0000919956-17-000041.txt : 20170804 0000919956-17-000041.hdr.sgml : 20170804 20170804143138 ACCESSION NUMBER: 0000919956-17-000041 CONFORMED SUBMISSION TYPE: S-8 PUBLIC DOCUMENT COUNT: 4 FILED AS OF DATE: 20170804 DATE AS OF CHANGE: 20170804 EFFECTIVENESS DATE: 20170804 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Diversicare Healthcare Services, Inc. CENTRAL INDEX KEY: 0000919956 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SKILLED NURSING CARE FACILITIES [8051] IRS NUMBER: 621559667 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: S-8 SEC ACT: 1933 Act SEC FILE NUMBER: 333-219696 FILM NUMBER: 171008153 BUSINESS ADDRESS: STREET 1: 1621 GALLERIA BLVD. CITY: BRENTWOOD STATE: TN ZIP: 37027 BUSINESS PHONE: 6157717575 MAIL ADDRESS: STREET 1: 1621 GALLERIA BLVD. CITY: BRENTWOOD STATE: TN ZIP: 37027 FORMER COMPANY: FORMER CONFORMED NAME: ADVOCAT INC DATE OF NAME CHANGE: 19940309 S-8 1 a2017s-82010longxtermincen.htm S-8 2010 LONG-TERM INCENTIVE PLAN Document
 
As filed with the Securities and Exchange Commission on August 4, 2017
Registration No. 333-
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM S-8
REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933
Diversicare Healthcare Services, Inc.
(Exact name of registrant as specified in its charter)
Delaware    62-1559667
(State or other jurisdiction    (I.R.S. Employer
of incorporation or organization)    Identification No.)
1621 Galleria Boulevard, Brentwood, Tennessee 37027
(Address of Principal Executive Offices)
(Zip Code)
Diversicare Healthcare Services, Inc. 2008 Employee Stock Purchase Plan for Key Personnel
(Full title of the plan)
James McKnight Jr., 1621 Galleria Boulevard, Brentwood, Tennessee 37027
(Name and address of agent for service)
(615) 771-7575
(Telephone number, including area code, of agent for service)
Indicate by checkmark whether the registrant is a large accelerated filer, an accelerated filer, a non­accelerated filer, or a smaller reporting company. See the definitions of “large accelerate filer,” “accelerated filer” and “smaller reporting company” in Rule12b­2 of the Exchange Act.
Large accelerated filer
 
¨
Accelerated filer
 
¨
 
 
 
 
Non-accelerated filer
 
¨(do not check if a smaller reporting company)
Smaller reporting company
 
ý
 
 
 
Emerging growth company
 
¨
       If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

 
¨

CALCULATION OF REGISTRATION FEE
Title of securities
to be registered
Amount to be
Registered
(1)
Proposed maximum
offering price
per share
(2)
Proposed maximum
aggregate offering price
(2)
Amount of registration fee
Common Stock, par value $.01 per share
300,000 shares(3)
$9.51
$2,853,000
$330.66

(1)
Pursuant to Rule 416(a) under the Securities Act of 1933, as amended (the “Securities Act”), this Registration Statement also covers any additional shares of Diversicare Healthcare Services, Inc. common stock, $0.01 per share, that become issuable under the Diversicare Healthcare Services, Inc. 2010 Long-Term Incentive Plan by reason of any stock dividend, stock split, recapitalization or other similar transaction. In addition, pursuant to Rule 416(c) under the Securities Act of 1933, this Registration Statement also covers an indeterminate amount of interests to be offered or sold pursuant to the employee benefit plan described herein.
(2)
This estimation is solely for the purpose of calculating the registration fee pursuant to Rules 457(c) and (h) and is based on 300,000 shares of Common Stock being offered at an exercise price of $9.51 based upon the average of the high and low prices of the Common Stock on July 31, 2017, as reported by the National Association of Securities Dealer’s automated quotation system.
(3)
Represents shares of Common Stock reserved for future grant under the Plan.





