EX-25.3 407 dex253.htm FORM T-1 (9 5/8% / 10 3/8% SENIOR SECURED TOGGLE DUE 2016) Form T-1 (9 5/8% / 10 3/8% Senior Secured Toggle due 2016)

Exhibit 25.3

 

FORM T-1

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

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

(Exact name of trustee as specified in its charter)

 

New York

(State of incorporation
if not a U.S. national bank)

   13-5160382
(I.R.S. employer
identification no.)

One Wall Street, New York, N.Y.

(Address of principal executive offices)

   10286
(Zip code)

HCA Inc.

(Exact name of obligor as specified in its charter)

(See attached pages for additional obligors)

 

Delaware

(State or other jurisdiction of

incorporation or organization)

  

75-2497104

(I.R.S. employer

identification no.)

One Park Plaza

Nashville, Tennessee

(Address of principal executive offices)

  

37203

(Zip code)

 

Senior Secured Toggle Notes Due 2016 and Guarantees Thereof

(Title of the indenture securities)

 

Table of Additional Registrant Guarantors

 

Exact Name of Registrant Guarantor as Specified

in its Charter (or Other Organizational Document)

   

State or Other

Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code,

and Telephone Number,

Including Area Code, of

Registrant Guarantor’s

Principal Executive Offices

Bay Hospital, Inc.

    Florida    62-0976863    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Brigham City Community Hospital, Inc.

    Utah    87-0318837    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Brookwood Medical Center of Gulfport, Inc.

    Mississippi    63-0751470    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Capital Division, Inc.

    Virginia    62-1668319    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Centerpoint Medical Center of Independence, LLC

    Delaware    45-0503121    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Central Florida Regional Hospital, Inc.

    Florida    59-1978725    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Central Shared Services, LLC

    Virginia    76-0771216    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Central Tennessee Hospital Corporation

    Tennessee    62-1620866    One Park Plaza

Nashville, TN 37203

(615) 344-9551

CHCA Bayshore, L.P.

    Delaware    62-1801359    One Park Plaza

Nashville, TN 37203

(615) 344-9551

CHCA Conroe, L.P.

    Delaware    62-1801361    One Park Plaza

Nashville, TN 37203

(615) 344-9551

CHCA East Houston, L.P.

    Delaware    62-1810382    One Park Plaza

Nashville, TN 37203

(615) 344-9551

CHCA Mainland, L.P.

    Delaware    62-1801362    One Park Plaza
Nashville, TN 37203
(615) 344-9551

 

–2–

Exact Name of Registrant Guarantor as Specified

in its Charter (or Other Organizational Document)

   

State or Other

Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code,

and Telephone Number,

Including Area Code, of

Registrant Guarantor’s

Principal Executive Offices

CHCA West Houston, L.P.

    Delaware    62-1801363    One Park Plaza
Nashville, TN 37203
(615) 344-9551

CHCA Woman’s Hospital, L.P.

    Delaware    62-1810381    One Park Plaza
Nashville, TN 37203
(615) 344-9551

Chippenham & Johnston-Willis Hospitals, Inc.

    Virginia    54-1779911    One Park Plaza
Nashville, TN 37203
(615) 344-9551

CMS GP, LLC

    Delaware    62-1778113    One Park Plaza
Nashville, TN 37203
(615) 344-9551

Colorado Health Systems, Inc.

    Colorado    62-1593008    One Park Plaza
Nashville, TN 37203
(615) 344-9551

Columbia ASC Management, L.P.

    California    33-0539838    One Park Plaza
Nashville, TN 37203
(615) 344-9551

Columbia Jacksonville Healthcare System, Inc.

    Florida    61-1272241    One Park Plaza
Nashville, TN 37203
(615) 344-9551

Columbia LaGrange Hospital, Inc.

    Illinois    61-1276162    One Park Plaza
Nashville, TN 37203
(615) 344-9551

Columbia Medical Center of Arlington Subsidiary, L.P.

