EX-25.1 7 g96520a1exv25w1.txt EX-25.1 FORM T-1 STATEMENT OF ELIGIBILITY 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 S. COLLEGE STREET, CHARLOTTE, NORTH CAROLINA (Address of Principal Executive Offices) 28288-0630 (Zip Code) WACHOVIA BANK, NATIONAL ASSOCIATION 2525 WEST END AVENUE, SUITE 1200 NASHVILLE, TENNESSEE 37203 ATTENTION: CORPORATE TRUST ADMINISTRATION (615) 341-3921 (Name, address and telephone number of Agent for Service) PSYCHIATRIC SOLUTIONS, INC. (Exact Name of Obligor as Specified in its Charter) DELAWARE (State or other jurisdiction of Incorporation or Organization) 22-2491707 (I.R.S. Employer Identification No.) 840 CRESCENT CENTRE DRIVE, SUITE 460 FRANKLIN, TN (Address of Principal Executive Offices) 37067 (Zip Code) (see table of Additional Registrants on following page) 7-3/4% SENIOR SUBORDINATED NOTES DUE 2015 (TITLE OF INDENTURE SECURITIES) ADDITIONAL REGISTRANTS
STATE OR OTHER PRIMARY STANDARD I.R.S. JURISDICTION OF INDUSTRIAL EMPLOYER INCORPORATION OR CLASSIFICATION CODE IDENTIFICATION NAME, ADDRESS AND TELEPHONE NUMBER(1) ORGANIZATION NUMBER NUMBER ------------------------------------- ---------------- ------------------- -------------- Psychiatric Solutions of Alabama, Inc. .......... TN 8093 62-1711427 Premier Behavioral Solutions, Inc. .............. DE 8093 63-0857352 Psychiatric Solutions of Virginia, Inc. ......... TN 8093 62-1732340 Psychiatric Solutions of Tennessee, Inc. ........ TN 8093 62-1734491 Solutions Center of Little Rock, Inc. ........... TN 8093 62-1734488 Psychiatric Solutions of North Carolina, Inc. ... TN 8093 62-1692189 PSI Community Mental Health Agency Management, Inc. .......................................... TN 8093 62-1734870 PSI-EAP, Inc. ................................... DE 8093 51-0411229 Sunstone Behavioral Health, Inc. ................ TN 8093 80-0051894 The Counseling Center of Middle Tennessee, Inc. .......................................... TN 8093 62-1383217 PSI Hospitals, Inc. ............................. DE 8093 62-1871091 PSI Texas Hospitals, LLC......................... TX 8093 62-1871092 Psychiatric Practice Management of Arkansas, Inc............................................ TN 8093 62-1738261 Texas Cypress Creek Hospital, L.P. .............. TX 8093 62-1864266 Texas West Oaks Hospital, L.P. .................. TX 8093 62-1864265 Neuro Institute of Austin, L.P. ................. TX 8093 56-2274069 Aeries Healthcare Corporation.................... DE 8093 22-3682759 Aeries Healthcare of Illinois, Inc. ............. IL 8093 22-3682760 Infoscriber Corporation.......................... DE 8093 33-0878629 Collaborative Care Corporation................... TN 8093 62-1603168 Psychiatric Solutions Hospitals, Inc. ........... DE 8093 62-1658476 Psychiatric Management Resources, Inc. .......... CA 8093 33-0290342 PSI Cedar Springs Hospital, Inc. ................ DE 8093 74-3081810 Psychiatric Solutions of Oklahoma, Inc. ......... DE 8093 43-2001465 Texas Laurel Ridge Hospital, L.P. ............... TX 8093 43-2002326 Texas Oaks Psychiatric Hospital, L.P. ........... TX 8093 84-1618661 Texas San Marcos Treatment Center, L.P. ......... TX 8093 43-2002231 Therapeutic School Services, L.L.C............... OK 8093 73-1559296 Bountiful Psychiatric Hospital, Inc. ............ UT 8093 93-0893928 East Carolina Psychiatric Services Corporation... NC 8093 56-1317433 Great Plains Hospital, Inc. ..................... MO 8093 43-1328523 Gulf Coast Treatment Center, Inc. ............... FL 8093 56-1341134 Havenwyck Hospital Inc. ......................... MI 8093 38-2409580 H.C. Corporation................................. AL 8093 63-0870528 H.C. Partnership................................. AL 8093 63-0862148 HSA Hill Crest Corporation....................... AL 8093 95-3900761 HSA of Oklahoma, Inc. ........................... OK 8093 74-2373564 Michigan Psychiatric Services, Inc. ............. MI 8093 38-2423002 Ramsay Managed Care, Inc. ....................... DE 8093 72-1249464 Ramsay Treatment Services, Inc. ................. DE 8093 65-0852413 Premier Behavioral Solutions of Alabama, Inc. ... DE 8093 52-2090040 Premier Behavioral Solutions of Florida, Inc. ... DE 8093 65-0816927
STATE OR OTHER PRIMARY STANDARD I.R.S. JURISDICTION OF INDUSTRIAL EMPLOYER INCORPORATION OR CLASSIFICATION CODE IDENTIFICATION NAME, ADDRESS AND TELEPHONE NUMBER(1) ORGANIZATION NUMBER NUMBER ------------------------------------- ---------------- ------------------- -------------- Ramsay Youth Services of Georgia, Inc. .......... DE 8093 35-2174803 Psychiatric Solutions of South Carolina, Inc. ... DE 8093 22-3600673 Ramsay Youth Services Puerto Rico, Inc. ......... PR 8093 66-0555371 RHCI San Antonio, Inc. .......................... DE 8093 74-2611258 Transitional Care Ventures, Inc. ................ DE 8093 72-1235219 Transitional Care Ventures (Texas), Inc. ........ DE 8093 51-0343645 AHS Cumberland Hospital, LLC..................... VA 8093 02-0567575 Ardent Health Services, Inc. .................... DE 8093 92-0189593 Behavioral Healthcare Corporation................ DE 8093 62-1516830 BHC Alhambra Hospital, Inc. ..................... TN 8093 62-1658521 BHC Belmont Pines Hospital, Inc. ................ TN 8093 62-1658523 BHC Canyon Ridge Hospital, LLC................... DE 8093 20-2178294 BHC Cedar Crest RTC, Inc. ....................... TX 8093 74-2669474 BHC Cedar Vista Hospital, Inc. .................. CA 8093 77-0359473 BHC Clinicas Del Este Hospital, Inc. ............ TN 8093 62-1679670 BHC Columbus Hospital, Inc. ..................... TN 8093 62-1664739 BHC Fairfax Hospital, Inc. ...................... TN 8093 62-1658528 BHC Fort Lauderdale Hospital, Inc. .............. TN 8093 62-1658530 BHC Fox Run Hospital, Inc. ...................... TN 8093 62-1658531 BHC Fremont Hospital, Inc. ...................... TN 8093 62-1658532 BHC Gulf Coast Management Group, Inc. ........... TN 8093 62-1690695 BHC Health Services of Nevada, Inc. ............. NV 8093 88-0300031 BHC Heritage Oaks Hospital, Inc. ................ TN 8093 62-1658494 BHC Hospital Holdings, Inc. ..................... DE 8093 41-2052298 BHC Intermountain Hospital, Inc. ................ TN 8093 62-1658493 BHC Lebanon Hospital, Inc. ...................... TN 8093 62-1664738 BHC Management Holdings, Inc. ................... DE 8093 41-2052303 BHC Management Services, LLC..................... DE 8093 62-1849455 BHC Management Services of Indiana, LLC.......... DE 8093 62-1843640 BHC Management Services of Kentucky, LLC......... DE 8093 62-1843655 BHC Management Services of Louisiana, LLC........ DE 8093 06-1719281 BHC Management Services of New Mexico, LLC....... DE 8093 62-1843651 BHC Management Services of Pennsylvania, LLC..... DE 8093 20-0085630 BHC Management Services of Streamwood, LLC....... DE 8093 62-1843658 BHC Management Services of Tulsa, LLC............ DE 8093 20-1215333 BHC Millwood Hospital, Inc. ..................... TN 8093 62-1658500 BHC Montevista Hospital, Inc. ................... NV 8093 88-0299907 BHC Mesilla Valley Hospital, LLC................. DE 8093 20-2612295 BHC Newco 2, LLC................................. DE 8093 None BHC Newco 3, LLC................................. DE 8093 None BHC Newco 4, LLC................................. DE 8093 None BHC Newco 5, LLC................................. DE 8093 None BHC Newco 6, LLC................................. DE 8093 None BHC Newco 7, LLC................................. DE 8093 None
STATE OR OTHER PRIMARY STANDARD I.R.S. JURISDICTION OF INDUSTRIAL EMPLOYER INCORPORATION OR CLASSIFICATION CODE IDENTIFICATION NAME, ADDRESS AND TELEPHONE NUMBER(1) ORGANIZATION NUMBER NUMBER ------------------------------------- ---------------- ------------------- -------------- BHC Newco 8, LLC................................. DE 8093 None BHC Newco 9, LLC................................. DE 8093 None BHC Newco 10, LLC................................ DE 8093 None BHC Northwest Psychiatric Hospital, LLC.......... DE 8093 20-0085660 BHC of Indiana, General Partnership.............. IN 8093 62-1780700 BHC of Northern Indiana, Inc. ................... TN 8093 62-1664737 BHC Pacific Gateway Hospital, Inc. .............. TN 8093 62-1664741 BHC Pacific Shores Hospital, Inc. ............... CA 8093 77-0426020 BHC Pacific View RTC, Inc. ...................... TN 8093 62-1664740 BHC Physician Services of Kentucky, LLC.......... DE 8093 62-1843636 BHC Pinnacle Pointe Hospital, Inc................ TN 8093 62-1658502 BHC Properties, Inc. ............................ TN 8093 62-1660875 BHC Ross Hospital, Inc. ......................... CA 8093 68-0343573 BHC San Juan Capestrano Hospital, Inc. .......... TN 8093 62-1658506 BHC Sierra Vista Hospital, Inc. ................. TN 8093 62-1658512 BHC Spirit of St. Louis Hospital, Inc. .......... TN 8093 62-1658513 BHC Streamwood Hospital, Inc. ................... TN 8093 62-1658515 BHC Valle Vista Hospital, Inc. .................. TN 8093 62-1658516 BHC Vista Del Mar Hospital, Inc. ................ TN 8093 62-1658519 BHC Windsor Hospital, Inc. ...................... OH 8093 34-1827645 Bloomington Meadows, General Partnership......... IN 8093 35-1858510 Brentwood Acquisition, Inc. ..................... TN 8093 20-0773985 Brentwood Acquisition-Shreveport, Inc. .......... DE 8093 20-0474854 Canyon Ridge Hospital, Inc. ..................... CA 8093 20-2935031 Columbus Hospital, LLC........................... DE 8093 62-1740367 Community Psychiatric Centers of Texas, Inc. .... TX 8093 75-1757825 Fort Lauderdale Hospital, Inc. .................. FL 8093 20-1021229 Indiana Psychiatric Institutes, Inc. ............ DE 8093 52-1652319 Laurelwood Center, Inc. ......................... MS 8093 64-0777521 Lebanon Hospital, LLC............................ DE 8093 62-1740370 Mesilla Valley General Partnership............... NM 8093 85-0337300 Mesilla Valley Hospital, Inc. ................... NM 8093 74-2370320 Mesilla Valley Mental Health Associates, Inc. ... NM 8093 85-0338767 Millwood Hospital, L.P. ......................... TX 8093 20-1021264 Northern Indiana Hospital, LLC................... DE 8093 62-1741384 Palmetto Behavioral Health System, L.L.C. ....... SC 8093 57-1101379 Palmetto Lowcountry Behavioral Health, L.L.C. ... SC 8093 57-1101380 Palmetto Pee Dee Behavioral Health, L.L.C. ...... SC 8093 57-1101381 Peak Behavioral Health Services, Inc. ........... DE 8093 20-1124098 PSI Crossings, LLC............................... DE 8093 20-2142587 PSI Pride Institute, Inc. ....................... MN 8093 20-1021241 PSI Summit Hospital, Inc. ....................... NJ 8093 20-1021210 Psychiatric Solutions of Leesburg, Inc. ......... TN 8093 20-1215130 Psychiatric Solutions of Arizona, Inc. .......... DE 8093 20-0380961
STATE OR OTHER PRIMARY STANDARD I.R.S. JURISDICTION OF INDUSTRIAL EMPLOYER INCORPORATION OR CLASSIFICATION CODE IDENTIFICATION NAME, ADDRESS AND TELEPHONE NUMBER(1) ORGANIZATION NUMBER NUMBER ------------------------------------- ---------------- ------------------- -------------- Red Rock Solutions, LLC.......................... DE 8093 20-3140694 Tucson Health Systems, Inc. ..................... DE 8093 20-2950148 Valle Vista, LLC................................. DE 8093 62-1740366 Wellstone Holdings, Inc. ........................ DE 8093 20-3062052 Wellstone Regional Hospital Acquisition, LLC..... IN 8093 20-3062075 Whisper Ridge of Staunton, Inc. ................. DE 8093 20-1989730 Willow Springs, LLC.............................. DE 8093 62-1814471
(1) The address of each of these additional registrants is 840 Crescent Centre Drive, Suite 460, Franklin, Tennessee 37067. 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. 3. VOTING SECURITIES OF THE TRUSTEE. FURNISH THE FOLLOWING INFORMATION AS TO EACH CLASS OF VOTING SECURITIES OF THE TRUSTEE: Not applicable - see answer to Item 13. 4. TRUSTEESHIPS UNDER OTHER INDENTURES. IF THE TRUSTEE IS A TRUSTEE UNDER ANOTHER INDENTURE UNDER WHICH ANY OTHER SECURITIES, OR CERTIFICATES OF INTEREST OR PARTICIPATION IN ANY OTHER SECURITIES, OF THE OBLIGOR ARE OUTSTANDING, FURNISH THE FOLLOWING INFORMATION: Wachovia Bank, National Association serves as the trustee pursuant to an Indenture, dated June 30, 2003, relating to 10 5/8% Senior Subordinated Notes. There is no conflict of interest because the obligations of the Obligor under the respective notes issued under the respective indentures are pari passu and unsecured. 5. INTERLOCKING DIRECTORATES AND SIMILAR RELATIONSHIPS WITH THE OBLIGOR OR UNDERWRITERS. IF THE TRUSTEE OR ANY OF THE DIRECTORS OR EXECUTIVE OFFICERS OF THE TRUSTEE IS A DIRECTOR, OFFICER, PARTNER, EMPLOYEE, APPOINTEE, OR REPRESENTATIVE OF THE OBLIGOR OR OF ANY UNDERWRITER FOR THE OBLIGOR, IDENTIFY EACH SUCH PERSON HAVING ANY SUCH CONNECTION AND STATE THE NATURE OF EACH SUCH CONNECTION. Not applicable - see answer to Item 13. 