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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D. C. 20549
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FORM T-1
STATEMENT OF ELIGIBILITY
UNDER THE TRUST INDENTURE ACT OF 1939 OF
A CORPORATION DESIGNATED TO ACT AS TRUSTEE
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CHECK IF AN APPLICATION TO DETERMINE
ELIGIBILITY OF A TRUSTEE PURSUANT TO
SECTION 305(b)(2) _______
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UNITED STATES TRUST COMPANY OF NEW YORK
(Exact name of trustee as specified in its charter)
New York 13-3818954
(Jurisdiction of incorporation (I. R. S. Employer
if not a U. S. national bank) Identification No.)
114 West 47th Street 10036
New York, New York (Zip Code)
(Address of principal
executive offices)
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TEAM HEALTH, INC.
(Exact name of OBLIGOR as specified in its charter)
Tennessee 62-1562558
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
1900 Winston Road 37919
Knoxville, Tennessee (Zip code)
(Address of principal executive offices)
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ALLIANCE CORPORATION
(Exact name of REGISTRANT as specified in its charter)
West Virginia 55-0739050
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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CHARLES L. SPRINGFIELD, INC.
(Exact name of REGISTRANT as specified in its charter)
California 94-2713012
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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CLINIC MANAGEMENT SERVICES, INC.
(Exact name of REGISTRANT as specified in its charter)
Tennessee 62-1453392
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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DANIEL & YEAGER, INC.
(Exact name of REGISTRANT as specified in its charter)
Alabama 63-1009913
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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DRS. SHEER, AHEARN AND ASSOCIATES, INC.
(Exact name of REGISTRANT as specified in its charter)
Florida 59-1237521
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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EMERGENCY COVERAGE CORPORATION
(Exact name of REGISTRANT as specified in its charter)
Tennessee 62-1130266
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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EMERGENCY MANAGEMENT SPECIALISTS, INC.
(Exact name of REGISTRANT as specified in its charter)
West Virginia 55-0632298
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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EMERGENCY PHYSICIAN ASSOCIATES, INC..
(Exact name of REGISTRANT as specified in its charter)
New Jersey 22-2213199
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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EMERGENCY PHYSICIANS OF MANATEE, INC.
(Exact name of REGISTRANT as specified in its charter)
Florida 65-0051890
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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EMERGENCY PROFESSIONAL SERVICES, INC.
(Exact name of REGISTRANT as specified in its charter)
Ohio 94-2460636
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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EMERGICARE MANAGEMENT, INCORPORATED
(Exact name of REGISTRANT as specified in its charter)
Tennessee 62-0881710
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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FISCHER MANGOLD PARTNERSHIP
(Exact name of REGISTRANT as specified in its charter)
California 94-1731121
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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HERSCHEL FISCHER, INC.
(Exact name of REGISTRANT as specified in its charter)
California 94-3262291
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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HOSPITAL BASED PHYSICIAN SERVICES, INC.
(Exact name of REGISTRANT as specified in its charter)
Tennessee 62-1535401
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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IMBS, INC.
(Exact name of REGISTRANT as specified in its charter)
Florida 65-0622847
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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INPHYNET ANESTHESIA OF WEST VIRGINIA, INC.
(Exact name of REGISTRANT as specified in its charter)
West Virginia 65-0746470
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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INPHYNET CONTRACTING SERVICES, INC.
(Exact name of REGISTRANT as specified in its charter)
Florida 65-0622862
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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INPHYNET HOSPITAL SERVICES, INC.
(Exact name of REGISTRANT as specified in its charter)
Florida 65-0622855
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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INPHYNET JOLIET, INC.
(Exact name of REGISTRANT as specified in its charter)
Florida 65-0086608
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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INPHYNET LOUISIANA, INC.
(Exact name of REGISTRANT as specified in its charter)
Florida 65-0125286
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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INPHYNET MEDICAL MANAGEMENT INSTITUTE
(Exact name of REGISTRANT as specified in its charter)
Florida 65-0652251
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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INPHYNET SOUTH BROWARD, INC.
(Exact name of REGISTRANT as specified in its charter)
Florida 65-0726225
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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KARL G. MANGOLD, INC.
(Exact name of REGISTRANT as specified in its charter)
California 91-1775707
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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MED ASSURE SYSTEMS, INC.
(Exact name of REGISTRANT as specified in its charter)
Tennessee 62-1304911
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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METROAMERICAN RADIOLOGY, INC.
(Exact name of REGISTRANT as specified in its charter)
North Carolina 56-1657199
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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MT. DIABLO EMERGENCY PHYSICIANS
(Exact name of REGISTRANT as specified in its charter)
California 68-0049611
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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NEO:MED, INC.
(Exact name of REGISTRANT as specified in its charter)
Florida 65-0456767
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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NORTHWEST EMERGENCY PHYSICIANS, INCORPORATED
(Exact name of REGISTRANT as specified in its charter)
Washington 91-1753075
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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PARAGON ANESTHESIA, INC.
