Exhibit 5.1
September 16, 2024
Universal Health Services, Inc.
Universal Corporate Center
367 South Gulph Road
P.O. Box 61558
King of Prussia, Pennsylvania 19406-0958
Ladies and Gentlemen:
We have acted as counsel to Universal Health Services, Inc., a Delaware corporation (the “Company”), the subsidiaries of the Company listed on Schedule I hereto (the “DE Guarantors”) and the subsidiaries of the Company listed on Schedule II hereto (the “Non-DE Guarantors” and, collectively with the DE Guarantors, the “Guarantors”), with respect to certain legal matters in connection with the Company’s and the Guarantors’ registration pursuant to a shelf registration statement on Form S-3 (such registration statement, as it may be amended from time to time, the “Registration Statement”) under the Securities Act of 1933, as amended (the “Securities Act”), for the offer and sale from time to time, pursuant to Rule 415 under the Securities Act, of (i) shares of Class B Common Stock of the Company, $.01 par value per share (the “Common Shares”); (ii) debt securities of the Company (the “Debt Securities”) that may be issued, in one or more series, pursuant to an indenture, the form of which is filed as an exhibit to the Registration Statement (as it may be amended, the “Indenture”), and resolutions of the Board of Directors of the Company or one or more indentures supplemental thereto (the “Supplemental Documents”), and (iii) guarantees of Debt Securities by the Guarantors (the ”Guarantees”) that may be issued pursuant to the Indenture, resolutions of the governing bodies of the Guarantors and Supplemental Documents, in each case on terms to be determined at the time of offering by the Company. The Common Shares, Debt Securities and the Guarantees are collectively referred to herein as the “Securities.” The Securities will be offered in amounts, at prices and on terms to be set forth in supplements (each, a “Prospectus Supplement”) to the base prospectus (the “Base Prospectus”) contained in the Registration Statement.
We have examined such records of the Company and the DE Guarantors and other documents and questions of law as we have considered necessary or appropriate for the purposes of this opinion letter. In our examination of the foregoing documents, we have assumed the genuineness of all signatures and the authenticity of all documents submitted to us as originals, the conformity to original documents of all documents submitted to us as certified or photostatic copies, and the authenticity of the originals of such latter documents.
In addition, in connection with rendering the opinions set forth below, we have assumed that (i) the Restated Certificate of Incorporation of the Company (as amended, the “Certificate of Incorporation”) and bylaws of the Company and the organizational documents of the DE Guarantors will not have been amended in any manner that would affect any legal conclusion set forth herein; (ii) at the time of offer, issuance and sale of any Securities, the Registration Statement, and any amendments thereto (including post-effective amendments), will have
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become effective under the Securities Act, and no stop order suspending its effectiveness will have been issued and remain in effect; (iii) a Prospectus Supplement will have been prepared and filed with the Securities and Exchange Commission describing the Securities offered thereby; (iv) all Securities offered and sold will be offered and sold in compliance with applicable federal and state securities or “blue sky” laws and in the manner specified in the Registration Statement and the applicable Prospectus Supplement, as applicable; (v) the Indenture and any supplemental indentures relating to any Debt Securities and any Guarantees offered and sold will be duly authorized, executed and delivered by the parties thereto (other than the Company and the DE Guarantors) and such Debt Securities and such Guarantees will have been validly executed and delivered by the Company and the Guarantors and validly executed, delivered and authenticated by the trustee relating to the Debt Securities and Guarantees; (vi) each person signing the Indenture and any supplemental indentures (other than the Company and the DE Guarantors) will have the legal capacity and authority to do so; (vii) at the time of the issuance and sale of the Securities, the Company will be validly existing as a corporation and in good standing under the laws of the State of Delaware; (viii) at the time of the issuance and sale of the Guarantees, each of the DE Guarantors will be validly existing as a corporation, limited liability company or limited partnership, as applicable, and in good standing under the laws of State of Delaware and each Non-DE Guarantor will be validly existing a corporation, limited liability company or limited partnership, as applicable, and in good standing under the laws of the jurisdiction of its formation; (ix) the accuracy of the opinion letter dated the date hereof of Matthew D. Klein, Senior Vice President and General Counsel to the Company, which is being filed as Exhibit 5.2 to the Registration Statement; (x) a definitive purchase, sales, underwriting or similar agreement with respect to any Securities offered will have been duly authorized and validly executed and delivered by the Company and the other parties thereto; (xi) certificates representing Company Shares will have been duly executed, countersigned, registered and delivered, or if uncertificated, valid book-entry notations will have been made in the share register of the Company, in each case in accordance with the provisions of the Certificate of Incorporation and the Company’s bylaws; (xii) there will be sufficient Common Shares authorized under the Certificate of Incorporation and not otherwise issued or reserved for issuance; and (xiii) the purchase price for Common Shares payable to the Company or, if such shares are issuable upon conversion, exchange, redemption or exercise of other Securities the consideration payable to the Company for such conversion, exchange, redemption or exercise, will not be less than the par value of such shares.
