EX-25.1 9 c99030exv25w1.txt STATEMENT OF ELIGIBILITY OF TRUSTEE ON FORM T-1 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) [__] WACHOVIA BANK, NATIONAL ASSOCIATION (Exact name of trustee as specified in its charter) 22-1147033 (I.R.S. Employer Identification No.) 301 SOUTH COLLEGE STREET, CHARLOTTE, NORTH CAROLINA (Address of principal executive offices) 28288-0630 (Zip Code) WACHOVIA BANK, NATIONAL ASSOCIATION 200 BERKELEY STREET, 17th FLOOR BOSTON, MASSACHUSETTS 02116 ATTENTION: CORPORATE TRUST ADMINISTRATION (617) 210-3772 (Name, address and telephone number of agent for service) Manor Care, Inc. (Exact name of obligor as specified in its charter) Delaware (State or other jurisdiction of incorporation or organization) 34-1687107 (I.R.S. Employer Identification No.) TABLE OF ADDITIONAL CO-REGISTRANTS
(EXACT NAME OF THE CO-REGISTRANT AS SPECIFIED IN ITS (STATE OR OTHER JURISDICTION OF CHARTER) INCORPORATION OR ORGANIZATION) (I.R.S. EMPLOYER IDENTIFICATION NO.) AMERICAN HOSPITAL BUILDING CORPORATION Delaware 52-0985621 AMERICANA HEALTHCARE CENTER OF PALOS TOWNSHIP, INC. Illinois 53-1352950 AMERICANA HEALTHCARE CORPORATION OF GEORGIA Georgia 37-1087694 ANCILLARY SERVICES MANAGEMENT, INC. Ohio 34-163874 ANCILLARY SERVICES, LLC Delaware 52-2166500 ANNANDALE ARDEN, LLC Delaware 52-2111069 BAILY NURSING HOME, INC. Pennsylvania 23-1674218 BAINBRIDGE ARDEN, LLC Delaware 52-2098028 BATH ARDEN, LLC Delaware 52-2099206 BINGHAM FARMS ARDEN, LLC Delaware 52-2106495 BIRCHWOOD MANOR, INC. Michigan 38-1719951 BLUE RIDGE REHABILITATION SERVICES, INC. Virginia 54-1508699 BOOTH LIMITED PARTNERSHIP Florida 37-1080797 CANTERBURY VILLAGE, INC. Michigan 38-2032536 CHARLES MANOR, INC. Maryland 52-0902287 CHESAPEAKE MANOR, INC. Maryland 52-0902288 CLAIRE BRIDGE OF ANDERSON, LLC Delaware 39-1973297 CLAIRE BRIDGE OF AUSTIN, LLC Delaware 39-1973318 CLAIRE BRIDGE OF KENWOOD, LLC Delaware 39-1973322 CLAIRE BRIDGE OF SAN ANTONIO, LLC Delaware 39-1973324 CLAIRE BRIDGE OF SUSQUEHANNA, LLC Delaware 39-1973366 CLAIRE BRIDGE OF WARMINSTER, LLC Delaware 39-1973327 COLEWOOD LIMITED PARTNERSHIP Maryland 52-1335634 COLONIE ARDEN, LLC Delaware 52-2130894 CRESTVIEW HILLS ARDEN, LLC Delaware 52-2092155
(EXACT NAME OF THE CO-REGISTRANT AS SPECIFIED IN ITS (STATE OR OTHER JURISDICTION OF CHARTER) INCORPORATION OR ORGANIZATION) (I.R.S. EMPLOYER IDENTIFICATION NO.) DEKALB HEALTHCARE CORPORATION Delaware 37-1019112 DEVON MANOR CORPORATION Pennsylvania 23-2093337 DISTCO, INC. Maryland 52-0853907 DIVERSIFIED REHABILITATION SERVICES, INC. Michigan 38-2690352 DONAHOE MANOR, INC. Pennsylvania 25-1147049 EAST MICHIGAN CARE CORPORATION Michigan 38-1747681 EXECUTIVE ADVERTISING, INC. Maryland 52-0912751 EYE-Q NETWORK, INC. Ohio 34-1760305 FIRST LOUISVILLE ARDEN, LLC Delaware 52-2092159 FOUR SEASONS NURSING CENTERS, INC. Delaware 73-0783484 FRESNO ARDEN, LLC Delaware 52-2098630 GENEVA ARDEN, LLC Delaware 52-2124930 GEORGIAN BLOOMFIELD, INC. Michigan 38-1982410 GREENVIEW MANOR, INC. Michigan 38-6062040 HANOVER ARDEN, LLC Delaware 52-2098633 HCR HOME HEALTH CARE AND HOSPICE, INC. Ohio 34-1787978 HCR INFORMATION CORPORATION Ohio 31-1494764 HCR MANORCARE MEDICAL SERVICES OF FLORIDA, INC. Florida 65-0666550 HCR MANOR CARE SERVICES, INC. (F/K/A HEARTLAND Ohio 34-1838217 CAREPARTNERS, INC.) HCR PHYSICIAN MANAGEMENT SERVICES, INC. Florida 58-2242001 HCR REHABILITATION CORP. Ohio 34-1720345 HCRA OF TEXAS, INC. Texas 74-2788668 HCRC INC. Delaware 22-2784172 HEARTLAND CARE, LLC Ohio 32-0091717 HEALTH CARE AND RETIREMENT CORPORATION OF AMERICA Ohio 34-4402510 HEARTLAND EMPLOYMENT SERVICES, LLC Ohio 34-1903270 HEARTLAND HOME CARE, INC. Ohio 34-1787895 HEARTLAND HOME HEALTH CARE SERVICES, INC. Ohio 34-1787967
