SUPPLEMENTAL INDENTURE

EX-4.1 4 g25281exv4w1.htm EX-4,.1 exv4w1
Exhibit 4.1
SUPPLEMENTAL INDENTURE
          The Supplemental Indenture (this “Supplemental Indenture”), is entered into as of November 15, 2010, among UHS Escrow Corporation, a Delaware corporation (the “Escrow Issuer”), Universal Health Services, Inc. (the “Company” or “Successor”), each of the guarantors that is a subsidiary of the Company (the “UHS Subsidiary Guarantors”), the Subsidiary Guarantors that are subsidiaries of Psychiatric Solutions, Inc. (together with Psychiatric Solutions, Inc., the “PSI Guarantors,” and collectively with the UHS Subsidiary Guarantors, the “Subsidiary Guarantors”) and Union Bank, N.A. (the “Trustee”), as Trustee under the Indenture referred to below.
W I T N E S S E T H
          WHEREAS, the Escrow Issuer and the Trustee entered into that certain Indenture (the “Indenture”), dated as of September 29, 2010, providing for the issuance of 7% Senior Notes due 2018 (the “Notes”);
          WHEREAS, the Escrow Issuer and the Successor have executed definitive documentation, which provides for the merger of the Escrow Issuer with and into Successor (the “Merger”), with Successor continuing its existence under Delaware law;
          WHEREAS, the Merger shall become effective upon the filing of the Certificate of Ownership and Merger with the Secretary of State of the State of Delaware;
          WHEREAS, Section 5.1 of the Indenture provides, among other things, that Escrow Issuer shall not be prevented from merging with or into Successor;
          WHEREAS, Section 9.1 of the Indenture provides that the Escrow Issuer, the Company, the Subsidiary Guarantors and the Trustee may, without the consent of the Holders of Notes, enter into a supplemental indenture for the purposes of evidencing the succession of another Person to the Escrow Issuer;
          WHEREAS, each of the Escrow Issuer, Successor and the Subsidiary Guarantors have been duly authorized to enter into this Supplemental Indenture; and
          WHEREAS, all acts, conditions, proceedings and requirements necessary to make this Supplemental Indenture a valid, binding and legal agreement enforceable in accordance with its terms for the purposes expressed herein, in accordance with its terms, have been duly done and performed.
          NOW THEREFORE, in consideration of the premises and the covenants and agreements contained herein, and for other good and valuable consideration the receipt of which is hereby acknowledged, the Escrow Issuer, Successor, the Subsidiary Guarantors and the Trustee hereby agree as follows:
ARTICLE 1
Definitions
          1.1 Capitalized terms used in this Supplemental Indenture and not otherwise defined herein shall have the meanings assigned to such terms in the Indenture.

 


 

ARTICLE 2
          Representations of Escrow Issuer, Successor and Subsidiary Guarantors
          2.1 Each of the Escrow Issuer and Successor represents and warrants to the Trustee as follows:
          (a) It is a Delaware corporation duly organized, validly existing and in good standing under the laws of the State of Delaware.
          (b) The execution, delivery and performance by it of this Supplemental Indenture have been authorized and approved by all necessary corporate action on its part.
          2.2 Each of the Subsidiary Guarantors represents and warrants to the Trustee as follows:
          (a) It is duly organized, validly existing and in good standing under its jurisdiction of organization.
          (b) The execution, delivery and performance by it of this Supplemental Indenture have been authorized and approved by all necessary corporate or limited liability company action.
          2.3 Each of the Escrow Issuer and Successor represents and warrants to the Trustee that upon the filing and acceptance for record of the Certificate of Ownership and Merger by the Secretary of State of the State of Delaware or at such other time thereafter as is provided in the Certificate of Ownership and Merger (the “Merger Effective Time”), the Merger will be effective in accordance with the definitive documentation providing for the Merger and Delaware law.
ARTICLE 3
Assumption and Agreement of Successor
          3.1 In accordance with Sections 5.1 and 9.1 of the Indenture, Successor hereby expressly assumes all of the obligations of Escrow Issuer under the Notes and the Indenture and shall enter into the Security Documents. Successor hereby confirms that its obligations under the Registration Rights Agreement shall remain in full force and effect.
          3.2 Successor shall succeed to, and be substituted for, and may exercise every right and power of, the Issuer under the Indenture and the Notes with the same effect as if Successor had been named as “Issuer” in the Indenture and the Notes; and thereafter the Escrow Issuer shall be fully released from its obligations under the Indenture and the Notes.
          3.3 In accordance with Section 5.1 of the Indenture, each Subsidiary Guarantor hereby confirms that its Guarantee shall apply to Successor’s obligation under the Indenture and the Notes and that it shall enter into the Security Documents. Each Subsidiary Guarantor confirms that its obligations under the Registration Rights Agreement shall remain in full force and effect.

