As filed with the Securities and Exchange Commission on May 24, 2013
Registration No. 333-
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM S8
REGISTRATION STATEMENT
UNDER
THE SECURITIES ACT OF 1933
GENTIVA HEALTH SERVICES, INC.
(Exact Name of Registrant as Specified in Its Charter)
Delaware | 36-4335801 | |
(State or Other Jurisdiction of Incorporation or Organization) |
(I.R.S. Employer Identification No.) |
3350 Riverwood Parkway, Suite 1400, Atlanta, GA 30339-3314
(Address of Principal Executive Offices)
Gentiva Health Services, Inc. 2004 Equity Incentive Plan (amended and restated as of March 16, 2011),
as amended by Amendment No. 1 thereto
(Full Title of the Plan)
John N. Camperlengo, Esq.
Senior Vice President, General Counsel and Secretary
Gentiva Health Services, Inc.
3350 Riverwood Parkway, Suite 1400
Atlanta, GA 30339
(770) 951-6450
(Name and Address, Including Zip Code,
and Telephone Number, Including Area Code, of Agent For Service)
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer or a smaller reporting company. See the definitions of large accelerated filer, accelerated filer and smaller reporting company in Rule 12b- 2 of the Exchange Act.
Large accelerated filer | ¨ | Accelerated filer | x | |||
Non-accelerated filer | ¨ (Do not check if a smaller reporting company) | Smaller reporting company | ¨ |
CALCULATION OF REGISTRATION FEE
| ||||||||
Title of Securities to be Registered |
Amount to be |
Proposed Maximum Offering Price Per Share(2) |
Proposed Offering Price |
Amount of Registration Fee | ||||
Common Stock, par value $0.10 per share |
1,600,000 | $9.765 | $15,624,000 | $2,131.12 | ||||
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|
(1) | Pursuant to Rule 416 under the Securities Act of 1933, as amended (the Securities Act), this Registration Statement shall also cover such additional shares of common stock of the Registrant as may be offered or issued to prevent dilution resulting from stock splits, stock dividends or similar transactions. |
(2) | Estimated solely for purposes of calculating the registration fee pursuant to Rule 457(h) and Rule 457(c) under the Securities Act, based on the average of the high and low sale prices for shares of Gentiva common stock as reported on The NASDAQ Global Select Market on May 23, 2013. |
EXPLANATORY NOTE
We are filing this Registration Statement to register an additional 1,600,000 shares of our common stock, par value $0.10 per share (the Common Stock), for issuance under the Gentiva Health Services, Inc. 2004 Equity Incentive Plan (amended and restated as of March 16, 2011), as amended by Amendment No. 1 thereto (the Plan).
In accordance with General Instruction E to Form S-8, the contents of the previous Registration Statements on Form S-8 related to the Plan (SEC File No. 333-115725) filed on May 21, 2004, (SEC File No. 333-161390) filed on August 17, 2009 and (SEC File No. 333-174930) filed on June 16, 2011 with the Securities and Exchange Commission (SEC) are incorporated by reference herein and made a part of this Registration Statement, except as amended hereby.
PART II
INFORMATION REQUIRED IN THE REGISTRATION STATEMENT
Item 3. Incorporation of Documents by Reference.
The Registrant hereby incorporates by reference into this Registration Statement the following documents filed by the Registrant with the SEC (SEC File No. 001-15669):
(a) | The Registrants Annual Report on Form 10-K for the fiscal year ended December 31, 2012; |
(b) | The Registrants Quarterly Report on Form 10-Q for the quarter ended March 31, 2013; |
(c) | The Registrants Current Report on Form 8-K filed with the SEC on May 14, 2013; and |
(d) | The description of the Registrants common stock contained in the Registrants Registration Statement on Form 8-A as filed with the SEC on February 4, 2000, as amended, including any amendment or report filed for the purpose of updating such description. |
All reports and definitive proxy or information statements filed pursuant to Sections 13(a), 13(c), 14 and 15(d) of the Securities Exchange Act of 1934, as amended (other than the portions of those documents not deemed to be filed) subsequent to the filing of this Registration Statement and prior to the filing of a post-effective amendment which indicates that all securities offered hereby have been sold or which deregisters all securities then remaining unsold shall be deemed to be incorporated by reference into this Registration Statement and to be a part hereof from the date of filing such documents.