(EXACT NAME OF THE CO-REGISTRANT AS SPECIFIED IN ITS (STATE OR OTHER JURISDICTION OF CHARTER) INCORPORATION OR ORGANIZATION) (I.R.S. EMPLOYER IDENTIFICATION NO.) HEARTLAND HOSPICE SERVICES, INC. Ohio 34-1788398 HEARTLAND INFORMATION SERVICES, INC. (F/K/A HEARTLAND Ohio 31-1488831 MEDICAL INFORMATION SERVICES, INC.) HEARTLAND MANAGEMENT SERVICES, INC. Ohio 34-1808700 HEARTLAND REHABILITATION SERVICES OF FLORIDA, INC. Florida 59-2504386 HEARTLAND REHABILITATION SERVICES, INC. Ohio 34-1280619 HEARTLAND SERVICES CORP. Ohio 34-1760503 HEARTLAND THERAPY PROVIDER NETWORK, INC. Delaware 37-1027432 HERBERT LASKIN, RPT - JOHN MCKENZIE, RPT PHYSICAL New Jersey 22-2137595 THERAPY PROFESSIONAL ASSOCIATES, INC. HGCC OF ALLENTOWN, INC. Tennessee 23-2244532 IN HOME HEALTH, INC. Minnesota 41-1458213 INDUSTRIAL WASTES, INC. Pennsylvania 25-1264509 IONIA MANOR, INC. Michigan 38-1749970 JACKSONVILLE HEALTHCARE CORPORATION Delaware 37-1069936 JEFFERSON ARDEN, LLC Delaware 52-2111068 KENWOOD ARDEN, LLC Delaware 52-2116657 KNOLLVIEW MANOR, INC. Michigan 38-1724149 LEADER NURSING AND REHABILITATION CENTER OF BETHEL PARK, Delaware 52-1462046 INC. LEADER NURSING AND REHABILITATION CENTER OF GLOUCESTER, Maryland 52-1352949 INC. LEADER NURSING AND REHABILITATION CENTER OF SCOTT Delaware 52-1462056 TOWNSHIP, INC. LEADER NURSING AND REHABILITATION CENTER OF VIRGINIA INC. Virginia 52-1363206 LINCOLN HEALTH CARE, INC. Ohio 34-1352822 LIVONIA ARDEN, LLC Delaware 52-2104704 MANOR CARE AVIATION, INC. Delaware 52-1462072 MANOR CARE OF AKRON, INC. Ohio 52-0970447 MANOR CARE OF AMERICA, INC Delaware 52-1200376 MANOR CARE OF ARIZONA, INC. Delaware 52-1751861 MANOR CARE OF ARLINGTON, INC. Virginia 52-1067426 MANOR CARE OF CANTON, INC. Ohio 52-1019576
(EXACT NAME OF THE CO-REGISTRANT AS SPECIFIED IN ITS (STATE OR OTHER JURISDICTION OF CHARTER) INCORPORATION OR ORGANIZATION) (I.R.S. EMPLOYER IDENTIFICATION NO.) ------------------------------------------------------ ------------------------------- ------------------------------------ MANOR CARE OF CHARLESTON, INC. South Carolina 52-1187059 MANOR CARE OF CINCINNATI, INC. Ohio 52-0943592 MANOR CARE OF COLUMBIA, INC. South Carolina 52-0940578 MANOR CARE OF DARIEN, INC. Connecticut 52-1934884 MANOR CARE OF DELAWARE COUNTY, INC. Delaware 52-1916053 MANOR CARE OF HINSDALE, INC. Illinois 52-0970446 MANOR CARE OF KANSAS, INC. Delaware 52-1462071 MANOR CARE OF KINGSTON COURT, INC. Pennsylvania 52-1314648 MANOR CARE OF LARGO, INC. Maryland 52-1065213 MANOR CARE OF LEXINGTON, INC. South Carolina 52-1048770 MANOR CARE OF MEADOW PARK, INC. Washington 52-1339998 MANOR CARE OF MIAMISBURG, INC. Delaware 52-1708219 MANOR CARE OF NORTH OLMSTED, INC. Ohio 52-0970448 MANOR CARE OF PINEHURST, INC. North Carolina 52-1069744 MANOR CARE OF ROLLING MEADOWS, INC. Illinois 52-1077856 MANOR CARE OF ROSSVILLE, INC. Maryland 52-1077857 MANOR CARE OF WILLOUGHBY, INC. Ohio 52-0970449 MANOR CARE OF WILMINGTON, INC. Delaware 52-1252362 MANOR CARE OF YORK (NORTH), INC. Pennsylvania 52-1314645 MANOR CARE OF YORK (SOUTH), INC. Pennsylvania 52-1314644 MANOR CARE SUPPLY COMPANY Delaware 52-2055097 MANORCARE HEALTH SERVICES OF OKLAHOMA, INC. Delaware 52-2055078 MANORCARE HEALTH SERVICES OF NORTHHAMPTON COUNTY, INC. Pennsylvania 52-2004471 MANORCARE HEALTH SERVICES OF VIRGINIA, INC. Delaware 52-2002773 MANORCARE HEALTH SERVICES, INC. Delaware 52-0886946 MARINA VIEW MANOR, INC. Wisconsin 39-1164707 MEDI-SPEECH SERVICE, INC. Michigan 38-2343280 MEMPHIS ARDEN, LLC Delaware 52-2098029