NOTE

REGISTRATION OF ADDITIONAL SHARES AND INCORPORATION OF
CERTAIN INFORMATION BY REFERENCE
PURSUANT TO GENERAL INSTRUCTION E OF FORM S-8
This Registration Statement on Form S-8 (the “Registration Statement”) is being filed solely for the purpose of registering 300,000 additional shares of common stock, par value $0.01 per (‘Common Stock”), of Diversicare Healthcare Services, Inc. (the “Company”) to be offered to participants under the Company’s 2010 Long-Term Incentive Plan (the “Plan”). We filed with the Securities and Exchange Commission a Registration Statement on Form S-8 filed June 18, 2010 (File No. 333-167630), and the contents of such prior registration statement is incorporated by reference in this Registration Statement: This Registration Statement relates to securities of the same class as those to which the prior registration statement relate and is submitted in accordance with General Instruction E of Form S-8 regarding Registration of Additional Securities.
PART II
INFORMATION REQUIRED IN THE REGISTRATION STATEMENT
Item 3. Incorporation of Documents by Reference.
The following documents previously filed with the Securities and Exchange Commission (“Commission”) by Diversicare Healthcare Services, Inc. (the “Company,” the “Registrant” or “Diversicare”) pursuant to the Securities Act and the Securities Exchange Act of 1934, as amended (the “Exchange Act”), are incorporated by reference into this Registration Statement:
(a)
The Company’s Registration Statement on Form S-8 filed June 18, 2010 (File No. 333-167630);
(b)
The Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2016 as filed with the Commission on March 2, 2017;
(c)
The Company’s definitive proxy statement on Schedule 14A as filed with the Commission on April 26, 2017;
(d)
The Company’s Quarterly Reports on Form 10-Q for the fiscal quarter ended March 31, 2017 as filed with the Commission on May 4, 2017 and for the fiscal quarter ended June 30, 2017 as filed with the Commission on August 3, 2017;
(e)
The Company’s Current Reports on Form 8-K as filed with the Commission on January 5, 2017, February 13, 2017, March 7, 2017, June 1, 2017 and July 5, 2017; and
(f)
The description of the Company’s shares of Common Stock as contained in the Company’s Registration Statement on Form 8-A filed April 11, 1994 under Section 12 of the Exchange Act, as amended on April 28, 1994; March 29, 1995; December 7, 1998; March 24, 2005; September 11, 2006; August 19, 2008; August 14, 2009 and May 5, 2014.
In addition, all reports and documents subsequently filed by Diversicare pursuant to Sections 13(a), 13(c), 14 and 15(d) of the Exchange Act, prior to the filing of a post­effective amendment which indicates that all securities offered have been sold or which deregisters all securities then remaining unsold, shall be deemed to be incorporated by reference in this Registration Statement and to be a part thereof from the date of filing of such documents.
Item 8. Exhibits.
The Exhibits to this Registration Statement are listed in the Exhibit Index immediately following the signature page, which Exhibit Index is incorporated herein by reference.





SIGNATURES
Pursuant to the requirements of the Securities Act of 1933, the registrant certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form S-8 and has duly caused this Registration Statement to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of Brentwood, State of Tennessee, on August 4, 2017.
Diversicare Healthcare Services, Inc.
By:  /s/ Kelly J. Gill     
Kelly J. Gill
Chief Executive Officer, President and Director
Date: August 4, 2017

3



POWER OF ATTORNEY
Each person whose signature to this Registration Statement appears below hereby appoints Kelly J. Gill who may act as his attorney-in­fact to execute in the name and behalf of any such person, individually and in the capacity stated below, and to file all amendments and post­effective amendments to this Registration Statement, which amendment or amendments may make such changes and additions in this Registration Statement as such attorney-in­fact may deem necessary or appropriate.
Pursuant to the requirements of the Securities Act of 1933, this Registration Statement has been signed by the following persons in the capacities and on the date indicated.
Signature
Title
Date
 
/s/ Kelly J. Gill
Chief Executive Officer, President and Director
August 4, 2017
Kelly J. Gill
 
 
 
 
 
/s/ James R. McKnight, Jr.
Chief Financial Officer and Executive Vice President
August 4, 2017
James R McKnight, Jr.
 
 
 
 
 
/s/ Chad A. McCurdy
Chairman of the Board
August 4, 2017
Chad A. McCurdy
 
 
 
 
 
/s/ Wallace E. Olson
Director
August 4, 2017
Wallace E. Olson
 
 
 
 
 
/s/ Richard M. Brame
Director
August 4, 2017
Richard M. Brame
 
 
 
 
 
/s/ Robert Z. Hensley
Director
August 4, 2017
Robert Z. Hensley
 
 
 
 
 
/s/ William C. O’Neil, Jr.
Director
August 4, 2017
William C. O'Neil, Jr.
 
 
 
 
 
/s/ Robert A. McCabe, Jr.
Director
August 4, 2017
Robert A. McCabe, Jr.
 
 


4



Exhibit Index


 
 
 
Exhibit
No.
 
Description
 
 
3.1
 
Certificate of Incorporation of the Registrant (incorporated by reference to Exhibit 3.1 to the Company’s Registration Statement No. 33-76150 on Form S-1).
 
 
 
3.2
 
Certificate of Designation of Registrant (incorporated by reference to Exhibit 3.5 to the Company’s quarterly report on Form 10-Q for the quarter ended September 30, 2006).
 
 
 
3.3
 
Bylaws of the Company (incorporated by reference to Exhibit 3.2 to the Company’s Registration Statement
No. 33­-76150 on Form S-1).
 
 
 
3.4
 
Bylaw Amendment adopted November 5, 2007 (incorporated by reference to Exhibit 3.4 to the Company’s annual report on Form 10-K for the year ended December 31, 2007).
 
 
 
3.5
 
Amendment to Certificate of Incorporation dated March 23, 1995 (incorporated by reference to Exhibit A of
Exhibit 2 to the Company’s Form 8-A filed March 30, 1995).
 