2


 

ARTICLE 4
Miscellaneous
          4.1 This Supplemental Indenture shall become effective as of the Merger Effective Time.
          4.2 This Supplemental Indenture shall be governed by, and construed in accordance with, the laws of the State of New York.
          4.3 In case any provision in this Supplemental Indenture shall be invalid, illegal or unenforceable, the validity, legality and enforceability of the remaining provisions shall not in any way be affected or impaired thereby and such provision shall be ineffective only to the extent of such invalidity, illegality or unenforceability.
          4.4 Except as expressly amended hereby, the Indenture and the Notes are in all respects ratified and confirmed and all the terms, conditions and provisions thereof shall remain in full force and effect. This Supplemental Indenture shall form a part of the Indenture for all purposes, and every Holder of Notes heretofore or hereafter authenticated and delivered shall be bound hereby. The Trustee makes no representation or warranty as to the validity or sufficiency of this Supplemental Indenture or with respect to the recitals contained herein, all of which recitals are made solely by the other parties hereto.
          4.5 The parties hereto may sign one or more copies of this Supplemental Indenture in counterparts, all of which together shall constitute one and the same agreement.
          4.6 The headings of the Articles and the sections in this Supplemental Indenture are for convenience of reference only and shall not be deemed to alter or affect the meaning or interpretation of any provisions hereof.
[Signature page follows]

3


 

          IN WITNESS WHEREOF, the parties hereto have caused this Supplemental Indenture to be duly executed as of the date first above written.
         
  UHS ESCROW CORPORATION, as Issuer
 
 
  By   /s/ Steve Filton  
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
         
  UNIVERSAL HEALTH SERVICES, INC.
 
 
  By:   /s/ Steve Filton    
    Name:   Steve Filton   
    Title:   Senior Vice President   

 


 

         
         
