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