0001104659-15-048921.txt : 20150630 0001104659-15-048921.hdr.sgml : 20150630 20150630170249 ACCESSION NUMBER: 0001104659-15-048921 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20150629 FILED AS OF DATE: 20150630 DATE AS OF CHANGE: 20150630 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Adeptus Health Inc. CENTRAL INDEX KEY: 0001602367 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOSPITALS [8060] IRS NUMBER: 465037387 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2941 SOUTH LAKE VISTA STREET 2: SUITE 200 CITY: LEWISVILLE STATE: TX ZIP: 75067 BUSINESS PHONE: 9728996666 MAIL ADDRESS: STREET 1: 2941 SOUTH LAKE VISTA STREET 2: SUITE 200 CITY: LEWISVILLE STATE: TX ZIP: 75067 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ELFMAN MERRICK CENTRAL INDEX KEY: 0001011186 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36520 FILM NUMBER: 15962000 MAIL ADDRESS: STREET 1: C/O 650 DUNDEE ROAD STREET 2: SUITE 370 CITY: NORTHBROOK STATE: IL ZIP: 60062 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HOEHN SARIC RULDOLF CHRISTOPHER CENTRAL INDEX KEY: 0001011193 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36520 FILM NUMBER: 15962001 MAIL ADDRESS: STREET 1: C/O 650 DUNDEE ROAD STREET 2: SUITE 370 CITY: NORTHBROOK STATE: IL ZIP: 60062 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BECKER DOUGLAS L CENTRAL INDEX KEY: 0001072473 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36520 FILM NUMBER: 15962003 MAIL ADDRESS: STREET 1: C/O 650 DUNDEE ROAD STREET 2: SUITE 370 CITY: NORTHBROOK STATE: IL ZIP: 60062 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Taslitz Steven CENTRAL INDEX KEY: 0001407214 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36520 FILM NUMBER: 15962004 MAIL ADDRESS: STREET 1: 1033 SKOKIE BOULEVARD STREET 2: SUITE 600 CITY: NORTHBROOK STATE: IL ZIP: 60062 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCP III AIV THREE-FCER Conduit, L.P. CENTRAL INDEX KEY: 0001611318 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36520 FILM NUMBER: 15962007 BUSINESS ADDRESS: STREET 1: C/O STERLING PARTNERS STREET 2: 401 NORTH MICHIGAN, SUITE 3300 CITY: CHICAGO STATE: IL ZIP: 60611 BUSINESS PHONE: 312 465 7000 MAIL ADDRESS: STREET 1: C/O STERLING PARTNERS STREET 2: 401 NORTH MICHIGAN, SUITE 3300 CITY: CHICAGO STATE: IL ZIP: 60611 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sterling Capital Partners III, LLC CENTRAL INDEX KEY: 0001611325 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36520 FILM NUMBER: 15962008 BUSINESS ADDRESS: STREET 1: C/O STERLING PARTNERS STREET 2: 401 NORTH MICHIGAN, SUITE 3300 CITY: CHICAGO STATE: IL ZIP: 60611 BUSINESS PHONE: 312 465 7000 MAIL ADDRESS: STREET 1: C/O STERLING PARTNERS STREET 2: 401 NORTH MICHIGAN, SUITE 3300 CITY: CHICAGO STATE: IL ZIP: 60611 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCP III AIV THREE-FCER, L.P. CENTRAL INDEX KEY: 0001611319 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36520 FILM NUMBER: 15962006 BUSINESS ADDRESS: STREET 1: C/O STERLING PARTNERS STREET 2: 401 NORTH MICHIGAN, SUITE 3300 CITY: CHICAGO STATE: IL ZIP: 60611 BUSINESS PHONE: 312 465 7000 MAIL ADDRESS: STREET 1: C/O STERLING PARTNERS STREET 2: 401 NORTH MICHIGAN, SUITE 3300 CITY: CHICAGO STATE: IL ZIP: 60611 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BECKER ERIC D CENTRAL INDEX KEY: 0001165803 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36520 FILM NUMBER: 15962002 MAIL ADDRESS: STREET 1: C/O 650 DUNDEE ROAD STREET 2: SUITE 370 CITY: NORTHBROOK STATE: IL ZIP: 60062 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SC Partners III, L.P. CENTRAL INDEX KEY: 0001611317 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36520 FILM NUMBER: 15962005 BUSINESS ADDRESS: STREET 1: C/O STERLING PARTNERS STREET 2: 401 NORTH MICHIGAN, SUITE 3300 CITY: CHICAGO STATE: IL ZIP: 60611 BUSINESS PHONE: 312 465 7000 MAIL ADDRESS: STREET 1: C/O STERLING PARTNERS STREET 2: 401 NORTH MICHIGAN, SUITE 3300 CITY: CHICAGO STATE: IL ZIP: 60611 4 1 a4.xml 4 X0306 4 2015-06-29 0 0001602367 Adeptus Health Inc. ADPT 0001611325 Sterling Capital Partners III, LLC C/O STERLING PARTNERS, 401 NORTH MICHIGAN AVENUE, SUITE 3300 CHICAGO IL 60611 1 0 1 0 0001611318 SCP III AIV THREE-FCER Conduit, L.P. C/O