    Texas    62-1682201    One Park Plaza
Nashville, TN 37203
(615) 344-9551

Columbia Medical Center of Denton Subsidiary, L.P.

    Texas    62-1682213    One Park Plaza
Nashville, TN 37203
(615) 344-9551

Columbia Medical Center of Las Colinas, Inc.

    Texas    62-1650582    One Park Plaza
Nashville, TN 37203
(615) 344-9551

Columbia Medical Center of Lewisville Subsidiary, L.P.

    Texas    62-1682210    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia Medical Center of McKinney Subsidiary, L.P.

    Texas    62-1682207    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia Medical Center of Plano Subsidiary, L.P.

    Texas    62-1682203    One Park Plaza

Nashville, TN 37203

(615) 344-9551

 

–3–

Exact Name of Registrant Guarantor as Specified

in its Charter (or Other Organizational Document)

   

State or Other

Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code,

and Telephone Number,

Including Area Code, of

Registrant Guarantor’s

Principal Executive Offices

Columbia North Hills Hospital Subsidiary, L.P.

    Texas    62-1682205   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia Ogden Medical Center, Inc.

    Utah    62-1650578   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia Parkersburg Healthcare System, LLC

    West Virginia    62-1634494   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia Plaza Medical Center of Fort Worth Subsidiary, L.P.

    Texas    62-1682202   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia Polk General Hospital, Inc.

    Georgia    62-1619423   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia Rio Grande Healthcare, L.P.

    Delaware    62-1656022   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia Riverside, Inc.

    California    62-1664328   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia Valley Healthcare System, L.P.

    Delaware    62-1669572   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia/Alleghany Regional Hospital, Incorporated

    Virginia    54-1761046   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbia/HCA John Randolph, Inc.

    Virginia    61-1272888   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbine Psychiatric Center, Inc.

    Colorado    84-1042212   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Columbus Cardiology, Inc.

    Georgia    58-1941109   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Conroe Hospital Corporation

    Texas    74-2467524   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

Dallas/Ft. Worth Physician, LLC

    Delaware    62-1769694   

One Park Plaza

Nashville, TN 37203

(615) 344-9551

 

–4–

Exact Name of Registrant Guarantor as Specified

in its Charter (or Other Organizational Document)

   

State or Other

Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code,

and Telephone Number,

Including Area Code, of

Registrant Guarantor’s

Principal Executive Offices

Dauterive Hospital Corporation

    Louisiana    58-1741846    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Dublin Community Hospital, LLC

    Georgia    58-1431023    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Eastern Idaho Health Services, Inc.

    Idaho    82-0436622    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Edmond Regional Medical Center, LLC

    Delaware    62-1757655    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Edward White Hospital, Inc.

    Florida    59-3089836    One Park Plaza

Nashville, TN 37203

(615) 344-9551

El Paso Surgicenter, Inc.

    Texas    74-2361005    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Encino Hospital Corporation, Inc.

    California    95-4113862    One Park Plaza

Nashville, TN 37203

(615) 344-9551

EP Health, LLC

    Delaware    62-1769682    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Fairview Park GP, LLC

    Delaware    62-1815913    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Fairview Park, Limited Partnership

    Georgia    62-1817469    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Frankfort Hospital, Inc.

    Kentucky    61-0859329    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Galen Property, LLC

    Virginia    35-2260545    One Park Plaza

Nashville, TN 37203

(615) 344-9551

General Healthserv, LLC

    Delaware    62-1769690    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Good Samaritan Hospital, L.P.

    Delaware    62-1763090    One Park Plaza

Nashville, TN 37203

(615) 344-9551

 

–5–

Exact Name of Registrant Guarantor as Specified

in its Charter (or Other Organizational Document)

   

State or Other

Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code,

and Telephone Number,

Including Area Code, of

Registrant Guarantor’s

Principal Executive Offices

Goppert-Trinity Family Care, LLC

    Delaware    76-0726651    One Park Plaza

Nashville, TN 37203

(615) 344-9551

GPCH-GP, Inc.