  AIKEN REGIONAL MEDICAL CENTERS, INC.
ASSOCIATED CHILD CARE EDUCATIONAL SERVICES, INC.
AUBURN REGIONAL MEDICAL CENTER, INC.
CCS/LANSING, INC.
CHILDREN’S COMPREHENSIVE SERVICES, INC.
DEL AMO HOSPITAL, INC.
FRONTLINE BEHAVIORAL HEALTH, INC.
LANCASTER HOSPITAL CORPORATION
MCALLEN MEDICAL CENTER, INC.
MERION BUILDING MANAGEMENT, INC.
MERRIDELL ACHIEVEMENT CENTER, INC.
NORTHWEST TEXAS HEALTHCARE SYSTEM, INC.
OAK PLAINS ACADEMY OF TENNESSEE, INC.
PARK HEALTHCARE COMPANY
PENNSYLVANIA CLINICAL SCHOOLS, INC.
RIVER OAKS, INC.
SOUTHEASTERN HOSPITAL CORPORATION
SPARKS FAMILY HOSPITAL, INC.
STONINGTON BEHAVIORAL HEALTH, INC.
THE ARBOUR, INC.
THE BRIDGEWAY, INC.
TURNING POINT CARE CENTER, INC.
TWO RIVERS PSYCHIATRIC HOSPITAL, INC.
UHS CHILDREN’S SERVICES, INC.
UHS HOLDING COMPANY, INC.
UHS OF BENTON, INC.
UHS OF CORNERSTONE, INC.
UHS OF CORNERSTONE HOLDINGS, INC.
UHS OF D.C., INC.
UHS OF DELAWARE, INC.
UHS OF DENVER, INC.
UHS OF FAIRMOUNT, INC.
UHS OF FULLER, INC.
UHS OF GEORGIA, INC.
UHS OF GEORGIA HOLDINGS, INC.
UHS OF GREENVILLE, INC.
UHS OF HAMPTON, INC.
UHS OF HARTGROVE, INC.
UHS OF LAKESIDE, LLC
UHS OF NEW ORLEANS, INC.
UHS OF OKLAHOMA, INC.
UHS OF PARKWOOD, INC.
UHS OF PENNSYLVANIA, INC.
UHS OF PROVO CANYON, INC.
UHS OF PUERTO RICO, INC.
UHS OF RIVER PARISHES, INC.
UHS OF SPRING MOUNTAIN, INC.
UHS OF TEXOMA, INC.
UHS OF TIMBERLAWN, INC.
UHS OF TIMPANOGOS, INC.
UHS OF WESTWOOD PEMBROKE, INC.
UHS OF WYOMING, INC.
UHS SAHARA, INC.
UHS-CORONA, INC.
UNITED HEALTHCARE OF HARDIN, INC.
UNIVERSAL HEALTH SERVICES OF PALMDALE, INC.
UNIVERSAL HEALTH SERVICES OF RANCHO SPRINGS, INC.
VALLEY HOSPITAL MEDICAL CENTER, INC.
WELLINGTON REGIONAL MEDICAL CENTER, INCORPORATED
 
 
  By:   /s/ Steve Filton  
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
  ALLIANCE HEALTH CENTER, INC.
ALTERNATIVE BEHAVIORAL SERVICES, INC.
BENCHMARK BEHAVIORAL HEALTH SYSTEM, INC.
BHC ALHAMBRA HOSPITAL, INC.
BHC BELMONT PINES HOSPITAL, INC.
BHC FAIRFAX HOSPITAL, INC.
BHC FOX RUN HOSPITAL, INC.
BHC FREMONT HOSPITAL, INC.
BHC HEALTH SERVICES OF NEVADA, INC.
BHC HERITAGE OAKS HOSPITAL, INC.
BHC HOLDINGS, INC.
BHC INTERMOUNTAIN HOSPITAL, INC.
BHC MONTEVISTA HOSPITAL, INC.
BHC PINNACLE POINTE HOSPITAL, INC.
BHC SIERRA VISTA HOSPITAL, INC.
BHC STREAMWOOD HOSPITAL, INC.
BRENTWOOD ACQUISITION, INC.
BRENTWOOD ACQUISITION-SHREVEPORT, INC.
BRYNN MARR HOSPITAL, INC.
CANYON RIDGE HOSPITAL, INC.
CEDAR SPRINGS HOSPITAL, INC.
FIRST HOSPITAL CORPORATION OF VIRGINIA BEACH
FIRST HOSPITAL PANAMERICANO, INC.
GREAT PLAINS HOSPITAL, INC.
H. C. CORPORATION
HAVENWYCK HOSPITAL INC.
HHC AUGUSTA, INC.
HHC CONWAY INVESTMENT, INC.
HHC DELAWARE, INC.
HHC FOCUS FLORIDA, INC.
HHC POPLAR SPRINGS, INC.
HHC RIVER PARK, INC.
HHC ST. SIMONS, INC.
HORIZON HEALTH CORPORATION
HSA HILL CREST CORPORATION
KIDS BEHAVIORAL HEALTH OF UTAH, INC.
LAUREL OAKS BEHAVIORAL HEALTH CENTER, INC.
MICHIGAN PSYCHIATRIC SERVICES, INC.
NORTH SPRING BEHAVIORAL HEALTHCARE, INC.
PREMIER BEHAVIORAL SOLUTIONS OF FLORIDA, INC.
PREMIER BEHAVIORAL SOLUTIONS, INC.
PSI SURETY, INC.
PSYCHIATRIC SOLUTIONS, INC.
PSYCHIATRIC SOLUTIONS OF VIRGINIA, INC.
RAMSAY YOUTH SERVICES OF GEORGIA, INC.
RIVEREDGE HOSPITAL HOLDINGS, INC.
SPRINGFIELD HOSPITAL, INC.
SUMMIT OAKS HOSPITAL, INC.
TEXAS HOSPITAL HOLDINGS, INC.
THE PINES RESIDENTIAL TREATMENT CENTER, INC.
WINDMOOR HEALTHCARE INC.
WINDMOOR HEALTHCARE OF PINELLAS PARK, INC.
 