6. VOTING SECURITIES OF THE TRUSTEE OWNED BY THE OBLIGOR OR ITS OFFICIALS. FURNISH THE FOLLOWING INFORMATION AS TO THE VOTING SECURITIES OF THE TRUSTEE OWNED BENEFICIALLY BY THE OBLIGOR AND EACH DIRECTOR, PARTNER, AND EXECUTIVE OFFICER OF THE OBLIGOR: Not applicable - see answer to Item 13. 7. VOTING SECURITIES OF THE TRUSTEE OWNED BY UNDERWRITERS OR THEIR OFFICIALS. FURNISH THE FOLLOWING INFORMATION AS TO THE VOTING SECURITIES OF THE TRUSTEE OWNED BENEFICIALLY BY EACH UNDERWRITER FOR THE OBLIGOR AND EACH DIRECTOR, PARTNER, AND EXECUTIVE OFFICER OF EACH SUCH UNDERWRITER: Not applicable - see answer to Item 13. 8. SECURITIES OF THE OBLIGOR OWNED OR HELD BY THE TRUSTEE. FURNISH THE FOLLOWING INFORMATION AS TO SECURITIES OF THE OBLIGOR OWNED BENEFICIALLY OR HELD AS COLLATERAL SECURITY FOR OBLIGATIONS IN DEFAULT BY THE TRUSTEE: Not applicable - see answer to Item 13. 9. SECURITIES OF UNDERWRITERS OWNED OR HELD BY THE TRUSTEE. IF THE TRUSTEE OWNS BENEFICIALLY OR HOLDS AS COLLATERAL SECURITY FOR OBLIGATIONS IN DEFAULT ANY SECURITIES OF AN UNDERWRITER FOR THE OBLIGOR, FURNISH THE FOLLOWING INFORMATION AS TO EACH CLASS OF SECURITIES OF SUCH UNDERWRITER ANY OF WHICH ARE SO OWNED OR HELD BY THE TRUSTEE: Not applicable - see answer to Item 13. 10. OWNERSHIP OR HOLDINGS BY THE TRUSTEE OF VOTING SECURITIES OF CERTAIN AFFILIATES OR SECURITY HOLDERS OF THE OBLIGOR. IF THE TRUSTEE OWNS BENEFICIALLY OR HOLDS AS COLLATERAL SECURITY FOR OBLIGATIONS IN DEFAULT VOTING SECURITIES OF A PERSON WHO, TO THE KNOWLEDGE OF THE TRUSTEE (1) OWNS 10 PERCENT OR MORE OF THE VOTING STOCK OF THE OBLIGOR OR (2) IS AN AFFILIATE, OTHER THAN A SUBSIDIARY, OF THE OBLIGOR, FURNISH THE FOLLOWING INFORMATION AS TO THE VOTING SECURITIES OF SUCH PERSON: Not applicable - see answer to Item 13. 11. OWNERSHIP OR HOLDINGS BY THE TRUSTEE OF ANY SECURITIES OF A PERSON OWNING 50 PERCENT OR MORE OF THE VOTING SECURITIES OF THE OBLIGOR. IF THE TRUSTEE OWNS BENEFICIALLY OR HOLDS AS COLLATERAL SECURITY FOR OBLIGATIONS IN DEFAULT ANY SECURITIES OF A PERSON WHO, TO THE KNOWLEDGE OF THE TRUSTEE, OWNS 50 PERCENT OR MORE OF THE VOTING SECURITIES OF THE OBLIGOR, FURNISH THE FOLLOWING INFORMATION AS TO EACH CLASS OF SECURITIES OF SUCH PERSON ANY OF WHICH ARE SO OWNED OR HELD BY THE TRUSTEE: Not applicable - see answer to Item 13. 12. INDEBTEDNESS OF THE OBLIGOR TO THE TRUSTEE. EXCEPT AS NOTED IN THE INSTRUCTIONS, IF THE OBLIGOR IS INDEBTED TO THE TRUSTEE, FURNISH THE FOLLOWING INFORMATION: Not applicable - see answer to Item 13. 13. DEFAULTS BY THE OBLIGOR. A) STATE WHETHER THERE IS OR HAS BEEN A DEFAULT WITH RESPECT TO THE SECURITIES UNDER THIS INDENTURE. EXPLAIN THE NATURE OF ANY SUCH DEFAULT. None. B) IF THE TRUSTEE IS A TRUSTEE UNDER ANOTHER INDENTURE UNDER WHICH ANY OTHER SECURITIES, OR CERTIFICATES OF INTEREST OR PARTICIPATION IN ANY OTHER SECURITIES, OF THE OBLIGOR ARE OUTSTANDING, OR IS TRUSTEE FOR MORE THAN ONE OUTSTANDING SERIES OF SECURITIES UNDER THE INDENTURE, STATE WHETHER THERE HAS BEEN A DEFAULT UNDER ANY SUCH INDENTURE OR SERIES, IDENTIFY THE INDENTURE OR SERIES AFFECTED, AND EXPLAIN THE NATURE OF ANY SUCH DEFAULT. None. 14. AFFILIATIONS WITH THE UNDERWRITERS. IF ANY UNDERWRITER IS AN AFFILIATE OF THE TRUSTEE, DESCRIBE EACH SUCH AFFILIATION. Not applicable - see answer to Item 13. 