    Delaware    64-0805500    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Grand Strand Regional Medical Center, LLC

    Delaware    62-1768105    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Green Oaks Hospital Subsidiary, L.P.

    Texas    62-1797829    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Greenview Hospital, Inc.

    Kentucky    61-0724492    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Hamilton Medical Center, Inc.

    Louisiana    58-1741727    One Park Plaza

Nashville, TN 37203

(615) 344-9551

HCA Central Group, Inc.

    Tennessee    02-0762180    One Park Plaza

Nashville, TN 37203

(615) 344-9551

HCA Health Services of Florida, Inc.

    Florida    62-1113740    One Park Plaza

Nashville, TN 37203

(615) 344-9551

HCA Health Services of Louisiana, Inc.

    Louisiana    62-1113736    One Park Plaza

Nashville, TN 37203

(615) 344-9551

HCA Health Services of Oklahoma, Inc.

    Oklahoma    62-1106156    One Park Plaza

Nashville, TN 37203

(615) 344-9551

HCA Health Services of Tennessee, Inc.

    Tennessee    62-1113737    One Park Plaza

Nashville, TN 37203

(615) 344-9551

HCA Health Services of Virginia, Inc.

    Virginia    62-1113733    One Park Plaza

Nashville, TN 37203

(615) 344-9551

HCA Management Services, L.P.

    Delaware    62-1778108    One Park Plaza

Nashville, TN 37203

(615) 344-9551

HD&S Corp. Successor, Inc.

    Florida    62-1657694    One Park Plaza

Nashville, TN 37203

(615) 344-9551

 

–6–

Exact Name of Registrant Guarantor as Specified

in its Charter (or Other Organizational Document)

   

State or Other

Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code,

and Telephone Number,

Including Area Code, of

Registrant Guarantor’s

Principal Executive Offices

Health Midwest Office Facilities Corporation

    Missouri    43-1175071    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Health Midwest Ventures Group, Inc.

    Missouri    43-1315348    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Healthtrust MOB, LLC

    Delaware    62-1824860    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Hendersonville Hospital Corporation

    Tennessee    62-1321255    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Hospital Corporation of North Carolina

    North Carolina    56-1326215    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Hospital Corporation of Tennessee

    Tennessee    62-1124446    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Hospital Corporation of Utah

    Utah    87-0322019    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Hospital Development Properties, Inc.

    Delaware    62-1321246    One Park Plaza

Nashville, TN 37203

(615) 344-9551

HSS Holdco, LLC

    Delaware    62-1839825    One Park Plaza

Nashville, TN 37203

(615) 344-9551

HSS Systems VA, LLC

    Delaware    62-1804832    One Park Plaza

Nashville, TN 37203

(615) 344-9551

HSS Systems, LLC

    Delaware    62-1804834    One Park Plaza

Nashville, TN 37203

(615) 344-9551

HSS Virginia, L.P.

    Virginia    62-1848294    One Park Plaza

Nashville, TN 37203

(615) 344-9551

HTI Memorial Hospital Corporation

    Tennessee    62-1560757    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Integrated Regional Lab, LLC

    Florida    36-4576441    One Park Plaza

Nashville, TN 37203

(615) 344-9551

 

–7–

Exact Name of Registrant Guarantor as Specified

in its Charter (or Other Organizational Document)

   

State or Other

Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code,

and Telephone Number,

Including Area Code, of

Registrant Guarantor’s

Principal Executive Offices

Integrated Regional Laboratories, LLP

    Delaware    62-1687140    One Park Plaza

Nashville, TN 37203

(615) 344-9551

JFK Medical Center Limited Partnership

    Delaware    62-1694180    One Park Plaza

Nashville, TN 37203

(615) 344-9551

KPH-Consolidation, Inc.