Based on the foregoing, and subject to the assumptions, qualifications, limitations, and exceptions set forth herein, we are of the opinion that:
| 1. | With respect to Common Shares, when (i) the Company has taken all necessary action to approve the issuance of the Common Shares, the terms of the offering and related matters; and (ii) the Common Shares have been issued and delivered in accordance with the terms of the applicable definitive purchase, sales, underwriting or similar agreement approved by the Company, upon payment of the consideration therefor provided for therein, the Common Shares will be legally issued, fully paid and nonassessable with no personal liability attaching to ownership thereof. |
| 2. | With respect to Debt Securities, when (i) the Indenture and any supplemental indentures relating to the Debt Securities have been duly qualified under the Trust Indenture Act of 1939, as amended (the “Trust Indenture Act”); (ii) the Company has taken all necessary action to approve the issuance and terms of such Debt Securities; (iii) the terms of such Debt Securities and their issuance and sale have been duly established in conformity with |
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| the Indenture and the applicable Supplemental Documents so as not to violate any applicable law or result in a default under or breach of any agreement or instrument binding upon the Company and so as to comply with any requirements or restrictions imposed by any court or governmental body having jurisdiction over the Company; and (iv) such Debt Securities have been duly executed and authenticated in accordance with the provisions of the Indenture and the applicable Supplemental Documents and issued and sold as contemplated in the Registration Statement and upon payment of the consideration as provided for in the applicable definitive purchase, underwriting or similar agreement approved by the Company, such Debt Securities will be legally issued and will constitute valid and legally binding obligations of the Company, enforceable against the Company, except as such enforcement is subject to any applicable bankruptcy, insolvency (including, without limitation, all laws relating to fraudulent transfers), reorganization, moratorium and similar laws relating to or affecting creditors’ rights generally and to general equitable principles (regardless of whether enforcement is sought in a proceeding in equity or at law). |
| 3. | With respect to Guarantees, when (i) the Indenture and any supplemental indentures relating to the Guarantees have been duly qualified under the Trust Indenture Act; (ii) the Guarantors have taken all necessary action to approve the issuance and terms of such Guarantees; (iii) the terms of such Guarantees and their issuance and sale have been duly established in conformity with the Indenture and the applicable Supplemental Documents so as not to violate any applicable law or result in a default under or breach of any agreement or instrument binding upon the Guarantors and so as to comply with any requirements or restrictions imposed by any court or governmental body having jurisdiction over the Guarantors; and (iv) such Debt Securities guaranteed by the Guarantees have been duly executed by the Company and authenticated in accordance with the provisions of the Indenture and the applicable Supplemental Documents and issued and sold as contemplated in the Registration Statement and upon payment of the consideration as provided for in the applicable definitive purchase, underwriting or similar agreement approved by the Guarantors, such Guarantees will be legally issued and will constitute valid and legally binding obligations of the Guarantors, enforceable against the Guarantors in accordance with their terms, except as such enforcement is subject to any applicable bankruptcy, insolvency (including, without limitation, all laws relating to fraudulent transfers), reorganization, moratorium and similar laws relating to or affecting creditors’ rights generally and to general equitable principles (regardless of whether enforcement is sought in a proceeding in equity or at law). |
We express no opinion concerning (a) the validity or enforceability of any provisions contained in the Indenture or any Supplemental Documents that purport to waive or not give effect to rights to notices, defenses, subrogation or other rights or benefits that cannot be effectively waived under applicable law; (b) any provision that relates to severability or separability or purports to require that all amendments, supplements or waivers be in writing; or (c) the enforceability of indemnification provisions to the extent they purport to relate to liabilities resulting from or based upon negligence or any violation of federal or state securities or blue sky laws.