Item 8. Exhibits.
Exhibit |
Exhibit Description | |
4.1 | Amended and Restated Certificate of Incorporation of the Registrant (incorporated by reference to Form 8-K of the Registrant filed on May 12, 2008) | |
4.2 | Amended and Restated By-Laws of the Registrant (incorporated by reference to Form 8-K of the Registrant filed on November 7, 2011) | |
5.1 | Opinion of John N. Camperlengo, Esq.* | |
23.1 | Consent of PricewaterhouseCoopers LLP* | |
23.2 | Consent of John N. Camperlengo, Esq. (included in Exhibit 5.1 hereto)* | |
24 | Power of Attorney (included on the signature page hereto)* | |
99.1 | Gentiva Health Services, Inc. 2004 Equity Incentive Plan (amended and restated as of March 16, 2011) (incorporated by reference to Appendix A to the Registrants Definitive Proxy Statement filed with the Securities and Exchange Commission on April 4, 2011) | |
99.2 | Amendment No. 1 to Gentiva Health Services, Inc. 2004 Equity Incentive Plan (amended and restated as of March 16, 2011) (incorporated by reference to Appendix A to the Registrants Definitive Proxy Statement filed with the Securities and Exchange Commission on March 28, 2013) |
* | Filed herewith |
2
SIGNATURES
Pursuant to the requirements of the Securities Act of 1933, the Registrant certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form S-8 and has duly caused this Registration Statement to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of Atlanta, State of Georgia, on this 24th day of May, 2013.
GENTIVA HEALTH SERVICES, INC. | ||
By: | /s/ Tony Strange | |
Tony Strange | ||
Chief Executive Officer and President |
POWER OF ATTORNEY
KNOW ALL PERSONS BY THESE PRESENTS, that each person whose signature appears below (each being an officer and/or director of the Registrant) does hereby constitute and appoint Tony Strange, Eric R. Slusser and John N. Camperlengo and each of them, with full power of substitution, such persons true and lawful attorneys-in-fact and agents for such person in such persons name, place and stead, in any and all capacities, to sign any or all amendments (including post-effective 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 attorneys-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 in order to effectuate the same as fully, to all intents and purposes, as such person might or could do in person, hereby ratifying and confirming all that said attorneys-in-fact and agents may lawfully do or cause to be done by virtue hereof. This Power of Attorney may be signed in one or more counterparts.
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 |
Capacity |
Date | ||||||
/s/ Tony Strange |
Chief Executive Officer, President and Director (Principal Executive Officer) | May 24, 2013 | ||||||
Tony Strange | ||||||||
/s/ Eric R. Slusser |
Executive Vice President, Chief Financial Officer and Treasurer (Principal Financial Officer) | May 24, 2013 | ||||||
Eric R. Slusser | ||||||||
/s/ David L. Gieringer |
Vice President, Controller and Chief Accounting Officer (Principal Accounting Officer) | May 24, 2013 | ||||||
David L. Gieringer | ||||||||
/s/ Robert S. Forman, Jr. |
Director | May 24, 2013 | ||||||
Robert S. Forman, Jr. | ||||||||
/s/ Victor F. Ganzi |
Director | May 24, 2013 | ||||||
Victor F. Ganzi |
3
Signature |
Capacity |
Date | ||||||
/s/ Philip R. Lochner, Jr. |
Director | May 24, 2013 | ||||||
Philip R. Lochner, Jr. | ||||||||
/s/ Stuart Olsten |
Director | May 24, 2013 | ||||||
Stuart Olsten | ||||||||
/s/ Sheldon M. Retchin |
Director | May 24, 2013 | ||||||
Sheldon M. Retchin | ||||||||
/s/ Raymond S. Troubh |
Director | May 24, 2013 | ||||||
Raymond S. Troubh | ||||||||
/s/ Rodney D. Windley |
Director | May 24, 2013 | ||||||
Rodney D. Windley |
4
EXHIBIT INDEX
Exhibit |
Exhibit Description | |
4.1 | Amended and Restated Certificate of Incorporation of the Registrant (incorporated by reference to Form 8-K of the Registrant filed on May 12, 2008) | |
