Exhibit 25.1
UNITED STATES
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) |
THE BANK OF NEW YORK MELLON
TRUST COMPANY, N.A.
(Exact name of trustee as specified in its charter)
95-3571558 | ||
(Jurisdiction of incorporation if not a U.S. national bank) | (I.R.S. employer identification no.) | |
700 South Flower Street Suite 500 Los Angeles, California | 90017 | |
(Address of principal executive offices) | (Zip code) |
GENTIVA HEALTH SERVICES, INC.
(Exact name of obligor as specified in its charter)
Delaware | 36-4335801 | |
(State or other jurisdiction of incorporation or organization) | (I.R.S. employer identification no.) |
Names of Additional Registrants | Jurisdiction of | I.R.S. Employer Identification Number | ||
Access Home Health of Florida, Inc. | Delaware | 06-1451363 | ||
Capital CareResources, Inc. | Georgia | 58-2411159 | ||
Capital CareResources of South Carolina, Inc. | Georgia | 56-2102603 | ||
Capital Health Management Group, Inc. | Georgia | 58-2313705 | ||
CareNation, Inc. | Delaware | 06-1607606 | ||
Chattahoochee Valley Home Care Services, Inc. | Georgia | 03-0387821 | ||
Chattahoochee Valley Home Health, Inc. | Georgia | 34-1994007 | ||
CHMG Acquisition Corp. | Georgia | 04-3813487 | ||
CHMG of Atlanta, Inc. | Georgia | 54-2089073 | ||
CHMG of Griffin, Inc. | Georgia | 54-2089075 | ||
Eastern Carolina Home Health Agency, Inc. | North Carolina | 56-1590744 | ||
Family Hospice, Ltd. | Texas | 75-2588221 | ||
FHI GP, Inc. | Texas | 75-2588220 | ||
FHI Health Systems, Inc. | Delaware | 75-2588219 | ||
FHI LP, Inc. | Nevada | 88-0335145 | ||
FHI Management, Ltd. | Texas | 75-2588222 | ||
Gentiva Certified Healthcare Corp. | Delaware | 11-2645333 | ||
Gentiva Health Services (Certified), Inc. | Delaware | 11-3454105 | ||
Gentiva Health Services Holding Corp. | Delaware | 11-3454104 | ||
Gentiva Health Services (USA) Inc. | Delaware | 11-3414024 | ||
Gentiva Rehab Without Walls, LLC | Delaware | 06-1725406 |
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Names of Additional Registrants | Jurisdiction of Incorporation/Organization | I.R.S. Employer Identification Number | ||
Gentiva Services of New York, Inc. | New York | 11-2802024 | ||
Gilbert’s Home Health Agency, Inc. | Mississippi | 64-0730826 | ||
Gilbert’s Hospice Care, LLC | Mississippi | 20-0566932 | ||
Gilbert’s Hospice Care of Mississippi, LLC | Mississippi | 20-1296854 | ||
Healthfield, Inc. | Delaware | 58-1819650 | ||
Healthfield Home Health, Inc. | Georgia | 58-1947694 | ||
Healthfield Hospice Services, Inc. | Georgia | 58-2284736 | ||
Healthfield of Southwest Georgia, Inc. | Georgia | 27-0131980 | ||
Healthfield of Statesboro, Inc. | Georgia | 68-0593590 | ||
Healthfield of Tennessee, Inc. | Georgia | 01-0831798 | ||
Healthfield Operating Group, Inc. | Delaware | 36-4425473 | ||
Home Health Care Affiliates, Inc. | Mississippi | 74-2737989 | ||
Home Health Care Affiliates of Central Mississippi, L.L.C. | Mississippi | 62-1807084 | ||
Home Health Care Affiliates of Mississippi, Inc. | Mississippi | 62-1775256 | ||
Home Health Care of Carteret County, Inc. | North Carolina | 56-1556547 | ||
Horizon Health Network LLC | Alabama | 33-1017853 | ||
Mid-South Home Care Services, Inc. | Georgia | 58-1984959 | ||
Mid-South Home Care Services, LLC | Alabama | 82-0559231 | ||
Mid-South Home Health Agency, Inc. | Delaware | 63-0772385 | ||
Mid-South Home Health Agency, LLC | Alabama | 82-0559199 | ||
Mid-South Home Health of Gadsden, Inc. | Georgia | 14-1909499 | ||
New York Healthcare Services, Inc. | New York | 22-2695367 |
