

VH Holdco, Inc.    Nevada    62-1749073   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

VH Holdings, Inc.    Nevada    62-1720399   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Virginia Psychiatric Company, Inc.    Virginia    62-1410313   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Vision Consulting Group, LLC    Delaware    27-1137639   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Vision Holdings, LLC    Tennessee    80-0780794   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

W & C Hospital, Inc.    Texas    61-1259838   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Walterboro Community Hospital, Inc.    South Carolina    57-0712623   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Exact Name of Obligor as Specified in its Charter

(or Other Organizational Document)

   

State or Other
Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code, and
Telephone Number, Including Area
Code, of Obligor’s Principal Executive
Offices

Wesley Medical Center, LLC    Delaware    62-1762545   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

West Florida — MHT, LLC    Florida    36-4764806   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

West Florida — PPH, LLC    Florida    80-0935610   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

West Florida — TCH, LLC    Florida    80-0935908   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

West Florida Regional Medical Center, Inc.    Florida    59-1525468   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

West Valley Medical Center, Inc.    Idaho    36-3525049   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Western Plains Capital, Inc.    Nevada    62-1727347   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

WCP Properties, LLC    Tennessee    90-1018963   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

WHMC, Inc.    Texas    61-1261485   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Woman’s Hospital of Texas, Incorporated    Texas    74-1991424   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

THE REMAINDER OF THIS PAGE IS INTENTIONALLY LEFT BLANK

1. General information. Furnish the following information as to the trustee:

 

  (a) Name and address of each examining or supervising authority to which it is subject.

 

Name

   

Address

Superintendent of Banks of the State of New York   

One State Street, New York, N.Y.

10004-1417 and One Commerce

Plaza, Albany, NY 12257

 

  (b) Whether it is authorized to exercise corporate trust powers.

Yes.

 

2. Affiliations with Obligor.

If the obligor is an affiliate of the trustee, describe each such affiliation.

None.

 

3-14.

No responses are included for Items 3-14 of this Form T-1 because the obligor is not in default as provided under Item 13.

 

15. Foreign Trustee.

Not applicable.

 

16. List of Exhibits.

Exhibits identified in parentheses below, on file with the Commission, are incorporated herein by reference as an exhibit hereto, pursuant to Rule 7a-29 under the Trust Indenture Act of 1939 (the “Act”) and 17 C.F.R. 229.10(d).

 

  1. A copy of the articles of association of the trustee as now in effect. (see Exhibit 1 to Form T-1 filed in connection with Registration Statement No. 333-127469, which is incorporated by reference).

 

  2. A copy of the certificate of authority of the trustee to commence business, if not contained in the articles of association. (see Exhibit 2 to Form T-1 filed in connection with Registration Statement No. 333-127469, which is incorporated by reference).

  3. A copy of the existing bylaws of the trustee, or instruments corresponding thereto. (see Exhibit 3 to Form T-1 filed in connection with Registration Statement No. 333-127469, which is incorporated by reference).

 

  4. The consents of the trustee required by Section 321(b) of the Act. (see Exhibit 4 to Form T-1 filed in connection with Registration Statement 333-133414, which is incorporated by reference).

 

  5. A copy of the latest report of condition of the trustee published pursuant to law or the requirements of its supervising or examining authority.

SIGNATURE

Pursuant to the requirements of the Trust Indenture Act of 1939 the trustee, Law Debenture Trust Company of New York, a trust company organized and existing under the laws of New York, has duly caused this statement of eligibility to be signed on its behalf by the undersigned, thereunto duly authorized, all in the City of New York, and State of New York, on the 12th day of January, 2015.

 

Law Debenture Trust Company of New York

(Trustee)

By:  

/s/ James D. Heaney

  James D. Heaney
  Managing Director

Exhibit 5

T-1 Item 16

Consolidated Report of Condition (attached as Exhibit 5 hereto) of

LAW DEBENTURE TRUST COMPANY OF NEW YORK

of 400 Madison Avenue, New York, NY 10017,

a limited purpose trust company (“LDTC-NY”) and U.S. subsidiary of Law Debenture Corporation plc, London, England (“Law Debenture”), at the close of business June 30, 2014, published with the Federal Financial Institutions Examination Council/Board of Governors of the Federal Reserve System, and in accordance with Chapter 2 of the Consolidated Laws of the State of New York Banking Department license granted on May 8, 2002.

I, Sam Pau, Controller of Law Debenture Trust Company of New York do hereby declare that this Report of Condition has been prepared in conformance with instructions issued by the Board of Governors of the Federal Reserve System and is true to the best of my knowledge and belief.

IN WITNESS WHEREOF, I have executed this certificate the 12th day of January, 2015.

 

/s/ Sam Pau

Controller

Law Debenture Trust Company of New York

I, James D. Heaney, Managing Director of Law Debenture Trust Company of New York, do hereby attest that the signature set forth above is the true and genuine signature of Sam Pau, Controller of Law Debenture Trust Company of New York.

 

Attested by:  

/s/ James D. Heaney

  James D. Heaney
Its:   Managing Director

Exhibit A

 

Law Debenture Trust Company of New York          FFIEC 041    
         PAGE RC-22
         13            

Consolidated Report of Condition for Insured Commercial

and State-Chartered Savings Banks for June 30, 2014

All schedules are to be reported in thousands of dollars. Unless otherwise indicated,

report the amount outstanding as of the last business day of the quarter.

Schedule RC—Balance Sheet

 

Dollar Amounts in Thousands

    RCON      Bil    Mil      Thou         

ASSETS

                           

1. Cash and balances due from depository institutions (from Schedule RC-A):

                           

a. Noninterest-bearing balances and currency and coin1

                  0081               829         1.a.   

b. Interest-bearing balances2

                  0071            49         641         1.b.   

