EX-5.1 391 dex51.htm OPINION OF SIMPSON THACHER & BARTLETT LLP Opinion of Simpson Thacher & Bartlett LLP

Exhibit 5.1

SIMPSON THACHER & BARTLETT LLP

425 LEXINGTON AVENUE

NEW YORK, N.Y. 10017-3954

(212) 455-2000

FACSIMILE (212) 455-2502

August 1, 2007

HCA Inc.

One Park Plaza

Nashville, TN 37203

Ladies and Gentlemen:

We have acted as counsel to HCA Inc., a Delaware corporation (the “Company”), and to the subsidiaries of the Company listed on Schedules I and II hereto (collectively, the “Guarantors”), in connection with the Registration Statement on Form S-4 (the “Registration Statement”) filed by the Company and the Guarantors with the Securities and Exchange Commission (the “Commission”) under the Securities Act of 1933, as amended, relating to the issuance by the Company of $1,000,000,000 aggregate principal amount of 9 1/8% Senior Secured Notes due 2014 (the “2014 Cash-Pay Exchange Notes”), $3,200,000,000 aggregate principal amount of 9 1/4% Senior Secured Notes due 2016 (the “2016 Cash-Pay Exchange Notes”) and $1,500,000,000 aggregate principal amount of 9 5/8%/10 3/8% Senior Secured Toggle Notes due 2016 (the “Toggle Exchange Notes” and, together with the 2014 Cash-Pay Exchange Notes and the 2016 Cash-Pay Exchange Notes, the “Exchange Notes”) and the issuance by the Guarantors of guarantees (the “Guarantees”) with respect to the Exchange Notes. The Exchange Notes and the Guarantees will be issued under an indenture dated as of November 17, 2006 (the “Indenture”) among the Company, the Guarantors and The Bank of New York, as trustee (the


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“Trustee”). The Company will offer the 2014 Cash-Pay Exchange Notes in exchange for $1,000,000,000 aggregate principal amount of its outstanding 9 1/8% Senior Secured Notes due 2014, the 2016 Cash-Pay Exchange Notes in exchange for $3,200,000,000 aggregate principal amount of its outstanding 9 1/4% Senior Secured Notes due 2016 and the Toggle Exchange Notes in exchange for $1,500,000,000 aggregate principal amount of its outstanding 9 5/8%/10 3/8% Senior Secured Toggle Notes due 2016.

We have examined the Registration Statement and the Indenture, which has been filed with the Commission as an exhibit to the Registration Statement. We also have examined the originals, or duplicates or certified or conformed copies, of such corporate and other records, agreements, documents and other instruments and have made such other investigations as we have deemed relevant and necessary in connection with the opinions hereinafter set forth. As to questions of fact material to this opinion, we have relied upon certificates or comparable documents of public officials and of officers and representatives of the Company and the Guarantors.

In rendering the opinions set forth below, we have assumed the genuineness of all signatures, the legal capacity of natural persons, the authenticity of all documents submitted to us as originals, the conformity to original documents of all documents submitted to us as duplicates or certified or conformed copies and the authenticity of the originals of such latter documents. We also have assumed that the Indenture is the valid and legally binding obligation of the Trustee.

We have assumed further that (1) each of the Guarantors listed on Schedule I (the “Schedule I Guarantors”) has duly authorized, executed and delivered the Indenture in accordance with the law of the jurisdiction in which it was organized, (2) execution, delivery and


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performance by each of the Schedule I Guarantors of the Indenture, the Exchange Notes and the Guarantees do not and will not violate the certificate of incorporation, certificate of formation, certificate of limited partnership, by-laws, limited liability company agreement, limited partnership agreement or partnership agreement, as the case may be, of the Schedule I Guarantors or the law of the jurisdiction in which each such Schedule I Guarantor was organized or any other applicable law (excepting the law of the State of New York and the federal laws of the United States) and (3) the execution, delivery and performance by the Company and each Guarantor of the Indenture, the Exchange Notes and the Guarantees do not breach or result in a default under any indenture, mortgage, deed of trust, loan agreement or other agreement or instrument to which the Company or any of its subsidiaries is a party or by which the Company or any of its subsidiaries is bound or to which any of the property or assets of the Company or any of its subsidiaries is subject.

Based upon the foregoing, and subject to the qualifications, assumptions and limitations stated herein, we are of the opinion that:

1. When the Exchange Notes have been duly executed, authenticated, issued and delivered in accordance with the provisions of the Indenture upon the exchange, the Exchange Notes will constitute valid and legally binding obligations of the Company enforceable against the Company in accordance with their terms.