STERLING PARTNERS, 401 NORTH MICHIGAN AVENUE, SUITE 3300 CHICAGO IL 60611 1 0 1 0 0001611319 SCP III AIV THREE-FCER, L.P. C/O STERLING PARTNERS, 401 NORTH MICHIGAN AVENUE, SUITE 3300 CHICAGO IL 60611 1 0 1 0 0001611317 SC Partners III, L.P. C/O STERLING PARTNERS, 401 NORTH MICHIGAN AVENUE, SUITE 3300 CHICAGO IL 60611 1 0 1 0 0001407214 Taslitz Steven C/O STERLING PARTNERS, 401 NORTH MICHIGAN AVENUE, SUITE 3300 CHICAGO IL 60611 1 0 1 0 0001011186 ELFMAN MERRICK C/O STERLING PARTNERS, 401 NORTH MICHIGAN AVENUE, SUITE 3300 CHICAGO IL 60611 1 0 1 0 0001072473 BECKER DOUGLAS L C/O STERLING PARTNERS, 401 NORTH MICHIGAN AVENUE, SUITE 3300 CHICAGO IL 60611 1 0 1 0 0001165803 BECKER ERIC D C/O STERLING PARTNERS, 401 NORTH MICHIGAN AVENUE, SUITE 3300 CHICAGO IL 60611 1 0 1 0 0001011193 HOEHN SARIC RULDOLF CHRISTOPHER C/O STERLING PARTNERS, 401 NORTH MICHIGAN AVENUE, SUITE 3300 CHICAGO IL 60611 1 0 1 0 Class A Common Stock 2015-06-29 4 A 0 812 0.00 A 4222 I See footnotes Class A Common Stock 3317817 I See footnotes Represents grant of restricted stock of Class A Common Stock of Adeptus Health, Inc. (the "Issuer") that vests in full on January 1, 2016. Represents restricted shares of Class A Common Stock of the Issuer granted as director compensation to current and former members of the Issuer's board of directors who are employees of Sterling Fund Management, LLC and hold such shares of Class A Common Stock for and on behalf of Sterling Fund Management, LLC, which acts as an advisor to SCP III AIV THREE-FCER, L.P. and SCP III AIV THREE-FCER Conduit, L.P. (the "Sterling Funds"). A portion of the proceeds of any disposition of these securities will be applied against management fees attributable to limited partners of the Sterling Funds which are payable to the advisor. Sterling Fund Management, LLC is wholly-owned by Sterling Fund Management Holdings, L.P., whose general partner, Sterling Fund Management Holdings GP, LLC is managed by Messrs. Steven M. Taslitz, Merrick M. Elfman, Douglas L. Becker, Eric D. Becker and R. Christopher Hoehn-Saric. Shares of Class A Common Stock of the Issuer are held by SCP III AIV THREE-FCER Conduit, L.P. Sterling Capital Partners III, LLC is the general partner of SC Partners III, L.P., the general partner of each of the Sterling Funds. Messrs. Steven M. Taslitz, Merrick M. Elfman, Douglas L. Becker, Eric D. Becker and R. Christopher Hoehn-Saric are the managers of Sterling Capital Partners III, LLC. Mr. Rosenberg also has an indirect interest in the securities of the Issuer held by or on behalf of the Sterling Funds. Each of the Reporting Persons disclaims beneficial ownership of the securities reported herein, except to the extent of such Reporting Person's pecuniary interest therein, if any. The filing of this statement shall not be deemed to be an admission that, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, the Reporting Persons are the beneficial owners of any securities reported herein. Because no more than 10 reporting persons can file any one Form 4 through the Securities and Exchange Commission's EDGAR system, Sterling Fund Management, LLC, Sterling Fund Management Holdings, L.P., Sterling Fund Management Holdings GP, LLC and Mr. Rosenberg have made a separate Form 4 filing. By: /s/ M. Avi Epstein, General Counsel of Sterling Capital Partners III, LLC, the general partner of SC Partners III, L.P., the general partner of SCP III AIV THREE-FCER, L.P. 2015-06-30 By: /s/ M. Avi Epstein, General Counsel of Sterling Capital Partners III, LLC, the general partner of SC Partners III, L.P., the general partner of SCP III AIV THREE-FCER Conduit, L.P. 2015-06-30 By: /s/ M. Avi Epstein, General Counsel of Sterling Capital Partners III, LLC, the general partner of SC Partners III, L.P. 2015-06-30 By: /s/ M. Avi Epstein, General Counsel of Sterling Capital Partners III, LLC 2015-06-30 By: /s/ M. Avi Epstein, attorney-in-fact for Steven M. Taslitz 2015-06-30 By: /s/ M. Avi Epstein, attorney-in-fact for Merrick M. Elfman 2015-06-30 By: /s/ M. Avi Epstein, attorney-in-fact for Douglas L. Becker 2015-06-30 By: /s/ M. Avi Epstein, attorney-in-fact for Eric D. Becker 2015-06-30 By: /s/ M. Avi Epstein, attorney-in-fact for R. Christopher Hoehn-Saric 2015-06-30