EX-25 142 g85105exv25.txt EX-25 FORM T-1 STATEMENT OF ELIGIBILITY EXHIBIT - 25 ================================================================================ 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) ------------------------------------------------------- U.S. BANK NATIONAL ASSOCIATION (Exact name of Trustee as specified in its charter) 31-0841368 I.R.S. Employer Identification No. 800 Nicollet Mall Minneapolis, Minnesota 55402 -------------------------------------------------------------------------------- (Address of principal executive offices) (Zip Code) Frank Leslie U.S. Bank National Association 60 Livingston Avenue St. Paul, MN 55107 (651) 495-3913 (Name, address and telephone number of agent for service) ARDENT HEALTH SERVICES LLC (Issuer with respect to the Securities) Delaware 62-1862223 (State or other jurisdiction of (I.R.S. Employer incorporation or organization) Identification No.) One Burton Hills Boulevard, Suite 250 37215 Nashville, Tennessee -------------------------------------------------------------------------------- (Address of Principal Executive Offices) (Zip Code) 10% SENIOR SUBORDINATED NOTES DUE 2013 (TITLE OF THE INDENTURE SECURITIES) ================================================================================ TABLE OF ADDITIONAL REGISTRANTS
STATE OR OTHER JURISDICTION OF I.R.S. EMPLOYER EXACT NAME OF REGISTRANT AS INCORPORATION OR IDENTIFICATION SPECIFIED IN ITS CHARTER ORGANIZATION NUMBER ADDRESS OF PRINCIPAL EXECUTIVE OFFICES Ardent Health Services, Inc. Delaware 92-0189593 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 AHS Albuquerque Holdings, LLC New Mexico 04-3655159 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 AHS Cumberland Hospital, LLC Virginia 02-0567575 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 AHS Kentucky Holdings, Inc. Delaware 62-1870159 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 AHS Kentucky Hospitals, Inc. Delaware 62-1870165 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 AHS Louisiana Holdings, Inc. Delaware 62-1862999 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 AHS Louisiana Hospitals, Inc. Delaware 62-1862997 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 AHS Management Company, Inc. Tennessee 62-1743438 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 AHS New Mexico Holdings, Inc. New Mexico 03-0430287 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 AHS Research and Review, LLC New Mexico 42-1581498 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 AHS Samaritan Hospital, LLC Kentucky 62-1870151 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 AHS S.E.D. Medical Laboratories, Inc. New Mexico 85-0353482 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 AHS Summit Hospital, LLC Delaware 62-1862578 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 Ardent Medical Services, Inc. Delaware 62-1862179 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 Behavioral Healthcare Corporation Delaware 62-1516830 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 BHC Alhambra Hospital, Inc. Tennessee 62-1658521 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 BHC Belmont Pines Hospital, Inc. Tennessee 62-1658523 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 BHC Cedar Vista Hospital, Inc. California 77-0359473 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 BHC Columbus Hospital, Inc. Tennessee 62-1664739 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 BHC Fairfax Hospital, Inc. Tennessee 62-1658528 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 BHC Fox Run Hospital, Inc. Tennessee 62-1658531 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 BHC Fremont Hospital, Inc. Tennessee 62-1658532 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215
BHC Gulf Coast Management Group, Inc. Tennessee 62-1690695 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 BHC Health Services of Nevada, Nevada 88-0300031 One Burton Hills Boulevard, Suite 250 Inc. Nashville, TN 37215 BHC Heritage Oaks Hospital, Inc. Tennessee 62-1658494 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 BHC Hospital Holdings, Inc. Delaware 41-2052298 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 BHC Intermountain Hospital, Inc. Tennessee 62-1658493 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 BHC Lebanon Hospital, Inc. Tennessee 62-1664738 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 BHC Management Holdings, Inc. Delaware 41-2052303 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 BHC Management Services, LLC Delaware 62-1849455 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 BHC Management Services of Delaware 62-1843640 One Burton Hills Boulevard, Suite 250 Indiana, LLC Nashville, TN 37215 BHC Management Services of Delaware 62-1843655 One Burton Hills Boulevard, Suite 250 Kentucky, LLC Nashville, TN 37215 BHC Management Services of New Delaware 62-1843651 One Burton Hills Boulevard, Suite 250 Mexico, LLC Nashville, TN 37215 BHC Management Services of Delaware 62-1843658 One Burton Hills Boulevard, Suite 250 Streamwood, LLC Nashville, TN 37215 BHC Meadows Partner, Inc. Delaware 62-1660784 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 BHC Montevista Hospital, Inc. Nevada 88-0299907 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 BHC Northwest Psychiatric Delaware 20-0085660 One Burton Hills Boulevard, Suite 250 Hospital, LLC Nashville, TN 37215 BHC of Indiana, General Tennessee 62-1780700 One Burton Hills Boulevard, Suite 250 Partnership Nashville, TN 37215 BHC of Northern Indiana, Inc. Tennessee 62-1664737 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 BHC Physician Services of Delaware 62-1843636 One Burton Hills Boulevard, Suite 250 Kentucky, LLC Nashville, TN 37215 BHC Pinnacle Pointe Hospital, Tennessee 62-1658502 One Burton Hills Boulevard, Suite 250 Inc. Nashville, TN 37215 BHC Properties, Inc. Tennessee 62-1660875 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 BHC Sierra Vista Hospital, Inc. Tennessee 62-1658512 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 BHC Spirit of St. Louis Tennessee 62-1658513 One Burton Hills Boulevard, Suite 250 Hospital, Inc. Nashville, TN 37215 BHC Streamwood Hospital, Inc. Tennessee 62-1658515 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 BHC Valle Vista Hospital, Inc. Tennessee 62-1658516 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 BHC Windsor Hospital, Inc. Ohio 34-1827645 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215