(EXACT NAME OF THE CO-REGISTRANT AS SPECIFIED IN ITS (STATE OR OTHER JURISDICTION OF CHARTER) INCORPORATION OR ORGANIZATION) (I.R.S. EMPLOYER IDENTIFICATION NO.) ------------------------------------------------------ ------------------------------- ------------------------------------ MID-SHORE PHYSICAL THERAPY ASSOCIATES, INC. New Jersey 22-2575292 MILESTONE HEALTH SYSTEMS, INC. Texas 75-2245197 MILESTONE HEALTHCARE, INC. Delaware 75-2592398 MILESTONE REHABILITATION SERVICES, INC. Texas 75-2190857 MILESTONE STAFFING SERVICES, INC. Texas 74-2963093 MILESTONE THERAPY SERVICES, INC. Texas 75-2406307 MNR FINANCE CORP. Delaware 51-0348281 NAPA ARDEN, LLC Delaware 52-2108866 PEAK REHABILITATION, INC. Delaware 52-1833202 PERRYSBURG PHYSICAL THERAPY, INC. Ohio 34-1363071 PNEUMATIC CONCRETE, INC. Tennessee 62-0716951 PORTFOLIO ONE, INC. New Jersey 22-1604502 REHABILITATION ADMINISTRATION CORPORATION Kentucky 61-1295825 REHABILITATION ASSOCIATES, INC. New Jersey 22-3290567 REHABILITATION SERVICES OF ROANOKE, INC. Virginia 54-0993013 REINBOLT & BURKAM, INC. Ohio 34-1479648 RICHARDS HEALTHCARE, INC. Texas 76-0339241 RIDGEVIEW MANOR, INC. Michigan 38-1734212 ROANOKE ARDEN, LLC Delaware 52-2104706 ROLAND PARK NURSING CENTER, INC. Maryland 52-1890169 RVA MANAGEMENT SERVICES, INC. Ohio 34-1791517 SAN ANTONIO ARDEN, LLC Delaware 52-2106496 SILVER SPRING - WHEATON NURSING HOME, INC. Maryland 53-0245649 SILVER SPRING ARDEN, LLC Delaware 52-2107728 SPRINGHILL MANOR, INC. Michigan 38-1890497 STEWALL CORPORATION Maryland 52-0798475 STRATFORD MANOR, INC. Virginia 52-0902020 STUTEX CORP. Texas 52-0884091
(EXACT NAME OF THE CO-REGISTRANT AS SPECIFIED IN ITS (STATE OR OTHER JURISDICTION OF CHARTER) INCORPORATION OR ORGANIZATION) (I.R.S. EMPLOYER IDENTIFICATION NO.) ------------------------------------------------------ ------------------------------- ------------------------------------ SUN VALLEY MANOR, INC. Michigan 38-1798425 SUSQUEHANNA ARDEN LLC Delaware 52-2124933 TAMPA ARDEN, LLC Delaware 52-2113270 THE NIGHTINGALE NURSING HOME, INC. Pennsylvania 23-1719762 THERASPORT PHYSICAL THERAPY, INC. Michigan 38-3324355 THREE RIVERS MANOR, INC. Michigan 38-2479940 TOTALCARE CLINICAL LABORATORIES, INC. Delaware 52-1740933 TUSCAWILLA ARDEN, LLC Delaware 52-2092162 WALL ARDEN, LLC Delaware 52-2098990 WARMINSTER ARDEN LLC Delaware 52-2124931 WASHTENAW HILLS MANOR, INC. Michigan 38-2686882 WHITEHALL MANOR, INC. Michigan 38-2189772 WILLIAMSVILLE ARDEN, LLC Delaware 52-2107735
333 N. Summit Street Toledo, Ohio (Address of principal executive offices) 43604-2617 (Zip Code) 2.125% Convertible Senior Notes due 2035 (Title of indenture securities) 1. GENERAL INFORMATION. FURNISH THE FOLLOWING INFORMATION AS TO THE TRUSTEE: a) NAME AND ADDRESS OF EACH EXAMINING OR SUPERVISORY AUTHORITY TO WHICH IT IS SUBJECT: Comptroller of the Currency United States Department of the Treasury Washington, D.C. 20219 Federal Reserve Bank Richmond, Virginia 23219 Federal Deposit Insurance Corporation Washington, D.C. 20429 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. 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. Copy of Articles of Association of the trustee as now in effect. (Previously filed with the Securities and Exchange Commission on March 16, 1998 as an Exhibit to Form T-1 in connection with Registration Statement Number 333-47985.) 2. Copy of the Certificate of the Comptroller of the Currency dated March 4, 1998, evidencing the authority of the trustee to transact business. (Previously filed with the Securities and Exchange Commission on July 15, 1998 as an Exhibit to Form T-1 in connection with Registration Statement Number 333-59145.) 