2. Securities:

                           

a. Held-to-maturity securities (from Schedule RC-B, column A)

                  1754                  2.a.   

b. Available-for-sale securities (from Schedule RC-B, column D)

                  1773                  2.b.   

3. Federal funds sold and securities purchased under agreements to resell:

                           

a. Federal funds sold

                  B987                  3.a.   

b. Securities purchased under agreements to resell3

                  B989                  3.b.   

4. Loans and lease financing receivables (from Schedule RC-C) a. Loans and leases held for sale

                  5369                  4.a.   

b. Loans and leases, net of unearned income

      B528                              4.b.   

c. LESS: Allowance for loan and lease losses

      3123                              4.c.   

d. Loans and leases, net of unearned income and allowance (item 4.b minus 4.c)

                  B529                  4.d.   

5. Trading assets (from Schedule RC-D)

                  3545                  5.   

6. Premises and fixed assets (including capitalized leases)

                  2145               5         6.   

7. Other real estate owned (from Schedule RC-M

                  2150                  7.   

8. Investments in unconsolidated subsidiaries and associated companies

                  2130                  8.   

9. Direct and indirect investments in real estate ventures

                  3656                  9.   

10. Intangible assets:

                           

a. Goodwill

                  3163                  10.a.   

b. Other intangible assets (from Schedule RC-M)

                  0426                  10.b.   

11. Other assets (from Schedule RC-F)

                  2160            8         815         11.   

12. Total assets (sum of items 1 through 11)

                  2170            59         290         12.   

 

1 Includes cash items in process of collection and unposted debits.
2 Includes time certificates of deposit not held for trading.
3 Includes all securities resale agreements, regardless of maturity.
4 Includes noninterest-bearing demand, time and savings deposits.

         FFIEC 041    
         PAGE RC-3  
         14            

Schedule RC—Continued

 

Dollar Amounts in Thousands

    RCON      Bil    Mil      Thou         

LIABILITIES

                           

13. Deposits:

                           

a. In domestic offices (sum of totals of columns A and C from Schedule RC-E)

                  2200                  13.a.   

(1) Noninterest-bearing1

      6631                              13.a. (1) 

(2) Interest-bearing

      6636                              13.a. (2) 

b. Not applicable

                           

14. Federal funds purchased and securities sold under agreements to repurchase:

                           

a. Federal funds purchased2

                  B993                  14.a.   

b. Securities sold under agreements to repurchase3

                  B995                  14.b.   

15. Trading liabilities (from Schedule RC-D)

                  3548                  15.   

16. Other borrowed money (includes mortgage indebtedness and obligations under capitalized leases) (from Schedule RC-M)

                  3190                  16.   

17. and 18. Not applicable

                           

19. Subordinated notes and debentures4

                  3200                  19.   

20. Other liabilities (from Schedule RC-G)

                  2930            9         041         20.   

21. Total liabilities (sum of items 13 through 20)

                  2948            9         041         21.   

22. Not applicable

                           

EQUITY CAPITAL

                           

Bank Equity Capital

                           

23. Perpetual preferred stock and related surplus

                  3838                  23.   

24. Common stock

                  3230               1         24.   

25. Surplus (excludes all surplus related to preferred stock)

                  3839            49         876         25.   

26. a. Retained earnings

                  3632               372         26.a.   

b. Accumulated other comprehensive income5

                  B530                  26.b.   

c. Other equity capital components6

                  A130                  26.c.   

27. a. Total bank equity capital (sum of items 23 through 26.c)

                  3210            50         249         27.a.   

b. Noncontrolling (minority) interests in consolidated subsidiaries

                  3000                  27.b   

28. Total equity capital (sum of items 27.a and 27.b)

                  G105            50         249         28.   

29. Total liabilities and equity capital (sum of items 21 and 28)

                  3300            59         290         29.   

Memoranda

To be reported with the March Report of Condition.

 

1. Indicate in the box at the right the number of the statement below that best describes the most comprehensive level of auditing work performed for the bank by independent external auditors as of any date during 2013    RCON      Number      
           1         M.1.   

 

1 = Independent audit of the bank conducted in accordance with generally accepted auditing standards by a certified public accounting firm which submits a report on the bank

2 = Independent audit of the bank’s parent holding company conducted in accordance with generally accepted auditing standards by a certified public accounting firm which submits a report on the consolidated holding company (but not on the bank separately)

3 = Attestation on bank management’s assertion on the effectiveness of the bank’s internal control over financial reporting by a certified public accounting firm

4 = Directors’ examination of the bank conducted in accordance with generally accepted auditing standards by a certified public accounting firm (may be required by state chartering authority)

5 = Directors’ examination of the bank performed by other external auditors (may be required by state chartering authority)

6 = Review of the bank’s financial statements by external auditors

7 = Compilation of the bank’ financial statements by external auditors

8 = Other audit procedures (excluding tax preparation work)

9 = No external audit work

 

 

To be reported with the March Report of Condition.

      RCON         MM         DD      

2. Bank’s fiscal year-end date

      8678         12         31         M.2.   

 

1 Includes total demand deposits and noninterest-bearing time and savings deposits.
2 Report overnight Federal Home Loan Bank advances in Schedule RC, item 16, “Other borrowed money.”
3 Includes all securities repurchase agreements, regardless of maturity.
4 Includes limited-life preferred stock and related surplus.
5 Includes, but not limited to, net unrealized holding gains (losses) on available-for-sale securities, accumulated net gains (losses) on cash flow hedges, and accumulated defined benefit pension and other postretirement plan adjustments.
6 Includes treasury stock and unearned Employee Stock Ownership Plan shares.

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