Bloomington Meadows, G.P. Delaware 35-1858510 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 Columbus Hospital, LLC Delaware 62-1740367 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 Indiana Psychiatric Institutes, Inc. Delaware 52-1652319 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 Lebanon Hospital, LLC Delaware 62-1740370 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 Mesilla Valley General New Mexico 85-0337300 One Burton Hills Boulevard, Suite 250 Partnership Nashville, TN 37215 Mesilla Valley Mental Health New Mexico 85-0338767 One Burton Hills Boulevard, Suite 250 Associates, Inc. Nashville, TN 37215 Northern Indiana Hospital, LLC Delaware 62-1741384 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 Valle Vista, LLC Delaware 62-1740366 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215 Willow Springs, LLC Delaware 62-1814471 One Burton Hills Boulevard, Suite 250 Nashville, TN 37215
FORM T-1 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. Comptroller of the Currency Washington, D.C. 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 Items 3-15 are not applicable because to the best of the Trustee's knowledge, the obligor is not in default under any Indenture for which the Trustee acts as Trustee. ITEM 16. LIST OF EXHIBITS: List below all exhibits filed as a part of this statement of eligibility and qualification. 1. A copy of the Articles of Association of the Trustee.* 2. A copy of the certificate of authority of the Trustee to commence business.* 3. A copy of the certificate of authority of the Trustee to exercise corporate trust powers.* 4. A copy of the existing bylaws of the Trustee.* 5. A copy of each Indenture referred to in Item 4. Not applicable. 6. The consent of the Trustee required by Section 321(b) of the Trust Indenture Act of 1939, attached as Exhibit 6. 7. Report of Condition of the Trustee as of June 30, 2003, published pursuant to law or the requirements of its supervising or examining authority, attached as Exhibit 7. * Incorporated by reference to Registration Number 333-67188. NOTE The answers to this statement insofar as such answers relate to what persons have been underwriters for any securities of the obligors within three years prior to the date of filing this statement, or what persons are owners of 10% or more of the voting securities of the obligors, or affiliates, are based upon information furnished to the Trustee by the obligors. While the Trustee has no reason to doubt the accuracy of any such information, it cannot accept any responsibility therefor. SIGNATURE Pursuant to the requirements of the Trust Indenture Act of 1939, as amended, the Trustee, U.S. 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 St. Paul, State of Minnesota on the 30th day of October, 2003. U.S. BANK NATIONAL ASSOCIATION By: /s/ Frank P. Leslie III -------------------------------- Frank P. Leslie III Vice President By: /s/ Lori-Anne Rosenberg ----------------------------------- Lori-Anne Rosenberg Assistant Vice President EXHIBIT 6 CONSENT In accordance with Section 321(b) of the Trust Indenture Act of 1939, the undersigned, U.S. BANK NATIONAL ASSOCIATION hereby consents that reports of examination of the undersigned by Federal, State, Territorial or District authorities may be furnished by such authorities to the Securities and Exchange Commission upon its request therefor. Dated: October 30, 2003 U.S. BANK NATIONAL ASSOCIATION By: /s/ Frank P. Leslie III -------------------------------- Frank P. Leslie III Vice President By: /s/ Lori-Anne Rosenberg ------------------------------ Lori-Anne Rosenberg Assistant Vice President EXHIBIT 7 U.S. BANK NATIONAL ASSOCIATION STATEMENT OF FINANCIAL CONDITION AS OF 6/30/2003 ($000's)
6/30/2003 -------------- ASSETS Cash and Due From Depository Institutions $ 11,987,100 Federal Reserve Stock 0 Securities 35,336,411 Federal Funds 4,955,134 Loans & Lease Financing Receivables 118,648,100 Fixed Assets 1,864,465 Intangible Assets 9,999,520 Other Assets 8,735,830 -------------- TOTAL ASSETS $ 191,526,560 LIABILITIES Deposits $ 132,461,590 Fed Funds 5,061,915 Treasury Demand Notes 0 Trading Liabilities 303,140 Other Borrowed Money 20,320,775 Acceptances 150,586 Subordinated Notes and Debentures 6,326,523 Other Liabilities 5,864,946 -------------- TOTAL LIABILITIES $ 170,489,475 EQUITY Minority Interest in Subsidiaries $ 999,216 Common and Preferred Stock 18,200 Surplus 11,015,123 Undivided Profits 9,004,546 -------------- TOTAL EQUITY CAPITAL $ 21,037,085 TOTAL LIABILITIES AND EQUITY CAPITAL $ 191,526,560
To the best of the undersigned's determination, as of the date hereof, the above financial information is true and correct. U.S. BANK NATIONAL ASSOCIATION By: /s/ Frank P. Leslie III ----------------------- Vice President Date: October 30, 2003