2. When (a) the Exchange Notes have been duly executed, authenticated, issued and delivered in accordance with the provisions of the Indenture upon the exchange and (b) the Guarantees have been duly issued, the Guarantees will constitute valid and legally binding obligations of the Guarantors enforceable against the Guarantors in accordance with their terms.

Our opinions set forth above are subject to (i) the effects of bankruptcy, insolvency, fraudulent conveyance, reorganization, moratorium and other similar laws relating to or affecting creditors’ rights generally, (ii) general equitable principles (whether considered in a proceeding in equity or at law) and (iii) an implied covenant of good faith and fair dealing.


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We express no opinion as to the validity, legally binding effect or enforceability of any provision of the Indenture or the Exchange Notes that requires or relates to payment of any interest at a rate or in an amount that a court would determine in the circumstances under applicable law to be commercially unreasonable or a penalty or a forfeiture. In addition, we express no opinion as to the validity, legally binding effect or enforceability of (i) the waiver of rights and defenses contained in Sections 4.16(2), 12.01 and 14.07 of the Indenture or (ii) Section 12.01 and 14.13 of the Indenture relating to severability.

In addition, we do not express any opinion herein with respect to any matters subject to any statute, judicial ruling or decree, and any administrative or governmental regulation of the United States of America or any state or other political subdivision thereof pertaining to the operating of hospitals and other health care facilities or the provision of health care services, including, but not limited to, the Health Insurance Portability and Accountability Act of 1996; the Balanced Budget Act of 1997; Titles XVIII and XIX of the Social Security Act, 42 U.S.C. § 1395 et seq. and § 1396 et seq.; the federal anti-kickback statute, 42 U.S.C. §1320a-7b(b); the civil monetary penalties law, 42 U.S.C. § 1320a-7a; the civil False Claims Act, 31 U.S.C. §§ 3729-3733; the administrative False Claims Act, 42 U.S.C. § 1320a-7b(a); the “Stark” physician self-referral law, 42 U.S.C. § 1395nn, and similar state laws; the Emergency Medical Treatment and Active Labor Act; the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (P.L. 108-173); the Deficit Reduction Act of 2005; federal, state and local licensing, certification and accreditation regulations; and state laws relating to Certificates of Need, and the rules and regulations promulgated thereunder (collectively, the “Health Care Laws”).

We do not express any opinion herein concerning any law other than the law of the State of New York, the federal law of the United States (other than any Health Care Law), the


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Delaware General Corporation Law (including the statutory provisions, all applicable provisions of the Delaware Constitution and reported judicial decisions interpreting the foregoing), the Delaware Limited Liability Company Act and the Delaware Revised Uniform Limited Partnership Act.

We hereby consent to the filing of this opinion letter as Exhibit 5.1 to the Registration Statement and to the use of our name under the caption “Legal Matters” in the Prospectus included in the Registration Statement.

 

Very truly yours,
SIMPSON THACHER & BARTLETT LLP


Schedule I

Guarantors Incorporated or Formed in Jurisdictions Other Than

the State of Delaware or Constituting Delaware General Partnerships

or Delaware Limited Liability Partnerships

 

Entity Name

   Jurisdiction of
Incorporation or
Formation

Bay Hospital, Inc.

   Florida

Brigham City Community Hospital, Inc.

   Utah

Central Florida Regional Hospital, Inc.

   Florida

Central Tennessee Hospital Corporation

   Tennessee

Chippenham & Johnston-Willis Hospitals, Inc.

   Virginia

Columbia Medical Center of Arlington Subsidiary, L.P.

   Texas

Columbia Medical Center of Denton Subsidiary, L.P.

   Texas

Columbia Medical Center of Las Colinas, Inc.

   Texas

Columbia Medical Center of Lewisville Subsidiary, L.P.

   Texas

Columbia Medical Center of McKinney Subsidiary, L.P.

   Texas

Columbia Medical Center of Plano Subsidiary, L.P.

   Texas

Columbia North Hills Hospital Subsidiary, L.P.

   Texas

Columbia Ogden Medical Center, Inc.

   Utah

Columbia Parkersburg Healthcare System, LLC

   West Virginia

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

   Texas

Columbia Polk General Hospital, Inc.

   Georgia

Columbia/Alleghany Regional Hospital, Incorporated

   Virginia

Columbia/HCA John Randolph, Inc.

   Virginia

Dauterive Hospital Corporation

   Louisiana

Eastern Idaho Health Services, Inc.

   Idaho

Edward White Hospital, Inc.

   Florida

Frankfort Hospital, Inc.