3. Copy of the Certification of Fiduciary Powers of the trustee by the Office of the Comptroller of the Currency dated April 7, 1999. (Previously filed with the Securities and Exchange Commission on May 20, 1999 in connection with Registration Statement Number 333-78927.) 4. Copy of existing by-laws of the trustee.(Previously filed with the Securities and Exchange Commission on April 30, 2001 in connection with Registration Statement Number 333-59848.) 6. Consent of the trustee required by Section 321(b) of the Act. (Previously filed with the Securities and Exchange Commission on April 30, 2001 in connection with Registration Statement Number 333-59848.) 7. Copy of latest report of condition of the trustee published pursuant to the requirements of its supervising authority. (Filed herewith.) NOTE The trustee disclaims responsibility for the accuracy or completeness of information contained in this Statement of Eligibility not known to the trustee and not obtainable by it through reasonable investigation and as to which information it has obtained from the obligor and has had to rely or will obtain from the principal underwriters and will have to rely. SIGNATURE Pursuant to the requirements of the Trust Indenture Act of 1939, the trustee, Wachovia Bank, National Association, a national banking association organized and existing under the laws of the United States of America, has duly caused this Statement of Eligibility to be signed on its behalf by the undersigned, thereunto duly authorized, all in the City of Boston and State of Massachusetts, on the 6th day of October, 2005. WACHOVIA BANK, NATIONAL ASSOCIATION By: /S/ TIMOTHY DONMOYER ---------------------- Name: TIMOTHY DONMOYER Title: VICE PRESIDENT REPORT OF CONDITION EXHIBIT 7 TO EXHIBIT 25.1 WACHOVIA BANK, NATIONAL ASSOCIATION STATEMENT OF FINANCIAL CONDITION AS OF 6/30/05 Consolidating domestic and foreign subsidiaries of Wachovia Bank, N.A., at the close of business on June 30, 2005, published in response to call made by Comptroller of the Currency, under title 12, United States Code, Section 161. Charter Number 1 Comptroller of the Currency. STATEMENT OF RESOURCES AND LIABILITIES ASSETS Thousand of Dollars Cash and balances due from depository institutions (from Schedule RC-A): Noninterest-bearing balances and currency and coin............................................ 13,340,000 Interest-bearing balances..................................................................... 702,000 Securities: Held-to-maturity securities (from Schedule RC-B, column A).................................... 0 Available-for-sale securities (from Schedule RC-B, column D).................................. 114,033,000 Federal funds sold and securities purchased under agreements to resell Federal funds sold in domestic offices................................................ 145,000 Securities purchased under agreements to resell.............................................. 4,343,000 Loans and lease financing receivables (from Schedule RC-C): Loan and leases held for sale................................................................. 14,492,000 Loan and leases, net of unearned income....................................................... 227,612,000 LESS: Allowance for loan and lease losses..................................................... 2,645,000 Loans and leases, net of unearned income and allowance (item 4.b minus 4.c)................... 224,967,000 Trading assets (from Schedule RC-D)................................................................. 