SUPPLEMENTAL INDENTURE

EX-4.1 2 ex4-1.htm SUPPLEMENTAL INDENTURE ex4-1.htm
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.
UHS OF GREENVILLE, INC.
ASSOCIATED CHILD CARE EDUCATIONAL SERVICES, INC.
UHS OF HAMPTON, INC.
AUBURN REGIONAL MEDICAL CENTER, INC.
UHS OF HARTGROVE, INC.
CCS/LANSING, INC.
UHS OF LAKESIDE, LLC
CHILDREN’S COMPREHENSIVE SERVICES, INC.
UHS OF NEW ORLEANS, INC.
DEL AMO HOSPITAL, INC.
UHS OF OKLAHOMA, INC.
FRONTLINE BEHAVIORAL HEALTH, INC.
UHS OF PARKWOOD, INC.
LANCASTER HOSPITAL CORPORATION
UHS OF PENNSYLVANIA, INC.
MCALLEN MEDICAL CENTER, INC.
UHS OF PROVO CANYON, INC.
MERION BUILDING MANAGEMENT, INC.
UHS OF PUERTO RICO, INC.
MERRIDELL ACHIEVEMENT CENTER, INC.
UHS OF RIVER PARISHES, INC.
NORTHWEST TEXAS HEALTHCARE SYSTEM, INC.
UHS OF SPRING MOUNTAIN, INC.
OAK PLAINS ACADEMY OF TENNESSEE, INC.
UHS OF TEXOMA, INC.
PARK HEALTHCARE COMPANY
UHS OF TIMBERLAWN, INC.
PENNSYLVANIA CLINICAL SCHOOLS, INC.
UHS OF TIMPANOGOS, INC.
RIVER OAKS, INC.
UHS OF WESTWOOD PEMBROKE, INC.
SOUTHEASTERN HOSPITAL CORPORATION
UHS OF WYOMING, INC
SPARKS FAMILY HOSPITAL, INC.
UHS SAHARA, INC.
STONINGTON BEHAVIORAL HEALTH, INC.
UHS-CORONA, INC.
THE ARBOUR, INC.
UNITED HEALTHCARE OF HARDIN, INC.
THE BRIDGEWAY, INC.
UNIVERSAL HEALTH SERVICES OF PALMDALE, INC.
TURNING POINT CARE CENTER, INC.
UNIVERSAL HEALTH SERVICES OF RANCHO SPRINGS, INC.
TWO RIVERS PSYCHIATRIC HOSPITAL, INC.
VALLEY HOSPITAL MEDICAL CENTER, INC.
UHS CHILDREN’S SERVICES, INC.
WELLINGTON REGIONAL MEDICAL CENTER, INCORPORATED
UHS HOLDING COMPANY, INC.
 
UHS OF BENTON, INC.
 
UHS OF CORNERSTONE, INC.
By:
 /s/ Steve Filton
 
UHS OF CORNERSTONE HOLDINGS, INC.
Name:  Steve Filton
UHS OF D.C., INC.
Title:    Vice President
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.
 
 
 
 
 

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

 
 
 
  LA AMISTAD RESIDENTIAL TREATMENT CENTER,  
  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 Comprehansive 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’s 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’s 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’s 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 Helath 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 Helath 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: Cumberalnd Hospital Partners, LLC  
  Its Managing Member  
     
  By: BHC Properties, LLC  
  Its Minority Member and Sole Member of the Managing Member  
     
     By: Behavioal 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 the above Limited and General Partner   
     
        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