    Texas    62-1619857    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Lakeland Medical Center, LLC

    Delaware    62-1762603    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Lakeview Medical Center, LLC

    Delaware    62-1762416    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Largo Medical Center, Inc.

    Florida    62-1026428    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Las Vegas Surgicare, Inc.

    Nevada    75-1890731    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Lawnwood Medical Center, Inc.

    Florida    59-1764486    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Lewis-Gale Hospital, Incorporated

    Virginia    54-0218835    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Lewis-Gale Medical Center, LLC

    Delaware    62-1760148    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Lewis-Gale Physicians, LLC

    Virginia    06-1755234    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Los Robles Regional Medical Center

    California    95-2321136    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Management Services Holdings, Inc.

    Delaware    62-1874287    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Marietta Surgical Center, Inc.

    Georgia    58-1539547    One Park Plaza

Nashville, TN 37203

(615) 344-9551

 

–8–

Exact Name of Registrant Guarantor as Specified

in its Charter (or Other Organizational Document)

   

State or Other

Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code,

and Telephone Number,

Including Area Code, of

Registrant Guarantor’s

Principal Executive Offices

Marion Community Hospital, Inc.

    Florida    59-1479652    One Park Plaza

Nashville, TN 37203

(615) 344-9551

MCA Investment Company

    California    33-0539836    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Medical Centers of Oklahoma, LLC

    Delaware    62-1771846    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Medical Office Buildings of Kansas, LLC

    Delaware    62-1789791    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Memorial Healthcare Group, Inc.

    Florida    59-3283127    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Midwest Division—ACH, LLC

    Delaware    48-1301811    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Midwest Division—LRHC, LLC

    Delaware    48-1301817    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Midwest Division—LSH, LLC

    Delaware    45-0503141    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Midwest Division—MCI, LLC

    Delaware    45-0503127    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Midwest Division—MMC, LLC

    Delaware    48-1301826    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Midwest Division—OPRMC, LLC

    Delaware    45-0503116    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Midwest Division—PFC, LLC

    Delaware    48-1302330    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Midwest Division—RBH, LLC

    Missouri    20-0851062    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Midwest Division—RMC, LLC

    Delaware    54-2092552    One Park Plaza

Nashville, TN 37203

(615) 344-9551

 

–9–

Exact Name of Registrant Guarantor as Specified

in its Charter (or Other Organizational Document)

   

State or Other

Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code,

and Telephone Number,

Including Area Code, of

Registrant Guarantor’s

Principal Executive Offices

Midwest Division—RPC, LLC

    Delaware    48-1301829    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Midwest Holdings, Inc.

    Delaware    11-3676736    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Montgomery Regional Hospital, Inc.

    Virginia    54-0889154    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Mountain View Hospital, Inc.

    Utah    87-0333048    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Nashville Shared Services General Partnership

    Delaware    62-1841237    One Park Plaza

Nashville, TN 37203

(615) 344-9551

National Patient Account Services, Inc.

    Texas    62-1645596    One Park Plaza

Nashville, TN 37203

(615) 344-9551

New Port Richey Hospital, Inc.

    Florida    59-2047041    One Park Plaza

Nashville, TN 37203

(615) 344-9551

New Rose Holding Company, Inc.

    Colorado    62-1617432    One Park Plaza

Nashville, TN 37203

(615) 344-9551

North Florida Immediate Care Center, Inc.

    Florida    58-2075775    One Park Plaza

Nashville, TN 37203

(615) 344-9551

North Florida Regional Medical Center, Inc.

    Florida    61-1269294    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Northern Utah Healthcare Corporation

    Utah    62-1650573    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Northern Virginia Community Hospital, LLC

    Virginia    04-3665595    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Northlake Medical Center, LLC

    Georgia    58-2433434    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Notami Hospitals of Louisiana, Inc.