 
  By:   /s/ Steve Filton  
    Name:   Steve Filton   
    Title:   Vice President   
 

 


 

         
  LA AMISTAD RESIDENTIAL TREATMENT CENTER, LLC
TENNESSEE CLINICAL SCHOOLS, LLC
UHS OF BOWLING GREEN, LLC
UHS OF RIDGE, LLC
UHS OF ROCKFORD, LLC
 
 
  By:  Universal Health Services, Inc.
Its managing member  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton   
    Title:   Senior Vice President   

 


 

         
         
  FORT DUNCAN MEDICAL CENTER, L.P.
 
 
  By:   Fort Duncan Medical Center, Inc.
Its general partner  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton   
    Title:   Vice President   
     
  By:   UHS of Fairmount, Inc.
Its limited partner  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
  FRONTLINE HOSPITAL, LLC
FRONTLINE RESIDENTIAL TREATMENT CENTER, LLC
 
 
  By:   Frontline Behavioral Health, Inc.
Its sole member  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton    
    Title:   Vice President   

 


 

         
         
  KEYS GROUP HOLDINGS LLC
 
 
  By:   UHS Children Services, Inc.
Its sole member  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton    
    Title:   Vice President   

 


 

         
  KEYSTONE/CCS PARTNERS LLC
 
 
  By:   Children’s Comprehensive Services, Inc.
Its Minority Member  
 
     
  By:   KEYS Group Holdings LLC
Its Managing Member and sole member of the minority member  
 
     
  By:   UHS Children Services, Inc.
Its sole member  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
         
  KEYSTONE CONTINUUM, LLC
KEYSTONE NPS LLC
KEYSTONE RICHLAND CENTER, LLC
 
 
  By:  Keystone/CCS Partners LLC
Its managing member  
 
     
  By:   Children’s Comprehensive Services, Inc.
Its minority member  
 
     
  By:   KEYS Group Holdings LLC
Its managing member and sole member of the minority member  
 
     
  By:   UHS Children Services, Inc.
Its sole member  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton    
    Title:   Vice President   

 


 

         
  KEYSTONE EDUCATION AND YOUTH SERVICES, LLC
 
 
  By:   KEYS Group Holdings LLC
Its managing member  
 
     
  By:   UHS Children Services, Inc.
Its sole member  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton    
    Title:   Vice President   

 


 

         
         
  KEYSTONE MARION, LLC
KEYSTONE MEMPHIS, LLC
KEYSTONE NEWPORT NEWS, LLC
KEYSTONE WSNC, L.L.C.
 
 
  By:   Keystone Education and Youth Services, LLC
Its managing member  
 
     
  By:   KEYS Group Holdings LLC
Its managing member  
 
     
  By:   UHS Children Services, Inc.
Its sole member  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton    
    Title:   Vice President   

 


 

         
         
  MANATEE MEMORIAL HOSPITAL, L.P.
 
 
  By:   Wellington Regional Medical Center, Incorporated
Its general partner  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton    
    Title:   Vice President   
     
  By:   UHS of Pennsylvania, Inc.
Its limited partner  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton    
    Title:   Vice President   

 


 

         
         
  MCALLEN HOSPITALS, L.P.
 