The foregoing opinions are limited to the laws of the State of New York (as to the opinions given in paragraphs 2 and 3), Delaware General Corporation Law and applicable federal laws of the United States of America (in each case in effect as of the date hereof) and we express no opinion as to the effect of the laws of any other jurisdiction, domestic or foreign.
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We hereby consent to the references to this firm under the caption “Legal Matters” in the Base Prospectus and to the filing of this opinion as an exhibit to the Registration Statement. By giving Universal Health Services, Inc. such consent, we do not admit that we are within the category of persons whose consent is required under Section 7 of the Securities Act or the rules and regulations thereunder.
Very truly yours,
/s/ Norton Rose Fulbright US LLP
Norton Rose Fulbright US LLP |
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SCHEDULE I
DE GUARANTORS
Entity | Jurisdiction of incorporation or organization | |
| Ascend Health Corporation | Delaware | |
| Atlantic Shores Hospital, LLC | Delaware | |
| Beach 77 LP | Delaware | |
| Behavioral Health Management, LLC | Delaware | |
| Behavioral Health Realty, LLC | Delaware | |
| Behavioral Healthcare LLC | Delaware | |
| BHC Holdings, Inc. | Delaware | |
| BHC Mesilla Valley Hospital, LLC | Delaware | |
| BHC Northwest Psychiatric Hospital, LLC | Delaware | |
| Brentwood Acquisition—Shreveport, Inc. | Delaware | |
| Calvary Center, Inc. | Delaware | |
| CAT Realty, LLC | Delaware | |
| CAT Seattle, LLC | Delaware | |
| Cedar Springs Hospital, Inc. | Delaware | |
| Coral Shores Behavioral Health, LLC | Delaware | |
| Cumberland Hospital Partners, LLC | Delaware | |
| DHP 2131 K St, LLC | Delaware | |
| Diamond Grove Center, LLC | Delaware | |
| DVH Hospital Alliance LLC | Delaware | |
| Emerald Coast Behavioral Hospital, LLC | Delaware | |
| Fort Duncan Medical Center, L.P. | Delaware | |
| FRN, Inc. | Delaware | |
| Frontline Behavioral Health, Inc. | Delaware | |
| Frontline Hospital, LLC | Delaware | |
| Frontline Residential Treatment Center, LLC | Delaware | |
| HHC Delaware, Inc. | Delaware | |
| HHC Pennsylvania, LLC | Delaware | |
| Hickory Trail Hospital, L.P. | Delaware | |
| Horizon Health Corporation | Delaware | |
| Horizon Health Hospital Services, LLC | Delaware | |
| Independence Physician Management, LLC | Delaware | |
| Keys Group Holdings LLC | Delaware | |
| Keystone/CCS Partners LLC | Delaware | |
| KMI Acquisition, LLC | Delaware | |
| Laurel Oaks Behavioral Health Center, Inc. | Delaware | |
| Liberty Point Behavioral Healthcare, LLC | Delaware | |
| Manatee Memorial Hospital, L.P. | Delaware | |
| McAllen Hospitals, L.P. | Delaware | |
| McAllen Medical Center, Inc. | Delaware | |
| Merion Building Management, Inc. | Delaware | |
| Ocala Behavioral Health, LLC | Delaware | |
| Palmetto Behavioral Health Holdings, LLC | Delaware |
Universal Health Services, Inc. September 16, 2024 Page 6 | |
Entity | Jurisdiction of incorporation or organization | |
| Pasteur Healthcare Properties, LLC | Delaware | |
| Pendleton Methodist Hospital, L.L.C. | Delaware | |
| Premier Behavioral Solutions Of Florida, Inc. | Delaware | |
| Premier Behavioral Solutions, Inc. | Delaware | |