    Louisiana    95-4176923    One Park Plaza

Nashville, TN 37203

(615) 344-9551

 

–10–

Exact Name of Registrant Guarantor as Specified

in its Charter (or Other Organizational Document)

   

State or Other

Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code,

and Telephone Number,

Including Area Code, of

Registrant Guarantor’s

Principal Executive Offices

Notami Hospitals, LLC

    Delaware    62-1761993    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Okaloosa Hospital, Inc.

    Florida    59-1836808    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Okeechobee Hospital, Inc.

    Florida    59-1833934    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Outpatient Cardiovascular Center of Central Florida, LLC

    Delaware    52-2448149    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Palms West Hospital Limited Partnership

    Delaware    62-1694178    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Palmyra Park Hospital, Inc.

    Georgia    58-1091107    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Plantation General Hospital, L.P.

    Delaware    62-1372389    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Pulaski Community Hospital, Inc.

    Virginia    54-0941129    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Redmond Park Hospital, LLC

    Georgia    58-1123037    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Redmond Physician Practice Company

    Georgia    62-1662134    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Reston Hospital Center, LLC

    Delaware    62-1777534    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Retreat Hospital, Inc.

    Virginia    61-1272890    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Rio Grande Regional Hospital, Inc.

    Texas    61-1276564    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Riverside Healthcare System, L.P.

    California    33-0751869    One Park Plaza

Nashville, TN 37203

(615) 344-9551

 

–11–

Exact Name of Registrant Guarantor as Specified

in its Charter (or Other Organizational Document)

   

State or Other

Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code,

and Telephone Number,

Including Area Code, of

Registrant Guarantor’s

Principal Executive Offices

Riverside Hospital, Inc.

    Delaware    74-2600687    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Samaritan, LLC

    Delaware    62-1762605    One Park Plaza

Nashville, TN 37203

(615) 344-9551

San Jose Healthcare System, LP

    Delaware    77-0498674    One Park Plaza

Nashville, TN 37203

(615) 344-9551

San Jose Hospital, L.P.

    Delaware    62-1763091    One Park Plaza

Nashville, TN 37203

(615) 344-9551

San Jose Medical Center, LLC

    Delaware    62-1762609    One Park Plaza

Nashville, TN 37203

(615) 344-9551

San Jose, LLC

    Delaware    62-1756992    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Sarasota Doctors Hospital, Inc.

    Florida    61-1258724    One Park Plaza

Nashville, TN 37203

(615) 344-9551

SJMC, LLC

    Delaware    62-1762613    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Southern Hills Medical Center, LLC

    Nevada    74-3048428    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Spotsylvania Medical Center, Inc

    Virginia    06-1760818    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Spring Branch Medical Center, Inc.

    Texas    61-1261492    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Spring Hill Hospital, Inc.

    Tennessee    84-1706716    One Park Plaza

Nashville, TN 37203

(615) 344-9551

St. Mark’s Lone Peak Hospital, Inc.

    Utah    25-1925376    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Sun City Hospital, Inc.

    Florida    59-2822337    One Park Plaza

Nashville, TN 37203

(615) 344-9551

 

–12–

Exact Name of Registrant Guarantor as Specified

in its Charter (or Other Organizational Document)

   

State or Other

Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code,

and Telephone Number,

Including Area Code, of

Registrant Guarantor’s

Principal Executive Offices

Sunbelt Regional Medical Center, Inc.

    Texas    76-0223803    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Sunrise Mountainview Hospital, Inc.

    Nevada    62-1600397    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Surgicare of Brandon, Inc.

    Florida    58-1819994    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Surgicare of Florida, Inc.

    Florida    95-3947578    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Surgicare of Houston Women’s, Inc.

    Texas    72-1563673    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Surgicare of Manatee, Inc.

    Florida    75-2364410    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Surgicare of New Port Richey, Inc.

