EXHIBIT - 25
================================================================================
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)
-------------------------------------------------------
U.S. BANK NATIONAL ASSOCIATION
(Exact name of Trustee as specified in its charter)
31-0841368
I.R.S. Employer Identification No.
800 Nicollet Mall
Minneapolis, Minnesota 55402
- --------------------------------------------------------------------------------
(Address of principal executive offices) (Zip Code)
Frank Leslie
U.S. Bank National Association
60 Livingston Avenue
St. Paul, MN 55107
(651) 495-3913
(Name, address and telephone number of agent for service)
ARDENT HEALTH SERVICES LLC
(Issuer with respect to the Securities)
Delaware 62-1862223
(State or other jurisdiction of (I.R.S. Employer
incorporation or organization) Identification No.)
One Burton Hills Boulevard, Suite 250 37215
Nashville, Tennessee
- --------------------------------------------------------------------------------
(Address of Principal Executive Offices) (Zip Code)
10% SENIOR SUBORDINATED NOTES DUE 2013
(TITLE OF THE INDENTURE SECURITIES)
================================================================================
TABLE OF ADDITIONAL REGISTRANTS
STATE OR OTHER
JURISDICTION OF I.R.S. EMPLOYER
EXACT NAME OF REGISTRANT AS INCORPORATION OR IDENTIFICATION
SPECIFIED IN ITS CHARTER ORGANIZATION NUMBER ADDRESS OF PRINCIPAL EXECUTIVE OFFICES
Ardent Health Services, Inc. Delaware 92-0189593 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
AHS Albuquerque Holdings, LLC New Mexico 04-3655159 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
AHS Cumberland Hospital, LLC Virginia 02-0567575 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
AHS Kentucky Holdings, Inc. Delaware 62-1870159 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
AHS Kentucky Hospitals, Inc. Delaware 62-1870165 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
AHS Louisiana Holdings, Inc. Delaware 62-1862999 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
AHS Louisiana Hospitals, Inc. Delaware 62-1862997 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
AHS Management Company, Inc. Tennessee 62-1743438 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
AHS New Mexico Holdings, Inc. New Mexico 03-0430287 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
AHS Research and Review, LLC New Mexico 42-1581498 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
AHS Samaritan Hospital, LLC Kentucky 62-1870151 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
AHS S.E.D. Medical Laboratories, Inc. New Mexico 85-0353482 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
AHS Summit Hospital, LLC Delaware 62-1862578 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
Ardent Medical Services, Inc. Delaware 62-1862179 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
Behavioral Healthcare Corporation Delaware 62-1516830 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
BHC Alhambra Hospital, Inc. Tennessee 62-1658521 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
BHC Belmont Pines Hospital, Inc. Tennessee 62-1658523 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
BHC Cedar Vista Hospital, Inc. California 77-0359473 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
BHC Columbus Hospital, Inc. Tennessee 62-1664739 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
BHC Fairfax Hospital, Inc. Tennessee 62-1658528 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
BHC Fox Run Hospital, Inc. Tennessee 62-1658531 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
BHC Fremont Hospital, Inc. Tennessee 62-1658532 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
BHC Gulf Coast Management Group, Inc. Tennessee 62-1690695 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
BHC Health Services of Nevada, Nevada 88-0300031 One Burton Hills Boulevard, Suite 250
Inc. Nashville, TN 37215
BHC Heritage Oaks Hospital, Inc. Tennessee 62-1658494 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
BHC Hospital Holdings, Inc. Delaware 41-2052298 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
BHC Intermountain Hospital, Inc. Tennessee 62-1658493 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
BHC Lebanon Hospital, Inc. Tennessee 62-1664738 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
BHC Management Holdings, Inc. Delaware 41-2052303 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
BHC Management Services, LLC Delaware 62-1849455 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
BHC Management Services of Delaware 62-1843640 One Burton Hills Boulevard, Suite 250
Indiana, LLC Nashville, TN 37215
BHC Management Services of Delaware 62-1843655 One Burton Hills Boulevard, Suite 250
Kentucky, LLC Nashville, TN 37215
BHC Management Services of New Delaware 62-1843651 One Burton Hills Boulevard, Suite 250
Mexico, LLC Nashville, TN 37215
BHC Management Services of Delaware 62-1843658 One Burton Hills Boulevard, Suite 250
Streamwood, LLC Nashville, TN 37215
BHC Meadows Partner, Inc. Delaware 62-1660784 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
BHC Montevista Hospital, Inc. Nevada 88-0299907 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
BHC Northwest Psychiatric Delaware 20-0085660 One Burton Hills Boulevard, Suite 250
Hospital, LLC Nashville, TN 37215
BHC of Indiana, General Tennessee 62-1780700 One Burton Hills Boulevard, Suite 250
Partnership Nashville, TN 37215
BHC of Northern Indiana, Inc. Tennessee 62-1664737 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
BHC Physician Services of Delaware 62-1843636 One Burton Hills Boulevard, Suite 250
Kentucky, LLC Nashville, TN 37215
BHC Pinnacle Pointe Hospital, Tennessee 62-1658502 One Burton Hills Boulevard, Suite 250
Inc. Nashville, TN 37215
BHC Properties, Inc. Tennessee 62-1660875 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
BHC Sierra Vista Hospital, Inc. Tennessee 62-1658512 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
BHC Spirit of St. Louis Tennessee 62-1658513 One Burton Hills Boulevard, Suite 250
Hospital, Inc. Nashville, TN 37215
BHC Streamwood Hospital, Inc. Tennessee 62-1658515 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
BHC Valle Vista Hospital, Inc. Tennessee 62-1658516 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
BHC Windsor Hospital, Inc. Ohio 34-1827645 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
Bloomington Meadows, G.P. Delaware 35-1858510 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
Columbus Hospital, LLC Delaware 62-1740367 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
Indiana Psychiatric Institutes, Inc. Delaware 52-1652319 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
Lebanon Hospital, LLC Delaware 62-1740370 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
Mesilla Valley General New Mexico 85-0337300 One Burton Hills Boulevard, Suite 250
Partnership Nashville, TN 37215
Mesilla Valley Mental Health New Mexico 85-0338767 One Burton Hills Boulevard, Suite 250
Associates, Inc. Nashville, TN 37215
Northern Indiana Hospital, LLC Delaware 62-1741384 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
Valle Vista, LLC Delaware 62-1740366 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
Willow Springs, LLC Delaware 62-1814471 One Burton Hills Boulevard, Suite 250
Nashville, TN 37215
FORM T-1
ITEM 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.