(Exact name of REGISTRANT as specified in its charter)
Florida 59-2092416
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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PARAGON CONTRACTING SERVICES, INC.
(Exact name of REGISTRANT as specified in its charter)
Florida 65-0622859
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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PARAGON HEALTHCARE LIMITED PARTNERSHIP
(Exact name of REGISTRANT as specified in its charter)
Florida 65-0426893
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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PARAGON IMAGING CONSULTANTS, INC.
(Exact name of REGISTRANT as specified in its charter)
Florida 65-0410357
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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QUANTUM PLUS, INC.
(Exact name of REGISTRANT as specified in its charter)
California 94-3259635
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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REICH, SEIDELMAN, & JANICKI CO.
(Exact name of REGISTRANT as specified in its charter)
Ohio 34-1245634
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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ROSENDORF, MARGULIES, BORUSHOK & SHOENBAUM
RADIOLOGY ASSOCIATES OF HOLLYWOOD, INC.
(Exact name of REGISTRANT as specified in its charter)
Florida 59-1226776
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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SARASOTA EMERGENCY MEDICAL CONSULTANTS, INC.
(Exact name of REGISTRANT as specified in its charter)
Florida 65-0195332
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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SOUTHEASTERN EMERGENCY PHYSICIANS OF MEMPHIS, INC.
(Exact name of REGISTRANT as specified in its charter)
Tennessee 62-1453389
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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SOUTHEASTERN EMERGENCY PHYSICIANS, INC.
(Exact name of REGISTRANT as specified in its charter)
Tennessee 62-1266047
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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TEAM HEALTH BILLING SERVICES, L.P.
(Exact name of REGISTRANT as specified in its charter)
Tennessee 62-1727916
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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TEAM HEALTH FINANCIAL SERVICES, INC.
(Exact name of REGISTRANT as specified in its charter)
Tennessee 62-1727919
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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TEAM HEALTH SOUTHWEST, L.P.
(Exact name of REGISTRANT as specified in its charter)
Delaware 63-1201377
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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TEAM RADIOLOGY, INC.
(Exact name of REGISTRANT as specified in its charter)
North Carolina 56-1844186
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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THBS, INC.
(Exact name of REGISTRANT as specified in its charter)
Delaware 62-1727916
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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THE EMERGENCY ASSOCIATES FOR MEDICINE, INC.
(Exact name of REGISTRANT as specified in its charter)
Florida 59-2862461
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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VIRGINIA EMERGENCY PHYSICIANS, INC.
(Exact name of REGISTRANT as specified in its charter)
Virginia 54-1629761
(State or other jurisdiction of (I. R. S. Employer
incorporation or organization) Identification No.)
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12% Senior Subordinated Notes due 2009
(Title of the indenture securities)
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GENERAL
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.
Federal Reserve Bank of New York (2nd District), New York,
New York (Board of Governors of the Federal Reserve
System).
Federal Deposit Insurance Corporation, Washington, D. C.
New York State Banking Department, Albany, New York
(b) Whether it is authorized to exercise corporate trust powers.
The trustee is authorized to exercise corporate trust
powers.
2. Affiliations with the Obligor
If the obligor is an affiliate of the trustee, describe each such
affiliation.
None.
3,4,5,6,7,8,9,10,11,12,13,14 and 15.
Team Health, Inc., Alliance Corporation, Charles L. Springfield, Inc.,
Clinic Management Services, Inc., Daniel & Yeager, Inc., Drs. Sheer,
Ahearn and Associates, Inc., Emergency Coverage Corporation, Emergency
Management Specialist, Inc., Emergency Physician Associates, Inc.,
Emergency Physicians of Manatee, Inc., Emergency Professional Services,
Inc., Emergicare Management, Incorporated, Fischer Mangold Partnership,
Herschel Fischer, Inc., Hospital Based Physician Services, Inc., IMBS,
Inc., Inphynet Anesthesia of West Virginia, Inc., Inphynet Contracting
Services, Inc., Inphynet Hospital Services, Inc., Inphynet Joliet,
Inc., Inphynet Louisiana, Inc., Inphynet Medical Management Institute,
Inphynet South Broward, Inc., Karl G. Mangold, Inc., Med Assure
Systems, Inc., Metroamerican Radiology, Inc., Mt. Diablo Emergency
Physicians, NEO:MED, Inc., Northwest Emergency Physicians,
Incorporated, Paragon Anesthesia, Inc., Paragon Contracting Services,
Inc., Paragon Healthcare Limited Partnership, Paragon Imaging
Consultants, Inc., Quantum Plus, Inc., Reich, Seidelman, & Janicki Co.,
Rosendorf, Margulies, Borushok & Shoenbaum Radiology Associates of
Hollywood, Inc., Sarasota Emergency Medical Consultants, Inc.,
Southeastern Emergency Physicians of Memphis, Inc.,
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Southeastern Emergency Physicians, Inc., Team Health Billing Services,
L.P., Team Health Financial Services, Inc., Team Health Southwest,
L.P., Team Radiology, Inc., THBS, Inc., The Emergency Associates for
Medicine, Inc., Virginia Emergency Physicians, Inc. are currently not
in default under any of its outstanding securities for which United
States Trust Company of New York is Trustee. Accordingly, responses to
Items 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14 and 15 of Form T-1 are
not required under General Instruction B.