32,025,000 Premises and fixed assets (including capitalized leases)............................................ 4,321,000 Other real estate owned (from Schedule RC-M)........................................................ 136,000 Investments in unconsolidated subsidiaries and associated companies (from Schedule RC-M)............ 1,131,000 Customers' liability to this bank on acceptances outstanding........................................ 826,000 Intangible assets: Goodwill...................................................................................... 19,699,000 Other intangible assets (from Schedule RC-M)........................................................ 1,996,000 Other assets (from Schedule RC-F)................................................................... 27,373,000 Total assets........................................ 459,529,000
LIABILITIES Deposits: In domestic offices (sum of totals of columns A and C from Schedule RC-E, part I)............. 284,231,000 Noninterest-bearing........................................................................ 64,586,000 Interest-bearing........................................................................... 219,645,000 In foreign offices, Edge and Agreement subsidiaries, and IBFs (from Schedule RC-E, part II)... 25,202,000 Noninterest-bearing........................................................................ 65,000 Interest-bearing........................................................................... 25,137,000 Federal funds purchased and securities sold under agreements to repurchase Federal funds purchased in domestic offices................................................ 3,546,000 Securities sold under agreements to repurchase............................................. 28,940,000 Trading liabilities (from Schedule RC-D)............................................................ 12,730,000 Other borrowed money (includes mortgage indebtedness and obligations under capitalized leases) (from Schedule RC-M)................................................................................ 28,775,000 Bank's liability on acceptances executed and outstanding............................................ 859,000 Subordinated notes and debentures................................................................... 13,323,000 Other liabilities (from Schedule RC-G).............................................................. 12,305,000 Total liabilities (sum of items 13 through 20)...................................................... 409,911,000 Minority interest in consolidated subsidiaries...................................................... 1,732,000 EQUITY CAPITAL Perpetual preferred stock and related surplus....................................................... 0 Common stock........................................................................................ 455,000 Surplus (exclude all surplus related to preferred stock)............................................ 35,351,000 Retained earnings................................................................................... 11,494,000 Accumulated other comprehensive income.............................................................. 586,000 Other equity capital components..................................................................... 0 Total equity capital (sum of item 23 through 27).................................................... 47,886,000 Total liabilities, minority interest and equity capital (sum of items 21,22, and 28)................ 459,529,000