Comptroller of the Currency
Washington, D.C.
b) Whether it is authorized to exercise corporate trust powers.
Yes
ITEM 2. AFFILIATIONS WITH OBLIGOR. If the obligor is an affiliate of the
Trustee, describe each such affiliation.
None
ITEMS 3-15 Items 3-15 are not applicable because to the best of the Trustee's
knowledge, the obligor is not in default under any Indenture for
which the Trustee acts as Trustee.
ITEM 16. LIST OF EXHIBITS: List below all exhibits filed as a part of this
statement of eligibility and qualification.
1. A copy of the Articles of Association of the Trustee.*
2. A copy of the certificate of authority of the Trustee to
commence business.*
3. A copy of the certificate of authority of the Trustee to
exercise corporate trust powers.*
4. A copy of the existing bylaws of the Trustee.*
5. A copy of each Indenture referred to in Item 4. Not
applicable.
6. The consent of the Trustee required by Section 321(b) of the
Trust Indenture Act of 1939, attached as Exhibit 6.
7. Report of Condition of the Trustee as of June 30, 2003,
published pursuant to law or the requirements of its
supervising or examining authority, attached as Exhibit 7.
* Incorporated by reference to Registration Number 333-67188.
NOTE
The answers to this statement insofar as such answers relate to what
persons have been underwriters for any securities of the obligors within three
years prior to the date of filing this statement, or what persons are owners of
10% or more of the voting securities of the obligors, or affiliates, are based
upon information furnished to the Trustee by the obligors. While the Trustee has
no reason to doubt the accuracy of any such information, it cannot accept any
responsibility therefor.
SIGNATURE
Pursuant to the requirements of the Trust Indenture Act of 1939, as
amended, the Trustee, U.S. BANK NATIONAL ASSOCIATION, a national banking
association organized and existing under the laws of the United States of
America, has duly caused this statement of eligibility and qualification to be
signed on its behalf by the undersigned, thereunto duly authorized, all in the
City of St. Paul, State of Minnesota on the 30th day of October, 2003.
U.S. BANK NATIONAL ASSOCIATION
By: /s/ Frank P. Leslie III
--------------------------------
Frank P. Leslie III
Vice President
By: /s/ Lori-Anne Rosenberg
-----------------------------------
Lori-Anne Rosenberg
Assistant Vice President
EXHIBIT 6
CONSENT
In accordance with Section 321(b) of the Trust Indenture Act of 1939,
the undersigned, U.S. BANK NATIONAL ASSOCIATION hereby consents that reports of
examination of the undersigned by Federal, State, Territorial or District
authorities may be furnished by such authorities to the Securities and Exchange
Commission upon its request therefor.
Dated: October 30, 2003
U.S. BANK NATIONAL ASSOCIATION
By: /s/ Frank P. Leslie III
--------------------------------
Frank P. Leslie III
Vice President
By: /s/ Lori-Anne Rosenberg
------------------------------
Lori-Anne Rosenberg
Assistant Vice President
EXHIBIT 7
U.S. BANK NATIONAL ASSOCIATION
STATEMENT OF FINANCIAL CONDITION
AS OF 6/30/2003
($000's)
6/30/2003
--------------
ASSETS
Cash and Due From Depository Institutions $ 11,987,100
Federal Reserve Stock 0
Securities 35,336,411
Federal Funds 4,955,134
Loans & Lease Financing Receivables 118,648,100
Fixed Assets 1,864,465
Intangible Assets 9,999,520
Other Assets 8,735,830
--------------
TOTAL ASSETS $ 191,526,560
LIABILITIES
Deposits $ 132,461,590
Fed Funds 5,061,915
Treasury Demand Notes 0
Trading Liabilities 303,140
Other Borrowed Money 20,320,775
Acceptances 150,586
Subordinated Notes and Debentures 6,326,523
Other Liabilities 5,864,946
--------------
TOTAL LIABILITIES $ 170,489,475
EQUITY
Minority Interest in Subsidiaries $ 999,216
Common and Preferred Stock 18,200
Surplus 11,015,123
Undivided Profits 9,004,546
--------------
TOTAL EQUITY CAPITAL $ 21,037,085
TOTAL LIABILITIES AND EQUITY CAPITAL $ 191,526,560
To the best of the undersigned's determination, as of the date hereof, the above
financial information is true and correct.
U.S. BANK NATIONAL ASSOCIATION
By: /s/ Frank P. Leslie III
-----------------------
Vice President
Date: October 30, 2003