 
  By:   McAllen Medical Center, Inc.
Its general partner  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton    
    Title:   Vice President   
     
  By:   UHS of Georgia Holdings, Inc.
Its limited partner  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton    
    Title:   Vice President   

 


 

         
         
  PENDLETON METHODIST HOSPITAL, L.L.C.
 
 
  By:   UHS of River Parishes, Inc.
Its managing member  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton    
    Title:   Vice President   

 


 

         
         
  UHS KENTUCKY HOLDINGS, L.L.C.
 
 
  By:   UHS of Delaware, Inc.
Its managing member  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton    
    Title:   Vice President   

 


 

         
         
  UHS OF ANCHOR, L.P.
UHS OF LAUREL HEIGHTS, L.P.
UHS OF PEACHFORD, L.P.
 
 
  By:  UHS of Georgia, Inc.
Its general partner  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton    
    Title:   Vice President   
     
  By:   UHS of Georgia Holdings, Inc.
Its limited partner  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton    
    Title:   Vice President   

 


 

         
         
  UHS OF CENTENNIAL PEAKS, L.L.C.
 
 
  By:   UHS of Denver, Inc.
Its sole member  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton    
    Title:   Vice President   

 


 

         
         
  UHS OF DOVER, L.L.C.
 
 
  By:  UHS of Rockford, LLC
Its sole member  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton    
    Title:   Vice President   

 


 

         
         
  UHS OF DOYLESTOWN, L.L.C.
 
 
  By:   UHS of Pennsylvania, Inc.
Its sole member  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton    
    Title:   Vice President   

 


 

         
         
  UHS OF SALT LAKE CITY, L.L.C.
 
 
  By:   UHS of Provo Canyon, Inc.
Its sole member  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton    
    Title:   Vice President   

 


 

         
         
  UHS OF SAVANNAH, L.L.C.
 
 
  By:   UHS of Georgia Holdings, Inc.
Its sole member  
 
     
  By:   /s/ Steve Filton  
    Name:   Steve Filton    
    Title:   Vice President   
 

 


 

         
  UHS OKLAHOMA CITY LLC
UHS OF SPRINGWOODS, L.L.C.
 
 
  By:  UHS of New Orleans, Inc.
Its sole member  
 
     
  By:   /s/ Steve Filton  
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
         
  UHS OF SUMMITRIDGE, LLC
 
 
  By: UHS of Peachford, L.P,
Its managing member  
 
     
  By: UHS of Georgia, Inc.
Its general partner  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
  PSYCHIATRIC SOLUTIONS HOSPITALS, LLC
 
 
  By: Psychiatric Solutions, Inc.
Its Sole Member  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
  KMI ACQUISITION, LLC
ROLLING HILLS HOSPITAL, LLC
PSJ ACQUISITION, LLC
SHADOW MOUNTAIN BEHAVIORAL HEALTH SYSTEM, LLC
TBD ACQUISITION, LLC
 
 
  By: Psychiatric Solutions Hospitals, LLC
Its Sole Member  
 
     
  By: Psychiatric Solutions, Inc.
Its Sole Member  
 
 
  By:   /s/ Steve Filton    
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
         
  ATLANTIC SHORES HOSPITAL, L.L.C.
EMERALD COAST BEHAVIORAL HOSPITAL, LLC
OCALA BEHAVIORAL HEALTH, LLC
PALMETTO BEHAVIORAL HEALTH HOLDINGS, LLC
 
 
  By: Premier Behavioral Solutions, Inc.
Its Sole Member  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
  PALMETTO BEHAVIORAL HEALTH SYSTEM, L.L.C.
 
 
  By: Palmetto Behavioral Health Holdings, LLC
Its Sole Member  
 
 
  By: Premier Behavioral Solutions, Inc.
Its Sole Member  
 
 
  By:   /s/ Steve Filton    
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
  PALMETTO LOWCOUNTRY BEHAVIORAL HEALTH, L.L.C.
 