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Names of Additional Registrants | Jurisdiction of Incorporation/Organization | I.R.S. Employer Identification Number | ||
Odyssey HealthCare, Inc. | Delaware | 43-1723043 | ||
Odyssey HealthCare Austin, LLC | Delaware | none | ||
Odyssey HealthCare Detroit, LLC | Delaware | none | ||
Odyssey HealthCare Fort Worth, LLC | Delaware | none | ||
Odyssey HealthCare GP, LLC | Delaware | 75-2932676 | ||
Odyssey HealthCare Holding Company | Delaware | 75-2925311 | ||
Odyssey HealthCare LP, LLC | Delaware | 74-2998154 | ||
Odyssey HealthCare Management, LP | Delaware | 75-2923658 | ||
Odyssey HealthCare of Collier County, Inc. | Delaware | 87-0785005 | ||
Odyssey HealthCare of Flint, LLC | Delaware | 26-3920362 | ||
Odyssey HealthCare of Hillsborough County, Inc. | Delaware | 75-3238729 | ||
Odyssey HealthCare of Manatee County, Inc. | Delaware | 87-0785007 | ||
Odyssey HealthCare of Marion County, Inc. | Delaware | 75-3238731 | ||
Odyssey HealthCare of Northwest Florida, Inc. | Delaware | 87-0784932 | ||
Odyssey HealthCare of Pinellas County, Inc. | Delaware | 75-3238725 | ||
Odyssey HealthCare of St. Louis, LLC | Delaware | 26-1174571 | ||
Odyssey HealthCare Operating A, LP | Delaware | 75-2752908 | ||
Odyssey HealthCare Operating B, LP | Delaware | 75-2937832 | ||
OHS Service Corp. | Texas | 22-3690699 | ||
PHHC Acquisition Corp. | Delaware | 38-3784032 | ||
QC-Medi New York, Inc. | New York | 11-2750425 | ||
Quality Care-USA, Inc. | New York | 11-2256479 | ||
Quality Managed Care, Inc. | Delaware | 48-1095443 |
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Names of Additional Registrants | Jurisdiction of Incorporation/Organization | I.R.S. Employer Identification Number | ||
Tar Heel Health Care Services, Inc. | North Carolina | 56-1456991 | ||
Tar Heel Staffing, Inc. | Georgia | 05-0537926 | ||
The Healthfield Group, Inc. | Delaware | 43-2068039 | ||
Total Care Home Health of Louisburg, Inc. | Georgia | 68-0593592 | ||
Total Care Home Health of North Carolina, Inc. | Georgia | 20-0091435 | ||
Total Care Home Health of South Carolina, Inc. | Georgia | 20-0091422 | ||
Total Care Services, Inc. | Georgia | 86-1095990 | ||
Van Winkle Home Health Care, Inc. | Mississippi | 62-1669388 | ||
Vista Hospice Care, Inc. | Delaware | 86-0808230 | ||
VistaCare, Inc. | Delaware | 06-1521534 | ||
VistaCare of Boston, LLC | Delaware | 26-1544595 | ||
VistaCare USA, Inc. | Delaware | 86-0914505 | ||
Wiregrass Hospice LLC | Alabama | 82-0559182 | ||
Wiregrass Hospice Care, Inc. | Georgia | 20-0296636 | ||
Wiregrass Hospice of South Carolina, LLC | Georgia | 34-2053721 |
3350 Riverwood Parkway, Suite 1400 Atlanta, Georgia | 30339-3314 | |
(Address of principal executive offices) | (Zip code) |
11.5% Senior Notes due 2018
and Guarantees of 11.5% Senior Notes due 2018
(Title of the indenture securities)
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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. |
Name | Address | |
Comptroller of the Currency United States Department of the Treasury | Washington, DC 20219 | |
Federal Reserve Bank | San Francisco, CA 94105 | |
Federal Deposit Insurance Corporation | Washington, DC 20429 |
(b) | Whether it is authorized to exercise corporate trust powers. |
Yes.
2. | Affiliations with Obligor. |
If the obligor is an affiliate of the trustee, describe each such affiliation.
None.
16. | List of Exhibits. |
Exhibits identified in parentheses below, on file with the Commission, are incorporated herein by reference as an exhibit hereto, pursuant to Rule 7a-29 under the Trust Indenture Act of 1939 (the “Act”) and 17 C.F.R. 229.10(d).