 
 
3.6
 
Amendment to Certificate of Incorporation dated June 9, 2016 (incorporated by reference to Exhibit 3.8 to the Company’s quarterly report on Form 10-Q for the quarter ended June 30, 2016).
 
 
 
3.7
 
Certificate of Designation of Registrant (incorporated by reference to Exhibit 3.4 to the Company’s quarterly report on Form 10-Q for the quarter ended March 31, 2001).
 
 
 
3.8
 
Certificate of Ownership and Merger of Diversicare Healthcare Services, Inc. with and into Advocat Inc. (incorporated by reference to Exhibit 3.1 to the Company's current report on Form 8-K filed March 14, 2013).
 
 
 
3.9
 
Bylaw Second Amendment adopted April 14, 2016 (incorporated by reference to Exhibit 3.9 to the Company’s quarterly report on Form 10-Q for the quarter ended March 31, 2017).
 
 
 
4.1
 
Form of Common Stock Certificate (incorporated by reference to Exhibit 4 to the Company’s Registration
Statement No. 33-76150 on Form S-1).
 
 
5.1
 
Opinion of Bass, Berry & Sims PLC.
 
 
23.1
 
Consent of BDO USA, LLP.
 
 
23.2
 
Consent of Bass, Berry & Sims PLC (included in Exhibit 5.1).
 
 
24
 
Power of Attorney (included on signature pages).
 
 
 
99.1
 
Diversicare Healthcare Services, Inc. 2010 Long-Term Incentive Plan (incorporated by reference to Appendix A to the Company's Definitive Proxy Statement on Schedule 14A filed on April 28, 2010).
 
 
 
99.2
 
First Amendment to Diversicare Healthcare Services, Inc. 2010 Long-Term Incentive Plan (incorporated by reference to Appendix A to the Company's Definitive Proxy Statement on Schedule 14A filed on April 26, 2017).
 
 
 
 
 
 
 
 
 
 
 


5
EX-5.1 2 a2017s-8dvcrxex51.htm EXHIBIT 5.1 Exhibit

Exhibit 5.1

exhibit51image1a01.jpg

150 Third Avenue South, Suite 2800
Nashville, TN 37201 (615) 742-6200

August 4, 2017

Diversicare Healthcare Services, Inc.
1621 Galleria Boulevard
Brentwood, Tennessee 37027

Ladies and Gentlemen:
We have acted as special counsel to Diversicare Healthcare Services, Inc. (the “Company”) in connection with the Registration Statement on Form S-8 (the “Registration Statement”) being filed with the Securities and Exchange Commission (the “Commission”) on the date hereof for the purpose of registering under the Securities Act of 1933, as amended (the “Securities Act”), 300,000 shares (the “Shares”) of common stock, par value $.01 per share, of the Company (the “Common Shares”) which may be issued pursuant to the Diversicare Healthcare Services Inc. 2010 Long-Term Incentive Plan (the “Plan”). This firm hereby consents to the filing of this opinion as an exhibit to the Registration Statement and with agencies of such states and other jurisdictions as may be necessary in the course of complying with the laws of such states and jurisdictions regarding the offering and sale of the stock in accordance with the Registration Statement.

We have examined originals, or certified or photostatic copies of such statutes, records, regulations, certificates of the officers of the Company and of public officials, and such other information as we have deemed necessary for purposes of rendering this opinion.

In stating our opinion, we have assumed: (i) that all signatures are genuine, all documents submitted to us as originals are authentic, and all documents submitted to us as copies conform to authentic original documents; and (ii) that the parties to such documents have the legal right and power under all applicable laws, regulations and agreements to enter into, execute, deliver and perform their respective obligations thereunder.

On the basis of such review, but subject to the limitations expressed herein, we are of the opinion, as of the date hereof, that the Shares being registered by the Registration Statement will, when issued in compliance with the Plan and sold as contemplated under the Registration Statement, be legally issued, fully paid and non-assessable.

Our opinion herein is limited solely to the laws of the United States of America and the corporate law of the State of Delaware. In rendering the opinion set forth herein, we have relied upon the documents provided by the Company as referenced above and have made no independent verification or investigation of factual matters pertaining thereto or to the Company.

                
Very truly yours,

/s/ Bass, Berry & Sims PLC

EX-23.1 3 a2017s-8dvcrxex231.htm EXHIBIT 23.1 Exhibit

Exhibit 23.1

CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

Diversicare Healthcare Services, Inc.
Brentwood, Tennessee

We hereby consent to the incorporation by reference in this Registration Statement on Form S-8 of our report dated March 2, 2017, relating to the consolidated financial statements and financial statement schedule of Diversicare Healthcare Services, Inc. appearing in the Company’s Annual Report on Form 10-K for the year ended December 31, 2016.
/s/ BDO USA, LLP
 
 
Nashville, Tennessee
 
 
August 4, 2017
 
 
 
 


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