 
  By: Palmetto Behavioral Health System, L.L.C.
Its Sole Member  
 
 
     
  By: Palmetto Behavioral Health Holdings, LLC
Its Sole Member  
 
 
     
  By: Premier Behavioral Solutions, Inc.
Its Sole Member  
 
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
         
  RAMSAY MANAGED CARE, LLC
SAMSON PROPERTIES, LLC
TBJ BEHAVIORAL CENTER, LLC
THREE RIVERS HEALTHCARE GROUP, LLC
ZEUS ENDEAVORS, LLC
WEKIVA SPRINGS CENTER, LLC
 
 
  By: Premier Behavioral Solutions, Inc.
Its Sole Member  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
  SP BEHAVIORAL, LLC
UNIVERSITY BEHAVIORAL, LLC
 
 
  By: Ramsay Managed Care, LLC
Its Sole Member  
 
     
  By: Premier Behavioral Solutions, Inc.
Its Sole Member  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
  THREE RIVERS BEHAVIORAL HEALTH, LLC
 
 
  By: Three Rivers Healthcare Group, LLC
Its Sole Member  
 
 
     
  By: Premier Behavioral Solutions, Inc.
Its Sole Member  
 
 
  By:   /s/ Steve Filton    
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
  THE NATIONAL DEAF ACADEMY, LLC
 
 
  By: Zeus Endeavors, LLC
Its Sole Member  
 
 
     
  By: Premier Behavioral Solutions, Inc.
Its Sole Member  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
  WILLOW SPRINGS, LLC
 
 
  By: BHC Health Services of Nevada, Inc.
Its Sole Member  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
  BHC PROPERTIES, LLC
 
 
  By: Behavioral Healthcare LLC
Its Sole Member  
 
     
  By: BHC Holdings, Inc.
Its Sole Member  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
  BHC MESILLA VALLEY HOSPITAL
 
 
  By: BHC Properties, LLC
Its Sole Member  
 
     
  By: Behavioral Healthcare LLC
Its Sole Member  
 
       
       
  By: BHC Holdings, Inc.
Its Sole Member  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
  BHC NORTHWEST PSYCHIATRIC HOSPITAL, LLC
 
 
  By: BHC Properties, LLC
Its Sole Member  
 
     
  By: Behavioral Healthcare LLC
Its Sole Member  
 
     
  By: BHC Holdings, Inc.
Its Sole Member  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
  HOLLY HILL HOSPITAL, LLC
 
 
  By: Behavioral Healthcare LLC
Its Sole Member  
 
     
  By: BHC Holdings, Inc.
Its Sole Member  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
  CUMBERLAND HOSPITAL PARTNERS, LLC
 
 
  By: BHC Properties, LLC
Its Sole Member  
 
     
  By: Behavioral Healthcare LLC
Its Sole Member  
 
     
  By: BHC Holdings, Inc.
Its Sole Member  
 
     
  By:   /s/ Steve Filton  
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
  CUMBERLAND HOSPITAL, LLC
 
 
  By: Cumberland Hospital Partners, LLC
Its Managing Member  
 
 
     
  By: BHC Properties, LLC
Its Minority Member and Sole Member of the Managing Member  
 
     
  By: Behavioral Healthcare LLC
Its Sole Member  
 
     
  By: BHC Holdings, Inc.
Its Sole Member  
 
     
  By:   /s/ Steve Filton  
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
  COLUMBUS HOSPITAL PARTNERS, LLC
LEBANON HOSPITAL PARTNERS, LLC
NORTHERN INDIANA PARTNERS, LLC
VALLE VISTA HOSPITAL PARTNERS, LLC
 
 
  By: Behavioral Healthcare LLC
Its Sole Member  
 
     
  By: BHC Holdings, Inc.
Its Sole Member  
 
     
  By:   /s/ Steve Filton  
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
  VALLE VISTA, LLC
 
 
  By: BHC of Indiana, General Partnership
Its Sole Member  
 
 
     
  By: Columbus Hospital Partners, LLC
Its General Partner  
 
       
       
 
     
  By: Lebanon Hospital Partners, LLC
Its General Partner  
 
 
     
