EX-25.1 6 dex251.htm FORM T-1 STATEMENT OF ELIGIBILITY FOR TRUSTEE UNDER THE INDENTURE Form T-1 Statement of Eligibility for Trustee under the Indenture

Exhibit 25.1

 

 

 

UNITED STATES

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)

 

 

THE BANK OF NEW YORK MELLON

TRUST COMPANY, N.A.

(Exact name of trustee as specified in its charter)

 

 

 

  95-3571558

(Jurisdiction of incorporation

if not a U.S. national bank)

 

(I.R.S. employer

identification no.)

700 South Flower Street Suite 500

Los Angeles, California

  90017
(Address of principal executive offices)   (Zip code)

 

 

GENTIVA HEALTH SERVICES, INC.

(Exact name of obligor as specified in its charter)

 

 

 

Delaware   36-4335801

(State or other jurisdiction of

incorporation or organization)

 

(I.R.S. employer

identification no.)


Names of Additional Registrants

  

Jurisdiction of
Incorporation/Organization

   I.R.S. Employer Identification
Number

Access Home Health of Florida, Inc.

   Delaware    06-1451363

Capital CareResources, Inc.

   Georgia    58-2411159

Capital CareResources of South Carolina, Inc.

   Georgia    56-2102603

Capital Health Management Group, Inc.

   Georgia    58-2313705

CareNation, Inc.

   Delaware    06-1607606

Chattahoochee Valley Home Care Services, Inc.

   Georgia    03-0387821

Chattahoochee Valley Home Health, Inc.

   Georgia    34-1994007

CHMG Acquisition Corp.

   Georgia    04-3813487

CHMG of Atlanta, Inc.

   Georgia    54-2089073

CHMG of Griffin, Inc.

   Georgia    54-2089075

Eastern Carolina Home Health Agency, Inc.

   North Carolina    56-1590744

Family Hospice, Ltd.

   Texas    75-2588221

FHI GP, Inc.

   Texas    75-2588220

FHI Health Systems, Inc.

   Delaware    75-2588219

FHI LP, Inc.

   Nevada    88-0335145

FHI Management, Ltd.

   Texas    75-2588222

Gentiva Certified Healthcare Corp.

   Delaware    11-2645333

Gentiva Health Services (Certified), Inc.

   Delaware    11-3454105

Gentiva Health Services Holding Corp.

   Delaware    11-3454104

Gentiva Health Services (USA) Inc.

   Delaware    11-3414024

Gentiva Rehab Without Walls, LLC

   Delaware    06-1725406

 

- 2 -


Names of Additional Registrants

   Jurisdiction of
Incorporation/Organization
   I.R.S. Employer Identification
Number

Gentiva Services of New York, Inc.

   New York    11-2802024

Gilbert’s Home Health Agency, Inc.

   Mississippi    64-0730826

Gilbert’s Hospice Care, LLC

   Mississippi    20-0566932

Gilbert’s Hospice Care of Mississippi, LLC

   Mississippi    20-1296854

Healthfield, Inc.

   Delaware    58-1819650

Healthfield Home Health, Inc.

   Georgia    58-1947694

Healthfield Hospice Services, Inc.

   Georgia    58-2284736

Healthfield of Southwest Georgia, Inc.

   Georgia    27-0131980

Healthfield of Statesboro, Inc.

   Georgia    68-0593590

Healthfield of Tennessee, Inc.

   Georgia    01-0831798

Healthfield Operating Group, Inc.

   Delaware    36-4425473

Home Health Care Affiliates, Inc.

   Mississippi    74-2737989

Home Health Care Affiliates of Central Mississippi, L.L.C.

   Mississippi    62-1807084

Home Health Care Affiliates of Mississippi, Inc.

   Mississippi    62-1775256

Home Health Care of Carteret County, Inc.

   North Carolina    56-1556547

Horizon Health Network LLC

   Alabama    33-1017853

Mid-South Home Care Services, Inc.

   Georgia    58-1984959

Mid-South Home Care Services, LLC

   Alabama    82-0559231

Mid-South Home Health Agency, Inc.

   Delaware    63-0772385

Mid-South Home Health Agency, LLC

   Alabama    82-0559199

Mid-South Home Health of Gadsden, Inc.