| Psychiatric Realty, LLC | Delaware | |
| Psychiatric Solutions Hospitals, LLC | Delaware | |
| Psychiatric Solutions, Inc. | Delaware | |
| Ramsay Managed Care, LLC | Delaware | |
| Ramsay Youth Services Of Georgia, Inc. | Delaware | |
| Riveredge Hospital Holdings, Inc. | Delaware | |
| RR Recovery, LLC | Delaware | |
| Salt Lake Behavioral Health, LLC | Delaware | |
| Salt Lake Psychiatric Realty, LLC | Delaware | |
| Shadow Mountain Behavioral Health System, LLC | Delaware | |
| Springfield Hospital, Inc. | Delaware | |
| Stonington Behavioral Health, Inc. | Delaware | |
| TBD Acquisition II, LLC | Delaware | |
| TBD Acquisition, LLC | Delaware | |
| TBJ Behavioral Center, LLC | Delaware | |
| Texas Hospital Holdings, Inc. | Delaware | |
| Toledo Holding Co., LLC | Delaware | |
| Two Rivers Psychiatric Hospital, Inc. | Delaware | |
| UBH Of Oregon, LLC | Delaware | |
| UBH Of Phoenix Realty, LLC | Delaware | |
| UBH Of Phoenix, LLC | Delaware | |
| UHP LP | Delaware | |
| UHS Capitol Acquisition, LLC | Delaware | |
| UHS Children’s Services, Inc. | Delaware | |
| UHS Funding, LLC | Delaware | |
| UHS Kentucky Holdings, L.L.C. | Delaware | |
| UHS Midwest Behavioral Health, LLC | Delaware | |
| UHS Of Anchor, L.P. | Delaware | |
| UHS Of Benton, LLC | Delaware | |
| UHS Of Bowling Green, LLC | Delaware | |
| UHS Of Centennial Peaks, L.L.C. | Delaware | |
| UHS Of Cornerstone Holdings, Inc. | Delaware | |
| UHS Of Cornerstone, Inc. | Delaware | |
| UHS Of D.C., Inc. | Delaware | |
| UHS Of Delaware, Inc. | Delaware | |
| UHS Of Denver, Inc. | Delaware | |
| UHS Of Dover, L.L.C. | Delaware | |
| UHS Of Doylestown, L.L.C. | Delaware | |
| UHS Of Fairmount, Inc. | Delaware | |
| UHS Of Georgia Holdings, Inc. | Delaware | |
| UHS Of Georgia, Inc. | Delaware | |
| UHS Of Greenville, LLC | Delaware |
Universal Health Services, Inc. September 16, 2024 Page 7 | |
Entity | Jurisdiction of incorporation or organization | |
| UHS Of Lakeside, LLC | Delaware | |
| UHS Of Laurel Heights, L.P. | Delaware | |
| UHS Of Madera, Inc. | Delaware | |
| UHS Of Parkwood, Inc. | Delaware | |
| UHS Of Peachford, L.P. | Delaware | |
| UHS Of Phoenix, LLC | Delaware | |
| UHS Of Provo Canyon, Inc. | Delaware | |
| UHS Of Puerto Rico, Inc. | Delaware | |
| UHS Of Ridge, LLC | Delaware | |
| UHS Of Rockford, LLC | Delaware | |
| UHS Of Salt Lake City, L.L.C. | Delaware | |
| UHS Of Savannah, L.L.C. | Delaware | |
| UHS Of Spring Mountain, Inc. | Delaware | |
| UHS Of Springwoods, L.L.C. | Delaware | |
| UHS Of Summitridge, L.L.C. | Delaware | |
| UHS Of Texoma, Inc. | Delaware | |
| UHS Of Timpanogos, Inc. | Delaware | |
| UHS Of Tucson, LLC | Delaware | |
| UHS Of Wyoming, Inc. | Delaware | |
| UHS Sahara, Inc. | Delaware | |
| UHS Sub III, LLC | Delaware | |
| UHS-Corona, Inc. | Delaware | |
| Universal Health Services Of Palmdale, Inc. | Delaware | |
| University Behavioral Health Of El Paso, LLC | Delaware | |
| Valle Vista, LLC | Delaware | |
| Valley Health System LLC | Delaware | |
| Wekiva Springs Center, LLC | Delaware | |
| Willow Springs, LLC | Delaware | |
| Windmoor Healthcare Of Pinellas Park, Inc. | Delaware | |
| Wisconsin Avenue Psychiatric Center, Inc. | Delaware |
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SCHEDULE II