1. | A copy of the articles of association of The Bank of New York Mellon Trust Company, N.A., formerly known as The Bank of New York Trust Company, N.A. (Exhibit 1 to Form T-1 filed with Registration Statement No. 333-121948 and Exhibit 1 to Form T-1 filed with Registration Statement No. 333-152875). |
2. | A copy of certificate of authority of the trustee to commence business. (Exhibit 2 to Form T-1 filed with Registration Statement No. 333-121948). |
3. | A copy of the authorization of the trustee to exercise corporate trust powers (Exhibit 3 to Form T-1 filed with Registration Statement No. 333-152875). |
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4. | A copy of the existing by-laws of the trustee (Exhibit 4 to Form T-1 filed with Registration Statement No. 333-162713). |
6. | The consent of the trustee required by Section 321(b) of the Act (Exhibit 6 to Form T-1 filed with Registration Statement No. 333-152875). |
7. | A copy of the latest report of condition of the Trustee published pursuant to law or to the requirements of its supervising or examining authority. |
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SIGNATURE
Pursuant to the requirements of the Act, the trustee, The Bank of New York Mellon Trust Company, N.A., a banking association organized and existing under the laws of the United States of America, has duly caused this statement of eligibility to be signed on its behalf by the undersigned, thereunto duly authorized, all in the City of Atlanta, and State of Georgia, on the 22nd day of October, 2010.
THE BANK OF NEW YORK MELLON TRUST COMPANY, N.A. | ||
By: | /S/ VAN K. BROWN | |
Name: | VAN K. BROWN | |
Title: | VICE PRESIDENT |
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EXHIBIT 7
Consolidated Report of Condition of
THE BANK OF NEW YORK MELLON TRUST COMPANY, N.A.
of 700 South Flower Street, Suite 200, Los Angeles, CA 90017
At the close of business June 30, 2010, published in accordance with Federal regulatory authority instructions.
ASSETS | Dollar Amounts in Thousands | |||
Cash and balances due from depository institutions: | ||||
Noninterest-bearing balances and currency and coin | 3,097 | |||
Interest-bearing balances | 1,319 | |||
Securities: | ||||
Held-to-maturity securities | 12 | |||
Available-for-sale securities | 647,932 | |||
Federal funds sold and securities purchased under agreements to resell: | ||||
Federal funds sold | 112,000 | |||
Securities purchased under agreements to resell | 0 | |||
Loans and lease financing receivables: | ||||
Loans and leases held for sale | 0 | |||
Loans and leases, net of unearned income | 0 | |||
LESS: Allowance for loan and lease losses | 0 | |||
Loans and leases, net of unearned income and allowance | 0 | |||
Trading assets | 0 | |||
Premises and fixed assets (including capitalized leases) | 10,065 | |||
Other real estate owned | 0 | |||
Investments in unconsolidated subsidiaries and associated companies | 1 | |||
Direct and indirect investments in real estate ventures | 0 | |||
Intangible assets: | ||||
Goodwill | 856,313 | |||
Other intangible assets | 230,506 | |||
Other assets | 161,731 | |||
Total assets | $ | 2,022,976 | ||
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LIABILITIES | ||||
Deposits: | ||||
In domestic offices | 559 | |||
Noninterest-bearing | 559 | |||
Interest-bearing | 0 | |||
Not applicable | ||||
Federal funds purchased and securities sold under agreements to repurchase: | ||||
Federal funds purchased | 0 | |||
Securities sold under agreements to repurchase | 0 | |||
Trading liabilities | 0 | |||
Other borrowed money: | ||||
(includes mortgage indebtedness and obligations under capitalized leases) | 268,691 | |||
Not applicable | ||||
Not applicable | ||||
Subordinated notes and debentures | 0 | |||
Other liabilities | 216,295 | |||
Total liabilities | 485,545 | |||
Not applicable | ||||
EQUITY CAPITAL | ||||
Perpetual preferred stock and related surplus | 0 | |||
Common stock | 1,000 | |||
Surplus (exclude all surplus related to preferred stock) | 1,121,520 | |||
Not available | ||||
Retained earnings | 412,936 | |||
Accumulated other comprehensive income | 1,975 | |||
Other equity capital components | 0 | |||
Not available | ||||
Total bank equity capital | 1,537,431 | |||
Noncontrolling (minority) interests in consolidated subsidiaries | 0 | |||
Total equity capital | 1,537,431 | |||
Total liabilities and equity capital | 2,022,976 | |||
I, Karen Bayz, Managing Director of the above-named bank do hereby declare that the Reports of Condition and Income (including the supporting schedules) for this report date have been prepared in conformance with the instructions issued by the appropriate Federal regulatory authority and are true to the best of my knowledge and belief.
Karen Bayz | ) | Managing Director |
We, the undersigned directors (trustees), attest to the correctness of the Report of Condition (including the supporting schedules) for this report date and declare that it has been examined by us and to the best of our knowledge and belief has been prepared in conformance with the instructions issued by the appropriate Federal regulatory authority and is true and correct.
Troy Kilpatrick, President | ) | |||||
Frank P. Sulzberger, MD | ) | Directors (Trustees) | ||||
William D. Lindelof, MD | ) |
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