    Florida    75-2243308    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Surgicare of Palms West, LLC

    Florida    20-1008436    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Surgicare of Riverside, LLC

    California    26-0047096    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Tallahassee Medical Center, Inc.

    Florida    62-1091430    One Park Plaza

Nashville, TN 37203

(615) 344-9551

TCMC Madison-Portland, Inc.

    Tennessee    76-0811731    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Terre Haute Hospital GP, Inc.

    Delaware    62-1861156    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Terre Haute Hospital Holdings, Inc.

    Delaware    62-1861158    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Terre Haute MOB, L.P.

    Indiana    76-0775694    One Park Plaza

Nashville, TN 37203

(615) 344-9551

 

–13–

Exact Name of Registrant Guarantor as Specified

in its Charter (or Other Organizational Document)

   

State or Other

Jurisdiction of
Incorporation or
Organization

    I.R.S. Employer
Identification
Number		   

Address, Including Zip Code,

and Telephone Number,

Including Area Code, of

Registrant Guarantor’s

Principal Executive Offices

Terre Haute Regional Hospital, L.P.

    Delaware    35-1461805    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Timpanogos Regional Medical Services, Inc.

    Utah    62-1831495    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Trident Medical Center, LLC

    Delaware    62-1768106    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Utah Medco, LLC

    Delaware    62-1769672    One Park Plaza

Nashville, TN 37203

(615) 344-9551

VH Holdco, Inc.

    Nevada    62-1749073    One Park Plaza

Nashville, TN 37203

(615) 344-9551

VH Holdings, Inc.

    Nevada    62-1720399    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Virginia Psychiatric Company, Inc.

    Virginia    62-1410313    One Park Plaza

Nashville, TN 37203

(615) 344-9551

W & C Hospital, Inc.

    Texas    61-1259838    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Walterboro Community Hospital, Inc.

    South Carolina    57-0712623    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Wesley Medical Center, LLC

    Delaware    62-1762545    One Park Plaza

Nashville, TN 37203

(615) 344-9551

West Florida Regional Medical Center, Inc.

    Florida    59-1525468    One Park Plaza

Nashville, TN 37203

(615) 344-9551

West Valley Medical Center, Inc.

    Idaho    36-3525049    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Western Plains Capital, Inc.

    Nevada    62-1727347    One Park Plaza

Nashville, TN 37203

(615) 344-9551

WHMC, Inc.

    Texas    61-1261485    One Park Plaza

Nashville, TN 37203

(615) 344-9551

 

–14–

Woman’s Hospital of Texas, Incorporated

    Texas    74-1991424    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Women’s and Children’s Hospital, Inc.

    Louisiana    58-1741726    One Park Plaza

Nashville, TN 37203

(615) 344-9551

Item 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

Superintendent of Banks of the State of New York

   

2 Rector Street

New York, N.Y. 10006

and Albany, N.Y. 12203

Federal Reserve Bank of New York

    33 Liberty Plaza, New York, N.Y. 10045

Federal Deposit Insurance Corporation

    Washington, D.C. 20429

New York Clearing House Association

    New York, N. Y. 10005

(b) Whether it is authorized to exercise corporate trust powers.

Yes.

Item 2. Affiliations with Obligor. If the obligor is an affiliate of the trustee, describe each such affiliation.

None.

Items 3-15. Not Applicable.

Item 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 Organization Certificate of The Bank of New York (formerly Irving Trust Company) as now in effect, which contains the authority to commence business and a grant of powers to exercise corporate trust powers. (Exhibit 1 to Amendment No. 1 to Form T-1 filed with Registration Statement No. 33-6215, Exhibits 1a and 1b to Form T-1 filed with Registration Statement No. 33-21672 and Exhibit 1 to Form T-1 filed with Registration Statement No. 33-29637.)

 

–15–

  2. A copy of the existing By-laws of the Trustee. (Exhibit 4 to Form T-1 filed with Registration Statement No. 33-31019.)