NON-DE GUARANTORS
Entity | Jurisdiction of incorporation or organization | |
| ABS Lincs KY, LLC | Virginia | |
| ABS Lincs SC, Inc. | South Carolina | |
| Aiken Regional Medical Centers, LLC | South Carolina | |
| Alliance Health Center, Inc. | Mississippi | |
| Alternative Behavioral Services, Inc. | Virginia | |
| AZ Holding 4, LLC | Arkansas | |
| Benchmark Behavioral Health System, Inc. | Utah | |
| BHC Alhambra Hospital, Inc. | Tennessee | |
| BHC Belmont Pines Hospital, Inc. | Tennessee | |
| BHC Fairfax Hospital, Inc. | Tennessee | |
| BHC Fox Run Hospital, Inc. | Tennessee | |
| BHC Fremont Hospital, Inc. | Tennessee | |
| BHC Health Services Of Nevada, Inc. | Nevada | |
| BHC Heritage Oaks Hospital, Inc. | Tennessee | |
| BHC Intermountain Hospital, Inc. | Tennessee | |
| BHC Montevista Hospital, Inc. | Nevada | |
| BHC Of Indiana, General Partnership | Tennessee | |
| BHC Pinnacle Pointe Hospital, LLC | Tennessee | |
| BHC Properties, LLC | Tennessee | |
| BHC Sierra Vista Hospital, Inc. | Tennessee | |
| BHC Streamwood Hospital, Inc. | Tennessee | |
| Bloomington Meadows, General Partnership | Tennessee | |
| Brentwood Acquisition, Inc. | Tennessee | |
| Brynn Marr Hospital, Inc. | North Carolina | |
| Canyon Ridge Hospital, Inc. | California | |
| CCS/Lansing, Inc. | Michigan | |
| Children’s Comprehensive Services, Inc. | Tennessee | |
| Columbus Hospital Partners, LLC | Tennessee | |
| Cumberland Hospital, LLC | Virginia | |
| Del Amo Hospital, Inc. | California | |
| District Hospital Partners, L.P. | District of Columbia | |
| Fannin Management Services, LLC | Texas | |
| First Hospital Corporation Of Virginia Beach | Virginia | |
| Forest View Psychiatric Hospital, Inc. | Michigan | |
| Fort Lauderdale Hospital, Inc. | Florida | |
| Garfield Park Hospital, LLC | Illinois | |
| Great Plains Hospital, Inc. | Missouri | |
| Gulf Coast Treatment Center, Inc. | Florida | |
| Gulph Mills Associates, LLC | Pennsylvania | |
| H. C. Corporation | Alabama | |
| H.C. Partnership | Alabama | |
| Harbor Point Behavioral Health Center, Inc. | Virginia |
Universal Health Services, Inc. September 16, 2024 Page 9 | |
Entity | Jurisdiction of incorporation or organization | |
| Havenwyck Hospital Inc. | Michigan | |
| HHC Augusta, Inc. | Georgia | |
| HHC Indiana, Inc. | Indiana | |
| HHC Ohio, Inc. | Ohio | |
| HHC Poplar Springs, LLC | Virginia | |
| HHC River Park, Inc. | West Virginia | |
| HHC South Carolina, Inc. | South Carolina | |
| HHC St. Simons, Inc. | Georgia | |
| Holly Hill Hospital, LLC | Tennessee | |
| Horizon Health Austin, Inc. | Texas | |
| Horizon Mental Health Management, LLC | Texas | |
| HSA Hill Crest Corporation | Alabama | |
| Hughes Center, LLC | Virginia | |
| Keystone Continuum, LLC | Tennessee | |
| Keystone Education and Youth Services, LLC | Tennessee | |
| Keystone Marion, LLC | Virginia | |
| Keystone Memphis, LLC | Tennessee | |
| Keystone Newport News, LLC | Virginia | |
| Keystone NPS LLC | California | |
| Keystone Richland Center LLC | Ohio | |
| Keystone WSNC, L.L.C. | North Carolina | |
| Kids Behavioral Health Of Utah, Inc. | Utah | |
| Kingwood Pines Hospital, LLC | Texas | |
| La Amistad Residential Treatment Center, LLC | Florida | |
| Lancaster Hospital Corporation | California | |