   Georgia    14-1909499

New York Healthcare Services, Inc.

   New York    22-2695367

 

- 3 -


Names of Additional Registrants

   Jurisdiction of
Incorporation/Organization
   I.R.S. Employer Identification
Number

Odyssey HealthCare, Inc.

   Delaware    43-1723043

Odyssey HealthCare Austin, LLC

   Delaware    none

Odyssey HealthCare Detroit, LLC

   Delaware    none

Odyssey HealthCare Fort Worth, LLC

   Delaware    none

Odyssey HealthCare GP, LLC

   Delaware    75-2932676

Odyssey HealthCare Holding Company

   Delaware    75-2925311

Odyssey HealthCare LP, LLC

   Delaware    74-2998154

Odyssey HealthCare Management, LP

   Delaware    75-2923658

Odyssey HealthCare of Collier County, Inc.

   Delaware    87-0785005

Odyssey HealthCare of Flint, LLC

   Delaware    26-3920362

Odyssey HealthCare of Hillsborough County, Inc.

   Delaware    75-3238729

Odyssey HealthCare of Manatee County, Inc.

   Delaware    87-0785007

Odyssey HealthCare of Marion County, Inc.

   Delaware    75-3238731

Odyssey HealthCare of Northwest Florida, Inc.

   Delaware    87-0784932

Odyssey HealthCare of Pinellas County, Inc.

   Delaware    75-3238725

Odyssey HealthCare of St. Louis, LLC

   Delaware    26-1174571

Odyssey HealthCare Operating A, LP

   Delaware    75-2752908

Odyssey HealthCare Operating B, LP

   Delaware    75-2937832

OHS Service Corp.

   Texas    22-3690699

PHHC Acquisition Corp.

   Delaware    38-3784032

QC-Medi New York, Inc.

   New York    11-2750425

Quality Care-USA, Inc.

   New York    11-2256479

Quality Managed Care, Inc.

   Delaware    48-1095443

 

- 4 -


Names of Additional Registrants

   Jurisdiction of
Incorporation/Organization
   I.R.S. Employer Identification
Number

Tar Heel Health Care Services, Inc.

   North Carolina    56-1456991

Tar Heel Staffing, Inc.

   Georgia    05-0537926

The Healthfield Group, Inc.

   Delaware    43-2068039

Total Care Home Health of Louisburg, Inc.

   Georgia    68-0593592

Total Care Home Health of North Carolina, Inc.

   Georgia    20-0091435

Total Care Home Health of South Carolina, Inc.

   Georgia    20-0091422

Total Care Services, Inc.

   Georgia    86-1095990

Van Winkle Home Health Care, Inc.

   Mississippi    62-1669388

Vista Hospice Care, Inc.

   Delaware    86-0808230

VistaCare, Inc.

   Delaware    06-1521534

VistaCare of Boston, LLC

   Delaware    26-1544595

VistaCare USA, Inc.

   Delaware    86-0914505

Wiregrass Hospice LLC

   Alabama    82-0559182

Wiregrass Hospice Care, Inc.

   Georgia    20-0296636

Wiregrass Hospice of South Carolina, LLC

   Georgia    34-2053721

 

3350 Riverwood Parkway, Suite 1400

Atlanta, Georgia

  30339-3314
(Address of principal executive offices)   (Zip code)

 

11.5% Senior Notes due 2018

and Guarantees of 11.5% Senior Notes due 2018

(Title of the indenture securities)

 

 

 

 

- 5 -


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

Comptroller of the Currency United States Department of the Treasury

   Washington, DC 20219

Federal Reserve Bank

   San Francisco, CA 94105

Federal Deposit Insurance Corporation

   Washington, DC 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. A copy of the articles of association of The Bank of New York Mellon Trust Company, N.A., formerly known as The Bank of New York Trust Company, N.A. (Exhibit 1 to Form T-1 filed with Registration Statement No. 333-121948 and Exhibit 1 to Form T-1 filed with Registration Statement No. 333-152875).

 

  2. A copy of certificate of authority of the trustee to commence business. (Exhibit 2 to Form T-1 filed with Registration Statement No. 333-121948).