15. FOREIGN TRUSTEE. IDENTIFY THE ORDER OR RULE PURSUANT TO WHICH THE TRUSTEE IS AUTHORIZED TO ACT AS SOLE TRUSTEE UNDER INDENTURES QUALIFIED OR TO BE QUALIFIED UNDER THE ACT. Not applicable - trustee is a national banking association organized under the laws of the United States. 16. LIST OF EXHIBITS. LIST BELOW ALL EXHIBITS FILED AS PART OF THIS STATEMENT OF ELIGIBILITY. 1. Copy of Articles of Association of the trustee as now in effect.* 2. Copy of the Certificate of the Comptroller of the Currency dated March 27, 2002, evidencing the authority of the trustee to transact business.* 3. Copy of the Certification of Fiduciary Powers of the trustee by the Office of the Comptroller of the Currency dated March 27, 2002.* 4. Copy of existing by-laws of the trustee.** 5. Copy of each indenture referred to in Item 4, if the obligor is in default. Not Applicable. X 6. Consent of the trustee required by Section 321(b) of the Act. X 7. Copy of report of condition of the trustee at the close of business on March 31, 2003, published pursuant to the requirements of its supervising authority. 8. Copy of any order pursuant to which the foreign trustee is authorized to act as sole trustee under indentures qualified or to be qualified under the Act. Not Applicable 9. Consent to service of process required of foreign trustees pursuant to Rule 10a-4 under the Act. Not Applicable ------------------------ *Previously filed with the Securities and Exchange Commission on April 11, 2002 as an Exhibit to Form T-1 (in connection with Registration Statement File No. 333-86036) and is incorporated by reference herein. **Previously filed with the Securities and Exchange Commission on May 13, 2003 as an Exhibit to Form T-1 (in connection with Registration Statement File No. 333-105207) and is incorporated by reference herein. NOTE The trustee disclaims responsibility for the accuracy or completeness of information contained in this Statement of Eligibility and Qualification 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 and Qualification to be signed on its behalf by the undersigned, thereunto duly authorized, all in the City of Nashville and the State of Tennessee, on the 31st day of August, 2005. Wachovia Bank, National Association By: /s/ Myra Staggs ------------------------------- Myra Staggs Assistant Vice President EXHIBIT T-6 CONSENT OF THE TRUSTEE Pursuant to the requirements of Section 321(b) of the Trust Indenture Act of 1939, and in connection with the proposed issue of Psychiatric Solutions, Inc. 7-3/4% Senior Subordinated Notes due 2015, Wachovia Bank, National Association, hereby consents that reports of examinations by Federal, State, Territorial or District authorities may be furnished by such authorities to the Securities and Exchange Commission upon request therefor. WACHOVIA BANK, NATIONAL ASSOCIATION By: /s/ Myra Staggs ------------------------------- Myra Staggs Assistant Vice President Nashville, Tennessee August 31, 2005