   Kentucky

Galen Property, LLC

   Virginia

Greenview Hospital, Inc.

   Kentucky

Hamilton Medical Center, Inc.

   Louisiana

HCA Health Services of Florida, Inc.

   Florida

HCA Health Services of Tennessee, Inc.

   Tennessee

HCA Health Services of Virginia, Inc.

   Virginia

Hendersonville Hospital Corporation

   Tennessee

Hospital Corporation of Utah

   Utah

HTI Memorial Hospital Corporation

   Tennessee

KPH-Consolidation, Inc.

   Texas

Largo Medical Center, Inc.

   Florida

Lawnwood Medical Center, Inc.

   Florida

Los Robles Regional Medical Center

   California

Marion Community Hospital, Inc.

   Florida

Memorial Healthcare Group, Inc.

   Florida

Midwest Division - RBH, LLC

   Missouri

Montgomery Regional Hospital, Inc.

   Virginia


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Entity Name

   Jurisdiction of
Incorporation or
Formation

Mountain View Hospital, Inc.

   Utah

New Port Richey Hospital, Inc.

   Florida

North Florida Regional Medical Center, Inc.

   Florida

Northern Utah Healthcare Corporation

   Utah

Northern Virginia Community Hospital, LLC

   Virginia

Northlake Medical Center, LLC

   Georgia

Okaloosa Hospital, Inc.

   Florida

Okeechobee Hospital, Inc.

   Florida

Palmyra Park Hospital, Inc.

   Georgia

Pulaski Community Hospital, Inc.

   Virginia

Redmond Park Hospital, LLC

   Georgia

Retreat Hospital, Inc.

   Virginia

Riverside Healthcare System, L.P.

   California

Sarasota Doctors Hospital, Inc.

   Florida

Southern Hills Medical Center, LLC

   Nevada

Spotsylvania Medical Center, Inc.

   Virginia

Spring Branch Medical Center, Inc.

   Texas

Sun City Hospital, Inc.

   Florida

Sunrise Mountainview Hospital, Inc.

   Nevada

Tallahassee Medical Center, Inc.

   Florida

TCMC Madison-Portland, Inc.

   Tennessee

Timpanogos Regional Medical Services, Inc.

   Utah

Walterboro Community Hospital, Inc.

   South Carolina

West Florida Regional Medical Center, Inc.

   Florida

West Valley Medical Center, Inc.

   Idaho

Capital Division, Inc.

   Virginia

Central Shared Services, LLC

   Virginia

Columbia ASC Management, L.P.

   California

Columbia LaGrange Hospital, Inc.

   Illinois

El Paso Surgicenter, Inc.

   Texas

Green Oaks Hospital Subsidiary, L.P.

   Texas

HCA Health Services of Oklahoma, Inc.

   Oklahoma

Health Midwest Office Facilities Corporation

   Missouri

Health Midwest Ventures Group, Inc.

   Missouri

Hospital Corporation of Tennessee

   Tennessee

HSS Virginia, L.P.

   Virginia

Integrated Regional Laboratories, LLP

   Delaware

Las Vegas Surgicare, Inc.

   Nevada

Lewis-Gale Physicians, LLC

   Virginia

Marietta Surgical Center, Inc.

   Georgia

Nashville Shared Services General Partnership

   Delaware

National Patient Account Services, Inc.

   Texas

North Florida Immediate Care Center, Inc.

   Florida

Spring Hill Hospital, Inc.

   Tennessee


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Entity Name

   Jurisdiction of
Incorporation or
Formation

St. Mark’s Lone Peak Hospital, Inc.

   Utah

Surgicare of Brandon, Inc.

   Florida

Surgicare of Florida, Inc.

   Florida

Surgicare of Houston Women’s, Inc.

   Texas

Surgicare of Manatee, Inc.

   Florida

Surgicare of New Port Richey, Inc.

   Florida

Surgicare of Palms West, LLC

   Florida

Terre Haute MOB, L.P.

   Indiana

Virginia Psychiatric Company, Inc.

   Virginia

Women’s and Children’s Hospital, Inc.

   Louisiana

HCA Health Services of Louisiana, Inc.

   Louisiana

Brookwood Medical Center of Gulfport, Inc.

   Mississippi

Columbia Jacksonville Healthcare System, Inc.

   Florida

Columbia Riverside, Inc.

   California

Conroe Hospital Corporation

   Texas

Dublin Community Hospital, LLC

   Georgia

Fairview Park, Limited Partnership

   Georgia

HCA Central Group, Inc.

   Tennessee

HD&S Corp. Successor, Inc.