| Lebanon Hospital Partners, LLC | Tennessee | |
| Mayhill Behavioral Health, LLC | Texas | |
| Meridell Achievement Center, Inc. | Texas | |
| Michigan Psychiatric Services, Inc. | Michigan | |
| Millwood Hospital, L.P. | Texas | |
| Milwaukee Behavioral Health, LLC | Wisconsin | |
| Neuro Institute Of Austin, L.P. | Texas | |
| North Spring Behavioral Healthcare, Inc. | Tennessee | |
| Northern Indiana Partners, LLC | Tennessee | |
| Northwest Texas Healthcare System, Inc. | Texas | |
| Oak Plains Academy Of Tennessee, Inc. | Tennessee | |
| Palmetto Behavioral Health System, L.L.C. | South Carolina | |
| Palmetto Lowcountry Behavioral Health, L.L.C. | South Carolina | |
| Palm Point Behavioral Health, LLC | Florida | |
| Park Healthcare Company | Tennessee | |
| Pennsylvania Clinical Schools, Inc. | Pennsylvania | |
| PSJ Acquisition, LLC | North Dakota | |
| Psychiatric Solutions Of Virginia, Inc. | Tennessee | |
| Ridge Outpatient Counseling, L.L.C. | Kentucky | |
| River Oaks, Inc. | Louisiana | |
| Riverside Medical Clinic Patient Services, L.L.C. | California |
Universal Health Services, Inc. September 16, 2024 Page 10 | |
Entity | Jurisdiction of incorporation or organization | |
| Rolling Hills Hospital, LLC | Tennessee | |
| Samson Properties, LLC | Florida | |
| Schick Shadel of Florida, LLC | Florida | |
| SHC-KPH, LP | Texas | |
| Southeastern Hospital Corporation | Tennessee | |
| SP Behavioral, LLC | Florida | |
| Sparks Family Hospital, Inc. | Nevada | |
| Summit Oaks Hospital, Inc. | New Jersey | |
| Sunstone Behavioral Health, LLC | Tennessee | |
| Temecula Valley Hospital, Inc. | California | |
| Temple Behavioral Healthcare Hospital, Inc. | Texas | |
| Tennessee Clinical Schools, LLC | Tennessee | |
| Texas Cypress Creek Hospital, L.P. | Texas | |
| Texas Laurel Ridge Hospital, L.P. | Texas | |
| Texas Oaks Psychiatric Hospital, L.P. | Texas | |
| Texas San Marcos Treatment Center, L.P. | Texas | |
| Texas West Oaks Hospital, L.P. | Texas | |
| The Arbour, Inc. | Massachusetts | |
| The Bridgeway, LLC | Arizona | |
| The National Deaf Academy, LLC | Florida | |
| Three Rivers Behavioral Health, LLC | South Carolina | |
| Three Rivers Healthcare Group, LLC | South Carolina | |
| Turning Point Care Center, LLC | Georgia | |
| UHS Holding Company, Inc. | Nevada | |
| UHS Of Fuller, Inc. | Massachusetts | |
| UHS Of Hampton, Inc. | New Jersey | |
| UHS Of Hartgrove, Inc | Illinois | |
| UHS Of Lancaster, LLC | Pennsylvania | |
| UHS Of New Orleans, LLC | Louisiana | |
| UHS Of Oklahoma, LLC | Oklahoma | |
| UHS Of Pennsylvania, Inc. | Pennsylvania | |
| UHS Of River Parishes, Inc. | Louisiana | |
| UHS Of Timberlawn, Inc. | Texas | |
| UHS Of Westwood Pembroke, Inc. | Massachusetts | |
| UHS Oklahoma City LLC | Oklahoma | |
| UHSD, L.L.C. | Nevada | |
| UHSL, L.L.C. | Nevada | |
| United Healthcare Of Hardin, Inc. | Tennessee | |
| Universal Health Services Of Rancho Springs, Inc. | California | |
| University Behavioral, LLC | Florida | |
| Valle Vista Hospital Partners, LLC | Tennessee | |
| Valley Hospital Medical Center, Inc. | Nevada | |
| Wellington Regional Medical Center, LLC | Florida | |
| Wellstone Regional Hospital Acquisition, LLC | Indiana | |
| Windmoor Healthcare Inc. | Florida | |
| Zeus Endeavors, LLC | Florida |