16. List of Exhibits
T-1.1 -- Organization Certificate, as amended, issued by the
State of New York Banking Department to transact
business as a Trust Company, is incorporated by
reference to Exhibit T-1.1 to Form T-1 filed on
September 15, 1995 with the Commission pursuant to
the Trust Indenture Act of 1939, as amended by the
Trust Indenture Reform Act of 1990 (Registration No.
33-97056).
T-1.2 -- Included in Exhibit T-1.1.
T-1.3 -- Included in Exhibit T-1.1.
T-1.4 -- The By-Laws of United States Trust Company of New
York, as amended, is incorporated by reference to
Exhibit T-1.4 to Form T-1 filed on September 15, 1995
with the Commission pursuant to the Trust Indenture
Act of 1939, as amended by the Trust Indenture Reform
Act of 1990 (Registration No. 33-97056).
T-1.6 -- The consent of the trustee required by Section 321(b)
of the Trust Indenture Act of 1939, as amended by the
Trust Indenture Reform Act of 1990.
T-1.7 -- A copy of the latest report of condition of the
trustee pursuant to law or the requirements of its
supervising or examining authority.
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NOTE
As of June 3, 1999, the trustee had 2,999,020 shares of Common Stock
outstanding, all of which are owned by its parent company, U. S. Trust
Corporation. The term "trustee" in Item 2, refers to each of United
States Trust Company of New York and its parent company, U. S. Trust
Corporation.
In answering Item 2 in this statement of eligibility, as to matters
peculiarly within the knowledge of the obligor or its directors, the
trustee has relied upon information furnished to it by the obligor and
will rely on information to be furnished by the obligor and the trustee
disclaims responsibility for the accuracy or completeness of such
information.
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Pursuant to the requirements of the Trust Indenture Act of 1939, the
trustee, United States Trust Company of New York, a corporation
organized and existing under the laws of the State of New York, has
duly caused this statement of eligibility to be signed on its behalf by
the undersigned, thereunto duly authorized, all in the City of New
York, and State of New York, on the 3rd day of June, 1999.
UNITED STATES TRUST COMPANY OF
NEW YORK, Trustee
By: _______________________________________
Patricia Gallagher
Assistant Vice President
RFL/pg
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EXHIBIT T-1.6
The consent of the trustee required by Section 321(b) of the Act.
United States Trust Company of New York
114 West 47th Street
New York, NY 10036
September 1, 1995
Securities and Exchange Commission 450 5th Street, N.W.
Washington, DC 20549
Gentlemen:
Pursuant to the provisions of Section 321(b) of the Trust Indenture Act of 1939,
as amended by the Trust Indenture Reform Act of 1990, and subject to the
limitations set forth therein, United States Trust Company of New York ("U.S.
Trust") hereby consents that reports of examinations of U.S. Trust by Federal,
State, Territorial or District authorities may be furnished by such authorities
to the Securities and Exchange Commission upon request therefor.
Very truly yours,
UNITED STATES TRUST COMPANY
OF NEW YORK
By: /S/Gerard F. Ganey
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Senior Vice President
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EXHIBIT T-1.7
UNITED STATES TRUST COMPANY OF NEW YORK
CONSOLIDATED STATEMENT OF CONDITION
MARCH 31, 1999
($ IN THOUSANDS)
ASSETS
Cash and Due from Banks $ 139,755
Short-Term Investments 85,326
Securities, Available for Sale 528,160
Loans 2,081,103
Less: Allowance for Credit Losses 17,114
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Net Loans 2,063,989
Premises and Equipment 57,765
Other Assets 125,780
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TOTAL ASSETS $3,000,775
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LIABILITIES
Deposits:
Non-Interest Bearing $ 623,046
Interest Bearing 1,875,364
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Total Deposits 2,498,410
Short-Term Credit Facilities 184,281
Accounts Payable and Accrued Liabilities 126,652
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TOTAL LIABILITIES $2,809,343
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STOCKHOLDER'S EQUITY
Common Stock 14,995
Capital Surplus 53,041
Retained Earnings 121,759
Unrealized Gains on Securities
Available for Sale (Net of Taxes) 1,637
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TOTAL STOCKHOLDER'S EQUITY 191,432
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TOTAL LIABILITIES AND
STOCKHOLDER'S EQUITY $3,000,775
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I, Richard E. Brinkmann, Managing Director & Comptroller of the named bank do
hereby declare that this Statement of Condition has been prepared in conformance
with the instructions issued by the appropriate regulatory authority and is true
to the best of my knowledge and belief.
Richard E. Brinkmann, Managing Director & Controller
May 18, 1999