0001104659-14-049966.txt : 20140702 0001104659-14-049966.hdr.sgml : 20140702 20140702165338 ACCESSION NUMBER: 0001104659-14-049966 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20140630 FILED AS OF DATE: 20140702 DATE AS OF CHANGE: 20140702 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: Adeptus Health Inc. CENTRAL INDEX KEY: 0001602367 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HOSPITALS [8060] IRS NUMBER: 465037387 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2941 SOUTH LAKE VISTA STREET 2: SUITE 200 CITY: LEWISVILLE STATE: TX ZIP: 75067 BUSINESS PHONE: 9728996666 MAIL ADDRESS: STREET 1: 2941 SOUTH LAKE VISTA STREET 2: SUITE 200 CITY: LEWISVILLE STATE: TX ZIP: 75067 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HOEHN SARIC RULDOLF CHRISTOPHER CENTRAL INDEX KEY: 0001011193 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36520 FILM NUMBER: 14957239 MAIL ADDRESS: STREET 1: C/O 650 DUNDEE ROAD STREET 2: SUITE 370 CITY: NORTHBROOK STATE: IL ZIP: 60062 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BECKER ERIC D CENTRAL INDEX KEY: 0001165803 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36520 FILM NUMBER: 14957240 MAIL ADDRESS: STREET 1: C/O 650 DUNDEE ROAD STREET 2: SUITE 370 CITY: NORTHBROOK STATE: IL ZIP: 60062 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: ELFMAN MERRICK CENTRAL INDEX KEY: 0001011186 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36520 FILM NUMBER: 14957242 MAIL ADDRESS: STREET 1: C/O 650 DUNDEE ROAD STREET 2: SUITE 370 CITY: NORTHBROOK STATE: IL ZIP: 60062 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Taslitz Steven CENTRAL INDEX KEY: 0001407214 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36520 FILM NUMBER: 14957243 MAIL ADDRESS: STREET 1: 1033 SKOKIE BOULEVARD STREET 2: SUITE 600 CITY: NORTHBROOK STATE: IL ZIP: 60062 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCP III AIV THREE-FCER Conduit, L.P. CENTRAL INDEX KEY: 0001611318 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36520 FILM NUMBER: 14957246 BUSINESS ADDRESS: STREET 1: C/O STERLING PARTNERS STREET 2: 401 NORTH MICHIGAN, SUITE 3300 CITY: CHICAGO STATE: IL ZIP: 60611 BUSINESS PHONE: 312 465 7000 MAIL ADDRESS: STREET 1: C/O STERLING PARTNERS STREET 2: 401 NORTH MICHIGAN, SUITE 3300 CITY: CHICAGO STATE: IL ZIP: 60611 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sterling Capital Partners III, LLC CENTRAL INDEX KEY: 0001611325 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36520 FILM NUMBER: 14957247 BUSINESS ADDRESS: STREET 1: C/O STERLING PARTNERS STREET 2: 401 NORTH MICHIGAN, SUITE 3300 CITY: CHICAGO STATE: IL ZIP: 60611 BUSINESS PHONE: 312 465 7000 MAIL ADDRESS: STREET 1: C/O STERLING PARTNERS STREET 2: 401 NORTH MICHIGAN, SUITE 3300 CITY: CHICAGO STATE: IL ZIP: 60611 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCP III AIV THREE-FCER, L.P. CENTRAL INDEX KEY: 0001611319 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36520 FILM NUMBER: 14957245 BUSINESS ADDRESS: STREET 1: C/O STERLING PARTNERS STREET 2: 401 NORTH MICHIGAN, SUITE 3300 CITY: CHICAGO STATE: IL ZIP: 60611 BUSINESS PHONE: 312 465 7000 MAIL ADDRESS: STREET 1: C/O STERLING PARTNERS STREET 2: 401 NORTH MICHIGAN, SUITE 3300 CITY: CHICAGO STATE: IL ZIP: 60611 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: BECKER DOUGLAS L CENTRAL INDEX KEY: 0001072473 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36520 FILM NUMBER: 14957241 MAIL ADDRESS: STREET 1: C/O 650 DUNDEE ROAD STREET 2: SUITE 370 CITY: NORTHBROOK STATE: IL ZIP: 60062 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SC Partners III, L.P. CENTRAL INDEX KEY: 0001611317 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-36520 FILM NUMBER: 14957244 BUSINESS ADDRESS: STREET 1: C/O STERLING PARTNERS STREET 2: 401 NORTH MICHIGAN, SUITE 3300 CITY: CHICAGO STATE: IL ZIP: 60611 BUSINESS PHONE: 312 465 7000 MAIL ADDRESS: STREET 1: C/O STERLING PARTNERS STREET 2: 401 NORTH MICHIGAN, SUITE 3300 CITY: CHICAGO STATE: IL ZIP: 60611 4 1 a4.xml 4 X0306 4 2014-06-30 0 0001602367 Adeptus Health Inc. ADPT 0001611325 Sterling Capital Partners III, LLC C/O STERLING PARTNERS 401 NORTH MICHIGAN AVENUE, SUITE 3300 CHICAGO IL 60611 1 0 1 0 0001611318 SCP III AIV THREE-FCER Conduit, L.P. C/O STERLING PARTNERS 401 NORTH MICHIGAN AVENUE, SUITE 3300 CHICAGO IL 60611 1 0 1 0 0001611319 SCP III AIV THREE-FCER, L.P. C/O STERLING PARTNERS 401 NORTH MICHIGAN AVENUE, SUITE 3300 CHICAGO IL 60611 1 0 1 0 0001611317 SC Partners III, L.P. C/O STERLING PARTNERS 401 NORTH MICHIGAN AVENUE, SUITE 3300 CHICAGO IL 60611 1 0 1 0 0001407214 Taslitz Steven C/O STERLING PARTNERS 401 NORTH MICHIGAN AVENUE, SUITE 3300 CHICAGO IL 60611 1 0 1 0 0001011186 ELFMAN