 

  3. A copy of the authorization of the trustee to exercise corporate trust powers (Exhibit 3 to Form T-1 filed with Registration Statement No. 333-152875).

 

- 6 -


 

  4. A copy of the existing by-laws of the trustee (Exhibit 4 to Form T-1 filed with Registration Statement No. 333-162713).

 

  6. The consent of the trustee required by Section 321(b) of the Act (Exhibit 6 to Form T-1 filed with Registration Statement No. 333-152875).

 

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

 

- 7 -


SIGNATURE

Pursuant to the requirements of the Act, the trustee, The Bank of New York Mellon Trust Company, N.A., a 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 Atlanta, and State of Georgia, on the 22nd day of October, 2010.

 

THE BANK OF NEW YORK MELLON

TRUST COMPANY, N.A.

By:   /S/  VAN K. BROWN
Name:           VAN K. BROWN
Title:           VICE PRESIDENT

 

- 8 -


EXHIBIT 7

Consolidated Report of Condition of

THE BANK OF NEW YORK MELLON TRUST COMPANY, N.A.

of 700 South Flower Street, Suite 200, Los Angeles, CA 90017

At the close of business June 30, 2010, published in accordance with Federal regulatory authority instructions.

 

ASSETS

   Dollar Amounts
in Thousands
 

Cash and balances due from depository institutions:

  

Noninterest-bearing balances and currency and coin

     3,097   

Interest-bearing balances

     1,319   

Securities:

  

Held-to-maturity securities

     12   

Available-for-sale securities

     647,932   

Federal funds sold and securities purchased under agreements to resell:

  

Federal funds sold

     112,000   

Securities purchased under agreements to resell

     0   

Loans and lease financing receivables:

  

Loans and leases held for sale

     0   

Loans and leases, net of unearned income

     0   

LESS: Allowance for loan and lease losses

     0   

Loans and leases, net of unearned income and allowance

     0   

Trading assets

     0   

Premises and fixed assets (including capitalized leases)

     10,065   

Other real estate owned

     0   

Investments in unconsolidated subsidiaries and associated companies

     1   

Direct and indirect investments in real estate ventures

     0   

Intangible assets:

  

Goodwill

     856,313   

Other intangible assets

     230,506   

Other assets

     161,731   
        

Total assets

   $ 2,022,976   
        

 

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LIABILITIES

  

Deposits:

  

In domestic offices

     559   

Noninterest-bearing

     559   

Interest-bearing

     0   

Not applicable

  

Federal funds purchased and securities sold under agreements to repurchase:

  

Federal funds purchased

     0   

Securities sold under agreements to repurchase

     0   

Trading liabilities

     0   

Other borrowed money:

  

(includes mortgage indebtedness and obligations under capitalized leases)

     268,691   

Not applicable

  

Not applicable

  

Subordinated notes and debentures

     0   

Other liabilities

     216,295   

Total liabilities

     485,545   

Not applicable

  

EQUITY CAPITAL

  

Perpetual preferred stock and related surplus

     0   

Common stock

     1,000   

Surplus (exclude all surplus related to preferred stock)

     1,121,520   

Not available

  

Retained earnings

     412,936   

Accumulated other comprehensive income

     1,975   

Other equity capital components

     0   

Not available

  

Total bank equity capital

     1,537,431   

Noncontrolling (minority) interests in consolidated subsidiaries

     0   

Total equity capital

     1,537,431   
        

Total liabilities and equity capital

     2,022,976   
        

I, Karen Bayz, Managing Director of the above-named bank do hereby declare that the Reports of Condition and Income (including the supporting schedules) for this report date have been prepared in conformance with the instructions issued by the appropriate Federal regulatory authority and are true to the best of my knowledge and belief.

 

Karen Bayz

     )       Managing Director

We, the undersigned directors (trustees), attest to the correctness of the Report of Condition (including the supporting schedules) for this report date and declare that it has been examined by us and to the best of our knowledge and belief has been prepared in conformance with the instructions issued by the appropriate Federal regulatory authority and is true and correct.

 

Troy Kilpatrick, President

     )      

Frank P. Sulzberger, MD

     )       Directors (Trustees)

William D. Lindelof, MD

     )      

 

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