4.2 | Amended and Restated By-Laws of the Registrant (incorporated by reference to Form 8-K of the Registrant filed on November 7, 2011) | |
5.1 | Opinion of John N. Camperlengo, Esq.* | |
23.1 | Consent of PricewaterhouseCoopers LLP* | |
23.2 | Consent of John N. Camperlengo, Esq. (included in Exhibit 5.1 hereto)* | |
24 | Power of Attorney (included on the signature page hereto)* | |
99.1 | Gentiva Health Services, Inc. 2004 Equity Incentive Plan (amended and restated as March 16, 2011) (incorporated by reference to Appendix A to the Registrants Definitive Proxy Statement filed with the Securities and Exchange Commission on April 4, 2011) | |
99.2 | Amendment No. 1 to Gentiva Health Services, Inc. 2004 Equity Incentive Plan (amended and restated as of March 16, 2011) (incorporated by reference to Appendix A to the Registrants Definitive Proxy Statement filed with the Securities and Exchange Commission on March 28, 2013) |
* | Filed herewith |
5
Exhibit 5.1
May 24, 2013 |
Gentiva Health Services, Inc.
3350 Riverwood Parkway, Suite 1400
Atlanta, Georgia 30339
Ladies and Gentlemen:
I am Senior Vice President, General Counsel and Secretary of Gentiva Health Services, Inc., a Delaware corporation (the Company), and am duly admitted to the Bar of the State of New York. I have acted as counsel to the Company in connection with the preparation and filing of the Companys Registration Statement on Form S-8 (the Registration Statement) under the Securities Act of 1933, as amended, relating to the registration of an additional 1,600,000 shares of common stock, par value $0.10 per share of the Company (the Common Stock), which may be issued by the Company pursuant to the terms of the Gentiva Health Services, Inc. 2004 Equity Incentive Plan (amended and restated as of March 16, 2011), as amended by Amendment No.1 thereto (the Plan).
In so acting, I have examined originals or copies (certified or otherwise identified to my satisfaction) of the Registration Statement, the Plan and such corporate records, agreements, documents and other instruments, and such certificates or comparable documents of public officials and of representatives of the Company, and have made such inquiries of such representatives, as I have deemed relevant and necessary as a basis for the opinion hereinafter set forth.
In such examination, I have assumed the genuineness of all signatures, the legal capacity of all natural persons, the authenticity of all documents submitted to me as originals, the conformity to original documents of all documents submitted to me as certified, conformed or photostatic copies and the authenticity of the originals of such latter documents.
Based on the foregoing, and subject to the qualifications stated herein, I am of the opinion that the 1,600,000 shares of Common Stock being registered for issuance pursuant to the Registration Statement have been duly authorized and, when issued and delivered upon receipt by the Company of consideration constituting lawful consideration under Delaware law in accordance with the terms of the Plan, will be validly issued, fully paid and non-assessable.
I hereby consent to the filing of a copy of this opinion letter as an exhibit to the Registration Statement.
Very truly yours, |
/s/ John N. Camperlengo |
John N. Camperlengo |
Exhibit 23.1
CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
We hereby consent to the incorporation by reference in this Registration Statement on Form S-8 of our report dated March 11, 2013 relating to the consolidated financial statements, financial statement schedule and the effectiveness of internal control over financial reporting, which appears in Gentiva Health Services, Inc.s Annual Report on Form 10-K for the year ended December 31, 2012.
/s/ PricewaterhouseCoopers LLP |
PricewaterhouseCoopers LLP |
Atlanta, Georgia |
May 24, 2013 |