MERRICK C/O STERLING PARTNERS 401 NORTH MICHIGAN AVENUE, SUITE 3300 CHICAGO IL 60611 1 0 1 0 0001072473 BECKER DOUGLAS L C/O STERLING PARTNERS 401 NORTH MICHIGAN AVENUE, SUITE 3300 CHICAGO IL 60611 1 0 1 0 0001165803 BECKER ERIC D C/O STERLING PARTNERS 401 NORTH MICHIGAN AVENUE, SUITE 3300 CHICAGO IL 60611 1 0 1 0 0001011193 HOEHN SARIC RULDOLF CHRISTOPHER C/O STERLING PARTNERS 401 NORTH MICHIGAN AVENUE, SUITE 3300 CHICAGO IL 60611 1 0 1 0 Class A Common Stock 2014-06-30 4 S 0 313586 20.46 D 4160521 I See footnotes Class A Common Stock 3410 I See footnote Units of Adeptus Health LLC 2014-06-30 4 D 0 421414 20.46 D Class A Common Stock 421414 5591149 I See footnotes This amount represents the $22.00 initial public offering price per share of Class A Common Stock of Adeptus Health, Inc. (the "Issuer"), less the underwriting discount of $1.54 per share. Shares of Class A Common Stock of the Issuer are held by SCP III AIV THREE-FCER Conduit, L.P. Represents restricted shares of Class A Common Stock of the Issuer granted to Daniel W. Rosenberg and Daniel J. Hosler as members of the board of directors of the Issuer. Messrs. Rosenberg and Hosler are employees of Sterling Fund Management, LLC and hold such restricted shares of Class A Common Stock for and on behalf of Sterling Fund Management, LLC, which acts as an advisor to SCP III AIV THREE-FCER, L.P. and SCP III AIV THREE-FCER Conduit, L.P. (the "Sterling Funds"). A portion of the proceeds of any disposition of these securities will be applied against management fees attributable to limited partners of the Sterling Funds which are payable to the advisor. Sterling Fund Management, LLC is wholly-owned by Sterling Fund Management Holdings, L.P., whose general partner, Sterling Fund Management Holdings GP, LLC is managed by Messrs. Steven M. Taslitz, Merrick M. Elfman, Douglas L. Becker, Eric D. Becker and R. Christopher Hoehn-Saric. Units of Adeptus Health LLC represent limited liability company units of Adeptus Health LLC and an equal number of shares of Class B Common Stock of the Issuer, which together are exchangeable on a one-for-one basis for shares of Class A Common Stock of the Issuer pursuant to the Amended and Restated Limited Liability Company Agreement of Adeptus Health LLC. Represents a purchase of limited liability company units of Adeptus Health LLC by the Issuer from SCP III AIV THREE-FCER, L.P. at $20.46 per share, the initial public offering price per share of Class A Common Stock, less an amount equal to the underwriting discount of $1.54 per share. In connection with the purchase, an equivalent number of shares of Class B Common Stock of the Issuer were cancelled. Units of Adeptus Health LLC are held by SCP III AIV THREE-FCER, L.P. Sterling Capital Partners III, LLC is the general partner of SC Partners III, L.P., the general partner of each of the Sterling Funds. Messrs. Steven M. Taslitz, Merrick M. Elfman, Douglas L. Becker, Eric D. Becker and R. Christopher Hoehn-Saric are the managers of Sterling Capital Partners III, LLC. Messrs. Rosenberg and Hosler also have an indirect interest in the securities of the Issuer held by the Sterling Funds. Each of the Reporting Persons disclaims beneficial ownership of the securities reported herein, except to the extent of such Reporting Person's pecuniary interest therein, if any. The filing of this statement shall not be deemed to be an admission that, for purposes of Section 16 of the Securities Exchange Act of 1934 or otherwise, the Reporting Persons are the beneficial owners of any securities reported herein. Because no more than 10 reporting persons can file any one Form 4 through the Securities and Exchange Commission's EDGAR system, Messrs. Rosenberg and Hosler have made a separate Form 4 filing. /s/ M. Avi Epstein, General Counsel of Sterling Capital Partners III, LLC, the general partner of SC Partners III, L.P., the general partner of SCP III AIV THREE-FCER, L.P. 2014-07-02 /s/ M. Avi Epstein, General Counsel of Sterling Capital Partners III, LLC, the general partner of SC Partners III, L.P., the general partner of SCP III AIV THREE-FCER Conduit, L.P. 2014-07-02 /s/ M. Avi Epstein, General Counsel of Sterling Capital Partners III, LLC, the general partner of SC Partners III, L.P. 2014-07-02 /s/ M. Avi Epstein, General Counsel of Sterling Capital Partners III, LLC 2014-07-02 /s/ M. Avi Epstein, attorney-in-fact for Steven M. Taslitz 2014-07-02 /s/ M. Avi Epstein, attorney-in-fact for Merrick M. Elfman 2014-07-02 /s/ M. Avi Epstein, attorney-in-fact for Douglas L. Becker 2014-07-02 /s/ M. Avi Epstein, attorney-in-fact for Eric D. Becker 2014-07-02 /s/ M. Avi Epstein, attorney-in-fact for R. Christopher Hoehn-Saric 2014-07-02