 

  3. The consent of the Trustee required by Section 321(b) of the Act. (Exhibit 6 to Form T-1 filed with Registration Statement No. 33-44051.)

 

  4. 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.

SIGNATURE

Pursuant to the requirements of the Act, the Trustee, The Bank of New York, a corporation organized and existing under the laws of the State of New York, has duly caused this statement of eligibility to be signed on its behalf by the undersigned, thereunto duly authorized, all in The City of New York, and State of New York, on the 1st day of August, 2007.

 

THE BANK OF NEW YORK

 

By:  

/s/ ROBERT A. MASSIMILLO

Name:   ROBERT A. MASSIMILLO
Title:   VICE PRESIDENT

 

–16–

EXHIBIT 4

Consolidated Report of Condition of

THE BANK OF NEW YORK

of One Wall Street, New York, N.Y. 10286

And Foreign and Domestic Subsidiaries,

a member of the Federal Reserve System, at the close of business March 31, 2007, published in accordance with a call made by the Federal Reserve Bank of this District pursuant to the provisions of the Federal Reserve Act.

 

    

Dollar
Amounts

In Thousands

ASSETS

   

Cash and balances due from depository institutions:

   

Noninterest-bearing balances and currency and coin

    1,859,000

Interest-bearing balances

    12,315,000

Securities:

   

Held-to-maturity securities

    1,572,000

Available-for-sale securities

    20,948,000

Federal funds sold and securities purchased under agreements to resell:

   

Federal funds sold in domestic offices

    491,000

Securities purchased under agreements to

resell

    153,000

Loans and lease financing receivables:

   

Loans and leases held for sale

    0

Loans and leases, net of unearned income

    31,479,000

LESS: Allowance for loan and lease losses

    289,000

Loans and leases, net of unearned income and allowance

    31,190,000

Trading assets

    3,171,000

Premises and fixed assets (including capitalized leases)

    844,000

Other real estate owned

    2,000

Investments in unconsolidated subsidiaries and associated companies

    340,000

Not applicable

   

Intangible assets:

   

Goodwill

    2,714,000

Other intangible assets

    966,000

Other assets

    7,043,000
    

Total assets

    83,608,000
    

LIABILITIES

   

Deposits:

   

In domestic offices

    26,775,000

Noninterest-bearing

    16,797,000

Interest-bearing

    9,978,000

In foreign offices, Edge and Agreement subsidiaries, and IBFs

    33,309,000

Noninterest-bearing

    702,000

Interest-bearing

    32,607,000

Federal funds purchased and securities sold under agreements to repurchase:

   

Federal funds purchased in domestic offices

    712,000

Securities sold under agreements to repurchase

    129,000

Trading liabilities

    2,321,000

Other borrowed money: (includes mortgage indebtedness and obligations under capitalized leases)

    3,621,000

Not applicable

   

Not applicable

   

Subordinated notes and debentures

    2,255,000

Other liabilities

    5,933,000
    

Total liabilities

    75,055,000
    

Minority interest in consolidated subsidiaries

    161,000

EQUITY CAPITAL

   

Perpetual preferred stock and related surplus

    0

Common stock

    1,135,000

Surplus (exclude all surplus related to preferred stock)

    2,143,000

Retained earnings

    5,430,000

Accumulated other comprehensive income

    -316,000

Other equity capital components

    0

Total equity capital

    8,392,000
    

Total liabilities, minority interest, and equity capital

    83,608,000
    

I, Thomas P. Gibbons, Chief Financial Officer of the above-named bank do hereby declare that this Report of Condition is true and correct to the best of my knowledge and belief.

 

Thomas P. Gibbons,
Chief Financial Officer

We, the undersigned directors, attest to the correctness of this statement of resources and liabilities. We 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 and is true and correct.

 

Thomas A. Renyi

Gerald L. Hassell

Catherine A. Rein

        Directors