   Florida

Integrated Regional Lab, LLC

   Florida

Lewis-Gale Hospital, Incorporated

   Virginia

MCA Investment Company

   California

Notami Hospitals of Louisiana, Inc.

   Louisiana

Rio Grande Regional Hospital, Inc.

   Texas

Sunbelt Regional Medical Center, Inc.

   Texas

VH Holdco, Inc.

   Nevada

VH Holdings, Inc.

   Nevada

WHMC, INC.

   Texas

Redmond Physician Practice Company

   Georgia

Woman’s Hospital of Texas, Incorporated

   Texas

Hospital Corporation of North Carolina

   North Carolina

New Rose Holding Company, Inc.

   Colorado

Encino Hospital Corporation, Inc.

   California

Columbine Psychiatric Center, Inc.

   Colorado

Surgicare of Riverside, LLC

   California

W & C Hospital, Inc.

   Texas

Columbus Cardiology, Inc.

   Georgia

Colorado Health Systems, Inc.

   Colorado

Western Plains Capital, Inc.

   Nevada


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Schedule II

Guarantors That Are Corporations, Limited Liability Companies or Limited

Partnerships Incorporated or Formed in the State of Delaware

 

Entity Name

   Jurisdiction of
Incorporation or
Formation

Centerpoint Medical Center of Independence, LLC

   Delaware

CHCA Bayshore, L.P.

   Delaware

CHCA Conroe, L.P.

   Delaware

CHCA East Houston, L.P.

   Delaware

CHCA Mainland, L.P.

   Delaware

CHCA West Houston, L.P.

   Delaware

CHCA Woman’s Hospital, L.P.

   Delaware

Columbia Rio Grande Healthcare, L.P.

   Delaware

Columbia Valley Healthcare System, L.P.

   Delaware

Edmond Regional Medical Center, LLC

   Delaware

Fairview Park GP, LLC

   Delaware

Good Samaritan Hospital, L.P.

   Delaware

GPCH-GP, Inc.

   Delaware

Grand Strand Regional Medical Center, LLC

   Delaware

JFK Medical Center Limited Partnership

   Delaware

Lakeview Medical Center, LLC

   Delaware

Lewis-Gale Medical Center, LLC

   Delaware

Medical Centers of Oklahoma, LLC

   Delaware

Midwest Division - ACH, LLC

   Delaware

Midwest Division - LRHC, LLC

   Delaware

Midwest Division - LSH, LLC

   Delaware

Midwest Division - MCI, LLC

   Delaware

Midwest Division - MMC, LLC

   Delaware

Midwest Division - RMC, LLC

   Delaware

Outpatient Cardiovascular Center of Central Florida, LLC

   Delaware

Palms West Hospital Limited Partnership

   Delaware

Plantation General Hospital, L.P.

   Delaware

Reston Hospital Center, LLC

   Delaware

San Jose Healthcare System, LP

   Delaware

Terre Haute Regional Hospital, L.P.

   Delaware

Trident Medical Center, LLC

   Delaware

Wesley Medical Center, LLC

   Delaware

Dallas/Ft. Worth Physician, LLC

   Delaware

HCA Management Services, L.P.

   Delaware

Hospital Development Properties, Inc.

   Delaware

HSS Systems, LLC

   Delaware

Medical Office Buildings of Kansas, LLC

   Delaware

Midwest Division - OPRMC, LLC

   Delaware

Midwest Division - RPC, LLC

   Delaware

Riverside Hospital, Inc.

   Delaware


HCA INC.    - 10 -    AUGUST 1, 2007

 

Entity Name

   Jurisdiction of
Incorporation or
Formation

San Jose Hospital, L.P.

   Delaware

CMS GP, LLC

   Delaware

EP Health, LLC

   Delaware

General Healthserv, LLC

   Delaware

HSS Holdco, LLC

   Delaware

HSS Systems VA, LLC

   Delaware

Management Services Holdings, Inc.

   Delaware

Notami Hospitals, LLC

   Delaware

Samaritan, LLC

   Delaware

San Jose Medical Center, LLC

   Delaware

San Jose, LLC

   Delaware

SJMC, LLC

   Delaware

Terre Haute Hospital GP, Inc.

   Delaware

Terre Haute Hospital Holdings, Inc.

   Delaware

Utah Medco, LLC

   Delaware

Midwest Holdings, Inc.

   Delaware

Healthtrust MOB, LLC

   Delaware

Midwest Division - PFC, LLC

   Delaware

Lakeland Medical Center, LLC

   Delaware

Goppert-Trinity Family Care, LLC

   Delaware