  By: Northern Indiana Partners, LLC
Its General Partner  
 
 
     
  By: Valle Vista Hospital Partners, LLC
Its General Partner  
 
 
     
  By: Behavioral Healthcare LLC
The Sole Member of each of the above General Partners  
 
 
     
  By: BHC Holdings, Inc.
Its Sole Member  
 
 
     
  By:   /s/ Steve Filton   
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
 
  WELLSTONE REGIONAL HOSPITAL ACQUISITION, LLC
 
 
  By: Wellstone Holdings, Inc.
Its Minority Member  
 
 
     
  By: Behavioral Healthcare LLC
Its Managing Member and Sole Member of the Minority Member  
 
       
       
 
     
  By: BHC Holdings, Inc.
Its Sole Member  
 
 
     
  By:   /s/ Steve Filton   
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
  BEHAVIORAL HEALTHCARE, LLC
 
 
  By: BHC Holdings, Inc.
Its Sole Member  
 
     
  By:   /s/ Steve Filton   
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
         
  HORIZON HEALTH HOSPITAL SERVICES, LLC
HORIZON MENTAL HEALTH MANAGEMENT, LLC
SUNSTONE BEHAVIORAL HEALTH, LLC
 
 
  By: Horizon Health Corporation
Its Sole Member  
 
 
     
  By:   /s/ Steve Filton   
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
  KINGWOOD PINES HOSPITAL, LLC
HHC PENNSYLVANIA, LLC
TOLEDO HOLDING CO., LLC
 
 
  By: Horizon Health Hospital Services, LLC
Its Sole Member  
 
 
     
  By: Horizon Health Corporation
Its Sole Member  
 
 
     
  By:   /s/ Steve Filton   
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
  HICKORY TRAIL HOSPITAL, L.P.
NEURO INSTITUTE OF AUSTIN, L.P.
TEXAS CYPRESS CREEK HOSPITAL, L.P.
TEXAS LAUREL RIDGE HOSPITAL, L.P.
TEXAS SAN MARCOS TREATMENT CENTER, L.P.
TEXAS WEST OAKS HOSPITAL, L.P.
 
 
  By: Texas Hospital Holdings, LLC
Its General Partner  
 
 
     
  By: Psychiatric Solutions Hospitals, LLC
Its Sole Member  
 
 
     
  By: Psychiatric Solutions, Inc.
Its Sole Member  
 
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton   
    Title:   Vice President   
 
     
  By: Texas Hospital Holdings, Inc.
Its Limited Partner  
 
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
         
  SHC-KPH, LP
 
 
  By: HHC Kingwood Investment, LLC
Its General Partner  
 
 
     
  By: Kingwood Pines Hospital, LLC
Its Limited partner  
 
 
     
  By: Horizon Health Hospital Services, LLC

The Sole Member of the above Limited and General Partner  
 
 
     
  By:  Horizon Health Corporation
Its sole member  
 
 
         
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
         
  H.C. PARTNERSHIP
 
 
  By: H.C. Corporation
Its General Partner  
 
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton   
    Title:   Vice President  
     
  By: HSA Hill Crest Corporation
Its General Partner  
 
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
  BHC OF INDIANA, GENERAL PARTNERSHIP
 
 
  By: Columbus Hospital Partners, LLC
Its General Partner  
 
 
     
  By: Lebanon Hospital Partners, LLC
Its General Partner  
 
 
     
  By: Northern Indiana Partners, LLC
Its General Partner  
 
 
     
  By: Valle Vista Hospital Partners, LLC
Its General Partner  
 
       
       
 
     
  By: BHC Healthcare, LLC
The Sole Member of each of the above General Partners  
 
       
       
 
     
  By: BHC Holdings, Inc.
Its Sole Member  
 
       
       
 
         
     
  By:   /s/ Steve Filton    
    Name:   Steve Filton   
    Title:   Vice President   

 


 

         
         
  UNION BANK, N.A., as Trustee
 
 
  By:   /s/ Eva Aryeetey  
    Name:   Eva Aryeetey  
    Title:   Vice President